HomeMy WebLinkAbout14-15405 � _ • CITY OF ZEPHYRHILLS
5335-8tti Street
(813)780-0020 �'S405
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ELECTRICAL PERMIT
Parmit YR='I5405 Issugd: 6/23/20'14 Addrgss= 46'15 BLOSSOM BLV�
Parmit Typa: ELECTRICAL MISC ZEPHYRHILLS. FL.
Class of Worlc: ELECTRICAL MISC Towr�sF�ip_ Range=
Proposed Use: NOT APPLICABLE Lot(s)= Blocic: Sgotion:
Sq_ Fggt: Est_ Valua: Boolc: Page=
Cost- 3,800_00 Total FBas: 82.50 Subdivision= ORANGE BLOSSOM RANCH
Amount Paid: 82_50 Uate Paid- 6/23/20'14 Parcel Numbar= '15-26-2'1-O'17�-00000-OORO
Name: RAN�K POOL SERVICE Name= ORANGE BLOSSOM RANCH
Addr: P-O. BOX '1584 Addrgss- 46'15 BLOSSOM BLV�
ZEPHYRHILLS FL 33539-'1584 ZEPHYRHILLS, FL_ 33542
Pl�o�ec (8'13)425-4497 Lic= -_ PF�or�e= - - - _
Worlc UBSC= REPLACE POOL 1--IEAT PUMP
ELECTRICAL FEE 82.50
ROIJGH ELECTRIC
CONSTRlJCT10N POLE �
PRE-METER �
FINAL
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REINSPECTION FEES: Reinspection fees wil�comply with rida Statute 553.80 (2)(c�when e�ctra ir�spection
trGps are necessary due to any one of CF�e fo�lowing reasons: a) wwng address b) condemned worK resulting
from faully construction c� repairs or corrections not made when ir�spection oailed d�worlc not ready for
inspection wF�en�a11ed e� permit not posted on job site� plans not at job site g) worK not accessib�e_
NOTICE= In addition to the requirements oF this permit, there may be additional restrictions applicable to this property that
may be found in tF�e public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
°Warning to owner: Your failure to record a notice oP�ommencement may resu�t in your paying twice for
improvements to your property. If you intend to obtain financing�consult witti your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application_ All worlc shall be performed in accordance with City
Codes and Ordinances_
I
C NT CTOR PER OF 1
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVE� INSPECTIO
CALL POR INSPECTION - 8 HOUR NOTZCE REQUIRE�
PROTECT CAR� FROM WEATHER
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BL'ILDII�G PLAN REVIEW COMMEi�TTS ��`
Contractor/Homeowner: K�J�t� � 1' o e � S e f V � �e-
Date Received: � ' � � — � 7
site: ��il S �3la�sow� 131�d
Permit Type:
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
�Q,��;., ' , JUN 1 7 2014
Kalvin Switzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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*Above pool s�zes are a guide-For a FREE 4 page NeacSiphonalysis CERTlFIED Sizing&Cost Analysis of VOUR POOL VISIT- WWW.HEATSIPHON.COM
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✓2"MPT & 1.5"Slip Water Fittings ✓ FULL FWEY�EAR=C`ompt�sp(Warranty( 8EL)
ANALOG '.��"T"Y OF ��= }� ,Y,n �1� � �-, - AlGI�AL
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ALL Models Use Environmentally Safe Green Gas(R410A) Available for•220 volt Single Phase 50/60 Hz •110 voli 3 Phase 60Hz•380 volt 3 Phase SOHz• v 3 Phase 60Hz
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NOTE:PDOIS SIIES AREA GUIDE•ASKYOUR DEAIERS fora FREE 4 page HeatSiphonalysls Siting&Cost Analrsis of YOUR POpI or VISIf-WWW.NEATSIPHON.COM ta get yourx via email!
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✓ POOL SPA COMBO-DUALTHERMOSTAT lets you set pool&spa temperature " _ � �} fDOTPRINT&HElGHT
separately and simply select either one THE PLAYER { WelghF= 300 LBS
✓ AUTOMATION SYSTEM READY-Digital Player has EC MODE(ezternal controq i� � ` �
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. 813-780-0020 City of Zephyrhills Permit Application F�-s�s-�ao-oo2�
` Building Department
Date Received ,,.I
� � � � � � � � � Phone Contact for Permitting 813 425 4497
1 1 1 i 1
Owner's Name Orange Blossom Ranch Associalion,Inc. Owner Phone Number «3 7 �7
Owner's Address 4615 Blossom Blvd.,Zephyrhills,FL 33542 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 4615 Blossom Blvd.,Zephyrhills,FL 33542 LOT# �
SUBDIVISION PARCELIDq �5-26-21-017D-00000-OORO
(OBTAINED FROM PROPERTV TA7(NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK Replace old faulty pool heat pump with a new heat pump
BUILDING S12E 9 X 3 S�FOOTAGE 27 HEIGHT �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.Fi.E.C.
QPLUMBING $ Q�
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�MECHANICAL $ 3800.00 VALUATION OF MECHANICAL INSTALLATION �Yi \
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�GAS Q ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE aecisTeqeo Y/ N Fee cuaaen Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL MPANY
SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER � COMPANY Daniel A.Knapke,LLC dba RandK Pool Service �
SIGNATURE aecisTeaeo Y/ N Fee cuaaen Y/N
Address PO Box 1584,Zephyrhiil FL 33539-1584 License# CPC1456954
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit tor subdivisionsflarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consVUCtion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commerciai requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:•
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (q�C upgrades over$7500)
"` Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs iF shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter it on public roadways..needs ROW
�
. NOTICE OF DEED RESTRiCTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees rr�y apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended). If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certity that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to.
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. ,
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NGTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORIDA JURAT(F.S.11 .03
OWNER OR AGENT ' O. � CONTRACTOR
^• scrib��n�swor S9( affi�ed)bgjpi�me t i m � Subscribed and bworn to(or affirmed)before me this
r/!`Y by L� /�:J y
ho is/ate(Sersonally known to me or has/have produced Who islare personally known to me or has/have produced
as ident�fication. as identification.
�. Notary Public Notary Public
Cammis ' Commission No.
;�::'ii% ROBERTA N.J01
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Name o :g ,�ri �� � Name of Notary typed,printed or stamped
_�: �,, xpires u� 1,2017 ,:
:,,,
���i��`�`�� Badod Tluu Troy Fan Inaiw�nce E�N;�"�.5 �...�
i iuiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
2@�4093063 Rept:1608967 Rec: 10.00
DS: 0.00 IT: 0.00
' 06/11/14 B. McBee, Dpty Clerk
m�
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Permit No. Parcel ID No 15-26-21-017D-00000-OORO p��
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NOTICE OF COMMENCEMENT pD��'
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State of Florida County of Pasco A z
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(A�..
THE UNDERSIGNED hereby gives notice that improvement vnll be made to certain real property,and in accordance with Chapter 713,Florida Statutes, �w(O�
the following information is prov�ded in this Notice of Commencement: ���
�
1 Description of Property Parcel Identifcation No. 15-26-21-017D-00000-OORO �(p o
N
Street Address: 4615 Blossom Blvd,Zephyrhiils FL 33542 �3 a
N
2. General Description of Improvement Replace existing heat pump with new �
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3. Owner Information or Lessee infortnalion if the Lessee contracted for the improvement: � �
W��
Orange Blossom Ranch Association, Inc. �
Name °
4615 Blossom Blvd. Zephyrhills FL,33542 � �
Address Ciry State A
Interest in Property Home Owners Assc. °
r
Name of Fee Simple Titleholder �
(If drfferent from Owner listed above)
Address Ciry State
a. Contractor Daniel A. Knapke LLC DBA RandK Pool Service
� PO Box 1�8� Zephyrhills FL 3��,,�cj
Address Ciry State
Contractor's Telephone No. 8�3-425-4497
5. Surery
Name
Address City State
Amount of Bond: $ Telephone No.
6. Lender
Name
Address City State
LendeYs Telephone No.
7 Persons v�nthin the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Flonda Statutes:
Name
Address Ciry State
Telephone Number of Designated Person:
8. In addition ro himseff,the owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless b different date is specifed): AUgUSt 31,2014
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULTIN YOUR PAYING TVNCE FORIMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalry of peryury,I dedare that I have read the foregoing notice of commencement and that ihe facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OFPASCO `
Sign of wner Lessee,o wners or Lessee's Autho ed
Office tor/Partner/Manager
�(� ` �E�=/�i l�
Signarr'ysTit /Office � '"��T
The foregoing instrument was acknowietlged before me this�day of�20�y . ,'��L'"_,� 4��. ,`
as ��t e of authori e. officer,tnnfee, ,f ,^
(YP �Y, 9., 1 ��ey.infact f�b-� . ��_
(na arty on beh If of who ' stne�ent vr.is ex�uteA. � •, 4 :
� i/
Personally Known❑OR Produced Identification❑ Notary Signat � � �
Type of Identification Produced Name(Print) : 1 ' Q ^ \
y,,•, ,' � .'�tGY .` �
;�.:'*.�ei;;�,; ROBERTA N.JOINER �O� �• 'St�.�`�`
;,: :: Commission#FF 003688 ��''9+.��������ti�����
sy: :o; EXpi�eS July 31,2017 �,��
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