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HomeMy WebLinkAbout15-16281 CITY OF ZEPHYRHILLS ,, ' S335-8TF{STREEf' (s�3)�so-oozo 1 6 1 BUILDING PERMIT � PERMIT INFORMATION LOCATION lNFORMATION Permit Number: 16281 Address: 5335 20TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work; A1C GHANGE4UT Tawnship: Range: Boak: Propased Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRNILLS Est. Value: Parcet Number: 11-26-21-0010-17500-0060 lmprov. Cost: 5,672.00 OWNER INFORMATtC1N Date Issued: 5/1912015 Name: MILLER MICHAEL E & BRITTANY B Total Fees: 65.00 Address: 5335 20TH ST Amount Paid. 65.00 ZEPHYRHILLS FL 335�2-4624 Date Paid: 5/19/2015 Phane: 321-446-7320 Work Desc: A1G CHANGEOUT 2.5 TQN CONTRACTOR S APPLICATION FEES U QUE R IN CHANGE T 65.00 � �- � - � � ��� Ins ections Re uired D CT I TAL�ED DUCTSINSULATED FINAL REINSPEC7�OPl FEES: Reinspectian fees will comply with Florida Statute 553.80 (2)(c)when e7ctra inspection trips are necessary due to any one of the fotlowring reasons: a)wrong address b)condemned wark resulting from faulty construction c) repairs or corrections not made when inspections called d)work not ready for inspection when ca!!ed e) permit not posted on jab site f) ptans nat at job site g)work not accessible. NOTICE: In additian to the requirements of this permit, there may be additional restrictions applicable to this property that may be faund in the public records of this eaunty, and there may be additional permits required fram ather governmental entities such as water management, state agencies or federal agencies. "1Narning ta owner: Your failure to record a notice af cammee�cement may result in yvur payirtg twice for impravements ta your property. If yau intend to obtain financing, consult with yaur lender or an attorney befare recording your notice of commencement."' Complete Plans,Specifications Must Accompany Applica#ion.Atl work shall be performed in accordance with Ci Codes and Ordinances. NO OCCtJPANCY BEFO C.O. CON CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN fi Mt3NTNS {NITHt)UT APPR4VED INSPECTI�N CALL FOR INSPECTION - 8 HOUR NQTICE REQUIRED PRCITECT CARD FROM WEATHER �nr��� Y�e�,� 'Cb Y�. �id ��-,V�. p�cIE2,� (�. - 813-780-0020 City of Zephyrhills Permit Applicati99 fl -I Fax-813-780-0a0'21�, • �� BuildingDepartment ��/�!, (/� ��}�+PI � � �,�<(, ����.s� Date Received Phone Contact for Permittin TTTTT , ` IT Ownar's Name � � r�., M�� Owner Phone Number �P�"��+�7 ,�2-� Owner's Address -�✓� � Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS L.S�/✓J � � r �'`I`I S �� LOT q � SUBDIVISION PARCEL ID# �1���I�O��O^ '�D�vV�.QO � (OBTAINED FiiOM�PROPEHTY TAX NOTICE) WORK PROPOSED �NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK I � ' C/� d•S� ��% ^ BUILDING SIZE S�FOOTAGE� HEIGHT � TTr TTrTTrTTrTrTI"ITTTrTTrTTrTTrTTrTTr QBUILDING $ VALUATIONOFTOTALCONSTRUGTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. , QPLUM8ING $ QMECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION i �S� � �l QGAS Q ROOFING Q SPECIALTY � OTHER � + � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO �-.��1.i-C��:-F:-Y-i-FF:i-�:-r.��F:-7��ITF7--�G��.+ i-:�F.i-:.-F�0-.7-F7-1-7-�FF�:..i-G.-F�F-FC�� BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA� Y/N Address License N ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY v� �,�.�G r�1• SIGNATURE REGISTERED !X°�N FEE CURRE� Y/N Address �� License# `�'"f�� 1� OTHER COMPANY SIGNATURE REGISTERED Y/ N FEECUARE� Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllll RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum Sen(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 construc[ion. Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. "*"PROPER7Y SURVEY required for all NEW construction. ..�1.-F�1.-�I.�i-1-.{-{..�1-I..FI..Ia-1..1-1..1-FI..1-F.i..f-i-��I-�1.-FF4.�F-1-FI-.f-F-��4-FI--FFI-�' •....�.�1-.FF4-�4-F� Directions: Fill out application completely Owner&ConVactor sign back of application,notarized If over$2500,a Notice of Commencement is required. (q�C upgrades over$7500) " Agent(for the con[ractor)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(PIoUSurvey/Footage) Driveways-Not over Counter if 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 may 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 certify 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 Services/Environmental 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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YO INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) � OWNER OR AGENT CONTRACTO "�— Subscribed and sworn to(or affirmed)before me this S bscribed and sworn t (or irme b f r is by ���by � Who is/are personally known to me or has/have produced ho /are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Cammission No. Commission No. I Name of Notary typed,printed or stamped Name Noja4 yyrinted or stamR��A ZAFFINO '2.' '."�c Notary Pubtic-State of Florida :N„+ �a�; My Comm.Expires Jur 5,2018 �'%',FOFC�q;:' Commission#FF 130052 „������ � = � :r!�;,�� 1 tJ I � Installation Contract `-� 877-247-7365 INSTALLATION ADDRESS BILLING ADDRE55 Name of Client Brittany&Michael Miller Brittany&Michael Miller Address 5335 20th St 5335 20th St City/State/Zip Zephyrhills,FL 33542-4624 Zephyrhills,FL 33542-4624 Phone Number 3214467320 3214467320 E-mail Address brittany015@gmail.com • • � � INVESTMENT Retail: $8,343 Utility Rebates: �$�� Manufacturer Rebate: �$0) Payment Details Discounts: ($2,671) Deposit(Ch'eck) $0 Amount Due: $5,672 Balance Due(Financing) $5,672 __ � _ - .-.- FINANCING � . ' _ Financing @ 18 Months No Interest(WF] Est. First Month Minimum Payment: $199 POST INSTALL-REBATES TOTAL COST OF OWNERSHIP(TCO) Utility Rebate: $p Est. 1 Yr Savings: $579 Other Rebate: $p Est. 10 Yr Savings: $5,796 Tax Credit: $0 TCO �$�24� Net Investment: $5,672 TCO Monthly �$�� Buyer is the owner ofthe property at the Installation Address and is legally authorized to enter into this Agreement. Unique retains title to all equipment,parts and materials used to improve the property until Buyer's full payment is received by Unique. A service charge of 1.5%per month(18%annual percentage rate)or the maximum rate permitted by applicable law,whichever is less,will be made on all overdue amounts. Buyer responsible for attorney fees,where allowed,for amounts not paid. Should any Instant Rebates provided under this Agreement become uncollectible,Buyer will be responsible for payment to Unique of such uncollectible Instant Rebates. Prices are valid for 10 da s from issuance of this A reement. , Customer Signature CA Signature Customer Name � �} , CA Name ��� ��r-��,�-�,� Date �f� ���� Date ��/`�f�,� -�— 051013 License numbers: CMC 041072 � CFC 1426265 � EC 13002942 SO# 702123 Thank You for Choosing Unique Services as your Home Comfort Specialist. ^'§;`��;�i� � r • f'�.,..,.�•-�/yJi ' �� ' �: �- �/ "..._.1 SYSTEM IIVF�RIVIATION ���� �� �� . EQUIPMENT FEATURES System Level: Premier(Daikin) •Aluminum Evaporator Coil:It is more resistant to Type: Straight Cool corrosion than one made of multiple types of inetals. •ECM:An Electronically Controlled Motor that is quieter Capacity: 2.5 and more efficient than the standard motor. SEER/EER: 16.00 •Single Stage Compressor:A compressor that only - -._.. �. __._...__..... __ .�. _ provides the full capacity of the system during operation. WARRANTI(� ---- --�� _ Compressor: 12 years Outdoor Parts: 12 years Indoor Parts: 12 years Heat Exchanger: -- Labor: 12 years _ �.. __. ...�.._. -- AIR QUALITY �� � . � ADDITIONAL AIR QUALITY Y Thermostat: Basic Digital Filtration: None UV Light: None Air Purifier: None DUCT MODIFICATIONS . , INSTALLATION DETAILS � Needs new adjustable stand Customer Initials �� CA Intials ��� � GUARANTEES � �Comfort*No Lemons�Utility Savings*$500 No-Frustration*Property Protectiorr*Satisfaction� No surprises:The lnvestment quoted is what you pay:Customer respect: Our technicians wi11 not swear or use tobacco products while on your property. They will tourteously answer any questions and leave your home as'neat as they found it. Code Compliance:The installation will comply with all existing local codes..Drug Free:Your work will'be perforrried by our professional,highly trained and drug-free associates. Satisf�ction:We will guarantee that your systerri meets or exceeds your expectations for�quality and reliability.� 051013 ' SO# 702123 Thank You or Choosin Uni ue Services as our Home Com ort S ecialist. �����a'# .f g 4 Y .� P 1�'�a ��:��_� � � ��� � ��� �� Z�PNYRI-Ir��S C,�T�y o � I, Robert A. Holsbeke, Mechanical Contractor for Unique Air, Inc., give permission to Tim Thompson, Bobby Hill, Armando A. Diaz and Matthew Montgomery effective 08/31/14 thru 08/31/15 to record my state contractor license# CMC041072, create passwords, obtain permits and file notice of commencements on my behalf. If you have any questions or need additional information, please call (941) 377-0153. Unique Air, Inc. yn�b�� �, (��6��- Robert A. Holsbeke Mechanical Contractor Date:��.�`� � �; 2,� ls State of Florida County of M�Na i C- E Affirmed and subscribed before me this � g day of M�y 20 l S by '�a$c�-�� A• N�LS gEi� C , who is ersonally known to me r who has produced (type of ID) as identification. ,,,,,,,.,, .� SI t I"e Ota �IC� State of Florida ��=oe"YP6o<<;-� LISA ZAFFINO : Notary Public-State of Florida ° =N,o aoQ; My Comm.Expires Jur�5,2018" a� ��'%/�FOFFI�P��` Commission� FF 130052 Pri�nt;�T��=o°r�-Sta�rn�p��Na� - otary � 4515 19`"Street Ct. E., Bradenton, FL 34203 P� 941-377-0153 F:941-378-1387 www.uniqueservices.com , HVAC:CMC 041072 Electrical: EC 13002942 Plumbing: CFC 1426265