HomeMy WebLinkAbout15-16367 ; CITY OF ZEPHYRHILLS
!1 5335-8TH STREEZ'
(si3)�so-oo20 163
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16367 Address: 7827 KAY MARIE AVE LOT 351
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est.Value: Parcel Number: 34-25-21-0180-00000-3510
Improv. Cost: 5,559.00 OWNER INFORMATION
Date Issued: 6/16/2015 Name: KIRK, RICHARD SR & GRACE&BROW, S
Total Fees: 65.00 Address: 6204 EAGLE NEST DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542
Date Paid: 6/16/2015 Phone: (910)263-9505
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
REE A R CO DI IONING INC C CHANGEOUT 65.00
a.�'
�, �- � � -1 �
�r=o
Ins ections Re uired
DUCTS INSTA LED
DUCTS INSULATED�
FINAL�j —t�i —. s
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fi) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly that
may be found in the 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 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."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
� City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
,� s�s-7ao-oozo� , � City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Qate Received (,� � � �� phone Contact for Permitting �t� �� � – j���
Owner's Name �1 S C��""t(� �.` { 1'�- Qwner Phone Number R� � J °��3� � 5 d.�
Owner's Address � a ��`I M�� � ��� Owner Phone Number �— �
Fee Simple Titleholder Namo Owner Phone Number �� �
Fee Simple Titleholder Address
JOBADDRESS �7�0�� ��tl �'1��� ��� L07'# ���
SUBDIVtStON �— � PARGELID# 3�"� J`�J��°� ' �"a��o - o�aoo ~ 3���
(OBTAINED FROM PROPERTY 7AX NOTICE)
W4FZK PROP{}SED e NEW CONSTR � ADDIALT Q S{GN Q P110VE Q OEMOL{SH
INS7ALL REPAIR
PROPOSED USE Q SFF2 Q C4MM Q QTHER
TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER
DESCRIPT{QN dF WORK ����`I �� �-� ✓t�'n � ��°� �
BU{LDING SIZE �_---r� 5G2 FOOTAGE ���� 1�iEtGHT C—______�
� SUI�DlNG � � VALUATIdN QF TOTA�C4NSTRUCTI4N
Q E�ECTRICAL � � RMP SERVlCE Q PROGRESS ENERGY Q W.R.E.C.
Q PLUMBlNG ($ � ����(p�
�
� MECHANICAL ��,!��y, D v � VALUA1"ION OF MECHANICAL INSTALLATION
:� 1
� GAS Q RQOFING � SPECIALTY Q 07HER
FINISHED FLOOR EL.EVATIONS ��I FLOOD ZONE AREA DYES QNO
�
� � - - - - -
BUILDER COMPANY
SIGNATURE REGiS7ERED Y/ I�l FEE CURRENT Y I N
Address license# � �
ELECTR{CIAN COMPANY
SIGNATURE REGISTERED Y I N FEE CURRENT Y 1 N
Address License# � �
ALUMSER COMPANY
SIGNATURE REGtSTERE4 Y 1 N FEE CURRENT '{I N
Address � �� License# �� �
MECHANICAL � -� � COMPANY ���"`�� 17"i 1 C C7 n �� ��0 1'1�
SIGNATURE REGtSTERED 1 N �EE GURRENT Y/,�l
Address ��?� 1 C O� �fJ��jc �!9-�( � k.�t �'" l 3 d License# V r� 1.., � G ��1 r ri
07HER COMPANY
SIGNATllRE REGtSTEftED Y I N FEE CtJRRENT Y I N
Address License# � �
���
�'�°"°�° ��S�r -
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms
tutinimum ten{10}wa�king days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
COMMERCIAL Aftach(3)sets of 8uilding Plans;(1}set of Energy Forms.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
A(1 commercial requirements must meet campliance.
SIGN PERMIT Attach(2)sets of Engineered Plans.
**"PROPERTY SURVEY required for all NEW construction.
a , � . � � � �-� �� -��m�._ . _ _� ��
Directions:
Fill out application completely.
dwner&Gontractor sign back of application,natarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$5000)
** Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
f
NOTICE fJF DEED RES7RICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" ��
which may be more restrictive than eaunty regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLlCENSED CON7RAGTURS AND CONTfftACTG?R RESPt�NSlBlLlTlES: If the awner has hired a cantractor ar
contractors to unde�take work, they may be required to be licensed in accordance with state and loca! 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. (f the owner ar intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasca County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired � contractar or contractors, he is advised to have the contractor�s} sign
portions of the "contractor Block" of this application far which they wi!! be respansible. If yau, as the awner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled ta permitting privileges in Pasco
Caunty.
TRANSPt?R7ATtON IMPACTtUTILITlES [MPA�CT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation lmpact Fees and Recaurse Recovery Fees may appiy to the constructian af new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County C?rdinance 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. (t is further understood that Transpartation Impact Fees and Resource Recovery Fees must be paid prior to
---- receiving-a-"cer-kifieate.-of=occupancy"or-finalrvpawer-release:--1f the project does~not-invalve�a�certificate of occupari�cy or�- -
final power release, the fees must be paid prior to pecmit issuance. Furthermore; if Pasco County WaterlSewer Irrtpact
fees are due,theJi must be paid prior ta permit issuance in accordance with applicabfe Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.OQ or more, !
certify that I, the applicant, have been provided wi#h a copy of the "Florida Constructian Lien Law—Hameowner's
Pratection Guide" prepared by the Fforida Departmerit af Agriculture and Consumer Affairs. If the app(icant is someone
other than the"owner", I certify that 1 have abtained a copy of the abave described document and promise in goad faith to
deliver it to the"owner"priar to commencement.
CONTRACTOR'S/�WNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that al!wark
will be done in comptiance with aIl applicabie laws regulating construction, zaning and land development, Application is
hereby made to obtain a permit to do work and insta(latian as indicated. I cerfify that no work ar installation has
commenced prior to issuance of a permit and that all wark will be perfarmed to meef standards of all (aws regu{ating
construction, County and City codes, zoning regulatians, and land develapment regulatians in the jurisdiction. t aisa
certify that I understand that #he regulations of other government agencies may apply to tne intended v�iork, and that it is
my responsibility to identify what actions I must take fo be in campliance. �uch agencies include bu#are not limited to:
- Department of Environmentai Protection-Cypress 8ayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management Distriet-We!!s, Cypress 8ayheacts, Wetland Areas, Altering
�Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterv✓ays.
- Department of Nealth & Rehabi(itative Services/Enviranmenta( Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
_ __._: _._.
_ ---__ __-_-_=�—,._ - . - -__..__:_._-_..___ _ --_ _ _ ___r.u_. _ - - -- _
- US-Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fili is not allowed in Fload Zone"V"unCess expressly permitted.
- !€ the fill rnaterial is to be used in Fload Zone "A", it is understood that a drainage plan addressmg a
"compensating valume" will be submitted at time of permitting which is prepared by a professiona! engineer
licensed by the State of Florida.
� - If the fi(1 material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construcfion, I certify that fi(I will be used only to fill the area within the stem wa(i. ,�� , ,
- lf fil! materia! is to be used in any area, 1 certif}r that use af such fill wil3 not adversely��affect adjacent
properties. !f use of fill is found to adversely affect adjacent properties, the owner may be cited far viofating
the conditions of the building permit issued under the attached permit application, for lots less than one {9}
acre which are elevated by fill, an engineered drainage plan is required.
if I am the AGENT FOR THE OWNER, I promise in goad faifh to infarm the owner of the permitting conditians set forth in
this affdavit prior to commericing construction. E understand that a separate permit may be required for electrical work,
plumbing, signs, we!!s, poo(s, air canditioning, gas, or other installatians nok specitically included in the application. R
perrnit issued shall be construed to be a license to proceed with the work and nat 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 carrectian of errors in plans, construction or violatians of any codes. Every permit issued shali become invalid
unless the wark autharized.by such permit is commenced within six months of permit issuance, or if wark authorized by
#he permit is suspended or abandoned for a period of six{6)months after the time the wark is cammenced. An extension
may be reguested, in writing, from the Building Clfficia! for a period not to exceed ninety (9Q) days and wi!! demonstrate
justifiable cause for the ex#ension. If work ceases for ninety(9Q)consecutive days,the jab is considered abandoned.
WARNING 70 OWNER: YOUR FAilLURE TO RECORD A NOTtCE tJF Ct3MMEMCEMEN7 MAY RESULT IN YOUR
PAYING TWlCE FOR 1lVIPROVENIENTS 70 YOUR PROPERTY. 1F YOU INTEND TO t}B7A[N FINANCtNG, CONSEILT
WITH YOUR LENDER OR AN A7TORNEY BEFCJRE RECQRDING YOUR NOTICE OF COMMENCEMENT.
FLOF2IDA JURAT.(F.S.117 03) �-- -
OWNER QR AGENT ��� CON7RACTQR
Subs ribed and s�v o�rn t or affir �d)before me this Subscribed and sworn to(or affirmed)before me this
'tU��1�by V 1� ��{�� �Y
Who is/are personally known#o me or haslhave praduced Who isCare personally known ta me or haslhave produced
as identifica#ion. as identification.
���`!t�x,�. ..��,�� Notary Public Notary Pub(ic
Commission No. �2� Commission No.
Name af Notary typed,printed or stamped Name of Nptary typed,printed or stamped
�'S�1�'�r�'S��+b"
�"v Notary Pub�ic State ot Florida
'� ;Q��; Sabrina Westenbarger
�� �o� My Comm(ssion EE 857073
aF�,�"' Explres81130t2017
� r ���' o
Recommendations/Agreement
Lic#CAC050424
Customer Name Kathie Kirk Customer# Date
AddfeSS 782� Kay Marie Ave Zephyrhills, FL 33541 .
City Zephyrhills State FL Zjp 33541
Home Ph. ( ) Work Ph. ( ) Email
� � p Best System p Better System pGood System �Base System �
lOAir Conditioner�Heat PumpOPackageOGas Furnace 36000 BTUH 14 SEER �
- -- --- - - ----- - --- -- ---- - -- ------- - --- --- -- -- -- --- --- --- -- ---- --- -- - — - -- -- ------ ----'
04" Hurricane Slab �FEMA Set ❑Flush Refrigerant Lines �New Copper Line Set '
�❑Reconnect to Duct ❑New Plenums ❑New 100 CFM Supply �New 150 CFM Supply �
�❑New 250 CFM Return �New 500 CFM Return ❑ New R6 Duct System � New R8 Duct System �
i�New Disconnect&Whip �New Wire to AHU �New Wire to Condenser 0 Use Existing Electrical a
!,�New Condensate Drain �Electronic Float Safety � Horizontal Kit �Attic Light/Receptacle
!�✓ New Thermostat �Standard �Programmable �Touch Screen
I❑ ❑ ❑ ❑ �
�---- ---- --- — -__._ ._--- ----..�...__--- - --------- --—-------- - --_ �-_ --- --- -- - ---- - --- --
SYSTEM IHSTALLATION INCLUDES
✓ All labor ✓ Recover existing refirgerant& dispose of
✓ All required permits ✓ Evacuate refrigerant system
✓ ACCA load calculations per code ✓ Charge to manufacturers specifications
✓ Removal and proper disposal of equipment ✓ Mastic seal exposed ducts per code
Indoor Air Quality Opiions ��
�Rr?�Q y ,
�� �.� �f� Oxidizin WC
--, �Germicidal WC �%"�Dual Germicidal WC � ❑ 9
�--..Y -�•
, =-=, .
❑Air Ranger Air Cleaner X � o� ❑ HEPA Filtration
� MAHUFACTURER WARRANTY(Under terms of warranry,routine scheduled service must be performed on systems) `� ,
; 10 Years on parts 1 Years on labor ��Years on compressor N!A Years on heat exchanger ;
f 6UARANTEES (AII Guarantees are explained on the reverse side of this agreement) �
� ✓�Total ComfortOTotal Replacement"No Lemons"0✓ $250 No-Frustration ✓❑Service Anytime❑✓Property Protection �
I Code Compliance:Our work will comply with all existing local codes. Drug Free:Your work will be performed by our professional,highly trained, ,
� and drug-free employees. ;
t__- --- -- -- --- -- —_ _-------- •--- ------ - ----- --- ------ - -- — ---- - -- -
System Investment $ 5,559 00
Accessories $
Other $
Total Amount $ 5,559.00
Estimated Final Investment After Eligible Rebates/Tax Credits of$ is$ 5,5-59.00
Terms
Prlce includes all coupons and discounts unless otherwlse noted.Buyer hereby declares that buyer holds tltle to property in wh(ch merchandlse is being tnstalled and has legal authority to order the work outlined.
Buyer and seller agree that any controversy or clalm arising ou[of or relat(ng to thfs agreement,or performance of it,shall be settled by binding arbitretion,except that seller reserves the right to sue buyer in a
court of law for any amount due them from the buyer,with all other matters fncluding defense to payment being resolved by arbitratlon. Such ar6itratlon wlll be conducted In accordance with the arbltration
rules,then in force of the Amertcan Arbitra[Ion Assoctation. The arbitatfon award wnnot exceed the amount of the agreement and wlll be final and bfnding on both partles. ludgment upon such arb(tration
award may be entered In any court of competent Jurlsdfction.Each party bears(ts own costs for arbttratlon,Including attorney fees.
PaymentTerms:�Financed OCredit Card�Cash/Check Upon Installation.
Acceptance(Client) // �J Acceptance(Company)
—/f--�/n//� i �(