HomeMy WebLinkAbout15-16391 CITY OF ZEPHYRHILLS
5335-8TH STREET
.
(si3)�so-oozo 163.91
;, ' BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16391 Address: 6534 FOXMOOR DR ,
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0520
Improv. Cost: 7,043.00 OWNER INFORMATION
Date Issued: 6/24/2015 Name: SUMMERS JAMES
Total Fees: 75.00 Address: 6534 FOXMOOR DR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/24/2015 Phone: 813-395-6655
Work Desc: A/C CHANGE OUT 3 TON 18 SEER
CONTRACTOR S APPLICATION FEES
ACREE AIR CONDITIONING INC A/C CHANGEOUT 75.00
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' Ins ections Re uired
� DUCTS INSTALLED_��
DUCTS INS T D -
FINAL ' r'
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when e�ctra 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
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may be ound 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. Id0 OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
sisaso-oozo � � City of Zephyrhills Permit Application Fax-813-780-0021
• Building Department
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Date Received � � �� � ao� Phone Contact for Permitting � (Jl a�� — 1��`"c
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��S S�w►w��e:� S g� �- 3� S—��SS
Owner's Name Owner Phone Number
Owner's Address (�53 LI �D X j�OV�' J�� Owner Phone Number
Fee Simple Titieholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �3 �Ur` ���U � �� LOT# �a
SUBDIVISION � ���`� � �-S ��Y`r`cf�-�� PARCEL ID# �, � a �- a� - 6� a� - aoo o� - �Sa e
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN 0 MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR � COMM Q OTHER
TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q OTHER
DESCRIPTION OF WORK ���� � U�.l�� JTU�'1 �O�-`e-� h P
BUILDING SIZE SQ FOOTAGE HEIGHT
Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION
Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
Q PLUMBING $ � ��(��
� MECHANICAL $ � n�� p v VALUATION OF MECHANICAL INSTALLATION
'1 1 (
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� GAS Q ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES ONO
a ��, �. �� = - ° -
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BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# �—
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address �— ^ 1 License# �
J `/� I
MECHANICAL �� I �1 COMPANY `��� V`�'� � C O�'� cL� �0✓1 i
SIGNATURE �J REGISTERED Y N FEE CURRENT Y/,N
Address �CJ�1 C,d�{��f'e-2� P�(� �( �13 C� License# C�7-C� 0 D y�lp
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
COMMERCIAL Attach,(3)sets of Building Plans;(1)set of Energy Forms.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plahs,Sanitary Facilities&1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach(2)sets of Engineered Plans.
***'PROPERTY SURVEY required for all NEW construction.
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Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C 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
NOTICE OF DEED RESTRICTIONS: The undersigned urtderstands that this permit may be subjec#ta"deed"restrictions"
which may be more restrictive than County regulatians. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLiCENSED CONTRACTORS AND CONTF;ACTOR RESPO�iS1B1�ITiES: If the owner has hired a confractar ar
contractors to undertake work, they may be required to be licensed in accordance with s#ate and local regulations. If the
contractor is not licensed as reguired by law, bo#h the owner and cantractor may be cited for a t�nisdemeanar violatian
under state law. If the owner or intended contractar are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building lnspection Division—Licensing Section at 727-847-
8009. Fu�thermore, if the owner has hired a contracfor or contractors, he is advised to have the contractar{s} sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the awner sign as the
cantractor, that may be an indication that he is nat properly licensed and is not entitled to permitting priviieges in Pasco
County.
TRANSPORTATION lMPACT/UTILITI�S,l[�JIP_ACT.AND RESOUF2CE R�COVERY FEES: The undersigned understands _ _
that Transportation lmpact Fees and Recaurse Recovery Fees may apply to the construction of new buildings, change af�
use in existing buildings, ar expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. Tne undersigned also tanderstands, that sueh fees, as may be due, will be identified at the time af
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. !f the praject does nat involve a certificate of occupancy or
ftnal power release, the fees must be paici prior to permit issuance. Furthermore, if Pasco Caunty WaterlSewer impact
fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
CONS7RUCTION L.IEN �AW{Chapter 7'i3, Florida Statutes, as amended}: if valuation of work is$2,500.OQ or more, ]
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. !f the applicant is someone
other than the"owner", 1 certify that 1 have obtained a copy af the above described document and promise in goad faith to
deliver it to#he"owner"prior to commencement.
CONTRACTOR'S10WNER'S AFFiDAVtT: l certify that aI) the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zaning and land development. Application is
hereby made to obtain a permit to do work and insta!lation as indicated. I certify that no work or installation has
commenced prior to issuance af a permit and that aIl work will be perFormed to meet standards of all iaws regu(ating
construction, County and Ciry codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify#hat l 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 ta:
- Department of Environmenta! Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alkering
Wafercaurses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways,
' - Department of Health & Rehabilitative ServiceslEnvironmental Nealth Unit-Wells, Wastewater Trea#ment,
Septic Tanks. �
I - US Environmental Protection Agency-Asbesfos abatement,
k - Federal Aviatian Authority-Runways.
I understand that the following restrictians 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
"campensating volume" will be submitted at time of permitting which is prepared by a prafessional engineer
licensed by the Stats of FEarida.
- If the fill material is to be used in Fload Zone "A" in connection with a permitted building using stem wall
� canstruction, I certify that fill wil!be used only to fif!the area within tne stem wal1.
- (f fili material is to be used in any area, i certify that use of such �ll will not adversely affect adjacent
properties. If use of fill is found #o adversely affect adjacent properties, the owner may be cited for violating
the conditions af the building permit issued under the attached permit application, for lats Eess than one �1�
acre which are elevated by fill, an engineered drainage plan is required.
�� if I am the AGENT FOR TNE OWNER, l promise in good faith to inform the awner of the permitting conditions set forth in
this affidavit prior to commencing construction. 1 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 applicatian. A
permit issued shall be canstrued to be a license ta praceed with the wark and nat as au#hority to violate, cancel, alter, ar
� set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
' requiring a correctian af errors in plans, construction or violations of any codes. Every perrnit issued shall become invalid
uniess the wark authorized by sucfi permit is commenced within six monfhs of permit issuance, or if work authorized 6y
the permit is suspended or abandoned for a period af six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the 8uiiding Official far a period nat to exceed ninety (90} days and will demanstrate
justifiable cause for the extension. If work ceases far ninety(90)consecutive days, the job is considered abandoned.
WARNtNG T(3 OWNER: YOUR FAILURE TO RECORD A NOTICE OF CCiMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOIJR PROPERTY. IF YOU IN7END"f0 OBTAIN FINANCING, CONSULT
WITH YOUR�ENDER OR AN ATTORNEY BEFURE RECQRDING Yt3UR NC?'F10E OF CC?iVIMENCEMENT.
FLORIDA JURAT(F.S.11 . 3) .�--r �,�-
QW�IER OR AGEN7 I CQNTRACTOR
Subscribe and sw [n t or affir ed)before me this Subscribed and sworn to(ar affirmed)before me this
�4-IQl"�� by C� '1 � by
Who islare persanally known ta me ar hasthave produced Who islare persanally known to me or haslhave praduced
as identification. as identification.
1 I ' )�/, /,,
( �,(��Q �lfU'J��l��'�V 1 Notary Public Notary Public
Commission No.�� 6V���� Cammission No.
1
s��'�Vl I'l�t t..l.�Q_S -Q(L�_�� _��
e t # s Name of Notary typed,printed or stamped
oa}AY w✓� Nofety Publio State of Florida
_ , Sabrina Westenbarger
� ' � My Gommission EE�57073
�aFp,o'� Expires 01/30l2017
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, �' Recomm.endations/Agreemen#
Lic#CAC05Q424
Customer Name��m summers Custamer# patg June i 7 2015
Addt'ess �534 Fox Moor Dr Zephyrhills, F�33542
City State Zip
Home Ph. (s13- ��s5-ss55 _ Work Ph. �st3 ��s5-��ss Email _ - - . _
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:��}BesE�� :�t���` -,. �R�iter°.�ystidm�`��`:600��Syste�i=°'�°O��ase< ��tei�:° ,,.
_ . , £� S`It ._ =0 _ . _ _ _.C} _ 5�9P.
. _ -� -_,.. ,- -_ _ - _: ., , : - - ' -_ _ - `_;��:- :-_ � _ � ° -
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Q Ai�`Canditioner_.�Neat�F!iamp�?PackageC�Gas Furnace���.�`.�`;�.z. t=��,_���,..,. U H,- S_ER;.
� � . . . _ ,,.. . .,. ... ...._��......,..._._..t,......_y...�=.. .... _. �... ._ --: -.._=.. _...�., .. _ _ - _ ..
-- -__ - -.:...�._ ; .�_.__n,_ ---,�_._....-.-
;�4"Hu�ricane.=Slab:� -:;�:�:. �_'�.,,['�FEMi4 Set;�t� , ` --:�,:Fius�i;Refiiger,aritl:ines�.; ;'D�Nevu.Cappe�LineYSe#
,,
.�✓ Reconmectfo�Duct.,y �--- _ ,�New"Plenums,.,.�=4 ��:❑.,New:�1�0�0-.CFM;Supply;'-; '-:[]_New�1�5.O:�CFM Supply
[�.New°.250 CEfit1:,Refum:+,�,; . [�New 500 GFM.Re#u�n, :`+� [j::New,R6-Ducf:Sy"_sfem.`.:���:0,New�RB�:Duct S,ystem
;�]New�Dis'connect:&'.,VUhip�:� � �Nevir V11ire�.to>AHU`:���-;;;�':, [].New;Wi�e to�Condens,er,.,.D,Use>Existing:Elect�ical
�New Co.n_derisa#e�Draan ;;.�Ele�tronic�Flaat.Safety ,.� ��HorEzontal;K�t� .�:Attic:L'igtitlReceptacle
�'New Theimostaf- , �.(]Standard:,.`". - : _'[J,Frogrammablef-. =� _ - - Touch�.Screen. �
,a� - . :�� . .;- , . _ _ .���, _ - ,o:, .
- ---__- --__ - - ---_.� __ _ ,
SYSTEM INSTALIA'iION INCLUD�S
✓ All labor ✓ Recaver existing refirgerant & dispose of
✓ All required perrnits ✓ Evacuate refrigeran#system
✓ ACCA load calculations per cade ✓ Charge ta manufacturers specif(cations
✓ Removal and proper disposal of equipment ✓ Mastic seal exposed ducfs per code
EndOOrAir Qtr�[iiy Opt�utts
,i�0� ,.,,_
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�`',-u,[�Germicidal UVC ��C]DUa1 Germicidal UVC ��� ❑ Oxidizing UVC
I ,_�4-.J � ``n .
r` QAir Ranger Air Cleaner X , ,,_,�
� �HEPA Filtra�ion
- ' ;MARUFACTUREB:WA�RA1iiY Under�feims�ot warran� ;-rout�ne.sc►ieduled.se`r.vlce must.tie;perfo"rmed on systems)� -
( , . .�Y' . . __ , � . - -
' ' -:�-�.2�::1'ears;:oc��parts�:1�-...Yearsa on.labar•��.?:�"._l;ears�an.compcesscir;-^,Years ori.�heat,exchariger .
. ----.. , . .
,� , ' _ '�'iUARANTEES(Ap•Gua'rantees.are�explalned:on-the'reve"rse slde of.'fhls agreement�� . ' : . ,
:^;�'i;ofal;CoiiifortQi'ofal;Replacerrient"No�t�emons"�$250:.No=Fr�astratiariQB@rviee:Any,time�P.r,operty�Protection
�Code�Compliance::0urwork will�comply:with,.all ewsting.localrcodes:�,,Drug,Free:Your;work.will;be;perfptmed by,ourprofessional;.highfy:trained,
` `° � - � � .and;drug-free.employees -- �- - ' : ., '' '
t. , .. � , .._ ._..___ ,.._.,.__. .._.. _;,;:_:_�_._w:<�..� _ _. _ �. - - '� - - . . . ._._.. - -
Sys#ern lnvestment $ 7,043 04 �
Accessories $
Other $
Total Amoun# $ 7,043.00
�€stimateci Final��lnvestinent'AfCer�Eligi6le���RebatesJTaX'Gredit�_.o�-$` ' .:'�,�.�, r ��;�:is;$� � � _7,�43:QQ ��,, ,
Terms �
Price mcludes a0 coupons and dtscvvnti unte5s otheawise nated.Buyer hereby declares that buyer holds UQe ro proRerry In wfitch merchaadlse is betng Installed and baz Iegal avthority ta ordeT the work outlined.
Buyer and seller aQree that any controversy or clalm arlsing ou[al m relaqng to thls agreament,or performance oF ft,shall be setlled hy binding arbltration,evicept that seller reserves lhe rtght to sue bnyer In a
court ol law lor a�y amoont due them from the buper,wlth all olher mat[ers Including defense to paymen[hetng resolved 6Y ar6ltratlon.Such arbltratlon wlll be canducled In accordan[e wlth the arbltratlon
rules,then tn torce of the Ameqtan Arbttrotton Assoclatiom The ar6ttratton award cannoS exceed the emeuM of ihe agreament and will be tinal and 6(ndtng on both Rarttes,iudgmant upon such arbBraUon
award may be entered In any coart o(comFletent)udsdfctton.Each parry bean its own costs for arbliratton,iixtudfag attomey{ees.
PaymentTerms:(�i Financed�Credit Card�Cash/Check Upon Installation. ��'� /'�
Acceptance(C13ent} �)��A�.� Acceptance(CorYtpany.. • �,. ij/
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LETTFa OF AUTHORI7�4TIdN
June�41 Z415
i,ViC'rQr 1'ryn0, he�eby authoriz�th�following to sign for and acquire permits and licenses using my State
af Florida Lit�ense No.CAG050424:
Michael Trino pL#T6S0-S50-67-332-0 ✓
Mar�a Coronado DL#C653-545-71-Q$G-� �
darrell Webater DL#W12$-16�-84-p26-Q✓
Sabrina Sherd bL#S63Q-794-77-715-�✓
Ray Ke�ne DL#K500-739-57-1�$-0�✓
� Guy Napalltano DL#N143,260-59-2i1-0��
Carlos Lopez Dl#L120-113-6Z-145-0 �
Roberk Orcutt DL#06�3-779-85-264-0✓
1'his 5hauld supersede any other letter af authorlaation.
If y u should have any questions,plaase feel free to cantact me a#(81�)62p-1fi66.
.
�----
ctor Trin
Acree Air Conditioning, Inc.
Lic;G4G05q42A
Gity of Zephrhllls
This f4regoing instrument was acknowled�ed befare me thls�t`� day of ��`'e 201�.
gy '� C+�Y � (�1 G who is personalty known to me.(�/T.�LG�'l.l.�.��v`�1 + J
( Notary�Ignature
My Commfsslon expires � I������_�_______ _.
��AL � Notery Pn6{tc 6tat�ot Fio�de
� �e1Nlna West6nb3t9er
�a�, MV Gamm�s4bn��867t►i3
Expins 07ISOf2a17
SenrJce Any#!me � 7am- 49pm, 7 Days a VYeek � No Overtime Cha►ges...EV�'R!
Plnellas 727-447-Q�08 • Tampa 613-620-�666 • Potk 863-683-3�437 • TaA Free 1-�00-783�61�4/1-800-WE-R-OPEN