HomeMy WebLinkAbout15-16094 CITY OF ZEPHYRHILLS
' S335-8TH STREET
, r (si3j�so-oozo 6094
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATI
Permit Number: 16094 Address: 6209 10TH ST
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: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00200-0300
Improv. Cost: 7,240.00 OWNER INFORMATION
Date Issued: 3/16/2015 Name: VELARDO ROBERT & LAURAINE
Total Fees: 75.00 Address: 6209 10TH ST
Amount Paid: 75.00 ZEPHYRHILLS FL 33542
Date Paid: 3/16/2015 Phone: 813-395-5615
� Work Desc: A/C CHANGE OUT 2.5 TON
' CONTRACTOR S ' APPLICATION FEES
EA AC C C ANGE T 75.00
�
,
I
Ins ections Re uired -
DUCTS INSTALLED
', DUCTSINSU TED
' FINAL b �
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 faul construction c re airs or corrections not made when ins ections called d work not read for
tY ) P P ) Y
inspection when called e) permit not posted on job site� 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 properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement.
��
� Complete Pla ,Speci cations Must A c pany Application.All work shall be performed in accordance with
ode rdinances. NO OCCUPANCY BEFO C.O.
CO TRACT SIGNATURE PERMIT OFFI R
PERMIT EXPIRES 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED�
PROTECT CARD FROM WEATHER
�
s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
. Building Department
Date Received �� - �-/� � /�� --D
Phone Contact for Permitting_ ��/
-��-�-ITI 1-�- ---- -------�-ITI 1 Q - --- --
Owners Name — p�/� " � � Owner Phone Number C��v � v ^ /� �
Owners Address d� c � a nff�/j,� Owner Phone Number '
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS (.�/ `+'- � ZC /� �/ S LOT# �
SUBDIVISION SD7L` PARCEL ID# �.Z Z�v ���-(�DBQ—(.1�o2�C'�-D O(� _
(08TAINED FROM PROPERTV TAX NOTICE)
WORK PROPOSED e NEwcON57R e ADD/ALT 0 SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER �
TYPE OFCONSTRUCTION Q BLOCK � FRAME 0 STEEL 0
' DESCRIPTION OF WORK g �la I C��ldi�! �O u� �'�7�/�-! � l� �
� BUILDING SIZE SQ FOOTAGE HE
� IGHT �
-r't"r'�-r-rTr-r'r'rrr'*�'r'r't"r-t^ r"r"r"t-r"r'r'r-'r-r�-r"r't'r r--*-r-r-
, �BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C.
�PLUMBING $
�MECHANICAL $ �J q�D p� VALUATION OF MECHANICAL INSTALLATION (/I / ���
/.C. � � �� �
OGAS Q ROOFING � SPECIALTY � �OTHER
' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �� // C -
f ( /
-��--R-•�--•�-•--•--.-�H+t-• •.-•-:-:--:-�--1-;-�a-1-1�-�--HE+++-'r:--:--'-� •.-.��-�-•--•-•-•--•--•--•-�--F-F-F-F++�• '.++-+-:-�-�-�-i-
BUILDER COMPANY
I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY -
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
MECHANICAL COMPANY �a`� ,r •
SIGNATURE 1 REGISTERED Y/ N FE CURRE� Y/N
Address �.� •�. (� � Q�/ � License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIII111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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;5ite Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1j set of Energy Fortns.R-O-W Permit for new construclion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed.
Sanilary Facilities d 1 dumpster Site Work Permit(or all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sels of Engineered Plans.
""PROPERTY SURVEY required for all NEW conslruction.
. . . �,4„��,,a.N.y.�_. . • 1-�-.�-+.-4-�--�-+_�-a-1-.1_1-�-.f-i�-. . . 4i,y_�. .
Directions:
Fill out appiication completely
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agenl(for lhe contractor)or Power of Atlomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMII'fING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/SurveylFoolage)
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 reslrictions.
UfdLICENSED COMTRACYORS AfVD CONYRACTOR 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 uncerta(n 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.
TRAfdSPORTATiON 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 bufldings, or expansion of existing buildings,as specified in Pasco County Ordinance number 69-07 and
90-07,as amended. The undersigned also understands, that such fees,as may be due,will be identified at the time of
permltting. 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 WaterlSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTIOiV LIEN LAW(Chapter 713,Florlda Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that 1, 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"owne�', 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 thal the regulations of otNer govemment 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, VVetland Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses.
- Army Corps of Engineers-Seawalls,Docks,IVavigable 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 fili:
- Use of Till 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 lhe Till 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 ls 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 Buildirig Official from thereaRer
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)rrionths after the time the work is commenced. An extension
may be requested, in writing,from the Building Officfal 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,th�job is considered abandoned. i
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC MENT MAY ESULT IN YOUR �
PAYING TWICE FOR IMPROVEMEPITS TO YOUR PROPERTY. IF YOU INT D T OBTA1 FI CING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE E ENT.
FLORIDA JURAT(F.S.117.03) '
OWNER OR AGENT CONTRACTOR
Subsalbed and swom to(or a(firmed)befare me this S}�bs d�and or a rme )bef re e this
by S '
Who is/are personally known to me or has/have produced Who Is/are erso al y kno me or hasfiave produced
as IdentlficaUon. as identlficaQon.
,,�:;�:Y'p�b�.: JAC�U OGES
Notary Public /� _ • � IS 0 '� � tary Public
,:�; xpires ece 12,2018
Cammission No.
C mml o "'• 'OC,-
Name of Notary typed,prfnted or stamped Name of Notary lyped,pdnted or stamped
II� . • CENTRRL R/C d�HERT � 9402 E US HWY 92,Ste 102
' Tampa, FL 33610
EASY �� Phone(813)635-0440
Fax(813)635-0480
�Comfort Made Easy" www.easyac.net
" -� Lic.#CAC058774
A Division of 3G Air Conditioning & Heating, Inc.
March 2, 2015 �
To whom it may concern in the permits department: ���h�//�i"C/�( � Florida
�
� This letter is to authorize the following Easy AC personnel to submit and pull permits:
' Casey Westbrook, Andres Oladell Jr. David Charret
If you have any questions please call me direct at 813-635-0440 or fax 813-635-0480.
Thank you,
I
I --- -
Keith Westbrook
President-Owner ' • �
Easy AC
Contractor# CAC058774
STATE OF FLORIDA
COLTNTY OF_Hillsborough
� The foregoing instrument was acknowledged before me this�� day o �f�,�O l�
By �;��, �.,,L.!'�G���%'
Notar ignatur .
��' BARTON P.QUIBELL �
I�!COMMISSION N EE193300
2616
Notary name print "
Personally known or produced identification
�
Keith A.Westbrook
Contractor—CAC058774
I r.�:,:.�:';f:,`;��;� t .��f����,���q:`= CC�RPORATE HEt\GC�UAr�T�-�s_._ �g 13) COLD-A!R '
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', � �A�Y A�� r��µ 94p2.E.HWY 92,SU17'E 102
TAMPA, FL33610 Z s 5 - 3 2 4 7
a �;;� Tampa (Hillsborough)
�s� ,� FAX(&13)6�5-0480
`:Ca;�:�c���iY�ac����;>;.�",:.,;, Cic.#CAC0587�4 (863}BSB-8528 Laketand(Poik)
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.�.�;__.:�.,�„�±,�_;;�,..,��:�,W�.�.��.�..�;`.�,.;:?�.. easyac.net (727)447-6933 Pinellas/Pasco
Custom r Name:��Y�' �,,+(%.�C�t.J"C� Date: � � l��
Street: '���'Y�
City�,��}tk!� ; f� Sfate: -i� zip:
Home Phone: Work Phone:
Email Address: J Ceil Phone:
1Ne propose ta fumish,install and service under guarantee{stated below} ,� � - � �,����,�
products or related aquipment for your home in accatdanee with tha
conditions and specifications set forth belaw. New�low voltage wire ❑ Adapt to la voltage
�Control/ Thermostat /' '�'� �G�r//ir11��}�
,
� ❑O Electrical upgrades will be the responsibility af the owner
1 ❑ Outside whip ❑ Inside whip
�Brar�d Y�� �.� Tons � ��- SEEF2 R d Condensate circuit ��1`.
Air Conditioner'��i�A����(j�,lYJ�❑ Heat Pump w Existing Breaker Type C/U � . � �Size
❑ Evaporatar Coil J�"Air Handler��:;.�Y"U°�,�TCC) Existing Breaker Type A/H ,' .0 Size__��
O Gas Furnace ��Puron Existinc�Sreak�r Type Pkg `--�'��Size
O Package Unit ❑ GaslElect Cl Roof 7op
�(�Upflow ❑ pownflow ❑Horizontal �����.
Fieat Strip{KW)�_._
❑ BTU Gas(Input)
❑ fte-Locate Condenser Where �Gondensat�:Drain Mqok-up �`New C] Existing ,
ORe-Locate Air Har2dler Where�r�-: �.�� r��������erant�ine Set Q Adapt �New Size �� !��
Qther ��s�4� ,�'Stand ❑ Plywood Deck ❑ Top dniy � 't..�
� r�L.ineset Pratective Gover ❑ Hanging Kit O Drain Pan
�FiiYer Drier ❑ In{ine Fioat Switch �Aux fio�t Switch
� , y5( Condensata Pump Voltage�%� _
l❑ P-Trap ❑ Flush Kit
C� F2eturn Air Fiitars Grilie(s} ❑Existing �New Size
❑ Sanitizinr�#Vents #Systems •
Cl IAL� -
❑ QeodorizingJtonization ❑Medis Fi(Yer CI Media�Gabinet.���+�-- ��zi'stingCeiling Damage- �Yes Cl� � N . .-
❑ Filter 1"Pleat O Std Cl Guardian ,'' LJ Location of pamage Homeawner Initial
❑ Rigid fibergfass duct pienum with reinforced repguard }�1, Refrigerant charging of air conditioner
vapar barrier main trank and flexibie hranch and return duct ��Aii work dane in accardance with existirrg codes
❑ Sheetmetal insulated supply duct system '�All required mechanical permits/inspections
❑ Balance system for uniform air distributian and comfart �Reinforcement mounting pad
❑ Mastik 8 Tape Runs ❑ t�ttic Deck
❑ Mobile Home Supply ❑Mobile Home Return ❑ 28��auge galvanized steel weatherproof duct cover for package unit
,�Modificat+ons of supply and return pler� m as needed to insta{i new air handier �RI!work to bo pedorm�zd in a neat and protossional manner by joumeyman
�l', New supply rec�ist0r(5)Ceiling�Floor WaU elass technicians.Sweeping,ciusting,vacuuminc�,wili be acwmplished at the
❑ Anti-Microbial PIP,nums Cl Premium Duct Pkg conalusion of each day's work and all debris removed trom premises.
❑ Visually chec4c duct systems for Ieaks �Detuxe Duct Pkg ❑ C7ther
(�l;Hook up to existing ductwork ❑Standard Duct Pkg Et1U1PMENT F3E1NG REMOVED
I�hiazardnus Material Disppsal Fee 3o�p Cond Unit or Pkg Unit Mod#
O Other � Ser#
Air Handler Mod#
Ser# .._
� Diagram
�9 � years full guarantee qf labor , I
��years full guarantee af parts �4C}�� C''i'��-`r t`� �f'S F7G�`�`ra��' -�`"'
Guarantee of Compreii""so''r l L yaars '1 r� 1
�j;GuaranteeotCoils�years �?G(I �C1��S `...�tiSC/�' C'tnG� Ck(� CYrYw�fl
❑ Guarantee of Neaf Exchanger�years �-1��i��l��
C� guarantee on all duct work installed by Easy A/G
L7 Easy A!C is open 365 days per yr �, ,r '� �\�;
Reguiar WARftAN'N/Service Fiours are M-F 8 am ta 4 pm. r %x=•";,��-� '';�'cr
After Hours,Wee nd &Holidays are available for a nominal fee �� �V�� .
�,Instaltatiqn Oate � (��_(� E3efore noon !,� Afternoon t7 ,
❑ Other Sub Total;$ ��� �
,.
\ � -� 1 C� ' ,. . �" �� (,�'�,L�� • Rebate:$ f C�C�. �'�
� r , . Rebate:$ y C��(';. �{J .. .._..._
s L � " � �")�c (o' l-�v X i �=�' � �`,l l ReOate:� _
Misc:$
We propose hereby to fumish complete as abave specifisd Eor the sum of(tax incfudeti} Caupon: r;j�
Doliars TO7ALINVESTMENT ���'tC.1-�__.—�
O Appraval# . /, Initial InvastmenL
Payments as folloy.rs I�Check Ct Gash �Finance�(,� t G 8alance Due an Carnp{etion:$
Card (type)_�. �'J'�-��,. # (Expiration Gate) ,- r ' -""""�
Approval: •.r--' �-�4 .%�� App V�I: '�aa:..���}:,, V' �Date� `�f � l"�-� _
✓ic.....,nn D.............�..+:,..,i1 �� _��!'���ot.,.,,oA � 1