The URL can be used to link to this page

Home My WebLink About15-16482 i � ` .. CITY OF ZEPHYRHILLS �'r! 5335-8TH�STREET (si3)�so-oozo 1 $2 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16482 ; Address: 38434 5TH AVE HISTORIC 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-16700-0055 Improv. Cost: 5,900.00 ; OWNER INFORMATION Date Issued: 7/31/2015 . Name: MOSS S ARDELL Total Fees: 65.00 Address: 38434 5TH AVE HISTORIC Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/31/2015 Phone: Work Desc: A/C CHANGE OUT 3 TON SPLIT SYS�TEM CONTRACTOR S E APPLICATION FEES CGM SERVICE INC A/C CHANGE UT 65.00 . <�� , i 1 C n �� v � / � Ins ectionsiRe uired D CTS INSTALLED DUCTSINSULATED FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection I 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 t) 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 property that may be found in the public records of this county, and therelmay 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 performed in accordance with City Codes and Ordinances.NO OCCUPANCY BEFO C.O. � CONTRACTOR SIGNATU PERMIT OFFI R PERMIT EXPI S IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD� FROM WEATHER � � . � , I SERVICES AIR CONDITIONIN�G AND HEATING July 29, 2015 � I � C1TY OF ZEPHYRHILLS � REFERENCE: CACO26444 (dba CGM Services, Inc.) SUBJECT: AUTHORIZED SIGNER To Whom It May Concern: !, Michael G. Charles, hereby give my autho�ization for the following person listed below to sign for all necessary paperwork for CGM�Services, Inc., for the purpose of obtaining and/or picking up mechanical permits, with City of Zephyrhills. Y� attention to thi atte ' greatly appreciated. � r. Michael G arles (CACO26444) Ernest Guernsey (I to e shown upon request) Before me personally appeared Mr. Michae�l G Charles to be person described in and who executed the foregoing instrument and acknowledged to and before me that he/she executed said instrument for the purpose herein expressed. Witness: My hand and official seal this�_day of �V , 2015. � (�1 ��'`i��`'OEBRA'��y'�';��: �.....;,c� r, Notary Public, State of Florida � r�G�gustg��'l'' ;`�y% �*: � �' �g``��: �Z i "'�9: � .—�' �'_ 'Ti' � �� bFF�� `n�*= .°•�: J.B : 2 f•0 f�,c°��d thN I 'O�� 'iG6 °:;'�nsumnd°� �Q�`,�� fs'/,��se 1101�11+,O`,,� 1015 E. M.L. King Jr. Blvd., Tampa, Florida 33603 (813)AIR-COOL(247-2665) Commercial & Residential FAX (813)i247-6535 IndoorAir Quality I Sales &Service www.cgmservices.com Refrigeration � � a�saso-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 �' �,�;r Building DepaAment � ' Date Received phone Contact for Pertnitting -rIT�- -- Owners Name ///D�D.� S ��LL Owner Phone Number Owners Address `y' �w � Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple TiUeholder Address � JOBADDRESS S � � UE � J LOT# � I SUBDIVISION PARCEL IDl� ' (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CoNSiR e ADD/ALT � SIGN 0 Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR �� COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK G � � f l/" BUILDING SIZE SQ FOOTAGE�� HEIGHT TI"1'T' �T QBUILDING $ VALUATION OFTOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE ' 0 PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ � I� �� Y �MECHANICAL $ O, i VALUATION OF MECHANICAL INSTALLATION � � � � �� QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO I �-�--.�5-�' '.�.��::'-.-:-r��:+�.--•--.-i-��L.'� 'I' �.--•--.-.-�5-:�.�.�..r.�..-.�.-.-.�-r�.�.-r� .+I I � BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN � COMPA IY � ��N� SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N Address License# PLUMBER COMPANY i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPAI Y (o L7l�/ S�/(UI CLS SIGNATURE REGISTERED Y N FEE CURRE� Y/N i �/�� ' Address � E O�U(.� /i"� License# /7L.(/ OTHER COMPANY ISIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 I 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 Fortns;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permi[for new construction. Minimum ten(10)working days aker submittal date. Required onsile,Construction Plans,Stortnwater Plans w/Silt Fence inslalled, � Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. i ""PROPERTY SURVEY required for all NEW construction.� ..i-1..1..1-G�...r�l.-�1-.4�1.-�C�..r..�1-1�1.-FI-.4�1.-4�F-i-'.+�..+-1-�F' • .--r.--r�4�1.-4�5�.-.� Directions: Fill out applicaGon completely Owner&ConVactor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades'over$7500) " Agent(for the contractor)or Power of Attorney(for lhe owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Applicalion Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) Driveways-Not over Counler 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 applicabie 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 whichithey 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,thaY 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 WateNSewer 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. i 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. j 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 ";4" 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 a�davit 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: Y UR F ILURE T ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMP VE NT T OUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER O AN N BEFORE RECORDING YOUR NOTICE F COMMENCEMENT. FLORIDA JUR,4T(F.S.117.03 i OWNER OR AGENT CONTRACTOR Subscribed and sw t ed b fore this Sub's/ri ed and or to or f irme )before m his ` ��.3�—�5 by VVI�I��by � $ U . 1 o is/are personally kno n to me or has/have produced i/are personally nown to me or has/ha produce °f50 as identification. as' ntification. ! I �� Nolary Public I ;� ' Notary Public o \� �. • •., �/ ' ' Commission No, y�.�\ Q,�phISS/ °��.,t/�� Y RODRIGUE ' o �,o�►"'"�o`,� WEND � o �d'o v9uste,�o�-°.� � a f`jycRar�p��g��k6 Name of Notar�y�ecg nted or stampec4 m Q � '�t�'�' 2��s ° a aYO� Cn:�° '+••�•••••-�� EXPIRES November i8, �z. ••.�'oFC.;,,.,•�' #�F02285,5 JQQ'� (407)399-0153 FloridallotarySetvice.com ' ��: �9• �onded lhN �Q�� %.�,��,p•o'�Yfdrn.lnsu2c�;. �,0�� --- , ////r��l11 u a i'i�NO��\\a\ � July 25,2015 AIR CONDITIONING AND HEATING Ernie Harrell Cross Construction Company, Inc. 25221 Wesley Chapel Blvd. i Lutz, FL 33559 Office 813 973-4191 Fax 813 948-6722 Email: cccamdawson(a�verizon.net Subject: Downtown Visitors Center 38434 5`h Avenue Zephyrhills,FL 33542 RE: AC Replacement Proposal I We are pleased to provide the following pricing and information for the installation of 3.0-ton split system heat pump replacement in existing home, including the following: Equipment Schedule: � CARRIER Comfort 14 series 3.0-ton Air Conditioning Replacement-ARI Ref#7850599 Md#25ACC436A003 Condensing Unit � Md#FB4CNF036T00 Indoor Air Handler Section Md#CEOO1N08 5 KW heat assist 33,400 BTUH Cooling Capacity 14.00 SEER Control: Venstar Digital Programmable Thermostat � Warranty: 1-Year Labor, 5-Year Parts and Compressor Scope of Work: ■ Remove and disposal of existing equipment ■ Provide and install new 3.0-ton system per equipment selection. ■ Provide and install new thermostat control per equipment selection. ■ Condensing unit to be relocated to grade level on new pre-caste concrete pad. ■ Provide and install new refrigerant piping with arrmaflex pipe insulation. ■ Provide and install new vertical mounted air handler(same as existing)with float protection and condensate drain piping connection to existirig. ■ Provide and install new supply/return ductwork with start collar and mechanical fasteners. Modifications of existing supply/return trunk to new supply/return plenum. ■ Connect and evacuate refrigerant piping. ■ Re-connect existing electrical hookups to new equipment. Check breaker sizes. ■ Start-up of equipment. i ■ All permits and inspections. i Contract Amount$5,900.00 � This proposal reflects materials,workmanship,and job response necessary to assure a high standard of inech�anical installation for this project. � Ernest T Guernsey-Vice President CGM Ser,vices, Inc. 7015 E Martin Luther King Blvd Tampa,iFl 33603 Office 813 247-2665 Cell 813 422-1683 Fax 813 247-6535 Email etg(n�c�mservices.com Website www.cEmservices.com I