HomeMy WebLinkAbout16-17248 � CITY OF ZEPHYRHILLS
5335-8TH STREET r
(813)780-0020 17248'"
BUILDING PERMIT /
- PERMIT INFORMATION LOCATION INFORMATION -
Permit Number: 17248 Address: 38056 LAWANDA LP
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: WAYWARD WIND
Est.Value: Parcel Number: 14-26-21-0160-00000-0060
Improv. Cost: 4,878.00 OWNER INFORMATION
Date Issued: 4/15/2016 Name: MILO ANN MARIE
Total Fees: 60.00 Address: 38056 LAWANDA LOOP
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542
Date Paid: 4/15/2016 Phone: 813-782-0710
Work Desc: A/C CHANGE OUT 2.5 TON 14 SEER
CONTRACTOR S AP�PLICATION FEES
ACREE AIR CONDITIONING INC A/C CHANGEOUT 60.00
�
Ins ections Re uired
DUCTSINSTAL ED
DUCTS INSI�I AT��
FINAL `t�
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CON CTO � SIGNAT RE PERMIT OFFI R I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. . • _ . `
ais-7so-oo20 " � ��, �City of Zephyrhills Permit Application Fax-813-780-0021
� ' ' . , . � .°Building Department
..' _,..°.� ..:• . � ,.. ..� ;.. ...,, . ,. . .
Date Received
Phone Contact for Permitting -
------- - - �:�� --- -WA�.m-
Owner's Name��U � �� (1 II"t��'e�m Owner Phone Number � [3' V 7Yp o�•I� �7�ry� F
Owner's Address 3 U �v� L-►'�W r3-(�C� � 1-DO� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS O�LQ L7�}"1J��Y���� La0 LO"I'# �
SUBDIVISION �v �l� P�5 �o � ��O a �- �'�PARCEL ID# �� �a�� �� '�� t�� -0 000 O - 0��a d
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q MOVE � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM Q OTHER
TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK � C G � °5 �C�✓1 ��! cJ'�"�� l�d c�a M W'1� V I �- }7 14C� �'L h�
BUILDING SIZE SQ FOOTAGE HEIGHT
e^�^°�^^m�r ^'�"'�^^a --...._��°s�e�nm�......... ..._.��am�m�r,�^^�_,_.....��m�v�;uw�:,�, _ �,�,a.�m^��. w...�����,
..,u..� .... ...........^,.��� , n .�
� BUILDING $ VALUATION OF TOTAL CONSTRUCTION
Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
Q PLUMBING $ �
� MECHANICAL $ `�v VALUATION OF MECHANICAL INSTALLATION �I �I�
'ig `1S ���
� GAS Q ROOFING Q SPECIALTY � OTHER � �
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES QNO
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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# �
MECHANICAL � — COMPANY �-e.�- 1r ` Un �� ���✓� ��
SIGNATURE �/ REGISTERED Y/ N FEE CURRENT Y/,N
Address 3 0� c d� p,�2.j' �( �� (� License# l, /r 5 d�a�I
OTHER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
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-- ._-----,� , .. _ __..._____.._. _ _ ._— � �
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 Plans,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.
w�u�aSd�o s.�aex r���� — Wyq�a� ,� ——��aa��i,'�Fx�—
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A1C 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
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LETTER OF AUTHORIZATION
April 15,2016
I,Victor Trino, hereby authorize the following to sign for and acquire permits and licenses using my State
of Florida License No. CAC050424:
Michael Trino DL#T650-550-67-332-0
Darrell Webster DL#W123-163-84-026-0
Sabrina Sherd DL#S630-794-77-715-0
Jestine Whitaker DL#W326-433-91-915-0
Robert Orcutt DL#0623-779-85-264-0
Anthony Kell DL# K400-013-88-343-0
Douglas Cancellara DL#C524-160-66-063-0
Skyler Owens DL#0520-784-93-270-0
This hould supersede any other letter of authorization.
I y u sho ave any questions, please feel free to contact me at(813) 620-1666.
� �
Vi torTrino �.r+�� NotaryPubNcStateafFlorida
Acree Air Conditioning, Inc. . � . Sabrina Sherd
Lic: CAC050424 '�y� �3 My Commtssion FF 978997
or R Expires�4/ `Or/2020
City of Zephyrhills
This foregoing instrument was acknowledged before me this�day of � ( 2016.
By 11 � (-����Yl� who is personally known to me
Notary ignature
My Commission expires ���� ��_C�
SEAL
Service Anyfime � 7am - 11 pm, 7 Days a Week � No Overtime Charges...EVER!
Pinellas 727-447-0508 • Tampa 813-620-1666 • Polk 863-683-3437 • Toll Free 1-800-783-8154/ 1-800-WE-R-OPEN
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Recommendations/Agreement � -
Lic#CAC050424
Customer NameAnnMarie Milo Customer# 69673 Date4-13-16
Address 38056 Lawanda Loop Zephyrhills, FL 33542
City zhills State FI Zip 33542
Home Ph. ($13 )782-0710 Work Ph. ( ) E�7lallannmarie.milo68@gmail.com
. , :.� ' �
°, � - , �; � � '(a Be'st�System � (�.Better System�:��.O600d s'�stem� -��:Bas.e S�►stem . � � � ..{�� � '� �,. .-�
,,.,: . . � „ _ . .
.,(�Air.Condifioner�Heat�(?�ump.�Package.C�Gas;Furnace -. � " �30Q00,:�_ _ BTIJH��1.4��.�� ' �SEER� .� '
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❑�✓ 4"Hurricane-Slab - "._ ` �EMq Sef�� " .," ✓ Flush�Refici erant'Liiie.s• Ne+ni Co er Line;Set „ �
,_CI. -.._Q 9. . . �[] PP, , ,
✓ .Reconnecf fo�Duct � ,• �[]New,P.,lenums ,� �: � ��New 100 CFM Supply' _ ��New 150 CFM�,SuppJy __ �
� , � <
(]New 250 CFM Retur�.,E_� '. �[]New 500 CFM Return' : ' []New R6 sDuct Systein• � ��New R8=Duct�System T t
�New D�sconnect&Wh�p.�.-�]�lei�v Wire to AHU ' :° []NewlNice to Condenser. .]�t Use EzistingaElectr�cal �,. �
� � � : '�,�� -t.
�New 'Conclensate Drain , "[���Electranic.Float'Safety;; ' []:Horizontal.,Krt Attic LigHt/Receptac(e.,��`'::
-� °--- „ . , �' � .:�?-�#� �.
[,✓]Neirv-Thermostat -_, _ �_ �(�Standar .. , ,r: -�R� grarriiti ie' � � ��T �� � �
d'' ro ati : ouch Sc�eeii��:v}:�;�_:'.�•'�;��,
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SYSTEM INSTALlATION 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 Options �
� � � �
�Germicidal WC /,�,/"ODual Germicidal WC �> ❑ Oxidizing WC
:-l� ir.``��'3',a
1'..,���.��",�;�-4: •
❑Air Ranger Air Cleaner X ;P- : '� ❑HEPA Filtration
�'�'�
, , ��D�QC�R�.W��n-(Under•teims of•warranty„routine scheduled service:►n'ust be;perform.ei/:on syste"ms)=
� �.�h Y _ .� � , � �i,'R ��y, i,' '. •.;:. .<._ t}:.: - �- �).o.y 'rt � _ ���'� k i�X ��-.',*» "e-�'� � .
' .�' _�-� Yea'r.s on;parts � '' Years on latior°'l.fl�;�Years on aompressor, � Years on�heat exchang,�r r�`�. , �
J P''� • � • ' ' - -- + �} f 3a
� � � ^�� � GIIARAMTEES-(Ali Guarantees are eiip(afned on the reverse sPde�of�is agiie�entj�`::�• - �, � � *
`'t �� ,. :, .. ... -- . . �- . -" .:. - x_ - , ,..,. ... ,' �'�,.�a.�.is„..;"'��;;
�`.'��['Total Cortmfort ✓t otal�,Repfacement�"�No�Lemons�.�230 No=Frustratian✓�S„ervice Anytime�roperfy�Protecti�n�
Code Compliance:Our vwrk will`comply wiih all exi'sfing Iocal codes: Drug Free:You��work vuil!'be perFormeii 6y�ou�professibnal tiigliiy;trauied,
.� � , , _ � . � �. ' ' and drug-free employees.- , . , , , ` - < .
doing tomorrow 4-15-16. approval 2340239859 487$
System Investment $
Accessories $
Other $ -
Total Amount $
Estimated:Fina!lnvestment Afher Eligi,ble:Reirates%7'az Credits of$���-.�?_�_��_ -_ : m°�:is$�` __ := �-�:r-��:;'��
. __ , : : _. . . .: , .. : .;
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Terms
Price includes all coupons and dismunts unless otherwfse noted.Buyer hereby declares that buyer holds title to property in whlch merchandlse Is being installed and has legal autharity to order the work outlined.
Buyer and seller agree that any contmversy or clafm arising out of or relating to this agreement,or per(ormance of i[,shall be settled by binding arbitratlon,eacept that seller reserves the right to sue huyer in a
court of law for any amount due them from the buyer,with all other matters includtng defense to payment being resolved by arbRration. Such arbitrdtion will be conducted in accordance wRh the arbitration
rules,then In force o(the American Arbttratlon Associa[ton. The arbltre[Ion award cannot exceed the amount of the agreement and will be final and btndfng on both partles.ludgment upon such arbitration
award may be entered tn any court oicompetentjurisdlction.Each party bears its own costs for arbftretion,fncluding attomey fees.
PaymentTerms:�Financed�Credit Card�Cash/Check Upon Installation.
Acceptance(Client) � Acceptance(Company) '