HomeMy WebLinkAbout16-17492 , CITY OF ZEPHYRHILLS
� 5335-8TH STREET
813 780-0020 �' 4�1�
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BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION ,
Permit Number: 17492 Address: 38225 IRONWOOD PL I
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-021A-OOD00-0010
Improv. Cost: 4,900.00 OWNER INFORMATION
Date Issued: 6/20/2016 Name: NELSON, GARY & BETTY
Total Fees: 60.00 Address: 38225 IRONWOOD PL
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542
Date Paid: 6/20/2016 Phone: 813-833-4364
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR S APPLICATION FEES
- ACREE AIR CONDITIONING INC A/C CHANGEOUT 60.00
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Ins ections Re uired
D T I TALLED
DUCTSINSULATED
FINAL /
REINSPEGTION 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 property 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
' NO OCCUPANCY BEFORE 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
., �
e»-�saoozo City of Zephyrhilis Permit Application Fax-e�saeaoo2�
Building Department
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Date Received Phone Contact for Pertnitting ��— /� � � Z��
Owners Name V Owner Phone Number ��y
Owners Address j �� Owner Phone Number
Fee Simple Titleholde►Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS Wv R ' LOT# �
SUBDIVISION 1 ( W�lJ V PARCEL ID# � •21V —Z �O!� �O
(OBTAINED FROM PROPERTY TA%NOTICE)
WORK PROPOSED e NEW cONsfR� ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPl10N OF WORK G U � Z C
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ ��]Q� VALUATION OF TOTAL CONSTRUCTION
_�
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ � ' ^�%� �
.�
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
OGAS Q ROOFING Q SPECIALTY � OTHER ��j(,(/`
`� C�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
MECHANICAL / � COMPANY ` � �(/�-L� S•
SIGNATURE ��` REGISTERED Y N FEE CURRE� Y/N
Address � � �L- � License# `� v
a�bt
OTHER ( COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItIII
RESIDENTIAL Ariach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construdion,
Minimum ten(10)woricing days after submittal date. Required onsite,Construc6on Plans,Startnwater Plans w/Silt Fence installed,
- Sanitary Faalities&1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Fadlities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERIY SURVEY required for all NEW consWclion.
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$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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' 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 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 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
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,that 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 Water/Sewer 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"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owneT'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 certity that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating I
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,WateNWastewater 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.
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 "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 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 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 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: 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.
FLORIDA JURAT(F. 117.03 /�� �
OWNERORAGENT � 1 l /`� CONTRACTOR
Subscribed and swom to(or ffirtned)befo e me this Subscribed and swom to(or affirtned)before me this
by �/1 G�_ 'ryl 11" by
Who is/are personai known to me or has/have produced Who is/are personally known to me or hasfiave produced
as iden5fication. as iden6ficafion.
/
Notary Public Notary Public
Co ission No.�^�T O ! Commission No.
�abrcnQ Sh�
Name of Notary typed,printed or stamped a e f o 'nted or stamped
. ��� Notary Public Stote of Fbrida
Sabrina Shercl
��n� My Commisaion FF 978997
Expires 04/05f2020
�� � � �l�R� � -
Recommendations/Agreement � -
L9��F�AC050424
Customer Name Betty ne�son Customer# Date s�i s
Addl'2SS 38225 ironwood
City Zephyhills State FI Zip 33542
Home Ph. (813 �833-4364 Work Ph. ( ) Email
--------------- --a,._---_----_---�_V_._._�-----_ _-___._... .________�.__..___�___. __.r---- - - -------- -----� —�--
� � O BescSystem - D Better System .psood System �Base System
�Air Conditioner�Heat Pump�PackageOGas Furnace 3000o BTUH 14 - SEER '
�
�✓0✓4" Hurncane Slab � ��FEMA Set �� ��V =�✓ Flush Refrigerant�Lines �New Copper Line:Set ��'
Reconnect to Duct , � � �New Plenums_ ❑�New 100 CFM Supply �New 150 GFM Supply ,
iQ New 250 CFM Retum' �New'500 CFM Return �New R6 Duct System �New R8 Duct System - �
IO New Disconnect&Whip �New Wire,to AHU ; �New Wire to Condenser �Use Existing_Electrical �
0 New Condensate Drain - DElectronic Float Safety 0 Horizontal Kit �Attic Light/Receptacle
ID✓ New Thermostat � �Stantlard - , �Programmable : �-Touch Screen ;
L�---________. � � �.�_-- '_�:_�-- _ _�__..._.._.�_.0____.�..__..___�.__._��
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
IndoorAir Quality Optlons
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�� Germicidal �❑Dual Germicidal UVC t� ❑ Oxidizing UVC
UVC
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❑Air Ranger Air Cleaner X ,` 4.� ❑HEPA Filtration
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T� MANUfACTURER WARRANiY(Under terms�of warranty routine scheduled service must be performed on systems) ;
1 o Years ori parts� 1 �Years on labor 1�Years on compressor_Years on heat exchanger, ;
. 6UARANTEES(All Guarantees are explained on the reverse side of this agreemen� - � {
OTotal Comfort❑Total Replacement"No Lemons"�$250 No-Frustration❑✓Service Anytime✓�Property�Protection ;
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. ,
System Investment $ 4,900.00
Accessories $
Other $
Total Amount $ 4,900.00
EstimatecJ Final Investment After Eligible Rebates/Tax Credits of$�� ` � �is.$. 4;900:OU y �
Terms �
INSTALLATION I$COMPLETE AT$TART-UP AND ALL FINANCIAL PAPERWORK AND COD PAYMENT RENDERED AT THAT TIME.Price includes all coupons and discounts unless
otherwise noted.Buyer hereby declares that buyer holds title to property in which merchandise is befng installed and has legal authority to order the work outlined.Buyer and seller agree tha[any controversy or
claim arising out of or relating to this agreement,or performance of it,shall be settled by binding arbitration,except that seller reserves the right to sue buyer in a court o(law for any amount due them from the
buyer,with all other matters induding defense to payment being resolved by arbitration. Such arbitration will be wnducted in accordance with the arbitration rules,then in force o(the American Arbitration
Association.The ar6itration award cannot exceed the amount of the agreement and will be final and binding on both parttes.Judgment upon such arbitration award may be entered in any wurt of competent
jurlsdi�tion.Each party bears its own costs for arbitratlon,including attorney fees. '
PaymentTerms:�Financed oCredit CardOCash/Check Upon Installation.
Acceptance(Client) Acceptance(Company)
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June 20,2016
I,VictorTrino, 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#5630-794-77-715-0
Jestine Whitaker DL#W326-433-91-915-0
Robert Orcutt DL#0623-779-85-264-0
Anthony Kell DL# K400-013-88-343-0
Hector Vega DL#V212-332-89-380-0
Allisian Adrien DL#A365-019-94-379-0
Christopher Carroll DL#C640-112-88-049-0
This should supersede any other letter of authorization.
If you should have any questions, please feel free to contact me at(813) 620-1666.
�� � �
��
Victor Trino
Acree Air Conditioning, Inc.
Lic: CAC050424
City of Zephryhills
This foregoing instrument was acknowledged before me this �d day of �U n�- , 2016.
By V (C'hS� �I �'l� who is personally known to me.
1 r 1 C I ZO Notary ignature
My Commission expires `—C� J
SEAL
- ��a'�� Nofary Public State of Fbrida
Sabrina Sherd
�! o` My Commisaion FF l78997
a�� Expires O4/05/2020
Service Anytime � 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