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Home My WebLink About16-16967 CITY OF ZEPHYRHILLS ;, 5335-8TH STREEI' ` • (813)780-0020 16967 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16967 Address: 38548 6TH AVE HISTORIC 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15100-0010 Improv. Cost: 5,699.00 OWNER INFORMATION Date Issued: 1/25/2016 Name: MCLEOD, BOBBIE Total Fees: 65.00 Address: 38548 6TH AVE -HISTORIC Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/25/2016 Phone: Work Desc: 2 TON 14 SEER A/C CHANGE OUT CONTRACTOR S � - APPLICATION FEES ACREE AIR CONDITIONING INC A/C CHANGEOUT 65.00 �� l.� 2 �- Z � L � �� Ins ections Re uired � � • DUCTS INSTALLED DUCTS If�SULA�D�_ FINAL �L 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 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 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 BEFORE C.O. NO OCCUPANCY BEFORE C.O. ' � CONTRACTOR SIGNATURE � PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER \ ,si�aaso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 ► Building Department Date Received �� - d t.� � a,p� � phone Contact for Permitting � �3 C°a`� - ��O LO ..a,.,_�mm�.,.�, ._._,�-,-.,._.. .., . . ..a-_.�r�.,m.,,,.,, . �, , � _„e.. w,„ � M_ .,, ,. ._ .��, Owner's Name C��d � �1q'Wl�-S 4- !)� ��E Owner Phone Number 8�� ' �]$$ - (�'�`c3� Owner's Address 3� J� � �� ' Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS �7 05 � � U'� 14"�"e 2{ph rh� ��s � r � 3 as�i a LOT# � SUBDIVISION PARCEL ID# � 1 a �J �a 1 ~b O ) (� � I S � b D - o o!U (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e WSTA�NSTR � � 1 REPAIR � SIGN Q MOVE Q DEMOLISH u PROPOSED USE Q SFR 0 COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER DESCRIPTION OF WORK � I � � � � � �-` ��"e'� S C �1 r i� 1� BUILDING SIZE SQ FOOTAGE HEIGHT '^ - -- � BUILDING $ VALUATION OF TOTAL CONSTRUCTION Q ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. Q PLUMBING $ Q MECHANICAL $ �� . Q� VALUATION OF MECHANICAL INSTALLATION r_ � rn� �`�J V G � Q GAS Q ROOFING 0 SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES Q NO I BUILDER COMPANY � SIGNATURE I REGISTERED Y/ N FEE CURRENT Y/N i Address License# � I ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# PLUMBER COMPANY i SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address �— � 1 License# � MECHANICAL `f n �� COMPANY �"«� IT�'r C D f1 tLr �'�O►+1 SIGNATURE �� li REGISTERED Y/ N FEE CURRENT Y/,N Address 3�j O� Of o(-C PRf1�. ,r ��3U f� 3310 License# C �-� � G LJ a�'1 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# �,�•��P�.��.�� _ 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. ��,�.� .—��m �,m - � -- - �� s � - � r �� . 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(Plot/Survey/Footage) 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 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_finaLpower 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—Homeowrrer'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 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. 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 uncierstand 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.S. 117.03) ' / � OWNER OR AGENT_�J L/ (/\� CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this f—!�'-,�.o��by �li c_.�o� 7��1.�cJ by Who is/are personally k�own to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. _ ��'� v v ��/n� Notary Public Notary Public � Commission No �C �.�9 �C7 � Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped �, �d�� Notary Public State of Florida . Audrie WingeR h � My Commission EE 859403 �pf�� Expires 12/1812016 � ' � ? ��1�� ` Recommendations/Agreement Lic#CAC050424 Customer Name�obbie mcleod Customer# Date Addr@Ss 38548 6th ave �j}� Zephrhiils State F� Zjp 33542 Name Ph. {��3 }788-6331 UVork Ph. { ) EmaiE .: •��. C�Best System ." ��Better system :��sooi��System� -��,Base S�stem.�� y � � .�'`' �� . � : � .. . . � , - .. . .' ,. . -,-, : � , , . . . �, .� �C�:Air Conditioner�Heaf:�Pump�PackageB,Gas,�Furnace�" •, ° ;.; 30,000 � �BTUH-.14.-_ 'SEER ,; Q+4"H�rricane Slab _ � ��OFEMA Set- :� � ; � .-• .[�F'Eush Re€rigerant Lir�es �:New Copper�ine Set ..,�;� ❑Reconnect to Duct . -' �Newi Plenums ,. � - ;,, �New 100 CFM Supply , []�New 15Q CFM Supply. s New250 CFN!Refum . • �New 5{?£}GFM Return �, �New R6 Duct System �;New R8�Duct System ; : ,t �;New Disconnect&1Nhip �� ONew Wire to.AHU � 0 New V1/ire to Condenser , �Use Existing Electrical , p �i`New Condensate Drain �y Efectronic F(oat�Safety . �Norizantai Kit �. `.�yyAttic LighUReceptacie 3 (�!New Thermostat []Standard - �Prograrnniable , �Touch Screen . .� a� � � - a� � _ . � - � , ot � .o ; SYSTEM 1NSTALIATION INCLUDES ✓ All labor ✓ Recaver existing refirgerant&dispose of ✓ All required permits ✓ Evacuate refrigerant system ✓ RCCA laad calculatians per cade ✓ Charge to manufacturers specifications ✓ Removal and proper disposal of equipment ✓ Mastic seal exposed ducts per code IndoarA�r Qualii,Y Options � wa� � ^' `"`'�,:-,� [�Germici � '`��Dual Germici.dal WC �� ❑ Oxidizing UVC dal WC r., ,�"'�.;� . ❑Air Ranger Air Cleaner X ;�;':��, ❑HEPA Filtration ��"`'-�� - ,MANUFACTURER'WAI�R�INTY(Under terrns of warranty,rouGne scheduled service rriust be perfornted on systems) � �s �� Years on parts -�_Years on{abar j 2 Years on compressar_„Years on fieaf excfiangerN - �- � � ��{A!!Guarantees are explained on.the reverse sfde of thfs agreement� � ��Tatai Camfiort�otai Replacemen#4No�emons"�$250 Na-Frustrat'tonQService AnyfimeQProperty Pratection � Code Compliance:Our work will comply with all e�osting local r,odes. Drug Free:Your work witl be performed by our professianal,highly trained, � , ' ° - -and drug-#ree emplayae`s: ' , -, System Investment $ 5,699.00 Accessories $ Other $ Tatat Amaunt $ ��-�� . . _. > :. , .. Estimated Final InvestmentA.fter.Eli ible�Rebates/1'ax�Credits�of$ ��=:. �� - ' 699_00, : ' ; , , g �$�� - 5' � � Terms P�i�e includes all coupons and discounts unless otherwlse noted.Buye�hereby declares ffiat buVer holds title to property in whlch merchandise is being ins[alled and has legal authorlty to order ffie work outlfned. Buyer and se0er agree that any tpntmversy or claim ar(s(ng out of or relating to this agreement,or pedocmance af ic,sball be settled by 6inding arb3trettoa,except that seller reservas the right to sve buyer i�a covrt oi!aw ior any amonnt due them from the h¢yer,wiffi al]otber matters Inciuding defense to payment be3ng resolred by arbiVation.Such arbitratton will be conducted in accordance with tfie arbitretion rules,then fn force af the American Arbitrallon Assocfation. The atbftration award onnot exceed the amount af khe agreement and will 6e final and binding on bo[h parties.Judgmen[upon such arbi[ration award may be entered In any wurt of competent Judsdiskton.Each party bears tts own cosks for arbltration,including attorney fees. PaymentTerms:(�Financed�jCredit Card(�CashJCheck t7pon InstaHation. Acceptance(Client) �y�� Acceptance(Company) r� �,f�