HomeMy WebLinkAbout16-16881 CITY OF ZEPHYRHILLS
5335-8TH STREET
, • (813)780-0020 881
BUILDING PERMIT
PERMIT-INFORMATION LOCATION INFORMATION
Permit Number: 16881 Address: 5521 23RD 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: YINGLING ADDITION
Est. Value: Parcel Number: 12-26-21-002A-00600-0040
Improv. Cost: 5,600.00 OWNER INFORMATION
Date Issued: 1/07/2016 Name: BMC OF ZEPHYRHILLS INC
Total Fees: 65.00 Address: 5521 23RD ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/07/2016 Phone:
Work Desc: A/C CHANGE OUT 2.5 TON SPLIT SYSTEM
CONTRACTOR S APPLICATION FEES
AIRTIME AIR CONDITIONIG AND HTG A/C CHANGEOUT 65.00
f �- / �l � / �
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, Ins ections Re uired � �
D CTS INSTALLED
DUCTSINSULATED �
FINAL I - �� '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 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
.
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813-780-002Q City of Zephyrhills Permit Applica#ion Fax-813-780-Qp21
Building Deparlment
Date i*lecetved �'` � -. t.� Phone=Contact for^Permittin – '
� .
Owner's Mame �� +'�. S 1 ✓!A �nG4.�'C� Owner Phons Nurnber
Owner's Address S 5 �.1 �J V` J`` Owtter Phone Number � .�
Fee Simple 7ltleholder Name � �� Owner Phane Number � �
Fee Simple Tltleholder Address �
JOB ADDRE8S ��� ` �3 Y� � LOT# ����
SUBDIVIStON � �` PAitCEt»ID# �f�����u�.�` ��7 �–� � – (�
(OBTAINED FROM.PROPBRTYTAX NOTICE)
WORK PR4FQSEQ - NE'W CONSTR ADDlAIT � StGN� �Q Q DEMOLiSH
� ,e. INSTALL � REPAIR � �
PROPOSEDaUSE [�• -SFR- � COMM � QTHER . .
TYPE OF CONSTRUC710N � Q `� BL.00K ' Q FRAME ,[� STEEG C]
DESCRIPTION OF W4RK ► �b� (_,,- � tt W '� t t� � '�t"2 W"�
BtliLDING�SlZE ��� �`SQ FOO'tAGE� HEtGHT�
�BU11..DING $ � rn�� VALtiAT101V`OF1'O'T'Al CONSTFtUCT10N � � -
ll
[�Et,EGTRtCAR. $�' '� AMP SERVICE •Q PROGRESS ENERGY Q W.R.E.C.
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[�Pl.UMBtNG '$ . _
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�[t11ECHANiCAI $ �' � ��y�� VALUA3tOl+i OF MECHAP!lCAL INSTAl.tATItJN
� „_„_„�
[�GA.S CJ RQQFING [� SPECfAi.TY_[� OTHER
FINISHED FLOOR ELEVATIQNS r�� FLOOD ZQNE AREA QYE$ NO
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BElilDER COMPANY
, SIGN�►TURE REGISTERED Y/ N FEE CURRE� Y/N
, Address ` L`ici�nse�# � 1
E�fC'TRiC1At�[; � .'CdMPANY
SIGNATURE �` REGISTERED Y/ N FEE CURREM' =Y/�N�
Address , . , . , Y L#cense# � ---�
I! P�UMBER � i� �CQMPAtaY - : , , , �
�I SIGNA7URE' REGIS.TERED Y./..N , FEE CURREK Y-/N
AK�df988 ' � - .LIC8TiS8,� � -. � I
MECHANICAL •,, '�'� COM.PEWY .: "`11 V l
SIGNATURE ��i REGISTERED , . Y./ N . ' FEE CURRE� Y�6N
Address` - . - . + ' Licsnse# � -�
O?EiER :` - � � ,�;CONIPANY
SIGNATURE ' � ' " " ' ' � � RE�iSTE�o� Y/ N.. �F�Cu�n Y/N
Address ` ' ' ' Cicense# �— �
_ ,� , ,. .,: . ,
RESEDEN'i�Al:;;. Atkach'{2);PIot=Plati&;.(2}sets:of.iBuil'ding Flans�(1}-sef of-Energy>�onns��R-O=W Perrriit far new construction, ,
,��;,,._Mlnimum;tena(<1,0);,working�days after;sub"mlfta�"date.::•Requlr`ed anslte,:Constnictton�Plans;Stormwater Plans w/Silt'Fence installed,
' SanitaryFacill8es;&:.1,dumpster�Site;Work;Pertnit,forsubdtVisions/large:proje�,= v.:.�. , ' ' " � '
COMMERCIAl. Attach{3}obiriptete sets ofi B'aitdiiig`Plans�plus a'l.ife Safe#j+Page;{'1)set af Eriergy Fornts.R G?-W Petmit for new consttucti6n.�
Minimum ten(10)working days after submittal date. Required onsite,CanstrucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faaliitles&1 dumpster.Sita Wark Permit tor all new<proJects.All commerclal requirements.must meet compllance
SIGN PERMIT Attact�"{2)sefs af Eiigiiieered�Plaiis.;.: ..,:. . ,� .
•`•"PROPERTY SUR1/EY reyuired.for all,IVEW c�onstrucUon.._
Dlrecflons: .. . � . ` -
Ffll out applicatlon completely.
Qwner&G+antractor sign back of applicadon.notarized
if over�2500,a N,otice af Commencement ia required. {A/C upgrades ovar ST500}
� ',;--,:,:;;
" Agent(far the contractor)or'Povirer ofAttbmey-(for tFie�awner)would beMsomeone with notarized letter from owner authodzing same
DVER THE COUN7ER.PERMtTT1NG .. ._-...(Frontaf;APAIlc�tlan�Oniy)-��.- -, � ,j,� _ -�.�-_ .,.-{�:�^,,.._;_...._ . �,. .,.
Reroofs if shingles Sewers ,. >Seniice,Upgrades A/G :� Fences(PlodSurvey/Fontage) _; •,"; ,_ ,. � . ' •� ' " ' _ .,
Diiveways-Not over Counter tf on public,roadways..'n'eeiis-ROVti'`� �' " ' „ , � � . , y `
, , , ' 'j .`",�,!� �, ,,. P ., ... ._.. .�-,. �. _.�,<.,_. . ,. - ..,
_ � . ' �� ,
NOTiCE:QF DEED REST.RICTIONS. The uttderstgnedrunder�#s�nds�Yth�t:this:��rmtt�may.be;sub�ect:tq°deed"�restrlctioiis".�.,.,.;-�-^::�,.
�r.
_ , ,. _ ..,
which may�be�morra��"r.es�riictive.tli��Caurity'��agulattons:'The underslgned`assumes�resp�nsitiliity'for"c�mpitance'vi►ith�any
app!lcable_deed restrlctians. -,..,.. �:.:. �. :_. - � . ..�- .. _ _. _ __ .. ;�.::; . - _
UNLtCENSED CONTitACTORS AND CONTRACTOR�RESP{}NSIBILITIES:� flf the�owrter`hasr'tiir�d`a"contractvr or
contractors to undertake work, #hey mey:be;re�qulred:�to..:be:llcensedin accordance,w(th state.and,:loc�al,regulations:��If�the�--� `
cantractor�is-no#:Itcensed=as�requlred`6y I�inr,-6oth the owner ariii=confcactor=rriay tie�atted�for��a�cnls�emeano�ulaiation
under state law. If the awner ar intended�contra�tor,,.ere.,:uncertaln as to what Ilce�stngl�,requirements,mayM:apply.�;for}ttie'"� •���
Intended inrork,they are"advlse�!"fo=contact the"Fasco.Cotinty Bulliling;lnspectlori,D(vlslgn--Licensing Sectlon at 727-847-
8009. Fur#hermore, if the owrier`tias hi�a a.cot�Vactar or coritractors, he ts aiivlsec! to have�the cxintractor{s), sign
.. ;.Z. � "Y ""��. " ,-
pnrtions of the °contractar Block" of this..appllcatton.for.whlch•they.will,.be.r.esponslble:�.�,lf,you��,as,ihe_oviiner:sign''as'the
conttactar; that�ay..be an Md�cation that�Fie"4s �iiit"properly Ilcensed'and`IsT not ent�t�ed t6 petriiitt�ng piirtlleges In Pasco _
Counky, • : a,„a�: .. � _.
TRANSPORTATtQN..IMPACTIUTlLIT'lES�rMRAC�'�ANb��tE30U�tC�RECClVERY�FEES; �The underslgned understands
that Transpartation impact�eas:and.Recourse Recovery.Fees may�.apply�ta�t�e;construc#ion:of new.buAdings�ichange�of="'"�-` =r
use in exisNng buildings� or:expansi�n,�of=�ezlsti�i,g�6uildings, as speaffied.in Pasco County Ordlnance number 89-07 and �
90-07� as amended.r;'Ghe underslgned atso:unders#ar�ds, #ti�it.`such fees,..as,tnajr`be:�dt�e;;�wilE:=be iderif�ted at the�`time�of�.� �°•:° :
permikting. It Is furtfier understood that Trar�sporkation Impact'Fees an.d���Reaource!Reca�ery�Fees,must be paid prior to
� rece�ving-a"certi#Icate=of�occupancy"or flnaF.power�release: :I��the pro�e�#...daes,:not involve{a�.cert�icafe af accupancy;vr:�:.:~ ;-
final power release;the�fees mus�t be patd;p�lor ta.permit issuance. F��thermore;ff.Pasco�County`tlUater/$ewer;impact 1 .�, ��
, fees are duet.they.mustbe:paid��prlor to.permit•isst�ance�.�n.accordance witfi appitcable_Pascv'.Gounty�o�dinances. •
CONSTRUGTION�CIEN`l.d�►1�{CFiepte�713�FtONda S#8#t�tes�8s atYleitded): i�vatuatlon of work is 52,500.00;ar more,�1- ,::. :;.
certify that I� the �applicant; have�been providecl with-a-copy��of. the�_°Florida� Constitiction� Lien Law--Homeowner's
'; Pro#ectlon Galde" p�eparod by`ttie Fio�da Qepe�tment of Agrlcu[t�re and Gonsum�sr,Affalr$. If the appElcant is someone , , .
other than th�'ovtime�", I certifyrthat__I�h�ve,:obtained�a''copy.of..the,above.°des.crltied'tlocui�ent:and,promisepin,gopd falth to , ,
deliver!t ta..the.`awner"':prioc':torcomrnencemerit;' - ' . " . ��
CANTRACTCiR'S/OWNER'S AFFtDAViT: i ce�t�jc;th,at�afil,the.�tnf.armatit�n:in�thi�appiication is accurate and fhat ail work
witl'be done in compliance wfth all.appllcable�laws regula8ng constructlon, xoning and:l�nd development. Appllcatlon.Is
hereby made to obtaln,..a pecmit�;t�;do wa�rk�and iFistallat#on as tndi�tecF:.,_.
•� I
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PERMIT AGENT AUTHORIZATION FORM
ALL INFORMATION IS TO BE TYPED OR LEGIBLY PRINTED
I, Anthony Gonzalez CAC1816958
(Contractor's Name) NOT COMPANY NAME (Contractor's License No.)
hereb authorize the following to act as my agent(s) in obtaining permits in City of Zeph rhills
,:
�
. . : ,. � � Nam,e,:of A eri�;, ',..,;, -� � ° D:r;iuer's Lice►ise No ;%;:;..
>,,,• ,. . . . �-.;��,,. %�: ���iii
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,. .. .. . ..... . . .,.,
ROBERT DEESE
D200-762-64-171-0
RAYMOND BURGHER =B626-730-95-030-0
DAIKEL SUAREZ . , 5623-160-91-211-0. _ . ._ .
. CALVIN PERKINS " '
P625-100-70-324-0�
TONY BLEVINS B415-810-79-220-0
This form supercedes any previously submitted letter(s) of authorization.
This form must contain only the people you want to pull permits in your name. To make changes to this
form, you must submit a new form. This form will delete and replace any previous authorization form
and the information contained thereon. f�OC 1�0.
This authorization will remain in effect until STATE OF
cancelled in writing by the undersigned �. ``
license holder. COUNTY OF t S�('plJaGh
Sworn tp(or affirmed)and subscribed before me this
�,day of `�('���('� ,20 t.5
by
(Printed/Typed me of cen e Holder aking Statement)
Lic se Holder's Signature RY P BLIC
���11NNIINtl�l/% �
\\����Q�pRA D.q���i���f �s�s t eoe �t�.).—
��`0Q;• '�ISS�'•. l o � (n ��a-
M / � %
� .�G�;�st T0,?l�.A9�y i (Name ofNotary Typed, Printed,or Stamped)
=*; d����m� = My Commission expires• C�i(,�L� �D� �D I�
' �'�v+�� �';*= Personally Known OR Pr ced Identification
�:� g�q� ;�-`
i9��:�a BO��e�:Q��
/ A Hib m n ��
/%�/e� .�....• �(�'\\� T
���Ei���STAtE�e�>��� ( ype of Identification Produced)
��/ii�F�et���t��
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1 10 N. Mulrennan Ka. �jCellSed • Bonded • Insured
�N�VW.airtimeairconditioning.Ilet � Valrico, FL 33594
Hillsborough:813.438:5999
�� �- ��� Polk:863.937.8072� Pinellas: 727.289.7294 I
; I�I■R ��I ����.lr( �I-,� Manatee:941.254.4938 ��
LI LI LILI LI I� Fax:813:438.5996 �
� - o , o ■ • CAC 1816958
Heating&Cooling,Systems
i SALES • SERVICE • INSTALLATION �Xcee�n� �,Y�ecta�ians �� p R O P O SA L
' EXPECT' EXCELLENCE ' Co��inuaus� �m v�avzn
► ..� h "y
No . 11896
� Installation Date � / � / ��
Customer name: - � ' Date:
, '�� �5 �u 1 �,
Street address of job location: � � City:•. FL Zip:
Primary phone: ��- 7� � Other•phone: � Email: '
• • - • • ■ • 0 Whole House Air Knight�Sterilization System
❑ Whole Fiouse UU�Sterilization'System 0�Whole House M.E.R'.V. Filtrations System- )
� � • • • � • •
Replacement ` ❑�Add=on�Air Conditioning/HeaUBotFi � �� � ` " ' ` ' � ` �� '
� � ��Replacement ❑Add-on Air Conditioning/HeaVBoth
�Air Handler/Furnace ' � 0 Verticaf' Horiiontal
❑+ Heat Pump �Air Conditioner ❑'Package'Unit
� New Digital Thermostat�Non-Program � Program � ��tons�SEER BTUH
. ❑ New Digital Programmable Therm.with Humidity Control � Model � V\.T � ��j
� ❑ Relocate from to , � klurricane.Pad
. � �s.:�.-�.�_� � � ,.._ �_ _.
� ❑ Relbcate from to
❑ �New AHU Stand: ❑ Metal 0 Custom ❑ New 100%copper, dehydrated refrigerant piping
❑ Filtration: p�.Permanent Washable Filter ❑ Grille
❑ New safety disconnect switch ❑ Surge Protection
�: Fully insulate suction line piping.
� Newwater_tight-electricalwhip
❑ New Wire from breaker panel to equipment �
❑ Vent/Flue: ❑ Complete new' 0 Use existing �
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, _ _ ' _ _ . .._y
❑ Engineered duct system for tons vents �/ All labor
❑ Economy ❑ Anti-Microbial$ ✓ Obtaining permits(where required)
❑•NON-FIBERGLASS- 100%Rust Resistant Galvanized Sheet �/ New A/C circuit protection Brand- � e_�c'�v►re_ �
❑ Metal Duct'System, Energy Saving�lnsulation Included Existing siie is:� `�U/ ��0 0 Change to: / �
❑ Rooms requiring additional airtlow: ✓ Heating and Cooling routine-maintenance,for.�years
p. New Supply Vent to: ✓ Check entire system for safety and efficiency
❑ New Return Vent to: ✓ Shoe covers, mats and drop cloths to be u'sed as necessary
❑ ✓`" Remove existing equipment from premises
� �, Mastic and seal all leaking joints ✓ Clean up
�Duct Sanitizing
- .. - • - �, -
. � � � � � . � �
24-Hour Fix-/t_or Hotel Guarantee:.Unlike.most companies,..we are a.senrice company.We have a staff of qualified service
technicians that are there to serve you in the unlikely event your system has a problem. So our guarantee to you is thafwhen we
arrive,we guarantee that we wilf�haveyour system�up�and�running within:24 hours of.our arr.ival or we will put you up in a local hotel
for the night.
EXCIUSIVe "No Lemons"Guarantee: If the Compressor(the heart of your system)in your Air Conditioner fails twice during
the first�five years of owne�ship;we'will rernove the unif, rather that'the component,and shall"install�a completely.neinr one. If you've
ever bought a "lemon" before, you truly appreciate our commitment to your long-term satisfaction. This,guarantee applies.to our
Premium packages only.
No Mo/d Guaranfee: We are so confident in our advanced I.A.Q.UV Sterilization&M.E.R.V.filtrations systems ability to keep
your system clean,that:we guarantee with�proper annual°�maintenance-your system will be,mold free for.life or,we will perform any
necessary cleaning to the air handler to remedy the problem at our expense.Ask about our membership packages.
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Total Investment $ (-)Power Company Reba�e��,�• � (-)Service�Repair Refund$
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A' irConditioning Rep��sentative: � � - " � - '` Date of'Proposal: I'� L
ill�be installing;a�TAX-CREDI;f;Certified.Comfort Sysf� ,iFl•yo�rdi'ome,We.recommend that you.consult�s•ii your C . _ ,_r� re
. ill-quaqfy for tFiis tax oredit.Air Time AC ac`cepts no�respo ei�ilit�iiyou do not qualify for ttiis taz credit. _ �-
5 , -
. o �'t�a. Date ,/ � ,
ay,�, ad• ;as follows: Balance on completion "
_ AirT:r�e, �;A �onditioning proposes`here6y'to.furnish and install:the`equipment`and:material a_� scr.ibed-on the
back��' ,.conditions.provided herein. ;fhis proposal.�is;good for,thirty,;(30):days.from the:,d ereof,,but may
� be acc��tEtl�t a; later date at the sole discretion of Air Time Heating&Air Coniiitioning. '' '" �� " � ' "
' Customer A'pproval . Date / /