HomeMy WebLinkAbout16-17915 :i
' CITY OF ZEPHYRHILLS
5335-8TH STREEf
(sis)�sa-oozo �����
' BUILDING PERMIT
' PERMIT INFORMATION LOCATION INFORMATION
Permit Number; 17915 Address: 37438 G1L�AVE �QT 194
Perm�it Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CNANGEOUT Township: Range: Book:
Propos�d Use: MOBILE HOME SUBD(VISIUN Lot(s): Biock: Section:
Squa;�e Feet: Subdivision: GRAND HORIZONS
Es� Value: Parcel Number: 34-25-21-0140-00000-1940
Impro�v. Cost: 7,995.00 OWNER INFORMATION
Date��lssued: 1111512Q96 Name: LAWSQN LAMAR G & RUTH
Tat�l Fees: 75.00 Address: 37418 GILL AVE LOT 194
Amoc�nt Paicl: 75.00 ZEPNYRHILLS, FL. 33542
D �te Paid: 11/15/2016 Phone: 615-804-$805
Wo'k Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATtON FEES
MORG 'iN AIR CONDITIONIN INC A/C CHANGEOUT 75.00
,
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� Ins ections Re uired
D TS I i TALL
QUCTSINSULATED
FINAL �I �
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REINSPEC7'xON FEES: (c)With respect ta Reinspection fees will comply with Flarida Statute 553.80 (2)(c)#he
locai governmenfi shall impase a fee of four fiimes the amount of the fee imposed for the initiai inspection or
NOTIG' first reinspection,whichever is grea#er,for each such subsequent reinspection.
: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
rnay b�e faund in the public recards of this caunty, and there may be additianal permits required fram other gavernmental
�� entities such as water management, sCate agencies or federal agencies.
"Wa�ning to awner: Your failure ta record a natice af commencement may result in your paying twice for
imprpvements to your property. If you intend to abtain financing,consult wifih your lender ar an attorney
+ befare recarding your notice af commencement."
Complete Plans,Specificatians Must Accompany Application.All work shall be pertormed in accordance with
� Ci Codes and Ordinances. NCt QCCUPANCY BEFORE C.O.
� NCI OCCUPANCY BEFORE C.O.
f /�'' r
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;"� NT -OR'�IGNATURE PERMIT OFFI R
;
�` � PERMIT EXPIRES IN fi MONTHS 1NITHCfUT APPRUVED INSPECTION
' CALI. FOR INSPECTION - 8 HOUR NOTICE REQUIRED
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� PR4TECT CARD FRBM WEATHER
. ' I 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
I Building Department
i Date Received Phone Contact for Permittin
I Owner's Name r1`�1 1-v M� Owner Phone Number ll/�J— O
I Owner's Address f����g ���) YfV�', 2�AY/lJCd,�3 � �I Owner Phane Number
IFee Slmple Tltleholder Name Owner Phone Num6er
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Fee Slmple Tltleholdar Address
JOB ADDRESS 37�118 G i Il �hre h n�� �' cy���� LOT# �
SUBDIVISION , 1� ' Z PARCEL ID# � �L, ,� `�� OVD' ��
(OBTAINED FROM PROPERN TAX NO710E)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME 0 STEEL Q
DESCRIPTION OF WORK T'1 V MI� � '
BUILDING SIZE SQ FOOTAGE HEIGHT �
�BUILDING $ VALUATIONOFTOTALCONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ �
�MECHANICAL $ /} � VALUATION OF MECHANICAL INSTALLATfON � �
�.D .� [ �
OGAS Q ROOFING Q SPECIALTY 0 OTHER ��ef
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL < r COMPANY ��X Q �Y CO d I��C�'J�T7
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � v ( ��2� ��l 3� License# 181�fD3
OTHER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
Illllllllllllllllllltlllilllllllllllltlllllllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fecllities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Pians.
""PROPERTY SURVEY required for all NEW construction.
Directions:• '
� Fill out application completety
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is requlred. (A/C upgrades over E7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
IOVER THE COUNTER PERMIITING (copy of contract required)
Reroofs if shfngles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage)
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IDrfveways-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
i 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. I
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.
CONTRACTOR'SlOWNER'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 pertormed 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 certiTy 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 O�cial 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 JUR,4T(F.S.117.03)
OWNER OR AGENT CONTRACTOR�QIIG'irCl I VI OY�l a✓l
Subscribed and sworn to(or affirmed)before me this Subscribed and swo o(or ed)be r e this
bY JN t'A'2011, by���L�
Who is/are personally known to me or has/have produced Who is/are personally known t�o�i�e or h s/have produced
as identification. as identificatlon.
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Notary Public Notary Public
ICommission No. Commission No.
I Name of Notary typed,printed or stamped Name of Notary t ed rinted or stamped
; ,•o;:�Y�:;�.,,CHRISTOPHER BODBMANN
'' Commission #FF 9718@3
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��, o�; My Commission Expires
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�''�'i�p°��� MafCh 15, 2020
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��+ ' �!� Lutz,PL 3 9veet¢N ning,LlC
�q�-sERVfGF-lMSrq.ttAftON CAC�1814036
� Otfice(813)500-�765
Fax(813)910-4144
info@morganaccom
'f 1ob#1$230387-PROPOSAL FOR h1EW HVAC SYSffM
�
FlVAC SYSTEM PRdPOSAL
Inst��latlon Date 11/02/2016
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Customer lnform�tion
Custl�mer Name: Lamer lawson Zip Code 33547
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Stre t Address af Job tocatiea 37418 �f!ave Pnma Phene Number -
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City Zephyrhills ScKondary Phone Number »
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System Information
tntl�ded With 6very Instaliation
Inclu�ied wth Every InsWllatiore-Obtaining permits(where required)-NewA/C circuR protection breakers(when required)- 5ystem Sixe 4 7on
Cheik entire A/C system tor safery and e�ciency-Shoe covers,mats,and drop doths{where nEcessary}-Removai and
disp'�sat of exisSng equiptneni from the premises-Ctean up -
�... .--�_._'. _____.._--''-----'_.'__.._ _._.-�-- '.__-'-'.-'-"-- -� - �---------. .. -"'_'---- -._ _ .__..._ .__ -' - '_
Syst m Type Pa<kage Unit SEER Rating 14 SEER
Heat Pump
._.�-------..._._ --�_.._.-._.....-- -_.�-- --' -'-- __- -�._.__---.....- -- -...------- `�---- -- - --- ----�-'---- ----'--- �� - --_-_.. ... _.
System Brand Bryant Square FooWge of Home 1500
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tns�de your Home
To i age of 41d Air Handler 4 ton Air Handlar Location Packaged
Unii
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Pltt te of Aft Handler Unit Appliwtlpn
Plea e provide a clear pitture of the entire air handler location for the production report
_... _ _ ,_..--- --'-- --""- --'."-------'-- ------'�--- _.....,--__ . .---- - - -'--' -� - - -' `- -- -- -'-__--_._
AlcoveJCloset Dimensians
H th��air handler/fumace unit is in a closeValcove.Take ffie dimensions.Depth Width,and Height
Q CtOT
Depth Copper Llne•Set Ske
APPLICABLE
Deplth In Inches What sizes exist currently? (Paclage
Unit}
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� � - -- .... __ ----_.------ '- '-'- -
WI th
I - Air Handler�re Type Copper
Wi th In Inches
Hel ht
I - Air Handler Wire Size 4awg
Hei ht In Inches
Disconnett BmclSwitch
Exisdng
Sta d No Sqnd if there is no disconned in sight Lotate distonnect o�
disconnect or breaker and take a picture ot S
h in relation to air haruilec mtth
._- --- _�__.- --.._ ' --. ._. .----_ ._--- ...----._�.._.'---__..�- -'--. .� ----'.._.---- -_' .' - -__-- - �--�--'�ood- -- -
` NOT
Ple um Options APPLKABLE Dead Front(Dead Man's Alate) Dead front is
(Package Unit)
Ste c Pressure .04 Breaker 8rand Square D
i Homeline
_. � ----_._-- - "-- - -.._.----_. __ _ ...-----' - '------. _. _._ _ _ ' - -- -�....._----- ---....:- --- ._ ._ --------- --"
B Platinum UV
PlaNnum IAQ Upgrade � K�� 6rcaker Sira �p
-Cu�fomcris-respansibtefiorputcfiasir`g'riewUVei¢me❑ts'annuallytdmaintaintfie"NOMOL6'GUARANTEE_"'.'�. -"--'""" ... ---"--`�---"--'-- -. ._. __..__----__.--- -_ _._
W o�e Hous¢Dutt SanitaGon YES AtNe Ligh! None
� Required
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7h�rmostat ��9��!NO° Cqndensate Pvmp Not
Programmabte Appticabte
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FII!tatlon None Drain Not
Applicable
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D I in Pan Not �atwalk No catwalk
applicable. neeessary
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O tside Yaur,i-lome
i
5'�e of Old[ondensing Unit ` i,�___._..��__.,___.___._._.__ 4 ton^ _Condens3ag Unii�re Type Copper
Pi�tpre of Old Condensing Unit Appl(cation
I� Condensing Unit�re Size 4awg
CIti�ease provide a tlear picture of the old condensing unit and the pad/roof/sWnd/wall it sits on.
�_.__�---' -._.___._..----._"--- .-." '---__... ._._,_.__- --'--- --___..---_...'- '�_--__' Existiny- -
iDisconnect BoxjSwitch
ndensing Unit Lacation Ground if there is no disconnect in sight Lacate disconnect or
� disconnect or breaker and take a pfcture of switth
i
! it in re(a6on to mndensir�g nnit
I
�
, '
IS THIS A FLOOD ZONE7 NO Dead Front(Dead Man's Plate) Dead front is
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Instail New S uare D �
Humwne Pad Breaker Brond 4 '
Hurricane Pad HomeLine
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Q NOT
Lopper Line-Set Size �P���B�
Whatsizesexistcurrendy? �Pa��Be BreakerSize 90 �
� Unit) I
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YOURTOTALINVESTMENT i
Customer's 3 Day Right Of Cancellation
If yoL decide you do not want the goods or services,You may cancel this agreement by mailing a notice to Ne seller.The notice must say that you do not want the goods or services and must be mailed
before midnight of the third business day of the date on the signed proposal.Please note that th�ee business days does NOT include Sunday or any federal holiday.The notice must be mailed to
MO�I GAN AIR CONDRIONING LLC,14807 12TH ST.N.,LUTZ,FL 33549
Net Total After Dfscounts Including Power Company and Manufacturer Rebates
7997 QD Morgan Air Conditioning
PLE� E NOTE:The customer already receives ANY factory,federol or power company rebates,as they are already factored Representative: Rich
into the retail cost of our equipment
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Thll HI h Efffden Home Comfort 5 stem is available wlth an Interest rate of: 0
9 �Y Y Date of Proposal 11/02/2016
SPECIAL INSfRURIONS OR NOTES includes
The Estimated monthly payment ls: 0 surge
I SPECIAL INARUCTIONS OR NOTES P�otector
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Cus omerSignature
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