HomeMy WebLinkAbout16-18009 �, � CITY OF ZEPHYRHILLS
� � � 5335-8TH STREEf
(813)780-0020 18009
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit f�umber: 18009 Address: 5815 9TH ST
Perm't Type: MECHANICAL ZEPHYRHILLS, FL.
Class �f Work: A/C CHANGEOUT Township: Range: Book:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS
Es�.Value: Parcel Number: 11-26-21-0010-02500-0100
Impro�. Cost: 6,150.00 OWNER INFORMATION
Date Issued: 12/16/2016 Name: GUYSE THOMAS & CHARLENE
Tot�l Fees: 70.00 Address: 5815 9TH ST
Amo�nt Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/16/2016 Phone: 574-930-6221
Wo'k Desc: A/C CHANGEOUT 2TON
i CONTRACTOR S APPLICATION FEES
AND SE VICES A/C CHANGEOUT 70.00
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, Ins ection e uired
DUCTS IN TALL D
DUCTSIN ULAT D
FINAL (I �
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REINS�ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local �overnment 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 b° 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.
"WaiI'Ining to owner: Your failure to record a notice of commencement may result in your paying twice for.
imprbvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
� before recording your notice of commencement,"
CompCete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with
�� Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
I NO OCCUPANCY BEFORE C.O.
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iCONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
I i CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
� 1:5 - l�U - �o2j
r. et�-�eo-oo�o� City of Zephyrhills Permit Application Fax'8�3'�80-002�
• Buildfng Depar6nent
Dato Recelved -��-/ lv Phoee Conteet tor P�rmlkin �13 �(o� _ 4 Y g 2 `_
Ownds Name 17 O m A S s� Ownsr Phone Numbor �7�` ,3U - �JSy
, Ownors Address S� ( S /��' S���'� � Owner Phorro Number
F��Slmpte 7ltleholde Nam� Owner Phone Number
F��Simple TMtahalde Address
� 5�( S ��� S T��C � LOT� �
� JOB ADDRESS
SUBDMSION PAF3CEL IDM I�Ztp��I J �'�J ��'d��'�'��� ,
(OBTAINID FROY PROPFR�Y TAX N07It�
WORK'PROPOSED e NEW CONsrR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED U3E Q SFR Q COMM Q OTHER
TYPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL Q
DESCRIPiION OF W RK � C �'A*-� C�,� C��T O� j' Lj" $-f'c'-:L ►'+'1" I
BUILDINO 31ZE SQ FOOTAOE� HEIQHT � �
OBUILDING S VALUATION OF TOTAL CONSTRUCTION
OELECTRIC S AMP SERVICE Q PROGRESS ENERGY Q W.RE.C.
QPLUMBING S �
�MECHANIC S � VALUATION OF MECHANICAL INSTALLATION �(�
(plS �0
QC,pg Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR EL AT10NS FLOOD 20NE AREA QYES NO
BUILDER COMPANY
" SIGNATURE REGI9TERED Y/ N ��� Y/N
Addnss Lleense#
ELECTWCIAN �P�
g�GNA7URE REGISTERED Y/ N �cu� Y/N
�d� Lleense#
PLUMBER �P�'
g�p�7U� REGISTERED Y 1 N FEE CUARE7� Y/N
Addross ' Lleense#
MECHANICAL MpANIf b S'e—d��►li ���
g����pE �� REGISTERED Y/ N �cuaaEn Y/N
Addrose �' 1 O A( (�• v'�Y�-� Llcense#
OTHER. COMPAN1f
g��Np�� REGISTERED Y I N �cututa Y/N
�d� Licenae#
i-1 f 1-11-7 1 f- 1�7-17'f 7 1 fT 1 f-f f 71-1-1'ii 1 1 1"�1 I'77 f 1-1 f17 f1 1 TT fT1'I T 11-17 T7 rTl 1 7'1-1`I
RESID�NiIAL ch(2)Plot Plans;(2)seffi oT Bullding Plans;(1j set of Energy Fortns;R-4W PermR for new constructlon,
Inlmum ten(10)woddng deys efter submilfel date. Requlred ansfte,ConstrucUon Plens,Stormwater Plans w/Sik Fenee Inatelled,
ifery Fadiftles 81 dumpater,Sfte WoAc Permk for subdivisionsflarge proJede
COM{kERC1AL ch(3)complete sets oi Building Pians plua a Life Sefety Page;(1)set of Energy Forms.R-O-W Pertntt for new canstructlon.
Inlmum ten(10)woridng days after submkfal date. ReQulred onsite,ConstrucUon Plans,Stortnwater Plans w/Sllt Fence Installed,
itery FadlMies 81 dumpster.Ske Work Pertnk for all new projeets.All eommerdal requirements must meet complfance
SIGN PERMR ch(2)eets of F_ngineered Plans. ,
PROPERIY SURVEY requlred forall NEW consWcdon.
Dlr�ctlOns:
fil�out applica n wmpletsly.
Owner 8 Con Gor eign back oT appllcatlon,notarized
, H over 52500, Notlee oT Commeneement ia�oquirod. (I11C upgredes over i7500)
" qgent(for the tractor)or Power of Attomey(fa 1he owner)would be someone wfth notarized letter from owner authorizing same
OVER THE COU R PERMITTIN6 (Front of Appllcatlon Oniy)
Reropfd H shingles Sewrers Servlce Upgrades AIC Feneea(PlotlSurvey/Footage)
Driveways-N over Courrter ff on publle roadMrays..needs ROW
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� � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictions"
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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 wark,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 contractars, 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 IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the canstruction 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 occupanc�'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. Furthertnore, if Pasco County WatedSewer 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 wark is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
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"owne�prior to commencement. ,
CONTRACTOR'S/OWNER'S AFFIDAVIT. I certity 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 ali work will be performed to meet standards of all laws regulating
canstruction, County and City cades, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment 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,WatedWastewater Treatment. •
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Heaith 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 aliowed 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 fiil will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent praperties,the owner may be ated 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 pramise 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, ar other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the wark 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 pertnit issuance,ar 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)consecu6ve days,the job is considered abandoned.
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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 OBTI�N FINANCING,CONSULT 9�ce`
WITH YOUR LENDER OR AN ATTORNEY BEFORE RE ORDING Y UR NOTI OF CO MENCEMENT. �'oq��tt'
FLORIDA JURAT(F.S.117.03) a��o
OWNER OR AGENT CONTRACTOR
� Subscribed and swom to(ar a�rtned)bafore ma this Subscribed and m to(or aRrtned be m this �o`��
by by 1'1��A��k �S'�'�� �3�c
Who is/are personalty known to me or has/have produced Who islare personally known to me or hesfiave produced �—��c
as identification. as identiflcadon. ��¢ o
03 �N 7',.
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Notary Public Notary Public o S'
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Commissian No. Commission No. �•
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Name of Notary typed,printed or stamped Name of Notary ed,printed ar stamped
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�_ ` Tel:613-445-4818
, �PROPOSAL ' ' 7405 ,Te;:35Z�5e-a;e;
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SGeet addres"s of job��location:S^� - City:�ZJ,T �,.FL =Zip� �
Primary pbone: S.�L� . _ 3/, Other phone:, ' . ,. .:EmaiC�. . -. ' ... . : . � . , �
❑�Factory-matchel Heat Pump System ❑Factory-matched Air Conditioning System ❑Fadory-matched Gas Fumace System
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0_Optimu_ # ,0 Premium.#,._ C�; Deluxe'�# _____0 �Economy#__ __
�� Upto20SEER � Up[a16SEER � UpW145EER �"'13SEER -"
� '10YeaiAllPart � 10VearAllPart �
�� -Coinpressor Lite T e Wartan �' tO�YearAll Pait - �"10 YearAll Part Wartanty •
_____ ry _L tOYearCompressorWartanry � 7oYearCompressorWertanry �JSYearCompiessbrWemanty
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� '� T �• • -❑Rototiriish dubt"cleaning_Supply 8_Retums
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Whole House 8, logic3 UV Sterilization System Stg.x- � , ❑ Whole:Mouse Biologic3 Electronic FiIVa6ons System .�
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Replacement,I ❑Add-onAicCondiUoning/HeatlBoth Replacement, O Add-onAirConditioningMeaUBoth;
❑ Air HandlerlFU ace ❑ Vertical�Horizontal � H 't PumP ' ❑Air Conditioner ❑ Packsge Unit
� New Digital Th�rmostat�Non-Program. Program. ❑ �tons ��� SEER BTUH
❑ NewDigitalPr�grammableTherm. witfiHumidityGontrol �'x�,S'�Model.-�',�rrre�\�-"
❑ Relorate from� � to pi Humcane Pad � ❑plasfic Pad �
❑ � ' . :' .. , � Relocate'Gom '',' to," '
� New AHU'Stan:❑ Metal�Custom \ � � �'�New safety disconnect switch ' - - _
❑ Filtration:.❑ I ertnanent Washable Filter�O Gnlle - _ ❑.New 100%copper;dehydrated refrigerant piping. .
� New safety dis�Ionnect switch , ❑ Surge Proteclion; ❑ Fully insulated sudion piping� � '' ',
❑ Nevi wire irom breaker panel to equipment " � New water tight elecVirat whip ' '
� Vent/Flue: ❑ Complete,new �Use existing ❑ .
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� ❑ Engineered duc�system.for : - .tons�� � � vents- ✓ All Iabor� " � " "_-
❑ Economy �,I ❑ Anti-Microbiai $ ✓ Obtaining,pertnits(where required), �'
❑ NON•FIBERG SS-100%Rust Resistant Gaivanized SFieet `� New A/C circuit pro�tion�nd= See �D'C
�
Metal Duct Sysl�m:Energy Saving Insulation Induded. ' " Existing size is: _,�(J/�_Changa to: - /
❑ Rooms requirin��additional airflow: ✓ Heating and Cooling routine inalntenance for ` years
❑ New supply ve�t to: � Check entire system for safety and efficiency
❑ New retum ventl to: � Shoe covers,mats and drop cloths to be used as necessary
❑ � ✓ Remove existing equipment from premises
❑ Mastic and seal�il leaking jo(nts `� Clean up ��
❑ Duct Sanitizing �
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• 24Houf Fix It�I Hotel Guarentee:Unlike most companles,we ere a service company.We have a staff of qualfied service technicians that
are there to serve� u in the unlikely event your system has a problem.So our guaraotee to you fs that when we errive,we guarentee that we will
have your system i p and runnfng wfthin 24 hours of our artival or we will put you up fn the local Embassy SuAes tor the night.
• Best Velue Gu rentee:Anyone pn make somethfng cheaper by cut6ng comers arid pridng R for less.So,tt's fmportant to know whet ts and
is not Inciuded(n a y heatlng and cooling system you choose for your home.Our Best Value Guarantee is our promise to you lhat you cannot find
a comparahie Inst�Ilation for less. or vre'll pay you a$50.00 bonus over the d'rfFerence.All we ask is that it be a'published applesto-apples'
comparison,vrithin 14 days of purchase,and have the same written installalion spe�cations as AS.
• /nsta//atlon Wo manshlp Guarantee: Our instellation technicians are the best in skill,attitude and xrorkmanship.Theyll nre for your
home end complef; the Job with speed end precision.They wear floor savers,ciean up when ihey are finlshed and take personal responsibility for
your satisfaction. ey will not smoke or swear in your home and they are polite and courteous.If,when ihey have finished in your home,ihey
have nol perfortne�in accordance with these high standards,we'II refund whatever amouni of�he purchase price you feel to be fair.All we ask is
that our of(ice be n hfied of any level of tlissatistaction before the lechnicians leave the home so that eny issues can be addrassed aceordingly.
• 'Excluslve"No emons"Guarenfee:if the Compressor(the heart of your system)in}rour Air Cond'Noner fails during the first frve years of
ownership xre will move the entire outside unk;rather than the component,antl install a compietely new one,fl you've ever bought e'Iemon'
before,you truly a reGate our commilment to your long•term satisfaction.
• No Mold Gue��tee:We are so mnfident in the Biologic3 UV Sterilizatlon&Electronic fiMration systems ability,to,keep your system dean that
we guarentee with�roper annual malntenance}rour system will be moid free for life ar we will peRortn any necessary Gean(ng to the air handler to
remedy the proble al our expense.
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Tptal Inveslment $ I� (-) Rebates$ (-) Service Repair Refund$
Net Total Investment���ft All Discounts Including Power Company 8 Manufacturer rebates$
This High Efficiency F;�om omfort System is available with 100%bank financing with no money down far$ per month
�wm�erom.ee�a�q.
AS Representative II � Date of proposal�/ �� /�L
Cialann egieea ta proWCe hee s N Ne work ame eM e sefe worlung emlmnmaM.Tle e0ave prices,epetifiraooiro,krtna,aM m�bam am eabalactory eM I�ereEy agmeC to In M1II.
I gire eWlarlretlon to oNer efo'me�NoneC work You ere eNMnaeOlo tlo wod as spaufieE.PeymaN vn0 pe metla ea autllm0.I untlustard Ihat you ere ml respanide bt eveNs or tlHeye
EeyonO Your mMiol.QnMr eg I b certy edepi�ale fire,rturtn,erd o ry Imuarce.pll of aa workeNwork Is covemd Ey Worhnen'e Canpersetlw artl a Two AtiPpn Gererel lladhty
Inicdnea.Hedlallon is measwry.Wyer aY e0 eoliec4'cvi
i Cuslomer Approval � Date:��/ `U /�� I
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serv � ces
Air Conditioning • Plumbing • Electrical
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1 With My Repair Only • � i 1
;FREE2nd Opinions i � On/ ��� � � �
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Estimates � • � � �
Stick It...Save It... Never Expires! 1 • � • I
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