HomeMy WebLinkAbout17-18114 ^�`-� � CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)78o-ooz0 181�1'4
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18114 Address: 5252 11TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-18000-0010
Improv. Cost: 3,500.00 OWNER INFORMATION
Date Issued: 2/02/2017 Name: THOMAS EDWARD W JR & GILL JENNIF
Total Fees: 55.00 Address: 5252 11 TH ST
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-5030
Date Paid: 2/02/2017 Phone: 813-312-1398
Work Desc: A/C CHANGE OUT 3 TON HEAT PUMP SPLIT
CONTRACTOR S ' APPLICATION FEES
ALL TECH AIR & FILTRATION LLC A/C CHANGEOUT 55.00
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� Ins ections Re �red
D CTS INSTA LED
DUCTSINSULATED
FINAL
REINSPECTlON 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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ONTRA TOR SIGNA URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s'ieo-ooio � - City of Zephyrhills Permit Ap�lication , Fax-813-780-0021
Building Department _ _ ,
�at�Rec�ived _ _ Phane Contact for Permltting � ° — '
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t�vuner's�tame ���r�1 AX�� �1�(S(���5 Qruner Phane RSuenbeP �l J —���l ��—t O
l,luvn�r's s�ddress ����' 1 }� �� Owner Phone Muenber � -�
��e�imple Titl�holder Wame, � - � � - O+iuner Phone tdumkaer �� � �
��ee�IPnple Titlehol�er Address -
,��►�a►�o��ss ��2� �\� �-�-. 1n Y"Y����S �1 �3��-k�-- LOT# �� .
�s��qiv��eo� �� � P�►�ec��.�a# ' . �
� (QBT,4fNED FRQM PROPERYY TAX NOTIGE) .
pfll0�@f�ff30P05ED e NEW CONSTR e i4Dp/ALT• [� SIGId O O DEMOLISH
INS7ALL REPAIR
B�E�O�OSIED USE Q SFR Q COMM � OTHER
1VP�O�COIdS76tUCTIOM , Q BLOCK Q FRAME � S"fEE� Q � �
�DIEsCRIPTIOId iDF W('1R6f ��C G�'1 G.Y�"� . C�-�I�'• C'1 O ��P �-2.�..1r � -►�r� �4�-4- P S I i'-�-
I�UILDiR1P�51Z� ���� SQ FOOTA�E�� CiiEI�HT ��
�BUILDtNG $ VALUATION OF TOTAL CONSTRUCTION '
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�ELECTRICAL �� AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBII+IG $ , -
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�ECHANiCAL` $ � �� VALURTtON O�MECNANtCAL,IiVSTALLATIOt�} � ,, � � C � � -
� t} �t,�j, � .
���1 2,
�G,4S Q ROOF!l+IG Q SPECtALTY � OTHEF2 � �} )
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FINISHED FLOOR ELEVATIQNS FL.QOD ZONE AREA QYES NO l{1
�i11LD�R - COAfli'�1RfY
�lfaAlATURE REGIS7ERED -Y/ N FEE CURREA Y/N �
Adctress - � License# �! . �—�'
�L�CT621�IAid CORflP�1IdY �
- �IGWA�D'U6ZE • REGISTERED Y/ N FEE CURREA Y/N �
Adc9ress License# ��
��.Utlfl��l3 ' COMPANV . �
'�YC�aR�6►TEJGZE REGISTERED Y/ N FEE CURREA Y/N
Addr�ss License.# � u�
MEGHd,R40CAL (���� co�w�a�av �2C� �� � �t1��ts����� l.l.� - .
�VGW�Y41CtE - �T � REGISTEREp � '/ N FEE CURRE� Y/N ,
�d¢iress �u�J��1p ��-r� '�J� � License# 1.��.}���t �"�l� ��
OTb�Q� � � CONAPAtdY
�IGWd�'9'IdRE � REGISTERED Y/ N FEE CURRE� Y/I�I
dldcOress " License# �� �
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�t��Ofl{�t�liTl�lL. Attach{2)Ptot 1'lans;(2)sets of BuECding Plans;(1}seE of Energy Farms;R-Q-W Permit for new.canstruction,
Minlmum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwrater Plans w/Sflt Fence Installed,
Sanitary FacititEes&1 dumpster,Slte Work Pesmlt for subdiv]s(onsllarge prujects �
�OMiNIlERC1Al, Attach(3}comF�lete sets of Buitding Plans ptus a Life Safety Page;(1}�et of Energy Far►ns.R-O-W Permit for new constcuction.
Minimum ken(10)working days after submittal date. Requlred onsite,Constructlon Plans,Starmwater Plans w/Silt Fence installed,
Sanitary Facilifies&1 dumpster.Site Work Permtt faratt new projects.AIf rommercla!requirements must meet compliance �
�iGiV P�Fti�itT Attacfi(2)sets of Engineered Plans. -
� '•A°PROPERTY SURVEY required for all NEW aonsVuation. � , '
ili��c�(mn�:
Fill ovt application completely. ,
dwner&Gontractor s�gn baak of applicatian,notarized ,
If ov�er�2500,a Pdottce off Commencement(s required. (A/C upgrades over�7500j
"" Agent(for the contractor)or Power of Attomey{far the o�nrner)would be someone with notarized letter from owner authorizing same
(�VE6t TH�COUNTER RE9tMiTTiN�, ... . (Front caf Application Oniy}
, Reroots if shingles a�.�Sewers. , .:Service Upg,rades A/C� Fences(Plot/Survey/Footage) •
Drivew�ys-Not over�Counter if'on pubiic roadways,.needs ROW , '
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� �9�'�'IC���F D�IED:F3ES7�ICTI�PIS: The.undersigriec! understands th�t#his pei-rnit rnay be subjscf tc�"deed°restrictions"
which tria�r be,more rest�ictive than County regulations. The'undersigned assumes responsibitity fs�r cdmpii�nce with any .
applica6le deed 'restrictions. , � � � . � , . . , . , - ,
-�U�@�lC�NS�D ,�COPIT�CTQ��a'��l� CQi�4T��C'�'OR R�S�'Q�ISIBI��Tl��: If the-owriet has hi�ed a cantrac�or ar
, > cantractors to underfake wbrk, tfiey rriay�be'r�quired to be licensed in, accardance with state �nd local r�gulatians. If the
car►t�actor"is not lic�nsed as r�quirec9;by.l�vv,�both the ovuner'and contraator ri�ay be clted for a�rrtiscfemeanor viqlafion
under-s#�te law. �If.the awrner tr�•infended contrac#or are�uncertain as to vvhat ticensing requ,irements may apply for �he �
°• �int�nded work, they are advised to co�rtact the Pa�co County Building Bnspection DiviSion—ticensing Section at 7'27-847-�
.8009, Fur#herrimo�et if th�; .oi�vn�r h�s�hired a co»tractor �r con#ractots, he is'advised-to have:the contractor(s} sign '
-, partions of fhe "con#ractor Block" of this applicatic►n for.which #hey wiD be.�esponsible. If yau, as'the. owner sign,as 2he
cantractbr�:that may be�an indic�tion that he }s nat.properiy licensed a¢td is not.�ntitled to p�rmittitig p�ivilec�es i� Pa�eo f �
County. - .. • . .. . .. � � .
. T�PIS�ORT,�TEO� IIWP�,CTPUTILIT'i�S 1�fV�'AC`��N� �E�C�IYRCE f�ECOVE6tY FEIES: The unclersigned understands
- Ehaf Transp�rta#`i,on #mpact„Fees and Recoitcse-R�covery Fees may apply ta fhe constreiction of n�w buildings, chang� of
use in existing.buildings; or exp�nsion of existing buildings,.as specified in Pasaa County.t7rdinance number 89-07 nnd
a,� 9Q-07„as amended. �The und�rsign�d�also und�rsfands, tha# such fe�es, as rr�ay be due, vuill'be:�cfentifi�d at the tim� of
.. pe�mittin�. it is•further underst�od tha#Transpo�tation Impact Fees and Resource,Recavery Fees.r�ust�be paid.prior to � ' -
r�ceiving a "certificage of occup�ncy" ar flnal powar release. !f the prc��ect does.not•invalve a cerlificate of occupancy or�'
- �nal povtirer=release; fhe+fees must,b� paid prior to permif issuance. Furtherinbre, if Pasc� County Water/�ewer Impact ,
f�es are due, they must be pai� pr'ior 4o permit issuance in accordance with �pplicable Pasco County ordinances.� . .
. � _ �����T�11�T1t?1�,d»GIE�I-L�i�.��h��f�r�'1l3,�FA�r�tl��t�tnat�s,as �r��er�c9�z9): If valuation�f vvork is$2;500.00�or rriar�, 1° , .
certify lfiat I, #he applicant, have b�en provided with a copy of the °Fla�ida Const'ructoan Lie:n Law=F9omeown�r's. �
Prot�ction Guide° prepar�d by t�te Fi�rida DepartQn�nt of Agsiculture a�d Consumer Affairs, tf tti� apgl�cae�t�is soineane
o��rer t9i�n the�"owner", 1 certify that I have obtained a copy of the aba,ve described documenf and pramise in good faith to
- d�liver it to the"owti�r" prior tm commencem�nt. � . � � , . - ,
���'A�Y��CTCP@�'�!{�1��lER'���'IF9�AV��': .1`certify that alE the inform�fion in this application is accurate and that al1 work '
will�be done in�compliance with all applicable laws regulating construction, zoning and land develapment. Applicatian is �
he�eby enade Qa,abtain a pe�r'rtit. io do•v�raa�k �nc#-�nstallation as iitc9icated.. 1 ce�ify ,that no ir�ork or installatio� has
_ commenced prior to issuance mf a perrinit a�p�d that all vuork will be-performed_to mee# standards.of�all I�ws regulatirig _
- cc�ristruction, Gaunty and City caties,-zoni�g regulations,�ancl land develc�pinent reg�tlations in the jurisdictian. I �Iso
� �certi#y that 1 undePsta�id that t���regulations of atheP goverr�ment agencies may appiy_ta fti� infended virork, and.that it is
� iiny responsibilityto identify�ivhat actions I must t�ke to be in complianae: Such agencies include ba�k are nat limit�d to:
- Department of Envi�oninental��ratecfiian-Cypress Bayhe�ds, V{/etland Areas and Eriviraninentally �ensi�ive ��
Lands, WaterNVastewateP Treatment. '. � - ' � � ' ' � �
, � - Southwest Florid� �Vlfate�� 6ttlanag�menf District-W�tls, C}�press �ayheads, V11�tla�d Areas, Altering� .
- Watercourses.` , , , - � , ' ' - . , - - - �.
- - ; Army Corps of Engir�eers-Seaw�lls, Docks, Navigable Waterways. . ' . •
-. � D�parfrnen# of Hea{#h �. Rehabilttative Serrtic�sJEnvironrnental Health�C1nit-VVells, �IVastewater TreatmPnt, ~, -
' '. Septio Tanks. � ' . " . ', . - �
'. - ., l�S��r�vironmental �rofection Ag�ne�-RsbesEos abatement. " �
` � - . Federal�Aviatian�AuQhorit�-Runw�ys., � " ' . . �� -
� 1 ur�dePs�and that the foUowring restrictions apply fa the use'of fift: -
_ -, Use of fill is not allowed in Flood�on�"V"unless expressly'permitted. '
, � - If fhe fill material is to be used in Flood Zone "A", it 6s urtderstood tha't a drain;�ge plan addressing a ,
"corttpensafrrtg volume" urill be subra�it#ed a# tirne of perrrtitting vyrhich is Prepared by � p�ofessional engineer�
� licensed by the Sta#�of Florida. � ' ' . ' � . �,
- ` IF�4he fl! materia! is to 6e used i� Flopd Za�r�e,"P�" iri cannectioii v�ritti a permi�ted buildirig.�us�ng sfem wall ,
'� , ; . cohsfru�#ion, I cer�ify that fill will ��used only to fill the area within the stem wall: � �
� , - If fill inaterial is to be �sed in any area, 1 certify that !�se'of such fi!! wi!! u�at_ady�rse(y affect adjacent. ,
- � properti�s. -if use of fi11 is found to advers�ly.affeck adjac�nt prop�rties, the owner may be.ci#ed for viola�ing
` � the.conditions of �h� building permit essued under the attached permit application, for Iofs less.than�one (1)
. , acre vuhich are eleVated by.fill, art�ngineered,drainage plan is required. - - • , � .. � .
If i aen the�C�PY7�O�YOi� 09fl9P�E[�, p promise in good faith ta infar�n.the owner of the permitting conditions 's�t fort�i i�'-
': . fliis;affidavEf priar �o comm�ncirig cor�strucEio�.. 1 understand-that a.s�parate permit may-be reqc�ired #or electrical work,'
� _plurribing, sig�is, vuells, pools, air,conditioning;:gas, or ather installa#ians not specificaliy includ"ed in.the apPlication. R
� � p�rmit issued shall be constryed to be � licens� to proceed wikh the work and not as authority to_'vialate, c�ncel; a!#er, af '
� s��aside any provisions of�he t�chnical cod�s, �t�r sh�ll issuance of� pePrrtit p�'eyent th� �uildi�ic��Official from thereafter .
� �' ,r�quiring`a correction of errors,in plans,-construction or vi�lations of any codes. �very perrinik issued shall b�come invalid
� •unl�ss'4he work au�hor�zed bl� �uch �errrait is commenced'wit7�in six r�onfihs af pe[m�t issuance; or if inrork�itthorized by
'� ;' th� permit is suspended or abandoned for a period af six(6) ma�nths'affer�the time the wrorlc is commenced. An'extension -
,.,
`� '_ �rria . be�re u�s�fed,-:an writin fr�rm tt�e BuiJdin Official for a eriod �rst to exc�ed ninei 90 da s and�tinri9l demonstrate-
Y �d �, . S R Y { ) �
���._��r jusiifiabie cause.�for�he extensimn.�tf�t+ori�ceases for niriet 90 cons�cutive da s, the,'bb is aons�dered ab�ndoned. _ � . � '
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� �i9���1�� 1't� ���1�R: 1'��9� �A�ILLB(�� TC�.��C{��I� � �07'IC{� OF CO�i�ENC����1T 6�E�Y RE�tD�T �� Y��9�
� . �'(�►,1lYR➢�'f�i9iC� f��R lii���OV�i�l�ta9`9"�Y�1f�V.902�R(D�'�R7`1(. 9�1fOU IWYEPOD TO O�T�16�➢ �Yfi11,�1PlCIi�B�, �H�R9S(.O�T . -
1'fid6�'�Y�9t�R L�N�(�R Q��41�1siY�'��P8�1(���t����E�Q��IiVt3 YI�R��Pf�°T1C�OF CO����d�(�il���I�'. �
FLOR(DA JURAT(F.S. 117.03} � - ; � � `� ,
_�Wt��Bt tFF2�GEP9T � ' , . ' � 'CQ6UTft�C'FO 0.�'� �� �-{ l �,Ct.,X���Y� - *
� , .Subs�ribed and sworn to(or affirmedj before me#his Subsc�ibed and sworn to(or affirmed)before me this .; ' ' � _
. ' _ by ' - �, .y - � � - ' � _
Who Eslare personatty knavan to me oe hasltiave produced " - Whb{slar persottally knouvn to rne or haslliave produced ' -
,� , - as identification. ' as identification. '
ff.��'.�',s,,j�; , , , , .
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;�' • Notary Public � �lotary Public �.
`` �� _ . ; . . - . � � , , , ,. ' �
`_ Comrrilssian No. - C Ission o.
�� � . , . - ;:?o�'�""`"'��;.:JACOUELlNE HORFiUtTINER " , .
;,; P�ame of.Notary typed,printed or skamped " . " Name of Notary typ dv�. oa�' � � ,
" „ ' . , ���OFF��•�+ EXPIRES July•24, 2018�.
� {ao�}�ee-a�ea Fkoridallotaiy&ervlce.coin.
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35946 State Road 54, �ephyrhills,F133541 Ph 813-870-6934 FaY 813-783-2336 CAC1814196
� 2oA`N AIIEq�r91
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AirConditioning&Heating ������a� / �/►������� A1-30-17nf��AHEx��`yr
PROPOSAL SUBMI'PTED TO: WORK TO BE PERFORMED AT:
Eddie Thomas (SAME)
5252 11�'St
Zephyrhills,FL 33542 thomasfloorcovering@yahoo.com
WE H�REBY PROPOSE TO FURNISH THE MATERIALS AND PERFORM THE LABOR NECESSARY FOR:
1. 1 —Goodman 16 SEER Puron 410A(3 Ton Heat Pump)Split System with Skw back up heat
CONDENSER: GSZ160361 /HIGH EFFICIENCYAIR HANDLER:ASPT37C14 ARI 8331282
2. This Also Includes:Digital Thermostat,Flush Copper Lines,Flush Drain,Re-build Hang Kit for Air
Handler with Float Switches,Hurricane Slab&Straps for Condenser,and Permit.
**Goodman Warranty: (10 Years Parts and 1 Year Labor)**Included
*�"Not Inchiding: (Any Pre-existing Conditions, Original Electric, and Extended Warranty)
ALL MATERIALS ARE GUARANTEED TO BE AS SPECIFIED, ALL WORK TO BE
COMPLETED IN WORI�MANLIKE MANNER FOR THE SUM OF: $3,500.00
THitEET�-IOUS�'�TD FIVE HUNDRED DOLLARS AND 00/100
ANY ALTERATIONS OR DEVIATIONS FROM ABOVE WORK INVOLVING EXTRA COSTS WILL
BE EXECUTED ONLY UPON WRITTEN ORDER AND WILL BECOME AN EXTRA CHARGE
OVER AND ABOVE THE PROPOSAL AMOUNT.ALL AGREEMENTS CONTINGENT UPON
STRIKES ACCIDENTS DELAYS BEYOND OUR CONTROL AND ACTS OF G
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Respectfully submitted, Patrick ' annon 0 Days
Manager, All-Tech Air &Filtration, LLC
ACCEPTANCE OF PROPOSAL
You must provide all conditional approved Permit Documents arid provide one business day of your choice to stay home,.within
10 days of completing work at your house for City or County Inspection.The above prices,specifications,and conditions are
Isatisfactory and are hereby accepted.You are authorized to do the work as specified.
Payments are as follows: �3,605.00 Due on Comnletion(OR$3,500.00 Check or Cash) 10%Down
initials I Acce t Extended Warrantv+$850.00 Initiats I Decline Extended Warrantv
Print Sign Date � �� �
2�lle�p����a�e���uae��. 2Ue�e�.�u�!
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Flnd us on .;!•:r � '�J
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