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Home My WebLink About17-18149 CITY OF ZEPHYRHILLS 5335-8TH STREET '� ' - (813)780-0020 18149 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18149 Address: 4917 ROLLINS 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: WINTERS Est. Value: Parcel Number: 14-26-21-0000-00200-0000 Improv. Cost: 7,002.00 OWNER INFORMATION Date Issued: 2/14/2017 Name: WINTERS MOBILE HOME PARK INC Total Fees: 75.00 Address: 38022 WINTER DR Amount Paid: 75.00 ZEPHYRHILLS FL 33542-5544 Date Paid: 2/14/2017 Phone: 813-943-5123 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR S APPLICATION FEES UNIQUE SERVICES A/C CHANGEOUT 75.00 c� _ � �/✓� � � � Ins ections Re uired DUCT INSTALLED DUCTSINSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply wBth 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. CONTRA OR SIGNATURE PERMIT OFFI R � ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �, , a�aaso-0ozo City of Zephyrhilis Permit Application Fax-a�a-�saooz� • � - Building DepaAment Date Receivad Phone Contact(or Permittln -n-rrrrrr - Owners Name owner Phone dumber 8139435123 Owner's Address 4917 Rollins t Owner Phone Numbor Fee Simple Titleholder Name Owner Phone Number Fee Simpie Titleholder Add�esa JOB ADDRESS LOT q � SUBDIVISION S OB PARCEL IDq loarur�o Frtow raorerm rac Norx� WORK PROPOSED B NEW CONSTR 8 ADDlALT Q SIGN Q Q DEMOLISH tNSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER � TYPE OF CONSTRUCTION Q BLOCK Q Fi7AME Q STEEL Q DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE� HEtGHT � QBUILDING 3 VALUATION OF TOTAL CONSTRUCTION QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.� QPLUMBING $ � \� �� QMECHANICAL S 7�OOZ.00 VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FlOpR ELEVATIONS FLOOD ZONE AREA QYES NO BUIIDER COMPANY I SIGNATURE qEGISiEAED Y I N FEE CURREA Y 1 N , Address License q ELECTRICIAN �"� � COMPANY � F � SIONATURE � ' REGISTERED YI FEECUpRE� /N Addreas �...!� li � Licensa# 31JiiX I PLUMBER COMPANY I SlGNATURE REGISiERED Y!N FEECUPAEn Y/N Address License# � IMECHANICAL COMPANY U UE O S SIGNATIJRE REC�SiERED Y f FEE CURRE� Y/N Addreas 451519TH ST CT E BRADENTON u�,�a CMC041072 O?HER COMPANY SIGNATURE REGISTERED Y I N FEE CURREA Y/N III Addrees Licensa N 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENiIAL Aftach(2)Plal Pians;(2)sets of Buflding Plens;(1)sel of Energy Forms;R-O-W Pertrtit fa new consWcUon. Minimum ten(10)working deys a(tar submittal date. Required onsite.ConsW clian Pians,Stortnwater Plens wl Silt Fa�sce inslalled, Sandery Facilities 8 1 dumpster,Sile Woik Pertnll(a wbdfvisfonsllarge projeGs COMMERCIAL Attech(2)complele sets of Building Plens plus a LHe Se(ety Page;(1)set of Energy Fmrns.R-0-W Pertnft(w new consWction. Minimum ten(10)v�orking deys afler submittel date. Raquired onsita,ConsWclion Ptaiu,Stormwetar Piens w/Silt Fenee installed, Sanitary FeciRtfes 81 dumpsler.Site Work Parmit(or all new prqac�s.All commercial requiremenis must meet eomptianee SIGN PERMIT Attach(2)sals o(Engineered Plans. ""PROPERTY SURVEY required lor all NEW cansWcdon. 'i1111111i� •i• Directions: Fiil oul appiication completdy. Oxmer 8 ConVactw sign back of applicslim.nolarized If over i2500,a Notice of Commencemant fs requlred. (AIC upgradea over 57500) " Ac,�;nt(fa Ihe cartrador)w Power of Altomey(fw Iha owner)would be someorta with nolarized letter hom owner aullwiiang same OVER THE COUNiER PERMITTING (copy M contract required) =�� Reroofs N sMngles Sehers Servica Upgrades NC Fencas(PIoVSurveyfFaole�e) � C Drlveways-NW over Counter ii on public roadways..needs ROW � \ I ' � �.± . . • NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be mora restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicabie deed rastrictions. UNLICENSED CONTRACTORS AN� CONTRACTOR RESPQNSIBtLlTIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed i�accordance with state and local regulations. i(the contractor is not licensad as required by law, both the owner and coniractor may be cited for a misdemea�or violaQon under state law, If the owner or intended contractor are uncertain as to what Ncensing requiroments may apply for the intended work,they are advised to contact the Pasco Counly Building Inspection Division—Ltcensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or cantractors, he is advised to have the contractor(s) sign portions of the"contractor Biock"of this application for whlch they wiii be responsi6le. It you,as the owner sign as ihe contractor,that may be an indication thaf he is not properiy licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION�MPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned undarstands that Transportation Impact Fees and Recourse Recovery Faes may appiy to the construction oT new buildings,change of use in existing buildings,or expansion oi existing buiidings, as specified in Pasco County O�dinance 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 Resaurce Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final pow�r release. If the proJect does not invoive a certificate of occupancy or finai power rolease,the fees must be paid prior to pormit issuance. Furthermore, ii Pasco County WaterJSewer Impact fees are due,they must be paid prior to permft issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statufes,as amended): If valuation of work is 52,500.00 or more,I certify that i, the applicant, have been provided wllh a copy of the "Florida Consiruction Lien Law—Homeowners Protection Guide"prepared by the Florida Deparlment of Agrlculture anci Consumer Aftairs. if the applicant is someone other than the"owner",1 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. COPITRACTOR'S/OWNER'S AFFIDAVIT: I cert'rfy that aii the information in this appiication is accurate and that ali work wili be done in compliance with ail appticabie laws regulating construciion,zoning and land development. Application is hereby made to obtain a permit to do work and installation as Indicated. ! cerQfy that no work or installation has commenced prior to issuance of a permit.and that all work wili 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 undorstand that the regulatfons oi other government agencies may appiy to iho intended work,and that it is my responsibility to identify what actions I must take fo be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection•Cypress Bayheads,Wetland Areas and Environmentally Sensitive Lands,WateriWastewater Troatmeni. - Southwest Fiorida Water Management Dislrict-Wells, Cypress Bayheads, Wetland Areas, Ailering Watvrcourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - Department oi Heaith & Rehabilitative Services/Environmental Health Unit-Weils, Wastewater Treatment, Soptic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federa!Aviation Authority-Runways. I understand that the foilowing restrictibns apply to the uso o(fill: - Use of fill is not ailowed in Flood Zone"V"uniess expressly permitted. - If the Till material is to bo used in Flood Zone "A", it is understood that a drainage pian addressing a "compensating volume"wil!be submitted at time of permitting which is prepared by a protessional engineer licensed by the Staie oi Florida. - If the fili material is to be used in Flood Zone "A"in connection with a permitted building using stem wail construction,I certify that fili wiii be used oniy to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use oi such fiii will not adversely aifect adjacent properties. If usa of fill fs tound to adversely affect adjacent properiies,the owner may be cited tor vioiating the conditfons of the building permit issued under the attached permit application,for lots less ihan one(1) acre which are elevated by fill,an engineered drainage pian 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 a�iiavit prior to commencing construction. I understand that a separate petmit may bo tequfred for Qlectricai work, piumbing, signs, weils, pools,air conditioning, gas,or other instailatio�s not specificaily included in the appiication. 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 sfiail issuance of a pe�mit prevent the Buiiding Official from thereafter requiring a correcGon of errors in pians,construction or violations of any codes. Every permit issued shali become Invafld unless ihe 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 ihe work is commenced. An extension may be requested, i�writing,irom the Buiiding Official for a period not to exceed ninety(90)days and vritl demonstrate justifiable cause for tho extension. If work ceases for ninery(90)consecutiva days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEiVCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YO INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOROING Y NOTICE O COMMENCEMENT. FLORIDA JURAT(F.S.t 17.03) / OWNER OR AGENT CONTRACTO {J t�� Subsuibed an b�vrom to(or alfirme�betore ma thts Subscribed b wy_sq(oj affirm�ty�jpr�mo is�e -rcc�,der t� Who is/are personally knovm to me or ha�Jhavo produced Who is(ar orso own me or fias/havo ptoduced as idenUficatian. as idoMificaGon. Notary Puhiic �� • Notary Public Cnmmission No. Commission No. 3� H�_ ,.•o+*""°�e;,,, LISA ZAFFlNO Name ot Notary typed,ptinted or stampeci Nnme o(Nolary typed,printed or stamped �� . rRo�ary Pubiic-State oi fiarida ;�, �t: My Comm.Expires Jun 5,2018. ':;Fo�� Commfssion�Y fF t30052 , � !%; �NiQU E AI R_ Installation Contract �-�� 877-247-7365 INSTALLATION ADDRESS BILLING ADDRE55 Name of Client Roger and Cheryl Hunt Roger and Cheryl Hunt Address 4917 Rollins St 4917 Rollins St Clty/Stete/Zlp Zephyrhills,FL 33542-7211 Zephyrhills,FL 33542-7211 Phone Number 8139435123 8139435123 E-mail Address � INVESTMENT � Retail: $9,599 Utility Rebates: �$p� Manufacturer Rebate: �$p� Payment Details Discounts: �$2�5g7� Deposit $0 Amount Due: $7,002 Balance Due(Financing) $7,002 FINANCING � Financing @ 60 Months No Interest�WF] Est. First Month Minimum Payment: $117 POST INSTALL REBATES ' ; TOTAL COST OF OWNERSHIP(TCO) � Utility Rebate: $p Est. 1 Yr Savings: __ Other Rebate: $p Est. 10 Yr Savings: � __ Tax Credit: $0 TCO -- Net Investment: $7,002 TCO Monthly -- Buyer is the owner of the property at the Installation Address and is legally authorized to enter into this Agreement. Unique retains title to all equipment,parts and materials used to improve the property until Buyer's full payment is received by Unique.A service charge of 1.5%per month(18%annual percentage rate)or the maximum rete permitted by applicable law,whichever is less,will be made on all overdue amounts. Buyer responsible for attorney fees,where allowed,for amounts not paid. Should any Instant Rebates provided under this Agreement become uncollectible,Buyer will be responsible for payment to Unique of such uncolledible Instant Rebates. Prices are valid for 10 da s from issuance of this A reement. . Customer Signature CA Signature Customer Name Roger Hunt CA Name Xavier Hector Date 8-1-16 Date 8-1-16 051013 License numbers: CMC 041072 � CFC 1426265 � EC 13002942 50# 912�29 Thank You for Choosing Unique Services as your Home Comfort Specialist.