HomeMy WebLinkAbout17-18263 CITY OF ZEPHYRHILLS
'� +� 5335-8TH STREET
(813)780-0020 18263
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18263 Address: 5127 9TH 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: 11-26-21-0010-19300-0090
Improv. Cost: 3,800.00 OWNER INFORMATION
Date Issued: 3����� � Name: WILSON, JEFFREY
Total Fees: 55.00 Address: 5127 9TH ST
Amount Paid: 55.00 ZEPHYRHILLS
Date Paid: 3/14/2017 Phone: 813 382 0042
Work Desc: A/C CHANGEOUT 2.5TON
CONTRACTOR S APPLICATION FEES
ALL TECH AIR & FILTRATION LLC A/C CHANGEOUT 55.00
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Ins ections Re uired
DUCTSI STALLED
DUCTSINSUL ED
FINAL a �
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 properly 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
st�-7sa-aa2o City of Zephyrhills Permit Application ��-$�s-Tao-aozl
" Bu(Iding Department
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Date Received Phone Contact for Permittin
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Owner's Name v V��� Y�I Q,t,S �,.1�!'I'��� �f� N Owner Phone Number �}��3 0 �" �Q�
Owner's Address ���� `"1 l�� Owner Rhone Number � �
�ee Simple Titieholder Name � �� Qwner Phone Number �_ �.
Fee Simple Tifieholder Address
JOB ADDE2ESS ��!'�� l.OT# ��
SUBDIVISIC}N �� �`� PARCEL ID#
(OBTAINEp FROM PROPERTY TAX NOTICE) �
WORK PROP4SED ,. NEw CONSTR' ADDIA�T � SIGN Q � Q DEMOLtSN
� INSTALL 8 REPAIR
- PROPOSED USE Q SFR Q COMM [� OTHER .
TYPE`OF CONSTRUCTIpN Q BLOCK •• Q FRAME [� STEEL Q
��sc�sP�rioN o�wo�K ��� 1� �=e�z.,r a.5`ri� 1�p � 1 i��°'� C..
BUI�DING'S1�E ��� SQ F.00TAGE�� NEIGHT ��_....�
O�U������ ('�� VA�UATtOi�OF TOTAL CQNSTF2UCTlON
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QELECTRIGAL �x� AMP SERVtCE � PRQGRESS ENERGY Q W.R.E.G.
OPLUMBING $ �
�'MECFiANlCAL $ ��t�� ' �� VALUATION OF MECHANlCAL INSTALlAT10N
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Q,GAS Q ROOFING Q SPECIALTY C� OTHER
FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NQ
BUtLDER COMPAPIY
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y J N
Address -� �i.icense# � 1
fiLECTF21C1AC� COMPAMY
, SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address License# �! � �
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P.LUMBE�,; COMPANY
SIGNATURE � �REGISTERED Y-/'N ` FEE CURRE� Y/N
Address E.'scerise# � �
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MECMi4PtlCAL� � ���� COMPANY t'T1``��C,S t {-�ti�t" �` ��0.�l�Y� �,...L.C..
'" SIGNATURE' � � ������ REGISTERED ` N FEE CURRE� Y/N �
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Adii'ress-� J-�a��p S�� � �� l:icense# ��.�- $l�. �
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_.�SIGNATURE.=7s, ;: ,,- � - REGIs'rEREo Y/.N � FE�cuRREn� Y!N �
Addresst�� License# �— �
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�F;.RES@EN�CIAI=�:,;: ,At#acl�;{2}:'PIof:P.lans;'(2):sets<of�Build�rig-Plans;('i}�seto#�Ene�9Y:Fai�itis;R;0-1tltPermiEfornew,canstruct3on,
'�� �x`_���� � - Min)mum,:,ten�(;10)working;cJays afte'r submittal;date."Requireci onsite;Con`struction Plans,Stor'mwater Plans w/Silt Fence instailed,
_ ' .d..:.'4'.,4>1�,��c.t�., t .,. ��. . .
� Sanit�ry•,Facilities,&;1,=,:dumpster,;�Site;Wor,ic'Retmitfor.subdivisions/largeprojects ` �
=�;.GOMMERCIi4L Attacti°{2}complete"se#s of'Building Plans�plias a Ufe Safety Page;(1)set af Enecgy Forms.t2-O-W Perrnit for new construction.
- " -. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanihary Facilities&1 dumpster.Site Work Peanit"foh�all�new projects.All commercial requirements must meet compliance
;;�lSICoN�PERMIT �Att`acti�(2}sets:.of,Engineered�Plans:s=.,,. -
""PROPERI'Y SURVEY_required_for aII,NEW construction: -
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��' Fill-:out application campletely.
Owner'&Contractor sign back of applicatiari,notarized
�-f� )f over'$2b00.a Notice of:CammencemenE is required. (A/C upgrades over$7500) � ,
'`"' Agent(for'{he�cont�actor)•orPower of'Attomey(for'the-owne'r)would be someone wi#h notarized letter ftom owner authorizing same
'�OVER�.7HE COUNTE�;PERt11f�t�TTiNG;;,.��.�ry,{copy,;of-con#ract<recjiuired) " � ` . ` -
��R`eroofsif'shingles �; r�,;Sewers ..�.S,ervice l�pgrades.A/C', = Fences(PIot/Survey/Footage) ,
;s.:,.. ,, 'r�. � �.+?,r,•+� ,; ,
i.� ._� '-x.� `.. -'.�"`.. --: „ . `.'.�, .r. r ` �
- Driveways-Not ove'r Counter'if on`pu�itiC roadV✓ays;�needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned:understands.that this,permit may be subject to_"deed?'rest�ictians""q _ �
wFiicli�may.be�more.:cestricti`ve:than-County�regulations ,T#�e�.utidersigned�assumes����sponsiEiilityfor�'compiiance�w�th any`'°�'�°_;
applicable:deed restricfions. , _ ''�''�: ''�`':j4�"'`t '
UNCiCENSED,�CQNTRACTORS AND CONTRAGTOR RESP..QNSIBILITIES:- Ef-tfie�owiier�has�hired�a���contractor or ;�
contractors�ta undertake work, they may,be required to�be�licensed in accardance with state�and�locai�regulations:�:=�lfr�ttie1=a's.=�
contractor is not liaensed-as requirei! by`law, both-the owraer:and'cont�actor-�riiay��be-�cited�for�;a�rrmisderrieanor violation�,.-��;
under state law. If the owner or intended cont[actor. are�unaertain.as ta what�Iicensing requice_raaentss�mayrapply=-fot�;#iie:���_-��;,"
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intended war-k, they-are advised to cbntacf tFie'Pasco County Building 1nspection`Division=Cicensing Section at-727-847-
8fl09. Fu�Ehermore, if the owner has�hired a °coiitrac#or ar contractars, he �s ac3vised to�ihave the co»tractort{s.):,sign.rr�=',;;
portions of the "contractor Block" of this application for which they will be resp.onsible. :If you, as"the`owner sign 'as-;ttie: "'•. ';g
contractor, that may be an indication that he is not properfy licensed and�is nof entitled to permitting pr�vileges,.in,aPascoR _;,;�;�
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Caunty. _ � �.._n..;-.,.:.._� t�
7RANSPORTATION IMRAC7lUT1UTIES IMPACT AND RESOURCE RECOVERY FEES: The untlersigned undeestands_ ,• :':?:
,.rt,.� ..v.,�
that Transportation Impact Fees and Recourse Recovery Fees�may;appl}r to the construc#ion of.new:buiE.clings,.cFiange=of��>>;:�;�;
use in existing buildings, or�.expansion of:existing buildings, as specified in Pasco County Ordinance number 89=Q7�and, ;'�;
9Q-fl7, as amendec3. The undersigned atsa understands, that such,.fees,tas;may.;b.e.dere, wilf t5e;ic3entified�atiit�e�:tiiiie��of`�=�::Y�:
permitting. 1t is further understood that�Transportation impac#-Fees�and Re§ource��Recovery.Fees must be paid pcior to
receiving a �certificate of occupancy. or final,power release. If the pcoject does not involve a certificate of occapancy�oc�.��=�,`:;�.
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final power release, the fees must be paid priar#o permit issuance. FurtFiermore,.if Pasco�Couraty Water/,Sewer�impast;;,•� �
fees are due, they must.be paid prior to permit issuance in accordance with applicable P'asco County ordinances. y `
' GQNSTRUCTION I�IEN i:�W{Chapter 713;Flarida Statutes,as amended}: If valuation of war.k is$2,500.O.Onor mor,e,�l.;��:i �
' certify that I, the applicant, have been. provided with a capy of- the "Florida Construction Lien Law--=hlorneowner's ��
Protection Guide" prepared 6y the Florida Department of Agriculture and Consumer Affairs. If the applicant�is.someone_, ..
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ather than the"owner", I certify#hat I have obtairied a copy of the abave described'tlocument and promise�in goad`:faitli fo, ,
deliver•it.to the;"owne�:prior,.;to:commencement. " '
CONTRACTOR'S%{)WNER'S AFFEDAVIT:, 1.certify that all the information in this appCicatian is accurate and'that a11-work
will be done in compliance with all appl'icable�laws regulating construction, zoning and land-develapment. Application is
hereby made to obtain a _pectnit ta do,work and installation as�irtdicated, 1 certify that no wark or:installation has
�I commenced prior to issuance of a p.ermit and=�that all work will be performed to.meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in=the jurisdic#iort. �I:�also
certify that I unders#and that the regulations af other government agencies may appiy ta the intended work, and that it is ;
my responsibility ta identify what actions I must take to be in compliance. Such agencies include.bu#are not.limited.to: i
; - F.Department of Enviranmental. Rcatectian-Cypress Bayheads, Wetland Areas and Environmentally Sensitive .
' Lands,WaterM/astewater Treatment.
- Southwes# Florida Water Management District We!!s, Cypress Bayheads, Wetland Areas, i4ttecing �
Watercourses. ,
- Army Corps af Engineers-Seawalls, Qocks, Navigable Waterways.
� - Departmen# of Heaitfi & Rehabilitative ServiceslEnvironmental .Health Unit VNells, Wastewa#er.Treafinent, '
Septic Tanks. � -
; - US Environmental Pro#ec#ion Agency-Asbestos abatement. � ..
- Federal Aviation-Authoriry-Runways.
I understand that:the fo{lawing restrictions apply to the use of fill: I
- Use of fitl is not altawed in Flood Zone"V"unless expressly permifted. �
- If the fill material is to be used in. Flood Zone "A", it is understoad that a drainage plan addressing a
"compensating volume" wi1] be submitted at time of permitting which is prepared by a professianal engineer "
licensed by the State of Florida. �
- If the fil! material is to be used in Flaod Zone "A" in connection with a permitted building using s#em wall
construction, 1 certify that fill wil(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
praperties. If use of ftlE is found to adversely affect-adjacent properties, the owner may be ci#ed for violating
the conditions of the building permif issued under the attached permit_application, for lats less than one (1) '
acre which are elevated by filE,an engineered drainage plan is requ��ed.
If t am the AGENT FOR THE OWNER,-I promise in good faith to inform the owner of-the permitting condi#ions set forth in .
this affidauit.priorto comrnencing constru�tion. I understanc! that a separate permit.may be required for electricat wark,. ` '
plumbing, signs, wel(s, paois, air conditioning, gas, or ather installations not specifica(ly inciuded in the application. A. ,
permit issued shall'be construed to�be a license to proceed wi#h the work and nat as�authori,ty.to violate, cancel� alter, or
set aside any prouisions of.fhe'fechnicai codes, nor shaN issuance of a permit prevent the Building C}fficiai from #hereafter
requiring�a correction of errors in plans,�construction or vialations of any codes. Every permi#issued shall become invalid
�-� u�ttless�the work aeathorized-by such perriiit�is commenced witfiin siz months�of permit�issuartce, ar i�uvark authorized by
the permit is suspended.or abandaned for a period-.of.six(6) months after the time#he wark i��aommenced. An extension
may be requested, in writing, from the Building Official far a period nat to exceed ninety (90) days anc! will demonstrate '
justifiable cause for fhe extension. If work ceases for ninety(90)cansecutive days,the job is considered abancioned.
WARNING`T4 OWNER. YOUR EAI�URE.TO RECORD A NOTICE OF COMMENGEMENT MAY RESUCT IN YOUR
PAYING TWICE FUR IMPROVEMENT$TO YOUR:PROPERTY., IF YOU:INTEND�TO�OBTAIN�FINANCING, CONSULT '
WITH YOUR LENDER OR AN ATTORNEY BEFORE�R�CORDING YOUR NQTlCE OF�GOMMENCEMENT.
F�OftIDA JURAT{F.S.417.03) _ � ,
OWNER OR AGENT CONTRACTOR�`^'���l� 4�..� VLt ,�� � 1
Subscribed and swom to{or afftrmed)before me thts � 4 s bed and swom ( r affirmed}before e this �
by �� bY �61.r"'C i�'�, ��.�`�`—r--
Who{s/are personafly known to me or haslhave produced ` Wha is/are personally known to me or hasthave,produced
as identffica8an. as identlfica8an.
"-.�_.,
Notary' Public ��' uv��'-..°' Notary Public
Cammission No. C ` ssian o. •••�""°�•� �
s,}o;.......,'"n�
=*f `•_- MYCOMMISSlON#�F444817
Name of Notaty Eyped,printed ar stamped Name of Notary typ .,.,,,,o�M1,,.,••,+�ta��RES Juty 24, 2018
� (407)3B8•0183 FlorldahlotaryServlae.com
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35946 State Road 54,Zephyrhills,F133541 Ph 813-870-6934 Fax 813-783-2336 CAC1814196
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� Air Conditioning&Heating ��� ���' � ���t���� 02-'�7-1 a '�.—:��
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PItOPOSAi.SIJ�ll�II�'TED TO: WORK TO�E PERFORMED AT:
Wendy Wells (SAME)
5127 9�'St
Zephyrhills,FL 33542 813-382-0042 wwells8@tampabay.rr.com
WE HEREBY PROPOSE TO FiJRNISH THE MATERIALS AND PERFORM THE LABOR NECESSARY FOR:
1. 1—Goodman 14 SEER Puron 410A(2 '/z Ton Heat Pump)Split System with Skw back up heat
CONDENSER:GSZ140301 /AIR HANDLER:ARUF31B14 ARI 7995113
2. This Also Includes:Digital Thermostat,Flush Drain,Re-build Hang Kit for Air Handler with 3 Float
Switches,Hurricane Slab&Straps for Condenser,and Permit.
3. Current Copper is undersized for unit.Needs to be changed to'/a&3/8
**Goodman Warranty: (10 Years Parts and 1 Year Labor)**Included
��Not lncluding: {Any Pre-existing Conditions, Original Electric,Flex, Drain and Extended Warranty)
ALL MATERIALS ARE GUARANTEED TO BE AS SPECIFIED.ALL WORK TO BE
COMPLETED IN WORKMANLIKE MANNER FOR TI� SLTM OF: 53,800.00
Z'I�REE T�IOUSAND EIGHT��TNDRED DOI,I,ARS ANv 00/100
ANY ALTERATIONS OR DEVIATIONS FROM ABOVE WORK INVOLVING EXTRA COSTS WILL
BE EXECUTED ONLY UPON WRITTEN ORDER AND WILL BECOME AI�T EXTRA CHARGE
OVER AND ABOVE THE PROPOSAL AMOUNT.ALL AGREEMENTS CONTINGENT UPON
STRIKES.ACCIDENTS.DELAYS BEYOND OUR CONTROL AND ACTS OF GOD.
Respectfully submitted, Patrick Kilgannon Expires 30 Days
Manager,All-Tech Air&Filtration, LLC
ACCEPTANCE OF PROPO�AL
You must provide all conditional approved Permit Documents and 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
satisfactory and are hereby accepted.You are authorized to do the work as specified.
Payments as follows:�3.920.00 Due on Comnletion(OR$3,800.00 Check/Cash}
Initials I Acce t�xtendecl Warran •+$850.00 I itials ecline Extended Warrant
Print Sign Date �� ,� —` l
. �,, t. 2�1e Cr�jv�e�rfe�u�l.vl� � 2lle�e�.fu�'f.�GJ� �
��v. ."Fin�on �„��YVIABi��a�IV�'/D ,
AnQiea llai.. .