HomeMy WebLinkAbout17-18264 CITY OF ZEPHYRHILLS
'� 5335-8TH STREET
(813)780-0020 18264
BUILDING PERMIT
'-- � • PERMIT INFORMATION - � �= LOCATION INFORMATION
Permit Number: 18264 Address: 5255 11TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL. I
, 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*-21-0010-18100-001
Improv. Cost: 6,068.00 OWNER INFORMATION
Date Issued: 3/14/2017 Name: BRENDLE, PAUL & CYNTHIA
Total Fees: 70.00 Address: 5255 11TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/14/2017 Phone: (813)788-3767
Work Desc: DUCTWORK ONLY
CONTRACTOR S APPLICATION FEES
MORGAN AIR CONDITIONING INC A/C CHANGEOUT 70.00
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I s tions Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the I
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 properly. 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.
RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�a-�eo-0ozo City of Zephyrhills Permit Application Fax-813-780-0021
� �. Building Department
Date Received Phone Contact for Permittin — � tt.(��r
Owner's Name � �f(�}� Owner Phone Number �(� ' l o O'.3 7�C�
Owner's Address 52 55 l I�- �t-. h 'h��FS �'1• Owner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
Fee Simple TIlleholder Address
JOB ADDRESS �S `I�°� �• / e �� 1 l� �' �;J�t{'L LOT# � �
SUBDIVISION C���F ZC,pF)`�rih'lls P Pj� ppRCEL ID# `�� 2 �� ��'-V���" �� ���`b C��
(OBTAINED FROM PROPERTY TAX NOTIC�
WORK PROPOSED e W TALLSTR e REPAIR � SIGN Q Q DEMOLISH
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �, � L [.C.V C.l Wv
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. `
QPLUMBING $ �
��:
�MECHANICAL $ ���`�C VALUATION OF MECHANICAL INSTALLATION �
QGAS Q ROOFING Q SPECIALTY Q OTHER �
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 COMPANY �� �lh A�Y C�Y�Ir'�l,rn1F� '
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address ��'O� �V ���� �7 ��in' J7J License# �I�l��bl`'i'�J`('
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License#
Illllllllllllllllllllllllllllllllllliilltllltlllillllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construc0on,
Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Senitary Facilities 81 dumpster;Site Work Permit for subdivisionsAarge proJects ' '
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. I
Minimum ten(10)working days aRer submittal date. Requfred onsite,Construction Pians,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•"'PROPERTY SURVEY required for all NEW construction.
Directions:•
Fill out application completely.
Owner&Contractor sign back of apptication,notarized
If over 52500,a Notice of Commencement Is requlred. (AIC upgredes over$7500)
•' Agent(for the conVactor)or Power oi Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
' � � 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
conVactor 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 8uilding 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 buiidings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
I 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.
, CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that 1, 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"owne�',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'S10WNER'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 8� 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 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 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 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 permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the Ume 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 JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR ��C���i F� y l_L_�l�/'1 I`o►1 in y
Subscribed and swom to(or af8rmedj before me this Su sc(�'bed and swo�n,to( r a�rmed)befare me this
bY $ I�} bY i5Y4�n4rd ��V�'F��✓I
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/ha produced
as Identification. —'— as identification.
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Notary Public ` �% Notary Public
Commission No. Commisslon No.
Name of Notary typed,printed or stamped Name of Notary ryped,printed or stamped
p�unn��.
��o��x..o,�, CHRISTOPHER BODEMAt�N
,o�n''
-� Commission#FF 971883
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;y ,�,r' My Commission Expires
�'�'��=,�0;•' March 15, 2020
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,, �. � . 4 �� � � Morgan Air Conditioning,LLC Estimate 18707747
1480712th Street N Job 18704172
sn�s-s�vlcF-�rosrauanoN Lu�,FL 33549 Estimate Date 3/9/2017
CAC#1814036 Technician 1ACOB SCHWARTZ
• Office(813)500-7765
Fax(813)910-414d Customer PO
' info@morganac.com
Billing Address Job Address
BRENDLE,PAUL/CYNTHIA BRENDLE
5255 11TH ST 5255 11TH ST
ZEPHYRHILLS,FL 33542 USA ZEPHYRHILLS,FL 33542
Estimate Details 'I
Deluxe Change Out$81.30 a month
Task# Description Quantity
DUCTADDITIONALRS THIS IS THE COST OF ONE ADDITIONAL R8 INSULATED-ANTIMICROBIAL PLASTIC POLYMER LINED 10.00
DUCT RUN
ADD ONE YEAR OF FREE MAfNTENANCE(not a club)
AHUSANI Air Handler Sanitation 1.00
MASTIC Mastic and seal Per duct 10.00
sani Whole house duct sanitation with an Atomizer. 1.00
MANAGER -271 diagnostic fee paid yesterday 1.00
DISCOUNT
MANAGER -hard start cost that was supposed to be included with the purchase of the system. 1.00
DISCOUNT
Service and Parts Attic Fan replacement.Existing Electrical.No additional Eledrical work included. 2.00 I
Sub-Totai$7,068.00
Tax $0.00
Total $7,068.00
Comfort without compromise!
I authorize the work to begin for the amount of$7,068.00.I understand that the total price may later change if there is unforeseen work
to be performed.I agree to all of these Terms and Conditions.By signing this line I agree to hold Morgan Air Conditioning LLC.harmless
to any drain or water issues that may occur in my home.
NOTICE OF RIGHT TO CANCEL:IF YOU DECIDE YOU DO NOT WANT THE GOODS OR SERVICES,YOU MAY CANCEL THIS AGREEMENT BY
MAILING A NOTICE TO THE SELLER.THE NOTICE MUST SAY THAT YOU DO NOT WANT THE GOODS OR SERVICES AND MUST BE
MAILED BEFORE THE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE ON THE SIGNED WORK AGREEMENT.PLEASE NOTE
THAT THREE BUSINE55 DAYS DOES NOT INCLUDE SUNDAY OR ANY FEDERAL HOLIDAY.THE NOTICE MUST BE MAILED TO:
MORGAN AIR CONDITIONING LLC.
14807 12TH STREET NORTH
LUTZ,FLORIDA 33549
Restocking Fees:
Systems and Duciwork-$500 or 10%of the sale price.(Whichever is greater)
IAQ and small parts:$250 For the first 3 days.After 3 days the parts become used and can no longer be restocked and all sales become
final.
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