HomeMy WebLinkAbout17-18542 CITY OF ZEPHYRHILLS
5335-8TH STREET
• . (813)780-0020 18542
BUILDING PERMIT
� - PERMIT INFbRMATION - �� LOCATION INFORMATION
Permit Number: 18542 Address: 6716 BASSWOOD CIRCLE
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-0210-00000-1500
Improv. Cost: 4,599.14 OWNER INFORMATION
Date Issued: 6/02/2017 Name: MORALES PAULA & MORALES JENNY
Total Fees: 60.00 Address: 6716 BASSWOOD CIR '
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-6630 I
Date Paid: 6/02/2017 Phone: �
Work Desc: A/C CHANGEOUT 2.5 TON '
CONTRACTOR S APPLICATION FEES
UNIVERSAL AIR& HEAT A/C CHANGEOUT 60.00
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Ins ections Re uired
D CTSINSTALLED
DUCTSINSULATE
FINAL (n- -
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 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.
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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
at�-�au�ozo City of Zephyfiills Pertnit Application Fax-813-78�-OD21
Bunding Depariment
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Owne�'s Name (C1.J 1 a ��'rc,��S Owner Phona Number g��✓ ���—d�3�"
OwnersAddress .1.���. ��S��t�p� t OwnerPhoneNum6er
Fee S(mple Tltlehalder Name Oumer Phone Num6er
Fee Simple Tltleholder Addresa
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WORK PROPOSED e NEW CONSiR e ADDlALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSHD U&E Q SPR Q COMM Q OTHER '
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIpT1pN OF WORK ECa c�' a �2•��' SE��. . . S Ci-O- S s�-�w. •
BUILDINO SIZE . SQ FOOTAGE� HEIaHT
QBUiLDING S VALUATION OF TOTAL CONSTRUCTION
� QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE,C. �
QPLUMBING $ (L�
�MECHANICAC g' VALUATION OF MECHANICAL INSTALLATION �,J
7� S�.
Q�AS Q ROOFING. Q SPECIAL7Y Q OTHER
FIN�SHED FLpOR ELEVATIONS FLOOD ZQNE AREA QYES NO '
BUILDER CONPANY'
SIGNATURE FtEr,IsiEREo� Y!N� FEE WNRen� "Y/N "
Address Licease N '
ELECTRICIAN COMPANY
SIGNATURE, ttEqSTSReo Y!N �cua�r, Y!N '
liddress Licertse# �
PWMBER � COMPANY
SIGNATUAE r�aisiFn� Y/N' Ftf cun�n Y/N
Addreas Ltcense#
MECHANICAL COMPANY �(��uX�G+� �� ��
� SIONATURE r�c�shRm Y./ N r�cuw�n Y/N
Addreas �'1CR0 5�.�"�e . �• �1L �V1.e �Yt-3''!3!`� Llcense# �i�COs`2�\�(��
OTHER COMPANY _ �
. $IQNATURE REGISTERED Y/ N �cut:aa Y/N
Addrass liCenSe#
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RESIDENiIAL Attach(2}Plot Plans;,(2)sats oi 8ullding Plans;(1)set d Energy Forms;R-0-W Pertnit for new constri�cflon,
Mlnimum ten(70)worldng days aRer suhm,iftal date..Required ens�a,ConsWction Plans,Stnrtnwater Plans wI 51It Fence installed,
Sanita'ry FaclGties&1 dumpster,Sfte.Wmk Pertnit for subdMislonsllarge ptoJeds
COMMERCIAL Attech(2)wmplele sets of Butldi�g Plans pfus a Life Safery Page;(1)sel ui Eneagy Forms:R-QW Permit foFnew con6truction,
. Minimum ten(l0)Hrorldng days after submittat data. Requi�ed onsite,Constniction Pfans,Strnmwater Plans w/Sitt Fence installed,.
Sanitary.Fadfities&1 dumpster.Site Wbek Permfl tor all new projects.A(I commerdal requfrements must meet compfiance ,
SIGN PERMR Ntad�(2)sets o1.Engirieered Plans. �
""PROPERTY SClRVEY requlred for all NEW consWction. •
Directiona:• �
FlII out app�lcadon comptetety. ^
Owner 8 Contractor sfgn badc of appllcation,noterized
H over 52500,a Natlee of Commeneemerrt Is requlrad. jA1C upgndea over 57500)
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" Agant(tor the co�tractor)�br Puwer of Attamey(for the pxmer)would be someone�vith notarized letlerfiom mmer authorizing sams
OVERTHECCUNTER?ERMRTWG {copyofcontredrequired).
Remofs If shingles Se,wers Service Upg�ades AIC Fences(P�otlSurveylFoobge) ,
oAveways-Not over Caunter ii nn pubAe roadvrays_needs ROW
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'
, NOTICE 06 DEEQ.RESTRIC710NS: The undersigned understands that this permit may be subject to"deed"restrictlons" '
' which rtiay be more restrictive than County regulations. The undersigned assumes cesponsitiility foi compHance With any
applicable deed restrictions. .
LINLICENSED CONTR/�CTORS AND CONTRACTOR.RESFOtdS181LIT1ES: If the owner has hired a contractor or
contractors to undertake work,they may be required to 6e licensed in accotdance with state and local regulations. lf the
contractor is nof licensed as reqLired by law,hoth the owner and contractor may be cited for a misdemeanor violaGon �
under state law. If the owner orinte�ded contractorare unoertein as to what licensing requirements may appiy for fhe
intended work,.they are adviseii to.contact the Pasco Gourtty Building Inspection Division--Licensing Sedion at 727=847= �
8009. Furthermore, if the owner has hired a confractor or contractars, he is advised to have the contractor(s).sign
pottions of the'contraGor Biodt'ot this application for which they will be responsible. If you,as the owner sign as the
contractor,tliat may be an indication that he is not properiy liceased and is not entiUed tb.permitting privileges in Pasco
County:
TRANSPORTATION IMPACTNTILITIES IMPACT AMD RESOURCE RECOVERY FEES: The undersigned understands �
Uiat TranspartaGon Impacf Fees and Racourse Recovery Fees may appiy to the construction of new buitdings,change of �
vse in existing buildings, or expanslon of.existing buiidings,as spec�ed in Pasca County Ordinance number 83-07 and
90-07,as amended. The undersigned also understands,tFiat such fees;as may be due,.wili be identified at the bme of
peimitting. It is further Understood lhat Transportation Impact Fees and Resource Recovery Fees must be paid prior to-
receiving a'certiflcate of occupancy"or final power release. If the project does not invofve.a.certificate of occupancjr or
flnal power releese,the feeamust,tie paid prior to pertnit issuapce, Furthertno�e, if Pasco County WaterlSewer impact
fees are due,they must be paid prior to permit issuance in.accordance with appiicable Pasco County ordinances.
CONSTRUCTION UEN LAW(Chapter 713,FloNda Statutes,as amended)`. (f valuation of work is$2,500.00 ar more,I
certify that l, the applicant,.have tieen provided with a copy of the "Florida ConsVuctlon Lien Law—Homeowner's
ProtecUon Guide"prepared by the Florida,Departrnent of Agricultu�e and Consumer Affairs. If the applicant is someone '
other than the°owne�',(certify that!have obtained a copy of the ahove described document and promise in good faith to
deliver it to the"owner"prior to.commancement
CONTRACTOR'SIOWNER'S AFRDAVIT: I certify that alf the Infoim8fion in this appiication is accurate and that all work
wili be done in compBance with aii appiicable laws regulating constructlon,zoning and_land development. Applicatloh Is
hereby made to obfain a permit to do Work and installation as indicated. i ceitify that no work or installation has
commenced prior to issuance of a.permit and that ali work will 6e..pertormed.to.meet standards of all laws regulating
construction, County and Ciry codes, zoning regulat3ons,.and land development regulations fn the jurisdiction. I also. �
certify that I.understand that the regulatlons of other govemmerrt agencies may apply to.the intended wark,and ihat it is
my responsitiility to identify what.actions I.must take to be in compliance: Such agendes indude but are not Ifmited to:
- Departinent of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Flbrida Water Management District-We11s, Gypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,.Navigable Waterways.
- Departmenf of Health & Rehabilitative.ServiceslEnvironmental Health Unit Wells, Wastewater TreaUnent, �
Seplic Tanks.
� US Environmenial Protection Agency-Asbestos abatement
- Federal Avlation.Authority-Runways.
I understand.that the following restrictions epply to the usa of fill:
- Use of fill is not allowed in Flood Zone"V'unless expressly permttted.
-. If the fill material is to be, used in Flood Zone "A", it is understood thal a tlr2inage plan addressing a
"compansating volume°wi�l be submitted at time of partniCbng which is prepafed by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used fn Ftood Zone"A° in connecdon with a pertriitted building using stem watl
constiuction,I certify that fill witl be used on(y to fill the area within the stem wall.
- If fill mate�fal is {o be used in any area, I certify that_use of sucfi fill will not adversely affect adjacent
properties, If use of fill is found to adversely aff.ed adjacent properties,the owner may be cited.for violatirig
the condiBons of the building permft Issued underthe attached permft application,for lots less than one.(1)
arxe which are elevated by till,ah engineered drafnage plan is required.
If I am the AGENT FOR THE OVYNER,I promise in good faith to infortn the owner o(the permitting conditions set forth in
this aff(davit prior to commencing construcGon. I uniierstand that a separate permit may be required for elecfical woris,
plumbing,signs, wells, pools, air condiGaning, gas, or other installations not specifically induded.in the application. A
permit issued sHall be construed to be.a Ilcense to proceed with the wortc and not as authority to violate,cancel,alter,or
' set aside any provisionsof the technlcal codes,nor sfiall lssuance of a perinit prevent the Building Officisl froin thereafter
requiring a correction uf errors in.plans,construction.or violailons 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 a6andoned for a period of six(6)months after the time the work is commenced. M eXtenslon
may be requested,in miting,frarti the_Bui(ding Offiaal for a perlod noYto exceed.ninety(90)d.ays and will.demonsVate
jusfifiable cause for the extension. If work ceases far ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORO A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TINICE FOR:IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND Td OBTAtN FINANCING;CONSULT �
WITH YOUR LENDEtt OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORI�A JURAT(F.S.117,03) ` �
OWNER OR AGENT CONTRACTOR _ .�NV 1_ .
- Subscribed and cwom to(or a(firmed)hefore me thls Subscrihed nd swom to 4ar affirtngd)b is
hy S-aS f� 6y M,aL.ne_l �oc 'o.�� .
Who is/are personalty known to me or has/have produced Wh�Islare personally known to me w hasfia produced •
asiden�cadon. � Y,t,rsor.a((„ . )e,,,,�.,,,,� asidermficatlon. •
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NotaryPubllc ^'�" NotaryPubfic �
Commission Nn, �ommfsslon IiVo.
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NameofNoferytyped;prioted'orsfamped NamaofN ry p' r d
�}F+w Notery Public State of Fb�ida
�+ r��; William McMahon >
���, d� AAy Cpmmission FF 953385 •
�qd� Expires 07l24/2020
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Cu.�tomer�rder: 147337 ' ersal
Name Paula Morales 1T&��t
Address 6716 Basswood Cir Apt# -
• Corporate Office
City Zephyrhills Cell Phone 5460 Reese Rd, Davie, FL 33314
State ZIP 33542 Other Phone State Licensed#CAC058142
Date 5/20/2017 Date Scheduled 5/25/2017 uahac.com(866)999—2665(COOL)
New
Air Handler RH1T3617STANJA
CorYLdenser L�P14�()AJ1N..�
���er 5
We Propose To Fumish And Install A New 2.5 Ton 14 SEER Rheem 410A.
1 Digital Thermostat
1 Safety Float Switch
4 Hurricane Tie Downs For Condenser(up to code)
2 Locking Caps For Freon Valves
Flush Out Freon Lines To Prep For New R410a Refrigerant
Liquid Line Dryer
Vacuum Refrigerant Lines To Negative 30 Ensuring No Air In The Lines Before Start Up
Removal And Legal Disposal Of Old Equipment
Chemically&High PSI Nitro Flush Existing Drain Line
1 Complete Mechanical Permit With The City
vbration Isolator Pads Under Condenser
Up To 5'Of Refigerant Lines As Needed(Suction and Liquid)
Up to 5'Of Armor Flex Insulation(Air Handler&Condenser)
Properly Level Condenser
Sealed Equipment Connections
1 plenum transition mastic Seal Inside The Plenum To Ensure No Air Leaks
Sub Cooled/Superheat Refrigerant Charging
Hooked Up To Existing Copper,Electrical,Drain Line 8�Duct Work
1 Spray Foam Bottom Of The Line Chase
1 Concrete Slab
1 Garage Filter Rack
1 Main Breaker For Condenser
1 Main Breaker For Air Handler
1 Free Sporicidin Microbial Treatment(Value 299.00 Per HVAC Zone)With Purchase Of New Unit
•My Elecfical Upgrades Are The Home Owners Responsibility'
'Balance Due Upon AC Start-Up'
'50%Deposit Is Due Upon Arrival Of Installation And Balance Upon Completion'
`Price Is Only Valid 30 Days"
1 Year Labor Warranty
10 Year Factory Parts Warranty In Unit
Choose from one of 3 payment options.
Option 1 ::Total Cost:$4,599.14-Instant Rebate$689.87 Total Cost$3,909.27. Cash,Check or Credit Card
Option 2::Total Cost:$4,599.14-Instant Rebate$574.89 Total Cost$4,024.25. 0%APR for 36 months with equal payments of about$111.78 with approved
credit and terms.
i
Option 3::Total Cost:$4,599.14 Total Cost$4,599.14. 0%APR for 60 months with equal payments of about$76.65 with approved credit and terms.
❑ Testimonial Video Release SUB-TOTAL $4,599.14
I Agree To Be Photographed And Videotaped For This Production By Universal Air And Heat Without INSTANT REBATE $689•87
Receiving Compensation Of Any Kind. i Understand That This Footage May Be Used,As Deemed -UTILITY REBATE AND OR
Appropriate By Universal Air&Heat For Future Producfions Which May Be Viewed By Public And MANUFACTURE REBATE
Private Sector Audiences -DEPOSIT
TRIP CHARGE
Release Signature TOTAL AMOUNT DUE $3,909.27
Q,�,�.�, y��,,v{� Date: 5/20/2017
Customer Technician
,.
Customer Order• 147337 'versal
, , ir &IH[eat
•MAKE ALL CHECKS PAYABLE TO UNIVERSAL AIR&HEAT
All Senrices pertormed under the warranty policy will be provided by Universal Air&Heat during normal Business Hours,Monday to Saturday.Business hours
being 8:00 to 5:00 p.m.,Monday through Friday 8:00 am to 5:00 p.m.Saturday.Warranty does not cover or include routine maintenance such as
changing/cleaning filters,breaker tripping or replacing fuses.
•It shall be at the discretion of Universal Air&Heat and its Technician to repair or replace defective parts,units or materials whenever is necessary.Any Nuisance
calls beyond the scope of this agreement will be charged at our normal service rate and/or emergency rates.
•Any alteration or deviation from the proposed specifications or conditions involving extra cost of materials or labor will only be executed upon the written order for
the same and will become an extra charge over the sum mentioned in this contract.The terms and condfions set forth in this agreement are the only agreement
between the parties,any inconsistent term or condition is not part of this agreement unless it is in writing and sighed by the customer and Universal Air&Heat
•Title to the equipment and other materials will remain with Universal Air 8�Heat until all sums due us have been paid in full.
•All balances not paid within 30 days of the bill date will be subject to a monthly senrice charge in the amount of 1.50%of the outstanding balance.Customer is
responsible for all cost of collection,including reasonable attorney's fees in the event of non-payment. In the event that any persoNcustomer files suit against
Universal Air&Heat if such case is found in favor of Universal Air&Heat customer will pay all cost including reasonable attomey's fees.
•Customers acknowledges and understands that the cleaning of A/C ducts and registers may present a danger to any persons or animals in the job site due to the
release of potentially dangerous airbome particles�ncluding mold and dust).Customer is solely responsible to provide for the safety of all persons,pets and
things at the job sfte.Customer is solely responsible for any harm suffered by any person therein.Customer agrees to hold Universal Air&Heat harmless and
indemnify Universal Air&Heat for any damages related to the cleaning,removal or replacement of ducts,registers or other equipment.Universal warrants existing
drain line hookups for 30 days with new equipment installed or serviced.Universal Air 8�Heat will use nitrogen to blow out drain lines and assumes no
responsibility for water damage of any kind.Update 7/2/2016 Customer acknowledges,understands and is fully aware that new high efficiency HVAC 14 seer and
above system's will require more frequent regular maintenance to any new or ebsting drain line and such maintenance is not included in this contract unless
otherwise expressed in writing and agreed to by customer as well as a representative of Universal Air&Heat.Universal Air&Heat recommends flushing new or
� ebsting drain lines once every four months in efforts to achieve optimal performance and reduce the possibility of an accidental water loss occurring.Universal Air
&Heat is not responsible for any water damage,wall painting,framing,and wall covering,equipment delay or any other inconvenience other than that of
mechanical failure.Universal Air&Heat agrees to use reasonable efforts to run duct work within existing walls,ceilings and soffits.Customer acknowledges that
' the work performed may require the construction of soffits or other enclosures to conceal ductwork or other equipment and customer shall pay for all cost
associated with the construction of same.
•Universal Air 8�Heat has the right stop all work if payments as set forth herein are not made upon the due date.Once any equipmenUmaterials have been
delivered at the job site,it is the residentiaUCommercial property owner's or the General Contractor's responsibility to care for them.
•Universal Air 8�Heat can and has the option to pick up any parts,equipment,units,etc.,if payments as set forth herein are not made upon the due date from any
and all properties,where such equipment,air condi�oning units,and parts ebst.
•Any&All parts,equipment,supplies,etc.,that have not been paid for shall remain the properly of Universal Air&Heat until the balance is paid in full
•Upon acceptance this proposal sets forth the entire agreement of job between both parties.
Warranty:
•We warrant new air conditioning equipment for a period of one year(unless otherwise stated in the description above and signed by a rep from Universal Air 8�
heat)from the date of installation that material and labor fumished by us will be free from defects.
•Universal Air 8�Heat warrants that for 30 days ftom the date of any repair,all products will be free from defects in materials workmanship—except the air
conditioner system compressor which is also warranted for 1 or 5 or 10 years on the part only subject to brands and models of the manufacturer.Copies of
warranties are provided upon installation of new air condfioning equipmerrt.
•Under this warrant,Universal Air 8�Heat has the first option to repair the equipment or provide replacement parts.
•THE LIABILITIES SET FORTH ABOVE ARE IN LIEU OF ALL OTHER WARRANTIES AND LIABILITIES.EXPRESSED OR IMPLIED,IN LAW OR IN FACT,
INCLUDING IMPLIED WARRANTIES OF MECHANTABILITY FOR PARTICULAR USE. I
� �
Release Siqnature
�,�, ��,,�,{� Date: 5/20/2017
Customer Technician