HomeMy WebLinkAbout17-18554 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
` (813)780-0020 18554
BUILDING PERMIT
- PERMIT INFORMATION �= - LOCATION INFORMATION -
Permit Number: 18554 Address: 39023 CANARY AVE
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: EASY ACRES
Est. Value: Parcel Number: 13-26-21-0120-00000-0370
Improv. Cost: 4,885.00 OWNER INFORMATION
Date Issued: 6/05/2017 Name: SMALL, SEAN & SABOTA , HELEN
Total Fees: 60.00 Address: 39023 CANARY AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/05/2017 Phone: (813)862-3460
Work Desc: A/C CHANGEOUT 3 TON
CONTRACTOR S APPLICATION FEES
ACE HEATING & COOLING A/C CHANGEOUT 60.00
�
1�
Ins ection Re ' e
D C S INSTALLED
DUCTS INSULATED
FINAL
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 fnancing,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.
C TRA TOR SI NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fau-813-780-0021
. Building Department
i
Date Received / �
( � Phone Contact for Pertnitting
/ / 1 � _ '/
Owner's Name N J��O Owner Phone Number �I ��S 'T
Owner'sAddress ��� 3 a� � OwnerPhoneNumber
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
J08 ADDRESS �—1 Up�� Y' Jv LOT# �
SUBDIVISION QQ r�7\ ��C�J' _� . �,J PARCEL IDp � � `�� �� Z �— ' (�^ �',� O
(OBTAINED FROM PROPEKTV TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR ����
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK ( (� " / �
BUILDING SIZE SQ FOOTAGE � �✓ HEIGHT
OBUILDING S VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ /�a���-,�
MECHANICAL $ (� f VALUATION OF MECHANICAL INSTALLATION C �G�/C������''�G�
lJ J
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 A �—f' D /
SIGNATURE REGISTERED Y N FEECURREA Y/N
Address ✓ 5 1 / License# � O
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Pians;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required orisite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL A[tach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-0-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwaler Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projecls.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
• S ' ' L6867166i761 ' 66L6
D irections:,
Fiil out applicalion completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of 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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
,....„:...�
, � NOTICE OF DEED RESTRICTIONS: 7he undersigned understands.that.#hls,permit may be subject to„"deed"resfictions°,;,�.
� � which may.be inore.restrickive than County regulations: The�uridersigned-assume`s^iesponsi5ility'for corripliance with any`"
applicable.deed restrictions. � �- �-� "-�
UNI:ICENSED CON.T.RACTORS AN[1 COPITRACTOR RESP.ONSlBlLITIES: !f flie owner has tiired°a canVactor or
contractors to undertake work,they mayt be[equired�to be'licensed in accordance virith state and local regulation"ss�kf.tiie=�'�
contractor is not licensed as requi�ed by.�law, both the owner and contractor may�be�cited-for�a`misdetneanorviatation �
under state law. If the owner or intended contractar are uncertain as to what licensing reqpiieii�ents;,niay�>.applynfor.;the.-==� '
intended work,.they_are advised to contacf`ttie Fasco County Builiiing Irispection`DivislorrLicensing Section at 727-847-
8009. Furthermore, if the owner has hire8-a cont�acta� or confractors, he�ls advised to;have the contraetor{s)_s9gn.,.. - ,
'q./s�. . _bl.,:.... _
portions of the"contractor Block"of this applicatian_for which they will be responsible. If you,as°the:owriei sign as'the
contractor,thaf may tie an indication that he is not praperly licensed and is not entitled'to permitting pri"vileges in�,Pasco ,_ 3 �
County. : ` � . .
TRAPISPORTATION IMPACTIUTtLiT1ES IMAACT AND RESOURCE RECOVERY FEES: The undersigned understands ,
fhat Transportation Impact Fees and Recourse Recovery Fees may apply tathe aonstruction of new.buildings,efiang,'s?of;�'.�;
use in existing buildings,:orexpansion ofi:existing buildings,as specified in Pasco County Ordinance number 89-07.and
90-07, as amended. The undersigned•also understands,that such fees,as`may be due,witf 6e identified�at�ttie�.fime�of"'`'
permifting. it is further unders#ood#fiaE Transportation linpact Fees and Re§ource Recovery Fees must be paid prior to
i receiving a"certificate of occupancy°or flnat.pawer release, ff fhe.project does not involve a certificate of occupancy:oc =-
!� final-power release,tfie fees.must be paid prior to permi#issuance. .Furthermore,.if Pasco Caunty WatedSewer,-lmpact= -
I fees are due,tfiey must;be paid prior to parmit issUance in accordance with'applicabfe Pasco County ordinances.
CONSTRUGTiON CIEN�[:AYV(Chapter 713;"Ftorida Statutes,as amended): If valuation of work is$2,500.00.or more,;l�:,. �
certify that (, #he applicant, fiave been,provided with a copy of the "Ftarida Constructian Lien Law—Homeowner's 'i
� Protection Guide"prepared by'the florida Department of Agriculture and Cansumer Affairs. tf the appiicant is sameone
other than the°owne�',I certify that i have obtained a copy of the above described document and promise°in good'faith to `
detiver it,ta the°owner."prioc.to commencement.
CONTF2ACTOR'S/OWFiER'S AFFIDAViT: Lce�fify that ali the information in this application is accurate and that alf wark
w�il be done in compiiance wifh ali appticable�laws regulating construction,zoning and land development. Application is
hereby made to ob#ain a permit.to do;;�work and installation as indicated. I certify that no work or.installakion has
cammenced prior to issuance of a permit and�fhat all work wiil be perFormed ta meet standards of alt laws regulating
constructian, County and City codes, zoning reguiations, and land developmen# regulations in.the jurisdictian. �I.'also
certify that t understand that fhe regutations af other gavernment agencies may apply to the intended work,and that it is
my responsfbiiity to identify wfiat actions i must take to be in compliance. Such agencies include but are not limited.to:
- ,Department of Environmenfai:'Rrotection-Cypress Bayfieads,Wetland Areas and Environmentaity SenSitive ,
�.ands,WaterlWastewafer Treatment.
- 5outhwest Fforida Water Management District Wetfs, Cypress Bayfieads, Wetland fireas, Altering
Watercourses. '
- Army Corps of Engirieers�eawaits,Docks,Navigable Watenr�rays.
- Department of Heaith & Rehabilitative ServiceslEnvironmentat Health Unif-Wells, Wastewater Treatment,
Septic`i'anks.
- US Environmentai Rrotection Agency-Asbestos abate.ment.
- Federa!Aviation Authqrity-Runways.
I understand that�lhe foNowing�restriotians appiy fo the use of fi{L•
- Use of fill is not aAowed in Flood Zone"V°uniess expressly permitted.
- If ihe fiN material is ta be used in Flood Zone "A", it is understoad that a drainage pian addressing a
"compensating volume"will be submitted at time af permitting which is prt�pared by a professional engineer
licensed by the State of Florida.
- tf the filt materia! is to be used In Flood Zorte"A° in cannection with a permitted buiiding using stem waI(
construction,!certify that fill wlll be used only to fill ihe area within the s#em wail.
- !f fll! rnatetial is to be used in any area, ! certify that use af such flt! wiii not adversely affect adjacenf
properties. !f use of fill is found to adversely affect adjacent propert9es,the owner may be cited for vialating
dhe conditions of•the building.permit issaed und"er the attached permit-apptication,far Iots less than one(i}
acre which are elevatad by fill,an engineered drainage plan is requiPed.
If I am the AGEAIT FOR THE OWNER;I•prom(se in good faith to lnform ihe owner af.the permitting conditions set forth in �
this a�davit prior to commenc3rig"constructitin. I understand that a separate permit may ba required far electricei work,
plumbing, signs, wells, pools, air condilioning, gas,.oi ottier ins`tal}ations not spe�caHy incEuded in the appiication. A
permit issued shalfbe constrtied talie a license to proceed with the wark and not as authority.to violate,.cancaf,aiter,or '
set aside any provisians of the'technical cades,nor shaU issuance of a permIt prevent the Buildfng Officia!from thereafter ;
requfring a correction of errars in plans,construction or violatlons of any codes. Every permtt issued shal!become invalid
uniess the work authorized by such permit is commenced withln six months of permit issuance,or if work authorized by
the permit is suspended ar.abandoned for a period,of six{6j months after the time the work is comrr�enced. An eactension ,
may be requested, in writing,,from the Building�Official for a period.not to exceed ninety{90)days and wii!demonsfrate
justifiable cause for the extension. If,work ceases for ninety{90)consecutive days,the job is consIdered abandoned.
WARNiNG TO dWNER:_YOUR fAILURE;TO.RECO,RD A NOTICE OE COpAMENCERAENT MAY RESU�T IN YOUR
PAYiNG,TWiCE'FOR,`iMPF'�OYEMEN'fS�1'0,YOtiR:PROPERTY.:1F YOU;IN'�END TO OBTAIN FINANCING,CONSULT
WRH Ydt1R'LENDER OR AN AT'fORNE1f BEFORE RECORDING YOUR"N TICE OF'COMMENCEMENT. '
FIORtDAJURAT(F.S,t17.03} ' � '
OWNERCIRAGEN7 CQNTRAGTOk2 U�L !! �f�
Subscribed and'swom to(or affirtned)before me ffiis Subscribed and s m to affinneii)betore me th
by (G,�t;£1L�_`br !�` .� �
Who fstare personalfy knavm to me or haslhave produced l,s,(are pe��,qnally kno.wn to me or haslhave produced
as tdenBHcaHon. �,�l1&�Y''S /�./G�/1{5�ss identNication.
• 1 4
Notary Pubilc tary Pubiic
Comm(ssion No. miss(on No. (..� (J�/�,��,/���
�t7'�s—J LI��N� �V�"t"G�'
Name of Notary typed,pdnted ar stamped Name mp
;o<;�Y;y',�;y DEBFtA EIAINE RUFFELL
' �? ��_Cammission#GG 045343
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c�;Expires November 7.2020 i
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� _ Invoice
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__�'�ACE Date Invoice#
' -, I�eating�&`:Cooling 5/2/2017 26042
f/L'_^r A,'c°"'d%;'�E��" � �
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� Maintenance •...;,Repair- • Replacement �
1315 Hobbs St �
Tampa,FL 33619 ��'�'��
CAC1813893 Phone# Fax#
Bill To
BrandonAC.net 813-657-8818 813-657-6378
Helen Sabota
39023 Canary Ave
Zephyrhills,FL 33542
Due Date Terms Project
5/2/2017 C.O.D.
Quantity Description Rate Amount
1 Remove old system and take away.Install new system.Install new digital T-Stat.Use 5,685.00 5,685.00T
existing ductwork,electrical wiring,&drain line.If needed provide new pad for
condenser to sit on.
1 extra labor 500.00 SOO.00T
compressor upgrade discount -1,000.00 -1,000.00
HP discount -300.00 -300.00
I� 1 Installation of Ultra-Violet Light(I-IALO) 1,495.00 1,495.00T
1 1-Yeaz Maintenance Agreement 160.00 160.00T
(2 InspectionslYear)
Paul&Jeremy-Installed a new 3 ton Bryant HP with 5 KW heat.
Installed new halo iJV light
Pressures 135/330
Install is complete,(cooling and draining properly)
area-whole
9:48AM-8•OOPM
� 10 YEAR WARRANTY, 1 YEAR LABOR
Sales Tax 0.00% 0.00
, Flat Rate Total $6,540.00
Payments/Credits -$6,sao.00
Balance Due $o.��