HomeMy WebLinkAbout17-18560 CITY OF ZEPHYRHILLS '�
5335-8TH STREET
(813)780-0020 185
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BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18560 Address: 5014 20TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s):3 Block: Section:
i Square Feet: Subdivision: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0030
Improv. Cost: 8,652.00 OWNER INFORMATION
Date Issued: 6/07/2017 Name: PRICE DANIEL
Total Fees: 80.00 Address: 5014 20TH ST
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/07/2017 Phone: 813-517-5054
Work Desc: A/C CHANGE OUT 3 TON HP
CONTRACTOR S APPLICATION FEES
AIR RESCUE AIR CONDITIONING INC A/C CHANGEOUT 80.00
�G
Ins ections Re uired
DUCTSINSTALLED
DUCTSINSULATED
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 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.
r
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Bullding Department �
i /a►-.
Date Received
. Phone.Contact f.o�PeRn)tti� g 2(0 6
Owner's Name N��.L.. �� Owner Phone Numb r $� -� - �O
Owne�'s Address S p � �-O ST Owner Phone Numb r
Fee Simple Tftleholder Name C Owner Phone Numb r
Fee Simple Tltleholder Addreaa C
JOB ADDRE33 / 2D �% Z `y�. � � L �y LOT# �
�
SUBDIVI310N �G�!►� .e ! C� PARCEL ID# J�" —�-I ~�� - �
(OBTAINED FROM P OPNRTY TAX NOTIGE)
WORK PROPOSED NE CONSTR ADD/ALT Q� SIGN [� Q DEMOLISH
e IfVS ALL 8 REPAIR
PROPOSED USE [� SFR Q COMM Q OTHER '
TYPE OF CON3TRUCTION Q E�LO K Q FRAME � STEEL Q
DESCRIPTION OF WORK ']� p� � �j�� I y M P
BUII.DIN(3 SIZE SQ FOOTAOE C� HEI(3HT
[�BUILDING � �
VALUATION OF TOTAL CONSTRUCTION
[�ELECTRICAL $ AMP SERVICE Q PROO ESS EN6RGY Q W.R.E.C.
[�PLUMBINO $ �f��
�� C �� �
MECHANICAL $ ���� UO VALUATION OF MECHANICAL INSTALLATION
DOAS Q ROO ING Q SPECIALTY � OTHER ��3�/
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �
�
BUILDER COMPANY '
51GNATURE REGISTERED Y 1 N FE CURRE� Y/N
Address Licens #
3LECTRICIAN COMPANY
31GNATURE REGISTERED Y/ N � FE CURRE� Y/N
Address � Llcens # �
�LUMBBR , COMPANY
iIGNATURE ' RECiISTERED Y/ N FE CURRE� Y/N
Addresa Llcens #
fECHANICAL COMPANY '!� I� ��S L�C�. S� � (,�� S�
IGNATURE REOISTERED � Y/ N FE cur�Ren Y/N
Add�ess r �• (a•S i S(�/� �1 v J T.�� FG �3 4-II� UCer1S # G��. �g�3�ro`�r
�THER COMPANY
IGNATURE REOISTERED . ' Y/ N FE cuRRen Y/N
Address License# l �
�
ESIDENTIAL Attach(2)Plot Plans;(2)sets o Buliding Plans;(1)set of Energy Forms;R-O-W Permit for ew construction, _ _ _
Mlnimum ten(10)working days fter submittal date. Requlred onsite,;Constructlon Plans,S ormwate�Plan§wl Sfit Fence In§tailed, -
Sanitary:FaclllUes 8 1 dumpster Site Work Permlt for subdivlsionsAarge proJects
�6M�iERCiAL---'A4tach(3)-compiete�setsaf�lull �ng Plans plus a L-i�e S�faty Page;(1�sat�fEnergy Fo�ms. R-�=Vd f'emiit for new constr�ctlon. --
Mlnimum ten(10)woricing d�ys fter submittal date. Requlred onsite,.Construction Plans,S ormwater Plans w/Sllt Fence installed,
Sanitary Facilities 81 dumpster Slte Work Permit for all new pro)ects.All commercial requi ments must meeC compllance
'GN PERMIT Attach(2)sets of Eng'Ineered PI ns.
""PROPERTY SURVEY requi d for all NEW constructlon.
rectlons:
FIII out appllcat(on completely.
Owner 8 Contractor sign back of application,n tartzed
if over 52500,a Notice of Commencemerit f required. (A/C upgrades over 57500)
Agent(for the contractor)or Power of Attomey for the owner)would be someone with notarized letter from o�nmer authorizing same
/ER THE COUNTER PERMITTING (Front o AppllcaUon Oraly)
:roofs If shfngles Sewers Service Upgr des A/C �ences(Plot/Survey/Footage)
priveways-Not over Counter if on public roF�d ys..needs RO.W
NOTIC�OF DEED RESTRICTION�: he undersfgned undersfands that thfs per It ma be subject ta"deed"restrictEons"
whlch may be more restrietive�than Ca nty regulatlons. 'The unde�signed assum s ces onsibility for complla�ce with any
appticabie deed restrict(ons,.
UNLICENSED CONTRACTORS AN CONTRACTOR RESPONSIBILITI��S: If the owner h'as hired a contractor or
contractors #o undertake work, they m y be requ3red ta be t�censed in accordance urith stats and focai �egulakfons, tf the
contractar Is nat Iicensed as requlrod y law, both the owner and con#ractar may be It�d far a misdemeanor violation
under state Isw. If�the`owner or inten ec! cont�actor are uncertain as ta what llaensln taqulrements may appiy for the
intended work, they are advised to con act flie Pasao County 8uiiding Inspeation Divisi n--Licens�ng Se�t(on at 727-8A�7-
8009. Furthermore, If t4�e 'owner ha hired a contractor or contractars, ,he Is advfs d to have the contractor(s) slgn
portlons af the °contracfar Black" afi th s application #or whlch they w311 be cesponsible. If you, as the awner sEgn as the
contractor,that may be an indicat(on t at he is not properly Ilcensed and is not en#itle tc► permitting prlvlieges in Pasco
Caunty. .
TRANSPqRTATION IMPACTIUTII.ITI S IMRACT AND!RESOURCE REC.OVERY FE 5: The undersigned understands
that Transportatlon lmpac# Fees and ecaurse Recovery Fees may apply to the canstr ction of�new bulid(ngs, change af
use in exlsting buildings, or ezpansio of exlsting buildings, as spec(fied in Pasco Co nfy Ordinance number 89-07 and
94-47, as amended. The undersigr�e also understands, that such fees, as may be d e, wiil be fdenNfied at the time af
permitting. It (s further understood th t Transporfatlon Impaat Fees and Resource Re overy Fees mus# be pald prlor to
receiving a "certiflcate of occupanoy" r final power release. if#he praject does not ln alve a oertlflcate of occupancy or
final power reiease, fhe fees must be paEd pr#or to perrril# issuance. Furfhermore, If asco County WaterlSewer lmpact
fees ace due, they must be pald prior t permit Issuance In aecordance w(th applicabie asco County ordlnances,
CaNSTRt1CTtClN Lt�N i:AW°-�Cha�pt r;7;9.3, Florlda St�tutes, as amend�d): !f valua ian of work!s$2,500.Q0 or more, i
certify that I, the app((cant, have be n prov(ded with a`copy'of- fhe�"Fiorida�Con ruction`.Lien l.aw—Hameowner`s
Prokectlan Gulde" prepared by the. Flo Ida Department of Agriculture and Consumer'A airs." If'the applicant Is someone
other than fhe�awner", 1 cerfify that i h ve obtained a copy of fhe above descrlbed doc mant and pramise In gaod faifh ta
deliver it to the"owner" pr(or to comm ncement. '
G4NTRACTOR'SIOWNER'S AF�IID IT: 1 certlfy that ai!the Informatlon In#h3s appll atlon Is accucafe and that a!I work
will be done in compifance with all ap licable laws regulating canstruakion; zoning an land de'velopment, Applicatfon (s
hereby made to abtain a permEt to o wotk and Installatlon as lndlcated. i certEf that no wark or lnsta!latfon has
commenced prior to issuance of a p rmit and that all work w(ii be perfo�med fa me t a#andards of ali (aws regufating
constructlon, Gounty and Clty codes, zoning regulations, and land development reg latfons in the jurlsdiction. I also
certify that I understand thaf fhe regul tions of atiier govarnment agencies may apply o the in#ended work, and that It Is
my responsibility to Identify what actio s i must take to be in compliance. Such agenci s (nclude but are not limited to: �
- Department of Enviramm �tal Protecflan-C�pcess Bayheads, V�letland Ar ,as and;EnvEronmentally Sensitive
Larids, Water/Wastewater Treatment.
- Southwest Florlda iNat r Management DEstrlat-Weils, GYpress Bay e�ds, Wetland Areas, A!#erlrtg
Watercourses.
- Army Corps of Engineers- eawa!!s, Docks, Navigable Waterways, '
- Department of Heaifh � Rehab(iitafive Services/Env�ronmental Flealth nit-Wef1s, Wastewater Treatment,
Septic Tanks.
- US Envlronmental Prat�cf on Agency-Asbestas abatement.
- Federal Aviation Authority Runways.
1 understand#t�at the fnEiowing restricti ns apply ta the use of fi1L•�
- Use of fill (s not allowed ln Flood Zone"V"umtess expressly perm(ffed.
- If the fl!I materlal !s tu e used ln Flood.Zone °A", It (s understood t at a drainaye plan addressing a
"cornpensating voiume" ill be submitted af fime of permiftlrtg whlch is p pared by a professlana! engEneer
Ilcensed by the State of FI rida.
- �f th� fill materlal is fa b ttsed In Fload Zone "A" in cortnea#Eort wlttt a ermlffed building using stem wall
constructlon, I certify that II wfll be used only to fill the area within the ste w�all.
- !f fll! materlal is to be u ed in any area, I certlfy that use of such flf1 wEA nat adverse4y a#fect ad�acent
propert(esW If use�of fiil is found ta adversely affect adjacent properties, t e owner may be cifed for v(oiating
the condltions of the bull ing permlt issued under the attached permit a Iication, for Io#s less than ane (1)
acre which are elevated b fill, an engtneered drainage plan #s required.
If i am the AGENT FOR THE OWNE , I promise in good faith ta inform the awner of t e permitting canditions sek forth fn
fhis atf9davlt prbr ta commericing co strucf�on. 1 understand that a separate permit ay be requtred for eEectrlcai work,
plumbing, signs, welis, pools,. air co ditioning, gas, or other installatians not speciflc Ily included (n the application, A
perm#t issued shall be canstrued ta b a licettse to procesd with the work�and not as uthorlty�to.vlolate, cancelJ 'dI�@('i Of
set aside any provfs(ons of the featini ai codes, nor shall (ssuance of a permlt prevent fh� Buitdirig Official fram fhereafter ,
requiring a carrectlon of errars In plan , construction or vialat(ons of any eodes. Every permit Issued shall become invalid
unless the work aufhorized by such ermit is commenced wlthin slx manths of permi issuance, ar if work autharized by
tha permit Is suspended or abandane far a period af slx (8) mon#hs after the tfine the wark is commenced. An extensian
may be requesfed, fn wr�ting, fram th 8ulld€ng O€�clal far a perlod not to exceed n3n ty �90} days and wll! demanstrate
)ustifiable cause for the extension�, If ork ceases for ninety(90)cansecutive days, th Job is cans(dered abandoned.
- -- - �
WARNING TO OWNE�: 1(�"J.�iFt h1�i�liiRE iti FcEi.f3Ri3-A-N��'��E--Q�-CC?h�AA�N E�UlENT-MAY-RESt11.T tIV Y011IR ____
PAYING TWlCE FOR IMPRU.VEME TS TO YOUR pROP�RTY: IF YOU, IN�'END T OBTAIN FINANGING, CONSULT
WIT.�,.f YCIEJR lEND�R OR r�'i""G E r B FCi��R� R�39 {s Y '�"�: CYd'C � °C3E1�6 E���IUd �!7'
FLOi21DA JURAT(F.S.117.03)
OWNER OR A6ENT CONTRACTOR +
Subscribed and swom to(or afflrmed)befors e this Subscrlbed and sworn to(or afflrmed befare me this
by by
Who is/are persona8y knovm to me ot haslhav produced Wi�o Is/ara personally known ta me o hasihavs;produead
as IdentlficaU n. as Idendfication.
t�latary Public Nofary Publlc
Commission No, Commisslqn No.
Name of Notary typed,printad or stamped Name of Notary typed,printed or ska ped
�.ti" d,u .s - t:; ',�,
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e 873•612-56t10 Home Improvement Agreement �'F�,Q
� � � (8$8)638-3793 ,�;:,. `9" ,. . '. . `u �.��y>
= State�ic�CAC 18133GS ��,��� ��.�F"`:L:� •-.'�.� -�,-�
` ��.,�e �r;,
; Carporate Office r � � '� ���
' 1429 Massaro alvd. • Tam FL 33 9 ��....-"�"°''�'`'
`�3f'� .... �; �j�' �=//.,�9 ____--
� Instail Date
Proposal Oate
CustomerN�me �'�`''•''�� ����
U„ y"2�� �1" z
Address c, � �� �
�ity �����1("� 5tate Zip.,�Cod� � — Emai1 �'
�'�� y�r�•�[.iS (ce31) �
Phone Number(home) „ � � .� ,'s �-
�w-,�;,.,�r��i+°„ ` '.'' ;<' . . ,':"a3"..`�'�,� �'' °�;'�e.:,�.,." Y .x
� ,,� a . , �,:�",�;�'�e�. �.,� " - Warr�n#ies
NUMIPlAL 5E�R Basic Dei�sxe Pre�roium Optimum Size` L�bor
t45EER 155EEf� t65EER 185EER p S part5
i�Conditioner ❑ � `� � � � 10 Y�ar�. 1 p 1(eat O
�Heat Pump � � f�' ❑ 3.5
ondenserlCoil Only � 3 5 Year ❑ 5 Year Ci
p Furnace System O ❑ ❑ Verticai �Z 5
❑ Package AirConditioner 0 � �Horizotrtal Q Z
C] Package Heat Pump Cl O 1 Ye8i� O 1 Year�
Lifetime
5 Year � �.5
Air Delivery System � Green � Silver
p 2,009 t3 1,644 ❑ 1,490 Q i,200 ❑1,040 ❑ BUO O 600 C) Reptate Boots ❑ Grilles C) Mastic Seal
0
frK1 - G�r'ryit'��'3'G Sii9 " C4s �r' ' il� � ,.�
��G�4st.�<�-,� ��-,- - ��,rf�r,� ,���� �J �-�1 � �- � � �
To obtoln mcrximum rated effidency from any NVACsyatem,the equlpment cnd the air dtstri6ution system must<omply with the martufatturer's
spec�hcaGons end rrquirements.A/rRescue Afi Condit�onJng tan only be respansi6le/or cnmponents instQUed by A1t R�seue Atr Con di tioning.
--. ,. ` �, ,f��.,.
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System Price � � Custamer Signature
Tot3)AddittOtlS•l�am customized prednr�workiheet r."���SIOCTt@f(Pf Illl)
SUB70TAL G� l��J pate �
TECO/FPL Aebate ���
aRAC Rep(Print) �
M(g RehatelARAC Distount ��S�.,G' ���
Total Price —�_______�_� ,n�J� :r– � CW
– theck iF
Minus Dovrn Payment
F+nancingType �"� ,� /
Bal DueuUpon Stan-Up �tAmt Finant2d `�'�-�"`
�� � Vti•+e c,rrn the real prope��y���,},��h the e
`"`Y �1�r� ��1 tl {� � � authoriry to order�he�ro;k, Q��Pfient is to be instalie�!and have
�uy�MF+ghltoCantrl:,S(t1.0J17hisitohomesei;citotionsole,on0if o�i��;d'�rtcewi fi soutiinecf�}�ve.7er
�('; p ms:Balance d e u on �
tcJ`errnp�:ron,bylelerrcnt,a�bymoil,7hisnotitemustindicafe�fiQt o�udonot�f� L t ����L• '�9fiflr� me $e,� � ��t P St,.rtup,
Coz;nuidoyaheryous7gnthisogreemenL!/yroLroncefthisa reemenl,thp�lfer �9Q�� �����,s � �y�- add`tiqDal teRnS,
Y da not wa�t tbe ocd�� l°U may��n�/�� fF ��.�
9 9 rserv�crsandmusi�P�+e�jyered a9te cn s�r��"`���"9}�iiren notrce to t:��
me install technician has revietived this Nome i m0�noticee{�Q!!pr p���o�am
,�coshdown Pastn�arkedbefor�mi�n�g,yfoFthg�hr'rd
� mprovemen#Agreement far installation of HVA�3 �nr.
�r"E:�} •.����t�F:
= J a�� at e agrAe ystems b
to be installed. CustamerSig�atUr� ' e�ecis m �'��t Resc�,e q;�Conditianin�.
Yunderstanding of the scoPe af tt�e job and tt�a A,,..._._ �
���c����rd....i .
Scanned by Carv�Sc�nner
`��' ~� ` I Illl liill�llil llll!iilli il�il iilll illll lllli lllli ifli i i �-..
1�� - 2017087395
Y" • • � Rcpt:1869515 Reo: 10.00 '
' DS: 0.00 IT: 0.00
� 06/0712017 K. Ft. M. , Dpty Clerk
PermitNumber ppULp 5 0'NEIL,Ph d PRSCQ CLERK & COh7PTROLLEFc
Parcei 1D Number ��,-2.G-.zl-c>t0o -c�Ddbt?-17C�30 06/@7/2017 @1:10 m 2 of 1 �
� N4TICE• Ct �' GCftVllWtEi� CEl9J� ElVT OR 8K ��,�� P� �,��`j
State of Fiorida Tt+IS AREk ISRi3&EF�VkI?Fuk GLEkX QF 7HE CGURi CERlIrlrATIQIJ
Gaunty of ' , ,
7HE UNDERSlG�I�D hereby gnres notice that improvements will be made to certain reai property,and in accordance with Section 713.13 of the
Fforida Statutes,the failawing information is provided in fhis I�OTICE OF COMMENCEMENT.
9.Descr�ption of property(legal descriptiaaj: S�mr�t R N!t! a�.S Pg 3/P9 5 3��39 La13 v rt q28t7 /�9 3yb�.
a)Street�jab}Address: $'�)t� �p 7N 5'fK��"[� Z�pH�1 f�F}!U.S �.�� 335�-!Z�
2.Generaldescriptionafimprovements: ►-�U�tC I�PLACEI�.�I£NT
3.Qwr:er Informatian or Lessee infiarmation if the Lessee conUacted far the improvement;
a)Name and address: DA�v 1�.� Pc�t CE. 5a i� ZC►� 5TCL£,�.� Z�Nt�i Y�HI LC,C .�L �35�1 Z-
b)Name and address of iee s�►nple titleholder{if diffe�eM t�an Ovmer listed above} --
c)lnterest in prope :
�. ntradar Infomtatian �
a)Nameandaddress: � �. �ESCU.E, (�Z� iVtI�SS�t� �,�.� `T"�AMa(.}..f,FL �31,el�!
b)Telephone Na.: �y(3�(,,,t�Z� �t� Fax No.:(aptional)
�.Surety(if appficable,a copy of fhe payment bond is att�ched)
a)Name and address: !�_ �
b�Teiephone No.:
c)AmouM of Bond: $
8.Lender
a}Name and address: tJ��
bj fietephone No.:
T.Persons within the State of Ftorida designated by O�nmmer upon whom natiaes or other ducuments may be served as provided by Sedion
713.13(1j{a}7.,florida Statutes:
a}Name and address: ���}
b}Teiephane No.: , Fax Na.:(optianaij
8.a.tn addition ta himseif or hersetf,Clwner designates „J�p of
to receive a copy of the tienor's Notice as provided in Sec�ion 713.13{1}(b),Florida Statutes. ,
b)Phone Number of Persnn ar entity designated by Owner.
9.Expiratian date af notiae af cammencemeM(the e�cpiration dat�may not be before the comple6on of construs�ian and fina! .nt2o�hp
_ , co n un ess a rent dafe is s c�fied: ,24
WARNING TO BWNER:ANY PAYMENTS,MAQE BY 7HE OWMER AFTER TNE EXPIRATtON OF THE NOTiCE QF GOMMENCEMENT ARE
CQNSIDEttEQ IMpROF'ER PAYMENTS UNDER CHAPTER 713,PART 1,SECitON 793.15,FLORlDA STATUTES,AND CpN REStJlT IN YOUR
PAYING TWlCE FOR 1MPR011'ENIENTS TQ YbUR PROPERTf.A NOTICE 4F COMMENCEMEN'f MUSi'BE RECBRDED AND POSTED ON
i'HE JOB SITE BEFORE THE FtRST iNSPECTION. 1F YOU IMTEND TO OBTAlN FlNA(+!ClNG, CONSU4�'1MTH Y4!!R LENDER OR AA��it
ATTORNEY BEFORE C MENCtNG W�RK OR RECORDtNG YOUR NOTtCE OF CtiMMENCEMENT,
Under penatty of�perju re that 1 ave read the foiegoing notice af commencement and that the facts stated therein are true to the best of my
knowtedg rtd'beli . �,�..--_ .�
�G`� � �`�
(Stg re of Owner or Lessee,or U+mer's or Lessee's{Aulhorized Otfis�r@aector/PartnerlMa�rager) jPri�t Name and Pravide Sigr�tory�s Trtle/Office}
The foregaing instramenf was acknowtedged before me this �` day ot ,�}�.,�nJ�, ,20 ��j
bY ��t N 1�� I�IZ.t��- �s d i.e�p•e 2 (type ot autharity,e:�.o�icer�wstea,attomey in tact)
for ,as 'i
(Nama of Person) (type af authority..,.e.g.officer,Custee,ettamey in fact7
for �� (name of party on ff of whom in ent was executed).
Persona!!y lCr�awn Produced tD
Type of ID Notary Signature
� Print name _ - -
_._._. --- - - - - —
�"'°"�J � LiSA THOMAS
" „i���r►4��4 - —'-_'--- . .�.�.—__--- ---
Commission�i G�A9BS ___,__._—.
;* *� —_—_�___�—-_
-,� - My_Gommission_Expires__ ---_--_------
___.--------- �s.,�,�wnd;:�` Jurie 22, 2020 � ,
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