HomeMy WebLinkAbout17-18617 �
CITY OF ZEPHYRHILLS (
� ' ' S335-8TH STREET � '
(813)780-0020 186 -7''d' .
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BUILDING PERMIT , I
PERMIT INFORMATION ` • � �� � LOCATION INFORMATION
Permit Number: 18617 Address: 39312 6TH AVE j
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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0040-00100-0070
Improv. Cost: 6,480.00 OWNER INFORMATION
Date Issued: 6/29/2017 Name: WILLIAMS SANDRA i
Total Fees: 70.00 Address: 39312 6TH AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542-6844
Date Paid: 6/29/2017 Phone: (813)786-6618
Work Desc: DUCT WORK REPLACED ONLY********** �
CONTRACTOR S APPLICATION FEES
COOL NOW A/C CHANGEOUT 70.00 �
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Ins ections Re uired
DUCTS INSTAL ED
DUCTSINSU ED I
FINAL ��
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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 properly that
may be found in the public records of this county, and there may be additional permits required from other governmental i
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.
MO OCCUPAIVCY 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 WE�4THER �
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5010 N Cortez Avenue
Tampa, FL 33614
Phone: 813-445-4818
Web:www.comfortiscool.com i
services i
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Date: June 28, 2017 ',
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City of Zephyrhills
5335 8�' Street �
Zephyrhills, FL 33542
Subject: Authorization letter for HVAC Permits CAC1816819
Gentlemen:
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I, Marek Stroz, authorize the following individual ( s )to be added to the existing list to pick up
and sign permits on my behalf
Brian Lincoln
Should you have any questions, call 813-445-4818 �
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Sincerely
� �
arek Stroz �
State Of Florida
; County of Hillsborough
The foregoin instrument was acknowledge before me this v"o day of�G� 20 �� by
' � +��-e.l�- ��rr-�� , who did not take an oath and who has prod ed
identification, Drivers License#
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My Commission expires: � �� 2. Z I
! Notary Si nature
YP I
II o�a �eG No1ary Public State of Fbrida
� ? : Mary V Stewart
i �ce Qa My Commission GG 002083
� ''�'ov�°Q Expires 07/16/2020
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� I:� � � 1�C� - �02 j
at��eaoozo City of Zephyrhills Permit Application Fax-e�a�so-oo2�
� � ° Buflding Depar6nent
.. - , .. Date Reeelved �p�,-aQ�� Phone CoMaet tor PormiCin 3 i 4 7 _ �-�Y L �
Own�rs Nam� �'`���� ���� �Y'^S Owner Phono Numbor O ��J�,tS b -��� I
o�,.r.�aan., � 5 31�- � t 7�i� Owner Phorro Nmnbv
FN Simple THlaholde Name Qwner Phone Number I
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Fn Simple Tttleholda Address i
JOB ADDRE38 3�3�� � �� "��- LOT� � I
SUBDMSION ��'Y",�1� ����� PARCEL IDN �a^��l '�����I GD �6�DZ a
(OBTAINED RtOY PROPFR�Y TA%N0710E� �
WORK PROPOSED B NEW CANSTR B ADD/ALT � SIGN Q Q DEMOLISH �
INSTALL REPAIR �
PROPOSED USE Q SPR Q COMM Q OTHER I
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TYPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL Q �
DESCWPTION OF W RK � 1A�Ms...� . Q�Ci��--�o'R..��- �y SI�YP I y �/e�� I QZ-F+,C�LJ
BUILDINO SIZE SQ FOOTAC�E� HEIGHT �
OBUILDING S yp�UATION OF TOTAL CONSTRUCTION
QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.R.E.C.
QPLUMBING S
�MECHANIC E ! 1 p gO VALUATION OF MECHANICAL INSTALLATION ,
10'ti
QGAS Q ROOFING Q SPECIALTY Q OTHER ��
FINISHED FLOOR ATIONS FLOOD 20NE AREA QYES NO ,
� BUILDER COMPANY
81GNA7URE REGISTERm Y/N �Cuw� Y!N �
amar... u�#
ELECTRICIAN COMPANY
SIGNA7URE REGIS7ERED Y/ N �cuaaa Y/N
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Address Lleense#
I PLUMBER COMPMIY
SIGNA7URE REG�STERED Y/N FEE cuRREn Y/N
Mdnu Llcense#
INECW4MCAL `�/� / COAAPANIf �J
S16NATURE /�"�' �cisr�n Y/N �cuw�n Y/N
Addreaa Llcense#
OTHER. COMPANY
SIGNATilRE r��isr�o Y/N �cuwta Y/N
Addross Lioenae i�
1-�-fI'7'TT�T- ITII �-i'i1-1-11-1-f-�7-1TTTTf1"I7r771I11-r-1C1'7TIIT7I'T11-77T7-TT71iI'1"I'
RESIDEN7IAL ch(2)Plot Plans;(2)sets of Building Plans;(1 j set ot Energy Forms;R-aW PertnR for new construe8on,
inimum ten(10)woridng days eRer submlttel date. RequUed orrefte,Constructlon Plens,Stormxater Plana w/Sik Fenee Instelled,
nMery FedllUes 81 dumpster,Ske Work Pertnit for subdhrletonsAerge�xoJeda
COMMERCIAI. (3)complete sets oT Building Plens plua a Llte Setely Pega;(1)set of Energy Forms.R-aW Permk fw new construdian.
inimum ten(10)working days after submittal date. Required onsite,Construcdan Plans,Stamwater Pians w/Siit Fence installed,
ifary FacUWea 81 dumpater.Ske Waic Permit for all new projecfs.All commerdal requirements must meet compliance
SIGN PERMR ch(2)seb of Engineerod Plans.
PROPERIY SURVEY requlred for ail NEW consWcdon.
Dinetlorti:
Flll out epplican cmnpletey.
Oqmer 3 Con or sign back of applleatlon,notarized
H owr t2500, Notla ot CommeneemerR Is requirod. (I11C upgredes over s7500)
" Agent(tor the tractw)or Power ot Attomey(for the owner)would be someone wfth notadzed letter from owner authorising same
OYER THE COU R PERMIITIN3 (Front ot Appllcatlon Onty)
Reroof6 N ahfnglea Sewers SeMee Upgradas A/C Fences(PIoUSurvey/Footage)
Drlveways-N over Courrtar if on publie roadwayS..neede ROW �
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serv � ces
Air Conditioning • Plumbing • Electrical
,•-•-•-•-•-•-•-•-•-•-•-•- �•-•-•-•-•-•-•='•-•-•_•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•- �•-•-•-•-•-•-•-•-•-•-•-•-
'FREE � ' � ' ��, '
Service Ca/I� . � .
I With My Repair Only • � ' I •
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;FREE2nd Opinions i � On/ ��, ! � �
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;FREEEstimates i ; � � ; �
• Stick It...Save It... Never Expires! I • ' � � �� . -` � �
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` ' ' 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 campliance with any
• � applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILIYIES: 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 '
contractor is not licensed as required by law, both the owner and contractor may be cfted far a misdemeanor violation ,
under state law. If the'oumer or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building 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 properiy licensed and is not entitled to permitting privileges in Pasco �
County. ' �
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of 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,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"certficate of occupanc�l'or final power release. If the project does not involve a certificate of occupancy or I
final power release,the fees must be paid prior to pertnit issuance. Furthermore, if Pasco County Water/Sewer Impact �
fees are due,they must be paid prior to permit issuance in accordance with appiicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 773,Fiorida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, 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"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the°owne�'prior to commencement.
i CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work I
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 performed to meet standards of all laws regulating
construction, County and Cily codes, zoning regulations, and land development regulations in the jurisdiction. I also �
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to identity what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetiand Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering �
Watercourses. ,
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. i
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. i
- 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 2one°V"unless expressly permitted. i
- 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 pertnitting 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 praperties,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 installatians 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 Officiai from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every pertnit issued shail 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 time the wark is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrete
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 i
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT�N FINANCING,CONSULT
WITH YOUR LENDER O AN ATTORNEY BEFORE RE ORDING Y UR NOTI OF O ENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subsai6ed and swom fo(or effirtned)befare me this Su scribed and m to(or eKrtned)be me is
by �p a8 1"i by�Y�l�}t�k$'T(La�
� Who islare personalty known to me or has/have produced Who fs/are personally known to me or has/have produced
as Identiflption. as IdentifipUon. I
Nota Public �
�Y Notary Public
Commissian No. Commission No. ! � d��2S 3 �
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Neme of Notery typed,printed or stemped Name of Notery typed,printed or stemped I
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o�°�o� Notary Public State of Flo�ida ,
? ; Mary V Stewart
y, My Commission GG 002083 I
•?w 4,,� Expires 07/16I2020 �
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serv � ces
Air Conditioning • Plumbing • Electrical
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'FREE ; : � � �3 7 ;
Service Call� ' � .
1 With Any Repair Only • � i I
;FREE2nd Opinions i � On/ �4, ! � �
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;FR��Estimates ! ; � ; ;
• Stick It...Save It... Never Expires! I • � ' 1
�•—•—•—•—•—•—•—•—•—•—•—•_ 1•—•—•—•—•—•—•—•—•—•—•—•—•—•—•—•—•—•—•—•—•—•—•—•—•—•- 1•—•—•—•—•—•—•—•—•—•—•—•_
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` ' ' ' A Phone: 800-COOL NOW I
PR���S�"oL Tel:(863) 808-4590
- 'O�- - Tel:(813) 440-2225
. 5194 Tel:(727)•483-5555 I
contact@coolnow.com
Installation Date:�/�/� www.coolnow.com i
� Customec name: p Date: � /� I
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Street address of job location: ���`'Z �-�{/� � City:� �� • FL ip:r2
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Primary phone: Other phone: Email: �
❑Facto'ry-matched Heat Pump System ❑Factory-matched Air Conditioning System ❑Factory-matched Gas Furnace System
❑ Optimum.-#- .,-.. ❑ Premium # ❑ Deluxe# ❑ Econom # �,
� Up l0 20 SEER ✓ Up to 16 SEER � Up to 14 SEER � 13 SEER �
� 1 D Year'All Part � 10 Year All Part ✓ 10 Year All Part � 10 Year All Part Warranty ,
� Compressor Life Time VJarranty � 10 Year Compressor Warranty � 10 Year Compressor Warranty .� 5 Year Compressor Warranty I
�
• �• •• � ❑Rotobrush d,uct.cleaning Supply&_Retums �
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❑�Whole House UV Ste�ilization System.�. ❑Whole�House M.E.R.V Filtrations System �
� � • • � � �
❑ Replacement 0 Add-on Air Conditioning/HeaVBoth ❑ Replacement ❑Add-on Air Conditioning/HeaUBoth �
❑ Air Handler/Furnace ❑Vertical ❑ Horizontal 0 Heat Pump D Air Conditioner ❑Package Unit
❑ New Digital Thermostat ❑ Non-Program. ❑ Program. ❑ tons SEER BTUH
❑ New Digital Programmable Therm. with Humidity Control ❑ Model
❑ Relocate�from to ❑ Hurricane Pad ❑Plastic Pad �
❑ � ❑ Relocate from to �
❑ New AHU Stand: ❑ Metal ❑ Custom 0 New safety disconnect switch
❑ Filtration: ❑ Permanent Washable Filter ❑ Grille ❑ New 100%copper,dehydrated refrigemat piping - �
❑ New safety disconnec4 switch ❑Surge Protection ❑ Fully insulate suction line piping
❑ New wire from breaker'panel to equipment ❑ New water tight;electrical whip ,
❑ VenUFlue: � Complete new ❑Use existing ❑
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❑ Engineered ductsystem for�_tons �vents ✓ Alllabor .
❑ Economy �Anti-Microbial $ �,° ✓ Obtaining perinits(where required)
❑ NON-FIBERGLASS-100%Rust Resistant Galvanized Sheet ✓ New A/C circuit protection Brand=
Metal Duct System.Energy Saving Insulation Included. Exiting size is: / Change to: /
❑ Rooms requiring additional airflow: ✓ Heating and Cooling routine maintenance for years
❑ New suppiy vent to: ✓ Check entire system for safety and efficiency I
❑ New return vent to: ✓ Shoe covers,mats and drop cloths to be used as necessary i
� ✓ Remove existing equipment from premises
❑ Mastic and seal all leaking joints ✓ Clean up �
❑ Duct Sanitizing
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♦ 24-Hour Fix It or Hotel Gua�antee: Unlike most companies,we are a service company.We have a staff of qualified service.technicians that
are there to serve you in the unlikely event your system has a problem.So our guarantee to you is that when we arrive,we guarantee that we will
ha've your system up and running within 24 hours of our arrival or we wiil put you up in the local Embassy Suites for the night.
♦ Low Price Guarantee: Anyone can make something cheaper by cutting comers and pricing it for Iess.So,iYs important to know what is and is
not included in any heating and cooling system you choose for your home.Our Price Guarantee is our promise to you that you cannot find a com-
parable installation for less. or we'll pay you a$50.00 bonus over the difference.All we ask is that it be a published"appies-to-apples"compari- I
son,within 14 days of purchase,and have the same written installation specifications as CN.
♦ lnstallation Wo�kmanship Gua�antee: Our installation technicians are the best in skill,attitude and workmanship.Theyll care for your I
home�and complete the job with speed and'precision.They wear tloor savers,clean up wheri they are finished and take personal responsibility for �
�your satisfaction.They wili not smoke or swear in your home and they are polite and courteous.If,when they have finished in your horime,they
have not perfortned in accordance with these high standards,we'll refund whatever amount of the purchase price you feel to be fair Ail we ask is
that our office be notified of any Ievei of dissatisfaction before the technicians leave the home so that any issues can be addressed accordingly.
� 'EXclusive "No Lemons" GUafallte0: If the Compressor(the heatt of your system)in your Air Conditioner fails during the first five years of
ownership we will remove the entire unit,rather than the component,and instail a completely new one if you've ever bought a"lemon"before, �
you truly appreciate our commitment to your long-term satisfaction. �
� No Mold Guarantee: We are so confident in our Advanced I.A.Q.UV Sterilization&M:E.R.V filtrations sysiems abiiity to keep your system
clean that we guarantee with proper annual maintenance your system will be mold free for life or we will perform any necessary cleaning to the air �
handler to remedy the problem at our expense. !
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Total Investment $_L���� (-)Power Company Rebate$ (-)Service Repair Refund$
Net Totai Investment After All Discounts Including Power Company&Manufacture rebates$ ,
This High Efficiency Home o fort ystem is available with 100%bank financing with no money down for$ per month � I
(wiN approved credit). I
CN Representative Date of proposal_�/�/� I
Customer agrees to pmvide free acca s to wddc e a antl e safe working environment The above prices.sperifiratlons,lerms,and co�Uons are satislactory end hereby agreetl to in full.I have �
authorization�o order said work You a 'ulhorized to do the work as specified.Paymerit will be made es outlined.I understand Ihat you are not responsibie(or eveMs or delays heyoM your corNol. i
Owner agrees to wrry atlequate fre,storm;antl other necessery insurance.All of our workers are covereC hy Workman's Compensation and General Liabil�ty Insurance.If wllection is necessary, � I
buyer agrees to pay all wllectlon rnsts tl inlerest. '' '
Customer Approyal��� ���`i.�rca.✓� Date:�/ �� /�
�1995 Cool Now"'