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Home My WebLink About17-18770 CITY OF ZEPHYRHILLS 5335-8TN STREE[' �' , � ($13)780-0020 18770 BUILDING PERMIT PERMIT INFORMATION L.00ATION INFORMATION Permit Number: 18770 Address: 39761 MEADOWOOD �P Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: R!G CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Btock: Section: Square Feet: Subdivision: MEADOWOOD ESTATES Est.Vatue: Parcel Number: 13-26-21-0140-00000-0600 Improv. Cast: 7,930.95 OWNER INFORMATION Date Issued. 811412017 Name: ORM�ND SHAUN D &ASHELY Tatal Fees: 75.00 Address: 39761 MEADOWOOD LOOP Amount Paid: 75.00 ZEPHYRNILLS FL 335A�2-6779 Date Paid: 8/14/2017 Phone: 813-298-6399 Work Desc: A/C CHANGE OUT 3TON W/DUCT WORK CONTRACTOR S APPLICATION FEES BALANCED AIR INC A/C CHANGEOUT 75.Oq �� 'l,V _ :� Vv � . � ��,� � Ins ectians Re uired D TSI TALLED ' DUCTSINSULATED FINAL REINSPECTION FEES: (c)With respect#o Reinspection fees will comply with Florida Statute 553.80 (2)(c)the loca!government shaii impose a fee of four fiimes the amount of the fee imposed for the initiaE inspectian or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicab(e to this property that may be faund in the public recards of this county, and there may be additianal permits required from other governmenfial entities such as water management, state agencies or federal agencies. "'Warning to ownerc Yaur failure ta recard a natice af commertcement may result in your paying twice for impravements ta your property. If you intend to obtain financing,consult wifih yaur lender or an attorney before recording yaur natice af commencement," Camplete Plans,Specifications Must Accompany Application. All wark shall be pertarmed in accordance wi#h Ci Codes and Ordinances. Nt?OCCUPANCY BEFQRE C.O. NO OCCUPANCY BEFORE C.O. 7 / �� NTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN C MONTHS WITHUUT APPROVED INSPECTION CALI. FOR INSPECTION - 8 HOUR NOTICE REQUIRED PRt�TECT CARD FROM WEATHER • a�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 � Building Department J` ,� ` Date Received �'Z1 �y'Z=2'Z�� Phone Contact for Permittin Owner's Name �1('yY�p OwnerPhone Number O� 'Zc1S�J 1 Owner's Add►ess � /"1 � L Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Slmple Titleholder Address JOB ADDRESS �l7 � / \�W C`� L�Q LOT# � SUBDIVISION e�iws�r.l. �S'�}"P.S PARCEL ID# �3�Z6-2�-Ol�i��Da�-0 6 a� (OBTAINED FROM PROPERTY TA%NOTIC� WORK PROPOSED e NSTALLSTR B REPAIR � SIGN Q Q DEMOLISH PROPOSED USE Q SFR Q COMM � OTHER Q,oct3-h TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q ^'- j� P�H R�.#- DESCRIPTION OF WORK C- � U� �.�"l � V �"� � A H 8� 3�Z6�- BUILDING SIZE SQ FOOTAGE HEIGHT � QBUILDING $ VALUATIONOFTOTALCONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ �MECHANICAL $ �`Q� VALUATION OF MECHANICAL INSTALLATION OGAS Q ROOFING Q SPECIALTY � 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 CURREA Y/N Address License tt PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# MECHANICAL / COMPANY � � �(� —1_r(C• SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N Address � � 1�lT'� �c' � � �706� License�t �C-�3 1 ��3 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItt1t11t1t1111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minfmum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facililies&1 dumpster,Site Woric Permit for subdivisions/large projects COMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMR Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions:• Fill out application completely. Owner 8 Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) " Agent(far lhe contractor)or Power of Attomey(for the oxmer)would be someone wi[h notarized letter irom owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs ff 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 contractor 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 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 properly licensed and is not entitled to permitting privileges in Pasco Counry. 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 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"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 WatedSewer 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 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"owneT,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'S/OWNER'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 performed 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 & Rehabilitative Services/Environmentai Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federai 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 time 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 JUR,4T(F.S.117.03 � '//�� OWNER OR AGENT CONTRACTOR � rib an swo or affirme ar me this � �uys�riqe�,a/� swom to affi med)befgt8 m�h�e� � tl I��-U �� Wh is/a ersonally own me or has/have produced Who is/� ersonally known to or has�have produced a idenlification. i entif tion. Notary Public Notary Public Cammission No. r V�.J Commis ion No. � '�� ( V � � Na e of Nota ed,printed or stamped Name of Notary typed, rinted or ,;ro��ar►�e��, qNITA CRESOE-SANFORD ;�o�P"r°"B��=; ANITA CRESOE-SANFORD ' � '= MY COMMISSION#FF053394 �' ` '-` MY COMMISSION#FF053394 `..'r ..-- P;. ��.,r ...... P.•' EXPIRES Se tember 11.2017 '?. ,o�� .. o�: "'••,eoFF,,o,.• EXPIRES September 11,2017 "'',•,FofF�°.,• P •,,,,.,, (407)398•0153 FloridallotaryService.com (407)398-0153 FlorldallotaryServfce.com � _. G � ` , . � � � t * � ,`:� (72?) 842-2247 ;� . a r�► +� .� � � �; www.balancedair.com SYSTEM , � � , . -� 59#'4 Fine Hill.ftd,Ste 12•Port„Rlchey,FL 34668 ; PROPQSAL fb:" State License.d�AC039633 PROPO�A„t�SUBMtTTED TO ' OATE ��(�'1 U i� `�... .7� y'�"��'(1 �� ' ,. G� '� ` ADDRESS J08l7ENE7NAME ----� _ � � � . � � ..,�C--� �.. �''��a� ��v��.. r ,...�v CITY,STATE,ZIP JOB AODRESS(if di%erent) i�.�. .�� l�t �� f�`,`�- `'�..��. � � TELEPHONE CITV.STATE,ZIP '�-�.�`. � �"" � t (`j� �.y ,J,� 4 s` E-MAtL r' � i ' : �..J.�� : �� ;�� i r� �� : ;�. ..�.�- �- �..�,� l'�H IZ.� � ��-i� �Z�� - We propose ta furnish, install and service under warranfy(stated below)products ar re/ated equipment for your home ,. or busin�ss in accordance with the candi#ions and specificafions set forth in this p''ropasal. , e • - • � r � �Air cond'itioner Model_ '��.3�l3'2/H $�'bigital Thermostat `j•r��_r fi !/!1;-1�� i-{-�:��vrr,�t.l. o Heat pump Model �Digikal Programmable Thermostat r �Air handler Modei 1�,14��t--.�==��t O Touch-screen Programmable Thermostat ❑ Coil ►�odel ❑ Humidistat �' o�Fur.�aace Modei o Outdoor thermostat ❑ Heat recovery unit Model ❑ Install new amp electric service and panel �Ne�t stt'ip Made1 �Upgrade existing elec#rica�service Tons �a SEER rating ��•�.� HSPF from to . �New aD copper,insulated,electric circuit(s}with dlsconnect ❑Uther t��"��,, switch box(es),circuit breaker(s)and weatherproof canduit ❑ Other_ R�1 I CaF�., ��;a�`a a.�";s,vr�- and connectars at outside unit. ❑C?ttier � CI Other . . � �Condensate'drain hook-up �;Primary t�Secondary t�.All work done in accordance wtth existing codes ❑ Refrigerant copper liquid line .�All required permits ` ❑ Refrigeran#�capper suc#ion line with insulatian �,'Removal of the existing equipment from the premises ❑ Condensate.pump Pump to ❑Weather resistant vibration proof isalation pads ❑Gas pipe�f�oin ` o Mounting stand for outsEde unit ❑ Other "��- �Pad for outside unit ' ' � • �A11 work ta be perfarmed in a neat and prafessional manner ,.�Madifica�ions°of supply plenum� x return �_ by skilled technicians. Sweeping, dusting, and vacuuming will fl New suppty diffuser{sj ceiling sidewall be accornplished at ths conclusion af each day's work and -Flaor��"" �� debris removed fram the premises ❑ New return grille(s} ceiling sidewall o Other Siciewall with access door flaor ❑ Other a;._..�;�. �•�,; o f�e.uutra�sf,er grille�s} doorgrille(s) ` ' " ' ❑ Rust resistant.anodized aluminum ❑24-hour emergency service ❑V1fh'iFe Eiaked enamel o Beige baked enamel ❑ 1 year warranty �, �. t v� warranty �'r�a�.e`�.5� ❑ Rigid fibergfass duct system with reinforced rip-guard �,Warranty-other �� c �` �'�v-�,.C c;_�t c. � � �r 'lv.v� vap.or.barrier maintruck and flexible branch and return duct o Upon receipt at ot�r o ice of your signed Premier ❑Sheetmetal insulafed duct system Service Agreement ,we wi11 provide two complete o Pr,essed aluminum perma-guard'stapled and taped joints maintenance tune-ups and professional cleanings ❑Optianai.perma-flex mast�c seal weakherproof duct jaints annually during the first year free of charge o Balance system for uniform air distributian ¢�Manufacturer warranty an Campressor �� years ❑ 9"Fiberglass disposable ftlter(s) e�,.Manufacturer warranty on Outdoor Coil t� years ❑ Electrostatic air cleaner Model o Manufacturer warranty an Heat Exchanger years o Efectronic air cleaner Mode{ o Other "t��..! � �i.��-� �� .;Media air cieaner Madel �vtn�y.;.+N. i ;�w.�� !1 o Other �':��-�c ��r �� -�- i`�� Other y)i'rr� �f�-�1�:a-t- :�+r�"+�-ah•r (�f=r�:-?� Cl Other i"ra�,� - tv�, '" �� • � We propose to fumish compfefe,�as above'speci,fred,for`the fnvesfinent of(fax includedJ:_= dol l�rs $;�� .~`` `� �� _ .. _ _ . . _ . . - � � ,; � _: ` ` �..- ` . 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""' . ` �.�,.""" ,:minim m�in'ontfii�`'="a"„menf: . . - . . �f�'inancing.A�aVable' ��-_._..�:��.��.:::. _ _ ,y.P�Yr _ . � - ; Sdtiject 10%'en�`r a c"ePtarfde: � � � � ' � ":$=-„�,...��'-�-do`irtrn^pa�eri't " . .- , " . . , , , . , ,- . - � , • ,:. ... .. _ � -,. � . . . .,. ; . , BUYER'S RIGHT TO CANCEL:You;the Buyer,•may cancel,tfiis tran+saction withaut-penaity`br_ob{igation any time`priar to., � �- ��midnight of the.#hird{tiusines`s day after the date.of�this transaction:by pcoper notification:�.r . -� - . , . ; . e < <.�- . � .�.Fina�l payment to`iristalle�s�in.full upon completion of:iristalla#ion.Thiis�Pro�posal�vaiid-until�l: �.I..,.'►�;� � .. �_,� . ` _ - �f � 1 d itions A roval f��'�' /,r'"�r � ?`� � Date � / f� / � � The above prices,specifications an conci pp are satisfactory and are hereby accepted.You are / (compaf i/ + � � f �`"� authorized to do the work as specified.Payment r`l . , will be made as outlined above. Approval .� L"�.�, �� .-'�"~ Date�/ %f l�- � ' .. 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