HomeMy WebLinkAbout17-18792 CITY OF ZEPHYRHILLS
5335-8TH STREET
� - -
(813)780-0020 �$792
BUILDIiVG PERMIT
PERMIT INFORMATION - ' LOCATION INFORMATION
Permit Number: 18792 Address: 3749 COPELAND DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 24-26-21-0010-03900-0000
Improv. Cost: 6,556.23 OWNER INFORMATION
Date Issued: 8/22/2017 Name: OLDCASTLE APG SOUTH INC DBA COA
Total Fees: 70.00 Address: 4630 WOODLAND CORPORATE BLVD S E
Amount Paid: 70.00 TAMPA FL 33614-2445
Date Paid: 8/22/2017 Phone:
Work Desc: A/C CHANGEOUT 4TON
CONTRACTOR S APPLICATION FEES
CHRIS'A/C COMPANY A/C CHANGEOUT 70.00
Y `
� Ins ections Re uired
DUCTS INSTALLED
DUCTS INS TE�
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 properly. 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.
CONTRACTO IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�,3-��u-uozo City of Zephyrhills Permit F�pplicatro� Fax 813-78ti-Od21
Bullding Department . �
r
Date Received ' _, phans�Ge►ntaatfor Permlttin +�a sa ( - �j 7�� '
Owner's Na�me d�rX C a.o�l e /�s�`�✓ cJ!J U�i. ��!'C- Owrner Phone Number ���" 7�' �S�' �� ��
Owner's Address y �0 2�u..�� ��� Qwner Phone Idumber � � '
Pee Simpte�Titlehalder Fiame �- � Qwner Rhone Ftumber �i� ;
Fe�Slmple Titleholder Address
sae aaoa��ss `/ � �oT# ��
SUBDIViSi01d �� � PARClEL IU�!# r3�GI c�i �F 4 I �l O C� t?O Q
(OBTAIPlED F.ROM PROPERTY,7AX NOTICE)
WpRK PF20P4SEp w NEw CONSTR ADQlALT �' SiGN Q Q DEMOLISki �
'..e INSTALL. ,8 ,REPi0.1R
PROPOS�DsUSE Q SFR, Q COMM � OTh1ER (~7'� [T "` .�..r�9 a,GPn•�.��`�
'iYPE OF GONSTRUCTtON Q� BLOCiC " Q FRAME �� STEEL Q `� -� '�
DESCRIPTtON OF WORIC If�� ,_�.�-CF/.�i�� � �/` �t'�' � - T-Z
BUi��lNG'SIZE- � �"SQ Ppt?TAGE��_ . ,HEiGHT� _ ] ,
QBUILDING �� VA4.UAT10N�QF l'OTA�C{?NSTi2UGT10N `
QEI.ECTRICAL �� AMP SERVlCE Q PROGRESS ENERGY �J W.R.E.C. ;
QPLUMBING $ � : �� Q('� '
�.,� -t �..�- ,
GUiECHANICAL $ c�-- r VAL:UATION OF MECHANICAL IPISTALLATION �
.J .�tv • c� " j
QGAS Q ROOFING [� SPECIALTY � OTHER ��� �
FINISHEQ f144R EtEVAT10NS � F�000 ZOtdE 14REA QYES. td0 ;
C_ „ - -
BUILDE6t C4�MPAPIY' '
S����TE�12� - REGISTEREO `(1 iV -'FE6 GURREF Y 1 RI
As9dress ' ' kicense#'� � .
@�.ECTRI��AN CClMPANY
St�NATUFiE � RECFSTett�o Y! N ��cuR��° Y!N ,
Add�ess l.icense# � �
PLUWOBER ` CQMPANY .
SIGN�i'�U12E� , _REGtSTERED, - Y I.N FEE CURREP Y 1 N
Adde�eS t.It.eRSe# � �.
� -
M�CHANIC/AL' ' � CaMPANY � /� ' � �c�'J�
SIGMAT4�IE2� � �' ' RBGISTEFtED Y. �1 ��Cu�REE Y rN r
Address �a, i��' c3Q/ /..� C• ' Liesnse# �.�C (�.SG��.��
OTHER ;' ,COMPANY
SIGNATtIftE ." '. - ' ` REGISTEREd Y I �f _: FEE GtIRREI� Y 1 P1. ,
Address -- ' Ucense#�� ��
R��IDENTIAIr� :Atha'cFi"'(2);PlotrRlans;,(2)sets:af.<B�ufldfng�Plans;�(1)setof-Energy�Far�n,s;R=CkW°Perinitfocnaw construcUon,
,, :
- ..Min{murt��ter,►�(;1.q);worlcing.,d'a_ys;after;;'sutiriiltta}idate.:,Requlcei!onstte;:C'ori�truc�on�Plans;Stormwater Plans�wJ Silt=Fence ins#alleil,
�� Santte''ry'tFac(ittles;&�;1y:,�umpste.r..zSite�Work,,�Permitforsu6division"sAarge:prajects �.'- "• "
COMNIERCIAL Attach(3)`complete sets`'of B'ullding Pians�plus a'LIfe�S�afety Page;(1)set of Energy Forms.R-O-W Peerntt for new constru�tfon.
Mintmum ten{10)working days after sctbmittai date. Required onsite,Constructlon PEans,Stortnw8ter Plans w!Silt Fence Instalted,
Sanitary Facii(des 81 dumpster.Site Work Permit for all neinrprojecfs..All commercial requlrements;.must meet compllance �
SIGN PERMIT AttacF�"(2)"sefs of EngJneeied�Plaris:;- -' ,,. . , ..
*'•'PROFERTY Si1RVEY r .ulred_far_alt tVEW ccnsteuat3on..
.,. .,.._.... .___..._ _$q _ ,_
��..
DlrecQons: . � � '
Fltl out appllcaticn completely.
Owner 8 Contrector sign back of applfcaUon,notarized �
If over�2500,a Notica.of Commancem�nt is rgquired. (AIC upgrades ov�e�T500)
��.r�,,-�:,;�.;-
'* /�qenY(far the!contraCtor}or'Pawei of Attomey�(for the cwner)woutd be someane wtth notarized ietter from owner authorizing same
�VER TH8 COUN?ER P.,ERMITTING- - •(Front of�Appllcation Only)
Reroofs if shingles Sewers Service Upgrades A!C Fences{�latlSurveyJFootage}
Drlvewaya-iVot over Counter if on publlc roadways..rieeds ROW
� �:n �'.�
, �NS: The uAd�,r:slgned Uatdet�Et�nt��$��h�t;t���p�c�lf.:may.be;s�bj�c@�o,"d�ed"restrictioe�� . - - --.
NCiTtGE t)F D�ED RESTRICT� {
whlch may be�mor���r.est�lctive�t#�a�'�County��egulaHons�:• TFie�und�rslgned�a§sume�=responelbllitjl for"compll�nce wlth"any '
a�pilcable deed�resMctlons. . _ • „ .
U��.ICIEN3ED=COMTRACT4R� AND CON�'12ACTOt� 6tESP�NStBtLiT1ES:- ff-fhe�awner-has�..hire'd:.��,ciontrac#a�r or
con#ractors to undertake work, they may,be:.r�quir�d:+tcr::b�,llcensed Inyaccordance:with-stata.and�loeal:reguiatlon�:.��lf�the� � � �
�ntra�tor Is not iicen�ed as�r$qulredxtiy lauv� batii the ov+mer�nd-conf�actiiT=may fie�-clfed�fQr��=?mistlemeanor vlotatlon
under st�te I�wr. If the owner or Intended;,:�ra,tractoP,are.;�ence�taln as tcr whaf Itcen�ing.requlrements,may,�:apply���fcarYthe;x � .- .
lntended worlc, they are advlsed#o cori#act tlie P"asco C�unty BuHdlta�_lnspectlaiti,D[v�slon--Licensliig Secttmn at 727-847-
8008. Furthermore, if the awner fias�hii�ed�a confractmr o� con�ractors� he is advls�d #a have �the c�ntractor(s),lsign .
portl�ns af the �contractor �Iock" af thls„appllcatlon.fa�r:whlch.th�y avlll.be,tesp.onslble.�. If:yau;=as;the awrier''`�ign��as tlie" '
contractor, !ha#may�be an 1nd�catlon �hat'ti�=1s naY:pra�per�r iicen�e�`antl"Is iiiit eratl#�eif to peniiltting pa�vtlege� In Rasc�
County. ': - �, �
TGtAN�PC?RTATlON-IMPACTIU�'1l:ITlES�I�YlPA�'t'-ANb-RESO�lRCE RE�OVE�Y��EE�: Th��urtder�lgned u�derst�nd�
�hat Tr�nsportation ir�pacf�Fees�and.Recc�u�se Recove.ry.Fees may�;appiy.:�to�tf�s�:con�tructlan of n�w..bulldtngs,=change�of`�"" `�'� '"
use ln existing bulldings, o�,�xpar�sl�n�of��ex(a#i�i�-�bull�fings� as specifled.tn Pa�cv County Ordlnance number 89-07 �nd
�o-U�, �s �m�nd�d.,�Th��ndecslgn�d elso;�ndersta�od�, f�tait:�such fees;;�s�maji:l�ie��due;;�ruIE1;=�� tdent�fed at fhe{�time��i€-,- _, � �
permftting. It Is iftor�her understood that Transp'ortatl�n Impac4�F�ea an.cf�Resource:Recov�ryf Fees..mus# be p�afd prlar to
�ece�ving-a.'c�cfiiHcate of�ac�upat�cy""or flnaF-power.�eleese: :i€�Eh�.pro�ectdoes�;not involveta:�c�rt#�ca#e of occupancy.�o�`�, .�� - .
final power PeieaBe;thie-:#ees rr�u�t tie�pati�;priar to,,pe�cr�it I�suance�. Ft��t�ermoce,-lf:Pasc�r;C,ounty��WatedS�wer�;lmpact �• •
fees�re due,_.th�y:.must.be�peld:,p�lor to.pern�lt.l��u�nce:ln.a�cord�nce wltii.�applicabl�.pascc►',County�orrllnance�. •
�ONST'RUC�'IflN`LIEN„LA1N(Cli�tpter 713� Ftorlt�a Statu����as�tm�r�dgd): 1f vaivatlon ot w�rHt 1s�2,SOO.OQ�or more,.t: , �.a
cerkify that i, the. appllcant;�hav.e b�en .provlded. wlth- a-copy �f th��"Florlda�-��nstructtan� Ll�n.:Law—Homeowne�'s
Protection Gu#de� prepared by t�ie FE��ida �?epa�#ment of Agricultt�re �nd Gonsttmer.AfFairs. t##k�e appllcant Is som�one .
oth�r ihan#he"owne�", I ce�tffyth�t_;I.�h�ve,obt�lned`a=i�opy.o#..the:abpve.,rlescrlb�d�dacui�ent=and�p.r.oml�ie��:l�,good..,falkh.to
delive�It fo tl�e"owner�'p�i�c?to�comm��cetnent:"
�flid'��CTOR'�►OWNER'�A�Pi�lAViT: i.cer.tdty:.tt:ti�at=all.the,inf.orrnatiam:1��thi��pplic�t(on is accurate,�nd that all work
will'be do�e in compllance with all.appl(c�ble laws regulating constnactlon, zoning and�•land°�develapment. Appl[ca@lan Is
h�reby made te� ob��lra .a peer�it<:to_d��wor`k;Janc3 3nstaPl�t1¢�n �� ind[c:et�c�;�=-�1 certi�jr that no work=:or Ins�allatl�n fias
commenced prlor to Issuance of"a permit�and that.aill work wil! be perf�rmed to me�et standapols-of all law� regul��ing�
�ORS�UCIIOt?r Cotat�Sy at�d Gi�y �od�as, zoning regulatia�s� and �and deve�opm�ttt regtaiattc�rts in the Jurisdtction: ! al'sa
ce�tify that 1 und�rst�r�d thaf the regut�tions of a�ther governm�nt agencies rnay�appty�to the lnt�nded wo�k, and 4hat it ls
my responslbllity fo Iden#Ify•what.ac4lons I must•t�ke.:to b��ln�conlpllat�c�.. Such,.agencles lnclude but�are.not!Imlt�d 40:
- D�partmen# af Et�vlronmer�tal-Prolectton=GYpress.�Bsyh�ad�; We�and Area� and Envlronrnentaily Sensitive
Lands,WateNWa�tewater Treatment.
- Southwest Ftorlda Water Manageta�ent :�?istt�#a#-WeM�, CYpress.Y B�y�e�ds; Wetlar��i� Areas, At��ring
Watercourses. .
- Army Corps of Engine�r�-Seawalls,Docks,Navlgatil�1PNaterways.
- Departm�nt of Health;& .Ret��billt�thoe�,Setvl�es/Ee�vir�e�men��1 Neatth Unit Welt.s,�Wastauuwraatert 3restment,
Sep#I�Tanks: � .
- uS�nvlr�nsnent�l��tectio�t Agency Asb+�stos ab�tement�
- Federal Avl�tion.A,uthor,ity-ftunways.
I understand that the.foQow�ng::re�trlctl6ns apply'to the use��flA:
- 1lse of f�ll is not aliawed in:FioadxZone"V"unle�s exp�essly permitted.
- If the �II materi�l is to�b.e used:,In �Flood Zor��. "A", It Is understood lhat a drainage plan addr�sstng a
"aompensating votume"will be submltted a�time of=perr��ttng�tr�ilch is pr�pared by � professianat englneer
Ilc�nsed by�#he State of-flortda: ,
- !f th� flR m�terlal�.ts to be us.ed !n Flood Z�ne "A" In�cann�ct#on�wlth�� perra�ltted bullding usfng steeri wall
COn$tl'lfCtl0t1� I certify th�t filt:�rili=b.e�us�d oniy.t�..fill the area within�th��tem�wafi,
- If flll materlal Is to be used In any area, I �cenll�r t#rat .use. �f such flll w1U not adversely affect adjacent
proper�les. �f us��of fi�l l.s foc�rtt�t��d�ters�eEy,�#€e�t adj�c����p�per#iest.the owner may b�clted for vlal€�ttng.
the c�ndl�tons.of the butlding;perml# Is"sued under the attached�ermit appllcatlon, for lots less.than.one (1)
�cre whfch e�e efevat�c!�tiy flll,���nglt�eersd dr�lnag�plan 1s rec�ulred. .
8f i am the AGENT-FOR TH�t�V11NER; I;pr`omise in goqd�a1th to inform the��wner�f°the p�rmltfing condl#�ans set forth ln
thls �fifidavtt�p�io� to cvrc�mencln� con�tructlon. I uniierstarid #hat a�aepar�te permlt �ay be requlrecd for elect�IcaP wrork,
plumbing� signs, welfs�. paols;,aEr conditioning.-.9�ts,..or otiie� install�tlons n��,spec�fitcall,y inclu�ed�1n.th+a applicatian. .A
permlt issued shall be aan�trued to be'��Itcense`-to=pi�o�ceed�nvlth tFie work arad not•as.authoNiy to,vlol�t���cancel, alt�r, or
se4 aslde any provlsfon�of the technlcal..codes;�nor shafl Issu�r�c��of a.perrnit.pcevent th��uftdtrig t�fft�la!from ihetea€ter
requiring a�orrec�fon af ecrors in�:p{ans;-cansfruct0on or violatt�ns ofi-any codes. Every��piermtt-6.ss�aed"shail-become invalid
unless the work�uthorized.by such permlt:�s-ca�nmenced•wlth(n sUc montha of�pemnit Issuance, or tf wark authorized by
4he permit 3s suspended ar:abar�do�ed-fior.�;pgtlod:of-s�t.{8)m�r�t�i�.after.th�:#Ime the�avat�k�ls corrimenced. An exfension
may be r�quested, In wr(ting,:.ftom ttie:Bullding,0�lclal for� p�rlod:not to exceed=nlnety�(90)�days and wiil demonstrate
justf�able c�use fibr_-the extenslot�: if wro€k ceas�es:for nlnely{90�c�ns.ecutive�day.s...the�ob�ls considered abandoned.
WARNING TO OWNER: YG1UY�_FAILURE:�T04,.RECG�2Q;A,I�QTIGE�:O�'�•C�MMEAIC�ARE�If�>MAY-RE�ULT�IN�Yt?UR
P/�1�tN�TViIICE:;�'t9R 1M�kt1VE14�EM7`S�T�3.�t�3l:�t�:=P#�QPER'1'YY.�I��YO.Ux1��Et+1D�'�TE��1DBTAl'iN�=F1 ,N�`i1�Elt+1�;�t}NSU�.T
WIT � U D �O AM� 7TC1RN �t,.�4 f�e:j �A!! � ; ;G zd�r�,: ' �
��oR�aa,�uta�►s:{�,s���T.os� ^�� - . , . . . _ ..
OWWI�R Oli AOENT� "`�y' r�� . •�'�J CONTRACTO
8ubscrlbed and swom to{or afllrtnad)befor e fP�l� Subscrlb�d and'�vuom�to(ot alflfinedp te me'ttit��
�y ,�y..
Who Is/a�e personally knovm tc�.me or haslhave produr„�d Who.ls/are p.�rsonally kttown•td.me.or h�slhev��produced �
as Itleettl�ca84n. a�Iden@fi�8an.
Notary Pubtla . Nofary Pubttc
Commisslon Na: GomrFdeslon�No.
Name of Notary typed,printed or stamped Name of PloSery typed,pdntem ar�tamped
� C H RI S' A/C c��- � ��`�
� ._ .
I ��
M PANY AIR CONDITIONING �'�
; ��C� CO & ELECTRICAL
�`� .
CAC058575 / EC13007703
Proposal Submitted To: Date: 8/16/2017 Phone: 813-714-9091
Coastal �
Job Name: Old Rheem Unit for Maza Control
Address: 3749 Copeland Drive, Zephyrhills
Furnish and Install 4 ton 14 seer American Standard Straight Cool Split System.
Includes: Pro 6000 Digital thermostat, pan, drain pan, float switches, 5" media filter�
Seal ductwork to code, remove existing equipment, connected to existing ducts and
electric, anchor condenser, tax, labor:and permit.
r . a, a ���
Price $ 6,556.23
Wa rra nty:
Chris'one year limited warranty on materials and labor.
5 Yrs Limited manfacturers warranty on compressor
1 Yrs Limited warranty on equipment only parts.
1 Yrs Limited warranty on labor
Payment to be made as follows: �x Due upon co letion �Draws � �
CHRIS' Authorized Signature: r
NOTE: This proposal may be withdrawn by us if n ceptect within 30 da
I have authority to order the work,which shall be pertormed as outlined above. It is agreed the seller will retain title to any equipment or material that
may be fumished until final payment is made,and if settlement is not made as agreed,the seller shall have the right to remove same and the seller will
be held harmless for and damages resulting from the removal thereof.I agree to pay all cost and reasonable attomey's fee'rf this invoice is placed in
the hands of an attomey for collection.Seller is subject to restocking charge if job canceled
FINANCE CHARGES:Balance due over 30 days(1 1/2%INTERES�PER MONTH(18% ANNUAL RATE)will be imposed(where applicable).
Customer Acceptance Signature:
Signature: Date:
Signature: , Date:
12232 US HIGHWAY 301 DADE CITY, FL. 33525 PHONE 352-521-4977 FX 352-521-3393
estimateform