HomeMy WebLinkAbout17-18894 CITY OF ZEPHYRHILLS
z ' S335-8TH STREET
(s13)7so-oo20 18894
BUILDING PERMIT
� PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18894 Address: 4837 6TH ST
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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-01500-0030
Improv. Cost: 3,600.00 OWNER INFORMATION
Date Issued: 10/03/2017 Name: PROVIDENCE BESA LLC
Total Fees: 55.00 Address: 9603 ORANGE JASMINE WAY
Amount Paid: 55.00 TAMPA FL 33647-3020
Date Paid: 10/03/2017 Phone:
Work Desc: A/C CHANGEOUT 1.5 TON
CONTRACTOR S APPLICATION FEES
CORNERSTONE PROS A/C CHANGEOUT 55.00
Ins ections Re uired
DUCTS INSTALLED
DUCTS INS� TED
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IIV 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATFIER
� � e�3-�aaoozo City of Zephyrhills Permit Application Fax-813-780-0021 � 0
Building Department
Date Reeelved �o•Z"�7 phoneContactforPermllUn TJ�� `I L I - �� 'GS
Owners Name �, riX L�Y1/.��v` OwnerPhone Number €'7 �^����1� b�
Ownera Address ���� �� � ������ �ner Phone Number ��_�
Fee Simpte Titleholder Name Owner Phone Number
Fee Simple TlUeholderAddress
JOB ADDRESS ��� �� LOT# �
SVBDIVISION ���5 PARCELID# O���r �'�� ��� ' ����` ��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSiR� ADD/ALT � SIGN � Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION �] BLOCK � FRAME Q ` STEEL Q
DESCRIPTION OF WORK I C C���+ � ��%� C� � �r� ��
BUILDING SIZE SQ FOOTAGE HEIGHT �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
�MECHANICAL $ I - �^ VALUATION OF MECHANICAL INSTALIATION
��PV6
QGAS � ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY �
SIGNATURE REGISTERED Y! N FEECURREN Y/N I
Address License S
ELECTRICIAN COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N I
Address License# I
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License*
MECHANICAL COMPANY GD�✓l @� P'`D�
SIGNATURE REGISTERED N FEE CURREN Y/N
Address -{� �Zr �-�'�s Lfcense# t,.,IT { 1 . �
OTHER COMPANY
SIGNATURE REGISTERFD Y/ N FEE CURREN Y/N
Address License S
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllltllltlltllllllll
RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O-W Pertnit for new consVuction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed,
Sanitary Fadlities 8 1 dumpster,Site Work Pertnit Tor subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a L'Ae Safety Page;(1)set oi Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Faalities 6 1 dumpster.Site Work Pertnit for all new projects.All commerclal requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for ell NEW construdion.
�'
Dlrectlons:•
Fill out application completely.
Owner S Contractor slgn back of apptication,notarized
If aver S2500,a NoUce of Commencement Is required. (A/C upgrades over 57500)
" Agent(for the conVaclor)or Power of Attomey(for the owner)wnuld be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs K shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage)
Driveways-Not over Counler if on public roadways..needs ROW
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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 compliance with any
applicable deed restrictions.
UNLICENSED CONTRqCTORS 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
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"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 773,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I 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 Agricuiture and Consumer Affairs. If the applicant is someone
other than the"owne�',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 cammencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work il
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 ali work will be pertormed to meet standards of ali 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 govemment 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 8 Rehabiiitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- 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 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 fiil 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 inGuded 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 wiil 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 YOU PROPERTY. IF YOU INTEND BTAIN FINA ING NSULT
WITH YOUR LENDER N ATTORN B O E RECORDING YOUR NOT COMMENC EN .
FLORIDA JURAT(F.S.117
OWNER OR AGENT CONTRACTOR
Subsaibed and ta(or affirtned)bef e me this Subscribed and sw .to(ar affirmed)before me th s
' Who is/are onally known to me or has/have produced Who islare p onally known to me or hasRiave produced
' as entification. C' as Identifintian.
p°��� C � ��
"�� C ,� otary Public � Notary Public
Commission No. �C ���Z�O Cammfssion No. �� ��i���
2o,�pRYPi�f g�ENQAM_MGCLELLAN
•Na I o*N����g����d Name of Notary typed,printed ar stamped
* �pNY P�B
�,, EXPIRES:January 22,2019 ��;•••.,�% BRENDA M.MCCLELLAN
s���j�,,o¢�OP Ber.ded Thru Budget Natzry 5er�xes * * MY COh1MISSION�FF 184290
�, � EXPIRES:January 22,2019
f�TfOF F���\o Banded Thru Budget Notary Servises I
�ornerstor�e t�ros ' http://hvacbizpro.comlproposals/hardcopy/HVACproposals com-661
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Proposed by:Rob Wratz Basmin Ahmed
,,z'S_ ''„�.' 4946 Lartd O Lakes Blvd 4837 6th Street -
- Land 0 Lakes,FL 34639 Zephyrhills,FI 33542
I '�„�};;�� � , Tel (813)949 A4A5 Tel (813)362 2181
= Robw@cornerstonepros.com bma027@gmail.com
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MODELS Included Deductions:
•Cornerstone Bonus Bucks
Goodman GSZ140241 K Daikin ARUF25614 Brochure Honeywell TH6210U2001 ($650 00)
-Single Stage Heat Pump -Multi Speed Air Handler -Pro 6000 Net Investment: $3�sQQ
�ew Mv Brochure -Programmable Thermostat SPECIAL INCLUSIONS.
•10YearPartsLimitedWarranty View Mv Brochure 10 year parts 1 year labor
One Year Craftsmanship
Guarantee 24 Hour Service
Guarantee Apples to Apples
Guarantee
Heat Pump Ma[erials
AHRI Matchup:
AHRI# 7995055
Cooling Capacity 23200
Heating Capacity 23200
SEER 14
EER 11.5
HSPF 8.2
INCLUDED SERVICES:
-Float switch(Drain line safety device) -Complete system start-up '
-Charge to manufacturer's specs -Make air tight plenum transition
-Meet all code requirements -Instruct Homeowner of operation of unit
-Homeowner given all Homeowner Manuals -Clean work area to customer's satisfaction
-Remove existing equipment from premises -Register Warranty with Manufacturer �
AVAILABLE UPGRADES & OPTIONS • �,_,
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UPGRADE 1 (APPROVED and Included in Price)
$0.00
Available for.BEST, GOODMAN 14 SEER, GOOD,BUDGET
Horizontal Air Handler
1 To View The 1-IVAC Opcost�vebsite-CUCK THIS LfNK!
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