HomeMy WebLinkAbout17-18961 CITY OF ZEPHYRHILLS
: 5335-8TH STREET
' � � (813)780-0020 961
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18961 Address: 4713 LA FORCE 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: EDGEWOOD I
Est. Value: Parcel Number: 14-26-21-0260-00000-0020 I
Improv. Cost: 4,900.00 OWNER INFORMATION
Date Issued: 10/20/2017 Name: GANGLE WILLIAM D & PATRICIA L
Total Fees: 60.00 Address: 5267 RIDGE RD
Amount Paid: 60.00 WADSWORTH OH 44281-9762
Date Paid: 10/20/2017 Phone: 813-702-4324
Work Desc: A/C CHANGEOUT 2 TON PKG
CONTRACTOR S APPLICATION FEES
AND SERVICES A/C CHANGEOUT 60.00
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Ins ections Re uired
D CTSINSTALLED
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.
� ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� � a .� � i a v — oc���
at�-�eaoo2o City of Zephyrhills Permit Appfication Fe�-a��-�ooz�
° `t Bullding Depat4nent
:
� ' DYroReuhnd �� —a�-�0� Phan�ConfaetforPemfttln � ��� _ ����-
o�,.r,�am. r Orm�r Phom Numb�r ��3-? �-'�'���
Ownda Addrw � � ut OtZC� �T Ownor Phone NumMr
FN Simpf�Tftlohold� Name Owner Phone Numb�r
FN Slntpp Tltlehald� Address
J09ADDRE83 �7� � �ZZ1vQC.C� S � LOT! �
SUBDM810N ��'g-�",�� '' PARCEL ID3 �y�'�-`!°`�'I �O�� ^-f�'(D('=p�--�C1�,�
(00TNNFD FROY PROAFRIYTAX NOTCE�
WORKPROPOSED B NEWCANSTR� ADD/ALT Q SIGN Q Q DEMOLISH
INSTALI. REPAIR
PROPOSED U�E Q SFR Q COMM Q OTHER
7YPE OF CON87RU ON Q BLOCK Q FRAME p 5,�� p
DESCWP•T10N OF wc � C C�r A� E� o`t �d� �`f S�e 2 G ' ��✓� �
BUILDINO S� 8G FOOTAOE� HElOHT �
QBUILDING E VALUATION OF TOTAL CONSTRUCTION
OELECTRIC S AMP SERVICE Q PRO�RESS ENERGY Q W.RE.C. i
OPLUMBING i
OMECHANI S f�S� VALUATION OF MECHANICAL INSTALLATION
O� O ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ATIONS ROOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE necisT�o Y1 N �Cur�a Y/N
Addras Llcense�
ELECTRICIAN COMPANY
g�GNATURE REGIS7ERm Y! N �Cuaa6� Y/N
Aadnss ueenae#
PLUMBER CONPANY
SIQNATURE r�oisT� Y/N F�a1RRB� Y/N
��.. u�#
NECHANICAL ��� CONPANY � SQ �1 CL°S
S13NATURE r�cisr�o Y/N FEecuRA�. Y/N
�dar... Q i� �•( C�:�,c''fb�ve u��a �1$1i.o`�"l
on�eR. co�P�wr
SIGNATilRE RE�isTF�eo Y J N FEE Cura�B� Y/N
Addr�ss Lieense#
ri-n�r� r ��1�-rrrrn���� rrrr-rrrrrrr�ri� inrr� rr�rTrr.��rTt�T�rrrrr� �rr�_t
RESIDENTIAL (2)Plot Plena;(2)seffi of BuOding Plana;(1)aet of Energy Fortns;R aW Pertnk for rrow eonatructlon,
Inimum ten(10)worldng deya etter aubmMml date. Required anstte.Conetrudbn Plane,Stamwater Pla�ro w/SiN Fenee kiatelled,
itery Fedlitles 61 dumpater,Site Walc PermR for eubdMebrrolierge proJeete
COIVIIIAERCIAL (3)complete aets oT Bullding Plena pJus a Life Setety Page:(1)set ot F.nergy Famn.R-o-W Permtt for rrow eonaWcdon.
Inimum ten(10)worldng days atter submittal dete. Required or�site,Cons6uctlon Pians.Stortnvvater Plans w/SDt Fence Inatsfled,
Kery FacOitlea 31 dumpst�.Ske Wak PertnR tor eil new proJecte.All eommerdal requiremerda muat meet campliance
SIGN PERIIIR (2)eeTn of Englnemmd Piens.
OPERTY SURVEY roquired for ell NEW oonaWctlon.
Dl�iloru:
ffll outappfice canpletely.
Owner 8 cta eign badc of epplfeatlon,notarir.ed
N owr iZg00, Notla of Commu�ament Is r�ulnd. (/VC up8rad�s ov�r:7600)
� agent(ror ure tractor)or Power oi Attcrt�ey(fa the owner)xnuld be someone with notarized letisr from owner authaizin9 same
OVER THE CO R PEFWIT�INQ (Front of Applleatlon Onty)
Rerooi!H ehingles Sewets Serviee Upgradea A!C Feneea(PIoUSurveyiFootage)
DrlvaMrrys-N over Counter H on publle roadwrays..neede ROW
� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictlons"
, � ,which may be more restrictive than County regulations. The undersigned assumes responsibility for compllance with any
- appifcable 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 Buflding Inspection Divisior�Licensing Section at 727-847-
8009. Furthertnore, ff the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign
portions of the°contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractar,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 cronstruction 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 occupanc�'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. Furthertnore, ff Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit(ssuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florlda Statutes,as amended): if valuation of work is$2,500.00 or more,I
certify that I, the appllcant, 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.
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 consVuction,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
cammenced prior to issuance of a permit and that all woric will be pertormed 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 govemment agencies may apply to the intended work,and that it fs
my responsibility to Identify what actions I must take to be in compliance. Such agencies include but are not Iimited to:
- Department of Environmental Protection-Cypress Bayheads, Wedand Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management D1sVict-Wells, Cypress Bayheads, WeUand Areas, Aitering
Watercourses.
- Army Corps of Engineers-SeawaAs,Docks,Navigable Waterways.
- Department of Health 8 Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the tollowing restrictians 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 dralnage plan addressing a ��
"compensating volume"will be submitted at time of permitting wh(ch is prepared by a professional engineer ,
licensed by the State of Florida.
i - If the fill material is to be used in Flood 2one "A" in connection with a permitted building using stem wall
construction,I certiy that flll 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 cfted for violating
the conditions ot the building permit issued under the attached pertnit 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 infortn the owner of the permitting conditions set forth in
this affidavit prior to commencing consWction. I understand that a separete permit may be required for electrical work,
plumbing, signs, wells, pools,air conditioning, gas, or other installations not specfically included in the application. A
permft 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. M 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 OBT N FINANCING,CONSULT
R LE D R R AN ATT RNEY F E RE ORDIN Y R F ENCEMEN
FLORIDA JURAT(F.S.117.03) i
OWNER OR AGENT CONTRACTO
Subsaibed end swom to(or eftirtned)before me this Sub and m lo(or affirtned)b me is
by � by �9 fl LE'.� S t�-0�
Who Is/are personalty known to me or hes/have produced Wh fs/are personally Imown W me or heslheve produced
as fdentlflcation. '!""" as identification.
Notary Public I�--�� Notary Public
Commisslon No. Cammission No. V v �r����
1'Yl�l�'i v 5'C£r.+�k ee�i
' Name of Notery lyped,pdnted or stemped Neme of , d e
z�.�"�a4� Notary Public State of Florida
� � Mary V Stewart
��oP�,o��a ExpCes 07/16/202p o02083
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� _�:.,`�i�'" PROPOSAL Phone:800-COOL NOW
� Tei:(863)808-4590
� � �� Tel:(813)'440-2225
=�- �'/,(/.(f� r'., 5576 ,
Te�:c�Z��35555
�� � �_ contact@coolnow.eom
� � Installation Date: /O 1 7-�'+ 1 l7 ',
( �: www.coolnow.cam
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\ \v L�� 'a �in ��:/N'7o-J7
(((\\\ � Strectadtlmssoljc�lontion: Y711 l4 �r�s s/-. City: ��'// FL Z'P:ji�/2
\ Primary phonv. 7Dy" . Olher phone: EmaiL
\ O Fadory-matched Heat Pump System O FaGory-matched Air Conditioning System ❑FaUory-matched Gas Fumece Syslem
.. ❑ Optimum# ❑ Premium# J�-Deluxe# ❑ Econom #
� UptcYDSEER + Upfo16SEER � UptolaSEER � 1JSEER
� 70YaarAllPo�i � 10Ve0rAllPalt / fOYnarAOPart ✓ 10Vee�AllPuriWorreMY
r CompressorLrtoTuneN�arramy ♦ 10YxarOompro5&otLVanunty i tOYearCompressorWercanty .� SYBarCcmpressorWarra:Uy
. • '• •• • L�Rotobrush duct Geaning_Supply&_Retums_
❑Whote House UV Sterilization System ❑Whole Fbuse M.E.R.V Filfratlons System
� • � • ■ • �
� ❑ Replacemenl ❑Add�on Air Corxfitioning/HeaVBoth f�Replacemenl ❑Add-0n Air Condili1o,n,,ing/HeaVBoth
❑ Air HandlerlFumace ❑VeAip: ❑ Horizonlal ❑ Heal Pump �/1ir Condltloner y_�Package Unit
� �New Di�ilal Thermostal?3-Non-Program. ❑ Progrem. � Z lons�!L SEER _BTUH
❑ New Digi�al Programmeble Therm.with Humidty Conlrol �-Model YM..�It✓.
� ❑ Relonta fiom to .�Hurricane Pad C Plastic Pad
f. `�-_!3__...� J✓ ❑ Re:ocalefmm to
❑ New AHU Stand�❑Metal O CusWm ❑ New safety disconnect switch
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; ❑ Filtration: L7 PermaneN Washabla Filler Q Grilla_ p New 700%copper,dehydrated refrigemat pipirg
❑ New sa(ely disconnecl switch ❑Surge Prolection [] Fully insulate suction line plping
�: ❑ New wire from breaker panel to equipmen[ ❑ New vster lighl eleclncal�vhip
?� ❑ VenUFlue: L Completenew ❑Useexistinc� ���f C�,,,,,,�.
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❑ Engineered duct system for lons vents J All labor
O Economy ❑Mil-Microbial$ ✓ Obtaining pertnits(whero requlred)
r{� ❑ NON-FIBERGLASS-100`/o Rust Resislanl Galvanized Sheel `r New AIC circuit protection Hrand=
t Melal Duct Sys�em.Energy Sa�ing Insuletlon Inciudetl. Exlling size is:_/ Change lo: I_
❑ Rocros repuiring addilional airllow. __, ✓ Healing and Cooling rcudne maintenance for J_years
� ❑ New supply wnt to: __ � Check entire syslem for safety and eHiciency
j ❑ Nsw retum vent to: _ __ ✓ Shoe mvers,mals and drop cloths to be used ns necessary
i� ❑ ./ Remove ex�sting equipment from premises
;� ❑ Mastic and seal all Ieaking joinls � Clean up
!' ❑ Duct Sanitizing,
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♦ 24-Hour Flx![or Hote!GueranMe:Un��ke most compunies,we a�e a serv�ce wmpany.We have e st�ttof quai�ed service le hrndans that
are Viem lo serve you�n tha unhkety event your system has a O�oClem.So our guaranteu lo you is thel when wa arrrve,we guarantee thal vs witl
�� have your system up and runnirq wilnin 24 hours of out errivel or vre wAI pul you up m Ihe local Embassy SuP.es for fhe nyht
♦ Low Pdce Guarantee:Anyone can meke somelhing cheaper by cutting comers and prirJrg il for less.So,ifs ImportanUo know what's end is
ynol Included N any Matiig and cooling syslem you choose for yo�r homa.Our Price Guarantee Is our promise to you�hat you camrot find a com-
;, parabh insteUabon 1or loss. o:we II pay you a$50.00�anus overlhe tliflerence.All xre ask is Ihat it be o puMlshed"applesto-appl�;wmpad-
son,witryin 74 tloys o1 purchase,and have ihe same wMtten inslalialion specRw�ions as CN.
. ♦ lnstel(etion Workmanship Guaranfee:Our instollotlon lechnicians are lhe bes(in skill,attilutle antl workmansh�p.They II cam for your
home uM complele lhe job with apeed and precision.They wear Iloor savers.ctean up whon Ihxy eie finlshed and lake personol rasponsiCiilty for
your safislactlon They will nol smoko or sweaf in your home und Ihey are Oolite and coutleous.I(,when Ihey have MIshN In your homa,lhuy
' have nol peAormed in eccordance with tAese Mgh staMards,we'll refund whalevor amounl of tho purchase price you feel to be le'v.All wa ask Is
� Nat our ottke be nohfied ol any level of tlissallsfachon beioro tha Iechniciens teeve Ihe home sa Ihel any issues ran he addressed ocmrdingly.
♦ Excluslve "No Lemons"Guaren[ee:If Ihe Comprassor(Ihe heert of your system)in yowAir Conditloner faBs dunng Ihe firsl frve years ol
� ownership we will rertpve I�e entire unR,reiher than Ihe component.and instell a completaly new ane ft you ve ever baught a'lertpn'before.
� - you Inily appreciate our cortmitment to your long-lerm ulislaction.
� ♦ No Mold Guarantcc:We ere so wniidonl in our Advenced IA.O.UV Slerill¢ation 8 M.E.R.V.fdtratlons systems abaity to keep your system
clean Ihel we guarantee wrth proDer annuul mainlenanca your syslem w816a rtrold fcee far fi(e or vre will peAortn any necrssnry Geening to Ihe alr
handler lo remetly Ne prohlem et our eYpenae.
/ ' � •
Total Investmenl $ 4�5m0 (-)Power Company Rebale B (-)Service Repair Refund$
Nel Total Investment Afler Ali Discounts Induding Power Company 8 Manulacture ra6ates S
� This Higb E1Lciency Home ComfoA System is available wIN 700%bank financing wilh no money tlown for$ per monlh
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CN RapresenlaGve .�'s r Date of pmposal /O I 2F /i 7
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