HomeMy WebLinkAbout17-19136 CITY OF ZEPHYRHILLS
, 5335-8TH STREEi'
" ($�3)7s0-Oo2o 19136
BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION �
Permit Number: 19'E 36 Address. 4922 GORDQN 5T
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEQUT Township; Range: Book:
Proposed Use: NOT APPLICABLE Lof(s): Biock: Section: ,
Square Feet: Subdivision: WlNTERS
Est. Value: Parce) Number: 15-26-21-0030-00100-0030
Improv. Cost: 7,000.00 OWNER INFORMATION
Date tssued: 1212012017 Name: iNINTERS MOBfLE NOIVIE PRK �
Total Fees: 75.00 Address: 38022 WINTER DR ,
Amount Paid: 75.00 ZEPNYRNlLLS FL 33542 !
Date Paid: 12/20I2017 Phone:
Work Desc: A1C CHANGE OUT 2.5 TON PKG UNIT
CONTRACTOR S APPLICATION FEES
COMFORT PRO LLC � A/C CHANGEOUT 75.00
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Ins ectians Re uir
D TS I ALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: (c)With respect ta Reinspection fees will compiy with Florida Statute 553.80 (2)(c)the
local gavernment sha!! impose a fee of four times the amaunt af the fee imposed for the irtitia! inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictians applicable to this property that
may be found in the pu6lic records af this county, and there may be additianal permits required frorn ather governmenta(
entities such as water management, state agencies or federal agencies.
"Warning ta awner: Your failare to record a notice of commencement may result in your paying twice for
improvements ta your property. If you intend to abtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All wark shall be pertarmed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFQRE C.O.
NO OCCUPANCY BEFORE C.O.
�CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi Mf3NTHS VYITHClUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRClTEC`T CARD FRBM WEATHER
813-�ao-ooao City af Zephyrhills P�rmit Application Fax-813-780•ao2�
Buitding Qepattment :x°
Date Recelved : .. pl�pne=Contacfifor Rerntittia - - — '
Owner's Name � `f""� r�1�1G Owner Phane Number
` S�2 �.�
Owner's Address �� .� 6L�O/U �!� � h /' .` Owner•Phune.Number� � �
Fee Simpie Tlkieholder Name �� • -� Owmer Phone Number '� �
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Fee Simpla Tltleholde�Address •
JOB ADDi�ESS � 'r '�,,.�'.. !/LS �C .�S�(2 LOT# ��
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SUBDMSION � . � PARCEL ID#
� - ° , _, (OBTAINED FROM PROPERTI!TAX NOTICE)
WORK PROPOSEQ , ,.NEW CONSTR� ADDIAi.T -[� StGN' Q Q DEMQ�ISH
� INSTAI:L , REPAIR - .
PROPOSED:USE • SFR- Q COMM � OTHER `
TYPE OF CONSTRUCTION" BLOCK ' 'Q FRAME , � STEEL Q
oEscrt��no�o�waR�c� - `lf U✓-�-� � a�ir- �� s'' r�,v � �+?.�-�t-t� ��/�'
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Btt1�D1iVG SlZE � �`SQ FOOTAGE�� . ,HEIGHT��-��� .,
QBl!lLDtNG ��] VAl.UATION�tOF'('O'1'ALCONS7F2lICi'10t�t .
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QELEGTR1GAl �$ �� " � AMP SERVIGE �Q PROGRESS ENEFtGI' Q W;R.E.C.
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OPLUMSlNC�� ;���� '
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ECHANICAL �$ "�'A � VAl:UATION OF�MECNANICAL 1[+iSTALlA7tQN.
� t_�l �' �.. . , .
�$ Q ROOFING ,Q SPECIAL7Y �� QTFlER� . -
FiNtSHED FLQOR EI.EVATIQNS (��� FI.00D ZONE AREA QYES ,NO , . .
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8Ul�.DE�2 ; COMPAt+tYi, .. " "
StGNATURE REGISTERED Y/ N �EE cua�n ` Y•/N "
Addre�s - � - Ctcense# �` �
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ELECTRICI,AN;. , co���r .
SiGNATURE � REGISTERED Y/ N ��cuRr�n=• • ` Y/N `
Addre�s . - � � y . _ License# [. . .;�: � � �
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PLUMBER ? , . . �COMPANY �, ,
5(GNATURE' ' „ .REGIS.TERED.- , *,Y./,-N+. ' y,�E,cuFtt;En- ,` Y-/N: �• -
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aa��� � ��. . � � � �� _u�en�,�� t��"l .�al�': � �:
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MECHANlGAl:' " � GOMRIWY � - :1'�1• :f- • �= „�� " . ,
StGNATURE r'�,.�--= ' =°< ,..x:::;: `
�/� REGISTERED.r .,Y,/.N: � FEECURRE�; . Y�/�N'. ,
Addre��` - :ZB �z`/2-`�f`�-O, �� .. �T�l�� .��� °,�'��,: -: i� > � , �
�3.bt. Licanse#
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t?3HEEt ;' ' , `�COlUf PANY��.� - � _
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SIGNATURE •- • '� � ' " " ' ` ` �' REGISTERED'' ' � Y/ N . �FeE CURRE�' � . Y/N
Addt�e�s ,� _ � � � . . � Llaense#•� _, � . _ :<�' . �
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ttESIDENTlAl:.y:. :Attacti{2)�i?tot P,laris;:.(2j§ets;of:Buff�lfngtFians;'(9)'sef af�Energy.Faiii�s;:R-O-W-'Petirilt far new coi�structlori,= ' ' '
-; ;;�� Minimum,ten;{;1Q};working�days„afte.r,:submiftai�date.��:Requi�ed onsite,.Con§tiu¢Hon`Plans;Stortnwater Pians w/Stit'Fence instailsd,
, ,{. �Sanitary Fa,cflltles;&�1,;dumpster Site°WorlrPermPt,#orsutididislons/Ierge:proJecfs' :; .;: ' "..° ;; , •
_ GQMMERCiAL Attach{3)�comgiste sets'of 8'uitdirig'Pians pSus a�(fe SaSefy Page;{1}set of Energy Fonns.R t?•W Pemtit far new constructian.
�,;,` Minimum ten(10)working days a�ter submittal date. Requtred onsite,CanstrucUan Pians,Stortnwater Pl�ns w/Sllt Fence installsd, ,
� .._,__ Sanitary Facilitles&1 dumpster.51te Wark Permlt for all new projacts.All commercial requiremen�mu�t meet compliance �
SlGN PERMIT Attach�(2}sets oi�ng�neered=F��nS:.:�-; :�--'—_. - -.. - �- ----,- ` __ - ' _ ... -
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-�-, ,R'iY SUR1/EY reyulrea for ail_NEW constructlon. � . .. _ ;
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�?11@Ct�QRB: , r,, ,
Fill out applicadon completely.
Owner&Gantractar sign back of appl(catlan,notarized
If aver�2500,a Notice i►f Cammencement ls required. {AtG upgrades over yT50Qj
4R `•" •tt�r�_� � ..-
Agent(for the con'tractor)or"Power of Atkomey(for�tFie awner)would be someone with�natarized lett�r from owner authorizing same
� t}VER THE CC}UNTER.PERMI'fTiNG- --{Front af-Appllca�on-Oniy}�- � '
Reroofs If shingles Sewers Service Upgrades A!C Fe�ces(Plot/Survey/Footage)
�O Iveways-Not over Counter if on public raadwaps..rieeds ROW �
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NOTICE OF DEED RESTRICTIONS: The u�dersigned;undergtands�;th�t�ihis;p�rmit,may.be.subject;to"deed",restricttons":. _
w.;,-:
which may:tie=more:�r.est�ictive�th���Cou�ity���egulat(ons:=The'underslgned'as'sumes�`r'esp.'o'nsibilCtji for�compliance=with'any'�
appUcable deed restrictlons. - . „ ' • , .� �:>:�
UNLICENSED=CONTRACTORS �AND CONTRACTOR R�SPONSIBILITIES: =�If the owner-has�`hired �a�contractor or
contractors to undertake work,_they may.b.e.;r�qutred•,to,;be,ltcensed,In.accordance.with state.and�local:regulatlons: .ff�the-= �� .,��'�;
contractor ts nof(tcensed�'aa'�requlred'tiy lavi►, tiotff the owner and contracfcr°may be�ctted�for����mis'demeanor violatton
under state Iaw. If the owner or Intended.contrat�tor3,are;uncertaln as to what Ilcenaing,requlrementssmay:�apply���for�the' ���•� �-'``
�,:..,..�,n.. ... �
Intended work, they a�e"advised to aontact tli,e:Pasco County Bullding:'InspectionzDivislon_-l.Icensing�Section at 727-847-
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8009. Furttierinore, �tf the ovi+rier has`iilred� cont�acto�'or�contractors, he Is advtsed to have ,the contractor(s),,sign , .; ,,,
portions of the�."contractor Block"�,of thls.appilcation.,for,which,.they..will beWresponslble. ff-you;.as:.#he owne�"�`stgn'ias''the" '
contractor, that�may�be an indication that`he-`is`not:properiy Ilcensed and��ls�not'entitled to pemiitting privileges In Pasco
County. , _ ,.. - .. , :,: :,-=.. , ,.
TRANSPORTATION:IMPACTIUTILI'TIES�rMPAC'��A(�b�RE$OURCE RECOVERY FEES:-The understgned understands
thatTransportation Impact Fees and.Reco.urse;Recovery.Fees may.>apply>.to�the;construction;of new buiidings,�change�ofs�"�'`°=� '';°
use in exis8ng bulidings;�orf�ezpar�sian��ofv�ezisting;�buildings, a§ speclfled.in Pascv.County Ordtnance number 89-07 and
9o-O7. as amended,.._�The unde[signed also;urttlerstands, ttiat�"such fees;•,as�tnay_`tie�:due;�:.will:�be iden�if(ed at thevtime�of'-� =''� �``�
permitting. It Is fu'rther understood that Transportation Impacf�Fees ancf°Resource;Recovery�Fees..must be paid prior fo
recetvtng-a "cerfificate:of�occupancy"�or��flnal�power.;release:�:lf�the.proj�ct.:does�.not involve�a=.certificafe of occupancy�o��.•��•�'� � '
flnal power release;=the,fees�mu�t`be paid;p�lo�to_permit issuance. F��t�ermore;:if.Pa�,co=.County��Vllater/Sewec.impact - ,. . .
fees are due;.theyWmust.be=pald,prior to,.petmit.;issua%ice=ln..accordance iivltli.appllcable.Pasco':County�ordinances. •
CONSTRUCTION"L"IEN'LAW�(Cliepter T13� �lorlda Statutes,aa amended): If valuatlon of work is$2,500.00�orrriore;l° - ,�:t,.:
certify that I, _the.-applicant;:-:have_::been�.provided•�with--a~copy�}of_�the•�°Florida��Constivction Liert:Lau�Homeowner's
Protectfon Guide" prepared by�tFie"Florida Department�of Agric.ulture and Consumer;;Atfairs. if the appllcant Is someone .. .
other than the"owner", I certifji_,that�l-have,,ob#ained�'axcopy,of..the±above�.deserlbed`docui�ent�;and,promise�in,good:faith.fo .
deliver it to:the='ownec"�:prio�toscommencement:"'� -� ' � ��� � T :' -�` � � �_ -
CONTRACTOR'S/OVYNER'S AFFIDAVIT: I.cert[fy;th:at;all,the�,inf.ormallon:Jn�thi�applicatian is accurate and that all work
will'be done in compltance with all applicable'laws regulating construction� zoning and�land'development. Application (s
hereby made to obtain .a permtt,�to:;do�work,�,and uinsfallation as indicafed:�:9..:1• certify that no work==or Installation has
commenced prior to Issuance of�a permif'"and that�.all�work will be perFormed�to meet.standards-of all laws regulating-
construction, County and City codes� zoning regulatians, and land development regalatlons'tn the jurtsdtction.- 1-.al's`o
certify that I understand that the regulatlons of other government agencies may�apply�to th�_intended work, a�d that it is
my responstbility to identify•what.acttons I must take:to be,ln:.conlpllance,,Such,agencles lnclud�but are.not iimited to: ; -
- Department of Et1v(ronmental>iProtectton=Cjrpress:'Bayfiead�, Vfle{land Areas and Environmentally Sensttive
Lands,WaterNVastewater Treatment. '
,_
- Southwest Florida Water Management .Dtstrict-Wells; Cypress. 8ay.heads, Wetland Areas, Altering
Watercourses. •
- Army Corps of Engineers-Seawalls,�Docks, Navigatile Waterways. '
- Department of Health;�8,ReMabiHtattve,Services/Environmental. Nealth Unit-Wells� Wastewater=Treatment, �
Septla Tanks.. � ' . . '�
�
- US Environmental Protection Agency-Asbestos abatement. _ ;
Federal:Av.lattvn.AuthoMty;Runways��� ��� • � � � . �
I understand.that.the,.folloiiving:�restcicd'ons apply�fo the use of flll:•
- Use of fill is not allowed in iFloodrZone"V"unless expcessly„permltted. �
- if the::�ll'mate�lal"`1s'to��be=usetl'In�-:Flood Zone. "A", it. Is understood that a dralnage plan address(ng a
"compensating volume"wiil be submltted at time of�:permittJng wfiich ts prepared by a professional engineer �
Iicensed by ttie State of�Florida:.�� ' � ' �-� �:- , ;
- If ih� fill material is=to:be�used In Flood Zone 'A" in�connection�wlth�a permitted building using stem wall
conatructton,.l certify.that,fill:w�ll.b.e�used only.to.fill the area wtthin the�stem=wall: -
- if flll�material-is'to�be used in any area; I �certffy that .use. of such flll wlll not adversely affect ad)acent
properties. If use�of,flll l.s found;to adversely,�ffect adjacent�pcopertfes�.the owner may be'cited for viofating '
the condi#ions_of the bi�ilding�:permlt Issued�-under tha�attached permit applicatlon;:.for:lots=:less=than.one (1;)
acie wliicfi are elevated"hy f111,�R engineered drainage plan Is required. . !
If I am the AGENT FOR.TIIE OWNER; I;promise In good falth to in�form the owner of-the.�p.ermitting conditlons�set forth in
this affidaVtt�prior fo�commencing constructlon. 1 under�tand that a�separate perm(t may be requlred for elecMcal work,
plumbin ,_signs, wells,.,pools;.alr.conditionin ���� ����
g . g,.gas,:or.othec Install�tlons not•spec�ical�y Included-in.the application. .A -
permit Issued shall be constcue.d to>b�e�a�liaense to��proceed with tN�:work and�not-as:authocity:to,_violate,�.cancel, alter, or
set aside any provtsions of the:technical.codes;�nor shall issuan��of a.permlt.pcevent the Buildirig Official from thereafte�
requiring a correction af ecrors,ln;plens,; construction.or violaUons of•any codes: Every=permit Issued sliall become invalid
unless the wo�k authorized.by such permit��s.commenced�withln sGc,imonths of permft Issuance� or if work authorized by
the permit is suspended�or:abandoned�f,or:a�:period;of�six-(�)�montFis::after,the;time the�work��is commenaed. An extenston
may be requested, In vuritirig;.from.�he.�Building,O(ficial for a per(od:not-to�exceed'�ninety�(90)�days and-will demonstrate
justifiable cause for.�the extension•. If work ceases:for ninety(90)cons.ecutive•day.s...th�)ob:is.considered aba�doned. �
-.. r.. � - �
WARNING TO OWNER: YOUR.,FAILWRE,,TO,REC.ORD,A:rMOTIGE OF.�COMMENCEMEMT�:IIAAY�RESULT IN�°YOUR
PAYING TWICEf;FOR IMPROVEMENTS�TO,Yfl.UE�::PROPERTY:�-:I�°.YO.tI{I�TEND:'� , '�BTAIN��FIN�A(�E1NG�'C.ONSULT - -
WIT A A� O N � FOR�}.��ECO f:� OU � � T' ' ' ,
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FLORIDA JURA�.(F:S:1.17.03) ' - - _ __ � :
OWNER OR AOEKT ., -- - - -l- �- - - . COt�TRACTS,R � _ - - - - - -- � -- __�— -- --- --
- Subscribed and swam to or alflrtned be�ore me thls_ _ � �:;�---�bs )ti me'ttils
�•- -(- ) - - - d'aiiu"bwur �qt6se�' �
�� �'��-: Y � � �Z� �,
Who Islare personatly known lo.m�or hag/have produced 1Nt�o.ls/a�'ersonal Cc�uown•_ to nae=or hes/have•produced • _-��
�s id'entlflcatlon. ��., �r �r�lG Cr"fYll" as Identlfica0on.-=- - '
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- a - .
Notery Public _ �.✓ - ~ Nofary Publlc
, . . �
Commisslon No:� Com la on.
, ;�;�:�er;�c; ACQUELINE BOGES
� =*� 'sk� Comm's
� Name of Notary lyped,pNnted or stamped �Nam�of Note o, t�cpf�er 12,2018
''�p;�;,��` 8ondad Thru Troy Foin Insurenea 800,985.7pig
_'�;'
DATE:�/�o /� INVOICE#: � � CLUB MEMBERSHIP
� Tech Name WO#: Comfort Pro Club Memberships have been expiained:
��� �����0 ,
WHEN COMFORT J(1ST CAN'T lN�41T �� � � ' ' ' ' ' � ❑Current Member
Phone:813-203-0276 Make . Model Serlal Age Cond ❑Agree to pUrchaSe
6601 U5301�Riverview,FL33578 ❑Decline artici ation
comfortpro247@gmail.com SKU: 92'1413 MODEL: P1RE-030K P p
CA 1819018
�; �f� ' SERIAL NO.: P7F170900206 Customer's Initials
5�#€�tiAddress: � �.2 � � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIdIINII�tINNI�tIININIIIIII I
I have discussed Comfort Pro Club Membership
(�?�y� Pr���.S �j State: FL Zip: 3 3� __. _ _. __. _..___ _ � Saving programs with the customer.I have given a
�`�� copy of the contract to the customer.All work is
I��-Tel: Cell/Fax: . .• '•.. � . '-.. � complete and is in compliance with Comfort Pro
�Pi�il: � Hlgh Low Actual Max. standards of excellence in workmanship and in
Betore compliance with building codes. �
�n For Call��,s���a.� ❑Work Complete �
After Technician's
�,Wtttn.Supervisor ❑Follow Up ❑Work Incomplete Signature
BRAND ❑S/C ❑HP ❑VERT ❑HORIZ TONS
� , . . � , . .. � . � . ,. , ., _ �. . INDOOR AIR QUALITY
f—" .1� [ � ,� 04 Air Handler ❑Ok ❑Dust ❑Growth ❑Dirt
� � / Blower Wheel ❑Ok ❑Dust OGrowth ❑Dirt ,
� S � ' M �/ 'L Evaporator Coll �Ok ❑Dust ❑Growth ❑Dirt �
n Ducts and Vents ❑Ok ❑Dust �Growth ❑Dirt
-- �� "°' -s �� PAYMENT OPTIONS,
� ✓ ✓ � , �
� � � ❑Cash ❑Check# ❑ Credit Card
a � �, � 26
z ❑VISA ❑MC ❑ AmEx ❑ Discover
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� Name on Card: �
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Card No.
CV2 Code: Expiration /
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� �� Signature �
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¢ � I hereby acknowledge lhe safisfaclory completion otrlhe work as noled on
$ e Ihis inwfce.It Is agreed Ihat the sellar wlll retaln litle lo any equlpment or
material until Ilnal and complele payment is made.It the settlement is nol
made as agreed, the seller has the dght to remave equlpment and
malerial and the seller wlll ba held hartnless lor eny damages resulting
i�qr�ment lor Service:I,the underslgned,am an autharized representaUve ot the .' _ - ' ' ' � � : .; , Irom ihe removal of equlpmenG Tetms Include 1.5% monthly seMce
piem��t whlch the work above Is being done.I authodze ihe pedortnance a1 ,' ;,-._ry :°.STANDARD,_VS'MEMBER:TOTALS�-� ` .= -��;;+� ' � ':,+,���.;, , - ' charge If not pald In 30 days.In the ovent ol non-paymant of the speclfied
Qhe wtuk+�noled on thls Inwlce.I adcnowledge that the estlmated pdce does not ' " • � �' � • ' �- �•=''' ' ; 'total°,a Uen agalnst my property mey be pursued end I wlll be responsible
�mcL�e unloreseen parts ar labor whlch may be naeded a8er the work begfns.My ; '�`� �' • '= � ''`� - , � =%i; �� -. , "` � . � '� for pracUcal attarnay fees,collecffon wsls,end interests.
wriIIsn aWhodzatlon wlll he obtelned before beginning any addiqonal wortc.I have - - �'�COI'1'IPOCt�Prq;Sa.Jings:' , -, , - , �� ^ � , ,�
�d�+is zonlract,and a ree to be bound by all tertns contalned hereln. - - - -'..� ` Perls and Lehor Werranly:
Y � " All pads as recorded are wavanted as per mawfacturer speclficatlons. '
^ � � ��, � , /� ��' �"('� , We do not guarantee other parts lhan those we supply.It repalrs laler
• � � • ! ?� /�' ' ,`�, become necessary due to olher defecUve parts, they will be charged
Sigrea4ure: �� °1�'�, �W,_= �';•' � separately.We guarantee lhat all repairs are done dghL II a repalr falls !
'-,' ,'-��� `' �;''�-a:,e'•.,_., .,
a o 0 oi ina a m worM ,w�, r,4 ; :;��� dudng the season,we wlll rapair It agaln absolutely Iree.