HomeMy WebLinkAbout18-19220 CITY OF ZEPHYRHILLS '
5335-8TH STREET
' ' (813)780-0020 19 0
BUILDING PERMIT
- PERMIT INFORMATION LOCATION INFORMATION -
Permit Number: 19220 Address: 5438 18TH 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: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 11-26-21-0010-14500-0201
Improv. Cost: 6,200.00 OWNER INFORMATION
Date Issued: 1/25/2018 Name: RODRIGUEZ ANTHONY& SANCHEZ LIZ
Total Fees: 75.00 Address: 5438 18TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/25/2018 Phone: 904-514-2414
� Work Desc: A/C CHANGE OUT 2.5 TON HP
CONTRACTOR S APPLICATION FEES
AIR RESCUE AIR CONDITIONING INC A/C CHANGEOUT 75.00
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Ins ections Re uired
DUCT INSTALLED
DUCTS INSULp,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 properly 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS �IVITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
` '��""'�"' ��ryorcepnyrnuis rermitHppucatian rax•t�i,f•rovuu.:i
Bullding Depertmenl
MON�CA
Uete Recelved �Pha e Contac!for Permltlin gl 3 26 9 r�� '
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Owner'a Name 'Yho (^�odR�5 N$'7- Owner Phona Number �Y-Sr�f-zy�ti
Owner'e Addreae CJ'��/3 S /gT� ST �� Owner Phone Num6er � �
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Fee Slmpla Tltleholdor Neme Owner Phone Number C�—T^i�
Fee Slmple Tltleholdut Addre�� � _� �
JOB ADORE98 [�'y 3 S �p� ST ZeQh(L`�Ai/�S F� �j 3��/;�� �OT M C__��
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9U8DIV.ISION �i� D� ZCP�,Fr�til�S PARCELIoq ll'z6' ��"���0-1�1500- a'ZO1 '_��
(09TAINEO I'ROM PRQPERTY TAX NOTIGE)
WORKPROP09ED � NEWCONSTRB , AODIALT � SIGN �� 'Q DEMOLISH
INSTAI.I REPAIR
PROPOSED U9E � SFR Q COMM • C� OTI�ER [ �__�
TYPE OP CON9TRUCTION �] BLOCK Q FRAME L] 9TEEl [� [`�--^'-�
DE9CRIVTION OF WORK ��l.t 0.L ��AN c�t 0 u7 0-� (�rL ' Z• 5`TOn1 /y5P_QR f-IeFlTPc�m l' _l
BVILDINO SIZE ���� 8q F40TAOE�_ HEIOHI' ��
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QBVILOINO VALUATION 0�TOTAL CONSTRUCTION
QEL�CTRICAL S �� AMP SERVICE �] PROORE8S ENEROY Q W,R.E.0
QPLUMBINp , $ ����!'�
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. MECHANICAL S / 2Q 0� pO VALUATION OF MECHANICAL INSTALIATION �`
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�OAS �] ROOFIN� Q 3PECIALTY Q OTHEft •
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FINISHED F100R ELEVATIUtJS FLOOD ZONE AREA, �]YES NO
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BUILDER � COMPANY � � J
SIONA7URE RBOISTERED Y l�� FEE CURREA Y/N �
Addrees � (.Icansa N ��_�_�
ELECTRICIAN � COMPANY � ]
SIONATURE RE018TERE0 Y/ N]� FEE CURREF Y/N --
Addraes C � 4lcense# ^_�
PLUM9ER COMPANY II�.
810NATURE C� REGISTEREp Y I N FEE CURREA Y/N � �
Atldna� � � 4lcense# C _�
MECHANICAL � � COMPANY ' IL �`�S�G(,1 E, ST� �� ,S c.�� ]
$IGNqTURE REOIBi8RE0 Y!'N 7 PeB c0a en Y/N
Addreae ��'Z� �'11�5'S/�/zo f31u✓Ti�v.��a. Fc '33��ti Uceneek IGAC 1$1'33�a5 �
910NATURH C COMPANY �� FEE CUA1tEn�N__�— �
REOISTEREO
Acidreea C� � I Llcenae# I_ �
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RESID&NTIAL Aftaoh(2)Plot Plane;(2)aete of Bulldln9 Plene;(1)ee!of Energy Porma;R-0•W Permit tor naw conatructlon,
Mlnlmum len(10)worfdnp deys efler aubmlttal tlate. Raqulretl onalte,Constructlon Pians,Stormwatar Plens w/S1I1 Fence instaued,
Senllery•Facllilles&1 dumpster;Slle Work Permlt for subdlvlslonsllarge proJecta
COMMERCIAL Allecb(3)rAmplete seta of Building Plans plus e Llfe Salety Pege;(1)sel ol Energy i°orms.R-p•W Pertnll for new con�tructlon.
Minimum len(70)working deya eRer aubmittal date, Requtred onalte,Conslrucllon Plans,Stormwater Plans wl SIIt Fence Installed.
Sa0118ry FaclilUea 8 1 dUmpsler.SNe Work Pertnll lor all naw proJeete.All commerclol requlremants must meef wmpllanco
81�N PERMIT Atlach(2)aete ol Enginearad Plane.
•"'NROPI:RTY SUAVEY requlred for all NEW conaWctlon.
Q7�71SxS1
Direclionr
F(I{oul eppticellon eomplalely.
Owner 8 Conlrectur slgn back of applioatlon,nolarized
II over 52600,e Nollo�o}Commencoment le requlrad, (AIC upgrade�ovar S7S00)
•' Agenl(for lhe conlrector)or PowBr of Attomey(far Iha ownar)would ba someone wlth notarized Ietter from owner eulhorizing sama
OVER THE COUNTER PBRMITTINO (Front ot AppllcaUon Only)
Reroofs If shingles Sewars Service Upgrades P✓C f°ences(PIoV9urveylFoolege)
�rlvewaya•Nol over Counter If on pu411C roedways..naeda ROW '
I
N0710E OF DHED REiSTRICTIONS: The underslgned underslande that ihls permit may be�subJect lo"d9ed'raetrlotlons"
whic:h may be more reslrictive than Counly reguletlons, '�he underalgned assumoa reaponslbllity for campllanoe with eny
applicable deed restrlcllons.
UNLICENSED GONTRACTORS AND CONTRACTOR RESPONSIBILITIES; If the owner has hlred a conlracfor or
contractore to undertal<e work,lhey may be requlred to be Ilcensed In accordancn wtth slete antl local regulalions, If ttie
contracto�Is nol Ilcen3ed es requlred by law, bolh the owner and contreatar may be clted for e misdemaanor vloletlan
undor atale lew. H th�owner or Intended'contraotor are uncerteln ae lo what Ilcemsing requlrements may apply for ttie
Intended work,lhey are edvlsed to contact the Pesco County Building Inapectlon 171vlslon--Llcensing Seoilon el'T27-847-
8009. Furthermore, ff the owner has hired a contractur or contractore, he la edvlaed to have the contrector(s) sicln
portlons of tl�e"contrector Block"nf lhle appllcelion for whloh lhey wlll be reaponslbfe, I(you, aa lhe owner:�Ign es!}ie
coniractor, Iha!may be an(ndlcallon thal he le not properly Ilcensed and Is not ontltled to permitling privfleges In Pasco
Courity,
TRANSPORTATION IMPACTIUTILI7IES IMPACT AND RESOURCE RECOVERY FEES: The underslgned understancls
thal Transportatlon Impact Fees and Recourae Recovery Fees may epply to the cunaiructlon of new bulldings,ohange of
use In exlating buildinE�s,or expenslon of exlating bulldings, es speclfled In Pasco County Ordlnance number 69-07 and
90•07, as amended. 7he underelpned aiso understands,that such feea,as may I�e due,wlll.be Identl(led al thg tirne of
permllting. It 1s further understood thal Transporlatlon Impact Fees and Resourco Recovery Fees musl be palcl prlor lo
recefving e°certlilcele oi occupency"or flnel power release. Ii the proJect does not involvi�e cerllticale of occupancy or
final power relea�3e, the fees must be pald prlor lo permlt Isauance. Furthermoro, If Pasco County Waterl5ewer Impacl
fees ara due,they musf be pald prlor lo permll Iseuance In acoordance wlth eppliceble Pesco Counly ordlnances.
CON9TRUC710N LIEN LAW(ChapFer 713,Florlda$tatutes,as amended); If vc�luallon ot Work la$2,500.00 or more,I
cerlify (hal L th� appllcant, have been provlded with e copy of !he "Florldt� Conslrucllon Lien Law—Hom�owner's
Prolectlon Gulde"prepared by lhe Florlda Department ol Agrlculture end Conaumer ANalrfl, It 11ie applicant I;a someone
other lhen the"owner°;I cerllfy thet I have obtelned a copy ot the above descrlbod document and promise In gnod tallh to
deliver It to the"owner"prlor to commencgmAnl; .
CONTRACTOR'f310WNER'8 AFFIDAVIT: I certlfy ihat all the Intormatlon{n tMi�epplicatlon Is eccurete ana Ihel all work �
will be done In compllance wlth ell appllcable lews regulaling conetructlon,zpning end land developmenl, Appllcatlon Is
hereby made fo oblein a permlt to do work end Inetelletlon as Indlceled. I cortlfy that no work or Installation h:is
commenced prlor lo If�suance of a permlt and lhat ail work wlll be periormed lo meet slandarda ot all laws rogulating
conslruction, Counly�smd City codes, zoning regulaUonn, and land development regulatlona In lhe JurlsdlcUon. I also
cerl(fy that I undersland lhal lhe regulations of othier govornment agencles may apply to the Inler�ded work,and that It Is
my rnsponsiblllly io Identlf�whet actlone I must:take to be In compllance: Such agehclea Inqlude but are not Ilmlted to:
, • Deparfment of Envlronmental Prolecllon-Cyprese Bayheads, Wetland Areea �nd Environmenlally Senslllve
Lands,Water/Wasteweter Trsalment,
- Southwesl Florlda Water Management Dlstrlot-Wells, Cypress 13ayheads, Wetland= Atoeti, Altertng
Wetercourses.
- Army Corps of Englneera-Seawells,Docks,Nevlgeble Walbrways.
- �epartment ui Heslth & f2ehabllitative Servlces/Envlronmental Health Unit-Wells, Waetewetor 'troatrnenl,
5eptic 7anks.
• US Environmantal Prolecllon Agency-Asbestos abalemenL
Feder�l Av(atlon Authoriry•Runways.
I underetand that the fo�lowing reatrlallone apply lo tha use oi flll: �
- Use o(ilil Is not ellowed In Flood Zone"V"unless expressly permilted.
- If the flll material Is lo.be used In Flood 2one °A", It Is understood thet e drelnage plan addmssing a
°compensaling volume"wlll be submllted et tlme oi permltting which I�3 prepsrod by e profeaslon�i�ngineiar
Ilcensed by the Stdte ot F�orlda.
• It lhA flll malerlal Is to be used In Flood Zone "A" In connectlon with a permitted building using siem w�ll
conelructlon,I c@ctify that flll wlll be used unly to tlll the area wlthln tho slsm wafl.
- If fill malerlal Is to be used In any area, I certlty that uae of such flli will nol advarsely aHect adjecent
prapertles, It use ot illl Is found to adveraely aftect adJacent propertleE�,the owner may be clled for vlolating
the condillons oi lhe bullding permll lesued under ihe attached permll appflcallon,for lots less than one(i)
acre whlch are elevated by flll,an englneared dralnage plan Is requlred.
If I am ihe AGENT FOR THE OWNER, I promise In good failh to Inform lhe owner of the permllting conditions set forth!n
lhls aiildavit prlor to commencing constructlon, I undersiend that a separato pormlt may ba required for eleclrlcal worlc,
I plumhing, eipna,welis,.pools, elr conditloning, gas, or other Inslalletlona nof speciflceliy Included In the appifcatlon. A
permlt iseued shall be conatrued to be a Ilcenae to proceed with the work end not es authorlty to.violate,cancel,eltor,nr
sel eslde eny provlsions of lhe technlcal codes,nor shall issuance o(a permlt prev�nt the Bulldlrig Otticlal from tFierealtar
requiring a correcllon ot errore In plans,consiructlon nr vlolatlona oi eny codea. Every permll Isaued ahall become Invslld
unless the work eulhorized by such permll Is commenced wllhln slx months of pormlt Issuence,or It work authorized by
llie permll Is suepended or abandoned tor e perlod of elx(8)montha after the llme the work Is commenced. An extenslon
may be requested, In wrlling,irom the Bullding.Officlal for a perlod not to exeeed nlnety(80)days and wlll d�,monstrate
)usli(iable cause 1or lhe exlenslon, If work ceases lor nlnety(80)consecutive days,th�Job Is conaldered abandoned.
WARNING TO OWME12; YOUR FAILURE TO RECORn A NOTlCE OF COMMHNCEMENT MAY RESULT IN YOUR
PAYIN(3 TWICE F�OR IMPRUVEM�NT3 TO YOUR PRO�ERTY. tF YOU INT ND TO OBYAIM FINANCINa,,OMSULT
WITI�YOUR LEN E
FLORIDA JURAT(F,9,117.U3)
OWNER OR AOENT_ CONiFtACTOR
Subsvlbed end sworn to(or a(�rmed)before me Ihls ube�rlbed a to(ar ePortned)befare ma lhle �
by� —Gc5'
Who Islere peraonelly known to me or hea/heve produCe Who IN peieoneliy kt to me or hea/heve produced �
eo IdenllflcAllon. eo IdenWlraUon,
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__. Notery Publlo Notery Publlc I
Commisslon No.`_ �
`��tir;1:P���. S '--
Name ul Notery typed,ptlnted or stemped N � f ry, r e � d --�
-; o: pires ecem er 12,2018
'�I�a���°��`, BondedTlwTroyFelnlnsurance8W3&5•7019
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� 813-6'#2-56�0 Ho��Imprauement Agreemen# �� ���
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State Lic#CAC181336� ����;.�.�,��.,:. ..;��,=.� �'�" a,..
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Cvrparate�ffite � r� ���_ � �'���.��z
t429�tiassaro Blvd. � Tampa, F�33f�19 ,,,f�,_,_ �.���
Proposal Ddte / � �l,� . InStall Date } ` { � � ��
Customer Name � �1� �"� { �`'t�-''e Z- _ -
Address � �� ���� +
City �����i ' �� State� Zip Code ���`�Email
Phone Number(home} +t'_�f y"'�� (cell)
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NOMiNAk SEER Basic Qeluxe Premium Optimum Size � Warranties�._...�
14 S�ER 15 SEER 16 SEER 16 SEER � � pa�t� L,abar
O��_�,�r Conditioner O Cl ❑ � ❑ q �
p'Heat Pump 6� p p p 10 Year 10 Year Cl
❑ Condenser/CoilOn(y p � �.5
Q Fumace System 0 CI Q Verticai D� 5 Yedr ❑ 5 Year ❑
O Patkage Air Conditioner O � (g'�j�orizonial � �'S � �/
p Package Heat Pump � ❑ C� ? 1 Year O 1 Year 6d`
Lifefime 5 Year � �•S
Rir Delivery Sysiem � Green � Silver
L7 2,000 ❑ 1,bQ0 ❑ 1,400 ❑ 1,200 p 1,000 ❑ 800 ❑ 600 ❑ Replace Baots ❑ Grilles G7 Mastic Seal
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L�c7 � `-�''..� �/'rS e �� ..t� C t�f/.¢..{;�" � ..,..¢.+�� .;a a--."-'o- �J� -�-s�
,�'"�`�'�'�""i rtP •�- r n��t�Y'
7a o8#ain maxFmnm rated effictency from any HVRC system,ti�e eqaipment ond the arr distrPbution system must comply wifh the martufacturer's
specJhcations ond requlrements.Atr Rescue Air fondiriaoJng cvn only be responsibfe far companents instatled by Air Rescue Aer CoRdit7or►fng.
System Price 't-��v�� Custom�r 5ignature �- � � '"
TOta�AdCfiti4l15-tromcustomrzrdprrcinq wnrkshee: ���� �USt4CYtE't{Pfl�}t} n " ""¢n` (�t�`'�` u�
SUBTOTAI t..�'��� Date � � � `t � �
TECOiFPL Rebate '�'� � ARAC�Pn��rintl �t'`�"{"'-�/'
Mfg Rebate/ARAC biscow�t I�� CC� CVV
Tntal Price ��'a� Check� _ �j
Minus bn�vn Payment �-'' � Financing Type �e� ��-� AmF FinancHd �
� 4`ure own t�~e rea�oro erC in�rhich ti�e�c ui -r�ent i�fo t��iiiscaticd anc�tisve
Sa!Due Upon Start-Up � � U Y � ��
authority ro order the w:�rk as outlined above.7erm�.Balance due upon startup,
ur in:�ccordance Yvith financing agrerrnent.5ee reversz side for additianai terms .•
�
Bvyers Right ta tancet:50 r,ft31 7hrs;s a hame sokcriat+on scr?e,and it y�u do nnr wan?;he good3 c�3eryices,you mo}�cancel thrs ogreement byprovidinq wr7r.en noi+ce tn the
.reller in person,by te(egr�m,ar hy ma+l Ih�s notice musr ir�diccrte thQl you da not wdnt thc gooDs or servfcPz ann wtus�be de�ivered w yosrr�:�:rkecf br.lorr rniJr:eyhr o(ttze rhird
t�usine�x doy after y�u sign th�s agreemPnc lt ynu cantel th±s agreement,thr s�Ner mcry r=ot kee�;r nll Ur purt ofrmy cosh do�vn pervment.
The inst�(1 technician has reviewed thls Hpmc Improvement AgrePment far installatian of HVAC systtms by�ir Rc�stuc Air Conditinning.
I. /�(�a>(1 —�eZagree Chat he agreernen eFle y understanding�f khe scope of the job and the equipment
to be insCalled. Custamer Sigtlacure �
5ee attached#orm fvr a 5 pportunityr
Whiie 4ffice Canary-lnstaller Aink-Customer Galdenrod-Accour7ting