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Home My WebLink About18-19302 . � j� CITY OF ZEPHYRHILLS � � 5335-8TH STREET (813)780-0020 19 2 BUILDING PERMIT - PERMIT INFORMATION� � - --- -- �= � LOCATION INFORMATION � � � Permit Number: 19302 Address: 37402 DERBYSHIRE DR 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: WEDGEWOOD MANOR � Est. Value: Parcel Number: 10-26-21-0120-00000-1040 Improv. Cost: 6,988.00 OWNER INFORMATION Date Issued: 2/23/2018 Name: CLAGUE MARYHELEN Total Fees: 75.00 Address: 37402 DERBYSHIRE DR Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/2372018 Phone: 813-779-2395 ' Work Desc: A/C CHANGE OUT 3 TON 14 SEER HP CONTRACTOR S APPLICATION FEES ACS HOME SERVICES A/C CHANGEOUT 75.00 ��n� ! W � Ins ections Re uired DUCTSIN TALLED DUCTSINSULAT D 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 IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER atsaeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 8uildfng Department Date Recefved — J �/� phone Contact for Permittln d� �_ � � 9 Owner's Name �`J � ��/'1 b /� U 4�.. Owner Phone Number �� - // /'��✓� w.. Owner's Address �� a �i S �L Owner Phone Number Fae Slmple Titleholder Name � ✓� Owner Phona Number Fea Slmple Titleholder Address +V /� JOBADDRES5 � PJ� .Q,.�� "1� I��, �1��' _ LOTt� � SUBDIVISION W� �LJL I� '2PARCEL ID# � "�lJ��I"O J��'WV4J� 'I� y� (OBTAINEU FROM PROPERTY TAX NOTIC� WORKPROPOSED e WSTALL�R� REPAIRT Q SIGN Q Q DEMOLISH PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q ' DESCRIPTIONOFWORK V �n��[7C��' �i\ � �l.P�� a(i� �rYi'��7��jt�� , BUILDING SIZE SQ FOOTAGE ��7 HEIGHT � il QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �MECHANICAL $`_(��g�j �y VALUATION OF MECHANICAL INSTALLATION ll.►7 O D + QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# ELECTRICIAN COMPANY SIGNATURE r�clsTeRm Y/ N �cuw�en Y/N Address Ucense# , PLUMBER COMPANY SIGNATURE REGISTERED Y/ N �E cuwtEn Y/N Address License# MECHANICAL COMPANY � � ��-r �1 �� ' SIGNATURE REGISTERED Y/ N FEE CURREA Y/N li Address � Y�".�7 �k� �! � License# ��'l� �D � OTHER COMPANY SIGNATURE REGIs�REo Y/ N FEE CURREA Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllll RESIDENTIAL Attach(2)Plot Plens;(2)sets of Bullding Plans;(1)set of Enargy Forms;R-O-W Pertnit far new consWcUan, Minlmum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence Installed, Sanitary Fecilities$1 dumpster;Site Work Pertnit for subdlvistonsAarga praJects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Pertn(t for new consWcBon. Minimum ten(10)working days after subm(ttal date. Requfred onsite,Construclfon Plens,Stortnwater Plans w/Sflt Fence fnstalled, Sanitary Fecilities 8 1 dumpster.Site Work Pertnit far all new projects.All commercial requiraments must meet wmpliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construc[ton. Dlrections:• Fill out application completely. _ Owner&Contractor sign back oF application,notarized I(over 52500,a Notice of Commencement Is requlred. (A/C upgrades over 57500) •• Agant(for the conVactar)or Power of Attamey(for the ovmar)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgradas A/C Fences(PIoVSurvey/Faotage) Driveways-Not over Counter if on public roadways..needs ROW � � . � NOTICE OF OEEd RESTRtGTtONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations, The undersigned assumes responsibiliky for compliance with any applicable deed restrictions. UtVltCENSED CONTFtACTCtRS AND CONTE2ACTOi2 itESPONSIBtLIT1ES: tf the owner has hired a contractor ar ! 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 taw. [f the owner or infended con#racfor are uncertain as to what ticensing requirements may appty for fha intended work,they are advised to contact the Pasco County Buiiding InspecGon Division—Licensing Seotion at 727-847- 8009. Furthermore, if the owner has hired a eontractor or contractors, he is advised to have the contractor(sj sign po�tions of the"cantractor Btoak"af fhis apptication for which they wilt be responsibte. 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 permitking privileges in Pasco County. TRANSPORTATtON t1UlPACT!lJTtL1T1ES IMPACT AND E2ESOURCE REGOVERY FEES: The undersigned understands that Transportation Impact Fees and t2ecourse Recovery Fees may apply to the construction of new buildings,change of use in exis6ng buildings,or expansion of existing build(ngs,as specified In Pasco County Ordinance number 89-07 and 90-07,as amended. Tlte undersigned alsa undersEands,fhat such fees,as may be due,will be idenfified af the time af 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 projeat does not involve a certificate of occupancy or finat power release,the fees must be paid-prior to permit issuance. Furthermore,if Pasco Gounfy WateriSswer tmpact fees are due,they mus#be patd prior to permit issuance in accordance with applicabie Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Sta#utes,as amended): If valuation of work is$2,500.00 or more,I certiiy #hat !, the appticaot, have been provided with a copy af #he "Ftorida Consfructian Lien Law--Homeowner's Protection Guide"prepared by the Florida depertment af Agricu(ture and Consumer Affairs. If the appiicant is someone other khan the"owner",I certify khet I have obtained a copy of the above described document and promise in good faith to detiver it ta the"ownef prlflr to commencement CONTRACTOR'StOWNER'S AFFIDAVIT: 1 ce�tify that ail the information in this apptication is accurate and tfiat al)work will be done in aompliance with all applicable laws regulating construcBon,zoning and land development. Applicalion is hereby made to abtaJn a permit to do work and instailetion as indicated. 1 certify ttyat no work ar insiallation has commeaced prior to issuance of a permit and that alt work wiR be perfqrmed to meet standards of atl taws regutating construation, County and City codes,zaning regulatlons, and land development regulakions in the jurisdicUon. I also certify that I understand that the regulations of other government agencles may appiy to the intended work,and that it is my responsibifi#y to Iden#(fy what aations(must take to be in compiiance. Such agencies ineiude 6ut are not limited to: - Depertment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,Water/Wastewater Treatment, - Southwesf Flarida Water Management Cfistrict Wetts, Cypress Bayheads, We#land Areas, Aitering Watercourses. - Army Corps of Engineers-Seawalls,Docks,.Navigable Watervuays. - Deparfinent af FteaEth & f2ehabiliEative ServiceslEnviranmenfat HeaEth Unit Wetts, Wasfewater Treatment, Septic Tanks. - US Environmental Pratection Agency-Asbestos abatement. , - Federal Aviation Authority-Runways. I understand that the following restrictions apply ta the use of fill: - Use of fiil is not allowed in Flaod Zone"V"unless expressly permitted. - If the fitt materiat is to be used in F[ood Zone "A", it is uadersfood that a drainage plan addressing a "compensa�ng volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State af Florida. - tf fhe ftll material is#o be sased in Flood Zone"A"in connection with a permitted buitding using stem wall construcfion,l certify that fill will be used only to filt 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 ot'flii is found to adverse(y affect adiacent properties,the awner may be cited for violafing fhe conditions of the buiiding permi#issued under the aftached 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 POR THE OWNER,i pro�nise in goad faith to inform the owner of the permifting conditions set forth in #fiis affidavit prior fo commencing constructian. t understand that a separate permit may be required for etecfrical work, plumbing, signs, wells, pools, alr conditioning, gas, or other installations not specffically included in the applicatian. A permit issued shall be construed to be a license ta procead with fhe work and not as authority fo vtotate,aancel,atter,or set aslde any provisions of the technical cades,nor shaii issuance af a permit prevent the Building O�ciai fram thereafter requiring a carrection of errors in plans,conshuction or violations af any codes. Every permit issued shall 6ecome invalid untess the work authorized by such permit is commenced within slx months of permit issuance,or if work authorized by the permtt is suspe�ded or abandoned for a period of six{6}months after the time the work is commenced. An sxfension may be requested, in writing, from the 6uilding Official for a period not ta exceed ninety(90)days and will demonstrate Justiflable cause for the e�ension. If work cesses for ninety(9Qj consecutive days,the job is considered abandoned. WARNING TO 4WNER: YOUR FAILURE TO RECORD A N0710E OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWlCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE D TO OBTAIN FiNANC1NG,CONSULT WiTH YOUR LENDER OE2 AN ATTORNEY BEFORE REC8RDING YO R NO CE OF CONIMEiVCENlEt3T. �.a��+++,, FLORIDA JURAT(F.S.117.03) ��,�� ,�No;,�y� OWNER OR A6ENT CpNTRAC —' _� ' T`° :� . Y { ) bY �_... � v� c= _. ��P� '4�'�� r*'��0•`� Subseribed an bswam ka flr aft3rmed befare me fhis Subscri6ed end`sw k� K er)}bef a ee raid�� Who is/are persanally known ta me or has/have produced Who is/are p own to ma ar haslh uced ��'�""�,,, as idenUficaUon. as fden#IficatEon. � � a � nn a � � m m /�� 0 � � � � � Z Notary Pub6c � � l /U�t/ Notary PubGc o 3 ,�,—, c m ( d�J �� fo *n �n � �o Cammission No, am Ission No. z�, � � �+ I� � ~' l �- �'i!"C�'- '�t � t3 c�_, � -�ct ^' cpi Nama af Notary typed,printed ar stamped Neme o Notary typed,printed or stamped w m � o� w �. Y � Q� A � r `C " pWj O r' rnn O G'� Q d _ � O� • 1 8� oa I � � A � ACS Home Services Invoice 13572505 Headquarters:1712 E Seward St, Invoice Date 2/14/2018 HOME SEF�VICES Tampa,FL 33604 Completed Date 2/14/2018 813-618-5631 Customer PO \ � #EC13008068 #CAC1818754 � Billing Address Job Address Mary Ellen Clague Mary Ellen Clague 37402 Derbyshire Drive 37402 Derbyshire Drive Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA Description of Work Task# Description Quantity Your Price Your Total 3145HP This Install Includes All Of The Following: 1.00 $6988.00 $6988.00 • Install new Air Handler&Condenser. • Inspect all accessible duct work and seal any minor leaks. • Adapt Return&Supply Plenums.(Additional replacement cost may apply if Plenums are not the correct size or not reusable.) • Install new primary overflow switch • Install new insulation on copper lines within 6'of the units • Install new Hurricane straps on the condenser per Florida code • Includes New Thermostat • Upgrade breakers to proper size for new equipment as needed • Includes Permit ready install,removal and disposal of old equipment,and all materials and labor. • Includes ACS Home Services Maintenance Plan with 2 visits within 1 year. • 10 Year Parts Warranty • 1 Year Labor Warranty • 24 hour fix it or hotel guarantee:We guarantee we will be out to your home within 24 hours to correct the failure or we will put you in a hotel for the night. • Lowest price guarantee:We guarantee you cannot find a comparable installation for less or we will pay you$50 over the difference. • Installation workmanship guarantee:We guarantee all of our craftsmanship to be the highest standard. • Exclusive"no lemons"guarantee:If the compressor fails twice within the first � five years,we will remove the unit rather than the component. • No mold guarantee:Units that include the remediation package with UV sterilization will guarantee to be mold free for the lifetime of the unit ""Existing Line-set will be pressure tested and will need to pass in order for us to complete install. Line-sets like Duct Woric are separate parts in an air conditioning system.tFthe line-set fails naw or in the future it is not part of this quote therefore will be separately quoted as needed.(Line sets are the ' copper pipes that connect the indoor unit to the outdoor unit which run thru walls and underground.Very rarely leak as they are typically installed as a one piece unit. MISC01 trade in scrap credit -1.00 $450.00 $-450.00 , REFCO2 Line Set Replacement:Labor(up to 2 technicians)&Materials 1.00 $450.00 $450.00 ! Paid On Type Memo Amount , 2/14/2018 Check 699 $9,438.00 I MemberSavings$112.41 I Sub-Total $6988.00 , Tax $0.00 �� Total Due $� I Payment $6988.00 ' Balance Due $0.00