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HomeMy WebLinkAbout18-19328 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 � 28 r � BUILDING PERMIT � � PERMIT INFORMATION � =- ` � -���LOCATION INFORMATION� � - Permit Number: 19328 Address: 3902 LAUREL VALLEY BLVD LOT 38 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: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0000-00100-0090 Improv. Cost: 4,079.08 OWNER INFORMATION Date Issued: 2/20/2018 Name: NHC FL-115 LLC(GREGORICH) � Total Fees: 65.00 Address: 27777 FRANKLIN RD STE 200 Amount Paid: 65.00 SOUTHFIELD MI 48034-8205 Date Paid: 2/20/2018 Phone: 231-649-8969 Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTOR S APPLICATION FEES CHRIS' A/C COMPANY A/C CHANGEOUT 65.00 � ii - Ins ections Re uired " DUCTS INSTALLED DUCTS INSULgTED� FINAL d`) 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. � � CONT TOR SIGNATURE PERMIT OFFI R ' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION , CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813aeaoozo City af Zephyrhills Permit Application Fax-813-780-0021 Bu{iding Depattment - "� Date Recet�red -= Phane�Contactfar�Rermtttin ' z� — Owner's Name r1�'"lGf. �C.2 O r+G� Owner Phone Nurnber ���� �o �! � �/eG / Owner's Address /� ` � a Owner Phone Number � � Fee SlmpleiTltleholder.Name Y �� Owner Phone Number � � Fee Simple iTltleholder Address JOB ADDRESS �!�Q /l� (� LOT# C�� sue�ivis�ar� � � �aRCE�..i� r� Q�C1 O O/Od � d yf� � � , , - (OBTAINED F.ROM,PROPERTY,TAX NOTICE) W�RK PROPOSED NEW COPISTR ADQIALT Q SIGN` �• �_[� OENtQI.ISH i ��e, INSTALL � REPAIR � �/ PROPQSEQ�t1SE - Q SFR, [� 'GQMM = ' � �t)TIiER .� �j TYPE OF CONSTRUGTION Q� - BLOCK ' [� FRAIIAE " �� STEEL Q _ ������ l • �i�+�t� DESCRIPTION OF WORK� � , i" ' � j � Btlll.plNG SIZE - SQ FOQ'i'AGE '� , xHE1GHT ��� q, Y Qsut�.�i�� � ' � ..� :� ,_. i i , VALUATION�tOF`TO'i'N►L CONSTRt1CTION • ; _ � ` ; QELECTRICAI �' � ANIP SERVICE Q PROGRESS ENERGY Q W.R.E:C. i ,,, ,�.,,_ , ' QPI.UMBING '� � � r„�� i i _ �C J � �MECHANIGAL $�j� .�� . VALIJATlQI�!OF'MECHANlGAG INSTALlA71QN. , = ��� j . 7 Oc,�s o Rao�,N� _o s�ecia�rir�0 o�H�r�� . FINISHED FLOOR ELEVATIQNS r�� FLOOD ZONE AREA QYES NO , � �. _ _ , .,�. __.: - --_ _ - -----�t!![.���t , __ — _ _- - - —-___COMP�WY'; .: � : ---- . ; - . , -- - - -__ _ SIGNATUItE REC�ISTEREO Y/ N �'FEE CURREA ' Y/N� �lddreas � License# � � _� . . . ,.. ' ELECTRtCI,'Av i+l; , - � 'C'ONIPANY ' • ' SIGNATURE REGISTERED Y/ N FEE CURREt��� �'` �Y/N �,ddre$s - ` - . . . ', � . License#,� � , ,'L S,'• � t _ , a. •- '� � ' 4 " ' PLUMBER # . . � , COMPANY.. . " ..� � �__. SIGNATURE �' REGIS.T,ERER�� Y.L,N>� �,;FEECURREn YY N. - ' Address - � � • ` " Ucertse#�� ` - °� 1-. 6 . .. . , + _ :>." - - i MECHAP111CA1: ' - C4NIPANY ! , ,/„:t.--, : _ A �f; SIGNATURE � REGISTERED � N _ ; FEE CUFtRED�; /�N . .. - . , • - s : , . . , ,.. _ , � � - .�.. _ �• � : s,. ,.. ,. . �_; � ; �• , a f.. . _- ., . � .. . Addre�s � � ' _ � ,License# �� .(.��.���,..�- . , ..;, . _ . ._.�;; .. . . _ . ,. . .. , ,. , „ , � • `;COMPANY ' � � OTHEFt � .- _ . „ • .. : - - SiGNpTURE ;;:` , ' ``- . '� , ` �' . ` ' REGISTERED Y/ Ns.. , FEE CURF2E� Y/.N. , . .,, - - . , - ,. , : : ".... . `�'�'� � Addres� - � , � - � Liceiise# � � �1" , . . .-t:.,�.�;,::x �., .,� . . .. ��. r,:... ..G: ..: . ,.. .. . _ . � , RESlDEN'f1At:.;;, Attadi{2}.;Pto#<Plans;,_(2)sets.of;Suililfng}Rlan§;(1)sef of Eriesgy;�oims;'R-0=W�Per'miE for-new construc#Ean, . . „ � ._ , �,,,_.. , , • . - Minlmumtten°(:1.p);�workingsdays'.after;subimiftal date.>�Requlied onsite;:CflnstivaUon:Plans;`Stoimwate�'Pians w/Si�t'Fence instatled, '=� � �� , . . " � Sanfta �FaplpUesc&:;1„dum,ster^Slte.,�Work:P:.,ermit fqrsu6d(vis(qns/la'�e�,ro ectsy_.�:`::;::� �::�- ' � : . ` rY ;,. ,�, ,. . ,P F.y.. „ ...,...,. ._ �9.,p..j _.: ._. _ .,, ._ . COlillMEltCiAl. Attach{3)�compleCe'sets`'of Builslliig PlaiisYplus a'I.ife�Safeiy 3'age;(1)set of Energy Forms.R-Q-W Permtt for.nevrt corustcuctton. -- - - - Miniriium�en(1b)working days'after submtttal date. Required anslte,ConstrucUon Plans,Stormwater Plans w!Silt Fence instalied, Sanitary Facilidas&1 dumpster.Site Work Pertnit for all new•proJects.,AU commerdal requlrements,must meet complience � SIGN PERMIT A4tacii{2}se#�of"Eisglneeir,ed�Plans:,...:����°- - ..�: �" , .- """"PROPERIY SURVEY reguired,for all,NEW,construc8on. ,., - Diiectlons: _y: , . ` Ffll out applica8on completely. , Qwner&Contrackor sign 6ack of appl(catlon,notarized tf over�2500.a Notice af Cammencement is required. {�ttC apgrades aver�7soo) ...��,�,;-,,�.�. '• Agent(for the contractor)`or`Powe�ofAttomey(ta�tFie awnerj would be someane with�notarized letter from owner authorizing same DVER TNE COUFITER-PERMIi71NCa�. .__ (Front cf-Appllcation On{y}__. . _ , Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Sunrey/Foatage) Dcivewa}►a-Nat aver Counter if on pubiic roadways:.rieed"s E20W , . i , �� : . , . . ., - .. ,...9 � ,. . fi�1�E��r=.mlt may:b�:st�b�ect,�o."deed"resUl�i�ns"_._..,,,.r-. ., N�'t'1����C��E�!itE�TR1�T10A��: The ustdersl �ed.tt�der�tands;#h�t:. ; which may be>rnot�-r.es��ictive=than County rr�gul�ff�ns:~'P'Fie`un�ersign�d���ssumes�responsibiltly for'cor�pllan�e`�vitfi"�ny � appilcabis deed restrlc#{on�. _ ,. :. .... . • - . � _ - ` IdNLi�{���ED•GCiId�CTOR� �Nt� C�NT�CT�R R���'�NSI�S�iT't��: °tf�the��vner h�s�:hired��.`contract�r or contractors #o undertake work, they r�tay:be;r,�qu;ire.d�to.;b��llc�nsed`In ac¢:ordance.v�kh st�te.and•1¢��I regulations: Ef`the� �� � - can#ract�r is nat Ifi:ests�d-.as�requlred'�tiy lati�t. bartii the o�rner�r�d conti�acto�=m�y`t�°�tted-for a�mi��eine�nor v1o1�t1on under st�te law. If 4he o�nrner or Intend�d;contr;a,�tor�;are_uracertain as to vdhat Ilcensing.requtremen#s_%rr9ay>.apply�,�for.the � intended wardc,QHey�ie`ad"vlses!fo coi'i#act tt�i�-P�sco G�ut�ty Bullafiig.'lnspec:tEon L?ivlston--!_tcensing 5�ct{on at 727-84'7- S�m�. �urttiermore, if th� aviiiter�'lia$ tiiTeid�a� cor+ttacto� or�ontra�ctors, he i� acivtsed to have th� �onhactor(s}, sign portivns of the "contracka� �lock" of this.applicatto�_for,which:th�y. wll� b�,r.espon�ible.� If::you,=as�.#he oi�neP sign'�as"fhe � � contraator, that°ina3► be an Indicatio�o th�t`he is �ot properEy 1€���tse�f anc!°'1� nmt enti�eid to permlttl�ng�piivlleg�s In Fasc� . County. `� '� � T�4N��ARTAT10N=1MPAG`Tl�}"fIL9'C�ES=lM9�AC°�AO��-I�E�ClURCE RECQVERY l�E��; 1'he ur�ders#gried'unders#ands thaf Tr��sp�rtation Ir�pact Fees and.Recourse Reaove.ry.F�es msy:app9y=#ca�t�►e icons#ruction af new.buitdtngs,°ahange�of`�=� � � use in existing bulOdings,�ar.�:expanst�n�of��exlsiin�:��iuildfings, as spectfled.in Pascv Cour�tg► Ordinance �aumber 89-07 atad 90-07, �� amended..The undetr�lg�ed �Is�.understand�, t�i�t:�such feeso���s��aywtie�<d�e;:;�r111;j6� Edenti#ied a#the�time�of . perr�itting. It Is iu�Qlier understood �hat Tr�nsporka�lon Ir�pact ��es and';Re�our.ce:ReaoVery�Fees;must b�e p�id prior to recetving-�°�erfificate.�f n�cupancy'°-or.�nal-power>.cele��e. -1�'Ehe proj�c�:d��s:t�ot irnr�lue��::cert�icate of occ�pancy.aT���,�... . , final pawer.release.;.the".fees-mu�t�b�"pald;prior to.iperm6t issuance. F��th��more;�If Pasco:Countyy5lNater/Sewer-,Impact �. � fees are due,.they musk be=pald�prlor to permit�isst����e.6n:accordanc�a avitli:�ppllcabfe P�sco��Cotanty orillna�ces. � GO�STRUGTIOM"t�tEN"�.�V61(Gti�gB�c�13p F10�11��R��tIIt�S���rrt��and�r�: Ef�rslua�on of vvork.i��2,500.m0 or moa�, i certify Qhat I, the -appltcant,-hav,e.been problded wlth-a�-copy�of the mFlt�eida� Gons#ivctlori� Llen .La�nr---Homeowner's ��o�ectl�� Guide° p�epared by,�f�ie I�IoPlda Depa�t�n�r�#:af A�rlc�atture and �+o�sumer-:Af€a€rs. If#he appllc�nt is sam�or�e =, other than the�ovim�r", I certify#hat I;;h:ave,obt�ineid��a��copy;of.th��above�,rfes.celbed�lociirr�erat°a�nd.prarxilse in,goad�faithto : deliv�r It tattie.<'owner":.prioc�toyc�rnr��ncemer�t:'��' . � .. . , �ONTt�a�TOR'S/�VN6dlER'�J�FFi�l�V�T: I.ceitity��tiiat��aii.th���dM�rm�tigra„In�thl� appllaatlon is accurate�nd tha�all work will'be done in compiiance with �il appiicable�laws Pegul�ting �onstructlon� xontng and land,�dedel�pment. Appllcatton is hereby made ta �btatn .a perrr�i�,.to :do wor`k;;ar�d�E�sfallat�on a� �ndl�afed.,::..�1 cert#fy th�f no work aor tr�st�lla#tan has comme�nc�d p�lor to iss�aance of�a p�rmiE`�nd th�t.all�work wEll be perFormed to meet.stan�ards af alE laws ��gulating- co�struction� Gou�ty and Gity �ode�, �onl�tg r�gu�atia�ns, ar�d land developra�ent eggulattons�In #h� )urfsdlction.� 1�ai'so certify th�t I uad�rstand Qhat th� r�gulatlons �f othe�gov�rn��r�t�gencles r��y�apply�t� the intend�d work, and that Bt is my responsibility to id�rtt6ty•what.acttons 1 must-Q�ke to besln:.c�rrtp!lance. �u�h agencles!nalaade-�u#��re.nc�t Ilmited to. � � - Departrnent af Ec�viranrr�ental-�Protectiai�'-Cyp�ess.Bayt�ead�, We�E�nd Area� �nd Envirs�e�rr9en�atiy Sensitive l,ands, liVaterlWas#�water Treatcc��nte ' - Sou�hwest Ftor�da W�#er �an��ement: .bistri�t'�1l�tls; CYPr�ss.'.8ay.heads; {tVetland Are�s, A���ring, Wat�rcaur�es. � - Army Corps of Engineers-Seawalls, Docks, id�vigabEe Watetbvay�. - Departrrre�t of.Health�� .Reliabilitafiv�+ Serv�c�sJErrvironmental�.Fleaith Unit Weti�, VVastewater•Tre�tment,� Septic 1'anKs. � ` - - � - _ - iJ��e�vle��men�#P���ec4ion Agen�yy�tsbeafas abaterr��nt. Federal/�vi�tion.:Au�hori,ty--Runways. I ur�dersland that 3he tollowing;iestrlctions apply te tfie use of fllt:� - Use of fiti is not atlowed in:Flood Zone"V"unle�s�xpr�s�ty permtfged. - If the -�ili`mate�ial is `to� b.e-us�tl:�in ,Fl�od Ztsne. "A", (t Is unders�ood that � draina�ge plan addressing a �c�mpen�ating val�ame°will be submOtte� a#�irpae�f;��tmi#1t�g w�iclt Is prepar�d by a profe�sian�t �ngineeri (icero�ed by the State of:Florid"a: �° � �� - t#ihe flli �iatetial�1s to°be c�sed �n Flood �on� °P�" in�conneciiora��tr#�h:� �es�m�ted bnlidit�g �tsing stem wat0� canstru�tion, i cer�ify.th.�t flll:wall�b.e�used anly.to.fDl1 the area wlth6n the stem�wali: - If #ill m�teeta! is t� be used in any ar�a, 1 �a�rti�r that .us�. of,�uch fll! will not adbersely �ffieat adjacenQ, propertles. if use af�ilf,is,f�t�nd to�dvers�6y.�ffect adj��nt prctperties,.the ovvne�r may be citad for eiotating; the condf#6�ns.of the building:permit is"sued.urader ihe:�atQached„p�rmlk application� for_:Icots�le�s�than i�ne (1)� ac�e whlcti ei�elevated�by�IIE�art englneered d�alr��ge plart Es requif�d. If i arn the.�►1�EN7'FOR T91E AWN�Q�, I,�prorrtise Irr good f.aith to t�form the omvn�r af�the perrrtiitk(ng cand(41ons set forth in; this afifid�btt�pr(or to aomrnencing const�uction. f un�erstand that a•.separate permlt may R�e reqt�tred fior electrtca�gnrorkt; plumbing;,sig�s, w+�i0s,:pools;.a#r conditloning,.ga��, or o�tree instafil�tio�ros nrs't.spec�icatly inciud�d�in.tF�e applicat3�n. .A; permit Issued shall be conshued to b�a I(cen�e to proceed wlth tNe work anil not��s:authoNty to:vial�te,'cancel� alter. ar; sei aside ariy'provisf�ns af th�t�c6iiaica�.cod�s;�nor shall Is�u�����of a�.pe�mit.p��v��t����1ldirig Cltftcla�frona there�#4er! . . requir6ng�cor��ct(on af errors inwplans,; con�tructiaro or violatiom�of-any�dea. E�ery pemtlt Issued sliall-become inva�lid f unless 4he wark authorized.by saacta permlt:is.commenced�wttlat�sfx�Gno�tths o�p�tmlt lssuance, or Qf work authcrrized by, #he permit is suspendecf ar.abandoned��fmr.a;period.of�six f8)m�ntE��::�fter,the,titne the�wor'k is commenc�d.. An extensian l m�y be requested, In writl�ig;from tFie'�uilding,Of�Iclal for� p�rlod.not to�exc�ed'�ninety(90) days a�rd-wvill demon�trat�; �ust�€i�bfe cause for.�the extenslota: If uvork ce�s�es:for nlnety.(9�}cons.ecutive days...�h�)ob�is cc4nsid�red ab��tdtstted. - ., _ , ,• , WA�3N�NG Tt? Q1�MER; Y�U9�_��a�L�lRE.,TQ,R�!�.�lt�,�i:�l��'BG�:��:-��I�IMl�N��Nt@R#T>�I�Y=���t�lT ih1°lf{2ldRi PI�YtN+�'�l1ViCE:F.�iR.�iP�t�OV�IidIEN7`S;TO:Y�UR:;P��PE��7�:1':��IF°.Yt�.U�iN�'�ID�T�"�'JBTI4IN�=�II�FAI�E�MC�;'CON�Il1t„T' � WIT 0� . D �O. N '�O NEY �O. �� E�OR� �' AUR' ;O ;� �:• ' � : .t. ... . ..,. . '. .. . .. .. .... . .. ; � �O.qR}DAJtl�A'�":(F:S:2� D --- -- - - _ ... _ _ _-- _ . -- - � OW(dER OR AOENT � •. CCltdTRf�GTO � I Stibscritt�i and�wom (ar�f�nned)befare me ts Subscr�bed snd'�w�m�to(ot��9rmed}�betot+e me � ! bY .�,y... , Wtio Is/are personally knawn to.me or he�lhav�pmduced Who.ls/�re p.erspnally�mown:ko me�orh��lhavs�produced � � as tdenN�i�Bo». �as 6d�»BBcatton. -- tdoiary Pubttc . � Idafary Public Commiss4an No:"� Com���lpn No, ' f Plame of tdotary typert,print�d or�tamped Nam�of RRolary iyped,prin#ad cr s#amped � �.�-� > �_`_� �� �� � . � � � _ -� -- �H�.R,��;� �,� ��#� � . - �� _ _ � HVAC _--� .. cor� � an� v CAC058575 / EC13007703 P R O P O SAL 12232 HWY 301 DADE CITY (352) 521-4977 "NOW PROVIDING" DADE CITY, FL 33525 ZEPHYRHILLS (813)779-9515 "ELECTRICAL.SERVICES" NAME: Anna Gregorich Date: 02/13/18 SPLIT SYSTEM- ### PKG UNIT #N/A SUBDIVISION: Majestic Oaks HEATPUMP #�## STR.COOL #N/A ADDRESS: 3902 Laurel Valley Blvd. . � �t �� `�`��°-:��;���'��.�-�� ��� � crnr: Zephyrhills ziP co�E: . 33542 CONDENSER: � PHotvE: 231-649-8969 WORK: IR HANDLER: #NIA ' CELL. RENTER: SEER.RATING: � ESTIMAi"OR: RObeCt BRAND• #N/A :�������.���_�:.�C�'�7��1��:�.�POS�S��t���y����� T TAL ' #N/A PRo 600o TtiERMosTAT INSTANT REBATE : $ #N/A PAD TOTAL LE$S REBATE $ #N/A SEAL DUCTWORK TO CODE TONNAG.E: #N/A PARTS: #N/A REMOVE EXISTING EQUIPMENT COMPRESSOR: #N/A LABOR: #N/A $200 SENIOR DISCOUNT ��'������°`�s.'��=`� "��'�A�`"���-�� ����� CONNECTED TO EXISTING DUCTS AND ELECTRIC coNOErvsER: PAJ430000KTPOA ANCHOR CONDENSER IR HANDLER: TAX,LABOR AND PERMIT SE TING: �4 BRarvo: COMFO KER � . T TA : 4;22s.9s ' INSTANT REB. . . $ 750.00 TOTAL LES EBATE ,9$ TONN . c-nn'P oR: 10 YR �►BOR: 1 � ,� corvoErvseR: 4TCC4:03"OA1 I AIR HANDLER: � FIRST MAINTENANCE CHECK FREE SEER RATING: �4 BwaN�: AMERIGAN S NDARD �� ��. -�: �: ;;��.:� _-�. T TAL : � 4,929.os ��.�,��s"�,,,,� �- r -� ;,�"''�,xs -- � ,�- ��-��- INSTANT REBATE . $SO.00 _v'��'w::rs'tn"'��'i.�y�-��;-•_.. . R.aa;;���. .":.�yasf:a�'�`r�sa,.�� _�" .w�.,���'.-"� . �'���i� ^�,..��z�� ���2�������' I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE. I AGREE THAT SELLER TOTAL LESS REBATE � 4,�0�79�.Q RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT TONNAGE: 2, 'rj PART . O"YR IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENTAND MATERIALS AT OMPRESSOR: 10_YR LABOR: 1 YR SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILITY OF SELLER. LIMITED WARRANTY:EQUIPMENT,PARTS AND MATERIAL HAS WRITTEN MANUFACTURER'S WARRANTY ONLY .,�.n_ , "� y�rn���,hr:xro�;:�.:xs,t�a.:-'e:',^4� �;O°/�,.��TCQR�6�?�M:O'E���S=;�-�� (WAC) ;�s-ti:.. _ _ 't YS:i_-++ >" _ � ^ ������ -��oR�:1��v-,���:.,�.,� 2-13 �8 =_ -_ _ _-__-��.-y�:-�.�ss��"��_�.-_: ATE. w`INS'�`ANT-RE�4p'r�:�;'.:�:�,:u CUSTOMER SIGNATUREC/�I/X/1lml �,.�,.��_.:..:,. ::y,-.;.,��..._._�.-_y:._:_.-....... �y � � a � 000 � oo � �v ao � v