HomeMy WebLinkAbout18-19337 CITY OF ZEPHYRHILLS i`
� . , 5335-8TH STREET /�
(813)780-0020 19337
BUILDING PERMIT .
- PERMIT INFORMATION -- � LOCATION INFORMATION =-
Permit Number: 19337 Address: 37501 VALLEYDALE AVE
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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-1770
Improv. Cost: 6,169.00 OWNER INFORMATION
Date Issued: 2/23/2018 Name: SMITH WESLEY F & LINDA A& SMITH
Total Fees: 75.00 Address: 118 GI RD
Amount Paid: 75.00 ALTAMONT NY 12009-6207
Date Paid: 2/23/2018 Phone:
Work Desc: A/C CHANGEOUT 2.5 TON
CONTRACTOR S APPLICATION FEES
ACS HOME SERVICES A/C CHANGEOUT 75.00
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Ins ections Re u d
DUCTS INSTALLED
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 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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� NTRACTOR � GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
Date Received ' OS � ' �� Phone Contact for Permittln 1� lU�O —� � /
Owner's Name �� 1 � �-o Ir Owner Phana Number �
Owner's Address 3 7Sv/ � %/e (1' �� L Owner Phona Number
Fae Simple Titleholder Name 1V � Owner Phone Number
Fee Sfmple Titleholder Address /`�
JOB ADDRESS � �S�� �}�I'� C(�-�-C LOT# � �
SUBDIVISION � PARCELID# 03 -a�,-a�-oj ,70'{,�(�(�Q ' � � Q
(OBTAINED FROM PROPERTY TAX NOTIC�
WORK PROPOSED � NSTALL�R B REPAIR � SIGN Q Q DEMOLISH
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � �� UiJ'� o!•J�� I y�SE�2'�f�CJC�!' (��',J•T SC ����'�
BUILDING SRE SQ FOOTAGE� HEIGHT � ��,�y�v
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�MECHANICAL $ � �n � VALUATION OF MECHANICAL INSTALLATION
`�I
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTEftED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY -
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY �S (`��SQ.�U(�1.S
SIGNATURE RECI57Eaeo Y/ N FEE cuRaen Y/N
Address / I/i�'J'�--�W C�{�$�- �/} �'� Ucense# l..' L �•�1 8 /� C
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE Cl1RREA Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fartns;R-O-W Permit for new construc0on,
Minlmum ten(10)working days after submittal date. Requfred onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit far subdiv(sionsAarge proJects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fomts.R-O-W Pertnit for new construction.
Minimum ten(10)working days after suhmittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Sfte Work Permit far all new projects.All commerc(al requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required far ail NEW conslrucHon.
Diracdons:•
Fill out application completely.
� Owner$ConUactor slgn back of application,notarized
If over 52500,a Notice of Commencement Is raqulred. (A1C upgrades over 57500)
•• Agent(for the contractor)or Power of Attamey(for the owner)would be someone with notarized lelter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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' ' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
� which may be more restrictive than Counry regulations. The undersigned assumes responsibility for compliance with any
applicable 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
I intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. 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 permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that TranspoRation Impact Fees and Recourse Recovery Fees may apply to the construction 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 occupancy"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. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, 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"ownet'prior to commencement.
CONTRACTOR'SIOWNER'S AFFI�AVIT• I certify that all the information in this application is accurate and that ali work
will be done in compliance with all applicable laws regulating construction,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
commenced prior to issuance of a permit and that all work 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 government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
, - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the filt material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone °A" in connection with a permitted building using stem wall
construction,I certify that fill 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 cited for violating
the conditions of the building permit issued under the attached 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 FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit 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. An 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 INTE D TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO R NO CE OF COMMENCEMENT. ��..��;���.,,�
FLORIDA JURAT(F.S.117.03) �+S*y Hor.,
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OWNERORAGENT CONTRAC " - 9=
Subscrihed and swom to(or aHlrmed)before me this Subscribed and`sw �)bef ine this %09 �,s**\,�m`;
bY by � �bn �.;oq , o�..
Who islare personally known to me or has/have produced Who is/are pe own to me or has/have produced �""""���
as identiflcatlon. as identltication, o � z
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� � ACS Home Services Invoice 13616140
Headquarters:1712 E Seward St, Invoice Date 2/21/2018
HOI!/iE SEi4\/OCES Tampa,PL 33604 Completed Date 2/21/2018
813-618-5631 Customer PO
� #EC13008068
#CAC1818754
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Billing Address Job Address
Wesley&Linda Smith Wesley&Linda Smith
37501 Valleydale Avenue 37501 Valleydale Avenue
Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA
Description of Work
Task# Description Quantity Your Price Your Total
2.514PS This Install Includes All Of The Following: 1.00 �6169.00 $6169.00
• 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.
Paid On Type Memo Amount
2/21/2018 Check 1009 $
2/21/2018 Check 1009 $
Member Savings$0.00
sub-Total $6961.00
Tax $0.00
Total�ue $6961.00
Payment �6961.00
Balance Due $0.00
For your peace of mind,should the Customer Satisfaction is our #1 focus!
repair amount exceed 25%of your
system's replacement value,our If you are not completely satisfied for any reason,Please call 813-906-1012 and ask to speak
technician is required to inform you of with the Customer Service Manager.
options for both repairing and Your feedback is very important to us.See attached Terms&
replacing the equipment. Conditions.
THANK YOU FOR CHOOSING US FOR YOUR SERVICE NEEDS!