HomeMy WebLinkAbout18-19358 . _ _. CiTY OF ZEPHYRHILLS
5335-8TH STREET
{813)780-Q020 193
BUILDING PERMIT
-' ' -- PERMIT 1NFORMATIUN � ' - LOC�4TICSN:iNFf3RMATiON
Perrnit Number: 19358 Address: 5122 RIDGE ST
Permit Type: MECHANICAL � ZEPHYRHILL�, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Biock: Section:
Square Feet: Subdivision: SHAW LAKE RIDGE
Est.Vatue: Parcel Number: 10-26-21-Q040-00100-0110
Improv. Cost: 6,513.00 � OWNER lNFORMATIQN
Date issued: 2/23/2018 Name: BLECHA, MARY
Total Fees: 75.Q0 Address: 5122 RIDGE ST
Amaunt Paid: 75.00 ZEPHYRH[LLS, FL. 33542
Date Paid: 2i23i2018 Phone;
Work Desc: A/C CHANGE OUT 2.5 TON HP
CONTRAGT4R S � APPLiCATiC>N FEES
ACS HOME SERVICES A/C CHANGEOUT 75A0-
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ins ectians Re uired
DUCTS 1NSUCAT����n�tll�
FlNAL ��
REINSPECTION FEES: (c)With respect to Reinspe+ction fees witl campty with Plorida Statute 553.8Q (2){c)the
local gavernment shai{ impose a fee af four times the amount of the fee imposed for the initial inspection ar
first v�einspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additionaf restrickions appNcabfe ta this property that
may be found in the public records of this county, and there may be additianal permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure ta record a notice of c+�mmencement may resutt in your paying twice for
improvements to your property, If you intend to obtain financing,consuit with your lender or an attarney
before recording yaur natice of commencemenfi."
Comptete Plans,Specifications Must Accompany Appfication.All work shail be performed in accordance with
Gty Codes and Ordinances. NO OCCUFANCY BEFORE C.O.
NU QCCUPANCY BEFORE C.Q.
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GONTRACT R SIGNATURE PERMfT OFF4 R
PERMIT EXPIRES IN fi M4N'PHS WITHdUT APPROVED INSPECTIaN
CALL FOR INSPECTION - 8 HC?UR NC?TICE REQUIRED
PR4TECT CARD FR4M WEATHER
� 813-780-0020 Fax-813-780-0021
� � ;; City of Zephyrhills Permit Application
Building Department
Date Received 2_22_ZQ�$ Phone Contact for Permittin _813-618-5631
Owners Name Mary Bleacha Owner Phone Number 813-788-3592
oW�erS aaa�ess 53 Haskell Ave Arcade NY 14009 owner Pnone Number 813-788-3592
Fee Simple Titleholder Name N�A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 5122 Ridge Street Zephyrhilis, FL 33542 LOT# 11
SUBDIVISION Shaws Lake Ridge pARCELID# 10-26-21-0040-00100-0110
(OBTAINED FROM PROPERN TAX NOTICEJ
WORK PROPOSED NEw CON57R ADD/ALT 0 SIGN Q Q DEMOLISH
I � INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER ,�.1,
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK Change out 2.5 ton 14 SEER Heat Pump Horizontal AHRI#9678773
BUILDING SIZE SQ FOOTAGE 960 HEIGHT �
Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�MECHANICAL $6513 VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALN � OTHER i
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
��...r...r�i—:�� S—: �
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �,
� Address License# I
ELECTRICIAN COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# .
PLUMBER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N I
Address /) License#
MECHANICAL � ! COMPANY Y/� � Gn���r���S�S����1
SIGNATURE / REGISTERED Y/ N FEE CURRE� Y/N
Address 1 Ea,St-•Seward Street Tampa FL 33604 �icense# CAC1818754
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllll
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8.1 dumpster,Site Work Pertnit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertni[for new construction.
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construdion.
Directions:•
Fill out applicaGon completely
Owner 8 ConVactor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades AIC Fences(PlotlSurvey/Footage)
Driveways-Not over Counter'rf on public roadways..needs ROW
i
w NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County 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
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
Caunty.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation 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"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all 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 performed 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 8ayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlWastewater 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 fill 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 wili 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 COM �ENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y INTE,I�D TO OBTAIN FINANCING,CONSULT �..����..,o
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO R N0710E OF COMMENCEMENT. ;;,+';+.^';,--
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FLORIDA JURAT(F.S.117.03) ,f,'r � _o �:
OWNER OR AGENT CONTRAC :�o + +mc:
Subscribed and swom to(or affirmed)before ma this Subscribed ' n irtned)before e thi �� a
9����x*�����,.
by S S '� r'1 C C c.v�
Who is/are personally known to me or haslhave produced Who is/are perso ally known to me or has/have produced o,� z
a s i d e n t i fi c a t i o n. �� a s i d e n t i f i c a ti o n. a c� � �
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Notary Public � �� Notary Public � x '^ � 7mo
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Commission No. Co �5i.'srno No. o y � ^ �
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Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped o`� �N,, a =
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ACS Home Services Invoice 13620672
Headquarters:1712 E Seward St, Invoice Date 2/21/2018
����5������� Tampa,FL 33604 Completed Date 2/21/2018
813-618-5631 Customer PO
#EC13008068
#CAC1818754
V
Billing Address Job Address
Mary Bleacha Mary Bleacha
5122 Ridge Street 5122 Ridge Street
Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA
Description of Work
Task# Description quantity Your Price Your Total
2.514SHP This Install Includes All Of The Following: 1.0 $6513.00 $6513.00
• 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.I�the lin�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.
Paid On Type Memo Amount
2/21/2018 Check #6174 $8,513.00
Member Savings$0.00
' Sub-Total $6513.00
Tax $0.00
Total Due
Payment $6513.00
Balance Due $0.00
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