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HomeMy WebLinkAbout18-19427 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020.,-.-- 1942 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19427 Address: 3940 QUAKER RIDGE ST LT 76 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: 24-26-21-0030-00000-0750 Improv. Cost: 1,995.00 OWNER INFORMATION Date Issued: 3/13/2018 Name: NHC-FL1 15 LLC ( MOORE GAIL) Total Fees: 50.00 Address: 3940 QUAKER RIDGE LOT 76 Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/13/2018 Phone: 352-523-5937 Work Desc: DUCT WORK CHANGE OUT ONL CONTRACTOR(S) APPLICATION FEES ACREE AIR CONDITIONING INC MECHANICAL FEE 50.00 40 DUCTS INSTALL-0- Ins pectio s Required DUCTS INSULAT4?.�- ,� L FINAL "WT I ( VU REINSPECTION FEES: (c)With respect to Reinspectio'n fees will comply with Flo I rida 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. cbmTRACTOR SIGNATURE PERMIT OFFIVR 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 , 4 ' l Building Department Date Received �—q' Phone Contact for Permitting LJ — �51 tSL Owners Name Owner Phone Number Owner's Address ck c,�,e S Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address p JOB ADDRESS U u/ VrC i Zc 1 ��2-1- y� LOT# r��� Ce'�f7\) SUBDIVISION PARCEL ID# '�Z—10.E 0^ (00— 7�' v (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK/ = FRAME/ = STEEL = DESCRIPTION OF WORK li rwnx BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ MECHANICAL 1$ G arrJ� VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER V FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LZI N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N Address License# MECHANICAL COMPANY ffic SIGNATURE REGISTERED Y/ N rEECURREN I Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURREN Y!N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commerciAl requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions. Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 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 County. 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 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 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 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 INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) t` OWNER OR AGENT — CONTRACTOR S d and swom r affirmed efore a this Subscribed and sworn to(or affirmed)before me this i( by ' (� by Who /a a personal) o to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission, o. C Commission No. Name o ry type ,printed or stamped Name of Notary typed,printed or stamped a0 "W� Notary Public State of Florida Sabrina Sherd o` My Commission FF 978997 or Ro4> Expires 04/05/2020 �3 Duct Agreement Customer Name Gail Moore Customer#3073 Date 3/5/2018 Address 394o Quaker ridge st I City Zephyrhills State FL Zip33542 Home Ph.( } Work Ph. ( ) Email Lo AERDAEFA . . Duct aeaiing 'Frain The inside -o o Aerosol Sealing Profile s DELUXE ✓10 Year Leak Free Guarantee - ✓10 Year Parts Guarantee - - ✓1 Year Free Labor � A 7ypical,duct systems lose 25 to 40 percent or the heating ter cooling energy put out by the centre! I (urnace.'heat pump or air conditioner.Duct repairs I e • • could be the most important energy improvement measureyou can do.. U.S'Depanment of Energy - i A OTHER WORK TO BE PERFORMED: AE AL INST ION INCLUDES []Add Return All Labor ❑Add Supply ✓ All Required Permits ✓ Removal and Proper Disposal of Job Related Debris ❑Coil Cleaning �g-✓ Check Entire Duct System for Safety and Efficiency ❑Blower Cleaning • t x s"firer' �� D`r^ p^ - - ❑Q° v.�. o a D . �[��+�'1�/�/ 'ter -.:u' .�aa,..,ram•^-; ❑, " at -IniZz eta 0- g.� ;.: iY r•+,. , ° ,.. •-�:. ::�,� ". .1�=;M,�� °.fie. ��, o �•i � _ '{. ,���§•may" 'ae,s,ter."�w,�x...- y'd��'. a°0 -0. `e.� � '6'Er€t3 C ti t ,��+y ❑:"r'" Y'� "q� a:' +. y�9. GUARANTEES:All guarantees are explained on the reverse side of this agreement. ❑✓ Comfort Guarantee ❑✓ 100%Satisfaction ❑✓ No-Frustration On-Time Install ❑✓ Property Protection ❑✓ Money Back NO SURPRISES:The investment quoted is what you pay.CUSTOMER RESPECT:Our technicians will not swear or use tobacck products while on your property. They will courteously answer any questions or concerns and leave your home as neat as they found it.CODE COMPLIANCE:Our work will comply with all existing local codes.DRUG FREE:Your work will be performed by our professional,highly trained and drug-free employees. We hereby propose to complete work as specified for the sum of:$1995 Additional Notes/Terms: Buyer hereby declares that buyer hods tide to property in which merchandise is being installed and has legal authority to order the wodt ouamed.Accounts not pale saNnn 30 days of installation are in default and subject to late payment charge of 1-,7%per month(is%annually.)Buyer agrees to any reaspnaba attorrtays lees incurred by seller to cMect payment of this contract.Buyer and seller agree that any controversy or claim arming out of or retatarg to this ogrearrenl,or part-..of it.,shall be settled by bndmg omdrahon,except ❑Financed* Deposit$ I yy0 Balance due upon installation that salter reserves the tight to sue buyer in a court oflaw for any amount due them from the Buyer,with all natters mcludug defense to payment being resolved by arb,tmlion.Such arlubalion will be conducted in Company Approval by Date r� }� accordance with the arbitration rules.then in force of the Mrencan Arbitration Assocabor The arbitration award 7 0^1,e .S�V�L U I V can not exceed a m ate amount of the agreement and will be tatter and binding on both parties Ju dgement upon Customer Approval by Ala e'w Date such arbitration award may be entered in any court of cmipetent)urisdlction.Each party beers ifs own cost for arbdreeon,including ultarney tees Suh''ect to a{¢roval by r:rxnca xmtparry.certan reslpcfio s apply. Acree Air Conditioning (813)620-1666 Phone 3801 Corporex Park Drive (813)621-7915 Fax Ste 130 customercare@acreeair.com Tampa FL 33619 All C nz� in Acreealr.com Bill TO Ship To Gall Moore Gall Moore 3940 Quaker Ridge st 3940 Quaker Ridge st Zephyrhills FL 33542 Zephyrhills FL 33542 Work Order# 3230 Transaction Date: 03/09/2018 Terms: COD Invoice 16650 ascnp ion.�:�Itern D ClUantty VV Price Amount DCO-125 Duct Change out Manufactured Home 1 $1,995.00 $1,995.00 553 Retail Permit 1 $0.00 $0.001 KDCO Manufactured Home Duct Change out Installation Kit 1 1 $0.00 $0.001 PPD Service or Install Pre paid. Processed prepayment#$1995 1 -$1,995.00 -$1,995.00 --Client PPD with visa at time of sale-Work Order#3073 1179 Katherine Rubio 1 $0.00 $0.00 220 Invoice Reviewed by Nikki 1 $0.00 $0.00 PAID Subtotal $0.00 Tax $0.00 Total $0.00 Authorization Acceptance Payments $0.00 1 hereby authorize [company's I accept the services performed name]to complete the by[Company]are to my Balance Due $0.00 proposed service, repair, or satisfaction. replacement and agree to pay the invoiced amount upon completion. I additionally certify that I am fully authorized to authorize this work and commit to payment. Gail Moore 1 , 3801 Corporex Tampa, Florida 33619-1136 On Time, Every mime! ECM7 March 13,2018 I,Victor Trino, hereby authorize the following to sign for and acquire permits and licenses using my State of Florida License No.CAC050424 Michael Trino N - ' DL#T650-550-67-332-0 Darrell Webster.,-,'- DL#W123-163-84-026-0 Chantz Renner DL#R560-104-89-421-0 Anthony Kell DL#K400-013-88-343-0 Allisian Adrien DL#A365-019-94-379-0 David Whatley DL#W340-173-90-208-0 Richard Benancourt DL#B352-740-83-089-0 Telando Gardner DL#G635-804-91-322-0 This should supersede any other letter of authorization. L� If you should have any questions, please feel free to contact me at(813) 620-1666. i Victor Trino Acree Air Conditioning, Inc. Lic: CAC050424 City Of Zephyrhills This foregoing instrument was acknowledged before me this /'�-->da of Md-6G'2018. By�I &kry Ity,?1U who is personally known to me. // ll �7 �® My Commission expires `-'l �I 2`' Notaignature SEAL 99 r Notary Public Slate of Fbride :� Sabrina Sherd ••�, t �y Commission FF 978997 "rcr�o� ExpiresOg1051y020 Service Anytime I lam - 11pm, 7 Days a Week No Overtime Charges—EVER! Pinellas 727-447-0508 • Tampa 813-620-1666 • Polk 863-683-3437 Toll Free 1-800-783-8154/ 1-800-WE-R-OPEN