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