HomeMy WebLinkAbout18-19496 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19496
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19496 Address: 37548 LANDIS AVE LOT 99
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0990
Improv. Cost: 5,900.00 OWNER INFORMATION
Date Issued: 3/28/2018 Name: EVANS KAREN M
Total Fees: 70.00 Address: 37548 LANDIS AVE
Amount Paid: 70.00 ZEPHYRHILLS FL 33541-9307
Date Paid: 3/28/2018 Phone: 603-630-3755
Work Desc: A/C CHANGEOUT 4TON
CONTRACTORS APPLICATION FEES
ABSOLUTE AIR SYSTEMS INC A/C CHANGEOUT 70.00
Led
DUCTS INSTALLED Ins ections Required
DUCTS INSULATED
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 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.
L\-^j &-,
N CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e1s-iuU-Uuzu uty Ot Gepnyrnilis rermit Application rax-a w-rov-vvc 1
Building Department
Date Receivdd pp. xuz�� al. � .. NO
�p Phone Contact"forPermitting-
Owner's Name P/Y1 I/" S Owner Phone Number : 1,03
Owner's Address . (54 I- C,{I S ) of 7%wner Phone Number
Fee SimplelTitleholder Name Owner Phone Number-
Fee SimpleTitleholder Address
i 2 g / / 2
JOB ADDRESS 3 4 5 I(�. 0 l S / f G J�Z� LOT#
SUBDIVISION PARCEL'ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR' ADD/ALT 0 SIGN 0 0 DEMOLISH
R ' INSTALL B 'REPAIR
PROPOSED;.USE• = SFR 0 "COMM = OTHER
TYPE'OF CANSTRUCTION' Q BLOCK 0- 'FRAME
L= STEEL 0
DESCRIPTION OF WORK 7 BTU
BUILDING'SIZE SQ FOOTAGE :HEIGHT.
=BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING' 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
i
1
.BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt. I/N.
i
Address License.#+
:.
ELECTRiciAN...;., COMPANY
—.SIGNATURE REGISTERED Y/ N .., FEE CURREN Y/N
Address' - License#
:..P,LUMBEF' 'COMPANY
SIGNATURE r REGISTERED . Y.- N, ' ' :FEE CURREt. Y/N.
Address License#s
,`.:'.MECHANICAL
SIGNATURE COMPANY. J7IC Llf/)'?S. /�)C
" '° REGISTERED Y/ N FEt;CkVkREh .:i' Y)/N
Addretsv License.#'
"OTHER' tom
PANY
SIGNATURE ,_ REGISTERED Y/.N FEE-CURREN Y/N
Address.:::., : , Clcerise'#
t`RESWENTIAL?F ;Attach:"2 4PIotiPlans 2`sets`of Bu'ildlri <Plans;` 1 set of Ene Forms;R`•0=1N Permit fornewr.construction,
r;.;<,:,u --•.Minimum ten. 10 fworkln
,3,ci; yy:r, t99,.(;_,); 9s:daysiafte�sutirriittal:date. Required.onsit'',_C' traction Plans,Stormwater Plays W/Silt Fence installed,
.. , :w: San(teryFacll(bes&31�dumpsteWorkRermitfor'subdivisions/large;proJeet's'.;; ; ' :• :,
�C-.OMMERCIAL Attach-.'°complete`4 ofBuilding 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& dpster.Pite Work Permit fo�411-,new p?ojects.All.commercial requirements must meet compliance
'tSIGNcPERMIT
"Attach(2)'set"s;ofEnginee�edi?lens1um
'PROPERTY SURVEY.required.;for.aILNEW_construction...
Fill:outapplication completely.
Owner&Contractor,sign:back of application,notarised
If over,'$2500;-a Notice.of:Commencement is required. (AIC upgrades over$7500)
Agent_&--- i'e�corit 66r.:)�or Power•:ofAttomey(for•the•owner)would-tie someone with notarized letter from owner authorizing same
0{VER;THE'COUNTER PERMITTING.. .•..' '.(copy.of<contract:required)
:'Reroofs if,shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
:Driveways-Not^over Counter if on public'roadways.`.Adeds'ROW
- i
NOTICE.OF DEED:RESTRICTIONS: The undersigned.understands;that,this ermit,Ma besubject.to,x',deedi'.;;restncfio
whrch.ma be:more:.restrrctnre:than.°;count re`matrons:=TFae undersi'necf assumes'res ,onsrblliU''fo�compllan;a wrath any'`A
Y,. Y 9 9 P,
appiisabie;:deed.restrictions:
UNLICENSED COONTRACTORS'`AND CONTRACTOR RE$P'X)NSIBILITlES: =1f tFie owner°t as i iretl�*a dontractor or
contractors#o undertake work;.they maybe r_eOuired_sto bei'licensed-in accordance with._state and'local`regulations
contractor.is not:licensed a§ required'°b`y.law; both:=the owner•and"cointractor•m"ay be:cited�for a misdemeanorviolaticn....
under state law. if the owner.or.;intendid:cbntractor-are°Uncertain as.to what.licensing;requir,.e men,
ts may{appi<'yrforjthe:;
intended work*Ahey:are advised to contat fthe Pasco_Courity'Builcling,inspeefion';C ivisioriLicensing:Section at 72,1=4 - `.
8009. •Furthermore if the Owner-has'°h3red'`a contractor ar contractors he is advised to;;have #he:,contractor(,s;3:::sign . - �
portions of the "contractor Block'.'_of this..application for-which they-will be..responsibie:responsible.,--if_you,aglthd-,6iuii'e `sigh-as=tl N =j
contractor; that may be an indication that'he is not properly`licensed a'" " ., 'nd is not entitled`-to'permitting privileges:_in;;P;ascb;. :iny j
County.
TRANSPORTATION-IMPACTIUTiLITiES-IMPACT AND RESOURCE RECOVERY"FEES:-'The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees•may:apply to the.construct!on•..of n.pw;buildings, chap{�;e°a-, r=
use in existing buildnngs,-,or-expansion>of,:existilig buildings, as specified in Pasco County Ordinance number 89=07.arid, Y ;
90-07, as amended: The,undersigned als 3 understands, that such! -as`",rxtay-be.due; will�'be.identified-at',ti a}:tii e'.J-1ifK
permitting. 'it is-furtherunderstood that?ransportation Impact Fees'. Resource;Recovery.,'ees must be pald'#ior to
receiving.a"certificate of occupancy"or final.power release: 'If the:prgjegt does not involve;a`certificate of:od.-Cu n'cyiar . yj
final;:power-releasei th'd,-fees.'Must.be:•paid prior to permit issuance_.;Furthermore,-if:Pasco County Water/Sewer,,,] act ry
fees are dtie,-.they.md.tt be.;paid prior to.permit"issuance in:accordance with`applicable.;Fasco County ordinances.
CONSTRt1CTlON L1EN=LA,W(Chapter7l3,'Florlda Statutes,as amended): If valuation of work is$2,500 00,or mote-,:i
certify. that 1, the applicant, have been._.-provided with a:copy;:.of.-:the "Florida Con§truction`Lien :Law-Homeowneri'
Protection Guide" prepared'bv`the-Florida Department of Agriculture and Consumer:Affairs. If the applicant=is.someone.;,.
other than the"owner",:I certify that,l..have obtained a copy of the.above°described``document And:.promisd-in.good'faIgh o:.:,
deliver.it;to'tiae'`.own.er":prior:to-commencement:
CONTRACTOR'S%OWNER'S AFFIDAVIT::i;certifythatail the information in this application is accurate and that alf work
will be done in compliance with all appli' bib aws regulating construction, zoning-and land.development. Applicat6n.is
hereby:made to.obtain•a:,permit:;:to.Ab,-,,work-and installation .as indicated. ! certify that no work or:in�taliatior='has
commenced prior'to issuance of a permit and-.1hat 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. =C Wso
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 incompliance.•Such agencies include:but are not.limite&to:1. i
Department of Environmental:°Protection-Cypress Bayheads; Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment,
Southwest Florida Water Management District-Wells; Cypress .Bay- heads, Wetland Areas, Altering
Watercourses.
iwj
Army Corps of Engineers-Seawalls, Docks Navigable Waterways.
Department of Health:,;&,Rehabilitative. Services/Environmental;°.Health:Unit-Wells„Wastewater.Treatment,
Sep#ic Tanks..
US Environmental Protection Agency,Asbestos.abatement. ;
Federal,AviationAuthority-Runways.
I understand that.the°:foll'owinga.restrictions apply to the use of fill:
Use of fill is not'allowed in Flood Zone"V"unless expressly permitted.
if the fIVMateria[As 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 Fiorlda.
i€ 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 wily be used only to fill the area within the-stem wall. ..
If fill material Isto to be used in any area, I certify that use of such'fill will not adversely affect adjacent
properties. If use,of till Is found.to adversely affectadjacent properties, the owner may be cited for violating
the-conditions"of ahe°building,permit.issued under Ahe,attached._permit•.application, for.lots-less than one!0)
acre whichareelevated.by fill,-an engineered drainage plan is required.
If I am..the AGENT FOR THE-OWNER;lf- romI a in good faithto infornf the owner of-the-permitting condltions set forth in
this afrrdavit priorto commencing"construction: .I understand that.a,,separate permit may be required for electrical.work,.-
signs, wells,:pools,•ai_r,conditionin specifically included in the application.1 A.
plumbing, ,g;;gas,:..or�otlier�`irrstallations not s
permit issued sh°ali'be.co' trueditolti'e a'llcense�to.proceed withthe work:and notas•authonity to Violate,.cancel, alter,;or
set aside any provisions iihi e'technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of-errors<in�°plans; bon5truction or:vlola#ions 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 1by
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 OYYNERi. Y'00,11 AIL lik-l',O.RECORD:A.NOTICE.OF COMMENCEMENT•MAY RESUtT iN YOUR
3
a.,,. ..Fn:.
PAYING;T'WIC,t.'FOR'INiQ?'OV,EMi Iidl' '0 3 :Y.OUIR:PR®PEE 5':;:IF Yi3U:J,TEN :TO OBTAIN.,FINANCING�'Ct?FdSt9L7
WITH YOUR'LENDER_ AN ATTORNEY BEFORE.RECORDING•YOUR`NQTICE,OF�'COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed).before me this Subscribed and sworn to(or ffi ed)before, e this
by by P� � !GltlP,�
Who is/are personally known 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 No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
3/28/2018 Karen Evans proposal.jpg
Absolute Air Systems,Inc. Bid Proposal
d 37325 Kossik RD Break Down
-a Zephyrhills,FL 33541
Lic#CAC1813789 Fax:(813)-788-9189
(813)-779-0101 Email:steve@getcoldair.com
Quote to: Karen Evans
37548 Landis Ave,
Zephyrhills, FL 33541
Contact: Karen Evans
(603)-530-3755
krnevans42@yahoo.com
Job Description: Install 14 Seer(Bryant)package unit(Model#PA4ZNA048000-TP).
Location: 37548 Landis Ave, Zephyrhills, FL 33541
General Proposal Breakdown
1. 4 Ton 14 Seer, Straight Cool, (Bryant) unit-$4695.00
2. New ducting-$800.00
3. Permit-$150.00
4. UV light- Included
5. 10kw heater- Included
6. Slab-Included
7. Hang kit- Included
8. Thermostat- Included
Notes:
® One year parts.and labor. 10 year warranty on all parts. Extended warranty also
available (Ask tech for details).
No engineering or designing included.
o All work is done to code (even without permit).
Signature of Proposal
By: (Person Authorized to Sign Proposal)
Horne Owner Signature ature Date
r'
Karen Evans %� (D
Contractor Signature Date
Steve DeRolf 3)2-t�
Steve DeRolf: President Quote good for 30 days.
AASI:Absolute Air Systems,Inc.
Please sign and email to steveLWoetcoldair.ccm or fax back to(813r788-9189
https://mail.google.com/mail/u/1/?tab=cm#sent/16263bb3bo4b2O83?projector-1&messagePartld=0.2 1/1