HomeMy WebLinkAbout18-19815 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 198,15
BUILDING PERMIT
PERMIT INFORMATION -LOCATION INFORMATION
Permit Number: 19815 Address: 6421 ASHVILLE DR
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: SILVER OAKS VILLAGE
Est. Value: Parcel Number: 03-26-21-0200-00000-0250
Improv. Cost: 8,517.00 OWNER INFORMATION
Date Issued: 6/18/2018 Name: HETTMANN BREANN
Total Fees: 130.00 Address: 6421 ASHVILLE DR
Amount Paid: 130.00 ZEPHYRHILLS FL 33542-4889
Date Paid: 6/18/2018 Phone: 941-3770153
Work Desc: A/C CHANGE OUT 2.5 TON W ELECTRIC
CONTRACTORS APPLICATION FEES
UNIQUE SERVICES A/C CHANGEOUT 85.00
UNIIQUE SERVICES ELECTRICAL FEE 45.00
tl 2,, CP .
DUCTS INSTALLED Inspections.Re uired
DUCTS INSULATEP
FINAL 1
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.
&-- bA��
CONTRV,TOR SIGNATURE 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 Phone Contact for Permittin —
��-rrrrr1-i1 -
Owner's Name �7 1 1� t/1� Owner Phone Number
Owner's Address L( h�{ �le J 7J`t� Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address!�I
JOB ADDRESS 1V I ' i LOT#
SUBDIVISION 1 PARCEL ID# 02b®
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR 17V ADD/ALT SIGN Q DEMOLISH
INSTALL FL"Ji REPAIR
PROPOSED USE ®� SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION Q /B9(LOOCK PQ FRAME/ V1 71 STTEiELLT�Q1/�
DESCRIPTION OF WORKI AC [� '( 0c�FjN(0SA0_3l1 rl�/ 7"TL�Ti 1J1 1/v1lt�JCG,C/�•�0Y�l
BUILDING SIZE I I SQ FOOTAGE= HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
V"IELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
=PLUMBING
MECHANICAL $., VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LAIN
Address �t License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I W - License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/_ FEE CURREN I Y/N
Address _ I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
IIIIIIIIIIItII.IIIIIIIIIIIIIIIIIIIIIIItlllllllllllllltllllllllllllll •�,;,
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 dui s after submittal date. Required onsite,Construction Plans,Stormwater Plans wl 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 Attorney(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 W"unless expressly permitted. K
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)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this cribed and savor o(or affvr�e b re me thi
by by
Who is/are personally known to me or has/have produced Wh6 is/are personally known to me or has/have produced
as identification. as identification.
Notary Public K-Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name o a C p CASON
J1inr no N
?, VP State of Florida-Notary Public
='®'= Commission#f GG 22630
�.' �a111 V My Commission Expires
August 18,2020
UNIQUE AIR-
: ---- ---- -- --- -- -------- -
SYSTEM INFORMATION EQUIPMENT FEATURES
System Level: Premier(Daikin) •6 Year Replacement Warranty:Unit comes with a 6 year
Type: Straight Cool unit replacement warranty.This means that if your
compressor fails within 6 years from time of installation,
Capacity: 2.5 the manufacturer will replace the entire condensing unit.
SEER/EER: 16.00 •Single Stage Compressor:A compressor that only
provides the full capacity of the system during operation.
WARRANTY- •Aluminum Evaporator Coil:It is more resistant to
corrosion than one made of multiple types of metals.
Compressor: 12 years • ECM:An Electronically Controlled Motor that is quieter
Outdoor Parts: 12 years and more efficient than the standard motor.
Indoor Parts: 12 years
Heat Exchanger: --
Labor: 12 years
I AIR QUALITY - ADDITIONAL AIR QUALITY
Thermostat: Nest 3
Filtration: None
UV Light: None
Air Purifier: None
DUCT MODIFICATIONS INSTALLATION DETAILS
Add new cut in to living room to get proposer airflow. Installation,circuit breaker replacement,concrete
slab w/hurricane tie downs,system tuning, 12 yr
parts and labor warranty, 1 yr maintenance and
permits.
Customer Initials
CA Intials
GUARANTEES
Comfort No Lemons*Utility Savings*$500 No-Frustration Property Protection*Satisfaction
No surprises:The investment quoted is what you pay.Customer.respect: Our technicians will not swear or use tobacco products while
on your property. They will courteously answer any questions and leave your home as,neat as they found it. Code Compliance:The
installation will comply with all existing local codes. Drug Free:Your work will be performed by our professional,highly trained and --
drug-free associates. Satisfaction:We will guarantee that your system meets or exceeds your-expectations for quality and-reliability.
051013
SO# 1209893 Thank You for Choosing Unique Services as your Home Comfort Specialist.
-- ii[[ii[ii[ii[[i[ill[[ii[iii[[iiiiff[liflfilflfifi�ififli[fi
2018078854
Permit No. Parcel ID No 03-2&21-0200-00000-0250
NOTICE OF COMMENCEMENT
state of Florida County of Pasco
THE UNDERSIGNED hereby gins notice that Improvement will be made to cedoln real Property.and in accordance with Chapter 713.Florida Statutes,
the following information Is provided In this Notice of CommencWgR OAKS VILLAGE-PHASE ONE PS 35 PGS 8"T LOT 25 OR 9149 PO 2858
1. Description of Property:Parcel Identification No.
StrodAddress: 6421 ASHViLLEDR _
Re t:1955740 Reel f0.00
2 Generai Description of improvement AC Channe oat DS: 0.00 I T: 0.00
05/09l2018 K. M. , DAY Clerk
3. Owner Information or Lessee Information A the Lessee oontracted for the Improvement!
HETI'MANN BREANN M
Name
6421 ASHVILi F DR ZEPHYRHILLS Fl-
Address City
interest in Property: PA'JL.A S.O'NEIl-,Ph.D.PASCO CLERK & COMPTROLLER
Name of Fee Simpie Titieholder 05/09/2018 12:00 m 1 of 1
(0 different from Owner listed above) OR BK �"T PG 1346
Address Dennis Zacek CRY State
4. Contractor.451518%t Ct E Bradenton FL
Address CRY State
Conbadofs Telephone No.: 941-377-0153
5. Surety:
Name
Address City State
Amounlof Bond:S Telephone No.:
S. Lender.
Name
Address City State
LendafsTetephone No:
7. Persons within the State of Ftodda designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(tj(a)(7).Florida Statutes:
Name
Address City state
Telephone Number of Designated Person:
S. in addition to himself,the owner designates Of_
to receive a copy of the Llenofs Native as provided In Sedan 713.13(1)(b).Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Erpiration date of Notice of Commencement(the expiration dale may not be before the completion of construction and final payment to the
contractor.but vA be one year from the date of recording unless a ddrerent data is sped leV.
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EtPIRA71ON OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART I,SECTION 713.13 FLORIDA STATUTES AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO Y69R PROPERTY. A NOTICE OF COMMENCEMM MUST BE
RECORDED AND POSTED ON THE JOB SiTE BEFORE THE FIRST INSPECTION. iF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of parjury,i declare that I have read the foregoing notice of commencement and that the fads stated therein are true to the bast
of my tahoxriedga and belief. z=M�
STATE OF FLORIDA ('y
COUNTY OF PASCO
Signature of Owner or Lessee.o•Ownefs or lessees Authorized
Of icarlDlrectorhPadnedManeger
StgnatarysTRte Ottico �ryR_
The foregoing Instrument was admawledgod p iota ma this do y oi, ��
as A {type of authority.o g.,officer trustee.attorney in tad)for
{memo of arty o�of wham Instrument was executed).
Personaiy Known 0 M Produced! Notary Signature
Type of Identlftcatlon Produced � Name(Print) 6� Mk'14.rC 1 r
D L rSIO(�,.�5';�.•• �, �rZ.2 r� :-+R`�'4'`t�? COLBY MARKWELL
MY COMMISSION#GGW242
EXPIRES Jarntaq 29,2021
L9f' 154 wpdataftVhoffceccmmenoemenLpc=048
a
t
STATE OF FLORIDA, COUNTY OF PASCO 0 JU
THIS IS TO'CERTIFY THAT THE FOREGOING IS A `°
TRUE AND CORRECT COPY OFTHE DOCUMENT ;
ON FILE OR OF-PUBLIC RECORD IN THIS.OFFICE _
, �' P � 1
WITNESS MY HAND AND F .I IAL SEAL THIS � r � =+�-r
_DAY OF L'i.c 2
PAULA S.O'NE L C,E K&C PTROLLE.R
BY DEPUTY CLERK
0