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Home My WebLink About18-20449 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 204p" BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20449 Address: 5045 SUMMERHILL 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: SUMMERHILL Est. Value: Parcel Number: 12-26-21-0100-00000-0140 Improv. Cost: 6,588.00 'OWNER INFORMATION Date Issued: 11/13/2018 Name: MOHLER LINDSY BLAKE & KARL Total Fees: 75.00 Address: 5045 SUMMER HILL RD Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/13/2018 Phone: 813-312-5456 Work Desc: A/C CHANGE OUT 3.5 TON CONTRACTORS APPLICATION FEES PAYNE AIR CONDITIONING & HTG INC A/C CHANGEOUT 75.00 DUCTS INSTALLED Ins ections Required DUCTS INSUl1AiTE 1\ FINAL f � � 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. CONTRA TOR SIGNATURE PERMIT OFFI R ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER XPAYNEAR CONDITIONING& HEATING, INC. "We're There When You Need Us" j w 0 turn to the experts15:j;;_ November 12, 2018 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 To Whom It May Concern: This letter is your authorization to allow the,following,individuals to sign for and obtain permits for Payne Air Condltionmgand.t-Ieating,-Inc:: ; Frank Lansford t Randy,Henderson James Jarrett, s. John Welsh Charles Towrisel. Wayne=lVlcKltaney .F ,. Adam Ogg Craig Mills Dustin Thompson Monty Davies t Shaum Parker... Tommy Wallace Sincerel , Frank Lansford ... President #CAC1817I08 STATE OF FLORIDA COUNTY OF POLL Sworn to and subscribed/More me this. T� day of NDi/ xm z-r_ , 2018 Personally n_= !or produced Identification Charles B.Diggs._,',: 'NOTARY PUBLIC --STATE OF FLORIDA sComm#FF200763 Notary Public '' �� Expires 3/21/2019 863-686-6163 • 863-686-6161 FAX• 1048 E. OLEANDER STREET• LAKELAND, FLORIDA 33801-2012 dispatch@payneair.com CAC 1817108 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 863 686 _6163 Owner's Name Lindsay Mohler Owner Phone Number 813 312-5456 -- Owners Address 1 5045 Summer Hills Dr.,Zephyrhills,FL 33542 Owner Phone Number 771 Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5045 Summer Hills Dr.,Zephyrhills,FL 33542 LOT# 14 SUBDIVISION Summer Hill PARCEL ID# 12-21111100-00000-0140 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM = OTHER HVAc replacement TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK HVAC changeout epsbng 3.5 ion system BUILDING SIZE I SO FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R,E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER$6500.00 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREr. Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEECURREN Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/N Address I License# OTHER �i�JV COMPANY Payne Air Conditioning&Heating,Inc. SIGNATURE I �JI/� REGISTERED I Y/ N FEE CURREr Y/N Address 1048 E.O..rider St.,La eland,FL 33801 License# CAC1817108 11111111111111 11111111111111111111111111111111111111111111111111 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,Stornwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdlvislonsharge 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,Stornwater 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. WC 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) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sw to(or affirmed)before me this by by 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 S}fie o-F r-1 D rt' Notary Public Commission No. Commission No.CA G 0$ 1 4ifU Ina aj�71 e i)HC rvt Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ;oi„pr n� INA MARIE WILL19M5 r,� Notary Public-5tateof Florida •5 Commission k GG 0r 9 ;' o. My Comm.Expires Mar 9,2021 ',Face� ' BordedthmughNationalNotaryAssr. From: 11/13/2018 11:40 0086 P_002/002 AIR 0O/VDMCPA11N4G -9L HEA77JVA2� 11VO Turn to the Experts. CAC1817108 "We're There When You Need Us" Date November 13,2018 Customer Name Lindsay Mohler Phone 813-312-5456 Cell Phone Address 5045 Summer Hill Drive Bill To Address City,State,7jp Zephyrhills,Fl.33542 City,State,Zip Comfort SrAern Specifications CONDENSER AIR HANDLER 1. Make CARRIER COMFORT Model# 25HBC642AO03 / FX4DNF043LO0 SEER 15 Single stage TON 3.5 TON Warranty: Compressor 10 YR Parts 10 YR Labor 1 YR N/A Rebate $ $0.00 Investment$ 6,270.00 Less Rebate= $ 0.00 $ = $ 6,270.00 ) lake CARRIER PERFORMANCE Model# 25HPBS42AO03 / FX4DNF049L00 SEER 16 Single stage TON 3.5 TON Warranty: Compressor 10 YR Parts 10 YR Labor 1 YR NIA Rebate $ $0.00 Investment$ 6,588.00 Less Rebate= $ 0.00 $ _ $ 6,688.00 ) 3. Make N/A Model# ! SEER TON Warranty: Compressor Parts Labor Rebate $ $0.00 Investment$ Less Rebate= $ 0.00 $ = $ 0.00 4. Make N/A Model# / SEER TON Warranty: Compressor I Parts Labor N/A Rebate $ Investment$ Less Rebate= $ 0.00 $ _ $ 0.00 ) Additional Job Notes: New heat pump,air handier,digital thermostat,hurricane slab w/straps,safety float switches,adapt to existin duct system,increase flex size to first mixing box which feeds to rear of home,flush lineset and drain lines seal dud seams as needed,all labor,tax and permit. Price Includes Equipment,Materials,Labor,Taxes and Permit Fee NEW EXISTING OTHER gen f�Sr El Equipment Disconnect 0 Remove ALL Old Equipment El Air Filtration System N/A [x El Hurricane Pad nx Flush Existing Drain Lines UV Light Protection N/A 11 x� Copper Refrigerant Lines �x Safety Float Switches Ada 7yrLabor warranty add 5750.00 Qx Digital Thermostat r]x Protect Floors With Drop Cloths ❑ [] Galy.Emergency Pan Pull Required Mechanical Permit �x Primary Drain Piping nx Check Ductwork&Seal As Needed El E] Supply Ductwork enlarge 1 a Complete System Start Up ❑X COMPLIMENTARY FIRST YEAR MAINTENANCE [] xx Return Ductwork Register Equipment For Warranty QX OFFER EXPIRES IN 30 DAYS Terms: [xxCash or Check 2%Discount OrQMasterCardl Visa Or xx Financing Investment $ Discover/Amex Available Customer Acceptance Options included $ By Date Total Investment $ 0.00 Company Approval Credit Service Invoice $ By LARRY SNIDER Date November 13,2018 Balance Due $ 0.00 863-686-6163 •- FAX 863-686-6161 — 11048 E.OLEANDER STREET — LAKELAND,FLORIDA 33801-2012 Y DUCT CERTIFICATION;FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING. DUCT SYSTEM FLORIDA ENERGEY CONSERVATION CODE:(FBCENERGY;.SECTION 403)TO BE LEFT ONSITE AND PICKED UP.BY INSPECTOR ' . 'Owner: Permit Site Address:" �� Contractor: ems,vne: N/L License#: Final Inspection Date:'. . i certifyahat;l have'insta lied;new.ormodified the existing-duct work associated.with.the-HvAC.syste*tYi_ referenced by.the permit listed above and found it complies with the requirements FBC Energy Code, Section 4033.Where-modified,the existing ducts have been sealed.using:reinforced mastic or code- approved'equivaient: Ducts are located within conditioned space,(Section 4013).System Was tested as per FBC Energy code;section 403,.3:2,1.All new ductwork is to comply with FBCEnergy 403.2 and FBC.. Mechanical chapter Name of License Holder(print or type) Sioaurof License Holder