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Home My WebLink About18-20191 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20191 BUILDING PERMIT PERMIT-INFORMATION LOCATION INFORMATION Permit Number: 20191 Address: 39784 MEADOWOOD LP Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: MEADOWOOD ESTATES Est. Value: Parcel Number: 13-26-21-0140-00000-0010 Improv. Cost: 6,979.00 OWNER INFORMATION Date Issued: 8/29/2018 Name: SIMS LONNIE Total Fees: 75.00 Address: 39784 MEADOWOOD LOOP Amount Paid: 75.00 ZEPHYRHILLS FL 33542-6778 Date Paid: 8/29/2018 Phone: 813-715-2395 Work Desc: A/C CHANGE OUT 3.5TON CONTRACTORS APPLICATION FEES US AIR CONDITIONING & HEATING A/C CHANGEOUT 75.00 f �I c� 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. (Zk be.k, CO C OR 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 (� Q Date Received , Phone Contact for Permitting Owner's Name C�� I p�L �a I ^ Owner Phone Number Owner's Address 2 ct "f Q o wo Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 0 W(90 LOT# ry / SUBDIVISION Q 0 WtO L/W -/PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH e INSTALL e REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION. 0� BLOCK = FRAME _ -STEEL = DESCRIPTION OF WORK BUILDING{SIZE SQ FOOTAGE= HEIGHT , =BUILDING $) (/ O/ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $�J—` 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ I! =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO I BUILDER, COMPANY 1X�YF1w �T fdy''/� SIGNATURE REGISTERED - Y/ N FEE CURREn 'Y N Address License# :ELECTRICIAN COMPANY 'SIGNATURE REGISTERED I YIN FEE CURREr, Y/N Address License# PLUMBER' COMPANY SIGNATURE .REGISTERED 'Y/ N' FEE'CURREN Y/N': Address. License# MECHANICAL" COMPANY SIGNATURE - REGISTERED Y/ N . FEE CURREt, 'Y/N Address License# OTHER COMPANY" SIGNATURE.'• REGISTERED Y/ N, ' FEE CuRRE?,. I Y/N Address. License ..............., RESIDENTIAL - `Attach(2)Plot Plans' s'ts:of Building Plans;.(1)set 4f ERerijy;Forms;R-O'=W Permit for new construction;: . Minimum ten'(10)working days after Iibmittal dater Required'onsite;ConstructiomPlans;StornwateFPlans w/;Silt Fence Instilled, Sanihary Facilities&1 dump"stet Slte Work Permit far 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),Woddng days after submittal_date..Required onsite,Construction Plans,:Stormwater-Plans w/Silt Fence Installed, Sanitary Fa.1. as&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. Direction's: Fill out application completely. Owner 8"Contractor sign,back of application,notarized If over$2506,a Notice of Commencement Is required. (AIC upgrades over$7500) '• Agent(fortis contractor),or Power'of Attomey(for the owner)would be someone with notarized letter from owner authorizing same -.OVER 3HE COUNTER PERMITTING (copy.of contract required) Reioofs if shingles Sewers Service Upgrades A/C Fences-(Pl6ttSurVey/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. 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. 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 COMM �i��EM SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN D TING, CONSULT WITH YOUR LENDERO N ATTORNEY BEFORE RECORDING YOUR C CONT FLORIDA JURAT . .1 7.03 OWNER OR AG CkD CONTRACTO b c'be d sw.. to - ffcr ed) ore a(this Sub r ad worn to( affirm'dd)be MIS by - 2 LA by . 6 Who is/are personally kn o e r has/have produced Who is/are personally or as/he v produced as ide ification. as d ntification. o ary Public Notary Public CoVR mission No. C mission No. a Name of Notary typed,pr feted or stamped Name of Notary typed,printed or stamped i =CRISTINATURCOTTERCOTTENotaa:e of Fiorida-f CRISTlA1A;'[URCOTTE CGG13731t)"NotaryPuhlic_StateofFlorida;, -,r; ,' MyCAug23,202tti`jG13. 10-. "::..••;Pc vv�':' Cral�cczr Assrh�..221x, aordedthtoo9{iPlatio� ►Jot?ryL±ssn " US* AIR C . MT10 I G Authorization Letter I, 1111r'e ell � , contractor license number 0_9&5�Y 7/ , Hereby authorize the following to act as my agents in obtaining permits in � i�� Agent's Name's Driver License Number's This auth zation i r , in effect indefinitely, unless canceled by me in it Contracto s 1 tie----- Swor to an subscribed to before me this day. of , 20 1.$ By - (� a , who is personally own to a or has� roduced as identific tion and who did (did'not) to a an oath. Notary Pubh My commission expires l U.S. Air Conditioning El STNAiiRCQTTE 5827 13th Avenue utile-StateofFlorida21 ii14ion o GG 13731021 New Port Richey, FL, 34652. ,, xperesa NAtAry Ht9�@P�&tiBPolNOttry 1tin, State License# ZgeAINTENANCE CAC056871 REPO I RTC U S, Air Coviditionin4, fleating & Ref rig., coT. O An Call 1798HING Liquid psig &H I' s U.S.AWS82713 TH AVENUE,NEW PORT RICHEY,FL 34652 (727) 846-8818 - '(800) 840-8818 Suction psig 'i� I Fan Amps NAME SUBDIVISION L L 4 M Compressor VeAmps ADDRESS :?q;rW /;I LP TONNAGE 6 Y',_ n HIP N& EJ C n PACKAGE ❑GAS JefR-22 E]410-A Heat Recovery _.J=n,50�1 tj 0CrJ— Contactors CITYSTAl� ZIP5 1�5 COND..MAKE* • YM5 A/H MAKE YR&P Capacitors s e r L CELL 4 MODEL# 7- C R kFT sMOqDEL(# Safety Kit EMAIL SERIAL# SERK# Add Refrigerant Cond.Break4 6 _5 C iDY Cond.Coil Accumulator Fan Amps Drain Tabs K.W Size Aj Relays A/2 Duct System JC1 Tighten Electric I CUSTOMER SURVEY PLEASE INITIAL Unit Rusting 1. Was the representative helpful in answering all your questions? LJ_Yes No Attic Insulati nr 6 0-4 2. Was the service performed in a professional manner? LS Yes No Evaporata Coil 3. Did the representative fully explain the services Temp.Dr , I* performed or any additional services to be performed SUB- TOTAL (R7? I A/H Bre user# in a professional and non-pressuring manner? Yes — No I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO — — ORDER AS OUTLINED ABOVE.IT IS AGREED THAT THE SELLER WILL TRIP I T-Stat EI Dig 0 Merd 0 Zone 4. Was the work area left neat and clean? Yes — No RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL CHARGE . FINAL&COMPLETE PAYMENT IS MADE,AND IF BALANCE IS NOT 5. VI/ould you recommend U.S.A/C&Heating AAes No MAIDEASAGREED THE SELLER SHALL HAVE THE RIGHT TO REMOVE 199`79 SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAM TOTAL 6. Overall,how would you rate the value you received from U.S.Air Conditioning and Heating? AGES RESULTING FROM THE REMOVAL THEREOF. ALL SALES ARE FINAL,NO EXCHANGE/REFUND ETC. Ultraviolet System Excellent Good Fair Poor I AGREE TO PAY ALL COST OF COLLECTION,INCLUDING DOWN PAYMENT— ATTORNEY FEES.STATUTORY RETURN CHECK CHARGES APPLY. Air Cleaning System K PARTS WARRANTY:All parts as recorded are warranted as per manufacturer specifications.We do not guar- antee other parts than those we install.It repairs later become necessary due to other defective parts,they will Whole House HEPA be charged separately,otherwise 30 day warranty on all parts and labor. X El NEW EQUIPMENT:Federal Tax Credit will not be acknowledged unless stated on the invoice.Must meet Federal 71*NANCEJV Dehumidifier System guidelines to qualify.One year labor from date of install.Customer is responsible to register equipment for warranty. T H I� •PLEASE NOTE:There will be an additional charge for chemically treated cleaning. (fL� C5 ' EMERGENCY SERVICE:All PMA and warranty service is between 8:00 am-5:00 pm,Monday-Friday excluding X __1 BALANCE DUE NO WARRANTY upon Complet', n ON DRAIN LINES legal holidays.All other work subject to additional charges. CUSTOMER AUTHORIZED SIGNATURE TE 1# TM I - 50gR