HomeMy WebLinkAbout19-21123 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21123
BUILDING PERMIT
PERMIT INFORMATION, LOCATION INFORMATION
Permit Number: 21123 Address: 37639 GEORGINA TER#126
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: EILAND PARK TOWNHOMES
Est. Value: Parcel Number: 03-26-21-0250-0000-1260
Improv. Cost: 4,633.00 OWNER INFORMATION "
Date Issued: 4/16/2019 Name: DEFRANCESCO, DEBORAH
Total Fees: 65.00 Address: 37639 GEORGINA TER .
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542-3256
Date Paid: 4/16/2019 Phone: 813-968-5917
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTORS APPLICATION FEES
VELOCITY AIR CONDITIONING A/C CHANGEOUT 65.00
I
3 �
Ins ections Required
DUCTS INSTALLED
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.
CONTRACTOR SIGNATURE PERMIT OFFICOR
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
Owner's Name Owner Phone Number
Owner's Address 1 \ Q(� Owner Phone Number
r \ Owner Phone Number
JOB ADDRESS �fL 7 ` "J OT#
SUBDIVISION loud &Vl fX4RCEL ID# ✓ —MOO —
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
me
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C.
=PLUMBING $
MECHANICAL Is 432 VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRED
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRED
Address License#
MECHANICAL C� COMPANY
SIGNATURE J/^ REGISTERED I Y/ N FEE CURRED
Address "lV 5 S License# I CAL 19 1 2
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRED Y/N
Address License#
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,Stormwater 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 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(PlottSurvey/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 Su scribed and sworn to r affirme bef me this
by /-/ by
Who is/are personally known to me or has/have produced Who is/ son Ily kno to me or has ave produced
as identification. as identification.
b'
FfpWO � Notary Public State of Flonaa
Samantha R Telling
Notary Public . My commission GG 166074 Notary Public
Expires <
Commission No. Com slon No. R
Name of Notary typed,printed or stamped Nate of Notary typed,printU or stamped
•= VEL ffrITY Velocity Air Conditioning Inc. Estimate 11745249
_AIR CONDITIONING 13130 S6th Court,Suite 60S, Job 11744579
Clearwater A 33760 Estimate Date 7/19/2018
813-291-3770 Completed Date
Customer PO
Billing Address Job Address
Deborah Defrancesco Deborah Defrancesco
37639 Georgina Terrace 37639 Georgina Terrace
Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA
Estimate Details
2 ton replacement
Task# Description Quantity Your Price Your Total
GMS.1112 GOODMAN 2 TON 14 SEER-Heat Pump SYSTEM 1.00 $4,633.00 $4,633.00
• 14 SEER System.Up to 30%in energy savings from heating and cooling costs
going from a 10 SEER to a 74 SEER!
• Highly Skilled Professional Installation Technicians.85%of the life of an air
conditioning system consists from the day it was installed.Installation is key,in the
ability to have a smooth running system foryears to come.Velocity Air takes pride
in our installation practices.We take the time that is needed to make sure that the
job meets our scrupulous criteria.
• Meet Or Exceed EPA Installation Requirements.Velocity Air takes all required
precautions to recover and recycle all refrigerant and metal for the safety of our
environment
• Meet Or Exceed All Local&National Code Requirements.Take pride in
knowing that our goal is to???wow???both the homeowner and inspector with
our work by exceeding the requirements set forth by codes.
• Permit Fees.A permit ensures documentation that the home has had a licensed
contractor of competence perform the required work.
• Digital Thermostat.A new thermostat can not only save money but they also
come with time delays that ensure compressor safety.
• Hurricane Pad&Hurricane Straps.An ever present issue in Florida is high
winds.Take heart in knowing that your air conditioner is firmly secured.
• Primary Float Safety Switches.A float switch is used to detect the level of liquid
building up inside the air handler.If there is a blockage in the flow of water.
Potential Savings$0.00
Sub-Total $4,633.00
Tax $0.00
Total $4,633.00
Please Call us 24/7 for all your Air Conditioning and Heating Needs.
I understand there is a restocking fee of 10%of the total will be required upon cancellation of this signed agreement.
7/19/2018
• • 0
1 •
YELUC1 TY
• AIR CONDITIONING
Authorized Agent Affidavit
To whom it may concern:
Mechanical license holder CAC1817421,am herby authorizing the .
following agent(s)to apply sign for permits under my license.
Agent(s)are as follows:
w n Sin
,J
W lli QVn S`rundQ-�"
Cont r ctor Signature Contractor Name Printed Date
STATE OF FLORIDA
COUNTY OF PINELLAS
The foregoing instrument was acknowledged before me this day of
20 19 by who is p a y no to me or
has produced as identification.
Notary Public Dat oim
jr P% Notary Public State of Florida
' r: Samantha R Telling
MyCommiraionGG166074
+ijor� Expires 12/08/2021