HomeMy WebLinkAbout19-21128 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21128
BUILDING PERMIT
'.PERMIT INFORMATION LOCATION.INFORMATION b
Permit Number: 21128 Address: 6937 OAKCREST WAY
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: OAK CREST ESTATES
Est. Value: Parcel Number: 02-26-21-0230-00000-0170
Improv. Cost: 5,936.17 OWNER INFORMATION
Date Issued: 4/17/2019 Name: COTTRELL, STEPHEN & SARAH SMITH
Total Fees: 70.00 Address: 6937 OAKCREST WAY
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/17/2019 Phone: 813-846-1480
Work Desc: A/C CHANGE OUT 2.5 TON APLIT SYSTEM
CONTRACTORS APPLICATION FEES
CHRIS'A/C COMPANY. A/C CHANGEOUT 70.00
Ins ections Re uired
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.
`17 w
CONTRACTOR NATURE 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
i::ate Received t�• G� ] Phone Contact for Permitting
Owner's Name J T 9f, JaAAlj, C�1J �G� Owner Phone Number
Owner's Address Owner Phone Number
Owner Phone Number
JOB ADDRESS tle Oak LOT#
SUBDIVISION PARCEL ID# O Ot 6 02 d 0O 0/
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR R
ADD/ALT = SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM Fr—:1 OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE DUKE ENERGY = W.R.E.C.
=PLUMBING $
MPECHANICAL $ , /r VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY l
SIGNATURE REGISTERED ION FEE CURREN /r �N5
Address License# Z /j+�J
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN 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(Plot(Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
'
NOTICE OF DEED The undersigned understands that this permit may bm
which maybe more reothoUvothan County regulations. The undersigned assumes responsibility
- compliance- � -� with—'--
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
oontnonb;r is not licensed as required by |oxK both the owner and contractor may be cited for m misdemeanor violation
under otahalaw. 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. Furtharmora, if the owner has hired a contractor orcontractors, 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' 'o the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION UMPACTIUTULITIESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Racoura� Recovery Fees may apply to the construction mfnmmv buildings, change of
use in existing buildings, or expansion ofexioUng buildings, as specified in Pasco County Ordinance number 89-07 and
AO-O7. 00amended. Theundenoignada|ooundmrobandm. thotouuhfmes. 00moybedue. wiUbeidenthfiadatthmUmmof
permitting. |tiafu�her understood that Tnanaporb»don /n`pootFees and Resource Recovery Fees rnumtbe paid phorbm
rooek�n0o ^nortifiooteof occupancy" or final power release. If the project doemnotinvo|Vaaoedificobamfmocupancyor
final power re|eaoe, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counh/VVater/Semer 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, asamuended): |f valuation of work im $2.5OO.00mr more, |
certify that |, the applicant, have been provided with o copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant iosomeone
other than the"owner", I certify that I have obtained a copy of the above described document and,promise in good faith to
deliver itto the"ovvner^ 'orbocnmmmnnemmnt.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby mode to obtain o permit to do work and installation as indicated. | certify that no vvodx or installation has
commenced prior to issuance of permit and that all vworhwiU be performed to meet standards of all |mvvo regulating
construction, County and City codes, zoning r$Qu|o1iona' and land development regulations in the jurisdiction. | 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 ofEnvironmental Protection-Cypress Bayheoda, Wetland Ansom and Environmentally Sensitive
Landm,VVabarMaebawate Treatment.
- Southwest Florida Water Management Diaddmt-WmUe, Cypress Bayhmodo, Wetland Areas, /\|hadng
Watercourses.
- Army Corps mfEnQineeny'SeaxveUo. Docks, Navigable Waterways.
- Deportment of Health & Rehabilitative Services/Environmental Health Unit4WmUs, Wastewater Treatment,
Septic Tanks. '
- US Environmental Protection Agency-Asbestos abatement.
' Federal Aviation AuUlmhb+Runmxays.
| understand that the following restrictions apply to the use offill:
- Use of fill io not allowed in Flood Zone^V"unless expressly permitted.
- If the fill material is to be used in Flood Zmn# "A", it is understood that o drainage plan addressing a
"compensating volume" will he submitted at time of permitting which is prepared by pnmfmmminna| engineer
licensed bv the State ofFlorida.
- If the fill material is to be used in Flood Zone 'A" in connection with a permitted building using mham vvaU
construction, |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, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent pnopertime, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |emo than one M\
acre which are elevated bv fill, on engineered drainage plan iorequired.
If| om 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. | understand that separate permit may be required for electrical work,
o|umnbing, signs, vvmUs' poo|s, air conditioning, Qom' 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 imauonoa, 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 naqummted, in wn|Un0, from the Building Official for a period not to exceed ninety /@O\ 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 ANOTKCE OF COMM ENCEOMENT MAY RESULT IN YOUR
O ROVE ULT
WITH YOUR,LENDER OR AN ATTORNEY B�FORE-RECORDING-YOUR--NIOTICE OF COMM NCEMENT.
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me Subscribed and sworn to(or affirmed)before m
by
Who is/are personally known to me or has/have pfoduced Who Is/are personally known to me or has/have produced
as identification. as identification.
Public Notary Public
Commission No. Commission No.
CH RIS A/C
nell",,
HVAC
" C O 'M P A N Y
CAC058575 /EC13007703 PROPOSAL
12232 HWY 301 DADE CITY (352)521-4977 NOW PROVIDING"
DADE CITY, FL 33525 ZEPHYRHILLS (813)779-9515 CTRI L SERVICES"
NAME: Stephen &Sarah Cottrel Date: 04/12/19 SPLI);"SYSTEM XX PKG UNIT -
SUBDIVISION: HF�ATPUMP X STR.000L
ADDRESS: 6937 Oak Crest Way ;
CITY: Zephyrhills ZIP CODE: 33542 CONDENSER: 4TWR4030
PHONE: 813-846-1480 WORK: IR HANDLER: TEM4AOB30
CELL: RENTER: SEER RATING: 14 HEATER: 5KW
ESTIMATOR: Robert BRAND: TRANE XR
`' w "FfL _ y POOS�iL -� T AL 5,936.17
VERTICAL INSTANT'REBATE : $ 700.00
DIGITAL THERMOSTAT/PROGRAMMABLE TOTAL LESS REBATE $ 5,236.17
PAD NNAGE: 2.5 PARTS: 10 YR
FILTER RACK 1" COM ESSOR: 10 YR LABOR: 1 YR
IN-LINE FLOAT ` t 'I.
NEW TOP FOR STAND CONDENSER: R503OG1 '
SEAL DUCTWORK TO CODE IR HAN ER: TEM6A
REMOVE EXISTING EQUIPMENT SEER RATI 15 HEAT 5KW
CONNECTED TO EXISTING DUCTS AND ELECTRIC BRAND: NE XR
ANCHOR CONDENSER TOTAL' • 6,787.23
TAX,LABOR AND PERMIT INSTA EBATE : $ 50.00
HOM BREAKER TO LESS REBATE $ 5,937.23.
#10 WIRE ONNAGE: 2.5 PARTS: 10 YR
COMPRESSOR: 10 YR LABOR: 1 YR: ..
CONDENSER: ##
IR HANDLER: #N/A
INCLUDES FIRST MAINTENANCE CHECK SEER RATING: ## HEATER: #NIA
BRAND: #NIA
TOTAL : $ #N/A
.�y'C:�:' t�:.f-.E...�... ti':��.� ��� "4•�hs7r.� vim. [T�i�y r�.-ii`"�{t t�RTc�
x- "; ' x =• -'fly ka- # , 'i INSTANT REBATE . #N/A
.: •:ii^-S`:.•^..Y>.k?�• :•:Jrnv^5`2�34 Y£�2%kYNrv$7.SEE.°'.uu`-a'�,^�,.3+a•�.:�'4nS^i..�ia.....tcK+r �'a
I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE. I AGREE THAT SELLER TOTAL LESS REBATE. $ #N/A
RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT TONNAGE: #NA PARTS: #N/A
IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT COMPRESSOR: #N/A LABOR: #N/A
SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE
THE RESPONSIBILITY OF SELLER. LIMITED WARRANTY:EQUIPMENT,PARTS AND
MATERIAL HAS WRITTEN MANUFACTURER'S WARRANTY ONLY.
j�'?� ° �° O%o_ FOR=601111QIVTFS- (WAC)
CUSTOMER SIGNATURE DATE: <INSTANT.REBATE:: ''>' ';
• f
4 -
DUCT CERTIFICATION.,FOR INSTALLATION OF NEW`DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE(FBC ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
.Owner: 5-teoheen C0iV;!!,1
--r
Permit#:
Site Address: G 7,S-]• OQ r_C res-- Way
.Contractor: A /C C G M'Qany
License#: 'A SAS�S
Final Inspection Date:
I certify that.l have installed new or modified the existing duct work associated with the HVAC system
referenced by the permit listed above and found it complies with the requirements FBC Energy Code, .
Section 403.3.Where modified,the existing ducts have been sealed.using reinforced mastic or code-
approved equivalent..Ducts are located within conditioned space (Section 403.3)System was tested as
per FBC Energy code,section 403.3.2.1.All new duct work is to comply with FBC Energy 403.2 and FBC
Mechanical chapter 6:
Jos
Name of license Holder(print or type) Signature of License Holder