HomeMy WebLinkAbout19-21239 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21239
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21239 Address: 7312 LEHIGH CT
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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-005A-00000-1670
Improv. Cost: 5,425.00 OWNER INFORMATION
Date Issued: 5/15/2019 Name: CLARK, MADELINE &ARCHER, EUGENE
Total Fees: 70.00 Address: PO BOX 921
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33539
Date Paid: 5/15/2019 Phone: (813)363-2891
Work Desc: DUCT WORK CHANGE OUT ONLY*******************
CONTRACTORS APPLICATION FEES
AIR RESCUE AIR CONDITIONING INC A/C CHANGEOUT 70.00
n
Ins ections Required'
DUCTS INSTALLED
DUCTSINSULATED
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.
k 0)-A &I
CONT TOR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ulty of Gt:pfi}tC(1llIS Permit Appucavon rax•zI�s•rou uu�:
Building Department
t'nonl�cR
Date Received Phone Contact for Permitttn 3 2 4 q _��
Owner's Name d�e—N e t-A A c "-2 Owner Phone Number i13 -7/3^J 1-f I
Owner's Address 3!Z �- :hi g A Cr Owner Phone Number —
Fee Simple Titleholder Name } Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 7312. Le4/r 9h cr Zee;±1015 FL 3 350 _.. LOT# (74? —�
SUBDIVISION L J0,hA 611A3e, Est PARCEL ID# 3 OvSA 060W 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED) NEW CONSTR 8 , ADDIALT �) SIGN [� `Q DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM• • OTHER [ —�
TYPE OF CONSTRUCTION BLOCK FRAME STEEL �'• ' '�J
DESCRIPTION OF WORK !`e P(Q Ce me0J 6f DiAc
r
BUILDING SIZE I SQ FOOTAGE HEIGHT C
_ rzufil�su
[BUILDING $ �2 VALUATION OF TOTAL CONSTRUCTION
=ELEECTRICAL • AMP SERVICE PROGRESS ENERGY W,R,E.C.
=PLUMB2NG ". $ .
=MECHANICAL �$' VALUATION OF MECHANICAL INSTALLATION Y '
=GAS ROOFINGS SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE:AREAS F—:]YES NO
fititttlfit I I 1411111 ti ttfit ti 1 11111 11 1 11 1 11111 1 11 f 1 11 t 111 a 1"111 ttt1111 +l-t+++H-i+H
BUILDER F. COMPANY _
Y/N SIGNATURE REGISTERED Y/ N a FEE CURRE�f`'�--[ '—
Address License
ELECT'RtCIAH COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREh L.1!N
Address License#
PLUMBER COMPANY
�s- --__ r-___
SIGNATURE REGISTERED FEE/ N FEE CURREK Y/N
Address C �. License# —�
MECHANICAL COMPANY
SIGNATURE REGISTERED i"'-2=---FEE cURREA Y!N
Address C .Z S t t�ca f31 J T e� � 3 3 G..J"y License# <,ACr
OTHER COMPANY
SIGNATURE REGISTERED Y t N FEE CURREI+ Y!N
Address License# —
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RESIDENTIAL Attach(2)Plat 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 data Required onsite,Construction Plans,Stormwater Plans wt Silt Fence Installed,
-- - Sanitary Facilities&-1 dumpster;Site Work Permit for subdivislons/large projects
COMMERCIAL Attach(3)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 w1 Slit Fence Installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet"compilance
SIGN PERMIT Attach(2)sets of Engineered Plans.
",PROPERTY SURVEY required for off NEW construction.
1 CCU IZI7=:II1;I3
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
It over$2500,a Notice of Commencement is required, (AtC upgrades over$T500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter tram owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs If shingles Sewers Service Upgrades AIC 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 "contra i otor 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 IMPACTIUTILITIES 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 alsQ understands, that such fees,, as may be due, wilt-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. Furthermoro, 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 $2,500,00 or more, I
certify that 1, the applicant, have been pro*vided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is, someone
other than the "owner";I certify that I have obtained a copy of the above described document and promise in good faith to
deliver It to the"owner"prior to commencem nt.
CONTRACTOR`$/OWNER'$ AFFIDAVIT- I certify that all the Information In this application IS aGCLIr8t0 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 alto
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 agdncles Inglude but are not limited to:
Department of Environmental Pro'tection-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.
Depeirtment of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks,
US Environmental Protection Agency-Asbestos abatement.
Fede(al Aviation Authorlty-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 enginee�r
licensed by the Stlate of Florida.
If the§ fill material Is to be used In Flood Zone "N' 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
pr9pertles. 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 YOUR1ENDER OR AN A3:EQR,-49Y pr.Eggr; RE-CORDING YOUR NOTICC, OF CQMMERCEMENT,
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR-
Subscribed and sworn to(or affirmed)before me this Subscribed and sw6rn to(or afflm )before me-this
by
Who Is/are personally known to me or has/have produced Who—Is/are par—sonally known to me or has/liave produced
as Identifledtion. as Identification.
Notary Public Notary Public
Commission No., Commission
Name of Notary typed,printed or stamped game of Notary typed,printed br,;tamped
*****All Info must be completed before install,crew will be sent out*****
Customer Name Eugene H. Archer
Job Address 7312 Lehigh Ct
Job City,State,Zip Ze h rhills. FI. 33540
Phone Number 813-713-1410
Technician KaVin C. Lewis
Sale Amount $ 5 425.00
Payment Type Check
COD (Y/N) No
NOC$7,500+(Y/N) No
TECO Rebate(Y/N) No
TECO ACCT#
Install Date a
New System Make AHU-Attached (Y/N) Select
System Type Select CU-Attached(Y/N) Select
System Size(Ton) Select Breaker Panel-Attached(Y/N) Select
SEER Select
Existing Equipment
Existing Brand
Existing AHU Model# AHU Serial#
Existing AHU Size(L,W,H)
Existing CU Model# CU Serial#
Existing CU Size(L,W,H)
Existing KW Size
New Installation
Air Handler Condenser/Packa a unit
Vertical or Horizontal Horizontal Flood Zone(Y/N) Select
AHU Location Attic CU Location
Access Opening Size(L,W,H) 24"X 48" CU Obstructions (Y/N) Select Describe Below
Avail Space for AHU (L,W,H) Avail Space for CU (L,W,H)
Stand Type Select Slab Needed (Y/N) Select
If Horiz have attic light(Y/N) Yes
If Horiz have platform (Y/N) Yes
Wire Type Select Wire Type Select
AHU Wire Size Select CU Wire Size Select
AHU Breaker Size CU Breaker Size
New Plenums(Y/N) Yes
Plywood Needed (Y/N) No
Drain Type(Pump or Gravity) Select Duct Cover(Y/N) Select
Disconnect(Y/N) Select Disconnect(Y/N) Select
Whip (Y/N) Select Whip (Y/N) Select
Thermostat Wire(Y/N) Select Thermostat Wire(Y/N) Select
Duct Modification (Y/N) Yes Explain Below
7312 Lehigh Ct
Miscellaneous
Breaker Panel Brand Select
Line Set Size Select
T Stat Type Select
Filter Brand
If Filter Transferl Attach Picture Picture Attached (Y/N) Select
Indoor Air Quality
UV/Biocides(Y/N) No
Air Cleaner(Y/N)(Size) No Size
Surge Protection (Y/N) No
Duct Cleaning(Y/N).(Drops) No Drops
Aeroseal(Y/N)(Drops) No I Drops
Duct Type Silver
Number of Supply Runs 6
Number of Return Runs 1
Notes
Customer paid $1000 down by check number 1298
Customer financed $4425 through s nchron
Horne Improvement Agreement L
(813)612-5600
W
(888)638-3792 V .Its
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0
Corporate Office —`�\
1429 Massaro Blvd®Tampa e FL 33619
CAC 1813365 Page 1 of 2
Location Information Billing Information
Name EU ene H.Archer Name Same
Address 7312 Lehigh Ct. Address Same
City/State/Zip Ze h hills. FI. 33540 City/state/zip Same
Phone 813-713-1410 Phone 'Same
Homeowner Email eU enear@ mail.com
Home Type .Single Family I Square Footagel 1,250 1 Year Built 1986
Number of Unitsl 1 1 #of Attic Accesses 1 Access Locations Garage
Indoor Unit Location Attic Type System Being Replaced I Select
Otherl Ductwork
System Levell Select I Brandl ISize iTons> Select ISEER 19elect
Type of System I Select
Other)
System Price 5,425.00
Component Choices Quantity Each Line Total
New Thermostat I Type Select 0.00
New Gas Flex Connector 0.00
New Weather-Proof Disconnect Box 0.00
New Lifetime Equipment Slab 0.00
Rust Resistant Stand 0.00
New Condensate Drain 0.00
Condensate Pump 0.00
Ceiling Saver.Secondary Drain Pan 0.00
System ComponentTota! O,QO
Upgrades Quantity Each Line Total
Reconnect Existing Duct Work 0.00
New/Replace Supply Plenum Yes 1 0.00
New/Replace Return Plenum Yes 1 0.00
New/Replace Mixing Box Yes 0.00
Supply Run Silver 0.00
New/Replace Supply Registers 0.00
Return Run Silver 0.00
New/Replace Return Grills 0.00
New Line Set Run 0.00
New Electrical Run 0.00
Indoor Air Quality 0.00
Heat Strips 0.00 -
Air Distribution and Upgrades Total 0.00
Home Improvement Agreement
(813)612-5600
(888)638-3792 I p
C3
Corporate Office
6;, - �P E
1429 Massaro Blvd v Tampa e FL 33619
C4C 1813355 Page 2 of 2
Location 1173124high ot.
Extended Labor Parts Compressor Heat Exchanger Cost
Warranty Years Years Years Years
Choice 0.00
L Leave Blank''
Leave Blank
Total Extended Warranty Total 0.00
Full Warranty Details Listed on Warranty Certificate(Separate Page)
Service Membership Perpetual 1 Year Paid-In-Full
Silver Membership $14.95 Per Month $225 Billed Separately
Full Membership Details Listed On Membership Application(Separate Page)
a
Manufacturer Instant Rebate
Dealer Instant Rebate
Previous Work Credit Job Number
Power Vendor Rebate Select Vendor Account#
Other#2 Description
Total Credits/Rebatesi 0.00
-x
I/We own the real property in which the equipment is to be installed and have the Sub-Total. 5,425.00
authority to order the work as outlined above. TERMS: Net due upon Taxes $0.00
completion, or in accordance with the financing agreement. Accounts not TOTAL 5,425.00
paid within 10 days of the invoice receipt are in default and subject to late
payment of 1.5% per month or 18%annually. Buyer agrees to pay any
reasonable attorney's and/or collector's fees incurred. by seller to secure Desired Install Date 05/10/2019
payment of this contract. PAYMENT OPTIONS:
Exp=CWQ Check# Finance Type S nchron
CC#
0 Finance Amt
Date 05/09/2019 JDate 05/09/2019
Customer signature 4 L-IALA,44:� KUL
pn JTech Signature
EU(5ENE ARCHER 7312 LEHIGH CT
Lisa Thomas <LThomas@airrescue.com>
Wed 5/15/2019 8:19 AM
To: MONICA WATSON<mwpermit@msn.com>
@ 1 attachments(2 MB)
SKM—C284el9G5lSO9l2O.pdf,*
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:
Permit#:
Site Address: -73 11- L-X-- M&H ZE ER-W-H I s-F 93540
Contractor:
License#: 0,6 C LE113 30
Final Inspection Date: (3-5 A 1 �2Z
I certify that I 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 40,33)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.
-->7---EV6 W-64-0A)
Name of License Holder(print or type) Signature of License Holder