HomeMy WebLinkAbout19-21359 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21359
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21359 Address: 6142 16TH ST
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: PARK HILL
Est. Value: Parcel Number: 02-26-21-0180-00000-0760
Improv. Cost: 17,500.00 OWNER INFORMATION
Date Issued: 6/10/2019 Name: TEW JENEAN STALEY
Total Fees: 130.00 Address: 6142 16TH ST
Amount Paid: 130.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/10/2019 Phone: 813-531-5428
Work Desc: A/C CHANGE OUT 3 TON W/ DUCT WORK
CONTRACTORS APPLICATION FEES
MARIO AIR CONDITIONING AND HEATI A/C CHANGEOUT 130.00
J
Ins ections Re uired
DUCTS INSTALLED
DUCTS INSULATED 0')
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.
CON TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
013-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021
Building Department
Date Received (rP �Ql�C} Phone Contact for Permitting
Owner's Name 11 '' J—�1 r��N` Owner Phone Number
Owner's Address V I L1 a I(�T� �-t Z V,-, Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
^
JOB ADDRESS o7 ��4� S} /� hV�Y\t �L a^ysgQ' LOT#
SUBDIVISION PARCEL ID# o :�'OU a\ Dl BC) Or�C) G1 V O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK SIZe v,( 1firkc_ + 0tAC 4 C V\r e- CLk-4
BUILDING SIZE SO FOOTAGE -)Gqq HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
OMECHANICAL $ 1-75'00.co VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA LILN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address i r�Licensse_-# c
MECHANICAL COMPANY
SIGNATURE tt REGISTERED I Y/ N FEE CURREN /NN I
Address 1 �'�1' VC! CI License# I CPIiC c
+ O r,vO�l
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
I l l l l l i l l l l l l l l l l l i l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l
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 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 Bloch'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 FI"I�IG,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCHRIBMT—
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR J ✓'
Subscribed and sworn to(or affirmed)before me this Subscrib d nd sworn to(or afti be a this
by 1�1 lob IN by 1
Who is/are personally known to me or has/have produced Who is/are p= illyknow orhag/ffaVOproduced
as identification. as identification.
Vw-
Notary Public Notary Public
i
Commission No. I o m io No.
ch
Name of Notary typed,printed or stamped Name of Notary typed,prime or stamped Eil
NKHOLE JOHNSON
otary Public.State of Florida
Commission N FF 985251
y Comm,Expires Apr 24,2020
INSTR#2019097792 OR BK 9919 PG 3909 Page 1 of 1
06/10/2019 03:21 PM Rcpt:2062101 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. O'XeiC Ph.D., Pasco County CCerk&ComptroCCer
� u 1
Permit No. Parcel ID No U a 01 U a O\ O OOMO 011J 0
NOTICE OF COMMENCEMENT
Stateof FLORIDA County of PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencerr-it:
1. Description of Property: Parcel Identification No.Oofa?_1L yR%0 F0OOCDOO 7 CS114 L
Street Address:U141 V l" S"} �L, 335�I�
2. General Description cf Improvement S)7•P I'Z.'t` 1 1VP,,L 4 p 1/ c V kn✓ a e- OM�
i
3. Owner Information or Lessee Information If the Lessee contracted for the Improvement:
Ttn,.), Jt?tyta tmt-z,
Address city IState
Interest In Property:
i
Name of Fee Simple Titleholder.
i (If different from Owner listed above)
4. Contractor MARIO'S AIR CONDMONING AND HEATING City State
9213 DENTON AVE HUDSON FIL
Address City State
Contractors Telephone No.: 727-843-9598
oo
5. Surely: ® m
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender.
Name ,Q. e •'�
Address City State "i
Lenders Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Q U-I
Section 713.13(1)(a)(7),Florida Statutes: ZLij CC C) LL
Name 0 � � 0 ��'J j
U U) O >
Address City State O- � Z W vi a C
Telephone Number of Designated Person: ® W LL
O = — J 2
8. In addition to himself,the owner designates Of— >- � 1— p _
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes. I.— LU U- O U U
LL
Telephone Number of Person or Entity Designated by Owner. H } U LLL C-6
9. F-viration date of Notice of Commencement(the eVIration date may not be before the completion of construction and final payment to the ® 1— o of Y
+ �
L contractor,but will be one year from the date of recording unless a different date Is specified): a: 0 0 Z
Z
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT F- im Q
RESULTRE }INIYOUR PAYINGPNOCE FORNIMPROVEMENTSTO YOURPROPERTY nA NOTICE OFFLORIDA
OMMENC STATUTES
MUST BE Qr — w = Z ORECORDED AND POSTED ON THE JOB _I
WITH YOUR LENDER OR AN ATTORNEY BIEFORE COMMENCING WORK OR RECORDING OUR NOTITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO CE F COTAIN MMENCEMENT.NT.CING ® Of � W =
Under penalty of per)ury,I declare that I have read the foregoing notice of Comm ant and that the facts stated therein are W ILL to the best ' U O n
of my knowledge and belief. ® 00 O \
STATE OF FLORIDAI
COUNTY OF PASCO Q J W
rr/D*
etor/Parine gVOwner r%Manage r Otmers or Lessee's Authorized � __ � ZV) i— F- Os iTttie/Omce
The foregoing Instrument was eticnowl}ed�gedb_efore me this G V day of l�n 20,,by c��d12U to TPL�I
aIS (type of auth ly e.g.•officer,tnutee•attorney in fact)for
(no of pa om b ell whom Instrument was executed).
Personally Known❑QR Produced Identification® Notary Signature _
Type of Identification Produced Name(Print) LE HN
�:*•'ur, HICHOLE JOHNSCNi
? Y l Notary Public-State of Florida
Commission 0 FF 965251
My Comm,trrpirm Apr 24,2020
wpdate/bcs/noticecommenremenL.pc053048
Mt.mmaz D 9213 Denton Avenue
Hudson, FL 34667
SNOW Office: (727) 843-9598
Fax: (727) 645-6957
June 10, 2019
To Whom It May Concern:
Mario Zoraja give Paul Tringali permitting to pull the permit for
Mario's Air Conditioning and Heating at address:
6142 16Th St Zephyrhills FL 33542
Thank-you,
--I-Z_ _7'
Mario Zoraja
President
STATE OF FLORIDA COUNTY OF Pasco
The foregoing instrument was acknowledged before me this
I p day of]���� , 20 )q by
Mario Zora'
(name of person cknowlledgingg)), who is personally known to me.
/ �
P B L ,;w•'P"'•. NICHOLE JOHNSON
�. "�
NotaryComlis on M FF 965251Fl-rPublic-State of 1d�
My Comm.Expires Apr 24,2020
I
License#: CAC1817320 www.mariosac.com
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�� K���� ��� SERVICE DATE 1
INVOICE #111527927471,
_�° =°= �=" Conditioning ~===
M.
���; 8���
Heating INC
INVOI
78615 Scheer Blvd DUE Jun 10,2019
Hudson, FL34667 Upon receipt
CONTACT US
JaneonTgvv
614216th Street % (844) � '9598
Zephyrhi||m, FL33542 Rinfo8D[na}i0000.conn
Service completed by: Lee Miller
R- (A13) 531-5428
M 'eneanonDtevv@vahmo.cmnm
INVOICE
Services Otv unit price amount
Air Conditioner'A/C Service Call 1.0 A89.95 $89.95
A service pro will come to your home to diagnose your Air Conditioner problem. If
repair is preformed at that time the entire service fee will be credited towards the '
/
invoice.
Service fee\n only credited at time of initial visit.
Custom Job
S3Othermostat
Move main return to ceiling and add one to garage bedroom.
Upgrade drain line to1"\f needed but not promised i
|
Move air handier sideways tofit in attic. |
|
Materials qty unit price amount |
Custom Services - 3.0 TON LEyJNOX ELITE/SIGNATURE 1.0 Al2,391.00 $12,391.00
SERIES 2O SEER SPLIT SYSTEM HEAT PUMP
3.0 TON LENNOX ELITE SER|E3/S|G NATURE SERIES 20 SEER INVERTER
TECHNOLOGY SUPER HIGH EFFICIENCY SPLIT SYSTEM WITH CARBON CLAEN lb �
|
MEDIA AIR CLEANER WITH NEW DIGITAL VVHF| 7 DAY PROGRAMMABLE COLOR
TOUCH THERyN|0STATVV|TH BUILT IN HUMIDITY CONTROL AND VV| F| READY.HEAT
QH|ELD,B0LDlNG PERNIT8HURR|CANE PAD FOR CONDENSING UN[[ SAFETY
WATER OVERFLOW SHUT OFF SWITCH BS,LOCK|NG CAPS FOR CONDEN8ER.AFUN|T
|SON STAND VVE WILL REPLACE TOP(]F STAND WITH 3/4 PLYWOOD |FNEEDED)
(|F HOR|Z[}Nl7\| ) INCLUDED AT NO ADDITIONAL COST IS LITE KIT IN ATTIC, NEW
HANGING 0TAND EMERGENCY DRAIN RAN.
FINANCING THE SALE AND CANCELS, CUSTOMER IS STILL RESPONSIBLE FOR THE
PERMITTING FEES.
Custom Services-NON-REFUNDABLE RE-STOCKING FEE 1.0 $500.00 $500.00
THIS DEPOSIT IS NON-REFUNDABLE. IF CUSTOMER CANCELS INSTALL A
RESTOCKING FEE WILL BE ASSESSED. IF CUSTOMER IS FINANCING THE SALE, AND
CANCELS, CUSTOMER IS STILL RESPONSIBLE FOR THE NON-REFUNDABLE RE-
STOCKING FEE
Subtotal $20,643.95
Discount -$89.95
Closing Cost
-$1,514.00
Discount
INSTANT REBATE -$751.00
Permits -$789.00
Total $17,500.00
1 HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO ORDER AS OUTLINED ABOVE,IT IS
AGREED THAT THE SELLER WILL RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL
FINAL&COMPLETE PAYMENT IS MADE,AND IF BALANCE IS NOT MADE AS AGREED,THE SELLER
SHALL HAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY
DAMAGES RESULTING FROM THE REMOVAL THEREOF.
I AGREE TO PAY ALL COST OF COLLECTION INCLUDING ATTORNEY FEES.STATUTORY RETURN CHECK
i
CHARGES APPLY.
PLEASE NOTE: EMERGENCY SERVICE AND ALL PMA AND WARRANTY SERVICE IS BETWEEN 8:00 AM-
5:00 PM MONDAY-FRIDAY EXCLUDING LEGAL HOLIDAYS.ALL OTHER WORK IS SUBJECTED TO
ADDITIONAL CHARGES.
IF YOU WISH TO CANCEL THIS TRANSACTION IT MUST BE DONE IN WRITING TO OUR OFFICE WITHIN 3
BUSINESS DAYS FROM DATE OF CONTRACT.
ANY DEPOSITS MADE TOWARDS PERMIT COST AND EQUIPMENT ORDERS ARE NONE REFUNDABLE.
MARIO'S AIR CONDITIONING AND HEATING DOES NOT WARRANTY ANY DRAIN LINES. CLOGGED
DRAIN LINES ARE NOT DUE TO A MANUFACTURER ERROR AND ARE SOLE RESPONSIBILITY OF THE
CUSTOMER AND MAINTENANCE TO UNIT.
THANK YOU FOR YOUR BUSINESS.
rrd
;N
DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE(FBC ENERGY,SECTION 403)TO RE LEFT ONSITE AND PICKED
UP BY INSPECTOR
Owner: Je-nea\n
Permit#:
Site Address: 7 P n h,\ V)
Contractor: 1 c3 7 P"✓ C Cv�c���,c r� n� � �• v�
License#: CPt-f—
Final Inspection Date:
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 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.
Name of License Holder(print or type) Signature of License Holder