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HomeMy WebLinkAbout19-21353 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 2135,3`� BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION ' Permit Number: 21353 Address: 5230 6TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15400-0190 Improv. Cost: 9,200.00 OWNER INFORMATION Date Issued: 6/20/2019 Name: WACHOVIA BANK C/O THOMAS REUTE Total Fees: 90.00 Address: PO BOX 2609 Amount Paid: 90.00 CARLSBAD, CA 92018-2609 Date Paid: 6/20/2019 Phone: Work Desc: A/C CHANGE OUT 5 TON CONTRACTOR(S) APPLICATION FEES CONSERV BUILDING SERVICES LLC A/C CHANGEOUT 90.00 �J Iq DUCTS INSTALLED Ins ections Required 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. CONTRACTOR SIGNATURE PERMIT OFF16VR 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-813-760•0021 Building Department � c��7 Date Received Phone Contact for Permitting !{2-1 I r-1 - 5-7 1 Owners Name �� Li C� Y11� Owner Phona.Number Owner's Address f /� Owner Phone Number Fee Simple Titleholder Name �/ / A Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# SUBDIVISION PARCEL ID# I Z ( �' 1— G (OBTAINED FROM PROPERTY TAX NOTICE). WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH e INSTALL 8 REPAIR PROPOSED USE 0 SFR Q COMM = OTHER —r— TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME = STEEL Q I Ct DESCRIPTION OF WORK c-r-------------- BUILDING SIZE SO FOOTAGE= HEIGHT ,a =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. =PLUMBING $ MECHANICAL $ 7 VALUATION OF MECHANICAL INSTALLATION �U.0.� =GAS = ROOFING. Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN LI±N Address License# ELECTRICIAN, COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN L1/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Address (License# } MECHANICAL / COMPANYtGV 1Ct1 Vl ' Ui e� SIGNATURE r 11 �pp REGISTERED Y/ N FEE CURREn Y/N Address 1 �� 71 b`e 3' License# G 9, V OTHER COMPANY SIGNATURE l REGISTERED I Y/ N FEE CURRU Y/N Address License# 11.ttlltlllllltlllllllllllltlltlllllllll•IIIIIIIIIIIIIilltlllllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrmwaler 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. 1 r••. . 1 . ii.d• 1 {..r • . rrLiLii�i • lie •. Directions: Fill out application completely.' Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) r/ Agent(for the contractor)or Power of Attomey(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) ��. ( -'T�C�..7,1\{ a' Drivoways-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 contractors) 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.Kor 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 perrriit 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 permitprevent 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 IRS.P 17.03) �1 OWNER OR AGENT. CONTRACTOR Subscri ed and sworn (or affi ed) afore me this ubs rind sworn t r affi bef rem V�t 'Ik �3 by dic r?•l (✓V �_byy�a Who is are personally(mown to me or hasthave produced Who is/are personally I own to me or as/have produced -141.4 Xhoor\ as identification. as iddeentification.. Imo- Notary Public 1 C f Notary Public Commisslon No. GG 1 t Cam isslon No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped JSSNAI/V i i Notary Public State of Florida .Q `r,' N�Tggy Diane L Maher y My Commisslon GG 230216. My comm.Expires' = +�ja a Expires 07/26/2022 July I", 2(121 N No.GG 124766 . ��. • a cc Permit No. Parcel ID No l •Qc I C v�"t-/ © � v NOTICE OF COMMENCEMENT State of I IL�1 d County of_ C—D 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 Commencement C, / , 1. Description of Property. Parcel Identification No. .Z •2 . � i & a U - } Street Address: C 2. General Description of Improvement Jj(_j, AC 3. -Owner In=rm�atian or Lessee information if the Lessee contracted for the improvement 1 \A� 6 "D e S Address City State Interest in Property: Name of Fee Simple Titleholder. ✓1 GL (If different from Owner fisted above) Address Ci State 4. Contractor _! 'U'3 d1 Name n C_�j dress •� ^-� c City State Contractor's Telephone fNo.. 1 Z 1— S 1• y C- Qi) Surety. I v Name Address City State C. Z ' Amount of Bond: S Telephone No.: � r 6. Lender. l 1 p� C N N Name C. IJtH r9 Address City State t0 m ►� Lender's Telephone No.: �" m ap N \\ m W 7. J Persons within the State of Florida designated by the owner upon whom notices or other documents may be seared as provided by Section 713.13(1)(a)(7),Florida Statutes: Kane h Mar+rn.et_ Name .5'231Df d_'P- Zee h V t4i tl.s - -i M 0) A Sl Address 3 9 o S ty ate IVI 0 to Telephone Number of Designated Person: p B. In addition-to himself,the owner designates a1219N' i of_ 113 pr CAD to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.• I ,. M Telephone Number of Person or Entity Designated by Owner.C9) Expiration date of Notice of Commencement(the expiration dale may not be before the completion of construction and final payment to the M fro contractor,but will be one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES,.AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED'ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that a facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO Sig ayjp f Owner or Lessee,or er's or Lessee's AU d Officector/Partner/Manage . SignatorysTitle/Oflloe The foregoing instrument was acknowledged before me this �3 day of M o.20)9 �r M,by 1`11"4 Jar,2 as \d E (type of authority,e.g.,officer,trustee,attorney in fact)for �1 CABS yip 6 dU-Y� (name o arty on behalf of whom instrument was executed)_ Personally Knownjg�QR_Produced Identification❑ Notary Signature . Type of Identification Produced Name(Print) t Y1 k+ 2_1-f4\ Hussnain Zaidi Notary Public State of Florida My Commission Expires 07/16/2021 wpdata/brs/noticecommencemenl_pc053048 Commission No. GG 124766 • 0"ai Me �.LxiS STAM OF �'4a0r'4��,OC`4-HE op,!-r.r nP nn,crn IS A TI:IIS IS TO CERTIFY THAT P F THFOREGOING NENT TRUE AND CORRECT ON FILE OR . O U3RO S OFFICE WITNCSSMYHA AN OFFICIAL SEA IS DAY F &COMPTOL PA A SO'NEIL, DEPUTY CLERK l3Y onSeru Corporate Office 6350118�h Avenue N.,Largo,FL 33773 727.541.5503/FAX 727.544.1924 moll Building 24 Hour Emergency Dispatch 800.940.3241 Services, LLC www.conservonfine.com 6.6.19 City Zephyrhill Hills Building Department RE: Daryl W Blume LOA This letter is to authorize the following persons to act as an agent for Consery Building Services, LLC. to sign for, pick up Mechanical Permits and call for inspections for Daryl W Blume CAC1814721: Lisa Knutstad Brian Raines Craig Bialkoski Laura Tyler Joseph Azzarro Sincerely, Daryl W Blume CAC1814721 STATE OF FLORIDA COUNTY OF PINELLAS The foregoing instrument was acknowledged before me this 6th day of June 2019 , by Daryl W Blume of Consery Building Services LLC. He is personally known to me and did not take an oath. Notary Publ c: ��. State of Flori a at Large =aJ Notary Public State of Florida Diane L Maher r My r;ommission GG 230215 4",d/ Expires 07/26/2022 Serving the Southeastern United States COMFORT SYSTEMS e Quality People.Building Solutions INTRACOMPANY PROJECT MEMORANDUM OF AGREEMENT Agreement made as of the 31d day of April 2019 Between Comfort Systems USA, Strategic Accounts (Division of Comfort Systems USA) 2655 Fortune Circle West Suite E Indianapolis, IN 46241 And Operating Company: CSUSA BCH Consery - 8633 Elm Fair Blvd. ' Tampa, FL' 33610 For this project: Wells Fargo/BE#143527 Project No. C90081 5230 6th Street PO#C90081001 Zephyr Hills, FL 33541 BE#143527 I. SCOPE.OF WORK: Provide equipment, labor and materials to replace HVAC equipment per proposal (Exhibit A). Included in this scope of work is the following as it applies: Operating Company shall coordinate all work with store manager each day. • Operating Company is responsible to verify equipment nameplate, specifications and voltage at delivery. Wrong equipment accepted by the Operating Company shall not be considered a change order. • All crane/helicopter cost and scheduling-will be the responsibility of the Operating Company. • Operating Company shall provide all necessary permits and inspections per local,and state codes. If a permit is not required, please provide a written statement indicating that permits are not required. • All mc6rinections of existing.duct work and controls are the responsibility of the Operating Company. • All utility reconnections, gas, electric, and condensate piping will be the responsibility of the , Operating Company. • Curb adaptor(s)shall be single stacked and fastened to roofed-in curb. Double stacking of curb adaptors is prohibited. • Equipment and curb adapters will be received at Operating Company's location or crane yard (Equipment should not be staged or stored on roof of location). • Completion time on the project is of the essence Es . • Operating Company shall qualify Energy Management System (EMS)as per customer requirements. • Operating Company shall provide all smoke detectors as required by local code(s)and fire marshal. • Units shall be commissioned per factory standards, Et according to manufacturer specifications. • Operating Company shall provide EPA Record Maintenance documentation. Scope includes recovery of refrigerant from unit and disposal as per EPA regulations. • Operating Company shall provide close-out documentation per Section IV. • Completion pictures of equipment shall be as follows: o Pictures shall indicate unit identification, show all sides with close-ups of gas and electrical connections, all photos shall be in focus and details are to be distinguishable. • Operating Company shall remove all debris/equipment and leave job site clean. Operating Company shall remove all debris within 48 hours of installation of new units or components. • Operating Company shall provide one-year parts and labor warranty for provided equipment or equipment purchased by Strategic Accounts on behalf of operating Company. • Any owner-required correspondence shall be submitted directly to CSUSA Strategic Accounts LLC, for final review prior to submission to the owner. • Operating Company shall submit daily reports, to Don Phelps/Bryan Bender by e-mail at don.phelpsecomfortsystemsusa.com / brvan.bender@comfortsystemusa.com IL AGREEMENT VALUE: Strategic Accounts shall pay the Operating Company on a Lump Sum Basis to include all cost. Total Agreement Amount: $9,118.24 III. CHANGE ORDERS: .The Operating Company may be'ordered in writing by Strategic Accounts to make changes in the work within the general scope of.this Agreement. The Operating Company shall submit promptly to Strategic Accounts a written proposal of costs to be added to or deducted from this Agreement for each change in work. IV. INVOICING REQUIREMENTS: The Operating Company shall remit one complete invoice package no later than 14 days after completion of project to be considered for payment (via mail, overnight package, email or fax). The Operating Company invoice shall include all of the following documents to be considered for payment: 1) Permit, 2) New Equipment Installation Start Up Form, 3) Inspection Records, 4) Pictures, 5) Refrigerant Form, 6) Invoicing/Project Checklist, 7) HVAC Commissioning Documents and 8) Payment Request. Payment will be made to the Operating Company by Strategic Accounts in the approved amount. NOTE: BE#must be included on all documentation. V. TIME OF PERFORMANCE: Time is of the essence and all actions taken by the parties shall be taken to the end that the performance of each Purchase Order and/or Job specific agreement is expedited and performed in accordance with its scope. It is required that the Operating Company maintain continuity of personnel for each job to expedite the completion of the purchase order. Provide daily job reports to Strategic Accounts for each day Operating Company performs work on the project. CSUSA Strategic Accounts CSUSA BCH Consery Operating Company �iGG Mo y2Y '��,�-- � �`� ad ►mot. Bill Moyer.,; _ Signature Date. For this project: CSUSA, Strategic Accounts Project No. C90081 .; ��Fri#311 `•; .r. 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: UV' ��IS f'PQlo� Permit#: Site Address: , �- Contractor: License#: ! � I Final Inspection Date: Q�J 2-6- aoI 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 CITY OF / / BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION D • NOT REMOVE ADDRESS DATE PERMIT 2,40 THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be.made before the job will be accepted. It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE ADE-CALL cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR R PECTION or other material,until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR