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Home My WebLink About19-21455 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21455 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21455 Address: 5807 12TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-05300-0040 Improv. Cost: 5,661.61 OWNER INFORMATION Date Issued: 7/08/2019 Name: JARRELL, SANDRA Total Fees: 70.00 Address: 5807 12TH ST Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/08/2019 Phone: (813)782-7654 Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTORS APPLICATION FEES INTEGRITY HEATING & COOLING INC A/C CHANGEOUT 70.00 DUCTS INSTALLED hishections 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 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 Date Received Phone Contact for PermittingR S� —2�� 2 Owner's Name 044c0(9cirQ �'u Owner Phone Number 9 1 3- lg2 5 I�MOwner's Address c�C�l.� / Pit-— Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5 0C)1 04. 1 C[✓� 6 MM IL rrL�/OT# —( SUBDIVISION PARCEL ID# I _ -2-J.-Co 10 'C5, 3X— 0o40 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE 0, SFR 0 COMM = OTHER TYPE OF CONSTRUCTION Q BLOCKS Q FRAMEr' = STEEL = DESCRIPTION OF WORK V MUM l.0 V�` '14 lam- rl C(ga 5KQ BUILDING SIZE I SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ ®MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (/ 1 5(�Gi GI =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 Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL [� �� COMPANY )Oe n rin SIGNATURE REGISTERED Y7 N FEE CURRJ_ I Y/N Address 1/ pq,A.3%15 License# I C 1 OTHER COMPANY SIGNATURE F REGISTERED Y/ N I FEE CURREt Y/N Address License# IIIIIttlllllllllllllllllllllllllllllllllllllllllllllllllllllllllill 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/Sift 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. (AIC 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 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. 1 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. understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"W 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,1 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 Subscribed and sworn i��((��r afrirpi before me this by by 1rnn e O Who is/are personally known to me or has/have produced Who is/are personally known td me or has/have Oroduced as identification. as identification. Notary Public Notary Public Commission No. Commission NQ AILED YARITZA PERLAZA Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped Notary Public,State of Florida My Comm.Expires Aug.15,2021 No.GG 134712 13719 N Nebraska Ave,STE 106 Invoice 27995097 H G AT I N G C®®Lj N G Tampa,FL 33613 Invoice Date 6/21/2019 Office(813)575-7772 Completed Date 6/21/2019 Fax(813)575-7776 Technician JASON THOMPSON info@homeofintegrity.com Customer PO CAC#1819891 Billing Address Job Address JARRELL,SANDRA JARRELL,SANDRA 5807 12th Street 5807 12th Street Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA Description of Work Customer opted out to replace 2.5 ton unit, i scheduled with DANNY TO HAVE INSTALL HERE TOMORROW BETWEEN 11- 1pm to install 14 seer 2.5 ton heat pump unit, production report in file, payment already collected. Task# Description Quantity HVAC System Install New HVAC system installed for customer 1.00 • 99 year no mold guarantee on UV location with annual element replacement(If Purchased) • 10 Year Parts Warranty • 1 yr maintenance(2 visits,I visit every 6 mo.Expires after 1yr) • 1 Year Labor Warranty • UV system(If Purchased) • Slab 150 mph rating strapped to unit • Isolation pads • Hurricane straps • New digital thermostat • Float switches(where applicable) • Mastic and Seal all Leaking Joints(where accessible) • Whole House Duct Sanitation • Locking caps • Rewire low voltage electricity/clean up wires • Disposal of old system • Permits pulled • Free 6 mo duct inspection and static pressure test • Installed to Code Total Confidence System Warranty: • Lowest Price Guarantee,Our Price guarantee is our promise to you that you cannot find a comparable installation for less...or we'll pay you a$50.00 bonus over the difference.All we ask is that it be a published"apples-to-apples" comparison.This guarantee expires two weeks after date of proposal. • Installation Workmanship Guarantee:We wear floor savers,clean up when we are finished and take personal responsibility for your satisfaction.We will not smoke in your home and we are polite and courteous.If,when we have finished in your home,we have not performed in accordance with these high standards, all we ask that our office be notified of any level of dissatisfaction before the technicians leave the home so that any issues can be addressed accordingly. • No Mold Guarantee:We are so confidant in our advanced IAQ.UV sterilization &MERV filtration systems ability to keep your system clean that we guarantee with proper annual maintenance your system will be mold free for life or we will perform any necessary cleaning to the air handier to remedy the problem at our expense.Ask about our club membership packages.The"no mold"guarantee only applies to areas that have UV coverage.(With IAQ Purchase) SRCIT500 SENIOR CITIZEN DISCOUNT FOR SYSTEMS 1.00 Paid On Type Memo Amount 6/21/2019 MASTERCARD MC7032 $4,500.00 6/21/2019 VISA VS7696 $1,161.61 Sub-Total $5,661.61 Tax $0.00 Total Due $5,661.61 Payment $5,661.61 Balance Due$0.00 The home of integrity,honesty and efficiency! I authorize the work to begin for the amount of$5,661.61.1 understand that the total price may later change if there is unforeseen work to be performed.I agree to all of these Terms and Conditions.By signing this line I agree to hold Integrity Heating&Cooling,Inc harmless to any drain or water issues that may occur in my home. NOTICE OF RIGHT TO CANCEL:IF YOU DECIDE YOU DO NOT WANT THE GOODS OR SERVICES,YOU MAY CANCEL THIS AGREEMENT BY MAILING A NOTICE TO THE SELLER.THE NOTICE MUST SAY THAT YOU DO NOT WANT THE GOODS OR SERVICES AND MUST BE MAILED BEFORE THE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE ON THE SIGNED WORK AGREEMENT.PLEASE NOTE THAT THREE BUSINESS DAYS DOES NOT INCLUDE SUNDAY OR ANY FEDERAL HOLIDAY.THE NOTICE MUST BE MAILED TO: INTEGRITY HEATING&COOLING 13719 N NEBRASKA AVE,STE 106 TAMPA,FLORIDA 33613 Restocking Fees: Systems and Ductwork-$500 or 10%of the sale price.(Whichever is greater) IAQ and small parts:$250 For the first 3 days.After 3 days the parts become used and can no longer be restocked and all sales become final. 6/21/2019 1 acknowledge that I am 100%satisfied with the work that was performed.No refunds.It is agreed that Integrity Heating&Cooling,Inc. will retain title to any equipment or material until the final and complete payment is made.If the settlement is not made as agreed,the seller has the right to remove equipment and material and the seller will be held harmless for any damages resulting in the removal of the equipment By signing this line I agree to hold Integrity Heating&Cooling,Inc.harmless to any drain or water issues that may occur in my home. Parts and Labor Warranty: All parts as recorded are warranted as per manufacturer specifications.We do not guarantee parts other than those we supply.If repairs later become necessary due to other defective parts,they will be charged separately.We guarantee that all repairs are done right If a repair fails during the season,we will repair it again absolutely free. Restocking Fees: Systems and Ductwork-$500 or 10%of the sale price.(Whichever is greater) IAQ and small parts:$250 For the first 3 days.After 3 days the parts become used and can no longer be restocked and all sales become final. 6/21/2019 1 authorize Integrity Heating&Cooling,Inc.to charge the agreed amount to my credit card provided herein.I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement: 6/21/2019 6/21/2019 July 8,2019 To whom it may concern: We the undersigned,hereby authorize Brett Blakey, Rob Denboer,Gavin M Denboer to act on our behalf in all manners relating to permitting,including signing of all documents relating to these matters.Any and all acts carried out by these individuals on your behalf shall have the same effect as acts of our own. This authorization is valid until further written notice from Integrity Heating&Cooling, Inc. Sincerely, Danny Meono License Contractor STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day �a 20_Lt by P61 nn j Wo-n o / AILED YARITZA PERLAZA Notary Public,State oT Florida (Seal) My Comm.EVires A".16,2021 Signature ublic No.GG 134712 Print,Type/ (amp Name of Notary Personally known: OR Produced Identification: Type of Identification Produced: 13719 N. Nebraska Ave#106,Tampa, FL 33613 Phone(813)575-7772 License Number CAC1819891