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HomeMy WebLinkAbout19-21465 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21465 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION. Permit Number: 21465 Address: 6551 NORTH LAKE DR 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: STEPHENS GLEN PHASE TWO Est. Value: Parcel Number: 03-26-21-0150-00000-0020 Improv. Cost: 7,402.00 OWNER INFORMATION_ Date Issued: 7/09/2019 Name: CONVERSE, JAMES M TST& MARY JO Total Fees: 80.00 Address: 6551 NORTHLAKE DR Amount Paid: 80.00 ZEPHYRHILLS, FL 33542 Date Paid: 7/09/2019 Phone: 813-395-8828 Work Desc: A/C CHANGE OUT 5 TON CONTRACTORS APPLICATION FEES ACS HOME SERVICES A/C CHANGEOUT 80.00 Q / 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. ON RACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813ae0-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 Building Department Date Recelved Phone Contact for Permitting ME Is V Owners Name n 1 /'e/C' Owner Phone Number Owners Address Al �rx ��• ✓� Owner Phone Number Fee Simple Titleholder Name t/- �'' Owner Phone Number Fee Simple Titleholder Address ��/)-(//+ °, JOBADDRESS I� 1t/(�� �/}�Le ��i vim. LOT# SUBDIVISION 5 r!d? Ott(CS PARCEL ID# D3- a l!J-oP 1 0f 5V -D O D- 00,9(] (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR 0 COMM = OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK 1/C A n t°l)J+- 5--loll I Y SF(i2 la P V&44 c9-( BUILDING SIZE I S;M112-S4;Z'iY SO FOOTAGE �lo�oY HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE _ 'PROGRESS ENERGY 0 W.R.E.C. =PLUMBING $ MECHANICAL $ - o -) W VALUATION OF MECHANICAL INSTALLATION 4W- Z_.,f =GAS = ROOFING = 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 I Y/N FEE CURREh I Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREh Y/N Address License# MECHANICAL COMPANY SIGNATURE t� � REGISTERED Y/N FEE CURRE/hi y/N 7 Address ) Uh/ �t 1 A M / Ft 3� I License# �T� C!�$ /S � OTHER COMPANY SIGNATURE REGISTERED I Y/'N FEE CURREh LXLN Address License# Illtllltlll1111111itillllltlll'IIIIIIIIIIIIIIIiIIIIIIIIiIIIIIitlllll 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 subdivisionsllarge 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!Slit 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(PloUSurvey/Foolage) 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. 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.)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"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 YO INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTI E OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this Subscribed an aftirmedfbefore me this by I d by 14-C4z C., Who is/are personally known to me or has/have produced Wh6 is/are persc IIV known to me or has/have produced as Identification. as Identification. C/ Notary Public Notary Public Commission No. o Ission No. G(9 D[J 7 3 Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped JENNIFER F.MACCHIELLO ?° �r`•: Notary Public-State of Florida ea�yt� Commission M GG 308463 `�'}' O�Q My Comm.Expires May 26,2p23 Bonded through National Notary Assn. _ ACS Home Services Invoice 15799555 Headquarters:1712 E Seward St, Invoice Date 5/17/2019 Tampa,FL 33604 Completed Date 5/17/2019 813-618-5631 Customer PO #EC13008068 -- #CAC1818754 Billing Address Job Address James Converse James Converse 6551 Northlake Drive 6551 Northlake Drive Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA Description of Work Icp system very aged. Diagnosed badfan motor. Gave repair vs replace option, owner decided 5t hp 14 seer Bryant split replacement was in his best interest. Installing same day. Paid in full Task# Description Quantity Your Price Your Total Service1 Service Call 514SHP This Install Includes All Of The,Following: 1 $7,402.00 • Install new Air Handler&Condenser. •. Inspect all accessible ductwork and seal any minor leaks. • Adapt Return&Supply Plenums.(Additional replacement cost may apply.if Plenums are not the correct size or not reusable.) • Install new primary overflow switch • Install-new insulation on copper lines within 6'of the units • Install new Hurricane straps on the condenser per Florida code • Includes New Thermostat • Upgrade breakers to proper size for new equipment as needed • Includes Permit ready install,removal and disposal of old equipment, and all materials and labor. • Includes ACS Home Services Maintenance Plan with 2 visits within 1 year. • 10 Year Parts Warranty • 1 Year Labor Warranty ****Existing Line-set will be pressure tested and will need to pass in order for us to complete install.Line-sets like Duct Work are separate parts in an air conditioning system.If the line-set fails now or in the future it is not part of this quote therefore will be separately quoted as needed.(Line sets are the copper pipes that connect the indoor unit to the outdoor unit which run thru walls and underground.Very rarely leak as they are typically installed as a one piece unit. OXY-PURE Eliminate Pathogens&Odors on Surfaces with Minimal Contact Time.ProKure 1.00 $0.00 $0.00 PROKURE V is a safe,effective,hospital grade solution for cleaning,sanitizing, disinfecting and deodorizing.When combined with cool water,ProKure V generates a liquid solution of chlorine dioxide(C102)that begins to kill pathogens on any surface within seconds. OXY-PURE UV (1)OXY-PURE UV SYSTEM 1.00 $0.00 $0.00 SYSTEM - Paid On Type Memo Amount Member Savings.$0.00 Sub-Total $7,402.00 Tax $0.00 Total Due.,, $7,402.00 Balance Due $0.00 K� 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: .�lqo�-e_S a �l �c Permit#: C�1 7 Site Address: l[J 1 J O,4kL4_/4c D r% Ljf- Contractor: 8 rl C S 1'`tbfy\-2 Jl/o ce r License#: F/F 7 S^Y Final Inspection Date: 1 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. S'k Name of License Holder(print or type ign Lure of License Holder