HomeMy WebLinkAbout19-21472 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21472
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21472 Address: 6733 BASSWOOD CIR LOT 2
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-0010-02800-0020
Improv. Cost: 6,780.00 OWNER INFORMATION
Date Issued: 7/10/2019 Name: TYSON JOYCE ELAINE
Total Fees: 75.00 Address: 6733 BASSWOOD CIR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/10/2019 Phone: 813-389-2689
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTORS APPLICATION FEES
AND SERVICES A/C CHANGEOUT 75.00
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.
CAN rfRACI OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I '.' I C.0 v -1
813-780-0020 City of Zephyrhilis Permit Application Fax-813-78W21
Building Department
Date R.;-I-d 1—1, 1—IS Phone Contact for Permittine IRS 1630 9 q q-Z
5.1 r. m -315
Owners Name, . . .Own: Phone Nu'., 613 d('"]
Owner'&Address Owner Phone Number
Pat Simple Tilleholds Name Owner Phone Number
sm.Fee Simple TitlehaTideAddrus
JOB ADDRESS A30-sSWOOCK LOT#
SUBDIVISION PARCEL IEW 042-Z(?'a f COS'—COZZ
(09TARM FROM PROIbERTYTAX*once)
WORK PROPOSED NEW CONS. ADDIALT = SIGN r7 r7 DEMOLISH
NEW
R INSTALL Lj REPAIR
PROPOSED USE SFR COMM r-1 OTHER I D4
TYPE OF CONSTRU N BIWA FRAME STEEL
DESCRIPTION OF;WRK IINIC-C�A\-XP oLA- c27Z)J /VS--ex-S/C-
BUILDING SIZE 80 FOOTAGE HEIGHT
=BUILDING CS VALUATION OF TOTAL CONSTRUCTION
. . . . . . . . . . . . . . . . . . . ... . . . . * * . . . . . .
=ELECTRI 1$ AMP SERVICE = PROGRESS ENERGY Q W.P.E.C.
=PLUMBING Is
=MECHANII 1$ VALUATION OF MECHANICAL INSTALLATION
=GM r7 1 ROOFING SPECIALTY r--j OTHER
FINISHED FLOOR AmDNS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN I YIN
Address LIMM#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I YIN FEE CURDS �N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I YIN FEE CURREh
Address I License#r
MECHANICAL COMPANY &Q aAAI-
Ote
SIGNATURE REGISTERED I YIN FEE CURREK I Y/N
Address License#OTHER: COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREK LXLN J
Add.
Ff I "I'I'F 1--ir T-1 1 1--1-11 x 1.1 1 1-1 1-1-UT.vul 1-y 1 1-1 1 1 11-1-1-1'RESIDENMAL Plot Plan;(2)sets of Building Plans;(1)set of Energy Forms,R-O-W Parmll for now construction,
InTmum taxi(iOyw—orfdWdiW—WWgubfnitW-dW.—RiiFpUW*—We—.C&ftVcffffPWWSWmffttvP1ans%W Silt Fancelmnalled.
MW Facilities 31 dumpster,Site Work Permit for subdMalonallerge projects
COMMERCIAL (3)complete sets of Building Plans plus a Ufa Sefety Page;(1)SO of Energy Forms.R-O-W Permit for new construction.
Inimurn ton(10)worft days after Submittal date. Required onsits,Construction Plans,StornywaW Plans wl SIR Fence Installed,
. Facilities&I dumpstar.Site Work Permit for all now projects.All commercial naquiremerft must meet compliance
SIGN PERMrr (2)sets of Engineered Plans.
San
'Mum
PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .
tri»eg
fill: ctor sign back of application,notarized
�-= co-pletely.
Nbvw$2U% Nodes afCorransavernantlarequired. (AfC upgrades avor$7500)
Agent(for the tractor)or Power of Attorney(for the owner)would be someone with notarized totter from owner authorizing same
OVER THE COU PERMRMNG (Front of Application Only)
Rare*N shingles Sewers Service Upgrades AIC Font"(PlottSurvay1frootege)
Dthraways-No 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 1, 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 OBTAJN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
,.+�'ho
-_--FLORIDA"JURAT(F S'117 03) '"—""—' R„
OWNER OR AGENT CONTRACTO
Subscribed and swom to(or affirmed)before me this Subscribed and m to(or affirmed)be me thI
by by M-Ae4eAC C g z
Who is/are personally known to me or has/have produced Who Is/are personally(mown to me or has/have produced .0 4 am 0
as Identification. as Identification. M p
o3 <,
CD
Notary Public Notary Publics J
cr m rn.
66 N�a
Commission No. Commission No. C G) m
mAQy v s
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
m
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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: �6L,CO- 1 11 S®')
Permit#:
Site Address:' V7 3 3 G-oss L-'cx-3 c—I Dr-vv-e_
Contractor: POD yes
License#: `pc 12 9
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(prin rtype) Signature of Li nse Holder
:PROPOSAL-`° `
Tel:941312-7815
www.andserviees.com
arCondmonmg •'pwmbhe' l9actrieal _ epptaeteandserviees.com
�_�� Gatete918,aF41•}afi85,EG1am1591
Customer name:. oo Data:
/ Zi
Street address of,job location:.,.G77S`JJ. "' City. . 5 FL Zip: Z
Primary,phone: Other phone: - Email:'
❑ FactI.ory-matched Heat Pump System Factory-matched Air Conditioning System ❑ Factory-matched'Gas Furnace System
❑ Optimum# ❑-.Premium# Deluxe# -❑. Economy-# _
I Up l0 2eSEER Up 1016 SEER IUP to 14 SEER ! 1 IS IE ER
10 Year All Part 10 Year All Pert 70 Year All Part 10 Year All Part Warranty
Compressor Life Time weganty" 10 Year Compressor Warranty to Year Comp War Compressor Warranty
HEALTHY HOME ENVIROMENTOPTIONS Rotobrush duct cleaning_Supply&_Returns
l Whole House 8iologic3 W Sterilization System Stg. ElWhole House Biologic3 Electronic Filtrations System
INSIDEYOUR • OUTSIDE YOUR •
❑ Replacem /H ent ❑'Add-on Air CoConditionineaUBoth ❑ Replacement" ❑Ail Air Conditioning/HeaUBoth
AirHandlei'/Fumace ❑ Vertical/Bl Horizontal ❑ Heat Pump ❑Air Conditioner ❑ Package Unit
l New Digital Thermostat Non-'Program. ❑ Program. z- t6jjS SEER.'_BTUH
❑ New Digital Programmable Therm: with Humidity Control Model 1;bwk N N
❑ Relocate from a to Hurricane Pad ❑.Plastic Pad
❑ 11 Relocate from to
❑ New AHU Stand:❑ Metal❑ Custom O''',New safety"disconnect switch ,
❑ Filtration: ❑ Permanent Washable Filter❑ Grille_ ❑ New 100%copper;dehydrated refrigerant piping
❑ New safety disconnect switch ❑ Surge Protection ❑ Fully insulated suction piping
❑ New wire'fro'n1 breakecpanel to equipment ❑ New riatertight.electnoal
❑ Vent/Flue: ❑ Complete new ❑Use existing ❑
DUCT SYSTEM • • IN EVERY INSTALLATION
❑ Engineered.duct•system for tons vents, ✓ •All labor,,
❑ Economy ❑ Anti-Microbial $ ✓ Obtaining permits(where required)
❑ NON-FIBER6lL4SS'-100%Rust Resistant.Galvanized Sheet `/ New A/C circuit protection.Brand=
Metal Duct System.Energy Saving Insulation Included. Existing size is: / Change to: /
❑ Rooms requiring additional airflow: ✓ Heating and Cooling routine maintenance for ( years
❑ New supply vent to: ✓ Check entire system for safety and efficiency
❑ New return vent to: ✓ Shoe covers,mats and drop cloths to be used as necessary
❑ ✓ Remove existing equipment from premises
❑ Mastic and seal all leaking joints ✓ Clean up
❑ Duct Sanitizing
TOTAL •
• 24-Hour Fix It•or Hotel Guarantee:Unlike most companies,we area service company.We have a staff of qualified service technicians that
are there to serve you in the unlikely event your system has a problem.So our guarantee to you is that when we arrive,we guarantee that we will
have your system up and running within 24 hours of our arrival or we will put you up in the local Embassy Suites for the night
• Best Value Guarantee:Anyone can make something cheaper by cutting comers and pricing it for less.So,it's important to know what is and
is not Included in any heating and cooling system you choose for your home.Our Best Value 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,within 14 days of purchase,and have the same written installation specifications as AS.
• Installation Workmanship Guarantee: Our Installation technicians are the best In skill,attitude and workmanship.They'll care for your
home and complete the job with speed and precision.They wear floor savers,dean up when they are finished and take personal responsibility for
your satisfaction.They will not smoke or swear in your home and they are polite and courteous.If,when they have finished in your home,they
have not performed in accordance with these high standards,we'll refund whatever amount of the purchase price you feel to be fair.Al we ask Is
that our office be notified of any level of dissatisfaction before the technicians leave the home so that any Issues can be addressed accordingly,
• Exclusive"No Lemons"Guarantee:If the Compressor(the heart of your system)in your Air Conditioner fails during the first five years of
ownership we will remove the entire outside unit,rather than the component,and install a completely new one,if you've ever bought a'lemon'
before,you truly appreciate our commitment to your long-term satisfaction.
• No Mold Guarantee:We are so confident in the Biologic3 UV Sterilization 8 Electronic filtration systems ability to keep your system dean 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 handler to
remedy the problem at our expense.
YOUR •
Total Investment $ (-) Rebates$ (-) Service Repair Refund��_
Net Total Investment After All Discounts Including Power Company&Manufacturer rebates$ 4-n
This High Efficiency Home ort Syst is available with 100%bank financing with no money down for$ per month
(„fib appmved Game.
AS Representative �� Date of proposal 61
custarner agrees 0 pmmde tree a¢eas to Elie wod:area and a safe working emaonment The abavo prices,speafirafans.term;,and mrgmom are satsfactory end hereby agmed to in NI.
1 give aaawrimeon to order of—mento W work You are aull dad is do 6e wwk as specified.Payment wig be nude as oWireC I understerd that you are not msp..Ne for arena or delays -
Eber
mmayour mrdml.Qwber agn:es In carry adequate necessary I--storm,and o necess insu —All of our workere Is m me 1 by Wodanan'•Compensation end a Two MiWon General Uabllity
murerlce.H collection is neceasery,b grew to pay a0 tulle'on msb and Interest.
Customer Approval Q►t/{tR t�9 a ^— Dale: 4 /1 l
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