HomeMy WebLinkAbout19-20771 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20771
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20771 Address: 6354 LINDA LOU LN
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: EILAND PARK TOWNHOMES
Est. Value: Parcel Number: 03-26-21-0250-00000-1230
Improv. Cost: 5,270.00 OWNER"INFORMATION
Date Issued: 2/06/2019 Name: ADAMS, NANCY
Total Fees: 70.00 Address: 6354 LINDA LOU LN
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/06/2019 Phone: (518)496-5246
Work Desc: A/C CHANGE OUT 2TON 1
CONTRACTORS APPLICATION FEES
GOULD'S AIR CONDITION & HEATING A/C CHANGEOUT 70.00
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Ins "ections Required
DUCTS INSTALLED
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.
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_dUNMZAt TOR 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 Permitting —
Owner's Name Owner Phone.Number
Owner's Address Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID# 0376— — DZ,6V mCVd Z3(
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM = OTHER
TYPE,OF CONSTRUCTION = BLOCK FRAME 0 STEEL =
DESCRIPTION.OF WORK
49
BUILDING SIZE SO FOOTAGE HEIGHT.
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. j.
=PLUMBING $
=MECHANICAL $ Z VALUATION OF MECHANICAL INSTALLATION
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=GAS = ROOFING Q SPECIALTY 0 OTHEk
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 License#
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PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN - Y/N .
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Address License#
MECHANICAL r / COMPANY ' �G:1�Lk
SIGNATURE REGISTERED Y/ N' FEE RRE� Y/N
Address Lice se#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y./N
1
Address License#
RESIDENTIAL Attach"(2).Plot Plans;(2).sats of.Buiidi66iPlans,(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)'workinig days-after-subriiittai`date. Rbqulred`onslte,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. (AIC.upgrades over$7500)
Agent(for the contractor).or-Power ofAttomey, or the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING. (copy,of contract required)'
Reroofs if shingles Sowers Service Upgrades A/.0 '" Fences(Plot/Survey/Footage)
Driveways-Not over Counter if`6n,66bl'ic1roadways:.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: -Af-the--owner-'has hired--a contractor or
contractors to undertake work, they may•berequired to be licensed in accordance with state and local regulations,: If the
contractor is not licensed as required by law, both the owner and co'nf4cf60-'m6y be cited for a misdemeanor violation
understate 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 Insilpektion'-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, at-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 exparisijon 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 issuanice-."Further6iore, if Pasco County Water/Sewer Impact
fees-are due,..they.must.,be-pald 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-f,'-4he--applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeo-'wner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other.than ttie`owndr"', 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.
CONTRACTOW..SIOWNPRIS AFFIDAVIT:_I certify.that all the information in this'application is accurate and that all work
will be done in compliance with-all ipikitile laws regul6 ting construction, zoning and,larid development'i 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 Bayh6ads, Welland Areas and Environmentally ;Sensitive
Lands,WaterMastewater.Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. -
Army Corps of Engineers-Seawalls, 0oicks,.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.
1,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 Ao be used. in Flood Zone-"A?.in.connection with a permitted building using stem wail
construction;-, ,, icertif thaffill 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 buildifig 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 to4nform 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, &.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 toviolate, 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 LENDEWOR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENt.
"FLORIDA JURAT(F.S_.11 7.113)OWNER OR AGENT -CONTRACTOR 'A 0 4 -c—
Subscribed and swam to(or affirmed)before me this Subscribed and swam
(0(.,9ffim)l5d)before me this
by ;?4—1 q by Is, y- I--st I JSj !:Je-)0 1;tf—
Who is/are personally known to me or has/have produced Wh are personally own to me or has/have produced
as identification. as identification.
Notary Public LNotary Public
Commission No. Commis IZINo.
..........
Name of Notary typed,printed or stamped Name of Not 5 in&QHltrs
C
ommissiOn if GG 276M
..,N. SOMWtz- ExPires December 12,2022
Thro Troy Fain Insurance gpp,38�74t9
......
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INVOICE #64827844
INVOICE DATE Feb 04,2019
... DUE Upon receipt
$5,270.00
........:::::::
..::.:: AMOUNT DUE
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Nancy Adams CONTACT US
6354 Linda Lou Ln 601 Hitchcock St,Suite 101
Zephyrhills, FL 33542 Plant City, FL 33563
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(518)496-5246 (813) 752-1970
nadams28@tampabay.rr.com 0 office@gouldsac.com
INVOICE
Services qty unit price amount
New system replacement 1.0 $5,270.00 $5,270.00
2ton 15 seer American Standard Heat pump
5KW heater kit
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Total $5,270.00
Remove and replace old system with new.
Flush drainline.
Anchor Condenser to existing pad outside.
Replace breakers and electrical whips if needed.
Attach to existing duct system.
All Labor and Permitting included.
10yr parts 10yr compressor warranty
Client paying cash
Scheduled for Thursday 2-7-19
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Gould's AC&Heating,LLC gouldsac.com
�CAC1816446
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OWN IU
LjT
City of Zephyrhills
City Hall
5335 8th Street
Zephyrhills, FL 33542
Phone: 813-780-0000
Fax: 813-780-0005
February 4, 2019
To Whom It May Concern,
As the owner of Goulds Air Conditioning& Heating. I am writing this letter to have myself Tony
Gould and my office manager Kristin Toole on file to apply for and sign/pickup any building
permits we may need starting today 2/4/2019 until this permission is revoked. I have included
a copy of both of our lice ses for your verification.
Th nk You,
—,— __ d
Gould's Air Conditioning& Heating, LLC
601 Hitchcock Street,Suite#101
Plant City, Florida 33563
813-752-1970
Please note our address has changed. Please update your records. Thank you.
GouVs Air Conditioning&Heating,LLC
CACIS16446
WCOMMU M/FFIRM
E7O'MJ*2%=1
' ;o��' HoMld?IwNoMryR�fallAdl(wllila
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: AA o,/wc
Permit#:
Site Address: b 5 5 q 1 t yt d��Lot) L A I C i
Contractor:
License#: Q(' I I (A (II I o ,
Final Inspection Date: a w,
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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.
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Name of License Holder a of License Holder