HomeMy WebLinkAbout19-20877 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20877
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20877 Address: 37527 LAUREL HAMMOCK 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: OAK RUN
Est. Value: Parcel Number: 34-25-21-0100-00000-0220
Improv. Cost: 6,817.63 OWNER INFORMATION
Date Issued: 2/25/2019 Name: BORDER RICHARD & KATHLEEN
Total Fees: 75.00 Address: 37527 LAUREL HAMMOCK DR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33541-4254
Date Paid: 2/25/2019 Phone: (813)997-1349
Work Desc: A/C CHANGE OUT 4 TON SPLIT SYSTEM
CONTRACTORS APPLICATION FEES
CHRIS' A/C COMPANY A/C CHANGEOUT 75.00
1,�� '
II
DUCTS INSTALLED Ins ections Required
DUCTS INS
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 SIGN RE PERMIT OFFIgOR
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
Datd Received 02. Phone Contact for Permitting
..................rrl"rrrr........
Owner's Name Owner Phone Number Vi -1977-
Owner's Address 4 Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID# 7r 21 0100 00000 oaaoi
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e
ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM OTHER I
&S,Ef_� zz ko"'y
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL r
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE HEIGHT
L__JBUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C.
=PLUMBING $
MECHANICAL
03 VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
S 6 i i I i i i I N i 1 2 i 1 1 1 l v 1 1 1 1 1 N 1 1 1 2 1 1 e N 1 a 1 1 a 1 1 2 1
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N _J FEE CURREN [ YLN J
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N-i FEE CURREN LaN_J
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address License# F_
MECHANICAL COMPANY ad4��
SIGNATURE REGISTERED N FEE CURREN LC2LN_J.
Address [/,ad�s,-? W 3 0/ License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN_J
Address License# I i
HHHIH
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,&I 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/Silt Fence installed,
Sanitary Facilities&I 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. (A/C 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 DEEDRESTRICTIONS: 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 wi+.h any ,
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may required to be licensed in accordance with state and local regulations. -If the
contractor is not licerised as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If t e 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 I pact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildi gs, 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, he_fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they mast 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 a plicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" pr-pared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owne ", I certify that I have obtained a copy of the above described document and.promise in good faith to
deliver it to the"own r" prior to commencement.
CONTRACTOR'S/O NER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in com liance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to ob ain 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, Count and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I underst ind that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to i Jentify what actions I must take to be in compliance. Such agencies include but are not limited to:
Departmlent of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, ater/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, ' Wetland Areas, Altering
Waterco urses.
Army C rps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic T�nks.
US Envi�onmental Protection Agency-Asbestos abatement.
Federal_r-vlation,Authority-Runways....
I understand that th following restrictions apply to the use of fill:
- Use of fi I is not allowed in Flood Zone W unless expressly permitted.
If the fil material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compe sating 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
constru tion, I certify that fill will be used only to fill the area within the stem wall.
If fill Zterial is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properti s. 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, we Is, 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 correctioI 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 suspentled or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, iri 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 FO I IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA-JURAT_(F.S._1_Z03.).-- - -- -- - - - -_-- - - - - -- — - - --
OWNER OR AGENT� .li2 ` ���! CONTRACTOR
Subscribed and sworn to or affirmed)before me As Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally knc wn to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,pr nted or stamped Name of Notary typed,printed or stamped
i
CH •. HVAC
M P A N Y
C O
CAC058575 I EC13007703 PROPOSAL
12232 HWY 301 DADE CITY (352)521-4977 "NOW PROVIDING'
DADE CITY, FL 335.25 ZEPHYRHILLS (813)779-9515 "ELECTRICAL SERVICES"
NAME: ' Kathy Border Date: 02/21/19 SPLIT SYSTEM I XX I jPKG UNIT I -
SUBDIVISION: HEATPUMP X STR.000L
ADDRESS: 37527 Laurel Hammock Dr. ME"WOUa
CITY: Zephyrhills ZIP CODE: 33541 CONDENSER: 4TWR4048
PHONE: 813-997-1349 WORK: oAIR HANDLER: TEWAOC,2 10
CELL: RENTER: �.7r SEER RATING: 14 ]HEATER: 8KW
ESTIMATOR: Robert BRAND: TRANS XR
`�1 -�� D{ [ _RO A 7A[._' TOTAL : 6,817.63
HORIZONTAL ATTIC.. INSTANT REBATE : $ 700.00
DIGITAL THERMOSTAT/PROGRAMMABLE TOTAL LESS REBATE $ 6,117.63
PAD ITONNAGE: , 4 PARTS: 10 YR Pt,
AUXILARY PAN COMPRESSOR: 10 YR LABOR: 1 YR ,9
AUXILARY DRAIN
HANGING KIT CONDENSER: ##
IN-LINE FLOAT AIRHANDLER: #NI
DRAIN PAN FLOAT SEER TING: ## H R: #N/A I
$200 SENIOR DISCOUNT BRAND: #N/A
SEAL DUCTWORK TO CODE T TA $ #N/A 0.
REMOVE EXISTING EQUIPMENT INSTANT R . ATE : $ #N/A -fir
CONNECTED TO EXISTING DUCTS AND ELECTRIC TOTAL 6RgS REBATE #N/A
ANCHOR CONDENSER TON GE: #N/A PARTS: #N/A
TAX,LABOR AND PERMIT C PRESSOR: #N/A LABOR: #N/A
HOM , aT
#8 WIRE CO ENSER: ##
IR HA R: #N/A
INCLUDES FIRST MAINTENANCE CHECK SEER RATING: ## HEAT #NIA
- BRAND: N/A
TOTAL-; #N/A
•'` - ��'��'`�� j INSTAN EBATE : $ #NIA
� � -
I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE. I AGREE THAT SELLER TO LESS REBATE $ #N/A
RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL•PAYMENT IS MADE.IF PAYMENT ONNAGE: #NIA PARTS: #N/A
IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT COMPRESSOR: #N/A LABOR: #N/A
SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE
THE RESPONSIBILITY OF SELLER. LIMITED WARRANTY:EQUIPMENT,PARTS AND
MATERIAL HAS WRITTEN MANUFACTURER'S WARRANTY ONLY.
/} �iO/¢.y�KFO_R=60'IVIO.NTISr (WAC)
(/ /��/�7 a w�:ri�� --:; _�.s•; - ::t;-=`,'+.= =':
CUSTOMER SIGNATURE DATE: 18
�f�fSTANTR'1=B".rE"p
�b-4 1 SSG.3 a -s,_9 i- -f-7
� R
4
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:
— 0
Permit#: 0
Site Address: 3 cLl 6 SL 4c.MMdj-�►L—P_, ���-•,n QS
Contractor:
License#:• CA-C— Q5 d5-1 S
Final Inspection Date: —t
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.
Cif;s Joys
Name of License Holder(print or type) Signature of License Holder