HomeMy WebLinkAbout19-20916 a CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20916
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20916 Address: 4612 ORANGE BLOSSOM BLVD
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: OAKSIDE MHP
Est.Value: Parcel Number: 15-26-21-017D-00300-DODO
Improv. Cost: 5,770.00 OWNER INFORMATION
Date Issued: 3/04/2019 Name: FLOYD LAURA JEANNE & STERN TAMMI
Total Fees: 70.00 Address: 4612 BLOSSOM BLVD
Amount Paid: 70.00 ZEPHYRHILLS FL 33542
Date Paid: 3/04/2019 Phone: 813-408-9019
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
ACREE AIR CONDITIONING INC A/C CHANGEOUT 70.00
1 0L
3/ 0-�
DUCTS INSTALLED Ins ections Required
DUCTS INSULATED
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.
N&&MCc
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 -
==s�.w,. ,••• . • -
Phone Contact for Permitting
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m.
Owner's Name U Owner Phone Number
Owner's Address v V 1S1r1 I��JJ�� ` I QUv Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address 1
JOB ADDRESS \V 2 Yl Di � LOT#
SUBDIVISION W v.��(n C,r �A'cEL ID# I<�LIL- - -Oo3oo- Oo D b
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R
ADD/ALT = SIGN MOVE = DEMOLISH
H_ INSTALL REPAIR
PROPOSED USE = SFR COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME Q �STEEL Q OTHER
DESCRIPTION OF WORK JCA Can �� n 1C1A
BUILDING SIZE S4 FOOTAGE HEIGHT
= BUILDING $ VALUATION OF TOTAL CONSTRUCTION
= ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C.
= PLUMBING $
MECHANICAL $ V VALUATION OF MECHANICAL INSTALLATION
= GAS = ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO
�m� .•
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address i1 License# F
MECHANICAL COMPANY ��� (Z Lr QD ill • V t f-rjkv
SIGNATURE U
" n 1 2� REGISTERED / N FEE CURRENT Y/,N
�
Address o(�� Wr; Ore- l� � Dt ( �v 3(p1 License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms
Minimum ten(10)work'ing days—after submittal date.�Reyulrea onsife=Construction`Pians,Sanitary Facilities&1 aumpster-
COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
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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$5000)
*' 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 (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"mstrictione'
which may�be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable!ieed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractor� 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 stat' law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended W I ork, 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
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that /ran — —
- - use In
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 thai 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection 6uide" 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 Ithe"ownee'prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be donel 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
constructio n, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that 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, Treatment.
- Southwest Florida Water Management D|ab1nt-WeUo, Cypress Bayheado, Wetland Areas, Altering
Watercourses.
' Army Corps ofEngineeru-SeawaUs. Docks, Navigable Waterways.
' |Department of Health & Rehabilitative Services/Environmental Health Unit-/Ve||o, Wastewater Treatment,
Septic Tanks. ^ _
- --- = USEnvironmento| Protection Ag-6nny'Asbeo0000batoment
- Federal Avi d Authority—Runways.
I understand thatthe following restrictions apply to the use mffill:
' !Use of fill \s not allowed in Flood Zone"V'unless expressly permitted.
- If the fillmaterial is to be used in Flood Zone ''A"' it is understood that a drainage plan addressing a
!
i"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
'licensed by the State ofFlorida.
!If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
- �
/oonotnuchnn. |certify that fill will be used only to fill the area within the stem wall.
- '|ffiU material is to be used in any area, | certify that use of such fill will not adversely affect acUeuant
�pnnpediaa. 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 app|ication, for lots less than one /1)
|acnevvhioh are a|uvahod by fill, an engineered drainage plan is required.
' '
If am theGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit phor to commencing construction. | understand that a separate permit may be required for electrical work,
p|umbing, oiAno, vxeUa' poo}o, air conditioning, guo, or other installations not specifically included in the app|icsdion. 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 c�use 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.
OWNER OR AGENT CONTRACTORM*tWor,
Subscribed and.sworn to(or affirmed)before me this Subscribed and SV( 'to�Z'ir d)"f
o�naown to �e or hasthave produced Who islare personalVknown to me or has/have produced
as identification. as identification,
Notary Public Notary Public
Commission No. Commission No.
Name or Notary typed printed or stamped Name of Notary typed,printed o,stamped
r `
i
Recommendations/Agreement -
Lie#CAC050424
Customer Name Laura floyd Customer# Date3-13-18
Address 4612 blossom blvd
City zephyrhilld State fl Zip 33642
Home Ph. (813 )408-9019 Work Ph. (813 ) Email
g y40Bestsystem ° . 0 Better system, QGood,system ;Q,Basssystem
ClAirConditioner(i)Heat,PumpQPackageOOas.Furnace ---2.5 BTUH' 1;5 SEER "
_._ .. �. _ . . _. ..
iQ✓ 4"Hurricane;Slab ❑FEMA Sef, -',: Q✓ .Flush Refrigerant,Lines,= ❑New Co'pper,Line Sett
£❑✓ Reconnect to;Duct,,"-;,, { "[-]New Plenurris „ ..❑New 1Q0,,-CFM Supply_ ❑New 150 CFM Supply,,.,
'r]New 250-CFM Return `New 500,,CFM Return ❑New RS Duct System Q New,R8 Duct System -
�Q New Disconnect&Whip ❑New Wire td-A ❑New Wlre`to Condenser, Use Existing Electrical
[]New'Condensate=Drain ,:E]Electronic Float Safety ' .❑Honzontal`Kit , Attic Llght/Receptacle j
,11N
✓ New,Thermostat,.,,, ". .:c ❑Standard Programm ❑Touc .able h Screen
n� W.__.-___
SYSTEM INSTALLATION INCLUDES
✓ All labor ✓ Recover and dispose of existing refrigerant
✓ All required permits ✓ Evacuate refrigerant system
✓ ACCA load calculations per code ✓ Charge to manufacturers specifications
✓ Removal and proper disposal of equipment ✓ Mastic seal exposed ducts per code
Indoor Air Quality Options _
s ❑Germicidal WC ❑Dual Germicidal WC ❑ Oxidizing WC
} ❑Air Ranger Air Cleaner X ; . . ❑HEPA Filtration
MANUFACTURER:WARRANTY"(under terms-of warranty,routine scheduleo►seryice rimust beperformed on.systems). : "•
12 Yeais,ori parts,.1'' Years on labor 12 Years on compressor'_Years;on,heat exchanger
GUARANTEES,(Ali.Guarantees a4ex lafned on ihe'reverse side of this a reemen,
OTotal Comfort Total Replacement<No Lemons"❑✓$250,No-Frustration❑✓ Serv166,Anytime ✓❑ ,rpperty"Rrotection,
Code Compliance:Our work,will;Comply with ell existing Local codes. Drug'Freck Your work will tie pe-rformed by our professional,highly trained;
and drug-free employees;-.
System Investment $ 5,770.00
Accessories $
Other $
Total Amount $ 5,770.00
��Estmated Firial lnyestment`After EEigible.Re�ates/Tax Credits of$ - �'�s-$'.. - w
Terms -
-
INSTALLATION IS COMPLETE AT START-UP AND ALL FINANCIAL PAPERWORK AND COD PAYMENT RENDERED AT THAT TIME.Price includes all coupons and discounts unless
otherwise noted.Buyer hereby declares that buyer holds title to property in which merchandise is being Installed and has legal authority to order the work outlined.Buyer and seller agree that any controversy or
claim arising out of or relating to this agreement,or performance of it,shall be settled by binding arbitration,except that seller reserves the right to sue buyer in a court of law for any amount due them from the
buyer,with all other matters Including defense to payment being resolved by arbitration. Such arbitration will be conducted In accordance with the arbitration rules,then in force of the American Arbitration
Association.The arbitration award cannot exceed the amount of the agreement and will be final and binding on both parties.Judgment upon such arbitration award may be entered in any court of competent
jurisdiction.Each party bears Its own costs for arbitration,Including attorney fees.
Payment Terms:(E)Financed®Credit Card®Cash/Check Upon Installation.
Acceptance(Client) Acceptance(Company)
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Tampa, Florida 33619-1136
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. 50424
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.:- www.weropen.com
A.
March 4,2019
I,Victor Trino, hereby authorize the following to sign for and acquire permits and licenses using my State
of Florida License No. CAC050424:
Michael Trino DL#T650-550-67-332-0
Darrell Webster DL#W123-163-84-026-0
Chantz Renner DL#R560-104-89-421-0
Anthony Kell DL#K400-013-88-343-0
Dakota Renner DL#D-560-170-91-371-0
David Whatley DL#W340-173-90-208-0
Jeremiah Cowden DL#C350-433-80-342-0
Telando Gardner DL#G635-804-91-322-0
Devin Renner DL#R560-162-95-025-0
Bobby Pettys DL#P320-072-96-124-0
John Phillips DL#P412-463-89-099-0
Skyler Owens DL#0520-784-93-270-0
This should supersede any other letter of authorization.
If you should have any questions, please feel free to contact me at(813) 620-1666.
Victor Trino
Acree Air Conditioning, Inc.
Lic: CAC050424
City of Zephyrhills ' I 0,�2�
This foregoing instrument was acknowledged before me this `t day o ma 019.
By V C.'r +ny who is personally known to me.
19M
t rMy Commission expires `1lSZO �O blic State of FloridaherdSEAL ission FF 978997/05/2020
Service Anytime I lam - 11 pm, 7 Days a Week No Overtime Charges...EVER!
Pinellas 727-447-0508 • Tampa 813-620-1666 • Polk 863-683-3437 Toll Free 1-800-783-8154/ 1-800-WE-R-OPEN