HomeMy WebLinkAbout19-20944 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20944
BUILDING PERMIT
PERMIT INFORMATION .'LOCATION INFORMATION.
Permit Number: . 20944 Address: 38620 NORTH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-01900-0020
Improv. Cost: 4,636.68 •OWNERINFORMATION -
Date Issued: 3/13/2019 Name: COLLADO RAYMOND OLIVER&RAMON
Total Fees: 65.00 Address: 5111 BERNADETTE DR
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33541
Date Paid: 3/13/2019 Phone: (813)355-4288
Work Desc: A/C CHANGE OUT OF 2 .5 TON
CONTRACTOR $ APPLICATION FEES
UNIVERSAL AIR & HEAT A/C CHANGEOUT 65.00
�10/\
Ins ections Required.
DUCTS INSIALLU)
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.
CONTRACTOR SIGNATURE PERMIT OFFICgR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
Owners Name A"MOVLA OLDve,. Owner Phone Number
Owner's Address tie1'4AUC' Af" 4124f_�' YJ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
I LOT# F,_;�3 3A I
SUBDIVISION PARCELID##1 It 2w( —00 10—o I q0cl— clo'zz
(OBTAINED FROM PROPERTY TAX NOTIM
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN Q = DEMOLISH
R INSTALL 8 REPAIR
PROPOSED USE 0 SFR = COMM OTHER F__P✓44 i
TYPE OF CONSTRUCTION Q BLOCK FRAME STEELSy
r
DESCRIPTION OF WORK �Tc C441-v-
BUILDING SIZE 50 FOOTAGE HEIGHT
E . . . . . . . . . . . .
BUI�DING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
=PLUMBING 1$
O�MECHANICAL i$ U3*.:aA VALUATION OF MECHANICAL INSTALLATION
=GAs Q ROOFING F__1 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREr,
Address F_ License#F_
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI,
Address License# I
MECHANICAL COMPANY X'r -�
SIGNATURE ':�� I REGISTERED %N FEE CURREN I LYIILN
Address 15q&o 5-AA, l2 E.,_ Pl- 333k-( License# Ctqe_0-57,ft
OTHER COMPANY [ I
SIGNATURE REGISTERED Y1 N FEE CURREN LKLN J
Address License#
IIIIIIIIIIIIIilllllllliltlilltlllllllllllltllllllllllllltllllllllll
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)worldng 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 now construction.
Minimum ten(10)worldng days after submittal date. Required ansite,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.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . .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)
DrIvewaWNot over Counter if an 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 IMPACTIUTILITIES 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-4-tomeowner'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, Weiland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland 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 W 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 IMPRON J�JJS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDS R OR A 9) NEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F,S.1 3)
OWNER OR AGENT CONTRACTOR
• Subscribed and swo to r Afore me thi Subscribed and swonfA<or affiMbefore III
MA,
Who is/are personally known to me or has/have produced Who Is/are personally known to me or hasihave produced
�y
C' t— cjk^s z as identification. en——.3sidentifiration.
tary Public Aff-- NotaryPublir
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Commission No. q-53 3&1' Commission No.
2us
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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Office Customer Order: 175280
Corp Res Rd Davie, FL
Name Denise Merillas
= �' ����� Address 38620 North Ave
State
State Licensed#CAC058142
A I_R & H E A'1' uahac.com(866)999—2665
City Zephyrhills Apt#
(COOL) State ZIP 33542
Date 2/13/2019
New
Package Unit RQPMA030JK000AUA
We Propose To Furnish And Install A New 2.5 Ton 14 SEER Rheem 410A.
1 Digital Thermostat
Strap,Tape,Mesh,Mastic Supply&Return Connections To Ensure No Air Leaks
1 Complete Mechanical Permit With The City
1 Sheet Metal Dog House Covering Supply&Return Ducts
2 Locking Caps For Freon Valves
4 Hurricane Tie Downs(up to code)
Removal And Legal Disposal Of Old Equipment
4 Vibration Isolator Pads Under The Package Unit
Property Level Unit
Sealed Equipment Connections
Sub Cooled/Superheat Refrigerant Charging
Hooked Up To Existing Electrical&Duct Work
*Any Electrical Upgrades Are The Home Owners Responsibility*
*Balance Due Upon AC Start-Up*
*Price Is Only Valid For 30 Days*
1 Year Labor Warranty
10 year factory parts in unit warranty
Choose from one of 4 payment options.
Option 1 ::Total Cost:5,693.62-Instant Rebate 967.91 Total Cost 4,725.71. Cash,Check or Credit Card
Option 2::N/A
Option 3::N/A
Option 4::Total Cost:5,693.62-Instant Rebate 56.94 Total Cost 5,636.68. 0%APR for 60 months with equal payments of about 93.94 with approved credit and
terms.
❑ Text Message Consent SUB-TOTAL $5,636.68
1 consent to receive SMS text messages at any time offering reminders,promotions and other INSTANT REBATE $0.00
services from Universal Air&Heats TCM(Text Club Membership)Msg&Data rates may apply. -UTILITY REBATE AND OR
Universal Air&Heats cell phone SMS text messaging system will send SMS text messages to MANUFACTURE REBATE
remind you about your service appointment the day prior,your service technician is in route and -DEPOSIT $1,000.00
approx 30 minutes away,online review request,6 month tune up due,1 year since last air duct
cleaning service,30 day filter change reminder text and other exclusive existing customer discounted TRIP CHARGE
promotional offers in the future.We try to keep you informed of the important things you need to TOTAL AMOUNT DUE $4,636.68
know about keeping your HVAC systems running at optimal performance.Customer is not required to Date:2/13/2019
sign up for our TCM(Text Club Membership)in order to purchase products or services from
Universal Air&Heat.SMS messages will be sent using automated technology as well as manually
.��R,ell��ease Signature
Customer Technician
Customer Order: 175280
•`� ,��� State License#CAC058142 and Insured
VNI EDCAL
®� AILS & HEAT--
4r�i ��,%,0�
•MAKE ALL CHECKS PAYABLE TO UNIVERSAL AIR&HEAT
All Services performed under the warranty policy will be provided by Universal Air&Heat during normal Business Hours,Monday to Saturday.Business hours
being 8:00 to 5:00 p.m.,Monday through Friday 8:00 am to 5:00 p.m.Saturday.Warranty does not cover or include routine maintenance such as
changing/cleaning filters,breaker tripping or replacing fuses.
•It shall be at the discretion of Universal Air&Heat and its Technician to repair or replace defective parts,units or materials whenever is necessary.Any Nuisance
calls beyond the scope of this agreement will be charged at our normal service rate and/or emergency rates.
•Any alteration or deviation from the proposed specifications or conditions involving extra cost of materials or labor will only be executed upon the written order for
the same and will become an extra charge over the sum mentioned in this contract.The terms and conditions set forth in this agreement are the only agreement
between the parties,any inconsistent term or condition is not part of this agreement unless it is in writing and sighed by the customer and Universal Air&Heat
•Title to the equipment and other materials will remain with Universal Air&Heat until all sums due us have been paid in full.
•All balances not paid within 30 days of the bill date will be subject to a monthly service charge in the amount of 1.50%of the outstanding balance.Customer is
responsible for all cost of collection,including reasonable attorney's fees in the event of non-payment.In the event that any person/customer files suit against
Universal Air&Heat if such case is found in favor of Universal Air&Heat customer will pay all cost including reasonable attorney's fees.
•Customers acknowledges and understands that the cleaning of A/C ducts and registers may present a danger to any persons or animals in the job site due to the
release of potentially dangerous airborne particles(including mold and dust).Customer is solely responsible to provide for the safety of all persons,pets and
things at the job site.Customer is solely responsible for any harm suffered by any person therein.Customer agrees to hold Universal Air&Heat harmless and
indemnify Universal Air&Heat for any damages related to the cleaning,removal or replacement of ducts,registers or other equipment.Universal warrants existing
drain line hookups for 30 days with new equipment installed or serviced.Universal Air&Heat will use nitrogen to blow out drain lines and assumes no
responsibility for water damage of any kind.Update 7/2/2016 Customer acknowledges,understands and is fully aware that new high efficiency HVAC 14 seer and
above system's will require more frequent regular maintenance to any new or existing drain line and such maintenance is not included in this contract unless
otherwise expressed in writing and agreed to by customer as well as a representative of Universal Air&Heat.Universal Air&Heat recommends flushing new or
existing drain lines once every four months in efforts to achieve optimal performance and reduce the possibility of an accidental water loss occurring.Universal Air
&Heat is not responsible for any water damage,wall painting,framing,and wall covering,equipment delay or any other inconvenience other than that of
mechanical failure.Universal Air&Heat agrees to use reasonable efforts to run duct work within existing walls,ceilings and soffits.Customer acknowledges that
the work performed may require the construction of soffits or other enclosures to conceal ductwork or other equipment and customer shall pay for all cost
associated with the construction of same.
•Universal Air&Heat has the right stop all work if payments as set forth herein are not made upon the due date.Once any equipmenUmaterials have been
delivered at the job site,it is the residential/Commercial property owner's or the General Contractor's responsibility to care for them.
•Universal Air&Heat can and has the option to pick up any parts,equipment,units,etc.,if payments as set forth herein are not made upon the due date from any
and all properties,where such equipment,air conditioning units,and parts exist.
•Any&All parts,equipment,supplies,etc.,that have not been paid for shall remain the property of Universal Air&Heat until the balance is paid in full
•Upon acceptance this proposal sets forth the entire agreement of job between both parties.
Warranty:
•We warrant new air conditioning equipment for a period of one year(unless otherwise stated in the description above and signed by a rep from Universal Air&
heat)from the date of installation that material and labor furnished by us will be free from defects.
•Universal Air&Heat warrants that for 30 days from the date of any repair,all products will be free from defects in materials workmanship—except the air
conditioner system compressor which is also warranted for 1 or 5 or 10 years on the part only subject to brands and models of the manufacturer.Copies of
warranties are provided upon installation of new air conditioning equipment.
•Under this warrant,Universal Air&Heat has the first option to repair the equipment or provide replacement parts.
•THE LIABILITIES SET FORTH ABOVE ARE IN LIEU OF ALL OTHER WARRANTIES AND LIABILITIES.EXPRESSED OR IMPLIED,IN LAW OR IN FACT,
INCLUDING IMPLIED WARRANTIES OF MECHANTABILITY FOR PARTICULAR USE.
Release Signature
,(A- 6&— � Date:2/13/2019
Customer Technician