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Home My WebLink About19-21373 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21373 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21373 Address: 37354 DERBYSHIRE 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: WEDGEWOOD MANOR Est. Value: Parcel Number: 10-26-21-0120-00000-1020 Improv. Cost: 8,063.00 OWNER INFORMATION Date Issued: 6/13/2019 Name: JONES, MELISSA Total Fees: 85.00 Address: 37354 DERBYSHIRE DR Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/13/2019 Phone: 813-715-2643 Work Desc: A/C CHANGE OUT 3 TON CONTRACTORS APPLICATION FEES AND SERVICES A/C CHANGEOUT 85.00 �r 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. NTRA TOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 0 1 .s — i 2(v — 00-z'! 813-780-MO City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Reeehmd �_ `1 a Phone CoMaG for Permitting Owners Name J ,a C-s Owner Phone Number �3`ws- Owners Address 3 Slit I,e Df- Owner Phone Number Fes Simple Ma holds Name Owner Phone Number Fee Simple TMleholde Address JOB ADDRESS J ?i S4- 1-3e 2 JV1 va-e-n 7Z LOT# SUBDIVISION PARCEL ID/ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ❑ NEW CONSTR e ADD/ALT ❑ SIGN ❑ ❑ DEMOLISH INSTALL REPAIR PROPOSED USE ❑ SFR ❑ COMM ❑ OTHER TYPE OF CONSTRUCTION ❑ / BLOCK ❑ FRAME ❑ STEEL ❑ DESCRIPTION OF W RK s S t c `� 1�J I ( S PQ L BUILDING SIZE SQ FOOTAGE HEIGHT ❑BUILDING $ VALUATION OF TOTAL CONSTRUCTION ❑ELECTRICAL $ AMP SERVICE ❑ PROGRESS ENERGY ❑ W.R.E.C. ❑PLUMBING $ tnMECHANLA-nONSFJ[D— VALUATION OF MECHANICAL INSTALLATION ❑GAS ROOFING ❑ SPECIALTY.❑ OTHER FINISHED FLOOR FLOOD ZONE AREA ❑YES NO BUILDER COMPANY SIGNATURE REGISTERED I-Y/N FEE CURREA Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/N FEE CURREI, Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREIN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/N FEE CURREIN I Y,/N Address I O L, L° �e License# C�a l+ ✓ r OTHER COMPANY SIGNATURE REGISTERED I Y/N FEE CORM I Y/N Address E License# F-1"I[-IT7-11 17 17-1-1 1 1'7 17"1 fit l-TiT l I I'll 111 1 1-1 l 1 i 11'7T7 1 T'1 1-T 1 1-TT T7-1-T7 11'1-TI RESIDENTIAL A Isch(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction --- ---- ---- - inimum ten 10)worldn0 days ettei subm�ttel tlate—RegOir`ed onalte;ConaGuotlo`n Plans,—Stainiwater Pierre�v/SlftFence Installed,---—-'-----"--'- - --- Rory Facilities&1 dumpater,She Work Permit for subdiviaionellarge projects COMMERCIAL (3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forma.R-O-W Permit for new construction. Inimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, n llhi ary Faces&1 dumpater.She Work Permit for all new projects.All commercial requirements must most compliance SIGN PERMIT ch(2)sets of Engineered Plans. ROPERTY SURVEY required for all NEW construction. Directions: Fill out applicalilm completely. Owner&ContrE ctor sign back of application,notarized ff over$2600,11 Nodes of CommeneemeM Is required. (AIC upgrades over$7500) Agent(for the tractor)or Power of Attorney(for the owner)would be Someone with notarized letter from owner authorizing same OVER THE COU R PERMITTING (Fmnt of Application Only) Reroofs If shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) DrInways-Nol over Counter If on public roadways-needs ROW NOTICE OF DEED RESTRIC`IONS: 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 jequired by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owneorintended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advisd to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the oulrner 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 IMPAC UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fe s 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 ust be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paiiJ 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 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 ceriif�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 FFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance Witi all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a pe Tit 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 It a regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify wh it 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/Was ewater Treatment. - Southwest Florid Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of En ineers-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 Stato of Florida. - If the fill material i to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certi y that fill will be used only to fill the area within the stem wall. - If fill material is t be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use f fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of tf a building permit issued under the attached permit application,for lots less than one(1) acre which are ele ated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE C WNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commenci ig 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;uch permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or aba tdoned 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 demonstrat justifiable cause for,the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. ° Cn WARNING TO OWNER: YO R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU s N PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAJN FINANCING,CONSUL u_ o `o WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI OF COMMENCEMENT. ® O c -FLORIDA JURAT-(F:S.-117:03)— --—— —— ---- — — — C9 c - c OWNER OR AGENT CONTRACTOR Y rD Subscribed and sworn to(or affirmed)More me this Su crib d d�bM�1' be ma this 5 y E o by �y � i rt,�b who is/are personally known to me or has/have produced War personally known to me or has/have produced 0 as identification. as identification. c ca „ Z 2 2o�w Notary Public �JL� \ Notary Public ��•`bt Commission No. Commiss'nion No. $ rn Name of Notary typed,printed or stamped Name of Notary ed,printed or stamped AC 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: Permit#: Site Address:. 3-7 SLf Contractor: 'D tCe License#: C ptc I � I Cog I q 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 LicVnse Holder Te1:827-4 5-4818 7474 PROPOSAL Tel:352-495-4181 a Tel:352-458-4181 Tel:863-226-5588 ( 5 www.andsemices.com arcondWonme I'mmbine •Electrinat _ contaetftandserviees.com ' � GCIBIBB1B.rFPt�29a95,EGt)fll� Customer name: O Dale: / /p! Street address of job loc Cation: -7 ) City: Z ('S FL C'Zip: Primary phone: J Other phone Email: ❑Factory-matched Heat Pump System Factory-matched Air Conditioning System ❑Factory-matched Gas Furnace System ❑ O timum# ❑ Premium# Deluxe# ❑ Economy# .� Up to 20 SEER Up to 16 SEER ♦ Up to 14 SEER 13 SEER ♦ 10 Year All Pad to Year All Part ♦ 10 Year All Part ♦ 10 Year All Part Warranty ✓ Compressor Life Tima Wananty 10 Year Compressor Warranty i 10 Year Compressor Warranty 5 Year Compressor Warranty a MI •11 •• • ❑Rotobrush duct cleaning_Supply 8_Returns —grWhole House UV Sterilization System ❑ Whole House M.E.R.V.Filtrations System INSIDE YOUR,HOMEOUTSIDE YOUR • Replacement [I Add-onAir Conditioning/Heat/Both eC Replacement ❑gt Add-on Air Conditioning/Heat/Both Air Handler/Furnace ,�-Ueriieal•�Horizontal .14] Heat Pump gAir Conditioner ❑Package Unit New Digital Thermostat(Non-Program. ❑ Program. _tons SEER _BTUH ❑ New Digital Programmable Therm. with Humidity Control Model C1/Im ❑ Relocate from to Hurrirane"Pal Plastic Pad ❑ ❑ Relocate from to New AHU Stand:❑ Metal E!;-Custom New safety disconnect switch ❑ Filtration: ❑ Permanent Washable Filter ❑ Grille_ �, New 100%Copper,dehydrated refrigemat piping ❑ New safety disconnect switch ❑ Surge Protection ❑ Fully insulate suction line piping ❑ New wire from breaker panel to equipment ❑ New water tight electrical whip ❑ Vent/Flue: ❑ Complete new ❑Use existing ❑ DUCT SYSTEM INCLUDED INEVERY INSTALLATION ❑ Engineered duct system for tons vents ✓ All labor ❑ Economy ❑ Anti-Microbial $ ✓ Obtaining permits(where required) ❑ NON-FIBERGLASS-100%Rust Resistant Galvanized Sheet ✓ New A/C circuit protection Brand=�/.t.(/IG>4? Metal Duct System.Energy Saving Insulation Included. Exiting size is:901-919 Change o30/ ❑ Rooms requiring additional airflow: ✓ Healing 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 • e ♦ 24-Hour Fix It or Hotel Guarantee:Unlike most companies,we are a 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. ♦ Low Price Guarantee:Anyone can make something cheaper by cutting corners 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 Price Guarantee is our promise to you that you cannot find a com- parable 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"compari- son,within 14 days of purchase,and have the same written installation specifications as CN. ♦ 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,clean 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.All 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. 0 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 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 our Advanced I.A.Q.UV Sterilization&M.E.R.V.filtrations systems ability to keep your system clean 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 handier to remedy the problem at our expense. TAL INVESTMENT YOUR • Total Investment $ Power Company Rebate$ (-)Service Repair Refund$ Net Total Investment After All Discounts Including Power Company 8 Manufacture rebates$ This High Efficiency Ho a Comfort System is available with 100%bank financing with no money down for$ per month CN Representative Date of proposal Customer agrees to provide free Aoss to the work area and a site working environment.The above prices,specifimUom,terms,and cordfiom are sidefaGory and hereby agreed to In roll.I have outhemahon to order sold work.Yob am auUorimd to do the work m speafied.Payment will be made es oubined.I understand Nat you era not responsible for events or detaye beyond your mmml. Owner agrees to cony adequate fire,storm,and other re urence.buyeragrees to pay ell arse costs All of our workers ere co-red by Workmen's Compemahon and GeneralLladlily Insurance If ceflecbon is necessary, and`agst G� Customer Approval—\2/1�... Date: ®tes5 cool Nov^' INSTR#2019100518 OR BK 9922 PG 1()-q Page 1 of 1 06113/2019 02:01 PM Rept:2063412 Rec:10.00 DS:0.00 IT:0.00 Paula S. O'Wei6 Ph.D., Pasco County Clerk&Comp troller NOTICE OF COMMENCEMENT Permit No. Property Identification No. OM—/(V-0 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. I. Description of property(legal descripdovj- a) Street Address: 154 ve-6, Sv,. irze 2. General description of improvements .4 CAA.aC ice" 3. Owner Information a) Name and address:-MeA tsz--A M)oes D64t-/.k'. Shlrze DIL 3VIAitts, b) Name and address of fee imple-titleholder(if other than owner) c) Interest in property fee k cle'.)C'e 4. Contractor Information a) Name and address: 41-31"3 Seiwt.c-ps Soto 0 LA-e--t QYV 3151019 b) Telephone No.: '9( Fax No.(Opt.) 5. Surety Information a) Name and address:. L) b) Amount of Bond: c) Telephone No.: Fax No.(Opt) 6. Lender a) Name and address: 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: I'A- - b) Telephone No.: Fax No.(Opt.) S. In addition to himself,owner designates the following person to receive a copy of the L ienor's Notice as provided in Section 713.13(l)(b),Florida Statutes- a) Name and address: il)1-A- b) Telephone No.: Fax No.(Opt) 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): :11A 05— L2 —J10 2-0 WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TIM JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND To OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE OF CON[M[ENCEMEN T STATE OF FLORIDA COUNTY MPASCO SipaWre OF Ow4er or Own Authorized Officet/Directoy/Partner/Manager Print Name The foregoing instrument was acknowledged before me this L112 day of G UkJe- 20 by—ly)e-11 S S , )i;Ajer as a Q k--yc (type of authority,e.g.officer,trustee,attorney in fact)for (name of party on behalf of whom instrument was.executed). Personally Known' OR Produced Identificaitio'nX Notary NotaSignaturel—ma, Ln A-81 I/ S I 4 Verification pursuant to Section 92.525,'Florida Statutes:.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of knOwled e 0 ed-;�A��,A�ru'y\jlU ar BQRMSN0CJV8& N.— is of FWda. q Sipfi=e ofNaftml Peron Siping Above Mary V ste�vak -'' ' G 00203 0 ires ivjleao'�2 V'5 * My commis'slon GG 002063 Ep=0711(1120 0 STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A JRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITN S MY HAND AND OFFICIAL SEAL THIS DAY OF PAULA&A 'NEIL,CLWK&COMPTROLL-E-?F Ry DEPUTY CLERK STATE P 5010 N Cortez Avenue Tampa, FL 33614 Phone:813-445-4818 Web:www.comfortiscool.com lAndvices June 10, 2019 City of Zephyrhills 5335 8th St, Zephyrhills, FL 33542 Subject: Authorization letter for HVAC Permits CAC1816819 Gentlemen: I, Marek Stroz, authorize the following individual ( s )to be added to the existing list to pick up and sign permits on my behalf Sylvester McCloud Brian Lincoln David Resch Mary Stewart Zach Bienchi Also Please establish a online acct for my contract and release password Should you have any questions, call 813-445-4818 Sincerely HSt County of Hillsborough f The foregoing instrument was acknowledge before me this day of 06-20 by m plc , who did not take an oath and who has produced identification, Drivers License# My Commission expires: I(P " Z 2-o - Notary Signature ozoziautoseil&3 v10*4 eaozoo 0o uc!se!wwo�RW uemalS n AIM ePUad to e�e3S o!!q�d tiQ1oN ►.rx+'�