HomeMy WebLinkAbout19-21393 CITY OF ZEPHYRHILLS
5335-8TH STREET
' (813)780-0020 ✓' 21393
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21393 Address: 4942 TIMBERWAY
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: COURT SQUARE
Est. Value: Parcel Number: 15-26-21-0200-00000-0010
Improv. Cost: 9,895.00 OWNER INFORMATION
Date Issued: 6/19/2019 Name: RICHARDSON, DAVID C
Total Fees: 135.00 Address: 4942 TIMBER WAY
Amount Paid: 135.00 ZEPHYRHILLS, FL. 33542-6522
Date Paid: 6/19/2019 Phone:
Work Desc: A/C CHANGE OUT 3 TON W/ ELECTRIC
CONTRACTORS APPLICATION FEES
AMERICAN RESIDENTIAL SERVICES OF A/C CHANGEOUT 90.00
ARS RESCUE ROOTER ELECTRICAL FEE 45.00
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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.
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813ae0-0020 City of Zephyrhills Permit Application Fax-813-78o-0021
Building Department
Date Received Phone Contact for Perinitting 7 a--1 ' q
I
1 1 1 1 1 1 1 1 i 1 1 1 1 1
Owner's Name �! s v 0.f �4 Owner Phone Number +�v�► `
Owners Address � 'I `Z ` � Owner Phone Number
Fee Simple Titleholder Name F7 I Owner Phone Number,
Fee Simple TitieholderAddress
JOB ADDRESS `�yZ ` I� �-J LOT#
SUBDIVISION i PARCELID# (,Q
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL, _
DESCRIPTION OF WORK LI C C of oL W 1 '
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
[ LECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
PLUMBING $
MECHANICAL VALUATION OF MECHANICAL INSTALLATION _J/(� C/ `-1
=GAS ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER a 0011 COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREn Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREn I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREn I Y/N
Address License#
MECHANICAL 'P_^Nf'3\P COMPANY
SIGNATURE REGISTERED LYNN I FEE CURREn I Y/N
Address xV1:)_ License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREn Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111
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 onste,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge 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&1 dumpster.Site Work Permit for all now 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
INSTR#2019101490 OR BK 9923 PG 856 Page 1 of 1
06/14/2019 12:55 PM Rcpt:2063779 Rec: 10.00 DS:0.00 IT:0.00
f Pauta S. O'Neil Ph.D., Pasco County CCerk&ComptroCCer
rPcOelM'IIDt'NNuUA:CmM,b e.cPt: -
' uc-`H rV{-Z. ' .L'„iFa i-.•HIEC ;:Rr}stqa.fi.ir.P'aie-:of Flor.f o
.G.ounty of P-inellas
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:THE°UNDERSIGNED hereby=gives-60a ce.:that,improvements.will.tie:inade:to.certain real.property and'fn-ac cord ance:with:-Section:713:13 of the::,
Florida Statutes,the following:,infa-rmation:Is':proVlded:in'this NOTICE:OF=,COMMENCEMENT.
. f propey.(Ialescrp � Q 3 t PLIC q1:Description d g E � rs Ia11).
�;.
a)Street'(job)-Address:;yq:�� T►m•�.r� lillflw.f �7Qd�vhtli5.T=��U� - - •
:-::.2.General description,of improvemenis:. .: .
B:pwner.;lniormatiori:or I:esseenformation;if;tlie Lessee.confracted fbr,the improvement::....
'Name—And adtlress:; (le �.I'ct� 1_ 4P 44 ?"jyy160.r ,A 11
: .
''--II -7 •• Fly:
b Name andaddress of fee-sim Ie Ullefidiiier: IF:dlfferenfthan Owneiaisted 'above
1. P �.: )
c)•:Interest:{n
AContradtor Information'. :
a)Name�aiid:ad&ess:�} rA y 00 f 9^ Q�rr.4r ;S�ii1� f
E' S � F D IC
b).Telephone,Nb.:- !�3=�.-qq-7.-'-f97� Fax No.:-(optionaq:;
.0urety(If#011cabie;a-copyroi_the payment,bond Is attached) = -
.aj.Name and address:
b)Teleplione:Nb::
-c)'AmburitM:Bond:
&:•:Lender.:
a):Name:and address:`,
: . ti);Telephone NoL.
T Persons.within*the,3tafe of;Florida'designafed:by_Owner_upon,*]om notices-or:other:documenf-:may tie:served:as provided:by.-Section.
..13:13.(1)(a)'7,.;;Florida Statutes: :
a).-Name and.addiess:r WA.
b)Telephone.No: Fax No.:'(optional),
Azin a'ddition"to himseff:oO herseif;.,0.wner designates of: -.
< to,eecelve a copy otthe-,Lieiior`s.Mtice as provided:in Sed16n11;313,(1.)(ti),;Florida:Statutes:
-b).Phone Number.:of:Person:or:;entity:'tlesighated by OwneP:, .�`
9:%:Expiration:date;of notcebcorrimencement.(the:expiratlor�date:inay,:riot be'fiefore the.completion:ot=c'onsiPuctlon anii Onai payment to:the'
: contract'ar;_biit;will>be::l.year=fiiom the date of;recording`eriless_a;differentdatet- ecffled =„-;:°.-;..;;.'Y., : ,. <,20 : .` 4..:.•
.`.--WARNING'-•T0-'OWNER:4ANY-.PAYMENTSzMADEsBY`THE:-'QWNERAFTER.T.HE;EXPIRATI:ON°OF`T.HENOTICE'OF'COMMENCEMENTARE` ;
CONSIDERED`IMPROPERP%?iYfVIENTS;UNDERiCHAPTER:Zc1:3FE1RT I;SEGTION;71313;FCORIDA STATUTES;AND'CAf1t'RESULT:IIV=:YO`t1R'
:PAYING TWICE`FOR IIVIPROVEfVIENTS'TO YOUR RROPERTY A;NOTICE OF-:COMMENCEMENT MUST=BE�RECOFiDED.-AND'P.OSTED''ON::
`THEJOB SITE.BEFORE THE'FIRST.INSP.ECTION:;IF`:YOU:INTEND::TU'O.STAIN•:FINANCING;,CONSULT`WITH`1(OUR LENDER'OR"AN:.:.
ATTORNEY BEFORE`COMMENCING•WORK'OR RECORDINGI(OUR`NOTICE:OF COMMENCEMENT:.: '
Under;penalty.of:perjuiy;l declare:th t:l.:hav .read the foregoing,notikk commencement and:that,the�facts.stafed'thereln:are:tpue:to:the-•best=ohmy..
kno el
( of Ownep.ot:Lessee;,ot OwnePs oa.L'essee's(Autheeized OfficeNDiPectoNPartrier/Manages)'. (Print Name`and P0ovdd9-Slgnatbys:Title/Otftce) .
the;foregoing'Idsteument:wasacfinowletlgetl:belore me.this : .- q .day of (Y1q .. :_ ,20 19
by~ as ' Pe ofautti ority.e:g:officer,trustee,attorney.in:fact)°tap:
. ,,.
Name'of Person t(- e of authari, )• _ _' ":(YP � ty,: 'attomeyin'faal).
for. l:':(name of party on behalf of whom::nsiriimed was.'executed):
`PePsanally.Known - :Produced ID'. - -
Type'of ID. a. � . , ore: : '=:•:
e„a�yi s wofF"nt:' me
My
�','�&N. perol►.C1t 4wc;t 1�'-
I
THIS G TO CERTIFY THAT THE FOREGOING IS
TRUE AND CGf REC i COPY OF THE UOGUMtEN (g
ON FILCE OR OF PUBLIC RECORD IN THIS OFFI E
ITV S MY HAND FICI SEAL S
DAY OF 2 f
PAWL E(L,
BY DEPUTY CLE �r
�IORIDA
A-40,�*& Est.Start Date.51:!�n.h_11_
Installation Work Order
M at. -5
A (727) 588-4200 or(813) 282-3787 Est.Completion D U-30
3340 N.Scherer Drive,S*uites A&B,St.Petersburg Corporate Customer
,FL 33716 Relations
MaWin4it singitrighC
American Residential Services of Florida',(no.License#CMG1 249753,
CFC1428283 - (866)803-0879
1STO111'L)A5% RSp EMAIL AP %1
)APs I ELC 03*31C
,41
SLIP
ADDRESS
41 i CTE'_P -
HOMEPHONE 4 1
CEqgl� qfg. q6tl 11WORKPHONE
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YOUR HVAC SYSTEM DESIGN
OPTION 1 OPTION 2 OPTION 3
SIZE TYPE /IZE TYPE SIZE TYPE
Ej EFFICIENCY EFFICIENCY
P
TCj4L?'0&J ic)3(00 $
$ $
SUBTOTAL $ SUBTOTAL $ SUBTOTAL $
MONTHLY EST.* DA MONTHLY EST.. C) MONTHLY EST.* $
I DA $
CUSTOMER I AIALS CUSTOMER INITIALS -1pit CUSTOMER INITIALS
Warranty"4—'10—Parts Labor Warranty:— 10 Parts Labor Warranty:— Parts —Labor
Compressor �D_Heat Exchanger Compressor 0 Heat Exchanger Heat Exchanger
Compressor -9
—Unless,otherwise noted,all warranties are from the manufacturer.
SPECIFICS OF YOUR INSTALLATION SELECTED OPTION: [11 BI-
,03
0 Weatherproof 0 New Plywood Deck 0 UV Light SUBTOTAL $ 9,09'.0
Disconnect 0 R onnect Drain Line 0 Humidifier
0 Lifetime Equipment Slab Ziling 'Saver Kit 0 Dehumidifier $
0 Sound Isolation Pads (Pan&Float) El Outdoor Unit Pad
El Liquid Tite Conduit 0 Main Drain Safety Switch 0 F! nting $
0 Start Kit 0 Seal New Connection's bDuctwork Connections** $
TOTAL
'0 Connect to existing plenum
El Refrigerant LL.Dryer [I Support Attic Equipment 0 Duct Modifications
Refrigerant P' e Egzupply Pien (see Notes for scope of work)
reconnect
ONevv ;Kecnnect 0 New ErReconnect
0 N Duct System
03 CASH El CHECK#
�Mo Duct Work
5,11efrigerant Pipe Cover eturn Plenu
0 New Urr"connect
0❑Exoansion Valve 0 Fuel Piping ......
dT T, "F 0 Electronic Air Cleaner 0 CREDIT CARD(LAST 4#s)
_Type El Media Filter 0 Electrical Wiring
Connect to Existing 0.Home Service Plan— EXP APPROVAL
Electrical 0 PCO I Term(364 days)
OUR GUARANTEES
M*/INANCING'
gp-fort Guarantee e Protection Guarantee
4- our Service Guarantee i zo I.Unconditional Money-Back Guarantee., *Payment options available with approved credit
•
LW2 Z�
*`ARS is not responsible for preexisting ductwork.See Terms and Conditions on the back of this document for details.
•Written customer authorization will be obtained before beginning any unforeseen additional or extended work.
•ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558,
FLORIDA STATUTES.
-BUYER'S RIGHT TO CANCEL:This is a home solicitation sale,and if you do not want the goods or services,you may cancel
this agreement by providing written notice to the seller in person,by telegram,or by mail. This notice must indicate that you
do not want the goods or services-and must be delivered or postmarked before midnight of the third business day after you
sign this agreement If you cancel this agreement,the seller may not keep all or part of any cash down payment. See the
reverse-side hereof for an explanation of this right
-I acknowledge that my right to cancel has been explained to me orally and in writing,and without waiving my right to cancel,I authorize the
performance of the work,subject to all terms and conditions set forth on the reverse side hereof,plus any taxes upon completion.
Notice To Owner-Do not sign this home improvement contract in blank.You are entitled to a copy of the contract at the time you sign.
Keep it to protegi-y-Rur leg�rig,*.This home improvement contract may contain a mortgage or otherwise create a lien on your property
that gPuryalb orecl6selen or not pay.Be surellyou nderstand al rovisions of the contract before you sign.
LrAisfoMER'SIGNATURE DAtE cWPANY REPRESENTATIVE
CUSTOMER SIGNATURE DATE DATt
0 2017 American Residential Services L.L.C.All rights resemed. ARS1078 111017 8278