HomeMy WebLinkAbout19-21523 _ CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21523
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21523 Address: 39320 9TH 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: 12-26-21-0300-00000-0380
Improv. Cost: 6,958.00 OWNER INFORMATION
Date Issued: 7/17/2019 Name: HANKINS,THOMAS & DEBRA
Total Fees: 75.00 Address: 39320 9TH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542-4702
Date Paid: 7/17/2019 Phone: 7655708926
Work Desc: A/C CHANGE OUT 3 TON SPLIT
CONTRACTORS APPLICATION FEES
VELOCITY AIR CONDITIONING A/C CHANGEOUT 75.00
4�
DUCTS INSTALLED Aftections Required
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 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 Fa"13-780-0021
f`V 1 Building Department
r �.4
Date Received ��ss Phone Contact for Permitting
Owner s Name p N�� u� ,,/�1i., Owner Phone Number
Owner's Address 5932z -V" � Lrrr Y Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
/� y ,Qy� C(f
JOB ADDRESS 3�J 2-0 '9 TK /fit/e _Z�V"lei�11•�S �L�p133`� `2 LOT#
SUBDIVISION IJPSLT 5i�GS PARCEL ID# 1 Z`-2-1-6JCD' OLUOO -03to
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED El
CONSTR 0 ADD/ALT/�C SIGN Q Q DEMOLISH
INSTALL ��-- REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK k eta 3 1a 17 Sb-:: ' Sc Y_k2 LAC ,S W
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
MECHANICAL $ /q VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE RrEGISTERED Y/ N FEE CURREN Y/N
Addr s ,:t+5 t/1/V License# 1 Z
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111
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&1 dumpster;Site Work Permit for subdivisionstlarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.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 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 Attomey(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(PlottSurvey/Footage)
Driveways-Not over Counter if on 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 IMPACT/UTILITIES 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 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 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, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland 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 "A" 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMgNiggMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CO;cribed
TOR
Subscribed and sworn to(or affirmed)before me this fib a or for me this
by 14Who is/are personally known to me or has/have produced Whop son I known to me or has/have produced
as identification. as identification.
Notary Public p Notary Public
Commission No. Commission No. Dl
Asth-V 7,IOLK.CW's
Name of Notary typed,printed or stamped Name of Notary ty —
���1 /��i ASHLEY ZIOLKOWSKI
t,Rr P g
;� ��:State of Florida Notary Public
4441
11„ Commission #GG 260914
,� a«�°.' My Commission Expires
September 20,2022
: 1 ELOC1 TY
• AIR CONDITIONING
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Authorized Agent Affidavit
To whom it may concern:
I, VV 1 LL l AW & Mechanical license holder CAC1817421,am herby authorizing the
following agent(s)to apply/sign for permits under my license.
Agent(s)are as follows:
ctor Signature Contractor Name Printed Date
STATE OF FLORIDA
COUNTY OF PINELLAS
The foregoing instrument was acknowledged before me this 15 day of J L&�.
20_ft by WL u ,j AM S,Ny,D(�yh<ersonally known o me or
has pr ced as identification.
12-0 2Z
No ary P is Date Commission Expires
ASHLEY ZIOLKOWSKI
State of Florida-Notary Public
Commission#GG 260914
, t�P�� M
September�20, 2022 Expires
2672
M zLn If, JAry
727-764-7956
,wAIR CONDIT OWING INC. 3734 t3l st Ave. N., Suite#7
PROPOSAL Clearwater, FL 33762
Service - Install;lon- * Sales VelobityAlrConditioning.com
RESIDENTIAL-COMMERCIAL State Certified -Li y#CA 9 1817421
PROPOSAL SUBMITTED TO:—0-1 ADDRESS:
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STREET. % I I- IVREST
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CITY,STATE,ZIP: CITY,STATE,ZIP:
M ks 335qol
PHONE
: j$Z/hjfHONE:
512 - 7q
We hereby Prp�nose: To fu h,install and sereefunder warranty(stated below),prpducts or related equipment for
your home in accordance with thelc onditions and specifications set forth,in this proposal.
:;N,W E URI P M E N T Brand Heat
Tot 3 Model ❑ Ton Model
I ,Ton_� Model ❑ Ton Mo 8i 61
E3 BTUh Cooling C) SEER Rating Cl HSPF Rating
IAQ C NTROLS
Q Filtration Digital Thermostat
L1 UV Purification Programmable
El Duct Sanitation Ell Touch Screen Thermostat with Dehumidification Control
AIR DISTRIBUTION RRANTIES
0' Plenum Modification U Supply- L)Return Extended M Warranties o 1 n Parts:/'D Year(s) Labor:_L Year(s)
.
Q Insulated Flex Duct System Q Supply_ LJ Return Compressor:VYea I T(s)
El New Supply Diffusers Furnace Heat Exchanger: Year(s)
VQ New Return Filter Grill YCondenser Coil !0
jYear(s)
Inspect and Seal Leaks in Duct System Extended Warranty. r(s)
M"ELLANEOUS
V9fAII work done in accor ance with existing codes. 1 required permits.
/JC
rtifi d Start-up by t chnician Removal of existing equipment form the premises
rie Hurricane pad with tie downs Safety Float Switch U Air Handier Stand
WY, Condensate Drain Hookup V4'mart' 0 Secondary U All work to performed in a neat&professional manner by
�Refrigerant Field Copper 7Liquid Line Journeyman class technicians.Sweeping dusting&vacuuming
Drain Pan I U Hang Kit will be accomplished at eh conclusion of each day's work&all
II LI Condensate Pump II debris removed from the premises.
ui/ew Copper Line Set
5j Other:
A VIP_ K 6444W 1-1 X 17
to 00 if cancelled. VEI 4- K! for existing Du:wo\Prices Includes all discounts!andbates.Restocking fee of$4
We propose hereby to fumish as above d for the surn of.
dollars(.$.
Payment term re:
Signature:
amp DateIt is agreed and understood by the!parties that all equipment and pads which are sold
IC pursuant to agreement above shall become fixtures or part of the real estate where they
are placed.Said parts and equipment shall remain-pemonal-property and-the fide hereto
Signaturi: Date: 'D shall remain with the seller until payment in full is received.Buyer here agrees that all
(Cffk,er,I agree to the terms and conditions on the reverse side)
parts and equipment may be repossessed in the event of nonpayment I have authority to
Signature: I Date: order the work as outlined above.i'agree to-'pay All cosbiand reasonable attorneys fees if
(Customer,I agree to the terms and conditions on the reverse side) this proposal Is placed in the hands of an attorney for collection.
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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: Df-11010i C.
Permit#: a?l5 z 3
Site Address: 32� qth Ave , 2-ef ktkm �L 335'�2
Contractor: IU D it nAr�'On-z
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License#:
Final Inspection Date: � 1 / 31 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 403.31.Where modified,the existing ducts have been sealed using reinforced mastic or code-
approved eq ivalent. 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.
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Name of License Holder(print or type) of se Holder
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