HomeMy WebLinkAbout19-21633 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21633
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21633 Address: 38650 WINDFLOWER 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: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0260-00000-0480
Improv. Cost: 6,680.00 OWNER INFORMATION
Date Issued: 8/13/2019 Name: SLEEPY HOLLOW MOBILE ESTATES IN
Total Fees: 75.00 Address: 38615 LANSING AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL 33542-6312
Date Paid: 8/13/2019 Phone: (813)696-9900
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS . APPLICATION FEES
AND SERVICES A/C CHANGEOUT 75.00
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.
CONTRA SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
( PROTECT CARD FROM WEATHER
0 t J - / ® v -
313-780-W20I City of Zephyrhilis Permit Application Fax-813780-0021
Building Department
Date Reo®Med rta Phone Corct for PermR6n —
Owners Name CII-op Owner Phone Number
Owners Address �✓ D 2� � Owner Phone Number
Fee Simpfa Titlehotde Name Owner Phone Number
Fee Slmpta Titieholde Address
JOB ADDRESS � V 1 �� r LOT A
SSUBDIVISIONf a., , PARCEL 100 - 3 Q0—(91 _0 L o
(OaMA NED FROM PROPERIYTAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
IJ
INSTALL REPAIR
PROPOSED USE SFR Q COMM = OTHER
TYPE OF CONSTRU ON BLOCK 0 FRAME = STEEL (_
DESCRIPTION OF W RK I C pja P / • `d` / �+� ,
BUILDING SIZE 80 FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRIC $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
M CHANIC $ VALUATION OF MECHANICAL INSTALLATION
GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR EL ATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I YIN FEE WORD
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREH LnN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURM
Address License#
MECHANICAL COMPANY JCS
SIGNATURE REGISTERED I Y/N FEE OURREA I Y/N
I
Address License#
OTHER: COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREn
Address E License#
Tl T'1-1 Tl ir I '1-1-11"I 1 1 I`I 1 Ull l"7'-F T'T'1 1-1"I l T 11 1 I 1"1-1'I-I l TT'I T'1 fT 11T 141-TTI 1 1'Tl-'1
RESIDENTIAL A tech(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes,R-O-W Permit for new Construction,
INmum ten(1fi)w`aifdng days tttn�ltt®I'ds"te—Requlietl orate;Cobelriictiori Plans;Storrtiwate`r Pierre"w!SIR Fence installed; _
Rory F Hiss A 1 dumpster,Site Work Permit for subdIvialonellarge projects
COMMERCIAL (3)Complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.RAW Permit for new construction.
IMmum ten(10)working days after submittal date. Required onsits,Construction Plans,Storrrwater Plans wl SRI Fence installed,
s6nftary Fadltties&1 dumpster.Site Work Permit for all new projects.All Commercial requirements must meet compliance
SIGN PERMR (2)sets of Engineered Plans.
PROPERTY SURVEY required for all NEW construction.
Direetlons:
Fill out app0ea Completely.
Ov ner 8 Contr ctor sign back of application,notarized
B Over$2500, Notice of Commencemerrt le required. (ANC upgrodes owr:7500)
Agent(for the c mtrector)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVERTHE COU R PERMITTING (Front of Application Only)
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoVSurvay1Footsge)
Driveways-N 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—Homeowners
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, 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 "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 �Of3
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAJN FINANCING,CONSULT
WITH YOUR LENDER QR AN ATTORNEY BEFORE RECORDING R NOTICIE OF COMMENCEMENT.
FLORIDAJURAr(F:S:1'17:03)_` --_—_—_—.
OWNER OR AGENT CONTRACTO �•
Subscribed and swom to(or affirmed)before me thisb ip y to(or eftinned b e y
Y ' �3•�c
Who Is/are personalty known to me or has/have produced =J.,Ld
ersonally known to me or nownave produced m Cr
as Identification. as Identification. Z,C, o
o��ea
CD
Notary Public Notary Public c
^ T
6
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary 4Ted,printed or stamped
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
-• ---- -- ---- - m-- -- UP BY INSPECTOR ---- - - - - - -- - - ----
Owner: ��� I: 1 e'- �,E-�"��
Permit#: �t' J
Site Address:
3g 1..,7`, . �erL- ► ,� Cam' ,� y
Contractor: 1-1-i �G-Q
License#: ��
Final Inspection Date:
1 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 Wrtype) Slignatureof Licvnse Holder
Phone:800•COOL NOW
PROPOSAL. Tel:(863)808-4590
"'- 6608 Tel
l pzi)4483
- comact@coolnow.com
www.cvolrbow.com
Customername; Date:
City: FL Zip:Street address of job loeatwn: ;,f
Primary phone: Other phone: Email:
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❑ optimum# ❑ Premium# A Deluxe# ❑ Economy#
✓ Up W 40 SEER r Upy w SEER r Up to 14 BEER r 13 SEER
♦ .10Yam fel Pan ♦ 10YaxM Pan 1DYam h6 Pert 10 YearN Pahl Warranty
r Compretwr{ice Tens Wmramy / tOYem compKiu Waa•nty ✓ 1DYear rAmpressN Wmrenty ,/ 5Yem Canpressar Warrardy
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J$Whole House UV Sterilization System ❑Whole House M.E.R.V.Filtrations System
• • • • • • •
1K Replacement ❑Add-on Air CondOjoning/HeatBoth $Replacement j]Add-on Air Conditioning/Heat/Both
❑ Air Handler fFumace ❑Vertical C) Horizontal jZ Heat Pump ❑Air Conditioner Ak Package Unit
❑ New Digital Thermostat 2PNon-Program. ❑ Program. .8 1 tons N SEER _BTUH
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❑ Relocate from to ,�Hurricane Pad ❑Plastic Pad
❑-__ _ �� ❑ Relocate from to
❑ New AHU Stand:❑Metal❑ Custom ❑ New safety disconnect switch
❑ Filtration: ❑ Permanent Washable Filler ❑ Grille_ ❑ New 100%copper,dehydrated refrlgernat piping
❑ Now safety diwoormad switch ❑ Surge Protection ❑ Fully insulate suction Eno piping
❑ New wire from breaker panel to equipment Q New water light electrical whip
❑ Ventflue: ❑ Complete new ❑Useexisting ❑
• • • IN EVERY INSTALLATION
❑ Engineered duct system for tons vents ✓ All labor
❑ Economy ❑Anti-Microbial$ ✓ Obtaining permits(where required)
❑ NON-FIBERGLASS-100%Rust Resistant Galvanized Sheet ✓ New A/C circuit protection Brand
Metal Dud System.Energy Saving Insulation Included. Exiting size W ! Change to:^!_
❑ Rooms requiring additional airflow:_________ ✓ Heating and Cooling routine maintenance for years
❑ New supply vent to:- ✓ Check entire system for safety and ofBGenty
❑ 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 •
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o/ • •
TAL INVESTMENT
Total Investment $ 4 t/r 7p {-)Power Company Rebate$ (-)Service Repair Refund$
Net Total Investment After All Discounts Including Power Company&Manufacture rebates$
This High Elfrciency Ho Comfort System is ava bite till%bank financing with no money down for$ per month
t.M nDy,wa v,anh.
CN Representative Date of proposal !�!
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Customer Approve Date:
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