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Home My WebLink About19-21635 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21635 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21635 Address: 37331 LAUREL HAMMOCK DR 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: OAK RUN Est. Value: Parcel Number: 34-25-21-0130-00000-048C Improv. Cost: 6,200.00 OWNER INFORMATION Date Issued: 8/13/2019 Name: WILKINSON, STEVEN & LYNN Total Fees: 75.00 Address: 37331 LAUREL HAMMOCK DR Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/13/2019 Phone: (813)625-1843 Work Desc: A/C CHANGE OUT 3 TON HP CONTRACTORS APPLICATION FEES CONOVER AC & HEATING INC A/C CHANGEOUT 75.00 f n -y A 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. C TRACTOR 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 Fax-813-780-0021 Building Department Date Recet'ved J Phone Contact for Permitting F .............1. ......... 1 117......... Owner's Name Owner Phone Number Owner's Addressl ,3 3 Ze4 1A Pe-/ ly4m AA-0 Owner Phone Number 41,c�tU5 Owner Phone Number JOB ADDRESS f4�,A t-d Al giA r-k D� , LOT# SUBDIVISION PARCELID#1 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH a INSTALL REPAIR PROPOSED USE Q SFR F__1 COMM OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE= HEIGHT =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE = DUKE ENERGY = W.R.E.C. =PLUMBING 1$ *Z, MECHANICAL 1$ c VALUATION OF MECHANICAL INSTALLATION o C =GAS Q ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO i i V i M i i i i M M M 0 9 1 1 1 1 i 0 1. 1 1 1 1 1 1 1 1111 1 1 1 111 1 1 1 1 1 1 1 1 1 111 H!N i l 1 1 i l 1 1 11 1 1 1 i 1 i 1 1 BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L_yj N_J Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Ly �N�,S-3 1 Address License# ICA 4 OTHER COMPANY SIGNATURE REGISTERED _J FEE CURREN LILN J Address License# 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 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 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 811 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 Att:6T66yffor-the owner)would be someone with notarized letter from owner authorizing same y 'OVER THE COUNTER PERMITTING ,,�(cop of;": q:66ritrac uirq. 7 �� 1 , Reroofs if shingles Sewers Sbivice-Upgraide�s:Zt"re C Fences(Plot/Survey/Footage) Driveways-Not over Counter if 611 pUblic-roadwa_y`p, n'6.eds'RO,. -6, 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,WaterMlastewater 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 W" 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 COMMENCEMENT. FLORIDA JURAT-(F:S:117:03)-- OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn ( r affi ed) ore me this by ( �l3—(°� by_=;� �ntJP r Who is/are personally known to me or has/have produced Who is/ re personally known to me or has/have produced as identification. ' 1u`�K rs &'Ce as identification. Notary Public F"' Notary Public Commission No. Co ssio&No �QUEUNEBDGES Name of Notary typed,printed or stamped Name of Win e�d2022 o ExpiteS DP,0 n 800.3110059 +,k ov;; mtuStcy falnlnwto ,OFF�N SERVICE ORDER HVAC 693' M1 CONOVER AIR CONDITIONING & HEATING, INC. INVOICE .� L1c# CACI814453 CHECK P.O. Box 1375 0 CASH MAKE MAKE El COMPRESSOR Valrico, FL. 33595 0 CHECK DRIVER'S LIC.NO. [-]SUCTION • Office* (813) 661-1160 CREDIT CARD OMC 0 VISA El AMEX MODEL MODEL (-]E]HEAD VOLTS SERIAL NUMBER SERIAL NUMBER [-]ELECTRICAL CONNECTIONS EXR DATE ❑CONTACTS TIGHT&CLEAN OIL LEVEL&CONDITION CC NO. ENVIRONMENTAL CHEC61STi CONDENSER COIL NAME ❑CLEAN COIL&CHECK FIN COND. CONDENSING UNIT CITY TYPEIDISPOSITION [:]ENT. L VG.— STREET \L EIRECOVERED [] REFRIGERANT 3 4-4 14 M1 DATE E]LEAK '- El CHARGE CITY PROMISED EIRECYCLED ❑ FAN AND MOTOR 0 RECLAIMED Ej VOLTS— AMPS PHONE(HOME) I I •PHONE(WORK) SCHED. ❑A.M. EIRETURNED ❑ELECTRICAL CONNECTIONS TIME El P.M. ❑CONTACTS TIGHT&CLEAN TECHNICIAN El DISPOSAL Ej FAN PULLEYS(ADJUST BELT) [:1 CHK,LUB BEARINGS&MOTOR El DISMANTLED E] EVAPORATOR COIL WORK TO BEPERFORMED El -1 CLEAN COIL&CHECK FIN CHANGED OUT/REPLACED TOTAL$ - ENT DB 9F LVG DB dTy,. ''MATERIALS&-S RYICES� jPNIT-PRICE AMOUNT' 0 ENT WB 9F LVG WB - ,' ,,� A El CONDENSTE AREAS REFRIGERANT R- LBS. INSPECT&CLEAN DRAIN PAN F1 INSPECT&CLEAN DRAIN FILTERS X X El AIR FILTERS N CLEANED ❑REPLACED FILTER SIZE El HEATING ASSEMBLY E]BURNER&HEAT EXCHANGER FUEL SUPPLY&PRESSURE zv;ik --zp— El PILOTASSEMBLY 6 So FLAME ADJUSTMENT PRIMARY RELAY&FLUE FAN&LIMIT SWITCH OPER. BLOWER ASSEMBLY 21/ RV VALVE Xo7c�e 7 I ❑STRIP HEAT 01 1—* ---- TOTAL MATERIALS I L]F DEFROST CYCLE El ELECTRICAL COMP'TS. "'LABOR -----T 0 RELAYS ❑CONTACTORS [:]OVERLOAD ❑PRESS.SWITCI THERMOSTAT O.K. REPLACE —41I ❑RELOCATE -TOTA ,SUMMARY CTERMS TOTAL LABOR TOTAL MATERIALS LIMITED WARRANTY:All materials,parts and equipment are warranted by th manufacturers'or suppliers'written warranty only.All labor performed by the above TOTAL LABOR named company is warranted for 30 days or as otherwise indicated In writing.The above named company makes no other warranties,express or implied,and its agents or technicians are not authorized to make any such warranties on behalf of TRAVEL CHARGE —------ I have authority to order the work outlined above which has been satisfactorily completed.1 agree that above named company. Seller retains title to equipment/materials furnished unfit final payment is made.If payment is not made TAX to QD as agreed,Seller can remove said equipmenbinaterials at Seller's expense and/or Impose a 2% El REGULAR El WARRANTY C liquidation fee on the entire amount contained In the Seller/Buyer transaction.Any damage resulting 0 from said removal shall not be the responsibility of Seller. Ej SERVICE CONTRACT 0 Thank You TOTAL 1 CUSTOMER SIGNATURE DATE Y � 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 tl Owner:_ ZMAIAI. IIALSb/� Permit#: Site Address: Contractor: bIP— G �` License#: (/-`�� / �L / ��L ✓ 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 4031 and FBC Mechanical chapter 6. Name of License Holder(print or type) Signature of License Holder