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Home My WebLink About19-21740 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 2,1"740 ' BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21740 Address: 6429 VICTORIAN WAY 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: SILVER OAKS VILLAGE Est. Value: Parcel Number: 03-26-21-0220-00800-0170 Improv. Cost: 4,850.00 OWNER INFORMATION Date Issued. 9/11/2019 Name: PEACE, BILL Total Fees: 65.00 Address: 6429 VICTORIAN WAY Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/11/2019 Phone: 813-909-3697 Work Desc: A/C CHANGE OUT 2.5 TON HP CONTRACTORS APPLICATION FEES AIR RESCUE AIR CONDITIONING INC A/C CHANGEOUT 65.00 0 Mf (�,/4 G DUCTS INSTALLED Ins ections 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. 6A 4 NTI TOR; IGNATURE PERMIT OFFI R ERMIT;,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 Received. 1 .Phone Contact for Permitting l3 2 nol — r'- 2 n (� Owner's Name C Owner Phone"NIJI 3 't 0 l 9 Owner's Address ( Zq j j a Owner Phone..Number Owner Phone Number JOB ADDRESS lyA 29 Vl Gh eat,) ' LOT# SUBDIVISION PARCEL ID# D 2� — 0220 C3U800 -OI (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN = = DEMOLISH R . INSTALL B REPAIR PROPOSED USE = SFR 0 COMM = OTHER" TYPE OF'CONSTRUCTION = BLOCK = FRAME 0 STEEL Q DESCRIPTION OF WORK 970 LA&I Cho eOv C 2-5-Tom SCe46,a4 11 BUILDING SIZE SQ FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ Gp VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING. 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE,CURREK Address License# ELECTRICIAN COMPANY 'SIGNATURE REGISTERED I Y/ N FEE CURREN Address License# . PLUMBER COMPANY' SIGNATURE REGISTERED Y/' N FEE CURREN Address License#MECHANICAL OMPANY - kue. W' 150t, SIGNATURE EGISTERED Y/:N FEE CURREN Y/N Address SS q License# AC181 (Q OTHER. COMPANY 1 SIGNATURE REGISTERED Y/ N FEE CURREt. Y/N 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(1'0)working days after submittal date. Required onsit6,Construction Plans,StormwaterPlans 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(16)working days.after submittal date. 'Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed. Sanitary Facilities&11-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 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. Se'rvice'Upgiades:A/C ' Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public`ro'dways..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.t. UNLICENSED CONTRACTORS,AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a,contractor or contractors to undertake-work, they may be required to be lice'nsed-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.- 'lf.the..owner or intended contractor are uncertain-as 10-what.lic*ensing-requirements may.apply for the intended work, they are advised to contact'the Pa'sco 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 ImpactFees and Recourse Recovery Fees may apply to the construction.of-new buildings, change of use Jn existing( buildings, or expansion of existing buildings,.as-specified in:Pasco County Ordinance number 89-07 and 90-07, as amended. The undersig(ned.'also,umderstands, 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 ncy 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 priortQ permifissuance,in accordance with applicable Pasco County ordinances. CONSTRUCTION-LIEN LAW(Chapter.71.3, Florida Statutes,-as amended): If valuation of work is$21,500.00 or more, I certify that,1, the a'pplicant,, 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,tocommencement CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all-the information:in this.application Js 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 cornmenced•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 Bayhdadg, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative SerV!ces/Environmental Health Unit-Wells, Wastewater. Treatment, Septic Tanks. US EnvitonmentalProtedtion 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 constructions I certify that fill will tie-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, drainage plan-,is required. If I am-the AGENTFOR THE OWNER, I promise in.good faith to-inform-the-owner of the permitting-conditions set f6rth'in this-affidavit prior.to.commencing construction. I understand that a se'parate permit may be required for electrical work, plumbing,,signsi'w6lls, pools, air conditioning,--gas,--or other installations, not specifically included in the-application. A permit issued shall.-be construed to be a I!cerise,to proceed with the work and no't 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 fora'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. WARNINGT0'OW,N',ER- YOUR FAILURE TO RECORD A NOTICE-OF-COMMENCEMENT MAY RESULT K-YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 'IF YOU INTEND TO'OBTAINFINIANCING,CONSULT YOUWLENDER�bR AWATTORNEY 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 bs fb; d is 'arn' Wn I w )Q(or a"e7d)bl a hire& by 01. )?K�o r Who 0are personally known-to me or has/have produced -Pho Is/are In 0 now t no or-has/have.prodllced. as identification. as identification. Notary Public Notary Public Commission No. Com �n 0. _ -MIRRIPRARFA Name of Notary typed,printed or stamped -R;me.of Notary typed, Ril -IffimiselonlIG6276457 7 Expires December iZ 2022 Q , Bonded 7hre TroyFelft tneonow NO-UFpiq Home Improvement Agreement (8'23)532-S600 (888)638-3792 Corporate Office ` ra 1429 Massaro Blvd*Tampa e-FL33619 spa •i 0C1813365 Page 1 of 2 YOUR SYSTEM PROPOSAL AN0 AG)REVAENT Location In ormatlan: BUIIn :Information Name 13111139we NstnE Address 6429 viotorlan way Address Oty/stlIte/Wo Al&Florida 33U2 crtY/StatelZi . .Phone 8139093697 Phone Homeowner Emati Home Typel S1W9—F8m11v- I Square Footage 1.20() 1 Year Suitt Humber of tints 4 of Attic A�es l: _ Access Locatl6insi Gwaae Indoor tlnit Location Att1c. Tym. m song Replaced HeatFurho W/ • at StMn WWI. COMPONENTS $ t evel 9wd- Brand Goodman 17.W ah Size tram ' Orr' SEER 4'... T 'of s m Heat PurrOW./:Heat_'sms Other System Price 4 Component Choices Quantity Each Line Total NewThermostat Twe.Prcgramm" 1 0.00 New Gas Flex Connector 0.00 New Weather-Proof Disconnect eox 0.00 New lifetime Equipment Slab 1 0.00 Rust Resistant Stand 0.00 New Condensate Drain 0.00 Condensate Pump 0.00 Gelling Saver Second.ary Drain Pan 1 0.00 44vem-component Total 0.00 UPGRADESAIR DISTRIBUTION AND U - lades Quantity Each Line Total Reconnect Usting Duct Work 1 0.00 Newlit IaceSupply Plenum 0.00 New/Replace Return Plenum 0.00 Newllt laoa Mbd box 0.00 Su Run Select. 0.00 New/Replace Supply Registers 0.00 Return Run Select.. 0.00 New/Replace Return Grills 0.00 New Line Set Run 0.00 New Electrical Run, 0.00 Extend dryer vent 1 0.00 Heat.strt s Emergency heater 1 0.00 Air Distribution and ONrades Total 1 0.00 Home.Improvement,Agreement (813)b12 560Q 4 �.. .. (888)638-3792 Corporate office Etta 1429 Massaro Bivd 6 Tampa•FL 33619 CAC1k3365 Page 2 of 2 Location '=a. , Extended . labor Parts Compressor Heat Exchanger Cost Woman Years Years Years Years Choice 1 2 10 10 Total.Extended Warmnity Total 0,070 Full Warranty Details Listed on Warranty Certificate(Separate Page) Service.Mimbershl Per etu®l l Year Paid-In=Full WgrMOrrAiership jiyr.rdb I $14.95,Per Month $225. Ned Separatel .. Full Membership Details Listed On Membership Applicadon•(Separate Page) Is REBATES Manufacturer Instant Rebate Deaier,lnstant Rebate Previous Work Credit I I Job.Numberl All discounts included Power Vendor Rel3dte Select Vendor Account q. iDEPOW F :awoot aC: Total Credits/Rebates. 0:00 I/We own the real property in whkh the equipment 1s to 6winstalled and have the Sub-TotsI 1 4,850.00 authority to order the work as outlined above. TERMS: Net due upon Taxes $0.00 completion, or in accordance with the rmi Orgg aUeement. Accounts not paid within 10 days of the Immice receipt are In default and nMect to late TOTALI 4,850.00 payment of LS%.per month or 18%annually. Bayer agrees to pay any reasonable attomey's and/or coffectoes tees Incurred by seller to secure Desired Install Date dBrAW18 payment of this contract. rATUMOr4lOM Finance Type te#Due 0 check Exp=cwMcheck# Finance Amt Date 0$122I2019 Date 08/92/2019 Customer Signature troch Shwature 0e