HomeMy WebLinkAbout19-21814 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21814
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21814 Address: 39233 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: 12-26-21-0300-00000-0010
Improv. Cost: 6,850.00 OWNER INFORMATION
Date Issued: 9/27/2019 Name: GETTINGS, KEITH
Total Fees: 75.00 Address: 39233 9TH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542-4715
Date Paid: 9/27/2019 Phone: 813-863-4502
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
INTEGRITY HEATING & COOLING INC A/C CHANGEOUT 75.00
Ins ections Wuired '
DUCTS INSTALLED
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.
r
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 Fax-813-780-0021
Building Department ((.�+ ^�
Data Received Phone Contact for Permitting 7S (� L�^-�15 —2T 1Q7
Owner's Name /� �,,,,. Owner Phone Number
Owners Address Z� "t Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address 2 �]
JOB ADDRESS 3I3 2.3 3> �f � /•� n LOT# ��y�
SUBDIVISION f S= PARCEL ID# (d - V J v 0 Wes+•O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED El INSTALL
CONSTR ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = Q
BLOCKK/� 0 FRAME = STEEL =
DESCRIPTION OF WORK 44YAC ERU ICI ` ao /MMr'
BUILDING SIZE I SO FOOTAGE HEIGHT
DINGSUILG $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
MECHANICAL $ /_A� VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Ly/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREn L Y/N
Address F I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt Y/N
Address //� License#
MECHANICAL COMPANY lA li(JI ill
SIGNATURE - REGISTERED I Y/ N FEE CURRE Y/N p
Address �`7 �• r womp I ft•"WWAMA137 License# CAC131 Q
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREn
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
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 Farms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater 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.
A.
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
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.
CONSTRUCTION LIEN LAW'(Chapter 713, Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that 1, 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.
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 COMNgNCEMENT.
FLORIDA JURAT(F.S.117.03) Uf t
P
OWNER OR AGENT CONTRACTOR � k
Subscribed and sworn to(or affirmed)before me this Subscribed d sworn tor affirmegBbefore me this
by by , .,AV I A) r:ORO e A?
wfio is/are personally known to me or hasthave produced Wflois arbpersonativ Known to me or hailhave produced
as Identification. max as identification.
Notary Public OUELO:SUGES tary Public
'001misttion 4 GG 276W MW
Commission No. Commiss 0. D.
Name of Notary typed,printed or stamped Name of Notary
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13719 N Nebraska Ave,STE 106 Invoice 28549850
HEATING /+ C u o L N G Tampa,FL 33613 Invoice Date 9/18/2019
Office(813)575-7772 Completed Date 9/18/2019
Fax(813)575-7776 Technician BRETT BLAKEY
info@homeofintegrity.com Customer PO
CAC#1819891
Billing Address Job Address
GETTINGS,KEITH GETTINGS,KEITH
39233 9th Avenue 39233 9th Avenue
Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA
Description of Work
Went over options with both husband and wife in regard to repair and replacement options.They have decided on
replacing their current unit.We will be installing a 3 ton 14 Seer Amana system
10 yr parts 1 yr labor
New Hurricane pad outside
Transfer uv system
New thermostat
Remove drywall for Air Handler access, customers are aware we are not responsible for matching the drywall
Install today total of$6,850 Redbrick
Task# Description Quantity
HVAC System Install New HVAC system installed for customer 1.00
Amana 3-Ton 14-Seer Split
• 99 year no mold guarantee on UV location with annual element replacement(if
Purchased)
• 10 Year Parts Warranty
• 1 yr maintenance(2 visits,1 visit every 6 mo.Expires after 1yr)
• 1 Year Labor Warranty
• UV system(If Purchased)
• Slab 150 mph rating strapped to unit
• Isolation pads
• Hurricane straps
• New digital thermostat
• Float switches(where applicable)
• Mastic and Seal all Leaking Joints(where accessible)
• Whole House Duct Sanitation
• Locking caps
• Rewire low voltage electricity/clean up wires
• Disposal of old system
• Free 6 mo duct inspection and static pressure test
• Installed to Code
Total Confidence System Warranty:
• Lowest Price Guarantee:Our Price guarantee is our promise to you that you
cannot find a comparable installation for less...or we'll pay you a$50.00 bonus
over the difference.All we ask is that it be a published"apples-to-apples"
comparison.This guarantee expires two weeks after date of proposal.
• Installation Workmanship Guarantee:We wear floor savers,clean up when we
are finished and take personal responsibility for your satisfaction.We will not
smoke in your home and we are polite and courteous.If,when we have finished
in your home,we have not performed in accordance with these high standards,
all we ask that our office be notified of any level of dissatisfaction before the
technicians leave the home so that any issues can be addressed accordingly.
• No Mold Guarontee,We are so confidant in our advanced IAQ.UV sterilization
&MERV filtration systems ability to keep your system clean that we guarantee
with proper annual maintenance your system will be mold free for life or we will
perform any necessary cleaning to the air handler to remedy the problem at our
expense.Ask about our club membership packages.The"no mold"guarantee
only applies to areas that have UV coverage.(With IAQ Purchase)
Paid On Type Memo Amount
9/18/2019 REDBRICK $6,850.00
Sub-Total $6,850.00
Tax $0.00
Total Due $6,850.00
Payment $6,850.00
Balance Due$0.00
The home of integrity,honesty and efficiency!
I authorize the work to begin for the amount of$6,850.00.1 understand that the total price may later change if there is unforeseen work
to be performed.I agree to all of these Terms and Conditions.By signing this line I agree to hold Integrity Heating&Cooling,Inc-
harmless to any drain or water issues that may occur in my home.
NOTICE OF RIGHT TO CANCEL:IF YOU DECIDE YOU DO NOT WANT THE GOODS OR SERVICES,YOU MAY CANCEL THIS AGREEMENT
BY MAILING A NOTICE TO THE SELLER.THE NOTICE MUST SAY THAT YOU DO NOT WANT THE GOODS OR SERVICES AND MUST BE
MAILED BEFORE THE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE ON THE SIGNED WORK AGREEMENT.PLEASE NOTE
THAT THREE BUSINESS DAYS DOES NOT INCLUDE SUNDAY OR ANY FEDERAL HOLIDAY.THE NOTICE MUST BE MAILED TO:
INTEGRITY HEATING&COOLING
13719 N NEBRASKA AVE,STE 106
TAMPA,FLORIDA 33613
Restocking Fees:
Systems and Ductwork-$500 or 10%of the sale price.(Whichever is greater)
IAQ and small parts:$250 For the first 3 days.After 3 days the parts become used and can no longer be restocked and all sales become
final.
9/18/2019
1 acknowledge that I am 100%satisfied with the work that was performed.No refunds.It is agreed that Integrity Heating&Cooling,Inc.
will retain title to any equipment or material until the final and complete ppayment is made.If the settlement is not made as agreed,the
seller has the right to remove equipment and material and the seller will be held harmless for any damages resulting in the removal of
the equipment.By signing this line I agree to hold Integrity Heating&Cooling,Inc harmless to any drain or water issues that may occur
in my home.
Parts and Labor Warranty:
All parts as recorded are warranted as per manufacturer specifications.We do not guarantee parts other than those we supply.If repairs
later become necessary due to other defective parts,they will be charged separately.We guarantee that all repairs are done right.If a
repair fails during the season,we will repair it again absolutely free.
Restocking Fees:
Systems and Ductwork-$500 or 10%of the sale price.(Whichever is greater)
IAQ and small parts:$250 For the first 3 days.After 3 days the parts become used and can no longer be restocked and all sales become
final.
I �
9/18/2019
Credit Card Payment Authorization Please pay total due amount.Thank you.
Print Name below as it appears on credit card
Payment Type Credit Card# EXP CVC
Name on card Signature
Remit to: Amount Due:$0.00
Integrity Heating&Cooling,Inc.
13719 N Nebraska Ave,STE 106
Tampa,FL 33613 USA
5
EAT1 N 0 ® � L1 �1Cai
r r r •
July 8,2019
To whom it may concern:
We the undersigned,hereby authorize Brett Blakey,Rob Denboer,Gavin M Denboer to act on our behalf in all
manners relating to permitting,including signing of all documents relating to these matters.Any and all acts
carried out by these individuals on your behalf shall have the same effect as acts of our own.
This authorization is valid until further written notice from Integrity Heating&Cooling,Inc.
Sincerely,
ll
i
Danny eono
License Contractor
STATE OF FLORIDA
COUNTYOF Aj1siJc,,r6- Pi
The.foregoing instrument was acknowledged before me this day,�,t,�, 20�
by N01 o
{Seal) AILED YARITZA PERLAZA
Notary Public.Stale of Florida Sign ture,pf Notar Public
My Comm.Expires Aq.16,2021 Prin ,Ty ef Stam � Notary
No.GG 131712 4L P I f ame of
Personally known: vX
OR Produced Identification:
Type of Identification Produced:
13719 N. Nebraska Ave#106,Tampa, FL 33613
Phone(813)575-7772
License Number CAC1819891
FLORIDA ENERGY CONSERVATION CODE
Mandatory Duct Inspection Certification for HVAC change-out
For use when part of the duct and/or HVAC system has been replaced(Section 101.4.7.1.1 &FS 553.912)
Owner: Contractor name: InPegft Heating
Street address: —3 Jurisdiction:
City: c`tf Permit No.:
Zip: Final inspection date:
I certify that I have inspected the duct work associated with the HVAC unit referenced by the permit listed
above and found it complies with the requirements of Section 101.4.7.1.1 as indicated below:
■ Where needed,the existing ducts have been sealed using reinforced mastic or code-approved
equivalent.
❑ Ducts are located within conditioned space.(Section 101.4.7.1.1 exception 1)
❑ The joints or seams are already sealed with fabric and mastic(Section 101.4.7.1.1 exception 2)
❑ System was tested(see below)and repairs were made as necessary—(Section 101.4.7.1.1 exception 3)
Signature: ° ' -��`— Date:
Printed Name: 11 meorw
Contractor License#: CAC1819831
I certified I have tested the replaced air distribution system(s)referenced by the permit listed above at a
pressure differential of 25 Pascals(0.10 in.w.c.).
Signature: Date:
Printed Name:
Form revision date:March 18,2012