HomeMy WebLinkAbout19-21829 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21829
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21829 Address: 7204 ASHLAND DR
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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0360
Improv. Cost: 7,432.00 OWNER INFORMATION
Date Issued: 10/02/2019 Name: HODGE, CARLA MARIE
Total Fees: 80.00 Address: 7204 ASHLAND DR
Amount Paid: 80.00 ZEPHYRHILLS, FL 33540-1414
Date Paid: 10/02/2019 Phone: 813-788-1005
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
ACREE AIR CONDITIONING INC A/C CHANGEOUT 80.00
DU TS INSTA LED Ins ns 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.
NTRACTOR 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 Racelved Phone Contact for Permitting
--CAC-
Owner's Name Lg Ik 'R c6'.q_ Owner Phone Number
Owner's Address a� Ze.,0ASj,1&d 5 Ft 3S-eP'-/0 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 1-72LN j6k(ovJ Qr ZfmktArWits 53 5q 0 LOT#
SUBDIVISION F_ PARCEL ID#135-25-2 OCR- 04000 ONO
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F%7-1 ADD/ALT SIGN MOVE DEMOLISH
e INSTALL REPAIR
PROPOSED USE = SFR COMM Q OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL OTHER
DESCRIPTION OF WORK G. 0 3 4t2f-\ 14 SW IX V�vl P K&1 0 Kell-16 14 4ne,e (x*&f-
BUILDING SIZE F_ SQ FOOTAGE HEIGHT
L_j BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C.
0
PLUMBING 1$
MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
GAS = ROOFING = SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address I License# I - I
ELECTRICIAN COMPANY &ZA:--r Gwjl-:Ionla!5 I
SIGNATURE REGISTERED Y/ N FEE CURRENT TL/N_j
Address
i-).Avo jrgos r& mw License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT L_ILN_j
Address F License#
MECHANICAL COMPANY jkve� A Con,4-j n
SIGNATURE J REGISTERED Y/ N_ FEE CURRENT —1 Y/,N
Address Cry rV0Ptx'&X't)'#1_W&0v6 fl- -6tat i I License# 1C'kC0S0qaq
OTHER COMPANY =
SIGNATURE REGtS7ERE0 Y/ N FEE CURRENT L_j/N
Address License#
RESIDENTIAL Attach(?)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms
Minimum ten(I 0)wqrkIng days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&I dumpster
COMMERCIAL Attach(3)sets ofBuliding Plans;(1)set of Energy Forms. i
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
All commerclial,reqyiremepts�Must meet compliance.
SIGN PERMIT Attach(2)sets of Engineered PI ans.
*'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 ovee$5000)
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 (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(PlottSurvey/Footage)
Driveways-Not over Counter;if,onRubiic 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 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 descr.lbed.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 into 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 bel 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)y OWNER OR AGENT `-- 1, f/�'^ CONTRACTOR fl�it�
and sworn to(or affirmed)before me this Su rib and sworn�q(or Affirmed)before me this
,Subscribedlg by �) r C�� —t /�J C by JU"LQ A!I4E �(Y1n
Who islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
RE
c State of Florida
erdRE
tate of Florida
ion FF 978997 d5/2020 020 978997
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ACRE�:K�i
Replacement Agreement
Client Name carla hodge Date 09/04/2019 Phone# 8137881005
Address 7204 Ashland drive zephyrhills fl 33540 Email cmhodge629@verizon.net
❑BeSLSysteln Bettelrsystlem- ® 8000vaim rn:-Bassustsm " ° `3"< ` TON" 14 -=-:SEER`Single msstage
=`[]Air:.Conditionet, Heat PumpE PackageUnit QGas-Furnace, aA/l []Vertical. ,❑Horizontal
-
SYSTEM INSTALLATION INCLUDES-: " a
✓: All fabor
b
_
✓ 4'h Hu _rr cane Sla
i
' ✓ AIi;requir"ed;permits..:
-C arge to°Manufiacfurers"Specifications„>
✓ ACCA load:.calculations per.code ✓Reolace'AIi Visible Drainline
Removal and proper disposal of equipment.:
=LL
[]Bacon"sect to Existing Duct ❑Float Safety. ❑Flush-Refrigerant Lines, [-New 100-:CFM"Supply,;
Attic Li ht/Rece'tacle New Co a pp Y
❑ .., g._ p. . . °: °✓-Q New.Plenums Q, pp r Line Set.. ❑New;;150 .CFM. Su I : :.
' ✓ Use Existin Eleci�ical; N&w500;CFM Return..
❑New,Disconnecf&Whip.:; ❑"FEMA Set ❑ g Q"
El'
•: ✓{ New Wire-to Condenser New 250.CFM"Return
Standard T-Stat ❑.H .
w ,
orizon
tal Kit:
Indoor Air WIN Options
;
Single UVC Dual UCV C"', ❑ Oxidizer ❑ `;`_ Air Cleaner
MANUFACTURER WARRANTY(under terms of warranty,routine scheduled service must be performed on systems)
,12 Years on parts J.Z Years on labor_12 Years on compressor
AGREE GUARANTEES(All Guarantees are explained on the reverse side of this agreement)
*Total.Comfort; *Total'Replacemerilt' "V"$250;No=Erustratian *Service;Anytime- *Piopeirty Protection:
Code CompUarice Our work wilt comp
iy with ail existirig local codes.. _ °
Drug;Free.Yoor work.wilI be performed by'our
,professional,tiigtilyarained;and drug-free employees., r°
System Investment $ 7,432.00
Accessories $
Other $
Total Amount $ 7,432.00
„= Estimatetl-Final lrivestment After Eligible Refutes%Tax Credits of$ -_ .is$ -7-:43200m�_:, �`=� _`��
Not included-Materials in excess to those outlined above as well as any drywall and wood work if there is no accessible
space for installation.
ACCEPT E-DELIVERY:I agree that you can provide me with electronic copies of the contract,including the Special Terms and APR Information,that I sign on this device,and
all accompanying paperwork and documents related to this contract,by email at the email address I have provided and verified above.If I want to receive paper copies of
my signed contract and accompanying paperwork at my home,I can request such copies at no charge by sending an email to Customercare@acreeair.com.C I
Terms D`
INSTALLATION IS COMPLETE AT START-UP AND ALL FINANCIAL PAPERWORK AND COD PAYMENT RENDERED AT THAT TIME. Price includes all coupons and discounts
unless otherwise noted.Buyer hereby declares that buyer holds title to property in which merchandise Is being Installed and has legal authority to order the work outlined.Buyer and seller agree that any
controversy or claim arising out of or relating to this agreement,or performance of It,shall be settled by binding arbitration,except that seller reserves the right to sue buyer In a court of law for any amount due them from
the buyer,with all other matters Including defense to payment being resolved by arbitration. Such arbitration will be conducted in accordance with the arbitration rules,then In force of the American Arbitration
Association.The arbitration award cannot exceed the amount of the agreement and will be final and binding on both parties.Judgment upon such arbitration award may be entered in any court of
competent jurisdiction.Each party bears its own costs for arbitration,Including attorney fees.
Buyer agrees to have city or county inspection within 14 days of install.
Payment Terms:OFinanced GreenSky Plan # 1208 Intrest Rate 9.9 OCredit Card O Check 50%Down 50%Upon Start Up.
Months 120 Estimated Payment$101
Acceptance(Client) Acceptance(Company)
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CACO,'50424
—Wwwweropenxom
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September 9,
I,Victor Trino, hereby authorize the following to sign for and acquire permits and licenses using my State
of Florida License No. CAC050424:
Michael Trino DL#T650-550-67-332-0
Darrell Webster DL#W123-163-84-026-0
Chantz Renner- DL# R560-104-89-421-0
Anthony Kell DL# K400-013-88-343-0
Dakota-Renner: CD-U# -560 170 9=1-371-0:1
David Whatley DL#W340-173-90-208-0
Dylan Nisse DL#N200-170-99-043-0
Johnathan Ruiz DL#R200-420-95-015-0
Devin Renner DL#R560-162-95-025-0
Bobby Pettys DL#P320-072-96-124-0
John Phillips DL#P412-463-89-099-0
Skyler Owens DL#0520-784-93-270-0
Cesar Ortiz DL#0632-101-93-304-0
Matt Quinn DL#Q500-553-87-269-0
Paul Hindmon DL# H535-699-83-422-0
Norbert Perez DL#P620-634-87-470-0
This should supersede any other letter of authorization.
If you should have any questions, please feel free to contact me at(813) 620-1666.
Victor Trino
Acree Air Conditioning, Inc.
Lic:CAC050424
City of Zephrhills C�
This foregoing instrument was acknowledged before me this 1 day of 2019.
Byt�J�Y 1 r�rb who is personally known to me.
2b
NoSignature
My Commission expires 3C�
SEAL
2�4 YPUkcE
ATHAN RLUMISSION#GG51311
:November 30,2020
Service Anytime 7am a Ilpm, 7 Days a Week , No Overtime Chae-ges...EVER!
)Ilas 727-447-0508 , Tampa 813-620-1666 . Polk 863-683-3437 a Toll Free 1-800-783-8154/ 1-800-WE-R-OPEN
Duct Seal Affidavit 1
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: -
Permit#:.
Site Address:
Contractor: ._:d
License#: C-05. -@241---- --- - - -
Final Inspection Date:
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 gf License Holder(print or type)
Si n ture of License Holder