HomeMy WebLinkAbout19-21921 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21921
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21921 Address: 4736 17TH ST
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: MOORES FIRST ADDITION
Est.Value: Parcel Number: 14-26-21-0010-02700-0100
Improv. Cost: 4,480.00 OWNER INFORMATION
Date Issued: 10/16/2019 Name: VSP TAMPA LLC
Total Fees: 65.00 Address: 11 PLEDMONT CIRCLE STE 300
Amount Paid: 65.00 ATLANTA, GA 30305
Date Paid: 10/16/2019 Phone: (813)732-1986
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
CHRIS' A/C COMPANY A/C CHANGEOUT 65.00
Ins ections Re uired
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.
ONTRACTOR GNATURE PERMIT OFFI R
PERMI 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 �6 Phone Contact for Permitting
n
Owner's Name 7a— U. Owner Phone Number 73 /f86
Owner's Address e O 7' WS-Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
(017
SUBDIVISION PARCEL ID# a a Oo a Qa7QQ 0166
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM ® OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL
DESCRIPTION OF WORK -
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C.
=PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
O•
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY -
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# //YY
MECHANICAL COMPANY �� �—G►�h a/y�
SIGNATURE dlbQ REGISTERED / N FEE CURREN /N
Address -C• License# (,
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LY/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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit 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 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. (AIC 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 :' The undersigned understands that this permit � � � 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 sbmba law. If the owner or intended contractor are uncertain an 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. Furtharmmrm, if the owner has hired a contractor or oontnootony, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they whU 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 Recourm� Recovery Fees may apply to the co' atructinnmfnew buildings, change of
use |n existing buildings, mr expansion ofex|oUngbuUdinQo, 00speo0odin Pasco �ountyOrdinance number 89-D7and
QO-O7. 00amended. TheundaraiQned also understands, that such fees, ao may be due, will be identified ad 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 doeeno1invmlveouedifinabaofonoupancynr
fine) power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counh/VVater/Sawver Impact
fees are due,they must bm paid prior bopermit issuance|n accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, msmmmended): |f valuation of work ' $2.500.00 or more, |
oadif/ that \ the mpcd/oant, 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. |f the applicant iasomeone
other than the"mwnmr". | certify that| have obtained o copy nf the above described document and.promise in good faith tm
deliver itto the"mwner"prior bncommencement.
CONTRACTOR'S/OWN ER°S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
Will be done in compliance with all applicable }axvo regulating construction, zoning and land development. Application is
hmmeby made to obtain o permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to |smumnoa of a permit and that all work will be performed to meet standards'of all |axvn regulating
construction, County and City codes,, zoning regulations, and land development regulations in the jurisdiction. | 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:
- OepodmgntoyEnvirnnmanba| Protection-Cypress Bayheado. Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida VVotor Management District-Wells, Cypress Bayheada, VVmUond Areas, Altering
VVoten:nuremm'
' Army Corps ofEng|naerm-SeaVveUn. Docks, Navigable Waterways.
- Department ofHealth & Rehabilitative Sen/ioeo/EnWnonmonba| Heo|th Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authmrb+Runxmsym'
| understand that the following restrictions apply bo the use of fill:
- Use of fill io not allowed in Flood Zone W"unless expressly permitted.
- If the fill mobarha| is to be used in Flood Zone ^A°, it is understood that a drainage plan addressing a
^onmponasdinQ volume" will be submitted at time mf permitting which is prepared by professional engineer
licensed bv the State ufFlorida.
- If the fill nmatmdm| is to be used in Flood Zone 'A" in connection with a permitted buUding using stem vvaU
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, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent pnopediae, the owner may be cited for violating
the conditions ¢f the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, on engineered drainage plan ierequired.
If| amnthe AGENT FOR THE OWNER, ( promise in good faith b»inform the owner of the permitting conditions set forth in
this affidavit prior bo commencing construction. | understand that o separate permit may borequiredform|emtrkca| xvork.
plumbing, signs, wells, poo|o, air conditioning, gaa, or other installations not ep� ficoUy |nu|uded in the application. A
permit knmVwd ohoU be construed to be license to proceed with the work and not as authority to vio|ate, oonmel, 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 iamuonoe, or if work authorized by
the pernmdio suspended mr abandoned for o period of six(G)months after the time the work|ocommenced. An extension
may be msqueoted, in writing, from the Building Official for a period not to axnmod ninety (00) 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
-FLORIDAWITH YOUR LENDER OR AN*ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
^"=°. (F.S .`' ":)OWNERORAGENT CONTRACTOR
-
-
Subscribed and sworn to(or affirmed)before n6AIs Subscribed and sworn to(or affirmed)be a this
Who Is/are personally known to me or has/have produced Who is/are personally known to me or hasthave 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
w'
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 ONS.ITE AND PICKED
UP BY INSPECTOR
Owner: LC
Permit#:
Site Address: 4736 ;Si-reef
Contractor: C h r`f V A IC Can-,
License#:
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 403.2 and FBC
Mechanical chapter 6.
C hr `i J 0n2�
Name of License Holder(print or type) Signature of License Holder
CHRIS' A/e.,�,,�
�� COMPANY Al CONDITIONING
& ELECTRICAL
CAC058575 / EC13007703
Proposal Submitted To: Date: 9/4/2019 Phone: 813-732-1986
Richard Gonzalez
Pathway Construction Job Name:
75,I,r,,,lpar o4eC Address: 4736 17th Street, Zephyrhills, FL
// f�T/Z A',70D cam..-1� 7.� �GL?D`�r_
Upon arrival found blower not running, replaced 15uf capacitor for blower, no air coming thru vents.
Ductwork needs to be checked going from unit to attic behind duct cover (2.people)
.br4'$450 to replace ducts going to attic. Will be able to check system.once ducts are'replaced. - L
May need other repairs.
:gas w1e7aty > d ducts outside $ 00
.r G' cc- n.-e
r
`i 30
Price $ ove
Warranty:
Chris' one year limited warranty on materials and labor.
Yrs Limited manfacturers warranty on compressor
Yrs Limited warranty on equipment only parts.
Yrs Limited warranty on labor
Payment to be made as follows: Q Due upon c ion Draws
El
CHRIS' Authorized Signature: -
NOTE: This proposal may be withdrawn by us if n a cepted within 30 days.
I have authority to order the work,which shall be performed as outlined above. It is agreed the seller will retain title to any equipment or material that
may be furnished until final payment is made,and if settlement is not made as agreed,the seller shall have the right to remove same and the seller will
be held harmless for and damages resulting from the removal thereof.I agree to pay all cost and reasonable attorneys fee if this invoice is placed in
the hands of an attorney for collection.Seller Is subject to restocking charge ifjob canceled
FINANCE CHARGES:Balance due over 30 days(1 112%INTEREST)PER MONTH(18% ANNUAL RATE)will be imposed(where applicable).
Customer Acceptance Signature:
Signature: Date:
Signature: Date:
12232 US HIGHWAY 301 DADE CITY, FL 33525 PHONE 352-521-4977 chrisaccompany2001@yahoo.corn-V
V a Q O ,0 / 0-0 . estimateform