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Home My WebLink About19-21929 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21929 BUILDING PERMIT PERMIT INFORMATION -LOCATION INFORMATION Permit Number: 21929 Address: 39635 HAZELTINE 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: GRAND HORIZONS Est. Value: Parcel Number: 24-26-21-0000-00100-0090 Improv. Cost: 4,379.41 OWNER INFORMATION Date Issued: 10/18/2019 Name: NHC-FL115 LLC Total Fees: 65.00 Address: 27777 FRANKLIN RD STE 200 Amount Paid: 65.00 SOUTHFIELD MI 48034-8205 Date Paid: 10/18/2019 Phone: 607-738-1173 Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTORS APPLICATION FEES LAKESIDE HEATING COOLING & PLUMB A/C CHANGEOUT 65.00 Ins ec s Required 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 renspection. 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. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INVOICE #3657 Lakeside Heating, Cooling & SERVICE DATE Oct 18,2019 Plumbing DUE Upon receipt . ...... . ..... 4608 Land 0 Lakes Blvd„ Unit B j Land O'Lakes, FL 34639 AMOUNT DUE $4,379.41 ? Lockner,Teri CONTACT US 39635 Hazeltine Ave ,, (813) 444,9474 Zephyrhills, FL 33542 0 jackie@lakesidecomfortpros.com (607) 738-1173 vlockner@yahoo.com INVOICE Services amount PKG-Straight Cool 2.5 Ton $4,379.41 Installation of a Rheem (14 seer) Straight Cool Package Unit - Includes 10 year Parts Warranty, 2 year labor warranty, duct cover, slab, hurricane clips, programmable digital thermostat,7.5 kW heat strip, permit. Includes removal &disposal of old equipment,permits,taxes&labor We guarantee a clean quality installation that will meet all code requirements at a fair price. Total $40379.41 Thank you and we greatly appreciate your business! Lakeside Heating,Cooling& www.lakesidecomfortpros.com Plumbing I CAC1818869/ CFC1429720 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received 3 d 1 1 r 1 1 1 1'1 Phone Contact for Permitting �l 11111 Owner's Name IQ, (xJ�-`( J(� Owner Phone Number Owner's Address l0�J 7Q�' y� v� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS ��Ip LOT# SUBDIVISION PARCEL ID# _ (OBTAINED FROM PROPERTY T�TICE)DEMOLISH WORK PROPOSED NEW CONSTR INSTALL R ADD/ALT SIGN REPAIR PROPOSED USE SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL DESCRIPTION OF WORK QQrn CI y ��) BUILDING SIZE SQ FOOTAGE HEIGHT C.l lJ =BUILDING is VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING is MECHANICAL $ � 1�' �i, VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO, BUILDER COMPANY SIGNATURE REGISTERED Y/ N 1 FEE CURREN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY �p %EECUR SIGNATURE REGISTERED Y/ N Address rMA O,Ltalo3 0 1�3 License# C OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# 1. Illlllllllllllllllllllllilllllllllllllllllllllllllllllllllllllllll 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 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 Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersignedunderstands 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 e 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 e 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. FudhmnnPno, if the owner has hired a contractor or contnacbon*, 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 beun indication that ha ia not properly licensed and ie not entitled topermitting 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 bui|dingo, as specified in Pasco County Ordinance number 89-07 and QO-07. aoamended. 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 Faan must be paid prior to receiving a "certificate of occupancy" ur final power release. |f the project does not involve o certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVador/Sexmar Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter J13" Florida Statutes,mssmmanded): (f valuation of work in$3,5OO'OOormore, | oorbh/ that |, the appUcant, have been provided with o copy of the "Florida Construction Lion Law—Homeowners Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. K the applicant insomeone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver itbo the^mwner"prior bmcommencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating oonstruoUon, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. | certify that no work orinstallation has commenced prior to issuance of permit and that all work will be performed to meet standards of all |mwu 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 ho identify what actions | must take tobeincompliance. Such agencies include but are not limited to: ' Department ofEnvironmental Protection-Cypress Beyhaodo. Wetland Areas and Environmentally Sensitive Lands,WaterMastewaterTnaatmerd. - Southwest Florida Water Management Oiathd-VVmUe, Cypress Bayheada, Wetland Anaoa, Altering Watercourses. - Army Corps ofEng|nears-Smovva||o. Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-WeUs, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authordy-Runwoya. | understand that the following restrictions apply to the use offill: - Use of fill io not allowed in Flood Zone"V'un|eoo expressly permitted. - If the fill material is to be used in Hood Zone ^A", it is understood that a drainage plan addressing o .compensating volume" will be submitted at time of permitting which is prepared by professional engineer licensed by the State ofFlorida. - If the 5|| mah»ho| is to be used in Flood Zone ^A^ in connection with m permitted building using ahem 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, | certify that use of such fill will not adversely affect adjacent properties. |f use offi|| 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 |orequired, |f| 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. | understand that a separate permit may bo required for electrical work, p|umbinQ, signn, weUo, poo|u, air condiUoning, 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 roqumoted, in whUng, from the Building Official for period not to exceed ninety (BO) 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 ANOTICE 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. OWNER OR AGENT CONTRAtq_e�� Subscribed and sworn to(or affirmed)before me this ) uidentification. as identification, Notary Public -Notary Public Commission.No. com on No V 4608 Land O' Lakes Blvd Land O' Lakes, FL 34639 813-444-9474 HEATING, COOLING A PLUMBING www.LakesideComfortPros.com #CAC1818869/#CFC1429720 October 15,2019 Building Department City of Zephyrhills 5335 8th St. Zephyrhills, FL 33542 Re: Permit Authorization Letter I, Ronald lerna do hereby grant permission to the following: Robert Goldsborough . Michael Moody Omar Matos Richard Harrilal Nick Olmedo to act as my agents in all aspects to obtain a building permit from the City of Zephyrhills. This will allow my agent to answer any and all questions on my behalf and to sign any and all documents on; however, I accept full responsibility to ensure that my project meets all zoning and building code compliance. U S Ronald F lerna II Date Owner STATE C F FLORIDA COUNTY OF QS Q The foregoing instrument was acknowledged before me this 5 day of Q 20 Ct, by( Ronald lerna .) ==, Notary ublic State of Floridane Horruitiner� mission GG 232658(Seal) 7/2412022 i nature of Notary Public Print,Type/Stamp Name of Notary Personally known: OR Produced Identification: Type of Identification Produced: " Thank You& We Appreciate Your Business! H i Lakeside Heating,Cooling&Plumbing,Inc. ` „¢ � 2019 BBB. 0 a g f r 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 �Q I Owner: «rk I V l--q Permit#: Site Address: b3Z.CI'��/k . Gfrr� Contractor: �_ .� •E-. CGdIl� ,,fit License#:6A(:: t-PI Final Inspection Date: 6 �Z Z. 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 o.r 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 of License Holder(print or type) Signature of License Holder