HomeMy WebLinkAbout19-22196 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)78070020 22196
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22196 Address: 6552 TEAK CT
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-021A-00100-0040
Improv. Cost: 5,274.57 OWNER INFORMATION
Date Issued: 12/23/2019 Name: GREENSHIELDS CURTIS & PATRICIA
Total Fees: 70.00 Address: 6552 TEAK CT
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/23/2019 Phone: (813)780-8210
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTORS APPLICATION FEES
CHRIS' A/C COMPANY A/C CHANGEOUT 70.00
�Q l
cti'ons 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 reenspection.
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.
CONTRACT GNATURE 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-813-7.80-0021
Building Department
Date Received :] Phone Contact for Permitting F( 7 jot)
......... .....rrrrrrrrI.......
Owners Name Owner Phone Number ? to 24
Owner's Address Owner Phone Number F
Owner Phone Number
JOB ADDRESS Cal LOT#
SUBDIVISION PARCEL ID#1 0.2 .74 21 011A ooxoa co
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION QAA BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK A&
BUILDING SIZE SQ FOOTAGE HEIGHT
i v 2 v v v i i
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL r AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING 1$
EXMECHANICAL N�47;X I , VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS —7] FLOOD ZONE AREA =YES NO
BUILDER. COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY L_
SIGNATURE REGISTERED Y/ N FEE CURREN L_X1 N J
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LY LN
Address License#
0or 0
MECHANICAL 19 COMPANY
SIGNATURE REGISTERED K-WI N I FEE CURREN I C_W1 N
Address (25 A&tol!J FC) License# Irr"ox—.f
OTHER COMPANY L_ I
SIGNATURE REGISTERED Y/ N FEE CURREN LY/N
Address License# I
f++ '111111111 HHHHHHH 211111111f
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 wl Silt Fence installed,
Sanitary.Facilltles4 1 dumpster,Site'a 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.
Dire
ctions:
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 regtl lations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:. If the owner has hired a,contractor or
contractor`s 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 applic tion for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is knot 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 kecovery 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 undersioned 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, Flo ida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provid d 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 apd 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
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W"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
construction, I certify that fill will be us6d 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, 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 shallbe 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 tlie'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)
OWNER OR AGENT _ __C-ONTRACTOR4- - _ _ - -
—�u scribed and sworn"to(or atfnned)before me this I Subscribed and sworrygo(or affirm d)before m
Who is/are personally known to me or has/have produced Who is/ re person known to a or has/have produced
as identification. (i as identification.
Notary Public Notary Public
Commission No. Commission No.
t1 ov,
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
CARLOS MALDONADO
Commission#GG 346275
.a Expires June 18,2023
F°F FIt°P Bonded Thru Troy Fain Insurance 800.385-7019
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CHRIS' A/C " �;�
•• HVAC
C O M; P A N Y
CACO68575 /EC13007703 PROPOSAL
12232 HWY 301 DADE CITY (352)521-4977 "NOW PROVIDING'
DADE CITY, FL 33525 ZEPHYRHILLS(813)779-9515 "ELECTRICAL SERVICES"
NAME: Pat Greenshields Date: 11/14/19 SPLIT SYSTEM XX PKG UNIT -
SUBDIVISION: Driftwood Condos ! HEATPUMP X STR.COOL -
ADDRESS: 6552 Teak Ct.
^r=t�',`.drj.'{2�,�-i;aay^. `t, Mt •;:% ;r ,e�� f,�,�=
CITY: Zephyrhills ZIP CODE: 33542 CONDENSER: 4TWR4030
PHONE: 813-780-8210 WORK:! IR HANDLER: TEM4AOB30
CELL: RENTER: EER RATING: 14 HEATER: 5KW
ESTIMATOR: Robert ; RAND: TRANE XR
,, ,� i�CLUU:EE?-= 7,s:, ., :, :_; C 274.57
HORIZONTAL ATTIC INSTANT REBATE : $ 800.00
T OTAL LESS REBATE $ ,� Sa �.S.
PAD ONNAGE: 2.5 PARTS: 10 YR
UXILARY PAN COMPRESSOR: 10 YR LABOR: 1 YR
UXILARY DRAIN �r. o<. _, = •': = r-- r, `:; z
IN-LINE FLOAT CONDENSER: ##
DRAIN PAN FLOAT IR HANDLER: #N/A
$200 SENIOR DISCOUNT SEER RATING: ## HEATER: #NIA
SEAL DUCTWORK TO CODE BRAND: #NIA
REMOVE EXISTING EQUIPMENT L ; $ #N/A
CONNECTED TO EXISTING DUCTS AND ELECTRIC INSTANT REBATE: $ #N/A
ANCHOR CONDENSER OTAL LESS REBATE $ #N/A
TAX,LABOR AND PERMIT ONNAGE: #N/A PARTS: #N/A
HOM BREAKER COMPRESSOR: #N/A LABOR: #N/A
10 WIRE
e -2 CONDENSER:
IR HANDLER: #N/A
INCLUDES FIRST MAINTENANCE CHECK SEER RATING: ## HEATER: #N/A
BRAND: #NIA
C3 A e $ MIA
sa„H=i"t",�:":y,.�;,.,. .,,,r-;r'i,itioo, _- :`r';— ..,�:� ^ry,: ;x•: ��,r,:M"-�:
INSTANT REBATE:
I HAVE THE AUTHORITY TO ORDER THE WORK OUTLI
NED ABOVE. I AGREE THAT SELLER OTAL LESS REBATE $ MIA
RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE,IF PAYMENTTONNAGE: #N/A PARTS: #N/A
IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT COMPRESSOR: #N/A LABOR: #N/A
SELLERS EXPENSE ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE
E RESPONSIBILITY OF SELLER. LIMITED WARRANTY:EQUIPMENT,PARTS AND
MATERIAL HAS WRITTEN
MANUFACTURER'S WARRANTY ONLY. �'����'Y3t:s.f,.,`�� �d?s;,��T ';-.:h.;:.•��,-:ij
df-r,?;Aya;
O%#•OR rg0,-MO.NTHS>; (WAC)
CUSTOMER SIGNATURE D ,.. e
ATE: ='1NSTANT�REBATf�' - "
Oa a4 at /
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DUCT CERTIFICATION FOR INSTALLATION OF NEW=DUCTWORK OR MODIFICATION OF THE EXISTING
DUCT SY�,STEM
FLORIDA ENERGEY CONSERVATION CODE(FBC ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
Owner:
Permit#: �a21
Site Address:��, oZ /�,e. , tom„ � , N 6� _
Contractor: ��74 S ' Af e
t
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.
if/�2e/-t Vdn� ,
Name of License Holder(print or type) Signature of License Holder