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Home My WebLink About19-22077 CITY OF ZEPHYRHILLS 5335-8TH STREET / (813)780-0020 2 077 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22077 Address: 4814 ROLLINS 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: WINTERS Est. Value: Parcel Number: 14-26-21-0000-00200-0000 Improv. Cost: 6,854.00 OWNER INFORMATION Date Issued: 11/22/2019 Name: WINTERS MOBILE HP INC Total Fees: 75.00 Address: 38022 WINTER DR Amount Paid: 75.00 ZEPHYRHILLS, FL 33542 Date Paid: 11/22/2019 Phone: 810-841-1255 Work Desc: A/C CHANGE OUT 2 TON CONTRACTORS APPLICATION FEES ARS RESCUE ROOTER A/C CHANGEOUT 75.00 ri li v i,33, l Ins ections 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 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. ' YWRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER c � + 813-780-0020 City of Zephyrhills Permit Application Fax-913-780-0021 Building Department Date Received Phone Contact for Permitting -1_11711 r I 1 Owner's Name oY�N n /r�Nson Owner Phone Number Owners Address '1 �/ fiL fePA rh'11Y j73572 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address n JOB ADDRESS 114fl /'fr11/1s 54-n J �I� LOT# SUBDIVISION WWU6/ooil� /�.Ik PARCEL ID# W-ZG'ZI'=D-a0ZW-= (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK OCIO Z Iron 14 Seer G.rrtl:C 61C Ax k E4.a BUILDING SIZE SQ FOOTAGE HEIGHT CZLBUILDING $ `G 5� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ 0 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ (q/�vJ I �J =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION [� 4K =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N Address /) _License# MECHANICAL COMPANY >7�1/ a6bC — 9WkC SIGNATURE a," a REGISTERED Y/ N FEE CURREN Y/N tw Address yD� f` K w License# em(lzgq�SJ OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 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,Stomrwater 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 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 I, 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. 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 is to 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 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 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 YOU TICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) I OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me Ih' by II Ih by 4c, Who is/are personally known to me or has/have produced Who is/are pArrlignally known to me or has/have produced as identification. as identification. Notary Public Nota ubfc Commission No. I IrIlie ved Commission No, i s • • `' ISSION#GG274434 Name of Notary typed,printed or stamped Name of Notary typed,printed o; EXPIRES• Nov. 5. 2022 k Bonded Thnt Aaron NM ' Installation Work Order Est.Start Date t / Est.Completion Date • • ( (727) 588-4200 or(813) 282-3737 Corporate Custer : 3340 N.Scherer Drive,Suites A&B,St Petersburg,FL 33716 P Making it right. American Residential Services of Florida,Inc.License# CMC1249753, Relations Making it work• CFC1428283,EC13008558 (866)803-0879 CUSTOMER ✓ ` O^ 0-! EMAIL CALL SLIP ADDRESS G/ �� `Ti CITY/STATE/ZIP �J ' IJ � � �3 r[�� 1 HOME PHONE O/� n r� ✓� CELL PHONE !i �J WORK PHONE J 7 a OPTION • IO OPTION 2 OPTION SIZE 0 �G� TYPE CAN4r L-,I— %ZECd-•0T�^� TYPE n� IZE�.o 7 TYPE EFFICIENCY ��r s'G� IENCY l� 'C- EF IENCY °I SAP S• �- PA 0 K �i01Y- P . a o e c ,,d $ tf� .o $ $ $ $ $ $ SUBTOTAL $ SUBTOTAL SUBTO AL MONTHLY EST.* $ MONT EST.* $ MO HLY EST.* $ CUSTOMER INITIALS S•iY1 CUS OMER INITIALS C STOMER INITIALS Warranty:**- Parts 1 Labor arranty:*' I Parts Labor Warranty:' Parts Labor Compressor Heat Exchanger I'0 Compressor � Heat Excha er Compressor Heat Exc ger *Subject to credit approval.Financing Provided by Greensky.Fixed interest rate of 6.99%for 60 months.Payment example assumes one-time$7,500 purchase on approval date(APR 7.19%)with 1 payment of$B2.69,5 payments of$43.69,and 54 amortized payments of$162.28.Payments assume Account Activation charge of$39 applies and is due with first required payment.Fxed interest rate of 9.99%for 84 months.Payment example assumes one-time$7,500 purchase on approval date(APR 10.15%)with 1 payment of$101.44,5 payments of$62.44,and 78 amortized payments of$131.11.Payments assume Account Activation charge of$39 applies and is due with first required payment.Fixed interest rate of 9.99%for 120 months.Payment example assumes one-time$7,500 purchase on approval date(APR 10.'11%)with 1 payment of$101.44,5 payments of$62.44,and 114 amortized payments of$102.13.Payments assume Account Activation charge of$39 applies and is due with first required payment.Fixed interest rate of 9.99%for 144 months.Payment example assumes one-time$7,500 purchase on approval date(APR 10.09%)with 1 payment.of$101.44,5 payments of$62.44,and 138 amortized payments of$91.62.Payments assume Account Activation charge of$39 applies and is due with first required payment. . **Unless otherwise noted,all warranties are from the manufacturer. SPECIFICS OF YOUR . SELEOTED OPTION: ❑2 ❑3 'KWeatherproof WReconnect Drain Line ❑Dehumidifier SUBTOTAL $ S , m isconnect Ceiling Saver Kit �utdoor Unit Pad ifetime Equipment Slab (Pan&Float) [I Flue Venting $ Sound Isolation Pads ain Drain Safety Switch uctwork Connections' ❑Liquid Tite Conduit ❑Seal New Connections Connect to existing plenum $ ❑Start Kit ❑Support Attic Equipment ❑Duct Modifications � �� El Refrigerant Refrigerant L.L.Dryer_' Supply Plenum (see Notes for scope of work) T h ❑Refrigerant Pipe rr-11P New Reconnect ❑New Duct System ❑New ❑Reconnect ®Return Plenum I Duct Work ❑RefrigmanLPlif ver !!!��`❑New KIReconnect ElFuel Piping xpansion Val a Electronic Air Cleaner_ ❑Electrical Wiring ❑C CHECK# 19T-stat-T a ❑Media Filter ❑Home Service Plan- YP (J �y �ngg ❑PCO 1 Term(364 days) CREDIT CARD(LAST 4#s) lectrical ❑UV Light ❑New Plywood Deck ❑Humidifier X VAL OUR , . ❑FINANCING* omfort Guarantee ' me Protection Guarantee 24-Hour Service Guarantee 00%Unconditional Money-Back Guarantee NOTES tARS is not responsible for preexisting ductwork.See�Terms and Conditions on the back of this document for details. •Written customer authorization will be obtained before beginning any unforeseen additional or extended work •ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558,FLORIDA STATUTES. •BUYER'S RIGHT TO CANCEL:This is a home solicitation sale,and if you do not want the goods or services,you may cancel this agree- ment by providing written notice to the seller in person,by telegram,or by mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement,the seller may not keep all or part of any cash down payment. See the reverse side hereof for an explanation of this right. •I acknowledge that my right to cancel has been explained to me orally and in writing,and without waiving my right to cancel,I authorize the performance of the work,subject to all terms and conditions set forth on the reverse side hereof,plus any taxes upon completion. Notice To Owner•Do not sign this home improvement contract in blank.You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rights.This home improvement contract may contain a mortgage or otherwise create a lien on your property that uld be foreclosed on if you do not pay.Be sure you understand all provisions of the contract befor In. 6 / w- U MER SIG ATURE D CO PANY REPRESENTATIVE ,7111 CUSTOMER SIGNATURE DATE � /DATE 2019 American Residential Services LLC.All rights reserved. ARS1078_FL_190124 L790124 8278