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19-22214
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22214 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22214 Address: 5835 11TH 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: CITY OF ZEPHYRHILLS Est. Value: Parcell Number: 11-26-21-0010-0360-0010 Improv. Cost: 4,500.00 1 OWNER INFORMATION Date Issued: 12/31/2019 Name: ALONSO, HARRY Total Fees: 65.00 Address: 5835 11TH ST Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/31/2019 Pho e: 813-229-5559 Work Desc: A/C CHANGE OUT 3.0 TONS CONTRACTORS APPLICATION FEES DOLPHIN AIR & HEAT INC A/C CHANGEOUT 65.00 Ins ections Re uired DUCTS INSTALLED DUCTS INSULATED 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 eacl� such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe dditional restrictions applicable to this property that may be found in the public records of this county, and there may be:dditional 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 Comm'iolmmencement." ncement may result in your paying twice for improvements to your property. If you intend to obtain Tinacng,consult with your lender or an attorney before recording your notice of Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCC PANCY 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 D 4� ;V ) (, Job:26735400 Page 1 of 9 1111111111111111 Off ce Location: TAMPA Proposal Date 12/23/2019 JJob Number 26735400 ITRANSFORM SR HOME IMPROVEMENT Customer Name PRODUCTS LLC D/B/A SEARS HOME ESTIMATE 1IMPROVEMENT PRODUCTS "CONTRACTOR" HARRY ALONSO P.0 BOX 522290 Customer's Home Phone Customer's Work Phone 1024 FLORIDA CENTRAL PARKWAY (813) 229-5559 AND LONGWOOD,FL 32750-7579 PHONE(800)469-4663 Street Address Contractor License/Registration Number 5835 11TH ST P RO PO AL CRC1332436 CAC18200060 City State I Zip Code ZEPHYRHILLS FL 33542 Is installation within city I'mits? Installation Address County HILLSBOROUGH (Yes/No): YES Billing Address(if different from above) City Stag Zip Code Project Consultant Name&License No.(if applicable) MOHDKHAIR HIRBAWI Description of the Project and Description of the Significant Materials to be Used and Equipment to be installed Interior Products / Exterior Products Home Warranty ❑Vinyl Siding ❑Roofing ✓❑HVAC [:]Kitchen Remodeling ❑Countertop ❑Whole House ❑Coating ❑✓Windows ❑Attic Insulation ❑Cabinet Ref,cing [:]Flooring ❑System ❑Painting [:]Doors ❑Garage Doors ❑Bathroom ❑Appliance SPECIAL INSTRUCTIONS: AC OPENING FOR THE ATTIC IS 29" TWO WINDOWS FOR THE SHED MOLD REMEDIATION: This Estimate and Proposal assumes that no mold reme iation will be needed during installation work. If, upon inspection by the contractor or others, it is learned that mold remediation is necessary then Customer must arrange and pay for such remediation by a qualified person prior to the start or continuation of work. If Customer fails to arrange for necessary mold remediation within thirty(30)days,Contractor may cancel this contract upon written notice to Customer. ASBESTOS ABATEMENT:This Estimate and Proposal assumes that there are no asbestos containing materials("ACMs")that would be disturbed in the performance of the installation work. If upon further inspection by the contractor or o hers it is learned that ACMs have to be disturbed to perform work, then Customer must arrange and pay for abatement of asbestos by a qualified person p for to the start or continuation of work. If Customer fails to arrange for necessary asbestos abatement within thirty(30)days,Contractor may cancel this con ract upon written notice to Customer. The TOTAL PRICE including all labor,material,taxes and any applicable discoun�is $ 19,368.83 Contract Price $ 19,368.83 Earnest Mon y $ 5oo.oo SALES TAX $ 0.00 *INITIAL PAYMENT(Not to exceed 30%of TOTAL PRICE;payment is due prior o OTHER TAX $ 0.00 ordering of product;excludes HVAC in which the INITIAL PAYMENT is 100°/.) $18,868.83 Initial Payment Subtotal $ 19,368.83 FINAL PAYMENT(balance payable upon completion ofjo ) $0.0o Total Amount Due $ 19,368.83 *The Initial Payment is due prior to Contractor ordering products.A Cancellation Fee of 500.00 plus any incurred materials costs,up to 30% up to$ of the Total Price,may be assessed. Financing: The form and method by which the Customer(s)will pay is described in a sIeparate Cash/Credit Card Payment Addendum made a part of and incorporated into this contract by reference. All of the above check boxes(and associated Product Addendum(s)),"Work NOT to begone:","Additional work to be done:","Special Instructions:", "Mold Remediation","Asbestos Abatement,"and"Financing:"sections have been reviewed by and explained to me.Product Addendum(s)is/are made a part of and incorporated into this contract by reference. Customer(s)initials NOTICE TO BUYER:YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT AN�TIME PRIOR TO MIDNIGHT OF THE THIRD(3) BUSINESS DAY, FIVE (5) BUSINESS DAYS IN MARYLAND, (FIVE (5) BUSINESS DAYS IN ALASICA, SEVEN (7) BUSINESS DAYS IN MARYLAND, FIFTEEN(15) BUSINESS DAYS IN NORTH DAKOTA IF YOU ARE 65 OR OLDER) AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. SK1-(Dig.) Rev 10/16/17 Job:26735400 Page 2 of 9 Window Adden um Consultation Info Lead Number: 26735400 Date: 12/23/2019 Sales Rep: MOHDKHAIR HIRBAWI Customer Name: HARRY ALONSO Phone: 8132295559 Address: 5835 11TH ST City: ZEPHYRHILLS State:I FL I Zipcode: 33542 Description of the Project and Description of the Significant Materials to be Used and Equipment to be Installed 1. Remove existing units to be replaced. (PLEASE NOTE: The remov d units are likely to be damaged.) 2. Prepare openings as necessary to receive replacement units. (NO fi ish work other than normal installation is to be done unless otherwise noted below.) 3. Installation includes the clean-up of all job-related debris upon compl tion of the job. 4. (If applicable)After the completion of the project, the customer will b responsible for the application and removal (storage)of shutter panels. In the event that the project requires the ins allation of storm shutters or egress windows, Contractor will not re-install any affected security bars. 5. (If applicable) In the event Contractor is unable for whatever reason t obtain the proper permits prior to the commencement of any work, Contractor will refund any previous payment and this contract will be automatically canceled. Summary of Window Order Addendum(see detailed Window Order Addendum for more information): Type: STORMBEATER Quantity: 12 Type: Quantity: Type: Quantity: Type: Quantity: Type: Quantity: APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE: The work will start approximately 8—12 (Approximate Start Date) It will be substantially completed by approximately 12—19 (Approximate Completion Date) These dates are subject to change at the time the contract is accepted by Contractor o at any other time by mutual written agreement. Customer understands that the Approximate Start Date is only an estimated date and t ie Customer will be contacted prior to this date to schedule the actual start date. The TOTAL PRICE including all labor,material, taxes and any discount is $ 12,260.02 Contract Price $ 12,260.02 Initial Payment(not to exceed 30%of Total $ 12,260.02 0.o 0 0 0.00 Price unless Special Order) St to Sales Tax ( /o)$ Final Payment(balance payable upon completion of job) $ 0.00 Lo al Sales Tax ( 0.0 0 %)$ 0.00 The Initial Payment is due prior to Contractor ordering products. Total Amount Due $ 12,260.02 Job:26735400 Page 3 of 9 Additional work to be done: NA Work NOT to be done: Removal or moving or any walls;flooring, painting, wallpaper work; repairs of water or termite damage to sub-floors or walls; electrical or plumbin g work outside of this kitchen or bath project. NA CONTRACTOR'S LIMITED WARRANTY ON INSTALLATION In addition to any manufacturer warranty extended to you on the product(s)used(which warranty becomes effective the date the merchandise is installed),if the workmanship(or application)of any Contractor arranged installation proves faulty within(i)one year for 5400,(ii)two years for 7700, or(iii)three years for 9900 and Stormbeater,then upon notice from you Contractor will c use such faults to be corrected by repair at no additional cost to you.If Contractor determines that repair is not commercially practicable or canno be timely made,then,at Contractor's sole discretion, Contractor may elect to provide replacement or refund.Service under this Limited Wa anty is available by calling Contractor at 1-800-222- 5030,Option 4.This warranty gives you specific legal rights,and you may also have other rights that vary from State to State. Proposal Code Description Unit of Measure Units W080 Windows. STORMBEATER Per Job 1.00 Warranty 9900 W324 Additional Labor. Wall Build Out(buck frame) Each 4.00 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Depa ent Date Received q g 3 Y°! Phone Contact for Permitti Owner's Name Owner Phone Number Owner's Address 1 S� Owner Phone Number '��' 1 'r/ Owner Phone Number g JOB ADDRESS �'d S J LOT# SUBDIVISION �G�uh Jr 0 PARCEL ID# -OCT/0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN = = DEMOLISH INSTALL L2 REPAIR PROPOSED USE SFR Q Comm 71 OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME �] STEEL = DESCRIPTION OF WORK Equ CS -Z BUILDING SIZE r SO FOOTAGE �j� HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. =PLUMBING $ It 1 MECHANICAL $ ©O VALUATION OF MECH NICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AR A =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LYLN Address 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# MECHANICAL COMPANY I ,Yl Y c Zf �-� SIGNATURE v REGISTERED / N FEE CURREN Address Sqa G ZD �� License# OTHER FCOMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/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 onsiie,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/urge 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 onsi}re,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new proje ts.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. t Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commenicement is required. (A/C upgrades over 500) " Agent(for the contractor)or Power of Attorney(for the owner)would be someone ith 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:Abeds ROW. NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regullations. The undersjgned 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. CONTRACTORVOWNER'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.I `. 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 toithe use of fill: Use of fill is not allowed in Flood Zone liW"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 till 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 maybe 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 periodl�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 ' CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscri ed and sw� to or affirmed)before me this by !X12171q by Sere to r,, A Who is/are personally known tQ me or has/have produced Who is/ Re pers! Ily kn�ovn n to me or has/have produced as identification. L I (� as identification. I Notary Public Notary Public I Commission No. Commission No. V1r,, ,W Name of Notary typed,printed or stamped Name of Notary typed,pnnted or stamped =qi SMALDONADO sion#GG 346275 June 18,2023hruTroyFainlnsurenw800-385.7019 I