HomeMy WebLinkAbout20-22475 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22475
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22475 Address: 37538 NEW HORIZON BLVD LOT 68
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: 34-25-21-0090-00000-0680
Improv. Cost: 4,600.00 OWNER INFORMATION
Date Issued: 2/13/2020 Name: CLAYPOOL, NORMAN & KATHRYN
Total Fees: 65.00 Address: 37538 NEW HORIZONS BLVD
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33541
Date Paid: 2/13/2020 Phone: (813)715-6356
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTORS APPLICATION FEES
CHRIS' A/C COMPANY A/C CHANGEOUT 65.00
Ins ections Required
DUCTS IN TALLED
DUCTSINSULAT
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.
ONTRACTO, SIGNATURE 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-813-780-0021
Building Department
Date Received a .�3, Q a Z) /
r Permitting Phone Contact fo /
Owner's Name Owner Phone Number 8'/2 7/s 63S '6
Owner's Address �/pf Owner Phone Number
Owner Phone Number
JOB ADDRESS p ��/q�/ LOT#
SUBDIVISION PARCEL ID# O d C7 0 O 0 O 06 a
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR R
ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM ® OTHER bo G
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q "
DESCRIPTION OF WORK
BUILDING SIZE F SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C.
=PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt, Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License# L
MECHANICAL COMPANY ' C C O
SIGNATURE REGISTERED N FEE CURREN n /N p
Address o2 oZ US W O License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
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/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. (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 may be subject bu"dmad"restrictions"
' which may bamore restrictive than County regulations. The undersigned assumes responsibilityior compliance with any
applicable deed restrictions. '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor mr
contractors to undertake Work, they may be required to be licensed in accordance'with state and local regulations. If the
contractor is not |ioannad as required by law, both the owner and contractor may bm cited for a misdemeanor violation
under-state law. If the owner or intended
'oon�o�or are uncertain as to what licensing requirements may apply for the
intended xvod«. they are advised tm contact thePasco County Building Inspection Division—Licensing Section sd727'847-
8009' Fudhermora, if the owner has hired a contractor or oontnoctore, 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 boon indication that hmis not properly licensed and ks not entitled to permitting privileges inPasco
County.
TRANSPORTATION UMPACT/UT8LUTXESIMPACT AND RESOURCE RECOVERY FEES: The undersigned undersbyndo
that Transportation Impact Fees and Recourse Recovery Fees may apply bm the construction mfnew buildings, change cf
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-Q7and
90-07. as amended. The undmrm|Qnod�a|eo underotandn, that such fmea, as may be due, will be identified at the time of
permitting. & is further understood that,Transportation Impact Fees and Resource Recovery Fees must be paid prior bm
receiving a "certificate of occupancy" mr final power release. If the project doemnrtinvo|veamertMDoatemfoocuponoyor
final power ne|aema, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVmtmr/Smvwyr Impact
faoe are due,they must be paid prior ho permit issuance in accordance with applicablePasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, asenuended): |f valuation mf work im $2.GOO.UO or' more, |
certify that L the spplicmnt, have been provided with o copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant insomeone
other than the'ovvnor"' | certify that| have obtained a copy cfthe above described document andppmmn|oein good faith to
deliver itto the^mmnmr"prior hmcommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done /n compliance with all applicable |snwm regulating construction, zoning and land development.- Application As
hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to |aouonne of permit and that all work will be performed to meet standards of all |ovxn regulating
conatnu«timn. County and City codmm, zoning regulations, and land development regulations in the jurisdiction, | also
certify that I understand that the regulations of other government agencies may apply bo the intended work, and that itis
nmyromponn�bUUvho|dent�/vvhatac� com
pliance. ��uohagencies imdudebut are not UrnNodto:
- Department ofEnvironmental Protection-Cypress Bayhoada, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Boyhaadm, Wetland Aneoo. /\|behnQ
Watercourses.
- Army Corps of Engineers-Seawa|ls. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental 'Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- UG Environmental Protection Agency-Asbestos abatement. .
- Federal Aviation Audhohb+Runxa0s.
| understand that the following restrictions apply to the use of fill: .
- Use of fill im not allowed |n Flood Zone^V~unless expressly permitted.
- If the fill material is to be used in Flood Zone ^A", it is understood that o drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bv the State ofFlorida.
- If the fill material is to be used in Flood Zone ^A^ in connection with o permitted building using stem vmaU
construction, /certify that fill will be used only b»fill the area within the stem wall.
- If fill material is to he used in any area, | certify that use of such fill will not adversely affect mcUaoe,t
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 epp||catmn, for lots 7eao than one U\
acre which are elevated by fill, on engineered drainage plan iorequired.
If| emnthe 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 pmnni1 may be required for electrical nvork,
plumbing, signs, vvaUs, pmo|e, air cond|UoninQ, gos, or other installations not specifically included in the application. A
permit iemumd ohmU be construed bo'be a license to proceed with the work and not as authority to vim|atg, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless thiix�ork 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 vvhting, from the Building Official form period not to exceed ninety (80) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
-- WARNING-T-0'1101WWR:�������������� ��UB���������
PAYUN��T�CE F�� IMPROVEMENTS N LTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
CONTRACTO
OWNER OR AGENT V,�4,
Subscribed and sworn to(or affirmed)before me thW Subscribed and sworn to
(or affirrned)before MW this
Who islare personally known to me or has/have produced Who IMpersITIly know 6meorhas/ha produced
as identification. as idv ritification.
—Notary Public NZ-7 Notary Public
Commission No. Commission No.
CHRIS' A/C
•e e ,
C O M P A N Y HVAC
CAC068576 /EC13007703 PROPOSAL
12232 HWY 301 DADE CITY (352)521-4977 "NOW PROVIDING"
DADE CITY, FL 33525 ZEPHYRHILLS(813)779-9515 "ELECTRICAL SERVICES"
NAME: Norman And Kathryn Claypool Date: 01/14/20 SPLIT SYSTEM I I jPKG;UNIT I XX
SUBDIVISION: Grand Horizons TPUMP 0 STR.COOL
ADDRESS: 37538 New Horizon Blvd- ``'
a
CITY: Zephyrhills, FL ZIP CODE: 33541 oNDENs : 4TCA4048A OA
PHONE: 813-715-6356 WORK: IR HANDLER: O
CELL: RENTER: EER RATING: EATER: 15KW
ESTIMATOR: Matt Bulmer. BRAND:
45 TOTAL
PROGRAMMABLE THERMOSTAT INSTANT R . ATE : $
PAD TOTAL L S REBATE $ a c�
SEAL DUCTWORK TO CODE ON GE: 4 PARTS: IM
REMOVE EXISTING EQUIPMENT O PRESS YR LABOR: 1
CONNECTED TO EXISTING DUCTS AND ELECTRIC ' '
"`:..L,.�' l:• - Y' _,h y"2`t�".`;..- ...ta:':Vic:..
ANCHOR CONDENSER C DENSER: 4TCC4048A1
TAX,LABOR AND PERMIT IR HANDLER: 0
#4 copper EER RATING: 14 HEATER: 15KW
Cuttler Hamer BR BRAND: TRANS
Regular Duct Cover $
INSTANT REBATE : $ $#
OTAL LESS REBATE $ (yam
ONNAGE: 4 PARTS: 10 YR
COMPRESSOR: 10 YR LABOR: 1 YR
- �: 2;r -.-,.. - tip. _ ,;,:y^z-.a-• - •..M•`r G' tr
ONDE ##
IR HANDLER: #NSA
INCLUDES FIRST MAINTENANCE CHECK a EER RATING: ## HEATER: #N/A
BRAND: #NIA
$ #NIA
;.•:five=, - r"i.':h-',e c.s%'�-"'a w"�:.u:��1r.r - _`-.;-....:. _ ... -�.3.Y;:.���rt>' ?.-=
• � ,�,,�.,,:,.T��•. 'rt'•, - �.,_:.-,,•,. INSTANT REBATE $ #Nl/4„•arc,..�i,'=vfi4a",:�t�;vG>f'??,;:.x-vl-��,o;�K"'f'""�F�t�� -'�`�''.r:.g,ras:. .4:,.a°,ar.;
:?•. .N::�...,,. . +' ....:1:-.%5 =.ri^�:_ ..rY. L•:Sit.. e::iC.z 5ti't .t•^
I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE I AGREE THAT SELLER OTAL LESS REBATE $ #N/A
RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT ONNAGE: #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.
»P OiMOTib
S� 1:3.x.r.`•.. ,
,.... ti?. i' .;�i:..M.e'3�:°.<
(•0!!6#=OR x°11o1Tli$ '._:I (WAC)
CUSTOMER SIGNATURE DATE: =K.I11�NTL•IBPtTE> :
4
11 I
f
• Tyr
DUCT CERTIFICATION FOR INSTALLATION OF NEW`DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE(FBC ENERGY,SECTION403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR j
Owner: c� Clv
Permit#: �
Site Address: �3'7�3f3 Al,,, ,d fegel Z/V
Contractor: Ch i2iS ��C
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.
Name of License Holder(print or type) Signature ense Holder