HomeMy WebLinkAbout20-22570 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22570
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22570 Address: 6125 10TH 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: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00200-0340
Improv. Cost: 11,800.00 OWNER INFORMATION
Date Issued: 3/03/2020 Name: HERNANDEZ ANGEL ALFONSO & REBE
Total Fees: 145.00 Address: 6125 10TH ST
Amount Paid: 145.00 ZEPHYRHILLS, FL. 33542-3523
Date Paid: 3/03/2020 Phone: (813)715-7420
Work Desc: A/C CHANGE OUT 3 TON /W ELECTRIC
CONTRACTORS APPLICATION FEES
ARS RESCUE ROOTER A/C CHANGEOUT 100.00
ARS RESCUE ROOTER ELECTRICAL FEE 45.00
DUCTS INSTALLED Ins ections Required
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
MARCH 16,2019
To.CITY OFZEPHYRHILLS
Re:22S70
Regarding permit#22570 at property address,6125107e ST.Please cancel this permit,
Per Homeowner cancelled installation.Customer canceled and unit was not installed.
Sincerely,
CMC12497S3
STATE OF FLORIDA
COUNTY OF
The foregoing Instrument was acknowledged before me this . , day of t�A�t'�rl.. by
2nneS aCo Who Is Personally Known OR Produced I t tication—Type of
Identiflcation Produced.
NECMRRAMOs
;.. :.; W COMMISSION U GG 325W
EXPIRMAp6119.2023
'y:FdF M1o.-- E ThU NOmry PuEGc UlbdWrkera
(Print.Type.or Stamp Commissioned Name of Notary Public)
Any questions please email kmrba&Menm@arr.com.or direct phone number 727.497-4973.
ARS/Reswe Rooter
3340 N.Scherer Dr.Su:A&B St.Petersburg,FL 33716 Fax:(727)581-3058 Phone:(727)497-4976
Ucense#Amerlcan Residential Services of Florida,Inc.CMC1249753,CFC1428283
si3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
Owner's Name eC� � 2 II
Owner Phone Number 1 3— 17 r 133
Owner's Address (�S 1IJ�V S"I - (/-S L J "►� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID# — W60 —W2 W— ON v
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR V J ADD/ALT Q SIGN Q MOVE DEMOLISH
INSTALL 0 REPAIR
PROPOSED USE _ SFR = COMM = OTHER
TYPE OF CONSTRUCTION (' BLOCK !� = FRAME = ST/EEL = OTHER
DESCRIPTION OF WORK c�� I (, UiJ —0 �� e 0 / fi �') dc2s ell
BUILDING SIZE SQ FOOTAGE HEIGHT
= BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
= PLUMBING $
= MECHANICAL $ f 9 VALUATION OF MECHANICAL INSTALLATION
= GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS (� FLOOD ZONE AREA =YES =NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address F 1 License# F
MECHANICAL / � ' COMPANY &fee. Ar(' Con(,(i (00 °n
SIGNATURE REGISTERED Y/ N FEE CURRENT I Y ,N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
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$5000)
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 (Front of Application Only)
Reroofs 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;o'r exp`ahsion of ezistirig-buildings;as-specified`ih"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 AgLculture_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 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 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 YOUR NOTIG F COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) _
OWNER OR AGENT k�L--- CONTRACTOR
- �We�
31 ub cubed and sworn to(Qraffirmed)before me this Subscribed and sworn t (or affirm )before me t is
by �/l C- �(/1 d by
Who is/are personally known to me or has/have produced Who is/are personally n wn to me o has/have produced
as identification. as identification.
Notary Public Notary Public
Commi ion N Commission No.
Name of ary typed,printed or stamped Name of Notary typed,printed or stamped
M
Notary Public State of Florida
Sabrina Sherd My Commission FF 978997
Expires 04/05/2020
-- ACE=R
Replacement Agreement - -
Client Name Becky and Anqel Hernandez Date 03/02/2020 Phone# 8133171336
Address 61251 Oth Street, Zephyrhills FL 33542 Email lamba855(a�yahoo.com
®Best System ❑ Better System.E] Good System ❑ Base Systellt 3 TON R 16 SEER single „ ;Stage
[]Air,Conditioner, ✓❑Heat Pump❑PackageUnit❑Gas Furnace R]A/H ❑✓ Vertical, ❑Horizontal,
I - ,
SYSTEM INSTALLATION INCLUDES ;
" ✓ :All labor ✓ 4" Hurricane'Slab arid Anchors
;.: ✓ All required,permits, ✓Charge to,Manufacturers Specifications.
✓ ACCA,load calculations per code ✓Replace All Visible Drainline
' ✓ .Removal and proper.disposal of equipment: Inspection Date:3111{20
7 Reconnect to Existing.Duct]✓ Float Safety Q Flush Refrigerant Lines ❑.New 100.CFM Supply.;,
I " ❑Attic Light/Receptacle,: Q New Plenums -- Q New Copper Line Set ❑New 150 CFM Supply,
Disconnect&Whip []FEMA Set ❑✓ Use.Existing,Electrioal ❑"New 500 CFM.Return',
ZSensi WIFI T-Stat ❑.Horizontal Kit Q New Wire-to Conde ❑New 250 CFM Return
El
El El'
Indoor Air Quality Options
Air Cleaner
✓❑Single UVC � : ❑ Dual UCV Oxidizer
M_, ❑ ❑ r
MANUFACTURER WARRANTY(Under terms of warranty,routine scheduled service must be performed on systems)
_1.2 Years on parts J_Years on labor J 2__Years on compressor
ACRES GUARANTEES (All Guarantees are explained on the reverse side of this agreement)
*Total,Comfort.: *Total Replacement *$250 No-Frustration. *Service Anytime" *Property:Pirotection?_
Code Compliance:Our work will comply with all existing local.codes, ;
,, 9
Drug Free:Your work will be performed by our professional,highly trained and drug-free employees. - I
System Investment $ 7,412.00
Accessories $
Other $
Total Amount $ 7,412.00
Estimated After Eligible Rebates%Tax Credits of$ _ is$ 7:4°12:00
r ..-...Final investment_._. 3
Not included-Materials in excess to those outlined above as well as any drywall and wood work if there is no accessible
space for installation.
ACCEPT E-DELIVERY:I agree that you can provide me with electronic copies of the contract,including the Special Terms and APR Information,that I sign on this device,and
all accompanying paperwork and documents related to this contract,by email at the email address I have provided and verified above.If I want to receive paper copies of
my signed contract and accompanying paperwork at my home,I can request such copies at no charge by sending an email to Customercare@acreeair.com.
Terms
INSTALLATION IS COMPLETE AT START-UP AND ALL FINANCIAL PAPERWORK AND COD PAYMENT RENDERED AT THAT TIME. Price includes all coupons and discounts
unless otherwise noted.Buyer hereby declares that buyer holds title to property In which merchandise is being installed and has legal authority to order the work outlined.Buyer and seller agree that any
controversy or claim arising out of or relating to this agreement,or performance of It,shall be settled by binding arbitration,except that seller reserves the right to sue buyer In a court of law for any amount due them from
the buyer,with all other matters Including defense to payment being resolved by arbitration. Such arbitration will be conducted in accordance with the arbitration rules,then in force of the American Arbitration
Association.The arbitration award cannot exceed the amount of the agreement and will be final and binding on both parties.Judgment upon such arbitration award may be entered in any court of
competent jurisdiction.Each party bears its own costs for arbitration,Including attorney fees.
Buyer agrees to have city or county inspection within 14 days of install.
Payment Terms:®Financed GreenSky Plan # Intrest Rate _ ❑Credit Card Q)Check 50%Down 50%Upon Start Up.
Months Estimated Payment$
Acceptance(Client) a,)AI A _` Acceptance (Company)
813ae0-0020 City-of Zephyrhilis Permit Application. - Fax-e13ae0-0021
Building Deparlinent
Date Received P a
Hone Contact for.Permltting ' '�2
i �t�t.9aaRiE tt� � ett 2
Owner's Name 111 Z. 2n/ Owner Phone Number �L7;. 31�-� 133 ::
Owner's Address 2 �Q t►v f39/2 Owner Phone Number.
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address CL
JOB ADDRESS
LOT
SUBDIVISION �' 1 sOk_ PARCEL ID# .02".Z4'Z Ya
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONs7R_ ADD/ALT Q. SIGN-- Q. _ . Q DEMOLISH
B INSTALL REPAIR' "
PROPOSED USE Q SFR COMM OTHER
0 0'
TYPE OF CONSTRUCTION.- 0' BLOCK 0. FRAME _. STEEL
DESCRIPTION OF WORK
BUILDING SIZE . SQ FOOTAGE HEIGHT
=BUILDING' : $ ' '" VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ .�DO AMP SERVICE.' - . '; . 0 PROGRESS ENERGY-._ 'W.R.E.C. -
=PLUMBING $
�ME CHANICAL $' - VALUATION OF MECHANICAL INSTALLATION '
00
=GAS ROOFING_ I] SPECIALTY 0 OTHER .
FINISHED FLOOR ELEVATIONS : - .-' FLOOD ZONE AREA =YES 'NO
BUILDER. COMPANY
SIGNATURE REGISTERED " ,Y/N FEE CURREN
Address A Lice nse.# =
ELECTRICIAN COMPANY h✓.
SIGNATURE n' t'O REGISTERED Y/N -FEE CURREN' Y/N
Address W' Felt 337I(v License
PLUMBER'. COMPANY. ..
. . SIGNATURE' -" .. - .. . .REGISTERED" Y/N 'FEE CURREN
Address. Licensed'. r
MECHANICAL COMPANY �lN. + .
. SIGNATURE • ' : REGISTERED Y/N FEE CURREN. Y!N
-71 Address' License# �..Z 'o.
OTHER ;. COMPANY '
SIGNATURE Y/N -FEE CURREN YIN-1
Address License#
l,111Lttl!! Id[[[[l.It.i[it't[[!![II't[[[a.[!!"[!lt[lt![! Cl[[[[.[![[[![_[t![[1 •' _
RESIDENTIAL 'Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R=0-W Permit for new construction,.
Minimum ten(10)working days after submittal.date.Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed,.
Sanitary Facilities A 1 dumpstervSlte Work Permit for subdivisionsllarge 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 to (10)working days after submittal date.Required onsite,Construction Plans,Stonnwater.Plans w/Sift Fence installed,' .
Senile Facilities.&J.dum'ster..Site:Wark Pernitfocall new,projects;All commercial requirements must meet compliance
P".
P` O f Engineeied Plans."..._. .- _. _;,n
PROPERTY
SIGN PERMIT ttach 2 sets°,SURVtY required for all NEW,%construction,
Directions:
i,
Fill out application completely;
Owner&Contractor sign'tiack of'applicetlon,•no_farized:=. ,It over'$2500;a Notice of Commencement Is requlred:'(A/C-upgradea'o'ver$7600)
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)
•
Remofs'if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if.on public roadways:.needs ROW
813-7e0-00z0 City of.Zephyrhills'Permit Application Faz-813-780-0021
Building Department
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 contractors)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.Itis 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/OWNERS AFFIDAVIT:I certify that all the inforoation,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 constriction,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,WaterM/astewater Treatment.
Southwest' Florida Water'Management .District-Wells, Cypress. Bayheads,_ Wetland Areas, Altering,
Watercourses:
- Army Corps of.Engineers-Seawalls,Docks,Navigable.Waterways.
Department.of Health &Rehabil itative Services/Environmental Health Unit-W.0% Wastewater Treatment,
Septic Tanks.,
- US Environmental Protection Agency-Asbestos abatement.
- Federal.Aviation'Authodty-Runways.
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 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 InI this affidavit prior to
commencing construction.I understand that a separate permit may be required for electrical work,'plumbing,signs;yells;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.
EM YOUR LENDER OR AN ATTORNEY BEFQR��ECOR�l� U11 NOTICE OF CQMMENCEMENT.
FLORIDA JURAT(F.S.117.03)'
OWNER OR AGENT CONTRAC716R
!r
Subscribed and swom to(or affirmed)before me this Sugb 'bed an m to or a cane befo
by. 202 by
Who isfare personally known to me or has/have produced o rslare pe nr,alrs� I�v k�n�`to me or hash produced
as identification. as idenfification.
Notary Public Notary Public -
Commission No. Col !as!
Name of Notary typed,printed or stamped ame o o pact,pooled or stamped
pip.
HECTOR RAMOS.
MY COMMISSION#GG 32M
g r 'd EXPIRES:April'l9,'2023
. . _ �'•.;;of F; "' Bonded Thru Notary Public Undwmlters
Installation,Wkirk.OMer Est start n$:e °
/ ,. Est:Completion Dat .
..• • \ 027)588-4206 or{813) 282=3737. '
.Scherer Drive;Surfes A&B, 33716' Corporate Customer:
3340 'St Pete(sbur
along it:right:, , . .. 9,.FL
IVlaking It work.M. . American Residential Seivlces of Florida;the censoA CMC•1249753 Relations
CUSTOMER-
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FC1428283 EC13406558
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79
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"HOME PHONE .- p t / -
... CELL:PHONE,CJI.3�'_.'31�-133t7•, WORK PHONE.-
OPTION I
OPTION 2 OPTION 3
- . _
SIZE 1�TYPE SI , '�T�)v'L.TYPE ' SInE TYPE
EFFICIENCY EFFIC CY / EFFICI CY �JL�
so;
$. - _ - $
SUBTOTAL.
: .. MONTHLY EST.'. $' :MO LY EST..' ;$,v• :.:, MO
..
:CUSTOMER INITIALS ;,. OMER iN(TiALS.: CU TOMER-INITIALS.
Warran _�.Q_Parts Labor Warranty - �Parts _—�Labor• Wet rarity .�(�Parts Labor
:. rN. _
� mpressor-;Heat Exchangeir. Compressor -' Heat.Ezctianger :�.Compressoc t heat Exchanger.
'Financing for GreenSkyt�'consumer loan.programs is provided byr federatty iihsured,:equal opportunity tender banks NMLS#t14f6362.Subject tacredit approval.
Payment examples assume:onetime$7,500 purchase o'approval date grid aih Account Activation charge of$39 applies and is due with first required pay.m6hL
Fixed interest rate of 6.994b,for,60,mmths'(APR.7.16451 with 1-payment of$18247 followed by 6 amortized payments of$146.47 Fixed interest rate of e.99%for,
84 months(APR 10.12%)'whh 1 payment of$163,47 followed by 83 emorfkW paymiie is of$124.47.'Fixed interest'rate of 9.9:9%for 120 inonths(APR 10.114) '
whit 1 payment of$138.07 fopewed by 11 g.amadized payments of$99.07.Feed interest rate of 9.9946 for 144 months(APR i W bo;6).with T payment of$128.69 '
followed by 143 amortized payments
otherwtse dotedi all warranties are from the manufacturer.
.
SPECIFICS OF • • • 8ELECTED,OPT(ONi" t Q2
w(Weatherproof Reconnect Drain Line :.: '0 Dehumidifier. '9
i't'. . . � SUBTOTAL'` •. $: -`�,.��'
Disconnect C7 Ceiling Saver Ktt a�Outdoor unit Pad ' -
p Lifetime Equipment Slab {Pan•&Float) O Flue Venting = '
$. .i.: -
(Sound Isolation Pads J$i Main Drain Safoty Switch., IN Ductwork Cpnneciionsti
Liquid The Conduit': . ❑Seal New Connections J21 Connect to existing plenum $- "
E7 Start-Kit 0 Support Attic Equipment, ; ❑Duc Modifications
I+ , ,
! (Refrigerant L I_Dryer_ 1 Supply Plenum: (see Flores torseope of wodJ ' TOTAL / $ f
J4 Refrigerant Pipe ❑New.IV Reconnect El Now.Duct System, .=
E7 New' J�Reconnect: :,p Return Plenum 1$No Duct Work -
Refri avant Pipe,CoverPAYMENT
Ct New. E7 Reconnect C]Fuel.F'i:in _
9 P pg..
❑Expansion Valve Electronic A'v Cteaner�C P Electrical Wring O CASH: 13 CH CK#
0 T star=Type�❑Media:Fitter'. ` E]Home 8dN1c'a Plan—
r, ...
V'*���.')�e'. llU�r
J24 Connect to Existing E�PCO !.Term'(364 days):• OCREDIl CARD{LAST 4#s) '
Electrical UV Light:' wf!'.ertitis+vf `.
:J� Reptur'' U" f.'
:. ❑New Plywood Deck :b Humidifier' O EX Q� APPROVAL-'-.
P,i-_i,
OUR GUARANTEES
O FJaIAfyCING- .
Comfort Guarantee, ' : JHorne Protection Guarantee
24-Hour Service.Guarantee f 00%Unconditional Money-Back Guarantee
NOTES
Tess .. {i{l�� iYrk-r`rr''G�U.
'ARS is not responsibleior`preeitisting ductwork Sea Terms and Conditions on the back of this document for details,' '
•.Written customer authorkation'will be obtained before beginning any unforeseen additional or:extended work.'
ANY CLAIMS FOR CONSTRUCTION.DEFECTS ARE SUBJECT IO THE NOTICEAND CURE PROVISIONSOF CHAPTER 558,FLORiDA STATUTES.
. "
•BUYER'S RIGHT TO CANCEL:This Ise home sollcitation sale,and if. oa.do not want the goods or services,you may cancel thisagree•
y
meni byprolrlding written notice to.the seller,in person;by telegram,or by mall:This notice mustindigte that you do not want the goods" :-
.or.services and,must be.delivered or postmarked before midnight.of the third btisfnbss:day after you,sign.this.agreemenL'If you cimcel -
-this agreembrit,the selier may not keep.all or part of any cash down'payment tee:the reverse side hereof for an explanation of thls rtgbt-
•I acknowledge that my right to cancel has been explained to me cially end inwritirigi and without waiving my right to cancel,!authorize the,performance of .
the work,subiect to all terms and conditions set forth on tha.ieverse side hereof,plus anytaxes uponcomplefion.
Notice To Owner:Do not sign home IMMOVement contract in blank.You are entitledto a:copy'of the contract at the time you sign. :
Keep it to protectyour iegaPrlgiits.l his:hatna,improvementcontract vita contain a.i iort age or otherwise create a lien on your pro
perty
that could,6e foreclosed on if you tlo noCpay.Be sure you understand all provisions of the contra ore yoti sign.
IP
GUST ER IG(#ATUR C.�Gp` r iZ� y .y
-'emu" - :.DATE:•,; MPA
CM10MER SIGNATURE ,DATE, i} .
0 2020 American Residential services LLC.All rights reserved.
— ARS1078.1:t.�;Rev240130 L200t30'
r .
;OATEN, '
American Fiesidentiaf Servick of Florida.Inc,*
A. . .
N(aking itw�rk�.
M.
king .
3340 Scherer Drive Suite'A A .
St. Petersburg; FL 3371640131
To:;City of Zephyrhills
I;Dennis Zacek,license,holder.for ARS Rescue Rooter"license number.CMC 1249753,grant Christopher.Carroll and: .
NoverAstfanous permission to pick up'and pull permits,''also.act as full authorized agent on my behalf .
Thank.you,
County o
,State of-, f ® u�
The fore goinginstrumenf was acknowledged,before me this.3' :. day of. MAr 20 Zy by
tat ,who is personally known to me or who has produced' .
as identification.:
Sig re of Notary.Public
SYp; =RAM0,1 "MY25564';` 23' ce BOndaCi1S?l m - .
American Resiaenlial Services of Ftorids,Inc..
`'.
rk Making it right:
Making it.wo. .
3340 Scherer Drive Suite A
St. Petersburg, fL 337164013
To: City of Zephyrhills
I,Joseph Frick,license holder for ARS Rescue Rooter license number.EC13008558;grant Christopher Carroll.and
Nover Astfanous permission to pick up and pull permits,also act as full authorized agent on my.behalf.
Thank you,
Stake of: 1 or, . County Of.. Ni< co
The foregoing instrument was acknowledged before me this. 3fd .. day of. ,/V ch . . .20 Zy by
who is personally l town to me or whoU las produced
as identification.
Sig a otary.Public
iv
HECTOR
R A#W G G S
WCOMMISSIO
2-
EXPIRES.Aprl 19,2 W
3 WThruNAYMkUM3 2w.
5 5fiM o 6
-� On Time
Every Tnme! Tampa, Florida 33619-1136
• 50424
www.weropen.com
March 11,2020
I,Victor Trino, hereby authorize the following to sign for and acquire permits and licenses using my State
of Florida License No. CAC050424:
Michael Trino DL#T650-550-67-332-0
Darrell Webster DL#W123-163-84-026-0
Chantz Renner DL#R560-104-89-421-0
Anthony Kell DL#K400-013-88-343-0
Dakota Renner DL#D-560-170-91-371-0
Dylan Nisse DL#N200-170-99-043-0
Devin Hall DL#H400-173-92-454-0
John Phillips DL#P412-463-89-099-0
Skyler Owens DL#0520-784-93-270-0
Cesar Ortiz DL#0632-101-93-304-0
Noel Ortiz DL#0632-623-95-212-0
Norbert Perez DL#P620-634-87-470-0
Jahn Gonzalez DL#G524-423-97-267-0
This should supersede any other letter of authorization.
if you should
`have
�any questions, please feel free to contact me at(813) 620-1666.
V .--- 1
Victor Trino
Acree Air Conditioning, Inc.
Lic:CAC050424
City of "` h�fKA15a
This foregoing instrument was acknowledged before me this 1 day of 2020.
By V �� l 1 who is personally known to me. ri-A
Not ry Signature
My Commission expires W-Z'0
SEAL
Service Anytime I lam - 11 pm, 7 Days a Week I No Overtime Charges...EVER!
Pinellas 727447-0508 • Tampa 813-620-1666 • Polk 863-683-3437 • Toll Free 1-800-783-8154/ 1-800-WE-R-OPEN