HomeMy WebLinkAbout20-22623 CITY OF ZE e PHYRHILLS
5335-8TH STREET
(813)780-0020 22623
BUILDING PERMIT
:.",PERMIT INFORMATION ; 'LOCATION INFORMATION"
Permit Number: 22623 Address: 37630 AARALYN RD
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: EILAND PARK TOWNHOMES
Est. Value: Parcel Number: 03-26-21-0230-00000-0350
Improv. Cost: 4,702.00 OWNER INFORMATION
Date Issued: 3/12/2020 Name: SEMMONS, VIVIEN J
Total Fees: 65.00 Address: 37630 AARALYN ROAD
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542-3222
Date Paid: 3/12/2020 Phone: 813-846-0508
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
LAKESIDE HEATING COOLING & PLUMB A/C CHANGEOUT 65.00
L
Ins ections Required
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 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
CiW Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
dU 11 6w-- 611�
TOR 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 813-780-002i
Building Department
Date Received Phone Contact for Permitting 1(913 )Vqq --9L49q
JE3EX
A ALRAX X 4 X W.A7W I ��-W.
Owner's Name Owner Phone Number
Owner's Address i Owner Phone Number
Fee Simple Titleholder Name F- Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS —1z LOT#
SUBDIVISION PARCEL ID# CS—2-(p—*2-1 MIZZM-
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF--] ADD/ALT SIGN DEMOLISH
INSTALL F-1 REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL
DESCRIPTION OF WORK 1AC, ctm4 a.�— "F-ham S +,,Y-1 Oq S-ee,-
) �4eo�
Q
BUILDING SIZE SQ FOOTAGE HEIGHT
.W- AFJLJUL -gLAL I&L 7�"L�1"L CAA
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING r--
EZ(MECHANICAL 1$ D VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY I I
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YIN FEE CURREN L11 N_J
Address License#
PLUMBER
COMPANY =
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN. I Y/N
Address Lf(Do'l LOA I&Caw -BINA Lbyd 0
License# 1CAC-inn(A
OTHER COMPANY
SIGNATURE F REGISTERED Y/N FEE CURREN LILN_j
Address License#
9.1 I's,44 X-441 1,11".3 94:111.1 14A I a III I tI I W 911 9 SIX I's t-flt S-1-1 214,X Tk If rl
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0--W Pen-nit for new construction,
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Ston-nwater 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&I 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.
S S.S 0%%44%644,1i's S.&S.W's 6644k%%064 Oft.4 S is S S S 6 S S S.00*444— %444 wil*41.0%it
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
It 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/SurveylFootage)
Driveways-Not over Counter if on public roadways-needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-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 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 tie 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—Homeowners 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, WaterNVastewater 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 NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTsas�
Subscribed and sworn to(or affirmed)before me this S�b'sc�'b�ed.a�n�d swora;te,(or affirrr�ed�before me this
by at lobby K—Q'ZC31
Who.is/are personally known to me or has/have produced ho ii/are personally known to me or has/have produced
as identification. as identification.
t
Notary Public Notary Public
Commission No. Co ission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed o t 4• Jacqueline Horruitiner
My Commission GG 232658
for Expires 0712412022
4608 Land 0' Lakes Blvd
Land 0' Lakes, FL 34639
813-444-9474
HEATING, COOLING A PLUM GBIN www.LakesideComfortPros.com
#CAC1818869/#CFC1429720
March 10,2020
Building Department
City of Zephyrhills
5335 8" St.
Zephyrhills, FL 33542
Re: Permit Authorization Letter
I, Ronald lerna do hereby grant permission to the following:
Robert Goldsboroueh Omar Matos
Richard Harrilal Nick Olmedo
to act as my agents in all aspects to obtain a building permit from the City of Zephyrhills.
This will allow my agent to answer any and all questions on my behalf and to sign any and all documents on; however, I
accept full responsibility to ensure that my project meets all zoning and building code compliance.
-3//0/-,w'-o
Ronald F lerna II Date
Owner
STATE OF FLORIDA COUNTY OF Pam The foregoing instrument was acknowledged before me this
SZ�,\_day of 63x , 20-L=� by( Ronald lerna .)
(Seal) i ature of Notary Public
Print,Type/Stamp Name of Notary
Personally known:
OR Produced Identification:
Type of Identification Produced:
TECHN/
- Thank You& We Appreciate Your Business!
g H I t Lakeside Heating,Cooling&Plumbing, Inc.
BBB.
Lakeside Heating, Cooling & INVOICE #4714
SERVICE DATE Mar 12,2020
I Plumbing DUE upon receipt
HEAi1MC+.C80ltNiii AtUMbINCa ::
to:ex%ncCcm....
4608 Land 0 Lakes Blvd„Unit B
Land O'Lakes, FL 34639 AMOUNT DUE $4�7Q2o0Q
Vivien Semmons CONTACT US
37630 Aaralyn Rd (813)444,9474
Zephyrhills, FL 33542 LA jackie@lakesidecomfortpros.com
(813) 846-0508
vsemmonsl 1 @gmail.com
INVOICE
Services amount
Rheem (14 Seer)Vert HP $4,702.00
Standard Package
Vertical Installation of Rheem (3 Ton) (14 Seer) Heat Pump Split system - Includes 10 year Parts
Warranty, 1 year labor warranty, hurricane clips, programmable digital t-stat, 5 kW heat strip with
disconnect,float switch.
Synchrony finance adds$29
Includes removal &disposal of old equipment, permits,taxes&labor
We guarantee a clean quality installation that will meet all code requirements at a fair price.
$4,702
+$29 synchrony added
$4,731 new balance
132 month financing at 9.99%monthly payment is equal to 1.25%of purchase price
Monthly payment$59.14
Total $4,702.00
Thank you and we greatly appreciate your business!
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DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE (FBC ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
Owner: V I U IR-YZ �
Permit#: -2-623
Site Address: F J�(0;�C) �QX03` n 4 2e
Contractor: 1 a s & e- ��►��- ��VYwbir�p
License#: �l>>-9"n U I
Final Inspection Date:
QY UV/�-r
kilt/(Y`G
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 of License Holder