HomeMy WebLinkAbout20-22640 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22640
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION.
Permit Number: 22640 Address: 5845 FOREST LANE
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: FOREST VILLAS
Est. Value: Parcel Number: 10-26-21-0110-00000-0200
Improv. Cost: 7,545.00 OWNER INFORMATION
Date Issued: 3/19/2020 Name: OGLESBY, LISA
Total Fees: 80.00 Address: 5845 FOREST LN
Amount Paid: 80.00 ZEPHYRHILLS FL 33542-3258
Date Paid: 3/19/2020 Phone: 813-708-2153
Work Desc: A/C CHANGE OUT 2.5 TON HP
CONTRACTORS APPLICATION FEES
AND SERVICES A/C CHANGEOUT 80.00
C v"v
DUCTS INSTALLED Ins ections Re uired
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.
i
d16�TRACT-OlkSIGNATURE 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 �7 i Date Received — 2'U! Phone Contact for PermittingQ/ Cr� [ p— / Ll"3 7 r
Owner's Name S,A �s Owner Phone Number o 3 1�s" ��J
Owner's Address V�4 S F�b Q-esi r Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S 1 S _0 S LOT#
SUBDIVISION '��S� \� � PARCEL ID# ' '21, Z O 10l f 1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I B NEW CONSTR e ADD/ALT jc l SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL `Ql{ (gyp
DESCRIPTION OF WORK C A_JCC� e-�C ���v ) ` Seefz
BUILDING SIZE SO FOOTAGE HEIGHT
=BWILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
MECHANICAL $-1 JL(•S VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN Y/'N
Address License# p
MECHANICAL Y �I \ COMPANY �/ e��'Ce_j_J
SIGNATURE 1 , REGISTERED Y/ N FEE CURREN I Y/N
Address V 13 ;U-f' License# I We—
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/Sill 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,Stonmwater 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
.� Y ^iliAl. Yelp
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
I UP BY INSPECTOR
Owner: PS KJ
Permit#: r�iiG �O
Site Address: T:o- e,,P-S+ L
Contractor: S'f' by t G
License#: CA- C 1 o I I
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 of License Holder
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 r. c
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 o
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM CEMENT. o c
6
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FLORIDA JURAT(F.S.117.03) tf c 3
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OWNER OR AGENT CONTRACTOR or� � �
Subscribed and sworn to(or affirmed)before me this S bs abed ands rn o(or affirme b re a this c. •'A
by 2A2�by fL.7 5� a'U) E o
Who is/are personally known to me or has/have produced Wh is/are personally known to me or ha ave produced o a
as identification. as identification. 4 Z U
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Notary Public Notary Public 4°Jc•yob°�
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Commission No. Commission No. my�J�°
Name of Notary typed,printed or stamped Name of Notary lyped,printed or stamped
Tel: 813-445-4818
Tel: 727-495-7474
PROPOSAL 10819 TelTel: 863 226 5588
services www.andservices.com
Air Conditioning Plumbing Electrical contacts-andservices.com
.. CAC 1816819,CFC-1428695,EC-13002594
Customer name: Date:
� :s- x
Street address of job location: City: Ilk FL Zip: TFW
Prima r phone: Other phone: Email:
Factory-matched Heat Pump System ❑ Factory-matched Air Co itioning System ❑ Factory-matched Gas Furnace.System
El # ❑ Premium # Deluxe # _❑ Economy #__
✓ Up to 20 SEER ✓ Up to 16 SEER ✓ Up to 14 SEER I✓ 13 SEER
✓ 10 Year All Part ✓ 10 Year All Part ✓ 10 Year All Part j✓ 10 Year All Part Warranty
✓ Compressor Life Time Warranty ✓ 10 Year Compressor Warranty ✓ 10 Year Compressor Warranty i✓ 5 Year Compressor Warranty
HEALTHY HOME ENVIROMENTOPTIONS Rotobrush duct cleaning Supply& Returns
Whole House Biologic3 UV Sterilization System Stg. ❑ Whole House Biologic3 Electronic Filtrations System
INSIDE YOUR • OUTSIDE YOUR •
��r,
placement ❑ Add-on Air Conditioning/4at/Both eplacement El Add-onAir Conditioning/Heat/Both
Handler/Furnace El Vertical Ld Horizontal at Pu Air Conditioner ❑ Package Unit
ew Digital Thermostat El Non-Program. El 'Program. tons , SEER BTUH
El New Digital Programmable Therm. with Humidity Control �MoCW
❑ Relocate from to ❑ urricane Pad 0 Plastic Pad
❑ ❑ Relocate from to
New Stand: ❑ Metal Custom New safety disconnect switch
/N❑ iltration: ElElPermanent Washable Filter rille ❑ fy�w 100%copper, dehydrated refrigerant piping
ew safety disconnect switch ElSurge Protection Fully insulated suction piping
❑ New wire from breaker panel to equipment ❑ New water tight electrical whip
❑ Vent/Flue: ❑ Complete new ❑Use existing ❑
INSTALLATIONDUCT SYSTEM INCLUDED IN EVERY
❑ Engineered duct system for tons vents ✓ All labor
�ce ❑ Anti-Microbial $ ✓ Obtaining permits(where required)
❑ NON-FIBERG -100% Ru sistant Galvanized Sheet `� New A/C circuit protection Brand=
Metal Duct System. En ving Insulation Included. Existing size is: / Change to: /
❑ Rooms requirin ditional airflow: (�-�'leating and Cooling routine maintenance for years
❑ New p ent to: ✓ Check entire system for safety and efficiency
❑ A r t n vent to: ✓ Shoe covers, mats and drop cloths to be used as necessary�j�p�. ✓ Remove existing equipment from premises
❑ Mastic and seal all leaking joints ✓ Clean up
❑ Duct Sanitizing
TOTAL •
• 24-Hour Fix It or Hotel Guarantee: Unlike most companies,we are a service company.We have a staff of qualified service technicians that
are there to serve you in the unlikely event your system has a problem.So our guarantee to you is that when we arrive,we guarantee that we will
have your system up and running within 24 hours of our arrival or we will put you up in the local Embassy Suites for the night.
• Best Value Guarantee: Anyone can make something cheaper by cutting corners and pricing it for less.So,it's important to know what is and
is not included in any heating and cooling system you choose for your home.Our Best Value Guarantee is our promise to you that you cannot find
a comparable installation for less... or we'll pay you a $50.00 bonus over the difference. All we ask is that it be a"published apples-to-apples"
comparison,within 14 days of purchase,and have the same written installation specifications as AS.
• Installation Workmanship Guarantee: Our installation technicians are the best in skill, attitude and workmanship. They'll care for your
home and complete the job with speed and precision.They wear floor savers,clean up when they are finished and take personal responsibility for
your satisfaction. They will not smoke or swear in your home and they are polite and courteous. If, when they have finished in your home, they
have not performed in accordance with these high standards,we'll refund whatever amount of the purchase price you feel to be fair.All we ask is
that our office be notified of any level of dissatisfaction before the technicians leave the home so that any issues can be addressed accordingly.
• Exclusive "No Lemons" Guarantee: If the Compressor(the heart of your system)in your Air Conditioner fails during the first five years of
ownership we will remove the entire outside unit, rather than the component, and install a completely new one, if you've ever bought a"lemon"
before,you truly appreciate our commitment to your long-term satisfaction.
• No Mold Guarantee: We are so confident in the Biologic3 UV Sterilization&Electronic filtration systems ability to keep your system clean that
we guarantee with proper annual maintenance your system will be mold free for life or we will perform any necessary cleaning to the air handler to
remedy the problem at our expense.
YOUR •
Total Investment $ SC (-) Rebates$ (-) Service Repair Refund$
Net Total Investment After All Discounts Including Power Company&Manufacturer rebates$ -�
This High Efficiency Ho omfort System is av ' with 100% bank financing with no money down for$ er month
(with approved credit).
AS Representative Date of proposal / Z , 70
Customer agrees to provide free access to t e w rk area and a safe working envir enL The above prices,specifications,terms,and conditions are satisfactory and hereby agreed to in full.
I give authorization too ention rk.You are authorized to d e w ecified.Payment will be made as outlined.I understand that you are not responsible for events or delays
beyond'your control. wner agre s dequate fire,storm,and of n essary insu nce.All of our workers/work is covered by Workman's Compensation and a Two Million General Liability
Insurance.If collect' n is necessa agrees to pay all collection sts an rest.
Customer A roval Date: / /
01995 And ServicesTM
INSTR# 2020051335 BIC 10015PG 1944
03/24/2020 01:41pm Page 1 of 1
RcpNOTICE OF COMMENCEMENT DS: : 2140.00 IT:Ree: 10.00
pS; 0.00 IT: 0.00
Permit No. Nikki Alvarez-Sowles, Esq.
Pasco County Clerk & Comptroller
Property Identification No.1�'Z-{o'Z 1 "'8 it�'`fl'7D�o'-aZ�
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
1. Description of property(legal descr' t. n.) 2ae v X OS f-a') 20
a) Street Address: S`3tt S -ey-e S i LA,�K ti„ 1 C S V2
2. General description of improvements
3. Owner Information ,�
a) Name and address:_Li S A Oc��e_S IJ S8` s- /0 e r g f Lo,,.� 2
b) Name and address of fee simple titleholder(if otber than owner)
c) Interest in property ke$Ae,..?G-e-
4. Contractor Information ?
a) Name and address: -I�J �1j�61 C�' r J b I U K/ i&4e'Z- 4-ye 1'-'"p el Z 3(P l`t
b) Telephone No.: 'R13-4 y 5-4 81 -3 Fax No.(Opt.)
S. Surety Information
a) Name and address: U '
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt.)
6. Lender
a) Name and address: v
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served;-
a) Name and address: ►`?I i�r
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address: �► 1
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified): ,eC k 1"1 20 2-1
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTI4106FCOENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
er or Own 's Authorized tcer/Dhtdor/Partner/Manager
Print Name
The foregoing instrument was acknowledged before me this day of /y} C(a 202 U,by L1 S ll Qq IeS1
as O U>�>� (type of authority,e.g.officer,trustee,attorney in fact) or
4 (name of party on behalf of o 74,.,
f was e
L7Personally Known_OR Produced Identification Notary Signature
Type of Identification Produced 1 Z--�� Name(print) ! r f�
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that have read the regoing and that the facts stated
in it are true to the best of my knowledge and belief.
Foiuts/roCX aas
Signature ofNatua!Y Sigring Above
r00-y Pt/e. Notary Public State of Fioritla
Mary V Stewart
tiny Commission GG 002083
�fE'ol fl-�'+e` Expfres 0711612020