HomeMy WebLinkAbout20-825 _ a
� H City of Zephyrhilis :P"ERMIT;NUMBER
5335 Eighth Street »,
Zephyrhills, FL 33542 BGR-040825-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 10/01/2020
Permit Type: Building General (Residential)
Property.Number Street Address
14 26 21 0000 00200 0000 4901 Cottage St
"Owner"Information Permit information' Contractor Information.
Name: KEYSTONE WINTERS LLC Permit Type:Building General(Residential) Contractor: CORNERSTONE PROS
Class of Work:HVAC Changeout
Address: 17633 Gunn Hwy 335 Building Valuation:$0.00
ODESSA,FL 33556 Electrical Valuation:$0.00
Phone: (813)371-2991 Mechanical Valuation:$5,000.00
Plumbing Valuation:$0.00
Total Valuation:$5,000.00
Total Fees:$65.00
Amount Paid:$65.00
Date Paid:10/1/2020 1:05:22PM
Project Description
A/C CHANGE OUT PKG UNIT 3 TON
, >
Applicat ion_Fees
Mechanical Permit Fee ►/$65.00
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 subsequent reinspection.
Notice: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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 PE IT OFFICE
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
Phone Contact for Permitting
-
Owners Name 0LACdC;1 Vt- �1 I Owner Phone Number
Owners Address Owner Phone Number 52-0 to_
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT#
SUBDIVISION e }7�1,� �,L/11/t, PARCEL ID# `�'Z����' '002
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED E NEW CONSTR e ADD/ALT = SIGN Q, = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM = OTHER
TYPE OF CONSTRUCTION BLOCKS Q FRAME = STEEL
c DESCRIPTION OF WORK c bkcz z 0,, k
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $ j
6
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
[rJ/(Vt
=GAS ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY �Qt✓Le4
SIGNATURE REGISTERED Y N FEE CURREN LY/N
Address-- _ - - License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
IIIIIIIIIIIIIII11111l-IIIIIIIIIAIl111111111IIIIIIIIIIIIIIIIIIIIfllll
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. (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/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, 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"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.1 3)
OWNER OR AGENT CONTRACTOR
Subscribed and swo to(or affirmed) re meAhIg!2,3i Subscribed and swom to(or affirmed)before me this
by 3is: I by
Who is/arUeersonally known to me or has/have j,i duce Who is/are personally known to me or has/have produced
5 identificatiot.,,,/,: as identification.
I1 O ,I o�ar?P�7bI'c Notary Public
Commission No. 1 F a I Commission No.
Name of Notaryyped printed oL-starliped ,� N ;—' Name of Notary typed,printed or stamped
t C N Cil r
BRENDAM.MCCLELLAN
*_ MY COMMISSION#GG 285215 co
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"- EXPIRES:January 22.2023
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;iota Public Unden+dters�
•rFOFF°� BondedTt�ru Notary
9/24/2020 Cornerstone Pros
Proposed by:Michael Morrow Paul Otlacan
' 4946 Land O Lakes Blvd 4901 cottage st
Land O Lakes,FL 34639 Zephyrhills,FI 33542
Tel:(813)949 4445 Tel:(813)445 4454
p michael@comerstonepros.com
cornerstone pros
A�pCONpmONING•PLUMBING.ELE[Tq���E
- BETTER
Your Investment.
$5,000
MODELS
Daikin Honeywell Included Deductions:
•End of Summer
DP14CH3641 TH621OU2001 Community give back
-T6 Pro ($500.00)
0.1 -Programmable Thermostat 2h/1C 5-1-1 •Managers discount
($95.00)
Net investment after
all available discounts
$5,000
SPECIAL
INCLUSIONS:
Package Materials
5 KW Heater
Single Point Power Kit
12 Year Parts 1 Year
Labor
AHRI Matchup:
AHRI#:6683032
Cooling Capacity:
35600
Heating Capacity:0
SEER:14
EER:12
INCLUDED SERVICES:
• NEW FLOAT SWITCH AND SAFETY DEVICES INSTALLED • PURGING&VACUUMING OF EXISTING REFRIGERANT
• CONNECT TO EXISTING SUPPLY AND RETURN PLENUMS LINES&CHARGE NEW SYSTEM TO MANUFACTURERS
SPECIFICATIONS
&MAKE AIR TIGHT PLENUM TRANSITION
• NEW NEW DIGITAL THERMOSTAT INSTALLED • CONNECT TO EXISTING ELECTRICAL CONNECTIONS
• FULL SYSTEM DIAGNOSIS&START-UP • REMOVE EXISTING EQUIPMENT FROM PREMISES
• REGISTER WARRANTY WITH MANUFACTURER • CLEAN WORK AREA TO CUSTOMERS SATISFACTION
• COUNTY PERMITTING AND INSPECTION INCLUDED-MEET
• PROVIDE HOMEOWNER WITH ALL EQUIPMENT MANUALS ALL CODE REQUIREMENTS
• INSTRUCT HOMEOWNER OF OPERATION OF NEW UNIT . NEW HURRICANE CONCRETE SLAB&HURRICANE TIE
DOWNS
• 24 HOUR RESPONSE TIME WARRANTY SERVICE APPLIES
MONDAY-FRIDAY 8�5 BUDGET SYSTEM AND 7 DAYS A
WEEK 8-8 FOR GOOD,BETTER,BEST.
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