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ILUfitUn City Of ZephyrhillS PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000110-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 05/20/2020
Permit Type: Building General (Residential)
Property Number Street Address
34 25 210100 00000 0210 37515 Laurel Hammock Drive
Owner Information Permit Information Contractor Information
Name: EDWIN&ELBA AGUAYO Permit Type:Building General(Residential) Contractor: CHRIS'A/C COMPANY
Class of Work:HVAC Changeout
Address: 37515 Laurel Hammock Dr Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (646)831-8290 Mechanical Valuation:$6,150.35
Plumbing Valuation:$0.00
Total Valuation:$6,150.35 L 1 l LLL Y
Total Fees:$70.75
Amount Paid:$70.75
Date Paid:5/20/2020 3:38:50PM
Project Description
A/C CHARGE 3.5 TON
Application Fees
Mechanical Permit Fee $70.75
REINSPECTION FEES: (c)With respect to Remspection 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.
CO RACTOR 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 �.
r Phone Contact for Permitting /— $/
Owner's Name C�w7_C '�- Owner Phone Number to 4 z
Owner's Address T s/ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 37SI.S- LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL e REPAIR
PROPOSED USE = SFR 0 COMM OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME g0STEEL
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
ffi
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION T J(D
�.�
=GAS Q ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 1L'Y
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 IC
SIGNATURE REGISTERED N FEE CURREN N 67
Address ! License# Q�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
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&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.
"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 thd 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 1, 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 respons'ibility to identify what actions,l 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,WaterMastewater 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.'T-Anks. .
- US:Envlronmental Protection Agency-Asbestos abatement.
- Feder6f.Aviation Authority-Runways.
I understand that''th6f6llowing restrictions apply to the use of fill:
Use,of III 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
license'd'by.,tlhe State of Florida.
lf,,the-fill[,�rhaterial 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:.materiil:]s to be used in any area, I certify that use of such fill will not adversely affect adjacent
propetties.:"lf'use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the.-conditions " �theibdilding permit issued.under the attached permit application, for lots less than one (1)
,
acre Which are elevated-,by fill, an engineered drainageplan is required.
If I am the A0ENT'FOk'.THEr OWNER, I promise in good faith to inform the owner of the permitting conditions set forth.in
this affidavit prldrito comrrfendinig construction. I understand that-a separate permit may be required for electrical work,
air conditioning, gas, or other installations not specifically included in th'
plumbing,signs, wells- pools, c
' e 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 asidI6,ainy 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-PROPER-T-Y.--IF YOU-INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR-LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI OF dOKWENCEMEN
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
I by by
Who is/are personally known to me or has/have produced Who islare personally known to me or has/have proc9ced
as identification. as Identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
--.: �'
HVAC
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DADS UM FL 33525 ZEPHYRMI..L S.(8i3)779-951.5 � "EM'�[CtICt4L SE�2YJGES"',= .. �
Ai?E: CMriiiAgtiayo. G } Date: 03127120 . - S
H- .- _
ADOP.,ESs 376:15 L6ur6Hammock Cyr.
CITY: 2ephyritills,El 33,541
PHC0NE: 64"31'4290 WORK 1R Iiiki�lE3L=R A}�4�t�' .
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SEAL DUCTWORK TO.CODE :3Rf12dk7; TWE:XR'
REMOVE EXiS'TENG-EQU P'M* Af1 :.
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C O M P A N Y
On Friday, August 7, 2020 received pictures & affidavit for Mechanical HVAC change out
inspection for Permit#BGR-000110-2020, 37515 Laurel Hammock , Zephyrhills.
Drop off location: City of Zephyrhills
5335 Eighth St.
Zephyrhills, FL 33542
Phone: (813) 780-0020
Received by:
10235 US HWY 301, Dade City,33525, (352) 521-4977, (813) 779-9515
D.UCPCERTIFICATIO, FOR_INSTALLATION-OF:NEW-DUCT WORK_OR-MODIFICATION-`OFT E EXISTING
DUCT. EM
FLORIDA,ENERGEY CONSERVATION CODE(FBC ENERGY;SECTION 403);TO:BE:LEFT.ONSITE:ANDPKKED .
:UR.BY;INSPECTOR
Owner: lyt a-. u
Remit'#:.
Site:Address: :3.7, /S �LC(0!`�/_. � C,rrt.rr►Q' ' . .: :'bQ.'
Contractor:
,. !� a,•�
license;#:.:. Ata 'J�
.,Finalanspection_Date:.
I-certify,thata'have: 6stfled-new0r:modified;the.existtngd-pawork:associated:with:-,the:H, AC:system:.
Y ,. . . .
referenced by-the perm'it�listed:above ind,fodnd i complies with the requirements FBC E.,ergy Code; ,•
Section 463.3.Where.modified,the existing ducEs_have beemsealed using reinforced-mast c or code=.
d
:.approved,equivalent::D,ucts.are,located.within conditioned.space(Section 403;.3)System N jss-testecl.-as '
per FBC'Energy;code,section 403.3.2:1.A11 new duct wo- it to.comply''with�FBC.Energy 40 2 and FBC;
Mechanical,chapter 6.
I .
Name:of License:Hotder,(print;or_type) Signatu of License Holder; .
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