HomeMy WebLinkAbout20-327 f D
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City of Zephyrhills PERMIT NUMBER
= 5335 Eighth Street
-- Zephyrhills, FL 33542 BGR-000327-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/02/2020
Permit Type: Building General (Residential)
Property Number Street Address
35 25 21 0120 00000 0550 7959 Merchantville Circle
Owner Information Permit Information . Contractor Information
Name: EDWARD& RENITA HART Permit Type:Building General(Residential) Contractor: EASY AC
Class of Work:HVAC Changeout
Address: 7959 Merchantville Cir Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (813)848-8726 Mechanical Valuation:$6,000.00
Plumbing Valuation:$0.00
Total Valuation:$6,000.00 `u-
Total Fees:$70.00
Amount Paid:$70.00
Date Paid:7/2/2020 12:11:53PM
Project Description
A/C CHANGE OUT 3.5 TON
Application Fees
Mechanical Permit Fee $70.00
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.
60RSI1NATURE 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
a I 19 9 9 a I i
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS MUCA—v"� c LOT#
SUBDIVISION PARCEL ID#1 5' R5' _J), oiao- ccom- inc:�Sb
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW IONSTR ADD/ALT SIGN = DEMOLISH
R INSTALL R REPAIR
PROPOSED USE Q SFR Q COMM OTHER vt`11.� tl—ji
TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL
DESCRIPTION OF WORK U 0. Anay\j7,;-- 0�- a 3.s-+m RIIC, 00 ,t7
BUILDING SIZE SO FOOTAGE HEIGHT
iL IL k k k%x IL C x t AV-L-T-L k k x-L t WIL IL t:k C%S-L X X-r X k IL It t X IL-IL X:XAL k k-L V k X C k 4;X IL&-L k C C X%;X 1:k X q:4:
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING $ W- 7/74K�MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
ct I, J
=GAS O ROOFING Q SPECIALTY = OTHER 17,10
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO PP
i 11 i IF F 9*ff f i 1 f E i I IF i F 9 f 6 If a
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN YIN
Address License#
ELECTRICIAN I COMPANY =
SIGNATURE REGISTERED I Y/N . FEE CURREN
Address License#
PLUMBER COMPANY =
SIGNATURE REGISTERED YIN FEE CURREN LZIN J
Address License# F—
MECHANICAL COMPANY
SIGNATURE REGISTERED YIN FEECURREN I Y1
Address 05 tk,:�J 1,2 S�L I O;k t 0101PO-I In License# I
OTHER COMPANY [
SIGNATURE REGISTERED YIN FEE CURREN I Y t N
Address I License III I
11
111 1 1 If it 1[2 1'1 1 it a 11
I 1.1
I a I I IIII&FAII1111114FIR lull 1111111111 14 If t�1,a I�1,I 1 1,1 1 1 a It I I ut I
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 subdivisionstlarge 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
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.
k1NLICENSED 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 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.
CONTRACTOWSIOWNER'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 shalt 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 LE ---QR AN AITORNEY BEFORE REQORQING YQ Q_=COMMENCEMENT
FLORIDA JURAT IF.S.117.03
OWNER OR AGENT CONTRACTOR
�S nbed and s to(or f irtned)b tore me this Subscribed and 6fo(or firmed)bef�me
Sr
by
W o is/are persa ailtq known tome d Who islare personally known tome or has/have produced
tfreatf0n. as identification.
/y.. Notary Public Notary Public
Commission No. 05 l0 Commission No.
Name of Notary typed,printed or tamped Name of Notary typed,printed or stamped
'titer'�'• SHARON S.YARBROUGH
No Public•State of Florida,
CorrlthlSslon#GG 266838
My Comm,Expires OCt 14,2022
Bonded through National Notary Afsn.
EASY A/C
"Comfort Madeb Easy" Lic #CACo58774, CFC3.429942,
lumbins- Electrk Central AC&Heat E13007,985 www.easyac.net
EASY A/C
9402 US HWY 92 E
TAMPA, FL 33610
To Whom It May Concern,, JUIY end, 2020
I authorize Josh Bessey to pull a permit in the City of Zephyrhills on this
day only of Juy 2nd, 2020.
Sincerely,
1/0
K6ith Werstbroo
President of Easy A/C
Lic. No. CAC058774
as representative of Easy A/C appeared before me this4Jday of
2020 and is personally known to me,
..... SNARON5:YARBROUGH,,!
Notary,
-#-GG 26683-
throuigh-Nitiorfil No tary As
7 077
EASY A/It -;::
Phbnp: 635 6440
i�:,DISPATCH, @EASYAC,NET,
CENTRA[LAJCdr�IERT - cORPOFIArHEADRTERS ($13) CI�I.D-AI{R
EASY
�� 9402.E. E 102 21 6 5 3 2 4 7
TA Tampa.(Hillsborough)
FAX 80 (863)686-8526 Lakeland(Polk)
Comfort Made Easy" '` = Lic.#QAC058774
asyac.net (727)447-6933 Pinellas/Pasco
Customer Name: o R "O'a -� E►P\\� _ gate:—(:� �
Street: c nt C
City: State: Zip: �----�-
Home Phone: L NorkPhon,e-
Email Address: 1 Cell Phone:
We propose to furnish,install and service under guarantee(stated below) i ONTROLS
products or related equipment for your home in accordance with the
conditions and specifications set forth below. ❑ New low voltage wire ❑ Adapt to low voltage
❑ Control I Thermostat
NiW • O Electrical upgrades will be the responsibility of the owned
❑ Outside whip ❑ Inside whip
❑Brand "NUP- Tons 3.5 SEER _ ❑ Condensate circuit JJ
❑ Air Conditioner ) Heat Pump Existing Breaker Type Q/U C r� _Size ��O--
❑ Evaporator Coil Air Handler Existing Breaker Type A/H I _Slze _-—
❑ Gas Furnace 51puron Existing Breaker Type Pkg T I _Size. _
❑ Package Unit ❑ Gas/Elect ❑Roof Top
IXupflow O Downflow ❑Horizontal
Heat Strip(KW) 1.
❑ BTU Gas(Input)❑ Re-Locate Condenser Where ❑ Condensate Drain Hook-up ❑ New ❑ Existing
❑ Re-Locate Air Handler Where ❑ Refrigerant Line Set O ,Adapt ❑ New Size /
❑ Other ❑ Stand, A Plywood Deck ❑ Top Only j
❑ Lineset Protective Cover ❑ Hanging Kit. ❑ Draih Pan:
Filter Drier ❑ Inline Float Switch l Aux Float Syvitch
• j ❑ Condensate Pump Voltage I
j LkP-Trap Flush Kit
❑ Return Air Filters Grille(s) ❑Existing ❑New Size V
❑ Sanitizing#Vents #;Systems �I L L" -' •
❑ IAQ
❑ Deodorizing/Ionization ❑Media Filter ❑Media Cabinet ❑ Existing Ceiling Damage Yes ❑ No ❑
❑ Filter 1"Pleat ❑Std ❑Guardian ❑ Location of Damage Horn, .-owner Initial;
❑ Rigid fiberglass duct plenum with reinforced repguard Refrigerant charging of air conditioner
vapor barrier main trunk and,flexible branch and return duct All work done in accordance with existinglc:odes
❑ Sheetmetal insulated supply duct system All required mechanical permits/inspections
❑ Balance system for uniform air distribution and comfort I Reinforcement mounting pad j
Met&Tape Runs ❑ Attic Deck
❑ Mobile Home Supply ❑Mobile Home Return ❑ 28 gauge galvanized steel weatherproof duct cc'ver for package unit
❑ Modifications of supply and return plenum as needed to install new airhandler ❑ All work to be performed in a neat and professional manner by journeyman
❑ New supply register(s)Ceiling Floor Wall class technicians.Sweeping,dusting,vacuuming,wilt be accomplished at the
❑ Anti-Microbial Plenums ❑Premium Duct Pkg conclusion of each day's work and all debris removed from premises.
&Visually check duct systems for leaks ❑Deluxe Duct Pkg ❑ Other
J�t Hook up to'existing ductwork ❑Standard Duct Pkg EQUIPMENT BEING REMOVED
Hazardous Material Disposal OtCK6 Cond Unit or Pkg Unit Mod#
❑ Other Ser#
Air Handler Mod#
Ser#
Diagram
❑ years full guarantee of labor
❑ _years full guarantee of parts.
❑ Guarantee of Compressor years I
❑ Guarantee of Coils- 10 years
❑ Guarantee of Heat Exchanger years
❑ guarantee on all duct work installed by Easy A/C
O Easy A/C is open 365 days per yr.
Regular WARRANTY/Service Hours are M-F 8 am to 4 pm. h
After Hours,Weekends&Holidays are available for a nominal fee ! 50
❑ Installation Date Before noon ❑ Afternoon❑ 13
❑ Other Sub Total:$ 3
Rebate:$� t�
_p1 L< Rebate:$ '^--_
Rebate:$ y `�
Misc:$
We propose hereby to famish complete as above specified for the sum of(tax included) Coupon:$
Dollars TOTAL INVESTMENT:$ '.
❑Approval#_ Initial Investment:$ .
Payments as follows: ❑CtieticCash ❑ Finance Balance Due on Completion:$ Z(t.
Card (type) # P 1 n Date
Approval: � Approval: L t�.J�Date, ��