HomeMy WebLinkAbout20-418 Q i
ae�un City Of Zephyrhilis -,-'PERMITT NUMBER..:`.'*.;
t__• 5335 Eighth Street ;-
Zephyrhills, Fl-33542 BGR-000418-2020
' Phone: (813)780-0020
Fax: (813)780-0021
Issue Date: 07/20/2020
Permit Type: Building General (Residential)
Property Number Street.Address
34 25 21 0090 00000 0050 37736 Neukom Avenue
Owner Information Permit Information Contractor Information
Name: DAVID&FRANCES ALEXANDER Permit Type:Building General(Residential) Contractor: CHRIS'A/C COMPANY
Class of Work:HVAC Changeout
Address: 37736 Neukom Ave Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (941)416-4524 Mechanical Valuation:$6,500.00
Plumbing Valuation:$0.00
Total Valuation:$6,500.00
Total Fees:$72.50
Amount Paid:$72.50
Date Paid:7/20/2020 3:53:05PM
Project Description
A/C CHANGE OUT 3.5 TON
Application Fees
Mechanical Permit Fee $72.50
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
RACTOR SIGNATURE PE IT OFFICE
PER C EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780:0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
Date Received c2 0 spa Zj Phone Contact for Permitting
=Pmll"I [330333:CC[11:[13CEI333:Cl,[133333=,,I........rrTTTT7=
Owner" Owner Phone N 1
s Name —ja ee umber
Owner Phone Number
Owner's Address Is?F,5_6
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
I -
JOB ADDRESS 13 Z?,3 (e 2� I LOT III
SUBDIVISION
//0,-Vow
1 PARCEL ID# V Q-r- 62 1 0 0 7 0 (0 6000 (10
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q = DEMOLISH
e INSTALL R REPAIR
PROPOSED USE Q SFR Q Comm � OTHER
TYPE OF CONSTRUCTION 0 BLOCK = FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE F HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ ---_-� AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
6_�_O , -7
=GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO.
_HHHHHHHHHHH1 +11444 111111 i I I I I i I I I I I I I I I I I I I I I I I I I H4 I H I I I I I I i I I I I I I i+i I H I I I I H-i H 1+1+1111111
-BUILDER COMPANY
SIGNATURE REGISTERED I Y/,N .FEECURREN LY/N
J
Address License#
ELECTRICIAN COMPANY
SIGNATUREJ FEE CURREN REGISTERED YJ N
Address Licensew
PLUMBER COMPANY'_SIGNATURE REGISTERED FIEECURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED YJ'N - FEE CURREN
IF
Address U21;q3l //J- k-4--j- -30 -License#
OTHER COMPANY
SIGNATURE REGISTERED Lyl N J FEE CURREN
Address License#T_
6 N 2 N 1 R N 2 2 2 N 2 a
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Perm-it-for new construction,
Minimum ten(10)working days aftersubmittal date. 'Required,onsite,Construction Plans,*Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&I 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,Stbrmwater Plans vVI 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. I
""PROPERTY SURVEY required for all NEW construction,
-
`Directions:
i[ns.
Fill out application completely.
Owner&Contractor sIgnback of application,notarized
If over$2500,a Notice of Commencement Is required. (NC 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 PERMIT71NG (copy of contract required)
Remofs if shingles Sbwers Service Upgrades A/C Fences(Plot/Survey/Footage)
DrIvewayi-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 maybe 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 maybe 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 maybe 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 mustbe 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"oWhdi`%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'.SIOWNER',S.AFFIDAVIT: I.certify that all the,in, 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,WaterM/astewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, AlfeYing
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable 11Uaterways.'
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 offili 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 isi 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 tfe'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 whickare.:elevated by fill, an.engineered drainage`:plan is required.
If I am the AGENT;FOk;.THE OWNER, I promise in good fai6;.to;.__lhi rm.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 bwconstrued 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 sheilf'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.)consec-uti_v_e days,the.job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE,TO RECORD A NOTICE-OF.COMMENCEMENT MAY RESULT IN YOUR``
PAYING;TWICE FOWIMPROVEMENTS TO YOUR-PROPERTY. IF'-YOU INTEND-TO OBTAIN FINANCING; CONSULT
WITH YOURLENDER OR AN ATTORNEY-'BEFORE.RECORDING-YOUR'NOTICE OF COMMENCEMENT.
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 is
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
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
�i
CH-RHVAC
CAC058575 /EC13007703 PROPOSAL
' �rar®rrsm
12232 HWY 301 DADE CITY (352)521-4977 "NOW PROVIDING"
DADE CITY, FL 33525 ZEPHYRHILLS(813)779-9515 "ELECTRICAL SERVICES"
NAME: Dave Alexander Qate:: 07/02/20 SPLIT SYSTEM PKG UNIT XX
SUBDIVISION: Grand Horizons HEATPUMP 0 sTRCOOL X
ADDRESS: 37736 AI+~i,,VN0 m ADZ
CITY: Zeph rhills zip CODE: 33541 ON SER: 4TCA4042
PHONE: 941-416-4524 WORK: IR I R: Q
CELL: RENTER: EER RATING. 14 HEA - l OKW
ESTIMATOR: Freddy RAND: UN by TRANE
PAD FNSTANT RE E: 600.00
$200 S R DISCOUNT OTAL L R,gATEBATE • $ 537,79
REMOVE EXISTING EQUIPMENT ONNAGE• 3.5 PARTS: 5 YR
CONNECTED TO EXISTING DUCTS AND ELECTRIC OMP_f COIL: 10 YR LABOR: 1 YR
ANCHOR CONDENSER
TAX,LABOR AND PERMIT NDENSER: 4TCC4042
HOM R HAN R: 0
WIRE EER RATING: 4 EATER: 1 OKW
RAND: 'FEE
TOTALZ/ $ 6,M.49
INSTANT EBATE: $ N1,00.00
OTAL REBATE $ 6, .46
O
P f COIL: 10 YR LABOR: 1
ONDENSER: 4WCC4042AI
t tR HANDLER: 0
f
EER RATING: 14 HEATER: 5M
RAND: TRANS XR
INCLUDES FIRSTMMAINTENANCE CHECK $
INSTANT REBATE :
I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE. I AGREE THAT SELLER OTAL LESS REBATE $ ,06 .
STAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE IF PAYMENT ONNAGE: 3.5 1PARTS: 10 YR
IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT P f COIL: 10 YR 1 YR BOR: j�
SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE
E RESPONSIBILITY OF SELLER, LIMITED WARRANTY:EQUIPMENT,PARTS AND
MATERIAL HAS WRITTEN MANUFACTURER'S WARRANTY ONLY.
C OMER SIGNATURE DATE:
CHRIS ' A/C
imems knim winkluxamunm
C O M P A N Y
On Friday, August 7, 2020 received pictures & affidavit for Mechanical HVAC change out
inspection for Permit#BGR-000418-2020, 37736 Neukom Ave., 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
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000418-2020
Phone: (813)780-0020
Fax:(813)780-0021 issue Date: o7rzorzo2o
Permit T : Buildin General-(Residential
3425 21 0090 00000 0050 37736 Neukom Avenue
Name: DAVID&FRANCES ALEXANDER Permit Type:Budding General(Residential) Contractor CHRIS'A/C COMPANY
Class of Work:HVAC Changeout
Address_: 37736 Neukom Ave Budding Valuation:$0.00,
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (941)416.4624 Mechanical Valuation:$6,500.00
Plumbing Valuation:$0.00
Total Valuation:$6,500.00
Total Fees:$72.50 .
Amount Paid:$72.50
Date Paid:7120=0 3:53:05PM
A!C CHANGE OUT 3.5 TON
Mechanical Permit Fee $72.50
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 foue 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 PUP
rromcqj
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i
&� 7' 0 0 0
'A+^a
as rv.,
�a,�:'.`i �>` •a+.i�L', �u�,Z'�s�di£3.,''�iy,r;,Ey�xn
� � � YL
d`
��„�;.. "mw e'er:.^r .✓''...+.+'"f "n:^',
JY
i
: :
: .,
77,
* s oil3 ':
µ, � .rbi, t✓i
I
NEW-
Samrye°,�;�:-" '� ..� •• _ w�` .�.
3
it
`.d� '£'ten° •�'a
�G � �-® �� �����
i^ � �S^
�y F��%ys 9t PA�
n)g
°'§�
�I t'a
��[ rn°Ti ti
': €f i � M � :i`F,
r �e��
k (` �.
w
r� ���,
�, «�
t g k.
H�•�rN
MSAf9