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Q
City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000572-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 08/14/2020
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Permit Type: Building General (Residential)
Property Number Street Address
02 26 210020 00300 0020 38528 Henry Drive
Owner Information Permit Information Contractor Information
Name: PONDER DONNELL Permit Type:Building General(Residential) Contractor: CALVARY MECHANICAL
Class of Work:HVAC Changeout LLC
Address: 38528 Henrey Dr Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (352)467-9672 Mechanical Valuation:$4,237.00 , �J
Plumbing Valuation:$0.00
Total Valuation:$4,237.00
Total Fees:$61.18 /(}�)
Amount Paid:$61.18
Date Paid:8/14/2020 11:31:32AM
Project Description
3 TON SPLIT SYSTEM S/S CHANGE OUT.
Application Fees
Mechanical Permit Fee $61.18
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 fo 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
813-780-002o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department �N V 5 53
Date Received Phone Contact for Permitting ( )
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Owners Name Donnell Ponder Owner Phone Number 352-467-9672
Owner's Address 38528 Henry Drive Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 38528 Henry Drive LOT#
SUBDIVISION PARCEL ID# 02-26-21-0020-00300-0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
e INSTALL REPAIR
PROPOSED USE SFR 0 COMM = OTHER
-TYPE OF CONSTRUCTION = BLOCK Q FRAME _ STEEL =
DESCRIPTION OF WORK Goodman 3 Ton 14 SEER Straight Cool Split System Size for Size change out
BUILDING SIZE• SO FOOTAGE 1273 HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $4237 VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS, FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN LILN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL / COMPANY Calvary Mechanical LLC
SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N
Address 731 E Myers Blvd Suite#3 Mascotte FL 347 3 License# ICAC1818691
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
i.t-mitt!■i-■i■mtt-■mail tttt7ssaitmtmti,mm its tmiltim.212 into Its Tttttteiimmit
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;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 Fortes.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
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.
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'SIOW NER'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 6U 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.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to.( a ed)before me this
by 08/07/2020 by Steven Sepulveda
Who istare 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
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Commission No. Commission No. GG338763
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Pubic Stab d/krldrr
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped Riunnu Colan
�.��4oti Si1T03
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Calvary 0aruea1L.L G -Esft to
731 E M er� Blvd Suite 3
Mascott , FL. 34753 US i
(352)22�-8279 ; Calvary Mechanical LLC
"We Instap the best.....and fix the rest"'
service calyary.cool
Air Conditioning-jHeating-Refrigeration-Indoor air quality
mm.caivary.cool (352)321.0846
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(ADDRESS
Donnell Ponder
38528 Henry Dr.
Zephyrhills, FL 1
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I ESTINIAT # DATE EXPIRATION DATE;
1533 - 08/05/2020 -- 08/12/2020
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ACTIVI —— QTY
Complet Split System-Goodman.3.0 Ton Straight Cool 14 SEER 1 :
Goodman:3.0 Ton.Straight.Cool Condenser 14-15;SEER 1,
Go dman' 3 Ton Air Handler 14 SEER I 1
Go dmiini Heater I 1
5KV11
8KW
io w
Hoe ell T4 1 H/1 C Digital Touch Screen Thermostat i 1
Hurricane:Pad 36x36x4 (If determined required) i 1
! Fulll System Replacement Labor
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I Bui din ,g Permits City and/or County (Admin Fee, Notice of Commencement and ° 1
Notary)
Ter s: I 1
Paymen Schedule Is as Follow: Unless other arrangements are made
50% up(in:contr g acceptance and Balance upon
I completibn. (Initials)
Payment in full must be received prior to scheduling final inspection. Initials)
Pricing i, a dash, Check or Electronic Check Price. Wei do accept Visa, Mastercard I
i and Disqover for your convenience, However a 3.5%Convenience fee s added.
In the event That a check is returned b o financial institute for non sufficient
funds,there will be a$35 charge. (Initials)
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Inspection fees:In the event the Homeowner/Customer is not available after
confirming alCity/County Building department scheduled inspection, An Fees
associated with!the missed/rescheduled inspection will be paid by the
i ho �er/client.
I I (initials)
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ACTIVIP'— -- - - -
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Warranty:. I
All New Air Conditioner systems installed by Calvary Mechanical LLC c?me with a 1
Year La or Warranty. (1-0 Year Labor warranty on Calvary Signature Series units).
Labor.W rranty Coverage is During,Normal Business Hours of.Monday- Friday
j (Excludi g.All Holidays and Weekends).
Labor.Warranty does not cover items that are related to lack of routine maintenance(
I Clogged Drain;Dirty Filter etc.) or Ite n stalled by Calvary Mecha ical LLC
(Example,: Electrical.Breakers) (Initials)
Void of Liabor Warranty:
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.1-Any, Damage caused by other individuals, o ctors, Handyman not hired or
employe by Calvary Mechanical LLC. (Initials); ,
Lien.Rig ts:j
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j ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW(SECTIONS 713.001-
713.37, FLORIDA STATUTES),THOSE WHO WORK ON YOUR PROPERTY ERTY OR ;
i PROVIDE-MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A
RIGHT 0 ENFORCE THEIR CLAIM FOR PAYMENT AGAINST'YOUf'
PROPE TYi THIS CLAIM IS KNOWN AS A CONSTRUCTION L++EN. ANY FEES
ASSOCIATED WITH ANY WILL BE THE RESPONSIBILITY OF THE
PROPERTYiOWNER. (Initials): I
Quote prepared by: Ramiro Colon 1
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TOAL $4,237-00
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Accepted By . i AC epted Date
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