HomeMy WebLinkAbout21-1427 r t
orb City Of Zephyrhills PERMIT NUMBER
5335 Eighth Street
yL - „ Zephyrhills, FL 33542 BGR-001427-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 01/27/2021
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Permit Type: Building General (Residential)
Property Number Street Address
02 26 21 021A 001-100 0010 6551 Teak Court
Owner Information Permit Information Contractor Information
Name: ROGER&RUTH LAING Permit Type:Building General(Residential) Contractor: CHRIS'A/C COMPANY
Class of Work:HVAC Changeout
Address: 8527 Oak Hill Rd Building Valuation:$0.00
CLARKSTON,FL 48348-1036 Electrical Valuation:$0.00
Phone: (248)600-2257 Mechanical Valuation:$6,540.54
Plumbing Valuation:$0.00
Total Valuation:$6,540.54 �—q--7-4
Total Fees:$72.70
Amount Paid:$72.70
Date Paid:1/27/2021 9:23:12AM
Project Description
A/C CHANGE OUT 2.5 TON
Application Fees
Mechanical Permit Fee $72.70
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.
CONT TOR SIGNATURE PE IT OFFICE
PERMIT XPIRES 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
L Building Department
Date Received a oZ Phone Contact for Permitting . 3�0� Sot / _ j��/x_-
Owner's Name Owner Phone Number y 6 02
Owner's Address—&— .-ate{ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS rs LOT# I�
SUBDIVISION PARCEL ID# O a a 6 g Q a I ✓¢ 0H aoc U 1 t7
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR 8 ADD/ALT = SIGN _ = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
4r MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
c 6 relo . s
f_ =GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA. =YES NO
. . . .
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY,
SIGNATURE• REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N J FEE CURREN
Address License#
MECHANICAL COMPANY �M
SIGNATURE REGISTERED I (V N FEE CURREN
d
N /► /N
Address D US 1/7 4-- (-License# !v c o,ris�F 7
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
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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
f
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit ma 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 may be cited for-a misdemeanor violation
understate 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 contractors) 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 priorto permit issuance in accordance with applicable Pasco County ordinances.
CT CONSTRUION 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 an 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 permitt 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 whatactions'-I must take_Wbe in compliance. Such agencies include but are not limited to:
- Departhient'.of Environmental'Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wbstewater 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"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 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 FORIMPROVEMENTS-TO YOUR-PROPER-T-Y:IF YOU-INTEND T-O-OBTAIN-FINANCING,-CONSULT_
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF=MMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)befor a this
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
1��41
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hl CAC058575. /EC13007703 PROPOSAL
12232 HWY 301 DADE CITY (352)521-4977 "NOW PROVIDING"
DADE CITY, FL 33525 ZEPHYRHILLS (813) 779-9515 "ELECTRICAL SERVICES"
NAME: Roger& Ruth Anne Laing Date: 01/11/21 SPLIT SYSTEM XX JPKG UNIT I -
SUBDIVISION: Driftwood HEATPUMP JSTR.COOL I -
ADDRESS: 6551 Teak Court
CITY: Zeph" rhigs . ZIP CODE: 33542 ; CONDEN R: 4TWR4030
PHONE: 248-600-2257 WORK: IR HANDLER. TEM4AOB30
CELL: RENTER: SEER RATING: HEAT : 5KW
ESTIMATOR: Freddy BRAND: T NE XR
t g C:LU�D� �i jQ vA .y TOTAL : 6,447.82
HORIZONTAL ATTIC INSTANT REB E : $ $40,00
TOTAL LES EBATE $ 647.82
PAD TONN PARTS: 1
AUXILARY PAN CO / IL: 10 YR LABOR: 1 YR
HANGING KIT
IN-LINE FLOAT- ONDENSER: 4TWR5O30G1"
DRAIN PAN FLOAT AIR HANDLER: TEMMOB30 �j
DISCONNECT SEER RATING: 15 HEATER: 5KW 4
$200 SENIOR DISCOUNT" BRAND: TRANE XR
SEAL DUCTWORK TO CODE' TOTAL : $ 6,810.54 Q �
REMOVE EXISTING EQUIPMENT INSTANT REBATE : $ 900.00 T
CONNECTED TO EXISTING DUCTS AND ELECTRIC TOTAL LESS REBATE $
ANCHOR CONDENSER TONNAGE: 2.5 PARTS: 10 YR
TAX,LABOR AND PERMIT C P/COIL: 10 YR LABOR: 1 YR
QO #10 WIRE
Sad V 9WIL COND NSER: -4 36Al
;; AIR HAND : TAM9AOC36
SEER RATINGG: 18 HEATER: 5KW
BRAND: TRARrs,,XV VA E SPEED
INCLUDES FIRST MAINTENANCE CHECK 7 OTA m 10,372.85
INSTANT RE E : $ 1,200.00
I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE. I AGREE THAT SELLER TOTAL S REBATE $ 172.85
RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT I5 MADE,IF PAYMENT TOWAGE: 3 PARTS: 10
IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT COMP/COIL: 12 YR LABOR: 1 YR
SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE
THE RESPONSIBILITY OF SELLER. LIMITED WARRANTY:EQUIPMENT,PARTS AND
MATERIAL HAS WRITTEN MANUFACTURER'S WARRANTY ONLY
6t}'MUN_THS`: ,-s (WAC)
41(
CUSTOMER SIGNATURE DATE: t „yNSIANT€ EBATE ,;;
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