HomeMy WebLinkAbout21-2734Name: STANLEY & CHARLOTTE SCOTT
Address: 7135 Applegate Dr
ZEPHYRHILLS, FL 33542
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Permit Type: Building General (Residential)
Class of Work: HVAC Changeout
Building Valuation: $1.00
Electrical Valuation: $1.00
Mechanical Valuation: $9,980.00
Plumbing Valuation: $1.00
Total Valuation: $9,983.00
Total Fees: $89.90
Amount Paid: $89.90
Date Paid: 8/27/2021 2:59:18PM
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
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"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
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Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE
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PE IT OFFICEC)
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MOM V 02 Ji RIA
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date ;1 J Vu
9
Phone Contact for Permittin _' V1,3 0 94�r7 2
70 Owner's Name Sco tt Contact
wner Phone Number 3 SZ'Lc(,:+
Owner's Address A Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS D (Z- LOT #
SUBDIVISION LF 14 �q PARCEL ID# tg'�� o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH
11 INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK (C- c, A ji en D, 3 ' '40 L-k _<;r e-4t-
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING 1$
EXIMECHANICAL 1$ Ci sp C) VALUATION OF MECHANICAL INSTALLATION
= GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED L_Z_L N J FEE CURREN =N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED ---FEE CURREN YIN
Address License #
PLUMBER COMPANY F_
SIGNATURE REGISTERED CURREN YIN
Address License#
REGISTED L
MECHANICAL COMPAERNY
SIGNATURE X_L N _J FEE CURREN L_XLN_j
Address 3E, _0 JJ C'. uW- License #
OTHER COMPANY
SIGNATURE REGISTERED LT=N FEE CURRIIY I 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 clumpster; 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. (AIC 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 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
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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 existinq buildincis, or
certify that 1, the applicant ave been provided with a copy of the "FI Ida 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'SIOWNER'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
W-919151-o" "law
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, Wettand 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
Icompensafing 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 roceed with the work and not as authon' vi 4- NO, 0
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who islare personally known to me or has/have produced
as identification.
Public
Commission
Name of Notary typed, printed or stamped
Who istare personally known to me or has7fiave produced
as identification,
Notary Public
Commission No
_MA_t V
Name of Notary I pedprinStecr-stamped
tampePdrtt�7-
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Air Conditioning - Plumbing � Electrical
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Installation Date: 08/24/2021
$13-446-4818 727-268-5980
941-312-781 6 863-8084690
www.andservices.com
99111aOt andSBNlC83,COm
GAG 1816819, GFC-1428695, ECAW02594
Customer name: Stanley Scott DM08/22/2021
Street address of job location: 7135 plegate Dr City: Zephyrhills FL Zip: 33540
Primary phone: 352 206 8386 Other phone: Email:
Factory -matched Heat Pump System 11 J Factory -matched Air Conditioning System I, I Factory -matched Gas Furnace System
F] Optimum# 0 Premium# W Deluxe# 0 Economy #
Up to 20 SEER Up to 16 SEER Up to 14 SEER 13 SEER
10 Year All Part v 10 Year All Part 10 Year All Part 10 Year All Part Warranty
Compressor Life Time Warranty " 10 Year Compressor Warranty 10 Year Compressor Warranty 5 Year Compressor Warranty
Rotobrush duct cleaning Supply & _ Returns
Whole House Biologic3 UV Sterilization System Stg. Whole House Biologic3 Electronic Filtrations System
,4 Replacement L :'Add -on Air Condition ing/Heat/Both
Air Handler /Furnace Vertical i Horizontal
New Digital Thermostat Non -Program. Program,
New Digital Programmable Therm, with Humidity Control
Relocate from to
✓ New AHU Stand: � Metal t Custom hang kit
Filtration: I ' Permanent Washable Filter Grille
New safety disconnect switch L Surge Protection
New wire from breaker panel to equipment
Vent/Flue: Complete new Use existing
Engineered duct system for -tons -vents
Ij Economy F_ I Anti -Microbial $
NON -FIBERGLASS -100% Rust Resistant Galvanized Sheet
Metal Duct System. Energy Saving Insulation Included.
Rooms requiring additional airflow:
New supply vent to
New return vent to:
F1 attach and seal properly to existing ducts
Mastic and seal all leaking joints
Duct Sanitizing _
W,j Replacement Add -on Air Conditioning/Heat/Both
Heat Pump W) Air Conditioner C.i Package Unit
3 tons 14 SEER BTUH
Model Goodman
W7, Hurricane Pad Plastic Pad
Relocate from to
New safety disconnect switch
New 100% copper, dehydrated refrigerant piping
Fully insulated suction piping
New water tight electrical whip
V All labor
V Obtaining permits (where required)
V New AIC circuit protection Brand =
Existing size is: -/- Change to:
V Heating and Cooling routine maintenance for years
V Check entire system for safety and efficiency
* Shoe covers, mats and drop cloths to be used as necessary
* Remove existing equipment from premises
* Clean up
• 24-Hour Fix It or Hotel Guarantee: Unlike most companies, we are a service company. We have a staff of qualified service technicians that
are there to serve you in the unlikely event your system has a problem. So our guarantee to you is that when we arrive, we guarantee that we will
have your system up and running within 24 hours of our arrival or we will put you up in the local Embassy Suites for the night.
• Best Value Guarantee: Anyone can make something cheaper by cutting comers and pricing it for less. So, it's important to know what is and
is not included in any heating and cooling system you choose for your home. Our Best Value Guarantee is our promise to you that you Gannet find
a comparable installation for less... or we'll pay you a $50.00 bonus over the difference. All we ask is that it be a "published apples -to -apples"
comparison, within 14 days of purchase, and have the same written installation specifications as AS.
• Installation Workmanship Guarantee: Our installation technicians are the best in skill, attitude and workmanship. They'll care for your
home and complete the job with speed and precision. They wear floor savers, clean up when they are finished and take personal responsibility for
your satisfaction. They will not smoke or swear in your home and they are polite and courteous. If, when they have finished in your home, they
have not performed in accordance with these high standards, we'll refund whatever amount of the purchase price you feel to be fair, All we ask is
that our office be notified of any level of dissatisfaction before the technicians leave the home so that any issues can be addressed accordingly.
• Exclusive "No Lemons" Guarantee: If the Compressor (the heart of your system) in your Air Conditioner fails during the first five years of
ownership we will remove the entire outside unit, rather than the component, and install a completely new one, if you've ever bought a "lemon"
before, you truly appreciate our commitment to your long-term satisfaction.
• No Mold Guarantee: We are so confident in the Biologic3 UV Sterilization & Electronic filtration systems ability to keep your system clean that
we guarantee with proper annual maintenance your system will be mold free for life or we will perform any necessary cleaning to the air handier to
remedy the problem at our expense.
Total Investment $ 9980 H Rebates$ 0 ___ (-) Service Repair Refund $o
Net Total Investment After All Discounts Including Power Company & Manufacturer rebates $ 9980 -
This High Efficiency Home Comfort System is available with 100% bank financing with no money down for $.Payment .. per month
(with approved credit).
AS Representative Date of proposal 08/22/2021
Customer agrees to provide free access to the work area and a safe working environment. The above prices, specifications, terms, and conditions are satisfactory and hereby agreed to in full.
I give authorization to order aforementioned work. You are authorized to do the work as specified. Payment will be made as outlined. I understand that you are not responsible for events or delays
beyond your control. Owner agrees to carry adequate fire, storm, and other necessary insurance. All of on, workeralwork is covered by Workman's Compensation and a Two Million General Liability
maurchn,_ if nesters- is necessary, buy., agrees to pay ail c.1faccian costs and interest
Customer Approval '�- e----, — Date: 08/22/2021
@1995 And Srrvic.e-
I . AJexa Air LLC doe And Services A Florida Corporation, shall hereafter be referred to as Contractor.
2. Contractor shall furnish only the labor and materials necessary to perform the agreed upon labor and materials of this AGREEMENT. Any deviation from or addi-
tion to the agreed upon labor and materials must be in writing and signed by both contractor and customer. In the event unforeseen circumstances, including com-
pliance with code requirements, labor and/or materials were not contemplated in the proposed price, the proposed price shall be increased. Unforeseen drywall
repairs shall be billed separately and in no event will they be deemed included in the purchase price, unless noted in this agreement.
3. Buyers agree to provide Contractor with a safe and readily accessible work she.
4. Completion and start dates are not guaranteed. Delays in completion and starts beyond Contractors control shall not be grounds for cancellation of this agreement.
Contractor shall not be liable for any delay in the performance of the agreement or for any damages suffered by customer by reason of such delay, if such delay is,
directly or indirectly, caused by, or in any manner arises from, fires, floods, accidents, shortage of labor, fuel, power, materials, or supplies, transportation delays or
any other cause or causes (whether or not similar in nature to any of these herein before specified) beyond its control.
5. Customer shall pay the Contract Price in full at the time Contractor completes its work. Completion is defined as the time when equipment is installed and operating.
Defects, If any, are to be corrected under Contractor's warranty and shall not be reason for delay in payment. Contractor's billing period ends the 25th of each
month, and reserves the right to periodically invoice for portions of work completed to date.
6. Customer shall pay a finance charge of 2,5% per month (or the maximum amount allowed by law) on the balance of the contract price not paid at completion, or for
other services performed, to include all future services. Invoices are due upon receipt.
7. In the event that collection is deemed necessary by Contractor, Buyer agrees to pay all reasonable collection costs, attorney fees, interest charges (stated above),
and court fees.
8. In the event contractor arranges financing through 2' parties, all agreements are through finance company and customer, and shall have no responsibility on con-
tractor. All financing is with approved credit In the event that customer is found to be not credit worthy, at any time through this agreement, it shall be the cus-
tomer's responsibility to secure funds to service all debts.
9. Contractor warrants that all labor and materials shall be free of defects for one (1) year. All warranty work must be done by Contractor. Customer will not be com-
pensated for work done by other companies. All warranty work shall be done during normal business hours (8:00 a.m. to 4:00 weekdays). Customer will be charged
for warranty work done other than normal business hours. The foregoing warranty is exclusive and in lieu of all other warranties, of whether written, oral or implied
(including any warranty of merchant ability or fitness for purpose). The warranty provided in this paragraph and the obligations and liabilities of contractor hereunder
are exclusive and in lieu of and customer hereby waives all other remedies, warranties, guaranties or liabilities, expressed or implied, arising by law or otherwise
(including without limitation any obligations of contractor with respect to fitness, merchantability and consequential damages) or whether or not occasioned by con-
tractor's negligence. This warranty shall not be extended, altered or varied except by a written instrument signed by the contractor's president and customer. The
foregoing warranty will not be honored if the customer has not timely paid all accounts Customer has had with Contractor. "Consequential damages" as used herein
shall include Customer's time missed from work for which Contractor shall not be liable.
10. Contractor hereby assigns to Customer all warranties given to Contractor by any manufacturer. Contractor shall have no liability concerning any manufacturer's
warranty.
11. Customer shall pay for all house calls regardless of whether Contractor performs any work (including equipment and labor that is Linder the warranty period,), if it
has been determined the call was not related to Contractors warranty.
12. Contractor recommends annual maintenance and periodic inspections. Failure to follow manufacture's Instructions will void warranties. Other companies or persons
performing service on Contractors equipment shall void warranty.
13, Unless specifically included in the contract price, contractor will not conceal pipes, ducts and wires or include drywall patching and framing. All work is done in
accordance with local industry customs and practices. Unless customer gives specific instructions reflective in this agreement, they will not be honored.
14. Customer acknowledges that temperatures may vary from room to room and in different levels of the house and that contractor shall have no liability for such vari-
ance.
15 Customer understands that new equipment will make different sounds and provide a different type of heat than older inefficient equipment.
16. Contractor shall not be liable for existing duct systems and /or any problems caused by the same.
17. Customer acknowledges that from time to time, Contractor may offer discounts as a promotional device. Promotions, of any kind, will not affect this agreement in
any manner. This offer shall not be valid with any other offer.
18, Contractor shall not be responsible for covenants, zoning or other like laws, ordinances or agreements that may affect Customer property. Customer agrees to hold
Contractor harmless from all liability in connection with the same.
19, Customer shall indemnify and hold Contractor harmless from all liability to include but not limited to any connection with regulated or hazardous substances in or on
the property. In the event any regulated substances are encountered, Contractor shall terminate work until the matter is resolved and the completion date shall be
extended, to include any and all cost associated with the same.
20. Customer's cancellation: If you decide you do not want the goods or services, you may cancel this agreement by mailing a notice to the seller. The notice must say
that you do not want the goods or services and must be mailed before midnight of the third business day after you sign the agreement. The notice must be mailed
to: Alexa Air LLC 5010 N. Cortez Ave., Tampa, FL 33614.
21. Customer agrees that in the event of any legal proceeding arising out of this sale that venue will lie in Tampa, Hills Cc Florida, and that And Services will be entitled
to a reasonable attorneys fee in connection With that legal proceeding.
22. SELLER CANCELLATION: Seller shall have the right to terminate this agreement at any time, for any reason. In such event, Contractor shall be paid for work and
materials to the termination date. Any extra cost to complete said agreement by other companies are not the responsibility of Contractor, and Customer shall hold
contractor harmless.
21 This Agreement contains the entire understanding and agreement between the parties, and all of their prior mitten and oral agreements, understandings or ar-
rangements are merged herein. No amendment or modification hereof shall be binding upon either party unless in writing and signed by the party to be charged
therewith,
24. In the event Contractor retains an attorney to enforce this agreement, customer shall pay all reasonable attorneys fees and costs incurred by the Contractor.