HomeMy WebLinkAbout22-53485335 Eigh;h StTeet
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
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Issue Date: 12/0812022
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
imilrovements to Mour grogertM. If )Lou intend to obtain financina, consult with %our lender or an attor
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accordance with City Codes and Ordinances, N6*OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
M M
P IT OFFICE
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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Owner's Name I Leone & Jade Farrington Owner Phone Number 77,..
Owner's AddressF6204 17th Street, ZephyrW111S, FL 335421 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 6204 17th Street, Zephyrhills, FL 33542 LOT # [jj=
SUBDIVISION Park Hill PARCEL
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONITR SIGN DEMOLISH
11 INSTALL H
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK F-HVACEqual Change Out - Carrier 2 ton Heat Pump Split System
BUILDING SIZE SO FOOTAGE = HEIGHT [:=
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL S AMP SERVICE PROGRESS ENERGY = W.R.E.C.
L
=PLUMBING r__1
EXMECHANICAL 6560M VALUATION OF MECHANICAL INSTALLATION '1
=GAS ROOFING E] SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS E== FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED
Address E========== License #E=:===
ELECTRICIAN COMPANY E�
SIGNATURE [=== REGISTERED EE.LJIIR�rNY / N��
Address License #
PLUMBER COMPANY E
SIGNATURE REGISTERED �Y / N �EEF URI�'ENY / N��
Address License #
MECHANICAL COMPANY Bayonet Plumbing, Heating & Air ConditioninJ
SIGNATURE REGISTERED I:N FEE CURREN N
Address 8950 New York Avenue, Hudson, FL 34667 License
OTHER COMPANY � �EEE URREN��
SIGNATURE REGISTERED
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; P-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 & 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 letterfrom owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Rerools 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
I 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, 9 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 property licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACTIUTILITIES 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 "ownee' 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 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, WaterWastewater 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 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,
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JURAT (F.S. 117.03)
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
_b
Who is/are personally known to me or has/have produced
as identification.
Commission No.
Name of Notary typed, printed or stamped
identification.
ANGELANOLLAND
My COMMISSION # HH 14MM
EXPIRES: October 3,2026
6004d Thru NOto Public UndaWlers
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Public
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BILL TO
Leone Farrington
6204 17th Street
Zephyrhills, FL 33542 USA
Bayonet Plumbing, Heating & Air Conditioning, LLC
8950 New York Ave., Hudson, Florida 34667 United States
(727) 868-4636
ESTIMATE
147639471
JOB ADDRESS Project: 147637214
Leone Farrington
6204 17th Street
Zephyrhills, FL 33542 USA
ESTIMATE DETAILS
New Carrier System : Install a new Carrier heat pump and air handier to match. Includes a new Honeywell thermostat, flush
refrigerant lines, Price includes a 10 year parts, 2 year labor warranty.
TASK DESCRIPTION QTY PRICE TOTA L
CAR2T15 Carrier 2 ton 15 SEER System: 1.00 $6,060.00 $6,060,00
Description
Carrier' heat pumps with Puron' refrigerant provide a
collection of features unmatched by any other family of
equipment. The 25HBC has been designed utilizing
Carrier's Puron' refrigerant, The environmentally sound
refrigerant allows consumers to make a responsible
decision in the protection of the earth's ozone layer,
This product has been designed and manufactured to
meet Energy Staro criteria for energy efficiency when
matched with appropriate coil components. Refer to the
combination ratings in the Product Data for system
combinations that meet Energy Star" guidelines,
STANDARD FEATURES
Efficiency
* 15 SEER/ 12.5 EER / &0 - 9.0 HSPF
* MicrotubeTechnologyT" refrigeration system
* Indoor air quality accessories available
Estimate #147639471 Page 1 of 3
Sound
* Sound level as low as 69 dBA
* Sound levels as low as 68 dBA with accessory sound
blanket
Comfort
System supports Edge' Thermidistat" or standard
thermostat controls
Reliability
® Puron' refrigerant -- environmentally sound, won't
deplete the ozone layer and low lifetime service
cost.
® Scroll compressor
• Internal pressure relief valve
• Internal thermal overload
• Loss of charge switch
• Filter drier-
• Balanced refrigeration system for maximum
reliability
Durability
WeatherArmor Ultra" protection package:
* Solid, durable sheet metal construction
* Dense wire coil guard standard
* Baked -on powder paint
Bayonet's installations include all labor, permits, and our
money -back guarantee
all installations come standard with our precision after -
installation QC
MVP A/C MVP A/C: 1.00 $0.00 $0.00
MVP A/C. our AC MVP Program includes twice annual visits for your
AC system. During the AC visits, we will clean both indoor and outdoor
coils, among the 20 other tasks we perform to keep your system in
like -new condition and keep your factory warranty intact.
Our MVP Customers also enjoy preferential scheduling, discounted
repairs, accessories and equipment, and three extra years of labor
warranty or) any repair we make (as long as your plan doesn't lapse).
Peace of mind you can count on. We've got that. Don't Sweat, you
called Bayonet.
RLAH Additional Labor: 1,00 $500.00 $500.00
MEMBER SAVINGS $329.72
SUB -TOTAL $6,560.00
TAX 0% $0.00
TOTAL $6,56Cr00
Thank YOU for choosing Bayonet Plumbing, Heating & Air Conditioning, LLC! We work hard to keep you comfortable. If you
have questions regarding Your service today, please don't hesitate to call us at 800-535-4505!
Estimate #147639471 Page 2 of 3
CUSTOMER AUTHORIZATION
Mysignature below indicates myapproval vfthe both the price and work explained tumu|nthis estimate. Furthermore, I
acknowledge that I am the individual responsible for authorizing the work herein both financially and legally. My signature
serves as my agreement to pay for the work performed and recognizes the right of the seller to retain title to all work and
equipment ifpayment isnot rendered, Seller has the right turemove equipment ifpayment isnot submitted for work in
agreed upon time period and is not liable to damages incurred during said removal.
Sign here Date 12/1/2022