HomeMy WebLinkAbout23-6380BGR-006380-202-3--'
Issue Date: 06108/2023
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
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
PEJAIT OFFICE()
813-780-0020 City Of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
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Owner Phone Number
OwnerFee Simple Titleholder Name
Fee Simple Titleholder Address
JOB ADDRESS
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PARCEL ID#
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WORK PROPOSED
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INSTALL REPAIR
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TYPE OF CONSTRUCTION
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DESCRIPTION OF WORK
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BUILDING SIZE
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VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $
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AMP SERVICE PROGRESS ENERGY = W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
I I I I I I I
RESIDENTIAL
SIGN PERMIT
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COMPANY
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N J FEE CURREN
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License #
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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
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
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)
Remofs 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
contractor, that may be an indication that he is not property 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 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 "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
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, Welland 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, after, 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,
41'" lV461 &W-41419AW I INNA112MAN" A ..NU W011A ICA I:qzl 621[011#1:11310 1 a PON$] 11
OWNER OR AGENT
Subscribed and sworn to (or affirmed) be -fore me this
by
who is/are personally known to me or has/have produced
as identification,
Public
Commission
Name of Notary typed, printed or stamped
as identification.
Notary Public
Commission No. s
Name of Notary yped, printed or stamped
31
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Customer name: FRANC I ES 1. TRUMAN I. I Date: 6/1/2023
Street address of job location: 6794 BASSWOOD CIR City: Zephyrhills FL Zip: 33542
Primary phone: 3214738094 Other phone; Email:
'I Factory -matched Heat Pump System El Factory -matched Air Conditioning System E-1 Factory -matched Gas Furnace System
0 Optimum# 0 Premium #
X Deluxe # 0 Economy #
Up to 20 SEER Up to 16 SEER
• 10 Yder All Part 10Year All Part
Up to 14 SEER 1 13 SEER
10Year All Part 10 Year All Part Warranty
Compressor Life Time Warranty 10 Year Compressor Warranty
loyearccanicer—W.—ty ✓ 5 Year Compressor Warranty
0 Rotobrush duct cleaning ® Supply & _ Returns
X Whole House Biologic3 UV Sterilization System Stg.
11 Whole House Biologic3 Electronic Filtrations System
10
41 Replacement El Add -on Air Conditioning/Heat/Both
110 Replacement 11 Add -on Air Conditioning/Heat/Both
9 Air Handier /Furnace Rheent 01 Vertical X Horizontal
EXI Heat Pump 0 Air Conditioner 0 Package Unit
X1 New Digital Thermostat 9 Non -Program, 0 Program.
EJ 2 tons 14 SEER 24000BTUH
Fl New Digital Programmable Therm, with Humidity Control
(X-j Model Rheern
0 Relocate from to
WJ Hurricane Pad El Plastic Pad
Ix Now hanging kit, drip pan
ED Relocate from to
EJ New AHU Stand: Ej Metal E_J Custom
D New safety disconnect switch
Cl Filtration: 0 Permanent Washable Filter El Grille
0 New 100% copper, dehydrated refrigerant piping
El New safety disconnect switch ::] Surge Protection
0 Fully insulated suction piping
El Now wire from breaker panel to equipment
EJ New water tight electrical whip
El Vent/Flue: El Complete new El Use existing
Z Filter dryer
FX1 Engineered duct system for 2 tons 7 vents
0, Economy El Anti -Microbial $19250 -
El NON -FIBERGLASS -100% Rust Resistant Galvanized Sheet
Metal Duct System. Energy Saving Insulation Included.
17-11 Rooms requiring additional airflow:
0 New supply vent to:
0 New return vent to:
Wj New grills, andboots
X Mastic and seal all leaking joints
0 r Duct Sanitizing
.)TAL CONFIr
,,' All labor
✓ Obtaining permits (where required)
✓ New A/C circuit protection Brand =
Existing size is: —/— Change to:
Heating and Cooling routine maintenance for years
✓ Check entire system for safety and efficiency
✓ Shoe covers, mats and drop cloths to be used as necessary
✓ Remove existing equipment from premises
V 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 corners 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 cannot 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 fear 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 $ 20971 (-) Rebates $ --- 0 Service Repair Refund $
Net Total Investment After All Discounts Including Power Company & Manufacturer rebates $
This High Efficiency Home Comfort System is available with 100% bank financing with no money down for $_ per month
(Mlh ne—ed credit).
AS Representative Date of proposal 6/1/2023
Customer q..e to provide a dreenA in Ine work darea and . tede dred, environment, The above prier, affietneed, to—, .. oend.dn. are satisfactory and agreedhereby twhd to in firli,
give oath to —, arorem con. work, Y.0 and authorized to do In,. work as,pacified. P.ym.,.l Wit be —do es finad. I understand into you — not re.,contithe to, arerts or delays
dayoM your onnhdo. Owner eons, to nanny Wool tire, storm, and other —nary insurance. All f our
,,o,,s1k d endd by workman',
C,moe,ddrn and I Two Millie, Ger,oal WNlit,
deundnee t _d,ofid, in necessary, eyo, Adoo to rAy .11 rell.ofien, —to and rr4d,del
Customer Approval Date: 6/1/2023
01995 A. S,,,,tde—
HVAC System Change - Out Final Inspection
Picture Requirement for Contractor
Must meet all requirements for the 2017 Florida Building Code and the N.E.C. Code,
Listed items below" tothe Building Department.
Include- HVACaffidavit form filled out completely
Email:
1.
Picture ofthe front ofthe home with address
2.
'
Picture of the old air handler and location.
3.
Picture nfthe old condenser and location.
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4.
Picture of the new equipment installed with data plates.
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5.
Picture ofthe wire sizes and breaker sizes.
6.
Picture of any duct - work repair.
Business Name: Adb
Contractor's License Number:
�:�I(Jcl__ I- Date
OL
Subscribed and sworn to (or affirmed) before me this by "e C SZ1 _0
as identification,
Notary Public
[nmnnbs/on No
Name or Noiary Typed, printed or -stamped
Once we receive all items listed and the inspector aporove.
54,
DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE (FBC ENERGY, SECTION 403) TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
FC, -1
Owner. -kj
Permit #: 'k
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Contractor: /4 i ; XDI
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License #:
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1117 or moclitied the existing duct work associated with the HVAC system
referenced by the permit listed above and found it complies with the requirements FBC Energy Code,
Section 403.3. Where modified, the existing ducts have been sealed using reinforced mastic or code -
approved equivalent. Ducts are located within conditioned space (Section 403.3) System was tested as
per - FBC Energy code, section 403,3.2.1. All new duct work is to co 9
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Name of License Holder (print or type) Signature of License Holdl