HomeMy WebLinkAbout23-6444i y o ephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-006444-2023
Issue Date: 06/23/2023
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.
I I I I I I I I I I I I I I III I I I I I I ii ' I 11! 1 1 111
MMFAIFMZ���= 0��
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.
t*Z.16
7--- CONTRACTOR SIGNATURE PE41TOFFICE
4T
PERMIT EXPIRES 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
Building Department
Date Received Phone Contact for Pernuttin
ITT
Owner's Name Owner Phone Number 37 —60 ce I
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDIALT = SIGN DEMOLISH
13 INSTALL REPAIR
PROPOSED USE EE SFR Comm
TYPE OF CONSTRUCTION = BLOCK FRAME
DESCRIPTION OF WORK F_ATc__c_T_'f'-)AZe_ e),
OTHER
STEEL
BUILDING SIZE SQFOOTAGE= HEIGHT [:= I
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C,
=PLUMBING
MMECHANICAL VALUATION OF MECHANICAL INSTALLATION
= GAS Q ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED FEE �.URR.l
Address E========= License #
ELECTRICIAN COMPANY E
SIGNATURE E=== REGISTERED ®FEE UP�IIEIY / N��
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED FEE CURREN YIN
Address License #
MECHANICAL i+t>
COMPANY I /V, Ice -A
SIGNATURE kL REGISTERED Y/ N FEE CURREN YIN
Address
License #
OTHER COMPANY E;;;;�
SIGNATURE REGISTERED FEE CURR.�I��
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 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.
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
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'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, Welland 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 "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 FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
OWNER OR AGENT
—fore
CONTRACTOR
Subscribed and swori� to (or affirmed) be me this
by
S rib (m to or affirms e i r
Lp C11 ��[
Who —is/are personally known to me or hes/have produced
by .
Who jslare personally known to me or has I 7fiveproduced
as identification.
as identification.
Notary Public
Notary Public
Commission No
Commission No. cwl ;t
—printed
jNam. of Notary typed, or stamped
Name of Notary goad. id, printed or —stamped
ING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE (FBC ENERGY, SECTION 403) TO BE LEFT ONSITE AND PICKED
'i UP BY INSPECTOR
Owner: <S 40 0,4- A S
Site Address:
Contractor: A-o D Se" t (-,-e-
License #:
mmcmm�f
I certify that I have installed new or modified 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 comply with FBC Energy 403.2 and FBC
Mechanical chapter 6.
97 ff"N
Name of License Holder (print or type) Signature of License Holder
Certificate of Product Ratings
AHRI Certified Reference Number: 201629835 Date : 06-19-2023 Model Status : Active
Old AHRI Reference Number: 7489174
AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source)
Outdoor Unit Brand Name: RHEEM
Outdoor Unit Model Number (Condenser or Single Package): RP1424AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T2417STAN
The manufacturer of this RHEEM product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 - 2017 with Addendum 1, Performance Rating of Unitary Air -Conditioning &
Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 22800
SEER: 14.00
EER (A2) - Single or High Stage (95F): 11.00
Heating Capacity (H12) - Single or High Stage (47F) : 22800
HSPF (Region IV): 8.20
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are
being marketed but are not yet being produced,"Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing
BUT is still selling or offering for sale.
Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) rating.
The Department of Energy has published updated energy efficiency metrics for central air conditioners and heat pumps. This publication reflects both the 1987
metric (SEER) and the 2023 metric (SEER2). Efficiency requirements are published at 10 C.F.R, 430,32(c), Please refer to www.AHRinet.org for more information
about updated energy efficiency metrics.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at vvwN%.kihridirectwy.org, click on "Veflfp Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
@2023Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 133316714089320844
/ na
s e r v i c e s
.ning - Plumbing - Electrical Ir Conifite
www.andserviculdit.coM
contagl@andser%(icos.com
C—l"M C1.1—aps. Ecls)"25s,
Customer name: WILLIAMS, SANDRA I Date: 6/16/2023
Street address of job location: 39312 6TH AVE City: ZEPHYRHILLS FL Zip: 33542
Primary phone: 8137886618 Other phone: Email.
X Factory -matched Heat Pump System 10 Factory -matched Air Conditioning System 11 Factory -matched Gas Furnace System
Cl Optimum# 1:1 Premium#
✓ Up to 20 SEER ✓ Up to 16 SEER
✓ 10 Year All Part ✓ l0Year Ail Part
Compressor Life Time Warranty 10 Year Compressor Warranty
•I MaW9
Whole House BiologiC3 UV Sterilization System Stg.
Replacement El Add -on Air Conditioning/Heat/Both
EJ Air Handier /Furnace 0 Vertical Horizontal
New Digital Thermostat El Non -Program. ❑ Program.
New Digital Programmable Theron. with Humidity Control
Relocate from to
EJ New AHU Stand: 0 Metal El Custom
0 Filtration: 0 Permanent Washable Filter El Grille
El New safety disconnect switch 0 Surge Protection
L7J New wire from breaker panel to equipment
F-
J Vent/Flue: ❑ Complete new 0 Use existing
El Engineered duct system for -tons -vents
El Economy 11 Anti -Microbial $
El NON -FIBERGLASS -100% Rust Resistant Galvanized Sheet
Metal Duct System, Energy Saving Insulation Included.
❑ Rooms requiring additional airflow:
El New supply vent to:
0- New return vent to: -
El
01 Mastic and seal all leaking joints
El Duct Sanitizing
D Deluxe# El Economy 0
✓ Up to 14 SEER 1 13 SEER
✓ 10Year All Part v 10 Year All Part Warranty
✓ 10 Year Compressor Warranty ✓ 5 Year Compressor Warranty
❑ Rotobrush duct cleaning _ Supply & _ Returns
E Whole House Blologic3 Electronic Filtrations System
0111 N I DOWDIAN A 46161
X Replacement El Add -on Air Conditioning/Heat/Both
El Heat Pump 11 Air Conditioner 0 Package Unit
X 2 tons 14 SEER BTUH
El Model
Z Hurricane Pad 0 Plastic Pad
❑ Relocate from to
❑ New safety disconnect switch
El New 100% copper, dehydrated refrigerant piping
❑ Fully insulated suction piping
❑ New water tight electrical whip
V' All labor
V Obtaining permits (where required)
✓ New A/C circuit protection Brand =
Existing size is: 2 /_ Change to: 2
Heating and Cooling routine maintenance for 2 years
✓ Check entire system for safety and efficiency
V Shoe covers, mats and drop cloths to be used as necessary
v/ Remove existing equipment from premises
✓ Clean up
0 r TAL CONFII)ENCE SYSTEM WARRA
• 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 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,
•11 -*4b If011 0 W*1111 I NIQ k
Total Investment $-9000 Rebates $_ (-) 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 $ 9000 per month
(wfth approved credit),
AS Representative Date of proposal 6/16/2023
Customer agrees to provide free access to the work area and a We 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 am hot responsible for events or delays
beyond your control. owner agrees to carry adequate fire, storm, and other necessary insurance. All of our workershaork is covered by Workman's Compensation and a Two Million General Liability
Inkrumme. If collection is necessary, buyer agrees to pay all collection mats and interest.
Customer Approval Date: 6/16/2023
01995 And Services-
6)4
G(
HVAC System Change - Oct Final Inspection
Listed items below " Must be Emalled "to the Building Department,
Include- HVAC affidavit form filled out completely
Email: !Ld�iazet�hVrhills.flous
1. Picture of the front of the home with address.
2. Picture of the old air handler and location.
I Picture of the old condenser and location.
4. Picture of the new equipment installed with data plates.
5. Picture of the wire sizes and breaker sizel
i,. Picture of any duct - work repair. E
Business Name: &JD
Contractor's License Num er:
Contractor Signature
—Date
Subscribed and sworn to (or affirmed) before me this e by L-ILle SV; 10-6
lW4
Notary Public
7
Commission No. 0)
11INU-A-4
Name or Nd6ry Typed, printed or �stamped
Once we receive all items listed and the inspector approve, the inspection will show final and closed.
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
^ —~ UPBYINSPECTOR
Site Address: 3� &e
�� �
I certify that I have installed new or modified 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 cowrbiv-
������ NanneofLicense Holder (print ortype) Signature ofLicense Holder
su F
S
'- 1 12,613
MaStewart I III IN Nowwwoomm"
N.
T .. Mobile--
+ 18134079492@tmomail.net
Thursday, September 21, 2023 11:01 AM
m.stewart@andservices.com
From: +18134079492ggtmomaiinet
Sent: Thursday, September 21,2O2]11:02AK4
To: m.stewart@andservices.com
Emma, , ,,. ,,,.�, .. �.. ems". .. ✓ls,' i5,�rn0,��,,,� r ,r, �r_.. ✓� �. /rliil rl�, �.,; .r�