HomeMy WebLinkAbout09-9570 CITY OF ZEPHYRHILLS
5335 — 8TH STREET
(813)780 -0020 9570
BUILDING PERMIT
c ` * . is ; ` t. 3 >, ` a �€.
Permit Number: 9570 Address: 5444 1ST ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11 26 - 0010 - 06200 - 10AZ
Improv. Cost: 8,320.00 m
Date Issued: 9/23/2009 Name: LOVELACE, GAYLE
Total Fees: 75.00 Address: 5444 1ST ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/23/2009 Phone: (813)783 -7696
Work Desc: A/C CHANGE OUT 2.5 TON
7 }a 57:77:71501
EASY AC A ■ 75.00
4.
•
DU N ALL ■
DUCTS INSULATED
FINAL r ( 2
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
_ a /'
ONTRACTOR SIGNATURE PERMIT OFFI FR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
FROM :EASY AC FAX NO. :813 635 0480 Sep. 23 2009 02:O8PM P1
EASY A/C CORPORATE HEADQUARTERS
9 402 E, HVW. 92, SUITE 102
TAMPA, FL 33610
COMFORT MADE EA S Y FAX (813) 835 -0480
A Division 90AirCondlloning6 easac. Heating, Inc, ue. a y e
o f t
ac.net ,
(727) 447 -6933 (813) 229 -3422 (813) 764 -4044 (813) 636 -0440 (863) 686.8628
Pinellas Tampa Plant City Brandon, Apollo Beach, Lakeland
Riverview
Customer Name; 6 Av4. r% ) 2g_Ar`e, , Date: i /'slag
Street 5H`-t4 Lsr. cxr
City: 2,r• oH 14.,—. State* FL. zip 346•dz
Home.Phone: 1 11, 7r,.4 Work Phone: 1(;^ lea
Customer Emell Address Cell Phone:
we propose to furnish, Install and eervlce under guarantee (sated below) products or related equipment for your home in eecordance with the conditions
and s . scMloallons set forth below.
NEW EQUIPMENT CONTROLS AND ELECTRICAL
%Hrand 0 AB0.AC.fl Tens a 4— ❑ Infinity Control ZINew low voltage wke
0 Alt Conditioner /Bleat Pump ❑ Mercury Thermostat 0 Adapt to low voltage
D Evaporator Coll ❑Atr Handler ❑ Digital Thermostat OAplc light
O Gas Fumsa t4Puron CIFreon q&Programmable Thermostat Mexeorl..Rµ - M.A.:. 'Sot se.,..
*Package Unit DGesrElect ORoo/ 0 Eleottles! upgredea will be 1110 responsibility of the owner
0 UD1ow 0Downflow ❑ HorgtuMal 0 Install new 64 pas r/a:. je, cA"T Amp. electric aervlce panel
❑Flue ❑Adept toExhdng ❑New (Elbe) OO Outside weatherproof disconnect 0 Inside disconnect
Hest Skip (Kw) S' V rtr tii3 Outside whip ❑ Inside whip
D BTU Gas (Input) 0 Local electrical wrong 0 Condensate circuit
O BTUH Cooling (Lem) SEER, 0.1 *Breaker Type 13 E Size f
❑ Re Condenser Where 0 Breaker Type Size
❑ Re- Locate Air Handier Where PIPING
AIR DISTRIBUTION ❑ Condensate Drain Hookup ❑ primer) ❑Secondary
0 Return Ak Filters OrIlle(s) ❑ Existing (1 New Size 0 Refrigerant Line Set ❑ Teat 0 Adapt ❑ New 81za L
❑ SanItlztng # Vents 4 Systems 0 Stand ❑Plywood Deck Mop Only
O UV•Liaht 0 1 -Bulb 0 2 Bulb ❑ Odor Split» 0 Linnet Protective Cover LI Hanging Kit ❑ Drain Pen
O Deodorizing /Ionization 0 Media Filter 0 HEPA Guardian ❑ FINSr Drier 0 Milne Float Switch 0 Aux Float &witch
[filter 1" Pleat Ste 0 eiedfonle 0 Condensate Pump VeNage
❑ Rigid fiberglass dud plenum with reinforced repgusrd P•Trop
vapor barrier main trunk and flexible branch and return duct MISCELLANEOUS
LI Sheetmetel Insulated supply duct system ar Existing CsllIng Derma* Test/ Nola
O Balance system for uniform air distribution end convert IFI Loo.Ilon of Demoge!xtlJ Homeowner Initial
O Meeuk 8 Tape ❑ Rune
® ACCUpeewge charging of sir centlalener
❑ Mobile Home Supply 0 Mobile Home Retum 14 Ali work done In accordance with existing codes
O Modifications of supply and rerun plenum as needed to IneuN new air handler Al ; required permkallnapeaione
U New supply regleterfe) Caking Floor Wall 0 Oulet kit
❑ AMI•Mlorobltll plenums 0 Premium Duct Pig tp Reinforcement mounting pad a w 41r•+erloa -S 4 PA.
s.
lit Visually check duct system for bake 0 Deluxe Duct Pkg O Cool cep 0 eMe deck
61 Hook up to existing ductwork ❑ Standard Duct Pig ❑ 26 gauge galvanized steel weatherproof dud cover for peakage unit
® Hazardous Material Oleposal Fee 3 % AI work to be
WARRANTIES /GUARANTEES � per /amedlnsroet and professional manner byJoumaymar
ohm teonniciens, Sweeping, dueling, vacuuming, will be eaompllehed t
t o years full guarantee of labor yrs rust warranty tiro conclusion of each day's work and ell debrle removed from premises
p9_l years full guarantee of parte yre lightning warranty ❑ Other
m Guarantee of Compressor t years 0 23% Heating & Cooling ❑ 3 day Buyer's right to cancel. You may cancel this agreement by
slaving gus(enee
6) Guarantee of Dolls - - 1 years providing written notice to the seller In person, by telegram, or by mat
O Guarantee of Heal Exchanger years 01 yr $ peck guarantee Thla notice must Indicate that you do not want the goods or service'
e \ - 7 a guarantee on all dud work Installed by Easy NC and must be demered or postmarked before midnight of the thirtl•buelnea
'10 Easy NC is open 366 days per yr day after you tlgn IINS agreement, If you canal this agreement the *elk
RegularWARRANTY /Servlre Hours arc M.F 8 am to a pm may not MOP all or pen Of any men down payment.
After Hours, Weekend's & Holidays are available for a noMnal lee,
MI Installation Date FIl4 fog Before noong Afternoon ❑
❑ Other C _
�yGYq MAN., F. 4at0 `yitw Lt#hh .•r.l C'241411
, > P.rrnn..,c 1: .. ciY.N4 S P/-t - f /w.,sw1 PM, U....• ....., Total:
- - .1 .1'.nL '"' /whr•+• 1J.3rti ,.-••. Instant Rebate
C$ a „-
- • Mlsc.•
We propose he - • le complete as above epecded for the sumo/ (tax Induded)
1?►wf "Mows nr.o 'Ting, 11.1".67,0,0 0 • Tu aril t .----- DoNam TOTAL INVESTMENT 1 $APO - e°
0 Approval # outlet Investment: $ " •
Payments es follows: Ibhaok D Cuh 0 mosses aelence Due on Compledon: $ 'B 3 xO • ex.,
Card (type) 2 0 y " (Expiration Dale)
• - 7a S9f� ...._, �I. Jeinad' 7) r� in /a Dew %is 104
813- 780 -0020 (JI 5 ° ax- 813 - 780 -0021
City of Zephyrhills Permit Application �. l
Building Department
Date Received �JJ _ (-NO
Phone Contact for Permitting LIU
Owner's Name &I bre I / Owner Phone Number 3 - 7g3 7 0
Owner's Address 54 4S� S >4 , /-4 4.51 Owner Phone Number 78 3 710gesz
Fee Simple Titleholder Name 1) / Owner Phone Number -
Fee Simple Titleholder Address 1� _ / ! //4
�, /mil
JOB ADDRESS 5`Y7 � iSf SWL Zohr, rh /J4 k- � /vim' LOT #
SUBDIVISION PARCEL ID# 7 1 .(L AOVO_ o X_ 1621
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH
h INSTALL REPAIR
PROPOSED USE n SFR I I COMM n OTHER I
TYPE OF CONSTRUCTION n � BBLOC L K I FRAME / � n STEEL n OTHER I
DESCRIPTION OF WORK T` /J - : - aalo`�{� Zr Otk 1 G. .g • 5 -
BUILDING SIZE SQ FOOTAGE g (e.._ HEIGHT
I BUILDING $ VALUATION OF TOTAL CONSTRUCTION
I 1 ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C.
I I PLUMBING $ CIL) MECHANICAL $ . VALUATION OF MECHANICAL INSTALLATION
I GAS n ROOFING 11 SPECIALTY n OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES n N0
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y/ N 1
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I YIN I
Address License #
MECHANICAL COMPANY F 4k_
SIGNATURE •C 73r/l�i ._...- REGISTERED 1 / N I FEE CURRENT
Address ! /!1L 1,), play k �, T 7 l 3 Lo License # �41'I
f) 7 y OTHER / COMPANY
SIGNATURE REGISTERED
1 Y/ N I FEE CURRENT 1 Yin] 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 (3) 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 $5000)
** 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 (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (PIot/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 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 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 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 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, Wetland 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 1 -
OWNER OR AGENT CONTRACTOR —,--
and swgq -
r ed r��n.to,(. r affirmed) efore t S r °b d and savor to (or affirmed) befoje� me
It /�
/�L�( by et d / 1/ � . ! gAl i by 0.4,/j A . `leewt/? -411-1-1 —111111111—
o is /are .nay no"' to me or has /have produced Who is /are • : . all known to • e or has /have produced
` ..a .n. 'i1 1 ntification.
-.• # . . . ‘ Ora MY COMMISSION DD181264 MY COMMISSION # DD781264
c; r MBEs: June 28, 2012 �T EXPIRES: June 28, 2012
Notary Public i xonar+oTaev Now) Discount Co. Notary Public
Commission .. it03.11. Comm( ..
ante• or stamped ,j me of ypee0 - ed or stamped
1 111111 11111 11111 111111111111 a 1 11111 1111111111 11111 1111 1111
2009115345
Rcpt:1259220 Rec:10.00
DS: 0.00 IT: 0.00
08/18/09 Dpty Clerk
PAULA S. O'NEIL, PASCOO CLERK & COMPTROLLER
08/18/09 i gpf 1 PG 142
NOTICE OF COMMENCEMENT
Permit No,
Property Identification No. 11-21.a -a / - 00 / 0 - ( o - r 04 a
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
L'i1Ly of h�rhi /Is 1'& PG 5 C J / y Co-
l .Description of property (legal descrl'ption:) OJ- • + 1 4/00e— (1.21 1 ha OG 5e
a) Street Address: 5 mss* 26,7 y. 3 ! 5 0 2
2.General � al descrip ion o impr o n a 19 !1 .. 0•. ' t L % � df' 4L !d
w n ormation J � -
3. /
a) Name and address: 1 1 ((Y i 1 Q _
' b) Name and address of fee si .le titleholder if ether th•n owner) /) a
c) Interest in property �J" �/ o $1 1 _ 2 ; ' av�� 1 5 '�
ontractor Information
t a) Name and address: kid") 4 , y c c � I /9'voz E tis /�y Q2sk /OZ 7 e 3.30W
b) Telephone No.: — Fax No. (Opt.) __W_ — 3 /p 4/gO
5.Surety Information
a) Name and address: / �/
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.) lJ 1A
6.Lender
a) Name and address: P / Phone No. A 111
7. Identity of person within the State of Florida esignated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: /j} Fax No. (Opt.) 7)1 ,4
B.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provide in Section
713.13(1)(b), Florida Statutes:
a) Name and address: A
b) Telephone No.: h / Fax No. (Opt.) /') 4-
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified): /91.4
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO l( //1 r g g Ate ht.e Signature of Owner or Owner's Autth fficer/DirectorfPartner/Manager
PrintN e � C�v'el iz v
The t forregoing instrument ru s acknowledged before me this 7`}' day of /406) U ST" , 20 O by e Le
as (type of authority, e.g. officer, trustee, attorney
in fact) for (name of party on behalf of whom instrument was executed). '
Personally Known — OR Produced Identification t Notary Signature 1
1 -�
u' ° o Notary Public State of Florida
/! /� i ^` Michelle Rand
Type of Identification Produced LJ 91.2 9 y (¢-2-- Name (print) 4" ; . . My Commission DD831565
APIPAAPPOPPOWNIIIIIIII
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
' D 04-e-age--e—
Si of Natural Perstrlf Signing Above
FORMS/NOC,rvsd2007
STATE OF CERTIFY FLORIDA, H OUH O
E FOREGOING iS A
THIS IS TO
TRUE AND CORRECT F PUBLIC RPY ORD IN THIS OFFICE
ON FILE 0 Y HAND ANDS FICIAL SE LTHI
WITNE - - y� i•
o DAY OF %il� / O " . - TRH L
PAULA %'NEIL, CL -K �/
J • • 4 Y CLERK
BY � _./,',
i