HomeMy WebLinkAbout09-9140 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9140
BUILDING PERMIT
?+`K-*6 n n y"°5 ;, Z1'3 a £s �° „. s. " tC'P •, `' E a EE
Permit Number: 9140 Address: 6118 16TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: NC CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: PARK HILL
Est. Value: Parcel Number: 02- 26 -21- 0180 - 00000 -0730
Improv. Cost: 6,438.70
Date Issued: 5/20/2009 Name: JOYCE, TERENCE
Total Fees: 65.00 Address: 6118 16TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/20/2009 Phone: (813)782 -2807
Work Desc: CHANGE OUT A/C 3 TON
MILLIAN —AIRS ENTERPRISES CORP A CHANGEOUT 65.00
DUCTS INSTALLED
INAL
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."
CONTRACTOR SIGN • .I - E PERMIT OFFI rR
PERMIT PI • S IN 6 MONTHS WITHOUT APPROVED INSPECTION
C FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
From:MILLIAN AIRE ENTERPRISE 7278168865 05/20/2009 08:31 #645 P.001/001
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813- 780 -0020 City of Zephyrhills Permit Application � ��U Fax -813- 780 -0021
Building Department -
Date Received 6 -2brO9 Phone Contact for Permitting —
Owner's Name ' re C C VlC € ' \kv - C Owner Phone Number 6137 2 2c Z /
Owner's Address � 1 — I � -
C� t Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 62 US ((s St z -A , r k (` C LOT # 1 3
SUBDIVISION 1 M lc ' ' " ( I PARCEL ID# GZ' Z(o " 2-1 - U t 0 - 0 6 0 0 6 - 0 1 3 C
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE I I DEMOLISH
-/.: INSTALL REPAIR
PROPOSED USE I' %I SFR I I COMM 1 1 OTHER I 1
TYPE OF CONSTRUCTION I 1 BLOCK 1 I FRAME r--1 STEEL n OTHER 1 (
DESCRIPTION OF WORK c\ 0 k`� (11 C'' 0 04 R T 0 6\ 74,5..(7
BUILDING SIZE SQ FOOTAGE HEIGHT
•
I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION
I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I] W.R.E.C,
1 I PLUMBING $
® MECHANICAL $ [ —1 V VALUATION OF MECHANICAL INSTALLATION
I I GAS I I ROOFING 1 1 SPECIALTY ( I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 !YES 1 INO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1
Address 1 License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address 1 License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
■
fg MECHANICAL -- COMPANY Ati
SIGNATURE �/ ae �� REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I
Address I License # Q_ 4 0-4514 2? 2-7
OTHER COMPANY
SIGNATURE REGISTERED [ Y/ N I FEE CURRENT I Y/ N 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) 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 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 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 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
D E FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) / r '�
v`• -4• -f /L. �',- CONTRACTOR JG� /t/� v '
OWNER OR AGENT E� Subscribed and swom to (or fflrmed) before me this /-,
Subscribed and swom to (o m before me this / by ,d /(' /�i r4
by Who is /are personally known to me or has/have produced Who is /are personally known to me or has /have produced
s identification.
.s identification.
/ 7 , / 1
/ / I d ,� l i i/ I / . Notary Public
A V A ■∎` i � r / / �� �otary Public r j
C• ission No.
t $ ission No. ,
Name of Notar r y 3 it d, N ry NA 5 tRe of Florida
Name o Iotapa�tyP Priftl ruNiMitnf Florida � p 'E
o John J White
; John J White a Expires 03/06/2011
4 0F F.'a Expires Commission D0627041 s My Commission DD627041
' 'oF Fvo
Expires 03/06/2011 u
I NamellTerence Joyce II Phone #II(813)782 -2807 11 DateII5 /16/2009 I
1 Address116118- 16th St. 11 Proposal Number11H105162009104529 -1 I
I CityllZephyrhills 11 State IIZip 1133542 11 Comfort SpecialistljJohn White 1
SYSTEM SYSTEM1
System Investment
-- r ate, * , /
Base System $6,588.70
Optional Items Total $0.00
k 4;ii
Survey /MArebate <$150.00>
\ ., <$0.00> i II , , 0% Sales Tax $0.00
-.' t '� 4 System Total $6,438.70
s , ` Finance Calculation 0
_. z 4,. ',' ' tom
Estimated Monthly Investment $0.00
r' Initial Investment $0.00
1 � � Balance $6,438.70
« Investment Type
Optional Items — (Checked items are included in system total)
Add Decline Price Description E.M.I. Initials
✓// $804.00 XR System. Includes Condenser -Air Handler- Thermostat and Built in $0.00
CleanEffects
11 $225.00 1Year Millian -Aire Club Includes Online Website I $0.00
I 1
I I . i II . s I
ir,„ .„,aliMrk,-,„ i
__
1 1 i - ____________
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11
1 1
1 1
By signing this agreement I acknowledge that I have read and understand each Representative Date
page, including the terms and conditions.
Customer Date Approved by Date
http:// localhost/ Opman/retroproposalsheetlaprint. asp? system= SYSTEM1 &systemboxid =l &discount= 5/17/2009
I NamellTerence Joyce I I Proposal Numberl1H105162009104529 -1 ll Date115 /16/2009 I' SYSTEM1 I
Components in Base System Investment Inclusions
Qty. Model # Description (in Base System investment)
I 1 14TWR4036C1000A IXR14C 3 TON HIP CONDENSER (Clean up work area before leaving worksite
' 1 '4TEE3F39A1000A ITRANE VARIABLE SPEED AIR -TITE AIR HANDLER 'Complete system start up
ITCONT401ANZ1MAA (NON PROGRAMMABLE STAT (County Permit
1 1BAYHTR1405000C 15 KW HEAT STRIP Ensure proper amount of freon by charging with
3 'MISCELLANEOUS A (MASTIC- HANGING KIT -FLOAT SWITCH - EM.PAN. superheat
l 1 'FLUSH KIT 1R22 To R410 Flush. 'Ensures proper drainage
1 IELEC RECON -OD2 (ELECTRICAL WIP (Evacuate refrigerant system, removes air and water
1 (SUPPLY PLENUM NEW SUPPLY PLENUM Hanging Kit
1 (RETURN- PLENUM 'RETURN PLENUM (Manual "J" (Heat Load Calc)
1 'Add Retum - 1 'Add Retum with Change Out
1 'Pasco Permt 'Pasco County Permit Cost. (Quality Control inspection
1 'XR Home Depot Sale 'XR Home Depot Sale -12 Months SAC 'Remove and dispose used equipment
1 AC -AH 10 Used for setting AC Outdoor Unit in conjunction with new Air (Secondary Drain Pan
Handler. 'Secondary Pan Float Switch
Exclusions
(not included in Base System Investment)
No selections.
Installation Instructions
Remove & replace older heat pump split low seer / With new Trane XR14c 3ton heat pump split 15seer /must cut access scuttle in ceiling in 2nd bedroom/
NH on other side of house/ wood for catwalk/owner will trim out access scuttle! For better efficiency & warranties- 10yrs.all parts & 1 yr.labor!
Upon completion of installation if ductwork is insufficient for new equipment and additional ductwork is needed additional charges will apply at a
discounted rate. Millian -Aire recommends a static pressure of less then .8 for the entire system.
Page 2
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