HomeMy WebLinkAbout10-10435 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10435
BUILDING PERMIT
Per 7 o Number: � s , t M 0 � � � Address: ��� � _. � =
er: 10435 dress: 39647 MEADOWOOD LP
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: 13- 26 -21- 0140 - 00000 -0390
Improv. Cost: 7,411.00 4 °; 7 7, P
Date Issued: 5/06/2010 Name: GRETZULA, JOHN
Total Fees: 70.00 Address: 39647 MEADOWOOD LP
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/06/2010 Phone: (813)782 -6238
Work Desc: HVAC EQUAL CHANGE OUT 3 TON
EA Y A • HAN E • U 70.00
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DU T IN TALL D
DUCTS INSULATED
FINAL — 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 yo notice of commencement."
...tr■/ %/� ______±
CesT NATURE PERMIT OFFI R
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 May. 06 2010 03:31PM P2
EASY A / C CORPORATE HEADQUARTERS
9402 E. HWY 92, SUITE 102
COMFORT TAMPA, FL 33610
MADE EASY .
FAX (813) 635 -0480
ADIvuslwlof3GAlrCb ` � -
ncp(Jonmg & Heating, Inc. Lk, * CACOOB7rq
(727) 447 -6933 (813) 229 -3422 (813) 754 -4044 (813) 636 -0440 easyac.net
(863) 686 -8528
Pinellas Tampa Plant City Brandon, Apollo Beach, Lakeland
Riverview
Customer Name; 'Mot . q G tt,€-r? 0 r_A
Sheet: 3 '16 , 47 rok FAtvr. , r l. del P _Gate: 1?
City: 20-04.01.2„ . •a _State:_ ry .
Home Phone: >1q,Las -'7 2 - k,� g ��'{
Work Phone_
Calmer EmeltAddraaa • ►t N. 6.5P "_uut e►ue.,reW , _ ,,,, 1Cell Phone:,
We propose to furnish, install end service under pennies (Meted below) products or related equipment for your home In eccordande with the conditions
ends • - cations set forth below,
NEW EQUIPMENT CONTROLS AND ELECTRICAL
VI Brand .ilis►p ∎ * & Tans - - Cline */ Combat
a New law voltage wits
❑ Aft Condennr West Pump ❑ Mercury Thermals(
o Evaporator Coll . Mir Handler D Adapt o low voltage
D Attic light
❑ Oas Furnace IRPtaon ❑Freon fa•Programmebls Themnoate* 1.d,444.,c.
be
DGea/Elect - Tare,. tsCrxcw
❑ Package Unit ❑ReelTop � Eleetneal upgrades MN the responsibility of the owner
C1 Up/1ow Dbewnllow tilHarl Intel ❑ Install new Amp. electric service pens*
Gl Flue ❑Adapt to Existing 0 New • (Size) U Outside weatherproof dlecannect ❑ Inside disconnect
Heat Strip (KW) 5'14.4J
IROulekle whip I$IneMls wkly
❑ BTU Gas (Input)
IRf.oeal electrical wiring ❑ Condensate cercuit
0BTUM Cooling (Load) _ SEER I'1'- ❑Breaker Type Be "Aft .2. 81ze qd 614 'P e>
0 Re•Looste Condenser When 0 Breaker Tips ' 81ze fr ra,2 _ �*6 ►,,
❑ Re-Locate Air Handler When PIPING
AIR DISTRIBUTION 44 Condensate Drain Hook-up !Q{ Primer/ etemeon
D ReturAlr Fliers Grille) 0 Existing ❑ New Sze IRAs /riger/Int Line Bet ❑ Teat ❑ Adapt It New Size_ _
❑ Sanitizing *Vents 1 By.lsi* ❑ Stand O Piywood Deck DTOW Only
❑ UV-1.101 0I 1 -Bulb q 2- Bulb 0 Odor Spike RLIneset Protective Cover (QHanging MI drain Pen
D Deodorh*ngitonketion 0 Medle Filler 0 HEPA Guardian WFINer Drier I lin$ne Float Switch SA* Float 8wdch
C7 Filter 1 Pleat ❑Std D Eleotrenlc . • ..._..._ ... -.. .... ...._ _..
D Condensate Pump Voltage
❑ Rigid lilergless.duct plenum with reinforced repguard IC P.
vapor barrier main trunk end fiexlble breneh and return duct MISCELLANEOUS
❑ SceelnMtel instated supply duet system D Milking Gelling Damage Wisp No D
❑ Balance syelem for unclean air distribution end comfort 0 Location of Damage_ Homeowner 1n1lal
D Mestik & Tape 0 Rune tsj'ACCU- package cherying 01 air conditioner
D Mobile Home Supply 0 Mobile Home Return RAH work done in w'arden's wen existing codes
❑ Modifications of suppy,and return plenum se needed to maim new air handier WAN required permits/Inspections
U New supply regular(e) Ceiling Floor Was 0 Oulet kit
❑ Anti-Microbial plenums D Premium Duct Pip �,
e3 Visually check duct system for leaks 0 Deluxe Dud 0 C Reinforcement
ol cr emanl mounting pad , ee,r�c . w /A co ohs
� ❑Cool cap [] attic deck
Hook up to existing ductwork 0 Btendare Dud Pkg
020 gauge galvanized steel weatherproof duct cover for package unit
(X Hazardous Welled Disposal Fee 3 St a All work (0 be performed in a neat and prefeesional mewls, by louneymen
WARRANTIES /GUARANTEES days technic*ne, aping, dusting, vacuuming, w* be aco0mpishedat
/ 1 years full guarantee of labor yrs rust warranty the conclusion of each day's work end all debris removed from premisee
RI —AO —years lug guarantee of part. __ lyre lightning warranty 0 Other
ICI Guarantee of Compressor--L0,--- years 0 25% Heating & Cooing ❑ 3 day Buyer's right to cancel. You may cancel this agreement by
RI Guarantee of Cone —L0--._ Mr B°stn g uarant ee
Y providing written notice to the *Her In person, by telegram, or by mall.
D Guarantee of test Excnengar years ❑ 1 yr $ back guarantee This notice must indicate that you do not went the goode or services
R I `Irk guarantee en e11 duct work Installed by Easy A/C and must be delivered or poekne iced before midnight of Inc third business
BJ EaeyNC le open 305 days per yr. day after you sign (isle agreement. 11 you cancel this agreement, the seller
Regular WARRANTY/Ba vice Hours are M•F 8 em to 4 pal, may not keep 111 or pert of any cash down payment,
After Hours, Weekend's & Holidays are even** fore nominal lee,
ffi Inatelledon Date -S/71A#) Before noon ( Afternoon 0
141 Other C6) ‹V<•>s�.,., '1 e. z a. « al 'I WA cog Q TA-4 J id , ryas f oil,
( .Ash r I 3.fr1 te A" OA C.LYY rat C.i r<. lnwttid Ir GasaDM
Total • f Gill e6
I a. ALL Ta✓y'„w,n ' c Averts.. instant Rebate: IO ork.`
( OeV f.e 4 r rstow-www rovie a (A....... G. Mlec
We propose hereby to furnish complete es above wolfed fm Ole aura all Iles *eluded)
S&NiFr.• - Ilfw_rn P1M /41 1. 4 I4»......4. e. IPr..e.wk:.ry Dow. TOTAL IIWE9TMENT: $ lib 1 -O
❑ Approval * initial investment $ " 47 investment
Payments as fellows: ❑Check D Cash ❑ Finance Bauknce Due on Completion: $ 7 if I • ° —
Cue (type d '741 V IS4 r _ • 7b - -
e: t �� /, .. A. (Expiration Da*. Oa f 12-
Approv Apprevel: w l r ��( Dell ; — 11?
MIIM sent rc O. . n
FROM :EASY AC FAX NO. :813 635 0480 May. 06 2010 03:31PM P1
C�+►�liorwK 1Ncawd� [qs
A Division of 3 G Air Conditioning and Heating
9402 E. US HWY 92, Ste 102
May, 6 2010 Tampa, FL 33610
Re: Permit Authorization
To whom it may concern;
This Iettcr is to authorize agents for Easy A /C. They are authorized to pull county permits having to do
with Easy A/C under Keith A. Westbrook, contractor.
The following people are included:
David Whittington.
Alexandra Wilson
Casey Westbrook
If you have any questions please call immediately @ 813- 635 -0440 asks for Alexandra Wilson.
Thank You,
_
71
1/0
Keith Westbrook
Contractor
CACO58774
STATE OF FLORIDA
COUNTY OF4 tht,(,q'/1
The foregoing i Rtrument was acknowledged before m s day of 20/b by
BARTON P, QUIBELL
MY COMMISSION h DD7$1264 Notary Signature
EXPIRES: Jaw 18.
NrwyrAAV n. NoW Cbcetat Oe• C am.
-
Notary Name Printed or Stamped
Personally nown ✓r,__..�
Y OR Produced Identification
Type of Identification Produced
813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021
Building Department
Date Received -- Q Phone ■ Contact for Permitting i i 0 1
Owner's Name Gee I ZU 1 0. � -- 3 - 0Vi v Owner Phone Number
Owner's Address 3q (9 1 7 Mead kiocd Loop Owner Phone Number
Fee Simple Titleholder Name 4 1.79-
✓ J Owner Phone Number
Fee Simple Titleholder Address n
JOB ADDRESS "),>90 Mec LL)ood /- O o 1 LOT #
SUBDIVISION PARCEL ID# 1 3 - 21Q-2/- Ol -vd000 -L
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED Q NEW CONSTR ADD /ALT n SIGN n MOVE 1 I DEMOLISH
INSTALL REPAIR
PROPOSED USE n SFR I I COMM I OTHER I
TYPE OF CONSTRUCTION n BLOCK 1 1 /�/ - STEEL n OTHER
)`f
DESCRIPTION OF WORK A 0 . �L G'I�(.!i 0.. Y .I , �tl ev C,'yc lL 3c
BUILDING SIZE SQ FOOTAGE I L-f 28'
HEIGHT r ....
n BUILDING $ VALUATION OF TOTAL CONSTRUCTI ' /0�3�
I ELECTRICAL $ AMP SERVICE I I "OGRESS ENERGY ,,�rr/ ] W.R.E.C.
PLUMBING $ 0 /� le./-4.�41- 2�
iiLI MECHANICAL $ - 7 L 1 / (.° VALUATION OF MECHANICAL INSTALLATIO `7 d %fir
I GAS n ROOFING n SPECIALTY n OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES nNO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I
Address License #
iii
MECHAN ' "� COMPANY CQS �
REGISTERED I Y/ I FEE CURRENT 1 Y/ N I
Address License #
OTHER COMPANY
SIGNATURE REGISTERED 1 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) 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 $5m,- q s
** 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 (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 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. 117.03)
OWNER OR AGENT CONTRACTOR
S .scribed and sw. n to (or affirmed) b4 .r- me thi lefrt Subscribed and swor or affirmed) bef.re 'e is
�.. b Imo' 1 tr / if ..` 11 .• • g'I -t_--:I A • a £
Who is /. p. sonally kno ' • : me or has /have produce. Who is /a • - I known t. / e or has/have produced
as identification. - as identification.
Notary Public Notary Public
Commis- .n = Commiss'. :.
of 'C nted or stamped e� ped, printed or stamped
1" 't6 BARTON P. QUIBELL
MY COMMISSION # DD781264 BARTON }N` P. QUIBELL
a EXPIRES June 28, 2012 MY COMMISSION # DD781264
0F0. Fl. Noto Discount Assoc. Co
�x� :4 'rAHV c �F EXPIRES June 28, 2012
M FI. Noun Discount Assoc. Co.