HomeMy WebLinkAbout12-12887 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 12$$7
BUILDING PERMIT
Permit Number: 12887 Address: 5230 6TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 9,373.11
Date Issued: 3/12/2012 Name: ST
Total Fees: 85.00 Address: 5230 6TH
Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/12/2012 Phone:
Work Desc: EQUAL CHANGE OUT OF A/C 5 TON 15 KW
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DUCTSINSULATED
FINAL
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 inspeclions called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)worlc 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.
"Warning to owner: Your failure tc recoM a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain finandng,aonsult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Aocompany Application.All work shall be performed in accordanae with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
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 Permitting �� �(� -- (��7q
1 1 1 1 1 1 1 1 1 1 I i 1
Owner's Name V�L��s Far � O er Phone Number
�jy�� � 33,��t-0 �
Owner's Address �"(7l�� 1� � /'�j�� Owner Phone Number
Fee Simpie Titleholder Name Owner Phone Number C
Fee Simple Titleholder Address �
JOB ADDRESS ��3 Q D ��Sf. LOT# �
SUBDIVISION PARCEL ID# I�-2 b '��QD IO' �� -(O��Q I D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � �
DESCRIPTION OF WORK �Q(�(,�I ��n9e Qvt� 4f �C• ��f'Q/� '��
BUILDING SIZE � SQ FOOTAGE� HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENE�.{'a'Y � W.R.E.0
OPLUMBING $ � � f,�f
�� 2f /
�MECHANICAL $p �� /� VALUATION OF MECHANICAL INSTALLA N -
� �
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY �Y� C �/'�/jCPS
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License# C
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
MECHANICAL //� ' � COMPANY W G �PV1 C�S
SIGNATURE �� REGISTERED Y! N FEE CURRE� Y/N
Address �.� 7 � n�►aar ��. IQIr1 �L v�'v License# � G �j(7
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
Illlllllllllllllllllllliilltllllllllllllllllllllllllllillllllllllll
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 wl 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$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 (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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 ira 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 Senrices/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, far 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 O COMMENCEMENT.
FLORIDA JURAT(F.S. 117 03), � /�
OWNER OR AGEN'�'ri���f�� �r CONTRACTOR?t � ���'V�
Subscribed and sw n to(orj�ffi�r d befo�r�1 h_is Subscribed and sworn �of a rmef�)b ore thi 1
3r�2 yt by��MtC/lf���• C MKYPt� 3—!1—/Z" by ,�.�/�'l1�Il �. �t4�T/'��
Who is/are personally known to me or haslhave produced Who is/are Rersonally known to me or haslhave produced
�� CP,n$� as identification. �m(C���Qa_- as identifir,ation.
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A �
~'� ota Public '� ��� Notary Public
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Name of Not ,printed or stamped Name of Nota teA�p�M�rr.anoeeoa�es.�o�a
�, NOTI E F
• C�MMENCEMENT
PERMIT NO.
Tax Folio No. I IIIIII IIIIIIIIIIIIIII IIIII IIIIIIIIIIIIIII IIIII IIIIIIIIIIIII
201203969
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property in accordance with Chapter 713,
Florida Statutes,the following information is provided in this Notice of Commencement.
�
1 Description of property(legal description)
(a) Street Address: 3O � Z � tl S
2. General description of improvement 'Z -
3. Owner information
(a)Name and address: w�«�j �Cc�'G p , �.g�'o�( ��'�t,� . � �), , �P,D h� r l(5 ���3.�0
(b)Name and address of fee simple title lder(if other than owner� TS-
(c)Interest in property
4. Contractor Information
� (a)Name and address: T e.� f1/'1 C,2 /393' 7 G h/y� ✓� �� �c�Sf'C�p�-e lCL 3.J'6'��
(b) Telephone No: _ - 43 7 Fax�io (Opt.) 3 � Q� ��_, , �-c
5. Surety Information
(a) Nameandaddress: Lots 13 to 16, inclusive, Block 133, TOWN C�F ZEPHYRHILLS,
(b) AmountofBond: as per Pla[ Book 1, Page 54, Public Records of Pasco
(c) TelephoneNo.: County, Florida.
6. Lender Parcel 46 11-�r21-0o lo- 13300-0130;
(a) Name and address:
(b) Telephone No.: ' � � � ' '
7. Identity of person within the State of Florida designated by owner whom notices or other documents�nay be served:
(a) Name and address:
(b) Telephone No. Fa�c No: (Opt.)
8. In addition to him or herself, owner designates the following person to receive a copy of the Lienor's Notice as provided m
Section 713.13(1)(b), Florida Statutes:
(a) Name and address:
(b) Telephone No.: Fax No. (Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified herein):
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 BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA, ��� � ��LQf
COUNTY OF PINELLAS Signatur of Owner or Owner's Auth rized Officer rector/Partner/Manager
Gt�en � a r¢-�ne z..
Print Name Signatory's Title/Office
The for�ePoing instrument was acknowledged before me this�day of (�1Gt(C,� 20�a. ,by F, � Z
as V P (type of authority,e.g.officer,trustee,attomeX in fact�for � � (name of pariy on
behalf of whom instrument was exec ut e d). �:■•_� 's���a•>au..�nu�u ........ .... �
TERRY COLLURA � �
, / ��,,"i r,,,• Comm#DD0777808 �
Personally Known `� Or Produced Identification � ;��+� u�2, �a,
„ _���`; Expires 4/13/2012 � N igna
Type of Identification Produced � 7Y'�`�x—M.w'i��Notary/�ssr►.,Inc :
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w.+, �.s ..ea.•.ou�u��n���wnu�u�n�� Print Name
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Verification Pursuant to Section 92 525 Florida tatutes Under penalties of perjury,I declare that
After recording return to: I have read the foregoing and the fact stated in it are true t he best of my knowledge and belief.
City of Largu
P U Box 2�J6 - ,� `�[�
Largo,FL 33779-0296 5ignat re of Natural erson igning Ab e
Rcpt:1421061 Rec: 10.00 �
DS: 0.0� IT: 0.00 PRULq S 0'NEIL,Ph D PFSCO CL ERK 8 COMPTROLLER
03/12/12 D. Bonilla, Dpty Clerk 030R BK2 $�'�� PG�f1�1
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PAl.1L �`!�'iVE _ ('L.L- & CO�JiPTROLL�R
BY r---` r;EP!_� �' CL±-.Kr
_ ,
Mar. 1. 2012 4: 09PM TWC Services IVo, 2574 P. 2
' 5553 W.Waters Ave ti311
Commercfal Tampa, FL 33634-1210
Air Condltloning �� � Phone: 813-894-0037
Refrigeratlon Fax: 813-88��i9bZ
Kltchen Equipment T`YC BBRV/CES www,twcservlces.com
70: Wells Fargo,Zephryhilis Date: February 6, 2012
5320 6th. Street
Zepheryhills, FI. 33542
Attn: Bonnie Martin Ref#: 5021204
Project: Raplace second floor 5 ton split AC system with a HP system.
We propose to furnish the materlals and/o� perform the work described below:
Replace the 5 Ton TempstaNYork split system for the second floor with a new
Carrier 13.5 Seer R410A 3 phase HP split system with electric heat. Recover
refrigerant a properly dispose of old system. Set new system in the same locations
and connect to existing duct work and electrical. Refrigerant lines will be flushed and
reused. Evacuata system and charge system new refrigerant. The a new Bay sanse
HP tstat will be installed. A new condensate pump, fioat safety switch and fire stat
will also be installed. Start up system and check for proper operation. Quote
approved after March 1 will be subject to new FI_ Building codes and may
significantly affect the price of the quote.
Equipment:
Is Equlpment Running? Yes
Age of equlpment (in years): 16
Condition of Equipment: Poor
We have included the following:
Delivery of maEerials and equipment to the job site
Final adjustmenf and calibration of equipment
Labor During Normal Working Hours
Disposal of Old Equipment
Freight
We have not included:
Any work not specifically stated in the proposal
Previous L.abor or Materials from Original Diagnostic Service Call
Labor Pertormed after normal warking hours (Overtime)
Tatal Prlce; Price Breakdown
$ 9,373_11 Parts/Eqpt: $ 6,165.73 Permlts/Frelght: $ 711.88
Labor: $ 2,365.50 RecoverylDisp: $ 130.00
5ales TaX: $ - TorchNacuum:
This Proposal is subject to the terms and conditions as shown on attached page.
PURCHASER'S ACCEP7ANCE: Respectfully Submitted,
Wells Fargo ZephryF�ills TWC Servlces, Inc.
5lgnalure S�gnature
Bonnie Martin Christopher Hedges
Prin�ed name Printed name
U�/Uf�/11
�ale Dale
Mar, 1, 2012 4: lOPM TWC Services IVo, 2574 P. 3
�, Carrlur Entarprlse,LLC
1802 Grent S7 S7E 100
EQUIPMENT QUOTATION Tampa,���eo5
(P')873-za2-7747
� (F1813-241�075
www.commercial.carrier.com
comlort�excellence
Attention: Chris Dete: 02/06/2012
Fax Number: Quote Number: 2aC490189
Account_ 162520 Engineer: (No Contact)
Customer: TWC S�RV{CES INC(TAMPA BRANCH) Job Name: Wells Fargo Zeph
Job Location: , FL
We arr�er are pleased to quote the Following equipment for the above reierenced projecl in accor an
a ched terms and conditions.,Contractor's Responslblllly to verl(y voltage before ordering
Mark For Qt Model Number Descrl tlon
1 ' 1 25HBC360A005 ; 25HBC Carrler Base Heat Pump with Puron 5 Tons Cooling
_.._—..._ j . . . ��208/3/60_.
1 � 1 � FX4DNF061T00 ! FX4D Comfort Series Fan Coil wilh Puron 60000 STU Coolinc�_.__
9 � 1 ; KFCEH1601315 � - � 15 kW, Electrlc He�ler, Non-fused, Stageable, with relays
_I _._ ; _..._ .. ; (209/3/60�'___ .
1 � 1 TC-PHp01 � Comfort Programmable Heat Pump Control '
I ' Subtotal: s2,808,00
- ----�- -- _ ---- ._. .. __ —_.._.
! 1 24ABB360A005 24ABB Base r uron Refrigerant 5 Tons Cooling
-- - I �20 - ---- --
_. 2 1 FX4bNF0� � X4D�Comfort Series Fan Coil with Puron 60000 BTU Cooling_____ _
2 � 1 KFCEHI6 � � ctric Heater, Non-fused, Stageable,wllh relays(20e/3/60)�
2 ; 1 � 01� � Comfort Program t Pump Control" �
Subtotal: I �2,556.00
� ,
.. � -� ---- ---- � - -- �- -� �--- — -...
Total N�t Sell Price excluding sales tax: Above
QU�TATION NOTES;
ADD: a85.00 For Frelght!F Needed
NOTE: Some products in thls quote are special order non-stock Items, See speclal note 6 below.
EXCI.USIONS:
. AccessoAes ara Oeld Insla(led unlees olherwise noted
• Speclal coalings,adapter curba,e�Cerr�al vlbratlon Isolafion,smoke deleclora
• Hurricane lie doWn breckels,resUalnts or wind(oad ratings
� In waRanty Isbor or labor lo Inslafl,assemble or mouni accessoAes
• Electrlcal work Induding wiring,disoonneeW,phase loss protedlon,convenience oullets
• Unloading,slorage,li�ing or salUng oI equlpmenl
• Conlrols or Ihe►moslals o(any klnd unless speclflcal(y lisled adove
• My piping,refr�gerallon speclallles or long line accessories
. Any item unless no(ed above
SPECIAI.NOTES�
1. Above price la Arrn snd wlll remaln In etfecl for 30 days.
1. No taxes,permila,stert-up,and or servlce are included in ebove proposal unless olhenN9e noled.
2_ All orders subjeci to credlt accepfance.
3. Com liance lo Iocal oodes nellher uaranteed nor im Iled.
7emplefe Ve�sion:1.� Thls quote Is subJecl to atlached terms and condlflons P e 1 of 3
TdC RevlseaF 3/2B/2005 a9