HomeMy WebLinkAbout12-13069 CITY OF ZEPHYRHILLS
5335-8TH STREET
� (si3)�so-oo20 13069
BUILDING PERMIT
Permit Number: 13069 Address: 5610 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: 11-26-21-0010-05800-0180
Improv. Cost: 3,550.00
Date Issued: 5/11/2012 Name: PHILLIP, TODD & DAVIS STEPHANIE
Totai Fees: 55.00 Address: 5610 6TH ST
Amount Paid: 55.00 ZEPHYRHILLS FL 33542
Date Paid: 5/11/2012 Phone: (352)476-0019
Work Desc: A/C CHANGE OUT 2.5 TON COMMERICAL
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DUCTS INSULP�TED
FINAL �I- '�
REINSPECTION FEES: Reinspection fees will compiy 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.
"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,aonsult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Ac;company Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
CTOR NATURE PERMIT OFFI R
PE IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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_. • • • Proposa/ / Contract
Air Conditioning& Heating
All-TECH AIR,Inc.
3814716th Ave.
Zephyrhills,FL. 33542
Office 813-870-6934 Fax 813-783-2336
info@alltechair.com / alltechair.com
State License# CAC1814196 Date: OS-07-12
PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT:
Hyperbaric Centers of Florida (Same)
5610 6`�St
Zephyrhills,Fl.33542 Office 813-788-3969 Phillip-Direct 813-997-0787
WE HEREBY PROPOSE TO FURNISH THE MATERIALS AND PERFORM THE LABOR NECESSARY FOR•
1. 1 —Goodman GSZ 13 13 SEER Puron 410A(2 '/� Ton Heat Pump)Split System with Skw back up heat
CONDENSER: GSZ130301A /STANDARD AIR HANDLER:ARUF182416C/TX3N4
2. This Also Includes:Honeywell Digital Thermostat,Stand or Hang Kit for Air Handler with Float Switch,
Breakers,Hurricane Slab for Condenser,Hurricane Straps for Condenser,Move Condenser Location,
New Copper Lines,Flush Drain, Seal&Mastic All Duct Work,and County Permit.Total (:$3,550 00)
**Goodman Warranty: (5 Years Compressor, Parts and 1 Year Labor)**Included
*** Not Including: (Any Pre-existing Conditions, Original Electric, and Flex)
ALL MATERIALS ARE GUARANTEED TO BE AS SPECIFIED ALL WORK TO BE
COMPLETED IN WORI�MANLIKE MANNER FOR THE SUM OF• $3,550.00
TAREE THOUSAND FIVE HUNDRED FIFTY DOLLARS AND 00/100
ANY ALTERATIONS OR DEVIATIONS FROM ABOVE WORK INVOLVING EXTRA COSTS WILL
BE EXECUTED ONLY UPON WRITTEN ORDER AND WILL BECOME AN EXTRA CHARGE
OVER AND ABOVE THE PROPOSAL AMOUNT.ALL AGREEMENTS CONTINGENT UPON
STRIKES.ACCIDENTS.DELAYS BEYOND OUR CONTROL AND ACTS OF GOD
Respectfully submitted, Robert Clark Expires 30 Days
Service Manager, All-Tech Air, Inc.
ACCEPTANCE OF PROPOSAL
The above prices, specifications,and conditions are satisfactory and are hereby accepted. You are authorized to do the
work as specified.Payments are as follows:_$3,550.00 Due on Com�leteion/Admin Fee$150.00/ $1,000.00 Down
and Balance Paid in 10 Pavments(a�$270 00 Startine June 1 2012(a�0%
Print Sign Date
We°.P���.c �wa�in�.00.l
013-780-OQ20 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Receivad 5— , ' � �, Phone Contact for Permitting --
Owner's Name ` '(1 Owner Phone Number �$— 9
Owner's Address �� -t� �4. rh 1 1 � v�.Owner Phone Number O ) q g
Fee Simple Titleholder Name Owner Phone Number�—
Fee Simple Titieholder Address
JOB ADDRESS �� . ���n�r h i 11 s� r � ���'1� LOT# �
SUBDIVISION PARCELID# � 1 "p�lQ'p�1 —b�,� —OSB�—�,��
(08TAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED e NEW CONSTR B ADDlALT � SIGN 0 MOVE � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR � COMM 0 OTHER �
TYPE OF CONSTRUCTION � BLOCK � FRAME 0 STEEL Q iJTHER
DESCRIPTION OF WORK OYYI rGI C�I t'1V��� C� �—f L� ' S� �
BUILDING SIZE �— SQ FOOTAGE C— HEIGHT ��
� BUILDING I$ VALUATION OF TOTAL CONSTRUCTION
�
� ELECTRICAL �$ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�
� PLUMBING $
� MECHANICAL $ �� Tf1 VALUATION OF MECHANICAL INSTALLATION
l.N
� GAS � ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES ��NO
BUILDER COMPANY � —�
SIGNATURE FtEGISTERED Y/ N FEE CURRENT Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y! N FEE CURRENT Y/N
Address � License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE C:URRENT Y/N
Address License# �
MECHANICAL COMPANY �1 r � [� ��r ,�'(1C'_ .
51GNATURE REGISTERED Y/ N FEE CIJRRENT Y/
Address � � �/e• r 3 � License#
OTHER CaMPANY
SIGNATURE REGISTERED Y/ N FEE C:URRENT Y/N
Address License# �
RESID�NTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new��onstructio�,
Minimum ten(10)working days after submittal date. Required onsite,Construclion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of 8uilding Pians 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 ali new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"`"PROPERTY SURVEY required for all NEW construction.
Uirections:
Fill out application completely.
Owner 8 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 5ewers Service Upgrades A/C Fences(Plot/SurveylFootage)
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" restricii wns"
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 wiil 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 IMPACTIUTILITIES 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 a�d
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): �f 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 t have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" privr to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that ali 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, Uocks, Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmental 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 fifl 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, 1 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 Officia) for a period not t� 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 Y�UR
PAYING TWICE FOR IMP ANVAnORNEYOBE�FORE RECORDING YOUR NOTI E O COMMENCEMENT.' CONSULT
WITH YOUR LENDER OR
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONT C
Subscribed and sworn to(or affirmed)before me this Subs�ribe an sw n rmed) re me this
Z bY
bY Who Is%are ersonally known to me or has/have produced
Who Is/are personally known to me or has/have produced P_-- as identification.
as Identffication.
�1 � Notary Public
Notary Public ,_ ES
Comr�lssfon No�"�"�. °*` �m� #EE 040
Commission No. — , o � 12,2014
'+'��.,p;�,..�, Borded Ttxu Troy Fain I�urance 8WJ85.7018 —
Name of Notary typed,printed or stamped
Name of Notary typed,printed or stampe