HomeMy WebLinkAbout12-13529 CITY OF ZEPHYRHILLS ,..��
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BUILDING PERMIT
Permit Number: 13529 Address: 7333 DAIRY RD
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: 35-25-21-0010-07400-0000
Improv. Cost: 5,200.00
Date Issued: 10/12/2012 Na . ORIDA CAO SEVE Y
Total Fees: 65.00 Add ss: PO BOX 2626 �
Amount Paid: 65.00 INIER_.P-ARK..��� 32�90
Date Paid: 10/12/2012 Phone:
Work Desc: A/C CHANGE OUT 5 TON 13 SEER SPLIT SYSTEM , •��- -
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DUCTSINSULATED
FINAL r � j�',.-�
REINSPECTION FEES: Reinspection fees wi11 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� plans not at job site g)work not acoessible.
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 notiae of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACT R SIGN URE 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 'Q.� f, �. 2('j�Z
Phone ContactforPermittin _
Owner's Name �L� ' �-�nrner Phone Number
'RS�+
Owners Address �x � Owner Phone Number �� ��j
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � 3 �,\r �� LOT# ��
SUBDIVISION PARCEL IDIIR S��� +� �I�''���QO"(�}(�j
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED e NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK 1T � (�""
BUILDING SIZE r— SQ FOOTAGE HEIGHT
QBUILDING $� ��O VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��ZC1
� I
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N
Address License#
MECHANICAL � � COMPANY L (— Q� ��2 �-
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address ��`-t'� �� ) , 335�/2 License# (�-f(�., �� �'����
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bufiding Plans;(1)set of Energy FoRns;R-O-W Permit for new oonstructio�,
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stonnwater Plans w/Silt Fence installed,
Sanitary Fadlities 8 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 pro)ects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'""PROPERTY SURVEY required for all NEW construction.
Directlons:
Fili out application completely.
Ovmer 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is requtred. (A/C upgrades over 57500)
'" Agent(for the contractor)or Power of Attomey(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(PIoVSurvey/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 regutations. The undersigned assumes responsibility for compliance with any
applicabte 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 Iicensed 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 T�ansportation 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all wo�k
will be done in compliance with all applicabie 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-Seawalis, Docks, Navigable Waterways.
- Depa�tment of Health & Rehabilitative Services/Environmental Health Unit-Welis, 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 materiai 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 wiil be used only to fiil the area within the stem wall.
- If fill material is io 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 buiiding permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by ftil, 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 sepa�ate 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 vfolate, 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 TVYICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR L N ER OR AN ATTORNEY BEFORE RECORDING UR TI OF M T.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONT C
Subscribed and sworn to(or affirmed)before me thls Subscrib to or ed)be me this
ey bY
Who is/are personally knovm to me or has/t�ave produced Who Is/are personally known to me or as identlficationa
as IdentlflcaBon.
l Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,p�lnted or stamped
.s �I�W� Proposa/ / Contract �
It's Ha�7b StopA 7hvte:' �
All-TECH AIR,Inc. i
38147 16`h Ave.
Zephyrhills, FL.33542
Office 813-870-6934 Fax 813-783-2336
fnfo@alltechair.com / alltechair.com
State License # CAC1814196 Date: 09-18-12
PROPOSAL SUBI�IITTED TO: WORK TO BE PERFORMED AT:
Seventh Day Adventist Church (Same)
7333 Dairy Road
Zephyrhills,FI,33540
�HEREBY PROPOSE TO F RNISH THE M T RIA1 S ND PERFORM THF I AR(1R NF/'r�ccwov cno
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1. 1 —Trane XB 13 (3PH) 13 SEER)Puron 410A(5 Ton Straight Cool)Split System with l Okw heat
CONDENSER:4TTA3060D3 /AIR HANDLER:4TEC3F60B1
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2. This Also Includes:Trane Digital Thermostat,Stand or Hang Kit for Air Handler with 3 Float Switch,
Breakers,Hurricane Slab for Condenser,Hurricane Straps for Condenser,Flush Copper Lines,Flush Drain,
Seal&Mastic All Duct Work,Block Load Calculations and County Permit.Total ($5,2UU OU 1
**Trane Warranty: (5 Years Compressor,l Year Parts and 1 Year Labor)**Included
*** Nut Including: (Any Pre-ex}sting C'unditians, Original f.lectric. Flex and Ettended
V�'arrar�ty +$63U ! 1 U-1 U)
ALL MATERIALS ARE GUARANTEED TO BE AS SPECIFIED ALL WORK TO BE �
COMPLETED IN WORKMANLIKE MANNER FOR THE SUM OF: $5 200.00
�1VE THOUSAI`1ll TVVO HUNDRED DOLLARS AND 00/100
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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 BEYON O R CONTROL AND ACTS OF OD.
Respectfully submitted, Robert Clark Expires 30 Days I�
Service Manager All-Tech Air, Inc. I
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ACCEPTANCE OF PROPOSAL I
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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:�5 2E)0.00 Due on Com leteion (+3%( redit Card Fee if lised! i
lnitials 1 Acce�t Extended V1'arrant +$63 In ilas I fine Extended N'arrant i
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