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Home My WebLink About13-14559 CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 14559 BUILDING PERMIT Permit Number: 14559 Address: 4717 AIRPORT 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: 13-26-21-0080-00000-0010 Improv. Cost: 10,916.00 Date Issued: 9/20/2013 Name: CITY OF ZEPHYRHILLS Total Fees: 90.00 Address: 5335 8TH ST Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/20/2013 Phone: (352)521-5153 Work Desc: EQUAL CHANGE OUT OF (4) SYSTEMS A/C r�j � �, ___-.-- I DUCTS INSULf�TEI�� FINAL_ �jr-� 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� 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,consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications Must Acxompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. � �� a CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER °'�-�4acr,2o City of Zephyrhills Permit Application Fax-813-780-0021 ' Building Department Date Received 7 rr�� Phone Contact for Permittin Ow�er's Name ��(� f Owner Phone Number Owners Address / � { Owner Phone Number � 1 J Fee Simple TiUeholder Name �� Owner Phone Number Fee Simple Titleholder Address � JOB ADDRESS �/ ' � r� LOT# L SUBDIVISION I7 � PARCELIDp �3 a�_,� j ',��J��nnn� 'p ! (OBTAI D FROM PROPERTY TAX N TI��-� WORK PROPOSED NEW COnISTR ADD/ALT [�� SIGN Q Q DEMOLISH e INSTALL 8 REPAIR PROPOSED USE Q SFR � COMM �� OTHER � TYPE OF CONSTRUC710N Q BLOCK Q FRAME C� STEEL Q �—� DESCRIPTtON OF WORK � �} � E7 Z� S� �-�lrn n J�-�� y BUILDING SIZE SQ FOOTAGE� HEIGHT � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PROGRESS ENER �W.R.E.C. � QPLUMBING $ � � IECHANICAL $ 0 VALUATION OF MECHANICAL INSTALLATI N /�� QGAS Q ROOFING � SPECIALTY �� OTHER � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �-- BUILDER � COMPANY � SIGNATURE REGISTERED Y/ N F�cuwtEn y/N Address License t � ELECTRICIAN COMPANY � SIGNATURE REGISTERED Y! N FEE CURREn Y/N �� Addreas license# � PLUMBER COMPANY � SIGNATURE REGISTERED Y! N FEE CURRE� Y!N Addreas License d � MECHANICAL /� � COMPANY e � SIGNATURE � ✓�� REGISI'ERED Y/ N RE� / `� Address �� Q! /"�C�' Licens _C��L C7_j�c.,�� OTHER � COMPANY � SIGNATURE ��iS7eReo Y/ N FEE CURREA Y 1 N � � Address License# � Illllltllllll / 11111111111111111111111111111111111111111111111111111 RESIDEN7IAL AKach(2)plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, Minimum ten(10)working days aker submittal date. Req�ired onsite,ConsWdion Plans,Stormwater Plans wl Si�t Fence installed, Sanitary FadBties 8 1 dumpster;SNe Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consnLCtion Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fenas installetl, Sanitary fadli6es&1 dumpster Site Work Pertnit for alt new projects.All commercial requirements must meet complianr.e SI(iN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required fw all NEW construction. Directions; Fill out application completey Ovmer 8 Contrador sign badc of appliration,notarized If over 52500,a Notice of Commencement is►equired. (A/C upgradea over;7500� " Agent(for the contractor)or Pov✓er of Attomey(for the owner)w�ould be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Onty) Reroofs'rf 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 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 "cont�actor Block" of this application for which they will be responsibie. 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 cert�cate 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—Homeowne�'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: 1 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. 1 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 agencfes 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 Iots 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 AGEN7`�L�" ° "- " J CONTRACTOR�� ✓"'�� S scribed and swor �j(or affirme e re►�B-this �� Subscribed and swom o r affir )before me'this�� '•�'D' b) -�10�4-S ��t.xia�v'%��!./'/.r��- Q'�0�3 Hy� �avrt. �• �--�/._s..�j'�d��''��c Who is/a erso ly knovm to me or has/have�pro �ed Who is/are personally known to me or has/ a produced ! ` as Identlficatlon. �,� !�� as identitication. , ` ^ " f � �� ublic ry Public Commiss �B�S.SWEj�AND Commission N _ _Xpif� ` "':Fp;��;.�• ��FLh��ry 22,2p16 :;`. ��'�` Corrmission#EE 140709 Name of Notary , 19 Name of Nota ' `t � ;,p�� cY a�n reurara 8063�r7iN9 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin -- Owner's Name Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name � Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) VIIORK PROPOSED B NEW CONSTR 8 ADDIALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE C� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E C QPLUMBING $ � OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFtNG Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � ELECTRICIAN � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Ucense# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address License# � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N License# � Address RESIDENTIAL Attach(2)Ptot 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 subdivisionsAarge 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)wo�king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence instailed, Sanitary Facilities 8�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 consVuction. Directfons: Fill out application completely. Owner&Contractor sign back of appllcation,notarized If over SZ500,a Notice of Commencement is required. (A/C upgrades over 57500) •" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer 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 TECMWf �'�� , � �P'� OMFORr, ��S�L � �T ECIALfSy� z ,� � . AC� Heating & Air Conditioning Inc. �� 18401 US Highway 19 N-Hudson FI 34667 "Quality....Something To Be P�oud Of Pasco 727-869-1664 Hernando 352-683-5341 Website: acjair.com EmaiL• aci4u��verizon.net License: CAC08299 Proposal Submitted to Phone Date Pasco County Purchasing Dept. 727-847-8194 September 19,2013 Address Job Name 8919 Government Drive Health Department City, State,and Zip Code Job Location New Port Riche ,FL.34654-5500 4717 Airport Road—Zephyrhills,Fl.33542 p��# Doc.Number: RFQ-RT-13-1159 Job# We hereby submit specifications and estimates for: Change-out(4)package air co�ditioning units as specified Remove and dispose of existing equipment Install(4)—3 ton Bryant package air conditioners Adapt to existing ductwork Connect to existing wiring Install new Honeywell digital programmable thermostats,PR06000 Required permit All work to be performed in a professional manner Clean-up of all trash and debris We P/1D�OS@ hereby to furnish material and labor—complete in accordance with above specifications,for the sum of Ten Thousand Nine Hundred Sixteen NO/100 Dollars($10,916.00) Payment to be made as follows: 100% Uaon Comnletion of Equipment Installation All material is guaranteed to be as specified.All work to be completed in a AUthOflZed workmanlike manner according to standard practices.Any alteration or deviation from above specifications involving extra costs,will be executed only upon written qgent:Robert Baum orders,and wi�l become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Note:This proposal may be Owner to carry fire,tornado,and other necessary insurance.Our workers are fully covered by Workman's Compensation Insurence. withdrawn by us if not aCCepted within 30 days Acaceptanae ofProposa/�The above prices,specifications �have authority to order outlined above Mrhich has been satisfactorily and conditions are satisfactory and are hereby accepted.You are completed.1 agree that seller retains the title to equipment/material furnished until final payment is made.If payment is not made as authorized to do the work as specified.Payment will be as outlined above agreed,Seller can remove said equipment/material at Sellers expense.Any damage resulting from said removal shall not be Authorized Acceptance responsibility of Seller If Seller is forced to take any legal action for collection of any balance owed by me,be lawsuit or otherwise,I agree Signature X to pay interest on any amount owed by rr�e,as well as all collection and court costs,including all attorneys'fees. , -- _ �,.,� ' PURCHASING DEPARTMENT ��S _, , ; ; ,;;,-, 8919 Govemment Drive �O �0�� --,t - , , �t : ' ; �c,;:3�iy New Port Richey, FL 34654-5500 Phone(727)847-8194 pURCHASE ORDER _ ,�. . , , ; _ ?� ! , s �o �_i?e FAX(727)847-8065 - � _ _ _ _ ._ _ :+ .�;1_1�:. , .?i�;�,i. . �. _! ;7 " _ • Soe Importan,�or,ditions - - ---- — o�^.bc..i. N0. REQUISITION NO. TERMS F.O.B. REQUIRED DELIVERY DATE ENCUMBRANCE DATE PRINT DATE VENDOR: � � C � ��a: =a ►�c: � � =:� ,� � � .,o SHIP TO: �,�T� ��. PURGHA 6 OIRECTOR(StG 'fURE) APPROVAL DATE - 88�9D73l�477Cr6 �/ � . �� / v�`/�. ITEM - NO. OTYNNIT DESCRIPTION UNIT PRICE TOTAL ��l �� ) � �,�`°� a �.�- � � � � � �� Z��a ,-P._I.-,.-...�