HomeMy WebLinkAbout14-15319 i
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a CITY OF ZEPHYRHILLS ,r'
, 5335-8TH STREET
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BUILDING PERMIT ;•���
" -.., y�� PERMIT�INFORMATION � LOCATION INFORMATIO'N `� t� 3�`' ` '° '
�Permit Number: 15319 Address: 7725 GALL BLVD
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: 34-25-21-0110-00000-0030
Improv. Cost: 5,893.33 OWNER INFORMATIQN .�. " ' "�� _�� u
Date Issued: 5/23/2014 Name: SALLYS BEAUTY SUPPLY
Total Fees: 65.00 Address: 7725 GAL BLVD
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/23/2014 Phone:
Work Desc: A/C CHANGE OUT 6 TON - ROOF TOP
CONTRACTOR S APPLICATION FEES
CROSSPOINT REFRIGERA 10 LC C CHANGEOUT 65.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSI U TED
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 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,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C:O.
V
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 —
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 ��2.� Ga 1 � �I vd• LOT# �
SUBDIVISION PARCEL ID� ��25'2 l—0 I 10— O�ODD—UU 30
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK /�/(�( �CCfK Zt � $( (o�� � 6
BUILDING SIZE SQ FOOTAGE� HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
0 PLUMBING $
�MECHANICAL $ 5 g 93 3� VALUATION OF MECHANICAL INSTALLATION
.
�GAS � ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License#
MECHANICAL COMPANY l/f U�S 1 n� P�,�� �"1 c�h LLC�
SIGNATURE � REGISTERED Y( N FEE CURREf� Y/N
Address �Q .55� / �"« �T.� � � � License# �g(�(�'�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pemtit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
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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 8� 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 filf 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
FI(�RII�A.Il1RAT!F R 117 031
` 650 Outback Rd.
�
�/ St Cloud,FL 34771
Service Dept:(877)598-5456
Acmunts Payable Dept:(866)25511563
Fax:(407)957-3271
;�..,�,.C��;���, COMPLETE RETAIL SERVICES, INC.
PLEASE READ THIS WORK ORDER - TIMELY PAYMENT DEPENDS ON YOU
1.) Limitation. Complete Retail Services, Inc., hereinafter known as "CRS", limits payment to the "Authorized AmounY'
stated below INCLUDING SALES TAX. You, the vendor, must calculate & include sales tax on invoice(s). Please do
not exceed the"Authorized AmounY'without permission and/or a revised Work Order from CRS.
2.) Itemized Invoice. Please submit one (1) itemized invoice per Work Order for time &materials. Include*ALL*service
call(s),service(s), parts, labor 8�tax in final auotes. No more than one(1)invoice per work order is permitted.
3.) Manager's Signature, Date 8�Store Stamp are required.At close of service call, please have the store manager on-
duty sign &date the invoice prior to submitting to CRS. Please keep pricing information confidential.
4) Liability Insurance. Attach a copy of your company's liability insurance certificate listing Complete Retail Services as
additional insured.*NOTE: If CRS has your latest certificate on file,this can be omitted from your invoice submittal.
5.) HVAC Equipment Data. For *ALL* service calls, PLEASE RECORD BRAND, MODEL NUMBER. AND SERIAL
NUMBER on your invoice for any/all equipment relative to repairs. If you are installing new HVAC equipment,
' PHOTOS OF THE COMPLETED UNIT ARE REQUIRED WITH SUBMITTAL OF THE FINAL INVOICE.
6) Payment. CRS reserves the right to pay you pending receipt of payment from the party receiving services provided.
Standard invoice payment occurs in forty-five(45)to sixty(60)days from date of receipt of invoice at CRS's office.
7.) Late Invoices. Invoice must be submitted within thirty (30) days of the date work was completed. Invoices received
after thirty(30)days are paid on nine (90)day terms. CRS does not pay interest, finance charges, or late fees.
8.) Confidentiality. Please behave professionally during service(s). All cost& billing information must be kept STRICTLY
CONFIDENTIAL BENVEEN CRS AND YOU, THE VENDOR. Do not discuss with store personnel. Do not attempt to
circumvent CRS or contact our client(s). AMY direct vendor-initiated contact with CRS's client(s) is expressly
forbidden. CRS has a zero-tolerance policy and will void outstanding invoice(s)for violation(s)of confidentiality.
9.) This Agreement may only be changed in writing, with changes signed & approved by all parties. This agreement
supersedes all other agreements between CRS and you, the vendor. By performing�work at the enclosed location,
this becomes the o�valid contract between CRS and you,the vendor providing the service(s)&repair(s).
Thank you-Complete Retail Services, Inc.
R�: ��I� (�) IJ�IT, A/� ��.EAKEI��iL� �d�T ���E� � Piease repfac� unit a� pret�iousl�r qu�f�e�
�LEASE: Include New Unif's �rand, �1#/�#v�ith picture of the installation.
*NOT�: This dispatch supersedes all previous PO#3043043014. See authorized amount below. Your
previous repair will f�e billed to Sally B�auty Supply upon completion of unifi replacement.
Please confirm receipt 8: provide ETA for service tech. Thank you!
Contact: Manager
Sally Beauty Supply/Store# 3043
7725 Gall Blvd
Zephyrhills, FL 33541
Phone: (813) 788-4067
PO: 3043043014
Authorized Amount: $5,�93.33
By: Roger Walters— C.R.S. Service Dept —05/13/2014
roqer(a�crs-inc.us
Checklist for invoice submittal.
❑ Liability Insurance Certificate,Workers'Compensation, and W-9
❑ Manager's signature and/or store stamp with start and finish time.
❑ Itemized invoice including a detailed description of work completed?
❑ Please note HVAC Make, Model No., Serial No., and note overall unit condition
� .� � � Work Order
:
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C��$����� May 08, 2014
����E��TI4[� LG�
���,,,,,;;;����„�",�• Reference#: 1031-1064
P.O.BOX 5509 SPRING HILL,FL 34611 Tech: A. CATES
352-556-2063
Start: 06:00 AM
End: 06:00 PM
P.O. #: 3043043014
Bill To: Job Name:
Complete Retail Services, Incorporated Store 3043 Sally Beauty Supply
650 Outback Road 7725 Gall Blvd.
Saint Cloud, FL 34771 Zephyrhills, FL 33541
866-957-6759
Description of Work
Install new Goodman or ICP 6 ton down flow 3 phase package unit. Both pieces of equipment are specified to fit
the existing curb. Includes new smoke detector, anchors, manual fresh air damper, heat strip, crane rental, permit,
and minor allowance for retrofitting duct system.
Proposal includes parts, materials, labor.
Proposal DOES NOT INCLUDE changing breaker if needed.
COMMERCIAL LABOR 1.0
1.5" DUCTBOARD 1.0
HARDWARE 1.0
MISCELLANEOUS MATERIALS 1.0
P-TRAP, PVC & BRACKETS 1.0
2-HOLE STRAPS 1.0
DISCONNECT(USE EXISTING) 1.0
DUCT SEALANT 1.0
SILVER TAPE 1.0
1/2" 1 SIDED FOAM ROLL 1.0
CRANE RENTAL 1.0
PACKAGE UNIT, HEATER& FRESH AIR KIT 1.0
SMOKE DETECTOR 1.0
DRAIN SYSTEM ELEVATION 1.0
PERMIT 1.0
�
Material Labor Subtotal Total
4933.33 960.00 5893.33 $5,893.33
�
All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or
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Certificate of Product Ratings
AHRI Certified Reference Number: 4939470 Date: 5/21/2014 tStatus:Active
Product: Single-Package Air-Conditioner,Air-Cooled
Model Number: RAS072(H,L,S)'�*'�",
Manufacturer: TEMPSTAR
Trade/Brand name:TEMPSTAR
Series name:
Rated as follows in accordance with AHRI Standard 340/360-2007,Commercial and Industry Unitary
Air-Conditioning and Heat Pump Equipment and subject to verifcation of rating accuracy by AHRI-sponsored,
independent,third party testing:
Refrigerant Used: R-410A
Cooling Capacity(Btuh): 70000R0000
EER Rating(Cooling): 11.20/11.20 _
IEER: 11.4/11.4 �
Heating Capacity at 47F(Btuh):
COP at 47F: � -
Heating Capacity at 17F(Btuh):
COP at 17F: -
Full Load Indoor Coil Air Quantity: 0
The AHRI 340/360 certified EER ratings in Btulh/W are calwlated under the same methodology as the EER ratings at T1 conditions of ISO 51512010 and ISO 132532011
•Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indirates an involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for,
the product(s)listed on this Certiflqte.AHRI expressly disGalms all liabil"ity for damages of any kind arising out of the use or performance of the product(s),or the
unauthorized afteration of data listed on this Certiflcate.Certifled ratings are valid only for models and configurations listed in the
dlrectory at www.ahrldlrectory.org.
TERMS AND CONDITIONS
7his Certifiqte and its cantents are proprietary products of AHRI.This Certifipte shall only be used for individual,personal and -.-::,e�;;..�. ,�
confldential reference purposes.The contents of this Certiftcate may not,in whole or in part,be reproduced;copied;dissemiaated; � �
entered into a computer database;or otherwlse utilized,in any form or manner o►by any means,except for the user's Individual,
personal and confidential�eference. AIR-CONDITIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the model cited on this certificate qn be verifled at www.ahrldtrectory.org,dick on"Verify Certlficate°link we make life bectern
and enter the AHRI Certlfied Reference Number and the date on whlch the certlflcate was Issued,
which is listed above,and the Certificate No.,which is listed at bottom right
130451779850315346
02014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: