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Home My WebLink About14-15518 I I I I ;, , � CITY OF ZEPHYRHILLS 5335-8TM STREET (813)78i-0020 15 8 I BUILDING PERMIT � " PERMIT INFORMATION I . LOCATI.ON INFORMATION _�� `,"`-' `:�;'°`�� .. - Permit Number: 15518 i Address: 4632 WISTERIA DR Permit Type: MECHANICAL i ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT � Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL � Lot(s): Block: Section: Square Feet: � Subdivision: CITY OF ZEPHYRHILLS Est. Value: ! Parcel Number: 15-26-21-0160-00000-0320 ;�,�. ..w(�'��..i `A""e:.F.3•`,y•-'", Improv. Cost: 4,055.00 ' 1 �'OWNER=INFORMATION,.�_�`.�.��„=.�� <��t��, Date Issued: 7/24/2014 Name: MASON JEROLD SHANE Total Fees: 60.00 Address: 4632 WISTERIA DR Amount Paid: 60.00 � ZEPHYRHILLS FL 33542-5648 Date Paid: 7/24/2014 � Phone: 813-783-1348 Work Desc: AC CHANGE OUT 2.5 TON 13 SEER CONTRACTOR S� � APPLICATION FEES - ACREE AIR CONDITIONING INC A/C CHANGEOUT I 60.00 I i � � � �� T� c.�� _ � S� � �� '; �� r Ins ection Re uired � = ��-;`' �:.� DUCTS INSTALLED DUCTS INSU ED i FINAL �_��- REINSPECTION FEES: Reinspection fees will comply v�ith 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 managemer�t, 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 App ication.All work shall be pertormed in accordance with City Codes and Ordinances�NO OCCUPANCY BEFO C.O. . �CP �,�'-__ CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I � -- . - . — -��--a- I _ � ' ,._ ;_.�;, � �,- r J�-_�, � � --;i�' f�•�,�V,..L�,�L�:_�1:(:;r^,^-.• ' / • •� � 1 ; ��s� _ _ . - � -IC�� time� .. . .. . • . �,��p�� _ � . �• r,m ` r � • . LETTER OF AUT I ORIZA ,2014 I,VictorTrino, hereby authorize the following to sign for and acquire permits and licenses using my State of Florida License No. CAC050424: Douglas Cancellara DL#C524-160-66-063-0 �sc 3 '��s o This is additional to any other letter of authorization. Jf y u should have any questions, please feel free to contact me at(813)620-1666. � Q �� 1 (.i L �� Victor Trino Acree Air Conditioning, Inc. . Lic:CAC050424 City of Zephyrhills This foregoing instrument was acknowledged before e this�J da of ��2014. By 1�G�]�z.Y �lri� J who is personally kno�n to me. ��i�� /Ln�.�i� Notary Signature My Commission expires �� '�� SEAL �� Notary public State of Florida � . Audrie Wingert '� � My Commission EE 859403 �ofn.� Expires 12H8/2016 I, Suzanne Trino, hereby authorize t e o owing to sign for and acquire permits and licenses using my State of Florida License No.CAC050424: Douglas Cancellara DL#C524-160-66-063-0 This is additional to any other letter of authorization. If u should have a questions, please feel free to ontact me at(813)620-1666. � � Suz �ine Trino Acree Air Conditioning, Inc. Lic: E5000323 City of Zephyrhills � � This foregoing instrument was acknowledged before rrie this�� day of J��`�. 2014. > By ._1�C-fZ�'o'7i1 � /�in� who is personally known to me. ' C 2. � Notary Signature My Commission expires �� -��o2J�� 91Y Notary Public State of Florida SEAL ��: Audrie Wingert � o` My Commission EE 859403 �o�a� Expires 7y18/Q016 Service Anyfim� � 7am - 11prr�, 7 Days INeek � IVo Ove sme ...EVERI �inellas 727-447-0508 • Tampa 813-620-1666 • Polk 863�683-3437 � Toll Free 1-800-783-8154/ 1-800-WE-R-OPEN ` I i a � �. � � ��'� Recommendations/Agreement � - Lic#CAC050424 Customer Name�erold mason Customer# Date AddfeSS 4632 Wisteria Drive Zephyrhills, FL 33542 City State Zip I � Home Ph. (813��783�1348 Work Ph. (813 � 28-1015 _ E171811 ' O Best system � O Better System�p�ood System O Base System � ,OO Air ConditionerQHeat PumpOPackageOGas Furna�e 30,00o BTUH 13 SEER : I '�4" Hurricane Slab � �FEMA Set~ � M�^ []'✓ Flush Refrigerant Lines �New Copper Line Set � I�✓ Reconnect to Duct ❑New Plenums �New 100 CFM Supply 0 New 150 CFM Supply ❑New 250 CFM Return �New 500 CFM Retum i�New R6 Duct System �New R8 Duct System ��New Disconnect&Whip �New Wire to AHU 0 New Wire to Condenser �Use Existing Electricaf �New Condensate Drain �Electronic Float Safety �Horizontal Kit �Attic LighVReceptacle �New Thermostat �Standard �Programmable �Touch Screen !Cl Q L�]; ❑ SYSTEMINSTALLAiIOHINCLUDES ✓ All labor ✓ Recover existing refirgerant&dispose of ✓ All required permits ✓� Evacuate refrigerant system ✓ ACCA load calculations per code I Charge to manufacturers specifications ✓ Removal and proper disposal of equipment I Mastic seal exposed ducts per code lndoor Air Qualit�Options ,'=MJ O" a -�._ �.. ��ti �� - =--•❑Germicidal UVC ;l:__.;.❑Dual Germ'cidal UVC � ❑ Oxidizing UVC ,�._; , r - , , . � !} ❑Air Ranger Air Cleaner X ,. �:•`I ❑HEPA Filtration �•--------_--------- �__-__--._._ (------ — ---------� - -_ __ ; MANUFACTURER WARRANTY(under terms ot warranry,ro�Nne scheduled servlce must 6e per/ormed on systems) � i 5 Years on parts?Years on labor 1 o Year� on compressor -_Years on heat exchanger � GU�AN�E$(Alf Guarantees are explainetl on the reverse slde of this agreement� � � QTotal Comfort�Total Replacement"No Lemons°�✓$250INo-Frustration[]✓Service Anytime✓�roperty Protection � Code Compllance:Our work will comply with all existing local codes. Drug Free:Your work will be perFormed by our professional,highly trained. and drug-free employees. , Wells plan code 1157 6.90% interest 2% payment factor System Investment $ 4,055.00 Accessories $ Other $ i Total Amount $ 4,055.00 Estimated Final investment After Eligible Rebates/Tax Credi s of$ is$ 4;055:Q0_l�--"��~? Terms Prlc«includes all coupons and diswunts unlesz olhenvise naled.Buyer here6y declares thal huyer holds titlg to properly in whfch merchandfse is 6eing Inslalled and has legal aulhoriry to order lhe work ovtlined, Ouyer and seller agree lhal any conlroversy or dalm arislnR out o(ar relating to this agreement,or perfarmiante oi It,shall he SCttled bV hlnding arhlltatlon,except that sellnr reserves the rlghl to sue 6iryer In a caurt of law far any amount due lhem(rom the 6uyer,with all other matters Induding defense to paymeqt being resolved hy arhitratton.Such arhitratlon�alll be ronducled ln accordanre with the ar61[ratlon rules,then in force of the Ame�lcan Arbilration Assouatlon. The arhltra6on award cannot exceed lhe ampunt of Ihe agreement and will be final and 6(nd�ng on 6o[h partiez, ludgment upon such arbllrotion award mey be entered(n any court oFcompetentjudsdlction.Each party bears Rs own msts for arbihation,Ij�cluding attmneylees. Paymentrerms:�Financed �Credit Card OCash/Check Upon Installatlo�n. Acceptance(Client) Acceptance(Company) - /�c'�.1� 2,0;�,� - � � �' aais-7ao-oozo Cit of Ze h rhills �ermit A lication Fax-813-780-0021 Y P Y � PP Building Department Date Received Phone Contact for Permitting Owner's Name �'�,`�'�� . � � !1�� Owner Phone Number �l 3 �8 3- �3�S Owner's Address /�P� ��"�� `�� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number „ I Fee Simple Titleholder Address • JOB ADDRESS —!LI �o w� 5*e'C� �V�" c.�C'�� LOT# � SUBDIVISION �/v�� (/U r �, �.�c7 PARCEL ID# � �o`'� ' � �V•lJC.1l.�JV•� J C� J (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/A�T Q SIGN � MOVE � DEMOLISH � INSTALL B REPAIR PROPOSED USE � SFR � COMMI Q OTHER ' TYPE OF CONSTRUCTION �/ BLOCK Q FRAM� Q STEEL Q OTHER DESCRIPTION OF WORK �� 7 0� 13 �.�r �'�r 14� �� C�(�� BUILDING SIZE SQ FOOTAGE HEIGHT _. � - - -- � BUILDING $ VALUATION OF TOTAL CONSTRUCTION Q ELECTRICAL $ AMP SER�ICE � PROGRESS ENERGY Q W.R.E.C. Q PLUMBING $ �Pr�,� � � ,/ b 1� MECHANICAL $ )�� D p VALUATIO OF MECHANICAL INSTALLATION � ` �Q � �' 4 � �` �� 0 GAS Q ROOFING 0 SPEC�ALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOp ZONE AREA QYES QNO I ��. ��,� ��:�:��, . � �,. BUILDER CIOMPAPJY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N i Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N I Address I License# I PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N I - Address �— � I 1 License# � MECHANICAL � � � � IOMPANY '� � � SIGNATURE �/ �EGISTERED Y/ N FEE CURR NT Y/,N Address J U� �0� �� l�. I License# ', ) Z I OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N � Address I License# � - rm" - i RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms IVlinimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms. Minimum ten(10)working days after submittal date. Req�ired onsite,Construction Plans,Sanitary Facilities&1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach(2)sets of Engineered Plans. '*"PROPERTY SURVEY required for all NEW constructivn. �.�ne u� ��nF�� — ra oa �r'>Fr �v ��§��°�'a� .l�a .— ��an�:r�€�a i �w , c w :�m�w�, � a^.on^�•s x 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$5000) *' Agent(for the contractor)or Power of Attorney(for the owner)would be so eone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW I I N0710E 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 appiy 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, WatedWastewater 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 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 authoriry 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 AGENTi/��/� � CONTRACTOR Subs ribed and swo�rn t (o��? r ffirmed)befor,e me this Subscribed and sworn to(or affirmed)before me this by VL��/CI'7[J by h is/are person Ily k wn to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. �/ � '�Notary Public Notary Public Commission No. — — ,s Commission No. . • Na e of otary typed,printed or st ped Name of otary typed,printed or stamped ,�,ar�� Notery Public State of Florida �'� ; Audrie Wingert a My Commissfon EE 858403 ' y 4 � ! qr �'�ofati� Expiros 1 2/1 812 01 8 c�..�,r�a+'�'+a 4,f�a