HomeMy WebLinkAbout14-15537 CITY OF ZEPHYRHILLS '
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� BUILDIN PERMIT
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��:`,: : � ':;r �PERMITwINEORMATION LOCATION:INFORMATION ..'�::'.," ''`��, � :'�°�`
Permit Number: 15537 Address: 5530 OUR LN
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYRHILLS COLONY
Est. Value: ` Parcel Number: 10-26-21-0010-06400-0020
Improv. Cost: 5,447.00 OWNER�INF�.O.RMATION �:>�::�`.�:'�,::;�"�".�.i°�%=::
Date Issued: 7/31/2014 Name: C/O MARIE SAVIDGE
Total Fees: 65.00 Address: 903 PINELLAS BAYWAY S APT107
Amount Paid: 65.00 TIERRA VERDE FL 33715-2121
Date Paid: 7/31/2014 Phone: 813-779-5581
Work Desc: AC CHANGE OUT MH 3 TON 13 SE R
' �� CONTRACTOR S " '°� ' APPLICATION FEES ° -
UNIQUE A R INC C CHANGEOUT 65.00
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' ` _ ' � ' � Ins ection Re ui�ed ' - - ��'
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DUCTS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following r asons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections n t made when inspections called d) work not ready for
inspection when called e) permit not posted on j b site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be.additional restrictions applicable to this properly that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme t, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob ain financing, consult with your lender or an attorney
before recording your otice 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.
NTRA SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
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,� UNlQUE AfR_ 1ns�al�c�tlon Contract
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��� ' 877-247-7365
INSTALLATION ADDRESS 81LLING ADDRE5S
Name of Client Rod Dayton Rod Dayton
AddC�ss 5530 Our Ln 5530 Our l.n
Clty/St8t2/Zip Zephyrhills,FL 33542-3353 Zephyrhills,FL 3354�3353
Phone Number 8737795581 8137795581
E-rr►ail Address
INVES MENT
Retail: $5,530
Utility Rebates: t$Q}
Manufacturer Rebate: � � � � -
($0) �� -Payment•i7etaifs
Discounts: $83 ' ;•�. �., � = : . . , �
� Amount Due� :Qeposit . : , • • $p
. . . , _
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$5,447 - . �:r:, _
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6alanee:� � , . ., � -
. C�ue:(Fin�ntrn�}, ... .'�$�,9�7�-.
�1NA C[NG-
Financrng @ b0 Monrhs No!n erest flN�'J
Est.First MonCh Minimum P yment: $9p
. P057"INSTALL REBpTES ' T�TAL COST.OF�OWNERSHIP`�TCO)
Utility Rebate: $p Est. 1 Yr Savings: $$$�
Other Rebate:
$4 Est. 14 Yr Savin s:
g $5,$1Q
T�x Credit: $� TCO
Net lnvestment: ($363)
$�'�47 TCO Monthly ��3�
Buyer is the owner ofthe properEyatthe lostallailon Address and is legallyauthorized o enter into th[s Agreement. Unique retains tit[e to a[I equlpment,parts arsd
materlals used to improve the property until Buyers futl payment Is received by Uniqu .A service charge oF 1.59b per month(18%annual percentage rate)or the maximum
rate perrr�itted byappllta6le faw,whichever is iess,will be made on alI overdue amou . Buyer responsibfe Forattorney fees,wherealfowed,for amounts not paid. 5hould
any Instant Rebates prnvided under this Agreement become uncoElectible,Buyer will e respons(b!e for payment to Unique of such uncoliectible instant Rebates. Prices are
' valld for 1 D da s from issuance of thls A reement.
�
tustomer Signature CA Signature
Custorner Name �� CA Name _ % ��
Date �4��°l7 Date �����/<--�
0�1013 �.icense nurnber�s: CMC 041072 � CFC�426265 J EC I3002942
50# $gg722 7'hank You for Choasrng Uttigue Servi es as your Home Comfart Specialist. ��
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�,,c�;� C1N�QU� AIR_
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� , : ,. 'SYSTEM;:IN�ORNIATI�dN . , �EQU[PMENT�:EAT:URES� , ,
System Level: Basic{D�ik'In} •Single Stage Compressor:A�ompressor that only
Type: Straight Cool provides the f�l!cap�ciLy c�f the system during operation.
C�pa�ity: 3.0
SE�R!EER: 13,Q0
iNARRANTY
Compressc�r: 1�years
t�utdc�or Parts: 1 z years
Indaor P,�rts: �2 years
He�t Exchanger: --
Labar: 1 year
141R..QUAI.ITY . � ADDITIONAL ATR::QIJAi.iTY
Thermastat: Baslc Digital
Filtration: Nane
UV Light: None
Air Puri�er: None
' . DUCT MQpIFtCATIQNS . , INSTAL,L:ATl�:1N::DETAILS• �.
Customer(rtitials�
�A Intials _i����—
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- - - �,•-.,m� �r,t �Na'�,Li�i�%o'�s:�U�ility:5avings� :$5t��1��t:.:Fiu�atiot�: property,Protection- _S.a#i�a���.
•N:qir�u�'px��+�?�4.;e�inve�t�terit;��t�ite�t,is�r�rhaiN,you:pay:`Cus#orn�r,re pec�t�ur;recFiriicians°wil�.not�vv_���o.r:;�se�f"c���,o.�p�r��utts;wF�iie;
�m�yc>yr�'op���tjr,:.1'i�i�.y�will�o�urt��rsfy ansvrler a�iY q�i��tions.a�id ea�e:your h�ome a�.neatastti�y�ound:iit:��n�c�ettse�r�ti���ai�'4e:,Th�*:
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k� �: `�;�ssocta s Sa#isfact�on;�l�le: il��;' uarantee:that� our�s' e'rn:.rriests.orexc�ecJs oiir�e�i eetaxit�tis�.�ci;`�:��uali.� :artd�:r,�fi�li�1`'i�
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059073
SO# 5gg72Z fihank You fvr Chvosin,g tJnique S'ervic s as your Home Camfort�Specralist. ��
. � 813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021
Building D partment
' Date Received
Tr��_�� Phone Contact for P rmitting --
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Owner's Name }�(� �L �1� Owner Phone Number CJ 1 J� 1���tl�
Owner's Address o Ou,r l� 33� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � D (,LV � 3� � LOT H �
SUBDIVISION PARCELID# ��~���1 'v�f��O�D"(Q��Q�Z�
(OBTAINED FROM PROPERTV TAX NOTICE)
WORK PROPOSED � NEW CoNSTR B ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STE
DESCRIPTION OF WORK T�C �,�' K.1.Y 1
BUILDING SIZE SO FOOTAGE HEIGHT �
TTrTTrTTrTI"ITTI'TTTI"ITTrT TI"ITT�TrTTrTTrTTrTTr
QBUILDING $ VALUATION OF OTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. /�
QPLUMBING $ �� (
,� r�
QMECHANICAL $�. � VALUATION OF ECHANICAL INSTALLATION
C�
QGAS Q ROOFING Q SPECIALTY � OTHER ��`
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FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES ✓ NO �'/`�''
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER COMPA Y
SIGNATURE REGISTE ED Y/ N FEE CURREA Y/N
Address License q
ELECTRICIAN COMPA Y
SIGNATURE REGISTE ED Y I N FEE CURREA Y/N
Address License#
PLUMBER COMPA Y �
SIGNATURE REGISTE ED Y J N FEE CURRE� Y/N
Address License k
MECHANICAL COMPA Y ��� �11`
SIGNATURE � REGISTE ED Y/ N FEE CURREA Y/N
Address � � Vl, � � License N Y V 1�l„f I �Z
OTHER COMPA Y
SIGNATURE REGISTE ED Y/ N FEE CURREA Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new cons[ruction,
Minimum ten(10)working days after submittal date. Requir onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdiv ionsJlarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Requir onsite,ConsVUCtion Plans,Stormwater Pians w!Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all ne projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*'*'PROPERTY SURVEY required for ail NEW construction.
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Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (q/C upgrades ver$7500)
" 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 if shingles Sewers Service Upgrades A/C Fences(PIoV urvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
' NOTICE OF DEED RESTRICTIONS: The undersigned unde stands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be li ensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are un ertain 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 o contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for whic they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly icensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fe s may apply to the construction of new buildings,change of
, use in existing buildings, or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and
� 90-07, as amended. The undersigned also understands,th t such fees, as may be due,will be identified at the time of
� permitting. It is further understood that Transportation Impa t 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 is uance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in ac ordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statut ,as amended) If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a c py of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Ag iculture and Consumer Affairs. If the applicant is someone
other than the"owner', I certify that I have obtained a copy o 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 t e information in this application is accurate and that all work
will be done in compliance with all applicable laws regulatin construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installati n as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all wor will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, a d land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern ent agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in ompliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Dist ict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navi able Waterways.
- Department of Health & Rehabilitative Service /Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos batement.
- Federal Aviation Authority-Runways.
I understand that the foliowing restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unles expressly permitted.
- If the fill material is to be used in Flood Zon "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at tim 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 II the area within the stem wall.
- If fill material is to be used in any area, I ce ify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely a ct adjacent properties,the owner may be cited for violating
the conditions of the building permit issued und r the attached permit application, for lots less than one (1)
acre which are elevated by fill,an engineered dr inage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good fai h to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understan that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or othe installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed ith the work and not as authority to violate,cancel,aiter,or
set aside any provisions of the technical codes,nor shall iss ance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or viola ions of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced ithin 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 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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE TY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YO NOTICE OF COMMENCEMENT.
FLORIDA JUR,4T(F.S.117.03) t
OWNER OR AGENT CO TRACTOR flQ,� ci�V��"
Subscribed and sworn to(or affirmed)before me this Su crib�d d sworn (o�affirme )be{�re e�h^isn1`,,
by 7 � by �Y3Q_V I7 V�SY�F-�
Who is/are personally known to me or has/have produced W o is/a personally known to me or has/have produced
as identification. as identification.
Notary Public � Notary Public
Commission No. Com ission No.
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Nap � typed,prin?ey�gAt�Af�1N0 Na of Notary typed,printed or stamped
'r.' :°�'s Notaty PubBc-State ot Florida
;N,' ��� My Comm:Expires Jun 5,2018
i "%;FO����'�, Commissian M FF 130052
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