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HomeMy WebLinkAbout19-20932 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20932 BUILDING PERMIT PERMIT INFORMATION . LOCATION INFORMATION Permit Number: 20932 Address: 6431 HUNTINGTON DR 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: SILVER OAKS Est. Value: Parcel Number: 03-26-21-0120-00000-0860 Improv. Cost: 6,600.00 OWNER INFORMATION Date Issued: 3/06/2019 Name: HOLZSCHUHER, CAROLINA Total Fees: 75.00 Address: 6431 HUNTINGTON DR Amount Paid: 75.00 ZEPHYRHILLS, FL 33542-0638 Date Paid: 3/06/2019 Phone: 305-798-1226 Work Desc: A/C CHANGE OUT 4 TON CONTRACTORS APPLICATION FEES SENICA AIR CONDITIONING INC A/C CHANGEOUT 75.00 l Ins ections.Re uired DLI TSINSTALLED DUCTSINSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe 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 BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNAT R 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 /A/ Owner Phone Number' '50 . / b Owner's Address /O J1 1J& A1 h �Q / Owner Phone Number -Fee Simple Titleholder Name L Owner Phone Number Fee Simple Titleholder Addrress ref JOB ADDRESS �7�/ 49 / I(J // ,U � T LOT# O SUBDIVISION / e,e 0" PARCEL 61,F010 (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH e INSTALL B REPAIR PROPOSED USE SFR Q COMM = OTHER TYPE OF CONSTRUCTION /= BLOCK 0 FRAME = STEEL DESCRIPTION OF WORK l UAL C� / ./ ' % rou / BUILDING SIZE SQ FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO —1 1 11 1 1 1 1 1 ".-+—�"�'e--"■ ' ° BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# dq MECHANICAL COMPANY oemlen lid AI / ON/a -Zile, SIGNATURE .REGISTERED Y/ N FEE CURREN/► Y I N Address / s Q/ /�� ,G 346/O License# C Py 19 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# eemmeememmeeeeeeemaeemeeeemeeeee-eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee RESIDENTIAL Attach(2)Plot 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 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,Stormwat_er Plans w/Silt Fence installed, Sanitary Facilities&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 Ior all'NEW construction. 1. MIMIy■ ■fir m It e m e 9 m..e i..m.mom■ • m 8..m ■ • • ■ ■:■ • ■ ■ ■ • • ■ 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$7500) * Agent(for the contractor)or Power of Attorney(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(Plot/Survey/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'fmay 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 7'13, 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 & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, . Septic Tanks. ' - - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone W"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 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 A ENT `� - OONTRACTOR� `� 6 - -— — Subscribed and swo iffi )be m is Subscribed and sworn to(o rets by by WF10 is/are personal v known to me or has/have pro uced Who islare personally known to me or has/have produced as identification. as identification. /`Notary Public 04;�jx-4440v(�;tary Public Commis 'on No. O Com ' sion No. Namd of Notary typed,printed or stamped Name of Notary typed,printed or stamped PATRICIA ANDERSON PATRICIA ANDERSON " ;�: �. MY COMMISSION#FF 931900 ,, ''• MY COMMISSION k FF 934900 = . y EXPIRES:January 3,2020 EXPIRES:January 3,2020 Bonded Thru Notary Public Underwriters o. ,,.•' Bonded Thru Notary Public Underwriters — — a SENICA AIR CONDITIONING, INC. HVAC 16640 SHADY HILLS 34 SERVICE ORDER PRING HILL, FLORIDA 34610 STATE LIC.#CAC1815564 -� --� 1-800-897-2335 - www.senicaair.cb' INVOICE HERNANDO (352)686-6166 PASCO(727) 856-0058 339889 BILL TO THIS WORK IS TO BE ❑ C.O.D. ❑CHARGE ❑ NO CHARGE MAKE MAKE MODEL MODEL SERIAL NUMBER SERIAL NUMBER NAME { srREET q 11\\ DATEEl yIRONMENTAL CHECK LIST WORK PERFORMED l t� . 1_.]ti Cl7y II 1 PROMISED WORK PERFORMED QTY. TYPE/DISPOSI hON CONDENSING UNIT COND'SATE DRAINS ❑ RECOVERED LLVaED CLEANED P ONE ^ CALL BEFORE ❑ A.M MAIN OAAIN O P.M. ❑ RECYCLED CLEANED COIL REPAIRED MAN DRAIN TECHNICIAN A RIZED BY ❑ RECLAIMED CHECKED CLEANED CHARGE PANDRAIN 1. REPAIRED REPAIRED WORK TO BE FORMED ❑ RETURNED LEAK IN COIL PAN DRAIN ❑ DISPOSAL REPAIRED LEAK IN COPPER FURN.OR FAN COIL ❑DISMAMIM K REF. REPLACED BELT ❑CHANGED OUT/REPLACED TOTAL $ CHECKED ADJUSTED BELT MOTOR .. ......:.... r._...:........ CHANGED REPLACED MATERIALs i,:SERVIGE$.::r,-.:` :.`;UFttl pFii f;:: AMOtf1�iT:;'.:. :. �SCI IpT1fl[f:DF:WOR ;P...ERFQf F6Ep:: . ,;, PULLEY M REPLACED ADJUSTED REFRIGERANT R- LBS. ( •/t + - t BELT PULLEY (L f` ADJUSTED CLEANED BELT BLOWER REPLACED REPLAC CONTACTOR- BEARINGS ED RPL START OILED MOTOR ^ •� /-�(�� RELAY RPL START OILED BEARINGS ` CAPACITOR REPLACED CLEANED CAPACITORRUN HEAT EXCH. CLEANED OR REPLACED n y /� ADJ. HEAT EXCH. I To- °J --�t ���fJ. RPAIRED CLEANED OR WIRING ADJ.PILOT RE REPLACED FUSE THE MCOCOUPLE REPLACED REPAIRED COMPRESSOR VALVE REPLACED tAo�xEVAPORATOR COIL VALVE 10 REPLACED CLEANED T E7P VALVE BURNERS r f� ADJUSTED DUCT REPLACED REPAIRED CAP.TUBE CLEARED ADJUSTED h I• i 1CAPTU AusTED �Q44 REPAIRED THERMOSTAT > FILTERS x x COIL LEAK REPAIRED REPLACED BELTS .,e::..r::.�:.• - ADJUSTED :S. CLEANED COIL TOTAL MATERIALS LEVELED COIL ELECT.HTR. CLG TOWER HRS. LABOR RATE AMOUNT j U RPLrcEDLINK CLEANED REPLACED KLIX. �Q REPAIRED WIRE PUMP(S) REPLACED CONT. GREASED REPAIRED FILTERS 0 CLEANED ❑REPLACED MATERIALS ON OTHER RSI BE TOTAL LABOR LIMITED WARRANTY: All materials, parts ooNnNUEoor+oTHIAaLDE and equipment are warranted b the Y TOTAL SUMMARY TERMS u �� f�S _ // asC manufacturers' or suppliers' written warranty only.All labor performed by the above named TOTAL company is warranted for 30 days or as MATERIALS otherwise indicated in writing.The above named TOTAL company makes no other warranties, express LABOR I have authority to order the work outlined above which has been satisfactorily completed.I agree that or implied, and its agents or technicians are 1`•( — I: /,Q Seller retains till equipment/mate'als furni - until final payment is made.If payment is not made not authorized to make any such warranties as agreed.S r n r e said pm mat ' Is at Seller's expense.Any damage resulting from on behalf of above named company. TRAVEL said remo s be t r on IN' of Br. ❑ REGULAR ❑ WARRANTY CHARGE ❑ SERVICE CONTRACT TAX CUSTOMERSIGNANRDATE— � ^ TOTAL �'� RE 3�i b b9 c Sles Rep` In�,�®iC` I�ustll ®aye: 3 M BUSTING EQUIPMENT Customer Name: uc �-1u� �. PERMIT TYPE:.- - ( ech) Electric- Phona1: ��^ �1- L� ` c��-7-� Wire size: Address Line 1: KW size: . Address-.Line 2: Breaker size: �;�cti Pity and Zug c �i ' _ '� Make & Model: fQ��14 j40LIAv Subdtylsion 1 t. L ei( Tonnage: NEW EQUIPMENT: (-(tVe' rUcal)—karizomital / Package .y. c Lf C ,A'�)o3 BREAKER SIZE r 1 WIRE SIZE Extras DESCRIPTION OF EXTRA WORK(QUANTITIES, LENGTH,SIZE, ETC): 4A I confirm that all items pulled and/or obtained by myself and/or helper are correct for the job per the contract agreement. Installer Signature Date Manager/Supervisor Signature Date Revised 10.29.13 I c Hernando Pasco :Citrus Hillsborough : Pinellas (352)'086-6166 (727).856-0058: : .(352) 795-9685 (813) 995.050.5 (727) 7.99-1300 Statewide 800 897- 3 5 March 5, 2019:. City of Zephyrhills Zephyrhills; FL-- .Pl.ease accept this letter as authorization for Mark Sittig (Drivers License#.S320-547:- 56'-349-0) to act as my agent for Senica Air Conditioning; Inc: - If.any add itional'information is needed or if there are a.ny.questions;please.contact my office at 727-856-0058. . . . Regards:, :: :. ----- - Mark Nelson License #CAC1815564 . State.of Florida County of Pasco ... . . Sworn to.and subscribed before me.this 5th day of March 2019, - - . - - b Mark Nelson, who is personally known to me. ERSON pATRICIA 4iY CO\,J 1 SSIO D FF 94900 ..... . ` nrizrs �•,• —'_ EXPIRES•January '��� l� %'c• a�, Bcnded Thm Notary Pubcc UPde . Notary Public Print,Name or ea 16640 .544 q&.Road ;SE�;(4 19. R4,", 576onc'da:34429 - State ,C'ceerr.�e #(�t�G�1�15564