HomeMy WebLinkAbout19-21451 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21451
BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 21451 Address: 5909 14TH ST
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: 11-26-21-0010-03900-0060
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 7/03/2019 Name: PECK, MARILYN D
Total Fees: 60.00 Address: PO BOX 444
Amount Paid: 60.00 ZEPHYRHILLS,.FL 33539-0444
Date Paid: 7/03/2019 Phone: 813-713-5551
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR' S APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 60.00
✓" q
DUCTS INSTALLED Inspect! s.Re uired
DUCTS INSULATED
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.
CO"CTOR SIGNATURE PERMIT OFFI R
E IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a13-780-6020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date-Rocelved ,Prhone Contact for Pemiittin
Qwner s Name r ty ON Owner Phone Number v� !)3 5-S�r�
Owner's Address
51 1 )IL1 h S kiwf Ze ( i is Owner Phone Number
Fee Simple Titleholder Name C `Owner Phone Number
Fee Simple Titleholder Address (� j j r y �,,L `
JOB ADDRESS 'SRO / {[�-F� !�C'X�T Y� �!�!S LOT#
SUBDIVISION. PARCEL iD# `�'�"`� !—00 O`er •00—0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR 8 ADDIALT [ SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR. 0' COMM C�. OTHER
TYPE OF.CONSTRUCTION = BLOCK Q FRAME STEEL Q
•DESCRIPTION OF WORK it Gha�► �/'� ��� ^� i '
BUILDING SIZE '�� SQ FOOTAGE HEIGHT
...
•BUILDING � VALUATION OF TOTAL CONSTRUCTION'
'
$... ...,. n._;._..� '' ••. 1. '.
=ELECTRICAL ($ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C.
=PLUMBING.
F-71ME&HANICAL 0
VALUATION OF MECHANICAL INSTALLATION
00
=GAS Q ROOFING Q. SPECIALTY C� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
'SIGNATURE REGISTERED � � YIN N FEE CURRtih � Y)N
Address License# t
ELECTRICIAN- COMPANY
SIGNATURE �' REGISTERED Y! N FEECURREn YiN
Address Ucense#
'PLUMBER. COMPANY.
.. SIGNATURE REGISTERED Y/N' -- FEE CURREN' - `Y/N•. - -
Address — . License#
MECHANICAL ` COMPANY !� ��� SPCf/oGeS (J; SGC�
- SIGNATURE' REGISTERED Y/'N FEE CURRER Y i N" „
.
.. - ..
Address 01 q . . . 0I -k,t j6 Ucense# ` l 15
OTHER COMPANY ,
SIGNATURE' REGISTERED I Y"1 N' 'FEE CURRER" YI N • •.
Address License#
0 !'t If 'I l"I 1_1"1 11 1 !t't•I.1 1 1 i I l'! 1 ['1 I I 1.1 i it 1 r t l l i 1 1 0.1 1 1 I 1 P I i i h
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 onsile,Construction Plans,`Stormwaler Plans wl Silt Fence Installed,
Sanitary Facilities&'i dumpster,Site Work.Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)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 onsile,Construction Plans,Stormwster Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster.Sife 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 consiruction.
Directions:• '
FIII out application completely..
Owner&Contractor sign back of application,notarized.
If over$2500,a Notice of.Comrnencement Is required. (AIC 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 (copy of contract required)
Reroofs if shingles Sewers Service Upgrades.A/C Fences(PIpt/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
j.
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. It the
contractor ls'not licensed as required by law,both the owner and Contractor may be citedfor a misdemeanor violation
under state.laws. 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 Divislon—Liceinsing Section at 727-847=
8009, Furthermore, If the owner has hired a contractor or contractors, h.e Is advised to have the contractor(s) sign
portions of the"contractor Block"of lhis'60plication for which they will be responsible. If you,as the owner tign.as the
Contractor,that may be an Indication that he is not property-licensed and Is not entitled to permitting privileges In Pasco
County,
TRANSPORTATION IMPACT/UTILITIES IMPACT.AND-RESOURCE,RECOVERY FEES: The undersigned understands
the,,:Transportation Impact Fees and Recourse Rec6viJry.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 99-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be Identified at i1id time of
permitting: It Is,further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving-p"certificate of occupancy"or final power release. jf'oq project does,not Involve a certificate of occupancy or
final*.power release,the I fees must.be'pald prior to permit 1!%Lianc&`Vurthermore,If Pasco County Water/Sewer Impact
fees are due,they'rhust be.pald prioi to permit Issuance In accordance with applicable Pasco bounty ordinances.,
CONSTRUCTION LIEN LAW(Chapter 713,,Olorida Statutes,as amended): If valuation of work Is$2,500.00 or more,.)
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien.Law:Homeowner's
Protectlon,Guld&'prepared by the Florida Department of Agdcultutq 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 Into 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 indIdated. 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.tb be In compliance. Such agencies Include but are not limited to:
Department of..Environmental Protectl6ritypress Bayheads,Welland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells,"Cypress Bayheads, Welland, Areas; Altering
Watercourses.
Army Corps of EhgineerS78eawalls,Docks,;Navigable Waterways;
Department of Health & Rehabilitative Services/Environmental 146alth Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency:Asbestos abatement.
Federal Aviation Autfib(Ity-Runways..
1 understand that th6.161lowing restrIcUoris'apply to the Use of fill:-
Use of fill Is not allowed In Flood 2;ne"V'Uhless expressly permitted.
If the fill material Is to be used in Flood.Zona "A", It Is understood that a dfAinabe 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.- r
lf,the,fill.material It to be used In Flood Zone"N'In connection with'a permitted building-using-stem.wall
construction,I certify that fill will be used only to flit the area Within the stein wall.'
If fill material Is to be used In any area,.l certify that'use.of such fill will not adversely affect adjacent
properties. If use of fill Is found to adversely affect adjacent properties,thi'3 owner may be cited for V161abno
the-conditiontof 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,.1 promise In good faith to Inform the owner of the permitting conditions set forth In
this affidavif'prior to commencing construction. 1-understand that a separate permit may be-required for electrical work,
plumbing, signs,wells; 0ools,air conditioning, gas,or 'other,Installations not specifically included In the application. A
permit issued shall be construed to be 9 license to proceed with the work and not as authority to violate,Centel,alter or
set aside any provisions of the technical codes,nor shall Issuance of a permit prevent the Building*Offlicial.fronn thereafter:
requiring a correcfiqn of errors In..pians,construction or violations of any codes. Every permit Itsued shall becomeInvalid
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,extcinslon
may be requested,In writing,from th13-Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause.for the extahslo'n'. If work ceases for ninety(90)consecutive days,the job Is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMME
..._ . .. I... , = ME MAY RESULT IN,YOUR.
TO
FINANCING;CONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR mk6ftRtY. IF YOU INTE TO A MI
WITH YOUR UNDER OR AN ATTORNEY BE�6kE kcitikl[)ING YOUR UOTICE MENCEMtkT.
OWNER OR AGENT CONTRACTOR
gubscilbed and sworn to(or affirmed)before me(his Subscribed and swo firmed)b
by b
Who Islare personally known to me of h6s/haVe produced Wha Tara pars allyo,61410 asihave prod ad
as identification. 1 7' as Idenillicat n.
Notary Public Notary Public
Commission No. Commission No.
'Werne of Notary typed,printed or stamped Name
CARLOS MALDONADO
Commission#GG 146171 34627-5
Expires J u ne.18;
Bonded Th.Trey rb;-
•� lrTech
�
Office: 813-779-7508 Fax: 813-779-7504 • Lic#CAC1815498 Date:
Customer Name &
Address ��� �� �f�e�-f Zip Code
Job Location ,ph����1�5 Subdiv:
Phone# '� 1 51 Alternate#
Existing Equip.
Mod.# SER.#
Mod.# SER.#
Permit #
Type of Unit: M/S S/C H/P S/S ('PAC"')' Ton: Seer
Y N
❑ Duct Work jype of Duct Work: Metal Flex MH flex Duct Board R-
❑ ®Moat S W:
ElHeat Shield: Heater KW: Wire Size Breaker Type
EY�E] Pad: Elec.-Panel Brand: AH Cond. PAC
� T stat: Prog. C!:on-:p7roj
❑ CV Line Set:
�❑ Mastic Seal: Airhandler Location: AHU L_" H_" W_"
❑ 's Lieht& Recp. Return Air " Duct Size "
❑ Service Platform: Access/Closet Door: Attic Height/Closet Size:
Attic Insulation Depth = R Value
Special Notes:
Bryant$ . Rheem $ . Comfortmaker$
Factory Rebates:
Warranty: 10 year Compressor andParts& 1 year on labor 1_
10 year Compr I r a s & 2 y r on labor
Air Tech Services A roval date
Customers Approval date
4 "
Y
DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE(FBC ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
Owner: ,/Vaal I iJn ?2.o4
PermitMC2 -t
Site Address: �D� l"�fh 5free+ rep zepk c
Contractor: 1 C -Tech ee.CU;ceS , 'LSD'
License#: (,AC I q I
Final Inspection Date:'
I certify that I have installed new or modified the existing duct work associated with the HVAC system
referenced by the permit listed above and found it complies with the requirements FBC Energy Code,
Section 403.3.Where modified,the existing ducts have been sealed using reinforced mastic or code-
approved equivalent. Ducts are located within conditioned space(Section 403.3)System was tested as
per FBC Energy code,section 403.3.2.1.All new duct work is to comply with FBC Energy 403.2 and FBC
Mechanical chapter 6.
Aho
Name of License Holder(print or type) Signature of License Holder