HomeMy WebLinkAbout19-20914 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20914
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20914 Address: 37913 NICK AVE
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: WINTERS
Est.Value: Parcel Number: 15-26-21-0030-00100-0010
Improv. Cost: 4,800.00 OWNER INFORMATION
Date Issued: 3/04/2019 Name: WINTERS MOBILE HOME PARK (GORDON
Total Fees: 65.00 Address: 38022 WINTERS DR
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/04/2019 Phone: (813)782-1615
Work Desc: A/C CHANGEOUT 2.5 TON
CONTRACTORS APPLICATION FEES
SUPERIOR HEATING & COOLING MANAG A/C CHANGEOUT 65.00
DUCTS INSTALLED Ins ections Required
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 SIGNATURE PERMIT OFFIggR
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 p Y
Owners Name (� Owner Phone Number l S 7 S 9 0
Owners Address 7 q t C►) vcl Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address �r
JOB ADDRESS p2 7 (q Nick ick ei LOT# E
SUBDIVISION PARCEL ID# a ry
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR u ADD/ALT 0 SIGN Q Q DEMOLISH QO 160- 01O
INSTALL u REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK C�t�� 6 •S �n L Q2< <,L 1nA` 1 rh kw
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
i
=PLUMBING $
MECHANICAL Is 1 6 oo VALUATION OF MECHANICAL INSTALLATION ` VJ
=GAS = 0 ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
8..1-- - - ---- - - - ---1 l..O�t..i i..0�1..0 S..tit..i�f..i—�...r1..f �6..i 7..0
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK Y/N
Address LicenseL#
MECHANICAL COMPANY Sit P_c�OC�Q��r Wain Nt
SIGNATURE // REGISTERED Yy N FEE CU EK Yam//N G
Address A5 �,,,A Z �,re D�s License# C 177-7[r7
—
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREK Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
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,Stornwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large 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 onsite,Construction Plans,Stormwater 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 for all NEW construction.
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 Attomey(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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
CHECK LIST QUANTITY ITEM OR PART DESCRIPTIONAMOUNT SUPERIOR
❑ COMPR HEATING & COOLING MGT., INC. 165679 i
❑SUCTION •PSI ` O
❑HFJ1D PSI PINELLAS 571-4299-HILLSBOROUGH 854-3449
❑VOLTS � AMPS
❑VO IC CONN DNS ZEPH. 783-7509 POLK 688-1823 A A
❑OIL
C; N . CORPORATE OFFICE 1-800-640-8634
❑OIL LEyyy��� O OATrORDERED /
❑ CONDwoo"I
❑CLEANMICKFINCOND. • DATE SCHEOULE%
❑ENTG -F
❑ RF�RIGERANT sTRE
FJIK ❑CHARGE //����
❑ FAN AND MOTOR VT ATE nP WK.PHONE
❑VOLTS
❑ 1 NNEOTIONS MAKE M EL SERIALNUMBER ❑WARRANTY
❑ HT'a CLEAN ❑CONTRACT
❑F PU (ADJUST BELT) O� O ❑SERVICE CONTRACT
❑CHECK,LUB BEARINGS&MOTOR ❑NORMAL
❑ EVAPORATOXy
OI JOB ❑RES. ❑COMM.
❑ FTEr
LOCATION ❑
❑ —F AL DESCRIPTION OF WO K
❑
❑ C EAS
❑ DRAIN PAN STATE CERTIFICATION # CAC1$17 72
01 DRAIN
❑AIR
❑CLEANN REPLACED
FIL 8
❑ HEATING ASSY..
❑BURNER&HEAT EXCHANGER
❑FUEL SUPPLY&P SURE
❑PILO
❑F TMENT
❑ 1 Y A FLUE ,
❑ LI CH OPER.
❑BLOWER ASSEMBLY TOTAL PARTS •, • ' Cif
❑RV VALVE
❑STRIP HEAT C WRITE OR CODE AMOUNT
❑DEFROSTCYC%. PARTSWARRANTY A $
❑ ELET IC COMPTS. All parts as recorded an warranted as per manuteeturer GE ❑ Check✓box to authorize Superior Heating&Cooling Mgmt.,Inc to
❑ CONTACTORS SP--D— 8 Continue to call me for my regular air conditioning needs.
LABOR GUARANTY
❑ RFSS.SWITCH The labor charge as recorded here relative to the F TECH REGULAR v HRS. OVERTIME
❑TH AT equiproad ssrvlad n romd ts guaranteed 1°r°psrled of R l/i l HRS.® MR.= R ® /HR._
❑ ❑REPLACE 30days. Y REFER MACH,USAGE • TEC REGULAR T HRS. OVERTIME
❑ E We do not,of course,guaranty otMr parts than thou we ' HRS.0 /HR.= E a MR._
TRAVELTIME supply.If repairs Isar become necessary due to other E p2 E CERT.M rani.
delacdvsperb,tMywlebschsrpsd•spaw". C TOTAL TECHNICIANOTHRM
V/ OTHER CHARGES S SIGNATURE CHAn4U
TIME
ARRIVED ENVIRONMENT CHECK LIST • •• • • SUB-
TYPE SYSTEM $ CHANGED - TOTAL
TIME CHRO. E 1 HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO
DEPARTED CODE a OUT(OR ❑ ❑ ORDER AS OUTLINED ABOVE.IT IS AGREED THATTHE SELLER WILL
R REFRIG. QTY. U REPLACED)? YES NO RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL
TRAVEL
E ❑ ❑ g I DIS• ❑ ❑ FINAL&COMPLETE PAYMENT IS MADE,AND IF SETTLEMENT IS NOT TRIP
P O RECOVERED? YEs NO QTY w P MANTLED? MADE AS AGREED,THE SELLER SHALL HAVE THE RIGHTTO REMOVE CHARGE
MILEAGE M YES NO SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY
R E REFRIGERANT DISPOSAL DAMAGES RESULTING FROM THE REMOVAL THEREOF. TAX
ENDING Q RECYCLED? F 010� r IN
T
1 w
START— OUR PERSONNEL Y
G 3Q RECLAIMED? QTY. 3 RECOMMEND: �,/////��}�\TOTALMILEs E THISSY TEM? w • �'J�/ /( .09
R THIS SYSTEM? I� LLL��JJJ QTY. (' a �7` `//)vim
YES NO O 6��///
X MR.= A (3)LNELABLE
AU ORIZED TURE s
N ❑ ❑ OWNER'S INITIALS ABOVE ORDERED WO AS BEEN COMPL E ECEI OF MY COPY OATS
X /ML= ACCEPTED DECLINED H�
TRIP @ T YES NO QTY. / / E
CHARGE @ OO
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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:
Permit#:
Site Address:
Contractor: `'
License#: WU7 i 7
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.
1 k
Name of License Holder(print or type) Signature of License Holder
CITY OF " NOTICE BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION -(,
D • NOT REMOVE '
I
ADDRESS DATE PERMIT,
7 �3 I(A G 3- _20 1
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
av
� c
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR E-INSPECTI N
or other material,until the proper inspector has had ample time to approve
the installation. -
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI.
INSPECTOR Chi