HomeMy WebLinkAbout19-21926 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21926
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION -
Permit Number: 21926 Address: 6748 NORTHLAKE 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: STEPHENS GLEN PHASE TWO
Est. Value: Parcel Number: 03-26-21-0160-00000-0270
Improv. Cost: 6,000.00 OWNER INFORMATION
Date Issued: 10/16/2019 Name: NORTHROP DANIEL R&TERRY A
Total Fees: 70.00 Address: 6748 NORTHLAKE DR
Amount Paid: - 70.00 ZEPHYRHILLS, FL. 33542-0644
Date Paid: 10/16/2019 Phone: 518-281-7209
Work Desc: A/C CHANGE OUT 3.5 TON
CONTRACTORS APPLICATION FEES
KACKRITZ A/C & HEATING SOLUTIONS A/C CHANGEOUT 70.00
mtv/s 6 Ty �rNd-
DUCTS INSTALLED � Sy
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 SIQNOURE 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 Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
Owner's Name ` ff 4 _.N6,17V20/a 7 , Owner Phone Nu or
Owner's Address 674✓ f CPIr11Y' �If'K10, DOr? Owner.Phone Number
Y�ft/LL S /�'L• J�c Owner Phone Number
JOB ADDRESS 'c/- !�� ('I� . LOT* vC 7
SUBDIVISION PARCEL ID# 8J7 a&
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR 8 ADD/ALT = SIGN 0 0 DEMOLISH,
INSTALL REPAIR
PROPOSED USE- = SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0• STEEL =
DESCRIPTION OF WORK Az � TT/Oivj/Z,) 0 a l 5•57at/ S:SC6
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C.
=PLUMBING $
MECHANICAL is
VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS. FLOOD ZONE AREA. =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/:.N FEE CURREN
Address' License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y'/ N. FEECURREN YLN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/'N FEEECURREN- "
Address License#
MECHANICAL COMPANY
SIGNATURE /� REGISTERED Y/.N FEE CURREN .Y--/N
Address l O & 2 License#, �JS?f
OTHER COMPANY ,�% Co/VD� / i NS/NL•
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;,(2)sets of Building Plans;,(1)set.of Energy Forms;A-O-W Permit for new construction;;_,;
Minimum ten(10)working days after submittal-date. Required ronsite,-Construction-Plans,Stormwater 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. (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(PlottSurvey/Footage)
Driveways-Not over Counter if on'publio 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
htRACIORS AND--CONTRACTOR:-RESPONSIBILITIES: If the owner has hired a contractor or
contractors.to undertake.work, they maybe required to be licensed in accordance with,state and-local regulations. If the
contractor is not licensed'as required by law, both the own'er 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 apply for the
intended Work, they are advised to contact the Pasco County-Building Inspectiorf Division—Licensing Section at 727-847-
8009. Furthermore, if the. owner has hired a ,contractor or contractors, he is a6ised to have the contractor(s) sign
portions of the °contractor Block".of this application Jor 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-unde,rs.igned--also.under-stands, that such fees; as may be due, will be identified at the time of
permitting. It is further.understood:that Transportation Impact Fees and r 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 pfior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are.due,-they must-be paid-prior to permit issuancein accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 71% Florida.Statutes,as..amended): If,valuation of work is$2,500.00:or more;.l*
certify that J, the applicant,--have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection duid6" Orbpc'ited by the Florida Department of Agriculture and Consumer Affairs. If the applicantis,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'SIOWNER'S.AFFIDAVIT: J 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;..Appiication 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 1: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,WaterMastewater7reatment:
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawcalls, Docks, Navigable Waterways.
- Department of Health &-Rehabilitative Servicbs/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental.Protection Agency-Asbettos:abatement.
Federal Aviation Authority-Runways.
I understand that theJollowing-restrictions apply to,the use-of-fill:
Use of.fill is not allowed,in Flood Zone"V"unless expressly permitted.
itted.
If the fill material is to be used in Flood Zo,ne "A", it is understood that 6 drainage plan addressing a
"compensating.volume" will be submitted at time of-.permifting 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.
10-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,jor,,
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
uniess..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... fficial-fora-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_0F COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE Fitlik"'IMPROVEMENT§TO YOUR PROPERTY. IF YOU'INTEND T.00 OBTAIN i FINANCING;
Go CONSULT
WITH YOUR LENDER'ORAN ATTORNEY BEFORE RECORDING YOUR-hOTICE-OF'dOMM'_ENC'EMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed'aind swom to(or affirmed)before me this bsc e' d;sworn r affirm
'by
Who is/are personally knownto me or has/have produced Who is/ e persnally known to have produced
as identification. ? identification.'
Notary Public 7 Notary Public
Commission No. Commission No.
ccli�us�
Name of Notary typed,printed or stamped Name of Notary typed,prike or!!pprped
CARLOS MALDONADO
commission#GG 346275
Expires June 18,2023
�FOFi4°P Bonded Thru Troy Fain Insurance 800-365-.701
-
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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:I W/�e l I\ ,�/t�P-2-)-�k010
J .
Permit
? � � Z � �
Site Address: 1 /2 / S Pe
Contractor: 7-2__ c5OZ-k-17V f&)C.
License#:_ cac
Final Ins J0 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.
Name of License Holder(print or type) Signature of License Holder
a flop 9--r17--1
Kackritz Air Conditioning and Heating Solutions Inc
12730'Abbey Dr.
Dade City FL. 33525
352-521-4074
Proposal Submitted Work to be performed at:
Name- Daniel Northrop 6748 North Lake Dr.
Zephyrhills, FI.
Street- 6748 North Lake Dr.
City- Z.ephyrhills,FI.
Phone- 518-281-7269
We Hereby Propose to Furnish the Materials and Perform the Labor Necessary for The
Completion of Installation:
Install one NXH42GKA 15 seer condensing unit, one FXM4X4200AL air handler
with a EHK05AKN electric heater, one thermostat;mastic supply duct at air
handler,flush refrigerant lines and flush condensate line, pull system down on
vacuum, leak check, start and check operation.
10 Year Warranty On Compressor
10 Year Warranty On Parts
1 Year Warranty On labor
All Materials is Guaranteed To Be As Specified And The Above Work To Be Performed In
Accordance With The Drawings And Specifications Submitted For Above Work and Completed
In A Substantial Workmanlike Manner For The Sum Of:$6,000.00
With Payments To Be Made As Follows:$6,000.00 dollars At Completion of installation.
. J
This proposal is Valid 10/30/19 Sign Authorizatio .
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