HomeMy WebLinkAbout19-21980 CITY OF ZEPHYRHILLS
5335-8TH STREET
4. (813)780-0020 21980
BUILDING PERMIT
PERMIT INFORMATION LOCATION-INFORMATION
Permit Number: 21980 Address: 5554 1.1TH 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: 11-26-21-0010-10400-0150
Improv. Cost: 7,400.00 OWNER INFORMATION
Date Issued: 10/29/2019 Name: BROWN, VICTORIA
Total Fees: 80.00 Address: 5554 11 TH ST
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/29/2019 Phone: 813-614-1247
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FJEES
RON IERNA'S HTG & COOLING INC A/C CHANGEOUT 80.00
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Inspections Re uired
DU T N TA LED
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.
e - &--
CONTRACTOR SIGNATURE 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 iA0 ry(A Owner Phone Number 5r U 6 V09 Yr�
Owner's AddressJ5 <q Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
I
JOB ADDRESS LOT#
SUBDIVISION PARCELID#1 h-Z'6-t 1- clot ot/00 -(A
JORTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE = SFR 0 COMM OTHER
TYPE OF CONSTRUCTION = BLOCK ED FRAME Q STEEL
DESCRIPTION OF WORK CLA440' Oo-� Wait, A Wz J k4.1
E=
BUILDING SIZE SQ Q FOOTAGEt= HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C.
=PLUMBING 1$
WIMECHANICAL 1$r7q00 VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING M SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER Y
SIGNATURE L COMPANY
I YIN FEE CURREN
Address License#F-
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N FEECURREA I Y/N I
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN L_LLN J
Address License#
MECHANICAL o COMPANY
SIGNATURE tt REGISTERED Y/N FEE CURRENN
Address Kj'-p Ire) License# F—(-oA
OTHER COMPANY =
SIGNATURE F REGISTERED I Y/N FEE CURREN Ly N L_J
Address Ucense#
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 dumpstar;Site Work Permit for subdIvislonsAarge 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&i 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$2600,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 (copy of contract required)
Remofs If shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage)
Driveways-Not over Counter it on public roadways..needs ROW
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NOTICE or 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
umuoEmSsD CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o contractor or
contractors tu undertake work, be required to ba licensed in accordance with state and local regulations. If the .
contractor is not licensed as required by law, both the d contractor may be cited for 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|n contact the Pasco County Building Inspection Division—Licensing Section at 727-1347-
8009. Fudhuonnre, if the owner has hired o contractor orcontractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will uaresponsible. |f you, uu the owner sign msthe
contractor,that may h*em indication that heiu not property licensed and\o not entitled to permitting privileges mPasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The
that Transportation Impact Fees and Recourse Recovery Fees may apply to the constructioncx 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 713,Florida Statutes,as amended): If valuation of work is$2,600.00 or more,I
certify that 1, 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.
CONTRACTOWSIOWNEWS AFFIDAVIT* I certify that all the information in this application is accurate and that all work
will be done in compliance with ail applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has '
commenced prior to issuance of a permit and that ail work Will Ue performednomeet standards of all laws regulating
construction, City mmeo zoning regulations, and |mnu development regulations in the jurisdiction. I also
certify that understand that the regulations of other government agencies may apply to the intended work,andthat 8is
my responsibility to identify what actions I must take to be in compliance. Such agenciesinclude but are not limited to:
' Department m Environmental pnotectinn-Cypmu sayh smv.vvet|anu*emoanusnmmmmema/lyoannm"e
ater Treatment.
' Southwest--- '--pm,m"� Water Management District-Wells, Cypress oayhaoUo. Weiland Amuo. Altering /
Watercourses. �
- Army Corps ofEngineers-Seawalls,Docks,Navigable Waterways. `
- Department of Health ~ Rehabilitative" Services/Environmental Health ~^'^``~~' Wastewater— Treatment, /
Septic Tanks.
' ua Environmental Protection Agency-Asbestos abatement.
' Federal Aviation Authority-Runways.
|understand that the following restrictions apply m the use mfill:
' Use m fill/onot allowed inFlood Zone'V'unless expressly permitted.
' If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing o
.compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed uv the State vfFlorida.
' |f the fill material iom be used |n Flood Zone "Kin connection with o permitted building using stem wall
construction,|certify that fill will ue used only m fill the area within the stem wall.
' If fill material is to he used in any area, | certify that use of such fi|| 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 o 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 to be a license to.set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring"correction~errors^^
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 bythe permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
justifiablemay be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
� ~ --------__-__-.. .f work ceases for ninety-__consecutive days,-the job_- _considered
WARNING TO OWNER: YOUR FAILURE TO RECORD ANOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA_— ,_ '
OWNER OR AGENT CONTRACTOR
I to, be re a Subscribed and swom to(or affirmed)before me this
Who ista*e!!�� a or hasthave produced Who Ware personally known to me or has/have produced
as identification. as identification.
blic Notary Public
Commission N7o. = - Commission No
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
��,PS_ Notary Public-State of Florida
03
=2--FO * Commission#FF 970369
Ir
My Comm.Expires Mar 13,20210
r s
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: c_ c
Permit#: 2—/ e?Mp
Site Address: , �( ( ��,•top�.
Contractor: �,�. ("n- C'
License#: 0-4,Ley)I(9(o
Final Inspection Date: f 6"2v
I certify that 1 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&.
Q0n d1c, 7/___
Name of License Holder(print or type) Signature of License Holder
1
lerna's Heating;Cooling&Plumbing,Inc. Estimate 51063683
18843 US Hwy 41 N Job 51052892
Lutz,FL 33549 Estimate Date 10/21/2019
813-948-6355 Technician Bryant E.
#CAC1813676/#CFC1429475
e G;caoul G i PLUMBING, Customer PO
Billing Address Job Address
Victoria and Steve Brown Victoria and Steve Brown
5554 11th Street 5554 11th Street
Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA
Estimate Details
2 stage w/duct work/attic:Attic horizontal
Ygrene
Pasco form still need to be completed in the morning. Homeowner will sign in the morning when she gets to work.And
send it in.
Task# Description Quantity Your Price Your Total
1550 3 TON HEAT PUMP SILVER(PREFERRED) 1.00 $5,250.00 $5,250.00
Install 10/22/19
226ANA036000
FV4CNF005L00
AUXILIARY HEATER
Housewise thermostat
10 YEAR PART 1 YEAR LABOR
SEER:16.5
EER:13
HSPF:9
2 STAGE COMPRESSOR
AHRI#9606769
HORIZONTAL 1.00 $150.00 $150.00
e Hanging kit as needed per installer
e Flush refrigerate line set with RX11 flush<o:p></o:p>
e Reconnect to existing line set,Cover with UV protected arma-flex<o:p></o:p>
e Reconnect to existing electrical<o:p></o:p>
e Reconnect to existing ductwork<o:p></o:p>
e Reconnect to existing drain line(30 day warranty)<o:p></o:p>
e New filter drier<o:p></o:p>
e Hurricane slab(as needed)<o:p></o:p>
e Hurricane clips<o:p></o:p> ,
e Charge unit per manufacture specifications<o:p></o:p>
e Remove and haul away of old equipment<o:p></o:p>
e Clean up all work areas to customer satisfaction
e SS2 and SS3 Float switch
e Permit included
1379 Replace ducts level 3-Hard 4.00 $500.00 $2,000.00
Sub-Total $7,400.00
Tax $0.00
Total $7,400.00
' IERNA Your Trust-IERNA Your Business!
By signing this document you confirm that you have a full understanding of the information being presented to you with no warranties
or guarantees of conditions that are not seen,nor identified.Any concerns of the home's or business's existing duct system have been
discussed with you and if the homeowner/business owner opt not to replace the existing duct system,IERNA's nor it's representatives
shall be held liable in any way for any performance issues and/or premature breakdown of new equipment that may arise from the
home or business's existing duct system.Customer's signature on this form signifies that you have read and understand the
information being provided to you.
10/21/2019