HomeMy WebLinkAbout19-22155 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22155
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22155 Address: 38624 B AVENUE
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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-03000-0100
Improv. Cost: 4,500.00 OWNER INFORMATION
Date Issued: 12/10/2019 Name: HOOD, GORDON LEO & EDWARDS SHEI
Total Fees: 65.00 Address: 38624 B AVE
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542-6061
Date Paid: 12/10/2019 Phone: 571-481-8682
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 65.00
r �
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.
0C NTRAC 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 Zephyr-hills Permit Application Fax-813-780.0021
: . . . • -Building>Departrrienth• . . • ,. .. ..
Date Received cPhone�Cantactsfarl?ermitting;xa? •a *}
'`Owner's Name t'- ✓ Owner,�Phcri .Nuriiiber
Ownec's:Address �' 'OwrieriPhorie=Humber; `
. .
! -;Ow,rie�•Ption®tNGmtier': •
a LOT
JOB ADDRESS '
:SUBDIVISION' PARCEL Ip#
- .. - »iOS7AINED�FRCM%PROPERTY-TAX`NOTtCE)'.._: `' '.
WORROPOSED= ` NEuv COw5TR' _ AUD/ALT'' SIGN: ` f pEMOISH
K�P INSTALL'• ,k RE LT
.
e'
' PROPOSED`USE- SFi2 tOMM"' QTHER;,`•. `
TYPE'OF CONSTRUC t10iY �� .BLOCK. r , FRAME'
gyp -
DES'C,RIP`rION,OF'VIiORK13
BUILDING.SIZE. .$Q'FO.OTAGE � HEICiHTs'
BUILDING:.• $- ,
VALUATION'"OF=TOTAL CONSTRUCTION ?
[ ELE TRiEAL. AIVIP'SERVICEr `D.UKtZNt FtGY. [ 1N R:E C.•. '
=MECHHANICAI IS
:_. VALUATION::OF=MECHANICAL=1t+ISTALi:ATION.'
=GAS Q ROOFING : ,�SPECFALTY-,=•.. 0,THEW.
FINISH '&FLOOR`ELEVATIONst� FLOOD ZONE AREA YES NO
BUILDER CoMP;i
SIGNATURE ':'REGiStERED:`
,Address �„ ;License':# I 1
ELEOTRICIAN. ' . COMPANY-`
SIGNATURE RE606REo�.' °'s.Y/'N":':' PSEWRi`AE'F`�''_Y'.fN
r`
Address• Ltcefi`se#.''I
PLUMBER COMPANY _
SIGNATURE. „.. :F2EGISTERED. f i
Address
MECHA idA +: COMIsANY
+
SIGNATURE REdISTEREo Y/r:, I+cuRRE�: . :;Y/.,N••,''
_ :.
'S
Address'' Liven e•#';.
OTMt:1t' CtStlil?At+IY'
SIGNATURE' REciSeREv Y%-fa mil"cu�RR"E'r '•
Address J .. :;' 1; L93;eri"se.#.1 ;: c.:•.,..:::.`1•:
. i tij. 'i:i.. .. ?dam• .'�- -
REStDENTtAL Attach:2};Plot�Ptaq .K:(?)wets Hof,t3eittding lar:'sR{1)seticti4- rW y;Fcirrne:.F� }=W F!enrili=lor few oh§irt�c8on,:
:...
Minimum ten(fOrYroilcirig'days`affeP stitimittai d8te:"Requtred'onsife,Coestnic8on Plans,Stormwater Plans, $Ilt'Fence',Installed,; "-
Sanitary Facilities&1 dumpster.Site Work Permit for.subdlvisionsAarge projects
COMMERCIAL Attach.(2)cornpfete.sets.of Building;Plans-plus-a-Lffotsbfety=Page;.(1)set of-Energy Forms:,R4),.W,Aermit,for.:new*lponl3trucUdn.- .'
Minimum-ten Construction PCaris;StorinwaterPla'ris-w/;Silt'Fence installedr
SanitaryFacilitles,&-1•dumpster:Site:Work•Pemilt:for:all.newprojects.AU commtrdal,requirdnidtits ihust�meetcoriipilanoe*::
SIGN PERMIT Attalla{2}Seis;of`liigtneereit leans
"•'PROPERTY`SURVEY,required-for.aILNEW construction,
Dlrectlo»s:
Fill out applicagon,pompletely.
Owner B Contractor-sign•back-of appli atidn--notarized
If over$2500,a Notice of Commencement is required. (A/C upgrodes;aver$7500)
•` Agent(for the dontractor)-or Power of Attamey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE;COUNTER PERMITTING- ` (copy_;,of conb'act•requtredp .,
Reroofs if shingles Sewers Service'i—$66dgii: C`' Feri'ces(Plot/SuNey/Footage)
Driveways-Not over.Counter.if,on.publie.roadways..needs.ROW
NOTICE.OF'DEED:RESTRICTIONS:'The:undersig.ned;,unde�sjands•that.this permit-may.be.subject to'"deed°.restrictions"
wtlictirmay tie.rnoce rests~ictive_than County regiilatibris: TheVi1dersigned assumes,"responsibility.for compliance.wtth any
stric
aptioable deed retions :
UNLICENSED C011IT CTORS= "
M r RA r ND CO,NTIITOR„RL ;I?QNS�BIk�sT1S.r.rifthe:;oVyner_n;has:hired.a'contractor::or
cbnt acAorssStoLund-ttat<e?.work''the�j iiaay'tie'.requ�e, fo be�iicensed r 'accordai ee;with state and_locat>:re(�ulationsY;::tf:the
:.contractor,is:not°licensed°as regxiifeiis?day law both ahe owner.and,;*contractor mays be:=cited for a Triisdemeanor"'.violation
unrlec'ste#s law.:.'If°:tFi'e owner=orP;intertded:;corttractor ate tiricertairi:as 'to:what licensing:.requirements`::ma or Jhe
:`:,intended work;.they. aro.,visetl-to sort#act tFief'Pasco Coun#y:Buiftling;,t ispect on;;Qivisio"n licensing`Sec'tion at 72Z=8d.7-
80Q.9s Fu herrriore,.,;'if`tkie:owner.has',hired.;a contractor"or contractors, he is advised,to,have:the;contractoc(s).sign
.:eortians;of;#he,-�contractgr'Block"'of#his'application•for::which-they:will be'responsible: `#f.yoy; as the.owner sign as the
contraotori-.thmay be?an�iridicatio.n that`he'-is'not.properly:licensed and is not entitled:to permitting.privileges in'Pasco'
County.,
»TR�ATI$PaOR+T�AT�QN IMACC!-UTl�;tft S IIiAi'AC gN'D--AkSOURCE-RECOVERY{FFES~'The uridersigned:.understartds
.. ra
=that Transpoi tatip jlmpact Fees:and Recourse;Recovery�:Fees may:appiy to.thee:construction of new-,buildings;ch'an'ge`of.
use in existing builtlings;ror expai sign::of�ic stiff _"_., ,pry
#�itildEngsF as'specrfied iii Pasco.Cotinry t)id riance-number MOT and
<90=07;as amended: The:.undersigned'elso:understand;,th*vg,eh•.fees;.as::may.be.-due;,;will<be identified.at the time:of
,permitting;:�t#s fu tie underafooi tttatZranspiirtatiori linpact Fees°and Resource.Recovery Fees must be:paid>prior to"
receiving,a'cprk Cate`of oecupariC'',;=`ordinal power.:release,:.,.lf.:the:project�.dbv., t involve;a cer#ificate,rof,..itcctt},anc :::or
-finai;powe fire Oise,`tpe`-fees,.rmyst�be:, al p d'Ad'permit iss.ua 'ce." Furtt ermore;if" ;c County°Water/Sewer Impact
fees:arentltte;;#i sey-must be gaj¢;;pr.Ijzr:,tq permit i.Ssuance in Sacco:dance with appl!cable:Pasca Count ordinances: .: .
f� t Y
C:f,'N' dTIO,N;YI .ENa AW�C;It` ta'r' rd-iUM r,.idaittatute '`as amended. if_vas'nation`of iivork':i. ::$2.500:Otl.or.more.ri
�- ap s�. ). -
ceit' ethat: cant hav r a 4 ,.:. ...�. ,
!fy . u P ,. ex een prov eed w� a;:copy.;Qf'the :.:Florida 4:.Cans#ruction:,Lien' Lain Homeowner s
Protection Guide" p�epa�ed 6y'tFieyFloria*UepartmenC`of'Agnculture"and.Consumer Affairs. "If."the:aplicant:is someone
other=than the::owner.=,1 cer ify tl at M:have:vt toined aito, :pf the,abovedescribe'd;document:tand:,profi*d.1n`g000d faith to'
deliver.•Kif:;to:the"owner}'pr or tiouhimenoemen#.'
CONTRACTOR':S/,OIyNER'S AFFIQ�IIT= I,oertify;abat:all ahe information"in jhis application is.accurater anal:that=all`worK"
wiHtj..e <!; :c6na'.I.: ex 't; `l` i: F:r ¢.
4 Qr e_w.- p lagc ,w±h a,#lappl_cable taws..egul fir7'g:eei sf`ruc#iori;zori iag=an :hand dpveloprr enf: Applicatiori.`is
hereby=made-::to::obtain :a permit'?to do';work:an`d:i istallation�,a Aintlicated. I-certify.-that-no:work:,or`,installation=.has .
-commenced-prior,- fa issuance of.a::permit:and>thaf-..a. rk.will:be:performed..to.meet:.standards:of all.-laws.
-regulating,
. Cunyad � ds ; onigragulatons; adopmert:regulationsin'the juristliction : I'alsocorlstruction; eo ;tln m pp .to..thinndedIuitl e sncertifyhat rl3; atif sw my responsibility to`identify.Whataetions:l must.-take to':be:in compilance:.'Sta onoles.inelude but are.not iiMited:tw
- Department'of:Environmental.`Protection-Cypress`Bayheads,:W.,etland Areas:.and''Environmentally:Sensitive
Lands,:WiterMa`stewater Treatrrrent..
- Southwest 'Florida; '1Nati:i': iMana'gement Distric€�tiVells; •Cypress Bayheads, Wetland:=.Areas, Altering
Watercourses.
- Army.Corps:of Engineers-S.eaw._.all,s,rpocR'., Nayio.btejWaterway;;:
- Department;:of Health':& IR-a ilitatiVe Services/Ehvirortmentat:..Health aJnit=Wells, WastelNater,:Treatrrtent;::.
Sep€ic-Tanks:-
US.Environmental.Prot etion A enc. Asbest s;•abgternenta:..:.
lion,AutEori Rt ova
_ . h!. _n P,..
d understantl t atf'tlie>foltowing;:restrictions:apply.to the use,gf',fJII=;;
Use=ofRtj�l is riot=all4wed':in_Floo; Zone"V"'unless,`expr,.sslyKpermitt-
If 1tt e' Il;material'isY'to:'6e "eisediin Flood`Zon" ,":"A";; it*"is^`understood that:`a::d�ainage:-plan.addressing a
compensating,.volume,";yvill be<submided attime.of.:;pe,rmitting which:is.prepared.;by a.professi0nal.lengiiieer
- .,.. licensed by.th :Stafe;of.Fforida:=..
- If tlie'fill material:is.to"be;usedin Floodc2one;°gxs:in>-con, with a permitted.building'using,,stem }:
constrr;�ction;.l certify fFiat fll w ll tie'used onl ;withinahe.stem.wall:
If"'fiit':material;is;to be.used in:aiiy:area, l cefifjr>=ttat usewof"'such fiC'wiil not':adversely~affect adjacent
properties: if:use;of.°fll`.ijs,fpund to=.adversely;affect;adjacent;*properties,:the::owner..may,be:,b.ited f.or.violi ting
:`".:the<'cr>nditfoiis oftlebuttding permit`issued under-the".attached permit'application; for la 'less'than one.(9:}
acre,:which;;ace;:elevated'fyfill,,an.engjneeyed: ra)r1ese'plan is'required.
the: ood� ito norIfI e a m°the�.owner:of.the.permifing;conditions.set'fbhhin,
this;affidavi#prior<to;.coinmencing;,constcuction. '`I under.stand#hat. i-°separate perrriit may be required for,•electricai work;
plumbg siyns ;wells ''pools;;air contlitoning,: gas,.:or.•other.-installations::notspecifically:included;inahe application: A-
pertnif�issued�:shall'be constrited�toKbe a.license"to pra�ceed:witlt'this°-work:and riot:as:aiitiiority to"violate :.cancel,;alt�ec;pr:.:
set�aside any:pcavisions of ahe;:aect meal codes; norsh'all:is'sue',i ce°of.a permit:prevent the�Building.Offi6.14frooi-th'W'60er`,.';
requiring=acorrecttdn,of_°erro�s=� ;{Mans,cdristruction orvioiatiois`.:of:anycodes:�Every;permit issued strall.become=invalid'
!. y... ..e ..
uni... vthe':workFaufhgrized`tiy,°such",permit:'is:commenced:Vvithin:six months of:permit issuance; 0r:if.':work;a6thor1zed::6y
rho+t iriit is.suspended' abandbrie, for a period-of.,,siir(6):rnonths'after ttie time:ttie;.*ork`.is commenced=-An extension
may;be=�eiauested :in writing front'.tire=_I3uildirig.OffciaY,for a*;p r�oOF not,to:exceed-,ninety-(9d} days.:and.willgemonstrate:::,
justifiable�cau'se::for-:the extension: if work;ceases:for ninety(,90)s,consecutiVe days;:the.:job.is considered<abandoned::-
-WARN•fNG.:TO:OWNEW:-YO,UF ;FAjLURE:TO•RECORD:A;;.I�O.TICE:OF:CO'MMENCEM-ENT;MAY,R SULT-JWXAUR..
WiTII{Y 0CLEx:FD�O✓E_R t d-Mpdl:.1P2R AtN Y*i,}A,E+473,i=y.:Te.EEO'NRTN aE,.YOv.B YxE•O�I"•Ubr r .
E OF COTPAYIVG F EAT,, ,J 1RhE OsP O MtIlEllt€ENTCONS:UL
CN REtE Tt tC
'
FLORID A:J.UtAT:.(FrS.';� —
OWNER OR;Ar3EiNT: CONTRAGT,.QR
':Subscribers nct } tti
1a -suyoin; Faffigne(t ;efoie;m`eUiis:.; tiscrlbed?antlswo"do; y ffi�'.n d)before';me
by, :try.
Who is/are personally: no o rir'e or,;lia`s'fiave produced' -Whais! p rson k own to rile, -.tiaslhsye:produced, : .
as•idendfication. identltioa6on::. ,
Notary Public rvo
. - Notary`Public. ,
Commission No. Commissio '
Name of Notary-.Wed,printed:or.64mped Namebf Notary. ed;!printed'orVamped
CARLOS MALDONADO
Commission#GG 346275
Expires June 18,2023
' F^o Bonded Thor Troy Fain Insurance:800-385-7]019
Kinsey Central
Heat &..Air-Conditioning, Inc.
P.O. Box.22:09
Zephyrhills, Florida 33539-2209
(813) 782-2300 CA-0058626
PHONE DATEOF ORDER
NAME DATE PROMISED
_CAI
ADDRESS APARTMENT
CITY
MAKE MODEL SERIAL NO.
0 ESTIMATE
NATURE OF
0 CASH
SERVICE
:REQUEST 0 CHARGE
.66AN.., PART NO. / DESCRIPTION PRICE AMOUNT
ftt
i
I
i
I
I
I '
I
I
I
SERVICE PERFORMED TOTAL
i MATERIAL
TECHNICAL
SERVICE TIME
A charge of 1.5%will be made on all unpaid balances after 30.days,which is an annual percentage rate TAX
of 18%applied to past.due balances.Customer is.fiable for any charges incurred in collecting this bill.
DATE COMPLETED ON COMPLETION TOTAL
CASH OF WORK I
i
TECHNICIAN CUSTOMER'S SIGNATURE
A,
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
:U
P BY INSPECTOR
.:Owner: Y��^� .: Ck
Permit.#:. . � 57,
. .
Site Address:
Contractor:
License#:' /y
:Final Inspection Date:
I:certify.that l have iristalled.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.locatedwithin conditioried-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.
8�.
Na of License Holder(print or typ nature of License Holder