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HomeMy WebLinkAbout10-10198 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10198 BUILDING PERMIT Permit Number: 10198 Address: 6792 BASSWOOD CIRCLE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: NC CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: DRIFTWOOD Est. Value: Parcel Number: 02- 26 -21- 0210 - 00000 -1300 Improv. Cost: 3,200.00 s 2 - `A , V, , Date Issued: 3/04/2010 Name: MACDONALD, ELAINE & PAUL Total Fees: 50.00 Address: 6792 BASSWOOD CIRCLE Amount Paid: 50.00 ZEPHYRHILLS, FL 33542 Date Paid: 3/04/2010 Phone: (978)360 -5677 Work Desc: EQUAL A/C CHANGE -OUT . t., �_ r iv' •N 1 `NA' HT & ••LI INC HANG • UT 50.00 n q DU IN ALLE• DUCTS INSULATED FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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" lor -4 le itattro_ 'ONTRA SIGNATURE PERMIT OFFI' 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 rte • Building Department ' rg / Date Received Ptrons Contact for Perrrrittl , _ °4 (8 - 0.� t Phone Number q 4 - Owner's Name �( ��--- �Cd,�- Jl•�.. __ ` ��eti � � Owner .0-.--. ' Owners Address 1 3 fie. s}. Salem N }• 6 36 - I Owner Phone Number I a - . 9 t)`-- E=44- I Fee Simple Titleholder Name) I Owner Phone Number I • • Fee Simple Titleholder Address I JOB ADDRESS 1194qa- E C A L S S 0. _l. k ,_ I .3-Y3 +_ LOT # 1 J SUBDIVISION. . 1 D Y e't'i T flood , I PARCEL HMI Q9 - a 1 "Vat l 7 " WO 00 --- Ic3 . (OBTAINED FROM PROPdtn TAIL NOTICE) WORK PROPOSED - I I NEW AI NSTR I I ADD R T n SIGN Q MOVE Q DEMOLISH PROPOSED USE . I—I SFR " r COMM n OTHER I ' I TYPE OF CONSTRUCTION El BLOCK n FRAME . Q STEEL Q OTHER 1 1taIn g �' p I DESCRIPTION OF WORK NA ` i ella,, I BUILDING SRE L SQ FOOTAGE 1 I I BUILDING IS I VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL 1 I AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. I1 PLUMBING Is 4 ; 0 1 9 g MECHANICAL I au u I VALUATION OF MECHANICAL I NSTALLATION ; �5 1-1 GAS I' ROOFING [ SPECIALTY I—i OTHER ,LJIJ FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA I JNO • BUILDER COMPANY I I SIGNATURE REGISTERED I Y/ N I FEE GLRRBIT I Y/ N I Address I 1 ..License # 1 I • ELECTRICIAN - COMPANY 1 I SIGNATURE REGISTERED - I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # I I PLUMBER COMPANY I I SIGNATURE REGISTERED 1 Y/ N : FEE CuRRErtT I YIN I . Address I 1 ' Ucense # I I MECHANIC ' 1IN COMPANY y rL LC 1.. 5 1.40: l J .. a 4 " C 0 4 i; . SIGNATURE � REGISTERED as N FEE cuRREarT ' .411311 . Address I riLAI L .. r. 33 5 . 6 1 License it I ej4e.A q.L I OTHER COMPANY 1 • I SIGNATURE REGISTERED I Y/ N I FEE a REN 1 Y/ N I Address 1 1 license* 1 I 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) workkg days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Factties & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Budding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new conshuc Lion. Minimum ten (10) workkng days after submittal date. Required onsite, Construction Plans, Stonnwater Plans wl Slit Fence installed, Sanitary Faddtles & 1 dumpster. Site Work Permit for all new projects. Ad 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 $5000) " Agent (for the contractor) or Power of Aitomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Piot/Survey/Footage) Driveways-Not .over Counter if on public roadways. ROW it y understands that this permit may be subject to "deed' restnctions" which m ay be more n'�tricttve than County regulations. DEED RESTRICTIONS: The u The undersigned assumes responsibility for compliance with any hich may applicable deed restrictions. CONTRACTORS AND CONTRACTOR RE$PONSIBN -ri IES: If owner has hired a contractor or contractors to undertake w UNLICENSED Cork, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contrador may be cited for demeanor violation or ire a a m may apply for the under state law. If the owner or intended contractor are uncertain as to what licensing -g e g Section at apply for t e intended work, they are advised to contact the Pasco County Building inspection advised to have the contractor(s) sign 8009. Furthermore, if the owner has hired a contractor or contractors, he is portions of the "contractor Block' of this application for which they will be responsible. ls If the o oh. a the owner sign in as as t he contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges County. TRANSPORTATION tM impact Fees It iT1E s Recovery may apply to the cons The of new undersigned , change of that Transportation in e tang impala Fex and Fees maped in Pasco County Ordinance number 89-07 and use in existing buildings, or expansion of existing bindings, as s 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of impact Fees and Resource Recovery Fees must be paid prior to permitting. ft is further understood that Transportation i� receiving a "certificate of occupancy" or final pOWef 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 P asco County Water/Sewer Impact WdatertSter/S ew C 713, must be paid prior to permit issuance in accordance with applicable Pasco County fees are due, they Florida Statutes, as amended): if valuation of work is $2,500.00 or more, I CONSTRUCTION LIEN LAW (Chapter have been provided vided with a copy of the `Florida Construction Lien Lave— Homeowner's certify that I, the applicant, of a and Consumer Affairs. If the applicant is someone other th an Guide' that �e obtained a co py of the above domed document and promise in good faith to other than the "owner, I certify deliver it to the "owner' prior to commencement CONTRACTOR'S/OWNER'S AFFIDAVIT: i certify that all theme � in application i devebpment Application is will be done in compliance with a8 applicable laws hereby made to obtain a permit to do work and installation as indicated. I to meet standards no work has or installation hrds work o r l laws installation h commenced prior to issuance of a permit and that ail work will be performed ja a regulating ng construction, County and City codes, zoning regulations, and land development regulations in and that it i my of other government as may apply to the intended work, r that I understand That the le Such agencies include but are not limited to: my responsibility to identify what actions l must take to be in compttanCe. Sensitise - Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Lands, Water/Wastewater Treatment. nt District WeNs, Cypress Bayheads, Wetland Areas, Altering - Southwest Florida Water Manageme Watercourses. waterways. - Army Corps of Engineers- Seawalls, Docks, Navigable entaf Health Unit Wastewater Treatment, - Department of Health & Rehabilitative Servdces/Envir'Onm Septic Tanks. �►sbestos abatement. US Environmental Protection Agency Federal Aviation Authority-Runways. - I understand that the ffollowing restictions apply to use of fdl: the u an addressing a `compensating of fill is not allowed m Flood Zone "V' unless expressly i Mood that a d ainage pl s al engineer - - if the material is be used in Flood Zone A which is prepared y professional volume' ' will be submitted at time of permitting licensed by the State of Florida. ited building using stem wall - If the fill material is to be used in Flood Zone "A" in conned with a Perm construction, I certify that fill will be used only to certify fill the area within the of such fill will adversely affect adjacent p flit material la to be used in any area, i affect adjacent properties, the owner may be cited for violating properties. If use of fill is found to adversely it application, for lots less than one (1) the conditions of the building permit issued under drainacJe plate acre which are elevated by fill, an engineered drainage a plan the owner of the permitting conditions set forth in l ise in good that inform separate permit may be required for electrical set forth in this I am the AGENT FOR THE OWNER on. I understand included in the lectrica work, A this affidavit prig to commencag or other inst Nations not specifically plumbing, signs, wells, po air to b eiaiocing, gas. with the woricand not as authority to. violate, cancel, after, or permit issued shall be construed to be a license to proceed prevent the Building Official from {hereafter ions of the technical codes, nor shall issuance of a permit pre ft Building shall become invalid set aside any o m plans, permit is within six�mon of permit issuance, or if work authorized by wiring is commenced. An extension unless the work suspended by such for a per iod of six (6) months after the time the wor the permit is ted, in o' abandoned , from Officia f or a p eriod not to exceed ninety (90) days and will demonstrate t ad, in wr iting, from the Building- days, the job is considered abandoned. may be requested, for ninety (90) coo justifiable cause for the extension. If work ceases COMMENCEMENT MAY RESULT IN YOUR - - - - -- - -- - - - -- -- E OF COMfNEHC WARNING TO OWNER: YOUR FAILURE TO RECORD A YOU INTEND TO D��N FINANCING, CONSULT PAYING TWICE FOR IMPROV • ii - S TO YOUR PROPERTY. 1 Y • : k+1 i_LN S. • , . 1.__---.._._ T. - • AN • • BEF FLORIDA JURAT r 17.03) , 7.03) � / , _ OYYl�t and ri - — Via ) before me 1 s . z b r ....w _A- 3 s by VVi+o is/are persona* known to me or has/have isJare ;± b10^"^ tp me or tnasfiave produced. Notary Public Mary Public . . r Commission No. Commission No. V.-4"W — _ _ _ !� � Ot � ' Na me of Notary 49 i11 :IC State of Florida dts4 w• , -" rida Joseph L Massa Name of • a + a . p My Commission DD942937 ' ' , o � My Commission DD94 2937 Flo +"'OF F∎ FFFF F "' Expires 11/29/2013 ' '�oFnd ° Exp 11/29/2013 — ;.4.5 3; ,>: i ti —� : Ron lerna's Heating & Cooling, Inc. i , / 1 .. ^. a a�-..� tv_ . 5, - , 19121 US Hwv 41 North • FL 33549 f v r Local (813) 948 -6355 • Fa 13) 949 -9266 Toll Free (866) 323 -COOL • L eland (863) 859 -0062 1 ic 5 %) 1 e12-- 4CAC 1813676 - Qualifying #QB26202 I Bonded & Insnr o www.IemaAir. m " 1 x 7 . - 0 A . No CV.F44.er- °--- 1 ? A.; R t bc -1, .".- • r ° ,AsiM1lS.' - NAME e 14 t Ai 61I_am({ rd nu � � ) STRE g DATE ORUCRED , •� i tlt.�c X (..a ?q 2. � '-�3,, `- ,--- / / , CITY STATE Z DATE SCHEDULED ter .95. -:;I'' 6 :.elr --- 'Z ' +� -t.: -t .:'" °� cl. -- � / 1 _.I/f i r / 24 t s I � MAKE MODEL SERIAL NUMBER _ x � . ,r - f "� 4 , {+I1,t . t :914A1A 0zsrho s4 `1 ol e l .s e PHONE 9,c . � -° :�rf -esr €, � f P�t� `1 - t t S- ,, .1 0 CELL PHONE etc !€;,€ 1,4- 5t 5L0 ! SUBDIVISION r" n ❑ TECO pyW 4. �` # 0 4 °N ) I , t4--t re+4. 0 PROGRESS I .- ORIGINAL Leal u ; j �� ORIGINAL COMPLAINT ❑ ENERGY LAKELAND 4 � P � A . f1.5 1 , r \O ❑ ELECTRIC ADDITIONAL PARTS LISTING TOTAL PARTS -} , ; 1 ❑ WITH LACOOCHEE ON BACK OF PART 3 �, ` °' ' �' :; ❑ OTHER' ❑ COMPRESSOR Vie• / t/2 ._ ) Z 1 , ; ; 1 DE SCR IPTION OF WORK PARTS ❑ SUCTION 1 (DC PSI ! ITC. 1 ❑ HEAD et PSI ❑ VOLTS AMPS i I n .-, R ,-- ; K 1 t " q El ELECTRICAL CONNECTIONS 1 . Y'is � � ,., 'L- €e� --f`; 9. .'• , - i°-E i `4. . : .�-e. e 13 4 4 . :,., .' -'---- ° ❑ CONTACTS TIGHT & CLEAN �� , q 3 ❑ OIL LEVEL & CONDITION ; ::: /S} l-?" € _ - i' ., , t'! € :s \ �. -- t , i Ce 4`^1r'n^ y ❑ SUPER HEAT , k L] ❑ SUB COOLING, ❑ LIQUID LINE TEMP. , ❑ SUCTION LINE TEMP. STATIC PRESSURE POS. _ NEG. ❑ CONDENSER COIL 11110111111 1 1 111111111111111111111111111111111111111111111111111 1 CLEAN COIL & CHECK FIN COND. ❑ ENT •F LVG _ °F 4001M7661 SERIAL 1 1 NUMIRO DE SERIF 11 DE SERIE ❑ REFRIGERANT PF4MNA0l6TOOABAA MFG CODE / CODE DE FAB / CODIOO DE MFG ' ❑ LEAK 0 CHARGE ❑ FAN &MOTOR L il' ' ❑ VOLTS AMPS _ 1 I ❑ ELE CONNECTIONS �� ❑ CONTACTS TIGHT & CLEAN O FAN PULLEYS (ADJUST BELT) - — H � i' ni i , if. . 1 , . i d I II 1 II , iii : I — G CHECK LUB BEARINGS & MOTOR X11 �� 1� 1111 11� 1E 1111 111 ❑ CFM ❑ EVAPORATOR COIL — ❑ CLEAN COIL & CHECK FIN `0210X67401' SERIAL 01 NI ERO DE SERIE 1# DE SERIE ❑ CONDENSATE AREAS _ ❑ INSPECT & CLEAN DRAIN PAN PH19N14024000ABAV MFG CODE / CODE DE FAB / CODIGO DE MFG ❑ INSPECT & CLEAN DRAIN ❑ AIR FILTERS 111 N uu rr 1 11`` 11111' 111 1IIU�� h�'��1■Iu II 1 1 NI' 1 I ❑CLEANED ❑REPLACED FILTER SIZE ❑ HEATING ASSEMBLY (Ir.-1 !? 0 BURNER 8 HEAT EXCHANGER / S 1F 4C) e t ? 7 C 94 + ! Z 7 a/ fik ,f ❑ FUEL SUPPLY & PRESSURE , } I • ❑ PILOT ASSEMBLY PARTS WARRANTY W y & ARRIVE - S I DEPART 3 '�' ALL PARTS AS ❑ FLAME ADJUSTMENT MANUFACTURER SPECIFICATIONS F ARE WA AS PER ❑PRIMARY RELAY & FLUE LABOR GUARANTY : * CANCELLATIONS * I ❑ FAN &LIMIT SWITCH OPERATOR ❑BLOWER ASSEMBLY THE LABOR CHARGE AS RECORDED ERE RELATIVE TO THE EQUIPMENT SERVICED AS NOTED. IS GUARAN- ❑ RV VALUE TEED FOR A PERIOD OF 30 DAYS. ALL CANCELLATIONS ARE SUBJECT TO ANY PERMIT ❑ STRIP HEAT FEES INCURRED BY SAID COUNTY. APPLICABLE FEES 0 DEFROST CYCLE AND LOGGED GRAIN LINES ARE NOT BREAKERS W ARRANTY WILL BECOME THE FINANCIAL RESPONSIBILITY OF ❑ELECTRICAL COMPONENTS ISSUES. ❑ RELAYS ❑ CONTRACTORS PURCHASER AND /OR PROPERTY OWNER. ❑ OVERLOAD ❑ PRESS. SWITCH WE DO NOT, OF COURSE GUARANTY OTHER PARTS ❑ THERMOSTAT THAN THOSE WE SUPPLY IF REPAIRS LATER BECOME / t ❑ OK ❑REPLACE NECESSARY DUE TO OTHER DEFECTIVE PARTS. TECHNICIAM ; - TECH. 52 : +c" - ❑ RELOCATE BE CHARGED SEPARATELY. SIGNATURE t ,. i -- I / „ - 4 < .� f4J 3�, WILL BE EQOIPMENT QHEC1 r 1ST z - TERMS: DUE UPON COMPLETION - SUBTOTAL $ + ®,_ R TYPE i m SYSTEM CHANGED I I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO 50 (DEPOSIT) $ ( ! P OUT (OR �. — ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL Z +^ REFRIG - QTY. REPLACED) vE RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL DISMANTLED? 14( FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT TAX R RECOVERED? Y HO QTY. YES No MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE E I r . REFRIGERANT DISPOSAL SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES TRIP ' RECYCLED? YES NO QIY - - -- -- . R . ESULTi.o . FRROM THE REMOVAL NOT RECEIVED I CHARGE $ R ( ■ f ' OUR PERSONNEL RECOMMEND: — UNPAID BALANCE. RETURNED CHECKS SUBJECT TO ALL APPLICABLE C/C FEE I FEES. G RECLAIMED? YES NO QTY. I +3°/- R 1 1 1 1 :., 1 .4 -- / ;�' x{ . ",/ RETURNED TO /4 ,s „ '''.1 A THIS SYSTEM? YES No QTY. f • " ^ € ”' X •° � ') t '•P gE ' Li, ^✓ J }" .. $ o ff ,_ / f N AUTORQED SIGNATURE S "` i T DISPOSAL OWNER'S INITIALS ABO DERED WORTS ,HAS BEEN COMPTED AND I ACKNOWLEDGE RECEIPT OF MY COPY. NON USABLE YES NO QTY. J . AECE� I DECLINED � 13.a / _ # DISPOSAL _ `( y l"' ! X s - l;, e'- .= ,^t^p' I 4.r , /