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Home My WebLink About10-11349 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11349 BUILDING PERMIT Permit Number: 11349 Address: 5152 20TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: 4,900.00 Date Issued: 12/21/2010 Name: ROBINSON, KIMBERLY Total Fees: 60.00 Address: 5152 20TH ST Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/21/2010 Phone: Work Desc: EQUAL A/C CHANGEOUT TO INCLUDE AH & CONDENSOR -•1 -1. •• \ • . ••1 •l .1.11 PAS / 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." 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 I Date Received I 1 1 1 1 11 t l l l t l l l Phone Contact for Permitting _ -- / Owner's Name �Ob (\SW\ t ' I (^(\lY( t .L L - Owner Phone Number �1 '3'7�(C)—( RD(.° Owner's Address 5 1S e . 49 0 .S t. Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5 i S of o O' 5-I- LOT # SUBDIVISION PARCEL ID# 1,D - .)L0 ' ? -00 k 0 -0010o --003 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I !' I MOVE 1 I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I OTHER I! I TYPE OF CONSTRUCTION I I BLOCK 11 FRAME I 1 STEEL I I 1 OTHER I I DESCRIPTION OF WORK eQuAt, Ac cN G f ouT 7?) I Ncufo E M + Cop OeNJ cJ f'C_ BUILDING SIZE SQ FOOTAGE HEIGHT I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION I 1 ELECTRICAL $ AMP SERVICE PR : ENERGY I 1 I I w.R.:.C. I 1 PLUMBING $ L/ ' 4 // MECHANICAL $ LL q 43L VALUATION OF MECHANICAL INSTALLATION 1 GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO BUILDER COMPANY SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N . FEE CURRENT 1 Y/ N I Address License # I PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I Address License # I MECHANICAL ,(1/\ Q COMP (LU n see no s Q -( ✓l SIGNATURE a � ` cT ( REGISTERED 1 Y/ N 1 FEE CURRENT + Y/ N I `f� Address 1�' \2 (AS � L4 ) I Lu z_ 3 3 , �( 0( License # l—( ,`k 13 67(0 OTHER COMPANY 1 SIGNATURE REGISTERED 1 Y/ N 1 I FEE CURRENT 1 Y/ N I Address License # (— 1 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 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) 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. I * ** *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 Attorney (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 A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public 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 AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, 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 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 Inspection Division— Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for 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 anel 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 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 $2,500.00 or more, I certify that I, the applicant, have peen 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. CONTRACTOR'S /OWNER'S AFFIDAVIT: I 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. Application 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 I 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, Water/Wastewater Treatment. - Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers- Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency- Asbestos abatement. - Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood 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 a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to jbe 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. 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 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, or 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 unless 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 Official for a 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 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. FLORIDA JURAT (F.S. 03) ate ,� D f OWR AGEN G V ' / •k° CONTRACTOR I S sscr d 4ndd sworn worn (or affirmed) be ore me this Subs r e nd swo to (or affirmed) before me this y Who is /are p jrgon^lig iao=“o. me nr has /hve produced Who is /ar personally known to me or has /have produced as identification. as identification. Notary Public - Notary Public C / ;1 No. Commis ion No. Name of Notary ty•ed, printed or stamped Name of Notary typ- • - - • • Y Notary Public State of Ronda aoso Ni Notary Public State of Florida = : Joseph L Massa P. Joseph L Massa F My Commission 0094293 • ,v My Commission DD942937 or d'' Expires 11/29/2013 'tor of- Expires ■ 1/29/2013 (t Ron Ierna's Heating & Coolin ' , Inc. _I 'hm-cr l5 't" t - i 0 19121 US Hwy 41 North • Lutz, FL 3 9 /\ = Local (813) 948 -6355 • Fax (813) 949 66 Toll Free (866) 323 -COOL • Lakeland (863 ,: 9 -0062 / /� #CAC1813676 • Qualifying #QB26202 • Licensed, Bonded & Insured �I A 1/ 7b' Tie— 4- PYN f www.IemaAu.com Sp i i+ -57/5 kIcm vat SR-^ NAME rl � � t ' 1f/V1 'W `jir, o.-L D / 3O I!O . 4-s 4-r ` P S t J- Part I STREET , S 1`i.. DATE ORDERED • CITY DATE SCHEDULED !/ is i/o COPP� Ii�c -�k 3 / 4. 3 6 1 PVC Dattvl Z-c�l1Kr - 115 FI �Z • ;),`6.4..1 i -.4,, MiT sk 1 MAKE STATE MODEL SERIAL NUMBER t 17191 �y�� w 1w� 14; 4- NW $J Ca r WtLCfa r µ1i1 Set, — Auto /341x /De 9/5"- es lam• im ,, f i , PHONE » s � 40.2.4- 19.14. � tac - y.Jor - d (OPS} / /ue ,, / 001! W KPHONE `.1 • % r t.. E X Ttded iAliorrAetiy 4 t000 -OBI CELL PHONE • S. Ef e c4lito / tjD111 N ' L i SUBDIVISION ❑ TECO r } ) �I Z GF 61S PROGRESS t t i b lt Q om' '�'� j 1GI y ORIGINAL COMPLAINT ENERGY J IJ ❑ LAKELAND .. re. lc- OF 4/Sz) i ELECTRIC f ADDAL ARTS L f;.(...1.- � �� ❑ FPNL .---�1 OITIONN BACK P OF PART 3 ISTING TOTAL PARTS 4 / I ❑ OTHER WITHLACOOCHEE ❑ OTHER ❑ COMPRESSOR ( T 0,,,f 1 - 7 / DESCRIPTION OF WORK V o SUCTION oN PS I PARTS • i 0 VOLTS AMPS ❑ ELECTRICAL CONNECTIONS / 3 �Jr� n /5 -7 5t ' I �n l s1 �'.1i S> j G) r 0 OIL LEVEL & CONDITION i . .1,. v ❑ SUPER HEAT `': ��oo u •-•.-) ❑ SUB COOLING 0 LIQUID LINE TEMP. • ❑ SUCTION LINE TEMP. STATIC PRESSURE _POS. _ NEG. _ 0 REFRIGERANT #7 /( ,400- /(, 5eez 1 41.h c h / , I . 5 > <u.ye) -( 3 Ton it ❑ LEAK ❑ CHARGE 4/ ❑ FAN & MOTOR ' , �- � ! O VOLTS AMPS ❑ ELECTRICAL CONNECTIONS 1 ❑ CONTACTS TIGHT & CLEAN D FAN PULLEYS (ADJUST BELT) ,� I i eh s 4l _ ❑ CHECK LUB BEARINGS & MOTOR i Y /Fr /5 SSE& 1 r D CFM - ❑ EVAPORATOR COIL 4 000 I ' ❑ CLEAN COIL & CHECK FIN >' ❑ TEMP Drop ❑ CONDENSER COIL D CLEAN COIL & CHECK FIN COND. r 2 j ■ ❑ CONDENSATE AREAS r ays 45 5 e ( !I /eve/ — 4; g5"0 I ❑ INSPECT & CLEAN DRAIN PAN ❑ INSPECT & CLEAN DRAIN • ❑ AIR FILTERS ❑ CLEANED ❑ REPLACED • FILTER SIZE .! ❑ HEATING ASSEMBLY A /II SyV' o vjat ( > X ./ / r &4 k ❑ BURNER & HEAT EXCHANGER O FUEL SUPPLY & PRESSURE PARTS WARRANTY ARRIVE �' CC ) . ! DEPART ❑ PILOT ASSEMBLY ALL PARTS AS RECORDED ARE WARRANTED AS P92 ARRIVE O FLAME ADJUSTMENT MANUFACTURER SPECIFICATIONS. . ❑ PRIMARY RELAY & FLUE LABOR GUARANTY * : CANCELLATIONS * ❑ FAN & LIMIT SWITCH OPERATOR THE LABOR CHARGE AS RECORDED HERE RELATI ❑ BLOWER ASSEMBLY TO THE EQUIPMENT SERVICED AS NOTED, 15 GU 0 STRIP HEAT TEED FORA PERIOD OF 30 DAYS, ALL CANCELLATIO ARE SUBJECT TO ANY PERMIT ❑ DEFROST CYCLE DIRTYWCLOGGEDAIR FILTERS, TRIPPED BREAKS FEES INCURRED BX SAID COUNTY. APPLICABLE FEES ❑ ELECTRICAL COMPONENTS AND CLOGGED DRAIN UNES ARE NOT W WILL BECOME THE!FINANCIAL RESPONSIBILITY OF D RELAYS 0 CONTACTOR ISSUES PURCHASER AND / PROPERTY OWNER. ❑ OVERLOAD ❑ PRESS. SWITCH yy DO NOT OF OUR GARANTY OTHR PART ❑ THERMOSTAT THA11 T HOSE WE SUPP LY. IF U R�NIE L E A TER D OK ❑ REPLACE NECESSARY DUETO OTHER DEFECTIVE PARTS, TECHNICIAN TECH. #2 ❑ RELOCATE ME I. BE CHARGED SEPARATELY. SIGNATURE - TERMS: DUE!UPON COMPLETION - ' TYPE SYSTEM CHANGED I I I LL I I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO REFRIG QTY. O (OR Yes L . (+ J ORDER AS OUTLINED ABOVE LT IS AGREED THAT THE SELLER WILL ISO IT) $ I r — i RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL. FURNISHED UNTIL i J DISMANTLED? L– I FINAL & COMPLETE PAYMENT YE MADE, AND IF SETTLEMENT IS NOT TAX $ R RECOVERED? YES NO QTY. yes I o MADE AS AGREED. THE SELLER SHALL HAVE THE RIGHT TO REMOVE E 1 I I -� REFRIGERANT DISPOSAL I RESULTING FROM THE REMOV THEREOF. PAYMENTS NOT RECEIVED TRIP HEW HARMLESS FOR ANY DAMAGES F RECYCLED? YES I NO 1 QTY. ' , WITHIN 10 DAYS ARE SUBJEC I TO A SERVICE CHARGE OF 1.5% ON CHARGE $ R I I I 1 O BALANCE. RETURNER UR PERSONNEL RE MME}D' UNPAID BALANC RETUR CHECKS SUBJECT TO ALL APPLICABLE • - FEES. GC FEE E RECLAIME D ? YES No QTY- • L / U-L +396 R RETURNED TO `� n I 1 4 t A THIS SYSTEM? YES 50 QTY. X 11111E N T DISPOSAL I AUTHORED SIGNATURE 1 I r-1 OWNER'S INITIALS' ABOVE ORDER ORK . • B ' OMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY. NON USABLE YES w QTY. !„). . a. DECLINED 1 DISPOSAL � � I X