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Home My WebLink About12-12874 CITY OF ZEPHYRHILLS �' • 5335-8TH STREET ' (sis)�so-oo20 12874 BUILDING PERMIT Permit Number: 12874 Address: 38517 WINDFLOWER AVE LT 26 Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Seation: Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV Est. Value: Parcel Number: 02-26-21-0260-00000-0260 Improv. Cost: 4,220.00 Date Issued: 3/08/2012 Name: LOEFEN FRANK &VOUTT JANE Total Fees: 60.00 Address: 38517 WINDFLOWER AVE Amount Paid: 60.00 ZEPHYRHILLS FL 33542 Date Paid: 3/08/2012 Phone: 8133224729 Work Desc: INSTALL CHANGE OUT A/C 3 TON HEAT PUMP � � � DUCTSINSULAT D FINAL�-'�� V 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� 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. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications Must Aa;ompany Application.All work shall be pertormed in acxordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. � 9 I 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 Permittin _ Owner's Name Owner Phone Number �0�� Owner's Address p��1 �i(� ��QX' ' Q.r Owner Phone Number -� Fee Simple Tltleholder Name � Owner Phone Number �- Fee Simple Titleholder Address JOB ADDRESS ��I� �J1(L �(�Q,'� Q� r 1 rS fZ '� � LOT# ��p SUBDIVISION � PARCEL ID# OD'�� pZ�"''�'O "��OT� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED n NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH �„� INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � DESCRIPTION OF WORK � � � �,� (�f'y) BUILDING SIZE �--� SQ FOOTAGE�� HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �� j ,� � �l �J��MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION � ��. �� QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY `� � C�,� SIGNATURE REG�STERED Y FEE CURRE� /N Address � License# � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Mlnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wJ 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. '*"PROPERTY SURVEY required for all NEW construction. Directions: Fill out applicaGon completely. Owner 8 CoRtractor sign back of application,notarized If over s2500,a Notice of Commencement is required. (A!C upgrades over E7500) "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with noNarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) 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"�rest�ictions" 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 sta'te 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 wha4 licensing requirements may appiy 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 RECQVERY 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 Cpunty 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 Transportatfon 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 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. CONTRACTOR'SIOWNER'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, Wetiand Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-SeawaAs, 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 be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill wili be used only to fill the area within the stem wali. 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 buiiding 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, welis, 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 cor�ection of errors in plans, construction or violations of�any codes. Every permit issusd shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or ff 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 the ob is considered abandoned. justifiable cause for the extension. If work ceases for ninety(8�)consec�tive days, j WARNING TO OWNER: YOU�N'TS TO YOUR PROPERTI(.TIF YOU INTENDETO OBTA N FIANANC NG CONSULT PAYING TWICE FOR IMPROVE WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) CONTRACTOR OWNER OR AGENT Subscribed and swo to(or afflrmed)before me this Subscribed and swom to(or afflrmed)before me this —hX --- — o is/are personally known to m has/have produced �o is/are personally known to mes identl catl�roduced as idenNfication. N ry Public p Ary IiC � s � on =° �. �oseph L Massa r° ; Joseph L Mass� Commis ion N . COrtI 1SSf0� 0. ^" ^ r�n��'� ExPirestl/29I2073 or�°a ExPi�es��i7.9'9�� - or�°~ Name of Notary tyPed.Printed or stamped Name of Notary typed,p n or stamped � �,.. � ,,,� , ,: Ron lerna's Heating & Cooling, Inc. 19121 US Hwy 41 North•Lutz,FL 33549 Local(813)948-6355•Fax(813)949-9266 Toll Free(866)323-COOL• Lakeland(863)859-0062 #CAC1813676•Qualifying#QB26202•Licensed,Bonded&Inr,ured wutiv.lemaAir.com �" � _ � 1�' S :',J"'c,l�� /a. ' t ,,,. .j� NAMEi,_ � ` ? � : 1 c-+� ��" e,.;��w,,,.�tc,�,.��1 -�L � �`.-,i / �,.. J srR[�T'^, [ , _ , ��,°_'j �' .7 �f; (. � S �� . �4 tF� ►f �. "1 �� T�e; . � � Gl �f,,��L'� STA �.v..�i��IP� D�SC U.iE _ � � 1 � � �; / !� �� r EMAII '' � �' MAKE MODEL SERIAL NUI�ER 0 2 6 7 4 0 _ � '-� ry •'�f `�.../ ` r -... , r 4_-"'� � �``�.,( . �� RK PHONE `� ..i �.��..�.�.�� j_��t�,. H E ❑TECO ❑PROGRESS SUBDiVISiON ' tr, / ENERGY '`-'�`�'� -}R! �'��f� i f > ' ❑LAKELAND ORIGINAL COMPLAINT ELECTRIC 'r ❑FPNL ADDITIONAL PARTS LISTING TOTAL PARTS'� ❑WITHLACOOCHEE ON BACK OF PART 3 j ❑OTHER ❑COMPRE �' , �^.z�._ _., 4„� ❑sucriori --�t,.,� DESCRIPTION OF WORK PARTS ❑HEqD -"_pg;i r , ❑VOLTS AM ❑ELECTRICAI C 1 i '� w �C'\, �.f ' �,f� ,,'l i °° ' t !`�F: ". .^f '`�� }� l, / �t r' d :•f ❑OIL LEVEL 8 CONDITION ' ' � `L' � � � �, '�./ '�l.-'f C. �tr� � O SUPER HEAT � � O SUB COOLING ' � �: �m #-�r�.�� ;�;�i - � f ^,� _ � } � t� ; �� j .�"r � i 1 ❑LIQUID LINE TEMP ' F ' . ❑SUCTION LINE TEMP — r ;��... ° �..1�- �a"�,o.�-_ �""f—=� - ��-°�s i - R 1 J`, j F`ra` � STATIC PRESSURE_POS. NEG. � � { �-.,„,�C��. f'CJ REFR�RANT _ � � ` � -- OLEAK CHARGE �, �:�� t 4,'� 4 '�`°' x ` !� f . i t� e�/ �� " .•4 E � i -�C. ,�i ,td, •MOTOR ` �1 y ,� f „ . t ❑VOLTS AMPS 1"�%:"''� �,} , / (":f,f� f l 'i •l,.!� ❑ELECTRICAL CONNECTIONS ¢ ' ' d f " � ❑CONTACTSTIGHTBCLEAN �F�� - . l....J��! `` � � " t p r!� ✓i f`� L.._.-� ��, (}``/,•� . f�°` { ��4,��...f ❑PAN PULLEVS(ADJUST BELn ' `- ."^'' 'f j`�,-( � , �;h� / ❑CHECK LUB BEARINGS 3 MOTOR " � + O CFM EVAPORA OR COIL � oc�earr 011BCHECKFIN � � �t:.�f e 1 :'.�. :�r , ,r' � �:f'��,,,...f�°,_ t-� E,�S �] J� / �,� : i ❑TEMP�P ti ' , s '✓ ,-1 d � ,�`�- f'f 1 CONDENS�R COIL /r �j_lb�' � ��.F reF• ,`r,'.-r!- � O CLEAN 601L 8 CHECK FIN COND. ° �` � r� � F++.�r� �/ ` � �+�~l�,`� ❑CONDEN TE AREAS ! / f� / r 't` �, t p r' � O IN 8 CLEAN DRAIN PAN � f ' �O. `h�A.�%l E^" ,��"`- F f �� 1.�,�' f�'''�( �� ^- 1 j`� ;r��1'.� O INSPECI�8 CLEAN DRAIN i 1 ❑AIR FILTE�tB r.';: r ! '� /�F�-�;'_ � 1�,�1� "` r',�°'x f•i� rf`" //�„� ' i /,-°�i ,',/� O CLEANEp ❑REPLACED �!� � f� FILTE SIZE __� fi� -- l t .,.^.-- ' /"'�A�f,�+`�% � � 1..._ �1 L*_ � r i r - j ❑HEATINO SSEMBLY °f . ; t'..`� •'�>' �'( G��< l''�;�,t f r/"1 % ..,3 � �f% , �.;.,:..i%�+-�'! ,; y'{ :�µ,: ❑BuRNE 8 HEAT EXCH�NGER" ❑NEW ',p�j(ISTING HOW YOU HEARO ABOUT US: � / Y' O FUEL S PLY 8 PRESSURE �. �[�•( {/�� / .�,� � `'T',} , ..,_,� e ❑PILOT A EMBLY �7' *� �� O FUME DJUSTMENT ��'7$ �NN ALIPARTSASRECORDEDAREWARRANTEDASPER ARRIVE pEpART ❑PRIMA REUY 8 FLUE MANUFACTURER SPECIFIGTIqJS. O FAN 8 L MIT 81MTCH OPERATOR ❑BLOWE ASSEMBLY u��UARANTY it CANCELLATIONS st O STRIP EqT TME UBOR CFIAROE AS RECORDED NERE REUTNE ❑DEFR CYCLE T�TME EW�PMENT�I�CED AS NOTED,IS GUAqAµ reeo Fon�vEw000F 3o wrs. q�L CANCELLATIONS ARE SUBJECT TO ANY PERMIT ❑ELECTR�AL COMPONENTS qRTYKLOG6E�Alll FlLT[R�,TRI�►ED�II�AIfER� FEES INCURRED BY SAID COUNTY.APPLICABLE FEES O RELA ❑CONTACTOR �wD CLOaoEO D�ur�uNes ARE�wr w�Rtiwrv OOVERL�OAD ❑PRESS.SVNTCH issuca. WILL BECOME TNE FINANCIAL RESPONSIBIUTY OF ❑TN 8T T we oo Nor,pF COU�iE p�AllµN mNER/ART6 PURCHASER AND!OR PROPERTY OWNER. ❑OK EPLACE TMAN iMOOE NIE 7U��LV.IF RE�AIRf LATER�ECOME -�""�"�' ❑REL ATE NECpSARY pU�TOOTMER OfFtCTry[�AIK�,TNN TECNNICIAN � vru�eauieocou�,iu�rE�r. IGNATURE �� CH.� � {� � � � r "°'°=�T�FtMS:DU o�rna c noru- �� oT,� a � �, r ; �E t„j� { �i y ! �� CNANOED I HAVE 7HE AUTHORITy TOORpER iHE ABOVE WpRKAND DO SO REFRIO i � ` ,�`-'OT' EPLACED) � � ��R AS OUTIINEp qBpyE,R IS AGREED THAT THE SELLER YNLL roE��n a '�, ,�_d t �-y� RETAIN TITLE TO ANY E�UIPMENT OR MATERIAL FURNISNED UNTIL � DISMANttED'+ � �' ;,r7 fINAL 6 COMPLETE PAYMENT 13 MADE,AND IF SETTLEMENT IS NOT R RECOVERED9 vES a pTy re5 '�i d MADE AS AOREED,THE SELLER SMA�L HqyE THE RIC3HT TO REMOVE T� '"��,f-�`E- t';' REFRIOERAM DISPOSAL E ..; SAME AND TNE SELLER NALL BE HELD HARMIESS FOR ANY DAMAGES TRIP F RECrcLEO? e� r�pO pTy � RESULTING FROM THE REMOVAL TMEREOF PAYMENT�NOT RECEIVED a R WITINN 10 DAYa ARE iU&JECT TO A iERVICE CXAR6E OF 7.3%ON CHARGE R PERSONNEL RECOMw�END UNPND�B/LLANCE RETURNED CHECKE EUBJECT TO AlL MPLICABLE �FEE 1 � FEEB. � G RECUIMED7 rts r�t pry f r � E - �3X E �; � � • ' / R (� �_� ' �i,' � f � M 11EfURNEDTO L t�I � �, A THISSVSTB.t� [5 ac OTV " ' - v ' ! " ' . ' N � j „ ,.. �,,T` �;�,-'"' s L�r�,' ,.. I T DISPOSAL , AUTNORRFD fI�WATURE • � - i � r (L�_�� ONQJER'S INITIALS qgOVE(�RDERED WORK HAS 9EEN COMPLETED AND I ACKNOWLEDGE RECF�T OF A�,Y COPY NON USABLE rES �,� pTy �yEPfED DECLMED �. � , r � � o15PO5hL y � X _ , e / /