HomeMy WebLinkAbout12-13374 CITY OF ZEPHYRHILLS
5335-8TH SIREET
(si3)�so-oo20 13374
BUILDING PERMIT
Permit Number: 13374 Address: 38151 6TH AVE
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: 11-26-21-0010-13100-0110
Improv. Cost: 800.00
Date Issued: 8/22/2012 Name: LUNA, MANUEL
Total Fees: 40.00 Address: 5652 19TH ST
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/22/2012 Phone: (813)312-1753
Work Desc: UNIT STOLEN JUST REPLACING CONDENSOR
�
� n f
Il
�
_ --C
_ �
DUCTSINSULATED
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 oonstruction 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.
"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 reoording your notice of commencement."
Complete Plans, Specifications Must Acxompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� �
RACTO SI, E PERMIT OFFI R
PER�II'f EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Dade City (352)588-s2,o A-1 B Cool 15873 Lake lola Rd.
� Tampa (813)221=5850 Heat & Air, LLC Dade City, FL 33523
P8SC0 (727)844 9906 Lfc.#CAC1814313 ` ` �
NAME ,� ! ,. CODE
DATE TIME IN TIME OUT
fk it:`r��:; c� t.l t�4.,y ./.;o�. � !/ ` ❑RESIDENTIAL E�UIP ENT
ADDRESS APT.NO.
;_'� I `;• F ! , ft,. '�+' ❑COMMERCIAL
C�Z�P PHONE O.D.MAKE MODEL SERIAL
- !, � '1 �� "e,=? t� �� ��
CUSTOMER I.D.MAKE MODEL SERU1l
REOUEST
WORKPERFORMED
� �'� - •{ . i .�"J�r'���� �! ,/�
�! -
� :°t._ , '� � i ,-r •S �/
- C_�.c, i� r,
� , ._l�-�-' a.. ,'� ,�^I � —_. . ;� ,/ "� - --,�--,
i'
' �' �`� - t ���t. t.: �.r ! .
' f � �, f s � ,(C/ �
Y"
��
Make all Checks Payable to A-1 B Cool Heat 8 Air,LLC " •' '• ' � ' • PRICE
CHECKLIST � •• • • � ❑ R22 ❑ R410A
COMPRESSOR I adv�owledge that repairs have been perforrned in -
o sucr.i rsic a manner saUsfactory to me.In the event payment � �'�� '�i �."�
, . �
a va s�PgIG �S not made as agreed,purchaser agree to pey atl
o n�as ��,� cost of collectio including a reasonable amount as
o�o 0 3o attomey's t erest at the rate of 18% per
oE�crwcrticar�criorrs annum�y�rjlL �.iq_all delinquent balances.
o corm�ncror�PoirRS The'T�-priM. . cliarge 7or'all retumed
o FnN n.�an�o checks. ..
O SUPERHEAT 1 ,--�=-=�j'°�.=_.
O SUB COOLING ���-- � . '-.___.,as,W,_V p,v_ .
CONDENSER COIL A��R�zED S�GNATURE
o��N i certliy that 1 hava'pertormed services indicate and
O FIN CONDITION installed parts ligted. ,
OAMBIENT •F
# �`_",`°�---..,
REFRIGERANT TECHNICIAN SIGNATURE
O LEAK
❑o.K. ' ' ' PRiCE
. • •••
FAN AND MOTOR p����N�,
O AMPS_/ RATED � All perts ea recoMed are warranted as per
O CONTRACTOR POINTS manu(acturer spedlkatlons. PARTS
O BLOWERASSM.CLEAN �
O LUBRICATION LABOR GUARANTY BERVICE
O TOTAL S.P The Iabor cherpe aa reoorded here relsbve
❑ b fhe squlpment sarvbs as noted, is TECHNICAL
ELECTRICAL HEAT STRIPS 0�8�^� �a�����•'� SERVICE
O INSPECT CONNECTIONS ❑ �ro°�WB��ry��b b°pfO�°� SHOP
O AMPS_/ RATED durinp namal workMg hovs. LABOR
❑
EVAPORATOR COIL
o aenN � NO WARRANTY
❑AIRIN •F ON DRAIN LINES.
❑AIR Our 'F � A'1 B COOL
CONOENSATEAREA o HEAT&AIR, LLC
❑INSPECTED PAN
❑INSPECTED DRAIN IS NOT
❑FLOATSWITCH ❑
LIABLE PAID BY:
AIR FILTER OWNER'S INITIALS FOR DAMAGES ❑CHECK#
O CLEANED RECOMMENDED ACCEPTED DECLINED
O REPLACED SERVICE CAUSED BY ❑visA nnic ❑�nnex o oiscv
'�'PE WATER LEAKS. ❑FINANCE O CASH
o i�-iou-wcu c;ity oT Lephyrhills Permit Application Fax-813-780-0021
Buiidfng Department
Date��Aceived � ��� � _. �/�
Phone Contact for Permittin
Owner's Name �. Owner Phone Number ��3 3/ Z 17',�
Owner•s Address � �S� �Q � Owner Phone Numbe� �- -�
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Addresa
JOB ADDRESS ��� S � G�/`{ Ti� � 1 5 3 3 S�f O LOT� C]
SUBDMSION PARCEL ID�!
�OBTAINED F�pROPERTY TO ricE)DEMOLISH
WORK PROPOSED B NEW C�NS7R ADD/ALT �, SIGN
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q (--
DESCRIPTION OF WORK �/� S� C�,By1,pQp�X[.�iJ. �� ��/�,w� , 3,� ,7
J
BUILDIN(i SIZE SQ FOOTAGE� HEICiHT
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
[�ELECTRICAL a AMP SERVICE Q PROGRESS Ey+tRGY' 0� W.R.E.0
/
QPLUMBING a �
•,� � 6
�MECHANICAL $ n� p�p VALUATION OF MECHANICAL INSTALLA �� �A
r" ��/� • ----' TIO ��
/ �ft , !
OGAS [] ROOFING [] SPECIALTY � OTHER � /
FINISHED FLOOR EL�VATIONS FLOOD ZONE AREA QYES � NO
.
BUtLDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas License#
ELECTRICIAN COMPANY
$IGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
MECHANICAL COMPANY ' � CCJ'��
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �s�?3 �}� ��.
License# ���C���.3
OTHER COMPANY
SIGNATURE REGISTEREO 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 PeRnft for new construction,
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles d�1 dumpster;Stte Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertn(t for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed.
Sanitary Facflities d�1 dumpster.Site Wor1c Permit for all new pro�ects.All commercial requirements must meet comptiance
31GN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY requlred for all NEW constructlon.
Directlons:
Fill out applicatlon completely.
Owner&Contractor sign badc of applicatlon,notarized
If over 52500,a Notice of Commencement is roquired. (AIC upgradea over 57500)
" Agent(for the contractor)or Power of ABomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTfNG • (Front of AppOcaUon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter it on public roadways..needs ROW ,
NOTICE OF DEED RESTRICTIONS: The u�dersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibtlity for compliance wikh any
applicable deed restrictfons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be Iicensed 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 misdem�an�opyiolation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 applicatfon for which they will be responsible. If you, a�tnhe o V 1e reg9n Pasco
contractor, that may be an indication that he is not properly licensed and is not entiNed to perm' ' 9 P 9
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildi�gs, 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 p�oject does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicaWe 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 Const�uction 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'SIOWN�R'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance�uvith all applicable laws regulating conslruction, zoning and land development. Application is
hereby made to obtain a petmit 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 �ity codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand'ftiat 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 ln 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, Attering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- Department of Health $ Rehabilitative Services/Environmental Nealth 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 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 fo� 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 Buildirig 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 da s and will demonstrate
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) Y
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�MP AN ATTORS Y BEFO EREPOR I 'FY�U 'NOT D T TAIN FINANCING, CONSUL7
WITH YO
FLORIDA JURAT(F.S. 117.03) �
OWNER OR AGENT t CONTRACTO �his f ^
1�5aibed (o afflrm �
Subscribed and swom to(or afflrmed)before me this � ��2` . by ,� _
bY Who Islare p nall o i to me or haslhave p uced i'�.
Who islare personalty known to me or has/have produced �9L � as Identlficatlqn.;�` �
as IdentlficaUon. '
(_.___...�> 1 � ' ,'
_ ��, � `�� NotaryPublic
Notary Public ~� �
,.•'�:y�,, BOBBIE .SWETLAND
Commission No. Commissi � : '
=�;• .� Expires February 22�2016 ,s
Name of Notary typed,printed or stamped Name of