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HomeMy WebLinkAbout12-13414 CITY OF ZEPHYRHILLS 5335-8TH STREET ,/ �si3)�so-oo2o J 13414 BUILDING PERMIT Permit Number: 13414 Address: 38420 5TH 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: 11-26-21-0010-16700-0215 Improv. Cost: 3,125.00 Date Issued: 9/04/2012 Name: JOHNSON, JUDY Total Fees: 55.00 Address: 11203 N 56TH ST Amount Paid: 55.00 TEMPLE TERRACE FL 33617 Date Paid: 9/04/2012 Phone: (813)389-8270 Work Desc: A/C CHANGE OUT 2 TON � � ���� � �l REINSPECTION FEES: Reinspection fees will oomply 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)aondemned 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 reoord a notice of commenoement 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 Acxompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. r� CONTRACTOR N URE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Absolute Air Systems Inc. 37325 Kossik Rd. Zephyrhiils, FL. 33541 813 779 0101 813 788 9189 Fax www.�etcoidair.com Date � y /� Proposal Customer � � �} Phone -� � t �a�7( 7�s" � ;�- l` `� Address ��• . r "� ��� hv � rL � � '� Electrical Condenser ��'� , Amps, A/handler .��' ,Amps,**** Attic�_ T-stat Wire , Aux Heater K:u1 Line Cover , Hang kit Copper Lines , Drain Line , Float�, Stat Float switch�vi Duct Work ,Supply , R/A , Slab N c� N�-�-�New Copper We propose to furnish the materiais and perform the labor necessary to complete ���',�� ���r 5�i����� ���� ,,� �5 K+,�� 1-���� , ��`� /x`a'�� � � ;(�,�s���h;��, � ✓�t/ W�� ���1 �� �'.{�LZ��""�''(A�7 ��� � -f /�d��s�. /�:���� Ali mat�is garantee to be as specified,an the above work to be performed in accordance with the specifications submitted for above work,and completed in a substa ial workmanlike m er for the sum of - n w�� - i, �---�Dollars ��1 a-5 :L� ***N e-This proposal may be it drawn by us if not accepted within,�days Acceptance of Proposal The above prices,specifications and conditions are hereby accepted.You are authorized do the work as specified. Paymen swill be �ade outlined. Date �i�`� /f� Tech Signature ����`�-� +t_�� �� , :� Home Owner _ �.,,...., -f'�,� _ � _.��-� Schedule Date &Time � ��3-�n�-uu�u t;iry ot Lephyrt�ills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin __ Owner's Name Owner Phone Number /$�' g°Z�� Owner's Address ��"T�� 'Jr�n /�+�'. Owner Phone Number � g� g'2�'� Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Addresa JOB ADDRESS ��- LOT� � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) INORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM �] OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK Q-i.�.�" � �l p�I R�c= BUILDING SIZE SQ FOOTAGE�� HEIGHT QBUILDING s VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 QPLUMBING � ( `��`� �MECHANICAL s 3 i a� ��, VALUATION OF MECHANICAL INSTALLATION � J OGAS Q ROOFING Q SPECIALTY Q 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 � j� COMPANY ��@���� � SIGNATURE �' � REGISTERED N FEE CUR E� Address 3�.�..7 �SIK /P�I License# �/4'��v 1..�'��� � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addross License# RESIDENTIAL Attach(2)Plot Plans;(2)sats of Bui�ding Plans;(1)set oi Energy Forms;R-O-W Pertnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, Sanitary Facllitles 8 1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)workirx,�days after submittal date. Required onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Factlities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compNance SIGN PERMIT Attach(2)sets af Engfneered Plans. '•"•PROPERTY SURVEY required for all NEW constructlon. Directlons: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over 52500,a Notice of Commeneement is required. (AIC upgrades over 57500) •• Agent(for the conbactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTE�PERNHTTIN6 (F`ront of Applicat�on Only) Reroois if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Orivewaya-Not wer Counter if on pubHc roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"�estrictions" 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 unde�take 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 cont�actor, that may be an indication that he is not properly licensed and is not enti8ed to permitting privileges in Pasco County. TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY 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 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 �eceiving a ce�tificate of occupancy" or final power release. If the project does not involve a ce�tificate 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, aa amended): If valuation of w�rk 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. �f 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'SlOWNER'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. t 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, WateNWastewater 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 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 walt. - If fill material is ta be used in a�y 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 a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, poots, 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 TWIGE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINT, CONSUL7 WITH YOUR LENDER R AN ATTOR EY EFORE RE ORDING Y UR FLORIDA JURAT(F.S. 117.Q3} �� � �?f -�,,"�_ �f��-1 OWNER OR AGENT CONTRACTOR ��- Subscribed and swom to(or affirmed)before me this Subscribed and swo t (or aflfrmed)b�re m Rthls ey by ��2J��,n L�.K D 1-� Who is/are personally known to me or has/have produced Who Islare personally known to me or hasRi de dfication. as Identlficatlon. (F. Notary Public otary Public _*; :� ��OGES Commissfon No. Co sion o. . ' � ,2014 `� � ;;x�P��.�,� &muetlT1wuiroyFaii �1'12 Name ot Notary typed,printed or stamped Name of Notary typed,printed or s mp . Duct Seal Affidavit . Company t3cense# ��� ��/�-/� � Absolute Air Systems Inc. 37325 Kossik Road - Fermit# Zephyrhills,FL.33541 - 813-779_0101 — www.aetcol--dal��om � ^�T��r� ��L� affiant,hereby aftirm that I am the duly licensed contractor of record for the above referenced permit,that all of the forgoing information is true and accurate,and that the dud sealing at the above referenced address has been completed in accordance with ap appikable codes and standards. Contractors Name(printed) S�$�`P ��� Date a � �Z _ Signature �-� . � � � � � . CertifiGate of� Product Ratin s AHRI Certified Reference Number: 3804517 Date: 9/5/2012 Product: Split System: Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number: 113AN(A,W)024-D Indoor Unit Model Number: FB4CNF024 Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade/Brand name: LEGACY RNC 13 PURON AC Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING SYSTEMS Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third party testing: Cooling Capacity(Btuh): 22800 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.50 `Ratings followed by an asterisk(`)indicate a volunfary rerate of previously published data,unless axompanied with a WAS,which indiptes an involuntary rerate. DISCLAIMER AFIRI dws not endorse Ifie p�odud(s)Usted on ttNs CertlBc�6e end m�kes ra ropres�tlo�n,wanantles or ywranlees as to.and assunNS ra�sponslb�ly Uor, the p�odud(s)N�Eed on tlW CertlllcaEa.AFRI e��prosay dbcWms aN�ab�ly for darnfpes of any kMd a�ising out of the use or ps�omm�ce of the piodud(s).or the ix�sWlorlaed a�era�fon of dat�!isted on tlfk CerfNlca6a.Certlflod rslings a�e valld ordy for rtqd�k and Co�llpuratlons�s�ed M the dlrecbory at www.ahridhac6wY.org. TERMS AND CONDITIONS ihis CerUficaba and its�are proprieta�y R'odu�s of AHRL This CertlRcabs sIW oMy be u�ed ior In�vid�al,pe�aonal and oaMldNrtlal�e�srence purpoees. The txnEsnls of tl�fs Cortlflcs�e mey not.ln wlwb or In P�.�����ol�;�Noa�Eed;enEe�ed Yrto a compi6sr dslaboe;or otlierrvbe utlllaed.k��Y fwm or msmer o►bY anY means.a�acept ior fhe usx's In�vidud�Persond and cordldsrkW teterence. CERTIFICATE VERIFICATION � rne��omytion ror me mode�c�ed on lhis oeANica�s can be vednaa at www.alrid�oryr.oig, Alr-Con�lioning,Hea�ting. cucic oo�vixiy cen�ncaee•u��a«�ee.me�nn c.ronea��n�er ana tne ma on A� �- and ration InsHh�te wn�d,n�e o.�anae.vws�,w,w�rd��s�ea aeo,re,a,a me ceranae:No.,wn�cn k retsa na�ow ReMge �02012 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 129913256458880449