HomeMy WebLinkAbout12-13548 CITY OF ZEPHYRHILLS
• 5335-8TH STREET
� (sis)�so-oozo 13548
BUILDING PERMIT
Permit Number: 13548 Address: 5951 12TH ST
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: 11-26-21-0010-01700-0011
Improv. Cost: 2,700.00
Date Issued: 10/19/2012 Name: PRINCE, PATTI
Total Fees: 50.00 Address: 5951 12TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/19/2012 Phone: 813-788-6283
Work Desc: A/C CHANGE OUT 2 TON SYSTEM
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DUCTSINSULATED
FI NAL�_L�T�?�-
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are neoessary 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)woric not ready for
inspection when called e) permit not posted on job site t� 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 reaording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
odes and Ordinances. NO OCCUPANCY BEFO C.O.
L�
C TRAC OR NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• DATE���S.�//�
IRE
SSOCIATES P,O, Box 1374, New Port Richey, Florida 34656-1374 (727) 849-2106
HEATING&AIR CON�ITIONING
LiC#CAC049270
SOLD TO �* �i JOB NAME
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ADDRES�•j�d J^�Z� �� � �� •-
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CITY ST��E Z�P CODE CIT ��/�S CO T ��
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PHONE LOT BLOCK SUBtiIVISION
RES . l3US .
BUILDING PERMIT �� JURI�SDICTION PLAN NU. MODEL NAME
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WE AGREE TO PROVIDE MATERIAI. AND LABOR NECESSARY TO INSTALL THE HEATING
AND AIR CUNDITI.ONING AT THE ABOVE PER THE S1'AIVDARD MECHANICAL CODE
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THE ABOVE PROPOSAL IS BASED ON CURRENT COST AND IS EFFECTIVE THROUGH
WORK PERFORMED AFTER SHALL BE SUBJECT TO PRICE ESCALATION BASED
SOLELY ON LABOR AND MATCRIAL VARIANCE
bG
DWN PMNT/PROGRESS DRAW $ BASE CONTRACT PRICE $ 2�70� �
ACCEPTANCE
THE fOREGOINB PROPOSAL 13 HEREBY AC-
CEPTED AND TNE WORK ORDERED TO BE
DONE SUBJECT TO TERMS OF PAYMENT AND $ _
CONDfTIONS STATED ABOVE.
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URCHASER nATE RE RESENTATIVE
SUBJECT TO CONDITIONS AND WARRANTY ON REVERSE SIDE
CONDITIONS AND WARRANTIES
1. This proposai shall be a contract provided the BUYER signs acceptance within thirty(30)days from its
date.
2. The materials and workmanship furnished under this proposal shall compiy with the rules and
regulations set forth in applicable SXate and Local regulations
3. Any changes or additions in this proposal or the work installed hereunder shall be made in writing,
setting forth the details of such changes and the cost thereof, and signed by both parties.
4. Aife ASSOC. sha11 not be held responsible or liable for any loss, damage, or delay caused by fire,
strikes, civil or military authority, insurrection or riot, or by any other cause beyond its control, nor
shall Aire ASSOC., be responsible for any consequential damages
5. The Buyer agrees not to sell, assign, or transfer any rights under this Contract or transfer
possession of said material and/or fixtures without first inaking payrrient in full to the seller
herein.
6. All payments under this agreement shall be ma�de wEthin�hirty(30)days from daie of invoice.Progress
payments musi be paid in fufl prior to final work being performed.
7. Any agreements as to time on this contract shall be subjected to adjustment insofar as delay,by other
trades, the contractor, owner, by out of state deliveries, by weather or other reasons beyond our
Eontrol are concerned, arid addtional time allowed to compensate for same
8. In the event the manufacturer of materials or equipment, due to supply and demand, is unable to
deliver designated equipment and/or materials, Aire Assoc., reserves the righ� to substit�te said
equipment and/or materials with current available; of equal value, capabilities and design, at their
discretion.
9. It is specifically agreed by the owner or contractor that any delay in payments pursuant to this
agreement shall be our authorization to cease all work and this becomes an automatic intent to lien
aforementioned property.
10. In the event Aire ASSOC. its assigns or successors,presents this contract to an attorney for handling,
then the owner and/or agent atso agrees to re+mburse AifB ASSOC. for al-I callection or repossession
expenses, including reasonable attomey's fees and interest of 18% per annum on past due balance.
1 i. All equipm8nt and devices installed as a part of this proposal shall be guaranteed for a period of one
year from date of completion of this installation, except as otherwise noted, or in accardance with
manufacturers warranty All work shall be performed during normal working hours, a one half time
charge wi11 be in effect for all warranty work requested after hours.
12. Title to the above described material and/or fixtures shalf not pass but shall remain vested in and be
the'property of Aire ASSOC., until fuli and final payment is received
13. The owner or agent agrees to provide sate job conditions as a prerequisite to performance hereunder
by Aire Assoc.
14. BUYERS RfGHT TO CANCEL. You, The Buyer, may cancel this transaction without penalty or
obiigation at any time prior to midnight of the third business day after the date of this transaction by
notification to Aire ASSOC.
8�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
. Building Department
Date Received Phone Contact for Permittin –
Owner's Name Owner Phone Number � '�
Owner's Address "I `� Owner Phone Number �
Fee Simple Titleholder Name � � Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS � , LOT# ��
SUBDIVISION QL•�/'1 n� _Pf7/YJr�iJL PARCEL ID# I " � ' I � I �' V I
(OBTAINED FROM PROPERTY TAX NO710E)
WORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK I { •
BUILDING SIZE SQ FOOTAGE � HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING ��
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA DYES NO
. ._�_� .
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
ELECTRICIAN � COMPANY
SIGNATURE REG�STERED Y/ N FEE CURRE� Y!N
Address License# �—
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address . �L �� License# ��� /Q
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
IIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Woiic Permit for subdivisionsllarge projeds
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for riew construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster Site Wor1c Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMfT 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 52500,a Notice of Commencement is required. (NC upgrades over;7500)
** Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITIING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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 comptiance 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 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 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 invofve 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'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 o� 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.
1 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 professionaf 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 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 worlc 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 FO OVEM TO YOUR PROPERTY. IF YOU D TO OB IN FINANCING, CONSULT
WITH YOUR LEN ER OR ORN BEFORE RECORDING YO NOT E OM CEMENT.
FLORIDA JURAT(F S 117.03)
OWNER OR AGENT � CONTRACTOR I
Sub cnbed and swom or affirm before me t � Subscribe and swo ( affi d)befpre this
l / / by ��G�i �C�L'S / by -t�,�('K ��`�-
Wh isl r�e,�r'�nally kno to me or has/have produced is/a . sonally known to me or has/have produced
�t,,'+,.�"F i�Pu �v X�c.1'�s identification. as identification.
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Commission No V"1 Commission No. �
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Name of Notary typed,printed or stamped J Name of Notary typed,printed or stam d
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Certificate of Product Ratin s
AHRI Certified Reference Number: 3717389 Date: 10/19/2012
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: N4H324A(G)KE'`
Indoor Unit Model Number: FEM4P24**A*
Manufacturer: COMFORtMAKER
Trade/Brand name: 13 SEER N SERIES R410A HP
Manufacturer responsible for the rating of this system combination is COMFORTMAKER
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): 23000
EER Rating (Cooling): 11.00
SEER Rating (Cooling): 13.00
Heating Capacity(Btuh) @ 47 F: 22600
Region IV HSPF Rating (Heating): 8.00
Heating Capacity(Btuh)@ 17 F: 13500
'Ratings followed hy an asterisk(')indicale a voluntary rerate of previously published data,unless accompanied with a WAS,which indiptes an involuntary rerate.
DISCLAIMER
AHRI dces not endwse the product(s)liated on this Ce�tiflcate and mak�no represer�a�s,warrar�ties or guarantees aa bo,and assanes no resportsibiUly for,
the{xoduct(s)listed on thia Certificate.AHRI expressly disclairns alf Nabilily for damages of arry ki�d arising a#of the use w perfortnance of tfie producqs),a the
unauthorized akeretion of data listed on thls Certlflcate.Certlffcd raHngs are valid only for models and conRgur�ioos isted�the directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and iffi conte�are proprietary producb of AHRL This Certlficate shall only be used for individual,perso�al and confiderAial reference purpoaes.
The cwKerAs of fhis Certlflcate may not,in whole or in part,be�eproduced;copied;d(sseminated;entered into a computer database;or otherwise utilaed,in arry
fortn or manner or by arry means,except for the user's indi�l,personal and cw�fldeMial reference.
CERTIFICATE VERIFICATION
The informatlon forthe mpdel cited on this certlfieate can be verified at www.ahridirectory.org, w V�' Air-Conditioning,Heating,
click on"Verify Certificate"link and enter the AHRI Cerdfled Reference Number and the date on A. .� `' ond Refrigeration Institute
which the ceRificate was issued,which is Ilsted above,and the CerWicate No.,which is listed below
�02012 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 129951236952750718
Load Short Form Job: PRINCE RESIDENCE
-�- wrightsoft� oate: oct�s,20�2
Entire House gy�
AIRE ASSOCIATES
P O.BOX 1374,NEW PORT RICHEY,FL 34656 Phone:(727)8432106 Fax:(727)842-7227 Email:aire77a�yahoo.c�m License:CAC049270
� • ' • •
For� PATTI PRINCE
5951 12th ST, ZEPHYRHILLS, FL
� - • • •
Htg Clg Infiltration
Outside db(°F) 35 94 Method Simplified
Inside db(°F) 70 75 Construction quality Average
Design TD(°F) 35 19 Fireplaces 0
Daily range - L
Inside humidity(%) 50 50
Moisture difference(gr/Ib) 31 68
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Model Cond
AHRI ref no. Coil
AHRI ref no.
Efficiency 80 AFUE Efficiency 0 SEER
Heating input 0 Btuh Sensible cooling 0 Btuh
Heating output 0 Btuh Latent cooling 0 Btuh
Low output baseboard 600 Btuh/ft Total cooling 0 Btuh
Total low baseboard 37 ft Actual air flow 821 cfm
High output baseboard 850 Btuh/ft Air flow factor 0.042 cfm/Btuh
Total high baseboard 26 ft Static pressure 0 in H20
Space thermostat Load sensible heat ratio 0.86
ROOM NAME Area Htg load Clg load Baseboard (ft) Clg AVF
(ftz) (Btuh) (Btuh) Low High (cfm)
KITCHEN 912 22404 19363 37 26 821
Entire House d 912 22404 19363 37 26 821
Other equip loads 0 0
Equip. @ 0 99 RSM 19170
Latent cooling 3196
TOTALS 912 22404 22366 37 26 821
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
.�. wri htsoft°° 2012-Oct-1814:49:53
,,,�,, 9 Right-Suite�U�iversal 2012 12.0.04 RSU16263 Page 1
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Duct Seal Affidavit
Company )�-� �����'��S License# C�4c��f 9 2�o
Address ��c7� l� 7� c�� • Permit# � ���/
/ ,Q PJ'f`/21.�I LL S �t-
I 1 l t G� I'C I�D•��..s ,affiant,hereby affirm 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 duct sealing at the above
referenced address has been completed in accordance with all applicable codes and standards.
Contractors Name rinted� �—k �"���ZS Date � � 2�f
�� ) �
Signature �
10/19/2612 09:13 7278427227 AIRE ASSOC PAGE 03/09
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P.O.Box 1374
New Port Richey,FL 34656-1374
phol�e 727-$49-2106--Fax 727-$42-7227
Email:au+e77a@yab�oo.coz�a
Lic.#CAC049270
Octobex 12,2012
GS1��U���1:)/T�Al1�S,
'xhe£ollowing list of people are authori�.ed to sign/�ick up permitS:
April Rhodes,Dalc Petezso�m,Uebxa Huettig,Grairett Rhodes,and Garry Kaylor.
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State of r( ,,,_
County of
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as iden4�catio�a,ack�nowledged u�adex oat�that b�e/s�e e�cecuted
tb�e above documexzt for thc pwrposes stat ezeia.
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