HomeMy WebLinkAbout12-13767 CITY OF ZEPHYRHILLS
5335-8TH STREET
� (si3)�$o-oozo 13767
BUILDING PERMIT
Permit Number: 13767 Address: 39300 9TH 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: SUNSET ESTATES
Est. Value: Parcel Number: 12-26-21-0300-00000-0410
Improv. Cost: 4,200.00
Date Issued: 1/14/2013 Name: FIFE, DANIEL & JANET
Totai Fees: 60.00 Address: 39300 9TH AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/14/2013 Phone: 813-714-2206
Work Desc: HVAC REPLACEMENT
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DUCTS INSULAT�D`_ f__ �
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 oorrections 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 commenoement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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O`71/`�/
CONTRACTOR ATURE PERMIT OFFI R
PERMI XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department � /
c�u�-� ' �lL' �s� s',� / 4�9��-
Date Received /L/
�� / 7 � � Phone Contact for Permitting /3 ,3� — �01 O
Owner's Name � Owner Phone Number g�� ' C}�'j • Q
Owner's Address � � �L Owner Phone Number�
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ���-�-t LOT# ��
SUBDIVISION � PARCEL ID# � I v? 1 a O C� U� `��U
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � OTHER
DESCRIPTION OF WORK (��i( C �
BUILDING SIZE SQ FOOTAGE HEIGHT
Q BUILDING $
VALUATION OF TOTAL CONSTRUCTION
Q ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C.
F'�
Q PLUMBING $ ���
MECHANICAL / �
� $ VALUATION OF MECHANICAL INSTAL TION
�/-.�00� - v�
0 GAS 0 ROOFING � SPECIALTY Q OTHER ` �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# � �
_ �� � '
MECHANICAL / COMPANY /
SIGNATURE � REGISTERED N FEE CURRENT Y/N
Address �a !�t/ 3 Q /J j�� 33S^�S� License# �
OTHER -"� COMPANY
SIGNATURE _ REGISTERED N FEE CURRENT Y/N
Address License# �— �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(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 8 1 dumpster.Site Work Permit for ail 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 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 tlpg�ades A/G 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 compliance�nrith 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 "contracto� 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, wil� 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 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.
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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, 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 8� 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 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 bele cause or the e'xt gsion. Ifhwork oe'a es�olrininety(0)rconsecutive days, the job is�cons de ed bla donedstrate
�ustifiab
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY F�ESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDISNG YOU R �C�E OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03) / � �j. -
�l, CONTRACTOR
OWNER OR AGEN Subscribed and sw a ed)before m
Subscribed and sw affir ed)befo 's _�bY
� by Who is/are persona novm to me or haslh�v pr uced
o is are Persona y known to me or has/h e roduced as' entification.
as iden hon. -
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< ' 4��(�Public �' `'e�–�'� s``—
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Commissi
Commission No. ,;��.t�.."vy'k.� •
,,.„�•,. 80861E S.S��D
;,: , Comrrassion#EE 140709
', " e Name of N ��p�TmyFNnWuranos�7019
�s' �� eooaes�o+�
,ap� �� ga�dThiuTmYFdnNruenos
�iiN
PROPOSAL
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— C O M P A N Y �' � ---=
CAC058575
DATE: :' / .�. / � _�:
TO:
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NAME: _ �c�r,���: .�� a''- �' PHONE#: .� _���� ��. `� ��= : . _.
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ADDRESS: " � - f'=- '' �=
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CITY: f'�,�,�*`1 ``'� STATE/ZIP: . ,J ,,-<�.;�
FURNISH AND INSTALL TI�FOLLOWING EQUIPMENT AND MATERIAL.
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STYLE AND SIZE AHU BREAKER STYLE AND SIZE COND. BREAKER
f jj YEAR COMPRESSOR PART WARRANTY YEAR LABOR WARRANTY ON EQLJIPMENT ONLY
� YEAR EQUIPMENT ONLY PARTS WARR.ANTY
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PRICE: $ ' '� �. �' `� .;_ , Price
, ` 4' -��,y°�,�; , ��.�= � good for 30 days
Pt'l 1 1M1�1`I 1. ,i, ,r•
, UPON COMPLETION 50% ROUGH IN 50% UPON F��1AL DRAWS
SELLER RETAINS TITLE TO EQUIPMENT/MATERIALS UNTIL PAYMENT IS MADE.IF A PAYMENT IS NOT MADE AS AGREED, SELLER CAN
REMOVE SAID EQUIPMENT/MATERIAL AT SELLER'S EXPENSE. ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE
RESPONSIBILITY OF SELLER.BUYER WII.,L BE SUBJECT TO RESTOCKING CHARGE IF JOB IS CANCELED
AGREED �
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CHRIS' �`,� �v . ._-_ DATE �:
B UYER � `�----��,� .�� �� � - � k _
; � � , DATE
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FAX: 352-521-3393
12232 US HWY 301 DADE CITY, FL. 33525 LAKE COLTNTY 352-508-5614
EMAIL: CHRISACCOMPANY@AOL.COM DADE CITY 352-521-4977
ZEPHYRHILLS 813-779-9515
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Duct Seal Affidavit
Company� /�� /� /��� � � ��
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Address b�1, 3 � (�) � ..�-e- Permit#���p �
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� .affiant, hereby affirm that I am the duly licensed contractor of record for the above
referenced permi ,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 applicabie codes and standards.
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Contractors Name(printed) � /J S Date_ �' /�/ 3
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Signature � �
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R�suhs a�+e�rrtiended f�or use with Rheem heating and aooling systems onty
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Certificate of Product Ratin s
I��II�����I�������IA�il�l����
AHRI Certified Reference Number: 3847177 Date. 1/7/2013
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 13PJL30JA01
Indoor Unit Model Number: RHSL-HM3017+RCSL-H*3617
Manufacturer: RHEEM MANUFACTURING COMPANY
Trade/Brand name: SURE
Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY
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)� 28600
EER Rating (Cooling) 11 00*
SEER Rating (Cooling) 13.00
Heating Capacity(Btuh) @ 47 F� 27800
Region IV HSPF Rating (Heating)� 8.50
Heating Capacity(Btuh) @ 17 F: 15600
"Ratings followed by an astensk(")indicate a voluntary rerete of previously published data,unless accompamed wrth a WAS,which indicates an involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for,
the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the
unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.aeg.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and conFdential reference purposes.
The contents of this Cert�cate may not,in whole or in part,be reproduced;copied;disseminated;entered into a computer database;or otherwise utilized,in any
form or manner or by any means,except for the user's individual,personal and confidential reference.
CERTIFICATE VERIFICATION � ��,
The information for the model cited on this certificate can be verified at www_ahridirectory,org,
click on"Verify Certificate"link and eMer the AHRI CertiFed Reference Number and the date on �'s-Candifioning,Neating,
which the certiflcate was issued,which is listed above,and the Certificate No.,which is listed below. � •� �' and Refrigeration lnstifiute
02012 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 130020687359047549
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