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Home My WebLink About13-14241 CITY OF ZEPHYRHILLS 5335-8TH STREET . , (si3)�so-oo20 41 BUILDING PERMIT Permit Number: 14241 Address: 5243 GALL BLVD Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15400-0050 Improv. Cost: 1,200.00 Date Issued: 6/03/2013 Name: TANNER, WAYNE TRUSTEE Total Fees: 45.00 Address: 5243 GALL BLVD Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/03/2013 Phone: (813)782-6333 Work Desc: AIR HANDLER REMOVAL OF 2TON A/C AND REPLACE 5. � `�/ �, DUCTS IN U ED. 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 corrections not made when inspections calied 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 property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONT TOR SIGNATURE PERMIT OFFI R P IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�3-�SO-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received ' Phone Contact for Permittin �f _ "� 6� Owner's Name Ul�� Y� T�lY�h2� Owner Phone Number Owner's Address � � �� • Owner Phone Number ��a— (0��3 —� Fee Simple Tltleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# � SUBDIVISION , PARCEL ID# (OBTAINED FROW PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT C� SIGN [� Q DEMOLISH INSTALL e REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK R�P��uu� 6 f �- �tnS�Gll�(1\C BUILDING SIZE SQ FOOTAGE�� HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION +a�� OGAS Q ROOFING Q SPECIALTY �� OTHER n� FINISHED FLOOR ELEVATIONS "✓t FLOOD ZONE AREA [�YES 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 t� PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL � COMPANY �i( �L� S�2�Uj C v[ P� 6 � C,� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address �O ��x ��j License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# RESIDENTIAL Attach(2)Plot Pla�s;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consVuction, Minimum ten(10)wo�king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities& 1 dumpster;Site Wortc 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 Permlt for new construcGon. Minimum ten(10)working days after submittal date. Required onsite,ConstrucGon 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 construcUon. Dtrections: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over;2500,a Notice of Commencement Is required. (A!C upgrades over E7500) "' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER TNE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pe�mit may be subject to"deed" restrictions" 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 state and locai 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 owne� 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 "cert�cate 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 Cvnsumer 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 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 1 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 Iots 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 specffically included in the application. A permit issued shall be construed to be a ticense 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 just�able 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 PAYI YOUR'LEND R OR AN ATTORNEY EFORE RECORDING YOUR NOTICE OF COMMENCEMENT.' CONSULT WITH FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscrfbed and swom to(or affirmed)before me thls Subscribed and swom to(or affirmed)before me this by bY Who Islare personally known to me or haslhave produced Who islare personally known to me or haslhave produced as identiflcation. as fdentlficatlon. Notary Public Notary Public Commission No. Commission No. ed, rinted or stamped Name of Notary typed,printed or stamped Name of Notary typ P Page No of Pages Pnopos�l AIR TECH SERVICES, INC• P.O. BOX 1120 j,�. Heating and A/C Contractor ZePhyrhills, FL 33539 813-779-7508 FL State Lic.#CAC1815498 PROPOSAL SUBMITTED TO� DATE. 1�.:��-e �-�.�h� (�_3--ao�� STREET PHONE. `. �_t� �Tct�� v� �7 8"�—(� ��3 CITY,STATE and ZIP CODE Z�._PH 4�1-I I L.�S �-t �";5�(�. We hereby submit specifications and estimates for• Y Q� U Y cih � � Cl r� _ ( R'��I�t�t 1 Y�c� �,r* �-I lr' �c�v1C�� ---- - � � c��Q --- Z.ZIe PnOpOS¢ hereby to furnish material and labor-complete in accordance with above specifications, for the sum Payment to be made as follows: dollars ($ � . % at commencement, % at the completion of the job. All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs,will be executed only upon written orders,and will Authorized become an extra charge over and above the estimate.All agreements contingent upon SlgnatU�e' strikes,accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance. Our workers are fully covered by Workman's Compensation Note This proposal may be Insurance. withdrawn by us if not accepted within days. .�icceptance of Paoposal"The above prices, specifications and conditions are satisfactory and are hereby oate ofAcceptance: accepted You are authorized to do the work as specified Payment will be made as outlined above. Air Tech Services, Inc. shall be entitled to receive payment for any and all costs SignatU�e' incurred in enforcing and collecting unpaid balances due (including reasonable attorneys fees),whether suit is brought or not and whether incurred with collection, trial,appeal or otherwise. Signature: —"�—�L�� Brooksville Printing (352)796-3512 I� . r . . „ Certificate of Product Ratin s AHRI Certified Reference Number: 5055632 Date 6/3/2013 � Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: ES4BD-024KB Indoor Unit Model Number• B66MM024K-A Manufacturer: BROAN Trade/Brand name: BROAN ES4BD SERIES Manufacturer responsible for the rating of this system combination is BROAN 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 "Ratings followed by an asterisk(')indicate a voluntary rerate of previousty published data,unless accompanied with a WAS,which indicates an involuntary rerafe DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibilily for, the product�s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or pertormance of the product(s�,or the unauthorized afteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products ofAHRI.This Certificate shall only be used for individual,personal and confidential reference purposes. The contents of this Certificate 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, A ,..,�' click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on Air-Conditioning,Heating, which the certificate was issued,which is listed above,and the Certificate No.,which is listed below. � �� ,' and Refrigeration Institute 02013 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 130147352335583114 R � ,�" ��y Duct Seal Affidavit Company ��' �� r �L� �icense# /-}C %�'J 5�/9�"' Address I�.p. �ok ��p �---- Permit# �E.Pt�y�H I G�s � � �-��q ��Y�� ' 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 applicabie codes and standards. ContractorsName(printed)��y�,p� �, �C ,�vn.�✓.o Date (�-� - �,�j i'3 Signature