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Home My WebLink About13-14473 ..- , , CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oo20 4473 BUILDING PERMIT Permit Number: 14473 Address: 6935 STEPHENS PATH 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: SILVER OAKS Est. Value: Parcel Number: 03-26-21-0160-00000-0500 Improv. Cost: 6,194.00 Date Issued: 8/26/2013 Name: PATTERSON, JOHN & JANICE Total Fees: 70.00 Address: 1023 MANDARIN DR Amount Paid: 70.00 HOLIDAY FL 34691-6706 Date Paid: 8/26/2013 Phone: 727-517-5111 Work Desc: A/C CHANGE OUT 4 TON 15 SEER W/DUCT WORK �� DUCTS INSULATE�� FINAL_� REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are necesxary 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) 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 pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONT T R I TURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�� o��, ��,c, C� ��,�i� ��}�� 16640 SHADY, HILLS RD 'SFFZiNG HILi, FLORIDA34o10 �'�� ST.�,i E Ll�. #��1$��ad 1-8L��-897-233� • wr�r�v.s��icaair.ca� ��,�'� H��?�la��l��0 {3��} 6So-E16� = v ` , /� 2 4 4��6 Pt�S�a f7�7) 8�8-a�5� � BIIL TO � - -� THIS WORK IS TO BE ❑ C.O.D. ❑CHAfiGE ❑ NO CNARGE MAKE MAKE MODEL MOOEL SERIAI NUM6ER SERIAL NUMBER �AME - ^ Q� / L.. � EtVVIRONMEMAL CFiECSC LJS; V�1CP.K PE:iFOFPitE� DAT > �l�,z .a-� -ZI/ CI aROM�SED WCRK PEAFORMm aTY. TYPJ[]ISrCSf1lCN CONDE�ISING UNIT COND'SATE DNAINS >'�.��" 211�G1 �Z. PHONE �J �j / CALL BEFOFE � RECOVERED tF/ELED ��p�N �?�— J/ ��S /I I ❑ A.M. ❑ P.M. ❑ RECYCLED CIF�.NEDCOIL REPPJRED MA1N ORAIN TECHNICIAN // A HO F 8Y C4EGCED CLEiNEp 2' I7`�(j /'. ❑ RECWMm CHARGE PAN�PNN _ v •y-�� ❑ RER1flNED FlEPNRED REPPJFEO WO K TO 8E PERFOiiMED IFAK�N COIL PAN ORPJN � oisPO.�u REPAIRED Fi1RN.OR FAN CDIL IFAK IN COPPFA ❑DISM/WTIID �REF. FEPV�CED BELT Q CHANGED OUT/REPIACED TOTAL $ CHECKm ;. "��.::':. .,- _. ... . ..... . . ; . . , . . ' � " .. .. .. ... .... . . . . ., , .,.. . ..: . _. . . .. :�. . ,.... .. . M , .. . . .. . . .. . . . sG�G'Y: � M1A��IfA��:3ERtii�ES• _UiV[T�PRI� . EX1vP011tu�, 'ijEsGE{tP�ICFf�E:.OF'V.VCIRl�;PEi�FORME€] CHANGED aeaucso ., _ ..., ,_ _ _. ,. .. ...:> s . . -- . . .- .. � ,: ;..: > MOTOR U � , �l�� ,�av aeauc� aausreo REFAIGERANT R- LBS. BEL7 auuEv AOJUSTED CLEANED BELT BLOWER .� C�n� — ��/ D�/—'G �v U ��oA e�� / REPL START. OILED MOTOR RELAV A�"�� OIIFD BF�IiiINGS /l CAPACROR 1� T Li7/f��r� REPLACm RUN CLEANED .cv v y CAPACROR HEAT IXCH. � F.�OF REPLACm I �` O � �✓I I .C TACTOP HFi1T IXCH. � V QEWEDOR � WI NG A0.1.PI�OT �(' � REPLACE�FUSE 7}{�p�pUPLE r � REPL4CED liEPAIRm GCOMPqESSOR VALYE /J /' / EYAPORATOR COII R��E° 2 I C I C.. �/7 CJ'b��' C �%� �`O I\ O � REPLnCED BULFiWED P.VA VE � �� 2 � no.iusrEO DUCT RFPIACED REPAIRED CAP.7UBE I E �Z �, CL.E�AED Ap,1USTED /, REPAIRED THERMOSTAT > I � x � COIL LFi�K ,_ , . . REPAIRED FEPUIC`c� � � j�• -- {��Cf]�AR�}EiUOATICTIV.S CLEANEOCOIL Aausreo TOTAL YIATcRIALS /pygyt (�� . ��)�� ' '��ocoi� _. � �t E'��T.4TR. CLG TOWER ' .3SO -� HRS. LABOF RATE AMOUNT Z �s� ,,�� ae=uc.o uNK � (� �{J2, �� Z Duv 3 00- � qE?UC�O KLIX � REPAIPED`NIFE PUNI?(S) 2 ��v c. 2��' FEPLaC'c�CDNT I GREYSED � AyLS/1C 2.J , REPAIRED I � F1LT=:cS I C��LciNED r�E?�_iCEO MwTERIpL5dU60RIAAV6E TOT;aLLA80R LlIV11Tt',17 VNA�RAi�1TY: All m tenals, p3r:5 LCNiINl1E00NJTHER9�E � and e ui ment are wzrranted b� the c � � G P r��a��utiitiiaa, TERMS manufacturers' or suppliers' wniien warranry - only All labor performed by the above n2med TOT,aL I "' �� CL�. I company is warranted for 30 days or as ti�'�T�F��=.�� otherwisz indicated�n wnUng T'�e above n2med TCTAL comp2ny makes no oiher warranties, express � LAdGR cr implied, and its agents or technicians are /-� ety I tiave authonty to order;he work outlinetl ebove which has be=n sansrac:only completed.I agree!ha[ I.(f^ � 2 G�,J , Sziler retains atle[o eqwpmenVmateriels turnished until nnal payment is made.If oayment is noc made �01 authonzed t0 Tck2 2fly SUCfI W2(i3fiLiES �7�I / � �J i as agre=d,Szller can remove said zquipmenVmatenals at Seller's azoense.Any�amage reswting rmm on behalf of above named ecmp2ny sa�c removal shall not be the responsibiliry of Seller 1^��=� j G REGULAR ❑ `�/P.n^ftANT`/ C�?.RGE � ❑ SERVICc CONTRACT �' ' I .:lJSTCME�51GUaTUFE �qTE �,l-��/�� f/li'7.i I + y .j.�- ! s�a-�ao-vo2o � City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin __ Owner's Name ��(/Q'fp� � � /[ y JA�v�ce ,(j Owner Phone Number 7�?• �J� • „�j�� Owner's Address �� ✓ � O /Q�C � Owner Phone Number 7�?' y7a��(0 7f/ Fee Simple Titteholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRE3S {� ,3�S��j�C/�S `L //S /�L�J� LOT# S � re .5 /�, SUBDIVISION S L(/ OA S PARCEL ID# b�' �'oZ�'O�ioC� •OO(,�• C! �OO (OBTAINED FROM PROPERTY TAX NOTtCE) WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN � � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM �� OTHER TYPE�F CONSTRUCTION � BLOCK � FRAME � STEEL � DESCRIPTION OF WORK � f (JC : �IC,y�l�G o(.7j�7�C'�� //�X��NFOT9 BUILDING SI2E SQ FOOTAGE� HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY � W.R.E.0 �PLUMBING $ �MECHANICAL $ / / �, VALUATION OF MECHANICAL INSTALLATION �� Ce� ' L S��/ GAS / 0 Q ROOFING Q SPECIALTY � OTHER � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER COMPANY SIGNATURE REGISTERE� Y/ N FEE CURREN Y/N Address License# ELECTRICIAN � COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y!N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL //`s COMPANY ��C� //e /fJ / A�t�//v ,zN C� SIGNATURE �` /�GW REGISTERED Y/ N FEE CURREN Y/N Address �G� � J IE. / �/ /� L License# C.:/7 ��s(� OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# IIIIIt111111111111111111111111t111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-p-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 8 1 dumpster;Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a!ife S3fety Page;(1)set cf Energy Forrns.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater Plans w/Sitt Fence installed, Sanitary Facilities 8 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 construction. Directions: Fill out application completely Owner 8 Contractor sign back of application,notarized If over;2500,a NoRice of Commencement is required. (AJC upgrades over s7500) ** Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (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 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 tocal 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 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. 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 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 ot 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 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 etectrical 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 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 FAI�URE 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 OMMENCEMENT. FLORIDA JURAT(F.S.117 03) __ . � OWkER OR�4GEMT v CONTRArTOR Subscribed and swom t r ffirm )be -�me this U � Subscribed and swom to r ir ed)befor m this !l!�'� �1.d l�by � �bY��J� �.f0` WI�Q,jg/are Rgrsonallv known t�m�._or hasfiave produced Wh�are personallv known�o me or has/have produced as identification. as identification. ( ��GlR. ��Tii_yl/./ot�f-ary Public GLL -l�L-G� L��, Notary Public F -�. Commission No. CLL'�,S lO �� Commission No �L � ^b O �� ,�r,e�ci.g .�/dG2so.� '�l��ic�� de.�s�•►T Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ,t��:P,.,• PATAtCIA MIDERSON �;: Y a _:� ::- MY COMMISSION#EE 156820 ;��:�•i�; PATRICIAANDERSON � w'• =�: EXPIRES:January 3,2016 �'s �"� �:•` Bonded Thru Nota Public Underwrifers ?,r. ,r_ MY CAMMISSION#EE 158820 •�Pf,��' ry �:�'a: EXPIRES:January 3,2016 %�RF�� Bonded Thru Notary PuWic Underwriters 3��I, � Fr�<f. .� III� J:� . Duct Seal Affidavit Company.��N�C/� � n,t/G�.�li �� l�/,SJ l�� License# Address Permit# �� 5" .��c c�,�s � � � ,Q �ii/s �L -3�� V ��"" affiant hereb affirm , y that I am the�uly 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(printed) ��G�� ef3� Date U eZb"�� ^ Signature � . ' IIII This combination qualifies for a Federal Energy i E�ciency Tax Credit when placed in service � , , � between Feb 17,2009 and Dec 31,2013. +��rtificat� of Product Ratir� s AHRI Certified Reference Number: 3646319 Date: 8/23/2013 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number:25HBC548A**30 Indoor Unit Model Number: FX4DN(B,F)049 Manufacturer: CARRIER AIR CONDITIONING Trade/Brarrd name: COMFORT 13 PURON HP 4 Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING 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): 47500 EER Rating (Cooling): 12.50 � SEER Rating (Cooling): 15.00 � ; Heating Capacity(Btuh)@ 47 F: 45500* � Region IV HSPF Rating (Heating): 8.50 � � Heating Capacity(Btuh)@ 17 F: 29000 � 1 � g � � � 1 3 j e} § � � � 'R.tinge iolbwed by an aet8risk(ry intl�cate a voluntary rerate oI proviously publishad dete,unless aaompsnled wiM a WAS,which fndieates en involuntary rerate. oiscuiMeR AHRI do�a not�ndOrt�tM produeqs)Ibbd un thls CaAMkat�and maku no npns�rrbtlona,war►arM�or pu�n�s rs ta,and ass�nnes nu nspoesiblllty for, tM p►aductls)Ilst�on thh CMtlfleab.AF�tl d�r dkicldms sM NaWNly fa dampa of any klnd rrbinq out ot M�use a p�Hormrna ot 1M praduct�s),or tM unau8►orl�[ed alteta�Ion d dila NsLld on thls CsrtlHcats.Csrtlflsd raUnys aro vNld wtly fot nwdNs and conflqurWw�s Ilsbed In th�dlrotLory�t wvwv.ahrid�reciory.org. TERMS AND CONDITIONS Thb C�rtlfleaq uM ks conbnb�n W'oprl�fsrY Pu�oducb ofANRI.ThI�CatlHeab shwl ony bs w�d for NMNWwt,P�rson�l and co►►fld�ntlal r�hnncr p�rpos�s, 'ft�contrnb of tlY�C�wtlMe�m�y not,M whoM or M prr�b�►�w�oduad�eopkd�dbs�mlo�Ud;�nt�nd Irrto r ew»pubr databw;or oth�►wlse utl1�W,in a�y fotm or mwaww ar 1!!I�Y�,��for tl»usn'r Indlvldwl,psnooel�nd coiM4du�tld�. C�R'I'IFICA7E VqRIfICA'1'ION � ��, ��t�MMM��OM1�M11�Ir�IO�Id�affYlC�bf�11b�VNIfMd�www.ahridirecto or , Air-Conditionln Heatin ciiak esn" i(y cerfiTicaM"�k�ntS ant�th!AHRI CMMI�d R�hrmee Numbsr and tla dryaEe on 9, 9• �'+s�rt�,e.:�wasfss�.'r�.wt'schs�stist�dabow,andtlKCe�tl6caeeNo.,whiG,isti�edbs�, �• �� ,, and Refrigeration Institute '�='�`:;'��.+4_��;,,�x�;f,;�}�� ==��tr�� >�,��astrigeratian Institute CERTIFICATE NO.' 130217306466221185 ' -� _ , , ( • � • . i Stre�t Ad�rzss 6935 5�EPE�E�S �.4TN , ZeNh��r?�ifis, rL ?��42 L;tit�.��, Lona�_�.�de 27.�Q�1°, -�2.=82= �ouse Square Factage: 21Q0 ��. rt. !��a-�,�: PATTE RSC!� �l;ane: 123-123-1234 Er�a!I: exar?��ple@mail.com • ' • . • SHR ,75 Number of residents 2 Ceiling height g Wall U-value � R-value 0.09 � 11 Fioor U-value � R-value 0 � 0 Ceiling U-value ( R-value 0.053 i 19 Window U-value 1 Window SHGF 1 Mo�sture grains 56 Duct loss % 10 Duct gain % i� Cooling inLiitraction (ACH} �.� Heat�rg i��iiltra.�on (;�CH) ��,g tf�inter ventifation p Summer venti(atior� p � ! • • • • • Outdoor Heating Cooling Dry bulb �°F) �G �i DaiE}� raE�ge ;4� Relative humidity 5�% Evi Q i S t'.,E C a ',��i^`C("?r?C� G� Indoor Heating Cooling Indoor temperature (°F) 70 75 Design temperature difference(°F) 30 �r� ' � • • � i Area Btuh % of load ��\�a(I ��b4� �3.� F!c o i� �� Ceiling 3339 1Z 3 ��ii"'�iivl�JS �u�'v :-�.� Infiltratian ?734 29,6 System Efficiency Loss Z374 Q,1 Total: 26119 Heating Loads ?6 I19 ETU�nr r Floor I �System Efficiency Loss �Ceiling Windows -�� -Wall Infiltration J e , • � i Area Btuh % of load 4'Glal1 ?155 �.; Ceiling �675 1� Windovds �Q334 !�� Sensible �nr"iltratian �n9a. �,5 Latent lnfi{tration 6693 14.1 System Ef�iciency Gain 3901 8,2 Internaf 3570 7.5 Sensible People Load 460 1 Latent People Load 460 1 Totai: 47404 Sensible load 40251 Latent load 7153 SHR Q,85 Capacity at .75 SHR 4.47 Tons Cool i ng Loads C7,4G4 ETU/hr (� Sensible Peopie Load I�Latent People Load /---Sens ible Infiltration ? �Wall ,� lntemal Windows �,, � System Efficienc� ` Ceiling �Latent Infiltration ` - s . - • � - i - AED Graph 30000 20000 r 10000 D 8am 9am 10am llam 12pm lpm 2pm 3pm 4pm Spm 6pm 7pm 8pm — Hourly Loads — Average � � � � � ` System equipment selection wiil be made using the foliowing derived values Glass (E) 152 sq. ft. Glass (5) 21 sq. ft. Glass (N) 21 sq. ft. Glass (W) 107 sq. ft. Summer Outdoor 91°F Summer Wet Bulb 77°F Summer Indoor 75°F Summer Design Grains 50% Winter Outdoor .�p�F Winter indoor 70�F Sensible Cooling 40,251 Btuh Latent Cooling 7,153 Btuh Req ui red Cool i n g Ai rfl ow l,830 CF M Sensible Heating 26,119 Btuh Required Heating Airfiow 339 CFM AI!calcufations are based upon approved hvac industry standards and proc2dures,and comply with all local, state and fed�ral code reguirements.All computed resul� are Estimates Product provided by Energy Design Sy�stems and Id=_a T,�e o�o-�ov-w�u �,iiy oi cepnyrnws rire rax-ais-�tsu-uuzi �Q�{ Permit Application Date Receiw:d �p��/�:3 J' � Phone Contact for Permit � S'7.5 �J�J l Owner's Name r �jo� � Owner's Phone Number S�c� ��f 9,��j Owner's Address T* �. �(J.� 9•7� �� L 3 � �� Fee Simple Titleholder Name Titleholder Phone Number C� C� �� Fee Simple Titleholder Address ' � " - . �-. , a - � Job Address �� Lot# � Sub Division �V ('��C�� b L yL.� Parcei# ` r _ ,� t , _,4..� � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Burn � Hood Installation QEmergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw a LP/Naturel Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL r y emi �n er Sprinkler � ❑ ❑ O � � Recreational Bum Fire Alarm ❑ ❑ ❑ � � Sparkiers / �- / � Hood Cleaning � ❑ Ci' � Sprinkler System Installations ( � � � f Hood Suppression � ❑ ❑ ❑ �� Standpipes(Sprinkler Sys) � Fire Alarm installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � FlammableApplication-ANNUAL Valuation of Project � Fuel Tanks Q Other: ' ' - ' - Contractor 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 Y/N Fee Curtent Y/N Address License# OTHER Company Signature Registered Y/N Fee Cunent Y/N Address License# Directio�s: - Fill out application completely Owner 8 Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a hlotice of Commencement is required(Mechanical work over$5000) Supply Mro(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcei#-obtained from Property Tax Notice(http:qappraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deec!" 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 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 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 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 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 be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justi�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 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. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirtned)before me this Subscribed and swom to(or a�rtned)before me this by bY --- Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification Notary Public Notary Public Commission No. Commission No. Name of Notary ryped,printed or stamped Name of Notary typed,printed or stamped