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Home My WebLink About13-14743 ' CITY OF ZEPHYRHILLS - ' S335-8TH STREET (si3)�so-oo20 14743 BUILDING PERMIT Permit Number: 14743 Address: 4542 BLOSSOM BLVD 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: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-017E-00600-OOAO Improv. Cost: 3,200.00 Date Issued: 11/20/2013 Name: JOHNSON, JULIE A Total Fees: 55.00 Address: 4542 BLOSSOM BLVD Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/20/2013 Phone: (813)215-1995 Work Desc: A/C CHANGE OUT -1 5 . � ' �� 1 DUCTSINSULATED FINAL /�`�7i�- 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 called d) work 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 recording your notice of commencement." Complete Pla s,S if ions Must Accompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. .� N CT R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 , Building Department Date Received Jr � ' Phone Contact for Permittin -- Owner's Name `'� � CG�c( �/j s�C-t�wner Phone Number ��3 �l S 6 � Owner's Address Z D S OyN S+� Owner Pho�e Number Fee Simpie Titleholder Name � Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS -/ � �Z ��O 5 � C�?'�t S;� LOT# �� SUBDIVISION —� PARCELID# � � "�P' -Zl —d � ( � "601Pd� "G�O� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROP03ED NEw CONS7R ADD/ALT � SIGN Q Q DEMOLISH INSTALL B REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK � `� �` �i(� BUILDING SIZE SQ FOOTAGE t�� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENE Q W.R.E.C. QPLUMBING $ _�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO � �v� � OGAS Q ROOFING Q SPECIALTY 0 OTHER —� FINISHED FLOOR ELEVATIONS �� 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# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY ^ ��'� Co� SIGNATURE REGISTERED N FEE CURRE� Y/N Address �J �7� C.P �p 1 G¢ License# C �&� y 3 �3 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W PeRnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facflities 8 1 dumpster;Site Work PeRnit for subdivisionsAarge prajects 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 insta�led, Sanitary Faciiities&1 dumpster Site Work Permft 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. Directions: Fill aut application completely Owner&Contractor sign back of application,notarized If over�ZS00,a Notice of Commencement is required. (A1C upgrades over 57500) " Agent(for U�e 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 Fenqes(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 restrictlons. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or cont�actors 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 appiication 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 Transpo�tation 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 witl 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 & 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 filt 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�II is found to adversely affect adjacent properties, the owner may be cited fvr 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 be requested, in writi�g, from the Building O�cial 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 co idered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN ENT M RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TAIN F NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI OMM EMENT. FLORIDA JURAT(F.S. 117.03) ` aWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscrl4,ed and s t a1fl ) f �B e ��C�,�co 1o,a by �/�d�/� by � Who is/are personally known to me or has/have produced Who is/are p4�nally cn n to me or haslhave produc d ��tr��.� as IdenUfication. �d iJ h� �'_as identification. � • '� _- --- f% Q�i� � �dC � � , �A� Notary Public �� - :-ft d R. Commission No. Commissio I�i. � .A;,F c>' , O'I , Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped Dade City (352) 588-9210 A-� B COO� 15873 Lake lola Rd. Tampa (813) 221-5850 Dade City FL 33523 Pasco 2, s4 - 9 Heat & Air, LLC � � 5 �a; �� '� �,��,� Lic.#CAC1814313 �E � CODE D TIME IN TIME OUT � �� `' !'� ❑RESIDENTIAL EQUIP ENT [ ADORES6%�� t�",'I � APT NO. `� 0 COMMERCIAL CITY ZIP PHONE �— O.D.MAKE MODEL SERIAL "�� 5 335�� CUSTOMER � I.D.MAKE MODEL SERIAL RE�UEST �f � S� � � WORKPERFORMED Y �� e7 " �./ � ;� �� 31� �. ' ! I�,�.vt- � Ct � C- � r (,7� � 1.�� Make all Checks Payable to A-1 B Cool Heat 8 Air, LLC " •' ' ' � ' • PRICE CHECKLIST � •• • ' • ❑ R22 ❑ R410A CoMPRESSOR I acknowledge that repairs have been performed in O SUCT._/_PSIG a manner satisfactory to me.In the event payment ❑V�OL'fS /—PS'G is not made as agreed,purchaser agree to pay all � ,�1�-- ❑AMPS / RATED �st of collection including a reasonable amount as '� 'V� � ❑�o -- ❑3o attomey's fees. Interest at the rate of 18% per ❑EIECTRIC/LL CONNECTIONS annum will be added to ail delinquent balances. ❑CONTRACTOR POINTS There WIII b8 8 $2�.00 charge TOf 811 retumed '� ( _ �'�' ❑FANA._/ RATED CFl@CICS. "r ❑SUPERHEAT , ❑SUB COOLING X _� CONDENSER COIL AUTHORIZED SIGNaTURE O CLEAN i certify that i have e ed services indicate and ❑FIN CONDITION installed parts�ist� ❑AMBIENT °F "�y REFRIGERANT TECHNICIAN SIGNA7uRE O LEAK � � � , � � . 0 o.K. PRICE • • •• FAN AND MOTOR PARTS WARRANTY ❑AMPS_/ RATED � All paAs as recorded are wamantad as per ❑CONTRACTOR POINTS manufacturer specificetlons. PARTS �BLOWERASSM.CIEAN ❑IUBRICATION � LABOR GUARANTY SERVICE ❑TOTAL S.P The labor charge as recorded here relative Q to the equipment aervice as noted, is 7ECHNICAL ELECTRICAL HEAT STRIPS guaranteed tor a pexiod ot 30 days."No SERVICE cAarge'wartanty work will be provided onty ❑INSPECT CONNECTIONS ❑ during normal woAcing hours. SHOP ❑AMPS / RATED LABOR —— � EVAPORATOR COIL NO WARRANTY o�N" •F ° ON DRAIN LINES. OAIROUT 'F � A-1 B COOL CONDENSATEAREA � HEAT 8�AIR, LLC ❑INSPECTED DRAIN IS NOT ❑FLOATSWITCH � LIABLE PAID BY: AIR FILTER OWNER'S INITIALS FOR DAMAGES ❑CHECK# ❑CLEANED RECOMMENDED ACCEPTED DECLINED CAUSED BY ❑VISA M/C O AMEX ❑DISCV ❑REPLACED SERVICE 'yPE WATER LEAKS. ❑FINANCE ❑cASH � � Duct Seal Affidavit �� / / ��3 Company �� License# �� / �( � Address Permit# � I $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(printed) � S5 �Jh�' Date C ( �� Signature 08I17�2013 23: 05 8137408504 FL COOLING TAMPA PAGE 02/02 �X ' ��.�' �vc.w 1 �r',��7 r. � �ertifi �te caf Produc� �.�tin � . AHRi Certified ;efer�nce Number: 3858043 Date: 8/19/2013 Praduct: Split Sy tem: Air-Cooled Condensing Unit, Coil with Blo�nrer Outdoor Unit Mo el Number: N4A324A{G)KB"' Indoor Unit Mada Number: FEM4P24**A* MarlufaCturer: C FORTMAKER TradelBrand nam ; 13 SE�R N SERI�S R410A AC Manufacturer rss onsible for the rating of this sy&tem combinatlon is COMFORTMAKER Ftated as follows i accardance with AHRI Standard 2101240-2008 fer Unitary Air-Conditioning and Air-Sourcp Heat Pump Equfp �n#1nd subject to verlflcatfon of r�ting accuracy by AHRf-sponsored, independent,third partar testing: Cooling 2pacity (�tuh); 22800 EER Rat ng (Caoling.)� 11.00 SEER R ting (Gooling): 13.50 �� , � �� 'Relings tolhvwd hy r�n astorl" � e e wluntnry rGMt�of provlaiely publlahed daln,unlrt!.�mpanletl wllh b WAS.�ti0h f�dlr,Ptos en Invoi�ntary ryeintr„ �va� - Il�r��r ��n1��I1��11�� o�sc�aiMeR I AHR1 doee not enuorxe ti+e.�c k(s)Ilated on this CeRlAeats and mokae no Rp►ese�HO�s,wArtonHes or guarantens as bp,pnel assumes no rrt!�poflsihllHy for, the praduct(9)Nsted��th� ,ete.AHRI exprossy dlsalafms RII Ilablllqr for damagas of any klnd a�leing o�x oi Me us0 or performsnce oftho proeluct�s�,or the unouthorized aMnr•r1 �! � i�d on thle CertlllcaEa.CMtiNqd rAtings are valld only formotlNls and conflgurstions IfStAd M the dlrecmry�t www.aMrldirecmry.oig- TERMS AND CpNI��PIC Thle Certlflcaer and(fs tP� 4s are proprkhN protluctx ofAMRI.Thle CertMlcsm sHafl only he usad for Indivldual,pe►SOnal and confidondal roferonce purywsos. rne co��w n,b co�u may not,tn whole or In par�bo roprodiKed;coplad;dlsseminatod;�nterecl Into a compu6�r elatabaea;a othen,vlxo utlllzed,In srry fontl p►manner or by sny r �;e,Aze6pk ftN'tha user'a Indlvldu�l,pqrsppt�pnd confldm�llet roMepnee. CERTIFICATE VERIFIC �N � ��, The InWm+aGon fOrthe m Clted on fhls e9hifi6ate can be verlfled at www,ahrlGirectory.org, Alf-Canditloning,HeoFing, cl�k on'Nwty GtrtlRr ,j�and errter the AH11!Car��f�g�f Relsrenca Num6er antl�s date on �. �� and Rehlgerdtion In�ft?Ut@ w�+kh th9 tsrUflcate was suJ whtW�(S Ilbted abova a�xi tMr Cer(iFi�q(B Na.,wNkh Is IkMel bq�pw, �02013 Air-Conditionling,Heating,and Refriger�tion Institute CERTfFICA"!"E Np,; 13p7.13870168985515 x