HomeMy WebLinkAbout13-14758 CITY OF ZEPHYRHILLS
� � 5335-8TH STREET
(813)780-0020 4758
BUILDING PERMIT
Permit Number: 14758 Address: 6747 NORTH LAKE DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0150-00000-0140
Improv. Cost: 4,400.00
Date Issued: 11/25/2013 Name: OTIS, RICHARD & BARNETT SUSAN
Total Fees: 60.00 Address: 6747 NORTH LAKE DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/25/2013 Phone: 802-479-1375
Work Desc: A/C CHANGE OUT 4 TON
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DUCTSINSU ED
FINAL �"�T�
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� 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.
�
CONTRACTOR S GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
_� CHRIS' A/C HVAC
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�"" C Q M P A N Y
CAC058575 P RO P O SAL
12232 HWY 301 DADE CITY (352)521-4977
DADE CITY, FL 33525 ZEPHYRHILLS (813)779-9515
NAME: Richard Otis Date: 11/23/13 �/�-/
G� � ���y�
SUBDIVISION: Siiver Oaks
ADDRESS: 6747 Northiake Dr SPLIT SYSTEM XX PKG UNIT
CITY: Zeph r1'IIIIS ZIP CODE. .3S CONDENSER: MSH4BDO4HK
PHOtvE. 802-479-1375 WORK: AIR HANDLER: BGBMMO4HKC
CELL: RENTER: HEATER: HGHKOOHH-O�
ESTIMATOR: Ch�IS TONNAGE. 4
INCLUDED IN PROPOSAL BwaNO� MAYTAG
PRO 3000 THERMOSTAT H/P- X STR.COOL.
UXILARY PAN SEER RATING: �3
IN-LINE FLOAT
DRAIN PAN FLOAT WARRANTY
SEAL DUCTS!$12 PER VENT COMPRESSOR: 12 YEARS
TAX,LABOR AND PERMIT � PARTS 12 YEARS
CONNECTED TO EXISTING DUCTS AND ELECTRIC t�46oR: 1 YEAR
CHOR CONDENSER EXTENDED LABOR WARRANTY� NO
MISC
1 HAVE THE AUTHORITY TO ORDER THE WORK OUTIINED ABOVE I AGREE THAT SELLER
RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT IS LIMITED WARRANTY�EQUIPMENT,PARTS AND MATERIAL
IS NOT MADE AS AGREED SELLER CAN REMOVE SAID EQU�PMENT AND MATERIALS AT HAS WRITTEN MANUFACTURER'S WARRANTY ONLY
ELLERS E.ANY DAMAGE ESULTING FROM SAID REMOVAL SHAIL NOT BE L LABOR PERFORMED BY CHRtS'A/C HAS A ONE YEAR
�-- THE R PONSIBILITY OF SELLER WARRANTY CHRIS'AIC MAKES NO OTHER WARRANTIES
',
� TOTAL: $ 4,400.00
- - -- ---- ---------
CUS OMER GNATURE DATE.
` 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
��`�i�� Building Department
Date Received Phone Contact for Pertnittin —
Owner's Name � Owner Phone Number ' 7 �� ' /�a�sy
Owner's Address 7 7 t�?��"/ ^ Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
, l �JOB ADDRESS 7 � �O �� „ � S S�°` LOT#
SUBDIVISION �/� � PARCEL ID# ()„3° � ".�/- �/,f—�- �D • C1!
�OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �� L -�
BUILDING 51ZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING a
�MECHANICAL $�/�,/� � VALUATION OF MECHANICAL INSTALLATION
r'�
�GAS Q ROOF�NG Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES 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 � �'/� /�/ C C-pi�t ��'�
SIGNATURE 1Ce - REGISTERED N FEE CURRE� Y/
Address � - tJ'- / ' /• 3 oZ S License# e/Q e � ��
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Athach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit fo�new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Aftach(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 subm(ttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compUance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"`"PROPERTY SURVEY required for all NEW construction.
Directlons:
Fill out applicatlon completely.
Ovmer 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C 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 PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PfoUSurvey/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 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 flnal 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/Sewe� 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 ce�tify 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'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 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 spec�cally 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 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 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_���-� iJ � CONTRACTOR r�'"
Subscribed and swom to(or affirmed)before me t s Subscribed and bwom to(or afflrmed)before me is
by Y
Who Is/are personally known to me or has/have produced Who Islare personally known to me or haslhave produced
as idenUflcaBon. as idenUfication.
Notary Public � � - Notary Public
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Commissfon No. Com sion
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Name of Notary ryped,printed or stamped Name of _`` 8Y� � _ ,aG��
:�J� ._`�4. Expires Dec� .:�,2014
FOi;F�', BOIblCTM1Th: '
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Duct Seal Affidavit
Company /��� ���_j r� v License#���C"L1 ,SI�,S� �J
Address �����.��{ (,�k�GJ Permit#_1 7 �-, d
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I , � iJ 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.
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Contractors Name(printed)__� r/�5 !-J o/I� � Date �/ .�(� /�
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Certificate of Product Ratin s
AHRi Certified Reference Number: 5060092 Date: 11/25/2013
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: MSH46D048K
Indoor Unit Model Number: B66MM048K-C
Manufacturer: MAYTAG
Trade/Brand name: MAYTAG MSH46D SERIES
Manufacturer responsible for the rating of this system combination is MAYTAG
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): 11.00
SEER Rating (Cooling): 13.00
Heating Capacity(Btuh)@ 47 F: 47500
Region IV HSPF Rating (Heating): 8 00
Heating Capacity(Btuh)@ 17 F: 29800
"Ratings followed by an asterisk(')indicate a voluntary rerete of previously published data,unless accompanied with a WAS.which indicates an irnoluntary 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 pertormance of the product(s),or the
unauthorized akeration of daW listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at w�vw.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes.
The contents of this Certificate may not,in whole or in paR,be reproduced;copied;disseminated;entered into a computer database;or othenvise 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 cRed on this certificate can be verified at www.ahridirectory.org, Air-Gonditioning,Heating,
click on"Verify CeRificate"link and enterthe AHRI Certi£ed Reference Number and the date on �� .� �� qnd Refrigeratio�Institute
which the certiticate was issued,which is listed above,and the Certificate No.,which is listed below.
02013 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 130298793384429773