HomeMy WebLinkAbout14-14892 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo � 2 �
BUILDING PERMIT
Permit Number: 14892 Address: 37516 SERENITY 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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-171A
Improv. Cost: 3,350.00
Date Issued: 1/13/2014 Name: GETZ, DANIEL & LYNDA
Total Fees: 55.00 Address: 37516 SERENITY AVE
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-4836
Date Paid: 1/13/2014 Phone: 813-782-6316
Work Desc: A/C CHANGE OUT MH 3 TON PKG UNIT
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DUCTS II�S��TEQ�
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 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 properly 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.
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CONTRACTOR SIG TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-002Q City of Zephyrhilis Permit Application Fax-813-780-0021
Buiiding Department
Date Received
Phone Contact for Permittin
Owner's Name !.�f7 i j ,�E� �,�, Owner Phone Number y
l � �
Owner's Address �� _� � - -� Owner Phone Number �— �
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS �+�.Q LOT# ��
SUBDIVISION (//�s(�C.0 � ,t PARCEL ID# (/.� � (p �I O� �(, D(��QQCf ! � l�
�OBTAINEO FROM PROPERTY TAX NOTICE) '
WORK PROPOSED NEw CONS7R ADD/ALT � SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME C� STEEI �
DESCRIPTION OF WORK - �/�- � / . ,y��� v �I �� �L ` 7 ���J .
BUILDING SIZE —� g(,�FOOTAGE�� HEIGHT
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY C] W.R.E.C.
QPLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
7� S� , UZ�
QGAS Q ROOFING Q SPECIALTY [_] 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 �/'/ � �C ���y�� �z/.� �
SIGNATURE �-?`�' `�,t1�� ��� REGISTERED N FEE CURRE� N
Address � ''' � A
d''� �S� License# �iT�1�,�C�j�� �
OTHER COMPANY
31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivis(ons/large proJects
COMMERCIAL Attach(3)complete sets of Buildfng Ptans 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 all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""•PROPERTY SURVEY required for all NEW constructlon.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over S2S00,a Notice of Commencement Is required. (A/C upgrades over S7500)
" Agent(for the contractor)or Power of Attomey(for the ovmer)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(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTION Count regulatgons. The undersigned a'ssumes resp ns b Ibty for compl ance tw th any
which may be more restrictive th Y
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or 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 misdemyan�oPyiolation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 understan s
that T�ansportation 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, 1
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 ce�tify that a�l 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
{icensed 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,tr ction�s I lunderstandhthatna�s pahat permit may be�req 9ed forlelectrcal work,
this affidavit prior to commencing co
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
permit issued shall be construed ton cal codesenor shall ssua'ncehof a pe mitp event thehBu ding Official from thereafter
set aside any provisions of the tech ermit issued shall become invalid
requiring a correction of errors in plans, construction or violations of any codes. Every p
unless the work authorized by such permiaise od of six(6) mhonths after the ti pe thetwo kas commenced Anhextension
the permit is suspended or abandoned for p
may be requested, in writing, from the Buice'a e�o'rininety(90)consecutive day5 the job isOcons de ed b'andonedstrate
justifiable cause for the extension. If work
WARNING TO OWNER: YOUR FAILURE YOUR PROPERTY.TIF YOU INTOENDETO BTAINF I�NANC NGTCONSULT
PAYING TWICE FOR IMPROVEMENTS TO
WITH YOUR LENDER OR AN_AT'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.0 ) f
� . `, � CONTRACTOR /�7�� '� ��r � � , ��
OWNER OR AGENT . Sub ribed n sworn to(or affirmed)before me th
Su sc b�d s to(or affirmed)before me th' � �� by
-� Who is/are pers ally knoqrn to me or haslhave produced
o is/ e personally k own to me or has/have produced as identification.
as identification.
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` " {G�[�C-k �`' Notary Public
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�%�j �` Bonded±��u TAy feln Inprarwe 806385-T019 :►t
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Name of Nota � mpe „pf ,,•• Baded7M�TroyFtlnkaixa�ce800,795�70ti+�
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Certificate of Product Ratin s
AHRI Certified Reference Number: 5696862 Date: 1/13/2014
Product: Single-Package Air-Conditioner,Air-Cooled
Model Number: P7RD-036KA
Manufacturer: FRIGIDAIRE
Trade/Brand name: FRIGIDAIRE
Series name:
Manufacturer responsible for the rating of this system combination is FRIGIDAIRE
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): 36000
EER Rating (Cooling): 11.00
SEER Rating (Cooling): 13.00
IEER Rating (Coaling):
FootNote 11 -The AHRI 210/240 certified EER ratings are calculated under the same methodology as the EER ratings at T1 conditions of ISO
5151:2010 and ISO 132532011.
'Ratings followed by an asterisk(`)indicate a voluntary rerate of previously published data,unless accompanied with 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 pertortnance of the product(s),or the
unauthorized akeration of data listed on this Certificate.Certified ratings are valid on�y for models and conFgurations 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 Cerfificate 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 infortnation for the model cked on this certificate can be verified at vnrow,ahridirectory.org, � �,,,,�,
click on"Verify Certificate"link and enterthe AHRI Certified Reference Number and the date on Air-Conditioning,Heating,
which the certiticate was issued,which is listed above,and the Cert�cate No.,which is listed below. � '� ,� �nd Refrigeration Institute
�02013 Air-Conditioning, hieating, and Refrigeration Institute CERTIFICATE NO.: ]30340989267977221
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l\rr ,,,XZ" 12231 HWY 301 DADE CITY
�.s° DADE; CITY, FL 33525 ZEPHYRHILLS (8 3) 779 95 5 /
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BILL TC�: Valle dale � � j •/� � ��"?G��G�c�
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NAME: SPLIT SYSTEM PKG UNIT
ADDRE��S: DATE: MODEL#
CITY: SERIAL#
ZIP CODE:
PHONE: WORK:
CELL: MODEL#
RENTER: SERIAL#
TECHNIC:IAN:
DATE:
PROBLEIVI REPORTED: '
BRAND:
PARTS 8�LABOR
' PARTS ONLY
START UP:
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CHECK# .�'�L / pUE:
-�s+-i_� CASH:
CREDIT C�1RD#:
CARD TYPIE: � SUCTION PRESSURE:
APPROVAL.CODE: LIQUID PRESSURE:
EXPIRATION DATE: TEMP. DIFFERENCE:
FILTER:
I HqVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE WHICH HqS BEEN ���NING PROPERLY:
SATISFACTORILY COMPLETED.I AGREE THqT SELLER RETAINS TITLE TO EQUIPMENT
AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PqYMENT IS NOT MADE AS
AGREED,SELLI�R CAN REMOVE SAID EQUIPMENT AND MATERIALS AT SELLERS EXPENSE HAS WRiTTEN MqNUFACTURER'S WARRqNI'y ONLY.
ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILITY LIMITED WqR�Ty.EQUIPMENT,pq►ZTS ANp Mq7'ERIAL
OF SELLER. LL LABOR PERFORMED BY CHRIS'A/C HAS A ONE YEAR
ARRANTY.CHRIS'A/C MAKES NO OTHER WARRANTIES
� �01%.l�''✓L/ ,���t'�
�'_'_� �_�_"L� TOTAL: � 75.00
CUSTOMER S NATI�, RE ��'�'�"'�'�
...�. �
' DATE: