HomeMy WebLinkAbout14-15253 ;. . �
CITY OF ZEPHYRHILLS
5335-8TH STREET
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15253 Address: 5802 18TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-07600-0120 `'
Improv. Cost: 2,850.00 OWNER INFORMATION
Date Issued: 5/06/2014 Name: STUTZRIEM, ANNA K.
Total Fees: 50.00 Address: 5802 18TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/06/2014 Phone: ��� � 2`����?(�d
Work Desc: A/C CHANGE OUT 3 TON PACKAGE UNIT
CONTRACTOR S APPLICATION FEES
ALL TECH AIR 8 FILTRATION LC C CHANGEOUT 50.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
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 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
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
r
OR E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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a�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
Date Received � �p p���� Phone Contact for Permitting �� � ( v — � `��
� 1 1 � 1 � � � 1 1 � � 1
Owner's Name ��l n� ��'��z���� Owner Phone Number �p�'�" a'tl � �� ��
Owner's Address � �� � � u�� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
_ ,
Fee Simple Titleholder Address
JOB ADDRESS � u� °� � ��� �. � � "'� �� tl� � 1, �� J�f� LOT# �
� SUBDIVISION PARCEL ID# "
(OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN 0 � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR 0 COMM 0 OTHER
TYPE OF CONSTF'tUCTION Q BLOCK Q FRAME 0 STEEL_ Q
DESCRIPTION OF WORK � C �� L1 ' �� " � I�U1 ��Q� �� C�l� ��C��C i �
BUILDIPIG SIZE SQ FOOTAGE� HEIGHT ,
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C.
OPLUMBING $ 3
, ��-Z�
�`MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
! o� J0 •,5�?`�
OGAS 0 ROOFING Q SPECIALTY � , OTHER � �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES 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#
` �.��:�.��an LLC
MECHANICAL� MPANY � � I �L� �`�f �
SIGNATURE __ �ISTERED N FEE CURRE� Y/N
Address �Sqy� 5$o„�e ��_ 5� License# �—d1L� � �� 1910
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIItllllllllltlltllll_Itttllltllttllllllllllltltllllllllllllll
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,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COPVIMERCIAL 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/Siit 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 construction.
. ._. . . . _.
Directions: �
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
*' Agent(for the contractor)or Power of Attorney(for the owneP)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 �
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NOTICE OF D,EED RESTRICTIONS: The•undersigned understands that this permit inay be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any �
applicable deed restrictions.
UNL.ICENSED 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. Fu►-thermore, 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 resp.onsible. If you, as the owner sign as the
_ contractor, that m�y be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. -
TRANSPORTATION IMPAC'F/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 exisfing-buildings, as specified in Pasco County Ordinance number 89-07 antl
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 releas�, 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 ord'inances.
CONSTRU�TION 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 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 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 aff.idavit 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 iricluded 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 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 �O�*c�,cIL r�• �c• ,� ,,�
Subscribed and sworn to(or affirmed)before me this Subscribed and swbm to(or affirmed)be e me this
by �'�` by +�Vl c;y a-l�ti�9
Who is/are personally known to me or has/have produced Who is/are personallv known to me or has/have produced
as identification. as identification.
Notary Public ���-v � '-���� Notary Public
Commission Na Commission No.
� ;�:i'"•" " •, WENDY L SUTTON
Name of Notary typed,printed or stamped Name of Notary typed,prin ' 0 7+Re�Y COMMISSION#EE189637
�,,., •• EXPIRES Apn'I 16,2016
(407)388-0153 F�aideNotdy3nevke.eotn
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35946 State Road 54,Zephyrhills,Fl 33541 Ph �13-870-6934 Fax 813-783-2336 CAC 1 S 14196
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AirConditioning&Heating p�o�o�a� � �o����C� 0429-74
PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT:
Anna Stutzriem (Same)
5802 18�`St
Zephyrhills,F133542 813-244-8760 wynotmeaks@verizon.net
WE HEREBY PROPOSE TO FUIiNISH THE MATERIALS AND PERFORM THE LABOR NECESSARY FOR:
1. 1—Goodman 13 SEER Puron 410A(3 Ton Straight Cool)Package System with lOkw Heat
Package System:GPC1336H41 ARI 4635459
2. This Also Includes:Digital Thermostat,New Drain,Hurricane Slab&Straps for Package System,Seal&
Mastic all Duct work,Duct Cover and Permit.
3. Change Return to 14"Flex.Filter Size 14x20x1
**Goodman Warranty: (10 Years Parts and 1 Year Labor)**Included
'�*Not Including: (Any Pre-existing Conditions, Original Electric, and Duct Work)
ALL MATERIALS ARE GUAR.ANTEED TO BE AS SPECIFIED, ALL WORK TO BE
COMPLETED IN WORKMANLIKE MANNER FOR THE SLJM OF: $2,850.00
TWO THOUSAND EIGHT HUNDRED FIFTY DOLLARS AND 00/100
ANY ALTERATIONS OR DEVIATIONS FROM ABOVE WORK INVOLVING EXTRA COSTS WII.,L
BE EXECUTED ONLY UPON WRITTEN ORDER AND WILL BECOME AN EXTRA CHARGE
OVER AND ABOVE THE PROPOSAL AMOUNT.ALL AGREEMENTS CONTINGENT UPON
STRIKES,ACCIDENTS.DELAYS BEYOND OUR CONTROL AND ACTS OF GOD.
Respectfully submitted, Patrick Kil annon E ires 30 Days
Manager, All-Tech Air &Filtration,
ACCEPTANCE OF PROPOSAL
You must provide all conditional approved Permit Documents and provide one business day of your choice to stay
home,within 10 days of completing work at your house for City or County Inspection.The above prices,specifications,
and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.
Payments are as follows:$2,960.00 Due on Completion(OR$2,850.00 Check or Cash)
Intials I Acce t Extended Warran +$650.00 ntials I Decline Extended Warran
Print Sign ate `�
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- C�rtif i cate of P'rod u ct �ati n �
AHRI Certified Ref�rence Numbe�: 5677$$0 Date: 5161201a
Product: Singie-Packa�ge Air-Conditioner,Air�Cooled
Mod�l Numbe�:GRC1336H41C"
Manufacturer:GOO�MAN MAIdU�AC7URING CO.�LP.
TradelBrand nam�:GOODMAN,JAMI7ROL�A�MANA DISTINCTIONS,ENERREST,dN�HOUR AIR
COiVD1T10NING AND HEATINti,ENERGI AIR
Series name:GPC13 •
M�anufg�.�cturer responsible for the rating of this 9y�tem C�Dmbin�tipn is GQODMAN MANUFACTURING CO.,LP.
Rated as fcllows in accordance wlth ANRI Standard 270l240-2008 for unitary A�r•Contlitioning and AlrSource
' Heat Pump Equipment and subject to verlflcatlon of rating accuracy by AHRI-sponsored,independent,third
party testirtg:
Cooling Capacity(Btuh): 36000
EER Reting(Cboling): . 1 i.00 '
$EER Retir�g(Coolirlg): . 13.00 �
IEF�2 Rating(Coolittg): .
•Ra6nga followed by an asleriSK(•)intli�0�d vO�untary rerate ot pre�IousiY Punnahed tlsta,unless eccompantatl wlCi a WAS,whlcn InClcates an Involunmry rerate.
PISCIAIMER
ANRf tloea nol enpo�ae tn�produGl(a)pat�4 oR thh CercMmm end meke�no rcprr�eete4lon�,warrenNm ar guerenmm a�to,end eneun,ea no responetblltty tor,
the product{s)I�Sted on�hts Certlficate.AHRI expres�ly dlsclaims all Ilablllty for tlamagcs of any KInE arlsing out o1 tFia u6e or peHOrmance of the praduct(s),or tMe
unauthorized atteratlon of data Ilated aa thl�CertNtcate-CerllNed rotlnge ere velld only fer modeL�ene wnflgureuens Ileted In the
dlrectory at www•ehrldlrectory.org.
TERM9 AND OONDITIONS
Thls Certiflcate and Its cantents are proprletary pro0ucts of AF1R1.Tlils Certlflcate sha11 only be used torindlvldual,personal and
conNdcntlal rofcrenee purpessa The oontents ot thls C¢rdflea�¢mey not,la wholc or In Rert�bs reproduead;eopled;d�assmlaeted;
en2e►ea Into a computer database;or otherwlse uUllzed,in any iorm or manoer a Dy any means,except for the user's tndlvldual,
pe►eo�el and conlldantlai rek�a�ca. AIR�ONOiTIONING,HF.ATINO,
CERTIEICATE V�R�FICA7fON Bc REFRIGERATION INS7R1lTE
7hClAfOrtl�ifvOn f0�lhe mOdCl dfCd On�hls periiflmte mn he verifled el rrxw.eheldlreetory,or�,dick an•Varl(y CartlElcata"link �,•c make life bet�cr"
and enter thc AHRI Certlflod Refereaco Numher and the dale on whieh thC cCttlflCate Was iESUed,
whtch)s Il�ed aDOVe,and tNe Certlflcete Na,vyhlch ls Ilsted at bottom�1ghL 130438713582193508
��014 Air-Condltioning,Heating,and Refrigeratton Inst�tute C�RTIFICATE NO.: