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Home My WebLink About14-15534 CITY OF ZE HYRHILLS 5335-8 STREET � • (sis)�s -0020 15534 BUILDIN PERMIT ` '� aPERMlT INl=ORMATfON L�DCATION JNF4RMATION Permit Number: 15534 Address: 6730 NORTH LAKE DR Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: AIC CHANGEOUT Township: Range: Boak: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision; SI�VER C}AKS Est. Value: Parcel Number: 03-26-21-015Q-00000-0150 Improv. Cost: 6,467.00 � OWNER IIVFORMATIt3N .. � Date Issued: �/29/2014 Name: HOLM, MICHAEL & GINA Tota! Fees: 70.00 Address: 6730 NORTHLAKE DR Amount Paid: 70.00 ZEPHYRHILLS, FL. 335�2 Date Paid: 7/29/2014 Phone: (813)391-8109 Work Desc: AIC CHANGE QUT 4 TON 15 SEER P�IT SYSTEM {PATIU DlSCONNET FRC}M UNIT} CONTRACTOR S APPLICATION FEES Cft Z APP�IANCES G CH GEOU 70.4Q � . � ,,,,� �� ' Ins ection Re uired D CTS 1N TALL D DUCTSINS TE , FlNAL_� 1� " REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one af the fallowing r sons: a}wrang address b}candemned work resutting from faulty cons#ructian c) repairs or corrections n made when inspections called d) work not ready far inspection when called e) permit not pasted an ja site f) plans not at job site g)work nat accessible. NOTICE: In additian to the requirements of this permit, ther may be additiana! restrictions applicabie ta this properly that may be found in the pubtic records of this county, and ther may be additional permits required from other governmental entities such as water manageme t, state agencies or federal agencies. "Warning to owner: Your faiture to record a notice f commencement may resuit in your paying twice far improvements to your properly. If you intend to ob in financing,consult with your lender or an attorney before recording your otice of cammencement," Complete Plans, �pecification Must Accompany App ication. All wark shall be perfarmed in accordance with s and Qrdinances NO OCCUPANCY BEFO C.C}. O OR �lGNATURE PERMIT C1FF1 R PERMIT EXPIRES IN fi MONTHS ITHCIUT APPROVED INSPECTION CALI. F4R INSPECTI�N - 8 HOUR NOTICE REQUiRED PROTECT CAR FROM WEATHER . � ' Rl1Z APPLiANCES � , .x �� SE�VICE ORI3E1�. ; �d�co►�a��o�e�� . � .�.. ,�3� � Il��(�ICE + Sales a�sd Se�vtce , 38220 Buford Ave � Dade City FL 33525 � ��2-�z��4449 �ree Est�rn�tes cruzapplianceandac@gmail.com THIS WORK IS TO BE 6ILL TO ❑ C.O.D. ❑ CHARGE ❑ NO CNARGE MAKE MAKE /�lJ/1 4 G.y�'1 . MODEL -�y Cla��1 MODEL . // � �� L �C SERIAL UMBER SERIAL NU B R NAME � � % � STAEET � OATE i , -. ._.,,:rt�_.. .r::..4`".. ,....:"... �.. - a . .-,�..�,,•. - - => -e- �,#",y h"' ax�;��_�,c � _.�EtIVIROh1NIEtdTf1L GFSEGK U$T'�� ''"RECOivlidlEIYDA'f}ONS'��,= , Ct� > `� y / 4/ PRflMISED WORK P RFORMED ttrt. �rvp�isaos�noH $ ` � L1 REG ERED PHONE /�/{� r/ CALI,BEFQRE � q.M. "'�Cl L ti ~S Rb 0 P.M. C7 RECY LED TECHNICIAN „�.-. / qUTHORIZED BY Q pEC IMEO WORK TO SE PERFORM�D L � ❑ REfU NEd ❑ pISP SAL P Q�� ❑ DISM TLED ❑ CHA GER OlJT1REPL.AGED TQTAL� QTY. w NIATERIA�S&SERViGES UNI'f'PRtGE AMOUNT 1 " , � ' QESCftipTlOt4 OF iNORK'PERFQRtv1ED , ,� ,,r � �, REFR(GERANT R- L85. � ' /'� �,C L 3 , � ! � S i / ` 3 / ri�S/ � � ' t t � I t i j � � ! t � 3 � � � 1 � � 3 FILTERS X X � f FILTERS X X � � BELTS k 1 TOTA�MATERIA�S = $�:�E x �. a��r;�, -�_�; ay�'�;``�`� ±�a;�i�r3.:>.s° %(> S>.":€�.�:F HEiSi!, :��^.�`f� �'�I�..�ABOR�'�; t�, `�''r�;�RATE�.7��;� r7AFi1fJUNT;��' =x " �.. L�'x: �•'!t k h:�"� x. - s�':_� -� � � � , � [ � F ' :Y i<"�`�,�'4T#� tT'...�,�e\`e+_�'��. T TAL LABOR � LIM TED WAFtRANTY: All materials, parts and `' , 'i`�''°""�� '��'',jlt<: • .y'� �TOTAL'SUMMARY.,�,�_�.�,,, TERMS: equi ment are warcanted by the manufacturars'or �� ` ,'a� : :y , ;t- No Refunds sup liers'written warranty onty.Ail labor performed TOTAI by he above named company is warranted for MATERIALS 30 ays or as otherwise indicated in writing. Ths TOTAL � `-�f abo e named compa�y makes no other warranties, exp ess or implied, and its agents or technicians �g�� t have auihority o order the putlineq� ich has satistactorily completed.I agree that dt'8 ot au2hadzed to make any such warranties on Seiler retains tit to e ' enUm ." umished until tinai payment is made.if payment is not made as agreed,SeNer can remove sald equipmenUmatenals at Seller's expe�se,Any damage resulting form beh If of above name campany. said removai shai�not be the responsibiiity of Seiter. � REGU�AR ❑ WARRANTY � SERVIGE CONTRACT T� CUSTOMER SIGNATURE DATE ��J'I� lS 6w TiJTAL � �J't'/ �J / ' PrlydEd bY W�t4{ess.cnm 30T.548.OQQ6 813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021 � Building epartment Date Received Phone Contact for ermttting -- tn Owner's IVame 6 Owner Phone Idumber ' S "' .� Owner's Address G 6 3 � 6c ( Owmer Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS [ C5 G��'t !\ � f LOT# � SUBDIVISION PARCEL D# � (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT 0. SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK C � v� �� (Zi y.t �f ��-� �� BUILDING SIZE SQ FOOTAGE HEIGHT QBUILDING $ VALUATION F TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ ' MECHANICAL $ � �� VALUATION F MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIA 0 OTHER ' FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO BUILDER CO PANY SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN CO PANY SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N Address License# PLUMBER CO PANY SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL CO PANY SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N Address �7�d �s�e,c S� Cr J c+ License# OTHER � CO PANY SIGNATURE � REG STERED Y/ N FEE CURRE� Y/N Add�ess License# � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. R uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster;Site Work Permit for s bdivisions/large projects COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for al new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. -J�- �— � ""'PROPERTY SURVEY required for all NEW consVu tion. - Directions: . Fill out appiication completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement Is required. (A/C upgr des over 57500) •• Agent(for the contrabtor)or Power of Attomey(for the owner),would b someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING, ` ','. (Front of Application Only) - _' � Reroofs if shingles Sewe�s Service Upgrades�A/C ,Fences(PIoUSurvey/Footage) , ^ , . , Driveways-Not over Counter if on public roadways..needs ROW • � " _� . i , a NOTICE OF DEED RESTRICTIONS: The undersigned understands that.fhis permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance��vith.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 owne� 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 ma be an indication that he is not ro erl licensed and is not entitled to ermittin rivile es in Pasco Y P P Y P 9P 9 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. ( 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 Flealth 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 flll:� - 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 permifted build'ing 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 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, alEer, or set aside any provisions of the technical codes, nor shall issuance of a permit preyent 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 IMPROVEM NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN NCING, CONSULT WITH YOUR LENDER OR AN O EY BEFORE RECORDING YOUR NOTICE OF EMENT. ---FLORIDA-JURAT(F.S.-117..03)_ ._ _ _ _ _ OWNER OR AGENT CONTRACTOR � � �� —�- �- �- Subscribed and swom r a ed)before me thls Subscribed and swo or affirmed)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 Identlfica6on. as identification. � �, "� ` Notary Public Notary Public ••'.`'°'�"��:;=, ELINE BOGEg , �';k=_ Commission#E 0520 Co lssl n �`:i f� �E*= �o ' Commission No. _ : •�- • '',, . ?�:' pires pecember 12 ''�%RF�°�`' Banded ThN Tmy Fain Invuance 800�38�7019 �j �%;9;�4;�•' eo�aeamn,r F• ,2014 Name.of Notary typed,pr n Name of Notary typed,printed or stamped _ r, . Y t „ '- . � � , " ' �: ' �C(�M t (' �' b' (Sy$4 �-yfnr�� `7 - � � —I'`y � .{�. ,��- � ,�' ;,, �`�-��A : �.r�f� � ~��) ;�� 1 � I � �` ,� <''' ' Md.'<r Duct Sea Affidavit Company L7 -TC�- License# �-,� G 1 ��G Address � �� n�� /� �''� Permit# � �s J �"� Z � �l �c � I affiant,hereby affirm tha I am the duly licensed contractor of record for the above referen permit,that all of the forgoing information s true and accurate,and that the duct sealing at the above referenced address has been completed in accordance ith all applicable codes and standards. Contractors Name(printed) �Gr� L �� Date �`� ��1 7 Signature Y � ,o This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service � � , , between Feb 17,2009 and Dec 31,2013. : Certificate of Produ t Rating� AHRI Certified Reference Number: 5796977 Date: 7/29/2014 Product: Split System: Heat Pump with Remote Outdoo Unit-Air-Source � Outdoor Unit Model Number:ASZ140481A* ' Indoor Unit Model Number:ASPT48D14A* Manufacturer:AMANA HEATING AND AIR CONDITIONI G Trade/Brand name:AMANA Series name:ASZ14 Manufacturer responsible for the rating of this system ombination is AMANA HEATING AND AIR CONDITIONING Rated as follows in accordance with AHRI Standard 21 /240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump�Equipment;and�subjectqto,veri#ication�of::ra mg accuracy,byAHRl,3sponso�red,�dependent,third party tes�iing��."'�.-:� . . . _.w,__�.. ._�. .�. _��_�_�` �`_ ._ _` °�: k r;-�_ ; . - � . .. � � - � ,�'��µ-;� F�.� �.. _; .t ,�-..-:-,,. _ �.._.._�. �, �{-^- , , , , , '. . . .. : °-. Ji �.,.,,. . . �"�,r`�4 3 1��g �7 L" ' ` ;" � l ,..;, -� °7. (;t•, x t . � �• .., rti. �'y��;`,�. .Caoling Cap�city'($tuh}: � �465f?U:�:---�„, -�=��;= �,;:-�-.�� ---.=-..3-�. -,, :�Wa..�.. ��;,_ `` �;?. ;�s� r: _. -m-°' `-�~-- . ,e ,,-�'`�,, t�....,i �.. ,i":",,„�y,,,..$ �; ; ;;., �,.. i � 4-�--= ; r; ;�. �=:::,• •� e,,. = ;� ," •,,....._� '"' ; ' f � F . �.. i ,, = ; �: .4 ;EERwRatingg(Coolirtg3:�_ }'.�-.-�,;�12,5�-� � ��4 ,�z'� �°`�'�' `� } �3 � � ' _ �":� ;--�°'� �; � ,: "., �:�;; �;. `i } s• ... , :: ;:j ~+_'� ' �`�` '� � � : � ''t �� °<._✓� .� t-.,,. � �`� �, � �� i-�.:.�.;,� '� . ;•z �._, .r R.d? �._...._.�u.:� �'';'c:';:a;'S - °.� �. . SEER Rating�(.Cocsling)'_ ��15:0� - ;:_ � _ . ` . � ;,, �V:,� `�� .. � . ., i " � �J _ . �_�-' _w.{„ _ ;. ', . , tw,�;;�� , ,.. . ,;,y;,x, ,. � " 4, w,i ;y ��,; < , ;�.=,�• �' ;,;. ;.�i�:' :�HeatingCapacity{Btuh}@47F: .. 4550p',€8f- �°SJ,.4��I, ��R;�.:3�==��i:r,��`:��:'��m�.�:.�:�t 2?��,,�{;,.,;��° °,..��.: : . �:.;>.:�<.�. ,. ��;ARegion tV HSi?�Rating:ti-leating}:,,-9.00* ,. . :° - r'. ., , ~. - ��,r�, v.�. __.y�....��,�__.. �w 6�,.�_.��____. W..�,...:4:�::�:�,,� W_.....___�._.,_�.�.� �w.,...�_.s__.�.��_..�.__....._ ..<._�� . - - ;�Heatin "Capacity(Btuti)..@;�1,7�F: " 26000;x;y:.., ..,. M. ._.5. �,, , .. .. _ _- . ��:�xt. . . .. �;.�:,;�;:��: ��w�.3�;�k��: , ,�:,.-. , . ^�;: r� ,:�; .. __ ; �, ,r •Ratings followed by an asterisk(')indicate a voluntary rerate of previously pu6lished dat ,unless accompanied with a WAS,which indicates an involuntary rerate. � DISCLAIMER' AHRI does not endorse the product(s)listed on thls Certiflcate and makes no repr entations,warranties or guarantees as to,and assumes no responsibility for, ' , the product(s)listed on this Certiflcate.AHRI expressly disclaims all liability for da ages of any kind arising out of the use or performance of the product(s),or the q unauthorized alteration of data listed on this Certiflcate.Certifled ratings are valid nly for models and conflgurations listed(n the dlrectory at.www.ahridlrectory.org. . TERMS AND CONDITIONS , � This Certiflcate and its contents a�e proprietary products of AHRI.This Certiflpte all only be used for individual,personal and �• conf(dential reference purposes.The contents of this Certiflcate may not,in whole r in part,be reproduced;copied;disseminated; ` entered into a computer database;or otherwise utilized,in any form or manner or y any means,except for the user's indivldual, personal and confldentlal reference. AIR-CONDIT10NfNG,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The informaUan for the model cited on thls certlflcate can be verifled at www.ahrf Irectory.org,cllck on"Verify Certlficate"link �ve make l;fe betterTM and enter the AHRI Certifled Reference Number and the date on which the certiflc te was issued, whlch Is Ilsted above,and the Certlflcate No.,whlch Is Ilsted at bottom rlght �• —°--- _--.— _..._...,� '13U5171]7527249761`_� F 02014 Air-Conditioning,Heating,and Refrigeration Institute CERTiFtCAT,E�NO:::�;�.�� _ , , y 4;°=_=: ��- � :�'