HomeMy WebLinkAbout14-15536�
. �' CITY OF ZE HYRHILLS
' S335-8T STREET
(si3)�s -0020 15536
BUILDIN PERMIT
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PERMIT INF'ORMATION_�=�`..,����:�_-. ����:'�>.`����LOCA�TION INFORM�!►�TION� _
Permit Number: 15536 Address: 5847 14TH 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: 11-26-21-0010-05100-0010
Improv. Cost: 5,200.00 �A�:`��� ;�.�' OWN`�ER�INF�ORMAeTION
Date Issued: 7/31/2014 Name: SMITH, GLENN
Total Fees: 65.00 Address: 5847 14TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/31/2014 Phone: (813)788-4131
Work Desc: A/C CHANGE OUT 4 TON PACKAGE UNIT
:�:�-'iCONTl2 C�T,OR S � :8 ` � �w�';' . , � ,,- '�APRLICATION FEES r � � �:�� � "°� g� ����
CHRIS' C CO. A/C CHANGEOUT 65.00
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��;= •I`ns'ection �Re ui�ed� °.� ���v.-��:��°���:<�� �,
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DUCTS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: Reinspection fees will comply th Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following re sons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site� plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this property that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme , state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
before recording your tice of commencement."
Complete Plans,Specifications Must Accompany Appl cation. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTO IGNATURE PERMIT OFFI R
PER IT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
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; Ii�CLI.�I�ED I�! ��f�P(�Sa�L � FRiGtDAtRE —2 STAGE $
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Ai+lCFiOR COPiDENSER ; EQIPME�dT WARRAt�IY ;
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'CtlEC1C DUCTWORK ; P,1d.RT,�: '1(D�'�,1'R�
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Duct Sea Affidavit
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Company �� License#
Address ��7��/7f� �rY�i / �`-' Permit# / ����
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I f * / ��`�ant,hereby affirm tha I am the duly licensed contractor of record for the above
referenced permit, at all of the forgoing information i 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) �- ` "�` �� O ✓1 _ Date A ' �` • / 7
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Signature
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� This combination qualifies for a Federal Energy
�° Efficiency Tax Credit when placed in service �
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between Feb 17, 2009 and Dec 31, 2013. ,
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AHRI Certified Reference Number: 5617946 Date: 7/30/2014
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Product: Single-Package Heat Pump Air-Source }
Model Number: Q5RF-X48KA �
Manufacturer: FRIGIDAIRE �
Trade/Brand name: FRIGIDAIRE `;
Series name: FRIGIDAIRE Q5RF SERIES
Manufacturer responsible for the rating of this syste combination is FRIGIDAIRE
Rated as follows in accordance with AHRI Standard 10/240-2008 for Unitary Air-Conditioning and Air-Source �
Heat Pump Equipment and subject to verification of r ting accuracy by AHRI-sponsored, independent,third
party testing:
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- (`` � Gooling Cap�city:(Btuh)�• ;;:�� t�46500, __._. _ _. __. ._� _ -_ �. �=�. `j'.
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`� t SEER Rating-(Gooling)�`A = --° �`-15:�00. , , .: ' _ -- -- -- - _. _�__._, , : � j
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' ,; =Heating Capacify(Btuh) @ 47.F: - 44000,;�: . � . �"r�, , . "�;��:'� . ,'!i;s;�iy`,+``i``� � . ,
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���4 Region iV HSPF Rating {Heating): 8.00.. � - . ,. - �/ , � � � � �
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' � Heating Capacity(Bfuh)@ 17 F� "25000 � " -�"-�" --" �- � "- " -- "
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FootNote 2-For special application information,refer to manufacturer specifications,literature and operating instructions. i
,
`RaGngs followed by an asterisk(`)indicate a voluntary rerate of previously published d ta,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 re esentations,warranties or guarantees as to,and assumes no responsibility for,
the product(s)listed on this CeKificate.AHRI expressly disclaims all liability for d mages of any kind arising out of the use or peKormance of the product(s),or the
unauthorized alteration of data listed on this Certificate.Certified ratings are vali only for models and configurations listed in the
directory at www.ahvidirectory.org.
TERMS AND CONDITIONS �. ��
This Certiflcate and lts contents are proprietary products of AHRI.This Certificat shall only be used for individual,personal and
� confidential reference purposes.The contents of this Certificate may not,in who e or in part,be reproduced;copied;disseminated; 6��'
entered into a computer database;or otherwise utilized,in any form or manner r by any means,except for the user's individual,
personal and confidential reference. AIR•CONDITIONING,NEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INS7ITUTE
The information for the model cited on thls certificate can be verified at www,al ridlroctory.org,click on"Verify Certificate"link «�z�i�ake iile hettes•"'
and enter the AHRI Certifled Reference Number and the date on which the certi cate was issued,
which is listed above,and the Certif(cate No.,which is listed at bottom right. " --- €
02014 Air-Conditioning, Heating,and Refrigeration Institut CEE2�'IFICATE NO.: 130512242887994292
' s�s-7aaoozo City of Zephyrhill Permit Application Fax-813-780-0021
� Bullding epartment
Date Received
� ��� Phone Contact for ermitting
Owner's Name �2���- �I�%/ Owner Phone Mumber (�/✓' 12�1�'' ���/
Owner's Address � 7 � �T 0��� � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS .�C� 7 � �7 � � /� • � LOT# �
SUBDIVISION PARCEL I # �� D��O D �OO O��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONS7R B ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOC � FRAME 0 STEEL Q
DESCRIPTION OF WORK (/ � .e /7T CcC�G �I// �, X�S�"1�
BUILDING SIZE SQ FOOTAGE HEIGHT
OBUILDING $ VALUATION TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVIC 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
1 5��
�CHANICAL $ VALUATION F MECHANICAL INSTALLATION � �
s�a o�
. � � I
QGAS Q ROOFING Q SPECIAL: � OTHER �r`�,
� ��� /
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO �
BUILDER COM ANY
SIGNATURE REGI RED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COM ANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER CO ANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address icense
MECHANICAL CO PANY .
SIGNATURE ��S � � C Q� REGI TERED / N FEE CURRE Y/N
Address /�2a, �GW �Q/ ,QQ . � � S �icense#
OTHER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for�ew construction,
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflities 8 1 dumpster;Site Work Permit for su divisions/large projects
COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Sa ty Page;(1)set of Energy Forms.R-O-W Permit for new constructfon.
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faciflties 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 tor all NEW construc on.
Directions:
Fill out applicatlon completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of-.Co,rpmencement,is..required.=�.(AIC upgra es over 57500)
*• Agent(for the contractor);or Power of Attomey;(for tFie oitinet)�would b someone with notarized letter from owner authorizing same
OVER THE COUNTER PERM�ITTING „�;�;: ,(Front oftApplicatipn ORIy);? �
Reroofs if shingles Sewers+ ��� •Service�Upgrades A/C':,:';�. Fences( lot/Survey/Footage)
a�.�,a_� .._�..._.�...,�.. .� .. .... .. ....... .
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 undersigried 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 IMPACTIUTILITIES IMPACT AIVD 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'SlOWNER'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 pertormed 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 flll 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 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 pe�mit 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 ninery(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
-- ---iNiTH YOUR LENDE6�O��OT7 A��RN�Y�EFORE �ECOB3DINf9 YOLDFt-RlOTICE F-C- MNiEfVC�NiEN�: — � _
FLORIDA JURAT(F.S.117.03=
OWNER OR AGENT �� � CONTRACTOR
Subscribed and swom to(or afftrmed)bef ine this Subscribed and swom o(or affirmed)before me s
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 Identlfication. as identification.
Notary Public
,.••`'�Keiy•. J Notary Public
=.: :.= Commission#FF 137073
Commisston No. Commission �'a€ Ex i
�',R���,q Bonded Thm Troy Fdn Insuarice 8p(}3g5.7ptg
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped