HomeMy WebLinkAbout14-15709 � CITY OF ZE HYRHILLS
� 5335-8T STREET
(si3)� o-oozo 157 9
BUILDIN PERMIT
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�PERMIT'INFORMATION < . LOCATION INFORMATION °� �'�'`�'"�'�4-:a��;'..�
Permit Number: 15709 Address: 38039 6TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-12900-0111
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Improv. Cost: 5,000.00 'OWNER;INF..ORMATIO:N,�wr.: .=�� -�-��r��,.; =
Date Issued: 10/09/2014 Name: HUPP, FREDERICK& MARILYN
Total Fees: 60.00 Address: 38039 6TH AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542-4048
Date Paid: 10/09/2014 Phone: 813-782-8879
Work Desc: A/C CHANGE OUT 2.5 TON 13 SEE PKG UNIT
CONTRACTOR S APPLICATION FEES ' - -` �-
AIR RESCUE AIR CONDITIO I G INC C CHANGEOUT 60.00
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� � Ins ection Re uired ` � ��'' �
DUCTS INSTALLED
DUCTSINSULATED
FINAL I� 'eZ�s 'I`�
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FI�v��-
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following r asons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections n 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 properly 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 t, 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 otice of commencement."
Complete Plans,Specifications Must Accompany App ication. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
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` Dete Recelved Phone.Cont�ct fo�Pe Itti I (p
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Ownera Neme fi� � � l.L 7 Qwner Phon�Num I r �3-�]�-'�'7�
Ownera Addresa 3$O 3� �T� �-2_ QwnQ�Phone Num I t !.
Fee Slmple Titleholder Neme Owner Phone Num r
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I Fee Slmpie Tilleholdet Addroee
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JOB ADDRE88 3 F{.. .�S/ LOT NS I.1 .�1 a�
SUBDIVISION FD B Z.-hrI PARCELIDq �I-26-�I-ODI " � �O-� 1 (O
(dBUUHBDfROM CPERTY AXNOTICE)'
WORK PROPOSED B NEW CONSTR B AOD/ALT SION [� Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER I I !
TYPH oF CONBTRUCTiON Q B�OCK Q FRAME STEEL [� I ,
I DESCRIPTION OF WORK G 2 S I�J S I � .K l.t '�"F � P
BUILDINO 81tB Sq fOOTAOE HEIOHT I '
08UILDINO 3 VALUATION OF T TAL CONSTRUCTION
QELECTRICAL 3 AMP SERVICE Q PRO E8S E, �ROY Q W,R.E.C,
QPLUMBINO a
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�MECHANICAL $ VALUATION OF ECHANICAL INSTALLATIO �
O
IQOAS Q ROOFINO Q 3PECIALTY OTHER
FINISHEO FLOOR ELEVATIONS FLOOD ZON AREA QYES NO
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BUILDER COMPA Y i
SIGNATURE " REaisTER D Y N F ' CURRE� Y I N
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Addresa Llcens #
ELECTRICIAN • COMPA Y � .
31(iNATURE qeoisrea o Y N F CuRRen Y/N�
Addresa llCenB #
PLUMBER COMPA Y �
SIONATURE • rtEO�sTe o Y! N F CURRE�' Y N'
Addreae Llcene #
MECHANICAL `�-� �� COMPA Y R ,4L'SG �"� � � Sp
SIONATURE REp18TER D Y/ �� F cun en' Y N.
Addreee l Z Ass�2 0 /31�J q. FL 33�.��'� ucene a G ' S 3�3(05°
OTHER • COMPA Y i
910NATURE � REOi9Ten o • Y N Fe CURREAI Y/N
Addresa Licena t�
�ESI�ENTIAL Attech(2)Plot Plena;(2)aete of Buliding Plena;(1)set of En y Fortna;R•O-W Permlt for ew cone' cUon,
Minlmum ten(10)warking days aker submit►al dete, Require onelle,CansUuctlon Plens, miwate Plane wi 311t Fence inatalled,
SeNlery�FadllUea d 1 dumpeter,Slte Wotk Pertnit(orsubdivl lons4afge proJects
:OMMERCIAL Atlech(3)complete sete of Bulldin8 Plane plus e Llfe 9afety. age;(1�set oi EnerOY Fortne -O-W R rmil for new consWcUon.
Mlnlmum ten(10)working days after eubmlHel date, Requlre onslle{�ConstrucUon plans, ortnwate Plene w/Sllt Fence tnslalled,
Sanitary FedllUes 61 dumpster.Slte Work Pertnit(or ell new roJecls,All commerclal requl mante� Ust meeC compllance
31aN PERMIT Aftech(2)aets ol Englneered Plane,
""PROPERTY SURVEY requlred for ell NEW conaUucGon,
]Irectlons:
Ftil oul epplicatlon cflmpletely.
Owner 8 Contreclor slgn back ot appllcetlon,notadzed
It over 52600,e Notice of Commencement li required. {pIC uppraden ver f7500)
' Agenl(for lhe conVactor)or Power of Attomey(Ior the owner)would be aom one wlth notarized IeMer fro owner e' horizing eame
)VER THE COUNTER PERMITTINO (Front of Applicatlon Only) i
ieroo►s I(shingles Sewere Service Upgradea A/C Fencea(PIoN urvey/Footage) �
DrlveweyrNot aver Counler If on publlc roedweys„naede RO.W
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� Home tmprovemen Agreement �
• 8.13-63 2t5600 �� � �' '�� k , C�rporate C}fftCe
(8�8)638-3792 �`����� � ," ' " 1429 Nlassaro Blvcl.
State Lic#CAC181 3G5 �,��,� —�� Tampa, FL 336i}
; P�oposa3 Date � install DaCe
�� Customer Name
Address � � �
City �� f� Sta Zip Co Emall �
Phone Number(home} {t���)
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N4MINAl.SEER� �asic Deluxe Premium d timum Size Warranti s
i s seE� �s s��R �e s�� s s��� o � �� ��� � �,�,�''�
C1 Air Conditioner ❑ ❑ O D ❑ 4 ✓�� ,�j�,�,�vj
f�l Heat Pump ❑ (� Q Q Q 3.5 r � �k�� Y� t f-
Q Conclenser/CoilOnly � 3 Salespersan�,�u,���
C] Furnace System ❑ C] ❑ Vertic 1
❑ p � oner p C� z.� for urarranty
C7 Horiz ntal
PackagP Heat Pum{a O cer#iftcate.
E.ffe#iirie 5 ear 0 1.5
Air DeUvery System � Green � Sf ver - � ����;�,
❑ 2,000 D 1,G00 p 1,400 [7 i,200 p 1,000 O $� � 600 Cl Repiace oots C7 G les Mastic Seal
t
,� �' c'Iy'�?".+c�'j• 7 ,,�.. . .�+C.CxC . � !�i`
' r��� f � ' �.".'' ` G•�
To a6taln.mcrxlmum ted ef!►clency fiom any XIVACsystern,the equ!p ment an the oly dlstrlbut(an systeRr s!romply wlttr the manufacturer's
spettfr�attonsandtequlrements!RlrResctteAtrCopditlonlrtrJ.a►nonlyberesp nstblefarrampo»enfsfnsta!! dbyRlrRestueAlrCandittoning.
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5ystem f?rice ���`"'� � Cust mer Sfgna#ur
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TOt�I AdditiOttS•trom customiiedpriring worksheet �...�..�� CUSt rrtet'{prittt)
' SUB OTAL �C.�1�� Date � � .
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TECO/Ft��Rebate ��.._ ARA Rep IPrint)
MFg RebaCelARAC D'ucaunt ��'��� CC# CW
Tatal Price ���`��=� � Chec #
h�����---
Minus Down Payment Fina cing Type Amt Financed
(381 Pue U poll 8rt-Up """���''r � I/we o n the real property in which the e uipment}s ka be instaAed and have
p�j-�.+,-�-*,• ���X I��,`�,"���f , �� autho it ka ordet itte work as antJtned a ve.Terms:'Balance due upan startup,
rV� t�^ ��."'� a�" �✓ � �`J ){-s�� �o�J�a ordance witl�financing agreemen.See reverse side For additional terms.
BuyersRighttotance1:50J,�3! Thtsisat�prnesolirtturi���7e,�a�f oNStwur�iih�g dsorserrices.Youmayccnceltl�isa reement6yprovidingwrittennaticetatbe
seJk�r in person,hy�etegram,or by mc�i1.This+�oticrn must inc/itcrte thut you do rtotwant the t�oo s or servires and musl be delivered o postmarked before midnigftt of tbe third
business day alfer you sign Ihis ag�eemienL llyou cpntel this al�eemenC the se/!er may no!kee all orpart ofai�ycr�sh down payme t.
The install iechnician t�as revlewed t#iis Hame}mprovement Agreeme t for instatlation of HVAC sys ms by Air Rescue Air Cor�ditioning.
I, Customer Name(print) agree that the agreement refle ts my understanding of the cape of the job and the equipm�r�t
ta be installed. CuStomer Signa#ure
5ee attached form for a 350 opportun�tyl
Whita-Office Canary-Installer Pink-C stomer Goldenrod-Acro nting
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AHRI Certified Reference Number: 56'77869 ate: 10/�/2014
Product:Single-Packaga Heat Pump Air-Source
Madet Number:GPH133Q�H41C'"
Manufacturer:GOl7DMAN MANUFACTURING CO,,LP.
TradelBrand name:GOODMAN;JAhftTROL;AMANA DtS I CTlONS; EVERREST; OhlE NOt1R A!R
CONpITIpNING AND HEA71iJG; ENERG!AIR
Serles name: GPN13
Manufacturer resganslble for the ratEng af this system c mbination fs GOODMAN MA�tUFAGTURING Ct?., t�P,
Rated as€oltows in accordance with AHRI Standard 29t31 44-2808 for Unitary Air-, ondttiontng and Air-Source
Heat Pump�quipment and subJect to verifl�atlon ot ratl g accuracy by AHR!-spo sored,tndependent,ihErd
party testing:
Goolfn�Capaclty(Btuh): 28QOQ'
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EER Ratfng{Cooling}: 19.Od
SEEftt Rating(Caoling): 13.00
Haating_Capaelty(Btuh:}@ 47 F: 27�400
Region IV#�SF?F Ftatfig(��ieating}. 7,74
Heat(ng Capacify(Btuh}@ 17 F: 15800 �
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'Retinga Fo�owgd by_nn astedsk("j indiccite n votUnfary rerats af previougty pvbiiahed date,unte a euampanied wilh a WAS,whlch indica a an tnvotuntery rerate.
DISCLA�M£R
ANR!dpes riot endoras the product{s)t�sted an thfs CertlBcate aod makes no represe»ta Ions,wt+naniies or gusrantees as to,a d essumes no responslblAty for,
the.praduct(s)Ilstad an thi8 CeAiHcate.AHRI expressly dlsclelms all Ilablllty for damage of any kind orlsing out of the use or p rfartnence of the product(s),or the
unanthorkzea attorattan ot data tts2ed an thls Cerkiticute.GeniBed retmgs are valltl anly f r modets and cantlgoreNons ii52ed in t e
dlrectary at www.ehrldirectory,org.
TERMS AHD'G4ND1Tt8NS
� This CertHitate and Its content9 ere proptlotary products ot AHRI.This CertlNCate shall o ly be used for lndlvtdual,persoaol and
con#idetiliat refelence purp4sec.The cont&nts ai thts Ccrrtificate mdY not,in whoie or M rt,be reproduced;eppted;disseminat d;
entered into a computer tletabase;or otherwisa uNUzed,in uny(orm or manner or by nn means,exoe¢t for Stte user's InQlvldua . �
personat and confldenttat referance, A1R;CONpnI0NiH0,NfATiNO,
CFRi1FICA7E YERtFlCI►Tl4N &REFRItiERA?ION INSTlTUfE
Tl1e Infprmatlon for ihe model citeif on thls cerkiFlcate can be verlfled et www.ahrldiroot ry.org,cllck on'Verlly CorQflcate°II k 4�make 41Fe Aeucs"'
and anter the ANR!Certitied Reference Number and the data on wltich th9 aortit3Cate wa fssued,
whlch Is Iisted n6ove,and the Certiflcate No,,whloh is,listed at bottom right f•.---.-.' -.._.- •— �j305671$9QSQ445727
020�.4 Air-ConditioNng;Heating,and Refr(geration institute ! �ERTIF�CA7E 1�.:
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