HomeMy WebLinkAbout15-15979 CI OF ZEPHYRHILLS
i 5335-$TH STREEI'
_ (813)780-0020 1 79
UILDING PERMIT
PERMIT INFORMATION - ` LOCATION INFORMATION
Permit Number: 15979 Address: 4?38 9TH ST
Permi#Type: MECHANICAL ZEPHYRHILLS, FL.
Ctass of Wark: A/C CHANGEOUT Township. Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Esf. Value: Parcel Number: 14-26-21-0010-02900-0100
Improv. Cost: 4,500.00 OWNER INFORMATION -
Date lssued: 2102/2015 Name: JOKE� LIMITED PARTNERSHIP PNiB 22
Total Fees: 60.00 Address: 4377 COMMERCIAL WAY
Amount Paid: 60.00 SPRING HIL.L FL 34606-1963
Date Paid: 2/02/2015 Phone: 352 340-4634
Wark Desc: A/C CHANGE flUT TON
CONTRACTOR�� -, APPLICATION FEES -
FIDELITY�AIR�R F�'-RIG� TI LLC CHA EO�I 60.00
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Ins ections Re uired
D T N ALL D
DUGTS INSULATED�_,
FINAL � — I�l -c 5
REINSPECTION FEES: Reinspection fees will c mply with Florida Statute 553.80 (2)(c)when e�ctra inspectian
trips are necessary due to any one af the foll ing reasons: a)uvrang address b)condemned work resulting
from faulty constructian c) repairs or corre ions not made when inspections calted d)work not ready far
inspectian when called e) permit not past d on job site� plans not afi job site g)work not accessible.
NOTlCE: In addition to the requirements of this per it, there may be additional restrictions applicable to this property that
may 6e found in the public records of this caunty, a d there may be additional permits required fram ather gavernmental
entities such as water ma agement, state agencies or federal agencies.
"1Narning to awner: Your failure to record a otice of commencement may result in yaur paying twice far
improvements ta your property. If you inten to obtain financing,consult with your lender or an attorney
befare recordin yaur notice of commencement."
Complete Plans,Specifications Must Accompa y Application.All work shall be performed in accardance with
Ci Codes and Ordi ances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT G1FF1 R
PERMIT EXPIRES IN fi MC} THS 1NITHOUT APPRUVED INSPECTiON
CALL FOR INSPECT ON - 8 HOUR NOTICE REQUIRED
PROTECT ARD FROM WEATHER
F - \
CITY OF / / / / BUILDIN�
ZE�PHYRHILLS DEPARTMENT
OF ADDITI N OR CORRECTION '
� • • - •
ADDRE55 DATE PERMIT�,
3 � � � S� - � l
THIS JOB HAS NOT BEEN COMPLETED. The fo lowing additions or corrections shall be made before the job
will b accepted.
��'' C�jO�Y G �!JP �!LPJr' ' c � �
c>� .-P�S�Z-P
It is unlawful tor any Carpenter,Contreccor,Builder,or other persons,to AFTER CORREqTIONS ARE MADE CALL
cover or cause to be covered,any part of the worlc with flooring,lath,e rth 780-0020 F -INSP�C N
or other material,until the proper inspe�tor has had ample time to appro
tha installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR
s�saso-oo2o City of Zep yrhills Permit Application Fax-813-780-0021
,
uilding Department
Date Received �� 2— �� Phone Cont ct for Permitting —
Owner's Na r e/ Owner Phone Number
Owner's Addre L � � � � Owner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION PAR EL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR� ADD ALT � SIGN Q Q DEMOLISH
INSTALL REP IR
PROPOSED USE SFR Q CO M Q OTHER
TYPE OF CONSTRUCTION BLOCK Q FRA E 0 STEEL Q
DESCRIPTION OF WORK �
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATI N OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SER ICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ � VALUATI N OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPE IALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO
BUILDER C AAPANY
SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN C MPANY
SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER C MPANY
SIGNATURE R ISTERED Y/ N FEE CURRE� Y/N
Address License#
M H ICAL � �,/� C MPANY %/U�(�+�" ll
SI URE (/</1�� RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
�THER C MPANY
51GNATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address 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 quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpste[;Site Work Fermitfor_ bdivisionsAarge projects -- ---- - - °— -- ��---
COMMERCIAL Attach(3)complete sets of Building 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 submlttal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed.
Sanitary Facilities&1 dumpster.Site Work Permit for I new projects.All commercial requirements must meet compliance
51GN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW constru tion.
�irectlons:
Fiil out application completely.
Owner&Contractor sign back of application,notarized
If over 32500,a Notice of Commencement is required. (A/C upgr des over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing same
�VER THE COUNTER PERMITTING (Front of Application Only)w
�eroofs if shingles Sewers Service Upgrades•A/C �Fences Plot/SurdeylFootage)
�,
Driveways-Not over Counter if on public roadways..needs ROW ,� '
NOTlCE OF DEED RESTRICTIONS: The undersigned unde�rstands that this permi#may be subject to°deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibitity fo�campliance with any
applicable deed restric#ions.
UN�ICENSED CQNTRACTt�RS �►NQ GONTi2ACTCIR RESPUIVSIBi1.iT1ES: if the owner has hired a corttractor 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 taw, bath the owner and contractar may be cited for a misdemeanor violakion
under state law. if the owner ar intended con#ractor are uncerfain as to what licensing requirements may apply for#he
intended work, they are advised ta contact the Pasca County Building Inspection Division--Licensing 5ection at 727-847-
8009. furthermare, �f the owner has h3red a contractor ar contractors, he is advised to have, fhe contractor(s) sign
portions af the "contractor Block° af this application for which they will be responsible. If you, as the owner sign as the
conttac#or, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRA,fdSPORTAI"ION IMPACT/UTILITIES IIMPACT AND R�SOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recaurse Recovery Fees may apply to the construction of new buildings, change af
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amencied. The undersigned aiso understands, tttat such fees, as may be due, will be identified at the tirr�e of
permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior ta
receiving a °certiflcate af occupancy" or final power release. If the project daes not involve a certificate of occupancy ar
final power release, the fees must be paid prior fo permit issuance. Fu�thermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTIC}N I.fEN t�►W(Chapter?93, �lorida Sta#utes,as amended}: !f valuation of work is$2,500.00 ar more, (
certify tha# I, the applicank, have been provided with a copy of the °Florida Construction Lien Law—Hameowner's
Protection Guicle" prepared by #he Florida Department of Agricufture and Gonsumer Affairs. ff the applicant is someane
other than the°awner", I certify that ( have obtained a copy of fhe above described document and promise in good faith ta
deliver it to the"owner"prior ta commencement.
CONTR�►CTOR'SIOWNER'S AFFIDAVIT: i certify that ail the informatlon in this application is accurate and that ali wark
will'be done in compliance with all applicable laws regulating constructian, zoning and land development. Application is
hereby made to abtain a permit to do work and installatton as ind'scated. 1 certify that na work or insta4lation has
commenced priar to issuance of a permit and khat all work will be performed to meet standards of all laws regulating
construckion, County and City codes, zoning regulations, and land developmen# regulatians in the jurisdiction. i alsa
cer#ify that I undersfand that the rsgulafians of ofher government agencies may appiy fo the intended work, and that it is
my responsibility to ideritify what aciions I must#ake to be ln complfance. Such agencies include but are not limited ta:
- Department af Envtronmental Pratection-Cypress Bayheads, We#land Areas and Environmenta!!y Sensifive
Lands, Wa#eNWastewater Treatment.
- Southwest Fiorida Water Nlanagement District-itVells, Cypress Bayheads, Wetland Areas, Altering
Wa#ercourses.
- Army Corps of Engi�eers-Seawalls, Docks, Navigable Waterways.
- Departmen# af Health � Rehabilitative Services/Environmenta! Ffieaith Unit-Wells, Wastewater Treatmen#,
Septic Tanks.
- US Env��onmental Protectian Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
! undetstand that the following res#rictions apply to the use of fiil:
- Use af fill is not allowed in Flaod Zone"V°unless expressly permitted.
- lf the fill material is #o be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating voiume" will be submitted at time of permifting which is prepared by a professional engineer
licensed by the State af Florida.
- !f fhe fill material is ta be used In Flood Zone "A" in conneefion with a permitted building using stem wall
construction, I certify that fill will be used anly to fill the area within the stem wall.
- If fiff materia! is to be usec! in any area, ! certify that use of such fi! wili not adversely affect adjacent
properties. 1f use of fill is found to adversety affect adjacen# properties, #he owner may be cited for violating
the canditions of the building permit issued under the attached permit application, for lots less than ane (1)
acre which are elevated by#ill, an engineered drainage plan is required.
If I am the AGEN7 FOR TH� 01AfNEl2, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidauit prior to commencing cons#ructian. 1 understand that a separafe permii may be requirecf for electrical work,
plumbing, signs, welis, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed ta be a license to proceed with #he work and not as authority ta.violate, cancel, alter, or
set aside any prov'rsians of the technical codes, nor shall issuance of a permit prevent#he Building Officiai from thereafter
requiring a correction af errors in plans, construction or violations af any codes. Every permit issued shall become invalid
ur�less the wor3c authorized by such permit is commenced wifhin six manths of perrnit issuance, or if work authorized by
the permik is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be reques#ed, in writing, fram the Building Officiai for a periad not ta exceed ninety (9Q} days anc! wifl demonstrate
justifiable cause for the extension. If work ceases for ninety(90}cansecu#ive days, the job is considered abandoned.
WARWING Ta C}WNER: YClUR FAILURE Tt) RECQRD A NQTICE G1F COMMENCEMENT MiAY RESU�T I�t YOUR
��VI�� �!larE l=�R !fl�Ptt�►V�I�[�Id'FS 7"O YOIIR PF20P�1�'�, IF YOU INTEND TO_08TAIN FINANCING,CONSULT __
Vil1TH YOUR LENDER OR AN AT7"{}RNEY B�Ft7RE RECt?RDING YOUR NC1'FICE t�F CUft111VlENCElIttiENT.
FLORIDA JURAT(F.S.117.03) '�
OWNER OR AGEIV'T CQNTRACTOR <���G !�.��Ce'�^'""�~.-
Subscribed and swom to(or affirmed)before me this Subscribed and t�r affi ed-��e or;�"m��hi
by ��7.-/� b U �((J l�
UVho lslare personally lcnown#o me or haslhave produced Wh lslare personally own fo me or hasJhave produced
as Identlfication. _��l�G�L�""��.�. es identlfica�on.
Nokary Public /'� Notary Public
Commission No. �o ��Y p I
04 .�
:;' '�:'__ Commission#FF 150Q22
Name of Notary typed,printed or stamped Na " ,; F 4`• �e r ro�� ��,�+�� -a,a
,P„����
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Fidelity ir � Refrigeratson, LLC I�,
PO Box 5158
Sp ing Hell, FL 346�1
CAC1814224
52-597-5911
January 22, 2015 '�
City of Zephyrhilis
�uilding Department
5335 8t'' Street
Zephyrhilis, FL 33542
1"011Vhom It May Concer :
Geronimo Nunez and Jav er Moraies have err�ission to si n for
p g
� our Mechanical Permits.
-
�
Geronimo E. Nunez, Man ging Member
STATE OF FLORIDA COUNTY OF
The foregoing instrument was a knowledged before me this 2� day of
���r 20 +s by ��� �• ,�-~�
Applicants Name Printed
` � C B�BT S.Y�OLD1kAi1
1
�a � �y p� Notary Public.Sta4e Ot Florids
Commission#FF 33414
Notary Signatu�e My c�mm. expires Ju�9 4, 20�7
�Personally known OR Produced dentification
Type of identification Produced
�,,-, Fide/it Air & , '���j_c����/ SERVICE INVOICE
y Phone 1��1-�
�>':� ° � �1/�� �r,I�C P� � � �� �a `
,� ;a Refrigeration, LLC Name �;.`d �,v-; ,
Phone 2 �2 7 �S� .
352-597-5911 Address �f 7�� �I�� S�. r DATE
INSPECTION GUIDE
CI -Q rt'l i�h / St. �ZI ��/�7 C/ ❑ COMPRESSOR
P.O. Box 5158 � _ ��- p ❑ HEAD PRESSURE
Spring Hill, Florida 34611 " ❑ SUCTION PRESSURE
Location of Work: ❑ vo�TS AMPS
Lic# CAC1814224 _ ❑ REFRIGERANT
' Licensed, Bonded & Insured Problem: NC NH W WSC ❑ CONDENSER COIL
❑ ENTERINGAIRTEMP
� � Make: M/N: ❑ LEAVINGAIRTEMP
/ � ❑ CLEANED
S/N: (PKG1 SP RTU SC {�j�p' ❑ CONDITION
� -f ❑ CONDENSER MOTOR
❑ OILED AMPS
� ' . � � �� � . ,
� THERMOSTAT
❑ AIR FILTERS
❑ CLEANED/REPLACED(CIRCLE)
�i n s�t'..i / �� ,� � ( � sP�� � _� � . �G.c� 1�r 1 P � ❑ S�ZE
l a�l T l�I1 P�(��l . �. � G�C,l� /r��r,f _s� r���P� ❑ �APORATOR COIL
❑ ENTERINGAIRTEMP
' ❑ LEAVINGAIRTEMP
• � CLEANED �
, /R P i!��G(°�_ r.l�.Q l��d �l� !\� � l �� � l("'1 1 ll�i � � — 1?(.t I J ❑ EVppORATOR SECTION
� � ./ _ ❑ VOLTS AMPS�
, � C�(\C\� P �Q C�G�I� ��l S�'CICI(1P C� ���('�,I� 1 1 P �'�(�JUJ/�.r ❑ PULLEYS(ADJUSTBEL�
• ' � ❑ LUBRICATE
❑ CONDENSATE AREA
" �U 11 6'. i A i/,�✓�pn� i/ ❑ CLEANED DRAIN PANS ,
,- � 1�� � r�� ❑ CLEANED DRAIN
W l��/�P JY ����U� c GG ❑ HEATING
C ❑ STRIP HEATAMPS
, ' � ❑ HEAT PUMP ,
, Please pay Service Tech i
at time of service. '�
Visa or Mastercard acce ted with 2.2%bank surchar e added to total �
I HAVE THE AUTHORITY TO ORDER THE WORK UPON INSPECTION, OUR TRAINED MATERIAL
- , AS OUTLINED ABOVE.THIS INVOICE IS SUBJECT SERVICE PERSONNEL RECOMMEND Parts Warranty .
. TO A FINANCE CHARGE OF 1'/:%PER MONTH, TME FOLLOWING: All PBftS as recorded have 1 year rme SALES TAX
, ANNUAL PERCENTAGE RATE OF 18°/a WHICH IS • warranty. �f1°�
, - ALLOWED BY LAW.I AGREE TO PAY ALL COSTS Time LABOR �
AND REASONABLE ATTORNEY'S FEES IF THIS Labor Guaranty DepaRed
INVOICE IS PLACED IN THE HANDS OF AN The labor charge as recorded here Tr�„ei SERVICE
ATTORNEY FOR COLLECTION. relative to equipment serviced is rme CHARGE
' ' . ' gauranteed for 30 days. '
- We do not guaranty any other part TOTAL -
than those we install. If repairs later
CUSTOMER'S SIGNATURE become necessary due to other ReGaimed YO ❑ " � '�"
defective parts, they will be charged
� � sepa�ately. Rec�mad�o ❑ ❑ � , �
SERVICETECHNICIAN'SSIGNATURE thissystem YES NO �
�