HomeMy WebLinkAbout15-16361 CITY OF ZEPHYRHILLS
5335-8TH STREET
- (si3)�$o-oozo 163 1
� . BUILDING PERMIT -
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16361 Address: 7919 MERCHANTVILLE CIR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CRESTVIEW HILLS
Est. Value: Parcel Number: 35-25-21-0120-00000-0460
Improv. Cost: 9,493.00 OWNER INFORMATION
Date Issued: 6/11/2015 Name: GOFF KIRSTIE L & JEFF
Total Fees: 85.00 Address: 7919 MERCHANTVILLE CIR
/�mount Paid: 85.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/11/2015 Phone: (813)514-7214
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
BAY AREA HEATING&COO ING INC. C CHAN EO T 85.00
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Ins ections Re uired 'I
DUCTS INSTALLED
DUCTS INS�LA�[��
FINAL � e)
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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 a s, Specifica ions Must Accompany Application.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
PERN�IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. 813-780-0020 City of Zephyrhills Permit Application Fax-s��-�eaooz�
Builtling Departrnent
Date Reeeived (p � 9' -Z0�� � 7 S —G G
Phone Contaet for Permfttin
Owners Name T/'f �iL 7�E �� Owner Phone Number ��7 �7f�`S3G,?
Owners Address 7 / � �(/����C,�� Owner Phone Number
Fee Simple Tltteholder Name Ownar Phone Numbar
Fae Slmple Tideholder Address
JOB ADDRESS � !//�c,� Cl/t�GE .�ij /�/ LOT# �
SUBDIVISION ��/ffr/�/ �/lj� PARCEL ID# 3S- S"- � B dL?'lG�'B�G�
(OBTAINED FRON PROPERTY TAX NOTIC�
WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE �� SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK va G a L A,�/�G Q�v� ,J d� �/fi/Q�j�
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING 5 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ����b,
MECHANICAL $ ��j1r�j p VALUATION OF MECHANICAL INSTALLATION
fl
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE r�Gi57IIt� Y/N FEE CUw�n Y/N
Address License#
ELECTRICIAN COMPANY
SIGNAiURE REGISTERED Y! N FEE CURRF7� Y/N
Address Llcense#
PLUMBER COMPANY
SIGNATURE REGISTERm Y/N FEE CURRFA Y/N
Address Lice�se�
MECHANICAL COMPANY � G�BIi�//I�
SIGNATURE REGis�en N F�cuarte� Y/N
Address License�
OTHER COMPANY
SIGNATURE REGISTERm Y/ N �cuwt� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllllltllllllllltlllllllt
RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Farms;R-0.W Pertnit for new construction,
Minimum ten(10)wotking days after su6mittal date. Required onsite,ConsWdion Plans,Starmurater Plans w/Silt Fence installed,
Sanitary Facflities&1 dumpster,Site Work Pertnit far subdivisions/large projects
COMMERCIAL Attach(3)compiete sets of Building Plans plus a Life SaTety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Starmwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commerGal requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEVV constniction.
Directions:•
Fill out applicatlon completety.
Owner 8 Contractor sign back of appl(cation,notarized
If over SZ500,a Notlee oi Commencement Is requlred. (A/C upgrades over 5750D)
" Agent(for the contractor)or Power of Attomey(for the owne�would be someone wffh notarized letter from awner authoriang same
OVER THE COUNTER PERMITTING (Front of Application Oniy)
Reroois if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pu6Pc roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed"restrictions° I
which may be more resVictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
conVactors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
conVactor 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 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. 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, WeUand Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand 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 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 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: UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR I P VEME TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDE O AN ATT NEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.1 7.0
OWNERORAGENT � CONTRACTOR
Subscribed and swor o(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who i ersonally nown to me or has/have produced Who is/are personally known to me or haslhave produced
as ntification. as identification.
Notary Public
��Y°r:B;.; OEL .BACON
Com •°= CommissionNo.
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AY �R�••••�iQt•� License Number S A L ES I N V O I C E
hlEATIf�1G �COOlIf11G, �NC. CAC1813515 2322 Lake Ave SE, Unit A,Largo FL 33771
� "Cttistomer Service Is Our 1st Priority" Ph: (727)586-6265 Fmx: (727)586-6351
JOB NAME/LOCATION: SUBMITfED TO: COIY1fOI�COflSUIfCII*.JOI1t1 MUldef
Jeff and Kirstie Goff Jeff and Kirstie Goff
7919 Merchantville Circle 7919 Merchantville Cirice
Zephryhills,Florida 33540 Zephryhills, FI 33540
HOME PHONE CELL PHONE HOME PHONE CELL PHONE CONTACT
� - - - 813-751-5362 0
jeff.goff33@gmail.com 'eff. off33@gmail.com
System 1
- . - - - -- _- - � List Prlce. - $10;993_ -
Manufccture: Trane - ._. . Condenser 4TWV0036A1000A � - , � _ Trade In� .. -$500 �.
_ Model:XV20 �� , " _ Air Handier TAlv18COB30V2:1:. ` . � 0 " $0 :__ �
_ �' � Type:.�Heat Pumt?. - _ - � . .. . - _ - _ :$Q.
Refrigercin�:R-4:1.Oa , � Heat Strip:BAYEVAC04LG1 AA�- = Manu. Rebcte -$1.,000 ` "
� � ' .Tonnage: 3 Ton-�� _ Filhation-0 � _ ' .-, _ .- _ _ -,$0
- :_. . . . � . _ _
- = � ARI Ref# 6992578 � _ : , 1'hermostat TZQNE950=XV- > � , Total -,;..�9;493..�
-
- . - - -
COMMENTS: V051115 LEAD SOURCE: Referral-Other I,
Bay Area Proposes to provide 8�install one(1J Trane Heat Pump split system. TOtGI LISf PfiC@ $10,993
Connected to existing air duct system 8�existing electrical supply.New emergency Total Discounts -$500 -
overtlow float switch.New heat shield w/mechanical fasteners.Seal 8�mastic Total Manuf. Rebates -$],000
plenum.Clean existing copper refigerant lines w/RX 11 Flush.1 st year service is on
us.Includes proper sized circuit breakers and locking reirigerant caps Sanafize air Due At Completion $9,493
duct system.Clean work area.All labor and materials for a complete installation.
Totallnvestment $9,4�93
ACCEPTANCE OF ES I V DATE s��q f��
HomeownersSgnafure Installation Date:
Homeowners9gnature � 6�?�2015 `-
Representative Sgnature S
iERMS:NEf DUE ON COMPLEiION:I/We hwe the hority to ordetwork as desalbed above.It's agre thaf the sallerwill retain tNla to arry equipment w materials that may be
fumished unta final payment B made,and if se ment B not made as agerte,fhe seller shal hwe ihe dghi to remove same and seller v�nll be held harmless for arry damages
resulting from removal thereof. � eowner Approval
BUYER'S RIGHi TO CANCEL:This is a home soll on sale,and ff you do not want the goods or services,you may c�cel this agreement by provld(ng written noflce to ihe seller in
person or by mail.ihk noHce must lnd'icate t you do not want the goods or servlces and m�xt be deGvered or posimarked beFore midNght of the third businen day after you sfgn
ihLs agreement.If you cancel thts agreement,the seller may keep all or part of any cash down payment,not to exceed fhe leuer oF 5%of ihe cash price w$50.00.Recelpt of ihe
foregoing Buyers Rtght to Cancel is hereby acknowledged on 20 .Homeowner INhals
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"Customer Service Is Our Zst Prlority" � �
CONTRACTOR AFFIDAVIT
Business Name:Bay Area Heating and Cooling Inc.
Business Address:2322 Lake Avenue SE Unit A
Name of Qualifier:John Mulder
Business Telephone:727-586-6265 Fax: 727-586-6351
I Type of Contractor:Mechanical
(1)State Certification No.CAC 1813 515
(2)PCCLB Certification No. 1-CAC1813515
PERSONS AUTHORIZED TO OBTAIN PERMITS ON MY BEHALF:
Ron Baker Vince Kosel Dave Gavula Walt Livemois
� Shaun Mines Greg Lewis Phil Plantz Tony Case
Dave Myers Chris Gourdine Robert Vaughn Mike Rice
I certify above information is true and correct
Date: G/$��15�
Signa o Certificate Holder
CO Y OF PINELLAS
Swo and subscribed before me this �day of Tv�e , v?a��
1 i
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otary Pubhc,State of Flo ' ,.�������., CHRIS xpires:
.�iaa�°�e
,•�a°. .`�; Notary Public-S�ate ot Florida
: :•=My Comm.E�pU�s AuD 26,201T
�%�+ PP= Commiasion�fF 015��5
��'"°���`P�� Bonded Throuph N�iontl Nohry�b�I1.
. 2322 Lake Avenue, SE Unit A www.BayAreaHeatingAndCooling.com Ph (727)586-6265 '�
Largo, Florida 33771 State License#CAC1813515 Fax(727)586-6351