HomeMy WebLinkAbout19-20923 r CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20923
BUILDING PERMIT
PERMIT INFORMATION - - -LOCATION INFORMATION
Permit Number: 20923 Address: 37156 FOXRUN PL
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0440
Improv. Cost: 3,685.00 OWNER INFORMATION
Date Issued: Name: BOLIA LEEWARD SR & SHARON
Total Fees: 60.00 Address: 561 BALDWIN RD
Amount Paid: 60.00 FULTON, NY. 13069-4871
Date Paid: 3/05/2019 Phone: (336)880-1975
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
SNOW BIRD HEATING AND COOLING, I A/C CHANGEOUT 60.00
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Ins ections Required
DUCTS T L ED
DUCTSINSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 Plans,Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ONT _CT G (AT URE PERMIT OFFI R
PERM T &PIRES 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-818.780-0021
Building Department
Date Received I I Phone Contact for PermittingCry
Owner's Nam: E V�O 4- CL. Owner Phone Number ri' � I�t all
Owner's Address _ Q I SCO ' Xr (l 1pka Owner Phone Number
Fee Simple Titleholder Name I I Owner Phone Number
Fee Simple Titleholder Address r
JOB ADDRESS 1'U 1X'c zz LOT#,,\\
SUBDIVISION I _C O-N— PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
1C INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL Q i
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE SU HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
MECHANICAL $ 3 6 Q� �p VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N 71
Address License#
1 �
MECHANICAL COMPANY e-,
SIGNATURE REGISTERED Y/ N FEE CURREN IWIN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Ly/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivlsionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&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 for all NEW construction.
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
•• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
t '
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 undersigned 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.
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.
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: 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.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR - !�
Subscribed and swom to(or affirmed)before me this SybscO Viand sworn o o��affirmed of re, j this
by ems- y HOB'
Who is/are personally known to me or has/have produced Who hale personally known to me or has/have produced
as identification. f� L c�Jss.r'i4 c S Ci CCKZW as identification.
Notary Public00_uQUZ(L Notary Public
Commission No. Comn(Sjslr-
No
Name of Notary typed,printed or stamped Name of ctl ,d, S
her 1 =
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ORDERED PURCHASE ORDER IN STOCK
SNOWBIRD HEATING & COOLING INC.
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27235THORNHILL RDA
AUBURNDALEq Fl. 33823
(80) 551-3411 Office (863) 551-9283 Fax
P.O.# IN STOCK 2/28/2019
GOODMAN DANIEL
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37156 FOX RUN PL
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LEEWARD BOLIA
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ZEPHERHILLS FL 33542
SILVER OAKS
315-592-1279
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DISCONNECT HEAT RECOVERY UNIT AND REPLACE DISCONNECT BOX OUTSIDE
TIDY UP WIRING @ AIR HANDLER
• 03/06/2019 02:33PM 8635519283 SNOWBIRD HTG & COOL PAGE 01/01
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DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCC WORK Olj MODIFICATION OF THE EXISTING
DUCT SYSTEM 1
FLORIDA ENERGEY CONSERVATION CODE(FBC ENERGY,SEcnON 13)TO BE LEFT ONSITE AND PICKED
# UP BY INSPECTOR
Owner.`
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Permit#: R,
Site Address: r l � ' �x(� P11
Contractor: . !�
License M .EC • ,� .
Final Inspectian'Pate:
I certify that I have installed new or modified the existing duet workjassociated with the HVAC system
referenced by.the permit listed above and found it complies with tf je requirements FBC Energy Code,
Section 403.3.Where modified,the existing ducts have been sealet using,reinforced mastic or code-
approved equivalent. Ducts are located within conditioned space( ection 403.3)System was tested as
per FBC Energy code,section 403.3.2.1.All new duct work is to comply with FBC Energy 403.2 and FBC
Mechanical chapter 6. j
Idle
Name of License Holder(print or type) Signatore of License Holder