HomeMy WebLinkAbout11-12169 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(sis)�so-oozo 12169
BUILDING PERMIT
Permit Number: 12169 Address: 37315 PICKETTS MILL 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: SILVER OAKS VILLAGE
Est. Value: Parcel Number: 03-26-21-0200-00000-015A
Improv. Cost: 3,600.00
Date Issued: 7/28/2011 Name: HAMMOND NORMA
Total Fees: 55.00 Address: 37315 PICKETTS MILL AVE
Amount Paid: 55.00 ZEPHYRHILLS FL 33542
Date Paid: 7/28/2011 Phone: (813)713-1444
Work Desc: A/C CHANGE OUT 3 TON
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DUCTSINSULATED
FINAL
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) wndemned 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 fl plans not at job site g) work not acxessible.
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improve ents to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commenceme "
� TO SIGNATURE PERMIT OFFI R
i
' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' 813 '7ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
)ate Received phone Contact for Permfttln —
hvner's Name `v� � � (' NS Owner Phone Number �..� — � �� '�f
)wner's Address �' l3 � 5 -�� �� S r� Owner Phone Number
�ee Simple Titleholder Name � � Owner Phone Number
'ee Simple Titleholder Address
IOB ADDRESS � � I 5 1 '� � J�' LOT # �
iUBDIVISION , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
NORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
'ROPOSED USE Q SFR Q COMM � OTHER
fYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �� � 3— ( � � Qfa ( �t. � �oc.C�
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPIUMBING $
QMECHANICAL $�,1 Q � VALUATION OF MECHANICAL INSTALLATION
��
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
51GNATURE REGISTERED Y/ N FEE CuftrtEn Y/ N
Address ' License #
ELECTRICIAN COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address Llcense # �
PLUMBER � COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
MECHANICAL . COMPANY V �� � ' '
51GNATURE REGISTEREO Y/ N FEE CURRE� / N
Add�ess v � / G'�/ ��,�License # �
OTHER COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy FoRns; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Requlred onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructio�.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8 1 dumpster. Site Work Permit for all new projects. All commerclal requirements must meet compliance
51GN PERMIT Attach (2) sets of Engineered Plans.
'"'*PROPERTY SURVEY required far all NEW construcUo�.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application, notarized
If over 52500, a Notice of Commencement (s requfred. (AJC upgrades over 57500)
" Agent (fo� the contractor) or Power of Attomey (for the owner) would be someone with notarized tetter from owner authorizing same
�VER THE COUNTER PERMITTING (Front of Application Only)
2eroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage)
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 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 appiication 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"ce�tificate of occupancy" or final power release. If the project does not involve a certiPcate 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 applicabie 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. t certify that no work or instaliation 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 wo'rk, 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, Wetiand Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland A�eas, Altering
Watercourses.
- Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
- Department of Heaith & 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 wail.
- 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 fitl, 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 spec�cally 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, f�om 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 YO OTICE OF CO CEMENT.
FLORIDA JURAT (F.S. 117.03) ______
OWNER OR AGENT CONTRACTO
Subscribed and swom to (or aHirmed) before me thls Subscribed a m rmed) fo me is
by y �� IM i{r1 �/ �� � c J /9 yt.% O.1
Who Is/are personally known to me or has/have produced Who is/are er nalty known to r� or hasRiave produced
as fdenUficaUon. as identiflcation.
Notary Public Notary Publlc
.� �•"""' •,, JACQUELINE BOGES
Commission No. Commis - �v �� 12 � �
� �� �
Name of Notary typed, printed or stamped Name of ���=�
•Pasco County Parcel: 03-26-21-0200-00000-015A 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, July 23, 2011
� Parcel ID 03-26-21-0200-00000-015A (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
HAMMOND NORMA T Ag Land �p
37315 PICKEITS MILL AVE Land $19,630
ZEPHYRHILLS FL 33542-1815 Building $81,232
Physical Address Extra Features �72p
37315 PICKETTS MILL AVE
ZEPHYRHILLS FL 33542-1815 Market Value �101,582
Assessed (Save Our Homes) $101,582
Legal Descriution (First a �ines) Homestead 196.031 -$25,000
See Plat for this Subdivision ,�" Non-School Additional Homestead Exemption -$25,000
SILVER OAKS VILLAGE-PHASE ONE
PB 35 PGS 63-67 Non-School Taxable Value ;51,082
LOT 15-A & EAST 8.00 Ff OF LOT School District Taxable Value �76,082
15-B V1►arning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
� 0100 SFR OPUD 4,730.00 SF $4.15 1.00 $19,630
Additional Land Information
Acres 0.11 Tax Area ZH FEMA Code � Residential Code SOVGLPI
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 2001 Stories 2.0
Euterior Wall 1 Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Ceramic Clay Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.5
Line Description Sq. Feet Repl. Cost New
1 FGR 441 $9,412
� 2 BAS 759 $40,591
�- 3 F P 252 $3,369
4 FSP 60 � $1,123
5 - �r F� 819 $39,415
Extra Features (Card: 001 of 001)
Line Description Year Units Value �
1 DWSWC 2001 384 $720
Sales History
Previous Owner BURNETTE M ]
Year Month Book/Page Type Amount
2001 03 4612 / 0956 WD $0
2001 � 03 4551 / 1443 WD $129,000
� 2000 �r 03 4351 / 1522 WD �$15,000 �
http://appraiser.pascogov.com/search/parcel.aspx?sec=03&twn=26&rng=21 &sbb=0200&b... 7/28/2011
� � � Contract ,
... � _
6306 W. LINEBAUGH AVE. � �, 1 � D ���`�
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TAMPA,FLORIDA33625 _ },/ �� � (�' �
(813) 961-7895 � � �/, /� f _
1-800-833-7895 Ic� � � � � � ` r �n
FAX (813) 962-4349 v
www.nuccioac.com
STATE CERT. NO. CAC014365
Contr ct submitte to: � Job no.
, £ � rn � O � . Date
Street, � � / ��� J � �� 1L � r Job name � � � � /�
�
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City � �` / State � Zip Code � Job location
/ �
Phone Fax
��� ^�� � 7 �� E-mail address
_/
We hereby contract to �f and/qr'nstall the following: P�P�NG: /
EQUIPMENT: v�"i"���� REFRIGERANT• O' �Us existing ❑ New line set
OUTDOOR UNIT MODEL#� � g��J 3�-P CONDENSATE: Q'Use existing ❑ New dr�ain �lines
BTU S.E�.E.R. C.O.P HSPF Condensate pump ❑ Yes hYNo
Location: r�� ��
FURNACE/FAN COIL MODEL NO. � l� IU FD .� � ELECTRICAL ❑ By Nu�ccio ❑ By Owner
Auxillary heater K.W - ��/ W' LINE VOLTAGE: l3�Attach To Existing Disconnects
Location: ❑ Vert. � (Power) O Wire To Main Panel
EVAPORATOR COIL / MODEL NO O U�p Grade Service
(THERMOSTAT) �Use Existing O New �(�� �y� LOW VOLTAGE: �lJse Existing ❑ Install New
OPTIONAL. Air Filtration ❑ No ❑ Yes CARPENTRY By Nuc�o ❑ By Owner
OPTIONAL. Guardian Air ❑ No O Yes Work required:_ �� z'
OPTIONAL. UV Light O No ❑ Yes '
DUCT SYSTEM: Recommend replace or upgrade on
new systems. I NSULATION : Additional- Inches R-Value
Conditian: MISCELLANEOUS:
Modify --Condensing unit/Heat p mp pad: ew ❑ Existing
SE EXISTING: Supply and return openings adequate —Old equip ent: uccio to remove 0 Remains at jobsite
❑ MODIFY EXISTING: —Other• /
❑ Add_Supply-Location
❑ Add_Return-Location
❑ NEW COMPLETE: ❑ Fiex ❑ Ductboard ❑ Metal
(Qty) Suppiy openings
(Qty) Retu openings DESIGN CONDITIONS:
�RRANTY: � � �1 Summer: outside Inside
-s (� 1 LL �l� Winter: Outside
Inside
Price as outlined above:
Option # 1 SEER HSPF Equipment Price
Option # 2
- Price
Extended Warranty 5 Year - Parts & Labor• $ ❑ ❑ Extended Warranty 10 Year - Parts & Labor• $ ❑ ❑
� yes no yes no
We contract hereby to furnish complete as above specified, for the Sum of:
Q �,,,�^) ' i�
Payment terms II be: dollars ($ `"�� �
LIMITED WARRANTY PLEASE READ CAREFULLY
In addfllon to the manWacturer's wartanty, Nuccio Heating $ Alr CondRioning, Inc. Other mate��alS 217(UOf SQfVICCS� whether expressed or implied,
wartants all parts, labor and workmanship for a perlod oi one year from tha date oi that are not a part of this written contract are not valid.
installatlon (not �ncluding fllters, tuses, breakars or clogged drain Iines.) Warranty work tt Is agreed and understood by the parties that all equlpment and parts which are sold pursuant hereto
wiil be per(ormed during nortnal working hours unless otherwlse specitied. shall NOT become fiMUres w part of the real estate where they are placed. Said parts and equipment
Monday - Saturday, 8:00 A.M. - 8:00 P.M. — Holidays axciuded. shall at all times remain personai property and the title therato shall remain In t�e seller until a
In tull Is receivetl, p yment
N UCCIO IIEATING IR CON ITIONI I NC. B�1'er hareby agrees that aIl parts and equipment may be repossessed in the event ot nonpayment.
/( I have been Informed of the'Clean Air Act of 1990"
�� I have aWhority to order the work as outlined above. I agree to pay all casts antl reasonable atlorney's
W �� � fees if this contract Is placed in the hands of an attorney for collectlon.
SIGNATURE r~ `�'
This contract expires: SIGNATURE— � DATE
OFFICEGOPY—WHI7E • CUSTOMERCOPY—CANARY • INSTALVITIONCOPY—PINK '
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