HomeMy WebLinkAbout11-12204 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(s13)�so-oozo 12204
BUILDING PERMIT
Permit Number: 12204 Address: 6401 HUNTINGTON DR
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: 03-26-21-0120-00000-0890
Improv. Cost: 4,186.00
Date Issued: 8/04/2011 Name: JOHNSON, LARRY & JILL
Total Fees: 60.00 Address: 12837 2345 E ST
Amount Paid: 60.00 PRINCETON, IL 61356-8510
Date Paid: 8/04/2011 Phone: (813)782-8187
Work Desc: SPLIT SYSTEM HEAT PUMP CHANGE OUT
r t�
DUCTSINSU TED
FINAL �j�-�T_
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 wrrections 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„
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
improvements to your properly. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commenceme "
l� �� �
CO RAC OR SIGNATURE PERMIT OFFI R
PERMIT 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-813-780-0021
Building Department
Date Recelved �� �— � phone Contact for Permittin __
Owner's Name � Owner Phone Number
Owner's Address Q[ Owner Phone Number �7���g��
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS / LOT # ��
SUBDIVISION D , PARCEL ID# � "� � �� — DI Zv '` �' �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B AOD/ALT � SIGN Q �� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �� ���/�_��a����� f�l�T
BUILDING SIZE SQ FOOTAGE C� HEIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENEf2GY Q' W.R.E.C.
OPLUMBING $
�/� �� �-��
�MECHANICAL _ �
$ �/ � VALUATION OF MECHANICAL INSTALLATIO , � __,_�-' r `
C�� � � U
QGAS Q ROOFING Q SPECIALTY � OTHER �
;�� (
f
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License # C
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �
MECHANICAL COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address � D License# r�iJ'1C/��� /�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # C
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 onslte, Construction Plans, Stormwater Plans w! Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Wo�k 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 constructlon.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater 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 al� NEW construction.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500)
*' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING {Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/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 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 bu�ldings, 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. cer#i�cate of occupancy or
�� n
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 Cqnsumer 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 t must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment. �
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland 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 pe�mitted.
- 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 fifl material is to be used in any area, I certify that use of such fill will not adversety 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 shafl be construed to be a licenss 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 anp 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 E OF COMMENC ENT.
FLORIDA JURAT (F.S. 117.03)
UWNER OR AGENT CONTRACTOR - l •� ���-
Subscribed and swom to (or affirmed) before me this Subscribed and swom (or affi b fore me this
by .
Who is/are personally known to me or has/have produced Who Is/ar all kno as/have produced
as Idendflcatlon. as identification.
_,_� �-
� �----
Notary Public � ' ` Notary Public
Commission No. Commission No.
,��:�Y Pryg:;,, BOBBIE S. SWETLAN
Name of Notary typed, printed or stamped Name of Nota � r,lt� 06
• � Expires February 22, 2012
.
" � , oo�eed��F�;,,i,�,�„�eoo-aes�o,s
. . P�ro�osa� .
Environmental Contractors august oa 2011
10221 Hwy 301 Dade City FI. 33525 Summary: SYSTEM C/O
License # CAC 1814275 - ER 0013583 Reference #� 11147-133
(352)567-5515 (8 13)783-2552 www.envcontractors.com Tech• CAREY
Due Date. 8/14/2011
Job Name:
Larry Johnson W INTER RES
Hoilis Co. 24X24, 2@12X12
12837 2345 "E" St. 6401 Huntington Dr
Princeton, IL 61356-8510 Zephyrhills, FL_ 33542
(815)879-9061 H/V1/ (815)878-9061 M/MR Job Tel (813)782-8187 H
We Hereby Submit Specifications And Estimates For:
8/4/11-wants new system
-Install• 4 Ton FRIGIDAIRE Split System, Heat Pump, 13 SEER, 8 KW Heat Strip
++WARRANTY: 5 yr Parts, 5 yr Compressor, 5 yr Quality Pledge (unless Registered - THEN 10 YRS), 1 yr
Iabor++PLEASE READ WARRANTY & COMPLETE REGISTRATION FORM & MAIL (to: Nordyne Inc., ATTN•
Warranty Dept., 8000 Phoenix Pkwy., O'Fallon, MO 63368-3827) OR REGISTER ON LINE WITHIN 60 DAYS !!
WE HAVE REGISTERED YOUR SYSTEM FOR YOU - CONFIRMATION IS ENCLOSED++
We propose hereby to furnish material and labor - complete in accordance with the above specifications, for the
sum of: $4,186.00
All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or
deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above
the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection, including attorney's fees.
This proposal may be withdrawn by us if not accepted by the above due date .
Authorized Acceptance
Signature Signature Date