HomeMy WebLinkAbout12-12932 CITY OF ZEPHYRHILLS
5335-8TH STREET
, (ais)�so-oozo 12932
BUILDING PERMIT
Permit Number: 12932 Address: 6519 FOXMOOR 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: 03-26-21-0120-00000-0780
Improv. Cost: 4,371.00
Date Issued: 3/28/2012 Name: GOLTRY, PATRICIA
Total Fees: 60.00 Address: 6519 FOXMOOR DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/28/2012 Phone:
Work Desc: A/C CHANGE OUT HEAT PUMP 3TON
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DUCTSINSU TED
FINAL ��Y -
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 fl 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 counry, 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 Wa�ns,Specifications Mu mpany Application.All work shall be pertormed in accordance with
C' d Ordinances. NO OCCUPANCY BEFO C.O.
�'� �
� NT C
URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Envi�onmental Contractors March 26, 20�2
10221 Hwy 301 Dade City FI. 33525 Summary: SYSTEM C/O
License#CAC 1814275 - ER 0013583 Reference#: 2466-119
(352)567-5515 (813)783-2552 www.envcontractors.com Tech: CAREY
Due Date: 4/5/2012
Job Name:
Patricia Goltry Patricia Goltry
6519 Foxmoor Dr 6519 Foxmoor Dr
Zephyrhills, FL 33541 Zephyrhills, FL.33541
(813)782-4964 Job Tel (813)"782-4964
We Hereby Submit Specifications And Estimates For:
-Install• 3 Ton FRIGiDAIRE Split System, Heat Pump, 13 SEER, 5 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: $4,371.00
All material is guaranteed to be as specified. All wor o be completed in a professional manner according to standard practices. Any alteration or
deviation from above specifications involving extra s will be executed only upon written orders and will become an extra charge over and above
the estimate. All agree contingent upon s eyond our control. Purchaser agrees to pay all costs of collection,including attorney's fees.
This proposal may withdr wn by us' ac d by the above due date
Authorize Acceptance
Signature re __ Date
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin � _ ,�
Owner's Name Owner Phone Number / �
Owner's Address ��� Owner Phone Number C
Fee Simple Titleholder Name Owner Phone Number C
Fee Simple Titleholder Address
JOB ADDRESS 1.t1+�( � ��f��j� �/� , LOT# "� /%�j �
�—<—=—�
SUBDIVISION � � , PARCEL ID# D���P a�+d�i�D DG�'�b'—D��
(OBTAINED PROM PROPERTY 1fAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER (--
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE �--� SQ FOOTAGE�� HEIGHT ��
QBUILDING $ VAIUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHANICAL $ � `` Ov VALUATION OF MECHANICAL INSTALLATION
�
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATI�NS 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# C ,
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
MECHANICAL COMPANY ��/V� /� � /Q�S
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � � License# �� (7 l�
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 FoRns;R-O-W Permit for new construction,
Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied,
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 F'ermit 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 rnust meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all 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 contracto�)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(PlodSurvey/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 a�y
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 cvntractor 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 buiidings, 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 identi�ed 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'SIOWNER'S AFFIDAVIT: 1 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 �egulations 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, 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 Watervvays.
- Department of Health 8 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 appfy to the use of fill:
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fill mate�fal 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
prope�ties. 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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR PROVEMENTS TO Y UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LE R R AN ATTOR ORE RECORDING YOU ICE OF COM E NT.
FLORIDA JURAT(F. . 117. )
OWNER OR AG NT CONTRACTOR
Subscribed and s or affi ed)be re me this Subscribed and sworn to(or affi )be ore me this
by by
Who islare personally known to me or has/have produced Who islare personally known to me or haslhave produced
as idenUficatlon. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary lyped,printed or stamped
.
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Duct Seal Affidavit
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� � ���ffiant, hereby affirm that I am the duly licensed contractor of record for the above
referenced ermit,that all of the forgoing information is true and accurate,and that the duct sealing at the above
referenced address has been completed in accordance with all applicable codes and standards.
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