HomeMy WebLinkAbout13-14138 CITY OF ZEPHYRHILLS
5335-8TH STREET
' (si3)�so-oo20 14138
BUILDING PERMIT
Permit Number: 14138 Address: 37410 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: 03-26-21-0200-00000-0580
Improv. Cost: 4,200.00
Date Issued: 4/30/2013 Name: FORSTER, LORI
Total Fees: 60.00 Address: 37410 PICKETTS MILL AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/30/2013 Phone: (813)997-2653
Work Desc: A/C CHANGE OUT
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DUCTSINSULATED
FINAL ,�S f�r--�-
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) aondemned 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 f) 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 wmmencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,aonsult with your lender or an attorney
before recording your notiae of commencement."
Complete Plans,Specifications Must Acxompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SI NATURE 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 Received D / ,� phone Contact for Permitting __
Owner's Name , `,' /�p r - .Q Owner Phone Number /3 %�� �6
Owner's Address / � y� � , Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# C�
SUBDIVISION � I✓c'� C./ �G( PARCEL ID# 'c� �p • : �� (�'�Qd C�c,�QQQ �L�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR � COMM Q OTHER
TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL Q OTHER
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DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE /�0�5 HEIGHT
0 BUILDING $
VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENER6Y Q W.R.E.0
� PLUMBING $ � �
� �` � ,�
MECHANICAL $ VALUATION OF MECHANICAL INSTAL TION � �
� y�o�- �
0 GAS Q ROOFING O SPECIALTY Q OTHER L
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# �
MECHANICAL / � � � COMPANY , �� " � �
SIGNATURE �- �� ,G 1 REGISTERED Y/ N FEE CURRENT Y/N
Address License# ,/Q � ` ,S
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
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 Facilitles&1 dumpster;Site Work Pe�mit 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 construction.
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 commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"**PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A!C upgrades over 55000)
`* 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 (Front of Application Only)
Reroofs 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 tocal 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 IMPACTIUTILITIES 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, 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 permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating votume" 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 fitl 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, ine e'xt nsion. If work celases�fo'rininety(90)rconsecutive days, the job isOcons de ed abal donedstrate
justifiable cause for th
WARNING TO OWNER: YOV�E�TS TO YO R PROPERTI(.TIF YOU IN�E D O OBTAIN F NANCING, CONSULT
PAYING TWICE FOR IMPRO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE �COMMENC ENT.
FLORIDA JURAT(F.S. 117.03) ; � `J `�
�' i �` ' " CONTRACTOR
OWNER OR AGENT 1_�� Subscribed and swom J r rme )bef e t '� _
Subscribed and swom t�or affirmed)before rr� this _ ,� by
bY G
o /are atly own to me or ha ave o u e
Who is/are personally known to me or has/have produced - ` as ide ification.
as identification. -
Notary Public
Notary Public
Commission No
Commission No.
ed, rinted or stamped Name of Notary typed,printed or stamped
Name of Notary typ P
,.� ���� � SE�R1/�CE QRDER
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cacasss7s _
12232 HWY 30i [31�DE CITY (352)521-4977 �
DADE G{TY, FL 33525 ZEPHYRHiLLS (813� TTS-9515
�AKE COUNTY (352}5p8-5614 �'L'���
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BtLL TO:
Ner Qalcs V'rtlage.
SPLIT SYSTEM X PKG UNfT
NAME: , Lon MODEt#
Di�ESS: 4 dAl'E:
SERlAL#
CITY: �� Z4P CODE:
33542
PHONE: g13-gg7_2653 tMORK. MODEL#
CELL: REN7ER: SERlAL#
TECHPttC1AIV_ Chris QATE: 42�/13
PROB�fM REPORTED: No rx�of BRAhiD: Payne
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Fo�nd uriit bw on frean . ' :: ,. .
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charged unit r�Eh 3ibs R22, ut�it needs to be replaced PARTS 8�LABOR.
P,4RTS OIrtLY
�t g� � �`� ' � START UP :
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CF#EGK# DADE CITY,Fi.33525 .
DUE: �,i26r2013 U7;55:25 , �
CREDtT CARD#: y' � Z Merdt�tID: OaOQOQa0F058203 70
f��� 0339Ib0I SUCTION PRESSt1RE:
CARD TYPE; �/� 5 � LiQUID PRESSURE: �
8252�5858B8t
APPROVAL CODE: �i:;1.(L� � CRfDIT CARD TEMP. DIFFERENCE:
'EXPtRATtON DATE: � (w/ 5 �� FILTER:
,.'*�,.;: ':;: ` ' ��`;.," ` ,'' ' C,4RD;TOKEN X)UUOCUUU(XXX0556 ORAlNING PROPERLY:
�FiAVE TNE AUTt40RtTY TO ORDER TkE WORK II�AIOICE
SATISFACTOi211Y COMPlETED i AGREE ThFAT: ODOt ..,.
AND MATERtALS UNTIL FIt�tAL PAYMENT IS MAD ��� ��4 ` ' � . . .'... . . ..',� .,...-:'` :c-°'
App'ov�Code: Q26790 LfMITED WARRANTY�EQtJIPMENT.PPtRTS AND MATERtAL.'`
AGREED,SELLER CAN REMpVE SAlD'EQUfPME HAS WRlT1'EN MqNUFACTURER'S WARRqtV7y pt�ELy
ANY DAMAGE RESUlTfNG FROM SAfB REMOVA ���' ��
OF SEt.LER. �; � �LABOR PERFQRMED BY CkfRtS'A/C HAS A QNE YEAR
a��:� ARRAfYTy CHRiS'A/C MAKE3 fYQ OTHER W/�ftRqN7'tES
SAIE AMOUNT ��a.� 2,o.oQ
------------------------- TOTAL: $
CUS�OMER S�GN�I,TIJRE DATE:
Pasco County Parcel: 03-26-21-0200-00000-0580 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, April 27, 2013
Parcel ID 03-26-21-0200-00000-0580 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
FORSTER LORI Ag Land �p
37410 PICKEITS MILL AVE Land �i�,996
ZEPHYRHILLS FL 33542-1877
Physical Address Building $68,388
37410 PICKETTS MILL AVE Extra Features �1,21�
ZEPHYRHILLS FL 33542-1877 ]ust Value ;s�,6oi
Assessed (Save our Homes) $83,074
Leaal Descriution (First a�ines) Homestead 196.031 - �z5,000
See Plat for this Subdivision Non-School Additional Homestead
SILVER OAKS VILLAGE-PHASE Exemption - �25,000
ONE
PB 35 PGS 63-67 Non-School Taxable Value �33,o�a
LOT 58 School District Taxable Value ;ss,o�a
Warning: A significant taxable value increase may occur when
OR 8124 PG 1548 soid.
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
1 0100 SFR OPUD 5,500.00 SF $3.00 1.00 $16,500
2 0100 SFR OPUD 3,741.00 SF $0.40 1.00 $1,496
Additional Land Information
Acres 0.21 Tax Area 30ZH FEMA __ Residential Code SOVGLPI
Code
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 2004 Stories 1.0
Exterior Wall 1 Above Average Exterlor Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring i Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Duc[ed
A/� Central Baths 2,0
Line Description Sq. Feet � Repl. Cost New
1 BAS 1,510 $68,101
2 FGR 500
3 $9,020
FOP 90 $1,037
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWSWC 2004 640 $1,064
2 CON PTO 2004 80 $153
Sales History
Previous Owner DUNCAN DEBORAH
�—If 1f�
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=03&twn=26&rng=21&sbb=0... 4/30/2013
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Duct Seal Affidavit
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��/ '� �'�' affiant, hereby affirm that I am the duly licensed contractor of record for the above
reference 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 ail applicable codes and standards.
Contractors Name(printed) ��/� �p�J{� �_ Date 'r �� /�
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Certificate of Produc# Ratin
s
AHRI Certified Reference Number: 3405581 Date: 4/29/2013
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: 13PJL36
Indoor Unit Model Number: RHSL-HM3621+RCSL-H*3621
Manufacturer: RHEEM MANUFACTURING COMPANY
Trade/Brand name: RHEEM 13PJL SERIES
Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
Cooling Capacity(Btuh) 34400
EER Rating (Cooling) 11.00
SEER Rating (Cooling): 13.00
Heating Capacity(Btuh) @ 47 F 34600
Region IV HSPF Rating (Heating)• 8.50
Heating Capacity(Btuh) @ 17 F: 22600
'Ratings followed by an astensk(')indicate a voluntary rerate of prewously published data,unless accompanied wrth a WAS,which indicates an involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s)Ilsted on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for,
the produd(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or pertormance of the product(s),or the
unauthorized alteretion of data listed on this Certiflcate.Certified ratings are valid only for models and configurations listed in the directory at,•aww ahrid�rectory,org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products ofAHRI.This Certificate shall only be used for individual,personal and confidential reference purposes.
The conterKs of this Certificate may not,in whole or in part,be reproduced;copied;disseminated;entered into a computer database;or otherwise utilized,in any
form or manner or by any means,except for the user's individual,personal and confidential reference.
CERTIFICATE VERIFICATION
The infortnation for the model cited an this certificate can be verified at www.ahridirectary.c�rg, � �,,,�,
click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on ���'��ndltiOrllflC�,Heating,
which the certi£cate was issued,which is listed above,and the Certificate No.,which is listed below. � �� ��
and Refrigeratian Institute
02013 Air-Conditioning,Heating,and Refrigeration Institute
CERTIFICATE NO.: 1 301 1 739321 1 01 9404