Fillable HVAC Equipment Replacement PDF (City of Groveland)

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HVAC Equipment Replacement PDF (City of Groveland)

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Groveland
FLORIDA
City
with
Natural
Charm
·
HVAC EQUIPMENT REPLACEMENT
1. Complete a Building Permit application. Under Project Information check other and
then note in Scope of Work, replace HVAC Equipment.
2. The Contractor must be registered with the City of Groveland, if not, have the
Contractor complete a Contractor Registration Form and submit with permit
application.
3. If the cost of the project is over $7,500 then complete and file a Notice of
Commencement (NOC) and submit a certified copy of the NOC with the permit
application.
4. Provide a power of attorney if application is not signed by license holder.
5. Provide evidence of HVAC Matching Equipment and efficiency
6. You may email or bring your permit application to the Building Department. If you are
emailing the permit you must also attach the necessary forms. We prefer email.
7. Once your permit is approved you will be notified and arrangements will be
made to pay for the permit and receive your permit card.
8. Your permit card and accompanying paperwork, including the NOC, must be posted on
site the day of the inspection. The permit card has the email address to schedule your
inspections.
9. If you have questions please contact the Permitting Department by email -
permitting@groveland-fl.gov or by phone at 352-429-2141
~
~
Groveland
FLORIDA
City
with
Natural
Charm
·
CITY OF GROVELAND
BUILDING PERMIT APPLICATION
Date Received:
Permit #
PROPERTY INFORMATION
Site Address # Street City Zip
Subdivision Phase Lot #
Model Elevation Lot Area sq.ft. Impervious area sq.ft.
Legal Description
Alternate Key #
PROJECT INFORMATION Single Family Residence Duplex Townhome Commercial _
Demolition New Alteration Addition Repair Other
Scope of work to be performed
Project Cost $
Project cost of $7,500 or over requires the recording of a notice of commencement
Bonding Company
Address
Architect’s Name License # Phone #
Engineer’s Name License # Phone #
WARNING TO 0WNER: “YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFOE RECORDING YOUR NOTICE OF COMMENCEMENT”.
Detached Garage Yes No Garage Value $ Sewer Septic Sprinkler Yes No
Required work: Plumbing Electrical Mechanical Gas Roofing
SUBCONTRACTORS Company Name
Fla. License # Reg/Cert
License Holders Name
Elect
Mech
Plumb
Gas
Fire
Roof
City
Email
City
Email
First License #
Address # Street
Phone # Email
OWNER’S INFORMATION
Na
me(s)
A
ddress # Street
S
tate Zip Phone
#
Fee Simple Titleholder’s Name (if other than owner)
Address # Street
State
Zip Phone #
CONTRACTOR’S INFORMATION
Q
ualifier Name: Last
Company Name
City State Zip
1. All Building Permit submittals for new home or new commercial building must be in digital format.
2. Submit digital permit applications to PERMITTING@GROVELAND-FL.GOV
3. Re-inspection fees must be paid prior to scheduling a re-inspection.
4. Incomplete permit applications will not be processed until complete.
5. To schedule an inspection email request to: inspectionrequest@alpha-inspections.net
City of Groveland, Building Services Department, 156 S. Lake
Avenue, Groveland, FL 34736
E-
mail: permitting@groveland-fl.gov
Phone (352) 429-2141 Fax (352) 429-3852 (revised 3/12/20)
CONTRACTOR’S SIGNATURE
STATE OF FLORIDA
COUNTY OF LAKE
I DO HEREBY S SWEAR THAT THE INFORMATATION CONTAINED HEREIN AND THE ATTTACHMENTS
HERETO ARE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND THAT NO WORK OR
INSTALLATION HAS COMMENCED PRIOR TO ISSUANCE OF A PERMIT.
OWNER’S SIGNATURE
STATE OF FLORIDA
COUNTY OF LAKE
Sworn to (or affirmed) and subscribed before me this ____ day of _____ by _________________
(owner)
(Seal) ________________________________
Signature of Notary Public
Personally Known:______
OR Produced Identification:_____
Type of Identification Produced:____________
Sworn to (or affirmed) and subscribed before me this ____ day of _____ by _________________
(Seal)
(contractor)
________________________________
Signature of Notary Public
Personally Known:______
OR Produced Identification:_____
Type of Identification Produced:____________
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HVAC Equipment Replacement PDF (City of Groveland)

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Completed 15 July 2020

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