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HomeMy WebLinkAbout18-20497 CITY OF ZEPHYRHILLS 4 5335-8TH STREET (813)780-0020 ; 20497 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20497 Address: 38217 BOXWOOD 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: DRIFTWOOD Est. Value: Parcel Number: 02-21-021A-OOB00-0010 Improv. Cost: 5,107.00 OWNER INFORMATION Date Issued: 11/26/2018 Name: HELLER, EDWARD Total Fees: 70.00 Address: 38217 BOXWOOD DR Amount Paid: 70.00 ZEPHYRHILLS, FL 33542-6613 Date Paid: 11/26/2018 Phone: 724-493-3742 Work Desc: A/C CHANGE OUT 2.5 TON_ NO CONTRACT CONTRACTORS APPLICATION FEES ADEPT AIR CONDITION &AC A/C CHANGEOUT 70.00 1/ Ins ec ' e ired DUCTS INSTALLED DUCTSINSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four-times the amount of the fee imposed for the initial inspection or. first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe 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 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 Plans,Specifications Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 1 CONTRACTOR SIGNATURE PERMIT OFFICOR 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-81 3-780-0021 Building Department Date Received Phone Contact for Permitting ?67 Owner's Name p oE P LLK Owner Phone Number -704.1 qgj Owner's Address FJ z '7 aL Owner Phone Number Owner Phone Number JOB ADDRESS (�Jroa_c , Die. LOT# SUBDIVISION PARCELID#F (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE Q SFR F7_1 COMM OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL DESCRIPTION OF WORK F—Aic c-i �G�(:)Lri 7 X12- —76—)J BUILDING SIZE SO FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE = DUKE ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS 0 ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY I SIGNATURE u REGISTERED Y/ N FEE CURREN LYLN_J Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# F_ PLUMBER COMPANY SIGNATURE REGISTERED Y/ N _J FEE CURREN L _LN__j Address License# MECHANICAL COMPANY Ti Alc SIGNATURE REGISTERED Y/ N FEE CURREN Address ISLO2 45-SAG PC Ltxl License# CA< i I ILA 74oq OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LXLNL] Address License# I HHHH! I I I I I I ff+ I HHHHHHHH+ 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 wl Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons/large projects COMMERCIAL Attach(2)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 wl 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 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$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone With notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy-of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public r6adways..needs ROW . NOTICE OF DEED The understands that th�pernm�n�ayba ho"deed" ^ vvh�hmay be more reothc�vethan County regu|otionm Thmund$roi0aoda�eumm� rampona|bi|~ for/^y /p ncemmnany app|�ab/edeed reatdcdonm. - ' ''- UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |ftha ' nmr has hired o contractor or contractors bo undertake work, they may be requiredhobe licensed in accordance with state and local regulations. |fUne Vontoctor is not licensed as required by /ovv both the owner and contractor may be cited for o misdemeanor violation under state law. |fthe owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised bz contact the Pasco County Building Inspection Division—Licensing Section at727'847- BOOg. Fudharmora, if the owner has hired s 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 o'gn` a -e contnaoior, that may baan indication that he is not properly licensed and is not entitled hm permitting privileges in Pasco County. TRANSPORTATION IMPAClIUTIL0TUESUMPACT AND RESOURCE RECOVERY FEES: The undarmkJnmdunden�ands that Tounopo�etionImpact Fees and Recourse Recovery Fees may apply bo the construction ofnovv 'ui|dings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 9O-O7. asamended. The undersigned also understands, that such fees, as may be due�will be identified at the time of permitting. /t )s further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior bm nocakdng a "certificate of occupancy" or final power no|aose. If the project does not involve o certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVebar/Savmyr 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): |f valuation mf work io $2.5OO.00ormore, | certify that [ the app/icant. have been provided with o oopy..mfdle "Florida Construction Limn Law—Homeowner's PnmbantionGuide^ preporadbytheF|oridoOepodmentmfAoricuk4nyondConmummrAffgino. |f the applicant iosomeone other than the^mmnmr~' | certify that | have obtained a copy,ofthe above described document and promise in good faith bm deliver it to the"oxxner^prior bocommencement. CONTRACTOR`S/OWNER°SAFFIDAV8T: | certify th 'tall the information in' this application io accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is ,hereby mode to obtain a permit to do work and installation as indicated. | certify that no work or installation has commenced prior to igoumnoo of permit and that all work will be performed to meet standards of all |ovvo 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 ofEnvironmental Protection-Cypress Bayhamdm. Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatmerd' - Southwest Florida VVabar Management District-Wells, Cypress Beyhaade, Wetland Areom, Altering Watercourses. - Army Corps mf'Enginemro-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, VVostnmuyber Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runvmays. | understand that the following restrictions apply ho the use offill: - Use mf fill io not allowed in Flood Zone"V"unless expressly permitted. - If the fill motmho/ is to be used in Flood Zone ^A", it is understood that adnainego plan addressing a ,.compensating volume" will be submitted at time of permitting which is prepared by professional engineer licensed bvthe State ofFlorida. - |f the fill material is to be used in Flood Zone 'A" in connection with e permitted building using mbmm vmaU construction, I certify that fill will be used only to fill the area within the stem wall. - If fill mnmteho| is to be used in any area, | certify that use of such 5U will not adversely affect adjacent properties. If use of fill is found to.adversely affect adjacent pnopedies, the owner may be cited for violating the conditions of the building pmrnit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan imrequired. |f| amnthe 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. | understand that e separate permit may be required for electrical work, o|umbing, signs, vvaUs, pon|o, air conditioning, e, or other installations not specifically included in the application. A permit issued shall beconstrued to be-a license to.proceed with the work and not am authority bm 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 iosuanoe, 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 requeobad, in writing, from the Building Official for a period not b» 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 NOTICE OF COMMENCEMENT. . ~".`...,.'~~. " ... ..'..~/ --- OWNER OR AGENT COmTRACTo orn to(or affirmed)before me this Who is/are personally known to me or has/have produced Who Wake personally known to me or hdsihave produced as identification. -AAGWry U,Cek Se as identification. Subscribed and sworn to(or affirmed)before me this Subscribed and sw Notary Public —Notary Public Commission No. nN4 0 COM90 Name of Notary typed,printed or stamped Name of Not nW ' ADEPA-1 OP ID:TT DATE(MM/DD/YYYY) '`�C�R� CERTIFICATE OF LIABILITY INSURANCE �i 11@1/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 813-681-4893 NAME?CT Fairchild,Addison&McKone Fairchild,Addison&McKone PHONE 813-681-4893 (FAX 813-685-8610 P.O.Box 1030 A/C,No,Ext): (A/c,No): Brandon,FL 33509-1030 E-MAIL C0101FAMIns.corn Fairchild,Addison&McKone ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Southern-Owners Ins 10190 INSURED Adept AC Service Corp INSURER B:Auto-Owners Insurance 18988 Tim Sherman 18402 Turning PI INSURER CAssociated Industries Ins Co 23140 Lutz,FL 33549 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR ID POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR 20093464 03/01/2018 03/01/2019 DA AGET Ea NTED $ 300,000 MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JEST LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY CO MBII tlED SINGLE LIMIT $ 300,000 (Ea a= ent)ANY AUTO 5109346400 06/12/2018 06/12/2019 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY Ix AUUTNOOS BODILY INJURY Per accident $ XAUTOS ONLY AUTOS ONL� Pe�aden DAMAGE $ PIP 10,000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N X STT E EORTH ANY PROPRIETOR/PARTNER/EXECUTIVE WC1107551 O6/20/2018 06/20/2019 E.L.EACH ACCIDENT $ 100,000 ❑ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 600,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE---POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION CITYZ-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Zephyrhills ACCORDANCE WITH THE POLICY PROVISIONS. 6335 8th Street Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE Fairchild,Addison&McKone ,\v\ ACORD 25(2016/03) ©1988-2015 ACORD CORPO ON. All rights reserved. The ACORD name and logo are registered marks of ACORD . .DU.CT.CERTIFICATION.FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF TH,E'EXISTING: DUCT SYSTEM 'FLORIDA ENERGEY CONSERVATION CODE-(FBC-ENERGY,SECTION 403)TO.BE LEFT ONSITE AND PICKED UP BY INSPECTOR. Owner: �'L7 ..NtzCf� Permit#:: 26qc'7. .Site Address: Contractor.: �/� � UfL EG�� License#:. CAV : Final.Inspection Date::. . I certify that,I have installed:new or modified the existing duct work associated with the HVAC,system referenced by-the permit listed above and found it.complies with the requirements FBC Energy Code, Section 403.3.Where:modified,the existingAucts.have been sealed using:reinforced mastic or code approved equivalent..Ducts are located within conditioned space (Section 403.3)System was tested as. per FBC Energy code, section 403.3:2.1.All'riew ductwork-is to comply with FBC Energy 403.2 and,FBC , . Mechanical chapter 6: Name of License Holder(print or type) Signature of License Holder