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Home My WebLink About07-7262 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7262 Permit Num er: 7262 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: NOT APPLICABLE Square Feet: Est, Value: Improv, Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 37346 CORNWALL DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: WEDGEWOOD MANOR Parcel Number: 10-26-21-0120-00000-0500 5,200.00 12/03/2007 60.00 60.00 12/03/2007 AlC CHANGE OUT Name: DUNLAP, DONALD & MARY ANN Address: 37346 CORNWALL DR ZEPHYRHILLS, FL. 33542 Phone: 813 782-8933 0, \ \U.J L-O'1 \\'1 ~\ "1/ \I) t DU DUCTS INSULATED FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone 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 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, 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 property, If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement. n I "<( CONTRACTOR SIGN PERMIT EX RES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER A€ORD CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MM/DDIYYYY) 'II 11/27/2007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BAUER & ASSOCIATES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12210 US HIGHWAY 301 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DADE CITY, FL 33525 PH # (352)567-3702 FAX # (352)523-0434 INSURERS AFFORDING COVERAGE NAIC# INSURED CHRIS' A1C COMPANY INSURER A: AUTO-OWNERS INSURANCE 12232 US HIGHWAY 301 INSURER B: BRIDGEFIELD EMPLOYERS INS DADE CITY, FL 33525 INSURER C: INSURER 0 INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I,N~: ~~~~ POLICY NUMBER POLICY EFFECTIVE P~k!9.r EXPIRATION LIMITS ~~ERAL LIABILITY EACH OCCURRENCE $1MIL A ~.'''"'' G"''''' ,..,u", 20681274-07 03/07/2007 03/07/2008 DAMAGE TO RENTED $ INCLUDED f---.--I CLAIMS MADE [!] OCCUR MED EXP (Anv one oerson) $ 5,000 1---1 PERSONAL & ADV INJURY $1MIL -' GENERAL AGGREGATE $1MIL ~'L AGGREnE LIMIT APFt PER PRODUCTS - COMP/OP AGG $1MIL I POLICY ~f'!?T LOC FIRE DAMAGE $50,000 ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) - - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) f--- I--- HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) f--- f--- PROPERTY DAMAGE $ (Per accident) RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ ~ESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ ==1 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TT~~JT~T.\!~ I TO,J,tl- B EMPLOYERS' LIABILITY 830-32770 11/14/2007 11/14/2008 $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under $ 500,000 SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS A1C REPAIR AND INSTALLATION' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF ZEPHYRHILLS BLDG DEPT DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN 5335 8TH ST. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ZEPHYRHILLS, FL 33540 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Z2:::REC::: ~ /I /.;l.) ~ 7 ~ /r-- o C ACORD 25 (2001/08) @ACORDCORPORATION 1988 -t ' Date Received City of Zephyrhills Permit Application Building Department Fax-813-780-0021 8'13-780-0020 Owner's Address Fee Simple Titleholder Namel 1t;Jf;Jr Phone Number Owner Phone Number I Owner Phone Number I Owner's Name WORK PROPOSED Fee Simple Titleholder Address I I 3'l.3Lth Corn WiLll I WMff Vl/Dcd,. I o NEW CONSTR c=J D INSTALL CJ PROPOSED USE D SFR CJ TYPE OF CONSTRUCTION D BLOCK D DESCRIPTION OF WORK I ~ - ISU i- BUILDING SIZE I SQ FOOTAGE I HEIGHT I 1111'11111'1"11111""111111111111111111111'11"111'1'1111111111111111111111111111111111111111111111111111111111111'1111111111111111111111111'111 Dr' I LOT # I PARCEL ID#I'O -:J./p - ;),1- 01 aO - 00000- 050() (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D D D JOB ADDRESS SUBDIVISION ADD/ALT REPAIR COMM FRAME DEMOLISH OTHER STEEL I D OTHER I 1$ I 1$ 1 1$ I 1$ 5tJOO l 00 1 D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111'111111111111111111111111111111111111111111111111111111111111111111111I111111111I111111111111111111111 D BUILDING D ELECTRICAL D PLUMBING ~ MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY o WR.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N COMPANY REGISTERED License # I ~I~/ Alc Co I ~ ~ N I FEE CURRENT I Y I N I License # I G AGO 5 g 57.5 Address MECHANICAL ! SIGNATURE . Address OTHER I SIGNATURE I ~ ~I I COMPANY REGISTERED Y/N FEE CURRENT Y/N COMMERCIAL SIGN PERMIT Di~~~ti~~~': I I . I . . . . I . . . . I I . . I . . I I I I . I . . I . I I . I I . . I . I . . I I I . I . I . . I I . I . I . I I I . I I . . I I I I I I I I I I . I I I I I ~ I . . . I I , I I . . . . . . . I I I . I I I . . . I . I I . I I . . I . I I I I . . . I I I I I I . I Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) 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 (PloUSurvey/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 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 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 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 ~hat a s.eparate perm~t. may ~e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCIfically 1n~luded. In the applicatIon. A permit issued shall be construed to be a license to proce?d With the work a~d not as authorl~y ~o. vlol~t~, cancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permIt prevent the B~II.dlng OffiCial from the~eaft?r requiring a correction of errors in plans, c~n~truction or violat~o~s o~ any codes. Eve'!' ~ermlt Issued. shall become. invalid unless the work authorized by such permit IS commenced Within SIX months o.f permit Issu~nce, or If work authorized. by the permit is suspended or abandoned for a period of six (6) mo~ths after the tIme th~ work IS commenced.. An extension may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty (.90) da~s 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. FLORIDA JURAT (F.S. 117.0 ~ OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or a Irme ) efore me this Subscribed and sworn to (or affirmed) before me this 'Z 3 1 b /2.-3-01 by ~\ 0 ~a~~ pers~nallY known to me or has/have produced Who Is/are personally ~own to me or has/have produced n d . ti fNP./V'S'-' _n n!,l l...~ as identification. ,,<-(Uf lLI11II.t.y..asl entifica on. ~~,-- 9:LJ~ ~ Nma~ pobl" CommO on~;"" JAl aJ":' ; , '~~;t COrflrn\!.3Il1!1 0,) e21 S33 . 'd '-pf1' AAf l1911 '" . '~I""'rO'/F"'" 'Rf.. ~~~ CommiSSion No. ,." :;', "', CQUELlNE OOGES "c,Ifi..~I'<" JA f:~'" .~;~ Commission DO 621833 Name of Nota -.'. n 90 11W rill J 5;;,0-5 I h -(0 i:'h7 ~-O Notary Public Name of