HomeMy WebLinkAbout08-7861
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7861
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
7861
MECHANICAL
AlC CHANGEOUT
NOT APPLICABLE
Address: 6349 ASHVILLE D
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS VILLAGE
Parcel Number: 03-26-21-0200-00000-0180
4,000.00
5/14/2008
50.00
50.00
5/14/2008
CHANGE OUT 2 1/2 TON AlC
Name: HOBBS, JODI MICHELLE& BONERD C
Address: 6349 ASHVILLE DR
ZEPHYRHILLS, FL. 33542
Phone: 813 468-1395
cJ
tt^ 8
5 u- ()
rt
AL
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."
~Q ~;~
CONTRACTO. IGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Comfort Specialist"
Proposal/Contract q
~ flJO~
"
AU-TECH A1~ Inc.
38147 16th. Ave.
Zephyrhills, FL. 33542
Office 813-870-6934 Fax 813-783-2336
info@alltechair.com I alltechair.com
State License # CAC1814196
PROPOSAL SUBMITTED TO:
DATE: 05/14/08
WORK TO BE PERFORMED AT:
Casey Hobbs
6349 Ashville Dr.
Zephyrhills, F1. 33542 (813-468-1395) (813-468-1396)
Same
WE HEREBY PROPOSE TO FURNISH THE MATERIALS AND PERFORM THE LABOR NECESSARY FOR:
1. 1 - Trane XR-lJ (14 Seer), (2 1/2 Ton Heat Pump) split system with 5kw backup heat
CONDENSOR: 2TWR3030AI000A! VARIABLE SPEED AIR HANDLER: 2TEE3F31AI000A
'}
'I'll!" FlI~(' IOc!U0e<: Trnl1e DigitJ:l1 Th':!Tnos~at. Hl'rrit:nne Sinn hlr ('nn(1en~er. ('nrrr'Cl <.:izc
Bn:-.lkt;i's~ and City Dr COllHty Pcrniit.
***** Warranties: 10 year Compressor /5 year Parts /1 year Labor *****
*****Not including: Copper Lines, Original Electric and Plumbing Pipe
^ '.J:-MJ\JERIALS ARE GUARANTEED TO BE AS ;;j~EC;IFIED. ALL WORK TO BE
ANY AL TERATlONS OR DEVIATlONS FROM ABOVE WORK l}.1VOLVING EXTRA COSTS \V;~.-
~:: !":'"\..:rr~ ~':~r~ r;~..'~ '\! ~~~_0'__' 'l.'.'r:o''-'~'rt:''._' !":.r.,.!'.~!:" ~......r~ ",,!1"~""- 0!,:,.r-!'''-.'\.~F ::\"~ ~:"-:'~~T' J.. :'!_~.~."f.":'-~!:"
Respectfull~ ~~bmjtte~', pa~ck -Kilgann~~ -
President All-Tech Air. Inc.
ACCEPTANCE OF PROPOSAL
..' -::. 1l if, af)
Expires J!L Days
--....:.....--..... --.. ~~. ~....- ....--.. -..;. ...:.-.'-......--. - ~~",.._~._.~ -~- --' ~_.-~
. . ". .. -. .'. . - . .. , .
-. -. - _._.< -- ~. .~ --~-~ .-------- -- -.--.. --
. -:Jrnatea now without cnanl!es $3.900.00
Print rUZL y ,J.kJ:/::&
Si~~~ Date5!J7I/u1
/~
We appuciate fPU" #a4ined"j
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
.
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Name
D
D
rp
1$
1$
1$
l!:i [om,
D GAS D ROOFING
FINISHED FLOOR ELEVATIONS I
Fee Simple Titleholder Address I
~~ A&\rv'il\t (j" ?..e~ "'b?l:)LJ'Z--. I LOT #
I I PARCELlD#1 03.... ?~. z/- om - OOt~-~ 01150
(OBTAINED FROM PROPERTY TAX NOTICE)
D NEW CONSTR [=:J ADD/ALT D SIGN D MOVE D
D INSTALL CJ REPAIR
PROPOSED USE D SFR D COMM D
TYPE OF CONSTRUCTION D BLOCK D FRAME D
DESCRIPTION OF WORK I (I m q..g f OlL t '(.;' Vt.. '\ J\f
BUILDING SIZE I SQ FOOTAGE I I HEIGHT I
. 0.,.,. . . 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 II . . . . . . . . . I I . I . . . . . . . . I I . . . . . . . , , . . . . . . . . . . . I I
I
I
I
I
D
I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
DEMOLISH
OTHER
STEEL
I
D
OTHER I
D
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
o
W.R.E.C,
PLUMBING
00
VALUATION OF MECHANICAL INSTALLATION
MECHANICAL
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
ONO
"'11"""'1",""""1",,""""'1""""""1"....1,.'...."'...,1'1'...,"'.'11,..,11'.."'1,....""111"1"1'."""""1"""1""'"
COMPANY
REGISTERED
BUILDER
SIGNATURE
Y / N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N
Address
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
Address
MECHANICAL
SIGNATURE
Y/ N FEE CURRENT I Y/N I
License # ~ lo
OTHER
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
License #
1I1111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111I1I11111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Storm water Plans w/ Silt Fence installed,
Sanitary Facilities & 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 Permit 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 must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
1111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I
Directions:
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (Ale 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 AlC 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 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 that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not specifically in~luded. in the application, A
permit issued shall be construed to be a license to proce~d WIth the work a~d not as authon~y !o vlol~t~, 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) mo~ths after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Offjcia~ for a penod not t~ exceed nln~ty ~90) days and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, th~\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, 117,03)
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification,
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
COMPREHENSIVE INSURA
813996121714
1215/14/1218 1212:1218pm P. 1211211
CERTIFICATE OF LIABILITY INSURANCE r--'-OAT~d~~~i" ---'1
~~yC::.j~~~ER~ ~~:H~ ~~~~'g~~~~:T~TION------l
tIOLDER. THIS CERTI. FI.CA TE DO. ES NOT AM. EN.D,. E. ..X. TE.... NO OR. .. .',.
ALTER THE COVERAGE AFFORDED BY THE POpCIES BELOW. ,
INSUR~~~..'!~F.()ROINGC()".~~~~ ...._ _.....,..-_______..j..~~~~,~__.____......"_.,,.;
i :~: ~ AMERICAN VE:C~-==-_ ---::-t--=j
i, INSURER D -- -----------.-----1-- ___I
, INSURER E: I
.. ,_.....___.,._..._....._, -.--.,-".""-.--.........." .. I
COVERAGES . INSURER F: i 1
r--.... _.. ,__, "__ ......_......__.........., .... ".. . -.,......--..-.--.--.-.--.--......." ". ..-.-......... .....--.-...-."...-- . . ... ., ,..J... .... ,., __nn. .. " ........_.......n....__.....__.....__. ,......-....-_..___.______.._..... .. .... . ...1........_____.___......_. ...1
I THE POLICIES OF INSURANCE LISTED ~tAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
I 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 HEREI1\I1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
I POUCIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
llf::I~:~~I'"m,-- TY;~ OF I~~~~~~~~"-- .. . f .~L1CY NUMBER tci'}i~1ri~g,W)E i 'rii~H,i':,=WN ;~. -----'''-~~,~S _ .,-.-----.....-,
II. i GENERAL LIABILITY i ~~~HOC;C:l.JRR.~~_~_____l .. ,.~.Q9!Q9..Q]
! ! !~l COMlAERCIAL GENERAL LIABILITY :040289 i 05/04/08 05/04/09 i ~~~J~~~~~~nce) I 5~,~OOJ
I ; IULJ CLAlMSMADE [J OCCUR I I~ED,~.x.~(Anvone~~o~>.,. ___~___",___~,_o.9.~j
I U 13 i l~j~~~-~=:-~--~~
, -"1"-. ..-lir:~~~:G:':~~? APP11~~~ER::' I. 1~:~~~~~~~~~~;iT"~-.~=::~===~
i U ANY AUTO ! (Ea accident) I '
[] IEJ ~~=~:',: 'i=)~~~-=---[-=--J
II, HIRED AUTOS ' BODlL Y INJURY I I
i [-::J NON OWNED AUTOS i! (Per accident) , !
i iF,! : I~R~;~~~~DAMA~~---.---r..----"~
(I . ['.-.. .]'+;+~A:'L=~ITY ITrJi~r6~~;)~'~~_~~~~~!:I-,___~~I'.
Ii OTHER THAN .. .ACC!",
, AUTO ONLY: AGG:
1 . I "-"..--""...,.",, -..." ".,.--"-.,, --,-,"..,,---...-.......---... ..
I EXCESSlUMBRELLA LIABILITV I,' IEAAG' cG'':'R-E<::>cG---A~T~E-~~~-t:l.C?~ '.-+.. ____"_______".11;
I 1"-1 I r.J OCCUR ! I CLAIMS MADE ! ,---.,----'--"1'-,.----------------1
l--~4L~:...:..;f~tt.~~-~=I~t~-~~~
Ii ANY PROPRIETOR I PARTNER I EXECUTIVE , E L EACH ACCIDENT: !
, i OFFICER I MEMBER EXCLUDED? ,.. .--- -- ----- , "'" 'T------- ---- - i
I' ! If yes, describe under I I E,L DISEASE: ~~ ~~_C?~~'j! .- - -----~
I' +~~~!:l'-~Q~IClNSbelow ': ! r [.~Lot~_~~E:POUCY.L_~~_I---'---"~
iee-Jc:RIPTiON OF OPERATIONS/-locATIONS I VEH~LE'S I EXClUSIONS ADDEOl BY ENOORSEME~T I SPECIAL.- PROVl~IONS . ----.------..-..-- .. I . '----------,,-
!FAX 780 0021
--~<Il>
ACCJjRCJi
-,.~~
PRODUCER Comprehensive lnsurancee
4016 Land 0 Lakes Blvd., Suite A
Land 0 Lakes. FL 34639
Phone (813)996-0806
FalC (813)996-0714
INSURED
All Tech Air Inc
9734 Caribou Trail
Dade City. FL 33525
,
. ...---.-- -.--".
CERTIFICATE HOLDER
CANCELLATION
CITY OF ZEPHYRHllLS SLDG DEPT
5335 8TH 5T
ZEPHYRHILLS, Fl 33542
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL i
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO i
THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO 08UGATION OR LIABILITY I
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. i
AUTHO ZED REPRESENTATIVE ~-----'--'--"--- ..'1
~_, . .'''u__,,__,________, ....... . . ..,___ J
@ACORDCORPORATION 1988"'-
.--..........."....--"................ ,. ..-...-
ACORD 25 (2001108) QF