HomeMy WebLinkAbout08-8190
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8190
8190
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:
4,800.00
8/12/2008
55.00
55.00
8/12/2008
AlC CHANGE OUT EMERGENCY
Address: 5607 CYPR T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: YINGLING ADDITION
Parcel Number: 12-26-21-006B-00000-0150
Name: BROWN, DAVID & REGINA
Address: 5607 CYPRESS ST
ZEPHYRHILLS, FL. 33542
Phone: 813244-9393
r~~rIb
~
DUCTS INSULATED
FINAL
REINSPECTlON 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."
(J;xaViJIJW Mh(t~
CONTRACTOR SIGNAT PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
I
Fee Simple Tllleholder Address I I
: s,03--4-press St-i Ze(Jh(Qbill~ ::'~5~ I LOU I I
PARCELlOt ld- ato- ~l-nrrlsllr 00000-- (.01.w
(OBTAINED FROM PROPERTY TAX NOTICE)
E3 ADD/ALT 0 SIGN D MOVE 0
REPAIR
o COMM 0
o FRAME 0
DeSCRlP110N (lFWORK :::::1 Ale.. ~ OU;{-
BUILDING SIZE ~ SQ FOOTAGE _
813-780-0020
Date Received
Owner's Name
Owner's Address
Fee Simple Tideholder Name I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTlON
City of Zephyrhills Permit Application 1f ~(a 0
Building Department I
Fax-813-780~21
33~.) -
Owner Phone Number I
Owner Phone Number I
B
o
o
NEW CONSTR
INSTALL
SFR
BLOCK
DEMOLISH
OTHER I
STEEL D
OTHER I ~Ch.tnl <..~
HEIGHT I
1$
1$
1$
l:t800 I (ry:)
o GAS 0 ROOFING
FINISHED FLOOR ELEVATIONS I
0 BUILDING
0 ELECTRICAL
0 PLUMBING
'1::D MECHANICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
W.R.E.C.
D
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
D SPECIALTY 0 OTHER
I FLOOD ZONE AREA DYES IDNO
BUILDER
SIGNATURE
COMPANY I
REGISTERED Y/N FEE CURRENT Y/N
Uoense .. I
COMPANY I
REGISTERED Y/N FEE CURRENT Y/N
Ucense # I
COMPANY I
REGISTERED Y/N FEE CURRENT Y/N
Ucense .. I I
/L ~ \er~5 Heab~'i.. Om~l I()(,I
Y I N FEE CURRENT I Y I N
Ucense # I C4C/l &61J1u I
COMPANY I
REGISTERED Y/N FEE CURRENT Y/N
Ucense # I
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OlliER
SIGNATURE
Address
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-Q-W Pennit fDr new constructiDn,
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Pennit for subdivisionsllarge projects
Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fonns, R-O-W Pennit for new construction.
Minimum ten (10) working days after submittal date, Required onsile, Construction Plans, Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster, Site Work Pennit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans,
-PROPERTY SURVEY required for all NEW construction,
RESIDENTlAL
COMMERCIAL
SIGN PERMIT
Directions:
Fill out applicatiDn completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AIC upgrades over $5000)
Agent (for the contractor) Dr Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER lliE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (PlotlSurveylFootage)
Driveways-Not Dver 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 IMPACTIUTILlTlES 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'SlOWNER'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. WaterlWastewater 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 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, in writing, from the Building Official for a period not to 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 YOU OTICE OF COMMENCEMENT.
FLORIDA JURAT (f,g, 117.03)
OWNER OR AGENT
Subscribed and sworn to (or aflirmed) before me this
by
VVho is/are personally known to me or haslhave produced
as identification,
Notary Public
r:;a,llY}'~A-< I, ~ ~
mission No, D j:Io ,~ q
NDtary Public
Commission No.
Name of Notary typed, printed or stamped
Name of Notary........ .
"'~:.\!~'.:::;-'" JESSICA L, TRUJILLO ~
t:m~'f>~ Notary PubIc - S1IIe of Florida
I ; p.ty COIMliSslon ExpIres ./In 18. 2010
;.~ ~ CommIsIIon , DO 508469
I ',:f,,'lr.t.~'$.,. Bonded By National Notary AllIn,
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19121 US Hwy 41 N
Lutz, FI 33549
813-"94~355
1-86&-323-COOL
813-949-9266 Fax
www.lemaAir.com
lerna's Heating
and Cooling
Fax
To:
City of Zephryhills
From:
Deanna Williams
Fax: 813-780-0021
Pages: 3
Phone: 813-780-0020
Date: 817/08
Re:
Permit
cc:
DUrgenf:
o For Review 0 Please Comment 0 Please Reply 0 Please Recycle
Please accept this application for permit for Equal AC change out (mechanical), This homeowner is
without any AC at all, the call came in late lastnight, and the install is being done today, this is an
emergency" Please advise how payment will need to be made, I can pay with a credit card over the
phone if possible, fo rhte quickest route,
Thanks, Deanna Williams
Ron lema's Heating & Cooling, Ine
19121 US Hwy 41 North
Lutz, Florida 33549
www.lernaAir.com
To Whom It May Concern:
Please update your file's to show that only the following list of employee's are authorized
to be able to pull permits and schedule inspections for Ron lema's Heating and Cooling,
This updated list will take place of any other list you show for us, effective immediately,
Our license wnber is CAC1813676 and should you have any questions please contact
me at 813- 8-6355.
Ro
Authorized EmDlovees:
t2j);)~({){ )" .1l~ "'--.lli
Charlene lema
Deanna Williams
Joe Massa
Charlie Rogers
Don Hamilton
lema's Heating & Cooling, Inc.
www.IemaAir.com
License# CAC1813676
Tele: 813-948-6355* 866-323-COOL*Fax: 813-949-9266
OATIl (MMIOPIVVYVl
05I22J2OO8
THIS CERTIFICATE IS ISSUED AS A. MATTER Of INFORMATION
ONU: AYl CONEE&S. un RJGI:[[S. UPON.. tHE.. CEJDlEICAIE.
HOLDeR. THIS ceRTlftCATE ooes NOT AIlEND, EXTEND OR
Al.TER THE COVERAGE AFFOROeO BY THE POLICIES BEl.OW.
; INSURERS AFFORDING COVERAGE
: INSURER,. Zurich-American Insurance Company
. INSUflER 8:
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I ACORD.. CERTIFICATE OF LIABILITY INSURANCE
I PRODUCER
I j. ~nittn'Laliler7s.'tOmpany
111330 lakefiekl Drive
'. BuMding 1; Suite 100
I Duluth, GA 30097
llNSURED
\ PEO Management Group, Inc. All. Emp: Ron lema's Heating & Cooling, Inc.
4224 West Henderson Blvd. ! INSURERC:
) T.amQa,., F.L33629
COVERAGES
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ANY REQU'REMENT, 'TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WlTJot 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, EXCLUS'ONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
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Certific;ateij:
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Ron lema's Heating & Cooling, Inc.
~'~'nwyt(I'N
Lutz, FL 33549
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CANCELLATION
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I SHOULOMY OF THE AIIO\IE DESCIII8ED POUClES BE CANCELLED BEFORE THE EXPIRATION I
DATIl THEREOF. TIlE __ INSURER WB.L EllllEAVOR TO IWL 30 DAYS ~ I
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N01lCE TO TIlE csmFICATIl HOUIER HAlED TO TIlE LEFT. BUT FAILURE TO 00 so SHALL
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@ACORD CORPORATION 1988
City of ZephyrhiIIs - Building Department
S335 8th Street
7ephyffiills, R 33542
\J6V-22-200~ THU Hi: ~! A,M
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;- ACORD... CERTIFICATE OF LIABILITY INSURANCE
THIS CERTlFICAW IS ISSUEJ.) AS A flATTER 01" INPORftIATlcm I
ONLY AND CONFeRS NO RIGHTS UPON 7Hfi ceRl'FiCATl ·
HOt-DEtt, THIS C&RTlFICA TE D~S NOT A~O, EXTEND O~ )
: ALTER THE COVERAGE AFFORDED BY THe POUpIH _LOW. '
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~ 3046 W 8el1BS Ave
, Tampa. Fl. 33618
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r Ron 1811188 HeaIIlg and COOIIrlg, Inc.
~ 19121 US}fW(41 N
1 LUf%, R.. 33549
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~VeRAGES
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I MAY PEftTAiN. THE IHSURANOE NfIORDED BY THE POlICIES /lS.'5CRI81lO tle~ IS SU8JECT'rO All TH! TEItM8, ex<llU6lONSAHOOONDfl1ONS OF 8UCl1t
pOLICe. AOOR!iGAn; LMTS 8foICMN flAY HAVE BEEN REDUCED BY PAID CLJ\IMS. f
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llltllULDAlftCF YIlIlOWIlMCIlIIIDHILIOlUH GMl:IU.eo~ llMPJllRA'IltlH ,
. IMft 1HIiRI!CII', .... lNUIIO IWIIII'IA WILL ____ YO MAJt. ~ IJo\VS WRtmN \
i IIOIIllIi 1V 1MlI~ IIOLIlI!ft ~ TO 1MlII.8'T,IlUT FAIlIIM 10 DO SO llfAU. I
t ~ tIO GlIl.IItA'l1OII OIl UMIlLIl't OP MY MlNO 11I'o.. 1II1! \HIUI\lPr, na MMTt OR ~
C> ACORD CORPORATlON 1988
City of Zet?hyrhills
5335 8th Street
ZephyrhUls. A 33542
ACORD 2i (2OG1toe)
Page 2
2008-05-2t 23'.39
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if U1e certificate Oo(der is an AOOITIONAl INSUReo. tfJe policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of sueft endorsement(s),
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require an endorsement A statement on this certificate does not confer rights to the certificate
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The Certificate d Insurance on the reverse side of this fonn does not constitute a contract between
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