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HomeMy WebLinkAbout08-8515 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8515 BUILDING PERMIT Permit Number: 8515 Address: 5037 GALL BLVD 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-19100-0090 Improv. Cost: 6,246.00 r II 3 cZF Date Issued: 11/10/2008 Name: SUN PATH PRODUCTS INC Total Fees: 65.00 Address: 5037 GALL BLVD Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/10/2008 Phone: (813)783-3013 Work Desc: A/C CHANGE OUT 5TON iIMTUUi UPMM1UI1IPI øhESMumd.ia, . AIRTECH SERVICES INC A/C CHANGEOUT 65.00 DUCTS INSTALLED DUCTS INSULATED FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one 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 yo ope . If you intend to obtain financing, consult with your lender or an attorney before recordin ur not f mmencement." CO TRAC R SIGNATURE PERMIT OFFI R PE IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Sent by:A Community Insurance of CFL (813)779 7183 11/10/2008 11:48:57 AM Page 1 of 1 ACORDM CERTIFICATE OF LIABILITY INSURANCE IDivio o 8 PRODUCER Phone# (813)779. .8802 THIS CERTIFICATE IS ISSUED.AS.A MATTER.OF.INFORMATION A Community Insurance Service: of Central FL, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 38336 5th Avenue ALTER THE.COVERAGE AFFORDED BY THE.POLICIES BELOW. Zephyrhills, FL 33541 INSURERSAFFORDINGCOVERAGE NAIC$ INSURED INSURERA: AMERICAN. VEHICLE AIR TECH SERVICES, INC INSURERS. ! P.O,.BOX 1120 INSURERC: - Zeph.yrhills, FL 33549 INSURERD> INSURERS! COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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. INSR 1001 --'LIE 5J iVPEOF POLICY NUMBER POLICY EPFECTNE. POUCYEXMRA LNTITS ------------- GENERALLIAORM EACH OCCURRENCE $ 2,000000 COMMERCIAL GENERAL LIABILITY I PREM S(axcwerce $ . 100.,000. A CUUMSMADE. OCCUR � 5,000. 11T02008A_.572060 11/10/08• 11110%09 MEDEXP(Anyonepelson) S,SONALAADVMIJURY S. 1,000,000 GENERAL AGGREGATE $------2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COUPIOP AGG :$ 2,000,000. POLICY PROT LOC '-- AUTOMOBILE LIABILITY ANY AUTO COMBINED9INGLELBAIT Ee sodden) ALLOWNEDAUTOS PMILYINJURY Iy Li SCHEDULE13 AUTOS (Perpereon). HIRED AUTOS BOOILYINJURY ; I NON-OWNEDAUTO9 accident)(Per accident)ent) I PROPERTY DAMAGE I$ (Per accident) GARAGEIJABILRY AUTO ONLY-EAACCIDENT ANY AUTO- EA ACCT_$ OTHER THAN AUTO ONLY: AGO $ BXCESSNMBRELLALIABILITY EACH OCCURRENCE S. OCCUR G CWMSMADE - AGGREGASE ----j$ $ ----- DEDUCTIBLE $ RETENTION S WC STATU WORKERS COMPENSATION AND XLIMIT ENPLOYERS'LIABILITY ANY PROPRIETORIPARTN EL EACH ACCIDENT EERIEXECUTIVE _ I OFFICERIMEMBER EXCLUDED? I E.L.DISEASE-EA EMPLOYEE.$. E a:describe under - - SPEC LPRO47SIONSbebw E.LDISEASE-POLICY LIMIT $ OTHER .. DE3CRI'TION or OPERATIONS!LOCATIONS!VEICLES I EXCWSIONSADOED BY ENDORSEMENTI.SPECIAL PROVISIONS. AIR CONDITIONING CERTIFICATE HOLDER CANCELLATION CITY OF ZEPHYRHILLS SHOULD*NYOf THE ABOVE DESCRIBEDPOLICIESBECANCELLED BEFORE THE EXPIRATION L GATE THEREOF;THE ISSUING INSURER WILL ENDEAVOR TO MAIL. 3O DAYS WRITTEN .5335 EIGHTH STREET e� r.� NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 0050 SHALL ZEPH i RI-IILLS, FL 33542 IMPOSE:NO OBLIGATION OR LIABILITY OF ANY KOMMPON THE.INSURER,ITS:AGENTS OR FAX#813-780-0021 R_PRMERTATNES. ATTEN: JACKIE BOGES AUTHORIZE`O��RESENTATUIE ACORD 25(2001/08) ©ACORD CORPORATION 1988 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department ...JSI Date Received I WQ(J D� D� Phone Contact for Permitting �� ff < C►� Owner's Nall 1 Owner Phone Number I� Ic/� Owner's Address l t I \ j .— Lri Owner Phone Number Fee Simple Titleholder Name Owner Phone Number _______________________________ Fee Simple Titleholder Address L�//'\� ` ff LOT# I JOB ADDRESS ,.J LJ� �` l�) SUBDIVISION I PARCEL ID# I .lp / 0/0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED j NEW CONSTR B ADD/ALT El SIGN Q MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR 0 COMM Q OTHER TYPE OF CONSTRUCTION E BLOCK E FRAME Q STEEL Q OTHER DESCRIPTION OF WORK / /C12 GGN � BUILDING SIZE I I SQ FOOTAGE I I HEIGHT BUILDING Is VALUATION OF TOTAL CONSTRUCTION Elli ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C LII PLUMBING $ MECHANICAL $ j f VALUATION OF MECHANICAL INSTALLATION El GAS El ROOFING 0 SPECIALTY El OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURRENT Y/N Address License# MECHANICAL COMPANY /� IIJG� SIGNATURE , REGISTERED Y/ N FEE CURRENT Y/N AddressIö 1 (IS License# 3h1 / 1≤- OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# 11111111 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 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. I 11111 I 11111111111 11111111111 11111111111 11111111111 1111111111111111111111111111111111111111111111111111111 11111111111 11111111111 11111111111 1111111 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$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(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 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 IMPr��before TO YOUR PROPERTY. IF YOU INTEND T BTAIN FINANCING, CONSULT WITH YOUR LENDER O EY BEFORE RECORDING YOUR N OMMENCEMENT. FLORIDA JURAT(F.S. 117 OWNER OR AGENT CONTRACTOR Subscribed and sworn o or affirmed)before me this Sub�jscribed and sworn to(or a rmis !_ or by by Who is/are personally known me or has/have produced Who Is/are!ersonal) known to me or has/have produced as identification. as identification. L Notary Public Public Notary e JACQUELINE GES Comrrfi�8ion N -` Expires December 12, ;,: :.: Commission 00 621933 "'t•..,,,.. T v, wam"69 W701e d mbbr 1P,2010 Name of Nota ' ped,printed or stamped Name of Notary typ; of F,W BondedThm IingFAInI 4ninr&.A*W370 N0V-10-2008 M0N 12: 11 PM AIR TECH FAX NO. 813 779 7504 P. 02 r + ' AIR TECH SERVICES INC. P.O.BOX 1120 ZEPHYRHILIS,FL 33539 PHONE; (81.3) 779-7508 FAX: (813) 779-7504 CAC1815498 PROPOSAL TO INSTALL OR REPAIR DATE:11 608 JOB LOCATION: A-Team Cycles ATT N essica ESTIMATE/PROPOSAL: Replace evaporator coil,ETA from factory 25 days-6 weeks. Replacement cost:$5717.00 5 ton system straight cool w/ heat TOTAL COST:$ 246Q.0 Thank you, Brad APPROVAL: START DATE: N0V-10-2008 M0N 12: 11 PM AIR TECH FAX NO. 813 779 7504 P. 01 7O ca AIR TECH S ERV1 CES, INC. GAG 1615498 F. o. aox1120 1EFHYRH►LLS, FL. 33593 PHoNE: 813-779-7508 FAX: 813 -779 -7504 FAX COVER SHEET DATE. // / ? PAGES{I1 ATIDN: SUJC &0101 G;d L / G r�J