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HomeMy WebLinkAbout08-8533 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8533 BUILDING PERMIT Permit Number: 8533 Address: 38549 ALPHA AVE 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: ALPHA VILLAGE Est. Value: Parcel Number: 35-25-21-005A-00000-1510 Improv. Cost: 3,900.00 Date Issued: 11/14/2008 Name: PELOQUIN, MICHAEL Total Fees: 50.00 Address: 38549 ALPHA AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/14/2008 Phone: (352)458-0291 Work Desc: A/C CHANGE OUT 3 TON CHRIS'A/C CO. A/C CHANGEOUT 50.00 li U 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 your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." < (AL1'14 ( DML ) CONTRACTOR SIG URE PERMIT OFFI R PERMIT EX IRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Fax-813-7sU-Uu'L'I 813-780-0020 City of Zephyrhills Permit Application 5 33 Building Department Date Received Phone Contact for Permittin Owner Phone Number © ` Owner's Name " ` I A L �,(� Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Fee Simple Titleholder Address JOB ADDRESS SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) ADD/ALT [j SIGN Q MOVE [ DEMOLISH WORK PROPOSED NEW CONSTRREPAIR INSTALL PROPOSED USE [] SFR [ COMM Q OTHER TYPE OF CONSTRUCTION [] BLOCK FRAME ] STEEL [] OTHER DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE LII HEIGHT;jIIiI'IIIIIIIEII BUILDING $ VALUATION OF TOTAL CONSTRUCTION LIII ELECTRICAL $ AMP SERVICE [ PROGRESS ENERGY U] W.R.E.C. EIIII PLUMBING 1!II NMECHANICAL $ 2 /t 00 n , 00 VALUATION OF MECHANICAL INSTALLATION [Ill] GAS [] 'l ROOFING 0 SPECIALTY LII] OTHER FINISHED FLOOR ELEVATIONS r FLOOD ZONE AREA AYES []NO BUILDER r COMPANY REGISTERED Y/ N I FEE CURRENT Y/N SIGNATURE License# Address ELECTRICIAN COMPANY REGISTERED Y/ N FEE CURRENT Y/N SIGNATURE I III License# Address PLUMBER I COMPANY REGISTERED I Y/ N I FEE CURRENT I Y/N SIGNATURE License# T Address MECHANICAL COMPANY `r l s' C SIGNATURE C REGISTERED Y/ N FEE CURRENT Y/N n Address a a3 a S 3 License# E aC 0985 15 OTHER COMPANY SIGNATURE REGISTERED Y/ NJ FEE CURRENT Y/N License# Address 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,Stonnwater Plans wl Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)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 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$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 N TICS O DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions Nti ich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any ap "iicable deed restrictions. U LICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or roo I ractofs'.to undertake work, they may be required to be licensed in accordance with state and local 1=egulatiohs if the o traetdr i5 hot licensed as required by law, both the owner and contractor may be cited for a misdemeahor vioiatioh Under state taW: If the owner or intended contractor are uncertain as to what licensing 'requirements may;'app lytor the` intended /oflii they are advised to contact the Pasco County Building Inspection Division—Licensing<Sectioh at 727-8 7 0 $ Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the cohti•actor(a) sign tons of the Lcontractor Block" of this application for which they will be responsible. If you, as the owner sign as the colritiactor, that may be an indication that he is not properly licensed and is hot entitled to permitting privileges in Pasco County. TF ANSPOR ATION IMPACT/UTILITIES.IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transpoftation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of Us 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 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 3) OWNER OR AGENT _ CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed daand b sworn to(or affirmed)before me this (I-1'j--c) , by by Who Is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced as Identification. as Identification. YPv" JACQI)ECJNE B Notary Public Comm ,. �pll__ _____Notary Public ,l• xprres f►► :►_ Commission 621833 7(119 l htl�b. d°ndedthNTmyFainImuffce Commission •_ Rnnd rnn,T.nr P-i, Nrnrwe t1Bo-20Frote Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped j5 -a � � 11%14/' 08 FRI 13:48 f 3525213393 # i/ CHRIS` A/C COMPANY CAC058575 Proposal Submitted To: Date: 11/13/2008 Phone: 3528-0291 F 813-762-1720 Team King Real Estate/Chad Sommers 7653 Merchantvife Circle Job Name: Zephyrhills, Fl. 33540 Address: 38549 Alpha Ave.Zephyrhills, FL. 33540 3 ton Tappan split system,heat pump, 13 Beer, 8 kw heater, pad, digital thermostat, float switches,auxiliary pang hanging kit, 2 supplies In the garage, removal of the old equipment,tax, labor and permit Included. Price$ 3,900.00 Warranty: Chris'one year limited warranty on materials and labor. TOTAL 10 year limited manufacturers warranty on compressor. 10 Yrs.Warranty on equipment onpal1s. 1 Yrs.Warranty on equipment only labor. 10 Yr. Part warranty on outdoor coil only. Payment to be made as tollows: [X Due Upon Completion []Draws O CHRIS'Authorized Signature: NOTE:This proposal may be withdrawn by us If not accepted within 30 days. I haw eulharlty to ardor this wok,whleh shoe be porfertmad as ouubwd above. It is agreed the!Eder wid retain tide to any oqulpmaM at ms4Nial that may be furnished until hnei payment i6 made,and it SetiInenl 16 not made as agreed,the seller shad have the rlpht to remove same and the adler will be held harmless for and deateges Ruin g from the removal dterof.i agree to pay a6 met and reasonable attorney's tee If 11th Itwoloe is placed in the hands of en attorney for mdectlan.seller is$t ed to restoddng charge for job canceled FANANc!CHARMS:eslense awe ewer so stye ft In%adralq!sT)IF YOMTM(tax!!!!2n RATE)will be i,osad hhsrs applip,tst Cu$tomer a S ure: 8lpnature: !. Date: _/ /' /,4 Signature: Date: 12232 U8 HIGHWAY 301 DADE CITY, FL. 33529 PHONE 352-521-4977 FX 382-521-3393 King Real Estate Alpha ave TEA ®_ CERTIFICATE OF LIABILITY INSURANCE DA 11/14/08 (P Y' PRODUCER Bauer&Associates THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 12210 US Highway 301 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Dade City, FL 33525 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (352)567-3702 Fax (352)523-0434 INSURERS AFFORDING COVERAGE NAIC# INSURED CHRIS'A/C INSURER A: AUTO OWNERS INSURANCE CO. INSURER B: BRIDGEFEILD EMPLOYERS INS. 12232 US HWY 301 INSURER C: DADE CITY, FL 33525 ❑ INSURER D: ____ L INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD DATE(MMIDDIYY) DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE 1 M I L DMAGE TO COMMERCIAL GENERAL LIABILITY 20681274-08 03/07/08 03/07/09 PRA M SES(Ea occureDnce 50,000 ❑❑ CLAIMS MADE V OCCUR MED EXP(Any one person) 5 000 A ❑ ❑ I PERSONAL&ADV INJURY 1 M I L ❑ GENERAL AGGREGATE 1 MI L GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 1 MI L ❑d POLICY ❑PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident)LI ALL OWNED AUTOS I BODILY INJURY n) SCHEDULED — — LII HIRED AUTOS BODILY INJURY ❑ NON OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ❑ ANY AUTO OTHER THAN EA ACC❑ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE ❑ OCCUR ❑ CLAIMS MADE AGGREGATE - ________ - - -_ -- LI DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND ❑ WC STATU- ❑ OTH-i EMPLOYERS'LIABILITY 830-32770 11/14/08 11/14/09 TORYLIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 500,001 OFFICER/MEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE 500,Oö If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS A/C REPAIR & INSTALLATION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL CITY OF ZEPHYRHILLS 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY 5335 8TH STREET OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ZEPHYRHILLS , FL 33542 AUTH ED REPRESENTATIV FAX@813 780 0021 ////'//or k ACORD 25(2001/08)OF ©ACORD CORPORATION 1988