Loading...
HomeMy WebLinkAbout09-8803 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8803 BUILDING PERMIT Permit Number: 8803 Address: 38745 3RD AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-17900-012A Improv. Cost: 4,100.00 :f. . �r.,>. , Date Issued: 2/09/2009 Name: CANNON, DUANE W. Total Fees: 55.00 Address: 38745 3RD AVE Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/09/2009 Phone: (813)715-4604 Work Desc: A/C CHANGE OUT ODONOVAN'S A/C&HEATING A/C CHANGEOUT 55.00 SF : 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." � 1 CO TO SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received PhoneContact for Permitting ( J I I — Owner's Name ;©�C C/lri !/fi ,?< L /1/I ! �1 Owner Phone Number Owner's Address 7 !1 4 V, Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS /�7 ! 14 I Z / 4 ! LOT# I I SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR ADD/ALT = SIGN = MOVE = DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM = OTHER TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL L OTHER DESCRIPTION OF WORK C/ n G'1 BUILDING SIZE I SQ FOOTAGE I HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION = ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. PLUMBING $ LMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION = GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/N Address I License# MECHANICAL %- COMPANY va F '1 (�'C �� SIGNATURE / �/ ! /`�� J REGISTERED Y/ N EE CUREN1 I Y/N Address I License# l 9L{7 / OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# 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&I 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. 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 IMPACTIUTILITIES 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 the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j 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 AN ATTORNEY BEFORE RECORDING YOUR NPII F COMMENCEMENT. FLORIDA JURAT 3) � ( /' " CONTRACT _._.__._�� OWNER OR AGENT Subscribed and sworn to(Qr.-affirmed before me this Subscribed and sworn to(pr r ed) efor�[ne-ths by Who is/are person I known to me or has/have produced Who is/are personal) known to me or has/have produced as identification. as identification. Notary Public Public , C mission DD 621 3 -• ommission DD 621 res D c Expires Decem mmissi o. =,• „pF ;,.• Bonded Thru Troy Fain Insurance 30o38r7079 C 15$ F`.• e roy Fain Insurance 800-38$-7019 Name of Notary typed,Printed or stamped Name of Notary typed,printed or stamped CO BOG & iEAT G CO.. � � 00017 48.39 ALLEN ROAD ZEPHYRHILLS, FL X3541 , PH (813) 782-4075 FAX (813k 779-0100 STATE L CA0 SUBMITTEDFT PHON - DATE STREET E ±7 ( 3 /(/ 4 l ( CITY � :/ STAT ZIP JOB LOCATION// A MAIN CONTACT' JOB PHONE i/ 1 ( f 4 i (! S�✓✓,�E' -f 1 r I OcAe �,� �� � f � WE OFFER TO FURNISH MATERIAL AND LABOR AND COMPLETE THE ABOVE IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR THE SUM OF: DOLLARS(S )- PAYMENT TO BE MADE AS FOLLOWS: All material is guaranteed to be as specified.All work to be completed in.a workmanlike manner accordirryeo standard practices.Any elteratf it or devie tion from above specifications involving extra costs will be executed Only UponAUTHORIZED SIGNATURE written orders,and will become sn extra charge over and above the.estk : All agreements contingent upon strikes,accidents or delays beyond our con- OFFER MAY BE WITHDRAWN trot.Owner to carry fire,tornado and other necessary insurance. Our workers IF NOT ACCEPTED WITHIN DAYS. are fully covered by Workmen's Compensation Insurance. The above prices,specifications and conditions are satisfactory and are hereby accepted.Youate authorized to do the work as specified.Payment will be made as outlined above. aS AUTHORIZED SIGNATURE - DATE Off ACCEPTANCE AUTHORIZED SIGNATURE PRO-2 Feb O9 O9 O8: 56a Lg Edwards Ins 3525676766 p, 1 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID KS OATE(MMIDDIYYW) PRODUCER ODONO-1 02/09/09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE L.G. Edwards Insuranco Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR P.O. Box 1548 ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW, Dade City FI. 33526-1548 Phone: 352-567-6751 Fax:352-567-6766 INSURERS AFFORDING COVERAGE INSURED - NAIL S INSIJHF;R A Allstate Insurance Co 09020 O'Donovan's Air Conditioning & fNyUKERU Maryland Casualty Co I 19305 Heating Coinpa31y INSURER C. Old I_..publi. !.vraty rgmpfny 4839 ` Allen RR 4839 hills FL 33541 INSURFKD' _.. INSURER C:COVERAGES THC POLICIES Or INSUItANCI-IJSTkO BELOW HAVE OCCN ISSUGD TQ THE INSURED NAMED AOOVC FOR•IHI•HOI.ICY PERIOD INDICATED.NOTWITHSI•ANDINC ANY Rr:OUIRI_MLNT,TERM OR CONDITION O►ANY CONTRACT OR OTHCR OOCUMI=NT WITH RESPECT TO WI•IICI I TI 113 C'w rI-ICATm MAY EE ISSUED OR MAY PERTAIN,THC INSURANCE AH OROCD DY THE POLICICS OCSCRIHI-O HEREIN IS SUDJCCT TO ALL TI•IK TI MS I XCLUSIONS AND CONDITIONS 01-GUCH POLICIES.AGGHtCATE LIMITS SHOWN MAY I•IAVk yttN REDUCED DY PAID CLAIMS, 8r - _ LTR NBR TYPE OP INSURANCE POLICY NUMBER DAPOTE jM FF E DATE M oD,YI LIMITS GENERAL LIABILITY rACH OCCURRENCE £1,000,000 A X COMMERCIALCCNCRALLIAHuJ1Y 049851744 .. 0•HFN1-kL) "`-`- 01/07/09 01/07/10 PkFMIAFS(I-nnriy/mnrA) $_100,000 ,,.• I CLAIMS MADE I X OCCUR --" - _._... MCD CXP(My ono pamon) S 5j 0Q 0 "' •- PFRSONALXADVINJURY $1,000,000 C•ENERALACCRCGATC $1,000,000 F11N*L AGGRr: LIMIT APPLIES PERPOLICY I-NO LOC .PRODUCTS.COMP(01'ACC S 1 000,000 JANYAUTO OMOBILE LIABILITY A ' 6504].9967 10/15/08 10/15/09 (IOMHINfOtiINGLELIMIT (I-n nnUgnnq I S 50,000 ALL OWN►I)AU I OS —••_• .. X47j'ANYAUT0 HEDULED AUTOS r10DIIr INJURY S (Pnr wnson) ED AUTOS k AUTOS O DOOILY INJURY i N•OWN IPeI aolidnrn) PROPERTY DAMACF (Par uccidnm) E LIABILITY AUTO ONLY-CA ACCIDENT T OTI•i THAN FA ACC S AIITO ONI Y: ACC I EXCESSIUMBRELLA LIABILITY hACH OCCURRENCE S OCCUR I- I CLAIMS MADE AOCMCATE $ DEDUCTIBLE I _-_._.. RETENTION WORKERS COMPENSATION AND EMPLOYERS'LIADIUTY X TORY LIMITS rH ANYPROPRICTOR/PARTNER/F:XFCIJI'IVIw WCO29841 06/02/09 06/02/09 C.L.EACIHACCIDENT $100000 OrnnCCR/MCMDCR r:XCLIIDI r T C .. . . .. ..-._..-._ (ryes,daecriDe ufldw C.L.D_SEASF.•FA FMVI,OYI-t__S 100000 SPECIAL PROVISIONS bOIow EL.DISEASE-POLICY LIMIT I$500000 OTHER C Bond OFL0569260 10/01/08 10/01/09 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITYOFZ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THC EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRrrrEN CXTX OF ZEPHXRHILLS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 50 SMALL (813)780-0021 5335 8TH STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS ADENTB OR ZEPHYRHILLS FL 33541 REPRESONTATIVCr- AUTHORIZED RCPRCSCNTATIVE-- ; ACORD 25(2001/08) 0 ACORD CORPORATION 1988