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HomeMy WebLinkAbout09-9772 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9772 BUILDING PERMIT Permit Number: 9772 Address: 39114 7TH S AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: NC CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12- 26- 21 -002A- 01000 -0010 Improv. Cost: 6,000.00 a ' NS Date Issued: 11/19/2009 Name: CLEVELAND, PHYLLIS Total Fees: 60.00 Address: 39114 7TH AVE Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/19/2009 Phone: (813)788 -6128 Work Desc: A/C CHANGE OUT 2.5 TON .. , "7* L 7 'f 1 4 . F ,. $., i ; x . q � ' 3 k o Via. AD AN D AI • • I I N INC CHAN EAU 60.00 DU IN ALLEN DUCTS INSULATED FINAL (1-- :L 3 ()9 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 b - o - recording your notice of commencement." • CONTRACTOR SIGNATURE PERMIT OFFI FR 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 - 12 Fax-813-780-0021 Building Department Date Received / V- °' Phone Contact for Permitting Owner's Name POLL IS IAA 2.k E. LLE vELR1J) Owner Phone Number Z., 1015- )a8 Owner's Address (.7). 1 I1 1A NE. a Nig.,,,LLS / rL. 33S93. Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3g I 74 n iE. Z -i`11 ILL :), FL . 3.3-5q)- LOT # SUBDIVISION PARCEL ID# it - g€ ,- l 009.A - Woo- oc 10 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT ( ' SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE 4 SFR 1 1 COMM n OTHER TYPE OF CONSTRUCTION n BLOCK 1 I FRAME n STEEL n OTHER 1 DESCRIPTION OF WORK R lc C+1gtsG Oki'( BUILDING SIZE I SQ FOOTAGE I HEIGHT tint# ##1#timitimistitiimititt# #t • .................. .... • tI ttlIMI akNttkftt#ttkkkkIMMktkkkkk n BUILDING $ VALUATION OF TOTAL CONSTRUCTION n ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. n PLUMBING $ MECHANICAL $ -60OO 0O VALUATION OF MECHANICAL INSTALLATION n GAS ( ' ROOFING I I SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES nNO BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 Address I 1 License # I ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT YIN I Address , License # I PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N Address 1 License # MECHANICAL i COMPANY [\w tNIct Al2 &L)TlotIS SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT ( Y/ N Address 5I( Li Clac.rJS#1Hw JT• TRM('4 / FL. 33 39 1 License# ICAC 1 LtC I OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT Y/ N Address License # I €lIEEE;3E€E€R EREM#fi 44ii,::4,,,,,, ,,.,,. r::::a::::•ro: , .., : : ,..... a ,.... i:•u + :.... ... . ......................Ili'::: .. .. . ,.,.,......,..... ,. ...... ':...,1i 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. EEEig:::::: ........... E . : - - . ....:..,,,, ,.,..: , .... ... ....,,,.. 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, 1 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 CO ENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR A G E N T . , _ -( CONTRACTOR f(-04 Subscribed and sworn t.' (or - •'rmed) before me this Subscribed and sworn to (or affirmed) before me this by by Who is/are personally known to me or has/have produced Who is /are personally known to me or has /have produced - identification. as identification. lit Notary Public C___ fit Notary Public Csanli4ssion No. /)/) 73 7) (, S Commission go n /7 - 7 Dta_.5 Jul-/ Name of Notary typed, printed or stamped Name of Notary typed, printe• • JAIME L FABER JAIME L FABER ; M Y COMMISSION # D07370 ' • *: MY COMMISSION # D D73 7065 LXt Irc vE� 2011 � ^ES Nn "� ` -' �r 27 2011 ' Ev"�;.ES November 27, r m , , c x.com :40::'74:7:91113::?" • (407)398 ^.� - r' _ __ PRO POSAL 71 55 P 54 32CW 8 st C en haw S Advanced Tampa, FI, 33634 Ai Fax: (813) 343-8911 co ntact a comfortiscool.com If solutions Air ning -Heating installation Date: / / � / Custoi Att r L/ t \ .e, -e_ Date: m ( Ot Street address of job location: 3 C 1 (, `l f �- r ph � AL' 4-- e p City:"l r � FL. Zip: �� Primary phone: Other phone: Email: L 11 7 / ❑ Factory- matched Heat Pump System ❑ Factory- matched Air Conditioning System ❑ Factory- matched G9s Furnace System ❑ Optimum # V4 Premium # ❑ Deluxe # ❑ Ecdnomy # ✓ Up to 20 SEER ✓ Up to 16 SEER ✓ Up to 14 SEER ✓ 13 SEER ✓ 12 Year All Part ✓ 10 Year All Part ✓ 10 Year All Part ✓ 10 Year All Part Warranty ✓ 12 Year Labor Warranty ✓ 10 Year Labor Warranty ✓ 5 Year Labor Warranty ✓ 2 Year Labor Warranty HEALTHY HOME ENVIROMENT OPTIONS ❑ Rotobrush duct cleaning Supply & Retuns VAWhole House UV Sterilization System ❑ Whole House M.E.R.V. Filtrations System INSIDE YOUR HOME OUTSIDE YOUR HOME Pi Replacement ❑ Add -on Air Conditioning/Heat/Both _1 Replacement '= • dd -on Air Conditioning /Heat/Both f ❑ Air Handler /Furnace ❑ Vertical tJ Horizontal ❑ at Pump ❑ Air Conditioner ❑ Package Unit ❑ New Digital Thermostat ❑ Non - Program. 1 Program. ❑ •M SEER hr BTUH ❑ New Digital Programmable Therm. with Humidity Control ❑ Model 0.40 f fru -f-"• ❑ Relocate from to ❑ Hurricane Pad 12•Plastic P d b ❑ � \ii. - Relocate from Co 04-- to XIG.4 © f' FI9JS.e ❑ New AHU Stand: ❑ Metal ❑ Custom ' New safety disconnect switch ❑ Filtration: ❑ Permanent Washable Filter ❑ Grille ❑ New 100% copper, dehydrated refrigernat piping ❑ New safety disconnect switch ❑ Surge Protection CI—Fully insulate suction line piping ❑ New wire from breaker panel to equipment ❑ New water tight electrical whip ❑ Vent/Flue: ❑ Complete new ❑Use existing ❑ DUCT SYSTEM INCLUDED IN EVERY INSTALLATION ❑ Engineered duct system for tons vents ✓ All labor ❑ Economy ❑ Anti - Microbial $ ✓ Obtaining permits (where required) ❑ NON - FIBERGLASS -100% Rust Resistant Galvanized Sheet ✓ New A/C circuit protection Brand = Metal Duct System. Energy Saving Insulation Included. Exiting size is: / Change to: / ❑ Rooms requiring additional airflow: ✓ Heating and Cooling routine maintenance for years ❑ New supply vent to: ✓ Check entire system for safety and efficiency ❑ New return vent to: ✓ Shoe covers, mats and drop cloths to be used as necessary ❑ ✓ Remove existing equipment from premises ❑ Mastic and seal all leaking joints ✓ Clean up ❑ Duct Sanitizing TOTAL CONFIDENCE SYSTEM WARRANTY • 24 -Hour Fix It or Hotel Guarantee: Unlike most companies, we are a service company. We have a staff of qualified service technicians that are there to serve you in the unlikely event your system has a problem. So our guarantee to you is that when we arrive, we guarantee that we will have your system up and running within 24 hours of our arrival or we will put you up in the local Embassy Suites for the night. ♦ Lowest Price Guarantee: Anyone can make something cheaper by cutting corners and pricing it for less. So, it's important to know what is and is not included in any heating and cooling system you choose for your home. Our Price Guarantee is our promise to you that you cannot find a comparable installation for less... or we'll pay you a $50.00 bonus over the difference. All we ask is that it be a published "apples -to- apples" comparison. ♦ Installation Workmanship Guarantee: Our installation technicians are the best in skill, attitude and workmanship. They'll care for your home and complete the job with speed and precision. They wear floor savers, clean up when they are finished and take personal responsibility for your satisfaction. They will not smoke or swear in your home and they are polite and courteous. If, when they have finished in your home, they have not performed in accordance with these high standards, well refund whatever amount of the purchase price you feel to be fair. All we ask is that our office be notified of any level of dissatisfaction before the technicians leave the home so that any issues can be addressed accordingly. ♦ Exclusive "No Lemons" Guarantee: If the Compressor (the heart of your system) in your Air Conditioner fails during the first five years of ownership we will remove the entire unit, rather than the component, and install a completely new one if you've ever bought a "lemon" before, you truly appreciate our commitment to your long-term satisfaction. • No Mold Guarantee: We are so confident in our Advanced I.A.Q. UV Sterilization & M.E.R.V. filtrations systems ability to keep your system clean that we guarantee with proper annual maintenance your system will be mold free for life or we will perform any necessary cleaning to the air handler to remedy the problem at our expense. ,cc�� YOUR TOTAL INVESTMENT Total Investment $ t7 IV ( -) Power Company Rebate $ / 2S ( -) Service Repair Refund $ _Re Net Total Investment After All Discounts Including Power Company & Manufacture rebates $ 9 E ._ 7 This High Efficiency Ho r oft Syste,.l s available _ 100% bank financing with no money down for $ /' per month (with approved credit). / AAS Representative — _ Date of proposal // / 0 ( c, /�C Customer agrees to provide free access to the work area and a safe working environment. The above prices, spedficatlons, terms, and conditions are satisfactory and hereby agreed to in full. I have authorization to order said work. You are authorized to do the work as specified. Payment will be made as outlined. I understand that you are not responsible for events or delays beyond your control. Owner agrees to carry adequate fire, storm, and other necessary insurance. All of our workers are covered by Workman's Compensation and General Liability Insurance. It collection is necessary, buyer agrees to pay all collection costs and interest. / , q• / _ I Customer Approval Ay ek,.. � - Dat?�j / / ® 1995 Advanced Air Solutions, Inc... g•i / / o r, w A 77 ° fo � $ c � ) �! et as ili . �\ CC c/ am U 2 ,,,.,,E - § 7 ; \ § m 0 2 k w k k C rc o .„,6,4 q Q B $ o co C1) . zyc 2 4- z ~ / e . u a. 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N o 0 W � ; - + Z : a HH Q� P E-4 x H� a a pA4 04 • y • `H .. i uvm bd 0 a vo A 1111-11.1 Z c4 4 oa3� xo a a >d1ri D 0 N 4.0 A N4 id o mli a m A H Z OW v Q 11/18/2009 13:35 7278443737 INSURANCE ONE PAGE 01/01 A D CERTIFICATE OF LIABILITY INSURANCE 171109 is ' now cut • EXPERTS TRUCK AUTO INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 9458 US HIGHWAY 1.9 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, PORT RTCHEY FL 34668 INSURERS AFFORDING COVERAGE mum swum*: • SEMINOLE CASUALTY INSURANCE. CalyP ADVANCED AIR SOLUTIONS, INC. IW URERit AEOUICAP INSTTRATNCR COMP 5432 W CRENSHAW ST STE C INSURER C: TAMPA FL 33634 INSURItICI: 1 mama E: 'COVERAGES THE POLICIESOF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONORION 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 SEEN REDUCED BY PAID CLMU3. q� LTA TYPE OF NININANCI POLICY NulaSER DAT��M n /VI 1 D11TE (iIMIODrA ism GENERAL UASIUTY PACS OCCURRENCE 4 000000 COMMERCIAL GENERAL UMILITY PIKE DAMAGE (MY ON RIB) 11110111190 MARIIS MAOE El OCCUR M!D PJQ pay am wan) tow A SCL- 000305681 -0 07/24/09 07/24 /10 PER5oNALaAOY GENERALAOOREGATE 000000 DEAL AOBREOATe LIMIT APPLI!S PEA PRODUCTS - COMPrOP ADO 00(1000 7 POLICY n n Lac 1 OO)»uO f AYTONDBILELMRLITY COMRUNEO 91NGLE LOUT 1 . ANY AUTO (En nNl ■ ALL OWNED AUTOS S N,IORY 1 • mecum A u AuTos • IN men AIMS e006LY MAW II 1 III NON-0WNEO AUTOS ■ PROPERTY DAMAGE $ NON TRUCKING NW GARAGE U aIU?V AUTO ONLY - EA ACCIDENT $ . ANY AUTO OTHER TnuN IAAOC 1 AUTO ONLY: AGG 1 HirCUU LABNJTY EACH OCCURRENCE $ ■ OCCUR 17 CLANS MAO! AGGREGATE $ 1 • a aPAUCTIBLE 1 RETENTION $ ! S • wcmtERS cOMPNIMTION AND I TDRV NWfa [ !ref` . WPLOTBIN• el. !ACM ACCIDENT WC07077746 06/19/09 06/19/10 summon 3 �nnGo E.L.aBEA� . EA EMPLOYEE $ �ryaO El-DISEASE - PoucY Law $ 100000 A I PHYSICAL DAMAGE DED S 1000 I j OUCRNPTION op OPIRATIONMOCATIONNVEilICLEIDEICUISIONS ADDEO BT ENOORSEMINLBPECNL PROYIBIOW TERMS AND CONDITIONS CONTAINED AND VEHICLE SCHEDULED ON THE POLICY License holder MAREK STROZ License# CAC - 1814928 CERTIFICATE HOLDER AIAOOflIoMAL ED :NISURER CANCELLATION SHOULD ANY OP TEE ASOVE DE _ • POLJC BE CANCELLED BEFORE TEE E1(/IRATION CITY OF ZEPHYRHILLS -BUILDING DEPT DATE THEREOF. THE ISBINN NEN - • FAVOR TO NAN. 10 DAYS wMTTCN 5335 8TH ST ZEPHYRHILLS ,FL 33542 NW1cPTGTEE - HOLDE ' 4.7, • • T. FNMA? TD PH. (813)780-0020 won NO DILIGA • • OR • ' .1 • ,' ITS AGO" OR FAX(813)780 0021 RBPNEUENTATI , AUTHORIZED N . - /Aide 1 • 1 x.k. 9 Nov 18 09 02:37p ADVANCED AIR 8133438911 p.1 71/' AAVANCE AtTZ SOLiATIONS rat fil-0 5432 WEST CRENSHAW STREET SUITE C TAMPA, FL. 33634 PHONE 813 - 413 -5550 FAX 813 -343 -8911 WWW.COMFORTIS000L. COM FAX T RANSMrTTAL FORM To: ZEPHYRHFLLS BUILDING DEPARTMENT From: JAIME FABER Name: Dale Sent: CC: Phone: Number of Pages: 2 Fax:813 -780 -0021 Message: I.f ATTACI'-;ED