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HomeMy WebLinkAbout09-9162 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9162 BUILDING PERMIT Permit Number: 9162 Address: 38548 12TH AVE ter. Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: NC 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 - 05200 -0010 Improv. Cost: 4,999.00 ',` ..., Ma 7 i7 EL:77_ Date Issued: 6/01/2009 Name: WHITE, MARY Total Fees: 55.00 Address: 38548 12TH AVE Amount Paid: 55.00 ZEPHYRHILLS FL 33542 Date Paid: 6/01/2009 Phone: (813)782 -2349 Work Desc: 2.5 HP CHANGE OUT JACK'S SHORE BREE 1. °� : ZE INC NC CHANGEOUT 55.00 • k d•.P , UCTS INSTALLED D - ULATED INAL 6 - / " U - 0 , 1 7E)c 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. Th e 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." i „It: A edl f7• . ' ONTRACTO SIGNA URE PERMIT OFFI EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ago CERTIFICATE OF LIABILITY INSURANCE DATE TE(MM /DD/YYYY) 5/26/2009 PRODUCER Phone: (727)772 -7800 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION Fax: (727)797 -7310 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE AIM Insurance Group. Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3607 Alt. 19 N. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 860 Palm Harbor, Florida 34683 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Bridgefield Casualty Insurance Company i 10335 Jack's Shore Breeze, Inc. _ 9604 SR 52 [ INSURER B: 7 — Hudson, FL 34669 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW 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 ADM- - - - - � POLICY EFFECTIVE POLICY EXPIRATION - - - -- LTR INSRO TYPE OF INSURANCE ! POLICY NUMBER DATE(MM /ODIYYYYI DATE (MMIDD/YYYY1 LIMITS I GENERAL LIABILITY EACH OCCURRENCE $ I COMMERCIAL GENERAL LIABILITY PRM TO aENTED f ■ - __ , ,,, PREMISES (Ea occurrence) $ CLAIMS MADE OCCUR I 1 ! MED EXP (Any one person) $ I I -- – PERSONAL & ADV INJURY 1 I $ I I - -- – — _ GENERAL AGGREGATE i $ ■ GEN'L AGGREGATE AUTOMOBILE LIABILITY PRO- APPLIES PER: PRODUCTS COMP /OP AGG j $ I POLICY I I JECT LOC ILITY `, ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) , HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ —~ - -- -- – PROPERTY DAMAGE $ I �� (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ --� ANY AUTO ' EA ACC $ OTHER THAN _ i AUTO ONLY: AGG $ i EXCESS / UMBRELLA LIABILITY i _ — EACH OCCURRENCE $ i i j OCCUR � CLAIMS MADE li AGGREGATE $ ____1 DEDUCTIBLE $ , [ R ETENTION $ I I $ A j WORKERS COMPENSATION i WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N 01 9604534 6/29/2008 6/29/2009 TORY LIMITS 1 ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under 500,000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT j $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Holders Nature of Interest : Certificate l lolder o SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Zephyrhills NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 Ht}] St. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Zephyrhills, FL 33542 THO T ENTATIVES. - IZED REPRES TA ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �� . �amm� ��� 11111s Permit 8011(11119 00001100111 p *wnx,vvpo*ol |— wc� � �| xo*^o [_l SIGN [J wvv L_J oemuuxv |�] mvw� [�1 REPAIR p«^POS' �ORE ['-1 u^ [IT] ^ �] COMM E] v / not [ '��- �� � �-__�� __J type urn^wo,^uuion; [ 71 wuv*' [7] 'RAM* |:--1 x/tu. E] `/'ne« _—| ux*rmpvom _���� ' . � ��r�x�_-Li���ex — [-------- 17_7J BUILDING IT • ET 1 ELECiRICAI is -- r wu:mwxw� v�vm ION opmscn^wom mnno m/ow • ��������} L-| GAS [] ROOFING [i u'com'Ty[i o `oen FIN/Sr /^" av^p El swnwwa F ---- - ----- --- n0muLpwE^oc^ [�],un FLING L_ ___-___) SIGNATURE` • • SIGNATURE [ OTHER . r • ' C OM PA NY r . SIUNAtURE [-___-__���_ -_'==__�_ ___ -_ MIrtlinuril lon (10) working clays st101 sutimjltal (tato. lieymed (motto, Conalroollop i'larw, SkofIlliWiltef P181116 Nu Silt Ectica ItiMalled, CM/MLR/AM_ Attacti (3) complete &kits 01 BillItlIN Pltii16 (Ails a . fie Safoty Noe; (1) sc.( dl Elio iiy Full116. 140-W Permit fur nevi constiudion. Minimum 1011 (10) worilily days ants sulim10010410 Re41 orwli., Co..61 Halls, Storrowater Plano w/ SW Farics Installed, Sal lit* SKIN �� Penult ' - -- PROPERTY SURVLY required Ict all NON Goli6l1Wilow • )����y ^pvv+m*0*°m*+°* " + ° ° +�°+*m�."o�**� , "vw"�°°.vx°,�� , v�*�°~4,*�**°*w°+v�+**v Fill out (Application Coll 'pleb*. • OWner book ot applIcauort, =uw"ed v over m required. wm $5000) - ^^sl . (its the ="tramw" p=°=*^ltu"ley ' Obi m""°^C°.°. ^^wmm, WW1 riOwlzm bum ^wrier "w""+mbamo • OVER THE x"uwnm perm' , IMO (Front wAv*""oo"Only) • v°=* e°°~° Sem/w^pw�� *C ,°.= ('~ "�.,°,^""�aw • u,.'^~w"w.,' oval (.:t~w°,^.~public ."tad°+°'"~*°ROW • • , JACKs SHORE I 31$1/4 EN B REEZE. 4 . J Air Conditioning • Heating • Commercial Refrigeration�' —1j May 27, 2009 City of Zephyrhills Building. Department 5335 8 Street Zephyrhills, Fl 33542 -4312 To Whom It May Concern: I, Patricia Samuels, authorize the following people to pick up and sign on permits: Eileen Riccardo Tammy Schrader Brian Schrader Dawn Wachtel Wayne Wachtel Adam Weeks Sincerely, f Patricia Samuels Contractor State Of: Pic) r 7 worn to and subscribed before me, the undersigned Notary Public rsL�Ars. ,,,, . this 2-1 day of P \ ` , 20 09. County Of: -- PGc..S cc; 6.))/L-‘-L-c,X4C-1(0,2 Notary Public 1, cQ. L . �e.,i_,c.. NOTARY PLBLIC•STATE OF FLORIDA ,,, Commission #bD 967 Commission Expires: 004' - 0 j,lot 1 %.,,, ,,,s Expires: NOV. 05, 2011 BONDED TIiRU ATLANTIC BONDING CO., INC. Lic. No. CACO58310 9604 State Road 52 • Hudson, FL 34669 • Phone (727) 862 -5953 • Fax (727) 868 -9863 East Pasco (352) 521 -0420 Hernando (352) 683 -3232 NOTICE Oi' DEED RESTRICTIONS: I be undersigned tinders that this poruril my bo subject to "deed' restrictions" which may he more restrictive than County regulanuns. The undersigned EgidUrlititi responsibility for eonlpliaece with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL11IFS: It the owner has hired a contractor or contractors to undertake work, they may be required to be Hcensed In alx:ordairce with slate and local regulations. If the contractor Is not licensed as required by taw, bolt the owner and contractor may be cited for a misdemeanor violation under stale law- If the owner ur Intended contractor are uIm: eaten 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 721 -847- 8009. Furthermore, It the owner hae hired a cunt actor or eonlraetois, he Is advised to have the contractor(s) stun portions of the "contractor Week" of this nppli fur which they will be responsible If you, as the owner sign as the contractor, that rnuy be an indication that he is n properly licensed and is not untitled to permitting privileges In Pasco County. TRANSPORTATION IMPACT /U[11..ITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recuvely Fees may apply to the construction of new buildings, change of • use in existing buildings, or expansion of existing buildings, ;45 specified ill Pasco County Ordinance number 89 -01 and 90 -01, as amended. The umlerstgee.d also understands, that such teas, as may be due, will be identified at the time of pertnitfing. It is further understood awl Transportaton Impact Fees and Resource Recovery Fees must he paid prior to reeelving a "oeillficate of occupancy' or final power' r elease. It the preterit dues riot involve a certtfivate of occupancy or final power release, the fees must be pall prior to permit issuance Ferthenno,o, 11 Pasco County Water /Sewer impact fees are due, they must be paid prior 10 permit Issuence in accouterntxi with applicable Pasco County ordinances. CONSTRUCTION LIEN I.AW (Chapter 713. Florida Statutes, as amended): If valuation of work Is $2.500.00 or more, I certify that 1, are applicant, have bean provided with a copy of the "Flcnfde Construction Lien Levy-- Homeowner's Protecton Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If tho applicant is someone other than the "owner ", I certify that I have obtained 0 copy of the above described document and promise in good faith to deliver it to the 'owner' prior to corttmeneement. CONTRA( :TOR'SIOWNER'S AFFIDAVIT: I certify that all the Intorrnetion in Ihis application Is accurate and that all work will be dorm lit compliance with all applicable laws regulating corislruotiun, coning and land development. Appllcatiou is hereby elude lo obtain a permit to do work and iustallallon as Indicated. I certify that no work or Installation has txrmrnenc :ed prior to Issuarroe of a permit and that all work will be performed to meet standards of all laws regulating • construction, County and Cily codes, tuning rei)utatioris, and land development regulations in the Jurisdiction. I also certify phut I understand that the regulations of other yuverrunent agencies may 'apply to the intended work, and that it is rrry responsibility to Identify what actions I must take lu be In compliance Streit agerrdes include but are not limited to: Department of Environmental. Pr-Melaka, Cypress Bayheads, Welland Areas and Environmentally Sensitive Lands, Water7Westewalar Treatment. - Southwest Florida Water Managornenl District - Wells, Cypress Flayhuads, 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 Envirunrrisntal Protection Agency- Aabedtus abatement. - Fedora' Aviation Authority - Runways. 1 understaad 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 Ilcensed by the State of Florida. If the 11(1 material is to be used In Flood Zone "A" in connection with a permitted building using stern, wall construction, I certify that fill will be used only to fill the area within the steno wall. IL fill n,atertral Is to he used in arty area, 1 certtly that use of such fill will not adversely affect adjacent properties. It use of fill is found to adversely affect adjacent properties. the owner may be cited for violating the conditions of the building permit lssuerd under the attached permit appltoallon, to Iota less than one (1) acre whict are elevated by till. an engineered drainage plan is roqu1ed. tf I an the AGENT FOR THk OWNER, I promise In pond faith to inform tire owner of the permitting conditions set forth In this affidavit prior to commencing cunstructlon I understand that a separate penult may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, ur other Installations not specifically included it the application. A penult issued Shalt be construed to be a license to proceed with th work and out as authority to violate, cancel, alter, or set aside any provisions of the technical nodes, nor shall Issuance et a penult prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any axles. Every permit Issued shall become Invalid unless the work authorised by such permit is commenced within six months of permit issuance, or if work authorized by the permit Is suspended or abandoned fur a period of six (6) !months after the lime tha work is commenced An extension may be requested, In writing, from the Building Official ter a paned not to exceed ninety (90) days and will demonstrate justifiable cause ter the extension. If work ceases for Wintry (0e) conseutlttve 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 J(lfrrrl you.R.LENDER OR AN AT;TORNJ Y BEFOR (?ECO)2DINtt YOI)RQN1IICEOF ('OMIVIEI ENL F_OkI J • DA URA7 (F S. 1y.03) � • �' _ OWNER Olt A(3.N1 _ _ , CON•1'RAr TOit_ - R Q _- - �` • bs • e and sworn w (at of r .. eed) before m his Subecx . • ft to (or affirmed) before meads - p ' . . • •. , O L _ _ - _ t?� I' C.e-e. 1_ . )eN ' __ ___ S._ i _C.L�-. �._ to Isl o . ...1 :Ily known W ma or has/have fs0410ces ' •,161a pesuo I. iy melt 10 me et' has/have produced -... as Idanttficaton. - as Identification. ------- I ���F.-_.� - Co 4uy Public • -- - - -- - i��� - - ^_ - - -Q Nuttily Public Conurnssion No. ) ID.l _ - !S - 7 ! rnmrxnion No - - 6 (o ) -/ l s a r t s N ame of Nntaly t ea `ftt1�"l.P tIC -STATE OF FLORIDA "' Alice ' Alice L. Bellas ' r�r , : Enmmissi on N ('V. DD69 # 6794 2011 05, ' Commission # l)D696794 ,pi -,-. • B QNjED TEIRDM.A�ITICBODINGCO.,I NC . Expires: NOV.OS, BONDED TURD ATLANTIC BONDING CO., INC. Pasco County Parcel: 11 -26 -21 -0010- 05200 -0010 001 Page 1 of 1 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections I Data Current as Of: II Weekly Archive - Saturday, May 16, 2009 I Parcel ID I 1 1 - 26 - 21- 0010 - 05200 -0010 (Card: 001 of 001) Classification II 01 - Single Family Mailing Address Property Value WHITE MARY 3 Ag Land $0 38548 12TH AVE Land $25,704 ZEPHYRHILLS, FL 335423729 Physical Address Building $37,482 Extra Features $142 38548 12TH AVE ZEPHYRHILLS, FL 33542 -3729 Market Value $63,328 Assessed (Save Our Homes) $51,957 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 Non- School Additional Homestead Exemption - $1,457 See Plat for this Subdivision �" TOWN OF ZEPHYRHILLS PB 1 PG 54 Non - School Taxable Value $25,000 EAST 1/2 OF LOTS 1 THRU 4 INCL School District Taxable Value BLOCK 52 $26,457 Warning: A significant taxable value increase OR 2056 PG 703 may occur when sold. Click here for details and info. regarding the posting of exemptions. I Land Detail (Card: 001 of 001) I Line II Use IlDescriptionll Zoning II Units 0 Type II Price U Condition II Value I 1 II 0100 II SFR I 00R2 8,400.00 SF $3.06 1.00 $25,704 I Additional Land Information I Acres II 0.19 II Tax Area 0 30ZH II FEMA Code II X IlResidential Codell ZHLHLP2 I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1966 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Terrazzo Monolithic Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.5 Line II Sq. Feet II Repl. Cost New 1 II UST 78 I $1,266 2 II FOP II 359 II $3,675 3 II BAS II 1,118 II $45,648 4 1 FCP 144 I $1,470 Extra Features (Card: 001 of 001) Line I Description Year I Units II Value 1 0 DWSWC II 1966 II 222 II $142 I Sales History I Previous Owner II N/A I Year II Month III Book /Page II Type II Amount p I 1991 II 0 9 2056 / 0703 II WD II $ Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &b... 5/19/2009 JACK SI/ORE I 3** BREE Air Conditioning • Heating • Commercial Refrigeration — AMENDED PROPOSAL May 19, 2009 �l �- Project Address: /� Mary J. ArO\ 38548 12 Avenue Zephyrhills, Fl 33542 Phone#: (VS) 782 -2349 Scope of Work: Jack's Shore Breeze is pleased to provide you with this proposal to remove and replace the Carrier Heat Pump system, with a new 13 Seer 410A system with 5kw heat. Includes new line set (reinstall cover), new digital Thermostat and wire, slab w/ hurricane tie downs, whips, filter driers, new start collar, mechanical fasteners, safety switches, armaflex on all lines, and breakers. All will be installed to meet Pasco County Code requirements. Total Price Installed (includes Labor) $ Payment Terms: �- tAi 50 % Due upon Acceptance of this Proposal 50 % 0 /o Due upon Completion Warranty: Manufacturer's Warranty: All manufacturer's warranties will apply. Limited Warranty and Service: All materials and controls furnished by Jack's Shore Breeze, Inc have a one -year warranty from the date of installation against defects in workmanship and material. Manufacturers warranty as listed above. Our one -year service responsibility does not include breakdown of unit due to blown fuses, tripped breakers, dirty filters, or plugged drain lines. Warranty service will be performed during normal working hours of 8:00 A.M. to 4:30 P.M. Any request for service after 4:30 P.M. or on weekends or holidays will be billed at prevailing rates. When proposal is signed and dated by all parties, it will act as a legal binding contract and all parties have agreed to application and payment as stated above. Authorize ture Date � Authorize Sture Date Jack's Shore Breeze, Inc. Mary J. White Lic. No. CACO58310 9604 State Road 52 • Hudson, FL 34669 • Phone (727) 862 -5953 • Fax (727) 868 -9863 East Pasco (352) 521 -0420 Hernando (352) 683 -3232