The URL can be used to link to this page

Home My WebLink About09-9305 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9305 BUILDING PERMIT Permit Number: 9305 Address: 6639 JUNIPER CT Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: NC CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: DRIFTWOOD Est. Value: Parcel Number: 02- 26 -21- 0210 - 00000 -1230 Improv. Cost: 3,550.00 Il . Date Issued: 6/30/2009 Name: THOMAS, EARL & EVELYN Total Fees: 50.00 Address: 6639 JUNIPER CT Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/30/2009 Phone: Work Desc: AC CHANGE OUT 3 TON ":: :F :1 K � ., � €� ,,' OWENS AIR CONDITION AND HEATING A/C CHANGEOUT 50.00 g (vt., 9 ( l� DUCTS INSTALLED DUCTS INSULATED FINAL t- /L -CLj 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: You failure to record a notice of commencement may result in your paying twice for improvements ou roperty. If you intend to obtain financing, consult with your lender or an attorney before reco " 'y r notice of commencement." f CON RACTOR 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 119 5 Fax - 813 - 780 -0021 Building Department Date Received 3 I� c7 Phone Contact for Permitting -- Owner's Name C 1) e f 0 ") r _....6 6 7 _3' b 4) Owner Phone Number C 3 �� t L "�. ' Owner Phone Number I Owner's Address 1 0 �j Fee Simple Titleholder Name' Owner Phone Number I Fee Simple Titleholder Address I JOB ADDRESS 1 0035 - is N. ,9t "` C7 I LOT# I SUBDIVISION I 1 PARCEL ID # (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R , NEW CONSTR I ADD /ALT I I SIGN I I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR 1 1 COMM 11 OTHER I I TYPE OF CONSTRUCTION I 1 BLOCK 1 ( FRAME I I STEEL 1 I OTHER I DESCRIPTION OF WORK I / e c t ( 4 k °`- o Lr I BUILDING SIZE SQ FOOTAGE /ID HEIGHT I I I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION I 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. I I PLUMBING $ M ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 INO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N 1 Address I License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address AS License # MECHANICAL ---\..-- COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N 1 Address 6 3 , - , L h v C, License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address 1 1 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 & 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. 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 NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on publiq rbdways..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 Tots 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 COMMENCE NT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND = AIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI j J COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) I / OWNER OR AGENT CONTRACTOR " Subscribed and sworn to (or affirmed) before me this Subscribed and sworn t or ffi ed) before me this by - 30 -Oct byd' 7 1 c* - • j Z Who is /are personally known to me or has Who is /are personally known to me or has/have produced s7fiave produced as identification. . i Curse as identification. " •- Notary Public Notary Public Commission No. Commission 14,6 pj i JACOUFI INE BOGES ,.; A% • • s Commission DD 621833 Name of Notary typed, printed or stamped Name of Notary ty4r tedbekste 1petnQU,ep 800'385-70. • • • • • 2008 -2009 HILLSBOROUGH COUNTY BUSINESS TAX NOTICE FACILITIES OR MACHINES : ROOMS -. ' SEATS > EMPLOYEES ' FCL.K) NO • 0 1 0 0 I 10 RENEWAL 115253 OCC. CODE BUSINESS TYPE H WASTE TAX SURCHAPi aE 090.016 CONTRACTOR - MECHANICAL CLASS 8 NC 40:00 18.00 MAKE CHECK PAYABLE TO DOUG BELDEN TAX COLLECTOR PO BOX 172920 TAMPA, FL 33672 -0920 JULY 1tSEPT'30 2008 I _ ............. _ 58 BUSINESS 5837 TURKEY TREE LN LOCATION PLANT CITY 33567 DELINQUENT OCT 31 2008 ► -TT AVIOW 63.80 . NAME OWENS ytCTOR JR /DBAtOWENS A/C & HEATING INC MAILING 5837 T KEY TREE DELINQUENT NOV 30 2008 ► PENALTY AMOUNT 66,70 ADDRESS PLAN CITY FL 33567-1777 .:._ _. .._ ........ E DELINQUENT DEC 31 2008 P;NaLnnr�ur+T 68.80 111 1« f lI. 1,..k IG++ U m DELINQUENT JAN 31 2009 I ' +'ENA2.JY RPI.:3i1N'F 72,50 .+1 ...-+" PAY AMOUNT IN PROPER BOX . x � K re =rc 874"312°°4 4206 01525300008 000018002 000040006 • PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE IMPORTANT FLORIDA = WORKERS' COMPENSATION NT OF FINANCIAL SERVICES )F F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation w o UCTION INDUSTRY � •' , CI elects exemption from this chapter by filing a certificate of e e lction 4TE OF ELECTION TO BE EXEMPT FROM FLORIDA ° ,b n 0 L under this section may not recover benefits or compensation under this r COMPENSATION LAW D chapter. /E: 02/05/2008 EXPIRATION DATE: 02/ 04 / 2010 Pursuant to Chapter 440.05(12), F.S., Certificates of election or trade to be listed on VICTOR OWENS JR H exempt... apply only within the sco of the business E the notice of election to be exempt. 593377983 R i S NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices shall be of election t ect to o be exempt revocation - R CONDITIONING & HEATING INC and certificates of election to be exempt KEY TREE LN if, at any time after the filing of the no Y, FL 33567 certificate, the person named on the notice tice or or certificate the no Issuance longer of the meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the ! OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this section. JG & AIR CONDITIONING QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 9643 __ 7.1 ' TOTE -OF F LORIDA DEPARTMENT OF 1 3 4 - - - - ESS AND PROFESSIONAL REGULATION CONS=TRUCTT€ N IisIDU - -TRY LICENSING BOARD SEQ# L0 0079 IATE BATG�# NUMBEi2 =LI CEN SE = ' 1/`2,008. '088051121: CACO'543- 3 * -e , CLASS B AIR CONDITIONINE- CONT" CT 3 below IS CERTIFIED , r the provisions of Chapter -„,,,,, . ration date: AUG' 31, 201:0 DWENS, VICTOR JR ' DWEN' S AIR CONDITION 1 � rte: i IEI I NC 583 'TURKEY TREE; ,r u� .' PLANT CITY FL 33 -5'67 CHARLIE CRIST _ CHARLES -W DRAGO GOVERNOR SECRETARY . D PLA -AS R€QUIRED1 BY LAW Jun. 30. 2009 9:38AM No. 6686 P. 1/1 A CORD CERTI OF LIABILITY INSURANCE D AT 06/ 3 0 2 0 09 Y) TM. PRODUCER Phone: (813) 988 - 1234 Fax 813 988 - 0989 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION - ASSO6IATES AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO BOX 16190 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 11470 N. 53RD ST. Al TFR THE COVERAGE AFFORnFr BY THE POI ICIFS RFI OW TEMPLE TERRACE FL 33687 INSURERS AFFORDING COVERAGE NAIC # Agency Licit' R001766 INSURED INSURER A: SOUTHERN OWNERS INSURANCE CO. 10190 OWENS AIR CONDITION AND HEATING INC. INSURER B: AUTO OWNERS INSURANCE CO. 18988 5837 TURKEY TREE LANE . INSURER C: PLANT CITY FL 33567 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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITS LTR INSRD DATE IMM/DD /YY1 DATE (MM/DO /YYI GENERAL LIABILITY 20631995 04/03/09 04 /03/10 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 PREMISES (Ea occurence) r CLAIMS MADE I )(I OCCUR MED. EXP (Any one person) $ 10,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP /OP AGG $ 1,00%000 — PRO - 7 POLICY JECT n LOC AUTOMOBILE LIABILITY 9670194001 04/03/09 04/03/10 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 250,000 ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS _ B X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE $ I OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU OTHER TORY LIMITS EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EMPLOYEE $ N yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER: D OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO City of Zephyrhills DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS 5335 8th Street AGENTS OR REPRESENTATIVES. Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE Attention: 780 -0021 J ason Farquhar ACORD 25 (2001/08) Certificate # 180191 @ACORD CORPORATION 1988 1 • i tiltlii* ,! 7 fix . 10 „ OM Reatig AIR CONDITIONING • HEATING • INSTALLATION & REPAIR • NEW CONSTRUCTION Phone: (813) 737 -3823 • P.O. Box 2012 • Seffner, FL 33583 •.im' LIC# CACO58334 Date , 3 -,..D5' J Name - j) ' 4 a 7= 0- `` o e I 04 - ) Ph # Wk Ph # Billing Address 3 s. 1 , - City a V, /JJ` State 4- Zip Job Name Address Ph # Service: No Cool No Heat Water Leak Rsm Other Equip. Make Split Pkg Wall Hp St Oil Gas Ton Age Con. Model # Serial# Location A/H Model # Serial# Location i s /7 - rr rF ,- .:-• Mf F Cr r y 7 q''' Fyn - SKU: 918856J MODEL JT5BD —0361( y i % Y ; � _ SERIAL NO.: JTFO81201001 :. B j ° ` `y „� : � ' 11 111 1111111111111111l1IIIIIIIWl11 1 v,r N rr i r /y " y / gI�6 : r E z W f , y irr',, : . o's 6/ SKU: 904382GD MODEL: GB5BM— T37K —B , Y / , ' ` � s SERIAL NO.: GBD090402815 g r s -' 3 y., ,, �z s � � � �� - 11111111111111111111111111111111111111111111111110111 „ � .,5F � �r , v ,4 e .. 111111lli hr ',�,� ,-� ,,,:,.s � �: Service Performed ,�/ � s s f Y F bF . (: c / 5 L. Xr 'L' s Y1r ` / y '. r � F ” S / "/ ^,y- / �, R 2 - 0 5 ` / r i % y � 4 LJ ! / - f ,�J on /3-0 'k't a f y/ 'x» 3 / / yrY S � � � � • mb s Ca/ S � 4 s ; r s [; / s s y >' - r s : mfr: , a2 /.2 .«sc Quantity // Description of Part Unit Price Tot. • - / _� a A G G�I - c o r y c 0 it-t--.-. Status: Operating Correctly Cannot Guarantee Operation Service Not Complete Return Date Time Parts Form of Payment: Cash pi Check ❑ Bill ❑ Warranty D Labor M/C ❑ Visa ❑ Other ❑ Card # Exp. Date Total Due 3S S® "-- Estimate for new high efficiency condenser $ DEP Estimate for new high efficiency air handler $ ARIV Estimate for new high efficiency system $ DEP Labor Guarantee: The labor charge as recorded here relative to the equipment serviced is guaranteed for a period of 30 days. Warranty work provided only during normal business hours. (Warranty does not include Saturday, Sunday and major holidays...there would be a charge for those times if a service call is necessary) Parts Warranty: All parts are warranted as per manufacturer specifications. No warranty on Regular Scheduled Maintenance (RSM) unless parts and extra services are rendered. A Check Returned By Your Bank For Any Reason Will Result In A $25.00 Service Fee. Please Note: Payment due within 5 days of invoice to avoid a late charge of 1.5% on balance. Commercial accounts only. In the event that it becomes necessary to employ the services of an attorney to collect any sums due under this invoice, regardless of whether suit be brought, you shall be obligated to pay all reasonable attorney's fees 1 shall be charged. Should suit be brought for the recovery of any sums due under this invoice, you shall be obligated to pay all reasonable attorney's fees and expenses of such suit and any appeal thereof I shall be charged.