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Home My WebLink About10-10001 CITY OF ZEPHYRHILLS 5335 — 8TH STREET • _ (813)780 -0020 10001 BUILDING PERMIT Permit Number: 10001 Address: 6523 FOXMOOR DR 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: SILVER OAKS Est. Value: Parcel Number: 03- 26 -21- 0120 - 00000 -0770 Improv. Cost: 5 520.00 ... 7 Tip T se: .,OPPPr Date Issued: 1/15/2010 Name: WHITLOCK DONALD Total Fees: 60.00 Address: 6523 FOXMOOR DR Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/15/2010 Phone: Work Desc: A/C CHANGE OUT 2.5 TON • ENVI = NTAL •NT. HAN •U 60.00 i 1 lir il ) O. :. a �.. .� , R ` 1 a `:t. 0 t S::.. .. . ... I . t O ,MIN 5..��si , DUCTS INSTALLED DUCTS INSULATED FINAL /-2-O d 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. I ou intend to obtain financing, consult with your lender or an attorney bef�i • - . rding your notice of • mencement. " // � .��, CO -i• CI-0R 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 Receive-I Phone Contact for Permitting -- Owner's Name litfi / i ! IMP' Owner Phone Number Owner's Address 66 / mDOR ` t4 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address / JOB ADDRESS 2 a 3 702204g ) J - LOT # 7'7 SUBDIVISION 5,.riv ofty. PARCEL ID# b9;;;37 ( O p?) d/2O — otv n77c (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR I I ADD /ALT I SIGN ( 1 MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I OTHER I I TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL 1 1 OTHER I I DESCRIPTION OF WORK ii/e r ' 14 / r�✓wv g X paT�ft.J (Mt - ' BUILDING SIZE SQ FOOTAGE HEIGHT I BUILDING $ VALUATION OF TOTAL CONSTRUCTION I 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. I I PLUMBING $ MECHANICAL $ 47'5.70 VALUATION OF MECHANICAL INSTALLATION I I GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y N I FEE CURRENT I Y/ N I Address License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address avi..2./0/2,1 � Li 7 ce en nse # / � j + MECHANICAL COMPANY (.i / AV/O,271 I9I- ei� '�/"�'' A' SIGNATURE �-/ �� REGISTERED I Y/ N I FEE CURRENT I Y / N I Address /422 A li- 3D / UE /1-j--7.- MP ._ O/ / . 7� License # / OTHER C ANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I Address License # I 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 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, 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 Y •,.. �-rr R PROPERTY. IF YOU I END TO OBTAIN FINANC., , CONSULT WITH YOUR LEND -As R AN ATTORNE _B3f • RE RECORDING YO .iii TICE OF C MM�� FLORIDA JURAT (F.. GE i i �/ - 9NTRACTOR _ �L��a✓ �� / OWNER OR A Subscribed and sworn to (or . ' rmed) before me Is Subscribed and swo to (or affir ed) before me this b by by Who Is /are peeseaafly-keeavn to me or has /have produced Who is /are personally known to me or has /have produced as identification. as identification. L - e•� �' CJZ Notary Public '4 / Notary Public .. r' JACQUELINE BI E S JA CQUELIN OGE$ Co mmission o. =: ' t :" . Cginr,issiOn OD 821 'Art 0 Corn I - slo _ r1 „ misAi 1ODP R33 : *. `•• December 1, ,ice,: $ E xpir es December 12, ,� 2 2010 •..o;:• Bo nded Thru Troy Fain ItlsuMrrtO Atla3! `�'IO . BOW Ate m,rr�dn!waft 111Ol9 ed, rue o r stem ed Name of Notary typed, printed or stamped Name of Notary typ P P JAN 15,2010 14:43 Ehrman Systems Ent.Inc. (352)567 -7459 Page 2 Work Order Environmental Contractors CAC1814472 January 18, 2010 10221 Hwy 301 Summary: SYSTEM C/O Dade City, Fl 33525 Reference #: 4936 -115 (352)567. 5515 (813)783 -2552 Tech: CAREY • Bill To: Job Name: Donald Whitlock Whitlock 6523 Foxmoor Drive 6523 Foxmoor Drive Zephyrhills, IL 33542 Zephyrhills, FL 33542 (813)782 -8521 Job Tel (813)782 -8521 Description of Work > 1/14/2010 THU 2:19 PM> M/M W in office - wanted new cond - 2006 Frig a/h = R -22 - wants new R -410 SS @ $5520 -Install: 2.5 Ton FRIGIDAIRE Split System, Heat Pump, 15 SEER, 5 KW Heat Strip All material is guaranteed to be :,:; specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will he executed only upon written orders and will bocome an extra charge over and above the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all cosh; of collection, including attorney's fees. • A ttl PAS( COUNTY B U S1INT ES' TAX RFC.. E.XrT 2 009 -10 k;sued pursuant and subject to Florida Statutes end Pasco Mount/ Ordinances. It; does nut cenify compliance with zoning or other laws. This receipt must be posted rori ;wicunntsly in place nl business. t xpires Soptornher 30. Mike Olson ACCOUNT NO: 011671 TAX COLLECTOR TYPE OF BUSINESS: SIC CODE: 1731.02 ELECTRICAL CONTRACTOR I ASCO C'OG.NTY 17,C1RIDA LOCATION ADDRESS: ~y !vw = „ : 10221 US HIGHWAY 301 ENVIRONMENTAL CONTRACTORS . DADE CITY 10221 US HIGHWAY 301 DADE CITY FL 33525 -0818 DATE RECEIPT AMOUNT (u llu. Ilu 1, I 11I1IImIul 07/27/09 570235 31.25 PAS(,() C O V N 1 Y 1 BU r AX RECEIPT 4 009-10 Issued pursuant and subject to Florida Statutes and fiasco County Ordinances, Issuance noes riot certify compliance with zoning or other law,. 1'hts receipt must be posted ccnspicuously in place of business. Expires 5epternber 30. Mike Olson ACCOUNT NO: 063093 TAX COLLECTOR TYPE OF BUSINESS: SIC CODE: 1711 "" '"wa AIR CONDITIONING PASCO COUNTY FLORIDA CONTRACTOR -CLASS A OR B i" ";" LOCATION ADDRESS: r �� !v, ;`�'• 10221 US HIGHWAY 301 DADE CITY ENVIRONMENTAL CONTRACTORS 10221 US HIGHWAY 301 t' DADE CITY FL 33525 -0818 r :' DATE RECEIPT AMOUNT 07/27/09 570234 31.25 LJb.11. LLI IIdp • ab d 6SuL L95(ZS£) 'auI'4ug swe4sKS UVW 1 00:ST OTOZ'SZ Neer 01/15/2010 10:23 3525671159 PETERSON INS PAGE 01/02 ACORD , CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/15/2010 PRODUCER (352 5 67 - 9771 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kyle Peterson Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 37837 Meridian Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dade City FL 33525- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A; SOUTHERN OWNERS INSURANCE EHRMAN SYSTEMS ENTERPRISES ,INC. DBA INSURER 8 INS. CO. ENVIRONMENTAL CONTRACTORS INSURER C: 10221 U.S. HWY 301 _ INSURER D: DADE CITY FL 33525- 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. I LT R INS TYPE OF INSURANCE POLICY NUMBER DATE 1 M/DD/YY) POLICY ATE (MM DNY) LIMITS LTR INSRDD'' A GENERAL LIABILITY / / / / EACH OCCURRENCE $ 500, 000 X COMMERCIAL GENERAL LIABILITY PREM A s ( pE o m Mnoe $ 50,000 1 CLAIMS MADE n OCCUR / / / / MED EXP (Any one person) S 5,000 PERSONAL & ADV INJURY $ 500,000 — _ 20593488 01/01 /2010 01/01/2011 GENERAL AGGREGATE $ 500,000 GENE AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG S 500,000 i ( POLICY n JECT [1 LOC / / / / H AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMB ^ 8 500 , 000 _ — ANY AUTO (Ee accident) X ALL OWNED AUTOS 42 - 185 - 01/01/2010 01 /01 /2011 BODILY INJURY (Per person) $ _ SCHEDULED AUTOS HIRED AUTOS / / / / BODILY INJURY — S — NONAWNEDAUTOS (Per accident) / / / / PROPERTY DAMAGE S — (Per accident) GARAGE UABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA UABILITY / / / / EACH OCCURRENCE S 7 OCCUR n CLAIMS MADE AGGREGATE S $ —r . OEOUCTIBLE / 1 / / S RETENTION S $ WORKERS COMPINSATION AND / / / / 1 TOaY iVRS 1 _ lU EMPLOYERS' UABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? / / / / E.L DISEASE - EA EMPLOYEE $ 11 yea, deSdbe under SPECIAL PROVISIONS Delon E.L DISEASE - POLICY LIMIT $ A OTHER INLAND MAARINE /PROP / / / / 20583488 01/01/2010 01/01/2011 / / / / DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADOED ST ENDORSEMENT/SPECIAL PROVISIONS LIC: CAC1814472; ER0013583 CERTIFICATE HOLDER _ CANCELLATION ( ) - (813) 780 -0021 SHOULD ANY OF 711E ABOVE DESCRIBED POLICIES BE CANCELLED WORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT CITY OF ZEPMYR $ILLS FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON INC 5335 EIGHTH STREET INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE � � PsdoLiZiSY\ ZEPHYRH LLS FL 33542- ACORD 25 (2001/08) 0 ACORD CORPORATION 1988 1NS025 (0108).oe Page 1 of 2