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HomeMy WebLinkAbout10-10374 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10374 BUILDING PERMIT {? €, ffi e ..Y" 3 ;.3 1,. .+ ''a .41.44 Permit Number: 10374 Address: 38352 IRONWOOD PL Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: DRIFTWOOD Est. Value: Parcel Number: Improv. Cost: 4,550.00 �4 r ' ;. 7,1„, : :., :, v .- ,- Date Issued: 4/16/2010 Name: POTTER, DOROTHY -& B I44TERI Total Fees: 55.00 Address: 38352 IRONWOOD PL Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/16/2010 Phone: (813)782 -7771 Work Desc: HEAT PUMP A/C CHANGE OUT 2 TON , ; { <. �N�VA A l a AN E•U 55.00 ��-�,p Gull I v� r I � y, P cc. •U INSTALL D DUCTS INSULA ED FINAL �.�- ( J 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 r rding your notice of commencement." TRACTOR SIGNATURE PERMIT OFFI �R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER O'Donovan's Air conditioning and Heating 4839 Allen Road Zephyrhills Fl. 33541 LIC# CAC 054731 Phone # (813) 782 -4075 April 12, 2010 Mrs. Dorothy Potter 38352 Ironwood PI Zephyrhills, FL 33542 PH: (813) 782 -7771 Re: Proposal on Trane 15 SEER A/C and Heating Unit Estimate to replace central air - conditioning and heat with a 15 SEER R410A refrigerant with air conditioning and heating. Proposal includes new thermostat, heater, installation, and taxes. (- e `�' / c/r ,Q. Trane 4TWR5024E1000A 15 SEER - Qualifies for a Federal Energy Efficiency Tax Credit when placed in service by December 31, 2010. Four Thousand Five Hundred Fifty Dollars (US $ 4,550.00) Ten year manufacturer warranty on unit. One -year warranty on labor. Estimate valid for sixty days y ss Payment: In full upon completion. ( k 5V ° Sincerely, P6-15C,1 Timothy O'Donovan O'Donovan's A/C & Heating Co. 813 -780 -0020 City of Zephyrhills Permit Application rax- tsis- rau -uuz 1 Building Department Date Received Phone Contact for Permitting -- I 1 11 111 1 I I I I 1 I'1 illy Q ' _ _ 7 7 7( Owner's Name 00( ��h J �'4 c Owner Phone Number ! I `� oi . vi n n i Owner's Address / � 5 2_ L 1 � < < + f ace Owner Phone Number Fee Simple Titleholder Name' Owner Phone Number I I I Fee Simple Titleholder Address I 1 I I S G f LOT # JOB ADDRESS l I SUBDIVISION I I PARCEL ID#1 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR REPAIR PROPOSED SIGN n MOVE n DEMOLISH I I INSTALL i PROPOSED USE ( ( SFR 1 1 COMM n OTHER 1 TYPE OF CONSTRUCTION 1 ( BLOCK ( ( FRAME I ( STEEL 1 1 OTHER DESCRIPTION OF WORK (/ / /I C (/ v 4 - (.A l ; )/ O , /- flea4-Awe 7. BUILDING SIZE I 1 SQ FOOTAGE HEIGHT 1 I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION ( ( ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 ( W.R.E.C. ( ( PLUMBING $ 1 1 MECHANICAL $ j l C, k /1 VALUATION OF MECHANICAL INSTALLATION ( 1 GAS 1 1 ROOFING I ( SPECIALTY ( ( OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ( IYES []NO BUILDER COMPANY 1 I SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 Address License # I I ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 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 License # I MECHANICAL Z,,7r;t60. S ze/ r6 COMPANY fi -L I 17N ( /l) / i ( a / / 'I Y / N ( ' r SIGNATURE / //✓ l l . J qs7 ( A"(9&c/. License # V/ I C 0 S 7 ` Address OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 Address 1 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 compiiance 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 Tess 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 N ICE OF COV1 isICEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR J' crlbeil and sworn t• b • • fil - .11W. Subscribed and sworn to (or affirmed) before me this S . y� 6 [[V by by f- Who Is /are a snnaliv kn�um to me or has /have produced Who is /are personally known to me or has /have produced p as identification. as identification. Notary Public i Notary Public ry Commission No. Corn ion Nbr = ••,IVA;°0, JACQUELINE BOGES _ >: + *; Commission DD 621833 Name of Notary typed, printed rinted or stamped Name of Notary �",;, t- a "?r :Lima MO-305.7019 9 FROM LGE INS FAX NO. : 3525679359 Apr. 16 2010 01:12PM P1 DATE (MMIDD/YYYY) c o CERTIFICATE OF LIABILITY INSURAN ODON - 1 C 04/16/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FaooucER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE L. G. Edwards Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1.548 Dade City FL 335261548 phone: 352-567-6751 Fax:352 -567-6766 INSURERS AFFORDING COVERAGE NAIC # _ INSURER A: Allstate insurance Co 09020 = RE INSURED 19305 INSURER B' Ma land Casualty C o O'Donovan's Air Conditioning & .,. � Heating Company INSURER C Timothy O'Donovan INSURER D: 4839 Allen Rd Zephyrhills FL 33541 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATE°. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 8V PAID CLAIMS. )R _.. I TR N ._• • POLICY NUMBER - DAVE MMID DATE(MMIDO UNITS /YYYYL LTR TIFF uMSURANCE EACH OCCURRENCE S 1,000,000 GENERAL LIABILITY UAMA T U I-4 h1.7 1 ED-- 5 100,000 A X COMMEaCIAL GENERAL LIABILITY 049851744 01/07/10 01/07/11 PREMIsss(Eaoccurence) CLAIMS MADE IITI OCCUR MED ExP (Any one person) S 5,000 PERSONAL 8 ADM INJURY 31,000,000 GENERAL AGGREGATE 31,000,000 PRODUCTS - COMRIOP AGO $ 1,000,000 GEN'L AGGREGATE LIMB APPLIES PER: X POLICY 7 jEC —^ LOC AUTOMOaDJ: LIABILITY COMBINED SINGLE LIMIT S 50,000 10/15/09 10/15/10 ( E'a moe " A ANY AUTO 650419867 ALL OWNED AUTOS BODILY INJURY S (Per person) SCHEDULED AUTOS BODILY I S HIRED AUTOS (Per ILY INJURY NJ q © NON -OWNED AUTOS ^ PROPERTY DAMAGE S (Per accident) AUTO ONLY - EA ACCIDENT S GARAGE LIABILITY EA ACC S OTHER THAN –. ANY AUTO AUTO ONLY' AGG S r , EACH OCCURRENCE $ EXCESS / UMBRELLA LIABILITY AGGREGATE S OCCUR I� CLAIMS MADE - 3 – ■ DEDUCTIBLE $ RETENTION $ _ — WC STA iU- OTMF ' WORKERS COMPEM� N X (TORY LIMITS I ER AND EMPLOYERS'LUIBILITY Y/N 06/02/09 06/02/10 E.IEACHAGCIDENT $ IOOOOO B ANY PROPRIETORIPARTNERIEXECUTIV WCOZ984 E L DISEASE - EA EMPLOYEES 100000 _ OFFICERIMEMBER EXCLUDED? (Mandatory In NN) I E.L. DISEASE - POLICY LIMIT $ 500000 11 yyees, aalbe ur d& S Be $PECIA PROVISIONlow 7 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROV(S1ONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION CITYOFZ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTWICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Do SO SHALL CITY OF ZEPHYRHILLS IMPOSE NO 0BUGATION. OR LIA9ILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR (813) 780-0021 REPRESENTATIVES. 5335 8TH STREET A IREPREBBNTA ME ZEPHYP.HILLS FL 33541 1L'ii . / .c. .`.. 1 019$B -2009 ACORD CORPORATION. All rig" reserved. ACORD 25 (2009101) Tha ACORD name and logo are registered marks of ACORD