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HomeMy WebLinkAbout11-11500 , CITY OF ZEPHYRHILLS � 5335 - 8TH STREET (sis)�so-oo20 11500 BUILDING PERMIT Permit Number: 11500 Address: 5724 18TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcei Number: 11-26-21-0010-07900-0160 Improv. Cost: 2,800.00 Date Issued: 2/10/2011 Name: DAVIS, STEPHANIE & JOHN Total Fees: 50.00 Address: 5724 18TH ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/10/2011 Phone: (813)788-7907 Work Desc: A/C CHANGE OUT 2 TON 5. n .� \✓ v \ DUCTSINSULATED FINAL - 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 � plans not at job site g) work not acc:essible. 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: failure to record a notice of commencement may result in your paying twice for improvements to y r p rly. if you intend to obtain financing, consult with your lender or an attorney before reco y ur no f commencement." � CO T CT, R IGNAT RE PERMIT OFFI R PERMIT EXP ES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL OR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Nermit Application / 1 rax Building Department , � J `u� lJ �� Date Received Phone Contact for Permittin — Owner's Name � s Owner Phone Number �� ` 0 7 Owner's Address ��� / � Owner Phone Number Fee Simple Titleholder Name � Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � '� �" LOT # �� SUBDIVISION � . PARCEL ID# (08TAINED PROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR � ADD/ALT �] SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q �RAME � STEEL Q DESCRIPTION OF WORK � ` � � BUILDING SIZE SQ FOOTAGE � � C� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ ���,� VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N Address ' License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # �— � PLUMBER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � Address License # MECHANICAL COMPANY � �.�.. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # ��,/ n' , 1 1 OTHER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # �— RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Permit fo� new construction,. Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Faalities & 1 dumpster; Site Wor1c Permit for subdivisions/large proJects Dade City (352) 588-9210 A'1 B C��� � 15873 Lake lola Rd . Dade City, FL 33523 Tampa (813) 221-5850 Heat & Air, LLC 3 2 4� P8SC0 (727) $44 -9906 Lic. # CAC1814313 �� � �p � p � / TIME IN TIME OUT O RESIDENTIAL EQUIPMENT J � / � �� APL NO. ❑ COMMERCIAL �� PHONE O.D. MAKE MODEL SERIAL �Z'� `/ � _ CUSTOMER �;� ,� ,!�s'� -� J� �•D. MAKE MODEL SERIAL REQUEST �j � �� WORKPERFORMED � /- ' ' ,� � � �� ���� �� 'd ;� !.� ,r' Cs t�'-�, t� �✓.f � .0 . , "f� � Make all Checks Payable to A-1 B Cool Heat 3 Alr, LLC � �''' • PRICE CHECKLIST ' � ' • • • ❑ R22 ❑ R410A COMPRESSOR I adcnowledge that repairs have been performed in ❑ SUCL_�_PSIG a manner satlsfactory to me• �n the event payment 0 oisc._r_PSic �S not made as agreed, purchaser agree to pay all o vo�rs �st of collecUon including a reasonable amount as O AMPS_/_RATED attome s fees. Interest at the rate ot 1896 per O 10 O 30 Y p EIECTRICAL CONNECTIONS annum will be added to all delinquent balances. o conirnncroR PoiN'►s There will be a$20.00 charge for all retumed O FAN A. / RATED ChBCkS. 0 SUPERHEAT O SUB COOLING X CONDENSER COIL A�TM��D SICaNATURE a c��w 1 certlfy that 1 have perfortned services indicate and O FIN CONDITION insta f1S �IStBd. 0 AMBIENT 'F � REFRIGERANT � TECHNICUW S1c3NATURE O LEAK 0 o.K. � � PRiCE FAN AND MOTOR P � $ � O AMPS / RATED 0 m� �� �^� ae per O CON7RACTOR POIN7S PARTS O BLOVYERASSM. CLEAN Q ugpR GU/1R/►NTY SERVICE 0 LUBRICATION The kbor cha►ys n reeoMed here relatHe O TOTAL S.P. O to }►�e puipment �ervioe as noted, 4 TECHNICAL gu�ranteed for e period ai 30 daya. 'Nc SERVICE ELECTRICAL HEAT STRIPS �erDe' M'+�^H ��� Pro� o"b' SHOP OINSPECTCONNECTIONS ❑ ���OR^�����• LABOR O AMPS_!_RATED EvnPORnroR coi� � NO WARRANTY o c�� ❑ ON DRAIN LINES. ❑ AIR IN 'F vAIROUT 'F � A'1 B COOL CONDENSATEAREA � HEAT 8 AIR, LLC ��� O INSPECTED PAN IS NOT ❑ IN3PECTED DRAIN O FLOAT SWITCH � LIABLE PAID BY : AIR FILTER RECOMMENDED � c�� �oecuN�o FOR DAMAGES ❑ CHECK # o c�enNeo CAUSED BY o visn nruc o a,n�ex o �isCv OTMPE CED SERVICE WATER LEAKS ❑ FINANCE � CASH t�_�,,�, �STATE OF FLORIDA � -- --- Q " DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION � - , -��� CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 ',,�� � 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 �-Z- S� 3 . FINLAY, RUSSELL K A-1 B COOL HEAT & AIR LLC 15873 LAKE IOLA ROAD � DADE CITY FL 33523 STATE OF FI,ORIDA AC# 4 9 8 5 0` Congratulations! With this license you become one of the nearly one miilion D$�A�TMEI�iT ,OF �USINES9 A2Q� Floridians licensed by the Department of Business and Professional Regulation •�` �, �pROFB�SIONAL R8,C7UTiATTON Our professionals and businesses range from architects to yacht brokers, from -�- boxers to barbeque restaurants, and they keep Florida's economy strong '�AC18�+�313 06 f 0�/10 09046508 Every day we work to improve the way we do business in order to serve you better - For information about our services, please log onto www.myfloridalicense.com. CEI�TIFZgD AIR COND CQNTR There you can find more information about our divisions and the regulations that F�NLAY' ;� RIISSS�I. K impact you, subscribe to department newsletters and leam more about the Ar l E'�' CO��'. I�AT & AIR LLC' DepartmenYs initiatives , Our mission at the Department is. License Efficiently, Regulate Fairly We constantly strive to serve you better so that you can serve your customers IS CERTZFIED unaer tne pro..�Bione of, Ch.489 Thank you for doing business in Florida, and congratulations on your new license! �pirat�ob aate� AUG', 31. 2012 L10U60Q00655 DETACH HERE Ac# 4 9 8 5 0 9 5 �� ST,#�T� 4F FLORID/� , D�PAR"!'1!��,Q ST�UCT�C7�T��1s�TD�TR�RL'I'CEI���IHG��CR��LATION' � �,�, , '$FQ#L�Qo6Q4006S ,. } �_ ' , � _ ''. �ZCEN ' � NB , , 06 04 .2tf10' ,Q4��.6�5088 �,.. CA�18:7�:4�.13 � �'he C'LASS B ,A�R ��ND��I'.(71JZ111C� GONTRACTQ�t ,.' Plamed be�],ow, IS.''�ERTIF�ED _ ", Under �he p.rov�:sions of'Chap�er 489 F3. ' ' Expiration date: AUG 31, 2012 P'TNLAY, �2T.�SSE,"'LL K „ • ' � . A=1 ; B �t30L, �H�,"`�T & ',AXR �LC 158;73 LAR�. ��3�A RD „ � DADE CITY FL 33523 I CHARL ; �E �Cit�S�T � ' � , ', , , ' ,; . CHARI,TE LIEM � GOVE,RN'C�k2 ' , � INT$,F2IM SE�RE'TARY , �DISPL�Y /�'S REQUIREt� BY LAIN, � • e-Bode Systems - Policy Send Form Preview Page 1 of 2 - A�ORD CERTIFICATE OF LIABILITY INSURANCE �oziio�ii' PRODUCER JOV ITA INSURANCE AGENCY THIS CERTIFICATE IS iSSUED AS A MATTER OF INFORMATtON P O BOX 18 9 ONLY AND CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE SAN ANTONIO, FL 3357 6 COVERAGE AFFORDED BY THE POLICIES BELOW. Phone: (352)588-3671 INSURERSAFFORDINGCOVERAGE Fax:(352)588-2885 INSURED A-1 B COOL HEAT AND AIR LLC INSURERA: NOr'th Pointe Insurance Company 15873 LAKE IOLA RD INSURERB: INSURER C: DADE CITY, FL 33525 INSURERD: INSURER E: COVERAGE THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WFiICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE iNSURANCE AFFORDED BY THE POLICiES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCEO BY PAID CLAIMS INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMlDD/YY) DATE (MM/DD/YY) LIMITS ENERALLIABILITY CHOCCURENCE S 1, OOO� 000 X COMMEF2CIAL GENERAL IRE DAMAGE(My mie ire) S 100, 000 ineiulv LAIMS MADE Q OCCUR ED EXP(My one person) f 5, O O O A 8090009322 04/21/2010 04/21/2011 INJUROY�ANDADV s 1, 000, 000 ENERAL AGGREGATE s Z, O O O, O O O EN'L AGGREGATE LIMIT APPLIES RODUCTS - COMPlOP ER. GG S 2,000,000 X ppLICY ❑ PROJECT Q LOC UTOMOBILE LIABILITY OMBINED SINGLE LI,IdFT = ANY AUTO ea accideM ALL OWNED AUTOS ODILY INJURY s SCHEDULED AUTOS Per person) HIRED AUTOS ODILY INJURY NON-0WNED AUTOS Per accident) s ROPERTY DAMAGE s Per accident) ARAGE LIA&LITY UTO ONLY - EA s CCIDENT ANY AUTO THER THAN EA AC S UTO ONLY AG ; XCESS LIABILITY CH OCCURANCE S CCUR ❑CLAIMS MADE GGREGATE S S EDUCTIBLE S ETENTION E ORKERS COMPENSATION AND STATUTORY MPLOYERS LIABILITY IMITS ❑OTHER L. EACH ACCIDENT i L.DISEASE-EA MPLOYEE i .L.DISEASE - POLICY iMIT j THER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Works on heat and air units CERTIFICATE HOLDER ADDI710NAL INSURED:INSURED LETTER: CANCELLATION HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TME PIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAYOR TO MAIL 10 AYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THf LEFT. BUT AILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND PON TNf INSURER ITS AGENTS OR REPRESENTATIVES. UTHORIZED REPRESENTATNE CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 5335 8TH STREET ZEPHYRHILLS, FL 33542 http://amelia.e-bode.com/innovare/GL/SendFormPreviewAndSend.cfm 2/10/2011 e-Bode Systems - Policy Send Form Preview Page 2 of 2 Faxecl to: . �� ACORD 26S (7/97) ACORD CORPORATION 1988 http://amelia.e-bode.com/innovare/GL/SendFormPreviewAndSend.cfm 2/10/2011 = a�a �� — oa� �� = rn� o = wa nc = n oz - ��n o� ' ��o mz - rn� o _ _ �_ .. — orn ►ro � r a .�ln �1 a -� r• �o - � �+ �+ � � � R� V � �+a ty N - w a = u+ �., � N 7p � w � VI"� � � n � r � pp O V � au,o o�-'�c o t� ty oo c� z�v � � � rn w� �t� ►-� rn c� � a o 0 o r-irp n2Tl -iaz -�r� �� o►.oe � � rna :v�c � n o� � �+ rn �rn n�rn � r a cn cn z cn � N NG�N '� 7G • .. ty � a w a ° �-' 3 70 N C � l�t Z � Nr i ACD �,� C�ERTIFICATE OF LIABILITY INSURANCE i DATE(MM/DD/YWY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOVITA INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENp OR POB 189 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Antonio, FL 33576 352 588-3671 INSURERS AFFORDING COVERAGE NAIC# INSURED A B COOL HEAT AND AIR, LLC . INSURER A. PROGRESSIVE EXPRESS INSURANCE COt�ANY INSURER B: SOUTHERN INSURANCE COMPANY 15873 � I��l � INSURER C: DADE CITY, FL 33525 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. i �� '� POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS I �rn Nsftn P F N RAN E DATE MM/DD/YY DATE MM/DDIYY CiENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILIN PREMISES Ea occurence $ I CLAIMSMADE �I OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ � GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PE PRODUCTS - COMP/OP AGG $ POLICY PR � LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULEDAUTOS (Perperson) $ ZOO � OOO A HIREDAUTOS O4531017-1 01�28�11 O7�ZS��.1 gODILYINJURY NON-OWNEDAUTOS (Peraccident) $ 3 �� i 0 �� PROPERTY DAMAGE �jO OOO (PeraccideM) $ i GARAGELIABILITY AUTOONLY-EAACCIDENT $ ANYAUTO OTHERTHAN �ACC $ AUTOONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ I OCCUR CI CLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERSCOMPENSATIONAND A - T - EMPLOYERS' LIABILITY � X TORYLIMITS ER ANV PROPRIETOR/PARTNEWEXECUTIVE SIC0012235-01 O6"Z3�1O 06-13-11 E.L.EACHACCIDENT $ 5OO OOO B OFFICERIMEMBER EXCLUDED9 E.L. DISEASE - EA EMPLOYE $ SOO OOO If BS, dBS<xibe under O 0 O � S ECIAL PROVISIONS below E L DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Works on heat and air units CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO CITY OF ZEPHYRHILLS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIQQ_ DAYS WRITfEN SUILD ING DEPARTMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAL 5335 8TH STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS O ZEPHYRHZLLS, FL. 33542 REPRESENTATIVES. - . -AUTHORIZED REPRESENTATIVE ��� ` / ACORD25(2007/08) ." � \ �OACORD C TION 1988 � J