The URL can be used to link to this page

Home My WebLink About11-11843 � CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3)�so-oozo 11843 BUILDING PERMIT Permit Number: 11843 Address: 39533 QUARTZ DR 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: EMERALD POINTE Est. Value: Parcel Number: 24-26-21-0040-00000-1620 Improv. Cost: 3,550.00 Date Issued: 5/04/2011 Name: HOLMAN, TANYA D(TRUST) Am otal Fees: 55.0 G,' �j •�� f�� Address: 39533 QUARTZ DR ount Paid: 55 1 (� �C ZEPHYRHILLS, FL. 33542 Date Paid: 5/04/2 1 f Phone: (813)469-2335 Work Desc: HVAC CHANGEOUT - INSTALL MITUSIBISHI SPLIT SYSTEM C/U & A/H � 55. -�' t��► c � � �o � 6� ��T/ll Ck# �Ql �� , � ; � DUCTS INSULA�D 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 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 improv ents to your property. If you intend to obtain financing, consult with your lender or an attorney before rding yo notice of commencement." � � � 1 CONT R SIG URE PERMIT OFFI R PERMIT E ES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�s-�so-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received — _ - 7�- - 7 Q Phone Contact for Permitting 6 1 — � 7� Owner's Name � p � oVl I1 �, �' /f S]'� Owner Phone Number U! 3 �(v �" Z 3 S Owner's Address � �� t z�2 � v-Q- Owner Phone Number Fee Simple Titleholder Name �1 Owner Phone Number Fee Simple Titleholder Address JOBADDRESS 3�533 '-�(,�,�� ,;v� h�t�S, F� 3 3�yp LOT# � SUBDIVISION ��r�+-I c� �o�r� PARCEL ID# ��—� "ZI "�`�O •• O DQOO —//aZo (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR Sd ADD/�� Q SIGN � MOVE Q DEMOLISH e INSTALL e REPAIR PROPOSED USE Q SFR � COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER DESCRIPTION OF WORK �"U � � � �u- � — ,� 5 � I I /Y� c tu5, � S`. � S I � � � t.� t � �-� BUILDING SIZE SQ FOOTAGE HEIGHT Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL $� � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. � PLUMBING $ � ��` ��/y, � � / � MECHANICAL $�/ ,!' J C � �� VALUATION OF MECHANICAL INSTALLATION � GAS 0 ROOFING 0 SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO BUILDER COMPANY SIGNATURE REGISTERED Y! N FEE CURRENT Y/ N Address License # ELECTRICIAN � S COMPANY �►'�'�� •�n, w�- ` L� �c SIGNATURE REGISTERED Y N FEE CURRENT / Address 33'�f0 N- � P�� ( 337�6 License# �-t�bl6� d PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N Address License # MECHANICA COMPANY ftmerK�-n r ` I /v� �/ �� SIGNATURE ' /S� �� REGISTERED / N FEECURRENT N Address 3��70 l� � � .�� i� 337/b License # Cw►� � z�� yo 6 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N Address 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 Applicati • Reroofs Sewers Servfce Up�Fades A!C Fences (Plot/Survey/Footage) � , Driveways-fVot over Counter if on public roadways..ne { , , . ' • ° � � r �°�� •:. -.a��. , . , 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 speci�ed 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'SIOWNER'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 8� 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 fitl 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 instaltations 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 LENDE OR A RNEY BEFORE RECORDING YO OTI OM ENCEMENT. FLORIDA JURAT (F.S. 11 ) �� OWNER OR AGENT � CONTRACTOR Subscribed and sworn to ffir ore rr�e th' Subscribed and swor to or irme efore m is b � � 2u,e� � b y ` . Who i are pers y no o me or as/have produced Who i na y known to me or has ve produced as identification. as entification. ,�� Notary Public e� Notary Public Commission No. ��+� Commission No. _ y �� ' ��;i� V PGe��,�� RYAN HOERLE :. ;: Notary Public - State of Florlda - Name of Notary typ , 6f1mm. Expires Sep 23, 2013 Name of Notary typed, omm. Expires Sep 23, 2013 �.,,��.� Commiasion N DD 927156 � Commisalon � DD 927156 ;� ,,' � ,a,,, ,. %'�'� ACOR� DATE (MMlDDlYYYY) `� CERTIFICATE OF LIABILITY INSURANCE ioiii2oii 9iioiaoio PRODUCER Lockton Companies,LLC NE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 7 Times Square, Suite 3802 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE New York 10036 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646-572-7300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED AMERICAN RESIDENTIAL SERVICES OF FLORIDA INC. INSURER A Liberty Mutual Fire Insurance Company 23035 1073055 3340 SCHERER DRIVE INSURER B Libertv lnsurance Co oration 42404 SUITE A � ST PETERSBURG FL 33716 INSURER C Navigators Insurance Company 42307 INSURER D INSURER E COVERAGES AMEREOZ RB THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1 TH D R P ENT TNE PR D R AN THE RTIFI T H LDER 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 AUD'L POLICY EFFECTNE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MMIDD/YY) LIMITS GENERAL LIABILRY EACH OCCURRENCE $ 2 OOO OOO A X COMMERCIALGENERALLIABILITY TB2 10/1/2010 10/1/2011 PRMMGETO aE�ED ce $ 1 OOO OOO CLAIMS MADE � OCCUR MED EXP (Any one person) $ ] � QQQ PERSONAL & ADV INJURY $ Z OOO OOO GENERAL AGGREGATE S 4 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 4 OOO OOO PRO- POLICY JECT LOC A AUTOMOBILE LIABILITY AS2 1 1 lO/1/2010 10/1/2011 COMBINED SINGLE LIMIT g 2�000,000 �' ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ XxXXxXX SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-0WNED AU70S (Per acadent) $ XXXXX�� PROPERTY DAMAGE $ XXXXXXX (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ S OOO OOO C X OCCUR � CLAIMS MADE NYl0UMR715088N ]O/1/2010 lO/1/2011 AGGREGATE $ S OOO OOO UMBRELLA $ XXXXXXX DEDUCTIBLE X FORM $ �'�'X�1'XXX RETENTION $ $ X�'X�'�'XX $ WORKERSCOMPENSATIONAND WC7 10/I/2010 10/1/2011 X WCSTATU- OTH- EMPLOYERS' LIABILITY y/ N TORY IMIT R ANY PROPRIETOR/PAR7NER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N E.L. EACH ACCIDENT $ 1�OOO�OOO (Mandatory in NH) Ityes, descnbe under E.L. DISEASE - EA EMPLOYEE $ 1�OOO�OOO SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ I,OOO.,OOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUStONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE GENEKAL LIABILITY POLICY'S GENERAL AGGREGATE LIMIT APPLIES PER LOCA1'ION AND IS SUBJECT TO A$20,000,000 GENERAL AGGREGATE POLICY LIMIT CERTIFICATE HOLDER CANCELLATION 10733685 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF ZEPHYRHILLS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN 5335 8TH STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL ZEPHYRHILLS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. AUTHORIZED REPRES /J��G��/K„��. � f♦ G ACORD 25 (2009/01) 1988-2009 ACORD CORPORATION. All rights reserved The ACORD name and lo are re marks of ACORD For questions �agarding this cartHieate, wntact the number IisLd in ttie'Proaucer saction above and speciy the chent wde'AMERE02'