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Home My WebLink About13-14064 CITY OF ZEPHYRHILLS 5335-8TH STREET ' � (si3)�so-oo20 1 064 BUILDING PERMIT Permit Number: 14064 Address: 37716 NEWPORT 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: ZEPHYR RIDGE Est. Value: Parcel Number: 03-26-21-0130-00000-0290 Improv. Cost: 4,600.00 Date Issued: 4/08/2013 Name: GARREN, WAYNE & BARBARA Total Fees: 100.00 Address: 37716 NEWPORT DR Amount Paid: 100.00 ZEPHYRHILLS, FL 33542 Date Paid: 4/08/2013 Phone: 813-715-1827 Work Desc: A/C CHANGE OUT 3 TON GOODMAN PKG UNIT W/ ELECTRIC SENICA AIR CONDITIONING INC � • , 1�-�'� f ' ` . l LL DUCTSINSU TED � FINAL��Z --� 1�;� 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. "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 notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. � _ �,� � /".� /`� ;�_�� CONTRACTOR SIGNATU�2E PERMIT OFFI R PERMIT EXPIR�S 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 Received Phone Contact for Permittin Owner'sName �i�. �N �� (/L J�,Biry�v,/�I�� OwnerPhoneNumber Q��" 7��J' '�p�1 Owner's Address //�(O /V Q6L� O�T' /e, Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS 3�I�Il�p /V�U� OQT � zC � �`f�//s �L LOT� �] SUBDIVISION �/"�'�r /e /C�� PARCEL ID# V�'�(O'�- ��.30-��OQQ•oa9d (OBTAINED�PROPERTY T�nce)DEMOLISH WORK PROPOSED e NEW CONSTR� ADD/ALT �� SIGN INSTALL REPAIR PROPOSED USE � SFR O COMM � OTHER TYPE OF CONSTRUCTION � BLOCK O FRAME �� STEEL � r— DESCRIPTION OF WORK �PG/1�(I�(�j/ Q �f'O I�I�J �� /t!/`j ��yl�„3�p��j ��1 �Qva! #yc �u/�Pe BUILDING SIZE SQ FOOTAGE HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AO/• O Q AMP SERVICE � PROGRESS ENERGY � W.R.E.C. oS � �PLUMBING $ �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( �" � �f3�� oo � OGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN +� COMPANY oJL�N/C/Q �Q � � ��/ �► SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address �� ?'17..5 � ��/ � License# � /�Q/�oZ.O PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY �/U�C� �Q ,fJ�(/ / p,�/r �j SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address � �7v S// �/ �i h'�/� License# ��e l� � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# 1 1 1 I 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plens,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(11 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 Pertnit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. `*"'PROPERTY SURVEY required for afl NEW construction. Directions: Fill out application completely Owner&Contractor sign back of application,notarized If over a2500,a Notice of Commencement is required. (A/C upgrades over;7500) "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A1C Fences(PIoUSurvey/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"rest�ictio.ns" 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 understan s 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. tt 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 t, 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 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 fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, 1 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 O�cial from thereafter requiring a correction of eROrs 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,CONSU�T WITH YOUR LENDER OR AN ATTORNEY BE ORE RECORDING YOUR NOTICE OF C MMENCEMENT. FLORIDA JURAT(F.S.117.03) � / ir z'L_��,�IC' �--�'-�-- OWNER OR AGENTc___�� V � CONTRACTOR ---- Subs�oribe�,a'nd swom�Q,(or affir ed)before me t is Su i e and sworn to or affirmed)before m this ) !y_;��by ///�9,�� TT/G— � V�by �/�'.E'i�. /f/'B%•_3"O it/ �o�c/are�nally knnwn tn mP or hasmave produced o��re�ersonallv known to me or has/have produced as identification. as idenUfication. ` � ' ��;C�� (�CG�• �li Notary Public _�_ � Notary Public Commis ' n No. �� -� a � Commission No. EE��'� � !/A� I'T'ri/ �c1 G?/✓ /�lf�Ti�/G/��'C'�TO�J Narrie of Notary typed,p nted or stamped Name of Notary typed,printed or stamped :�,.�.+Fv�%•: PA7AIGAAtAERSUI4—�I ,,�r .,, ,: MY CAMMISSION A EE 156820 ,� fr�; PATRICIAANDERSON "' = EXPIRES:Jarniary 3,2016 :.. .:: MY COA�IMISSION Y EE 158820 �;�• 0.t`� Bonded Thm NdarY Put'lic Ur�e�++��e� r.�i r EXPIRES:January 3,2016 P�„�• ��Rl�Sh� BoiMed Thru Notery Public Underwriters �E�ec� ,��r� c��crr�c��G, ��G. ��L HVAC � i66��: SH�,DY -IfL!S ?D �'�C�' + ?, SP�IIJ� HILL, rL�P,lD��4�10 �ER�TICE O�DE� STAFE �IC. T*-C�,G i$i a�64 1-�a0-8��7.2�35 • w��.sen�caair.cor� � I��QICE �F�asco°6F7i s�s��s�6 2 3 8 3 2 5 BILL TO __ � .�-'.J O �' �� `� 11C��_, THIS WORK IS TO BE ❑ C.O.D ❑CHARGE ❑ NO CHARGE MAKE MAKE - M�DEL MODEL SERIAL NUMBER SERIAL NUMBER NAME S c�� ..i`. D9T � . ENVtRONMENTAL CHECK LiST WORK PERFORMED CITY PROMISED > j I�'S � y Z W�K P��Ri�AED QTY. TYPE/DISPQSf1lpN CONDENSWG UNfT COND'SATE DRAINS PHONE ^ � �,'^•� CALL BEFORE � A M � RECO�RcD �yE�p CLEqNEU Q { � � / I MNN�RVN o' � ` ❑ P.M. ❑ RECVCLD CLEANEDCOIL REPAIRm T NICIAN AUTHORIZED BY MNN�RAIN M,� ❑ RECWME� CHARGED C�� PAN DRPJN WORK TO 8 P FORMEQ,� ❑ RETURNED FEPAIRED pEPAIRED �' LEAK IN COIL PAN ORAIN �� ❑ oisPOSU LEAK NECOPPER FURN.OR FAN COIL .,. ,- . .. .�.... ,�_,_ ,. . MANTLED %REF HEPLACED BELT ❑CHANGED OUT/REPLACED TOTAL 5 ' � . .. . . CHECKED qp,7�g7ID BEL7 �-.�'.,�'..'�'. ..�t��FpL'.�.5%�i:.�a'ER�IGEJ ' ��UP�I-T:PRICiE' � ... .. .. ... . . .. . . MOTOR - �d1.t�+�T i3ESt.f�Il's37�f.:OF�WC3RK;PERFORME{� : CHANGED REPLACED ' � ' ' MOTOR PULLEY REFRIGERANT R- LBS REPLACED nDdU57ID B�T Puu�v //11 A�JUSTED CLEqNm `�� BELT BLOWER � G REPLACED qEp�qCEp J CONTACTOR 6FAHINGS �),\ R�L�� OILED MOTOR � �c.� \ a¢Av 1 REPL STARf � CAPACITOR OILED BEARINGS � ♦_n/1 . � REPLACED RUN 0.EANEp W W 1 GAPACROR HEAT IXCH �' CLEANED DR REPLqCED �, �� AD,I.COMACTOR HFAT IXCH � REPAIRED CL:ANm OR WIRMG qp,�.p��p7 REPLACED FUSE REPLACED 'fHERMOCOUPLE REPLACW REPAIRED COMPRESSOR VALVE EYAPORATOR COIL ��cE° REPLACED ��`1m IXP VALVE BURNERS no�us�o DUCT � REPLACED REPAIRm FI�rERS x x , cna Tuee � ClFARED qp,IUSTED > FILTERS x x REPAIRED THERMQSTAT COIL LEAK i , . � � _ fiEPAIRED qEPLACED � BELTS �tECOMMEN[)ATIQiYS F � CLEANED COIL .°.D.IUSTED TOTAL MATERIALS LEVELED COIL HRS. LABOR RATE AMOUNT ELECT.HTR. CLG TOWER REPLACE�L1NK CLcANm REPLACED KLIX REPAIRED WIRE PUMP(S) REPLACED COM GR;ASED REPAIRED ONi1NUEDONDT�MERSIOE TOTAL Lti30R LIM(TED WARRAhfTY: Atl matenals, parts ��LTERS ❑c�EnNeo �aeav,ceo TERMS and equipment are warranted by the TOTAL SUMMARY NQ� ��=r �. f� manufacturers' or suppliers' written warranty only All labor performed by the above named TOTAL �� company is warranted for 30 days or as MATERIALS ��} ,'Q� y�,� � # otherwise indicated in wrifing.The above named � � �,_iL�1•1 �''�'(y►Q�j� company makes no other warranties, express ' ^,� — �Q Q ! �� I have authority to ortler the work outhned above which has been saLSfactonly completed 1 agree that or implied, and its agents or techrncians are Seller re[ams trtle to equiPmenVmatenals furnished until final payment rs made H payment is not made not authorized to m a ke any SUC h warranties � i OQ as agreetl,Seller can 2move said equipmenVmatenals at Seller's ezpense Any damage resulting from on behalf of above named company _ saitl removal shall not be the responsibilih�o'Seller ❑ REGULAR ❑ WARRANTY E � � �- ( ❑ SERVICE CONTRACT T Q�i � cus. IGNATUPE ` p;,r �/�,l, f ✓i_�� T(�'.T,�! , '4`°RO� CERTIFICATE OF LIABILITY INSU DATE(MMlDD/YYY1� RANCE 12�19�2�12 THIS CERTIFiCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 4ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED tEPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certi£cate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT �F•FREY LIVENGOOD NAME: LIVENGOOD & ASSOCIATES, INC. PHONE (352) 686-0444 F'� �3sz� 686-2862 A/C No: 10519 SPRING HILL DRIVE E-MAi� .gINSURA6@TAMPABAY.RR.COM INSURE S AFFOR�ING COVERAGE NAIC# SPRING HILL FL 34608- iNSUReRn:BRIDGEFIELD INSURED SENICA AIR CONDITIONING INC. INSURER 8. 16640 SHADY HILI,S RD INSURERC. INSURER D. INSURER E. SPRING HILL FL 346�.0— INSURERF. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTIMTHSTANDING 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER MM/DDY� MM/LDDY/YWY LIMITS GENERAL LIA8ILITY � � � � EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY / / � � DAMAGE O RENT D PREMISES Ea occurtence S CLAIMSMADE � OCCUR � � � � MED EXP(My one person) $ � � � � PERSONAL&ADV INJURY $ � � � � GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: � � � � PRODUCTS-COMP/OP AGG $ POLICY PRa LOC / / / / $ AUTOMOBILE LIABILI7Y / / / � COM8INED SINGLE LIMIT Ea accident ANY AUTO � � � � BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS � � � � BODILY INJURY(Per accident) $ HIRED AUTOS AO OONMED � � � � PROPERTY DAMAGE Per accident $ / / / / $ UMBRELLA LIAB OCCUR I I / / EACH OCCURRENCE $ EXCESS LIAB CLAIMSMADE � � / / AGGREGATE $ �ED RETENTION$ / / / / $ j� WORKERS COMPENSATION 30-30935 1/Ol/2013 1/Ol/2014 WC STATU- OTH- AND EMPLOYERS'LIABILITY Y�N }{ OFFIC R/MEIMB�R EXCLUDED ECUTIVE� N/A / � � � E.L.EACH ACCIDENT $ $OO OOO (Mandatory in NH Ifyes,describe under / / / � E.L.DISEASE-EA EMPLOYE $ 5�0 �0� DESCRIPTION OF OPERATIONS below � � � � E.L DISEASE-POLICY LIMIT $ 50O OOO � � � / � � / � DESCRIPTION OF OPER,4TIONS!LOCATIONS/VEHICLES (Attach ACORD 101 dditional Rem Schedule,if more space is required) Michael Boren Lic # CMC56953 ET11000770 ER13014209 A 10 DAY NOTICE OF CANCELLATION CAN BE SENT FOR NON-PAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION (B13) 7B0-0020 (813) 780-0005 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF ZEPHRYHILLS 5335 8TH STREET AUTHORIZEDREPRESENTATIVE ZEPHYRHILLS FL 33540- �'� � � � ACORD 25(2010/05) OO 1988-2010 ACORD CORPORATION. All rights reserved. INS025�zo�oos�.oi The ACORD name and loqo are reqistered marks of ACORD