HomeMy WebLinkAbout15-16224 ; CITY OF ZEPHYRHILLS
�' S335-8TH STREET
(sis)�so-ao2o 162 4
BUILQING PERMIT
PERMIT INFORMATION L.00ATION INFORMATION
Permit Number: 16224 Address: 5435 GAL� BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: R!C CNANGEOUT Township: Range: Book:
Proposed Use: GOMMERCIAL Lot(s): Btock: Section:
Square Fe�t: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcet Number: 1'(-26-21-0010-09900-0010
Improv. Cast: 8,124.41 OWNER INFORMATION
Date Issued: 412912015 Name: SUNTRUST BANK
Total Fees: 80.00 Address: 5435 GALL BLVD
Amount Paid: 80.Q0 ZEPHYRHI�LS, FL. 33542
Date Paid: 4/29/2015 • Phane: (804)782-5689
Work Desc: A/C CHANGE OUT 6 TON
CONTRACTOR S APPLtCATION FEES
AIR ECHANI A SER E QRP. CHAN�E U $0.00
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Ins ections Re uired
DU TS IN ALLED
DUCTSINSUTATED
FINAL � -��-
REINSPECTION FEES: Reinspection fees will camply with Florida Statute 553.80 (2)(c) when exkra inspection
trips are necessary due to any ane of the foilowing reasons: a)wrong address b) candemned work resuiting
from fauity construction c) repairs or corrections not made when inspec#ions called d)work not ready for
inspectian when called e) permit nat 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 additianal restrictions applicable to this property that
may be found in the public records of this county, and there may be additianal permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Vltarning ta owner: Your failure to record a notice of commencement may result in your paying iwice far
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
befare recording your notice of commencement."
Comp#ete Pians,Specifications Must Accompany Appiicafiion.All wark shali be perFormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRA 51GNATURE PERMIT OFFI R
MIT EXPIRES IN fi MONTHS WITH4UT APPROVED INSPECTION
CALL �OR INSPECTION - 8 HOUR NOTICE REQUIRED
PRQTECT CARD FROM WEATHER
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' 2015066983
PermR No./l0�� / Percel ID No � � 2 6 21 0 010 0 9 9 0 0 0 010
NOTICE OF COMMENCEMENT
s�e�eor Florida ca,�ry,r Pasco
THE UNDERSIGNED hereby gives notice thet improvement will be made to urteln real property,and in accordance wfth Chapter�73,Floride Statutes,
ihe foliowing Information is provided in Ihis Notice M Commencement:
1. Descrlption of Property: Pareel Identmcation No. � � 2 6 21 0 01 0 0 9 9 0 0 0 010 ���� '
sveatnaa�e�: 5435 Gall Blvd. , Ze hyrhills, FL N"�
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2. GenerelDescriptionoflmprovement R2p�.dCe 6 Ton Sp�.lt pl��.' System ���
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3. Owner Intortnation or Lessee Infortnation if Ihe Lessee eontracted for the 4nprovement: m �
Sun Trust Bank '
, 9'i 9 E. M��'fa St. , 14th F1r. , Richmond, VA 23219 3��
Address City State �� p
Interest in PropeAy: ,a m••
t«m�..
Neme of Fee Simple Titleholder. .0 ��
(I}diHerent from Owner Iisted above) � �
Address Stala �p � I
4. Contrector. Air Mechanical & Se::vice �Srp. .,
"�'31 1 W. Ida St. , Tampa, FL 3361 4 '�
, Aaaress g13-875-0782 °iry s+�`°
Contractors Telephona No..
5. Surety: ��A
Name
Address City State p�
Amount of Bond: $ Telephone No.: �N D �
�N I
6. Lender.
Name �N o �,
Address City Stata �/��.m.. I
Lenders Telephone No.: �iI �'
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7. Persons wlWn the State of Florida designaled by the owner upon Htwm notices or olher doc�anents may be served es provided by /�
Sectlon 713.13(1)(a)(/),Floride Statutes: yvN o
N'�
Nazne D
3 �
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0
Address City Slale �~m
Teiephona Number af Designeted Person: �
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8. In additlon to himseH,the owner designates o�
y�p°
to reeeive a copy of.lhe Llenors No6ce as provided in Section 713.13(1)(bj,Florida Statules. (A�"�3
Telaphone Number of Persan or En6ty Designated by Owner. `y �
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9. E�iratlon date of Notice of Commencement(the e�iretion dete may not be before Iha complellon af coristnioUon end final payment to Ihe �
r
conVadar,but wiil 6e one year from the date of recording unfeu a dil(erent dete is speGfied): �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STAMES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCIN WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of peryury,I dedare thal I have reed the forego(ng n 'c me ement and that the fads slated Iherein ere true to lhe best
of my krrovAedge end beliet �
STATE OF FLORIDA
COUNTY OF PASCO
SiBnel ot Ovme or Lessee,or Owners or Lessee's Authodzed
• Otfi dDirectorlPaMedManeger
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�a�eioys ru�ore�
The farepoing InsWmenl was acknowte ged before me Ihi�7 day of�,20 N bv(�2G G'O�N C�it�Q.l S eN k v
as��4.���/L1L.`d�l.(� e of au rily,e.g.,oKcer,Wstee,attomey in 1ad)for, '
�' (n of perty on beheH of instrum�nt was executed). ��
Personalty Kn Qg Produced Identificatlon� • ' _ Notary Signe
Type oi Identificatlon Produced : Name(Print)
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• 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
1 Building Department
Date Received Phone Contact for Permittin
Owner'sName SunTrust Bank OwnerPhoneNumber 804-782-5u89
Owners Address 9� 9 E. Ma i n S 4 th 1 r�pwner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titieholder Address
JOBADDRESS 5435 Gall Blvd. , Zephyrhills, FL �ora �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSfR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIP710NOFWORK R2 lace 6 Ton .S Zlt A �,' S stem
BUILDING SIZE S�FOOTAGE� HEIGHT � ,
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ I�� i
��'""" bti`�
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /y`
8 124. 41 ����
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER COMPANY Alr Mechanical & Servic Corp.
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
I —
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEECURRE� Y!N
Address License#
MECHANICAL COMPANY Alr i�echanical & Servic C�rp.
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address F L License# 0 0 6 3 8 9
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Sile Work Pertnit for subdivisionsAarge projects
COMMERCIAL Attach(3)compiete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Pertnit for new construclion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 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 construdion.
Directions:• �
Fill out application completely
Owner 8 Contractor sign back of application,notarized
If over Ez500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for lhe 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 A/C Fences(PlotlSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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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-&47-
8009. Furthermore, if the owner has hired a contractor or conVactors, 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 IMPACTNTILITIES 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
I use in existing buildings, or expansion of exisUng 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
construcGon, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment 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,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand 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 wali
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 consVued 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
i 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 O TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN .
FLORIDA JURAT(F.S.1 . )
OWNER OR AGENT � CONTRACTOR
q Subs ibed and sw to or a ed)before rrtie this Sy�b c'b and sworn to(or af ir e before me t 5 D a y O f Apr i 1
Oc7' 'bo1 by �rn� �Nk-a L r by H ro�� S 3
o i/are personally kno to me or as/have produced Who is/are personally known to me or has/have produced
as identification. �`� as identification.
Notary Public �./—-� � Notary Public
Com ' si No.L Y���i/k��7 Commission No.�-��,����
CIGG �DHA�/
Name o ar� yee ,pn Name of Notary typed,printed or stampe ,. ��^..
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