HomeMy WebLinkAbout15-16256 i
CITY OF ZEPHYRHILLS
� 5335-8TH STREET
. ' � (sis)�so-oo20 1 56
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16256 Address: 6930 GALL BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
I Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-00800-0050
Improv. Cost: 3,385.00 OWNER INFORMATION
Date Issued: 5/07/2015 Name: COMMUNITY NATIONAL BANK
Total Fees: 55.00 Address: 6930 GALL BLVD
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/07/2015 Phone: (813)783-8122
Work Desc: REPLACE 3 TON A/C CHANGE OUT (#2) 2 COMPONENTS
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS C, INC. C CHANGEOUT 55.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULAT D-�
FINAL�� - � - I �
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 properly 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 properly. 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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NTRACTOR SI NATURE PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTYON - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saso-oa2o City of Zephyrhills Permit AppGcation Fax$13•780-002�
� �' Building Department
Date Received Phone Conlac!for Parmltting 0�� �oS – �l✓��
Owner's Name L, 1 f�17�'Tlfsl�jA'�/�� Owner Phone Numbsr bf������R����
Owner's Address �-/.3� ��}'f l� Ll1Q Owner Phoae Numbet � �
Fee Simple Titleholder Name �_ � Owner Phone Number �� �
Fee Simpla Titlehalder Address
�os auaR�ss °��C� �311/v/� ���1`�5 ��., 5��- LOT# �_,�
sue�ivis�or� �R�r-�1���onrt —�°'�' Par:c���o# D,� �(e+ �1 Dl.3l� �D8'Q� DDSC3
(OBTAINED FRQM PROPERTY TAX NOTICE)
WORK PROPOSEQ � e NEW CON5TR[� ADDlALT � SIGN Q Q DEMOLI$H
INSTALL Q REPAIR
PRQPdSED USE [� SFR Q CQMM' � OTHER
TYPE OF CONSTRUC'fION C] BLOCK Q FRAME � STEEL Q
DE3CRIP'fiBN OF WORK �� � �.. � �� � ��� �� �N�� °� G'�� � �
BUILDING StZE ��� SQ FOOTAGE C� HEIGHT ����
QBUILDING $ � VAt,liAT10N OF TOTAL CONSTRUCi'tON
[�ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
QPLUMBING $ � —� �
QMECNAN�CAL $� ��`� VALUATION OF MECHANICAL INSTALLATION . �O
QGAS Q ROOPING Q SPECIALTY [� OTHER �, "(
FINISHED FLQOR ELEVATIONS � � FLOOD ZQNE AREA QYES NO
BUILDER COMPANY
SiGNATURE REGIS7ERED Y/ N FEE CURREA Y/N
Address License# � �
ELECTRIGIAN COMPANY
StGNATURE REGISTERED Y/ N FEE CURRE� Y/N
.. ,,._.._.._,. ._..
Address l.icense# � i �
PLUMBER COMPANY
StGNATURE REGISTERED Y J N FEE CURREA Y/N
Address 1.3cense# � �
MECHANIGAl, �� 3� � COMPANY � !'O P_ S't %�- �G�i
S[GHATURE G�n�- �`�-°'�'� REGISTERED Y! N �E cu�itEn Y/N
`� ,�ry //},�J� --p--
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Address Z `�� �`7'"1�'�='/1� �f�/l6� Ucense# ��� ����O
OTHER COMpANY
StGNATURE REGISTERED Y J N FEE CURREh Y/N
Address Llcense# � �
RESiDENTiAI. A##ach(2)Piot Ptans;(2}sets of Building Plans;(1j set of Energy Forms;R-Q-W Permlt for new construcUon, - -
Mlnfmum ten(90}worklog days after submitta!date. Requtred onsite,Construc6on P1ans,8tonnwater Pla�s wt Stlt Fence Mstalled,
Sanitary FacillUes&1 dumpster,51te Wor1c Permit for subdivislons!large proaeats
COMMERCIAL Attach(3)complate sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon.
Minimum ten{1 d)warlcing days after submlttai date. Required onsite,Constructlon Plans,Stormwa#er Ptans w/Siit Fence instailed,
Sanikary FaciliNes&1 dumpster.Slte Work Permlt for all new proJeets.R!I commeretal requlrements must meet compllance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'*PROP�RTY SURVEY required for alt NEW construc�ttan.
Directlons:
Fiit out applicatlon campletely.
Owasr&Contractor sign back of appi(caUon,natarizati
If over 52500,a Notice af Cammencement i�requlred. (A!C upgrades over�T500)
" Agent(for the contraotor)or Power of Attomey(for the owner)woutd be someone with notarized letter from owner authorizing same � ` � `
�VER THE COUNTER PERMIT7ING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..oeeds ROW -• - - � �
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NOTICE OR DEED RESTR1CTiONS: The undersigned under�tands�tii�t this.p�txnif may.be.subjeat to"deed"restrictions°
which may be.mare�r.est�ictive-than Gounky regulations. 'The underslgned assurries responsiblltty for compliance with any
appllcable deed testrlcttons. � �
UNLICEN$EO CI�NTRACTORS AND CQNTRACTOR RESPONSIBILITIES: If the owner has hired a conkractnr or
contractors to undertake work, they may be requ�ired.ta be:{tcensed tn accordance.wtkh state.and•local regulattons. If the
contractar is nat Ilaensed as required by taw, bath the owner and contractor may be cited for a misdemeanar violation
under state law. If the mwner ar Intendedtcontractor�are uncertain as to what ticensing.requlrements may apply�or the
In#ended wartc,they are advisecf to contact the P�sca Counfy Buildirtg[nspection D�tlslon—l.lcensing Sectlon aE 727-847-
8009. Furkhermare, If the owner has hlred a cont�actor or contractors, he Is advised to have the contracto�(s) slgn
portions of the "contractor Block" of this appllcatta� for whlch they wlll be xespanslble. If you, as.the ovuner s(gn as the
co�tfiac#or, that tnay be an indica#ian that he Is not.properly licensed and €s not entitied tv permitEing prtvileges in Pasca
County.
TRANSPORTAT#QN tMPACTIU�'i#:i'�IES-IMRAC7 AN�i RESOURCE REGOVERY�EES: The underslgned understands
that Transpartetfon Impect Fees and.Recourse Recove.ry.Fees may�apply tv the constructlon of new bulidings, change of
use in existing buildings, ar expanstofl of eXlstirig`�kiuildEngs, as speclfled.in Pasc� County Ordinance number 89-47 and
90-OT, as amended. The undersigned atso understands, tha�t such fees�.as�rnay be�due,,wNl:be identified at the time af
permitting. It Is further understood that T�anspottatlon Impaat Fees and Resour+ce Recovery�Fees must be pafd priar to
recelving a °ce�f{�icate of occupancy" ar final power�elease. :If the project.does not tnvolve a certificate of occupancy,ar
final power release, the fees must be paid prior to permR issuance. Furkhermore;if:Pasco County 1Nater/Sewer Impact
fees are due,they�must be-pald pr�or to permiE-issuance•!n accordance wtth appticable Pasco'County ordEnances»
CONSTRUCTiON LIEN LAW(Chapter 713� Flor�da Statutes�aa amendedj; If valua�on of work is$2,500.00 or mare, 1
certify that I, the applicant, have:been provided with a copy vf the "Florida� Construction tien Law--Homeowner's
Proteatian GuEde" prepared by the Flor�da Department�of Agrtcutture and Cor�samerAffairs.. It the sppltcant is someane
other ihan the"owner", I certNy that 1 have,abtained a copy.of,#he abovedes.cribed�docurr�ent°and.promise in:gaad faith to
deliver 4t ta the`owner"priar to-commencetnent; .
CONTRACTOR'310WNER'S AFFiDAViT: i.certtfy that ail thec Inf.ormatlon In this applicatlon is accurate and that all work
will'be done in camptiance with all applicable laws regulating consttuction� zontng and land development. Applicatian is
hereby made ta obtetn .a permlt ta do work,and instatlation as tndC�efed.�. 1 certiiy that no work or tnstalla#ion has
commenced prior to Issuance of a permit and that all work will be performed�to meet standards of all laws regulating�
consUuction, Gounty and City cod�s, zoning regula#ions� and lanc# devetopment cegalatlans-In the J�risdlction, 1 also
certify that i understand that the regulatlons of other government agencies may�apply�to the intended work, and thak it is
my responsibility to identlfy�what,acttons I m�st t�ke to be,ln:.compllance, 5.uch agencles include-bu#are.not timikec!to:
- Depattment o# Environmentai Protection-Cyptess Bayheads, Wettand Areas and Environmentally Sensitive
L.ar1d8� WatedWastewa#er Treatment.
- Southwest Flor�da Water Management� .I�is#tic#-Wells, CYPress. B�y.heads� {Netland Areas, Altaring
Watercourses.
- Army Corps of Englneers-Seawalls}Dacks�N�vt���i�e waterways.
- Department of Heaith i� ReMabilitative ServtceslEnvitonmenfal Neatth Unit Wells, Wastewater Treatment,
5epttc Tanks. .
- US Env�ronmen#a!Protectton Agencar Asbestos abatement.
- Federal Avlatton Authority-Runways.
!understand thaE the toilowing.res#rictions appiy to the use of flit.�
- Use of fili is not atiowed in Ftood Zone"V"uniess expressly permitted.
- If the flll materlal is to be used in �Flood Zone. "A". It. (s understood that a drainage plan addressing a
°campe�sat€ng volume"wil! be submitted at#ime of permitting wlilch Is prepared by a professiana) engineer
I(censed by the State of Florida.
- 1# the filt materia! is to be used tn Fbod Zone "A" In>connec�ion�wlth.a pe�mltted buitding us�ng stem walE
� constructton, i ce�tify that fill�:w�ll°b.e used only.to.fill the area within�the stem�wali.
- If fill materlal Is to be used in any area, I certlfy #he�t use of such �IN wIA not adversely a#fect adjacent
properties. 1f use of fi11 is found to adversely:�ffect ad)aeent�pr�pertfe�,.the awner may be cited for uioiating
the conditions of the building:permtt Issued�under the attached�perrnit applicatlon, for:lots less than one (1)
acr$whEch are elevated by flll�$n engineered drainage plan Is required. .
If I am the AGENT FOR THE 01MNER, I;�promise In good fatth to infarm the owner of the permitting conditlons set forth in
this affidavtt`prio�ta commencing constructlon. ( understand that��separate perm[t may be requtred for etecMca# work,
piumbing, signs, weils, paots, air conditioning, .ga�s, ar other. tnstatl�ttans not.specificalty included�in.the apptication. A
permit Issued shall be canstcued to be a Iicense ta praceed wlth the work and not as.authoriiy to.vlalate� cancel, alter, or
set aslde any provisEans of the tectmlcal.codes; nor shall lssuance�of a perm#t preven##h�Bulldlrig Offlcial fram.Ehereafter
requirtng a correction af eROrs in plan�, constructlan or violatlons of any cades. Every permit I.ssued shall become invalid
unless ihe work authorized.by such permit�•is-co�ttmenced�wtthln sGc months of permt#lssuance, ot If wark authorized by
the permit is suspended or.abandoned for a.periad ofs�C{8)months.after the time#he wotk is commenced. An extension
may be requested, In wrlting, from the Building.Qfficial for a pertod�not to exceed ninetyr(90) days and will demonstrate
justlfiable cause far:the extenston: If work ceases:for nlnety{9Q)consecutive:days,..the�ab�is.consldered aba�doned.
WARNlNG TO t?WNER; YCIUR.FAILURE-TO.,RE.C.t?RQ A N4TIGE O��CQMMENGEMENT_MAY RESU[:T IN:Y±C1UR __
PA�YiNiGTWICE 1FEDR IM�iZ�VENfENT�T�1FOUR PRO�ER'TY: -1�YO.U�INTEI�D^TQ'OBTAIN•�FIN�NCING;'CONSNJLT
WIT UR D AN ATTO N FORE� ECO � G�� OU " �C °O " �' E f T'
��.oR�aA au����. .�s} K � �
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OWNER OR AC�1EN � 11�c�-�'n-�^2-� CONTFtACTOR �
�abscri e�and swom hY al�rmed} e re me this Subscti6ed snd'swcm hs{or aflinned)�befors cne ffiis
�by
Who is/a rsonally own ta•me ot-has/have produced Who Is/are p.ersonally�cnown•tt�me or haslhave•produced •
as ldentlflcation. as tden��catlon.
� Notary Pubilc . Nofary Public
.Com fs r�Q �«,, _ Commissio�.No.
:?1 %''• GES
=•; �'%= CommisSion#FF 15042
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Name ot " � b� 2018 Name of Natary lyped,pdnted ar s#amped
�:r,�,�`�, '� ed�7tuuTroyFaininsmance8pp..
985.7019
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� � PROPOSAL
� � � P�o�,�4�VE C.4S
� �.ND 1�IC �NC.
� �itce �988 8 i 3-782-���3
4441 Allen Road—Zephyrhills, FL 33541
Ph: 813-782-5013 Fax: 813-783-1374 ,
E-ma11: bahrs.officena.tampabav.rr.com
Proposal Submitted To: Date: ,
Kath � May 6, 2015
E-mail: Phone:
.
' kwhihnanna,centerstatebanlc.com (813 783-8122
Name: Job Name:
Centerstate Bank U stairs Break Room
Street: City:
6930 Gall Blvd Ze hyrhills '
We hereby submit specifications and estimates for:
, • Bahr's will install 1-3Ton Tempstar air conditioner with lOkW heat
• : Complete changeout including permit and float switches.
13SEER unit..................................................................$3,175.00 /�
14SEER unit..................................................................�3,385.00 ✓
All material is guaranteed to be as specified. All work to be completed in a workman like manner according to
standard practices. Any altercation or deviation from above specifications involving extra costs, will be executed
� only upon written orders, and will become an extra charge over and above the estimate. All agreements are
contingent upon strikes, accidents, or delays beyond our control. This proposal is subject to acceptance within
• days and is void thereafter at the option of the undersigned.
Authorized Signature
�
Acceptance of P oposal
The above prices,specifications,,and conditions�re hereby accepted. You are authorized to do the work as specified.
Payments wi11 be made as outlined above.
� ACCEPTED: Signature �
Date: Signature
SH