HomeMy WebLinkAbout15-16354 " CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(sis)�so-oo20 1�354
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16354 Address: 5510 19TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14300-0000
Improv. Cost: 42,700.00 OWNER INFORMATION
Date Issued: 6/10/2015 Name: FIRST PRESBYTERIAN CHURCH OF ZEP
Total Fees: 250.00 Address: 5510 19TH ST
Amount Paid: 250.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/10/2015 Phone: (813)782-7412
Work Desc: 9 A/C CHANGE OUT (4) 3TON SPLIT/(3) 4 TON SPLIT/(2) 5TON SPLIT
CONTRACTOR S APPLICATION FEES
C RIS C C . C CHAN EOUT 250.00
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Ins ections Re uired
D CTS INSTALLED
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 I
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 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 performed in accordance with
n City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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�' CONTRACTOR GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o�.�-rov-wcv c:ity at Gepriyrt�ilts Pemn'tt Application Fax 8i3-�8b-0021
; Building Department
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', te Recelved Phone Gontact far Pornstttfn –
Irner's Name /",i" T / �'�'S �-�'��"' ���wner Phone Number ��J� �lY°� �77� °Z
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� rn�r's Addr�ss .� / f �'�- Owner Phone Nurrtber _
ia Simpie Titlehalder Name Owner Phone Numbar �
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�8lmple Titleholdar Address
B ADDRESS LOT# �
��oiv�siaN � � PARCEL ID# /-� - ��- 0 C�l� - t"/ C10 � 0 D Q O
{QBTA4NED PRQM PROPERTY T,4X NOTtCE)
�RK PROPOSED � NEW CONSTR 8 ADD/ALT �� SIGN Q Q OEMOLISH
INSTALL REPA�R
.QPQSED USE Q SFR Q COMM � OTHER
PE OF CONSTRUCTtON [� BLOCK Q FRAME � STEEL Q
SCRiRI'ION OF WQRK �/� -Z � � 9`'j%/ Up'I/1`
iILD1NG SI2E � � SQ FOOTAGE�,�� HEIGHT �_
QBU1LDiNG �—� VALUATION OF TOTAL CONSTRUCTION
QELECTRICA� ��� AMP SE32VICE Q PRt3CaRESS ENERGY Q W.R.E.C. ,
[�PLUMBlNG $ ��� (' y� 3 �`��? ��JJ •
l .�'��
MECHAMCAL $ � � VALUATlON OF MECHANICAL INSTA�IRTiON � �l '�� �� �
' � s- f�„� ��1.
�GAS Q ROOFING Q SPECIALTY Q OTHER ' � «
IISHED FLOOR ELEVATIONS FLQOD ZONE AREA QYES N� ` ���
tt,QER COMPANY _ � - - - – ---
iNA�{'URE --- '- REGISYERED ` -� �Y/ N FEE CURRE�i�� Y/N
Address � License# �^ � �
cGTRlCIAM COMPANY
iNQTURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �" �
JMBER COMPANIf
�NATURE REGtSTERED Y 1 N FEE CURREh Y/N
Address License# �� �
CHANiCAL CQMPANY /t r'rj''� ,�tr t_ .O�''Lt--
NATURE ���S � l/�
v REGISTERED Y! N FEE CURREi� /Ri
Address �7 � GJ f) G�-c�t2. Y/ S' t�icense# ����(_.�(�,7 ���-� !
fER COMPANY
NATURE REGlST�RED Y/ (V FEE GUFtREh Y l N
IAddress �� L}cense# �� '�
iFDENTiAI Attach(2}Ptat Pians;(2}sets of Butfding Plans;(1)set of Energy Forms;R-O-W Permit for new canstructton,
Minimum ten(SO)working days after submittal date. Required onsite,Construction Plans,Stortnwaker Plans w!SAt Fence InstaNed,
Sanitary Facifitles&i dumpster,Site Woric Perrnit for subdivisions/large proJects
AMERCIAL Aftaeh(3)compiete sets of Butldtng P�ans plus a Life Safety Page;{1�set af Energy Fom►s.R-O-W Permlt far new constructlon.
Minimum ten(1 d}working days'after submiital date. Required onsite,Construction Plans,Stormwater Pfans w/SIlt Fence Irtstalled,
Santtary Facilitles&1 dumpster.Site Work Permit tor all new proJects.AU commercial requirements must rrseet compllance
N PERMIT Attach(2)sets of Engineered Plans,
'""PROPERTY SURVEY required for all NEW construcdon.
ctions:
Fitl out app�lcatlon completely.
Owner 8 Contractor sign back of appltcatton,notadzed
if aver y2500,a Notica of Commencement is required. (A!C upgrades ovor�7500)
Agent(for the cantractar)or Power af Attomey(for the awner)would be someone with notarized letter from owner authorizing same
iR 7HE GOUNTER PBRMITTING (Fronk of Applicaflan Only)
�ofs li shingles Sewers Service Upgrades A!G Fences{PloUSurveylFootage)
Drlvewa�rs-Not over Counter ff an publtc roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned under.�tands°�.that thls:p�rmlt:may.be:subject to"deed"�estrictions°
which may be.more cestrictive�tha�n County.regulatlons. �The undersigned asgumes responsibility for compliance wfth any
applicable deed resUictions. �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hfred a contractor or
contractors to undertake work, they may be required..to be�licensed In accordance.with state.and�local regulations. If the
contractor fs not Ifcensed_.as requlred-by law, both the owner and conVactor may be cltad for a misdemeanor vtolatlon
under state law. If the owner ar Intended contra�tor are uncertain as to what Ilcens(ng requirements may apply.for the
intended work, they are advised to contact the.Pasco County Building Inspection Divtsion—Ltcensing Section at 727-847-
8009. Furthermore, tf the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign �
portions of the "contractor Block" of this appllcation for which they will be rasponsible. If you� as.the owner sign as the
contractor, that�may be an indication that he fs not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES aMPACT AND RESOURCE RECOVERY FEE�; The undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry..Fees may�apply�to the constructlon of new buildings, change of
use in existing buildings, or.expanalon of��existiri�`�buildings, as specified in Pascv County Ordinance number 89-07 and
90-07, as amended. The.underslgned also understands, that such fees� as;may�be�due,.wlll tie identifled at the time of
permitting. It Is iurther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receFVing a "certiflcate of occupanoy" or flnal 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. Ft��thermore, if.Pasco County WatedSewer.Impact
fees are due, they�must be�pald prior to permit Issyance-in accordance with applicable Pasco�County ordinances.
CONSTRUCTION LIEN I.AW(Chapte�713� Fiorlda Statutes�as amended): If valuatlon of work is$2,500.00 or more, I
certify that I, �he applicant, have.been provlded with a copy of the "Florida Constructlon� Llen Lav�Homeowner's
Protection Guide° prepared by the Florida Department of Agriculture and ConsumerAffairs. If the applicant is someone
other than the"owner", I certify that I have.obtained a copy.of:the above..descelbed docurr�ent°and promise In:good faith to
deliver it to the°owner"prior-to•commencement�. •
CONTRACTOR'SIOWNER'S AFFIDAdIT: I ce�tify.tdat all.the Information In thi� application is accurate and that all work
will'be done in compl(ance with all appltcabte laws regulating constructlon, zoning and land development. Appllcation is
hereby made to obtatn .a permit to .do work..and installation as indicated.• I -certify that no work or Installatlon has
commenced prior to Issuance of a permit and that.all work will be pertormed�to meet standards of all laws regulaking-
construction, County and City codes, zoning regulations, and land developenent regulations-in the jurisdtction. ( 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,act(ons I must take,to be•in.corr�pliancs. Suc6�agencles.include but are.not Iimited to:
- Department of Er�vironmental Protection-Cypress. Bayheads, W�tland Areas and Environmentaliy Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management�,DisU(ct-Wells, Cypress. Bayheads; Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navtgable Waterways,
- Department of Health� & ReMabil(tative Services/En�ironmental Health Unit Well.s� Wastewater Treatment,
Septic Tanks. .
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal.Aviatlon Authority-Runways: -
I understand that the following restrictions apply to the use of flll:•
- Use of flll is not allow►ed in Flood Zone"V"unless expressly permitted.
- If the fill material-is to b.e used In �Flood Zone "A°, tt is understood that a drafnage plan addressing a
"compensat(ng volume" wlll be submitted at time of perrpitt(ng which is prepared by a professional engineer
licensed by the State of Florlda.
- If the fill mateclal is'to be used In Flood Zone "A° in�connectior��with.a {�ermitted building using stem wall
� constn�ction, I ce�tify that flll:will=b.e used only-to fill the area wlthin.the�stem wall.
- If flll material is to be used in any area, I �certify that use of such flll will not adve�sely affect adjacent
properties. If use of flll is found to adversely:affect adJacent�properties,,the owner may be'cited for violating
the conditions of the building�perm(t Issued under the attached �nermit application, for.lots less than one (1)
acrs which are elevated by flll, an engineered drafnage.plan is required. ,
If I am the AGENT FOR THE OWNER, I�promise In good faith to I�form the ouvner of�the perm(tting conditlons set forth!n
this affidavit prlor to commer�cing construction. I understand that a�s�parate permit may be requtred for electrical work,
plumbing, signs, wells, poois, air conditloning, .gas, or other installations no�.spec�ically lnclu�led�in.the application. �A
permit issued shali be construed to be a Iicense to proceed wfth the work anc� not as�authority to,violate,�cancel, alter, or
set aside any provisions of ihe techn(cal codes, nor shail issuance�of a permlt.prevent the Bulldirig Official from thereafter
requiring a conection nf errors in.plans,-constructlon or vlolaUons of any codes. Every permit Issued shall�become invalid
unless the_work authorizad.by such permit:is.commenced�within sfx months of permit (ssuance, or if work authorized by
the pe�mit is suspended or.abandoned�for a period of�six{8)months after the tfine the�vtirork�ls commenced. An extension
may be requested, in writing, from the Building,Official for a perJod.not to-exceed-ninety�(90) days a�d•will demonstrate
�justifiable-cause-for--the-extenslon._-If-work-ceases;for-ninety(90)consecutive-days,..th��ob�6s�consldered=abandoned.— -- - - -
WARNING TO OWNER: YOUR..FAILURE.TQ..RECORQ A.NOTIGE;OF�COMMENCEMENT•�MAY RESULT IN YOUR
PAYING TWICE.FOR:IMPROVEMENTS TO YOUR��PROPER-TY. IF YOU�INT�ID`TO'OBTAIN�FINFANCENG;�CONSULT
WIT UR L . A � ORN O . �..ECO �D f's� OU " •
FLORIDA JURA�(F.S. 7.�) / �
�
OWNER OR AOEN / � ��'� CONTRACTO � �
Subscrlbed and swom o(or a(flrmed)before me Is Subscrlbed and swrom to(ow afflrmed)�before me tfii,
by �by � '
Who Is/are personally fcnovm to me or haslhava produced Who Is/are p.ersonally knovam to-me or has/have produced, •
as Identlflcatlon. as Idendflcadon.
Notary Public . _ Nofary Publlc
Commisslon No. ComrtUssion.No.
Name ot Notary typed,printed or stamped Name ot Nolary typad,printed or stamped
�
� � I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
. 2015092063
Pertnit No. Parcel ID No r/ - �(G ^ �/� O O/ (J - /��U� ^ O�" �
NOTICE OF COMMENCEMENT
State of_ /�f n/�i�L!GU Counry of ��0 L'� I
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, �
the following information is provided in this Notice of Commencement: / / / / /
1. DescripGon of Property: Parcel Identification No.�i;�r/ D F.z<✓I h urlli�� �or✓N e/'�/ TOG�J��I O�ztrJ/�1i/�J//� �� ��� ,
,�/' TT z '/
StreetAddress: �y �U� � ��✓�(,L �� ��r/ fj.lor/ /y3 /.lAic-� I'� .���C��� T T�'L
2. General Description of Improvement ��f`/D � � ��l S 7-l�PQ..� 2An h�r��...e(� //. .�35`5i�
vA ��D.�r.c,P���ir f � 9 ��t r s�i:7 R n.�
—a— om�,
3. Owner Infortnation or Lessee information if Ihe Lessee contracted for the improvement: 01(/f()
/ / \ ••�
/'i'�'.57� ��eSOr27��/'��th C dr�`i p�.Z-GsJ2�l/! ��!''
.�SIO /9Ni-L� Sf�-ttL� ,Ztd.��P.��/�S F/• Nom '
Address City State B m�
�+ pp
Interest in Property: (r �p
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Name of Fee Simple Titleholder: � �
(If different from Owner listed above)
" 3 Fr
Address / � City State � • —1� ,
4. Contractor. �!t/'I�S � �e �o.ryc/JQ v�N /' ' " � '
�aa.3o2ame"G✓� .3�� N a.c{[ C../1`f� ��.�a s � .p�� I
/�v
, Address ? Ciry , State � �O�+
ConVactot's Telephone No. �.�02 .�02/ �c/ r � � �� �
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5. Surety: � � B
Name �
Address City State
I �
Amount of Bond: $ Telephone Na.
6. Lender i
Name
Address City 5tate
Lenders Telephone No.: ��
O�
7 Persons within the State of Florida designated by the o ner upon whom notices or other documents may be served as provided by p1 D
SecYon 713.13(1)(a)(7),Florida Stat tes: i p\�
��D
.�j ��� J� n •/ W N
�b��� (/i/1 ��1�/1j7i1t' ,f1'!✓'G � �a�� (��t�/ �� `� �m z
A�dress q ^ City State !A��
Telephone Number of Designated Person: _ O I�' ��o( � ��I� ��+ r
N��
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8. In addition to himself,the owner designates of_ '/�tiN o
V
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes. w��p�
, Telephone Number of Person or Entity Designated by Owner . - ���� � I
' o
9. Expiration date of Notice of Commencement(Ihe expiration date may not be before the completion of construclion and final payment to the � �
n �F+r
contractor,but will be one year from the date of recording unless a different date is specified): i�i/A2 �n '��� ���� � m
�
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATI O�OTICE OF COMMENCEMENT � �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN �.h po
RESULTIN YOUR PAYING TWICE FORIMPROVEMENTS TO YOUR PROPERN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT �~�
Under penalty of perjury,I declare that I have read the foregoing n i o mmencement and th he facts stated therein are true to the best � �
of my knowledge and belief. �
r
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STATE OF FLORIDA m
A
COUNTY OF PASCO
ignat e of r or Lessee,or ners or essee's Authorized
Officer/D' c r/ artner/Manager '' /'%�/ �
- � ��r��, � ,� �� �� �G� � v��dr,
Signatory°'s Title/Office
/ 1 `'' �( �
The foregoing instrument was acknowledged before me this �day of JuNQ. ,20 ,�j,by �DY�✓� Y�1 1 Lv�,i�
as —(�dv�n 'S �/�nC9 C-�By;- (type of aulhority,e.g.,officer,trustee,altomey in fact)for
��5� �'e5�oV�'�'1 �i.� �I�rC,� ° Z.e.�/Jti�Gh7�5 (nameofpartyo ehel�ofwhominsWmentw x cuted).
Personally Known❑OR Produced Identification� Notary SI�e �
Type of IdenGfication Produced aJ�I VQr L��e�se Name(Print) me�� S4 I�m v-av
w4ab-4t�3-3b-a-0a -o
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Pf��POSA� Sr�-lEET
GUSTOMER DAl"� 6i81�015
NAME. First Presbyte�san Church af Zephyri�i!!s PH4NE 813-i84-74i2
ADDRESS 5510 19th Street
CITY Zephyrhills STA;E �-! Z4P 33542
FURNISH AND l�tS�`ALL TFiE FC3�LaWiNG �QUIPMEN E.�ND M1"-�TERI'r',LS
Rmerican Standard Equipment
(4) 3#on 1� seer sp{+t systems �4650 each
{3)4 ton 1�seer alc split systems 55150 each
(2} 5 ton 1�seer atc spiit systems �5375 each
'*Pfease note"��35,50t1 will be due upon completiar� o�the 7 of�3 units 'The baiance c=S9.3U0 v�i�l ba due
upan compietion of the ►ast(2} units Minus 53044€or the comm�tti«g t� aii � �nits.
^equalinq 7 uniks at�33,540 QO and remainirg 2 at 920Q.00 �lOT INC�UDED ,n proposa's are anY� oartitio�7s
required by the City of Zephyrhills due 'to Nistor�e District reauirments for conder;sirg un4;5
EQUIPMENT WARRANTY i YE�R LABOR 1 YEAR !'ARTS
5 YEAR C(�MPRESSOR
TC?TAL JOB WARRANTY ' 1 YE,�R PARTS f1ND �ABOR
PRICE: see above „"PR10E GC�OD F7R 30 ��Y�"
PAYMENT� X UPON COMPLETfON DR.AtNS °�� °jU
SELLER RETAINS TITLE Tt7 EQUiPN�ENT t MATERIA�S UNTl�FlNral.PAYtvtENT iS AAADE tF �ivY�t,YPiiEi•tT iS iLdT i�tAD�
RS AGREED,SE��ER CAN REMC}VE 5AiC7 EQUiP�VtENT 1'MATER(AL AT SELLER'S EXPENSE ANY DnMAG� R�Si.EL�!NG
FROM SAICI REMdVAL SHA�L NOT BE 7}iE RE5PONS{BfLtY OF SELLER SIJYER SFiALL 8E SUBJ�CT TO A RFSTOCKlNG
• FEE OF S75 OQ!F JOB NOT CANCELEa WiTHiN 3 DAYS OF AGCEPTANGE
AGREED' �f' �'` ;' � � - /" _ -
CHRlS' " �`:� t-?� .i - �.,>`'� ;-�x.-.-�.; DATE '� ; i
i� �''vc.c. ,.-,�
BUYER ;'�- . �-�„� `_`�..d� �-- ,.�__... �AT� G - �- /J�
(352}521-49�7 i2232 i-i+t�}Y 3G1
(813)779-9515 ur1U� CiTY FL "33525
(352}521-3393 FAX