HomeMy WebLinkAbout15-16172 CITY OF ZEPHYRHILLS
_ , �r 5335-8TN STREEI'
� (813)780-0020 �6�72
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16'[72 Address: 6930 GAL� BLVD '
Permit Type: MECHANIGAL ZEPHYRHILLS, FL.
Ciass af Wark: A!C CHANGEOUT Township: Range: Book:
Propased Use: COMMERCIAL Lot(s): Biock: Section:
Square Feet: Subdivisian: CITY OF ZEPHYRHlLLS t'
Est. Value: Parcel Number: 02-26-21-0010-00800-0050
Improv. Cost: 4,070.00 OWNER INFORMATION
Date Issued: 4J1512Q15 Name: COMMUNITY NATIONAG BANK
Total Fees: 60.00 Address: 6930 GALL BLVD
Amount Paid: 60.OQ ZEPHYRHILLS, FL. 33542
Date Raid: 4/15/2015 Phone: (813)783-8122
Work Desc: A!C CHANGE OUT 3.5 TON
GONTRACT�OR�S_�, APPLICATION FEES
B HR'S PROP E GA & C, NC. C C GE T 60.00
/� .
Ins ections Re uired
p TS NSTALL D
DUCTS(NSULATED ;;,!`
FINAL _��� �
REIN�PECTION FEES: Reinspectian fees will comply with Flarida Statute 553.80 (2)(c) when e�ctra inspection
trips are necessary due to any one of the failowing reasons: a)wrong address b)condemned wark resuiting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspectian when called e} permit nat posted an job site f) plans not at joh site g}work not accessible.
NOTICE: In addition to the requirements of fihis permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there rrtay 6e addifiional permits required from ather governmental
entities such as water management, state agencies or federal agencies.
"Warning ta awner: Yaur faiEure to record a notice of commencement may result in your paying twice for
impravements to your property. If you intend to obtain financing,consult with yaur lender ar an attorney
before recording your notice af commencemen#."
Complete Plans,Specifications Must Accompany Apptication.All work shall be performed in accordance with
City Codes and Ordinances. NQ OCCUPANCY BEFO C.O.
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CONTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN G Mt3NTHS WITH4UT APPROVED INSPECTIBN
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
i PR4TECT CARD PROM WEATHER
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� � � PROPANE CaAS Service OrderjPraposal * � � �
� AND A.�'C ttvc. Air Conditioning 8�Heating
�iit��1988 t3�3-782-54�3 -
Sales, Service &Installatians ° ��RY� ORDER#ISERVIGE�IAfV 579�4 c EFE
4441 Ailen R • Ze h rhills, FL 33541 �flTEll`TME TRt�,��v �.:,�L�+�1� �►7:,��
p Y . TAN.EIU BY K. g. 4��
i�IOTES ��J 4,�'`� •Si f�� DAT�ITI�IE RROMISED
= CUSTOMER#tL.00ATI0IV AC7��
F'HCI}11E# • 78,:1-�31��
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CEIVTERSTATE gAl�l': WEST FL N. A. ' CEI�TERSTATE �RNK WEST F� t�4 Aa
E"93� GALL. BLVD E'�4� GALL PLVD ' _
MA i�1�RflhICH h1A T NgRA1�GN
ZEF'HYRHILLS FL ��54�: ZEF'HYRHIIIL.S
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RaARD ROOm IVOI" COC]L I RIG "
� . _ 'DE�GRiFTfQN�OF WORK � QTY ,-MATERIALS&SEFiVICES, " , UNIT PRICE AMOUN'f
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. 'R�COMMENDATIQNS i �
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Annual Maintenance Recomrrtended.by AiI:Equipment Manufacturers.- ` �
Pressures Lo HI T,Stat i i
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REPRI6ERAMT R- �BS. ,, �per Ibs. • � �
FILTERS x x Changed Monthly I I
' FILTERS x x Changed Monthiy � �
>• O REGU�AR (�WARF2ANTY TC}TAL�SUt+tlIv1AFZY
D,ehumidistat Setkings: When here"ON", When Away 60°., T-Stat 80° ❑ MAINTENANCE CONTRACT $ERVICE i
llMI7EQ WARRANTY: AI!maferiais,parts and equipment are warranted by ihe manufacturers' METE-lOD OF PAYtvIEfVT' �A�� �
or suppliers'written warranty on(y.Ail labor performed by the above named company is warranted for ` TOTAL i
30 days or as otherwise indicaled in writing.The above named company makes no other warranties, �]CASH ❑CK# ►ViATERlA�S � t
express ar impiied,end iks agents or technicians are not authorized to make any such waaanNes on
behalfofabovenamedcompany. [�DEBIT ❑CREDIT 0 OTHER MAINTENANCE j
I have authority to order the work outlined above which has bean salisfaclorily completed.I agree Ihat Seller
PROG. W I C �
retains title to equipmenUmatenais furnished unfil finai payment Is matle.if payment is not matle as agreed, ��(M�f �
selter ran remave said eqvipmenUmateriais at Selter's ezpense.Any damage resuitlng from said removai shati
not be the responsibility of Sellec NET 90 DAYS.A 7 712%SERVICE CHARGE WILL BE ADDED MON7HLY TO �
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED ... ..
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CUSTpMER SICNA7URE DATE aJ1l�IL ��u� TOTAL 1 I! I� I�
813-�aa-oa2o Gity af Zephyrhills Permit AppGcation Fax-813-780-ao2�
�, '� Buildi�g Department
Date Recelved Phone Contact for Parmitt(ng �r � �� — ��l�
Owner`s Name �f�/?71Y)!.(iJ����" ��TtON�,f Owner Phone Number O��"" ���"°o/ra��
Owner's Address � � C.�'•¢/��JLld � I�lS 4wner Phane Number � �
Fee Simpie Titlehoider Name r� � Owner Phane Number �� �
Fee Sirnpie Tltiehoider Address
/ �^y /" .
JOB ADDRESS (p �W t.` ` �C� . �e � � /�-LS LOT# r�
suaoivisiaN �� � PARCEL ID# D�-�` �/- l�/� -L�'D !�D -G�D�'L�
(OSTAiNEd FRQM PROPERTY TAX NOSICE}
WORK PROPOSEI� , e NEW CQNSTR�ADD/AI.T Q SIGN C] [� DEMQLISH
tNSTAL4. REPAIR
PRQPOSED USE Q SFR Q COMM � OTHER
TYPE OF Ct}NSTRUCTION Q BLOC4C [� FRAME � STEEL Q
DE$CRIPTION OF WORK t°� t2VG. +�'� G� I�E �lc,� T�� /? �% "` o�+ CD�Yi 2!l/
BUILDING SI2E � � SQ FOOTAGE C� HEIGHT ��
QBUILDING � � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R,E.C.
QPLUMBING ���
[�MECHANICAL $ VALUATIQN OF MECHANICAL INSTALLATION
yo���o
QGAS [�] ROOFING Q SPEC{ALTY � OTNER
FtN4SHEQ PLOOR ELEVATtO1VS �� FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SlGNATURE REGISTERED Y/ N FEff CURRE� Y/N
Address License# I �
E4ECTRICIAN COMPANY
S{GNATURE REGISTERED Y/ N FEE CURREA Y/N
Addre�s License# I �
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
MECHANICAL �J�� COMPANY �JA-/r�K S /'�1 AI�I`�' �`�'�' �-1'����
SIGNATURE ��� �� ' �`"�'"Q� REGISTERED Y/ N FEE CuwtEn Y/N
Address 7�"zj �<C°� . „�Jti�.cs /=1• License# �L-.��-� -13 �'''��
07HER COMPANY
SIGNATURE REGISTEFtED Y/ N FEE CURRE� Y/N
Address License# � �
RESIDENTIAL Attach(2)Flat 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 plans,Stormwater Plans w/Silt Fence install�cl,
Sanitary FaclliUes 8�1 dumpster,Site Work Permit for subdivislonsAarge proJects
CQMMERCIAL Attach(3)campiete sets of Building Plans ptus a Life Safety Page;(1}set of Energy Forms.R-O-W Permtt for new cans#�vction.
Minimum ten(10)working days after submitlal date. Required onsite,ConsWcBon Plans,Stormwater Plans w/Silt Fenca installed,
Sanita�r Faciti8es 8�1 dumpster.Site Work Permlt far aii new prajects.Ali commerciai requlrements must meet compttance
SIGN PERMIT Attach(2)sets of Engfneered Plans.
""PROPERTY SURVEY requlred for all NEW constructlon.
Directlons:
FIII out application completely.
4wner&Contractor stgn back of applicaUon,notarized
If aver�25Q0,a Natice of Commencemenk is requlred. (A!C upgrades over�7500)
" Agent(for the contr�actor}or Power af Attomey..(for the owneP}`would be someone with notarized letter from owner authorizing same
dVER TME COUNTER PERMITTING (Front of Application Only);s
Reroofs If shingles Sewers � ;:: `Service UQgrades AIC� Fences(PIoUSurvey/Footage)
DrNeways-Not over Counter if on public roadways..needs ROW
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NOTiCE OF DEED RESTRICTIONS: The undersigned undergtands that this.permit.may be,subJect to"deed"restrictions"
which may be,mote�restNctive.tha�n County regulatlons. �The undersigned assumes responsibiltty for compliance with any
applicable deed restricttons. �
lJNLICEN�ED CONTRACTORS AND CONTRACTOR RESPANSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required��to be;ticensed in accordance.with state.and•local regulations. If the
contractor Is not Ifcensed as required by law, both the owoier and contractor may be ctted for a misdemeanor violation
under state law. If the owner or Intended�contracto� are uncertaln as to what Ilcensing.requirements may appiy�or the
intended work, they are advised to contact the Pasco County Bulldtng Inspection Divlslon—Licensing Section at 727-847-
8009. Furthermore, if the owner has hlred a contractor vr contractors. he ts advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they wilt be responsible. If you, as.the owner slgn as the
contracQor, that inay be an indication that he is not.properiy Iicensed and is not entftled to permitting privileges In Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPAC7 AN�itESOUitCE RECOVERY-FEES: The undersigned understands
that Transportation Impact Fees and.Recourse i2ecove.ry.Fees may�apply to:the construction of new buildings, change of
use In existing buildings, or expansion.of�existing�.6uildings, �s specifled.in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, tha�E.such fees�.as,may�be due„wlll.be Identified at the time of
permitting. It is further understood that Transportation Impact Fees and=Resource Reco�ery�Fees must be paid prior to
recetvtng a °certificate of occupancy" or flnal power.release. :If the project does not involve a certificate of occupancy or
finai power release, the fees must be paid prior to permit Issuance. Ft�rthermore;if Pascv County Water/Sewer Impact
fees are due, they�must be-pald prior to permit issuance-in accordance with applicable Pasco�County ordinances.
CONSTRUCTION LIEN LAW(Ch�pter T13. Florlda Statutes�as am�nded): If valuation of work is$2,500.00 or more, I
certify that I, �he applicant, have been provided with a copy of the "Florida Constructfon Lien Law—Homeowner's
Protection Guide" prepared by the Florida DepartmenY of Agric.ulture and ConsumerAffairs. If the applicant is someone
other than the"owne�", I certify that I have.obtatned a copy of the above..described document°and.promise in.good faith to
� deliver it to the nowner"prior to�commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that all the Information in thl.s application is accurate and that all work
wiil�be done in comptiance writh all applicable laws regulating constn�ctlon, zoning and land development. Application is
hereby made to obtain .a permit to do work and installation as indicafed.-� 'i certffj+ that no work or Installat{on has
commenced prtor to Issuance of a permit and that all work will be pertormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulatio.ns, and land development cegulatlons-in the jurlsdiction. I aiso
certify that I ur�derstand 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:.compllance. S.uch agencles_include but are not Ilmited to:
- Department of Ehvironmental Protection-Cypress. Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells; Cypress. Bayheads, Wetland Areas, Altering
Vl/atercourses.
- Army Corps of Engineers-Seawalls, Docks, IVavigable Waterways.
- Department of Health 8 RehablNtative Seni(ces/Environmenfal Health l7nit Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal Avlation Authority-Runways.
I understand that the following restrictions apply to the use of flll:�
- Use of flll is not allowed in Flood Zone"V"unless expressly permitted.
, - If the fill materlal 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 permifting which (s prepared by a profess(onal engineer
Iicensed by the State of Florlda.
- If the flll materlal is to be us.ed in Flood Zone °A° Im connection with.a �permitted building using stem wall
construction, 1 certify that flll:wlll::b.e used only-to.fill the area wtthin�the stem•wall.
- If fill materlal is to be used in any area, I certify that .use. of such flll will not adversely affect adjacent
properties. If use of flll is faund to adversely:�ffect adJacent properties,.the owner may be cited for viofating
the conditions of the building:permit issued•under the attached permit application, for lots less than one (1)
acre which are elevated�by flll, 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 conditlons set forth in
this affidavit prior to commencing constructton. I understand thet a-separate permit may be requtred for elect�ical work,
plumbing, signs, wells, pools; afr conditioning, .gas, or�other install�tions noQ.spec�ically included in.the application. .A
permlt Issued shall be construed to be a Iicense to proceed with tlie work and not as.authority to.violate. cancel, alter, or
set aside any provistons of the technical codes; nor shall Issuance�of a permit.prevent the Bulldirig Offtctai from thereafter
requlring a correctton af errors in_plans, construction or violatlons of any codes. Every permit Issued shall become invalid
unless the work authorized.by such permit:{s-commenced�withfn s(x months of permit issuance, or If work authorized by
the pe�mit ts suspended or.abandoned for a:pertod of six(8)montF�s after the tirne the�wowk�is commenced. An extension
may be requested, in wrtting, from the Buflding,Offlcial for a pertod�not to exceed ninety(90) days and will demonstrate
justifiable cause for.the extension. If wvrk ceases for nfnety(90)cons.ecutive:days�..th�job�is considered aba�doned.
WARNING TO OWNER: YOUR FAILWRE�T�.,RECORD A NOTIGE AF•COMMENCEMENT NFAY RESUlT IN YOUR
PAYIMG TWIC@ FOR IMPROVEMENTS TO YOUR�:PROPERTY. IF�YA.U�IN��END:�T��DBTAIN•FII�FANCING;�CONSULT
WIT OU DE O AN A'�'TORNEI�� FORE� CORD G� �O " O �CE°O � LL' E CE NT� �
FLORIDA JURAT(F.S. 1.17.03) " ( � � - - I
\ -`.. _..
OWNER OR AOEN7 CONTRACTO ��
Subscrlbed and swom to(or aiflrtned)before me this Subscribed and's m (or affirme �before me ftils
by
Who is/are personally known to.me or has/have produced Who.is/are p.ers n y#cnown to me.or haslhave produced
as IdentlBcatlon, as Identlflcaflon.
Notary Publlc Nofary Publlc
Commisslon No. Commisslo o. s�o�-�B�a�ea��s�,�R �„
8lOZ'6Z eun�sendx3 :;a."' •:�=
£LOLE6 uoi • :
Name af Notary typed,printed or stamped Name o olary typ d,printed or�ry�ad��30P ',';'?a a,�;;���
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