HomeMy WebLinkAbout15-16558 : CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(813)780�-0020
BUILDING� PERMIT ,
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16558 � Address: 6620 GALL BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE � Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: � Parcel Number: 02-26-21-0010-03900-0040
Improv. Cost: 8,900.00 ' OWNER INFORMATION
Date Issued: 9/01/2015 � Name: SYNC II LLC
Total Fees: 120.00 i Address: 18608 AVENUE MONACO
Amount Paid: 120.00 LUTZ FL 33558-5316
Date Paid: 9/01/2015 � Phone: (813)780-8774
Work Desc: INSTALLATION 80 X 80 WALK IN COOLER W/ELECTRIC
CONTRACTOR S APPLICATION FEES
KIN E CENTRAL HEATIN C MECHANICAL FEE � 80.00 ELECTRICAL FEE 40.00
FIRST CLASS ELECTRIC INC I
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Ins ections'Re uired
DUCTS INSTAL ED �
DUCTSINSULATED �
FINAL 2 — � '� l �a I
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REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater;for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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ONTR�Cl'OR SIGNATURE ; PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� NOTICE OF•CONIlVI�NGTE
PermitNo. • - Rcpt:1709851 Rec: 10.00
DS: 0.00 IT: 0.00
� ' ' 09/01/2015 K. R. M. , Dpty Clerk
Property Identification No._ (9 2.-2 6-�2 l�(9 U!�,D�R�0 b- D U�f� � .
'IT�UNDERSIGNED hereby give informs you that the improvement tv�71 be made to certam mal
Section 713.13 of the Florida Siatartes,the followmg mformation is pmovided'm this NOT�CE OF CO11��IIV�NCEME�ce�� �
1.Description of property(lega!descripiion� � ' �
a)Sh-eet Addmss: _ d�,�.f� (i l� � I.I/� . �,a�w�� ��� f ' s f!�.,2.. �
•2.deneral description of improvements: ',(JA/k/rU - L'D•DL E/2 '
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3.Owner Information � / I • / , -
a)Name and address:�;�� J �G C ��� ��'f� b�� �,P� c, .�•` (` � • ����`��.
• b)Name and address of�`ee simple tifleholder(if other than oivner) � .
c).Interest in proper[y - ' � �
4.Cont�actorInformatioa • � • • �� c�
� a)Name and address: �,US�� LC/UT,ei11-/��oA��'l��� Z,��. ��3�g�3lc ���N��vn ,�2a zN��s F�
b)Tetephone No.: S/3 - 78.�-,1.3�0 • I •F�c No.(Opt)_�3� 7 R 8--�S 7(�
S.Surety Infarnuation •
a)Name and address: � • ' •
b)Amount of Bond: • . I '
c)Telephone No.: • 'I Fax No.(Opt) m$
6.Lender ' - o��
a)Name and ad�ess• • ' ' .' • . ���,
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' .• I ' Phone No. - .' ���
7.Identity of person within the State of Florida designated by owner upon wliom notices or other•cioc�may be served: �-`m
' a)Name and address: I • •
(�°1�
b)Telephone No.: I Fax�70.(Opt) _ N��
8.Tn addition to himsel�owner designatrs the following pe�on to�+eceive a copy of the�.ienor's•Natice as provided'm Sechon ' �ia°
713.13(I)(b),Florida Stanrtes: , • . �'�N
a)Name and addrsss: • ' ' 3 0
•b)Telephone No.: ' I .Fax•No..(Opt) _ � ' " �
c��.�
9.F.�iration date of Notice of Commencement(the expiration�is one ye�frum t�►e dabe of recording.tmless a d�'ei�ent date is �
specified)• � • " No
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WARNING TO OWNER ANY�PAYMENTS�VIADE�BY THE OWNEIt AFI�R T�ERPIRATION•OF T�NOTICE OF � �
CONIlV�NCEMENT ARE CONSIDERL�D INIPROPER PAYMENTS UNDER'CHAP'TER 713,PART�SEC�ION 713.13,• �
FLORIDA STATUTJ:S,AND CA�T RESQLT IN YOUR PAYIl�TG TWICE FOR IIVBROVENII:NTS�O YOUIiPROPERTY. '
A NOTICE OF CONIlI�NCEMENT MUST BE�tLCORDED AND.POSTED ON THE JOB SITE BEFORE T�FIILST
INSPECTION. IF YOU TNTEND•TO OBTAIN FINANCII�I6,CONSULT YOIIIt LENDER OR AN ATTORNEY BEFORE
COMIV�NCIlVG WORK pR RECORDING YOUR NOT.[CE OF CONA�NCF.MF.NT. � �
STATTS OF FIARIDA ..,�'r'��� • � -
+'�'••��'•~'`� ANDRIA G KALER '
' COUNTY OF PASCO �+•� `'E+y . • .
i'� 1'� MY COMMISSION#FF011143 Si�atice or � s A�QS •
'�'��`�� I �" J 'S� �c �.0
..�o„�o°�°'' EXPIRESApri123,2017 �G' r0 � ( ' � � •
(407)398-0153 FlorideNoteryService.com ptmt ,
The forego" Umeni was aclmowiedged befoie ma this f �of� � 20�,by �S c�.vt�S
.as ld� �tYP�of airthority,e.�off ccr,trustee,attorney
m fact)for . � L L (name of pa i ty on i�ehalf of whom' was euecut�d).
Personally Rnown OR Produced Identificafion ✓ Notaiy SignahuE
Type of Identification Produced�t.� S�30—�53�S�Name(piint) L�./�C�- vl- �\� � .. ,
� �S,p�� _ ' .
�� Verificatioa pucsuant to Section'92.525,Florida Statutes.Under penalties of perjury,I declaie.8lat I bave read the foregoing tmd that
` the facts stated ia it are true to the best of my laiowledge and belie£ . . .
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`'�� Signahtre ofDI Peum SigniagAbave • ,
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STATE QF �LQRI��, CQUl�"t'y � FqSCO ��.�� • ; �A; '��
THIS IS TO CERTIFY THAT THE FO�EGOING IS A �
TRUE AND CORRECT COPY OF THE DOCUMENT �ij�• ���°
0
ON FILE OR OF PUBLIC RECORD I� THIS OFFICE
WITNESS MY HAND AND FFI IAL SEAL THIS � °' �nyoit�ve7�-u.�r •' �
�DA OF �20/.J� � . � ���� ,� �y,
PA LA S p' IL, CLER & COM TROLLER � �
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EPUTY CLERK �,�,���.�����`.��
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s�s-�eo-oo�o City of Zephyrhills Permit Application Fax 813-780-0021
� - Butlding Departrnent
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Date Reaeixed Phane-Contact for Pe i ittin
Owner's Nama � i�-1��-- Owner Phone Nomber
Owner's Address �"J c.+ �� Owaer Phone Number �� � `
Fee Slmple 7ltleholder Nami�1�'� � Owner Phone Number �� �
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Fee Stmple Tltleholder Address �
JOB ADDRESS LOT#
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Si1BdiViSiON �` � PARCEL tD# '
I (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CBNSTR ADD/A�.T C� SIGN Q Q BEMOLISH
INSTALL REPAIR I
PROPQSED USE Q SFR Q COMM ' �,� OTHER
TYPE OF CONSTRUCTION Q BLOCK R Q FRAME C� STEEI. Q
DESCRIPTION OF WORK �� �l`- �� t{ ��`G!C ��L.J
Q F
BUII.DING StZE ���� Sq FOCiTAGE HEIGHT C� �
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�8��`����"" r� VALUATiON OF TO7Al CONSTRUCTION
, L�, �
�ELECTRICA� �� AMP SERVICE Q PFiOGRESS ENERGY Q W.R.E.C.
OF'�UMBtNG �....� ( �.,„,.--�
1� s
QtV1ECttANtCA� $ �.Q � VAi.UATIQN OF MECHANIGA�INS7RLG4TlOM ���
QGAS Q t200FiNG [� SFECIAI.TY �� OTHER ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUI�OER COMP a
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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Address � License# �
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ELECTRtC1AN COMP� f✓
SIGNATURE � �/ REGISTERED Y/ N FEE CURREt� Y/N
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Address � I � License# ��'dC3��Q �
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P�UiU1BER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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Address � License# 1 -�
MECHANICAL ._� C�MPAFlY !�JSn C.4w`1 r
SIGNATURE REGISTERED Y/ IV FEE CURRE� Y/N
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Address ' I License# L �� �
OTNER COIUlPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
Address License# � �
RE$lDENTIAL Attactf{2)Ptof P#ans;(2}ssts af.Bullding'Plans;{1}se#of En'ergy�Forms;R-O-W Permit for new constru�ction,
Minimum ten.(1Q)working days after submlttal date. Required onsite,Gonstrucdon Plans,Starmwater Plans w/Silt Fence installed,
Sanifary Facilitles&1.dumpster,Site Wortc•Rermit for subdivisiqns/large projects
C4MMERCIAE. Attach{3}complete sets of BuilcSirig Plans p4us a Life Safety Page;{1}set of Energy Fnrms.R-U-W Permit for new constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Construation Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Worlc Permi4 for all new projects.All commercial re4utrements must meet compltanca '
51GN PERMIT Attach{2)sets of Englneered Plans. � •
""*"PROPERTY SURVEY required for all NEW construaUon!
Diceatlans:
Fill out applicatlan completely. �
Ow�er&ConVactor sign back of appitcatlon,notarized �
if over$2500,a Natice of Commencement is required;M(ktC.upgradesi over ST500)
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'• Agent(for the co�tractor)or Rower of Attomey-(for_the owner.)'woulii.be someone with notarized letter from owner authorizing same
4VERTHE COUi�TER PERMI'i'TING �• .i'{Fiant.ofAppllcation-Only)" T<�{ �
Reroafs if shingles Sewers � Service UpgredesNA/CY FFences(PIoUSurvey/Footage)
Driveways-Not over Counter if on putilic roadways..needs ROW �
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PIOTi�E�F'DEED itE�TRICI'IONS: Th undersigned under.�tands#hat this,peemlt.may��.subject to"deed"restricttans"
which rnay be�more��estcictive-than Coun regulatians. �The e�mdersign�d assumes resp�nsibiiity far camptianca with �ny
ap�lfcable deed restrictions. • �
UNLlCEPlS�� �CIWTRACTOR� d�Nl� ON7�CTCaR RI�S4��PlSl�lLITOE�: If the av�rner has hired a contractor or
contra�otars to undertake work, they may be required..to be-(tcemsed in a�co�dance.wikh state.and•local regul�tio�s. If the
contracQor is not licensed as requlr�d=by�law, both the owner and cont�actor may be�alted for a nnisdevneanor biolatlon
under st�te lavtr. if fhe awner vr Inten�e �cmr�tractor are wnc�+�tatn as �� what iicensing.aequirement� may-apply�ior the
intended wor�, they are advlsed#o c�ntaqt ihe.P�sco Ca�ur�ty�uilsli�g fnspectfon Divis{ors--Licensi�g 5ection at 727-�47-
8009, Fu�khe�moret !f th� owner has h(�ed � cantrac��ar �r coritractors. !�s is advfs�d to �►ave the contract�r{s) sign
portlons of the "contractcr� E�lock" of thfs ppl(c�tian fmr vdhich $hey v�rlll be .responslble. .Ig yo�a� as.#he owner'sign as�the
contractor, that•may be an indicatlmn tfiat he ts not.properly licensed and Qs not eratltled ta� perrriltting privileges In Pasco
County.
T�ANSPQRTATIQN II�PACTtUTl61TI�S INIP�eC7'AN�it�SB�URCE I2E�010ERY�EE�: The undersigned understands
tt�at Tr�nspo�tation Impact Fees and.Rec urse Recovecy.Fees m�y apply to�the cons�ct3on of ne�nr bulidfngs, change of
use i� ex�sting bulldit�gs, or�expan�ion �f existi�g�6uildings, ss �pe�tfled in Pasco Count� Ordinancs number 89-07 and
90-U7, as amended. The underslgned al o ur�derstands, that su�h �'ees�-as;rnay�be�due,.�wlll be identlfied at the time of
permitting. It 1� furtti�r understood thaf T anspbrtation impact Fees and Resource Recovery Fees must be paid prioP 40
receiving a"c�rt(flcate of oecupancy" mr fl a) pawer. rei�as�. :If the projecf does no#involve:a ce�tifica#e �f occupancy or
fir��i power release, �he fees trou�t�be pai pcior tv p�rmit issuan�e. Fu�the�mare;if Pa§co Coun#y WaterlSewer Irrrpact
fe�s are due, �hey��us�b�-pald prlo�tc�p rmlt lssuanae-In acct�rdance wltt��a�pltcabte Pasco County ordinances.
C�►NS7RUCTI�N LlEN I,A9N(Gha{at�r 7 3� lFl�r�da�tatu�es�as amende��: !f vatuat{on of v�ork ls$2,504.00 or more, !
c�rtify that I, �he applicant, have .been rovided with a �opy a�f the "Florida Ccsnstra��tl�n Lien L�v�r—Harneo�rne�'s �
Prert�ction Guide" prep�red by the Fl�rid �Dep�rtenent"of Agr�culture and Con�umer Affairs. If the �pplicant is someone
o#6�er than the�owner", t�erttfy that i have.obtain�d a copy;of the.above.described docurnent°and.promise�in,goad faith ta
deliver{t to 4he."owner"priar to�commence ent.
C�NTi�1,GTOR'SlOVlONER'S AFFIQr4YlT t cei��fy that�II the 6nformation!n thi��ppiicat4an is accura4e and fhat ail vuoc�
wiBl'be done in aompiiance with all appUc ble laws regulatins oonstr�activnt zoning a�nd land deu�}opr�erak. AppNcatl�n�is
hereby anade do obtain .� perrmit Co do . ork..and installatlon a� indicated.. I certify that mo work ar installatton has
commenced primr to issuance af a p�armi and that'ali wor➢c will be pertormed to me�t standards of all laws regula#ing•
canstn.tction, County �nd CiEy codes, zo ing regulat�ans, a�d land dev�lopment cegutattons in�the jurisdiction. d also
certlfy tha0 I unde�s#�nd that the regulatto s a#ather gov�rttm�rtt aget�cles m�y apply�o t9�e intended uvork, and fhat i# is
my r�sponsibili�r ta Id�rattfy�wrhak-ac4Eons! t�st take.ta be�l�.cor�lpilance. Such ag+�ncles Inalud�b�t-ar�.nat limitec!ta:
- Department of E�viror�mental Protection-Cyp�ess.'�a�yheads, V�etland Areas and Envlronmentally ��ns�#Eve
Lands,WaterNVa�#eavater Tre tmerrt.
- Southwes� Fi�rida tNat�r anag�rroent- :i3istric#-Wells, Cypress.'�Bayheads; Wetland Areas, Alter3ng
Wat�rcourses.
- Army Garp�of Enginee�s�5ea a}#s,�Doeks, N�vlgab��Wateruvay�.
- t�ep�rtment of Nealth � Rel��b!liEative genriceslEnvfro�menti�! Health Ut�it�lfelfs, Wastewater Treatment,
aeptfc Tan�s. _
- US Environment�al Protectlon�genoy-Asbes#os aba�tement.
- Federal Aviation AuthaPity-RurroiNays.
!urtd�rstand tha#the�ofiowing restrtc4lons�ppiy t�the use c�f fliP:�
- Use of fll Is not allowed�n F#o �d Zone"V�unless-expressfy permf4t�d.
- If the f611 material (s ta be u ed ih Fload Zone °A", It. Is understood that a dcainage plan addressing �
"compensating volume" wili b �ubmitted at time �f perm6tting which (s prepared by a prafessiona! englraeer
ticensed by#he Sta#e af Fl�rida.
- t# the fill rna#erial.is to be us.e�d fn Ffomd Zone °�l� in�cannection v�rith'.a pecrraitted building using stem v�ali
� constructla�ae, l ce�tify 6h�t fli�:wil.be u�ed oniy.ta.f�l1 the area withln the stem wafi.
- If fiN matePla! Is to be a�sed ! any area, ! aertffy that .use of such ff{4 wiil not adv�rsely affect adjac�nf
properties, !f use of�ii! is foun to adversely:�ffeat ad�a�e�t propertie�,_the owner may be clt�ad foa�violati�g
the conditions of the building: ermit issued under Qhe.attaahed permit applicatlon, far lots less #han ane (1)
acra which�r�e etevated by f11t, n engineered dra9nag�plan Is req�lred.
if i�en th��4GENT F�R THE O'V�INER, I;pr'p mise in good fa6fh��infortn the mwner�f the parmit�ing conditions set forth in
th�s affidavlt��prior ta acsmmencing �oc�strisction. f�anderst�nd thatt a�se�s�rat� permit may be required fur etecfrical work,
plumbing, signs, weAs, pools; air condit6an ng,.gas, or okhee In�tallatlens r�ok�specE�cally 9�cluded�in #he applicatio�. .A
perunit issued shail be constcued ta be a lic ns�te�pPOCeed wOth the work and nok a� authority ta.viala�et cancel, al#er, or
set aside�ny provisions of the tech�ical co es; nor shall issuance�of a�.permit.prevent the�ufldirig O�fict�l from thereafter
requtring�correation af errors in pla�s, ca st�ction or violations of any codes. �very pBmnlQ issued sh�ll become indaiid
unless Qhe work author6z�d by such permit�is-commenced�avithin six mc�nths of permit issu�nc�, aP if w�Pk autharized by
the pe�mit is suspend�d ar.abandoned for period of slx(6)mo�ths after the 4ima the�work#s ac�nnmenced. An extere�fo�
may be requested, in writing, fcom the Buil ing,Offlcial for a period not#o ex�eed nlnety_(�Oj days and_�rill demoa�str�te _
�just�4iab�fe�ause ior:the extension, �If iwork c ases 4'or ninety(90j cons.ecutive daysr..@ti�job ts considered aba�idoned.
i�tAR1�IP1� Tt� OWNER: YAUR ���#.UR �TO,RECA�Y� A N�3'iGE CiF�C�RAMENCEMEi�T fiafAY�4tE�tUl:'P iN YO��'R
PA�lNG TWtCE�OR CMPROVEII��t+�TS T 1(QU6t.:PitOPER'i'l�a ���YO.lJ�1NTEND�.T��O�TJ�IN��Fft�FANC�NG�'�qN�UiLT
�iflv YAUR L ND � AQ� TTOff�N�I( ��O���R COR�Q �� OU � �'► �GE�°O �' � E C� E T�
FLORIDA JURAT(F.S. 9 97.03) _ � " ---��
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CIWABER OR AG�N7 ,�° I ��NTRI�G70lt /�< "'z---"'� _
Subscribed and svvom to(or ed re me this Subscribed and swa r affirm � efore me th(s
�Y —
VYho Isfare personally , o Qo.me or has(hav�produc d Who Islare p onall v�n to�te.or hasltoave•produced
as Identlflcatlon. as Identlficatlon.
Note PabMc Natary Public
�g,j�`'::�:ri,. CQUELINE GES
Commission No. Com ss n l�o. -*� .•= Cpmmi '
��, �a: xpfres December 12,2018
•'�+PF;�RQ��. Bunded Thru Tm pein Inau
Flame of iVotary typecD,printed ar stamped Fiame of�iotary pe ,
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� .Kinsey Central
_ Heat�Air-Conditioning, inc.
- P.O. Box 2209
Zephyfiills, Florida 33539-2209
/ . I
(813) 782-�300 CA.�cosss26
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