HomeMy WebLinkAbout16-17536 %
CITY OF ZEPHYRHILLS
� � 5335-8TH STREET �
(813)780-0020 17536'
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION •
Permit Number: 17536 Address: 7435 GALL BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR COMMONS
Est. Value: , Parcel Number: 34-25-21-0160-00000-0040
Improv. Cost: 7,987.00 OWNER INFORMATION '
Date Issued: 6/30/2016 Name: FIRST COMMUNITY BANK OF AMERICA
Total Fees: 75.00 Address: 13839 US HWY 98 BYPASS
Amount Paid: 75.00 DADE CITY FL 33525
Date Paid: 6/30/2016 Phone: (352)518-2061
Work Desc: A/C CHANGE OUT 4TON HEAT PUMP
CONTRACTOR S APPLICATION FEES
GATOR AIR CONDITIONING AND PLUMB MECHANICAL FEE � 75.00
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Ins ections Re uired
DUCTS INSTALLED '
DUCTSINSULATED
FINAL
REINSPECTION FEES: c With res ect to Reins ection fees will com I with Florida Statute 553.80 2 c the I
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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 properly that I,
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• ` s�3-rao-oo2o City of Zephyrhills Permit Application Fax-873-780-0021
Building Departmenl
Date Received �j/z�/��, Phone Contact for Permlttln _ !7� '7�GJ — �P U D"D
i—�-.i.�--�—�.•��- �—� r�� �1�
Ownar'sName �Y$•('" CO /!lU LLF2k.. OwnerPhoneNumbar �"' I�S` I��
��0 5t� .��. S �� 33101
Owner's Address Owner Phone Number
Fee Simple TlUeholder Name Owner Phona Number
Fee Slmple Tltleholder Address
JOBADDRESS �77�� � UCI z�e�ti rL,�, � �J� j LOT# �
SUBDIVISION �(�I�f7��'I!1 riJ� PARCEL ID# ����5 r��" V��� ' �V�V�-� !�0��
{OBTAINED FROM PROPERTY TAX NOTICE7
WORK PROPOSEO � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK' �GZn .U6V -C�c.IS�)� \ f T {�l� �lst.�� ( '^a'�— �' �T !1'�"� !F��
BUILDING SRE SQ FOOTAGE �Z HEIGHT �
QBUILDING 5 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERC�Y Q W.R.E.C.
QPLUMBING $ �
[�MECHANICAL $ ���.y, �� VALUATION OF MECHANICAL INSTALLATION ��y) 1��
0 �) ( �
r?��
QGAS Q ROOFING Q SPECIALN � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CUftRE� Y/N
Address L(cense#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEECURRFJ� Y/N
Address License#
PLUMBER COMPANY
31GNATURE REGISTERE� Y I N FEE CURREA Y/N
Addreu License#
MECHANICAL COMPANY +CtL� Jr P�14��7!���-,
SIGNATURE G�' �� REGISTERED N FEE CURREA Y' N
Address � �4W �`�SS7Fb'C�l � J't"�.d.3 License# �(�!lc,. ���J�V7
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREA Y/N '
Address License#
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RESIDENTIAI. Attech(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;RA-W Pertnit for new constiuclion,
Minimum ten(10)working deys afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence fnstalled,
Sanitary Faclll0es&1 dumpster,Site Work Permit for subdivisions/lerge proJects
COMMERCIAL Altach(2)complete sets af Building Plans plus a Lite Safely Page;(1)set of Energy Forms.R-O-W Permit for new consWctlon,
Minimum ten(10)working deys after submittal date. Requfred onsite,Constructlon Pians,Stormwater Plens w/Sllt Fence Installed,
Sanitary Facili6es 8 1 dumpster.Site W ork Permit for all new projects.All commercial requirements must maet compliance
SIGN PERMIT Altach(2)sets of Enginaered Plans.
•'••PROPERTY SURVEY required tor all NEW construction.
Directlons:
Flll out application completely.
Owner&Contractor sign back o(applicetion,noterized
I(over 52500,a Notice of Commencement is required. (A!C upgrades over$7300) '
" Agent(for the contrector)or Power of Attorney(for the owner)would be someone with notarized letler from owner authorizing same
OVER THE COUNTER PERMITfING (copy of conlract required)
Reroofs if shingles Sewers 3ervice Upgrades A/C Fences(PIoUSurveylFootage)
Driv¢ways-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 licerised in accordance witfi state and local regulalions, If tlie
� contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
i 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 contect the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"cont�actor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractor,ihat may be an indication fhat he is not properly licensed and is not entitled to permitting privileges in PBsco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the co�struction oi new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinande 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.
CONSTRUCTIOP!LIEPI LAW(Chapter 713,Florida Statutes,as amended): If valuatibn 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
ProtecGon 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"owne�'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
herehy made to obtain a permit to do work and installation as indicated. I certify that no work or Installation has.
commenced prior to fssuance of a permlt and that all work will be pertormed to meet standards df all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended virork,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 bf Environmental Protection-Cypress Bayheads, Weiland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alte�ing
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 f\qency-Asbestos abatement.
� - Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fiil is not allowed in Flood Zone"V"unless expressly perrnitted.
- if the fill materiai 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 professionai 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 wall
construction,I certify that fill wfll 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 wiil not �dversely 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 thari one(1)
acre which are elevated by fili,an engineered drainage plan is required.
If I am the AGEPJT FOR THE OWNER,I promise in good faith to intorm the owner of the pertnitting 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 construed 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 Offic(al from thereafter
requlring a correction of errors in plans,construction or violations of any codes. Every permit issued shall becdme 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 extensfon
may be requested,in.writing,from the Building O�cial for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extensfon. 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 LENDER OR AN ATTORNEY BEFORE RECORDIfdG YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR �'--�� �'—�
Su scribed and swom t4(o[atfirm d�){�?fo me this S scnbed and swo o(or ffirmed)bef ine this
$V by ��[_In a��14J��� 1AV1 bY_��.trll�6a S �DW�.AO
�(Jho is/are personallv kn w��++a nr has/have produced Who is/are personellv know�to maor has/have produc�
as identification. as identification.
�--
ry Public Notary Pubfic
Commiss Commiss'
Namo ot Notary typed,printed or slamped Nama of y r
��►� Notary Publ�State of Florida
��°� Notary PubNc State of Ftorida Sejal Patel
SeJal Patel � My Commiasion EE a53231
� ,p� My Commission EE 853231 ��µo� Expirea�vaono�s
ors�" Expfres 11l2012016
� i iiiiii iiiii iiiii iiiii iiioi iiiii iiiii iiiii iiiii iiiii iiii iiii
2016102405
PermiWo. ParcellDNo ��� �—+ � L� � �� �V — ��L��/� ��V�Q
NOTICE OF COMMENCEMENT
State of � I b r�"�� County of 1 / �J �
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following infortnation is provided in this Notice of Commenceme L• �c �[�
1. Description of Property: Parcel Identification No. ���a S��� — v � �v ` ��O�� — �� � `�
StreetAddress: ��J S C �.0 1�4� % l il.(I� 'r
2. General Description of Improvement �C L _ �S 1 /. i i l_ ���
iJ �t.e., i� u_rt
3. Owner Information or Lessee infortnatlon if the Lessee contracted for lhe improvement: �r�,t C.0�/1177'l��
r�C✓�� Z� - �C.
f�0 S7'Y�meS� J -e.�- _ r ��L
Address v, �7,� C(ty - State
Interest in Praperty: �i�lX-f=
Name of Fee Simple TiUeholder
' (If different from Owner listed above)
Address /� Clty State
4. Convactor �G:�LSY �!' ( in'1�/�7 I•
r,�z�� ���� s�. r, st�_ � ar�P,1� �
I Address ` /�(! H /� Clty 3 y��3 State
Contractors Telephone No.. —/ Y� � / �%� � ���
5. Surety:
Neme .
i Address C(ty State
Amount of Bond: $ Telephone No.._ RCp�.:1782875 Rec: 10.00
s. �ender: � DS: 0.00 I T: 0.00
Name � 06/30/2016 L. K. , Dpty Clerk
' Address Clty State ,
Lenders Telephone No..
7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes: PRULA S 0'NEI L,Ph D PRSCO CLERK & COMPTROLLEk
! 06/30/2016 11:53am 1 of 1
Name OR BK ���� PG ��2�
Address City State
Telephone Number of Designated Person:
8. In additlon to himself,the owner designates of_
lo receive a copy of the Lienor's Notice as provided in Section 713.�3(1)(b),Florida Statutes.
Telephone Number of Person or Entiry Designated by Owner
9. Expiration date of Notice of Commencement(the e�iration date may not be before the completion of construcGon and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
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 STATUTES, 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
V
Under penalty of perjury,I declare that I have read the foreg ing notic of com e e t a that the facts stated therein are true to ihe best
of my knowledge and belief.
/
STATE OF FLORIDA
COUNTY OF PASCO
e essee's Authorized
ffic / rec r/P r/ a g
Signatory's Ti e ic
The foregoing instrument was acknowledged before me this�W 8ay of 2 by � L.I�.C�C � � ('�
as �� (type of authority,e.g.,officer,trustee,attomey in fact)for
(name of pa If of wh insWment was executed).
Personally Known R Produced Identification❑ Notary Signature
�
Type of Identification Produced Name(Print)
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�TA�'E t�F �L�a41DR,COUN7�'��RASGO JA9�� �,�
THIS IS TO CE�TIf�Y THAl'1"h�l�r(�S�EG�ING IS A �,�' 0 ' B o��
TRUE AND CORREC i CC�PY OF THE fJOCUNIGNT ��'" �
ON FILE OR OF PUBLIC RECORD IN 7HIS OFFIC� � a+
WITNESS I�AY HAND A bFFICIAL SEALTHIS/ � o " ' •
.�(���DAY OF 2 Q l'� In God'We 7rust • �
PAULA 'NEIL, C �COMPTROLLER � � ��� �' '
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�Y - EPUTY CLERK ` 1687 �
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We h�reby progose ta supp{y,insfalf anc!service equipr�e�t for your home as outlined 6elow.
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Remove�nnd dispase o1 existirn�equipment [�Ffemove and d+sposd p(ex�stinp air handler
[r�(nstatl New (�Pacic�+c��System [fn�s�i!new
Qtl6at P�rtpp [�^urdc8ne Pad [�Vts'�Die Speed ssir handter
[�Straight Coof �.� $landard air handler ����l�A Q('_�!�'S�I(�i'�'
}3Moaet "1%Ztin1� �,�G3��;�„�9� ❑at+a Fumace
�EEft �1.�^�na � 1�. �Eiectrortic whWe hou:�e tilter
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❑Dfsconnect Dox �w hrgeker []Media slyle Cfter
�New R�ai+�v sQed refrigdt�snt finas �Uitr�viWet�ight �
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�Ne��vatet tipht elecvlca!wh}p []tnstau new crain t��e Qt�ew emer4e�cy dratn pan
��`ay��a y�*`?„J'^�"5��j}7�i9l�";s>.^�„j�:'�y�;�^��.y; ❑Instaii new condensaie pump
[]Dlscqnnect box [�K7'���v breaker
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x�Saies taxes Mciuded Q Ducc Saatiir�as Pe�r/�L Codo
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,x�Vaouum retrigerant lines �Verity tomporaWre activracy �Clig�tsl programmabie toitCh screen thermasiat
QGte�n drain(ines [%�First year mainten�nce/service [�W�F'i Thermosrat
[�blspose af all tr�&h included �p�Hwnidistpl
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[x,�Eqnipment Size Guarantue: Yhe ciient is nat responSibie tar
detemilning the conect equipment slze. `fhe produds instaifetl ��qyy englneArnd ducl system
will heaUcwai your hpmA b yovr satisfacNon Or l�replaced at no ehatge.
❑R�plece griiis �,]fte-use existing Esovis,
xONo Surprises GuareMee Once ihe work starfs.the prir.�qu0ted
is lhe pric�you pay,sven If the job entails moro work lhen estimated. # Siaa
QCrdhina�ship w+li comply with a11 existing Cades®utatlons. [�&fOCide e�dsking dustwcrrk []Snppti��
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S[.��Tptal Inveatfnent Dup Wupo�ai prepared by: /1������ Oate .7 /�o
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er,snt ap�ava4 Jh'f /�l ��i L� oate ti 2�
NdTiCE pF RIGH'f TO CANCEL:YOU.THE BUYER.MAY CANGEL TNIS TRANSACTION AT ANY TIME PRIOR t4 MIDNIGH7 OF THE 7HIR0
BUSWESS DAY pF7ER THE DATE OF THI$TRANSACTION
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6'21.h 2A4''Street E,Ste],Eir�derrton,FL 3�120�
June 3d,7Q16
Dear Per�ttitti�g 17ept:
Piease add th�foilowiri�as authorized agsnt�to Canduct business Qn behaif of Gator Air Candition�t�g,
Michael Wick �
Jimmy Ramagnoia
Stacy Margan
T you, �� �
' (/•� -- __ ..._..
,J me5 Pomroy
lice�ts�Holder
GaCor�0.i�-Condit;onin�
rr . . .
��� ntoWrY PuW�c Stete af Florida
. , S�}�I Patel
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