The URL can be used to link to this page

Home My WebLink About16-16904 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 16 04 BUILDING PERMIT �' PERMIT INFORMATION - : LOCATION INFORMATION � Perrriit Number: 16904 Address: 6900 GALL BLVD Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-00900-0011 Improv. Cost: 11,460.00 OWNER INFORMATION Date Issued: 1/20/2016 Name: ROSE RADIOLOGY Total Fees: 95.00 Address: 6900 GALL BLVD Amount Paid: 95.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/20/2016 Phone: (813)783-6736 Work Desc: A/C CHANGE OUT ROOF TOP CONTRACTOR S APPLICATION FEES ROYALAIRE MECHANICAL SERVICES , A/C CHANGEOUT 95.00 L —� �— L � �� 3-'? �-�� =- 3 � Ins ections Re uired DUCTS INSTALLED DUCTSINSULATED FINAL � �'�- ( �� , 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. �c� � r/ i CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � . lN�If�l�i��l��if�l��I��I��` 30i601�878 � • R�ul:i743434 Ree: 10.80 • D5: 8.0� I7: 0.00 ' � 82126l2015 !C. R. 1f.. OPly Clerk a4�.�a s.o�r�tL.vi,.o.aasco aE�tc a cor�eM 0s��931�� fi'� � ' i�iU1'�G`E!1�?.CC)M11�IV�ME1V',,,,� I �era�z�io._ ?Ga4o�f ...�, � �.._ PmPaq'idaetifieativn Iso.4A�16-�l�061��4Si�'K!S?�� , '[i�IJi�ETLSEC33+I8D he�e6Y Sivr�tta4ica that impeovcma�ta wr'!l be mada so setlaia re�l pmp�tyr,aad 4a socordance w�1 SeC�on 713,13 of t�Ffaeide S4woes.ths fvll�qg iafnrasa�qn is provided'm shis3'�07':CE O�F CVM1�fENCEIVIENI'. i.n�s«;eaanora+�«�(r�c�I 'er ��A�A �� 1 sfr;71 • 3 � 4.Ga�e:si dss�ipY�of uepro,�amertks;�►C i 3.Ow:ler IaFO�atios► a)Nanw a�ed a3�.�� .�._.�itS3� woa3bwds t�r�r.as� �lm Haeb�r�R '�Yb'S�.,S' b)1+Tssne mtd adchsss offeasm�pien•1�dir('�fothcti�,owna)-- ' o)Inter�gt Sn gtr�pedy —• � 4 C9s+trar-0ot�fo�on ess�swiAi Nt. �... a ,.e_ , b)Tde�boaeNo� � -9 370 � Faxl�o�(Opt.) � -7 -�3 � � S.Su�efy Ini�oa . �°'C ' ajNemcaadasddb�,��l.i�'i��ves�lxx+� t3lyd;��i��e 48,0 �� .• • ��k. ' b)AplOWti Of$OIId: � �` 6.�1dlrl��C�NC.: +��$�y-��5� �dkNO�(QpL) iS� �.( � 4 � '+ , t+�9 (�.. j C'� s)3Qame andaddrets:�� . • ,T �• ��' � • 7.identity ofpetaon vvtt6m th��e o'f'FlDkida desi�ed 6y qw�aet bpoII whouf aoticts or oQcerdoeaate�may be setvcd:�� , s�Aisma�i addr�r. ' i D � ,rB, r ' � byTckphwuNo.: 939-5'6�-as'9.T F�utNo. ) � "' •',�g 8.iu additlont0 hiKs,adf,ovmvr destgnetes the 1FOF[ow3es$pers�t W ieccive s oepy af'She f,4enor'SNotf�eas provFdBd�i 5ettiotl ' � �i � 7I3.13(1)(b�FloeieFsSt+nr� �,� � "* � a)Name and ad�ss: - •. ryS� yr,�.�4Y�1._ Icrd Fr:n:�./ �i. 3�I6�5� � b)TefeA1+aneNa.r '?19� ��_ . • �'axNo.(O�.} � 7� I ��iaa dete ofNo�a£C�t(�e eagitaaoa dttte 3s oee yr�r t3wet►tke d�e of c�eoondmg nalers n di8'a+a�t dgte fs , WA&'�1Cti TO�VVl�R AA1X kAXi1�t'IS MADE SY T@E 4WNER A�R'��ATtO�i OR T�i'Rd'fLC£08 CO�FC.�NtENT A�CO1�tStD�1tED IIVIYROFE�PA'lffViEl+1X'S tJN'A�R t�APi'ER 713,PA�t7'�,SECibON 713.18, FLQRiDA S7,A'�C1'A�S A3'4D CAN R�SQLT II�F YOi11t PA'YA'fG 1�1+lG�1zOR�RaVEMF1�tF5 TO YOIIR P8O£'ER'EY h NQ'�XCQ Q�CO��fCEME�t'P A2t3ST��R�O�tpE�AKD M?bTBD ON TSE JO8 S�XE�E4RL 1"E�� t-ttt �c IPi9PECTi41w l�'YOII iNTEND'X'O Q�fA�i F7�nCiHG,CaNS�.T'XOUIt I.�iVDBs oB A�t ATk'a�Y BERORE ��V � � COA�t[�iC R'OitKOR�CO�Ati�tG YOIIR�t0'lflC�08 t�TC�1N�N1'. �?�� I STATEOPL'i.lJ1t1D�A �"_—��r � `i' ' �Otit�rtY Cr Pnsco ' �4 O �.� � �- s�easrn� �� `y� � � 4tlt�i�ame 1-�..�°�"C�� a �i �� # 'ii►e ierego' �,was aek�mw befo;g mG dsis o:' 20,�,try - ' ��O fl y, •as. �'i7 ( cf st»�orlly.��o�osr,uu�ee,aftdmq �F}:�rm. °' � �a fset)for (qameofpazty oo bal�l�ofe.�,on4�was ax�aes�,. q,�,�Q�.�'J� � t� P�tsoaally iCnowa f}R�rodured _,,,_ Noa�YSi�a�ne�,�,�`�� ',�� ""''.-,.�"�,-.�� G�_.! ' ?ypaoflaenascadenProaooea-- _- - � �(�) � �'��,,, � � �: Vex�cation-�nsue�m Sa�on 92525 FIaada S"tsn�tJnder � :��.� �O ptrwlties of getjvey,I de�lare thaE I have t�d the fwe$piag and ffres •�••- u3 •, � I t�e f�S t�3 C d i i f I t�E 4 1 1 8 3 0 d 1 C b 0 3 t b Y M y�I s p a�e d g t S�d�t o�� :S U j e�� VJ E I � tl1�L[. � r� � rr �,�", NEitfHE�RACH aE�tt �" � ��'~ �� • � j "�"� Co+nmiasion�Ff 2D90ta °� °�AbOMe � �"' f"`Q '�'-�' �L3. �7 awcomml�uan e,orre:n•x..Zo,v _ beAQOdlhtbupn 1�exao�M.acro�wn a Naafw Goo��a�a �zza� 3aIVl.VAO� «szstr�E�s os:zo s�azi�o�zo � t ~�,,�`�. ,.,�,�,,,.-- � 9p9 Dunbar Avenue,Sufte D , • �� Oldsmar,Flprida 34677 Phone: {8fi3}749-237{3 iVfechanicai Servic�s, inc. Fax: (813)749-3371 CMC1249687 Nc�vemlaer 11, 2015 Rose Radiolog}�Centers, Inc. 4133 �4foodlands Park��ray Fal�n I-iarbor, HL 34685 Re: Proposal#I 51 l-013.East Pasco 1��ie are submitting this proposai to replace a 7.5 ton Canier roof top unit ser��in�the mair� Idbby and patienr hallway areas. This proposat includes: One—Ct�rrier SqTC-008A2�3G-OAOA,�.5 ton,RTU �arith �2kW heat kit. C7ne—:� �c�Je,�0�mp,electrical discc�nnect with 6' etectrical�v}�ip. Ficid ('abrieation of suppl}7 and retum cannections to existing duct. Rental ta�t equi�n��r3t. All p�rmitting and ins}�ecticrn cosks. All applicable non-staazdard (abar. {Standard defined as It✓1-F,fl7:3{}-(6;(}Q) Ali applicable manufacturcrs' «r�rranties. One year labor and��orkmanship warranty by Ra}�alAire t��echanicttt Services. This nr�anosal does not inclade: A�ay duct work outside the scope of connectin�new RTU to existing duct. �.ny p�rts, ta6or t�r repairs other than �pecificalty 3isCed abc�ve. , Cc�st fc�r listec� prc�iect: S 11,�60.00 Tl�is propo�a�l expires Decernb�r !3,201�- Submittetl by: Price at�d Sco�e Aecepted by: „��Lu.��,�� ,t � si�n:z�urc G�iCiS��tIC�iT Servicc M�nager � Ro;�alAicc 4iec:hanical SenFices lnc. � , � `�`. ' �� .;;�`�� Pi� i'rtut:�usiac.xnd Dtitc - - --�. � � 1. 1 , � - � - ` : 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ' Building Department � Date Received Phone Contact for Permitting -- � 1 a Owner's Name � � Owner Phone Number �1� ' 3� 7 J c Owner's Address e� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number , Fee Simple Titleholder Address - JOB ADDRESS � �� G.� \1 � 335 LOT# � SUBDIVISION PARCEL ID# � (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK CtC'r �� (G�C Lbt lµ1� O r �CX�t T f7'/L C r�.Gc✓��N LP��• BUILDING SIZE SQ FOOTAGE� HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �MECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION � �GAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO '�-' ' ' '�' ' ' �7--G-�I-��' �F � BUILDER- -- _ - = COMPANY- -- - ----- -�— -- -- _ _ .. __ _ SIGNATURE - REGISTERED Y/ N FEE CURRE� � Y/N Address License# ELECTRICIAN ° COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED � Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY C��(C I�lt�q��Ck� ��v�Gr� ��it,�' SIGNATURE REGISTERED N FEE CURRE� N Address �� VU4J l�` �l1�P, U�dg Gf 4 �icense# �:�►1�1a b$'7 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# IIIIIIItllllltlllllllllllllllllllllllllllllllllllllltllllllllltllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildir�g Plans;(1)set of Energy Forms;R-O-W Permitfor new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety.Page;(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 installed, Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. *"*PROPERTY SURVEY required for all NEW construction. ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ �5�� '�i C.� ■ ■ y ' ■ ■ � ■ � �J S • � Z ■ ■ ■ ■ � � L � ■ s ■ ■ Directions: Fill out application completely Owner 8�Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW _i � � i i. 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 licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation 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 contact the Pasco Counry 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 "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. , TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in.Pasco County Ordinance 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 pe�mit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation 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 Protection 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"owner'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 hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of 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 work, 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 of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment.' , - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering 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 Agency-Asbestos abatement. _ - _ _Federal Ayiation Authority-Runways. ___ _ _ __ _ __ __ _ � _ I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material 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 professional 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 will 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 will not adversely 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 than one (1) i acre which are elevated by fill, 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 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 wbrk 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 Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become 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 extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. 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 RECORDING YOUR OTICE OF MENCEMENT. FLORIDA JURAT(F.S.11 � _- OWNER OR AGE CONTRACT R �'((�� y��npe�d and sw tp(�r a rmed) �ere me this Subscribed a o(or affirmed}�me this JU U l'i'"OZO� by `�L r �- C'1�l by Ca��(L.wS -'C P�L k`� h��o ix s/�ar,e�ersonally kr�pwn to me has/have produced ho is/are personally known o me or has/have produced Yuna��1 as identification. as identification. Y � Notary Public � .\� `�1�� Notary Public /� l�S Commission No.� v�� Commission No. �fc��n�l p�" Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped �""""�• HEATHERRACH�;L-DEAkOTT ' IamUEsber '� a�'°��' NOTARY PUBLIC �� Commissipr�i�_FE203U'18 _* •:MyCommisslonE�p,��es02•24•2019 STATEOFFLORIDA %�,� o•` Boniied:thloug� Cornrn#FF224449 '��,a��a`� Amerlcon Assoclaflon ol NOtaries � E�ires 4/27/2019