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Home My WebLink About16-17190 CITY OF ZEPHYRHILLS 5335-8TH STREET ' ' � (813)780-0020 �7 � ' BUILDING PERMIT ' .PERMIT INFORMATION . - � -.LOCATION INFORMATION � - Permit Number: 17190 Address: 6719 GALL BLVD Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: 8,000.00 �- OWNER INFORMATION Date Issued: 3/22/2016 Name: SUN MEDICAL CORP. Total Fees: 115.00 Address: 6719 GALL BLVD. Amount Paid: 115.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/22/2016 Phone: Work Desc: ADD ADDITIONAL 4TON TO EXISTING UNIT W/ELECTRIC STE 207 CONTRACTOR S � - APPLICATION FEES AIR CONTROL SERVICES INC A/C CHANGEOUT 75.00 MARTIN ELECTRIC ELECTRICAL FEE 40.00 �� -�' �� U � ` � ' � ` � Ins ections Re uired - � � • ' DUCTS INSTALLED DUCTS INSUL�,TED 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 properly 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 pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. ✓ CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 8�saso-oo2a City af Zephyrhills Permit Application Fax-813-780-0021 Buiiding Department qate Recelved --� -�'� p}y��$,�otttact'far Permtttin - Owner's Name � � '�1�i'�L (,:."��i1' Owner Phone Number �3" ! ��'+�3� ,� - - . Owner's Address . � , �L(,. � V OwnerPhane Number � � Fee Slmple Tltleholdar Name �� 4N1��L., C��,� � Owner Phone Number � � . � Fee Simple Titleholder Address � JOB AClDRESS W 1� C�� 2Q�" Z�PI� 1�'�1 1 LOT# C__�� SUBDIViS10N �� PARCEL ib# -o� �� - �i� -a��.�a - i t� (OBTAINED FROM PROPERTY TAX NOTICE) V4fORIC PRQPOSED 4 NEW CONSTR ADDJALT � 81GN Q [� pEMOLISH - e INSTALL 8 REPAIR PR4POSEO USE Q SFR Q GQMM � QTHER TYPE OF CONSTRUCI'ION Q BL.00K ` Q FRAME � STEEI. Q DESCRIPTfON OF WORK � � � • � BRli1.DING SiZE � � SQ FOOTAGE `�,�1�'J HEIGHT �—_ � QBUII.CNNG �� - .._,�. - �.,; : ,_ 111 1 VAtUA710N pOF�TOTAI CONSTRUC710N �(�ELEGTRICAI. $ �� AMP SE CE Q PRQGF2ESS ENERGY [� W.R.E.C. �UUt l�� . QPLUMBlNG $ �� [�]MECHANICAL $��.�� '' VALUATtOEV OF MECHANICA�tNSFACLAT101V ' �� (� [�GAS [� ROOFING � SPECIA�.7Y C,� 03HER ��r t � Z 3� , ��-Z. FINISHED FL40R ELEVATIQNS FLOOD ZQNE AftEA QYES,- _ NO BUtLDER Cp(yPqHy SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N . Addres� Licerise# � � ��ECi'RtC1AN �• �y,� �,� COMPANY ��t t4ct �(¢c �c .�,.�� SIGNATURE �� REGISTERED Y/ N FEH CUFtRE� Y/N Address License# �` � PLUMBER �� COMPANY SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N Address License# �� SIGNA7URE , ��`��— coMPa�„r ��fZ G�N�'7�.tx.. S�Zv��3 ��c+►. REGISTERED Y./ N FEE CURRE� Y%N Address License# � � OTHER COMAANIt . , SIGNATURE ,,_. REGIS7ERED Y/ N ��EE cuttRen , Y%N Addreas i , License# � ' � RESIQEI�TIAf. Attach{2}Ptot Plans;.(2)set's=of:Building Plans;{i}set af Eiiergy�Forms;R-0=W Periiilt fa,r'new constniction, Minlmum ten(10),working"days,after,.submithat date. Required onslte,ConsUuction=Plans;��Stormwater`P1ans w/Silt Fence installed, Sanftary FacillUes;&.1:.dumpster Site WoricsRermit for subdivisionsAarge projects' . CQMM�RCIAL Attach{3)camplete sets`of 8u11dirig Flans pius a t�fe Safe#y Page;{1}set of Energy Forms.R-{1-W Pemtit far new canstrvction. Minimum ten(10)working days'after submlttal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, SaMtary Facilides&1 dumpster.,Site Work Permit for all new proJeats:Ail commercial requlrements must meet campllance StGN PERMIT Attactf{2}seGs of Erigineered P_lacis. ' : - ""'PROPERIY SURVEY required Forali NEW construction. � •� � � ' � � • � ' �� " Qlrectlons: . . .,, . FIII out applicatlori completely. ` Owner&Contractor sign back of appl(catio�,nolatized � If aver�2500,a Notice of Commencsment ts.�aquired. {NC upgrades aver$T500) . , , , '" Agent(for the contractor)or Power of Attomey(for the owner)wauld be someone with notarized letter from owner authorizing same C3VER TNE COUNTER,PERM1'TTING' (Front of Applica#ion Only) - . Reroofs if shingles Sewers 3ervice Upgrades A/C Fences(PIaUSurvey/Footage) Drlveways-Not over Counter if on pubi[c roadwa naeds:ROW...: _,. ,,,.....,- -._....•- `ti' '-:�' -----__:•_ __ ...•� � ... .. , ;�=- .5!�` . ... + ", ,.. , .. :;� - ._ . * ., , , `.� , . , • ,� _- , . . . � - . , �'� , v � , � .., � :s� � ,� , , . " ' '3',. . :,-_. . ..: ._ . ._ .._. ...;.,. . 'd.. -.e... -.. - - — . - _. .,... -.. PIOTICE OF DEED RESTRICTIONS: The undersigned under.stands�thaQ this:pprmlt.may be.subJect to"daed"restrictions" which may be.more'�r.estcictive tha�County regulatlons. �Ttie undersigned'assumes responsibiltty for compllance with any applicable deed resQriction�. UNL.IC�tVSED CANTRACTORS .dAND CONTl�CTOFt RESPONSI�ILITSES: if the owner has hired a contractor or contractors to undertake work, they may be required.to:be;Ilcensed In accordance.�n►ith state.a�ad•local reg�latians. if-the contractor is not licensed as requiced��by law, both�the owner and cont�actor may be cited�for a misdemeanor violation under state law. If Qhe owner or intended>contractor ar� uncertaln as Qo evhat Idcensing.requir�ments may apply•for�the intended work, they are advised to coritact the Pasco County�ullding Inspectlon Dlvisfon—Ltcensing Sect(on at 727-847- 8009. Furthermore, ff the owner has hired a contractor or contractors, he is advised to have the contractor(sj sign portions of the "contractor Btock" of thls application for_which they will be tesponsible. If you, as.the oavner sign as the contractor, that�may be an indication that he�is not.properly licensed a�d'Is not entitled,to perrriitting;privileges in Pasco County. , .,�� -. ,,t.. ;i, �•. . � . .`.. • e .at °" . `s �;� � .. , u , . TRAfVSPORTATION.IMPACTIUTII�ITIES 1NEPAC'�AND�ItESOURCE RECOVERY FEES: The undersigned�understands that Trenspor4�tion Impact F�es and.Ftecourse I�ecov��r.Fe�s rnay�applyto the construction of new_buildings, change of use in existing buildings, or.expansion-of�existin�g=bu dings, as specifled in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that.such fees,,as;may�be�du�;;;will.be identlfed at the�time of� permitting. It is further understood that Transportation Impact Fees and Resource Recov�ry`Fees must be paid prior to receiving a "certificate-of occupancy" or flnal power�release. :If�the project,does.not (nvolve a certificafe of occupancy or final power release, the fees must be paid pcior to permit issuance. Fu�thermore;if Pasco County Water/Sewer��lmpact fees are due, they�.must be paid prior to permit lssuance�in accordance with appllcabte Pasco County o�dinances. COIVSTRUCTION LI@N LAW(Chapter T13� Florlda Sta�utes, as amended): If valuation o�work is$2,500.00.or more, i certify that I, #he _applicant, have.been provided v�►ith a copy of the dFOorida Construction Lien Law—Nomeowner's Protect0on Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the applicant is someone other than the`owner", I certffy that I have;obtained a copy of the above..described document°and pcomise in.good faith to deliver it to the°owner"prior torcommencement. CAN7'F3AGTAR'SIOWNER'S A�FIDAVIT: I certify that all the,lnformation in this appllca4lon is accurate and that all work witl�be done in compi(ance with all appiicable'laws regulating construction, zon(ng and land development. Appl(cation is hereby made to obtain .a permit Co do work and Installat(on as indicafed.. 'I certffj/ dhat no work or Inst�llation has commenced prior to issuance of a permit and that.ail work will be perFormed to meet standards of all laws regulating- construction, County and City codes, zoning regulations, and land deveivpment cegulations�in the jurisdictfon. I also certify that I uaderst�nd that the regulations of other governrr�ent agencies may apply�to the intended work, and that iQ is my responsibility to identffy.what actions I must take:to be,in_.corr�pliance. Such a�encles include but are.not Iimlted to: � � - Departmen� of �nvironment�l Protection=Cypress. Bayheads, Vfletland Areas�and-�nvironmentaliy Sensitive Lands,Water/Wastewater TreaQment. �.. - �outhwest Florida Water Management� Dfstrict-Wells, Cypress. Bayheads, VNetland Are�s, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, ldavigable Watervvays. - Department of Health & ReFiabiBtative Seni(ces/Environmenf�l Health Unit-Well.s, Wastewater Treatment, Septic Tanks. - US Environmental Protectfon Agency-Asbestos abatement. - F�deral Aviation Authority-Runways. , i understand that the following:restrlctions apply to the use of flll:• - Use of flll is not allowed in Flood Zone°V"unless expressly permitted. - If the fill materiai is to be used in �Flood Zone "A", It Is understood that a drainag� plan addressing a °compensating volume" will be submitted at time of permitting which is prepared by a professional engineer Iicensed by 4he State�of Florida. - If the fill material.(s to be used in Flood Zone tlA" in�connection�with:a peemitted building using stem wall constn.iction, I certify that fill:will�be u§ed only.to.fill the area within the stem•wall. - If fill materlal is to be used in any area, I certify that .use of such #ill will not adversely affect adjacent properties. If use of�ill is 9ound to adversely,affect adJacent proper�ie5,_th� ow►ner may be c(ted for violating the conditions of the"building.permit issued under the attached pecmit application, for lots less than one (1) acre which are elevated�by tilt,arn engineered drainage plan is requtred. . If I am the AGENT FOR THE OVVIdER, I;�promise in good faith to inform the owner of-the permitting condfitions set forth In this affidavit�prioc,to commencing construction.."I .under�tand 4hat„a�separate permit may be required fior electrical work, plumbing, signs,-wells,�pobls;`air�-conditiontng,'gas, �or'dtlier installations not.spec�ic�lly included�in the application. .A permit Issued shall be constcued to be a'license to proceed with the in►ork and not as authoriiy to.violate,cancel, alter, or set aside any provisions of-the technical codes;�nor shall issuance�of a permit.pcevent the Buildirig Offic(al from thereafter requiring a correction Qf errors in plans, construction or violations of any codes. Every pertnit issued shali become invalid unless the work authorized by such permit�is commenced w(thln �ix months of permit issuance, or tf wrork authorized by the pe�mlt is suspended or.abandoned for a:period of six(8) months.after the tim�the work ts commenced. An extension may be requested, in writing, from the Buildtng.Offlcial for a per(od:not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases�for ninety(90)consecutive:d�ys�.th�)ob is.considered abandoned. WARNING TO OVIiNElt: YOIDR FAILURE�TO.,RECO�tD A NOTIGE OF�COMMENCEMEMT,IVIAY-RESULT IN YOUR PAYING'�VYICE FOR IMPROVEAlIEI�TS TO YOlJR PROPEft�TY. IF�YOU�INTEND�''TO�O�TAIN�FINI�f�CING; CONSUI.T WI7H YOUR LENDER O AN ATTORN@Y�� FORE� ECOR�D G:•YOUR� O �CE'OF � � E C�EA{I NT' FLORIDA JURA'�(F.S.117. ) . - -� -- - -- - � � 1 OWNER OR ACiENT J'� �C--- CONTR/SGTO � Subscribed and swom ta(or afflmted)before me this Subscribed and swom to(or affirmed)�before me thts 3•D l-2��1 n by l��F iC+LJ A. I.J L�e.�YMCa,� �-I I-►lo �by AQ�F_��.�t �. �k-e�.��rn�.r� Who islare personall knovm to. or haslhave roduced Who Is/�re personally kn�wm tu me or has/have oroduce _ as I en 8cetlon, as 7aentlflca0on. � �-� Notery Public `�� I . Notary Public Commisslon No. �fl lc ZO Commis�lon No. L„2p Name of fVotary typed,printed ar stamped Name oi Notary typed,printed or stamped �„��, `,=4;�nY ey�,, PATRICIA A.SINGLETAAY :�hr:^i%i�� PATRIOIA A,SINGLETARY �:� •MY COMMISSION#FF 046620 ;�� f�';� MY�QMMI6SION�FF 046620 �;; EXPIRES:October 10,2017 :�a;�,�'�; EXPIRES'October 10,2017 •�;RF��` Ocnded Thru Notary Pubi'�c Undernriters "��;RF F�Q�•` nonded Thru No18ry Publb UndenvMers� .. l �� AII� CONTROL SERVICE, INC. AIR CONDITIONING & COMMERCIAL REFRIGERATION P.O.BOX 146 -- MANGO, FL. 33550-0146 OFFICE#813.628-0764 -- FAX#813-740-9323 aircontrolservice@verizon.net LETTER OF AU�'�-IO1tIZATIOIV DATE: � . 5� �,O I Lp I, DENNIS L.CADLE DBA AIR CONTROL SERVICE,INC.CONTRACTOR LICENSE NUMBER CAC1814086, HEREBY AUTHORIZE THE FOLLOWING TO ACT AS MY AGENT IN OBTAINING PERMITS AND REGISTRATION IN YOUR CITY OR COUNTY IN THE STATE OF FLORIDA. ARLEIGH'A.HALTERIVIAN DL#H436-001-45-345-0 DENNIS L.CADLE,SR: DL#C340-172-48-049-0 ' � DAVID B.CADLE DL#C340-162-54-446-0 � THIS AUTHORIZATION IS TO REMAIN IN EFFECT INDEFINITELY,UNLESS CANCELLED � BY ME IN WRITING. h DENN . ADLE DL#C340-172-74-146-0 SWORN AND SUBSCRIBED TO BEFORE ME THIS 5� DAY OF � � BY DENNIS L.CADLE, WHO IS PERSONALLY KNOWN TO ME AND WHK O Dl� NOT TAKE AN OATH. ' �F��.�. �; ;;�':' :,,,, ppTRICIAA.SINGLETARY MY COMMISSION�FF 046820 NOTARY PUBLI " �'. , ^s"'; .';' EXPIFES,October 10,2017 PATRICIA A. SINGLETARY `� eonded 7nm Nocary P�e��u"de'w�'tere �.,:... ,.�. COMMISSION EXPIRES: 10-10-17