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16-17659
, CITY OF ZEPHYRHILLS 5335-8TH STREET : (813)780-0020 659 ' BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17659 Address: 7643 GALL BLVD Pern�it 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: 34-25-21-0010-03100-0000 Improv. Cost: 3,600.00 - OWNER INFORMATION Date�Issued: 8/15/2016 Name: CHILI'S BAR& GRILL Tot�al Fees: 55.00 Address: 7643 GALL BLVD Amo¢�nt Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/15/2016 Phone: Wo'rk Desc: A/C CHANGE OUT 13 TON (CONTRACT) I CONTRACTOR S APPLICATION FEES MIDNIGHT CONTROL SERVICES INC A/C CHANGEOUT 55.00 � � ��'�` � � �" � I ` i � � Ins ections Re uired D TS IN TALL D DUCTS INSULP�,TED� FINAL I -� � 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 I before recording your notice of commencement." Compl i te Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. � NO OCCUPANCY BEFORE C.O. _ � CON CTOR SI NATURE PERMIT OFFI R � PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION i CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER � � � _ i D I_ I • litini,����,,`���.� e$7�j,�J� ������' �+ ��,��.� �� ��A�_�ld��•�� � � ���1�>�-�y*}i"1 _ � 1�!{_rsticl#Iia�iii.su�.; rr�tte;;c�t'�ali��te�.:+r;6ra :. :t•t�•irr• �iriK>�C.ri.t,'�J..i-:��i f,4iai;�jtJ��. 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I`rmlciilrahtc ' � ; 9_+J��3 2.efuuu 2:uc:�l "�zu,?.ilprtiui__ i'1:•rE�;� 4.�;:u�, , ;':�•4-:�-17:rt uili-_ _�`� .,.s -:C='''; ;,,�, ! � �„_�.. __ ._. . ... _ ---- �- - ,. _ . z. _ �. _ . .� -= _ - - -- --- -'-_�___x � , 813-78Q-0020 Ci#y of Zephyrhills Permit Applicatian FaX-813-7$0-0021 � Butlding Department Date�.ece�vet� , ", 1� � ` tt3�� — . , � �}l �'�Phane Costact�ifor'Permtttln'����� Own�r's Name Ownar Phone Number ` ' ��- Owrner's Addres� . ` , � OvvnerFhoae-Niimber �! � Fee Simpl�TlNehalder Name �_, " � . ,,.� Owner Phone Number �� - . , _",� , " , .."� .a� Fee Simple 7ltlehaldeei4,ddresa , ��• � ' JOBADD C�ss "'7� � � i.� �i.o�J�a �� ���,1�$VL�� �.33�i �or#_ ' �� . SUBDIVISI�N �� � ,. � � `PARCEL;ID� ' ` ' ' _ � , � � � . ' �� ' , , (OBTAINED FRt1M PRQPER7Y 7AX'NOTtCE} WORK PRAPOSED . NEW CONSTR ADD/ALT � SiGIV ';[� `Q,'� DEMOLISFi � 4 .� � D ,� INS:TAI:L 8. '� .!REPAIR� ' PROP08E0•USE:. Q�, 'SFR � -:{;OMM , �' Oi'FIEFt;:.• .�, .. TYPE OF C�OiP137'ttUCT10N� [� 'BLOCK�' Q� r F'RAAflE � STEEL. Q �� .: a . z..� ; . .. _ DESCRIPTIQN`OF WORK ��•�• ' 'G��Ci��L �, " �,��� �2(,A�' . ' - ., � , ', _ , , . - = , . _ - ' �. .. � � . , ,,,. BtJtLDIF1G 51ZE,`. ' _� 84.F,QOTAGE:. . ._ .. ,HEIGFIT .:,.. : . - ° ' , __ QBtiiLDiNCs $ ,,,�,�,_..., .-=-':�.��:=..-...'` - , J , , � • : 'VAGUATION O�TOTAL'CONSTRUC710N l . _ , ,, , � - „ � � ' QEl,,ECTRiCAL $ AMP SERVIGE ��Q PR0t3RESS ENERGY ,[�], W.R.E.C. , � � OPi:UMBING -$, ' , � ' ; ��ECHANIGA� $ ' VP�t.l1Al'IflN;OF,MECHANlGA�,INSTP►LIATlOtV - �J'�� �����' � ' � " � � Q � � , Q. ROOFING,,.:Q SPEClAIl'tl�: _ OTHER ;„ � � FINISNED�LOOR ELEVATIONS FLOOD ZONE AREA , [�YE$. NO � 4 BUii.DER � COMPANY- _' , SIGNATUR� REGISTEREd , Y/ N.; FEE CURRE�` , ',"':Y/.N_: :. ; , . �►ddre� , ` , ,. ., , ` License# + - 3 _ , � �t�c�c��:: , . . � coM�x�iir -- .: SIGhI�►TUR� � REGISTERED Y/ N �e CURaEn � "Y/N . Addres� - _ ', , -. -°License°#:�� - . P�UMBER � � .� , . Y CGMPAI�tY� _ , . . . . ..., . SIGNATUtt� ' _ , ._REC#IS7ERE0° , .� a cY/;:.N`.�. .,y�e CuwtEn", � .Y/'N= � :_ Addre�s .Ucense.#� • . . M�c�rc.���; � , ;c.. : . ._ .coMP _ �����.1�;�"';��j.�t�� �����S - SIGNATURE � ��;� � � � . .. . i. �� RHC�I¢TERED;. . , Y;/rN. ;;FEE:CURREt�. 'Y./,.N'._=;:• �I Addres�� " � �� �'��✓1 c �ii� �L.� .. ' , . Lfcense# �� - , O7HER i � .« . .. . . . ,, _ �`��� < „ . . V , . . . „ ; 4 ,. , ,.,_ . � . .. ..- =:�:..-...._, . ,. .., ..�_ - SI(3NATU�Ei; _ '=. > - ,`"�" - . ' �.,REGIS7ERED, YCN.nr EE�GURRE� 7• 'Y,I:N-.: � ' _ �� : . : . �ddresa '%S n�: • .. , f �j .," » , ° . . cLlc�nse#�, �� .,,. � _ _ ..,.� :.,.,; >>>�.....� . .:�-�'.x' '�z��:,.:s:,;.;.,�;� �:,,f�':: _ , _ � _. , � , ;y. �. . w,. Yk:�:� RE81DENi'iAtY;r:__'=A#taeti�2<,PtckP.,lat�s;�.2�ssets�oft8ulldin�'�Plans;��1.}:seY'of�Ene� '�Foiins;'R-0=1N�Permlt:foraeuv..cons�ctE�on�� , ,. - { ) „{ ) 9. .{._,ir , �Y ...�.: _.,>;x...,.;,,,.,.,.� _ _ >-<MIr,11;um:�ten>(,1,Q)�Worictn ;daysy�tte�;'suti�Ci`iiEtal�ilafe.; Requited,onsite;�C�on'stnicHon�Plans;�Stomnwater Plansani%:Sfit Fenqe`inatalled,> . - - i- ° � 2San1 ary Fedll�es����aps4er�S,�s;'�:;s��i?��nte,�or:supcivisionstlar9�P�le�:y�F�>t+*^r�:.;,�a 4':'= '" � r .- - .� - . _. : CO�lt�i[ERCIAt. Attach(3j'eainplete�"sets af Building Pians ptus a L`Ife Sataty Page:('Ij set of Energy Forms.R-0=W Permit far nein►canstruc@on. Minimum ten(10)woricing days after submittal date. Required,onsite,,ConstrucUon Plans,�tormwater Plans w/Sllt Fence inst�lled;, . . Sanitary Facit�les.8�1_dumRster..Site.Work.Permit•for ail7'new"piojects:All'commerdai.roqulrer»ents must meet compilance . SIGN:F�ERM!'f Attac�i(2)setsiif'�rigii���`iair,ed�Pt.eltts�'.?:;p�s�.f,�:`::`^;.; .� ,`` - , . , I ••"•PROPERT.YSURVEY_required�forall•,NEW�constnuction;>, w - . . „ � Dtrectlons: � =r u':;-;�,'.,;, .. _ � _. .__.,.... u_ .. . _ . � , `Flll.out applicatlon completely. tOwner&��ConEractor stgn back�of appitCBttton,notarized , If"aver 5�500,a�Notice.of�Commancement ts requiresi. (AtC upgrad�s over 57500)_,.,_ � �-- � .. , :;�.,.:��.<..:�3;,��:� � l�gent(far ttie'COtiVaCttit)"Pr Po�Arer`of Attoiiiey(for#tie�ovmer)would be someons:wifh notarized letter from owner authorizing same OVER'THE C�OUN.T.ER;PERMiTTiNG-= =, :.(Frontof iiPPlic,e�tion Only)- t. _ , _ _, .. _ _ � . - . Reroofs If shingles Sewers Servica Upgrades AIC Fences(Plof/$urvey"/Fpotage) � -.• -, , �. _.. . _.__ _" ,.�-�-_. _ � .. —_�_...�:,�s,�, r�— � _ , . - .. ,e _ .. � . r. 'a,^=�" �.�, - „ - �lNveways-Not over Counter if on•pubiic roadways.:needs'RClW �M1u ,_ � I , I -- r � , � ' , , . -. : r � �. ,�.. .. . .� .�;�;•, . � ' � � ,.. _.....: .. . _. ., ._ , _ � -... _... -Y_: . .._�� >.... �q�:a,a`=•;•'-.'r�,'�=5 z�' � , . ...s b ect to..deed,�rest'ictlons. .. _ . , . t: s� :t��ma .:be u . _ decg ands��h� � �. , ►TICE AF DEED..RES'T.RICTIONS:-The undersigne�,Un t ._, t thl .��r.�n.,,.._„Y,.,. .�:..�.,�1, r;.„�....,.�::.,,,..,,,,.,,. ,- .. _ _ - S9. '_ �ti�_ - '.i' ;n.;x ..t�z�.,,;lim ,ry.ir�:rl,.kto�"':2`.4 ..{� - ^.y1.: w,r-L...a,,.... �.r-...,m,,... „ .�. . . Ich ma�r:tie�imor+e�rest�ictive=th���,County;��j�letfbitis:,TFie=.tlnderslgried�as�'umegEtespi�nsibillijz,for'ccmpliance with�any , �Ilcatile deed;ce�frictions. a - ` ' ,<;�, . . - - . ' . �".�".�;'-'::�>�::'_.` . , •�:�.r��f��.'�?'.? - _ - -:,:-.,.w.M,_• � : .. , :=::s ' � ., � ILICEN,SED::iGONTRAC�'ORS=AND`�CONTR�4CTOR��RESt�0�151B141t1�5`:�ulf���he-°ov�%ier==has`��hired��r�`�"i��titractor or _ ' y�' ' � _• ' � ctors�o undertake v�ork the me �be=�r� 'ired�to;;b:e�llcens�d��ln.�eccocdance:with,state;:and;local-.rs ulatl4ns:���lf�the::1��.���{���-s tra t � Y Y..:,..f._.:q�..::,.�, �.,,�..9�:.,�-:. x F �+' j'�z'r ,�r�,,...,���,y,r:�,k_�.{.:..5._�:t�-:�.w.::._.;.,.:;:�:•�,. ' �tractor;:ls'.not:�:licensed�as�requlred�tiy.law,.both•-the owner and��conVactc��mayybewcit�dsfot���a�u�ilsdetne�aor�vlolatlon 9er state law. If"the owner or'Intended�:contradfor�;;are::uncertaln:as to what licensing;:requltements:;mayi:�appl��o�1�=tiie-.�����;-�°-��. } �. .:.,.,E,� � ,,,..,>- - z ; �nded'work,-theyaare edvised to-contact t1ie:Pasco Coutity Bullding�lnsPectio� Dhilsion-Licensing Section.at 72T=847- � )e. FurtFiemiore,=(f�=tFie`.ov�me��has�hi'retl��a�contr�ctor'or cont`ractor�; he is"'advl"sed��to Fiave°-#Fte..contracbr(s)qsign,,.,:r,�,r.y__ -; � : .,...:.�; _, tions of the,"contrector 81.ock".of.°thl�pappllcation_:fcrswhlch�they,.brill�be,fe.sponslhle..�-If..y.ou;��as:,fhe"own�r:�s(gn as ffie- �- ;� it�actor;.that=�rnay•lie��a�"Indication=that�he�is-not.prope�y�Ncensed`and is"not'`entitled�fo�periiiittingprtvileges.in Pasco, �; F. unty. � ��; -,:� _ �� . .._..� - _�_._ ::.,..,4 _;.,.::,..::�. , _�:s�� .; . . . .. . _ .. .. . _ .. . � ANSPORTA'flON.�11UfPACTIUTILI�I�S��IiIARl4C'1'�ANb��tESO�I�CE�R�COV�RY=FEE3; �Thenndersigned'�understands a,� �� _` t Tren'sportation Impact Fees:end.Reco.uCse Recove.ry.�ees may;�pply�.#a,the constr.uctton..of^new..b.uildings;:change�of`��=��_'==_�"��; "' �::-W-�-�w> '�� ;: � In existfng�buildtngs;µ���'�expa�isi�'t�i:`Qf��xi.'sti�,�r�il��i�gs;as�specifted.in P�sco County Ordinance number 89-07 and � � 07, as amende,d.,,_Th�:undersigned elsa;understa�ds, thgt`such fees;;as�may�`;�e�:�due�„:wil�<nl�e identtfied at thetitime:of���""�-''';�'"' ;,, �� mitting. It is turtfier�under"s"tood that Traiisportatlon:Imp�cf'Fees and��Resourc''e`.Recovery�Fees_mu�f be pald p�lor to I eFvtng a."certificate..of�occupancy"�or flnat�.powe,r:-_reiease.,:if�the:proJ�ct;,does,iiot°(nvoive°,a�.certi�cate of occupancy`o�:5y'�`,:�.��r'" = � I d power:release�the�fees:-:niust�be`p�id°�prlor to:permit is$i��n`ce. ;Ft��tkiermore;i�H�Pascmx.Counfy`Vllater/S.e.wer-.impact�.:-�;�������� � f s are due,,.lhey�must be,pald.,p�for to;permit°>Issyance=ln�accord'a_nce wit�r appllcabfe:Pasco-County.`ordlnance�. �fVSTRUCTION'L`IEN`LA1N'(Cliapter 773, Florrda S�atute��a�amended): �f valuation of work is$2,600:OO,or�more;.,l� �:-_�� �=:- tify that I, the_.applicant,,.��iave:;^b.een�:�provided:.�with�-a .copy�of:;the-'Flocida•��ConstrucNon��Lien.�L=`avir-�Homeowner's �tectlon Guide" prep�red by.the'Florida Departmenf;of Agriculture and�Consumsr-,Aifairs: If the applicant ts sotneone� , ,,., .> >_: , er than the"owne�", I certifjrsth�t:I:have;,obfalnedja��copy;of.the�above:des,c�)k�e�tl�ifbcuri�ent:and:p.ror�l.se�:in�gQotl�:faith:to; _ ._.� . Iver it to:the'owne�'p�ior4to�commenceme�it:'�' � � � "" . :' . , _ - � � ' ' --`� °�.. �-.' � � �NTRACTOR'�IOWNER'��AFFIDAVIT: I.ce'41ty;=tki�at;all,th��information�.ln;thi�appllcation is �ccurat�:�nd that all �virork 'be done In compilance.with all.applicabfe'laws�regulatlng constructlon� zonfng and�;land=,deveiopment. Appilcation (s , eby made to, obtain-;a-..permit;=to:.;,do.r,wotk;;and;�liistatlafion as Indlcateti:�•,::>I, cettffy�tFiat no�v+iork��:or installatfon`fias ``� nmenced'p�lor to'issuance of a�-pemiit and thaf'all`work vuill be perFormed�to meet.stendards-of�all laws regulating� istructlon, County and Cily codes� zoning regulattans, and land development regulatlons�inxtfie;ju�isdlction:t�,.l��al'sa tify that I understand that.ihe regulations of other govermment agencies may�apply�uto.the..intended�w.,ork, and that it is �, , responsibllity to Identify�what,acttons 1 must_�take b be.In:.corrlPllanc�.�..,Such,agencles include=but are:not Iimite.d.to: � ' , , - Depactmenf of Et�vironmental:'Protectidn`=Cypress�'Bayfi'ead�;'INetland�Areas and Ernlronrimentally Sensttive - , Lands�WateNWastewater Treatment. '�: ' � ' � " - - Southwest Florid� Water Managemen��::<l�istrict-Wells, �Cypress.�';BayFie��dg;� �Wetland �Areas, Altertng VVatercourses. - , -- - � - • � � - Army Corps of Engineers=Seawalls;�Docks, Navigatile Waterways. �� - Department„of .Health..�,.,Re.MabiBtative;.Servtces/Envltonmental:;Nealth�Unit-l.N�lls;-�Waste.water�Treatment, , .. .. _.. . , , ._ . Septic Tanks:. _��:._.. : :. '.. _�. ... _. _ _ _ -. - US Environmental Protection Agency-Asbestos abatement. - Federal Avlatton:AulMoriiy,:Runways: �•: , . - ` � . iderstand that the.following�restrlctlons apply to the t�se of flIL•• - Use of fill Is not allowed in Flood;ZQne"V"unless expressly permitted. , - If the;flll_material�.:is'�fo��be::!usetl-in..floodu.Zone. °A", It�is undersfood•-thaf°a�`dr�inage��plan addresstng a "compe�sattng�volume"will be submitted at time of permittJng�irrFiich i� prep�red by a professional engtneer� Iicensed=by:•the��tate��of�Flo�lda: -- � � - : ° � - If ih� flll.:mater1af`:ts_to;:be•used tn (�lood Zon� 'A" In5 connection�with��a�`�ermitted bullding using stem-wall ' , conatruction,_,I;certt.ry that iill:w�ll:t�e;used only.to.f111 the:.area.within�the-s#em walL . - � � - �If:flU�•mateilat��is=to=-�be�used�in any-ar�a;`I'�aertffy tfiet .uee. of such"fill will not`�adversely affect ad)acent properties. If use�-of flll.,is faund to adversel�r_.�ecY'atl)aEent��prciperties,,the owner may be'ctted for violating• � the conditions':;of;tFie.bdilaing;permit Issued�.under tha�atfacMed,.permit=:�pplication� for:lots less�ihan.one (1) - acre•whichTare`elevafetl:6y;fllt;..�rrengineered drainage plan"ls required. , ,. . ; " :,: ;.: am the ACENT,FOR..THE,OYYNER;_'I�romise'In.good faith to�inform the�owner of:theT:permitting.conditlons�set forth In -' � affidavit'prtorto�commencing constr'octttin:"1"'uniderstarid tFiet a;�epa�ete perrrilt may be requtred for elecMcal work,, , ;�-� °• nbing, signs� wells��:p.v.olsi.,air condltioning�.,gas:;:or:;othee instal�tions"not�spec�icei(y Inclu�Jed-in.the application�. �A ._. ;:�� �` nit issued"sfiall'tie;:coiis�`t%ued;to'6ie��a`�Iicense>to���proceed with'the iivortc and no,t�as:,authoNty=to:diolate;�cancei;.alte�, o� �'Y �� aside any provisions-of th�'e':teciinicai:code$;�nor shall Issuance�of a.permif.prevent ttie Bulldirig Ofticlal from thereaSter .� �� •' ' �iring a conection_.�.eRors�ln:plens�"ca�nstivction or violattons�of'any codes: �very,permlt�:Issued.s�halF.become fnvalid � �'° ,ry sss the wo�k�authoNzed�`by'sucli pe�mit`>�is=commence��`in►ithln sbc mqnths_of permft i�suance� or If work authorized by . ;;} `r�, pertnit ts suapended:or,aba�doned,#.or,a;�eriod_of>six,�)-montFisi`.aRer ttie#irne�the�work��is commen�ed. An sxtenston - '' ► be requested� in�writing;:�from tFie`Buliding;OffiElal..for>a pe�lod:;not to°exaeed-ninety{90)��lays�a�d:wilf demonstrate �' ',� flable cause for.�the e�ten"sion: If�work ceases,for ninety(90)cons.ecutive:day.�,..(he]ob�is considered aba�doned. . }° � - :.��.: , . , RNING TO�OWNER:�'�xOUR;:_FAILWRE=TC1:�R,E.COttQ�A;;NOTl.GE�:AF:COMMEMCEMEI�7':NFAY:.;RES[1LT�IN�YOUR -- • �,_'IIVG TWI.CE;FOR.:fMP,ROVEMENT�TO YOUIt::P1�OPEI�T1f: IF YO.U{I�'fEWD"T4;�B,7?AIN�F.,IN�C�lE1TIG;��.OMSULT ��`i � � ... .:. .� HYOUI��.��V��R-��P�Ia►ni���YORFi�`Y��a�aR�,R��0�0�1�*�04D�'C�TO����'.�'d��l��:lL��:----=_- : ------ _�' -- - tIDA JURAT(F.S:t17,..03} . ; .. _ . .. _ ,.. , . . . • , , • ' IER OR AOENT - CONTR�CGTOR� � � cribed and swom to(or�flirtned)b'efore me thls Subscrltied'and'swom•to(ot�aflirtnedpbefore;me�UiiB;�., . ny .,by.. _ - Is/are personally known to.me or haa/have produced WMo�I's/ererpetsonallykrwwri•to.me.ocliaslhsve�prodi�ced; •, - - as IdentlflcaUon:� - � - � � ` - ;as`IdendflcaBon: � Notery Public . � Notary Public nlsslon No:' Comr�Ission.No._ �of IVotary typed,printed ar atemped Name`of Nolery qrped,pdnted or stamped �T