HomeMy WebLinkAbout17-18416 i
CITY OF ZEPHYRHILLS
� 5335-8TH STREET
, , (813)780-0020 18 6
BUILDING PERMIT
PERMIT INF.ORMATION LOCATION INFORMATION
Permit Number: 18416 Address: 6953 GALL BLVD
I 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
I Est. Value: Parcel Number: 03-26-21-0010-00100-0011
Improv. Cost: 7,190.00 OWNER INFORMATION
Date Issued: 4/28/2017 Name: X-TRA DISCOUNT DRUGS
Total Fees: 75.00 Address: 6953 GALL BLVD
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/28/2017 Phone:
Work Desc: A/C CHANGE OUT 7.5 TON
CONTRACTOR S APPLICATION FEES
KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 75.00
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� � Ins ections Re uired
DUCTS INSTA LED
DUCTSINSU D
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 performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONT l'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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� Kinsey Cen t�al
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� ' Heat�Air-Conditioning, inc.
' k P.O. �ox 2209
E Zephyfiills, Fiorida 33539-2209
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: � i � (813) 782-2300 CA Cosss2s
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of iBSG+�ed b pnt�e 6�Lmoa Qnwmc ia lnble fa m�rhuga iaNmed in ml�qg thie bill.
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1 TECHNICIA�1 CUSTOMER'S SIGNATURE
a��-78o-ooza City of Zephyrhills Permit Application Fax-813-780-0021
8uitding Depattment
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Dats Rscstved � Phoae�Contact�for Parmitfin
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Owner'�Name .� ,`� ��"i`` �fil�-L Owner Phone Numbec L`'�� �� }
Owner's Addrass ��� � Owner Phone Number �— �
Fee Slmple Tltletiolder Name � � � Owner Phone Number � �
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Fee Simple Titlaholder Addres� -
JOB I�DDRESS LOT# ��
�i SUBDIVISION �� —�� PARCEL.ID#
, _ (OBTAINED FROM,PROPERTY,TAX NOTICE)
� WORK PRt�POSED _NEW CONSTR ADDJALT Q StGN 'Q [� DEMOLISH
;e. INSTALL 8 REPAIR
PROPOSED=U$E . Q SFR Q `COMM Q •OTHER
TYPE OF CONSTRUC'1'ION Q ' BLOCK " 'Q FRAME �-] STEEL Q
DESCRIPTION OF WORK' * � � ( � � � ��'` �"'" C'�� �
BC7ILDINGSiZE �` ��' SQ'FOOTAGE��. HEIGHT ��-_--_� I
�����'����' ��� VALUATION:QF TOTAL CON89`RC'1CTION, `
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QEl'.ECTRICA� �'��� �' � AMP SERVICE Q `PRC}GRESS ENE}2GY Q W.Ft.E.C.
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QPLt}MBING. � � I
QMECHAidICAL �$ � f�� s.� VALUATION t3F`NtECHANICAt,lhlSTALLATlQN �'��`r/�
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QGAB Q ROQFING Q S3'ECtA�'1'Y [�] QTFiER•
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYE$. NO ����
BUiIDER COMPANY�� `
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N"
Addrsss -� ' �� - Ltcen'se# I � ' ��
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ELECTRICIAN: GOMPANY` - , , , _ , ,. - , „ - .
� SIGNATURE �' REGI3TERED Y/ N FEE cuRRe��' '-'-�Y L N - I
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Addre�s • . �, . Ucense.#.;�-- •� �
P�UMBER , COMPANY � � � -. :J :�� .
SIGNATURE , REGISTERED Y/,-N�. , FEE.CURRE�� Y/N. ' ,• �
Address License.# � .Ar� J -� -
NlECMANICAI: , COMPANY !,� s?z-. ...,�-�'��t..
SIGNATURE ' REGI57ERED Y./ N . � ; FEE CURRE�,� Y./.�N> >
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Address'�'`` • • - License#,�. �
OTHER = - - � � � GOMPAAIY . _ , ,
SIGNA7URE �:. � " � ' " " " ' ' REGISTERED ' Y/ N.,. "�FEe cuRt�� Y/N
Addre�� ,\ y . + - ` � ` • - License#�� ' " (
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RESiDENTiAL = :Attactit{2)ui?lot�Plaiis;{2)'sets°-of=8utlding�i'tans;'{'I)sefofiEnergy>Fartns;,F2=0-W�Parmltforrsewcanstructton,
-- �� .Mi,nimum;ten;,(;1,0)working;days afte�'submittal"date::-Requlred onsite;.C`onstrucU6n Flens,'Stormwater Plans w/SUt Fence tnstallsd,
���} �Senttary FacdliNes&�=•1;,dumpster.Site Work�kPermit;tor,sutiiiivislons/large:.projects,:.,_:;s�,_ � . - `
CO�IINlERC1At. A##ach(3)�cornptete'se#s'of Suilding'Plans plus a Ctfe SafeCy Page;{1}set of Energj/Forms.R 4-W Patmfti fa�new canstructlan.
Minfmum ten(10)working days after submittal date. Requlred onsite,Construc8on Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FacUiBes&1 dumpster.$ite Work Permit for a0 new projects.:AU commercial requlrements_m�st meet aompllance
SIGN PERMIT Attach"{2}'sets of EnglneesedrPlans:; �-:�:•`� � �� �
••"`PROPERTY SURVEY uir�d,for all NEW canstructlon..
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Dirsctlon�: F - -
Fill out applicaUon completely.
Ownes&Cantcaotor sign back of app{fcatlon,notarized
if ovar$2500,a Notice af Commencement la reguired. (14iC upgrades over 57508j �,
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'" AgenC(for the c:oatractor)or Power of Atfomey(far Uie owner)�would be�someone with notarized letter from owner autho�izin�same
dVERTHECCIt3NTERPERMITTING--•�• �(Frontof�Appiication.Oniy)V-'•- - ,:
Reroafs If shingles Sewers Service Upg'radrss A%C Fences(PIoUSurvey/Footage)
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Drivsways-Not over Counter if on public�roadwiay§..needs ROW �� �
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NOTiCE AF DEED RESTRICTIONS: The undecslgned undergtands�th�t=�thi�:�.p�cmit;may;be._subjecfi to,°deed",restrlcttons° .�._', `�. .}
which may be�'more rest�Iative»th���County�regulatCons.-�The�und"ersigned�assumes�espcinsibiltty-fo�'compilance with any��" ��
' aPPlicable deed�rest�ictions. -:.-•..:r:. -..:: . .: :'. � - - - -.- � _; `. � ,
UNLICENSED CONTRAC�'ORS .AND CONTRACTOR_RESPONSI�IrITi@S: If=the�owner has"htred`��a-:contractor or �
contractors to undertake work, they may•be>c�qul�ed.:to:be�licensed In accordance.with;state�.and�local tegulatlons:��If�the�=- ` � '
, contracto� is�not�itcensed�as�reqWced�tiy law, tiotFr the owner and-�conUacto� may��be°cited for�a�misdemeanor violatton
o w a Ilcensin .re uirements;ma u.a �I �::for='tFie-�� • �� �
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tractor;are uncertal s
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under state law. If the owner or Intended:;con ,,, .,; �,. _ , .9, q_., �:;:,.,..�.,_. Y PPY
intended"work, they are"ad"vised to'contact ttie,Pasco County Bulltling�Inspection�Dlvislon--l:tcensing Sectton at 727-847-
8009. Furthermo�e, If the owrier has�Fil�ed�a�contractor"or contractors, he Is advised to have the conUactor(s);`sign : ,. _
portions of the °contractor Block° of this._appilcatlon,for_which:.they,.wfU�be._tesponslble:. {f:-you,..as-.#he owner'sign'as'"the '
contractor, that�may be an indication that'Fie is'noY°properly Iicensed'and��is�not entitled to pemiftting�p�i�rileges in Pasco ,
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TRANSPORTA710N:�IMPACTIUTIWTIES;�rMPAC7 ANb RESOURCE RECOVERY�FEE3: �The undersigned�understands
that T�ansportatlon Impact Fees�and:Reco.urse.Recovery,Fees may��apply:to��the:construction.of new_buildings,:change�of�����-�=' 'r=
use in existing bulidings, o��expa�si�ri-�of��ezistin,g��buildings, as speci8ed.in Pasco County Ordinance number 89-07 and.
90-07, as amended.,.:The undersigned also;understands; th�t:�such fees;;as��may��e:;due;�wlll:�be identffied at the'time4of-�- �-�� �"
perr�itting. It is iiirtFier understood that Transportation Impact-Fees and�Resource.Recovery��Fees.mu�t be paid prior to
receivtng a "certificate;of occupancy" or�flnal��power;release.� :If>the.projec#.:does.not,involve.a�.:certfficate of occupanoy. o��` =� � "
flnal power release;�the-.fees�mu�t•tie paid;prior to,,pecmit Issuance. Fu�thermore;�if Pascv,County��Water/Sewer�:impact� -. � � .�.,,��;
fees are due,they:must:be-pald.pNorto,..permit-lssuance=lnraccordancewith.:applicable-Pasco�-.County�lortlinances. �
CONSTRUCTION'LIEN"LAVII'(Chapter 773� Florlda Statutes,as amended): if valua�on of work is$2�500.00:or more,.:l� ; . _;?
cerlify that I, #he.-applicant,��have�been provided��wlth-a-copy of'the°�"Florida� Constructton�Lien .Law—Homeowner's
Protection Gu(de" prepared by the Flo�ida Department�of Agric.ulture and ConsumerAffairs. if the applicant Is someone , .
other than the°ow�er", I certffy.that,l=h�ve.ob,tained•�aticopy,of.#he�abave::descrlbed'tfocur�ent-and,pror�ise��in,good:faith�to ,,
deliver It ta.the:`owne�"�.p�iorrto�commencement:' ` ` ` � � . ' � �- ' . :
CONTRACTOR'S/AWNER'�A�FIDAVIT: I.ce�tify,:th:aG:aD th�;lnf.ormation:;ln this applicatlon is accurate.and that all work
will'be done in compliance with all appltcable'laws regul�ting construction, zoning and�land.�development. Application is
hereby inade.to obtain..a .permit;,to do.,:work:r,and�installatlon as indtcafed:-.:°I. certifji that no work.�or installatton Fias
commenced p�lor to Issuance of�a permiE`"and that.all work will be pertormed�to meet standards-of all laws regula�ing-
construction, County and City codes, zoning regulatiQns, and land development tegulatlons•tn the��jurisd(ction.- 1=.a1'so
certify that I understand that the regulations of othe�government agenctes may�apply�.to the_intended work, and that it is
my responstbility,to identliy•what.act(ons I must take,to be.in:;corr)pliance.;-Such:agenctes include but��are.not Ilmited to: �
- Department of Erlvironmental>°Protection-Cyp�ess�`Beyheads, Wetland Areas and Environmentally Sensittve
Lands,WaterMlastewater Treatment. �
- Southwest Florida Water Managemertt:�:t�istrict-Wells,' Cypress.��Bay.k�eads;- Wetland Areas, Altering
Watercourses. � - �
- Army Corps of Engineers-Seawalls, Docks�Navigatile Waterways.
- Department of,:HeaRh:;;& .Ret�abifltative;SeniiceslEnvltonmental.-Health Untt Well.s� Wastewatera Treatment, ' �
Septic Tanks: : �� � . . , � :.
- US Environmental Protection Agency-Asbestos abatement.., .
Federal Avlatlon_Authority-Runways� -
-I understand.that the.:following;restrictions apply'to the use of flll: -
- Use offill is not allowed in'Flood:Zone"V"unless expressly permitted.
- If the.�ffll` mate�lal-ts �to `be used:,�ln :Flood Zone. "A", it. is understood�that a drainage plan addresstng a
"compensating volume" will be submitted at time of�permitttng which ts prepared by a professfonal engineer
Ilcensed by'tF►e State of<Flo�tda: ' �, - � ��- � . .
- If ih� flll material.is.to be used in Flood Zone 'A" in>connec�lon�with�a�permitted buildt�g using stem wall
� construction, I certiry that flll.wall-b.e�used only.to.fill the.area within the stem�wall: •
- If flll material is to be used in any area; I°��certify that .use. of;such'�flll will not adversely affect adJacent
properties. If use of flil Is found_to adversely:�ffect ad)aeenf�praipertles�.the ovuner may be cited tor vtolating �
the conditions...of.the bullding�.permit l§sued=-under the°attached permit�application,.for.�lots�less,.than�one (1)
acre which�are elevated�by flll,an engineered dralnage plan is required. . •�
If I am the AGENT FOR.THE OWNER; I;promise In good falth to inform-the owner of the permitting conditlons set forth in
this affidavit�prior to commeraoing construction. I understand thet a�separate permlt may be requtred for electricaf work,
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plumbing,..signs, welis,.pools; air` condittoning, .g�s,,�or.othec tnstall�tlons noE•spec�fcaily included�tn.tMe application. .A ,
permit Issued shall be construed to be�a�flcense`to proceed with'tFie;wor`k and not�as.:authodty::to:violate;=cancel, alter, or
set aside any provislons of ttie.techniaal-c�des;�nor shall issuance�of a.permlt.pcevent the Bulidirig Offictal from thereafter �
requiring a conectlon af ercors,in pfans; constivctlon orirlolations of-any codes: Every-pennit�Issued"sfiall�beaoine invalid
unless the work autFiorized.by such.permit:�s-commenced�with(n sGc..months of permit Issuance, or if work authorized by
the pe�mit is suspended or:aba�doned:for:a:period_of�six.�)�montt�s:after the time�the�work Is commenaed. An extension
may be requested, In writing,:f�om tNe�Building,Official for a peNod-�not.to-exceed�ninety�(90)�days a�d=will demonstrate
justiffable cause for.�the extension. If work ceas�es:for ninety.(90)cons.ecutive•day.s�..th�job�is_constdered aba�doned. �
WARNIPIG TO OWNER: YOUR.FAIlURE:.TO.,REC.ORD,A::MOTIGE�:OF:�COMMENCEMENT:IIRAY�RESULT IN�°YOUR
PAYING TVYICE.FOR IMPROVEMEN�S�tO;YOUR�:PRt�PER7Y.�IF°YO.U�IP4�END�TO'�OBTAIN��FIN�iI�E1WG;�CONSULT
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FLORI�A JUI3A�(F.S:11 . �- . _ .� .
OWNEl2 OR AGENT. ' � CONTRACTO ` r � �
Subsaibed an bswom to(o�,al�rmed)b� " e thls Subscribed and'suw e � efore me thlg:�
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' Who Is/are personally a�m to.me or, as/have produced Who.ls/are , .lyknown• e,or haslhave�produced • �
as identlflcetlon. as IdenBflcaUon. • �
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� Notary Publlc _ � Notary Public
Commisslon No: Com slon. . �,
,��'�P�:��, JACQUELINE BOGES
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Name of Notary lyped,printed or stamped Name of Note ' � sl�lOB�er 12,2018
�n,q��(�u`` BondW tIw Troy F�in Insuranca Bo0.385•7ot9
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