HomeMy WebLinkAbout17-18351 - * CITY OF ZEPHYRHILLS
'� � 5335-8TH STREEf
(813)780-0020 183
BUILDING PERMIT
PERMIT INFORMATION °LOCATION INFORMATION
Permit Number: 18351 Address: 7345 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0000-00300-0020
Improv. Cost: 12,200.00 OWNER INFORMATION
Date Issued: 4/10/2017 Name: RCG-ZEPHYRHILLS SPE LLC C/O RCG
Total Fees: 100.00 Address: PO BOX 53483
Amount Paid: 100.00 ATLANTA GA 30355-1483
Date Paid: 4/10/2017 Pho
Work Desc: A/C CHANGEOUT 12.5 TON Q
CONTRACTOR S APPLICATION FEES
CONSERV BUILDING SERVICES , INC. A/C CHANGEOUT 100.00
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Ins ections Re uired
� DUCTSINSTALLED
' DUCTSINS 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 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 pertormed in accordance with
Ci 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
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D � ei3asaoaza City of Zephyrhi(Is i'ecmit Application Fax�813 760-0021
Buflding Department
Data Racetvsd I
PhoneContaetforPormitting� -
f !Y't'TT"7-�7�
Dwr�e�'s t3ame ��o" �� QwnatPhono Numher
Owner's Address �� 3 �OwnecPhono Numbor � �
FooSfmpto7itieholdor.Namo � � 4wnerPhang'Number ��
fan Simpia Titlahoider'Addruss
� L�JOB ADpRESS �� �"' I �I V; LOT#
SUBDlVISIOH �� � PARC$l.ID# � ����1 `J��'-'C,1 a�2L3
(OBTA�NEO FRQM PROPERTY TAX NOTICE)
WORK PROPOSED NEW tON5TA AD�lRL.T �..� S(GN Q Q OEM4�ISH
e JNSTALl. 8 REPAfR
pROPOSED USE Q SFR Q COMM � OTMER
TYPE OF CONSTRUCSlOH Q 8lQCK Q FRAM@ �] STEEL Q
DESCRIPTIONOFWORK �-[�� �Pi�k'.� `� 1 �2•�j fi�ri. t�aC_ K--( �i'�� `
SU1IAfNG SIiE � � SQ FOOTAtiE[� NEtGHT;�
-r�-r`�-r-e-�-t-
QBUILDIN4' ��"� VALUATiONr.OFTOTACGONSTRUGTtON
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QELEbTRICAL �� AMP SERVICE Q PROGRES$'ENERGY Q W,R.E.G. �
QPLUM8fNG S �t/1
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'�{JIECHANlCAL 8•t-L�-��� VALUATION,OF MEGHANICAI iNSTALLA710tJ �
QGAS Q ROOFING Q SPECIALTY,0 OTMER �
FINlSHEp FLOOR ELEVATI{tNS r-� FLQOD ZONE AREA QYES NO
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BUILDER � GOi41PANY �
SIGNATURE REoisietteD, Y/N FEE CURREA Y I'N
Address Ltcense#( �
ECECTRICIAN COMPANY � �
SIGNASURE � � REGISTERED Y/N' fE£CURREA Y/N
(�'� i
Address License# I �
PLUMSEI2 � � COPiiPANY �
5tGNATURE REGISTERED Y/N. FeecuRaEn Y.IN
Addtoss Ucense#_��,
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MECHANICAL �'"""� CQMPANY •�Yl � �G
SIGNATURE � '""� ae�lsrEaeo Y/ N FEECURREA, Y!
�t�ti ���^ (n/
Address 'Licen=e#'����
07HER COMPANX
S]GPIATIIftE �' � REGISTERED Y�I N FEE'CtlRREh Y 1 N
A"ddress LicenseiF� I
IItl.t>tllSII � I.IILItt1I [ !:{ 212III'�I ! lIIItTItiltitIlittl2lilt:ittll / i-I1 ! [
RESIOEN77AL Aktacfi(2)Piot Piens;.(2)sets of 8uiiding Plens;(1}set of'Energy Forms;R-0•W Permlt for new construction,
Mlolmum ten(10)wnrking days after.submittal dete,,Requf�ed onsite,ConsWctlon Plans.,Stortnwater Plans w!Sflt Fence installed, '
Sanftary FacillUes&1 ducripster,SIte.Wock Pertnitfor.su6dlvisionsllerge ptqJects
COMMSRCIAL Attach'{2}compleSe sets.af 8uildtr�g Plans plus a'Life Safery Page;'{i}set af.Etiergy Forms:R-O-W Pertnit for new wnstivctton.
Mlnimum'te'n'(10)avarking days after submittei date.'R'equired onsita,Constructfon Plans,Srortnwater Plens w1 Sllt Fence installed,
Sanitary Faellilles&:1 dumpster.Slte Work PeRnit forail naw pro}ects:All commerclal requireme"nts must meet compliance
SIGN PERMlT Atta6h(2)sets of Eng(neered Plans.
""PROPERTY SURVEY requlced far alI'NEW con"stnictfon.
• 4-I-1.-t-i-ta-l-i�f��-t-t-t-i-t�-1-s�.H-L-+--h1-�-t--4i-f-a-�--�-i-f-a-
plreeQotts;•
FIII auGapplicaUon completely.
Owner&'ConVactar slga back of applicatifln,notarizad
7i ovor$2600,a Nadeo of Commencomont(s required: �AlC.upgrados ovor 57600),
" Agent(far the contrector}.or Power of Attomey(tor.the owner)viould tre so'meone wilh notarized lettertrom ovmar authorizfng sarne
dVERTFlE'C4UNTER PERNtiTTTN� {cagy of cantract reqpired}
Reroofsitshing�es Sewers ServiceUpgrades NC Fences.(PtoVSurveylFootage),
Ddvsways-Nat over Countar if on public raadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands.that this;permit may be subjectto"deed"restrictions"
whfch may be more restrictive than County regulations. The undersigned assumes-responsibility for compliance with any
applicable deed restrict(ons.
UNLICENSE� CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If.the owner has hired a contractor or
contractors tb undertake work,they may be reGuired tb�6e Iicensed 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 iotended contractor are uncertain as to what licensing requirements may apply for•the
iritended work,tliey are advised to contact the Pasco County Building.lnspection Divisfon—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advfsed to have 4he contractor(s) sign
portions of the"coniractor Block"of'th(s applica8on for evhich they will be responsible. If.you,as tFie owner sign.as the
contractor,that may be an indication that-he is not properly licensed and is notentitled to permitting privileges fn Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT•AND,RESOURCE RECOVERY FEES:�The undersigned understands
that Transpo�tation Impact Fees and Recourse Recovery Fees.may apply to the'construct(on•of new buildfngs,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 inust tie.paid prior to
receiving a"certificate of occupancy"or final power release. If the project does nof inVolve a oertificate of occupancy or
final power release,the fees must be paid prior to permit issuance. FurthertrSore,if.Pasco Eounty Water/Sewer Impaot
'fees.are due,they must be paid prior to peYmit issuance in accordance witFi applicable Pasoo County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as ameridedy: 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 ConsVuction Lien Law—Hbmeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. Ifthe 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"owrie�'prior to commencement..
CONTRACTOR'S/OWNER'S AFFIDAVITc I certify that•all the informatlon ln this°appfication is accurate,and that ail work
wlll be done.in compliance with all applicable laws regulating construction,zoning and.land development. ApplicaUon Is
hereby made to obtain a permit to do work and installation as'indicated: I certify tfiat no work or installation has
commenced prior to issuance of a pertnit and that all work will 6e perFormed to meet standards of all laws regulating
construction, County and Clty codes, zoning regulations, and•Iand development regulations.in the jurisdiction. I also
certify that I understand that the regulailons of other government agen�fes may apply to the intended work,and that it is
my,responsibility-to fdentify 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.Environmentaliy Sensitive
Lands,.WatedWastewater Treatment:
- Southwest Florida Water Management Distrlct-Wells, Cypress Bayheads,. WeUand Areas„ Altering
Watercourses.
- Army.Corps of Engineers-Seawalls,Docks,Navigable Waterv✓ays.
- Department of Health &.Rehabilitative.ServiceslEnvironmental Health Unit-Weils,.Wastewater Treatment,
Septfc Tanks.
- US Envlronmental ProtecGon Agency-Asbestos ahatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fiil:
- Use of flll is not allowed(n Flood Zone"V"unless:expressly permitted:
- If the fiil mate�ial is to be used in Flood Zone "A", It Is understood ihat a drainage plan addressing a
"'compensating volume"wiii be submitted at time of permitting which is prepared by a.professional-engineer
licensed by:the State of Florida.
- If the.flli material is to be used in Ffood Zone "A"in conriectfori with a permitted tiuilding using stem wall
constri�ction,I•certify that.fill will be used only to fill.the area witliin the stem wall:
- If fill material:is to be used in any area, I certify that u"se of such fill will not adversely affecf adjacent
properties. If use of fill is found to ativersely�affect adjacent properties,the owner may be cited for violating
the conditibns of the buiiding pertnit issued under the.attached pe[mit application,for lots Iess than one (1)
acre which are elevated by fill,:an,engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good falth to fnform the owner of the perm(tting conditions set foith in
this affidavit prior to commencing construction. I understand that a separate.permit may be required for electrical work,
plumbing, sfgns,.welis, pools, air conditioning, gas; or other installat'ions not specifically included in.the appiicatian. A
permit issued shall be conshued to be a license to proceed with.the work and not as authority to violate,cancel,alter,or
set aside any provisions.of the techNcai codes,�nor shall issuance of a permit prevent the.Buiiding Offtcial from thereafter
requiring a correction of errors in plans,constFucfion•or violations of any codes. Every permit.issued shall become invalid
urless.the work authorized by such permit is commenced within six months,.of permit.is�L:ce,;or if work authorized by -
the.permit.is suspended or abandoned for a period of six(6):manths after the time the work is commenced. An extension
may be requested,in writing,from the Building Official for a perlod not to exceed ninety(90).days and will demonstrate
justifiable cause for the extension. If work oeases 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
\1 -�WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OF COMMENCEMENT_
�ORIDA JURAT(F.S 117.03) �/
X �
WNERORAGENT V / �ONTRACTOR
bsaibetl and o r afti e e re me hls �L Yt4 I�Subscrbe and svrorn(�(or affirtned) efore me thts
ZZ2 L t! �l./. C5' ! i by 15c�a.. �o:.,�S
o Is! e�sonaUy known me or has/have.produced Wno is/are p,C�Qpa�lly knOwn to me orhasRiave produced
as Identfficadon. N I X4 as identiflcatlon.
Nvtary Publlc ,0����,�I���/� i� 2���/'� Notary Public
Co mission No, �'�� 2 Z J��O 7Z- ������7'�, �� F F I'�r b o 9
�1L�tc� c oalcs Us�, .r`���o � '�s� � t Il���
aame of Notery typed,printed or stamped. :V � ry typ �rl�ed or stamped
�� GEp1tC,lA -
� ZQ � ;;�:Y':ye��; GRANT WALKER
� o��o�� 'e a� :,,: �: Commission#FF 171609
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�� ;t�,:;: Expires November 1,2018
%G �u K�-�J?�� "•;����=.qQ•' Bonded T�m Trcy Fain Insurance&.^O;�eS-�ots
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�'ii������•
ConServ
� Building
Services
MECHANICAL, INC.
A BCH Mechanical Inc.Affiliate
6350 118th Avenue North, Largo, Florida 33773 (727)541-5503, (800)940-3241, FAX(727)544-1924
March 1 S�2017
City of Zephyrhills
Building Division
5335 8th Street
Zephyrhills FL 33542
This letter is to authorize the following persons to act as an agent for Conserv Building Service, Inc. to sign for
Electrical Permits for Wayne Griffin EC13004405.
Brian Raines
Brian Powers
Frank Conway
James Metzgar
Lisa Knutstad
Sarah Griffin
Kelley McKay
Thank you for your cooperation in this matter.
Sincerely,
, �,��
�
Wayne Griffin
EC13004405
Regional Electrical Manager
Conserv Building Services
STATE OF FLORIDA
COUNTY OF PINELLAS
The foregoing instrument was acknowledged before me this 1st day of March 2017 by Wayne Griffin of
Conserv Building Services. He is personally known to me and did not take an oath.
Notary Public: 11�i1re. �'����l�.J+�� �ar a Not�ry Publla Stete of Florida
State of Florida at La� ;� �: Diene L Meher
� My Commlaeton FF 137786
�nF,�o'� fixplras07128/2018
State Wide Ser '�
Air Conditioning • Refrigeration • Electrical • Plumbing • General Services • Lighting Maintenance
State License Numbers CAC1814721 • CFC1426761 • EC13004405 • CGC1515068
I
,� , � �
onSer� , �orporate Office
Building 6354118�'Avenue N.,Largo,FL 33773
Phone 727.546.3561/Fax 727.545.1801
Services�IrIC. 24 Hour Emergenry Dispatch 800.940.3241
A BCH Mechanical,Inc.Affiliate www.conservonline.com
3.1.17
City of Zephyrhills
5335 8th Street '
Zephyrhills FL 33542
This letter is to authorize the following individuals to act as an agent for ConServ Building Services Inc. to
sign for, pick up and call for inspections regarding Mechanical permits for Daryl Blume CAC1814721:
Lisa Knutstad
Brian Raines�
Brian Powers
Kelley McKay�
James Metrgar
Joseph Azzaro
Sarah Griffin
Thank you for your cooperation in this matter.
Sincerely,
o..�r5 �
Daryl W. Blume
CAC1814721
STATE OF FLORIDA
COUNTY OF PINELLAS
The foregoing instrument was acknowledged before me this 1� day of March 2017, by Daryl W. Blume of
ConServ Building Services, Inc. He is personally known to me and did not take an oath. -
c��.A�Qnre C���r"'�'�`ni
Notary Public: �MYPt� Nofary Public State of Florfda
State of Florida at Large . �`F Diane L Maher
.�t+ My Commission FF 137186
�or tig`' Ezpires 07/28/2018
Serving the Southeastern United States
Air Conditioning•Refrigeration•Eledrical•Plumbing•Test&Balance•Building Automation
FL#CAC1814721 • GA# CN209112 • NC#3951 • SC#M108868 • TN#00063404 • TX#TACLA00029710E
1 I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII I
� ' 2017053158 �
Rcpt:1853483 Rec: 10.00
DS: 0.00 IT: 0.00
04/10/2017 J. G. , .Dpty Clerk ,
Permit'No. Parcel'IQ Nb V�� ��S-�'t.'^'Q�����'C�f)Z.�
NOT�CE`bF COMMENCEMENT.
State ct ��'���}I�.S'lJ Coun'ry or ��-Zl
7HEUNEIERSIGNED heretiy.gives indt(ce�ltat'improverfrenh�viR lie rrmade:lo oertsin rea(prbperry;and fn accprdarice=4i�fth Ctiaptei 7.13,:Fluflda 5tawtes,
, ihe:foUo�+rinp Infartnatfon is proyided in thts�Noliee of Commencement -
1. DesalP�on ofPrdperiX:°Parcelldentlfmatiofl t+lo:,�_��-.�%.}--:��:Cx�S'��Q_?i '�� �(�
StreetAdtlress: -' G' - � �
P. General'Deeaipdon of ImnravemeM � ,1�'i't C�V � _':;. -C^F' Q���J �1 Z. J. "r L)Y"1
f��U A 1Q-�nYr'��.i`1 . PqULR S 0'NEIL,Ph D PRSCO CLERK a COMPTROLLE
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7. Persaos�lWtff�:�he Stete oT.Rorida designeted by the ovmer upon v+ham.aotices or'other.documeMs may be sanred as.providetl:by
Section.7'19:13(1)(aj�i Flo�id'a Statutes:.
Name
�Addre&s' City Slate
T.elephane NumberaFQesigneted'Person: . --
8,. In add'Riaii ta'himseH,ihe oxmer designates °t—
to recehre a copy of the'Uenors NoHce,as provided in Seotian 713:t9(1j(b),.Florida.5fatufes.
^ Tdap6one.Numbe�of Persvn orEiitliy t3es�gnaledby0wner:,
9. Ezpiratio�date.ol.Nutiae-of Commericemenh(ihp axpiratlon'date mey not'be before'.the:wrtlpleBon o(.canstrudlon and final payment ro the
canhactor,.hut,�il tie�ane yeartram the.date of recording u.nless a'ditierent date is specifledJ:
WARNING TO.04YNER:=ANY PAYMENTS MADE BY TI-IE OWNEf�AF,TER:iHE.EXPIRA710N OF THE.NbTICE AF COMMENC£MENT .
ARE.CONSIDERED 1MRROPER PAYMEMS.LJNDER-CHAP.T�R'913; P.4RT 1, SECiION 713A3,-FC6RIDA:STATUTES,.AND CAN
RES�LT�N YOIJR':P:4Y!NG-�C£ FOR IMPROVEMEN'C$T6 YOGR:P.ROPERTX. A'NOTICE OF COMMENCEMENT MU57 BE
RECORDEO'ANO.:POS'fHD ON THE JOB SiTE$EFORE THE'FIRST IN6PPCTFON. IF-YOU.[M1`TEN�TO:OBTAIN FINANCING,GONStJLT
� WITH�YOUR'LENAER OR'AN ATTdRNEY BEFARE COMMENCING WQRK OR RECORDING.YOUR NOTICE�F GOMMENCEMENT:
Under penalty o1 perjury,I'deGara thafl ha�!e read�he foregaf�B nolice of commencemant eod 1h :lects Iherein are We to the be3Y
af my knawled9e and befief.
STATE OF f'�Cftlff!{ � X
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Slg_a �re er ar Lesse ,ofOw 4�"f's ar Lessee's Authoriaed
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The foregoiriglnstiumentwes acknrnvledged before me�thls u' day of' 20� b �5�� �Y�
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