HomeMy WebLinkAbout17-18565 _—�
: , CITY OF ZEPHYRHILLS
5335-8TH STREET s`'"
(813)780-0020 ' 18 65
�UILDING PERI�IT �
PERMIT INFORMATION - � � LOCATION INFORMATION -
Permit Number: 18565 Address: 6305 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: 03-26-21-0000-00700-0010
Improv. Cost: 4,300.00 OWNER INFORMATION
Date Issued: 6/22/2017 Name: ASSOCIATED PROFESSIONAL 301 LLC
Total Fees: 60.00 Address: 5306 FOXHUNT DR
Amount Paid: 60.00 WESLEY CHAPEL FL 33543-4245
Date Paid: 6/22/2017 Phone:
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
DYNAMIC HEATING & COOLING INC A/C CHANGEOUT 60.00
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Ins ections Re uired
D CT INSTALLED
DUCTS INSULAT
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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
_n_��_�_�_�_r Phone Contact for Permitting - _
- - - --r7T�-
Owner's Name (,jG/f�'%�YJ �.(J/��,�l�lL/� L .3O) Owner Phone Number
Owner's Address 5,3Q(r-j �Q,��f�/,(J7 /fJZI UZ: Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ly J�J �i/�L�i �Wp LOT# � I
SUBDIVISION PARCEL ID# �3-2�G—Z I�vG6d''(�` �'Gb-���a
(OBTAINEO FROM PROPERTV TAX NOTIC� i
WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN 0 � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL Q
DESCRIPTION OF WORK 1` L (,�'�'� Lj Fj lSu'f
BUILDING SIZE SQ FOOTAGE� HEIGHT �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C.
OPLUMBING $
��ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
� OU.O ,
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO
BUILDER COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURREA 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 D /G / //EI `f�QJG/NC.
SIGNATURE REGISTERED N FEE CURRE� Y/N
Address Z � (,F�JKG FE✓llll I��• License# �c�b%3 z z�
OTHER COM PANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1
� RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum len(10)working days after submiltal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&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,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for alI NEW construction.
Directions:•
Fill out application completely.
Owner 8 ConUactor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same
� OVER THE COUNTER PERMITTING (copy of contract required) �
Reroofs if shingles Sewers Service Upgrades AIC Fences(PIot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRIC710NS� 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 desd 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
cantractor is not 3icensed as raquired by law, 6ath the owrser and coniractor may be cited for a misdemeanor vialation
under state law If the owner or intended con#ractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
8dQS Furthermore, if the awner has hired a cantractor ar contractors, he is advised to have the contractor{s} sign
portions of the"contractor Block"of this application for which they wiii be responsible. (f you, as ffie 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 F2ecovery Fees may apply to the construction af new buildings,change of
use in existing buiidings, or expansion of axisting buiidings,as specified in Pasco Cou�ty Ordinance number 89-07 and
90-07,as amended. The undersigned also understands, that such fees,as may be due,will be identified af 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 accupancy"or fina!power release. If the project does not inva(ve a certificate of occupancy or
fina(pawer release, the fees must be paid priar to permit issuance. Furthermare, if i'asca County WeterlSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTIQN LIEN LAW(Chapter 713,Florida Statutes,as amendedj: If valuation of work is$2,50Q.00 or more,!
certify that [, the applicant, have been provided with a copy of the "'Flarida Construction Lien �aw—Nomeowner's
Protection Guide"prepared by the Florida Department af 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 tfie"awner"priar to commencement.
CONTRACTQR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wark
will be done in compliance with all applicable laws regulating construction,zoni�g and land development. Application is
here6y made to obtain a permit to da work and installation as indicated. l certi£y that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
cerfify that 1 understand that The regulations of other gavernme�t agencies may apply to the intended work,and that it is
my responsibility to idenfify 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,WaferMtastewater i'reatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigabie Waterways.
- Department of Health & Rehabilitative Services/Environmenta( Hea(th Unit-We(Is, Wastewater Treatment,
Septic Tanks.
- US Environmenta!Protection Agency-Asbss2os abatement.
- Federai Aviafion Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"uniess expressly permitted.
- lf the fill materia! is to 6e used in Fload Zone "A", it is undarstood that a drainage p(an addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
, licensed by the Sta1e of Florida.
- 1f the fill material is ta be used in Fiood Zone "A" in cannecfion with a permitted buiEding using stem wall
constructian,I certify that fill will be used only to fiil the area within the stem wall.
- If fill material is to be used in any area, l certify that use of such fill wil! no2 adversely affect adjacent
properties. !f use of filE is faund to adversely affect adjacent properties,the owner may be citad for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If i am the AGEN7 FdR THE OWNER,I promise in gaod faith to inform the owner af the permitting copditians set forth in
this a�davit prior to cammencing construction. I understand that a separate permit may be required far electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issuad shail be construed to be a[icense ta proceed with the work and not as aufhority to vialate,cancel,alter,or
set aside any provisions of the technical codes, nor shell 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
uniess tha wark authorized by such permit is commenced withi�six manths 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 ceasas for ninety{90)consecutive days,the job is considered abandaned.
WARNING TO OWNER: YOUR FAILURE 70 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TQ YOUR PR4PERTY. IF YOU INTEND TO OBTAIN FINANGlNG,GONSULT
WITH Y4UR LENdER OR AN ATTORNEY BEFORE RECORDING YOtlR NOTICE OF CON(MENCEMENT.
FLORIDA JURAT(F,S.117,q3)
OWtSEi2 OR AGENT COFSTRACTOR
Subscribed and sworn to(or affirmed)before me this ubs bed an swom to(or effirrr�edl,�beforQ e this
bY ,a"'� �by �Iti"✓1 Y�'N'l��V"(/'�LCU��7
Who is/ara personally known ta me or has/have produced o is/a personally known to me or has/have produced
as identi£cation. � ��,��,n(.i V as identification.
Natary Public —�I�������t� Notary Pubiic
Commission No. Cammission No. � "
t.v�L� 9 S „�.., - ----R`�}���T.g
Name of Noiary typed,printed or stamped Name of Notary typed,printed or stampe y�L'' :
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ASSOCIATED PROFESSIONAL 301, LLC. TAN QUEST
5306 FOXHUNT DRIVE 6305 GALL BLVD
WESLEY CHAPEL FL 33543 ZEPHYRHILLS FL 33542
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1 00 INSTALL NEW 4 TON 14 SEER ARCOAIRE COMPLETE SYSTEM 4,300.00 4,300 00
INCLUDES ALL LABOR, MISC. MATERIALS, NEW EMERGENCY
FLOAT SWITCH, NEW PROGRAMMABLE THERMOSTAT,
AUXILIARY DRAIN PAN AND FLUSHING OF THE EXISTING
COPPER LINE-SET
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TOTAL
$4,300.00
LIKE US CYN �':
Dynamic Heating & Cooling '�
i
226 W. Lutz Lake Fern Road �
Lutz, FL 33548
#CAC1813228
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