HomeMy WebLinkAbout17-18635 , CITY OF ZEPHYRHILLS
'' ' S335-8TH STREET
(813)780-0020 18635
BUILDING.PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18635 Address: 6848 GALL BLVD
' 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
Est. Value: Parcel Number: 02-26-21-0010-00900-0020
Improv. Cost: 7,400.00 OWNER INFORMATION
Date Issued: 7/06/2017 Name: ZEPHYRHILLS CINEMA 10
Total Fees: 115.00 Address: 6848 GALL BLVD
Amount Paid: 115.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/01/2017 Phone: (813)782-2222
Work Desc: A/C CHANGEOUT 5 TON W/ ELECTRIC
CONTRACTOR S APPLICATION FEES '
CHRIS' A/C COMPANY A/C CHANGEOUT 75.00
CHRIS' A/C COMPANY ELECTRICAL FEE 40.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FI NAL �-2-_ I
, REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the I
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.
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C NT CTOR 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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�„-'��"UU2� City of Zephyrhiils Permit Application Fax-813-rsaoaz� r
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El.ECTRICIAN � I . �' . ' r=GOMPANY ��r>.S''-� ;/� Ci�• c �
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PLUMBBR � � COMP�INY
SIGl+L4'�{,1RE` " >-:REGISTEi2EQ,. - Y.1:N.; :., f--,���cu�� - Y-1 N. � � ,
Address . .Elcense.# �. - , �.
MECHANICAI: . , ' COMPANY � lC... '
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Address � �Gi� ' � Ucense#� f .�,��7��. ��� �
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SIGNATURE �.3 � . . ,� ,FtE�iszFtt�o' ` `T! N::: _ �E�CtiR�t�R`. � Y!N
Address _ - .� e ., ... , ;, .. .,. Ucen"se#�(� . , �
RESIDENYIAL;; :AttacliM�,Pl Plan# '" d , . "� ', . ;. 6�x.:_ :� �;;. �n�-. ,,:� , . '
(. ); ot� s,:(2)sets:ofiB'uflding°�plansC'(1)'sefof�Energy�Forms�;R�C1=W�Periinit�fornewconstructlon,,
:;. .,,�:Minimum�ten�,(�!0}�u�orlting,�ays>after�sutiiniftaliiafe:�.�equlc�id onsite;'Goiisfnai;Hon::Plans;Stoimwater Plans w!S11t-�ence instaliea.
l-� Sanilary Facltltles�&a'�;=,dumpster��8lta WorkaPermlt�,tor.;s,ub`,divlslonsAarge;projecfs�-�;.y`:��;;;` _ . -
COMMERCIAL Attech(3)�oomplete�sets of 9uilding Plans plus a Life'Safety Page;`(1)set of Energy Fom►s.R-O-W Rermtt for new'consiruictton. -
Minlmum ten(90}warking days after subirilital d�te. Required cs�site,Construction P1ans,Stannwater Plans wl Sil#�encs tnstalted,
Sanitary Faciiitles 81 dumpster.Site Work Permit,for eli new�projscts.,.All commerGal requlrements,must meet compllance � �
SION PERMIT AttadYi(2)sefs ofEngJiieere.drF±la.'.n.'s:, 5.-----�`-� .-.�'._, .. � '
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•'°,Pt20PERTY SURVEY �ulrec!fot a[!.tdEW_construcHon..
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Directions: � ,,. - . � . '
F�11 out appllcatlon completely.
Owner 8 Canhactor slgn back of applfcatlon,notarized �
If ovar�2500,a Notice of Cammencement Is requlred. (A!C upgrades over$T500)
•.:�:.";::�-=:s�y:`
"' P�qent(for the con6ractor)ot'Powe�of�Attcritey(for ttie owner)�woulii he someone with notarized le#ter from awner authorizing same
fiVER THE COUN.T,ER PERMIT�TING- --- •(Front of-AppllceUon Only)�� -
Reroofs If shtngtes Sewers Service Upgrades AlC Fences{PlofilSurvg}rlFootage}
Driveways-IVat over Counter if on public roadways..aeeds ROW�
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NQ°�'1C�d��DEED RE�T'RR�CT�ONS: �h�►u�td,�rslg��d o�nd�r�Q�ndsS:tll�t�Ehls�>�;�cmlt,m�y,�ba:sub�ec�,�o,."deed",t'es�'Ic�iot��"_�„ .,.�;,::
which may�be�more'�rest��ctive'tli��County�r+a�ul�tions�:'�The"urider"�lgn�d``�saumea're�ponsibility'for�compit�nce with�ny ,
appilcable deed�r�sM�tlon�. �n.� • • _ ` :. �
UN�.tCEN�ED �CONTRA�TCIRS �APID �ON�RACTCtR RESP�1�SiB�C1'�'tE�: if�the��wner hasfi`�hired"a",eoriM�c#or or
contractors to undertak�wotk, they may:b.�.r.e,quiced•S�o:>be:slicensed In,.aGc�ordance.with state.and•local.regulati.o,ns:.�-lf�the�• �� � �
contra�tor Is-r�o#�1lcens'ed=��s�requlred`!iy I�v� bo#h�#he� ovun�r�rzd c�i�ti�ctoT;iiiay`ii+��-ctied`tor ya�.�l�demeanor vlolatlon
under state law, If the ov�ner or Intended;,contractor,l�aCe.;uncertaln as 4a what'Ilcensing;rec�uirements�'rnay�:app�yl,�,fcic4the �
6nter�ded wdrk, they are advl�eii t�cant�ct ttie.P�asco�Caunty Bulldl�g.'{n�p�ctionrD(visl!�nw-Llcensing`Sectl�n at 727-84�7-
8009. Furkherrnore, it ftre owner Fias�'hli�iad a contrecfor or caritr�ctat�, �e is siivtsed to have�the cantr�cto_r{s),..sipn. _
portlans of the "cont�ctor �lock� vf this.appllcation_.for:which.4hey will be-.r.esp.onsible.�,�lf:>yau;�as�:the owner`''siign''as"the"�
�ontractor, tha#�may be an indlcatlon that'ii�-i�not:properly licerised antl`�!s riot eri��ed ta�perrnitting priulieges In Pasca
County. , ;�,
1'�NS�4�RTaT�ON=IMPACTl4l-T1l:1'4lES i1MPA�'-C At��°l�E�OURCE R��OIlEEtY�FEE�: The und�rslgned�und�rs#ands
that"Tr���porfatlon Impacf Fees and.Reco.urse Recav�.ry.�ees maY'<$Pphl�:to�ti�e:const�u��an,of nevrr..buitdings,:eh�nge�°af' `� , : '
use in exis8ng bulidings, or_�expar��i�mof-�existi�i,g�b�iltlings, as speclfied.in P�sco �aun4y Cl�dinanc� number 89-0�' and
90-07, a� �mended.,�.Th�underslgned�Iso:unders4a�tds� thai�such fees;:;as��cnay��e-�d�e,;�w11l�36e ldenf�ied at the�time°;of� �° ,
perrroftting. It Is�Further unders400d that Tra�sp'ortatlon impai�t'Fees an.ct�Resour.ce.:Recovery$Fees,-must be pald prlar to
recetvfng.a."c�ctlfl�ate:o��occupancy"' �rf6ttah.power�.Fel�a�e: :lf�Ehe�.pro�ct�,�does�.not Itavoive:a.:aett�icate of occupancy<���;�� °. ;
flnai power relea�e; tMe�:fe�s mu�t'be paitl:;pr�Or t�.,pecmit iss�ance. F��tk�ermore;�f.'.P�sca�„Counky�411►aterlSewer�.lmpact _ �
f�es are due,_.they,must.be�p�id�prior�o.p�rmit;issu�race�irr.accordance wit0a.�appltcabl�i.Pasc+a'�•County�ori�lr�ances. -
CQ�1�7'R�1C�'�IC1N C�EM'!AV'Y'(Cfiepter 713,�la�r��ia 3ta#ut���a�amemded�: if vslu��on of work 1s�2�500.00;.ar more, l� . .�
certify that 1, �he: applic�nt,�:�h�ve.been .proVlded_ wfth�a c�py�of'the�"F9orida� �onstructton� Lien.:Lavu�Homeown�r's
Protectton Guide" prepar�d bytlae Flo�da Qep�trtm�c�@�of A►grtcuitt�re and Gansumet:,Affatrs. If#he appltc.ant is someon�- -..
otherthan#he"owner", t cert(fjc.that,l�h�ve,obtained`a'icopy.of:the:abpde.:��scrlbedclbcu�ent°and:.promi�e,ln,good;,faith�to
� d�liv��it t�a.the."awner�.`p�ioc ta�commencc�meriB.', � .
��NTF�►CT��t'Sl�WP1E�'�AFf�iD�1VIT: Lce'r•t#�jr:�-tit�at>alt.th�,lnf.�rrn�ti�n::ln•thi�appllcatlon is�ccu�ite and that ati work
will'be don� in compliance with all.�ppiica�bl� laws regul�ting constructlan, zoMng and:�land develapm�nt. Applicatlon is
hereby m�de-ta abtaln .a.pecm�t�,to_do�work.:.and inst�li�tlor� as 1�d{��t�d:=�-.=:1 ce�ti�jr #hat n� work=:s�r Instaila#�on has
commenced p�lor to issuanc� of a p�rmit"and that�.all work wlll be perfa�rmed�to meet st�nd�rds�of all law� regulating-
� const�ctlan, County and Gity cod�s, zoning regulations} and land de�ebgment regulattons In th��urlsdlatlon: 1 al'so
� �erti�+th�# 0 undersfand that the regulattans eyf o#her g+�v�rnm�nt ag�n���s rnay�appiy�t�the intended wark, and thak it is
my respon�ibiliQy to identify•what.ac�lons I mu�t�t�ke:to b�,in:.campl.�anca:. auch.ag�ncle�.lnclude but��are.not Ilmited to:
- Departr�en# of EhvlPonmer�tatr�Protection=(:ypress.Bajrtiead�; VlieNencf Areas and Enulr�nmsntatly Sensitive
Lands,WatedW�stewater Yre�tment.
- Southwest Florlda W�ter Management ..D9str#ct We!!s, CypressA���y�eads; Wet#and Arees, Alterin�
V618t�1`COUPS@S. -
- Army Corps of E�gineers-Seawells,Docks, i�avigatile Watervu�ys.
- I�epa�rtm�nt of.Neatth;& R�f�ablll#ative.Servlc��/Ernrir.onm�n�tal F�e�lt� Ut�it Weltsi W�staw�ter�Treat�nent,
Septic�'anics: � � .
• US Envlronment�i Protectlon�►gency-AsbesEos abaieme.nt.
- Federe9 Avia#ionAuthority,.=Runw�ys.
I understand.that the.fopow�ng.rest�lottons apply'to th�use off flil:•
- Use of fi{i Os nat�Ilaw�d in:Flood,Za��e"V"unless express9yi pe�r�itted.
- If the fill mat�plal Is to b.e usetl. In,�Floa� 2on�. mA", Ik� is u�ders��od #h�t � dralnage p0an addresstng �
°�omp��sating vof�me"wlll be subm6tfed at tfm� af�pert�ittl�g whlctt is prepered by � prafessian�l engtn�er
iicensed by the State of�Flotldz�.
- tf th� fl!1 m�tarlal�ts !o be used in Flood �one "�" in>cnnn�!!�n�wlth�a permlt#ed buifding using stem w�fE
' construc��ort, I cetfify th.at f�t:w111:b�u�sed on1y.#o till the area witb►in�the�stem�nrali.
- If flll materlal Is to be used In any area, I cer�lfy that .us�. of'�such flll e�ill nc�t advers�ly affec4 adJ�cec�t
prapertles. #f�ase�of f�ll is#�c�r�d ta advers+��y,��'�ct ad�acer�t'�propertle�,.th��wner may be ci4�d for vioratfng.
the c�ndl#Por�s.of the b�tldfng�;permlt i�'su�d under the�ttach�d.permit applicatian, for:Mots less than.one (1)
acre whlch are el�vated�6y!#!t���t englneered drafnage pfan!�requEred.
tf i am the AGENT FAR�'H�OVl�NER; I�.�romise fn_goad faith#o tc►farm the owner of�the p�rmitting conditions set forth irr
this afiidavlk'pMo� to commencinA con�tructlon. 1 un�er�t�nd that�a�s�pa�rate�permlt may be required for eiect�icai work,
�.>__,.<
plumbtng, signsF wetls� p�o1s,, a6c �andltlaning�.g��,-.or oth�'r: In�tell�tions r�a��,spec�cally inctudec3�[n the�appttca#t�n. �A
permit Issued shall be aanstcue�d �0 6'e��If�ense`-to�,pr�oce�d wEth th�vvork and not�as.�s�uthoNty:to.vtalate���ancel, alter, or
seQ�slde any prmvtsE�n�of tlte teche�ical.cod�s;:nor shall Issuance�of a.permlt.pcevent th�BuAdirig t�lffcta!frorn thereefter �
requtring a correction af errors.in::plans;�cansttiction or viof�tions of�any cmdes. �very,pisrmitrvissued"sfiall become 3nvalid
unlesa the avork authorized.by such permlt:�is-coatmenced•�nrithin sfi�t rn.onths of permlQ Issuance, or if work aukhorized by
the permit Is suspended or:sb�ndoned-for�;perlod,of�s�C:{�}mont�is..�8er th�;tim��fhe�work�ts carrimea�ced. At�extertsion
may be r�quested, tn writtng,;,from tFre:Bu00ding,Oiticlal for a period:�not--to exceed•ninety�(90j d�ys and will d�mon�trate
�ustlfiabl�ca�use for.�the exte�slon: !f work c�as�s:far n�neqr.(90j cons.ecut�ve:day.s�..the�ab�ts.consfdered�k��doned.
!M/A�:NiNG i'0 CiWNER: YOUR:FAlL.L7RE�TCI�.R�.C:O�t�.A:.,�IOTIG�:O�=�COMMEM��IfiE�T,�f1'AY-RESULT•�IN�`YOUR
PAY#NG'p'Yil'tCE„t=OR�IMPR011EMENTS�.T#�aY�{lUR�.PRt��E�-'PY:�I�°YO.U�I��D-`�TQ�';OB�TAtN��Flt�tiAt+��Its1G;�CON�ULT
WIT A � 7TC1 N O'tt��., _ G:; OlD ' : .ti . �- ° '
FLORIISA,�IiP�AA�:(F.S:94Y.03j ,: .. . ,;. . .,�/- ..
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04NNER OF�AIDEMY ' � � C�POT�ACYO �
8ubsalbed and�wvm ta(or a�irtned)befo e e!h!s Subactibed and'suuom��{ort afflrmed)•betoea �i�
�y .by... .. .
Who Is/are pe�sonally known ta.me or�h�s/t�ave produced Who.ls/are p.er�ona.11y known�ta..me;or has/h�ver�produced •
ae IdenUflc�tl4h• �s IdenB�caBon.
I+t�ofary Pabltc . Notary Pub�lc
Commisslon Na:; �omrnlselon.Na.
Plame of Notary qrped,printed or stamp�d IVame ofi Notary$rped,pdnted or stamped
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CHRIS' A/C
COM PANY A�R CONDITIONING
&ELECTRICAL
CAC058575! EC13007703
al Suhmitted To: Date: 6/21/2017 Phone:
y Ruhan �
^ Job Name: Cinema 10
Address:
5 ton 14seer straight cool split system,veRical on stand,drain line,
condensate pump,line set,low voltage wiring,elecUical wiring,connected ta excisting duct work,
some duct modifications,Float switch,auxilary pan.
Price$ 7,400.00
,ty:
ne year I(mRed wartanty on materiais and labor.
Yrs Limited manfacturers warranry on compressor
Yrs Limited wartanry on equipment onty parts.
Yrs Lfmited warranty on labor
�nt to be made as foliows: �x Due po colnple' n �Draws � �
�Authorized Signature:
This proposal may be withdrawn 6y us if nq accepted withln 30 daya.
flony lo otder Ne xvlk,Nfikn SIIaA ba peAormed es outfNed�vB.It is agree0�Ire seller m0 retam We to amJ eQuipment or mefenal Nat
mished wW firal Daymenl"5 mada,atM If seNemenl m not maCe a9 Bgrced.Ihe seuri stw0 have Ihe rigM ta remove eame eM Ute utler wi0
irmless for aritl Eamages resWting/rom Ne remwal thcreoL 1 agree lo pay a0 mst aM reasona6le atlameya Me d Ws imoice is pW�d in
.o(en ettorta.y fm co0e(rion.Seller is aub�ed lo restoUctrg he�ge 11job canceleC
CHARGEB:BaWce W�ma 30 Eays(112;i IN7EPEST)PER MONTN(1tX ANNUAL MTEI�be Imposa0(Miere applluGe4
ier Acceptance Stgnature:
ire: Date:
ue: Date:
US HIGHWAY 301 DADE CITY,FL.33525 PHONE 352-521-4977 FX 352-521-3393
estimatefor
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