HomeMy WebLinkAbout18-19525 CITY OF ZEPHYRHILLS
5335-8TH STREET
r (813)780-0020 19525
BUILDING PERMIT
PERMIT INFORMATION- LOCATION INFORMATION
Permit Number: 19525 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: 7,300.00 OWNER INFORMATION
Date Issued: 4/05/2018 Name: ZEPHYRHILLS CINEMA 10
Total Fees: 80.00 Address: 6848 GALL BLVD
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/05/2018 Phone: (813)782-2222
Work Desc: A/C CHANGE OUT 7.5 TON (AUDITORIUM #7)
CONTRACTORS APPLICATION FEES
CHRIS'A/C COMPANY A/C CHANGEOUT 80.00
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A
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DUCTS INSTALLED Ins actions Required
DUCTSINSULATED
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ONTRACTOR SIGN RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saso-00zo City of Lephyrhilis Permit Application
Building Department
Date Received Phone Contact=for Permitting ' 02
Owner's Name o Owner Phone Number d
OWnees Address �i�- <!/� Owner Phone Number
Fee Simple�Titleholder Name: Owner Phone Number, '
Fee Simpid1itleholder Address /
JOB ADDRESS 0' OW / LOT#
SUBDIVISION PARCEL ID# 00200
D v o2 O
(OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED NEW CONSTR' ADD/ALT Q SIGN 0 = DEMOLISH
B INSTALL e ;REPAIR .
PROPOSED USE = SFR Q -.COMM 0 OTHER
TYPEOF CONSTRUCTION [] ' BLOCK 0 FRAME = STEELe jr
0
DESCRIPTION OF WORK
BUILDING$IZE SQ FOOTAGE . ..HEIGHT, •. S
S -
=BUILDING $ VALUATION"OF TOTAL CONSTRUCTION
r
ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING- = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS F FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CUR EN Y/N.
Address 'License,#
'ELECTRI,CIAN COMPANY
SIGNATURE REGISTERED Y/ N •FEECURREh Y/N.
Address` - License
PLUMBER,., COMPANY
SIGNATURE ' REGISTERED • 1C/ {V:'` . FEE CURM
: .
Address. License#:F.
,_MECHANICAL - C,OMPANY,
"SIGNATURE: REGISTERED N FEE CURRB, ,
Address- vs LO License.# C, (� S
::.OTHERL'.'I7_.:. ;-—.--. :.Co PANY
a:'SIGNATUREws:a< : •..<'• REGISTERED Y/:N FEE-CURREN Y/N
Address,,. Licens"e#'
:RESIDENTI'AL:,;,;'Attach r2+'Plot'P.,laris 2•sets�of Bulldiri ;Flans :1 set o'Ene�'' Forms R-`,O-W.Perrriit:for new',constiuction
(•10);working pys after submitEal:date:'5:Required�'onsite;'Constructioir`Plans,Storinwater.'Plan Silt Fence installed,
SanitaryFacilities;&bdumpster,S„ifeW Fork Permit.forsubd(visions/large'projects
:';COMMERCIAL Attach--(2)tomplete sets'of'BUildin"g Plans plus a Life SafetyPage;(1)set of Energy Forms.R-O-W Permit for'new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit f&611-neiWoeojects.A11 commercial requirements must meet,compliance
;:i:Sl N PERMIT -Attach{27 sets;of Engineered,Plans:?s_:.':.•.�.
""PROPERTY SURVEY•requiredufor,.all,NEWconstruction..•,
Fillfoirt`application completely.
Owner.'&.Contractor.sign-back of application,notarized
If over'$2500i.a Notice:of:Commencement Is required. (A/C upgrades over$7500)
Agent,(forthe contractor or°Power:of Attome',forthe owner would"tie someone with notarized letter from owner authorizin same
r ) y( ) 9
- OVER;THE COUNTERP„ERM(TTING.., :.(copy.of=contract:required)
Reroofs ifali-ingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public'roadways:needs ROW'
t
NOTiMOF DEED RESTRICTIONS: The undersigned,.understands;:that;this:permit.maybe subjectao deeds restnctio`ns"-
which;may be--more.restsiciv6lhan:County:.regdtatloris ='`Tine=undetsigned�'assu es,responsitiititjrfos cismpi ante with any
applicable deed 'restrictions..
UNLICENSED, CONTRACTORS AND CONTRACTOR RESP;ONSIBI LITIES :If-the:o'w' er,has hired` a contractor or
contractors to undertake work; they;may,be„required'to be licensed in accordance with state'and:aoeal regulations:eflf�tl er-
contractor-is:not=licensed.as:required`Iiy.`law, botfi:'the owner`:and`contracf&*�,*may be2cited fo�,a misd'emeanorviolatlon. -{
understate law. if the owner or intended4conitractor are uncertain as to what.licensing requ remen%,3,may;'011y;:foc=th`e%
intended work;..they:are advised to cori act°the Pasco County Building {nsped!6h-,Oivislon- Licensing Sectlon at 727-847
8009.1 Furthermore, if the owner has-;hlred`-a` contractor or contractors, he is advised to•have-the,;contractor(s,).
portions of the °contractor Block" of this application.-for which.they will.be.responslble_:If:you, "9-"'th'eYowr er„`stgn as'`the
contractor., that may be an indication that he•Is not properly licensed and:.is not entltled to permitting privileges in.Piascoy,4_
County. '
TRANSPORTATION IMPACT/.UTILITiESIMPACT AND RESOURCE RECOVERY FEES:`�The untersigned.understands_
that Transportation Impact Fees and Recourse Recovery Fees may:appiy to the construction.of-new,boil i!ngs,-:chdh' 6V L_"`
use lniexisting buildings,-or expansion of_exlstiig"buiidings, as specified in Pasco County Ordinance number 89a-.07 and
90-07,!as amended:; The'undersigned-also.understands,,that such-Jees,•as_may-be.due-, will"be ident�edat',the time2of'
permitting. It is 16irther-understood that Transportation Impact Fees-and Resources Recovery Fees must be paid.prior;to
receiving a-"certificate of-occupancy" or final.pgwer release. If the-project does notinvolve a certificate of occupancy'�dk-�'W�, '
final:power;release;thefees.must be:paid prior to permit issuance., Furthermore,,if,.,Pasco:County Water/Sew er:lmpaet
fees are-due;.they mustbe::paid.prior to permit issuance in.accordance wiftapplicable.Pasco County ordinances. y
CONSTRUCT11641lEN ILA W(Chapter 713;Florida-Statutes,as amended): If valuation of work is"$2,50:0.40:.o-r.,.:more;�Y.:.,f-
certify Ithat. I, the -applicant,. have been:.provided with a copy_ of:�the "Florida- Construction:Lien.Law='Homeowner"s "
Protection Guide" prepared'by the'Florida Department of Agriculture and Consumer Mairs. If the applicant:is,_someone:., .
other than the"owner,,! certify that l..have obtained a copy of the.above'described`diicument and prgmise in:good.faith''to.
deliver;it,to the:'awner"v'oh,6r.to comrrteneement:
CONTRACTOR'S/OWNER'S AFFIDAVIT ;l:certify.that ali'the information in this application is accurate and`that all work
will be;done in compliance with all applicable'laws regulating construction, zoning and land-development. Application is
hereby made to.obtaitj permit:..to--do;,,work-'and installation as indicated. l certify that no work or.insialutiow has
commenced prior to issuance of'a permit and-1hat all work.will be performed to.meet standards-of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations'in:.-the jurisdiction. A.lalso
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must.take to be in compliance. Such agencies,include butare not.limited m.
Department of EnvironMenteIl.'.otection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress .Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engirieers-Seawalls, Docks; Navigable Waterways.
Department..of Health',. .Rehabilitative.Services/Environmental..Health. Unit-Wells, Wastewater.Treatment,
Septic=Tanks.
US Environmental-Protection Agency-Asbestos abatement.
Federal.Aviation:Authority-Runways..
I understand thatahe,following restrictions apply to the use of fill:
Use of fill is not,ailowe..d in Flood Zone"V"unless expressly permitted.
- if the-fill material As to be used in- Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by.theState"of Florida
-If the fill-materialis to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certifythat fill will be used only to fill the area within the stem-wall. _
If fill'matedal is to -be used in any area, i certify that use of such-fill will not adversely affect adjacent.
properties. If use of fill is found to adversely affe&� djacent properties, the owner may be cited 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.AGENT:FOR.THE,OWNER;.*.-Upromise in good faith to inform_the owner o#:the permitting-conditions set forth in
this affidavit pri6r167commencing canstructi on. .1--understand that.arseparate permit may be required for electrical.work, -
plumbing, signs,.wells,,.,pools,-air"conditioning;. gas,:-or other"installations not specifically included in the application: A..,
permit issued shall consfruedito tie a license.te proceed with`ahe work:and not,:as`oath'ority.toviolate,.cancel,:alter, or
set aside any provisions'of'the technical,codes, nor shall issuance of a permit prevent the Building Official from-thereafter
requiring-a:correctiori,of,errors-in::plan's;Aoonstruction,or.violatlofts'ofany codes. Every permit issued shall"become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is-suspended.or abandoned,for:&.perioddgf six(6)'m9
nths.-after the time the work is commenced. .Art extension
may be requested,;in:wirritin',.from the BuildinMOfficial for a period:not to exceed=riine y (90),days and will"demonstrate
justifiable cause for.the extension..If work,ceases for ninety(90)consecutive days,the job is,considered abandoned.
WARNING"TO'OWNER w' YOUR PAiLURE>T.O.,RECORD_A;NOTICE:OF-;CQMMENCEIVIENT'MAY RESULT tN YOUR
PAYING.TWICE'FORrIMP,R01%EM NT,S TO.YOUR 0RO0ERT1f:,..IF:YOU INTEND TO OBTAIN:°FINANCING`CONSULT
WITH YOUR1ENDER'ORAN`ATTO NEY BEFORE`RECORDING-YOUR�NOTICE` i =CANIMENC NT:
FLORIDA Jt1RAT(F S 11 03 :.
OWNER QR AGENT. _ CONTRACTOR
Subscri ed and-swotn to(o affirmed). re�e this 8ubscri ed��nd sworn to(or ffirmeci) a me this
V�h! � by l'i�T�/�.+1�f1{/ /D � G!tf ..by ,
o is/are.personally known to,me,or,haslhave produced. who-is/are personally to me or has/have produced
as-identification. as identification.
othry Public Notary Public
Commission No. 6 6f� Corn ission No. �-`�7
- 16r'"a r" i
Name of Notary typed,printed or stamped Name ofDEgRA ElAINE RUFFEZL
• ` Commission#GG 0453,43
DEBRA ELAINE RUFFELL =�� r 7 2120
*: Commission#GG045343 ..,p',BonddThr¢royFalninsurancs80D38570t9
, a M Expires November 7,2020
111f,��°`' BondedThnrlroyFainlnsuraaceBOQ385M19 _.... _.. ...
CHRISUN �-
COMPAN AIR CON ITIONING
& ELECTRICAL
CAC058575 ! EC13007703
Proposal Submitted To Date: 2/27/2018 Phone: 813-782-3287 or 813-29�5
Cinema 10
Job Name: Auditorium*#7, Unit 1�!
Address: 6848 Gall Blvd. Zeph rhills
l �—
Furnish and install 7.5 ton split system 3 phase with 10 kw heater .
Includes pad, digital thermostat, connect to exsiting electric and ductwork,
Tax, lanor amd permit included.
Price $ 7,300.00
Warranty:
Chris'one year limited warranty on materials and labor.
5 . .Yrs Limited manfacturers warranty on compressor
1 Yrs Limited warranty on equipment only parts.
1 Yrs Limited warranty on labor
Payment to be made as follows: rx Due upon completion R Draws
CHRIS'Authorized Sig ature: -
NOTE: This proposal may be withdrawn by-us if not accepte within 30 days.
I have authority to order the work,iwhich shall be performed as outlined above. It is agreed.the seller will retain title to any equipmei it or material that
may be furnished until final payment is made;and if settlement is not made as agreed,the seller shall have the right to remove sam a and the seller will
be held harmless for and damages resulting from the removal,thereof.I agree to pay all cost and reasonable attomeys fee if this in, ice is placed in
the hands of an attorney for collection.SellerJs subject to restocking charge if job canceled
FINANCE CHARGES:Balance due over 30 days 1 1/2WINTEREST)PER MONTH(18% ANNUAL RATE)will be imposed(where applicably.
Customer Acceptance Signature:
Signature: Date:
Signature: Date:
F
12232 US HIGHWAY 301 'DADE CITY, FL. 33525 . PHONE 3527521-4977 FX 352- 21-3393
Commercial Estimate Form