HomeMy WebLinkAbout18-19820 i
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 198 0
BUILDING PERMIT
PERMIT-INFORMATION LOCATION-INFORMATION
PermitNumber, 19820 Address: 7317 GALL BLVD
Pe mit Type: MECHANICAL ZEPHYRHILLS, FL.
Clas of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
SqL are Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0000-00300-0090
Imp ov. Cost: 9,775.09 OWNER INFORMATION
Date Issued: 6/19/2018 Name: HESS RETAIL STORES LLC C/O HESS
Total Fees: 90.00 Address: 1 HESS PLZ
Amount Paid: 90.00 WOODBRIDGE, NJ. 07095-1229
Date Paid: 6/19/2018 Phone: (732)750-0110
Work Desc: A/C CHANGE OUT 5TON
CONTRACTORS APPLICATION FEES
TWC SERVICES INC A/C CHANGEOUT 90.00
ak:6&Sd vb
DUCTS INSTALLED Ins ections Re uired
DUCTSINSULATED
FINAL it 2 -
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.
i
-0�
CON- OR SIGNATURE PERMIT OFFICOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received _ _l g Phone Contact for Permitting �`3 ( 3_0 I n
1 1 1 1 1 1 1 1 1 1 1 1
Owner's Name tu.�u. S s Owner Phone Number
3 N�a.�\
Owner's Address %A`;_. Owner Phone Number �
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 C:.\ \ LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
B INSTALL e REPAIR
PROPOSED USE = SFR 0 COMM = OTHER j
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = I
DESCRIPTION OF WORK CQ_
BUILDING SIZE SO FOOTAGE= HEIGHT ►S
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
ppp=PLUMBING $
tI I( (MECHANICAL $[� -�S p� VALUATION OF MECHANICAL INSTALLATION / 9
=GAS = ROOFING 0 SPECIALTY = OTHER �Y [
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
ELECTRICIAN 1 1�� COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
i
Add �i3 L t,IIA[kr 6 R 3��4 License# CPC G �'
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
c Address License#
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater 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,Stonmwater Plans w/Silt Fence installed,
Sanitary Facilities&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 all NEW construction.
I I I I I I I I I I I I I A I I I I I I I I I I I t 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 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Directions:
Fill out application completely.
Owner&Contractor 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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required) !
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
'
NOTICE OF DEED RESTRICTIONS: 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 deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o contractor m
contractors to undertake work,they may be required to be licensed 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 o misdemeanor violation,
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the'
intended work,they are advised mcontact the Pasco County Building Inspection Division—Licensing Section atru7-847-
8009. Funhormum, if the owner has hired u contractor orcontractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the 1
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco:,
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,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 must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance With applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that 1, 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 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
ood faith to
do|km ��th "owner" h toon1 -
CONTRACTOITSIOWNERIS AFFIDAVIT: |certify that all the information mthis 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 obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that 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. I also
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 but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMastewater Treatment.
' Southwest Florida Water Management Distriot-Welb, Cvpmoo Bayhedo, Wetland Anyas, Altering
Watercourses.
' Army Corps nfEnginoom'GoowmUu.Docks,Navigable Waterways.
' Department of Health & Rehabilitative Services/Environmental Health Unit-VVo|o, Wastewater Treatment,
Septic Tanks.
' uG Environmental Protection Agency-Asbestos abatement.
' Federal Aviation AuthuhtrRu '
|understand that the following restrictions apply m the use nffill:
' Use of fill io not allowed in Flood Zone W"unless expressly permitted.
' |f the fiU material is to be used in Flood Zone ^/r. it is understood that drainage la addressing a
.compensating volume"will be submitted cd time of permitting which is prepared by professional engineer,
licensed by the State of Florida. �
' n the fill material is to be used in Flood Zone ^K in connection with a permitted building using stem wall!
construction,I certify that fill Will be used only to fill the area within the stem wall.
' If fill material is to be used in any area, | certify that use of such 5U will not adversely affect adjacent|
properties. If use uf fill w found t adversely affect adjacent |
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,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior/ocommencing construction. |understand that separate 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 shallbo construedtob license to proceedwith the work and not as authority /
set aside any pnmisw m technical provisions nor shall issuance u[e permit prevent8` Bu
ilding di Official from thereafter'
requiring a correction of errors in plans,construction or violations of any 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
the �� �evo��commenced. An extension
may be naquoomu. /n writing,from the Building Official for a period notk,oxcanu ninety(oo)days and will demonstrate
justifiable cause for the extension, If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING noOWNER: YOUR FAILURE To RECORD A NOTICE OrCOMMENCEMENT MAY RESULT|mYOUR
PAYING TWICE FOR IMPROVEMENTS To YOUR PROPERTY. /r YOU INTEND ro OBTAIN FINANCING, mmucT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMWENCEMENT.
OWNER OR '
Subscribed and sworn to(or affirmed)before me this Subscribed and orn ;_rafft�q6Sp_fo_r—e m.this
Who is/are personally known to me or hasihave produced Who is/are personally Known to me or has/have produced
asidentification. as identification.
Notary Public Notary mmm
Commission No. Commission No
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
|
.
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WAC
REFRIGMAXION
WCHENEQUIPMEW
rwe J"VICE* CEMA(UNIELFASING
WOtAiM SMEM
PERMIT AUTHORIZATION
DATE: June 19, 2018
FROM: Michael A.Aliotta
COMPANY NAME: TWG Services, Inc.
RE: SIGNATURE OF AUTHORIZATION
1, Michael A. Aliotta, contractor license number CAC1818119, hereby authorize the fol-
lowing to act as my agent in obtaining permits in the city of City of Zophyrhills
4r�_ _ CAC1818119
Signature—License Horde—F State License Mrrlber/Re—g—isfBred
Michael Alan Allotta. June 19,2018
lype/Fnnt Name—License R-60e—r Date
Juan Valdez—Agent
Celeste Valdez—Agent
Louisa Carfi—Agent
Swom to and subscribed before me this 19th day of June,2018.
Michael Alan Aliotta who is personally known.
as--, uSAX BARNES
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1:1j2e7_A comadssion#FF 932960
N aiy-9ignature P EXPkW MaMh Z 20
61
My commission Expires: March 2. 2020
MI Bell Avenue 85"98-9224
Des Moines,Iowa 150321 www tmservices com
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