HomeMy WebLinkAbout19-21002 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21002
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21002 Address: 7825 GALL BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0150-00000-0010
Improv. Cost: 35,600.00 OWNER.INFORMATION
Date Issued: 3/22/2019 Name: KOB PROPERTIES LLC
Total Fees: 367.50 Address: 7825 GALL BLVD
Amount Paid: 367.50 ZEPHYRHILLS, FL. 33542
Date Paid: 4/16/2019 Phone:
Work Desc: INSTALLATION WALK IN COOLER 10 X 20 W/ ELECTRIC
CONTRACTORS APPLICATION FEES
MR ICE INC MECHANICAL FEE 322.50
A& M ELECTRIC ELECTRICAL FEE 1144 45.00
Ins ections Required
DUCTS INSTALLED
DUCTS INSULATED
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.
CONTRACTOR 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
4.- Building Department
Date Received isit. Phone Contact for Permitting
Owner's Name Ca r �12Z0� Mor� L a Owner Phone Number
Owner's Address g Q"a_11-blup 1—r • Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS V�AAaf I�Srri� I y LOT# L
SUBDIVISION PARCEL ID#3L I* - I-a OU OU - %0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR e ADDIALT = SIGN Q 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK v J(20 UDOWA-W)Cooler \
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
d
=PLUMBING (�v
[ZIMECHANI $� :0:0;WAJSP
- ION OF MECHANICAL INSTALLATION
=GAS = ECIALTY = OTHER
FINISHED FLOOR EL EV FLOOD ZONE AREA =YES NO L�
L%
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN LILN
Address PC,, License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address 71'G Ja r if V rev e- Sa„,A , 0 License# 3 O 0s�O
PLUMBER COMPANY =
SIGNATURE F REGISTERED Y/ N FEECURREN I Y/N
Address License#
MECHANICAL °, COMPANY mY• SCe �IIC r
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address I License# I CAco 15yq
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/N
Address License#
1 1 1 1 1 1 1 f l"1 1 I-1 1 f l 1 1-1-1 1"1-1 1-1 1 1"1 1 1 I-1-1-1 1-1-1-1 11 1 1 1 1 f l 1-f l 1 1 i l 1 1 1-I f l-Il t-1-1 t 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 ten(10)working days after submittal date. Required ons'Ite,Construction Plans,Stormwater 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,Stormwater 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.
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$7500)
•' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
INSTR#2019037052 OR BK9868PG871 Page 1 of 1
03/05/2019 04:10 PM' Rcpt:2033947 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. O'NeiL, Ph.D., Pasco County CCerk&ComptrotTer
Permit No. Parcel ID No
NOTICE OF COMMENCEMENT
state of F to rx cha County of I%fsc_o
THE UNDERSIGNED hereby gives notice that improvement will be made to eetain real property,and In accordance with Chapter 713,Florida Statutes,
the following Information is provided in this Notice of Commencement:
1. Description of Property: Parcel Identification No. 31-a5 ZI-O 150 DO(O
Street Address: s 6CL11 Shicl I-L-
2. General Description of Improvement t n - Coat& t o X
3. Owner Information or Lessee information If the Lessee contracted forthe Improvement:
C ,-, PC� P;zza lint[.:
Ezi-
Address City °r— State
Interest in Property:
Name of Fee Simple Titleholder.
Qf different from Owner fisted above)'
Address m r. Tcg- Tn c. city state
' 4. Contractor. .
e
113gr1 NamSena W-11 AVe SPA+now 1-i:ll IFt
Address City State
Contractors Telephone No.: `is t 3 3�0 19$S
5. Surety: r'CCS M
Name
Address City v� �v, State
Amount of Bond: $A WO•on Telephone No.:CC✓MS CP ' �!y y
8. Lender.-
Name
Address City State
Lenders Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner desgnates - of_
to receive a copy of the Lierwrs Notice as provided In Section 713.13(1)(b),Florlda Statutes.
Telephone Number of Person or Entity Designated by Owner.
9.. Expiration date of Notice of Commencement Qhe expiiation date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A N0710E OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF,COMMENCEMENT.
Under penally of penury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are We to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
S' natu``e of-,Ovmw or Lessee,or Owners or Lessee a Authorized
��W� nagar
Sgnatory'sTiffafOfficetk
,I►`
Theoregolng hstrumerd was acknowledged before me this day of .204 by61 1�Y1 11�� YlQ�1�/1� Nd Yfl1l
as (Ity of authority,e.g.,officer,trustee,attomay In fed)for
(name rty Instru was executed).
Pensorraly Known❑Q$Produced Identification Notary Signature
Type of Identification ProducedL2 1GXL]T 1U(�®f alrrie
f+ u5-0 O.-1p Notary Public•State of Florida
Commission#GG 272511
0f�` My Comm.Expires Oct 30,2022
STATE OF FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A , ,
�z'3 � S
TRUE AND CORRECT COPY OF THE DOCUMENT 1' . 4
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE ,s .
WITN MY HAND N OFFI IAL SEALiTHIS c �
DAY OF` ° x
ER OMPTROLLER 1887
DEPUTY CLERK
SALES • SERVICE •INSTALLATION •MAINTENANCE ° CONTRACTS
Air Conditioning•Heating•Commercial Refrigeration•Ice Equipment
Wr
17704 Galveston St 24 Hour/7 Days
Ice Inc. S rin Hill FL 34610 Tel: 813-380-1985
Spring Fax: 727-378-6317
CAC051497 scottpaulus@msn.com
No® 06276
CvsTO&M DATE: 0.
TERMS::
(,'r �1 2 Z� COMPLAINT
WORK DONE
.eel fG Cob
UAN.. MATERIAL EACH CHARGE SERVICE
ENGINEER 3T O? CIiARC3E
a�
ao
wo
e v,t Nf TOTALLABORCHARGE
TOTAL MT'L.,CHARGE
F SALES TAX
0 Y. c3c) J OTAL INVOICED
Mr.Ica Ira.Is not responsible for parts other than thosa furnished and stalled byAlr.Ice-.Inc. Grtaranteas on all parts are limited to the nwnufacturesguarantee to Mr.Ic&,lne.
No verbal agreements will be recognized Guarantees: ❑90 days PARTS rJ 30 ddysL9BOR
All items added after signohire will be added in red or typed. Mr.Ice.,-is NOT.liable for any loss of tne'rchandite da r Iniliat
to breakdown prier to or gft4er repaired said equ4wtext.
I htnv the authority to order the ware-which has been satWactory pvrformarl as outlined above.It is agreed tharMr.Icalna will ritain We to any equipment or materials tat haw berm or aWbe
furnished until total amount of this 611-oice Lr paid in full and ifsaulanwnt is not node at agreed Mr.I=hm shall have the right without anyfurther nodcA to rmo+w same oulMe.Ic0.PA will br luld
harndcssfor arty damage resuttingfrom the rentovol tha rof Any repair.that are financed(4c.,1 Payment piaru)will be cliarged an additional Tan Dolktrs($l a0i))par$J0a00 par uvek undl such*pair i
paid in fall
Customers agrees ro pay any and all attarney's fees and/or court costs incurred by bJr.lce,Inc in the collection of this invoice.
ALL rehirtted chef lrs jar nort-q&ient funds,closed account;ettn will brcharged 1045 abave the total cast ofbill Plus Aimee.
Iru's Initial
Invoices to be COD unless prior arrangements are.made.Service Contracts are due payable by ilia loth ofeach month.Invoices are.due within ten(10)days ojthe slate
of the said invoice.Unpaid invoice afler 30 days will be charged 1 1I2%of the bill monthly rtntil paid.NO EXCEPTIONS WI be made-
Initial
Whu»C tg for ca on arc p,eca of ecpnpmorr mtd raked to Bl ace-otter aqu pn:rnt
ifa'ca is callc n rha other equipment you will be ehogedfor a saivtee ail Initial Make Cheeks Payable to Mr.Ice Inc
of s nAlaT�tEG� �
M,2 INCREPP"MYTAT1VE SIGNATURE CUSTOMER REPRESENTATIVESTGNATURE,TITLE
Mr. Ice Inc.
Contractor's License No.: CAC051497
17704 Galveston St. 24/hr. ...7day emergency
Spring Hill, FL 34610 Phone: (813)380-1985
Fax. (727)378-6317
Air Conditioning*Refrigeration*Ice Machines*
Sales*Leasing*Service*Monthly Contracts*Installation
March 4,2019
To Whom It May Concern,
Please be advised that 1, Steven Keller, give Brandi Paulus authorization to act in behalf as the
authorized signing agent for Mr. Ice Inc.
Should you have any questions or comments,please feel free to contact the above number.
tot w?�o4c MIC EU IACU SAWEW
Sincerely, Notary: * * MYCOMMISSIONW98713
�g, ar EXPIRES:March 1,2M
:OR VO bonded Tiru budget Nobry aenkw
State of -�LO R!.Djk
Steven Keller,Mr. Ice Inc., Secretary Date: The foregoing was acknowledged
Before me this. day of ARC 2 h 11 ,
Known to me or produced a FL ID.
scottpaulus&msn.comka, V40., SQAMf-A #k->
813-380-1985 Notary Si e
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21002
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21002 Address: 7825 GALL BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0150-00000-0010
Improv. Cost: 35,000.00 OWNER INFORMATION
Date Issued: 3/22/2019 Name: KOB PROPERTIES LLC
Total Fees: 322.50 Address: 7825 GALL BLVD
Amount Paid: 322.50 ZEPHYRHILLS, FL. 33542
Date Paid: 3/22/2019 Phone:
Work Desc: INSTALLATION WALK IN COOLER 10 X 20
CONTRACTORS APPLICATION FEES
MR ICE INC MECHANICAL FEE 322.50
DUCT TALLED Ins ections.Required
DUCTS INSULATED
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.
CON TRA C OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
A. NOTICE OF DEED RESTRICTIONS
The undersigned understand 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.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work,he may be required to be licensed in accordance with State and local
regulations. It the contractor is not licensed as required bylaw,both the owner and contractor may be cited for a misdemeanor violation under
State law. If the owner or intended contractor is uncertain which licensing requirements may apply for the intended work he is advised to
contact the Pasco County Building Inspections Division,Contractor Licensing Section,at(727)847-8009.
Furthermore,if the owner has hired a contractor or contractors,he is advised to have the contractors sign portions of the"Contractor Block"of
this application for which he will be responsible. If you as the owner sign as the contractor,you are indicating that you,rather than the
contractor,are responsible for the work If the contractor wishes you to sign as contractor,that may be an indication that he is not properly
licensed and is not entitled to permitting privileges in Pasco County.
C. IMPACT FEES/UTILITIES IMPACT AND RESOURCE RECOVERY FEES
The undersigned understands that Impact Fees and Resource Recovery Fees may apply to the construction of new buildings,change of use
in existing buildings,or expansion of existing buildings. The undersigned also understands that such fees as may be due will be identified at
the time of permitting. It is further understood that 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, it Pasco County Water/Sewer Impact Fees are due, it must be paid prior to permit issuance in
accordance with applicable Pasco County ordinances.
D. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended)
If valuation of work is$2,500.00 or more,I certify that I,the applicant,has been provided with a copy of the Florida Construction Lien Law-
Homecwnees 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 good faith to deliver it to the owner prior
to commencement
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all 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 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 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 which actions 1 must take to be in compliance. Such
agencies include,but are not limited to:
• Department of Environmental Protection: Cypress bayheads,wetland areas,environmentally sensitive lands,and water/wastewater
treatment
pe
• Southwest Florida Water Management District Wells,cypress bayheads,wetland areas,and altering watercourses.
• Army Corps of Engineers: Sea walls,docks,and navigable waterways.
• Florida Department of Children and Family Services,Environmental Health Unit Wells,wastewater treatment,and septic tanks.
• U.S.Environmental Protection Agency. Asbestos abatement
• Federal Aviation Authority. Runways.
I understand that the following restrictions apply to the use of fill:
• Use of fill is not allowed in Flood Zone"V."
• If fill material is to be used in Flood Zone"A,"it is understood that a drainage plan addressing a"comApee''nsating volume"coil be
submitted at the time of permitting which is prepared by a professional engineer licensed by the state of Ffonda.
• If fill material is to be used in Flood Zone"A"in connection with a permitted building using stem-wall construction,I certify that fin will
be used only to fill the area within the stem well.
• If fill material is to be used in any area,I certify that use of such fin will not adversely affect adjacent properties. If use of fill is found
to adversely affect adjacent 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, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction.
I understand that a 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 shall be construed to be a license to proceed with the work and not as authority to violate,cancel,after,or set aside any provisions of
the technical codes nor shall 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 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 a period of six months after the time the work has commenced. An
extension in writing,may be requested from the Building Official for a period not to exceed ninety(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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANONG,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OjFQCOMMENCEMENT.
SIGNATURE: _/_/ r' 'y b �(�/A SIGNATURE
OWNER OR AGENT CONTRACTOR
STATE OF- STATE OFO IDA
COUNTY Y ,ryCOUNTY
The foregoing instrument was ackno% ed ed before me this Mg . dlhe foregoin rnstrumentwas acknowledged before me this M�S 2011
(date),by V0,1.0A�YVlfr�ttT- d �� ��-CtrLlrg Q (date),by t J�f1 f�0 P�
(name of person acknowtedgin},who is pe nally knovm to-fi-or who (name of person acknowledging),who is personally known to me or who
has produced has produced
(type (type of
n rca on as rden' tion. identification)as identification.
�►*v►u.�.., KATRINA M.BARDEN
eal �Of P0ei��, MICHEM IAMY
+.� ea
Notary Pub�c State of Florida vu&I 4 NOTARY e
CommiUAL
ssion C * * IL "`•'"�
°F My Comm.Expires Oct 30,2022 5 , aQ WIRES.March 7,2w
rFOFF%-O, 9onded7Ml®IIdpMNobryt;NrY�
wpdata/bcsfforms/buildingpermitapplication_pc93043032 Rev.6110/15
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: - -!
Site: 7 6 2.3 044 E B1 V D
Permit Type: aj cw
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet.. hall be kept with the permit and/or plans.1._
MAR 3 2019
i
Kal wi er—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
D,rA>or�D
.p 190[234.0
WE
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DETAIL
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CAM LOCK DETAIL
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COOLERIFREEZI
DOOR
SPECIAL NOTE:
'
REFRfGERATtON DATA SHEET
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