HomeMy WebLinkAbout18-19897 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19897
BUILDING PERMIT
PERMIT-INFORMATION LOCATION INFORMATION
Permit Number: 19897 Address: 5327 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: 11-26-21-0010-13300-0010
Improv. Cost: 5,575.00 OWNER INFORMATION
Date Issued: 7/02/2018 Name: ACTIVE FOOD SERVICE MANAGEMENT
Total Fees: 70.00 Address: 11201 WOODLAND WATERS BLVD
Amount Paid: 70.00 WEEKI WACHEE, FL. 34613-6425
Date Paid: 7/02/2018 Phone: (727)410-0077
Work Desc: A/C CHANGE OUT 5 TON
CONTRACTORS APPLICATION FEES
PATTIE ELEC. & REFRIGERATION A/C CHANGEOUT 70.00
ua4r�-(3-7 �7
DUCTS INSTALLED Ins ections 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.
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 Phone Contact for Permitting —
Owner's Name dZ; Q� l t° t Owner Phone Number
Owner's Address F Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS — o e a LOT#
SUBDIVISION F PARCEL ID# _O
IL
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION 0, BLOCK Q FRAME = STEEL
'n=
DESCRIPTION OF WORK
BUILDING SIZE I SQ FOOTAGE F____7 HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
i
ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
dMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l
GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER i` COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER' COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY Ml- e_ eL (C+ &4rt ieda--5
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address i' ,t/ License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
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 onsite,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 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(Plot(Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED The undersigned understands that this permit may be subject to"deed" restrictions"
which may bm 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 a contractor or
contractors bm undertake work,thevmay be required bobe licensed in accordance with state and local negu|mU ��ma. ,the
contractor is not licensed as noqu|nmd by law, both the owner and contractor may be citad for misdemeanor violation
under m1abs law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired e contractor or contnso1orm, he in advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which-they will be responsible. If you, mn the owner sign oothe
contractor, that may be an indication that he is not properly licensed and is not entitled hm permitting privileges in Pasco
County. `
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 bu||din0m, or expansion of existing bui|dinga, as specified in Pasco County Ordinance numnber89-O7 and
90-O7. as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time mf
pemnMt|ng' It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a ^cerUficaheof occupancy" or final power release. |f the p does not involve eoedificatocf occupancy o
final power re|moma, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVatmnSexxer |nlpoot
fees ared they must bm paid prior to permit issuance in accordance with applicable pa000Cmuntyondinonoem.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): |f valuation of work im$2.5O0.O0or more, |
certify that |. the app|ioant, 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"cwvner". | certify that I have obtained a copy of the above described document and promise in good faith to
deliver|ttm the"ovvner" prior to commencement.
CONTRACTOR'S/OWMJER`SAFFUDAVUT: | certify that all the information in this application ku accurate and that mU rh
will be done in compliance with all applicable |oxva regulating oonmtrucbmn, zoning and land development. Application is
hereby mode to obtain a permit to do work and installation as indicated. | certify that no work or i as
commenced prior to issuance of permit and that all work will be performed to meet standards of all |avxm regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I!also
certify that i understand that the |ati of other t agencies may applyto the intended work, and that
my responsibility no identify what actions / must take 000emcompliance. Such agencies xinclude but are not limited to:
- Department ofEnvironmental Protection-Cypress o^ Wetland Areas and Environmentally Sers'itive
Londm'VVoter8Namtevwaba Treatment. �
- Southwest Florida Water Management Disthot-VVaUo' Cypress Bayhmada, VVmUond Areas, /\|Maring
i
vvamynzxureem.
- Army Corps ofEngineerm-SeaxwaUs' Docks, Navigable Waterways. �
' Department of Health & Rehabilitative Services/Environmental Moo(th Unit-Wells, Wastewater Treathen[
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement. !
- Federal Aviation Authmritv-Runvmaye'
| understand that the following restrictions apply to the use offill: '
- Use of fill io not allowed |n Flood Zone^V" unless expressly permitted.
- If the fill material is to be used in Flood Zone 'N'' it is understood that a drainage plan addressing a
"oornpensatng volume" will be submitted at time of permitting which is prepared by a professional engineer
|�annadbv the Sb�aofF|ohda. '
- If the fill material in to be used in Flood Zone "A" in connection with m permitted building using otmmn|vmaU
!
construction, |certify that fill will be used only bm fill the area within the stem wall.
- If fill material is to be used in any area, | oodifv that use of such fill 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 |mes than one (1)
acre which are elevated by fill, on engineered drainage plan iorequired. �
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of-the dU dKj fb hi
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, alter, 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(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)�Iays and will demons,irate
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 this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical W'ork,
RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TKDOBTAIN-FINANCING, CONSULT---
Pattie Electric & Air Conditioning
39111 Pattie.Road
Zephyrhills, FL 33540
813-782-3319 ,
sales@pattieelectric.com
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2078-108 7/3/2018 »§ INSTALLATION
�B it
Coney Island CONEY ISLAND
5327 Gail Blvd 5327 GALL BLVD
ZEPHYRHILLS, FLA 33542 ' ZEPHYRHILLS, FLA 33542
ftem Code Description
> 7/2/2018 MON 10:44 AM>
install 5 ton Rheem straight cool 14 seer split system per quote $5,575.00
Qcarcf_L 10 : 1v- 2-ty 21 —cao10 — 13300 ovl0
AMNE FOOD SF_VWIC.E mlRNRC-,EmENT' INC,
11201 'WoopLWNtom✓ \NfTFV_S 6L.N/ p , VNFe —i vjACRE6 FL , 3#4Lo13)
All material is guaranteed to be as specified.-All work to be completed in a professional manner according to standard practices. Any alteration or
deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above
the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection,including attorney's fees.
Signature Date
I