HomeMy WebLinkAbout19-21163 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 2116
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21163 Address: 7623 GALL BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s)': Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0110-00000-0010
Improv. Cost: 8,621.43 OWNER INFORMATION
Date Issued: 5/01/2019 Name: MURPHY OIL USA
Total Fees: 85.00 Address: 7623 GALL BLVD
Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/01/2019 Phone:
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTORS APPLICATION FEES
CMS MECHANICAL A/C CHANGEOUT 85.00
1�1 -41U
e�
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
Owner's Name MURPHY OIL USA CORP Owner Phone Number N/A
Owner's Address WAL-MART STORES EAST LP PO BOX8050 Owner Phone Number N/A
BENTONVILLE AR 72712-8055 Owner Phone Number N/A _
JOB ADDRESS 7623 GALL BLVD ZEPHYRHILLS,FL 33541 LOT# C
SUBDIVISION PARCEL ID# 34-25-21-0110-00000-0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADDIALT SIGN DEMOLISH
X INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK LIKE FOR LIKE REPLACEMENT OF 1 HVAC PACKAGE UNIT
BUILDING SIZE 7:1 SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE DUKE ENERGY W.R.E.C.
=PLUMBING $
MECHANICAL $8,621.43 VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# F
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y! N FEE CURREN Y/N
Address F= License# 7-
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY CMS CHANICAL SERVICES LLC
SIGNATURE REGISTERED Y N__j FEE CURREN Y iN
Address 1045 SOUTH JOHN RODES BLVD License# CMS57101
OTHER COMPANY
SIGNATURE F REGISTERED I Y/ N_j FEE CURREN Y/N
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 fro wrier auth riziag sam
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
o1►aY-°�eL.. CAROLINE ECKMAN
Driveways-Not over Counter if on public roadways..needs ROW _ ' �'.^'_ Notary Public State of Florida
�' o` Commission#GG 309590
My Comm.Expires Jun 14,7023
Bonded through National Notary Assn.
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 a contractor or
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 a 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 to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, 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
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
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, 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 good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'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 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.
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, 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) 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 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.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this S scribed and sworn to r affirmed before me this
by -(-(�1 by eYlof f- (&V
Who isfare personally known to me or has/have produced Who istare personally known to me or has/have produced
as identification. F( .11�ue.is Cc Ce.-s<- as identification.
Notary Public aJL i8or-1 Notary Public
Commission No. Commi io o.
Name of Notary typed,printed or stamped Name of Notary typed,printed or st
JACQUE771
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INSTR#2019072907 OR BK 9898 PG 436 Page 1 of 1
05/01/2019 08:26 AM Rcpt:2050391 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. ONeil, PR.D., Pasco County Clerk&ComptroCCer
Permit No.: Tax Folio No.:34-25-21-0110-00000-0010
NOTICE OF COMMENCEMENT
State of Florida
County of Pasco
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following
information is provided in this Notice of Commencement.
I. Description of property:ZEPHYRHILLS SUPERCENTER-A REPLAT PB 42 PGS 58-59 LOT 1/7623 Gall Boulevard
(legal description of the property,and street address if available)
2. General description of improvement: Like for like chance out of(1)2 ton HVAC unit
3. Owner information or Lessee information if the Lessee contracted for the improvement:
a. Name and complete address:WAL-MART STORES EAST LPI PO BOX 8050,BENTOWLLE,AR 72712-8055
b. Interest in property:
c. Name and complete address of fee simple titleholder:
(if different from Owner listed above):
4. Contractor Information/Person responsible for the improvement:
a. Contractor:CMS Mechanical Services/1045 S John Rodes Blvd,Melbourne,FL 32904
(name and complete address)
b. Contractor's phone number: 800-382.3150
5. Surety(if applicable,a copy of the payment bond is attached):
u. Name and complete address:
b. Phone number:
c. Amount of bond:S
6. a. Lcndcr:
(name and complete address)
b. Lender's phone number:
7. Persons within the State of Florida designated by Owner upon who notices or other documents may be served as provided by Section 713.13(1)(a)7,Florida
Statutes:
u. Name and complete address:
b. Phone numbers of designated persons:
S. a. In addition to himself or herself,Owner designates
of to receive a copy of the Lieoor's Notice as provided in Section 713.13(1)(b),Florida
Statutes.
b. Phonc number of person or entity designated by owner:
9, Expiration date of notice of commencement (the expiration date will be 1 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 I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICF.FOR IMPROVEMENTS TO YOUR PROPERTY,A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INT D TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YO OTIC �FISRUN EUNT.
tat
y6st/
(Efignaturc of Owner or Lessee,or Owner's or Lessee's Authorized
Officer/Director/Parmcr/Manager)
(Signatory's Title/Office) I12olx V 7�)1 {'�� 1 ► t.Z r
The fare in imtmment as acknowledged before me thisAday of v t. l 20
byLl (name ofpc on)as Nu-v-1 y1e r (type of authority,c.g.officer,
trustee,attomoy in fact)for (name of party on behalf of whom instrument vps txdcbtcd)./% r
��. 1zlt, i
►m '' CAROLINE ECKMA]2023
(Signature of Notary Public-State of Florida) V .•''
'�. ' Notary Publlc-State of (Print,Type,or Stamp Commissioned Name of Notary Public) t�01!t I i y '
`! Commission I GG 309
orr} My Comm,Expires Jun 1 Personally Known OR Produced Identification
Bonded through National Nota
PUMA
'01-
�.'vrrltt'111,
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Dic
STATE OF FLORIDA, COUNTY OF PASCO
THIS kSTO CERTIFY THAT THE FOREGOING IS
^ TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OROF PUBLIC RECORD|N THIS OFFICE
Corporate Office
445 West Drive 24 Hour
Melbourne,FL 32904 Service Number
Toll Free:866-674-3883 M E C H A N I C A L SERVICE COMPANY Phone 800-382-3150
Phone: 321-727-2865 Fax 800 897-7886
Fax: 321-727-2270 � JC ,
Alabama
30181 State Highway 59 To whom it may concern,
Suites 5AlB&6AIB
Loxley,AL 36551
Phone 866-674-3883 The following is a list of authorized agents to act on behalf of CMS Mechanical Services,LLC.,in,
Dallas regards to permitting in the municipality of the City of Zephyrhills:
2414 North Elm Street
Denton,TX 76201 • Marcus Joyner
Phone: 800-803-5145 • Zackary Frein
Fax: 866-839-8106 • Robert Glover
Georgia • Jason Storr
1645 Lakes Parkway • Dan Jordan
Suite J
Lawrenceville,GA 30043
Phone: 866-674-3883 If yo ave any questions,please let us know.
Houston
25702 Aldine Westfield Rd
Suite 801
Spring,TX 77373
Phone: 866-674-3883
Indiana --Robert Bull
6975 Corporate Circle CMS Mechanical Services,LLC.
Indianapolis,IN 46278 1045 S John Rodes Boulevard
Phone: 866-674-3883 Melbourne,FL 32904
Iowa 321-473-0306
3560 SW Brookside Drive
Suite H
Grimes,IA 50111
Phone:321-473-0418
Kansas
14843 West 951h Street
Lenexa,KS 66215
Phone 866-674-3883
Louisiana
42334 Deluxe Plaza The foregoing instrument was acknowledged before me this, I"day of May,2019,by Robert Bull for
Suite 4 CMS Mechanical Services,LLC.,who is personally known.
Hammond,LA 70403 p y
Phone: 866-674-3883
North Carolina
4747 NC Highway 33E
Suite F Notary Name: _
Greenville,NC 27858
Phone: 866-674-3883
Pennsylvania I ���� �✓� y '� v
904 Marcon Boulevard Notary Signature: 111
Suite 103
Allentown,PA 18109 Seal:
Phone: 800-640-8441 �i/rr[♦,�„�i,�,
CAROLINE ECKMAN
_; 4^
Tennessee Notary Public-State of FDASsp.
109 Threat Industrial Blvd 4` Commission#GG 309
Suites.5&6 4,F ° My Comm.Expires Jun 14
Smyrna,TN 37167 Bonded through National Notar
Phone: 866-674-3883
Fax: 866-671-1823
Virginia
1807 Murray Road SW
Roanoke,VA 24018
Phone: 800-640-8441
www.crosmechanical.com www.nextechne.com www.nextechcentral.com www.executivefacilitysolutions.com
Estimate Date: 3/2712019
- ESTIMATE Estimate Fatplration: 412712019
WO Number: 1587209
MECHANICAL SERVICE COMPANY PO Number: 52154728
Remit CMS Mechanical Services,LLC Thank you for the opportunity to submit the following estimate.If you have any questions or comments please
To: 1045 S John Rodes Blvd. contact us at I-aoD-382-3160
Melbourne,FL 32904 Description Price
PH:(800)382-3150 Fax:(800)897-7886 Materials $1,690.53
Bill MUOICORP
To: P O BOX 7300 subtotal: $lssos3
EL DORADO,AR 71731 Unit: AC 1 Model: TCCOlSF100BG DOM: 2002
Job MU01006$36 Manufacturer: TRANE --Age: 17--- --Serial Number: 223546Y2H-
-------------------- ----- -----
Site: Description Price
MURPHY OIL 6036 labor
7623 GALL BLVD $1,so0.o0
ZEPHYRHILLS,FL 33541 Materials $5,304.97
Subtotal: $6,804.97
Description of Work
The,following is a budgetary proposal for your review.
During a service call,the technician found the following:
RTU 1
MAKE: TRANE
MODEL M TCC018F1006G
SERIAL M 223546Y2H
AGE: 17 YEARS
SIZE: 1.50 TONS
Tech found unit not cooling due to a failed run capacitor for
the compressor and fan motor.Tech replaced run capacitors,
repaired associated wiring,adjusted superheat,and confirmed
unit operations.
Due to the age and condition of the equipment,replacement is
recommended.
CMS proposes to remove and replace(1)HVAC package unit
like-for-like.Equipment will reuse existing electrical,ductwork,
and draintine.Unit will be connected using an adapter to the
existing curb.
••Equipment can ship within three weeks at time of proposal.
Equipment is operating at time of proposal.First call included
in proposal.`*
Exclusions: i�t
•Engineered drawing as required for permitting if needed.
•Roofing beyond scope stated within proposal if needed.
•Any electrical upgrades not included in normal disconnect
and reconnect if needed,
Any controls upgrades not included in normal disconnect
and reconnect if needed. i
Fire/Smoke devices and control upgrades required by local �}31
code if needed.
•Parking Fees 9 needed.
•Police if needed.
•Modifications to walls or structures surrounding units if
needed.
'Structural steel work if needed.
Price includes all labor,material,crane(if applicable)and
equipment as listed above to complete the above scope of work.
Additional diagnosis and repairs may be necessary after startup
of the components.Any additional repairs required after startup
Questions please contact Zackary Frein @
zackaryfrein@cmsmochanical.com
Customer and any 3rd party vendor expressly acknowledges and agrees Sale Amount: $8,495.50
that the information and format provided herein is the proprietary and
confidential information of CMS Mechanical Services,LLC,and its Estimated Tax: $469.86
Page 1 of 2
affiliates,and shall not be disclosed to anyone else without the express
written permission of CMS Mechanical Services,LLC.
Estimate Total: $8,965.36
s
DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE(FBC ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
Owner:. . IL
Permit#:
Site Address: _76i a 3 CALL (3)VA
Contractor: �'�M 5 AlaykAtttul
License.#: C t �/d
.Final Inspection Date:
I certify that I have installed new or modified the existing duct work associated with the HVAC system
referenced by the permit listed above and found it complies with the requirements FBC Energy Code,
Section 403.3;Where modified,the existing ducts have been sealed using reinforced mastic or code-
0pproved equivalent. Ducts are located within conditioned space-(Section 403.3)System was tested as
per FBC Energy code,section 403.3.2.1.All new duct work is to comply with FBC Energy 403:2 and FBC
Mechanical chapter 6.
Name of License Holder(print or type) Signature of License Holder