HomeMy WebLinkAbout19-20737 i
CITY OF ZEPHYRHILLS -
5335-8TH STREET
(813)780-0020 20737
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20737 Address: 6719 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: 03-26-21-0010-03300-0010
Improv. Cost: 45,800.00 OWNER'INFORMATION
Date Issued: 1/29/2019 Name: SUN MEDICAL CORP
Total Fees: 315.00 Address: 6719 GALL BLVD
Amount Paid: 315.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/29/2019 Phone: (813)783-6189
Work Desc: 5-A/C CHANGE OUT 5 TON
CONTRACTORS < APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 270.00
CARLYLE ELECTRIC ELECTRICAL FEE 45.00
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DUUS INSTALLED
Ins ections Required
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DUCTSINSULATED
FINAL
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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
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813-780-6020 City of Zephyrhills Permit Application Fax-e13-780.0021
Building Department
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pate Received Phone Contact for Permittin Son
Ownees Name. >a !; mac?VV` Owner Phone Number
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Owner's Address 070 Owner Phone Number '
Fee Simple Titleholder Name Owner Phone Number
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Fee Simple Titleholder Address
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JOB ADDRESS LOT#
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a ^ y
SUBDIVISION. PARCEL iD# 3- a��0010
(OBTAINED FROM PROPERTY TAX NOTICE) I
WORK PROPOSED NEW CONSTR 8 ADDIALT C� SIGN 0' Q _ .DEMOLISH
INSTALL REPAIR
PROPOSED USE . SFR 0 COMM . Q OTHER
TYPE OF:CONSTRUCTION Q BLOCK FRAME STEEL
1(( Q '
DESCRIPTION OF WORK tr f I c i G P�UY1
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUiLDiNG $ ` .. VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ "' AMP SERVICE Q PROGRESS,ENERGY 0 W.R.E.C. i
=PLUMBING. $•,.. .. 2,07i 7
—
MECHANICAL ' VALUATION OF MECHANICAL INSTALLATION,
c�i�•i
=GAS Q ROOFING 0, SPECIALTY OTHER :I
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO
1-i-i.�-1- 1-iWl-{.4•' '
BUILDER �� �. COMPANY
SIGNATURE i REGISTERED I YIN 'FEE CURREt Y t
Address License#
ELECTRICIAN'. ° ��`:129ISTERED
OMPANY _ i ��C C.!
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SIGNATURE P Y! N FEE CORREt, YIN ,
l ( .Address ,� � �C� - License# " (21 t i
PLUMBER COMPANY
SIGNATURE REGISTERED Y J N'" "' FEE.RREt:
Address License# 1
MECHANICAL COMPANY V iu-S of
SIGNATURE , REGISTERED Y 1"N FEE CURREN /yYIN, I ' t
Address V '- License# Pell dS IJ�"7`7d
OTHER, COMPANY ,
SIGNATURE REGISTERED Y'i N FEE CURREt
Address License# -
t,ttttl .l'tllt'Iit.litltiFfli iltltll, 1li11'111"1111.1I111111111111'1lllll'/ I11'
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(i)set of Energy Forms;R-O-W Permit for new construction, i
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,'Stonnwater Plans wl Sill Fence installed,
Sanitary Facilities&1 dumpster;Site Work*Permit for subdivisloniAerge 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 wl 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.
D(rectlons:
Fitt out application completely.
Owner&Contractor sign back of application,notarized.
If over$2500,a Notice of.Commencoment Is required. (AIC 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)
Retools if shingles Sewers Service Upgrades,AIC. Fences(PlotlSurveylFootage)
Driveways-Not over Counter If on public roadways.,needa ROW
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NOTICE OF DEED RESTRICTIONS:,the undersigned understands that this permit may be subject to`deed!'restrictions"
wmun corapplicable deed.restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired'a contractor or
_-__'to- _ ' -- --
y M.ay be required t o be licensed.in accordance with state and local regulations... If the
� contractor is not licensed as required by law, both the owner and contractor rnay be-cited for a misdemeanor violation
under
Intended work,they are advised to contact the Pasco County Building Inspection Division—LicensIng Section at 727-847�
u000 `
portions of the sluck contradoir !
` ,that may be an indication that he is hot properly_-_- -and Is, -entitled_ permitting privileges_-Pasco �
� TRANSPORTATION
use In existing buildings,or expansion of existing buildings,as specified In Pasco County Ordinance number 99-0.7 and
that Transportation Impact Fees and.Recourse Reco'Very-Feesi may apply to the construction of.now buildings,chanqe'of
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permlttingi It is further understood that Transportation Impact Fees and Reslource.Recovery Fees must be paid prior to
s arriended. The undersigned also understands,that such feet,as may be due,will be Ida.ritified at the*time of
receiving a"certificate of.odcupancy"or final power release.,'if the project does not involve a certificate of occupa.ncy or
final CONSTRUCTION LIEN LAW fees are due,they must be paid prior to permit issuance In accordance With applicable Pasco County ordinahcesi
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Protection Guide"prepared /
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other^ `^~' ~~~ '^~ |
deliver"°the °w"^ .
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-.--_'�-'-`.- --.__.' I
certify that all the Information In this applicall o*n is accurate and that all Work.
� Will oo done m complian6e 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 �erlfly that no-work or Installation has
commenced_ ___
construction, County and City codes, zoning regulations, 'and land development
regulations in the jurisdiction. I also-
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my responsibility to identify whit actions I must take.to be In compliance. Such agencies Include but are not limited to:
Department of Environmental Orotecti6ritypress Bayheads,Wetland Areas and Environmentally Sensitive
Lanu^Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland- Areas, Altering
-
nute"ovsem
Department of,'' Corps-of Engineers-Seawalls,
Health & Rehabilitative Services,/Environmental 116alth k-'- Unit-Wells, Wastewater
Septic Tanks.
US Environmental Protection Agency�Asbestos abatement. |
� Federal
\understand th- _-' �
usevfi,11mnot |
oo e� �ef0 /
_-_
s.a!ing volume"will be submitted at time of permitting which is prepared by a profess Iona]engineer
^ licensed uy the State m
If-the fil '
aterial Is to be used in Flood Zone in connection with a permitted building using-stem wall
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- - --,that-'--_---'- .
n fill material mmmn '
properties. If use of fill Is found to adversely affect adjacent properties,the owner may be cited for violating
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the -the building
acre which are elevated by fill,an engineered drainage plan Is required.
n/am the AGENT FOR THE OWNER,I promise In good faith to Inform the owner of the permitting conditions set forth In `
this �
plumbing,__
permit Issued shall be construed to be a license-to proceed
� set aside any requiting a correc1jpn of errors in..plans,construction or violations of any codes.. Every permit issued shall become Invalid
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� . permit Is commenced within six months of permit issuance',-or if work.authorized by
.
the permit is �
may be suspended In writing,from the Building Ofil.clai for a period not to exceed ninety(90)day.s and will demonmraw |
justifiable`----_ `the---_-- ,work ceases-for ninety 9~',~_.~. -days,`the~job~considered'abandoned. �
WARNING TO OWNER. R FAILURE T(?RE OR A NOTICE OF |
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WNER OR AG SNr
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' Notary public 4"—,Notary Public
- Commission No, Comml Ion
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Nome of Notary typed,printed or stamped Nome of Not
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Colliliffbelon#GG 276W |
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CITY OF7EPHYRH|US BUILDING DEPARTMENT ^
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5335urwSTREET ZEPHYRHILLS � !
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k823\780'0020 /
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CONTRACTOR
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1, (NAK8 LICENSE HOLDER FOR
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/8US|0d'V6CCTx&,AUTHORIZETHE FALLOWING AGENTS \
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TO APPLY FOR,SIGN FOR,AND PICK UP-PERMITS UNDER MY LICENSE NUMBER
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PLEASE ALLOW ONLY THE PERSON(S'� BELOW TO SIGN.THIS LETTER OFAUTHORQ)4T|<]NSUPERSEOESALL '
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OTHERS PREVIOUSLY ON FILE.
117 h 41,1� 57
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QUALIFIERS SIGNATURE QUALIFIERS PRINTED NAME
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STATE OF FLORIDA COUNTY OFpASCO
|SWORN TO AND SU8SCRQEDBEFORETH8D�y� .
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MYC0MW1B|ONEXMRE5 Z070 NOTARY PUBLIC STATE OF FLORIDA
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' CXPIRES November 08,2020
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Aii'Mo 6rends
BMW Mcle ore m Pr e s tderit,zepliyrnab,FL
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LIE x SAC;6649$ - -
BINGHAM REALTY ' - 12/07/2018 it
„ 38070 DAUGHTERY ROAD
ZEPHYRHILLS,FLORIDA 33540 I
AGREEMENT FOR 6719 GALL BLVD.ZEPHYRHILLS,.-FLORIDA 33542
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BRIAN,
AIR TECH SERVICES WILL BE*INSTALLING(5)5 TON S/C SPLIT UNITS '
AIR HANDLERS,CONDENSOR 208/230-3 PHASE,DUCT WORK,AIR HANDLER STANDS,ROOF STANDS, I,
ELECTRIC WIRING,PERMIT AND LABOR.
WE WILL NEED ACCESS TO OFFICE DURING BUSINESS HOURS
WE WILL NEED ACCESS TO BRING IN THE ELECTRICIAN TO GET.LIST OF SUPPLIES NEEDED FOR THE
ELECTRICAL
EACH SYSTEM WILL TAKE APPROXIMATELY 4 DAYS EACH
JOB COST$45,800.00
AIR TECH SERVICES REQUIRES A COMMITMENT PAYMENT OF$22,900.00 ASAP
BALANCE OF$22,900.00 DUE UPON COMPLETION.
WE WILL BEGIN THE INSTALL AS SOON AS WE RECEIVE THE COMMITMENT PAYMENT I
ACCEPTANCE OF TERMS DATE 12/7/2018
INSTR#2019015405 OR BK 9851 PG 237 Page 1 of 1
01/29/2019 12:55 PM Ropt:2024056 Reo:10.00 DS:0.00 IT:0.00
PauCa S. 0'Nei6 Ph.D, Pasco County Clerfe&ComptroCCer
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ParrrdlNo.. 97 PameltDNa (S3-a(P-at-61010-03300-0'�10
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NOTICE OF COMMENCEMENT �I
state of_F3 W2 Maio, County at PatsCo
THE UNDERSIGNED hereby gtvee notice that hnpmvemenf will be mode to certain real properly,and In accordance with Chapter 713,Flodde Statutes,
the rolowdng information Is provided In this Notice of Commencement
t. Description of Property Paro311dsntfliceOon No. 01-•a.(A-a1 — )pin — 0 31M- oa 10 �
Street Address: 419 Cia.ii Lad ?-eThVah i11s F't 3As;ta
2. General Description of improvement
3. owner Informalton or Lessee information if the Lessee contracted for the Improvement:
Address -r city I I Stele
interest In Property:
Name of Fee Simple Titleholder:
a (It different from Owner listed above) �.
4. Conrlrae Address
N1 Y-T rr� 51etw Gej AA ISO
ddr ss `l)( l rZgl r v 26309
G�r O __ stela
Contractor's Telephone No.: 1 � !
5. Surety.
Name
Address Coy Slots
AmountatBond: S Telephone No.:
a• Lender.
Noma
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Address city Stale
Lender's Telephone No.:
T. Persons vAIW the Stele of Ftoridb designated by 1h0 owner upon whom nollcea or other docvmenis may be served as provided by
Sec0on 713.13(iXoX7),Florida Statutes: I'
Name
Address CRY Slate
Telephone Number of Designated Person:
s. in additlom to himseif,the comer designates or` 1
to receive a copy of the Llenar s Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Ezpirellon data of Notice of Commencement(the sxplrelten dole may not be before the completion of conovuelton and final payment to the
contractor,but will be one year from the dole of recording unless a different date is specined):
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 713A3, FLORIDA STATUTES AND CAN
RESULT iN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENt MUST BE
RECORDED AND POSTED ON THE JOB SiTE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT
WITHYoUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEIviENT.
Under penally of Vol",I declare that I hove read the foregoing noiloa of commencement a at fh facts stated(hetain are true to the beat
dmy �, •
STATE OF FLORt A'* � $�ARLENE HENOLEY
COUNTY OF PAS !*1. MY COMMISSION N GG
1 EXPIRES NOVOROW(18r a of Owner or Lessee or ees or Lessee's Authorized
•. ractoiPettnerdMaeeg 'i
Sdpn/et�or�y's THieKMlce
The foregoing instrument was sidnowfedged before me this Aidoy,1l/�1_,20�by
ea �/ (type of authority,e.g.,odoeer,trustee,ottomay in dad)for
(creme rt,an behe of ore M,t men s executed).
PereorelyKndwn (25Produced'IdemNkeilan0' NoIvryStgnature
Typo at tdenttikflion Produced Name(Pdni)
wpdsleibcatnotleecornmencemonl pc0031M9
STATE OF FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WIT SS MY HAND A D OFFICIAL SEAL THIS
DAY OF
-ff- 6thMVCA 2-QA-
PA C A S.O'NEIL,CT-ERK&CO TROLLER
BY DEPUTY CLERK
OF F