HomeMy WebLinkAbout20-22320 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22320
BUILDING PERMIT
�. PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22320 Address: 7643 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: 34-25-21-0010-03100-0000
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 1/17/2020 Name: ZEPHYRHILLS NNN LLC
Total Fees: 60.00 Address: 320 N MAIN ST STE 200
Amount Paid: 60.00 ANN ARBOR, MI 48104
Date Paid: 1/17/2020 Phone:
Work Desc: EQUAL CHANGE OUT OF ICE MACHINE REMOTE CONDENSING UNIT
CONTRACTOR S - APPLICATION FEES
MIDNIGHT CONTROL SERVICES INC MECHANICAL FEE 60.00
1V�
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 properly 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.
/ ONTRAC OR SIGNATURE PERMIT OFFItYR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhiils`Permit".Application .... - " ;' Fax-813-780-0021
Building Department
Date Received
IM -r "tt / l 2
�. Phone Contact for`,tPermitti. i.c 7---,,�• +LO
( Owner's Name gjlstc2 1N`1 � �b►`�I- Owner Phone Number
t` Owners Address Owner Phone Number
Owner Phone Number
t JOB ADDRESS —7Gv43 6ALL P"JW 5), -Z&Ar 5 PL- 31!>S4 1 LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT [ SIGN 0 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK = FRAME STEEL =
DESCRIPTION OF WORK AIIA L C R446 OCTXC-! PAA ft r.1 r,
BUILDING SIZE F SQ FOOTAGE HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL ($ -- AMP SERVICE Q DUKE ENERGY C] W.R.E.C.
i
� =PLUMBING i$ ��
IJMECHANICAL $ ��r VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS —� FLOOD ZONE AREA [=YES NO
HIH
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA
Address License#
ELECTRICIAN', . COMPANY
SIGNATURE REGISTERED Y/ N T FEE CURREA
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA
Address A License# t i
MECHANICAL COMPANY jAPP CV14 i?4L cS�'Q-DIG S
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address �}20 2A�Sj • LbVDNo Z r` T ;J to -S(L 344P59 License# t✓A��5594'61
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# I
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/Slit 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.Ali 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
NOTICEOF 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 maybe 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.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND:RESOURCE,RECOVERY FEES: The undersigned understands
-,---that-T-ransportation-imp.ict-Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing..buildings, or expansion of 'fifd-buildings,-as-specified in-Pasco-County-Or.dinance--numlier--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 cop; 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'S/OWNERISAFFIDAVIT: 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. ,Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
-Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps,of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US 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 W"unless-expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional,engineer
licensed'by the State of Florida.
- If the fill-material is to be used in Flood Zone "A" in c area
with a permitted buildingusing 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, I •c-ertify 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 less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENTFOR 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 correction of errors in-plans, construction or violations of any codes. Every permit issued shall become,invalld
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 fora 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-IMPROVEMPNTS TOYO.UR PROPERTY. IPYOWNTEND'TO OBTAIN FINANCING,.CONSULT
WITKYOUR LENDER OR AN-A\TTORNEY.BEFOREI"RECORDING.'YOUMNO-TICE Of,COMMENCEMENT.
FLORIDA,JURAT"(F.S. 1 .03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn yor#n_ed�before me thisS W� d o(or affirmed)6afore me this
by yb crib and swo
WHoli
01 Fisl
by
Who is/are personally known to me or has/have produced re Vs has/have produced
rally known to
as identification. entification.
Notary Public Notary Public
Commission No. Commission No.
Narrfa of Notary typed,printed or stamped Name ofN grylypne!1printedorstamped
CARLOS MALDONADO
Commission#GG 346275
Expires June 18,2o23
Bonded Thru Troy Fain Insunince 800-385.7oig