HomeMy WebLinkAbout03-2192
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2192
Permit Number: 2192
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 15,200.00
Date Issued: 7/02/2003
Total Fees: 110.00
Amount Paid: 110.00
Date Paid: 7/0212003
Work Desc: 2 -10 TON TRANE UNITS ON ROOF
Address: 5919 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0020-00000-0100
Name: DOLLAR GENERAL CORP #1530
Address: 5919 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 and Fee Must Accompany Application.
I----_m__- All ~ork shall be performed in accordance with City Codes and Ordinances
I NO OCCUPANCY BEFORE C.O.
._----_._~--_..._~,.-
~C?~_ .~
~OR SIGNATURE - ~n PERMIT OFFI
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
I PROTECT CARD FROM WEATHER
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A. NCJ'I'IC!1: Ol!' lJli:J!:D kES'}'IUC'J'IOH.':3
Tht:: unde:rl:iiyncd understands t:11/;\t [ILL:; pt;uui t Ji\.ilY be .:;ub:j",cl: to "deed .l:t::::il:rict:ioIlS" vlld ell
lIIc.Y bE: more u:strictivl:;; t11i:HI City t':::9(1] allan.:;, 'l'he lllldc.l:siuned i:Hi.::;llllles rel:lflOnl:dld.llty tor
complli:lllCe \'lith Clny, applicable det:d LC.5tl:icl:i()iLl:;.
B. UIJLICelllSED COH'l'AAC'l'ORS .lnlD cO:!,'l'W\C'l'UH Rt;Sl:'OJ~SIBIJ,I'l'H:S
I l' the Ollllt::.l: ha:; hir'ed a coulract0r or contractor,:; tu undertake \JC.lrl;, thbY HlClY be l\i::quln::d
to be lict::n.::ied in i:lCCOr:'di:lllCe ,11th sLate <:'Ind local regulalioll.:'J. If t.he C(,nt:rC:luto.l: i l:l not
llcen.:;cd al:i rcquired by .lal'l, both the O,lIlcr anet contracto.L' way be ci ted for a Illi I:iddlli<:::C:lIIOl
vi olati un under ::sLate 1i:HI. If the miller or intended contJ..:actor i:u:e IlIlCe!"t:",Jn <:ll:l to ,~haL
Ii censiulj reqllirelllenLl:l Illay apply for the intended work, they an:: i:idvi.l:led to con Li;Wl: thl:;
C1ty of Zepll~'"'ld11", bunding Dbpar:tlilent, tl13-.eI88-6611,
E'urtlH:LLIllOt'e, if the G\omel: has ldred a coutr:'actor: or c:ontrC;\ctou;, llli;: il::! adv1.l:lli;:d to lli:lve the
contri:lcLo,l:(s) l:iign portions of tllt:: "Contn.ctor Sections" of thl::; i:ippl.1ci:iti.on tor "hieh they
\'/il] be rcspons.i.Lle, It YOll, a,:; the o\omer: l:l.ign;;; <I::; the contrar..:tcn, yuq i:Irt::: .1lidici;ltlng that
YOll, rather tllan lhe cOllt!:i:lL:tor, are respolisible for tilt:: wo:ck. It Lhe cCJlitrlilct(Jl_ vl.il'Jhel:l
}lull to l:l.1yn al:l contri:lctor thi:lt way be an indi.cc:ltion tllat he is 1I0t pt:opel:l.y licelHH::d and il:l
nul t::ntit.1<:::d La peulIitl:ing pr:iviJegel:l in the City of l.ephydlills.
C, ']'R.A.HS l'OR'J'A'I'J 011 H1PAC'1' I!'EES ANn IJ'1'lLI'I')' CONNEC'I'ION F'Et!;S
n. l;ONS'j'f(UC'rUI0N LH;N LAvl (CHAP'f'Ek 713, !I'LORIDA S'j'A'I'U'l'ES, AS AHENllb:D)
I certl fy that: 1, the appUcant, have b",en provided Hitll a copy of "Ji'lor.i.da's Conl:ltl:\lcLion
.1.ien Lenl - HOlllcmlnt::r" s Pr:otection Glli de" pn:pari;:d by th.: l!'] ori.da Depal..twl::nt: at Agri clllture
alld Conl:lllll\e:r Atfair:s. 11' the applicant is sulLleone other that the "ovm.;l:", I ucrify th~t 1
ha vc 01>tai lied a copy of tht:: abOVe dt::.scribcd document and promi.::ie in gout! fi:l.Lth L.0 dclj vcr
it tu the "OllllE:r" vrior' to COIIUllo::UCe:Hlenl:,
11:, COH'I'HAC'I'OR' S/OWHER' S AB'ff'IDAVI'J'
I ccrt.1fy that: al] t:llc intorruat.ion ill thi", applicat.1on.Ls accurate and tlICll:. ,dl I'w.k Hill
be dOIlc in GlJmpliancl:: vd.L-II all i:lpplicable lal'Js regulating constnwtion, zon111lj, and] dnd
developlCIenL.
Appllcation .1.:; hereby made to obtain a peUld_t to do Hork and in.:;tallaUon al:l illdjc~tt::d. I
ecrU ty that: no \o/Orl;. or: in.::;ta]lat:ion Ili::l::; commenced priot. to iSi;lHcHICd of a p,:::ulli l and that
all l'Iork will be perfoulled to meet ::;tandards of all laws regulating con::;t:ruution, (~ity
codes, zonin<j r.:::yu] aLion.;;, alld land deve::loplIlent r:egulation.s in tlle juri I;:jdictJon. I ed::so
certify tlH..t I llnder::;tand lhat the regulation::> of other govenuilental a(JenCid::i may i:ipply to
the 1nti;lnd.:d ViOLk, and thaL it is my l.i:ll;iponsibility to ideutifi' Vlhi:lt i:ictJonl:l I lIlU::;L LC:lJit:: to
be in cOlClplianct::, Such i:igencii:ll:l include but ar'e not. limited to:A'j)epartment of
8nvil.onmentaJ ReguIati.on-Cypres.:i Baybeact.:!, Wetland AI.:ci:ls and li:nvirolllllellli:lU.y ,'3l;;;lJ::si t.lv.;
Lalld:;;, Water/Wast.;,JaLer 'J'reatlnenL
~t:iuiltlMi:l:lL Iflorlda Wi:lter l'1anagelH<::nt D1strict-Wella, Cypresl:l Bayhei:id:;, W<::tli:llld Area.::;,
AI ter:l11~ vlat<:::rCOllrscS
.AAnnll Curps ut h:11g-illc.::l.;;-SeaIJalls, Docks, NavJgi:lbl", Wat':::J..:Hc:lY;;
^UelJc:ll."LlHellt uE HeCjlt:h I:< RdlabililcltJve ServJce;;, {!;nvir:olllllent,d Health UlJit-'Well.::;,
W",:;1:.;Vla-ccr 't'rcatlLlellt, S.;ptic 'l'anl,s
'~lJ, t;. Ji:nvil.orHllcnti:l1 I?rotection AgeIlCy'-Asbe.::;tos i:lbat:e:rnent
I a1.::;0 certify t:hi:lt, jf till materia] is to be used ill flood Zone "A" OJ.: "A,eLc.", it: is
und<::r:>tuod that a dLi:lina(j'=' plall addrc::;:;iny a "cCJmpensat:ing volUlne" I'JiII h<::: .::;lIbud LLed Hldch
i.l:l [.llepan:::d I.-y a fJI.'ote.::;slcillc:ll engiueer n,gist.;.red in the Sti:ite of I!'Jorlda pLiol. to pb.t:lnit
i:;'':;(Ii:lIlc.:e,
A pe:i:llIit i sSlled shall b<::: c.:onstrned to bt:: a licen.se to proc.:::e:d vdtll till:: \'Jol.k i:md lIot al:l
author:lty to violate, cOlllcel, alt.;r, or set asidE: any prov.i.::;.1on::; of th<::: t<:::chnic..l cod<::l:l,
nor /:illal} l:isl1ance of a p.;nnit prevent tbe build.ing Official from thereclrtt:::t rel}ldrJng a
correction of error.:! ill plans, construction, or violationl:l of ",uy code. t!;very permit
ll;i.:;\led i;ihi:dJ b!;COille Invcdid unlesl;i tile v/Or!\: authot'i~cd by such per'mit lb COIlUJlt.:liI\..J<:ld' Idtldn
::Jix month:> of i:Sl:Hli:UlCe:, or if ,,,ork authori.zed by the penllil is suspended ell: ..band(mt:d f.o~ a
pl:riod of si.. filontlll:l after the time the 1'10.1:], i.:; conuuencad. Dne gO di:iy e<etensioll 01' UIlIt::
may be CI] lo\H:c! t(.lr the pe:rmi t. vii th fee chal"lje of $15.00. 'l'he .:::..te:l""i on /;illi:i11 j,o:. reqlH::I:it:cd
in wrl ting to the Bui Iding Official. An approved inspection must be .J oVVo:.d dilri IlV I::i:lcb pi"
month pcritid, or t:he project v~il1 bl:: con",idered abandoned.
WARNING 'PO OWNER: 'tOUk ff'AlLlJR8 TO RECORD A HO'rICE OJ!' COIVJl'1ENCEl'1hiN'r l'1AY khiSUW' IN YOOk
PAYING T\liICE jfC)R H1PROVEMhiN'l'S 'j'O YOUR PROPERf'Y. It!' YOU IN'i'EHD ']'0 Oh'I'AIN J!'lNANCJNG, CONSlIL'i'
Wl'1'H 'tOUR LEIWER OR AH Ni''l'ORNEY BI!:E'ORE RECORDING YOUR NO'l'ICE DI!' CUIVJlvlEHCEM!!;H'I', ;JOBS lJ}Wt!;k
$2,500 HI VALUE: DO NOT NEED '1'0 RECORD AND POS'I' A "HO'elCE CW COIVJNE~NCElvJEN'I'I/.
(~UflfJ1'L'IOIiS OF' PEkllIT AlTFI DAVJ'J'
---.--.,-------.-... -_._-----,._._-_.~----,._,~ . "-'-'~--~"---'----
S I GNA'f'URE l CON'I'I<AC'I'OR
S'j'ATE Ol!' fLORID.1>,
COUN'i' 'f OF ____~___._._._.__m___
'l'bt: toregoing irl/;,trurnent: v"i:l1:l acknoVlledyed
Before me ttlis e_....__ day ut ._______, 19_
by ...___._.______..__....__ ______... .__ ____.__.__..._.._._.._.
(name ot per::lon acknol'oil.;dged)
o I'~ho i::; persona.1ly knol'JIl to file, or
S'f'A'I'E OF IfLORIDA
COlJN'I'Y OE' .--.--.____'.e..._.____...______._____
'l'lle foregoing instrUHlf:ln t: Hal:l acknovoi.1 t::dgi:::d
Before me this ....._-----1ji;jy ot..---.--.-.-, 19
by ___.._.______...._._.._..__.... _._._.__..._...__ ... . ... .......________._ _...___.
(nam<::: of persun acknowlt::dVE:d)
rJJho is personally Imown tu me, 0.1.'
[J ,~ho has prodllced_____
( Lypb
and vlho[]did []diJ nolo
of idli;:nti.fication)
tab: i:ln uath.
[J Hila has. produced .___ _._....._._.
(type of jdenli ricaUoll)
and vlho (]did [}:Hd IIU! lab:: i:ln ui:lth
._._---_..~-~~._"-- -----.---------..-.. .-. -,~-...- _. -'-'-'---'-'-'-'~'-"~'-~_._---
Signi::ltul.t:: uf fH:lrSOn ti:iking acknovJl.edge:filent
Signature: of perl:lun t..ld ny aCkllOI'Jli::ldU1jli;::nL
li~~~~" t y fJ c d~-;r i ;~t~~i-Z~.._~-t:.~~.l~=-';:;::i- ...-
..--------.-------.-.------- -----_._---"...-.,._."_._-,."_.....__._._---~---,.,._.- ---------
Name: typed, lil:Lntt::d or .:;l:aHl}J\.::d
Sf:,...,' "
l: ,,","<IN'''l !'j~t.,
Page No
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PROP~JSAl SUB~~~ ~0)-Z79.:'~~~~~~WI7jOA:5f4lZGP~_
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"'-'-.'. ""cc='"." , 'I I b d maleri".!s .. complele in "ccorda"ee "'r1 1u ". ,
W" '",,,,,by pll'l'ose 10 ["Ull5 1 " ,)I an 0', II'
~J+een &~/ -fr-u:J~, ":f::..CX:' ":::- i Wi' PlY""", " Ii. ""j. " 10 "'"
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AI-~~;~,-'~rI~\JUi!r"JI',", d 10 ~e .;" speCified /111 ..~ork 10 be CO~I~II~i\~(:,~'~,~1 \:~lrt~~'a~~I~~~s,m~"'l~lle:Vili;(~:~~:;;~ a,~ eXI!,a charge t'er and "bov" Ihe ."'l11al., AI,
f .t, 0111, 'alio,,, II1\~rvi"9 clxlrd CO\'" WI,[ be oxeculo " ','" (:ays and IS yod
rem c '-'YO 'I' r ' I b' ,.. plan!" WrI""1IL
'" ,,:" ., I 'Irik"s ,a"cerdenl) 01 dela'lS beyond OUI conlrol rhil propo,al su ,O'cl 0 acco "
J~:r~tl"l'~rl/'; (:)flfln:i8rn Up,-I.. . I
,"""",, ,I Ih; "'''T'' "I II" ""do",",,,,y ~
*' A~~Ep." ~C-~=c..;~. PR~c~~-S~.~'~
h ' J t do the work i15 speblied
' I'd' d' . . hereby accepted Yau are i1ut orlzeu 0 ,
rh,~ a,J~"'d piC e5, speclf,c,tIOnl an con, 1110111 ale , "JL2 '" ~""""",i"
","1.",,,.1 ,be," . .LAl.. ~.... .
~ Slgnafule. . , . '~.'.u '.,
ACCEPTED:,
Payment will be maoe
@ale
Slgnatllre
1
JUN-05-2003 05~53 PM ANDREW~S HEATING&COOLING
P.02
/
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2003115616
NOTICB OF COItMBRCBMBttT
County of p Cisrl~
State c3f, \le( f clcx..-
TUB tmnERSIGNBO hereby gives notice that improvement will be made to c3rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following info:cmation is provided in this Notice of Commencr.mcmt:
+ Signature of Owner: ~ ~I.J.)
Swornt d' ~
o an subscr~bcd before me th~~~'~ Af~~ of
~ Db ::, , .:-......~t:~!<~~
~ 4/.- NOIPAftW -.:loof\<s,
-. _ "nnT .-, S
Not.).ry Public: ~ : PUBLIC : i
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Me' -C'e - ·
'I ':):;1',:1,\ G s ion Exp ire s ; ~ ~. lARGE · ~. ~
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PC93053048 "', 'II COU..",.~,,,,
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My Commission Exoires MAY ~ "",..
.1.
2 .
* 3.
,J,t
Ownor I nf,,',ma tion : NaIlle bD~ \0. { f'.,UV.f 0.. Q ( \.S')<U' ') ~h {If I 1.(.1 U. {J)."
r~ddress _ C~-F\ Vl G.if\ t18vd City ( v fJl'.'\ljY b.JJ<; Stat~ L.-"
Intereut in pr.operty: l u;~l { o9.S6r
Nilme of ~'ee Simple Titleholder:
(If other th~n owner)
Rec: 6.00
IT: 0,00
Dpty Clerk
Rcpl: 692722
OS: 0.00
06/26/03
Address
City
Stnte
J1
Contractor: Name f11.J/yZ.'P: a)~ cfJe/rI/ rr f (t~/J~15 ,:i /(' .
1\udress ,"1JYZ2 L{-;1LI1+ JJif"" C1.ty ~k7j i J //5 State t--L
33SifO
5.
Sllrcty: Name
Address
City
l\rllount of Bond: S
State
JEO PITTMANi PASCO COUNTY CLERK
06/26/03 0 : 0:rm 1 of 1
OR BK 541 t PG 470
6.
Lender: Name
Address
ci.ty
State
Per~ons within the State. of Florida designated by Owner upon whom
notlces or other~ docu~ents may- be served as provided by Section
713.13(1)(4)(7), Florida Statutes:
Nnmc
1\ddress
City
State
B.
In addition to hims€?lf, Owner dp.signates
of
Lienor 's Nt" to receive a copy of the
o ~ce as prov~ded in Section 713.13(1) (b), Florlda Statutes,
:~p.l.,C"nt J./)r~ dn t~ or 11CJt.lce or. Conlmencement. (t.he
!r?m the ~i1tD of rocording unless a diff~rent expiration d~te i~ 1 ye~r
- date is specified.)
I) .
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