HomeMy WebLinkAbout04-2790
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2790
2790
MECHANICAL
AlC CHANGE OUT
COMMERCIAL
Address: 5651 6TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
I' Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
3,400.00
3/03/2004
50.00
50.00
3/03/2004
. CHANGE OUT
Name: BEN CHIANG MD PA
Address: 5651 6TH ST
ZEPHYRHILLS. FL. 33542
Phone:
I I
r~=:g~::,~~::o'::~ =~~r=~~:~-=;P~-~::r.::::of the following reasons, a
I (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
I 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 toreconfanotice.ofcommencement may result in your paying twice fCir---
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, Specificationsancrt=ee-Must Accompany Application.
.H _. __________~II wo~~.b.C!I'_~e perforQ'!~.<:U!l_C1<:~()rcjCl~~~with City Codes and Ordinances____
NO OCCUPANCY BEFORE C.O.
___________n__ ___n_.._ . ___.._~_.~__________.____._____._._ . _ .___~. __________ __________
~tf:':IN~PEcnON _ 8 HOUR NOTICE ~~T OFFI
PROTECT CARD FROM WEATHER
CITY OF ZEPnYRHII~LS PERMJ.'r APPldCATION
BUILDING DEPARTMENT 5335 8~h STREET ZEPHYRHILLS, FL 33a4o
PhonElIB13~780-0,020 li'a.:X:1813-780"OOn .11 J.
DA'fm RBOl!lIVllIo ~~.L. ,31 P-![_~~_
PI,ANS RlIlVIIlJW rSI. '.__ _,. '-'....__. .
011"8"" HAM' --13eLJ--C.iJ LClLJ-4 . dA D__P!L____ PHON' CON'I'W', ff!l ,~Ztt: Zbi'S
,TOB SITE ADDRBlSS__2.._f 5-l-____b:IfL$_L_________.__ _______ .-_~_..__.___n_____. _ ~ _.._ .__..
LBlGAL DESCRIPTION: LITr(s}
B U)(~ K
SlIBlJIV I S ION
PARtlEl, III If
(OBTAIN F'ROM
R'l'Y 1'AX NOTICEI)
_.._..-.-_---_..~'---~-----_._._---_..._~--_.---.__._----_.-...---.----. -'---~--_.._--_...
WORK PROPSEIJ: [JNE~1 CONSTRtJr.~TION
[] ADDITION
[J ALTERATION
lJ THeTA!,I,
[Is IGN
[] MOVE
o DEMOI.ISH
PRtWOSEJIl USE: I nsm, FM1IIJY DWELI,IllG
[]~.1tJW' r.. FAMll.Y
[]# OF tINI1'S
[] SNH1~lING paUL,
[] MOB nEl lIot1El
U OTHER
(] Cot1MElR(~ JA T,
[] INDUSTRIAl,
BtJ!r,nrNt] SUE!
o RE:8TAURANT & HEALTH DEPAR'n1EN'I' APPROVAl.)
( n JL41L_t2fLL_dL'L li2~Z;4_/}-:';_Ln~__
-----.---.----~ SQUARE FOOTAGE --.f!;!/224.fr H8I~H'r -=.-----."~C"---
11BJSCRIP'l'ION OF WORK
R9JBIl1F.lNTIAJJ I
CO~1MBlRCIAIJ :
A'I''l'ACH (2) PI,oT Pl.)1\l1S & (2) SET8 OF BtJIlmNcJ PLANS & (1) 8B1T ENElRr~V FORMS,
A'I''l;A(!H (3) SE'I'S OF BUtLTJING PLANS & (1) SET ENER(~V FORMS,
PROP~RTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
FERMITS REQUESTED
[] BIIII.IJIN(~
$ --..--
VALUATION OF 'I'OTAIJ COHSTRUCTION
L.1 E1lJElCTRl CAr I
AMP ~ElR"ICEJ
o
Fl,ORrDA POWER
o
W,R,E1.Cl.
[] PI.t~ING
IJ~HANrC!AlJ
J p~
--g /Jl? tJ
$-- -_/.1 ~( .~_.__ VAIJUATION OF ~~ECHANCIAL U1S1'AI,l,ATTON
./
[] C~A8
LJ ROOFING
[.I SPEC!!AUrv
[) OTHER
l'YPEJ OF (~ON8'rRtJc'rION I [J BLOCK
[J FRM"El
[] STElEL
[) OTHER
FINI8HElIJ FI.qOR mlJEV1'TIONS
IS PRO,JEC'f' IN FLOOD zemEl AREA [] YES
o NlJ
B t1 U,D Sl:R
Cot" PAN Y ____.____..__.._________ ~_.___..._
STATE e'ERT OR REGIST # __.______
CITY PROCESSING #
81 Gl'-l1\ 't'UR El _._._ __._____.____.._ ____________________
******************************************************************
ml,tII0TRICIAN
S'j mTATIJREJ __._
,..p_64__ ,.._ ....~_.._._ _______~.____ 0._. .._"_.__. _"__. ......__ .__________
CO~1P ANY _h___. .__._______ _._____ .____ _____..."__.___.__._._.._. ___.___
STATE: CERT OR REGrST #
CITY PROCESSING #
.---.. ._-..~ '--'.-'~ .-....--...----....."-...-..--.. ._".....-.
*********'*******'*~*..***.**'*********************'**'*'******'**
0_..__.--. _"_'_~ ._.. __._ ~.._.._. _~~_".___.~_______
Pl1UMSBlR
(!()r-! PANY-----------.--------.__-;-___ ..___.~.__..__.....__.__.. ._. _._. ..___________
STATE CERT OR REGrST # __________"..__..___.____.___....
CITY PROCESSING #
8 ICmA'l'tlREl
---..--. --.~.-. .____.~___._ 0_.- ."_'___..' __ _'__.'__
* *' **' * ** * * * * * * * * *' * * * * * * * * * * * * * *' * * * * *t *' * '(*)')' * * * * ** *.* * * *[* * -;..* * *j~'4. "" fJ f/!'i
MBlC!HANI. C!Ar. 4- . . .. coll1 PAN vllL62L1Q vcr f1 ~AJL.02c:Mi_~_____!..:_:;c_..~_)
/' - --1--// < J1... . STATE ('ElRT OR REGrST # CA(125.H~.2?4.__.___..._.
8n.3NA1'lJ~E1 //.....____ _ZJL_~_ CITY PP~OCElSSING #____.._.__..__________._____
****'*'***'************************'*"***'*'***'***'************
O'rftBlR
S WNA'l'UREl
I
----.------.-
(~m..1PANY
STATE: CERT OR REGIST #
CITY PROCESSING #
..............-......-..---------.--------------
************************'**********************************~*****
-_.,--_--..&_.."--_._----~..--.---._-_.__...._-
C01WI'l'IONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'I'he undersigned understands thqt this pl'lrmit may be subject to "deed restrictions" which
may be more restrictive than City regulations. Tile undersigned assumes responsibility for
con~liance with any applicable deed restrictions.
B. UNIJICENSEP'CON'l'RAC'l'ORS AND CON'l'HACTOR RESPONSIBII,I'l'IES
If the O\-l!ler has hired a contractor or contractors to undertake work, they Illay be required
to bto licensed 1n accordance wJ.lh .:It<lte and local regulations. If the contracto"r is not
licensed CIS required Ly la~..., both the o~mer and contractor IOay be cited for a misdtollleanor
violation under state l<lw. If the owner' or intended contractor are tHlcertain as to ~ihat
licensing requirements may apply for the intended work, they Clre advised to conta.ot the
City of Zephyrhills Building Department, 813-768-6611.
Furtherlllol:e, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be reaponsible. If you, as the owner signs as the contractor, YQl,! are indicating that
you, rather than the contractor, are responsible for the Work. If the contractot' wishes
you to siyn as contractor that may be an indication that he is not properly licellsed and is
lIot elltitled to pennitting privileges in the City of Zephyrhi.lls.
c. 'I'RANSPOR'l'A'rION IMPAC'l' FEES AND U'L'ILI'l'Y CONNECTION FEES
lJ. cONs'rRlIc'l'UION LIEN LA~~ (CHAP'I'ER '713, FlJORIDA STATUTES, AS AMENDED)
1 certify that I, the applicant, have been provided with a copy of "Florida's Constrllction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and ConsUloer Affairs. If the applicant is someone other that the "owner", I cerify that I
Ilave obtained a copy of the above described document and promise in good faith to deliver
j t to the "owner" prior to conunencement.
E. COWl'RAC'I'OR' S/OWNER' S AFFIDAVI'l'
I certify that all the information in this application is accurate and tllat all work will
be dOlle in compliance with all applicable laws regu1 CIting constnlCtion, zoning, and 1 and
development.
Application is hereby made to obtaln a perrolt to do work and installation as :indicated. I
ce~tify that no Hark or installation has commenced prior to issuance of a pennit and that
all work will be performed to meet standards of all laws regulating construotion, City
codes, zoning regulations, and land development regulations in tile jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
tile intended work, and that it is my responsibility to identify what aotions I must take to
be in compliance. Such agencies include but are not limited tOI *Department ()f
Envirollmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
J,ands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
~AnllY COLpS of Engineers-Seawal.ls, Docks, Navigable WaterHays
*iJepartment of Health Ii Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
~u.S. Environmental Protection Agency-Asbestoa abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drai.nage plan addressing a "compensating volume"'wi.ll be sublllitted Hhich
is pl"epar'ed by a plofessional engineer registered in the State of Jj'Jorida pdor to penoj t
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
autho,d l:y to violate, cancel, altet, or: set aside any provisions of the tecllllical codes,
nor o5l1al1 issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or viotations of any code. Every permit
iStiu~d shall become invalid unless th~ ~'lork authorized by such permit is oOlLunenced within
six months of issuance, or if work authorized by the permit is suspended or abandorled t~u a
period of six months after the time the work is conunenced. One 90 day extension of tillle
may be allowed fer the permit with fee charge of $15.00. The extension shall be ~eques~ed
in writing to the Bui Idlng Official. An approved inspection must he logged dud ng each s:i K
mouth periOd, or the project Hill be considered abandoned.
WARNING '1'0 OWNER: YOUR B'AILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL'1' IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'rEND TO OBtI'AIN E'INANqmq, ~qNl;iUI/I'
WI'l'H YOUR LENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
:?2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POS'l' A "NO'l'ICE OF COMMENCEMEN'llll.
S I GNA'l'URE I OWNER OR AGENT
SIGNA'I'URE: CON'I'RAC'l'OR
S'l'A'l'E OF FLORIDA
COUNTY OE'-
'rhe foregoing instrument was
Beforto me this _._ day of
by.
o who haa produced
(type
and who[] did Ddid not
STA'I'E OF FLORIDA
COUWI'Y OF
'I'he foregoing instrument wa,s aoknowl edged
Before me this .------'pay of---, 1!1~_
by
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type of identification)
and who Odid OUd npt t,ake all oath
acknowledged
, 19_
(name of person acknowl<;dged)
Owho is personally known to me, or
of identification)
take an oath.
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
- ------~-~-_.-._~---_._~._.~-.
Name typed, printed or stamped
.
.,
O'Donovan Air Conditioning & Heating
4839 Allen Rd.
Zephyrhills, FL 33541
813-782-4075
Fax 813-779-0100
CAe 054731
March 2, 2004
Ben Chiang MD P A
16915 Powerline Rd Dade City
Office's: 7008 Jason Dr. Zephyrhills
13020 Ft. King Rd. Dade City
A t t f1 (;!,J r / c(
---..~..- ---
Job Location.
5651 6th St..
< Zephyrhills FI
WK-352 567-13670r 813-788-7685 r~ i -tt:- l~i) - 7 &"d-.- _
IC;i"L
Estimate to replace airconditioning and heating system with 2 ton airhandler and
condenser.
Trane
10 SEER airconditioner
$3,400.
-
-
ii,
"- -
1 , II
Includes installation of air handler, condensor, prefab slab, any ductwork, copper,
secondary pan, thermastat, and taxes. Five year warranty on parts. One year warranty
on labor. Any Electrical, Carpentry or drywall not included.
Tim ODonovan, owner
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2791
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2791
MISC
ADD/AL T COMMERCIAL
NOT APPLICABLE
Address: ROAD 39 (US 301) SECT 14050
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s}: Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
3/04/2004
Name: PROGESS ENERGY
Address: 36453 EILAND BLVD
ZEPHYRHILLS, FL. 33542
Phone:
AERIAL ELECTRIC TRANSMISSION AND/OR DISTRIBUTION LINE
{J~' !
(jJ~? 11
REINSPECTION 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.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
-~-_...--_._- -- ~
___u_ ~~
CONTRACTOR SIGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DATE: ~/?/O"
/ I
I
CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT
RIGHT-OF-WAY USE PERMIT
PERMIT# c?? 7fl
No construction under grolDul or abon ground of any facility shall be accomplished on any City Rights of Way without written approval from the
City Building Department. Any application for approval of construction operations on any City owned Rights of Way shall fUrnish a detailed drawing showing
the complete scope of the proposed work In triplicate to the office of the Building Official for approval prior to the commencement of any work. A copy of this
permit Is to be kept readUy available at the site of the work at all times.
PARCEL J.D. #
CITY ROAD
DATE
LOCATION (Legal Description):
Permlslllon Is hereby granted to
for the construction and maintenance of
of
subject to the following conditions:
1. The construction and maintenance of such utility shall not Interfere with the propert). and rights of a prior occupant.
2. All work shall be done In keeping with the standards of the City Streets Department and under the supen.lslon of the City Building Official, who
will be notified at least one da)' prior to commencement of construction.
3. All materials and equipment shall be subject to Inspection by the City Building Official.
4. During construction all safef)' regulations of the Department of Transportation shall be obsen.ed and the City shall be relined of all
responsibility from damage of any nature arising from this permit. Subject to the same terms and conditions, the permit holder may take such safef)' measures,
Including placing and display of caution signs, as It may deem necessary In conduct of construction and maintenance work hereunder. It Is the responsibility of
the permittee to place, maintain, and supervise all traffic control and devices.
5. All private and all City properl)' shall be restored to Its original condition as far as practical In the opinion of the City Building Official.
6. All underground crossing installations shall be laid at such depth as ma). be specified b). the City Building Official.
7. The sketch covering the details of this Installation shall be made a part of this permit. This permit Is granted with the understanding that the
applicant has notified all other utility users In the area conred by the permit and takes fUll responsibility for any damage Incurred by prior Installations as a
result of his operations In order that they may safe guard their Interests.
8. It Is expreuly stipulated that this permit Is a license for permissive use only and that the placing of facilities upon public property pursuant to this
permit shall not operate to create or to nst any property right In said holder.
9. Whenenr the City decides to further exploit the City Rights of Way, any or all said poles, wires, pipes, cables, or other facilities and
appumnances authomed hereunder, sball be immediately removed from said Rights ofWa)., or reset or relocated thereon as required by the City Building
Official at the expense of the holder of this permit.
10. The holder shall save and keep the City harmless from any and all damages, claims, or injuries that may occur b)' reason of the construction,
maintenance, and operation of said facility.
ll. The holder shall complete the requested work within days or this permit shall become null and void. In the ennt the work requested
Is not completed upon the expiration date of this permit, the City shall han thc right to complete such work and to charge the holder of the permit for all costs
Incurred In completing said work.
12. The holder shall post a cash or surety bond with the City Manager In the sum of $ dollars to guarantee performance of the obligations
herein, and to guarantee maintenance of the right-of-way described herein for a period of one (1) year following completion of the requested installation. In the
event a surety bond Is posted, the surety bond shall be made payable to the City and shan obligate the surety to hold the Clf). harmless In the ennt the holder of
this permit should fall to meet any of Its obligations hereunder. The bond shall also Indemnify the City for all court costs and reasonable attorney's fees In the
event legal action Is required to collect on said bond.
13. The permittee shall han a 24 hour emergenc). contact name and number listed below.
---
(Permittee) ';;:;,<1'_
Signature & Title
SUBMITTED BY, ? )
-<iilf;~ '~v/Jl'1 /?II:L
Address
Phone
Public Works
Date:
Clf)' Manager
Date:
~ Progress Energy
February 27,2004
City of Zephyrhills
Director of Public Works
5335 8th Street
Zephyrhills, Flolida 33542
To Whom It May Concern:
RE: UTILITY PERMIT; Road 39 (US301)
County Pasco
Section! 14050
This is to advise that Progress Energy Florida has, on the above date, submitted an
application for a permit to construct, alter, relocate or update and aerial electric
transmission and/or distribution line crossing or paralleling the above referenced road.
Proposed Project Start, 3-22-04 Proposed Project Completion: 03-26-04
Details of this crossing or parallelism are shown on the attached drawing(s) 1253069
Very truly yours,
Progress Energy Florida
s~~~
Sf. Service Coordinator
Zephyrhills Operation Center
File:
Work Order #:1253069
...........t,.....~....................~...........................~.....I
Has no objection to the proposed construction as
shown on the attached drawing(s).
Date:
By:
Title:
Please notify
construction.
Phone:
hours or
days in r.dvance of
Progress Energy Florida. Inc.
36453 Eiland Blvd
Zephyrhills, FL 33542