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HomeMy WebLinkAbout05-4958 I I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4958 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: 4958 MECHANICAL A/C CHANGEOUT COMMERCIAL Address: 7335 ALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 3,400.00 9/27/2005 50.00 50.00 9/27/2005 REPLACE 4 TON INLAND PR PERTIES 7335 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: REINSPEcnON FEES: When extra in pection 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 i spection when called (e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible The payment of inspection fees shall be m de before any further permits will be issued to the person owning same "Warning to owner: Your failure to r cord a notice of commencement may result in your paying twice for improvements to your property. If y u intend to obtain financing, consult with your lender or an attorney before recording your notice of com encement." Complete Plan, Specifications and Fee Must Accompany Application. All work shall be erformed in accordance with City Codes and Ordinances o OCCUPANCY BEFORE C.O. . &~ PERMIT OFFI SPECTION - 8 HOUR NOTICE REQUIRED OTECT CARD FROM WEATHER ~-,-z <:'~ & CONTRACTOR SIGNA TU CALL FOR I P 7('0) iff ( Lf 4iL I I CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 813-780-0020 FAX: 813-780-0021 ~ I ~ DATE RECE IVED /":: _ 2-'1 () > I PHONE CONTACT FOR PERMITTING CO' ') -Z-io3 ~ '3 ~"7 J PHONE SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: oNEW CONSTRUCTION o SIGN PROPOSED USE, []SGL FAMILY D1ELLING ~OMMERCIAL o RfSTAURANT OF WORK IS l<:T:> I I o ADDITION fuLTERATION o REPAIR o INSTALL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION & HEALTH DEPARTMENT APPROVAL - /'lR-ll.\ (rV' (-k+ NczW Izcz+-(VI o BUILDING I i BUILDING SIZE i SQUARE FOOTAGE RESIDENTIAL: ATTACH (2) PLOTfPLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SET OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. I I I I ! HEIGHT & (1) SET ENERGY FORMS. FORMS. PERMITS REQUESTED $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL I , I $3Ltvo I i o ROOFING 0 SPECIALT1 TYPE OF CONSTRUCTION: 0 BLOCK I I FINISHED FLOOR ELEVATIONS ---l AMP SERVICE o Progress Energy o W.R.E.C. o PLUMBING Gf MECHANI CAL VALUATION OF MECHANCIAL INSTALLATION o GAS o OTHER o FRAME o STEEL o OTHER IS PROJECT IN FLOOD ZONE AREAo YES o NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ***************** ************************************************ ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # _ PLUMBER *****************r************************************************ COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL SIGNATURE. ,---2 . ~--~ COMPANY STATE CERT OR REGIST # (/' ALO --;5 9 '1 ~D ***************** *********************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than city regulations. The undersigned assumes responsibility f?r compliance with any applicable deed restrictions. B. 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 City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign po~tions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indica~ion that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law _ Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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. E. CONTRACTOR'S/OWNER'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. Appli~ation 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, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental 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 Regulation-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 *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. 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 code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _ day of , 2~ by (name of person acknowledged) owho is personally known to me, or acknowledged , 20 (name of person acknowledged) C1ho is personally known to me, or owho has produced (type and whoo did 0 did not of identification) take an oath. owho has produced (type of identification) and who odid Odid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped FROM : VENTILATION SYSTEMS INC. I I PHONE NO. 813 657 6918 VENT/LA TION SYSTEMS, INC. · Air Distribution Products and Services · Air Conditioning and Refrigeration DATE: September 13, 2005 TO: Mateon Construction 1717 E. Busch Blvd. Suite 1006 Tampa, FI. I PROJECT: Zephyrtlills Offie4 Tenant Buildout I Sep.. 27 21211215 1219: 44AM Pi 305 Chastain Road Seffner, FL 33584 (813) 273-1140 FAX (813) 657-6918 LIe. # CAC039730 PROPOSAL ... , I Replace existing 4 ton roof top U1it with new of same tonnage and manufaCluror. Price inclUdes crane service and disposal of old unit. Total $ 2,900.00 This proPOsal is hereby accepted $net Ventilation Systems, Inc. is autho~ed to proceed with the WOI1c.. . Accepted By: rltle; Date: ~ t= I I This proposal is valid until: Dec. 2005 VENTILATION SYSTEMS, INC. (k. J (rJY'vrt ~ ~ Orren Miller Cross President