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Home My WebLink About05-5022 1 1 .1 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5022 Permit Number: 5022 Permit Type: MECHANICAL Class of Work: A/C CHANGEOUT Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 9,850.00 10/17/2005 80.00 80.00 10/17/2005 REPLACE CONDE Address: 5435 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Phone: REINSPECTION FEES: When extra in ion trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00 ~hall be made for each trip for each trade: (a) Wrong address (b) Condemned work r~sulting 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 ~ot at job site (g) Work not accessible ONTRACTOR SIGNATURE CALL FOR I p e before any further permits will be issued to the person owning same rd a notice of commencement may result in your paying twice for intend to obtain financing, consult with your lender or an attorney cement. n pecifications and Fee Must Accompany Application. ormed in accordance with City Codes and Ordinances OCCUPANCY BEFORE C.O. ~~ PERMIT OFFI PECTION - 8 HOUR NOTICE REQUIRED ,TECTCARD FROM WEATHER The payment of inspection fees shall be m nWarning to owner: Your failure to improvements to your property. If yo before recording your notice of comm Complete Plan, All work shall be 1 Ii CITY OF ZEPRYRRILLS PERMIT APPLICATION BUILDING PEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED 10-If-v> , OWNER'S NAM~~ 7-?V-ft ~// PHONE CONTACT FOR PERMITTING JOB ADDRESS Ses d~L , /t/O PHONE J'l.7-2~ ?-/ Z/,y- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # // 2~ 2/ 00/009900 o SIGN PROPOSED USE: OSGL FAMILY ~ COMMERCIAL o ADDITION SALTERATION o REPAIR o INSTALL WORK PROPSED: o MOVE o DEMOLISH OMULTI - FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER S!TAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK I'? C ~"rA../,fh &/,;'V'I-( BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT COMMERCIAL: ATTACH (3) SETS IF SIGN PERMIT ONLY (2) SET PROPERTY SURVEY o BUILDING $ WLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. OF BUILDING PLANS & (1) SET ENERGY FORMS. OF ENGINEERED PLANS REQUIRED. ~ REQUIRED FOR ALL NEW CONSTRUCTION. ~ PERMITS REQUESTED ~~ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING ~ MECHANICAL $ 7'7& ",0 VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALT o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # **************** ************************************************* ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # **************** *'k*********************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # SIGNATURE *************************************************************}7*!5 J/ ~ ,/ I COMPANY &n-~/?& L.t4nf-p-r7 /TEe; fr1fcdtr r~ STATE CERT OR REGIST it R~oO 6.70'.)-;.( MECHANICAL **************** *********************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The 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 iocal 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 conunencement. 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 conunenced 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 conunenced 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 conunenced. 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". k~M ~,~~A SI~ATURE: CONTRACTOR subject to "deed restrictions" which undersigned assumes responsibility for OR AGENT SIGNATU STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _ day of , 2~ by (name of person acknowledged) Dwho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged ,20_ Dwho has produced (type and whoD did D did not of identification) take an oath. (name of person acknowledged) C1ho is personally known to me, or D who has produced (type of identification) and who Ddid D:iid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped 09/12/2005 12:31 352583220 y ~l1SlructiOnS for using a PDF flll.!n fom! are on the last page-> I ASSURED COMFORT I 1111111111111111I1111111111111111111111111111111111111111111 2005219654 I Rcpt:933467 OS: 0. 00 10/17/05___ , I JEO PITTMAN, PASCO COUNTY CLERK 10/11/05 12: lli.,m 1 it. \. OR BK 664" PG f'l7 PAGE 03 I Rec: 10.00 IT: 0.00 - -____ Dpty Clerk 1. State of FLORIDA Key No. / I ()O/~ 099ct7 0(710 OnCE OF COMMENCEMENT ~.._ :~~" ",,, " " /2. Countyof~:_ _.. .,:,,' /WSCO roperty, and in in this Notice of 2. 3. ~ " 5. '/ 6. ~~~'1 ~~<~~~ nder~ Name Address 7. j Phone No. Persons within the State of Flo be served as provided by Secti Name Phone o. designated by Owner upon whom notice 713.13(1)(a)(7), Florida Statutes.: ddress City Fax No. 8. 9. Signatur~ of Owner: State of ~LOe\ Of'::! ~~a~uced I .J'..,..~ M Lynn Cunniff . ~ i My Commission D0130390 '\; 0, "cJl' EX~jres July 01. 200(l 1 1 1 From-SUNTRUST BANK OPERATIONS \ 8132242039 T-935 P,01/01 F-530 Ssp-2a-os 11:09 UJIL~I~W~~ .,...- ./ Proposal I ueen. .,. RAOQ67062 ASSU~D COMFOltT HEATING AND COOL G ~ r P.O. Box 3673 SPRIN~ HILL. Fl 346' 1 (~ 683-2227 9-~~ ,A./b- H Outdoor U use IlUd8Cing P J1JCOnned to ~tlng Unit p rec:onnect tn ~ng /:I use ~8 I Outclaor Unit Druse exisang nt Tubing I Condensali8 Drain: ,W' use e)CiStlf19 Ouseextstlng D Pac Unit o repIac8 C in8t8Il C modlflt [J add I repllICl8 C inlihIlI [] NlA o Install . ef1iCI8ncy media fiIhIr C reptace IIna18If o rcplac;e C niIf*C8 C insId C Install Q safety switCh . Parts I Labor Wa Z~Q ;/; . lit and labOr - c:ompI_ in ~ance with above spedftcatiDn8, for the .sum ~ -a"t:;,t; .a/Ar.~ dolla"(S%~. --.l. GJ ~~ AuthofiZed Signat&n Note: This proposat may be Wlthdmwn by us If not accepted within M.. days. Signature Signature )(