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Home My WebLink About05-5023 I 111 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5023 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: 5023 MECHANICAL A/C CHANGEOUT COMMERCIAL Address: 7344 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 35-25-21-0010-07200-0000 9,900.00 10/17/2005 80.00 80.00 10/17/2005 REPLACE AIR HA Name: SUN TRUST Address: 7344 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: )",0\ cJl:\}I.P </ (r\ @ REINSPECTION FEES: When extra in p 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 re. ulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for i s ion when called (e) Permit not posted on job site (f) Plan ot at job site (g) Work not accessible ~' The payment of inspection fees shall be m e before any further permits will be issued to the person owning same nWarning to owner: Your failure to rd a notice of commencement may result in your paying twice for improvements to your property. If y intend to obtain financing, consult with your lender or an attorney before recording your notice of comm cement. n Complete Plan, pecifications and Fee Must Accompany Application. All work shall be e ormed in accordance with City Codes and Ordinances OCCUPANCY BEFORE C.O. ~M~ PECTION - 8 HOUR NOTICE REQUIRED TECT CARD FROM WEATHER ~ ONTRACTOR SIGNATURE CALL FOR I P i 1 Ii: CITY or ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 . /1 ~ DATE RECEIVED /(J.... / ~o? I t' ..-- I J OWNER'S NAMEJ6'-"V 71/?'C/H I ~<"""') G- JOB ADDRESS 7<3.fCl c;:../?/, 6' I t./.? PHONE CONTACT FOR PERMITTING PHONE )'l:l ?6? /2/ ..:> LEGAL DESCRIPTION: LOT(S) PARCEL ID #JS 2 S .2 / PROPOSED USE: OSGL FAMILY ~COMMERCIAL BLOCK SUBDIVISION V 7;:< e::'O &/00 0 WORK PROPSED: ONEW CONSTRUC DSIGN o ADDITION o MOVE MALTERATION o REPAIR o INSTALL o DEMOLISH OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK t:l?. R STAURANT & HEALTH DEPARTMENT APPROVAL /f,y 17/?-~/b BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT COMMERCIAL: ATTACH (3) SETS IF SIGN PERMIT ONLY (2) SET PROPERTY SURVEY PLANS & (2) SETS OF BUILDING PLANS bF BUILDING PLANS & (1) SET ENERGY 10F ENGINEERED PLANS REQUIRED. REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORMS. o BUILDING $ VALUATION OF PERMITS REQUESTED o ELECTRICAL SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING ~ MECHANICAL $ 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 AREAD YES 0 NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # * * * * * * * * * * * * * * * * *1* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # **************** ****************************************.********* PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # SIGNATURE **********************************~~~;~~~*~~~~***~*~~ ~~1~7 ~ ',~ STATE CERT OR REGIST # I? tfC?'C)G' ?O 0 ;( MECHANICAL **************** *********************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" w~ich may be more restrictive than City regulations. The undersigned assumes responsibility for 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNA~ONT~~ acknowledged , 2CL- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 20_ (name of person acknowledged) Dwho is personally known to me, or o who has produced (type and whoD did 0 did not (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Ddid [}:lid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped I 09/P7/2005 18:29 )' 1 I 35268322lfl6 ASSURED COMFORT PAGE 02 I ASSU,ED Proposal License # RA0067052 OMFORT HEATING AND COOLING P.O, Box 3673 SPRING HILL, FL 34611 (352) 683-2227 PROP Al SUBMITTED TO /? J~ ~~ ua~ J~ STREET 7JrQ4 ?4// d)"o CITY, 'ATE AND ZIP CODE 2:- ~ -J,/LJ- /~ INSTA 11 OATE DATE . __...- ?,...?,~ ~ replace [J modify o install o add I replace o N/A eXisting existing u e existing existing o Inslall high efficiency media filter D replace I install o replace 0 Install o replace ~ install lit safety lSwitch D Misc... Parts,!. labor Warran nd labor "T complete in accordance with ~bove specifications, for the sum of: I " / 9 00 - ~~~6tf!;7 d4~, dollars($ 9 9CCJ ). Authorized X Signature Note: This proposal may be Withdrawn by us if not accepted within ~ day~. Ac iand C1uth 'zed to do the wor1c: as specified. outlin d above. Signature Signature 1219/127/21211215 18:29 I Ii 35258322121'5 ASSURED COMFORT PAGE 1213 -11 1111I111111111I1111I1111111111111111111111111111111111I11111 2005219653 i ( i ( /' l~ctlons for using a PDFfilHnloon are on .lhe last page-> /LI ; I Rcpt : 933467 Rec: 10 _ 00 DS: 0. 00 IT: 0. 00 10/17/05 ~".~_uu,_Dpty Clerk JED PITTMAN, PASCO COUNTY CLERK 10/17/05 12:11~m 1 it.\. OR BK SS4~ PG .I. f 4S State. Ft. Contractor: Address: L :-J YC; // Phone No. 5. Surety: Name ~ Address. City State ~ Amount lit Bond: $ Phone No. Fax No. B. lender: Name , Address e Phone No. Fax No. 7. Persons within the State of Flori ~ designated ~ Owner u~on whom notices or other documents may be selVed as provided by Secti ,71~.13(1)(a)(7), Florida statutes;: Name Address City State Phone o. fax No. nates of ice as provided in Section 713.13(1 )(bJ. FlOrida ~tatutes. encement (the expiration date is 1 year from the date of recording I) 8. 9. ~z tYII/t? 4/ k.'cR__"/ ~ · ~ M Lynn Cunniff ;,. ,,'; My Commission D0130390 ..~",.....dI' Expires July 01, 2006 ~-Z-~":""-//(/?'<J'