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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5773
Permit Number: 5773
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5914 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-00200-0010
4,875.00
5/10/2006
55.00
55.00
5/10/2006
AlC CHANGE OUT - EQUAL - 8 TON
Name: THE YOUNG GROUP INC.
Address: 5914 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
J}
((,O-~\0~ ~
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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. n
NO OCCUPANCY BEFORE C.O.
~ ~-~
RACTOR S GNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
. Building Department
Fax-81~-ltlU-UU~1
...
Date Rt.lcelved
DESCRIPTION OF WORK
I
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-d 1l{^v ~- lOTI !I
./7-; / _ .
I PARCELlD#1 \\-~<"':'-d\- 00/0- 002.6o-CX::::>\OI
(OBTAINED FROM PROPERTY TAX NOTICE)
r=:J' ADD/ALT 0 SIGN D MOVE 0
D REPAIR
CJ COMM 0
CJ FRAME 0
;; Y-(f>J 11/:(: Ch4"'b~ c9-~
BUILDING SIZE ~I sa FOOTAGE I I HEIGHT I
. . . . . .. . . . . . , . . . . .. . . . . . . . . . . . , . .. . .. . . .... ,.......... ~ . . .. . .. .. .. .. .. . . .. . .. . .. . .. .. .. .. .. . .. .. .. .. .. .. . . . . .. . .. , . .. . . .. . .. . .. .. . .. .. .. . .. .. . . ..
Owner's Name
Owner's Address
Fee Simple Titleholder Nam
Fee Simple nlleholde' Add"'~
JOB ADDRESS I I f
I
SUBDIVISION
DEMOLIsH
PROPOSED USE
TYPE OF CONSTRUCTION
E3
o
o
I
NEW CONSTR
INSTALL
SFR
BLOCK
OTHER I
STEEL D
WORK PROPOSED
I
I'
I
OTHER I
D BUILDING 1$ I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ L( /3lS;~,# I
D GAS 0 ROOFING 0
FINISHED FLOOR ELEVATIONS I I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY 0 OTHER
FLOOD ZONE AREA DYES
DNO
II...........................,..............,..........................,.......,..........'........,......................................,......1
I
OTHER
SIGNATURE
COMPANY
REGISTERED
I
I
I
I
I
License # I I
I~"s~ ~t/...d~~
/. YI)Y' FEE CURRENT I Y/N : :
. License # I . / 53..2-.. I
I
I
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y IN
FEE CURRENT
Y/N
License #
Address
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
MECHANICAL
SIGNATURE
Address
YI N
FEE CURRENT
Y/N
Address License #
1111' III' Illl' 11111111' 1111' 1111' 1111111111111' 1111111111'1'"1111111111111' 1111111111111111111111111111111' 111111111' 1111111' 111111111111111111'1
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. ReqUired onsile, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction. .
111111111111111111111111111111111111111111111..1111.11l'I..II..IIIIIIIIIIII.llliIIIII1111iillll.lillillllili1IIIIilillllillliilllilliiliiiiiliillii
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attomey (for the owner) would be someone With notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Appllcallon Only)
Reroofs Sewers Service Upgrades AlC
COMMERCIAL
SIGN PERMIT
Driveways
Fences (PioUSurvey/Footage)
NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that this 'permit may be subject to "deed;' restrictions"
. which may be more restrictive than County regulations. The undersigned' assumes responsibility tor 'compllance with any
applicable deed restrictions. . '. . . . .
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:', If the owner has hired. a contractor or
contractors to undertake work, they may be required to be I'censed In accordance witH state and local tegulatlons. If the
contractor Is not IIc.ensed as required by law, both the owner and con~ractor may be cited fQr a inlsdemeanor Violation
un~er state. law. If the C?wner or intended contractor are uncertain as to what lI~enslng reqUlrement~ may apply .f~t the .
Intended work, th~y are advlsed.to contact the Pasco County Building Inspection Dlvlslori-Llcensl~g Section at 727-847-
8009. Furthermore, If the oWner has hired a contractor or contractors, he Is advised to have the contractor(s) sign .
. portions of the .contractor Bloc~" of this EJPpllcatlon for which they. Will be te~ponslble. If you, as the ownet slgl1 !'is the. . :
contractor, that may be an Indication that he Is not properly licensed and Is hot enlltled to permitting prlvllege~ In Pasco
County.. . '" .., .
TRANSPO~TATION II\ftPACT/UTILlTIES IMPACT AND RESOURCE REOOVERY FEES: The underslgnedUhdeirstahds
that Transportation Impact F:ees ~nd Recourse Recovery Fees may apply to the construction of heW bUildings, chahge of
. use In. existing buildings~ or expansion of existing buildings, as specified In Pasco County Ordinance hUinber 89-07 and
,". 90-07, as amended. The undersigned also understands; that such fees, as may be due; will be Identified at the time tif
permitting.'lt Is further understood, that Transpo~ationlmpact Fees and Resource Recovery Fees tnust be paid prior to
. receiving a .certificate of occupancy" or final power release. If the project does hO~ Involve a certiflca~e of. occllp~ncy or
final power. release, the fees must be paid prior to permit Issuance. Furthermore; it Pasco County, Water/Sewer Impact
. fees are due, they must be paid prior topermlt Issuance In accordance w.ith applicable Pasco County ordinances.
. CONSTRUCTION LIEN lAW (Chapter.713, Florida $tatu~es, as amended): 'lfvaluatlon of work. Is $2,500.00 or more, I
. certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien taw-Homeowner's
Protection Guide" prepared by the Florida Department of AgriCUlture and Consumer Affairs. If the applicant Is someone
. other than.the .owner", I certify tht;lt I. have obtained a copy of the above described document and promise In good faith to.
. deliver it to the "owner" prior to commencement. . .
CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the.lnformatlon In this application Is accurate and, that all Work
will be done In compllanc;e with all applicable laws regulatl!lg construction, zonitig and land developinent. -Application 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 p~rformed to meet standards of all laws regulating
construction, County' and CItY codes, zoning regulations, and land development regUlations In the Jurisdiction. I also
. certify that I understand that th~' regulations of other government agencies may apply to the Intend~d \Nork, and that It 15 .
my responsibility to Identify what actions I mUst take to be In compliance. Such agenples Include but are hot limited to:
_ Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive .
Lands, Water/Wastewater Treatment. . . .
Southwest . Florida Water Management District-Wells, Cypress' i3ayheads,' Wetlahd Areas, Aiterhig.
Watercourses. . ... ,'. . '.'
Army Corps of Englneer~-Seawalls, Docks..Navigable Waterways. .' . . ....
Departm'ent of He~lth & Rehabilitative Services/Environmental H~alth Unit-Wells, WasteWater Treatment,
Septic Tanks.... . .
US Environmental Protection Agency-Asbestos abatement. .
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the. use of fill: .
Use offill Is not allowed In'Flood Zone "V" unless expressly permitted.' . .... .
.If the fill material Is to be .used In Flood Zone "N, It Is understood that a dralnag.e plan addr.esslng a
. .compensatlng volume" will be. submitted at time of permitting which Is prepared by a professional engineer
licensed by the State of Florida. . . .. . . ;
If the fill. material Is to be used In Flood Zone "A" In connection with a permitted building using stem wall
. construction, I certify that fill will be used only to 'fill the ar~a within the stem wall.. .
. If fill materhill Is to be used In' any area, I certify that use of such fill will hOt. adversely affect ~djac?nt
properties. If use of fill Is found to adversely affect adjacent properties, the owner may be cited for violating
. .: the conditions of the building permit issued under the attached permit application, for lots less than one (1)
'. . acre which are elevated by fill, an engineered drainage plan Is required. . '. .
.If I am the AGENT FOR THE OWNER, I'promlse in good faith to Inform the owner of the permitting conditions set forth In
this affidavit prior to commencing. construction. I understand that a separate permit may be required for electrical wor~,
. . . plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included In the application. A
permit Issued shall be construed to be a license to proceed with the work and not as authority to violate, c.ancel, alter, or
set aside any provisions of the technical codes, nor shalllss~ance of a permit prevent the Building OffIcial from.t~erea~er
requiring a correction of errors In plans, construction or violations .of any code.s. Every permit Issu~d shall become Invalid
unless the work authorized by such permit is commenced within six months o.f permit Issuance, or If work authorized by
the permit Is suspended or abandoned for a period of six (6) months after. the time th~ ~ork Is com,:"enced. An extension
may be requested, 'in writing,' from the Building Official for a period not to exc~ed hlnety (90) days.. ahd Will, ~em(:mstrate
justifiable cause for th~ extension. if work ceases for ninety (90) consecu.tlve days, the Job Is conslde~ed abandoned. .
WARNING TO OWNER: YOUR FAilURE TO REC~RD A NOTICE OF COMMENCENII;NT MAy ~E~ULt IN..YO.U.R'
. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ~F ypU INTEND, TO O.BTA~N F~NANCINGi CO SUL T
WITH UR LENDER OR AN AlTO NEY BEFORE RECORDING YOU '. OTlCE OF COMMENCEME T. .
. FLORIDA JURAT (F.S. 11?,-03)
OWNER OR AGEN't .'
Subscribed and sworn to (or afflnn!,d) before me this.
. '. by . '. .
Who Is/are personally known to me or haslhave produced
as Identification.
CONTRACTOR '.. . .
Subscribed alid sworn to (or afllnned) before me this
. b.. .
Who Is/are perso~allY known to me or haslhave produced .
. '. as IdenUflcaUon.
Notary Public
Nola..y Public
Commission No.
Commission No. .
Name of Notary typed, prlllted or stamped
. . '
Name of Notary typed, printed or stamped