HomeMy WebLinkAbout06-5813
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5813
Permit Number: 5813
Permit Type: MECHANICAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
LISE ROFE SIONAL INC
12603 LAKE HILLS DR
RIVERVIEW, FL
3,800.00
5/19/2006
50.00
50.00
5/19/2006 Phone:
REWORK DUCT SYSTEM FOR SUITE 3
Address: 38522 UNTY ROAD 54 STE 3
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0060-00COO-0010
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Co 129/<51"
REINSPECTlON 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
nWarning 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.
-1" ~.
TRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
t-ax-tll j-( tlU-UUL'1
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Nam
Fee Simple Titleholder Address
JOB ADDRESS
LOT i#
I . PARCEL ID# I
r=J NEW CONSTR [=:J' ADD/ALT D
D INSTALL CJ REPAIR
PROPOSED USE D SFR 0 COMM D
TYPE OF CONSTRUCTION D BLOCK D' FRAME D
. . . 1
DESCRIPTIONOFWORK I tfi!E?~c~/t:-. ../~t!:. . S-Y5~. .
BU'LDlNG SIZE I SO FOO:AGE I . . f HEIGHT I I
. , . , . , , , . , . . , . , , . , , . , . , . . . . , . , . , . , . , , , . , , . . ; , . . . . . . , . , . ~ ' . . . . , . . . . . . , . . , . . . . . , . . . . . . . , . . . . . . . . . , . . . . . , . , . . . . . , , . . . , , . , . . , . , , , . , . . . , , . . . . . , , , . . , , , .
1$ I
1$ I
1$ 1
D MECHANICAL 1$ ~ 8 "0.. c>t), 1
D GAS D ROOFING D
FINISHED FLOOR ELEVATIONS I I
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLIsH
WORK PROPOSED
OTHER I
I
I
I
OTHER I
STEEL D
D
D
D
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
t=J
PROGRESS ENERGY
D
W.R.E.C.
SPECIALTY 0
FLOOD ZONE AREA
"~~--.......,~
PLUMBING
VALUATION OF MECHANICAL INSTALLATION
-1i5q~?
OTHER
DYES
DNO
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I
COMPANY
REGISTERED
I
I
I
I
I
License # I I
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License # I //B ;:2-.... I
I
I
Y IN
FEE CURRENT
Y/N
BUILDER
SIGNATURE
Address
ELECTRICIAN I.
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
Address I
License #
COMPANY
REGISTERED
YI N I.
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
Address
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
OTHER
SIGNATURE
YI N
FEE CURRENT
Y/N
Address
License #
III , 1II1I III , II , , III t I ' , 1111111 , 111111111111111111111111 , 1111 I I I 111111 ~ 11111111111 I 11111 I I " 1111111 " 1111 I 11111111111111111 i 11111111111111111111 , I
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction. .
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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 Attorney (for the owner) would be someone With notarized letter trom owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Driveways Fences (PloVSurvey/Footage)
, '
NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that this permit may be subJec;:t to "deed;' restrictions"
, which may be mo~e restrictive than County regulations. The undersigned assumes tesponslbility for 'compliance With any
, applicable deed r~strictlons. . " ' , ,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:' If the owner has hired, a colitractor or
c<;>ntractors to und.ertake work, they may be required to be licensed in aCcordance with state and local regulatlol1s. If the
contrac.or Is not licensed as required by law, both the owner and con~ractor may be cited fQr a mlsdemeanot violation
under state, law. If the ~wner or Intended contractor are uncertalh as to what licensing reqUirements may apply fot the '
lntf!mded work, they are advised ,to contact the Pasco County Building Insp~ctlon Dlvlslori-Ucensl~g Section at Ti..1-84..,-
8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to havEdhe contratlor(s) sign
, portions of the .contractor Block" of this QPplicatlon for which they Will be tesponsible. If you, as the owher sigrl as the, . .
contractor, thal;rriay be an Indication that he Is not properly licensed and Is not enlltled to permlttlhg privileges In Pasco ,
County. ' ,,'"
TRANSPO~TATION I~PACT/UTILlTIES IMPACT AND RESO~ROE REOOVERY FEES: The underslgnedUilderstahds
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of hew buildings, chahge of
use In,exlstlng buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hllmber 89-07 and
90-07, as amended. The' undersigned also understands; that such fees, as may be due; will be Identified at the tbne tif
permitting. 'It Is further ~nderstciod that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
, receiving a .certificate of occupancy" or final power release. If the project does hot Involve a cerlifica~e of. occllp~hcY or
final power, release, the fees must be paid prior to permit Issuance., Furthermote; It Pasco CountY, Water/Sewer Impact
, fees are due, they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter.713, Florida statutes, as amended): If valuation of work, Is $2,500.00 or more,l
, certify that I, the applicant, have been provided with a copy of the .Florlda Construction Lien Law-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 thl;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, information In this application Is accurate and.that all Work
will be don~ In compliance with all applicable laws regulating construction, zonltig and land development. -Application Is ' '
hereby made to obtain' a permit to' do work and Installation as Indi.cated. I certify that ho 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 jurlsdlctloh. I also
,certify that I understand that th~ regulations of other government 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 agenples Include but are hot limited to:
_ Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Envlr.onmentally Sensitive '
Lands, Water/Wastewater Treatment. ' ' '
Southwest 'Florida Water Management District-Wells, cypress' Bayheads,' Wetlahd Areas, Altering,
Watercourses. ' " '
Army Corps of Engineers-Seawalls, Docks"Navigable Waterways. ,',' ,
Departm'ent of HeE\lth & Rehabilitative SerVices/Environmental H~alth Unit-Wells, Wastewater Treatment,
,'SepUc Tanks. ' ' ' '
US Environmental Protection Agency-Asbestos abatement. '
Federal Aviation Authority-Runways.
I understand that the folloWing restrictions apply to the, use of fill:
. _ Use of.filllsnot allowed in-Flood Zone .V" unless expressly permitted.' , " " ' ,
'If the fill material Is to be ,used In Flood Zone "A?, it 15 understood that a dralnag,e p'lan addressing a
.compensating 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 art~a within the stem wali. '
. If fill, materl~1 is to be used In' any area, I certify that use of such fill will hot adversely affect adjacent
properties. if use of fill is found to adversely affect adjacent properties, ,the owner may be cited fo~ 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 'promise In good faith to inform the' owner of the permitting conditions set fo~h In
Ihls affIdBvl1 prior 10 eommBnclng,construcllon. I undBlStand thBI B sePBralB pBl11111 may be required for Blaclrlcol work,
,,' plumbing, signs, wells, pools, Blr condlUonlng, gas, or other InslaHBtIons not spaclflcolly Included In thB eppllcal1on. A
pannlllssUBd shell be construed to be a llconse.lo proceed with thB wor1< end nol as euthority to vloleta, cancol, allor, or
set aside any provisions of the tec~nlcal codes, ~or shall Issuance of a permit prevent the Building Official ~rom ,t~erea~er
requlrlng a corracllon of 8fT{lI$ In plans, construcllon or vloIallons .of any codes. Ev8lY pennn Issued shall become Invalid
untBss Ihe Work Buthorized by such pBl111llls coml11Bflcod wllhln six months of permn Issuance, 01 H. work authorlzBd by
\hB permills SUsj>BndBd or abandOned lor a per10d of six (6) months Bflor thB UmB thB work Is commBnce<l. An extension
may be requeslBd, 'In wrilIng, from \hB Building OffIci'" for a period 001 10 BXcead hlnBlY (00) days. and w"'. dBmonslrale
justlflablB COUSB for the BXlBOslon. If wor1< ceases lor nlnBIy (90) consacull\19 daYs, \hB job Is considered BbBndoned. .
. WARNING TO OWNER: '(OUR FAiLURE To RECORD A NOnCE OF COMMENCEMENT MAY ~ESULt INkYOUR
, PAYING lWICE FOR IMPROVEMENTS TO YOUR PROPERlY. IF Y!JU INTEND. TO O,BTAlN FINANCING; CO SUL T
WITH YOUR LE DE OR AN TIO EY BEFORE ECORDI G YOU.NOTIC 0 COM ENCE E T.
, FLORIDA JURAT (F.S. 11? .03)
OWNER OR AGENT "
Subscribed and sWorn to (or affirm~d) before me this,
, " bY" ,
Who Is/are personallY known to me or has/have produced
as IdenUncaUon.
CONTRACTOR ' .
Subscribed and swom to (or afilrmed) before me this
, by" '
Who Is/are personally known to me or haslhave produced ,
, " as IdenUflcaUon.
Notary Public
NotarY Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Na~e ~f Notary typed: ponted or stamped