HomeMy WebLinkAbout06-6322
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6322
Permit Number: 6322
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: 5435 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-09900-0010
22,500.00
12/19/2006
145.00
145.00
12/19/2006
AlC CHANGE OUT - LOBBY
SUNT UST BANK
5435 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
, ,,\ D 1
\ C} "I
0\[\0'" V \
DUCTS INSULATED
FINAL
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 permitl there may be additional restrictions applicable to this property that
may be found in the public records of this countyl and there may be additional permits required from other governmental
entities such as water managementl 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."
NO OCCUPANCY BEFORE C.O.
./~ ~-~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 Sth STRBET ZEPHYRHILLS, FL 33540
Phone:S13-7S0-0020 Fax:813-780-0021
DATE RECEIVBD
PLANS REVIEW FEE
OWNER'S NAME ..sUn/ MUS-/ 8n/1/k
JOB SITE ADDRESS S4JS ?/J-/J 6///0
;r- /lh::::- PHONE CONTACT .7'>2 - .?.5.o9 - S HI
ZyAyrA)/J ~'L--
LEGAL DESCRIPTION: LOT{S)
BLOCK
SUBDIVISION
PARCEL ID # J I - .;{ b -~ 1- 0010 - 09900 - 00/0 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION D ADDITION ~LTERATION D REPAIR D INSTALL
DSIGN
D MOVE
D DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
DMULTI-FAMILY
0# OF UNITS
o MOBILE HOME
D COMMERCIAL
o INDUSTRIAL
D SWIMMING POOL
D OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~/19Ur ~6~ 4/c-
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PBRMITS REQUBSTBD
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
D W.R.E.C.
o PLUMBING
l1 MECHANICAL
$
;l ~, $'00
,
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
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
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE,
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BLBCTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
., '>
SIGNATURE
SIGNATURE
MBCllAHlCAL
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
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 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, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions 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 indication 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/OWNERI 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.
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 performed to meet standards of all laws regulating construction I 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 Bayheadsl 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".
~RE' t:d~&/~
SIGNATURE: OWNER OR AGENT
STATE OF FL~IDA
COUNTY OF n...o CC"':>
The foregoing instrument was
Before me this _ day of
by
acknowledged
, I!L-
STATE OF FLORIDA f'\
COUNTY OF , 1-'0-0 C.D
The foregoing instrument was ac~nowledged
Before me this ~day of ;::;~,j:"~ ~~
by :5otv-n C:"{'~~ (, l<':'- ___ _~
(name of person acknowledged)
[Lho is personally known to me, or
~o has produced ~ S+ :-1)""I'ue..:'-2.) Ltc-,
(type of identification)
and who Ddid Oiid not take an oath
(name of person acknowledged)
o who is personally known to me, or
o who has produced
(type of identification)
and whoD did Ddid not take an oath.
Name typed, printed or stamped
Name typed,
Signature of person taking acknowledgement
Dec:-GT-06 11 :4T
FrQl-SUNTRUST BANK OPERATIONS 8132242031
nopalllU
LicenM.~t"'~,* .
ASSURED COMFORT HEATING AN
P.O. Box 3873
SPRING HIll, FL 304811
(312) ea..mr
T-882 tJ1l01_ F-Ul~_,__ ___
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Rcpt: 1058302 R 10
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12/18/06 IT: ~p~~ Clerk
1~~~~1r~~~2~~C01COUNTY CLERK
OR BK 7314 PG 803
p'J!rmit No.
Key No.
/"; NOTlCe. Of COMMENCEMENT 0
State of r~,y;e/~ county of r .6'SCO I
THE UN D EllS IG NED hereby gives notice that Improvement will be rnade Ie canaln real propertY. and in i
e~ce wtth cnapter 713. Florida S"'''' Sl3lUtes. the following inforrnauon is provided in thiS Notice l.t
Commencement: ' ' !
" Cescription of Property: Parcel No. / / ..;16 -,;2/ - 00/0 . o~ - OOI'C> ·
89al aesenpnon or e property ana street aaare5S1r ava11201e)
General Description of Improvement ~~_G' /II""" s-~c>-k,,", ~ ~~ --k
\ =
2.
9.
owner l"forma jOjl: Name ~tIV :14{/S~ 11#/1/1. ~,rYe:..
Address f.5 &-A/I ~
lnterest In ropeny: cr~~~
Name af Fee Simple It enolt1er l other man owner):
Address City
Contractor: .Name /!:ssva,oz:; ~~kd .h"G~ f!- ~
Add"'SS: .R7 == 367>: City lifr f"') 7J
Phone No. = _ "~Fax .
~~:s Name ~ ":: Slate
...",ount Of Bond: l> Phane No, Fa>< No.
Lender: Nama _ -- Slate
Address Ity
Phone No. - Fax "No.' =
Persons within It.e Stale of Florida designated by owner upon wham notiCes or other documBo'" may
be Sef\'ed~provided by Section 713.13{1)(8)(7), Florida Statul1!.: ~ Stat .~l-
Name~' _"" O"'".....v~_'9 AddresS ~O'~ <3jfi:_ 4!:l. hi"!. :J.~ ~ e a3~ I .
phone o. ,3- r.r7- _~G ~ax o. -- --- -- -- !
In addi~ion to himseflf'howU!"Qr dr'eSignt~cteesas prQV1ded ,n Sec:llOn 713.13\ 1 KDI~FtOnda Sta.utes. J' \
to receIVe a copy 0 t e eno s No I .
. .' d t f Nou'ce of commencement (ll1e .,;q,iration date is 1 year from the date of rec rdinq
E)(PI~~:'..Jn a eo. r . I -
unlesS ~ dlfle~t date I peolied.l - . -' I
Signature of owner: X
State of ~t\ cb.. \'V1..., county of e.' zo~ bY
sworn to ano SllbSC,;bed before me lhlS ~'/.o is ~etSonallY .nown to me or CJ proouced
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