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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7116
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:
7116
MECHANICAL
AlC CHANGEOUT
NOT APPLICABLE
1,990.00
40.00
40.00
Address: 5243 L BLVD STE 7-8
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-15400-0050
~)\o.\\~ 1---0
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DUCTS INSULATED
FINAL
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
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements t rty. If you intend to obtain financing, consult with your lender or an attorney
before mg your noti of commencement."
CONT~CTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner.s Address
Fee Simple Titleholder Namel
GA-Il
Owner Phone Number i)l - '(;l-
Owner Phone Number I ~ I ~ - q Cf 7- 0323 I
Owner Phone Number I I
I
I
I
Date Received
\~N.;V e.l'2-
I D--{ 9-01
Owner's Name
~\{
Fee Simple Titleholder Address I
~C;DL~ S
Go.. (LJ6(vd (36/ ') Sf 7- '3 I LOT# I
PARCELlD#1 Jf... 2'- zt-- QD (0--1 Sc.f-oo ... 00 6:)
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
JOB ADDRESS
WORK PROPOSED
fi3
D
D
NEW CONSTR
INSTALL
SFR
BLOCK
I
B
D
D
/ t2 ha /Lid I ~ /2..
ADD/ALT
REPAIR
COMM
FRAME
D
D
D
Lilt)
DEMOLISH
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER
STEEL
BUILDING SIZE
SQ FOOTAGE
I
D
~
OTHER I
DESCRIPTION OF WORK
oat-
HEIGHT
TTTTTTI I I . I I r I I I I I I I I I , I I I I II I II I I I I , I I III I I I , I I I I II I . r II I I I I I I I II II I , . III I I III I I I I I I I I II I I I II I I I IIIII I I I I II II II I I I I III I I I I I I II I1III , II1II1111 I I II
D BUILDING
D ELECTRICAL
D PLUMBING
IAJ MECHANICAL
1$ I
1$ I
1$ I
1$ \ ~ q () c3 I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
MECHANICAL ~I
SIGNATURE ~
License #
COMPANY
REGISTERED
5:eltv Ices
FEE CURRENT
Address
ijl(l~
License # I tift 1815tf%
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address License #
11111111I1111111111111111111111I111111111111111111111111111111I11111111111111111111111111I11111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
jji~~~ii~~~': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . I . . . . I . . I I . . . . . I I . . I I . . . . I I . . . I I I . . . I I . . . ~ I . . . . . I . I . I . . . . . . I I I . . . . . I I I . . . . . I . . . . . . . . . . . I . . . . . .
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 from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance 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 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 Pasco County Building Inspection Division-Licensing 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 Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood 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 not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if 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, I
certify that I, the applicant, have been provided with a copy of the "Florida 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 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.
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. 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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the 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 agencies include but are not limited to:
Department of Environmental Protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan 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 area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
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 promise 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 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proceed With the work a~d not as authon~y !o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~J1.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermlt Issued. shall become. invalid
unless the work authorized by such permit is commenced Within SIX months of permit Issuance, or If work authOrized by
the permit is suspended or abandoned for a period o~ six (6) mo~ths after the time th~ work is commenced: An extension
may be requested, in writing, from the Building OffiCial for a penod not t~ exceed nln~ty \90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job IS conSidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPR VEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ATTORNEY BEFORE RECORDING YOUR N E OMMEN CEMENT.
FLORIDA JURAT (F.S. .03)
Notary Public
&
Notary Public
~ "'-:"V".}"'. _LINe BOSES
Name of Notary typedf*~4E!~*~r ion DO 621833
~~.~.~~; Expires December 12, 2010
"~,iif::~'r$."" Bondllld Tl'lfU Troy ~.in Insurance 800-385-7019
.OCT-19-2007 FRI 09:28 AM AIR TECH
FAX NO. 813 779 7504 P. 01
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PAOOUCT 11 e
'roposal
AIR TECH SERVICES, INC.
'WE SWEAT SO YOU DON'T HAVE TO.'
STATE UC.. CAC181S418
P.O. BOX 1120
ZEPHYRHILLS. FL 33539
3) 779-7508 It) - /o.! 30 ~ _
PONE ~OATr ~ ~
.J08::'l'?7-(P3~ I ()( l? C)7
Page No.
of
Pages
1054
JOB LOCATION
-
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. ..' ..........._..... .. ."_'M... 'n..".... ... ......... ... ...~............ .... ... ... ,.. ........",.... ... ........... .,.... .n... .... ... .". ... .......... ...... ..............., '.' ............. .,. .... ....... ........ ,.... ... ..........., ... ... ... ..._...... ...... ...... _....... ...._......n ,....... ....n. .... .. ............... ,......... -..... . ......... ........., ... ....-.... -.., ...
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lo~- O'.~o .
Bit J,Jropo5t
hereby to furnish material and labor - complete in accordanc;e with above rcifications, for the sum of:
_ dOIlIs't~:I-9, :3 0 ).
Payment Ie be made as follows:
All material ie gUllfante<Kl 10 be as apociroea. All work to b6 complelaCl in a worlcm""Iike
m~nner accol'lling lO $land.reI plBClic8s, Ally Mutation or (leviation trom above epecmcation& AuII\orized
involving o_lta CO$I$ wHI be executed only upon wriaen orde"" and will b6CDmG an extra . Signature -.-
enarge over and allove me 8S1imale. All llgreemenls comingenl upon s1rlke&, accidenl$
or delays Deyoncl our COIllrol. Owner to c~rty fire, tornado ana Dlher n6Ce&&aty InlOrance. Note: Thi$ ~roposal may be
Our _'I are fully co-.d by WOrkmosn's Cornpen6B1ion Insurance. withdrawn by uS if nClt acceptll(l within
days.
!\crtptance of 'roposal.- thE! above prices. speCifications
and conditions are satisfactory and are hereby accepted. You are lluthorized Signature
to do tile work as specified, Payment will be made as outlined abolle.
Date Of Acceptance:_
Signature _'
==:tf'
Parcel Information for: 11-26-21-0010-15400-0050 Card: 001
Page 1 of2
S~aIG.b_8gajn Show Map Generalized Building Schematic Estimate Taxes . Frequently Asked
Questions
Other Parcel Cards: 1 I -2
Other Agency Data: Tax Collector School Board Supervisor of Elections
I ParcellD I 11-26-21-0010-15400-0050 (Card: 001 of 002)
Classification 17 - 1 Story Office
Mailing Address Assessment (totals)
TANNER WAYNE TRUSTEE Ag Land $0
5243 GALL BLVD STE 1 Land $52,381
ZEPHYRHILLS, FL 335424065 Building $134,181
Physical Address Extra Features $1,584
5243 GALL BLVD
ZEPHYRHILLS, FL 33542-4065 Total Assessment $188,146
Legal Description (First 4 Lines) Save Our Homes $0
CITY OF ZEPHYRHILLS Taxable Value $188,146
PB 1 PG 54 LOTS 5-8 INCL
BLOCK 154
OR 1800 PG 336
Land Detail (Card: 001 of 002)
~l Use I Description Zoning Units I Type I Price Cond Value
1 I 1700 II 1 STORY OFF I 00C2 7,000.00 SF 7.69 0.70 I $37,6811
12" 1700 " 1 STORY OFF " 00C2 I 7,000.00 SF 3.00 0.70 I $14,7001
r Additional Land Information
I Acres II 0.32 I Tax Area " 30ZH I Fema Code 1m Comm Code" M3012GR
Building Information - Year Built 1975 USE 17 - Offices (One Story) (Card: 001 of 002)
Ext Wall 1 Concrete or Cinder Block Ext Wall 2 Common Brick
Roof Str Gable or Hip Roof COy Asphalt or Composition Shingle
Int Wall 1 Drywall Int Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel None Heat None
AC Window Unit Baths 6.00
Line Description I Sq. Feet I Repl. Cost New
1 AOF I 2,496 I $143,770
I 2 I CAN I 480 II $8,294 I
Extra Features (Card: 001 of 002)
I Line I Description " Year I Units I Value
Sales History
Previous Owner TANNER WAYNE
Year Month Book I Page Type Amount
1989 04 1800 / 0336 WD $0
1989 02 1783/1870 WD I $175,000 I
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