HomeMy WebLinkAbout07-7161
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7161
Permit Number: 7161
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: 7344 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0010-07200-0000
1,850.00
11/01/2007
40.00
40.00
11/01/2007 Phone:
REPLACE AlC OUTDOOR UNIT - 13 SEER
Name: SUNTRUST BANK
Address: 7344 GALL BLVD
ZEPHYRHILLS, FL. 33542
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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 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."
CONTRACTOR 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
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
\\- \-c
Owner's Name ..s~;z/ T ep.s7 -,,;?/t/L.
Owner's Address I 73//4 &-/?-// 6/#"0
Fee Simple Titleholder Namel
SUBDIVISION
0010
(3 7.::l00
I
I
I
I
o~OO
JOB ADDRESS
Fee Simple Titleholder Address 1~,'"\\J!2."-i~
17344 (;-/?-//
I
;() /1/0
LOT #
WORK PROPOSED
I
e
D
D
DESCRIPTION OF WORK 112~ / flC< /7 /c::::- c/ ,/-/~':::--.,;z" V' Pf./ /-1
BUILDING SIZE SO FOOTAGE I HEIGHT
1111111111111.11'1.,111.11111111111.1111.1111111111111111"111111111'1'11111111'11'1111111111"1111111111111IIIIIIII"P"IIIIIIIIIII"'IIIIIIIIIII
PARCEL ID#k3S 2. S .2 I
PROPOSED USE
TYPE OF CONSTRUCTION
B
D
D
ADD/AL T
REPAIR
COMM
FRAME
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
NEW CONSTR
INSTALL
SFR
BLOCK
D
D
D
OTHER I
STEEL D
OTHER I
1"3 - 5ee-J2-
1$ I
o ELECTRICAL 1$ I
o PLUMBING 1$ I
o MECHANICAL 1$ / If SO e,C I
o GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIIII111111I1111111I11111111111111111111111II1111111111111111I11111111111111111111111111I11I1I11
o
BUILDING
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
COMMERCIAL
MECHANICAL I / A. --
SIGNATURE ~ ~~
Address 10 71 ~J9 -r'~ Bv-('
OTHER I
SIGNATURE
Address I License #
1III111111111111111111111I111111111111111111111111111111111I111I11111111111I111111111111111I11111I1111111111I1II1I11111I1111111111111111111111111I
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
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 onsite, 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
Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
COMPANY
REGISTERED
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
SIGN PERMIT
Di~~~ti~~~': . . . 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 . . . 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 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" restrictiQns"
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 ofthe 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 proce~d With the work a~d not as authorl~y ~o. vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II~lng OffiCial from the~eaft~r
requiring a correction of errors in plans, con~truction 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 of six (6) months after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Officia~ for a period 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORN ~ BEFORE RECORDING YOUR OTICE OF COMM CEMENL /
FLORIDA JURAT (F.S.11 .03) / / ~(
OWNER OR AGENT "7 CONTRACTOR
SU9sqrlb~ and sw to (or affilJl1ed) before me this Subsc~bed and s om to (or affirmed) b~fore me this -
~by ~O<4.u ~ e'o.~..n.clL ~d\/'"irl.::::: l\ "1D7 by ''\OHIU F2..pcenc-k:: ~ A\.oci("_
'i\lI:10 istare personally known to me or haslhave produced Who Is/are personally known to me or haslhave produced
~ 1) /2.J..:r{? lAc... as identification. C:'L 1> {2..vV1.. \ I c as Identification.
~..
,..
~ ~ Notary Public
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Notary Public
. I _''''l
Comm.sson iJ P\~ Karen L M'II&
~9... .....~ . · I r-
=i i~ Commission # 0
Name of No 29,2010
~""'~''''''__..In. lIIlQ-381i-1019
Commission No.
"''',It
l;"1.r.Y,,~~ Karen L. Milltn
g:{ i~ Commission # 006096
Name of Notary typed. prl . Ires .. ctober 29, 2010
- It . a.nttN trDy F.Ih' lnawranca.. WlC, aoo..aai-7011i1
Proposal
C. i9/c'/Y"" 77..3
license.#
ASSURED COMFORT HEATING AND COOLING
P.O. Box 3613
SPRING HIlL. Fl:34611
(352) 683-2227 j::,~
.;.: n..r fly E7 7A.
R0POSAl:SIlIBIBTJED TO
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We hereby submit speclfic.aDons and estimates fur:
<,~,..-c:;7~J/~
o Unit
o replace 0 install
o modify 0 add I replace
[]' instaU 0 N/A
~AY'/~
~~~a.v
1 Jndoor Unit
Thermostat:
Duclwo1k:
/J ~-<,/
.Outdoor Unit
- -.-..--,----.
JiiI use existing
o teCOfltleCt to existing
Heat Recovesy Unit 0 reconnect to existing
Air Fitter: 0 use existing
Pad foe Outdoor Unir 0 use existing
Refrigerant Tubing i Condensate Drain: ijZI use existing
Drain Pan: 0 use existing
o Install high efticiency media tiIIeI-
!if- replace I instafI
[]' replace
o replace 0 insfaII
o insIaII
o safely swiId1
13 Unit Warra
6'T~
II Misc. Parts J labor Warra A
omments:
We propose hereby to furnish material and labor - complete in acc;otdallDe 'WiIh above specificaliou&, for the sum at
C/N"f ~P'4H-AA7 f'l/../ h'~4d-O h ;r~ ~/laQ" doIIars($ ~rSt7 ::-. ).
ayment 10 be made as foIows:
z,. ~y/l ~#IIV" ~~.,4../~
~ 1he -...nIy Ill___ spI!ICOiieItablNe lfttagNlE ...pIDIide,.,.....asspecilied
0IIe. llJflll8r-.J IbIII: SeIer_1IIIe "'arrytlqJllllllBllllll'___~iar~d
Ill< IXltil lilIII pI!IIIBlIlI .. ,_. If ~ is _......- as ......, -- - mar
1IOVe _____b_......... anr........-.......--. If
" necessaoy II> piace 4XIlII!lairln .. .... __ of am -.,.. I _ PRY. iar all.lilllOmeyS fees..
...- on delinIpInI--. in_ID___ _ 1lalrJniIn!t.. AIlnda SlaIue
9.1425, ifllled8lges____S2,5IIIUlO. --'''''Ili' be___
WlS\ruCtion _ ~ _ iI_ _ _ -. fII"i8r:I""- t>r "'-
~ c.:.n.a::u. "-_"*"-' -_~bIO. CIlIIII1d_ AclIid8 ~
:lusIJy LicenIioIg 8aMf, 1M} III _ Sl.. T...... R. 323!B /850-481-1395. ~
"",10._.11_ dD.ncI.._'_~...._ _"".lhis a>nIraCl; )'ElU.m&y
ncelthis ~ tip ,.................. JlIIIira .. _... ... _ _ ..._ lap of ...
JpOMt v......_ _ ......._,.... ____.-....__Il_11e
:eived 1IC ~ 1>'''' ~beIDre RIidniglItof__..........., _,.... sign.......-..... .
,,<:anaI!_~___........_.-rdt____
AuIhorized
Signature
Kj~
,-
Note: This proposal may be
Withdrawn t:.ly us if not ~ wiIhin 38 dews-
cceptaDce e.f P.Iepoaal-The 'aboweprioes,specifications
1d rondiIions are salisb..thti and are hereby accepIied_ You are
.rthorized to do the work as spedfief:1- Payment wiI be made as
Jtlined above.
SIgnature
ate of acceptance:
/0' dO' 0'7
Signa1lHe X
t~~-
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