HomeMy WebLinkAbout08-7907
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7907
Permit Number: 7907
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 7,550.00
Date Issued: 5/28/2008
Total Fees: 70.00
Amount Paid: 70.00
Date Paid: 5/28/2008
Work Desc: 5 TON AlC CHANGE OUT
Address: 4822 GALL L
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-01700-0090
GON
4822 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone: 813 788-9011
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DUCTS INSTALLED
DUCTS INSULATED
FINAL
REINSPECTlONFEES: 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."
IGNATURE PERMIT OFFI
EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
* ~aq~180-0021
Date Received
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Owner's Name
Owner's Address I r (~
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
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~I ?/vf ,;2l)yr~,'/I,
J PARCE ID#I'
D NEW CONSTR c=J ADD/AL T 0
D INSTALL D REPAIR
o SFR D COMM 0
D BLOCK D FRAME D
<,7~ N..-Lc C /oc-'J:" ~
I SQ F~OTAGE I HEIGHT I
LOT #
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER
STEEL
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o
OTHER I
DESCRIPTION OF WORK
BUILDING SIZE
, , I I . I I , I . . . I I r . 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 .
D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W,R.E.C
D PLUMBING 1$ I
D MECHANICAL 1$ 7S-5t2 aJ I VALUATION OF MECHANICAL INSTALLATION
D GAS D ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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COMPANY
REGISTERED
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License # I I
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License # I I g ~ I
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YI N
FEE CURRENT
Y/N
BUILDER
SIGNATURE
License #
COMPANY
REGISTERED
I Y I N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
OTHER
SIGNATURE
Address
License #
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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 wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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
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. (Ale 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 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, 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 of six (6) months after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty (.90) da~s and WIll demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the)ob IS considered abandoned.
Who is/are
Notary Public
Notary Public
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Permit No.
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NOTICE OF'COMMENCEMENT-
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2008079394
Property Identification No. /tj-dJ-{)" ,;Z/-CJ{)(O-o/?tJO-. tic)? Q ~S~l0.~~83091 R~~; ~~0:0
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- _ OS/28/08 Dpty Clerk
THE UNDERSIGNED hereby give' informs you that the improvement wiIl be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
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3.0wner Information
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Fax No. (Opt.)
Phone No.
7. Identity of person within the State Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and addTess:
b) Telephone No.: ,Fax No. (Opt.) .
9.Expiration date ofN otice of Commencement (the expiration date is one year from the date of recording, unless a different date is
specified): -
WARNING TO OWNER: ANy' PAYMENTS MADE BY THE OWNER AFTER THE EXPlRATIONOF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDERCHAPTER 713, PART I, SECTION 713.13, ,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOURPROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPEC'I:ION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOuR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT,
STATE OF FLORIDA
COUNTY OF PASCO
ignature of eror Owners Authorized OfficerlDircctorlPartnerlManager
~UA7LC[S 'IJI~HCL.A
PrintName ,
The foregoing instrunient was aclmowl~ged before me this crHt2 day of - ~ J.; . 200? . by' , _
CH/ll{{op.c JJiQ.....l....f:Jl.-fJas P;:U'.,"A)~'A"- Of'p-,'<'-'P~ ' ' -- (typeofauthority,e.g. officer, trustee, attOmey
in fact) for/Ale ~t" ,eJ'J C/'\ {.J Vd..-'X A/v'':. _ " (name of party on behalf of~h~_ ~:?:flS e~~;d).
Personally Known _ OR Produced Identification ~ Notary Signatut~,L( );, U------
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Verification pursuant to Section 92.525, Florida Statutes. Under penalties ofpeIjury, I declal'ethat I have read the foregomg and that
tho fucti ""tod m it ore truo to tho bo" of my koowledgo ond bo"of ~~'
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.-signature ofW Person Signing Above
FORMS/NOC,rvsd2007
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Kinsey Central
Heat & Air-Conditioning, Inc,
P.O. Box 2209
Zephyrhills, Florida 33539-2209
(813) 782-2300
CA-C058626
DATE PROMISED
APARTMENT
o ESTIMATE
o CASH
~HARGE
NATURE OF cJ
SERVICE
REQUEST
"'RICE
AMOUNT
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A charge of 1.5% wi If be made on all unpaid balances after 30 days, which is an annual percentage rate
of 18% applied to past due balances. Customer is liable for any charges incurred in collecting this bill.
DATE COMPLETED
;v
TOTAL
MATERIAL
I . s~~e~N~c;~E
/7
II;." /_''1 '
TAX
7~ ~~I
CASH g~~g~~LETION_
TOTAL
TECHNICIAN
CUSTOMER'S SIGNATURE