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HomeMy WebLinkAbout09-9855 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9855 BUILDING PERMIT Permit Number: 9855 ss: 603 GALL BLVD Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03- 26 -21- 0010 - 12800 -0000 Improv. Cost: 750.00 k�l,l,,1 . _ s a . Date Issued: 12/03/2009 Name: GALL BLVD LAND TRUST & S ARAVANOS Total Fees: 35.00 Address: 350 HARBOR PASSAGE Amount Paid: 35.00 CLEARWATER FL 33767 Date Paid: 12/03/2009 Phone: Work Desc: INSTALL MINI - SPLIT 12,000 BTU -- I.T. ROOM DYNAM A IN & - 4;1; L N IN HAN • - 35.00 FOP DU IN TALL E �.._ =7. DUCTS INSULATED FINAL 12 - ct -O9 REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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 - • • • ur notice of commencement." PO 4 ONTRACTOR SIGNATURE PERMIT OFFI �R 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 Fax- 813 -780 -0021 Building Department Date Received r , Phone Contact for Permitting 9/3 9 .28 - - 3 i Owner's Name /,1 A. 'f 4— 00'5 ,, OUe+n MIA 7 ( Jr 1 4`" Owner Phone Number (80 379`/30 Owner's Address ( ; 438 ( // ��UD 2e//yA.1" R j3 Piz- Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address yJOB ADDRESS (,O3$ 6A // VU // C2 T-5,57/2__ LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM 1 1 OTHER TYPE OF CONSTRUCTION I I BLOCK 1 I FRAME I 1 STEEL I I OTHER I DESCRIPTION OF WORK k /A/ -q// .Z . Ave /', C5e22 6T O BUILDING SIZE SQ FOOTAGE HEIGHT I BUILDING $ VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. I I PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 'SD_ ©o I I GAS I I ROOFING 1 I SPECIALTY 1 I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I Address 1 License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I Address License # MECHANICAL COMPANY e/16/9/.5 22 g SIGNATURE �yJ�/� w - REGISTERED I Y / N I FEE CURRENT I Y/ N I Address / Z239 / � �i�A/ l� P, � y J4 /a /' f L 335y}� License # OTHER / / COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I Address License # 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 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. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C 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 A/C 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. 1 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. 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 installations not specifically included in the application. 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 codes. Every permit 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 the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVENTS AN YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) ` -/CA"gAi.Ft.� CONTRACTOR I i/ ere OWNER OR AGENT G �i7 Subscribed and sworn :3 ed) before me this Subscribed and sworn • or,' rmed) before me this by /Z. - 3-O by Who is /are person�ll nown to me or has /have produced Who is /are personally o to me or has /have produced j «� as identification. i ck. as identification. otary Public ' r ii_ • f'� _ _ N otary Public • JACQUELINE B QGES • , .- Commission ' ' • 1833 Th Comm -: on Nei' t• :.: COm miSSion uD 621833 Sonded N Troy FrOn �nw+mncw 800-386-70 = Expi res D e c emb er 12 ; F of c4QP' Rnry TA. Ti•a r a n loco apse &00 typed, printed or stamped Name of Notary typed, printed or stamped Name of Notary typ p Dec. 3. 2009 3:22PM Eagle Insurance Agency, Inc. No. 6715 P. 1/1 ACOR CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/03/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eagle Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4202 W. Linebaugh Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa FL 33624 INSURERS AFFORDING COVERAGE NAIC # INSURED Dynamic Heating 8, Cooling, Inc. INSURER A: American Reliabile Insurance Company 19239 N Dale Mabry Hwy Suite 3 INSURER B. INSURER C. Lutz FL 33548 INSURER D. INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION I TR NSRn TYPE f1F INSURANCE POLICY NUMBER DATE IMMrD/WY)_DA IMMI0DIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY IGL 009906 11/04/2009 11/04/2010 DAMAGE TO RENTED PREMISES (Fa occurencel $ 100,000 _ I CLAIMS MADE n OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 — GENII. AGGREGATE LIMIT APPUES PER PRODUCTS - COMP /OP AGG $ 1,000,000 — n POLICY n ,IIFCT Ti LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ — HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) - GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ _ T ANY AUTO EA ACC $ OTHER THAN AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ _ RETENTION $ $ WORKERS COMPENSATION AND 1 Tf1RY I IMIT O i tr i T- C OTH- EMPLOYERS' LIABILITY FR ANY PROPRIETOR /PARTNER/EXECUTIVE E L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? E L DISEASE - EA EMPLOYEE $ If yes, ibe under SPECI describe PROVISIONS below E.L. DISEASE - POLICY LIMIT _ $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Fax: 780 -0021 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 5335 8th St. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Zephyrhills, FL 35542 -4312 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE <DP> • ACORD 25 (2001/08) • © ACORD CORPORATION 1988 INVOICE D YWAM ! C Evaporator/Make: NL =ATI & COO.LING Model / Serial # 19239 N.Dale Mabry Hwy. • Suite 321 33548 Lutz, FL Phone: 813.928 -3646 Condenser /Make: Website: www.dynamichvac.com Se Habla Espanol Model / Serial # Customer: Filter Size / # LI Address: _ Air Quality / Purification System Yes No - Date of Service / Repair: Comments: Phone: _ EMail: Price , PARTS AND MATERIALS Quantity Description Amount i Rate Amount LABOR Hours Description i 1 i ■ Parts & Mari al: T�rrK AIt irnr� 444,,,;: ur 5� � Fie � Labor: ��� t Total: �t� i It �+� � � � � T hank y ou knowledge for your Business and we accept visa Work Ordered by: I hereby ac the satisfactory comp letion of work: i Sig: - Date: • STATE OF FLORIDA `; DEPARTMENT OF FINANCIAL SERVI T S DMSION OF WORK`'' COMPENSA .r CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FL - , WORKERS CO MPENSATION LAW EFFECTIVE: • 09/02/2008 EXPIRATION DATE: 09/02/2010 2 r, PERSON: DARWIN A ENCARNACION 4;. VA FEIN: 205499872 B NESS NAME DG N DDRESS: 1923 N DALE MABRY SUITE8321 LUTZ, FL 33548 SCOPE OF BUSINESS OR TRADE: 1- CERTIFIED AC CONTRACTOR I SEQ8 DsPAR STATE OF FL - -_ 1,087.0010.1.3 g ORiDA r BT :..en. p p I N I 6ND p HO S2 ---: DLATION DAT QBTR . -I;I E i r u• L 10 O1 2008 0 880519 77 The CLA88 Named glow $ AIR l7xTI I Under t g d O 1 ° IS CERTiF.2 O x O CONTRACTOR i Birattoapdate, of ma + 2010 489 F8 a8CARNACION DAR f T 2 DALB -w LINO INC CHARLIE GRIST FL 33548 ■ GOVERNOR O'LAY AS REQUIREp 8Y LAW 8 8CARY IAGO I o 0 Z O o ° 0 o 2 ►n t0 0 O N a o a 3 1 x 0 ' � O i � : x N C) NO W J N a W ao X w W m 0 w r C tY ,- O a 0 Z 11.1 W - 3 w 0 o r CY 171 O y Q�W W 'N , .a F :.1 C a. z , Q iii _1 ch U o LU W 0 O o 0 ca I- II CO z� EL D O *rstittiN 0 �; N Z M W , It Z a �l ` QO r te ' Z it 0 co a Et >- c c ii 6 = a Z m Qom i O Zug @ M D m U W Q ° -` O o ao 0 JO) • g w . m cr z Q O Q Q U 2 0M g 3 u) i m Zcn cn remZu_ �{ i, // // ♦ ♦ �� o i J O CV UZN , _ J g 0 rn1 Z>-wm �/�j W S = w V 8 J WO�.J j O o U a s e- 1 U 0 Z a W . O O °- a tV h Z a O Z I- Z W W m O m Q 2 g d p n ij CO Pasco County Parcel: 03- 26 -21- 0010 - 12800 -0000 001 Page 1 of 2 Search Again Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Parcel Cards: 1 I 2 I 3 Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: II Weekly Archive - Saturday, November 28, 2009 Parcel ID II 03- 26 -21- 0010 - 12800 -0000 (Card: 001 of 003) I Classification 11 14 - Supermarket Mailing Address Property Value GALL BOULEVARD LAND TRUST Ag Land $0 SARAVANOS GUS & Land $544,950 KOUTROUMANIS DEAN CO- TRUSTEES Building $250,168 350 HARBOR PASSAGE CLEARWATER, FL 337671811 Extra Features $50,967 Physical Address - All 3 addresses (First Shown) Market Value $846,085 6020 GALL BLVD ZEPHYRHILLS, FL 33542 -2543 Assessed (Save Our Homes) $0 Legal Description (First 4 Lines) Taxable Value $846,085 ZEPHYRHILLS COLONY CO LANDS PB 1 PG 55 THAT PART OF TRACTS 113 & 128 LYING EAST OF US 301 DESC AS COM AT SE COR OF SECT- ' Land Detail (Card: 001 of 003) Line II Use IlDescriptionll Zoning II Units II Type 0 Price II Condition II Value I 1 II 1400 II SUPERMKT II 00C2 II 3.46 II AC II$157,500.00II 1.00 II $544,950 I Additional Land Information Show Mineral Rights - 1 I Acres II 3.46 II Tax Area II 30ZH II FEMA Code II X °Commerical Code I SITE2A0 I Building Information - Use 14 - Grocery Store, Market (Card: 001 of 003) Year Built 1959 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco Roof Structure Rigid Frame w /Bar Joist Roof Cover Built -Up Tar and Gravel Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Asphalt Tile Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Packaged Roof Top Baths 2.0 Line ii Description I Sq. F II Repl. Cost New I I 2 II BAS I 9,435 II II $17,096 $403,252 I 3 II CAN II 712 $9,146 I Extra Features (Card: 001 of 003) I Line II Description II Year I Units II lue I 1 II PAV ASP II 1984 I 111,651 $22,609 ( 2 II SPRNKFP II 1984 II 10,235 II $7,676 I 3 II LIGHTSM II 1984 II 3 II $1,913 I 4 II LIGHTTM II 1984 II 2 II $1,590 I Sales History I Previous Owner II JAEB STEPHEN L Year II Month II B ook /Page II Type II Amount 1997 0 o6 II 3707 / 0186 II WD 11 $0 I 1992 3037 / 1026 11 QC II $ http : / /appraiser.pascogov. com/ search /parcel. aspx ?sec =03 &twn =26 &rng =21 &sbb= 0010 &b... 12/3/2009 Pasco County Property Appraiser - Physical Address List for: 03- 26 -21- 0010 - 12800 -0000 Page 1 of 1 Welcome : Records Search : Parcel Details : Physical Addresses Physical Address List for Parcel: 03- 26 -21- 0010 - 12800 -0000 Displaying 3 records View in groups of: 10 25 50 100 500 Street Number Street Name * Unit 6020 GALL BLVD 6030 GALL BLVD 6038 GALL BLVD Pasco County Property Appraiser Page Layout Modified: 2/17/2009 1:10:37 PM The Local Time Is: 12/3/2009 3:19:27 PM http: / /appraiser.pasco gov. com/search/physadd. aspx ?parcel= 212603 0010128000000 12/3/2009