HomeMy WebLinkAbout11-12245 � - CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3)�so-oozo 12245
BUILDING PERMIT
Permit Number: 12245 Address: 6606 STADIUM DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: STADIUM PARK
Est. Value: Parcel Number: 02-26-21-001B-00000-0010
Improv. Cost: 8,868.00
Date Issued: 8/15/2011 Name: PICKERING, MICHAEL J. & MICKY SU
Total Fees: 80.00 Address: 6606 STADIUM DR
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/15/2011 Phone: (352)650-7150
Work Desc: A/C CHANGE OUT 6 TON A/C
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FINAL�
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 � 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. if you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Aacompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACT SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
u,�-�nu-uuzu City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recelved � - � - / �
Phone Contact for Permitting _
�
Owner's Name �� q� � "c suG G Owner Phone Number
Owner's Address �0� Q f'lOre Avd u►I�t /�O�- � � Owner Phone Number pn - . J�
Fee Simple Titlehoider Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �p O Q� Q( ( U U/""' ^ I'f /�.S' � d LOT # ��
SUBDIVISION � d�� � , PARCEL ID# �^� ""�"'00/B-00000� po/p
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK /�lG 4'n/ GR - C Qrl G aCC ( � �o�t Gt,/'/� pn �' � pq�.
BUILDING SIZE SQ FOOTAGE � HEIGHT
QBUILDING $ �
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ ��b ��/ �
J�� c l{!� �._._
[�MECHANICAL $ �,, oe VALUATION OF MECHANICAL INSTALLATION �� -'--"-'--- -
—3 . � � t/5 1
OGAS Q ROOFING Q SPECIALTY C� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License # -�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �
PLUMBER COMPANY
81GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
MECHANICAL . COMPANY �.�Q.(�CCO G Q�tlCCi �y��
SIGNATURE '' REGISTERED Y/ N FEE CURRE� Y/ N
Address / �(,f�Q'J"� G' - �►/�G License# L
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
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) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Pem►it for subdivisionsRarge 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 conslrucQon.
Directions:
Fiil out application completely.
Owner 8 Contractor sign back of application, notarized
If over;2500, a Notice of Commencement Is required. (A/C upgrades over;7500)
"' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingtes Sewers Service Upg�ades 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 rest�ictive than County regulations. The undersigned assumes responsibiliry for compiiance with any
appiicable deed restrictions.
UNLICENSED CONTRA�CTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be lice�sed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the o�hrner 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 wili 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 Reco�ery 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. c�rtificate 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, ha�e 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'SIOWNER'S AFFIDAVIT: I certify that atl the information in this application is accurate and that ali work
will be done in compliance with all applicable laws �egulating 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 witl 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 Iots 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 specificaAy 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 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) ,
OWNER OR AGENT � CONTRACTOR
Subscribed and sworn to or affirmed) befo me this Subscribed and s ffirm ) bef s �
by b - �7 s� �-���_.
Who islare personally known to me or has/have produced Who islare e son nown to me or has/ e produced
as identlficatlon. �� � � � � denHficatlon.
-%----� � � - , ,
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Notary Public ± __ ry Public
Commission No. Commission No. •�"'�"'�-•
:r ':�: Commission DD 734406
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Name of Notary typed, printed or stamped Name of Notary .„ � B&, R dntr�suronceeoo-385��o�s
. � Caldeco Mechanical Services, Inc.
Commercial Job Description
Lead #
Job Start Date Salesperson Alex Myers
Bill To Job at: MGR Dialysis
6606 Stadium Dr
Zephyrhills, FL 33540
Ph Bill Paz Ph Tom 352-650-7150
Does Job Require a Permit? Y/ N Y Municipality Zephyrhills
Does Job Require a Notice to Owner ? y
Job Type GC New Const / Retrofit retro Standard Retail Chg Out y
Length of time to complete project 1 day
Sales Price $ 8,868.00 Description: Replace package unit for lobby area
Service Discount Upsizing from 5 to 6 tons. Add registers in lobby
Manufacture Rebate from main supply trunk to handle increased air flow
Teco Duct Seal Discount
Teco Heat Pump Rebate
Customer Responsibility a 8,868.00
# of EEZ n QAV (Yes or No) n
System #1 Comb 50TC-A07A265-OAOAO CRMANDPR001A03 CRHEATER102A00
Area Served LOBBY Filter Size('s)
System #2 Comb � �
Area Served Filter Size('s)
Factory Warranty 5 YEAR COMPRESSOR, 7 YEAR PARTS AND LABOR
Extended Warranty Type
Purchase Orders Required 1 Equipment
Purchase Requisitions Attached 2 Riverview Crane
3
4
Attached: Signed Proposal, Complete Take Off Sheet, Layout, Purchase Requisitions,
Factory Rebate Forms, Utility Company Rebate Forms
• �asco County Parcel: 02-26-21-001 B-00000-0010 001 Page 1 of 1
�Data Current as Of: Weekly Archive - Saturday, August 13, 2011
Parcel ID 02 (Card: 001 of 002)
Classification 19 - Professional Service Building
Mailing Address Property Value
PICKERING MICHAEL J& Ag Land �p
MICKY SUE Land $53,034
4201 BAYSHORE BLVD UNIT 1701 Building $372 012
TAMPA FL 33611-1667 �
Phvsical Address - See All 2 addresses (First Extra Features $2,025
Shown) Market Value
6606 STADIUM DR ;427,071
ZEPHYRHILLS FL 33542-7510 Assessed (Non-School Amendment �427,071
1)
Leaal Descriution (First 4 Lines)
See Plat for this Subdivision .�"'
Taxable Value �427,071
STADIUM PARK PB 19 PG 145
LOT 1& LOT 2 AKA RETENTION
AREA
OR 4153 PG 1659
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
�� 1900 PROF.BLDG OOC2 12,000.00 SF $2.20 1.00 $26,400
�� 1900 PROF.BLDG OOC2 17,388.00 SF $1.53 1.00 $26,604
�� 1900 PROF.BLDG OOC2 3,000.00 SF $0.01 1.00 $30
Additional Land Information
Acres OJ8 Tax Area 30ZH FEMA Code ��ommercial Code P TP2AA
Buildina Information - Use 19 - Offices Professional or Medical (Card: 001 of 002)
Year Built 1980 Stories 1.0
Euterior Wall i Concrete Block Stucco Exterior Wall 2 None
Roof Structure Rigid Frame w/Bar ]oist Roof Cover Built-Up Tar and Gravel
Interior Wall 1 Drywall Interior Wall 2 None
Flooring i Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 4.0
Line Description Sq. Feet Repl. Cost New
� 1 Q 7,200 $597,816
� Z� AN 484 $12,039
Extra Features (Card: 001 of 002)
Line Description Year Units Value
1 PAV ASP 1980 10,000 $2,025
Sales History
Previous Owner HUFF JOHN R& BARBARA E
Year r Month Book/Page Type Amount
1999 0 5 4153 / 1659 WD $335,000
1996 04 —� 3555 / 1844 WD $0
htt p://www.appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21 &sbb=0... 8/15/2011
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PermitNo._ ����� ParceIIDNo �o�'�OZ�e "OZr' �0/Q-0000 —DO/Q
NOTICE OF COMMENCEMENT
State of _ /^ / d!`/ �G71 Gt Couny of __ �Q 3 G D
THE UNDERSIGNED hereby gives notice lhat improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
ihe following information is provided In this Notice of Commencement:
�• pescription of Property: Parcel Identification No. �pZ � a(� — pZ�� QO/8 — OGC� � � p� �
G 60G n '
Streel Address: d I �G U ,zZ �j / i1� � 3� —/ .s� - � O
2. General Description of Improvement �/�G C,..° JJ1 Gr1 CtY1 G Gt
3• Owneriniormatfon: QGl � /yll G Lf �- �+%n
�0�0/ �qY3�14PG l��Oc� (,�Ili��70� /H11lP/� �
Address /+� City State
Interest in Property: _ ( /(,V /T Lo/"'
Name of Fee Simple Titleholder:
(If other than owner)
Address / ^ Ci State
� 4• Contractor: Q/'a V I ' �� � C Q � ' �, �
/7�./ e ,l�- cvar �ri� ��p�t �
Address � City '-- State
Contractor's Telephone No.: 4�� —�� -� p�o1/�
� Name I IIIII) IIIII IIIII IIIII IIIII IIIII IIIII I�III IIIII IIIII (III IIII
5. Surety:
40979
� Address City State
Amount of Bond: $ Telephone No.:
6. Lender:
Name
Rcp�:1388009 Rec: 10.00
Address —.--,,— DS : 0. 00 I T: 0. 00
Lender's Telephone No.:
C�ty 09/12/11 C. Cook, Dpty Clerk
7. Peraons withln the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7), Florfda Statutes:
Name PqULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
�,ty 09��2��� �59� 1 � 22 ��
Address OR BK PG
Telephone Number of Designated Person:
8. In addition to himselt, the ovmer designates of
to receive a copy of the Uenor's NoHce as provided in Section 713.13(1)(b), Florida Stalutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement is one year from the date of recording unless a different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY TME OWNER AFTER TME EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTIOM 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITM YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORtDA � '� _
COUNTY OF PASCO ��y�
Signature of Owner or Owners Aulhorized OfficeNDirector/PartneNManager
� S G I / / a.`—� wt S !�'''r �
Signatory s Title/Offi
The foregoing instrument was acknowledged before me this day of �, 2p �, by ��� N*�.�
�(,� ��''� as � (type of authori e. officer, trustee, attorney in fact) for
�Y� 9•�
(nam party on behalf of whom instrument was executed).
Personally Known Qg ed Identificatfon �r" �� ' Notary Signature �
Type of Identification Produced c� Name (Print)
Verification pursuant to Section 92.525, Florida Statutes. Under penattfes of pery'u I deGare that I have read the foregoing and that the facts stated (n
It are true to the best oi my knowledge and belief.
Signature of Natural Perso Signing Above
w�de►e�cs���,sS��ti��e� �,�a ASCO
THIS IS TQ CERTIFY THAT THE���OING IS A ���m"�''••- PATRICIAKATHLEENCALDEVILLA
TRUE AND C�RRECT COPY 0� THE DOCUMENT �*� -�'}:= Commission DD 711177
ON FILE OR OF PL�B�iC RECORD IN THIS OFFICE +�q� ExpiresNovember6�2011
�„ tloMIW Thru Troy Fein I�e 800�385�7079
�rJ�TNESS MY HAND OFFICIAL SE�1L THIS � -
DAY OF �il/�+,l�LU..�2 �/ / /
PAU � S O'NEIL, CL �& COMPTROLLER
BY � C.�J`�-lL./ Dr �-� ;� y CLERK