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HomeMy WebLinkAbout12-13254 CITY OF ZEPHYRHILLS � 5335-8TH SIREET � (si3)�so-oozo 13254 BUILDING PERMIT Permit Number: 13254 Address: 5440 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: 11-26-21-0010-13200-0270 Improv. Cost: 25,000.00 Date Issued: 7/17/2012 Name: SALINA PROPERTIES INC Total Fees: 160.00 Address: 5618 MARIE DR Amount Paid: 160.00 ZEPHYRHILLS, FL. 33541 Date Paid: 7/17/2012 Phone: Work Desc: A/C CHANGE OUT 2 TON �� _ �d � , � � DUCTSINSU TE FINAL i REINSPECTION FEES: Reinspection fees will aomply with Florida Statute 553.80(2)(c)when extra inspection trips are neoessary 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 aocessible. 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 rding our noHce of oommencement." Complete P pecificati n u 000mpany Application.All work shall be performed in accordance with C � and Ordinances. NO OCCUPANCY BEFO C.O. . , , ONTRACT IGNATURE PERMIT OFFI R PE IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received Phona Co tact for Parmittin _ Owner's Name �. ,b��Q I�-S . �3' /��— ?��?� Owner Phone Number (� Owners Address ��� � Owner Phone Number Fee Simpie Titleholder Name Ownsr Phone Number Fee Simple Titleholder Address JOB ADDRESS � ��� �✓� ��r�,�',lls ,j��J . LOT# SUBDIVISION PARCEL ID# �/ �� �'� OO�� �3��O f� �7� (OBT/UNED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER mo �b C TYPE OF C�NSTRUCTION Q BLOCK � FRAME Q STEEL Q DESCRIPTION OF WORK C � � �� �'�S , BUILDING SIZE v���� � $p FOOTAGE ��� HEIGHT / ] QBUILDING E � VALUATION OF TOTAL CONSTRUCTION QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 QPLUMBING s � [�MECHANICAL a �D�� VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOO ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRFJ� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# —� PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address ' � Ucense# � i ) /� MECHANICAL � /, ,(� COMPANY /�B�✓ /� �5 r^�C � SIGNATURE W"� '�`" L— REGISTERED Y/ N FEE CURRE� Y/N Address License# C.�/�rC l � �� OTHER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# —� RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bufiding Plans;(1)set of Energy Forms;R-O-W Permit for new oonstrucGon, Minimum ten(10)woilcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary FadliGes&1 dumpster;Site Work Permit for subdivisionsllarge 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 constructlon. Minimum ten(10)worlcing days aTter submittal date. Required onsite,Constructfon Pians,Stormwater Plans w/Siit Fence installed, Sanitary Facilities 8 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 consVuction. Directlons: Fill out application completely. Owner&Contractor sign back of applicatlon,notarized If over i2500,a Notice oi Commencement Is requlred. (A!C upgrades over 57500) '" Agent(for the contractor)or Power of AtComey(for the owner)would be someone with notarized ietter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Applicatlon Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/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 compiiance with any applicable deed rest�ictions. 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 IMPACTIUTILITIES IMPACT AND RESOUI3CE RECOVERY FEES: The undersigned understands that T�ansportation 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 dus, 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 flnat power release. If the project does not involve a certificate of occupancy or final power retease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer 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 wvrk is$2,500.00 or more, 1 certify that I, the applicant, have been provided with a copy of the "Florida Constructfon Lien Law—Homeowner's Protection Guide" prepared by the Florida Depa�tment 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"owne�"prior to commencement. CONTRACTOR'SIOWNER'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 instaliation 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 ce�tify that 1 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 inciude 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-Seawalis, Docks, Navigable Waterways. - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Fede�al Aviation Authority-Runways. I understand that the foliowing restrictions apply to the use of fill: Use of fili is not allowed in Flood Zone"V"unless expressly permitted. If the fili 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 Fiood Zone "A" in connection with a permitted building using stem wali 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 a�davit prior to commencing cpnstruction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specificaily inciuded in the application. A permit issued shall be construed to be a license to proceed with the work and not as authoriry to vfolate, cancel, alter, or set aside any provisions of the techans I onstruct on oalviolati ns of any codesPrE ery permitiissued sihali become inval d requiring a correction of errors in p , unless the work authorized bandoned forlalpe od of six(6) mhonths after the t mpe thetworkas commenced. Anhext nsion the permit is suspended or a da s and will demonstrate may be requssted, in writing, from the Building Official for a period not to exceed ninety (90) Y justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILS TO YOUR PROP RTl(.TIF YOU INTEN E OBTA N^FI1N RESNG C'ONSULR PAYING TWICE FOR IMPROVEMENT T, WITH Y ER N TT R EY FORE RECORDI G YOUR 1 P FLORIDA JURAT(F.S. 117.03) � � _ CONTRACTOR � OWNER OR AGENT Subscribed and {or a�)b � ��$ Subscrfbed and swom to(or aiflrmed)before me thls b bY Who Is/are personally known to me or haslhave produced Who islare personally known to mas identl�tl�roduced as identlfication. I � � Notary Public Notary Public ` .�";•��, JACQUEUNE ES Comrr�ss • Commisslon No. �•• '*' ��2,2014 ;�, - Expires Decem ed, rinted or stamped Name of N �� Name of Notary lyp P � . . Brandon Air Pro's, Inc. 4�!8 Mahogany Dr. Sef�nsr, FL 33584 � 813-68'f-TZ22 Bid No.: Job r�fo.: uate : � 7 1••Z. , Ct�bart�sr � Job 8ite: �'` D 1L �a . s Phone No.: �� �{�3- 7�.�--�`3oyt ���, ��i� ��3� �� 6t�j/z3. . Betow is bfd to: / , '�V r�+/ ���i�G•[VV ( 1�+I S tl�tl S � !J vc>' �v�3° rtiv�1 ,� � ,,�� 1L � � . ��.. c�i't3 f� .,i� �2 � .�f �i/1 �?T o� �E1�• l''�:�E.e 7v 1��4--� /3 9� ��x1� v.c.tii7"/�S�r�t�r� � �p . /k1�l.�f�2 :� N� l� � D�s d � � � ,B� �cre$Ee �„i� .� /� � , * �+c aa�a��s�s�o�o«►s: v`� !�t-rX� (� } �r— �-,S"rrt�C.�-,�r.� � ' �'-� tr�� * >J 8�� ���►r.� �a~ra�L ,B�p .���. �v�3 4�� T�� : s �'' ��I►: � �-. �e: f .Z C�.�lSJ Bi STA�V���14�i[�/f��vVi�/ISA�r�Rj MLCHwK�W4�r1 B�� � �ii � . i ' `� �� 4l_81V�ahogany Dr., S�ffrn�yr, FL 33584 Ph�ne ;�13) 681-7222 Fax (it�13) 657-1095 LIC 1: 'AC 1814804 Persons authorize�� to sign/�.a�ck up permits. 1. Steven R. H��k gler 2. Teresa A. H� igler 3. Tyler R. Hai�.�ler State of Florid� County of Hills�4�rough Sworn to (or a �"�rmed) an�l subscr' d before me This � � �ay of , 2012, By �, �� Steven R. ��gler��� � �������,,, IVETTE L.HERNANDEZ ��SPay PUBi;�. :2°„ «�= Notary Public-State of Florida ;•« »•: My Comm.Expires Jul 15,2013 � ";r �,;� Commission#DD 907903 : ;'��( + ��''�O�;��'� Bonded Through National Notary Assn. --� NUtA 1 I;' Produced Ident���ication Type of Identifiq��tion Prc�duced �L. � �,�� , vr rUI.L llESC PCL:COM AT NW COR OF BLOCK 7_21 TH S63DG 28' 30"W �� ' 60 FT TO WLY R/W 7TH ST FOR POB TH CONT S63DG 28' 30"W 200 IIN I�+I�IIIIIf IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII�I FT TO ELY R/W US HWY 301 TH N26DG 25' 00"W 360.10 FT ALG 20�.2�19494 SAID ELY R/W US HWY 301 TO SLY R/W 9TH AVE TH N63DG 28' 30"E 200 FT.ALG 5'AID SLY R/W 9TH AVE TO WLY R/W 7TH ST TH S26DG 25' 00"E 360.00 FT ALG SAID WLY R/W 7TH ST TO POB OR 4265 PG 1037 OR4265 PG 1394 /�� �J ��J�� l 3�p� QZ'�C Permit No Parcel ID No / NOTICE OF COMMENCEMENT State of County of THE UNDERSIGNED hereby gives notice that improvement wili be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: / 1 Description of Property Parcel Identification No � �, �p� '�'�) ���� � ��� � ��-�� Street Address � D ��� �L If� ��� �s �-� �3 ��a 2. General Description of Improvement �4'��'�- � �d/' !�{�Ge�6� �i(�I T, 3 Owner Information or Lessee information if the Lessee contracted for the improvement: _ ��[�!/t�.� �0�.�� ��. ���n C���Ze ,E�L V� . �'�/ ' ��j lG-s �33�`�,Z �'�. Address City State Interest in Property� Name of Fee Simple Titleholder (If different from Owner listed above) Address ����� � �LE� City State 4 Contractor ��, �i�? w"�i�;4���.4� y,o.2�J� ��=��,�'/� ���'� � A dresc��s�- Cit Y State Contractor's Telephone No �� - �j�I- 7�„��.. _ 5 Surety Name Address 1r�� City State Amount of Bond: $ Telephone Nc 6 Lender Narrie�/� Address City State Lender's Telephone No 7 Persons within the State of Florida designated by the owner upon whom notices or otheo documents may be served as provided by Section 713 13(1)(a)(7), Florida 5tatutes Name N�,� Address City State Telephone Number of Designated Person 8 in addition to himself,the owner designates of to receive a copy of the Lienor's Notice as pro�ided in Section 713 13(1)(b), Florida Statutes Telephone Number of Person or Entity Designated by Owner 9 Expiration date of Notice of Commencement (the expiration date may not be before the compi�tion of construction and fmal payment to the contractor, but will be one year from the date of recording unless a different date is specified) _ WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATI()N OF THE NOTiCE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTI�� 713 13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A VOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION IF YOU I VTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AITORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT Under penalty of perjury, I declare that I have read the foregoing notice of commencement and tl�at the facts stated therein are true to the best of my knowledge and belief STATE OF FLORIDA ' COUNTY OF PASCO X� �, Signature Owner or L ee,or O Nner's or Lessee's Authorized Officer/Director/Partner/Manager Signstory's Title/Offir,e The foregoing instrument was acknowled ed efore me this �� day of.�Gl. ((/ ,20f�by ' as Q /�G � r -7`-- (type of autF ity,e g.,o er,trustee,attomey i�fact)for `s ��C• _(n o arty on bF�h�X�f wh instr eM was executed) Personally Known ❑ OR Produced Identification� Notary Signatur '/ �/`-- r � � , / Type of Identification Produced 1�(a1L Z��fi�'�9$ Name(Print) _ �t Sa • /�el�/�� t�� f Repl:1448395 Rec: 10.00 DS: 0.00 IT: 0.00 07/17/12 C. Miner, Dpty Clerk ,,,,�,�,,., �o.�"''"�s��., TERESA A.HAIGLER PqULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER �r• `"� NOt7fy PUb11C-St�te ot Fbrid� 07/17/12 12:51 m i of 1 �a„' ''My Comm.Expires Oct 24.2015 OR BK �7�� P� 1491 '%fq�F�,�.••'' Commi�alon A�EE 1�0�30 �������• wpdata/bcsJnoticecommencement_pc053048 , } �sld,i E uF i-._ :Ei�i,�"., ., ��}.v i'Y :.;�Y i�f.a{:'• � iiil:> I:;?'.. i;FKII: % iN,AI 11iE h•..;;-�E=G�Ii�C� , , TrilJk.F•.i JtJ CUkr�'._r''���!'i'�! '�r �HE f.��G_'�1,�, �,N FILE ��it�.,;� l-�'��i_IG`�FC��fx� '�'J THI�'. C� '- WITNESS Mr I-i;,'Jl�t:fd�; �. 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