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
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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
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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
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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.
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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 '/ �/`--
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Type of Identification Produced 1�(a1L Z��fi�'�9$ Name(Print) _ �t Sa • /�el�/��
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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
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