HomeMy WebLinkAbout12-13290 CITY OF ZEPHYRHILLS
, 5335-8TH STREET
(si3)�so-oo20 1 290
BUILDING PERMTT
Permit Number: 13290 Address: 7248 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: 35-25-21-0010-08800-0000
Improv. Cost: 6,850.00
Date Issued: 7/27/2012 Name: RADIO SHACK
Total Fees: 70.00 Address: 7248 GALL BLVD
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/27/2012 Phone: (610�67-5800
Work Desc: A/C CHANGE OUT 4 TON PACKAGE UNIT
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DUCTS INSUIfQ�TE
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 fl 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 properly 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 property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commenaement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
. �
RACTO IGNATURE 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 [ �
� � Phone Contact for Permitting ( ��� -- 7
� � � � � � � � � � r � �
Owner's Name t '"1� �� � S� L Owner Phone Number lQ��— �Y l7L�, —
Owner's Address � v`��`}� Y � "t VV Owner Phone Number
las� � �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS I � � V LOT# �
SUBDIVISION PARCEL ID# ��� c��' �`'" �1�� �;� I���.)— ��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR O COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL �
DESCRIPTION OF WORK V C � 4 � V r �
BUILDING SIZE SQ FOOTAGE HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R.E.0
�PLUMBING $
, 3��
MECHANICAL $ (y1 VALUATION OF MECHANICAL INSTALLATION �
� ��/U
�GAS � ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
- °-: : : : : C : : : .-C C : : i i : � ��: '
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
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL /� � COMPANY 1 Y � I�� � ' � � COr 'J
SIGNATURE (f'� REGISTERED Y/ N FEE CURR Y/N
Address ��\�1 �LV� ����� �� '��S License# C{���'�',� � 3S
:
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
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 W�rk Permit for subdivisions/large prcjects
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 appiication completely
Owner&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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways. needs ROW
ROTICE 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 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-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, welis, 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 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 OBTAI ANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU N CE OF CO MEN EMENT.
FLORIDA JURAT(F S 11 03)
OWNER OR AGEN � �v CONTRACTOR ` —
Subscribed nd�,w` n to( r rmed)be or me this -I�ub,s cribed and rn to(or affir d) e ore me this
__Q��b�'l°� C � S Lt��td� Z�l v O�Y
Who is/are per onally I� r a r1DC��' Who islare rsonal
I e ti IC���lof Florida �r1c
N�ary Public � �-61Y�Om��atl
o`"Rr Pv°`� Susar�W Smitn a4 ��W SmRh
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't "Pru�IiC� s 01/20l1G�5
/ N tary Public
Corrfmission No �' Comm� io___
, _
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�Name of Notary typ int p IVame of Notary type� r d
THE DAN WRIGHT CORP. STATE CERT.#CACOS%H3i
"Y��uK Lc�c,ai_C�KKiEH Dt:�t.ta"
531U lr�cusr Pi_.ace • Ne�v P�.�Kr Ri<r+er FL 3465_' • (;2-1�-1y-�j'-6 • Fax ji2')3-+9-43,'7 • �v4���.oaN�i�RicHrc uFrcc�ti�
July 27, 2012
City of Zephyrhills
Building Department
To Whom It May Concern:
I, Kenneth B. Parr, authorize the following persons to sign any necessary paperwork in the name
of The Dan Wright Corp.
For all jobs in City of Zephyrhills, FL
Kaycee Hines, License #H520-512-88-925-0
Sincerely,
� r,
�'yL�
. Kenneth B. Parr
President
License #CAC057835
Sworn to and subscribed before me this �� day in '�.JUI ��of 2012, Kenneth
B. Parr, who is personally known and has produced Flarida Drive 's liY� cense as identification.
Notary Public My commission expires:
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THE DAN WRIGHT CORP. STATE CERT.NCAC057635 �
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� °YWR LOCAL CAHNIER DEALER° �
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C?� 5319 LoCUST Pln[e• New PoR'r Riaiev,FL 34652 • (727)tS49-532G • Fnu p27)849-4377 •www.onNweicHrmaemM
, �
July 26,2012
�
Michael Cuilla
Radio Shack !
�
Michael.cuilla@radioshack.com '
Pr�ject: Radio Shack#18898-7248 Gall Boulevard,Zephyrhills,FL 33541
The Dan Wright Corp. is pleased to provide a proposal to furnish and install the following scQpe i
of work:
E ui ment• Carrier
.
., .. .. . .. . ... ... . . _ ,.�.. -
' Qty� �Model�'Number' - - _ '' _ ,De:scription: -
; Packaged Rooftop Eleetric Cooling Units 4 Tons
Cooling 208/230-3-60
�, • Single Sfage CompressorModels ,
� 1 50TC-A05A265-OAOAO • Round Tube Plate Fin
• Medium Static Option
. Precoat AI/Cu-AI/Cu
• !VO CURB ADAPTER REQUIRED–UNIT F1TS EXISTfNG
50DJ-005-5 ROOF CURB
- - --- - - -- ---- ------- -------
I 4.9/6.0/6_5 kW 208/230/240-1/3-60 Volt Electric
1 �, *CRHEATER102A00 Heater I�,
- - --- --- -------— --- ---- ------- -- - -- -
1 � *CR�M/OPOS010A00 2 Position Outdoor Air Dam er
1 "'CRLVHLGD012A00 � Louvered Condenser Coil Hail Guard
----- ----- --- - --- -- ----- -_ - - - ---- -
� 1 CRMANDPR001A03 I Cha�e to Manual Outdoor Air Damper Package
�� 1 — , 50TC-A05A2B5-OAOCO I_Non Fused Disconnect _ �
Also included:
l. Duct connections
2. Electrical connections
3. Controls
4, Materials
5. Permit
6. Labor
7. Warranty of one year parts and labor
Total: $6, 850.00
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Note: Upon approval of this proposal, 50%is required to cover the cost of materials. �
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Note: All pricing to be held 30 days from proposal date. '
�
Authorized signature: Kenny Parr
Acceptance of Proposal-The pric s, specifications and conditions are satisfactory and are
hereby accepted.You are authori ed o the work as specified.
�7�i�"'� '',
S ignature Dat
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