HomeMy WebLinkAbout12-13335 �
CITY OF ZEPHYRHILLS �,
5335-8TH STREET
(813)780-0020 � � �
BUILDING PERMIT "«
P�R IT INt�t'�RMATIQ►N �.t'�CATIQN INFCIRMATION
Permit Number: 13335 Address: 5963 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: 10-26-21-0020-00000-0021
Improv. Cost: 2,400.00 AWNE IIyFQRMpT14N
Date Issued: 8/14/2012 Name: SUNRISE EATERY
Total Fees: 50.00 Address: 5963 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/14/2012 Phone:
Work Desc: CHANGE OUT A/C CONDENSOR ONLY
Ct�WTRAGT4R 3 APPLICA?tC'�N�EES
KINSEY CENTRAL HEATING&A/C MECHANICAL FEE 50.00
It'1 �C'��C11lS R�3 llfl�d
DUCTS INSTALLED
DUCTSIN ED
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 correcfions 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 property. If you intend to obtain financing, consult with your lender or an attorney
before recordin our notice of commencement."
NO OCCUPANCY BEFORE C.O.
.
h
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� �
� � � ¢ � � -- — — —
� � � x � 'b
� �
U k'�' k' � W U U �
Q ��D � O 0 �
U a �� �� � �
�V a �� �� � o
� � n
� � N :� �� i
.� � N � �
c rno
� '� � O 0� � � � �
� � O �''� M �J � � .e �� ~
� l = N c�o N , � �� �
�/ � N z .g� x y
C o � QO '0 F a � �� ¢ �'
Om � � I � U w
� C� �� U
� � a �' � � o �� �
�
�1 'Q -F � � �� c=i
� °� .5c' �
vy � �.�
•� � N y � � ��o
� _ '� '
� � d � ��
�j Z � �� �
0
OUW � � X3
� a
a
� � � �# $�� � " �.�� � _
" � <° �
O 13-/OU-UULU c;itar ot Lephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin __
Owner's Name ��`�! �� R - .�� � Owner Phone Number �� �a-D �d
Owner's Address Owner Phone Number —1
Fee Simple Titleholder Name Owner Phone Number �—
Fee 3lmple Titleholder Address
JOB ADDRE33 � (� 3 � �a, ,. ��
LOT#�
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
1NORK PROP03ED e NEW CONS7R B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION [� BLOCK [� FRAME [-� STEEL �]
DESCRIPTION OF WORK � � 07� G� �S sr.- �' �n �c1 ��
BUILDING SIZE SQ FOOTA(3E HEIGHT
QBUILDING a
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
OPLUMBING a •
i / ✓f; '� �
[�MECHANICAL `� ` �
� 3��{ � VALUATION OF MECHANICAL INSTALLATI N E � �
� j �
QGAS Q ROOFING Q SPECIALTY �� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ltcense# �— —�
MECHANICAL COMPANY �`N S Cg-�v i
SIGNATURE REGISTERED Y/ FEE CURRE� Y/N
Address Lfcense# ��Q�� —�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set M Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet complfance
SIGN PERMIT Attach(2)sets of Englneered Plans.
"'"PROPERTY SURVEY required for all NEW constructlon.
Diroctiona:
Fill out applicatlon completely.
Owner 8 Contractor sign badc of appHcatlon,notarized
If over t2500,a Notice ot Commencement is required. (A!C upgradea over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone wfth notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Only)
Reroois if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on puWic roadways..needs ROW .. .. ...-. . . . ., _ ,,.....
�
NOTICE OF DEED RESTRICTIONS: The�e ulat9ons. The undersigned alssumes sp ns bilbty for compl ance w'th any
which may be more �estrictive than County g
applicable deed restrictfons.
UNLICENSED CONTRACTORS AND bONTRAe�TOR e E e��edsiBaLccoEdance th s ate and local egulationsc ifrthe
contractors to undertake work, they may e4
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvifoat{he
under state law. If the owv sed to contact the Pasc�o County Bulding Inspectioni Div siion--L ciens ngtSection at727-847-
intended work, they are ad
8009. Furthermore, if the owner hass aed�icat ontfor which they will�be espons blieelf youaas the ownea sign asSthe
portions of the "contractor Block of thi pp
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in asco
County.
TRANSPORTATION IMPACT/UTILITIES IMPg Re�Ng R ee�may appECOVh R onstrEation of neweb 9dinysncha ge of
that Transportation Impact Fees and Recours �'Y
use in existing buildings, or expansion of existingrstandsgthat such fe'es,las may be duetywilldbe ident�d at he tmenof
90-07, as amended. The undersigned also unde ,
permitting. It is further understood that TransPOWef�eleaseaClf the p ojecRdoes noRn�volve a certificatetof occ pancy o�
receiving a "ce�tificate of occupancy or final p
ff Pasco County WaterlSewer Impact
final power release, the fees must be paid prior to permit issuance. Furthermore,
fees are due, lhey must be paid prior to permit issuance in accordance with appifcabie Pasco County ordinances.
500.00 or more, I
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes� as f the aF o�ida ClonsU'ucfon L en Law—Homeowner's
cerlify that I, the app licant, have been provided with a copy
Protection Guide" prepared by the Florida Department of Aof the above described document and promPse ntgood fa th to
other than the"owner", I certify that I have obtained a copy
deliver it to the"owner"prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that all the information �Zon'ing an'd land developmentn Application is
will be done in compliance with all applfcable laws regulating construction,
hereby made to obtain a permit to dOp!�and that'alltwork will be perfoemed t m ettstandards of all laws"aegulat ng
commenced prior to issuance of a per
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulatio�ust take to be in compliance.' S ch agencies inc ude bu tare not�1 mi{ed{o:�t is
my responsibility to idenCify what actions I
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment. �ess Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cyp Y
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- Department of Health 8 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 �e submitted at t me of permitti g wh chis p eparedrby a9professionalreng neer
"compensating volume" will b
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 wa
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 Ve sel' affe�adjacent propertiesf Ithe�'owner mayrbe'cit d for vaolat ng
properties. If use of fill is found to ad Y
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by�II, an engineered drainage plan is required.
If 1 am the AGENT FOR THE OWNER, I promis I'u de�standhthatna�s parat permit may be required for Ielectr cal work,
this affidavit prior to commencing construction. lication. A
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the app'
permit issued shall be construed to be a license t�or shall ss aincehof a pe mitpr vent thehBu ding Officeal from therteafter
set aside any provisions of the technical codes, n
requiring a correction of errors in plans, constructionenceidlwithin s xamonths of perm t P sua'nce uor�if work authorized by
unless the work authorized by such permit is comm
the pe�mit is suspended or abandoned for a period of six(6) months after the time the wor 90 da s and will demonstrate
may be requested, in writing, from the Building Official for a Pe�consecutive days, the job is cons dered abandoned.
justifiable cause for the extension. If work ceases for ninety(90) �,
WARNING TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMNM�ETO OBTA N F NANC NG C'ONSULR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTO T.
WITH YOUR L NDER R AN ATTOR Y EFO E ORDING ,
FLORIDA JURAT(F.S.117.0 ,
CONT
OWNER OR AGENT �ed)b � me thls Subscribed � �°f ' ���b�O�me��S
S bscrl ed �d swom b
.r'by Who is/are nally known to me or haslhave produced
Who islare personally k me or a have pr duced as identlflcation.
` _,_._....•-.-�---•----�----as identlficadop: ,r
\
��rv° . ; f �f Notary Public
� �� 'c��y Public
- � Commission No.
Commiss
:���i+Y ri,;�: BOBBIE S.SWETLAND ed, rinted or stamped
Name of Notary tYP P
Name of �, ,2016
�'�°„'R��rt4��� ,BonAed'fMiTmYFainM�swanca800-385-7019