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Home My WebLink About12-13368 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 13368 BUILDING PERMIT Permit Nurt�ber: 13368 Address: 5518 GALL BLVD Permit Type: MECHANICAL ZEPHYRHILLS, FL. Ciass 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: 11-26-21-0010-05700-0250 Improv. Cost: 5,495.00 Date Issued: 8/21/2012 Name: WELLESLEY DEVELOPMENT CORP Total Fees: 65.00 Address: 34619 SR 54 W Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/21/2012 Phone: Work Desc: REPLACE 5 TON SPLIT SYSTEM A/C / 1 �� ` � DUCTSINSULATED FINAL REINSPECTlON 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)wndemned 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 property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. . � ONTRAC R 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 Permittin O� �L — �o � Owner's Name � � eV4f d /n�� Owner Phone Number Owner's Address (�� S S �� Owner Phone Number Fee Slmple Titleholder Name Owner Phone Number � Fee Slmple Titleholder Address JOB ADDRESS �J / O , � �cJ` � LOT# � SUBDIVISION � PARCEL ID# /� �(o— OG I" aID ' �J��DO'� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR� ADD/AlT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK � �. � L C l � �i � BUILDING SIZE � SQ FOOTAGE� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 QPLUMBING $ � � .�� QMECHANICAL $ (� , � VALUATION OF MECHANICAL INSTALLATION �.l . OGAS Q ROOFING Q SPECIALTY 0 OTHER i � 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 SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N Address License# MECHANICAL �, � � COMPANY �RS a �t�Je �� --�1JC�i SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y!N Address 7�T l ! �1 ��l�s ��`J / License# C.d/TC��T� '�' OTHER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � RESIDENTIAL Attach(2)Plot Plans;(2)sets ot Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisions/large 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,StoRnwater 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 consUuction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over E2500,a Notice of Commencement is required. (A/C upgrades over 57500) *' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer 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 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 compliance with any appiicable deed restrictions. UNLtCENSED 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 buiidings, 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 ce�tify 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 apptican# 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 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 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 x �� • 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 sepa�ate permit may be required for etectrical work, plumbing, signs, wells, 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 author'ity 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% UR NOTICE OF COMMENCEMENT. FLORIDA JURAT{F.S. 117.03) r — ' OWNER OR AGENT CONTRACTO � Subscribed and swom to(or affirmed)before me this Subscribed and s o or a rmed) fo e me this by �i-Zf/�".b Who islare personally known to me or haslhave produced Who fs/are perso II to me or has/hade tificat on. as idenUfication. . / � Notary Public � >� �, �� Notary Public Commi fon ""�°"" Commissfon No. : :•� :� Commission#EE 04052p Name of Notary . • ' 14 Name of Notary typed,printed or stamped �,� �weoa�.��e CITY OF / / � � BUILDIN� ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION � • • - • AD�RESS DATE PERMIT�, � I� ( �J� Q_3 � 3�xr`� THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before tha job will be accepted. � � (��G�� t is unlawfu�tor any Carpenter,contractor,auilder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth or other materia�,until the proper inspector has had ample time to approve 780-0020 F E-� PECTION OFFICIE LHOURS 7:30 AM-5 PM MON.-FRI INSPECTOR � ` s � ' PROPANE GAS Service Order/Proposal ��ga�ila � AND AIC �NC. LASTS AND IASTS AND IASTS: � ��►ce �988 8�3-782-5013 WORi�. QRDER#/SERVICEMAN 379E�3 CJL Sales, Service & Installations DATE f T I ME T�KEI� k�713�!1` �9 4 48 4441 Allen Rd. • Zephyrhilis, FL 33541 TAt'.�� PY t�,, g, p� DATElTIME PF�OMISEL? NOTES: f �/?Ziq� � CUSTOMER#/LOCATTON 141,_,1 RHONE# 813-777-7��9 /'C�.�S �N� o�i�£.�G�w 1 C��lTAGT . RRQOtiS . �O� RE��JTE/�E� CJI_ _ NYE COMMERGIAL GORDQIV' S tVEW E�IGL.AND FARE �B�Q� WINDGUARD GIR 5�i.8 GALL BLVD SUITE 1�1 MtESLEY CHAPEL FL 33544 ZEPHYRHILLS FL,:�3541 CONTACT: LISA GORDOhi �:�7-745-7Q+7� EST. ON � Ttlhl CHANGEDUT 1 CALL HOR ;��7-�4�-►Z�8E,3 DR T. J. 78.?,-5477 ,,,r „', ,�4� �,. + , .. , " ,HMl�e „a+a+��,�v in+d� r "'�g#b� �7j �^� u �� a y, �"��. "" ^`, > � 'r�h ��w* rt,�� ,�� z ..a,�; ✓b .x �w 1 '��,. .�, — — ------------ � i _ _ -------------------- -- S T�/✓_,e _ £ _ __s _ _ _ __ _ � �✓� �1�, ` •�� D , f�� 1 � � . � � s� ��- y o � � � , , � � � _ ,S,y � � � , � , � � . -r � � � � :a, , , � � �' �r �, �W,� � ..�� i � ' "�� ' ��,rw��,,� ,, ,,.d�,�,: � � Pressures Lo HI T-Stat � � i i , ;,.,, � . �,,, ;, � � i *�� > " ? %� '� �4 � ,�,ti�+;r "�� 5�'" I � FILTERS x x Changed Monthly I i FILTERS x x Changed Monthly � I ❑ REGULAR ❑WARRANTY °'{� b� �''';''; ��r ��:��.^ � , ,, .. �., �,,,, When here When Away T-Stat$�, ❑ MAINTENANCE CONTRACT SERVICE ., �,. i LIMITED WARRANTY: All materials,parts and eqwpment are warranted by the manufacturers' p ^ CALL � or suppliers'written warranry onty.All labor performed by the above named company is wartanted for " �'�� TOTAL � 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH 0 CK# i express or impiied,and its agents or technicians are not authorized to make any such warranties on MATER IALS behalfofabovenamedcompany. ❑DEBIT ❑CREDIT 0 OTHER MAINTENANCE i I have authority to ortler the work outlinatl above which has baen sahsfactorAy completetl I agree that Seller PROG. W/ C I retaina title to aquipmenVmaterials fum�shetl until final payment is made If payment is not maae as agreed, CLAIM$� seller can remove saiG equipmenUmaterials at Seller's expense.Any tlamage resulting trom said removal shail not be the resDOnsibiliry of Sellec NET 30 DAYS.A 1 7/2%SERV7CE CHARGE WILL BE ADDED MONTHLY TO � ALL UNPAID BALANCES OVER 30 DAYS NO REFUNDS DATE COMPLETED TECH: Tf1X G�� CUSTOMER SIGNATURE DATE �/J�%W/GtL �ozc TOTAL �J��I � O . i c t Duct Seal Affidavit Company ��N� s �/� License tt �` � �� Address `�� !/�iU� permit# /� + `�'� �`�1��!5 , �� i �✓�S�Z- I ��,v �d affiant,hereby affirm that I am the duly licensed contractor of record for the above referenced permit,that all of the forgoing information is true and accurate,and that the dud sealing at the above referenced address has been completed in accordance with all applicable codes and standards. _�1 Cont�actors Name(printed) <�'�-U�� v ��`'` Date � �J ��" Signature