HomeMy WebLinkAbout12-13476 CITY OF ZEPHYRHILLS
5335-8TH SIREET
(sis)�so-oo20 13�76
BUILDING PERMIT
Permit Number: 13476 Address: 5340 8TH ST HISTORIC
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: OFFICE PROFESSIONAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHiLLS
Est. Value: Parcel Number: 11-26-21-0010-13500-0150
Improv. Cost: 3,900.00
Date Issued: 9/20/2012 Name: AMERICAN LEGION HOLDING CORP
Total Fees: 55.00 Address: 5340 8TH ST -HISTORIC
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/20/2012 Phone:
Work Desc: A/C CHANGE OUT 5 TON PKG UNIT 13SEER
G, (�
� .-��
I
DUCTS INSULA�E�
FINAL_
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra ins
trips are necessary due to any one of the following reasons: a) wrong address b)condemned work resu�lt�'�ng
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 applicabie 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 witM your lender or an attorney
before recording your notioe of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
NT C OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
°"-""�"""' C:ity ot Lephyrhilis Permit Appiication Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin �.� �� __�^�
Owners Name ��2.� .q/ L.L' j�a` ��� /�
` T� Owner Phone Number
Owner's Addresa � �� S �
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simpie Titleholder Addresa
JOB ADORESS ��
LOT�t
SUBDIVI310N PARCEL ID�I�
B (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED NEW CONSTR ADD/ALT �� SIGN � Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK
BUILDiNG SIZE SQ FOOTA(iE� HEIGHT
OBUILDING a
VALUATiON OF TOTAL CONSTRUCTION
QELECTRICAL S AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING a � � �
n � y
MECHANICAL S 7 VALUATION OF MECHANICAL INSTALLATION /
J v�
OGAS [� ROOFING [� 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
Addreas
License#
MECHANICAL COMPANY �4 ,G S ��a � lj,�S� � f
SIGNATURE RECaISTERED Y/ N EE CURRE� Y!N
Address License# G � �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# —�
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit tor new construction,
Minimum ten(10)working days after submittal date. Required 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 Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciNties 8 1 dumpster.Sfte Woiic Permit for all new proJects.All commerc(al requirements must meet compliance
SIGN PERMIT Aftach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW constructlon.
„�,i��������„��,�����„�.�.
Directions. "`�
Fill out appliption completely.
Owner 8 Contractor sign back of applicadon,notarized
If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone wtth notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Appllcatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drivewaya-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The unde at9ons. The undersigned a'ssumes resp nsibilbty for c mpl"ance tw th any
which may be more restrictive than County regu
applicable deed restrictions.
UNLICENSED CONTRACTORS AND C ONTRAe�T o be E ensedsi BaLccoEdance th s ate and locat egula onrs c Ifrthe
contractors to unde�take work, they may b eq
contracto� is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor'vifoat{he
under state law. If the owneea toncontact the Pasc�o County Buildingslnspectioni Div sion—L cie s ngtSection at727-847-
intended work, they are advis
8009. Furthermore, if the owner hasi haedlicationtfor which they will�be espons blie.e Iftyouaas the owneasign assthe
portions of the "contractor Block of th pp rivlleges in Pasco
contractor, that may be an indication that he is not properly licensed and is not enti�ed to permitting p
County.
TRANSPORTATION IMPACTIUTILITIES �MSe Reco ery Fee�may appECOVh Rc�FE�ES�i n of newe b 9di gsnchange of
that T�ansportation Impact Fees and Reco
use in existing buildings, or expansion °�so un'derstands9that such fees,'asPmay be due, will�be d�ntified at tthe-tme of
90-07, as amended. The undersigned a
permitting. It is further understood that finals ower�eleaseaclf the p oject�d es no Rnvolve a ce ifi atetof occ pancy or
receiving a certificate of occupancy or p
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac
fees are due, they must be�p1Naid�p�a�ter 713,iFlorida Statutes, as amenided)Pllf valu ton of woukts$2,500 00 or more, I
CONSTRUCTION LIEN ( P
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 Depa�tment of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I ce�tify 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 �egulating
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 1 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, WaterlWastewater 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 & 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�II the area within the stem wall.
If fill material is to be used in a�y area, I certify that use of such fill will not adversely affect adjacent
properties. If use of�II 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 uf the permitting conditions set forth in
this affidavit prior to commencing constructinn• �asn oerother installat onsr not spec�ally ncluded en the a,pplicat on�rA
plumbing, sig�s, wells, pools, air condition g, g
permit issued shall be construed to be a ��CtleSenor shall ssuaincehof a pe mitpr vent thehB i ding Officeal from therteafter
set aside any provisions of the techrncal co ,
requiring a correction of errors in pla�s, conssrc t�mencedlwithin sixamonths of permi Pss alnce,uor�if wolrk authorized bY
unless the work authorized by such permit
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 Buileiag �orininety(90)rconsecutive days,{he jobisocons deaed balndonedStrate
justifiabte cause for the extension. If work c
WARNING TO OWNER: YOUR FAILURE TO UR PROPERT1f.TIF YOU INTEND TO OBTA NnFINANC NG, CONSULT
PAYING TWICE FOR IMPROVEMENTS TO YO T,
WITH YO R LENDER OR AN ATTOR EY BEFORE RE ORDI G Y UR 'T�
FLORIDA JURAT(F.S. 11 3 ---__
� �__ CONTRACTOR
OWNER OR AGENT Subscribed and swom o(or afflrmed)before me this
Subscribed and swom to(or ed)before me this bY
bY Who fslare personally knovm to me or hasJhave produced
Who islare personally known to me or haslhave produced as identlficatlon.
as Identlficadon.
Notary Public
Notary Public
Commission No.
Commisslon No.
Name of Notary lyped�printed or stamped
Name of Notary typed,printed or stamped
w
� � r
PROPANE GAS' Service Order �gBA/, °"°'" ''°
�' A�v� AIC ►NC. /proposal aj��
�i�ce 1988 $�]3.782.50 i 3 u�AND lASTS RND USiS:
�.�o�� �`lRI�E.R#/,ERVI[�E=MAIrf ;.;;-,��i r��r
Sa�es, Service & Installations �'�aTC- -r cr�c�_ �-�ah�F-r,; ,��-, ,�F� � ,_ � �: ;* _,
4441 Allen Rd. • Zephyrhilis, FL 33541 TAw �ra r���r `_�.
_��. ,;�,.,
Dfa"f i�;1`:[►�IE F'I�CiM:t ic:t)
NOTES: ,. �;I�;"f�C)i*1E�Ft#�( C1r��a7 7-p� �i 1 E.F? _.
F='HOI`d�� - c.'
n,a -'-._��-i�_: 4'1�1�:j j ��
�. A. �
E����or,��u# � ��.�,--�r;,��-.s^�G_ f-�
F'HC1NE.�,�
� :=S 1. '=,'--f r�I. ''F..iVi`� I'-'�
C':'nl�Tr'�[;"I' F�1J.1_L. �tI�aNSF�F���C�ER
- 'f�CIIJTE�!�i'_r,� �-
1�,:�r
f�1thF'F�r,.CAt`d i_F_G I f!N f�'CJ��T tk f. l.�)
`4�:�'+� �3T1-I �,T - Fa1''lER T C'Flhi I_.E�1"[.li�l F�Ci�;T �k�� ��;
��4�� �1"hf c;1-
ZE=��}-IY�H7L.t_S FL. �.:,��.�L,
_ ZF��HY�F-l71.-i-`- �L3;�,��1+,?
. � T(7Pd 'TRah�C SF��I_:[-(' �',V�31`�'h1
�in�T Cr>r]�..Ihl�
�''�����` ��'���� �y j ,
�`f^�Y �� F v^°�-Y����4"Y .���•x��� h'�i'Y�.'U�7'�YR�. ' /��{ h!�!�+}�/{, �+ �n�*�yk�/+� �w , _
'YR� �/"tTCR'I!^1�V��IGRY,��Li�V {�� y+�
. . _ . . � , �ikf.all'�.�V��' "� '. ',�,� �
' _'____" - -- — - - --- Y° -- °-- � .
/Q� /1/ �i'�� �iVi✓S.�t'�` £fv
� d i✓ �o°o ryi.v.v � G � �o0
f✓A/h ,
. o /.(/ , L J— , ,
--- /�S C£C� � '
_,,� y/D �
. � �
I �
S� OO ' . � I
�vk/.v /� �✓.;�v�
6 n�Tli� � ie £� � cJ.� �Xi sT.".,� l/,✓; � �
� ,�s,,,r s
K .;�. u � d � 1"i✓ , ' '
� ` � L -Z"Sc� L,�T� ,��C rs £ sT e �'s,j'�
� � �
0
;,.#. ;,,� .
� ,
}R � r � aA� , ,, ��Z�` �1Z/!// '�5 f� i i
� � . ..� �` ,D f,� Ej� G.c�
'"'"" ����?� Pressures Lo �
H� T-Stat i i
� i
RER'Etf�#tHP�T R= LBS. � i
� I
FIL7ERS x x Changed Monthly �
I
� FILTERS x x Changed Monthly I �
i '� � .�. :a;,: .,".,,.: ❑ REGULAR ❑WARR�4NTY
,..,.ti.,.,`;< When here ` � TGtTRt��;lR��t��'!`i' ,
F •,,�, .,. •.When Away�,T-Stat�� ❑ MAINTENANCE CONTRACT -
LIMITEDWqRRqNTy: Allmaterials,partsandequipmentarewarrantedbythemanufacturers' SERVICE
or suppliers'written warranty only.Ail labor pertormed by tf�above named company is warranted for CALL �
30 days or as otherwise indicated in wnting.The above named company makes no other warrarrties, ���a������ �
express or implied,and its agents or technicians are not authorized to make any such u�rranties on �CASH ❑CK# TOTAL �
behalfofabovenamedcompany. MATERIALS �
I hava authority to order the work oullineA above which has been sadsiactonly completed I agree Ihat Seller ❑DEBIT ❑CREDIT ❑OTHER
�e��^S une�o MAINTENANCE i
equipmenVmaterials furnished until final De7ment is made.If paymenl is not matle as agreed,
seller can remove saitl eqwpmenUmaterials at Seller's expense Any tlamage resWting trom said removal shall C�IM# PR��• W � � I
not be the responsibili�y of Seller.NET 30 DAYS A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL UNPAID BALANCES OVER 30 DAYS NO REFUNDS
DATE COMPLETED i
TECH: T� �f�•LG� U,O£
CUSTOMER SIGNATURE 9`��
DA7E ���crir�,� yo.�,� TOTAL �006 ' ��