HomeMy WebLinkAbout12-13679 CITY OF ZEPHYRHILLS
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(si3)�so-ooza 13679
BUILDING PERMIT
Permit Number: 13679 Address: 5610 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: 11-26-21-0010-05700-0255
Improv. Cost: 6,500.00
Date Issued: 12/06/2012 Name: BURGER KING
Total Fees: 70.00 Address: 5610 GALL BLVD
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/06/2012 Phone:
Work Desc: A/C CHANGE OUT 5 TON ON ROOF TOP (NO REPORT NEEDED )
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FINAL I�7��.
REINSPECTION FEES: Reinspection fees will compiy 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� 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 properly. If you intend to obtain fnancing,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 acoordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGN URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building DepaRment
Date Received 12-06-12 Phone Contact for Pertnitti�_� _352-796-2229
Tfl-f-fT-IZ-
Owners Name JBtI KI11g II1C. Owner Phone Number $63-683-2872
Qwners Address 35 Sockanosset Crossroad, fZ�,�292� pwner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 5610 Gall Blvd.,Zephyrhills, FL 33542-3413 LOT# �
SUBDIVISION PARCEL ID# �1-26-21-0010-05700-0255
�OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER accN�.�o�i
TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK Replace existing roof top 5 ton a/c with new 5 ton Carrier roof top.
BUILDING SIZE SQ FOOTAGE� HEIGHT ��
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ G / �� �9
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OMECHANICAL $6500.00 VALUATION OF MECHANICAL INSTALLATION
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY Butler Heating&A/C Inc. (Rodger Butler)
SIGNATURE o/ REGISTERED Y/ N FEE CURREN Y/N
Address 3�5J—•�/��- � 17f 3�01 License# (,./t�:.l�T
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RES�DENTIAL Attach(2)Plot Plans;(2)seis of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities R 1 dumpster;Site Work Permit for subdivisions/large projeds
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(i)set of Energy Fortns.R-O-W Pertnit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt 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 construdion.
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A!C upgredes over 57500)
" Agent(for the contraclor)or Power of Attomey(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
. ' 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
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 locai 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 WaterlSewer 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'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 certiTy 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
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 ceRify 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, 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 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 OBTAIN FINANCING,CONSULT
WITH YO R LENDER O TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.0
OWNER OR AGENT o� � CONTRACTOR Rodger Butler(Butler Heating&A/C Inc.)
Sub�Gribed and swom to or affirrne be re me this Subsc�ii' ed and sworn�o(ofr affirmed efor�ej�e this
(/ �� by fl� �i by /G/�ff�.✓ �i�f'!tv
Who is/are pers I kno or has/have produced Who is/are personall to me or ha ave oroduced
as identification. as identfication.
� �pitl./ �a.7{S�Notary Public Anthony Cates Jr �_Notary Public
Commission No. EL 03D23 S Commission No. G� �+3!/z3d- T
A,�r�k�Ka w�ks ��. .�.cfl�.i�•.i L'��t J.-.
Name of Nota ryped,pnnted or stamped Name of Notary rype ,printed or stamped
Cs��.. �r�pi.-ES 1/Z g�.2o 1 S L�er�r~. �+�� ��x gl�er 5
Pasco County Buildmg Schematic http://appraiser.pascogov.com/search/traverse/traverse.aspx?sec=11&...
Generalized Building Schematic
11-26-21-0010-05700-0255
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Pasco County Property Appraiser
Page Layout Modified: 10/4/2010 3:18:46 PM
The Local Time Is: li/27/2012 12:14:56 PM
1 of 1 11/27/2012 12:15 PM
�`""'`� Esti m ate
Butler 315 Marianne St
Heating 8 A!C Inc. grooksville� FL 34601
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12/6/2012 893
Jan King Inc.
35 Sockanosset Cross Rd.
PO Box 8819
Cranston,RI 02920-0819
4079
Item Description Qty Cost Total
Travel Flat Rate Travel 0.5 65.00 32.50
Labor Remove existing AC S#1584G020210 and replace with 12 65 00 780 00
customer supplied rooftop package AC,install customer
supplied fresh-air damper and electric heat strip. Install
custom adaptor curb,replace thermostat.
Permit Permitting 300.00 300 00
Crane Crane Rental 500 00 500.00
Smoke Detector AC duct smoke detector w/sampling tube and outdoor 250 00 250.00
box
Electrical supplies Misc. Wire repair-electrical supplies 65 00 65.00
Tie downs Hurricane tie downs 40 00 40 00
Parts Custom fabricated adaptor curb 1,150.00 1,150.00
FP 5000 Honeywell FocusPro 5000 digital non-programmable 84.23 84.23
thermostat with temperature lockouts$67.38+20%
Equipment Carrier SOHC-A06A2A5-OAOAO 2,800 00 2,800.00
Please Remit Payment To:Butler Heating&A/C Inc.
315 Marianne Street
Brooksville FL 34601