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Home My WebLink About13-13781 CITY OF ZEPHYRHILLS �(/�'� '�c i�' � � ' S335-8TH STREE7 '°° �j��y i�� (813)780-0020 -- �� '� 13781 BUILDING PERMIT Permit Number: 13781 Address: 5406 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: 11-26-21-0010-12100-0252 Improv. Cost: 2,600.00 Date Issued: 1/18/2013 Name: SUB-WAY Total Fees: 100.00 Address: 5406 GALL BLVD Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/18/2013 Phone: Work Desc: A/C AIR HANDLER- DOUBLE PERMIT FEE CHARGED -WORKED W/O PERMIT ISSUED � 1 . ! }'�` / � �7 i`� DUCTSINSULATED FINAL_ �-2z�-�� 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� 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 i ns Must mpany Application.All work shall be pertormed in accordance with Ci and Ordinances. NO OCCUPANCY BEFO C.O. TOR IGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � C.ightn.ing ��V��'e 12522 N t35 HTGkIWAY 301, STE 6 Date Invoice# T1iONOTOSASSA, FL 33592 tn.�rzo�s �$ssx Bili To Fr�srci�i�;ManaK�Knent S��'vic�.c 247] McMull.��l3ont,h Rd,Stc#31ti Clcarwal4�r,Fi,33759 �te:Subway�1.74� p,0. No, Terms Proj Nct 3(l Auantity pescriptian Rate A�ount Labc+r-inseplled Ncw'1'ranc Air hanJler Moctclll4WN.C:3b24A1 iN)� 2,bU0.ti0 2,G00,(Hl U.(/()"/o QI'Rl � _ � � - /.� �� .� / ,� , .� , " f� Total �Z.��x,.o� i 813-780-Q020 City of Zephyrhills Permit Application Fax-813-780-0021 ' Building Department Date Recelved � � , �� __ � / � Phone Contact for Permittin Owrler's Name � �,` !�� Owner Phone Number Owner's Address Owner Phone Number �— Fee Simple Titleholder Name � Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS v' �.�ry�� l � �� LOT# �� SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN � O DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �/�f BUILDING SIZE � SQ FOOTAGE� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �_. ZG !� U _..__. . QELECTRICAL $ �� AMP SERVICE O PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �MECHANICAL $ VALUATION OF MECHANICAL tNSTALLATION f QGAS Q ROOFING Q SPECIALTY �� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 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/N Address License# MECHANICAL � COMPANY � �4 �/I,�� ✓/� ✓ rrj/�C c J SIGNATURE REGISTERED Y N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# RESIDENTIAI 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 Ptans,Stormwater Plans wl Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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,Stormwater Plans w/Silt Fence installed, Sanitary FacitiUes 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 construction. Direct(ons: Fill out appiication completely. Ovmer 8 Contractor sign back of application,notarized If over s2500,a Notice of Commencement is requlred. (AIC upgrades over;7500) " Agent(for the contractor)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(Plot/Survey/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 unde�take work, they may be required to be Iicensed 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s 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 spec�ed 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 fu�ther 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 ce�tificate 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. 500.00 or more I CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2, , 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 ce�tify that no work or installation has commenced prior to issuance of a permit and that all work will be petformed 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. - Depa�tment of Environmental Protection-Cypress Bayheads, Wetland A�eas 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 fi11 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 filt 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, 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 O�cial 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 the ob is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90)consecutive days, \j WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF Cf�MMEN�MENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEN '�OB N FICEMENT.� CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO , f FLORIDA JURAT(F S. 117.03) '� �%�/' ,,�� _ _,_ ,___. OWNER OR AGENT CONTRACTOR � Subscribed arrd s o r a rmed befor me th'y ��'�' Subscribed and swom to(or affirmed)before me this . , by^, . ,�� __��,�_� ��,z�C,s ��" ;C.��'%� ' bY ho is are p�.��ally k �wn to m or h�s ave produced, Who is/are personally known to me or haslhave produced _,. as identi8cation.-' as iden�ficadon. —,� � � ,r/� ' t ° �,; ` .� Is�C,�°1 �tary Public Notary Public , - , Commis Commission No. :�� ,�;; • ;,; ,:� Commission#EE 140709 ed, rinted or stamped Name o „�, �„i �p.�es�o�a Name of Notary typ P