HomeMy WebLinkAbout13-13941 ' CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 13941
BUILDING PERMIT
Permit Number: 13941 Address: 5519 GALL BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: l �� v Parcel Number: 11-26-21-0010-09000-0030
Improv. Cost:
Date Issued: 3/04/2013 Name: SPILLERS, CONCRAD WAYNE
Total Fees: 45.00 Address: 5519 GALL BLVD
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/04/2013 Phone: (813)395-5966
Work Desc: 5 TON PACKAGE UNIT CHANGE OUT
5.
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DUCTS INSU�TEp�
FINAL "L
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when e�ctra 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 fl 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
City es and Ordinances. NO OCCUPANCY BEFO C.O.
,
Ir� `�'
CONTRA SIGNATURE 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 Zephyrhilis Permit Application Fax-813-780-0021
- � Building Department
Date Received �%' � �.� 1
Phone Contact for Permittin �/ � �U ���
� /� �
Owner's Name � �-�°) Owner Phone Numbe�
Owner's Address '�r � ��
Owner Phone Number
Fee Simple Titiehotder Name Owner Phone Number
Fee Simpie Titleholder Address
JOB ADDRESS �`� � �!A-�. ��� ;f LOT# C�
SUBDIVISION PARCEL IQ� � '� �('v�(,�—� � --�j���
�� " �� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT U SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE [� SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
�- ._
DESCRIPTION OF WORK � _ ��,, 7 ��
BUILDING SIZE SQ FOOTAGE�� HEIGHT
OBUILDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
OPLUMBING $
�MECHANICAL $ p c VALUATION OF MECHANICAL INSTALLATION
OGAS ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUtLDER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANiCAL , J;;� /� � �� COMPANY ` �
SIGNATURE �'�� REGISTERED N FEE CU Y/N
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# r �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Fonns;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 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,Stormwater 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 construction.
Directions:
Fili 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 owner authorizing same
OVER THE COUNTER PERMI7TING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/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 local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be clted 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 Buitding 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 RECOV�ERY�nE�s{' n of newebu�ild n snchange of
that Transpo�tation Impact Fees and Recourse Recovery Fees may app y g
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 Cou�ty 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, Florlda 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'SlOWNER'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 cerfify that no wo�k 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
ce�tify 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 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�II 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 Ftood 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 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 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 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LE DER OR AN ATTO Y BEFORE RECORDING YOUR NOTIC OF C MEN ENT.
FLORIDA JURAT(F.S.117.0 ) ,,,,�.� � ��� � /'
�, py�/NEg..(3�t AGENT , %' '�..,_ _.�(?.!!�TRACTQR' this
'SUbsorlbed and swom to flir ef e this `Sobscribertand�swom to(or aiflrm `b
by bY
Who is/are personally known to me or has/have produced Who islare personally known to me or has/have produced
as identlficadon. as identlficaGon.
Notary Public
Notary Public
Commission No. Commission No.
ed, rinted or stamped Name of Notary typed,printed or stamped
Name of Notary typ P
� DISCLOSURE S'�'���•NT .FOR OWI�R
CITY OF ZEPFiYRH27+LS BIIII+D2NG DEPAR'T'►.�r�'NT
_� ' (�j�-.�L �/LL� � have read and fully understand and
agree �to the provisions of �this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or raroofing his or her own domicile, •that he or she
actually occupies, or �i11 occupy by said domicile, and same is not for
•rent, lease or sale. That he or she shall comply with the f'oll.owing conditions:
1. That the owner aad_he or she alone sha11 act as the builder for al1 phases of
constructton. -
2. That the owaer vrill comply with a11 provisions of �the City of Zephyrhills
ordinances and c'odes pertinent to the buildiug.
3. That in the event vasious phases of constructian are subcantracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That i.n the event the Suilding Inspector shall rez"re corrections to be made,
fihe owner will assume full responsibility to insure •they are made, and upon
campletion will ca13 for a rp�*+-�+�ction before proceecling v�ith the building.
5. That the owner sha11 assume fu11 responsibility for the constsuction aad wi11
not axpect_ suppsvision of his work from the City of Zephyrhills Building
Depar�ent.
6. That prior to final inspection aay additional fees, including reinspectioa
fses, must be paid ia full. A written requast from ttiis office shall
constitute an official notice -to pay additional fses.
7. That the ownes sha11 comply vrith a11 City, State and Federal laws in regc3rd to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owner sha11 comply with all the safety codes issued by the Florida.
Industrial Commissioa.
9. Sta.te 1aw rem,;Tas constrtiction to be done by licensed contractors. You have
applied for a pexm=t under an exempt�.on to that law. The exemption allows
you, as the owner of' your propPSty, tc act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the constructioa yovrself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or i.mprove a commerci.al building, provided your costs do not eaceed $25,000.
The builcling or resid�nce must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you se1:l or lease a
btiildi.ng you have built or sv2�stantially improved yovsself within 1 year a.fter
the constriiction is complete, t�e la�v wi11 presume that you built or
substanti.ally improved •if for sale ar lease, which is a violation of this
exemption. You may aot hire an unlicens�d pErson to act as your contractor or
to supervise people working on yovr buildiag. 2t is your responsibili:ty to
make sure that people employed by you hane licenses rec�,;red by sta.te law and
by county or municipal licensing ordinaaces. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the mork being dnaa. Any person working on your building
who is aot licensed must work uniier your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compeasati.on fo t e�ployee, a1I as prescribed by law.
Your conststicti.on must comply with � applicable 1aws, ordinances, building
codes, and zon.ing regulati.ons
�R,S S=�� ,L� � D� � � y� i 3
AnnxESS '—,
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W2TNESS PEF2MLT #
Pasco County Parcel: 11-26-21-0010-09000-0030 001 Page 1 of 2
Data Current as Of: We�kly.Arcb.i�1(�.,,-,Saturday, March 02, 2013
�— Parcel ID `���^ 11-26-21-001.Q-Q��QQ-,QQ3Q._ Ca'rd: 001 of 002)
Classification 11 -�Reteil Stores, One Story, All-1�rpes
Mailing Address Property Value
SPILLERS CONRAD WAYNE Ag Land �o
5519 GALL BLVD Land �1s,375
ZEPHYRHILLS FL 33542-3905 Building �i3,5oo
Physical Address Extra Features
5519 GALL BLVD $135
ZEPHYRHILLS FL 33542-3930 7ust Value ;3z,oso
Leaal Descriution (First 4 Lines) ASS2SSed (Non-School Amendment 1) �32,oio
See Plat for this Subdivision
CITY OF ZEPHYRHILLS Taxable Value $s2,oio
PB 1 PG 54 LOT 3 BLOCK 90
OR 8815 PG 311
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
� 1100 STORE 1FLR OOC2 3,500.00 SF $7.00 0.75 $18,375
Additional Land Information
Acres 0.08 Tax Area 30ZH FEMA X Commercial Code M3012ER
�� Code ❑
�
Buildina Information - Use li - Retail Stores (One Story) (Card: 001 of 002)
Year Built 1978 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plywood Panel Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 Carpet
Fuel Gas Heat Convection
A/C Window Unit Baths 1.0
� Line � Description � Sq. Feet
—� Repl. Cost New
1 SPA 616 $25,152 �
2 SDA 880 � $42,240
3 CAN 66 —� $960 �
Extra Features (Card: 001 of 002)
Line Description Year � Units � Value
1 PAV ASP 1978 r 667 $135 �
Sales History
Previous Owner KWIATKOWSKI ROSE MARIE &
Month/Year Book/Page Type DOR Condition Amount
Code
01/2013 8815 / 0311 Warranty 01 Improved $50 000
Deed �
11/2009 8221 / 0065 Trustee's 11 Improved $0
Deed
Quit ����
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=00... 3/4/2013