HomeMy WebLinkAbout13-14535 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14535.
BUILDING PERMIT f
Permit Number: 14535 Address: 38250 A AVE
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: 14-26-21-0010-01300-0010
Improv. Cost: 39,981.00
Date Issued: 9/12/2013 Name: ZEPHYR HAVEN NURSING HOME
Total Fees: 235.00 Address: 38250 A AVE
Amount Paid: 235.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/12/2013 Phone: (407)975-3000
Work Desc: REPLACE ROOFTOP PACKAGE UNIT(2) 10 TON
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DUCTSINSU T D
FINAL�
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 wrrections 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 r�esult 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 pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
' ,,.. OR SI RE PERMIT OFFI R
` P�RMIT EXPIRES ONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Buildin9�ePartment
Date Reeeived 0
Phone Contact for P�rmittla �, _ �
�. Z8 �?/4aew {��g/�l-�i o��.c�f�.� t� �� 3 -7 g.z, -SSe�'
3 a�s n ✓t l fY�Owner phone Number
Fee Slmple Titleholder Name Ow�er Phona Num�er �_
Fea Slmple Titieholtler Addrsss ___
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JOB ADDRESS � p�S O A �� F�� LOT# ��
SUBDNISION PARCEL�D# � +�,t" O��O' O��O'�O��Q
(UBTNNEOF�PROPERiYT�710E)DEMOLISH
WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN
INSTALL 8 REPAIR
PROP0.SED USE Q SFR Q COMM � OTHER C
TYPE OF CONSTRUCTION Q g�pCK Q FRqME � STEEL Q
DESCRIPTION OF WORK N tJhl �
BUILDING SIZE SQ FOOTAGE HEIGHT C�
QBUILDING ;
VALUATION OF 70TAL CONSTRUCTION
QELECTRICAL S AMP SERVICE �
PROC,YiESS ENERGY Q W.R.E.C.
QPLUMBING �� �
�MECHANICAL S �� VALUATIONOFMECH/WtCALINSTALLqTION� (���
O� Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLO00 ZONE AREA QYES NO
BUILUER � COMPANY
SIGNATURE REp5TEf1ED Y/N FEE CURRE� Y!N
Address
Licens:#
ELECTRICIAN � COMPANY
SIGNATURE r�crsr�o Y/ N FEE Curer�n Y 1 N
Addrass License p �
PLUMBER COMPANY �
SIGNATURE REGSTEREO Y/N ���qRE� Y/N
Addrass
L.ICClISfI#
MECH/1NICAL COMPAHY S �C„ ^
SIONATURE _ �Gisre�o Y!N �FCURree► Y!N
Address /t/[ � �l
���Lic�se# � �
OTHER � COMPANY
SIGNATURE ttEds�rtEp Y/ N FEE CURREA Y/N
Address License� �—
RESIDENTIAL Attach(2)Pbt Ptans;(2)sats of BWldbg Plans;(1)set of Energy Forms;R-O-W Pemri[lor i�nr cpnsWcdon.
Minimum ten(10)wwking days after submittal dete. ReqWred onaite.ConsWctlon Plans,Stormwa(er Plans w!Silt Fence installed,
Sanitary Fadlities&7 dumpster;Site Work Permit for subdivis'wn.allarge projeets
COMMERCIAL Attach(3)complete sets of guadi�g plans p�us a Ufe Safety Page;(7)s�ot Energy Forms.R-O-W Perrrdt For new construdion.
Minimum ten(70)working days after submittal dale. Requlied onslte,Conshuctlon Pians,Sbrmwater P�ans w!Silt Ferue installed,
Senitary FadRtles 6 1 dumpster Sile Work Permit tor all new projects,qq p�mme�ciy�eq���¢�ents must meet compliance
SIGN PERMIT Attach(2)sets of Engineered plans,
""PROPERTY SURVEY reqttlred fpr aU NEW consfruction.
-TllIIITIT
Dlrections
FiU out appllcation completely
owner a contrsctor sign tadc or appllcauon.rwmrized
H ove►=25D0,a Not(ce oT Commsneemerk is requirsd. (A/C upgradea over S7S00)
•• Agent(for the contraCOr)or Power ot Attomey(for the owner)would be someone with notarizetl kN[er/rom ow�er authorizinp same
OVER THE COUNTER PERMITTiNG (Front of App9catbn OMy)
Reroo/s if shh�gles Sewers Service Upgrsdes A!C Fances(p�pbSurvey/Foo1�e)
Oriveways-Not over Counter N on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit m2y be subject to"deed'restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictfons.
UNIICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILRIES: It 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 lew, 6oth the owner and contractor may be cited for a misdemeanor violation
under state law. �f the owner or intended contractor are uncertafn as to what Hcensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Divisian--Licansing 5ection 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 applica8on for which they will be responslble. If you,as the owner sign as the
contractor, that may be an ind(cation ttiat he fs not properiy licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPURTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned unde►stands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construcdon of new buiidings,change of
use in existing buildings, or expansion of exisiing buildings, as spedfied in Pasco County Ordinance number B9-07 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 turther understood that Transporlatlon Impact Fees and Resource Recovery Fees must be paid prior to
raceiving a'cert�cate of occupanc�'or final power release. If ihe project does not involve a cert�cate of occupancy or
final power re(ease,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 fssuance in accordance with applicable Pasc�County ordinances.
CONSTttUCTION LIEN LAW(Chapter 713,Flor(da Statutes,as amended): If vafuatfon of work is$2,500.00 or more,i
certify that I, the applicant, have been provided with a copy of the "Florida Constructfon Lien Law—Homeowner's
Protection Gufde"prepared by the Florlda Department of l�griculture and Consumer Affairs. If the applicant is someone
other than the"owner", i certify that 1 have obtained a copy of the above described document and promise in good faith to
deliver it to the"awner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certlfy that all the irrformation in this application is aocurate and that ali work
will be done in compliance with all applicable laws regulating constructfon,zoning and land deveiopment. Application is
hereby made to obtain a permit to do work and installation as indiceted. I csrtify that no work or instailation has
commenced prior to issuance of a permit and that all wo�lc will be perfortned to meet sta�dards of all laws regulaling
conslruction, County and City codes, zoning regulations, and land development regulaGons in the jurisdiction. I also
certify that I understand that the regulations of olher govemment agencies may apply to the intended work, and that It is
my responsibility to identify what actions I musl take to be in compliance. Such agenctes indude but are not limited to:
- Department of Environmental Protection-Cy{xess Bayheads, WeUand Areas and Envrconmentally Sensitive
Lands,Wate�/Wastewater Treatment.
- 5outhwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-5eawalls,Docks,Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmentai Heafth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abakement.
- Federal Aviatlon Authority-Runways.
i understand that the following restrictions apply to the use of fill:
- Use of ftll is not allowed in Fiood Zone'V'unless expressly permttted.
- If the fill material is to be used in Flood Zone "A", it is understood that a dralnage plan addressing a
"compensating volume'wlli be submltted at Hme of permitting whfch is prepared by a professionai engineer
licensed by the State of Florida.
- If the flll material is to be used in Fiood Zone 'A" in connection wYth a permilted building using stem waii
construotion,I ce�tify that fiil will be used only to flil the area within tfie stem uvall.
- If flll material is to be used in any area, i certify that use of such flll will not adversely affect adjacent
propertles. If use of fili is found to adversely affect ad)acent properties,!he owr�er may be cited for violating
the condiiions of the building permit issued under the ettached permit appl(cation,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 sel forth in
this aff�avil prlor to commenc(ng construction. i understand that a separate permit may be required tor etectrical work,
plumbing, signs, weNs, poofs, air condiNoning, gas, or other installations not specificaity included in the application. A
permit issued shall be construed to be a Ifcense to proceed with the work and not as authortty to vlolate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buiiding Official from tfiereafter
requiring a corcect(on of errors in plans,constructlon or violatlons of any codes. Every permit Issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit fssuance,or if work authorizad by
the permit is suspended or abandoned for a period of six(B)months after the time the woric is commenced. An extension
may be requested, in writing,irom the Building Official for a period not to exceed ninety(90)days and will demonslrate
just�able cause for the extensfon. if work ceases for ninety(90)consecutive days,the jab is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCE�IIIENT MAY RESULT IN YOUR
PAYING TWlCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YUU INTEND TO OBTAIN F ANCING,CONSUIT
WITH YOUR LENQER OR AN ATTORNEY BEFORE RECORDING YOUR N0710E OF C T.
FLORIONI JURAT{F.3.117.0 �
OWNER OR A6E CONTRACTO
a o Qr S M f ��fll�before me l�a
slxe Ily krrown bo m he ave produced Islare personaNy mown to a haaR�q��nduced
as Identlfication. y� es identlfidtlon.
J "
_ �� µ� r Notary Public �� Notary Public
bn No. Commfssion No. � ,�
�tf P!/ Notary Pudic Sta1s d Fb'� n tQ• IiI0C1.1���t. (�'. �TT_�[�,I'GS
` •t ma Notary typed,printed or stamped Name of Nolary ryped,pAnted a afamped
; 7ania Bruce
� .` �' P My Commissloo EE071129
. '�FO��oa Ezpires U31�7/2��5 ��pi,�'"'�;: D A K O T A G G R A V E S
;� •': MY COMMISSION#EE836837
'f` ., ., EXPIRES September 1g,2016
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tcpl:1349477 Ree: 10.00
NOTICE OF COMMENCEMENT �S: 0.00 I T: 0.00
PermitNo. 19/12/13 C. Miner, Dpty Clerk
Property Identification No. l`-�' Z..Ca.^ �..�' O a -�"A1'SOQ' OOlO
Tf�UNDERSIGNED hereby gives notice that improvements will be mad�to certain reat property,and in accordance with Section
713.13 of the Florida Statutes,ths fopowing informa�'_�n is provided in the NOTICE OF COMMENCEMENT.
----------__
1. De cript��ofproperty(1 gol descripdon:)
a) Street Address:
2. Genere]description of improvements �/) � �
3. Owner Informarion �
a) �Nam2 and address� z+ � � Av�+�/ r�y��� aw( (�7� �i�S (:�rw l�t/i.
b) `Nama and da d of fce simplc titlehotder(if other than owner)
c) Interest in property ,'�
�4. Contractor Information
a) Name and address: �C, = fj� �j�- • r 3
b) Telephone No.: �jj � � 1�'1_ Fax No (Opt)_�(� (_ Z__/
5. Surcty Inforniation . � � -i
a) Namo and address:
b) Amount of Bond:
c) Telephonc No.: Fax No.(Opt.)
6. Lettder
a) Name and address:
i
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be servtd;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to Ivrnself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration datt of Not►ce of Comm�ncement(the expiration date is one year from the date of recording unless a different date is
spceified):
WARNING TO OWNER ANY PAYMENTS MADE BY TIiE OWNER AFTER THE EXPIRATION OF THE NOTTCE OF
.. COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHqpTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROP$RTY.A
NOTTCE OF COMMENCEMENT MiIST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU IIVTEND TO OBTAIIV FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDIIVG YOU NOTICE OF COMMENCEA'IENT. -
STATE OF FLORIDA
COUNTY OF PASCO (— — - ' — —�
��rc OF or r's Of6ar/DirecwdPermv/A�mager
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rrine .nx -
��fo o' g instrument was acknowledged before me this IJO�dey �� 20��,by
� (type of suthority,e.g.officer, ee,t ey in fact)for
(nsme ofparry on wh instrvme�nt was utcd).
Personally Known_OR Produced Identification_ Notary Si
Type of IdentificaUon Produced Name(print �Q 1'l e�Qi
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing aad tbat the facts stated
in it are truc to the best of my knowledge and belief.
Fowasn�oc.,..�
Si�unoe o/N�eW pa�sun Sipdro A6ovs
��"W�, NaarY PuWie Sbt�W Fbrida
Y� T8ldi BfUCe
MY Commlabn EE0711ZP
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�RULA S 0'NEIL,Ph D PRSCO CLERK 6 COMPTROLLER
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