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Home My WebLink About13-14837 CITY OF ZEPHYRHILLS � 5335-8TH STREET • (sis)�so-oo20 14837 ,. BUILDING PERMIT Permit Number: 14837 Address: 38710 5TH AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-17100-0010 Improv. Cost: 10,995.00 Date Issued: 12/19/2013 Name: ST JOSEPH CATHOLIC CHURCH Total Fees: 90.00 Address: 38710 5TH AV Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/19/2013 Phone: Work Desc: A/C CHANGE OUT 12 TON 3 PHASE COMMERICAL V � � T�'� `j , � ` �/" 1 DUCTSINSULATED FINAL REINSPECTlON 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, Specifications Must Accompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRA OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER PROPOSAL � � � PROPANE GAS � L.� AND A/C irvc. <�i�r�E �988 8�3-7s2-so�3 ��-t l �Ilen Road -Zepli}rhills, FL 33541 Ph: 813-782-5013 Fa�: 813-783-1374 E-mail: bahrs.ac�u'tamnana�.rr.com Proposal Submitted To: Date: 12/13/13 Theresa Miner E-mail: tminer gmail.com Phone: 813-782-2813 Name: St Joseph Catholic Church Job Name: "PARISH CENTER" Street: 531611r St Street: City Zephyrhills City: State & Zip: FL 33542 State & Zip: � t i ��,,; �-- We hereby submit specifications and estimates for: `�%�! F � ;,� r�.l,� � � k 1 - "RHEEM" 3 Phase Commercial A/C Unit. Complete installation, including Bldg. Permits. *Does not include Heat, but can be added at a later date, if needed. Option 1: 12 Ton Unit $11,995.00 Option 2: 15 Ton Unit: $13,945.00 Bahr's donation -1,000.00 Bahr's donation -1,000.00 $10,995.00 $12,945.00 Warranty: 1 yr Labor, 1 yr Parts, Syr Compressor. All material is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any altercation or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. The proposal subject to acceptance within 30 days and is void thereafter at the option of the undersigned. — �%� Authorized Signature �.✓ _--_.__ Acceptance of Proposal The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. ACCEPTED: Signature ;/�-''�'-�-�-�� - -'�. ��.=��--�- DATE: Signature ,, � �i C ,t f �2 L�_ C'�i�i��-�,'�:f,'�z,-.� ��:-t-�� lm �:> (,��_`-i t l�_ J / 4j.C- �_-�i'LL� �Y"..�1�-�>�-'�k-, �\�:�1 �7(:_Ck��':-��C,C..I�'^ �� `. /; l`�Y✓� `.��f' , � r Z- � �� x�-4 l z��. 1 � . si3-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received g`r�j 7g�. � �D�� Phone Contact for Permittin Owner's Narrie /�Q�f ��R"j� IS!-f Owner Phone Number 0 �� Z Owner's Address �O � OZ� J� e Te r�..33 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number � —� Fee Simple Titleholder Address JOB ADDRESS �g�f � � � �(.°_ M l L L�S L• LOT# � SUBDIVISION PARCEL ID# I I v� �vc� " D�1� " D r U��C,/ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK ��'' " ((} e �- 1`@ �Q� •3 �Nf7CjC orn me rc,Q � BUILDING SIZE SQ FOOTAGE�� HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ ' MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��, � to qq5 OGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES 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 �RJ DJ�A/V��-°C.T�-s � /'3�� ..1.NCi SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address ��'"�� ' � — J��'j �,3� � License# �1"��q�—� 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 FoRns;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 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: Fill out application compietely. Owner 8�Contractor sign back of application,notarized if over$2500,a Notice of Commencement is required. (A/C upgrades over 37500) "' 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" r�strictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with�ny applicable deed restrictions. , UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contra�tor 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 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 wili 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 buiidings, 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 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, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, 1 certify that I, the applicant, have been provided wlth 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'S/OWNER'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 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 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 fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill mate�ial 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 certify that use of such fill will not adversety 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 t#�e 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 AAAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATT RNEY BEFORE RECORDING YOUR NOTICE OF�GOMM E ENT. FLORIDA JURAT . 17.03) � "" � ~ G_____-, � _...._, OWNER OR AGENT � CONTRACTOR Subscribed and sworn or affirme efo e me this Subscribed and swom to o rmed)before me is by by Who islare personally known to me or has/have produced Who is/are personally known to me or haslhave produced as idenUfication. as identification. Notary Public Notary Public Commission Na. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped . �� Illlllllllll{I1111111111111111111111111111111111111111N1111�� • ' 2013213792 ' �-�-J�_—____=__-__--,-=_�_- , Rep1.:1870282 Ree: 10.00 � DS: 0.00 IT: 0.00 � � ��12/19/13 B_ McBee, DplY Clerk—_. . /Pq�p 5.0'NEIL,Ph.D.PASCiCLEORf 6 COMPTROLLEF .. . � 12/19/13 �19�� _ PG ,7�2"'*_ J. NOTICE OF COMMENCEMENT ' pR BK 0 ._. �---------- Permit No. Property Identifieation No. / �� / DO/O / ��v, D��O r THE UNDERSIGNED heroby gives nodce that improvements will be made w certsin real ProP�nY.and�°�co��+'��S��n 713.13 of the Flbrida Statutes,the following information is provided in this NOTiCE OF COMMENCEMENT. , 1.Descriptionofproperty([�g�TOWN OF ZEPHYRHILLS PB 1 PG 54 LOTS 1 lA 2 3 4 5 6 7 6 &9 BLK 17i OR 410 PG'625 DR a)StratAddress:. 1016 PG 1177 —��=f��f�-/�11e ��/Jv �t/�_ dL.S•�'L 338K-Z � 2. eneral description of'mprovemenu: - ��r►�e�e �- r�eP�aeP � e c� � 3.Owner;famation. ��8@�TN �!S/��D��h��iocese o�SfPefe�b�► F� �Bac �Z� a Name�rfd addross: 'C �,•,,/� b)Name artd address o fa simple titfehoider(if other then ownery �^11'�t� �IJ�r !'S Q,��.. . c)Inurest in properry . . J 337�3 • 4.eontractor Information � � t �� .1 �� F� { a)Name and address: � b)Telcphone No.: - Faz No.(Opt) - 7 � 5.Surery Infortnation �D C� � r,!0.. �. �O��1 z a)Name and address:�� L b)Amount of Bond: O � � � c)Telephone No.: ' - O Fau No.(Opt.) � " 6.Lender a)Name and addross: • • Phone No. � . 7.Identity of person within the Stau of Florida designated by owner upon whom notices or other documents may be served: a)Nsme and address� . b)Telephone No.: Fax No.(Opt.) 8.In addition to himulf,owner daignates the following person to rec,�ive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Floride Stanrtes: � a)Name and address: � b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Com encement(the expiratian date is one year from the dau of racording unless a different date is � Specified):�� ,� ��' WARNING TO OWNER: ANY PAYMENTS MADE BY THE bWNER ARI'ER 7'HE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSID�RED IMPROPER PAYMENTS UNDER CHAPTER�13,PART 1,SECTION 713.13, FLORIDA SIATUTES AiVD CAN RESULT IN YOUR PAY�VG TW�CE FOR IMPROVEMEN7'S TO YOUR PROPERTY. A N T CE F O �N E E T C RDED AND POSTED ON THE JOB SITE BEFORE THE FIRSf � �N 1 �CING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE CO M�t � �•�'VORK �O UR TICE OF COMMENCEMENT. s = Notary ublic- tale ot lortda — • /1„ �/� sT� •= My Comm.ExDirea Jul 19,201� �y• - -�� • Commiasion k fF 034230 vw�- J�� . ��'%�°01��`, Boeded Thrauq�Nalional Notary Assn, siennuR orov�nu a 0�� ud Otfi rcctor /Man�e� R�v�n�,u� �.�c `�'. �`�-�,e s � � � rint Name Thc foregoinB.t�st�ment wat acknowledged before me this/�dey of 2 20r3 by e.✓f��( �I'1G � f'p�e�1 a5 t�YP�of authoriry,e.g.o uer,tnutee,attomey in fact)for (namc of par(y'on behalf of m instrument auted). Personally Known_OR Produced Id�tification A Notary Si�aturo TYpe of Identification Produced T! dJ�1�Q� �G Name(print) /�/� �-��// Vuification pursuant W Scetion 92.525,Florida Statuus.Under penal'es of pequry,I declaro that 1 have rmd the foregoing and that , the facts stated in it are tnu to the bast of my knowledge and belief. . � Si of Nawnl Penon Signity Abov ' FORMBMOC.rvb1007 ' . / �I►� . ' � • �iQ STATE OF FLORIDA,COUNTY OF PASCO �� THIS IS TO CERTIFY THAT THE FOREGOING IS A G'J► TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE * r+�c-,,,�t��e r,usf � * WITNESS MY HAND AND FICIAL SEAL THIS * . (,:-� �* f�"` DAY OF 'CD 2 (�l � � � • PAULA�S IL LERK MPTROLLE � * _.—-_f_ � ., l88'7 . _. .- , _. �'q�� BY � � ! �'--IIEPII�Y CLERK _J