HomeMy WebLinkAbout14-15329 �
� �' CITY OF ZEPHYRHILLS /f
5335-8TH STREET ,.�`
(sis)�so-oozo �,,1�5329
BUILDING PERMIT
� �.�PE�RIIIIIT�INrFORIIAATION, � `:� r ''L`O.CATI:ON�INF50RMArTIO.tV���. -���`��'X�� ��
Permit Number: 15329 Address: 5534 5536 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: Parcel Number: 11-26-21-010-05700-0250 �
Improv. Cost: 3,800.00 �= ���'��"��;��OWNER��INF,ORM'ATION�• �� ��� ��_��:
Date Issued: 5/29/2014 ,Name: WELLESLEY DEVELOP CORP
Total Fees: 55.00 Address: 34619 SR 54 W
Amount Paid: 55.00 ZEPHYRHILLS FL 33542
Date Paid: 5/29/2014 Phone:
Work Desc: A/C CHANGE OUT 4TON— " �
���.��CONTRACTOR��S ' '�' � � � APPL ATION,FEES � - �`"` '� F�v'
BAHR'S PROPANE GAS& C,INC. C CHANGEOUT 55.00
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DUCTSINSTALLED
DUCTSINSULATED
FINAL
in ion
REINSPECTION FEES: Remspect�on fees will comply with Florida Statute 553.80 (2)(c) when extra spect
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 f) 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.
C TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�- - = - - - - -
� � � PROPANE GAS � � � �
Service Order/Proposal
� AN� Qf C INC. Air Conditioning&Heating
�i"�t�e �988 813-782-5013
Sales, Service & Installations WORK ORDER�tJSERVICEh1Ahl �11L7 COM
4441 Allen Rd. • Ze h rhills, FL 33541 ��TE!T I mE TAKEN �������.4 ��e 3�
p y TAI;EIV BY . SH �1
NOTES: DATE/T I h1E F�R01�I SED
C�JSTQMER#1LOCATION 14144•
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NYE CDh11�ERCIAL I�'�(F_ CQMMERCIAL
LB�Q� WINDGUARD CTR 5536 GALL BLVD
� ��rJ° S H T DEAWA�"' 81��-89�-�6��:
WESLEY CHAF�EL FL ��3�44 ZEF'HYRHILLS FI_���54�
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AH e RCBA-488�='GGc 1, �M�7�1
CD� RAKA-�48JAZ, 543�F.:,�:�1 14E,14
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N�T COQL I I�G
_ ` " � DESGRIPTION=:OF WORK - _ -. . Q1Y._ �MATERIQLS:&SERVICES . UNIT`PRICE AMOUNT
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- - ' REG�MME�NDATIONS � � -� ��
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Annual`Maintenance Recommended by AII.Equipment Manufacturers. � �
� Pressures Lo HI T-Stat i i
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REFRIGERANT R- LBS. 5 per Ibs. � �
FILTERS Y x Changed Monthly i I
FILTERS� x , Changed Monthly I I
❑ REGULAR ❑WARRANTY TOTALSUMMARY
Dehumidistat Settings: When here"ON", When Away 60°/o, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRAhYTY• All materials,parls and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL i
or suppliers'written warranty only.All labor performed by the above named company is warranted for TOTAL i
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranties on
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behaliofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authonly to order Ihe work oullined above which has been satisfactorily completed.I agree lhat Seller PROG. W 1 C
retains ti�le lo equipmenl/materials fumished unlil final paymenl is made.If paymenl is not made as agreed, CLAIM# 1 a
sel�e-caa remove said equipmenUmaterials at Seller's expense.Any damage resulting Imm said removal shall ��/- . ��/J�
- e c�e�esponsi0ility of Sellec NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO T r
-�_".=��D 3A�NCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: T'°`X i
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��5�,..-� DATE a�n au TOTAL �
813-780-0020 City of Zephyrhilis Permit Application Fax-813-760-0021
Building Department �����
�ate ReceivecC 9 g'/� 7�Z __ �d��
Phone Contact for Permittin
Obrner's Wame � v � Ouvner Phone R�umber ���^ 7������
Oevner's Address �`��� -0 �L V� Owmer Phone Mumber
�ee Sira�ple Titleholder Mame Ovdner Phone Wumber
�ee Sienple Ti4leholder Address
.908 c�DDE�ESS LOT# �
' SUBDIbiSIOR� PARCEL ID�
� -- - - — —(08TAIMEO FROM PROPERTY TNCNOTICE)
HNORaC PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH
= . ; INSTALL e REPAIR
�ROP05ED USE Q SFR Q COMM � OTHER
TVPE OF COi�STPtUCTIOR� Q BLOCK Q FRAME � STEEL Q
D�SCRIPYIOM OF WORK Ol �/G� � (/ / �T�
I �UILDIfdG SIZE SQ FOOTAGE� HEIGF9T
�BUILDIMG $ VALUATION OF TOTAL CONSTRUCTIOiV
DELECTRICAL $ AMP SERVICE 0 PROGRESS EfVERGY Q W.R.E.C.
OPLUMBIfVG $
�CHAfVICAL $����0� VALUATIOIV OF MECHANICAL INSTALLATIOfV
OGAS Q ROOFItVG Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
�ui�o�ua co����v
SAGMl�TID�E REGISTERED Y/ N FEE CURRE� Y/N
�ddress License#
EL.ECTRICYAM COM�AfdY
SIG��4Tl�P2E REGISTERED Y/ N FEE CURRE� Y/N
.�ddress License#
PLUfiflB�R CORflPe4il1Y
SlGR1ATUFtE REGISTERED Y/ M FEE CURRE� Y/N
� �d�ress License#
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��co-���ica� co�n��►r�v �7�2 �S��c� ,��£ ��s e �c .u�
SIGWl�TUFZE REGISTERED Y/ N FEE CURRE� Y/M
�ddress License# Cl�G O �/����
OTHE92 co�Pe►r�v
$IG�dt47UFZE REGISTERED Y/ M FEE CURRE� Y/N
B�dc�r�ss License#
6tESIDEWTIAL 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 Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflities�1 dumpster;Site Work Permit for subdivisionsAarge projects
COflflRAERCIAL 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
SIGid PERf�11T Attach(2)sets of Engineered Plans.
'"""PROPERTY SURVEY required for all NEW construction.
Direc�ions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over$2500,a Idotice of Commencement is required. (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
O!/ER TFEE COUtdTER PEtdRAITTIfdG (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drivevdays-Not over Counter if on public roadways..needs ROW '
Yd07"ICE OF DEfED RE�'�RICTIOWS: The undersigned understands that this permit may be subject to"'deed"restrictions"
which may be mare cestrictive than County reguEations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLiCENSED CONTR�,CTpRS AN� �ON3'RACT�}R �(��PQNS1�iL1YlE�: if fhe owner has hired a contractor or
contractors to undertake work, they may be required to be ticensed 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 misdemeanar violation
under state taw. if fhe owner or in#ended confractor are uncertain as fa what licensing requirements may appiy for the
intended wark, they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
8009. Furtherrnore, if the owner has hired a contractor or contractors, he is advised ta have the contractor(s} sign
portions of #he "contractor Block" of this application far which they will be responsible. If you, as the owner.sign as the-
contractor, thak may be an indication that he is not properly licensed and is no# entitled to permitting privileges in f'asco
Counfy.
"ff�ANSPOR�'ATIOFV IIIflF�ACl'IUTILITIES IwflP�►�'��►N�11�ESOURGE Rf�COV�RY F�ES: The undersigned understands"� ' a
that Transpoctatian lmpact Fees and Recourse Recovety Fees-may apply to fhe construction of new buitdings, change af
use in existing buildings, or expansion of existing buildings, a's-specified in Pasco County Ordinance r�umber �9-07 and -
9Q-07, as amended. The undersigned also understands, that such fees, as may be due, wrill be identified at the time of
permit#ing. Ik is further undersfood that Transpar#ation Impac# Fees and Resource Recovery Fees must be paid prior fo, , �
receiving a "'certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
finai pawer release, the fees must be paid priar to permit issuance. Furthermore, if Pasco County V1/aterlSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasca County ordinances.
�OiVSTRIICTiON L1E�t L.AIiV{C1�apt�P��3, �tereid�Stafutes, as ae�ter�ded}: lf valuation of v+rork is$2,500.00 or more, 1
certify that I, the applioant, have been provided with a capy of the "'Florida Construction Lien Law—Homeowner's
Protection Guide° prepared by the Fiarida Department of Ag�'icuiture and Consumer Affairs. I#the applicant is someane
other than the"owner", I certify that 1 have obtained a copy of the above described dacument and promise in good faifh to
deliver it to the"owner"prior ta commencement..
CQNTRACTOR'SlO�i1NiE�'S AFFI�AVIT: 1 certify that a41 the infarmation in this applicafian is accurate and that all work
will be done in campliance with all applicable laws regulating constructian, zoning and land develapment. Application is
hereby rnade ta obfain a perrnit ta do work and insta4lation as indicated. I cettify that no work or installation has
commenced prior to issuance of a permit and thaf all work will be performed lo meet standards of all laws regulating
construction, County and Ci#y codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify fhat I understand that the regulations of o#her gavernment ageneies 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 Pratection-Cypress 8ayheads, Vllefland Areas and Environrrtentally Sensitive
Lands, WaterMlastewater Treatment.
- Southwest Florida Vlfater Nianagement Dis#rict-1Nells, Cypress Bayheads, Wetland Areas, Nltering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmentat Nealth Unit-Wetts, Wastewa#er Treatment,
Septic Tanks.
- US Environmental Protecfian Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
!understand that the fallowing restrictions appiy to#he use o#fiEl:
- Use of filt is not atlowed in Fiood Zone"V°unless express{y permitted.
- If the �II material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" vuill be subrnitfed at time af permitting uvhich is prepared by a professional engineer
lice�sed by the State of Florida.
- If the �EI material is ta be useci in Flood Zane "A" in cannection with a permitted building using stem vt+all
construction, I certify that fill will be used only to fill the area wi#hin#he stem wall.
- If fill materia! is to be used in any area, I certify that use of such �II w9!! nat adversely affect adjacent
properties. If use of fiH 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 applicatian, far lots less than one (1)
. acre which are elevated by fill, an engineered drainage plan is required.
If I am the A,GEfV7' FOR`TFIE 01iVYV�R, I promise in good faith to inform the owner of#he permitting conditions set forth in
this afiidavit prior to commencing canstruction. 1 understand that a separate permit may be required for electrica! work,
plumbing, signs, wells, pools, air conditioning, gas, ar ofher installafions not specifically included in the apptication. 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#echnical codes, nor shall issuance af a permit prevent the Buitding O�c'sal from the�eafter
requiring a correction of errors in plans, canstruction or violatians af any codes. Every permit issued shall become invalid
untess the work autharized by such perrnit is commenced within six months of permi# 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. Nn extension
may be requsst�d, in writing, from the Building C?fficial ior a periad not to sxceed ninety {90) days and will dernonstrate
justifiable cause for the extension. If work ceases for ninefy(90)cansecutive days,the job is considered abandoned.
iNARPdtNtF TO GIWNER: YC►UR �AILURE TU F2�CCiR� �►, �40TtCE Cli� COIVIMEN�E�tfENT �AY �tiESULT 1� YQl9R
�'AYING 'TW'ICE �OR IiUiPROVEiiA��17S TO YOUR P�.OPEFZ'TY. �f�YOU IPITEND TO OB'TAIN FIN�►IVCING, CON�l1L.Y
1�l��N'YOUR_L�ND�it_QFt_AfV,A�!'Ft7RN�Y��FClRI��2EG41R�ING YOU12�i0'1'IC�OF CONIR(tE�1C�fltl�NT.
FLORIDA JURAT(F.S.117A, --- - -
QWNER Ot2 RC'sEP�7'_,,,� {.r--�"" COPITFtAGTOPt
Subscribed and sworn to(or a ed)before me th(s Subscribed and swom#o r a�rmed)before me
by by
Who is/are personatly known ta me or haslhave produced Who islare personally knawtt to me or haslhave peaduced
as IdenUficakion. as identifica6on.
Notary Public Notary Public
Commission PVo. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or sfamped
A..