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Home My WebLink About16-17612 CITY OF ZEPHYRHILLS 5335-8TH STREET • � (813)780-0020 17612 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION ' Permit Number: 17612 Address: 37930 MEDICAL ARTS CT 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: 34-25-21-0080-00000-0010 Improv. Cost: 7,450.00 OWIdER INFORMATION Date Issued: 7/28/2016 Name: DAIRY QUEEN Total Fees: 112.50 Address: 37930 MEDICAL ARTS CT Amount Paid: 112.50 ZEPHYRHILLS, FL. 33542 Date Paid: 6/21/2017 Phone: (813)780-2826 Work Desc: A/C CHANGE OUT 7.5 TON PACKAGE ROOF TOP UNIT-reinstate 1x CONTRACTOR S APPLICATION FEES J M HAYS INC A/C CHANGEOUT 75.00 A/C CHANGEOUT ' 37.50 ; �,�� C . ��' � �i� �2. I s ections Re uired DUCTS INSTALLED DUCTSINSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to-this properly 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 City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. .,'�� lNt � �'-�v CONTRACTOR SIGN URE PERMIT OFFI R �ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335-8TH STREET r � , o (81s)�8o-oozo 17 2 BUILDING PERMIT �s PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17612 Address: 37930 MEDICAL ARTS CT 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: 34-25-21-0080-00000-0010 Improv. Cost: 7,450.00 OWNER INFORMATION Date Issued: 7/28/2016 Name: DAIRY QUEEN Total Fees: 75.00 Address: 37930 MEDICAL ARTS CT Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: �7/28/2016 Phone: (813)780-2826 Work Desc: A/C CHANGE OUT 7.5 TON PACKAGE UNIT CONTRACTOR S APPLICATION FEES J M HAYS INC CHANGEOUT 75.00 � �� v � �� Ins ections Re uired DUCTS INSTALLED ' DUCTSINSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly 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 Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. �� / W/ � CO��TOR SIG URE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s,s-�so-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 � Building Department Date Receiced �. '7 Z S ��j �phone Contact for Permltting ��3 d�� _ 6 �f� "Owner's Mame ��/�� v(v P P,� Owner Phone Number �� J/�"�� Owner's Address .3�/3� j'ne�r��,�/-�� ' � Owner Phone Number Fee Simple Titleholder Name Owner Phone Numb�r Fee Simple Titleholder Address JOB ADDRESS .�� / 3� �e`��e� . �`S C� LOT# �� / � SUBDIVISION C�� PARCEL ID# 3 y 2'�",�I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e , NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK - Q FRAME � STEEL Q z DESCRIPTION OF WORK � i"�� Ch�� S��I vl��✓ R� In c��...� 7�. /� C ��o�-�v �t�n c tii•� � BUILDING SIZE SQ FOOTAGE z/�g HEIGHT � S OBUILDING $ VALUATION'�OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ `�MECHANICAL $ � VALUATION OF M�CHANICAL INSTALLATION � �� E�. QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO Ii BUILDER COMPANY II SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I Address License# I ELECTRICIAN COMPAPIY SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N Address License# � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL � � �� COMPANY �� !'I A 5 � -�� C SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address- License# C� �oS.�SO� OTHER ' COMF?ANY SIGNATURE _ REGISTERED Y/ N . FEE CURRE� Y/N Address License# RESIDENTIAL � 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 submittai date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, — - --- Sanitary Facilities&1 dumpster;Site Work Perrnit for sub�ivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new wnstruction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary FaciliUes&1 dumpster.Site Work Permit foF 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 completely. � � � Owner 8�Contractor sign back of application,notarized ' If over$2500,a Notice of CommencemenYis required. (A!C upgrades over$7500) �, � � " Agent(for th'e-contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of-contract required) � -_.:..�, _ , _ _ Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) , , � �� - '� ;' _ ... .� _:.....-.. ,. .. :,,.. .. _ � 3 I DNveways-Not over Counter if on public roaiiways:.needs ROW�.' '•. 4 , "' , � _ .`; ; � , ,. ; . . �� ` .< � , ,- ,,. .. .. .._. " . .._._ , r --- - - - - -�---��.,��._,�<-�:, ' ti, N4TfCE OF DEED RESTRtCT10NS: The undersigned unders.tands that this permit may be subject to°de�d"restrictions" ` which may be more-restrictive than County regulations. :The�undersigned assurt�es responsibility far compliance with an}+� applicable dsed restrictions. � UNLICENSED CGINTRACTQRS AND CONTRACTOR RESPC?N31BILlTIES: !f the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulatians: If.the contractor is not ticensed as required by law, both the owner and contracfar may be cited for a misdemeanor violation under state iaw. If the owner or intended contractar are uncerfain as to what licensing requirements.may,appiy for the. intended work, they are advised to cantact the Pasco Gaunty Buifding inspection Division=Licensing Sec#ion a#727-847- 8Q09. Furthermore, if the owner has hired� a contractor or contractors, he is advised ta 'have the con#ractor{s} sign po�tions of the "contractor Block" of this application for which they wiU be responsible. (f yau, as°#he owner sign as the cantractor, that may be an indication that he is not properly licensed and is noY entitled ta permitting privileges in Pasco Caunty. TRANSPORTATION IMPACTJUTILITIES 1MPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation impact Fees and Recourse Recovery Fees may appfy ta the construction of new,buitdings, cFiange of� use in existing buildings, or expansion of existing buildings, as specified in Pasco County Clydinance number 89-07 and 90-07, as amended. The undersigned alsa understands, that such fees, as may be due, will be identified at tlie time af � � permitting. lt 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 af occupancy�or� final pawer release, #he fees rnust be paid priar to permit issuance. Furthermore, if Pasco Coun#y Water/Sewer.tmpact. fees are due, they must be paid pr�or ta permit issuance in accordance with appiicable Pasco County ordinances. GC?N3TRUGTIflN UEN LAV1►(Chapter 713, Flar�da Statutes,as amended): ff valuation af work is$2,SOQ.OQ or rrtor.e, ! certify that I, the applicant, have been provided with a copy of the "Florida Constru�tian Lien L.aw=Nomeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the uowner", I certify that I have abtained a capy of the above described document and promise in good fai#h ta deliver it to the"owner"prior ta commencement. C4NTRACTOR'SIOWNER'S AFFIDAVIT: I certify that aH the infortnation in this application is accurate and that atl work will be done in compliance with aA applicable laws regulating construction, zoning and land develapment. Application is hereby made to abtain a permit to do wark and installation as indicated. 1 certify that no work ar instal4atian has commenced prior to issuance of a permit and that all work will be perfarmed to meet standards of al! laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I alsa certify that I understand that the reguiations of ofher governmen#agencies may apply to#he intended work, and that it is my respansibility to identify what actions ( must take to be in comptiance. 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, Cyp�ess Bayheads, Wetland Areas, Altering Watercourses. - Army Corps af Engineers-Seawalls, Docks, Navigabie Waterways, - Deparkment 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 follawing restric#ions apply to the use of fill: - Use af fill is not al(owed in Flood Zone"V"unless expressly permitted. - ff the fili material is ta be used in Flood Zane "A", it is understaad that a drainage ptan addressing a `"compensating volume" will be submi#ted at tirrie af 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 s#ern wall consfruction, I certify that fiil wil(be used an�y to fill the area within the stem wall. - If fill material is to be used in any area, t certify that use of such fill witt nof adverseiy 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 lats less than one {1} acre which are elevated by fill,an engineered drainage plan is required. If I am the AGEIdT FOR THE OWNER, I promise in good faith to inform the owner af the permit#ing conditions set forth in this affidavit prior to commencing consfruc#ion. t understand that a separate permit may be required for electrical work, ptumbing, signs, welts, pools, air conditioning, gas, or other instat(ations no# specificaliy included in the applicatian. A - ' permit issued shall be construed to be a license to proceed with the work and not as authority ta violate, cancel, alter, or ' set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buiiding Officiai from thereafter requiring a carrectian of errors in plans, construction or violations of any cocles. Every permit issued shatl become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work autharized by #he permit is suspended ar abandoned far a period.of six(6)months after the time the work is'commenced. An extension may be requested, in wri#ing, fram the Building Officia( for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. ff wark ceases far ninety{90}consecutive days,the job is cansidered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE UF COMMENGEMENT MAY RESU�T tN YOUR PAYING TWICE FCiR IMPROVEMENTS TO YOUR PROPERTY. IF YOU�INl"END TO OBTAIN FINANCING,CONSURT , __ WITH YOUR LENDER ORA_R!_ATTORIN��l-.RFFag�.��G�:°^.".�`l�El;�4 PSi�Ti'i�e C',r-C.�iivi0it�fii��Ivi�E��:_ - FLORIDAJURPiT(F.S.1i7.03 OWNER OR AGENT � �4 CONTRACTOR �"' /L.�~� , Subscribed and swam to(ot ed)be#ore me this Subscribed and swom to(or rmed}be#ore me this by by �/"� Who is/are personalty known to me or has/itave produced ' Who is/are personally known to me or has/have produaed as identification. as identificatian. � Notary Public Notary Publia Commi i No. Commis o o. ,„��,•,,. E.BACON Nar►� of N a� e.;�r��ss� Name of N ta p��d��pped � � :;; Expires June 2 ,2018 :��, � � �T��g��e�85,�qyg _� f. G4(11miSSioti#FF 137473 `-r�„�F„�,' B�m :�;,��, Expires June 29,2018 �•�r�„qF��:`'� a�,aearnn,T�oyF�m�esoo.�as•�ois y �. - �.� d � n :n` m � � � -, JOB PROPOSAI. 1 G�� '/ J.M. HAYS, INC. /�� Refrigeration & f�' \ � o Air Conditioning Services �FR IG I D/AIRE � State Class"A" Lic. CAC 055504 „�,,,,�,„,r�„,;,,,,,w„�,, � ' s (`�. j , P.O. Box 6889 (813)654-6918 ��v1v Seffner, FL 33583 Toll Free 1-888-884-HAYS 4297 . � ) Date. t..�/. �� o /� Proposal Submitted To: Phone: ,�.o.�� ee� ��3 a��- doo� Street: � Job Name: � �9-� � {�Y��c� / c'-�� ,�1 r,�S C� U'��- � c�ee,�l � City,State&Zip: Job Location: ' z4 t, ,�r�s . /-� 3�S`yi 3 ��.�� ;�P�,�q.�.�/� ci Contact Person: ,�J>i �v � P��+ � h r//{ / L 3.j�/'� '', We Hereby Submit Specifications and Estimates For:,. N�� l��ll�cc:��.� �7 �Z ,��-, ji�r�e �� -' Dowv� /`/�c✓ �a�`•�c 4 �`� C�P.7•{✓m� �ne�flcrC C/tti/�v .�-:/�Sf�' �1 (/lPca/ /l'�'!%P �'�C,�/n4� (��i,/ �o�e/ r� �Sc'o��F3 ,;�a.�� F� �n,s�..�� f� �:�,-�� '�,� , ��,� � �� a��a ��,.� , s�� , � w�:j� �f�� _ �/� j/ 1`'�.5� �� /I �•�v1%�/ C7 L,�Si c�*' /J,i /J/�'�-�D e/ � �.✓�i'C — i✓+ '"/�'/� C-��.�� j � // C.,�t. vo/��c' C�✓�f i✓�c ^L..nS ..��il l�/P w �c c� �.c� %7.7n e-Y l,..r l/ �rc9Gy r-�t n-,w�.--e�c- 7�7��-oS�?-- ��.�.�,< � ��S� YI C w SYS��-.., . �S��vr�r.v•/r -�cl�cc�S d/.� tn'l�l T�•�=s r f' � b-n�o r [�PP�Jr�� i ��h -��— C/ �S'li�rc �� !�..,W.a.c �d�l q ' ��'/ .rJ_ We Propose Hereby to Furnish Material and Labor - Complete in Accordance With Above Specification�, For the Sum Of: SevP.� ��o�s�� F�.,- �,,,��,�e� �=,�� c�o/%s ,�,,,� `„ ' ......Dollars ($ ?, yS-c�.� ) Payment to Be Made as Follows: �,�� ,N ,�-(� .� � �� ,.._,r,/<<�.� NOTICE:Any changes requested by the customer are not covered by this agreement, and must be added subsequently, at the cost agreed upon by both parties. Quotes are good for 30 days ' from the proposal date. ACCEPT�CE OF PROPOSAL: The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment to be made as outlined. � f >� / ;- � � Date: `7�Z��/G Signature�: G--�-_ �- ,� I