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Home My WebLink About18-20314 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 2 4 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20314 Address: 38152 MEDICAL CENTER AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0070-00000-0040 Improv. Cost: 5,250.00 OWNER INFORMATION Date Issued: 10/04/2018 Name: CHAKOLA, PAUL Total Fees: 70.00 Address: 38152 MDICAL CENTER Amount Paid: 70.00 ZEPHYRHILLS, FL. 33540 Date Paid: 10/04/2018 Phone: (813)782-4560 Work Desc: A/C CHANGE OUT 3 TON CONTRACTORS APPLICATION FEES ABSOLUTE AIR SYSTEMS INC A/C CHANGEOUT 70.00 �0141�(05 Ins ections Required DUCTS INSTALLED DUCTS INSULATED 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 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 Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 'i 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting {�J �'�al 0101 Owner's Name Otd.k yt't� 1hp�Q Owner Phone Number J�' — 9 s 4 '" b Owner's Address 15 1 I(.&. l. '' t7 V`f-. Owner Phone Number Fee Simple:Titleholder Name- �— Owner Phone Number _ Fee Simple11tleholder Address ii JOB ADDRESS 3e 15� , I V�.LJI I cm l/ynh &r r. On LOT# t SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR e ADD/ALT SIGN [� 0 DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR COMM Q OTHER I t;A TYPE OF CONSTRUCTION [�� BLOCK 0 FRAME STEEL 0 - s' A, , '_ . DESCRIPTION OF WORK Qw C� 3 BUILDING SIZE So FOOTAGE= HEIGHT i 0 BUILDING VALUATION OF TOTAL CONSTRUCTION {' QELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. ' QPLUMBING $ '. MECHANICAL $ �5 ' G 0� VALUATION OF MECHANICAL INSTALLATION 1G ` OGAS Q ROOFING Q SPECIALTY OTHER l FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES .NO BUILDER COMPANY SIGNATURE Q^ REGISTERED Y/ N . FEE CURREN Ly/N Address pals I-a.S S 1 v. u j ►� rh;(I S �3 S I-) l License# ELECTRICIAN. COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI% Address`'` License# PLUMBER COMPANY SIGNATURE REGISTERED Y./ N FEE CURREt: Address' License# . MECHANICAL COMPANY' SIGNATURE _ REGISTERED Y./ N FEE CURREP Address •License# F ,OTHER, ;' COMPANY SIGNATURE :REGISTERED Y/ N FEE CURREN. Address ;License# I .. .. RESIDENTIAL Attach,(2),PlofPlans;(2)`sets,ofBuilding Plans;,(1)set,ofEnergy.Forms;R-O-W.Permttfor,new.constructioh;,,, Minimum ten'(10)uvorking days after iibm'ittal'date. Required onsite;Construction Plans;Storrlwater Plans-w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/iarge 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 construction. Mlhimurrr ten(.10)working days after.sirbmittal date.,Required onsite,Construction Plans,,Storrlwater 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.Engtneeeed Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: FIiI out application completely. Owner&"Contractor sign:back of.application,notarized If over$2500,a Notice of Commencement is required. (A(C upgrades over$7500) `* Agent.(for'the contractor);or Power-of Attorney(for the owner)would be someone with notarized letter from owner authorizing same `OyER�THE•COUNTER•PERMITTING (copy of contract required) 'Rerdofs if shingles Sewers Service=Upgrades A/G 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" restrictions" which may be m ore'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 contractoror contractors'to-undertake work;al ey maybe required`to be'licensed=in accordance with state-and,locaCregulations.' If the, ` contractor is not licensed as required--by law,.both the owner and.contractor maybe'cited for..a misdemeanor violation. understate law. If-the owner or intended'contFactor are.uncertain as-to--what_licensing requirements may apply for-the'-`. intended work, they are adv'isedto contact the Pasco CountyBuilding"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)"Sion " 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,. n;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 buildings, change of use in existing buildings,'or expansion of existing buildings;,as specified in Pasco County Ordinance number 89.-071 and.-. . .90-67, as amended:; The undersigned also understands, that such fees, as may-be-due, wilFbe 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 workis$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 certifythat 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=AFFID'AVIT:.,-tcertify 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 indiicated. . 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. "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,WaterMastewater-Treatment: ._ Southwest Florida Water Management District-Wells, Cypress Bayheads,' Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls, Docks,"Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Piotection_A' h' Asbestos abatemt:en Federal Aviation Authority-Runways. I understand that-the-following�restrictions-apply,to,the use of fill: Use of-fiII_1s not-allowed in'Flood Zone-W" unless"' essly_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-fill rnaterial.-is•,to be used~lm;Flood Zone,,A"An.connection with a permitted building using stem:wall construction-, I certify:that fill will'be used only to fill the.area withinahe-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-adverselyaffect adjacent-properties, the owner maybe 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 promis6lh 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,nor 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 mooths.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 ' 'i WARNING TO.OWNER: YOUR.FAILURE TO RECORD A NOTICE OF COMMENCEMENT_MAY RESULT IN YOUR _PAYING TWICE-FOR-IMPROVEMENTS TO YOUR PROPERTY:IF Y®U INTEND TO'OBTAIN FINANCING,'CONSULT WITH YOUR LENDER'ORAN.ATTORNEY BEFORE RECORDING-YOUR.NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.1 7.03) OWNER OR AGENT V` CONTRACTOR lJ Subscribed'and sw qq(ora ed)be me is Subscribed and sw to(or affirmed)before me this by � 4.d, utwAm f WV PP-✓ by Who is/are personally known to me or has/have produce Wh /are�e ovally known to me or has/have produced as idenflfication. T/i Y�$rL�53 U c as identification. Notary Public 4671wl ez, Notary Public Commission No. Co fission No Name of Notary typed,printed or stamped Name of Not nn l� Commission#FF150422 °: = ecember 12,2018 Expires D gondod Thru Troy Fain insurance G00385-7019. Absolute Air Systems, Inc. Bid Proposal • 7325 Kossik RD Break Down ephyrhills, FL 33541 is#CAC1813789 Fax:(813)-788-9189 y (813)-779-0101 Email:steve@getcoldair.com Quote to: Dr. Chakola (3529-457-7785 38152 Medical Center Ave, Zephyrhills, FL 33540 mbuiana@gmaii.com .lob Description: Install a new 3 ton straight cool system. General Proposal Breakdown 1. 3 Ton, 14 Seer(American Standard) straight cool system- Included 2. 8kw auxiliary heater- included 3. .Materials- Included Total: $5100.00 (without permit) Permit: $150.00 Notes: One year parts and labor. 5 year commercial manufacturer's warranty on all parts. Extended warranty also available (Ask tech for details). m No engineering or designing included. No additional electrical upgrade included. All rebates and discounts included. *3%surcharge-on all credit card payments Deposit required of half of the price upon approval of contract. Remaining balance to be paid after completion of install. All discounts and rebates are included in pricing. If assistance with .payment is needed, we offer financing. Steve DeRolf:President Quote good for 30 days. AASI:Absolute Air Systems, Inc. Please sign and email to s,eve a ge cold air.com or fax back to(813)-788-9189 Absolute Air Systems, Inc. Bid Proposal 7325 Kossik RD Break Down ephyrhills, FL 33541 is#CAC 1813789 Fax: (813)-788-9189 (813)-779-0101 Email: steve@getcoldair.com Signature of Proposal By: (Person Authorized to Sign Proposal) Owner Signature Contractor Signature Steve DeRolf &Iqv/f (If payment is not received) ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001- 713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR -PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB- SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS-MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR ORASUBCONTRACTOR MAY HAVE FAILED TO,PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA`S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. Steve DeRolf: President Quote good for 30 days. AASI:Absolute Air Systems, Inc. Please sign and email to or fax back to(813)-788-9189