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19-20761
i CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20761 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION . Permit Number: 20761 Address: 6215 ABBOTT STATION DR 102-103 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: SILVER OAKS VILLAGE Est. Value: Parcel Number: 03-26-21-02000-00000-OOC Improv. Cost: 7,495.00 OWNER"INFORMATION Date Issued: 2/04/2019 Name: ASHINGTON MANAGEMENT LLC Total Fees: 80.00 Address: P O BOX 48155 Amount Paid: 80.00 TAMPA FLA 33646-0144 j Date Paid: 2/04/2019 Phone: 813-997-7381 Work Desc: A/C CHANGE OUT SPLIT SYSTEM (1 4TON )/(1- 5TON) CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 80.00 Ins ections RegIuired DUCTS INSTALLED DUCTS INSULATED FINAL I i 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 813-7eo-W20 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department- Date Received Phone Corrtaet for Permitting 313) Owners Name sI AJ 7-4 MAZ �. Owner Phona Nwnber owner's Address �!J owner Phone Number Fee Simple Titleholder Name Owner Phone Number I I Fee Simple Titleholder Addresses �� JOB ADDRESS �o lr' o���dN j/),0 • //�®.o�� /©3y� LOT/#��/� SUBDIVISION PARCEL IDa !✓3w r�(B-�e- I/�®dGY� �� (oarAwED FRor PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONm ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = DESCRIpT ON OF WORK 0pe- a 2 BUILDING SIZE SQFOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =FLUMBING Is QV MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N I Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address License# i PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREK Y!N Address License# MECHANICAL COMPANY A/1re SIGNATURE 'I REGISTERED I Y/ N FEE CURREt I YIN I v Address 1 License#VAdd OTHER COMPANY SIGNATURE REGISTERED I Y/ N FEE cuRREn I Y IN Address License# IIIIIIItllltllllllllllllllllllllllllttlllllllllllllllllllllllllltil 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)woddng days after submittal date. Required onsite,Construction Plans,Stormvrater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsnarge projects COMMERCIAL Attach(2)complete sets of Builft 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,Stamlwater Plans wl 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 far all NEW construction. Direct or I Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. WC:upgrades over$7500) Agent(for the contractor)or.Power of A#mey(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(PkWSurvey/Foofage) Driveways-Not over Counter if on public roadways-needs ROW i NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more 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 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 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 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 in Pasco County. TRANSPORTATION IMPACTIUTILITIES 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 89-07 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,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 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 gayheads, 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 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 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 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 adversely 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 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 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 fog ninety(90)consecutive days,the job is considered abandoned. 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 YGUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRA Subscribed and sworn to(or affirmed)before me this §ub 'bed onto(or affirmed) efor g 1 by �lCr y L L J / Who Ware personally known to me or haslhave produced Who is/ rsonally known to me or haslhave produced as identification. �— as identification. Notary Public _Notary Public Commission No. o mission No. Name of Notary typed,printed or stamped Name of No rZ' 1Gd o $ Ir_Stetsof'FlfNlrl� �4� d � �� I�yCGrmnn.�xpiies)NI19;.2l131 , tlirouJ41NW100a9Not5ry;Assn} PROPOSAL P PROPANE GAS AND A/C INC. 1988 - 813-782-5013 4441 Allen Road Zephyrhills,FL 33541 Ph:813-782-5013 Fax: 813-783-1374 E-mail: bahrs.officeAtampabay.rr.com Proposal Submitted To: Bill Date: January 29, 2019 E-mail: bill@binahai healtyinc.com Phone: 813 997-3981 Name: Ashington Management LLC Job Name: Ashington Street: 6215 Abbott Station Dr, Suites 102 & City, State & Zip: Zephyrhills, FL 33542 103 We hereby submit specifications and estimates for: • One 4 Ton Franklin split system air conditioner unit with 10 kW heat • One 5 Ton Franklin split system air conditioner unit with 10 kW heat or 15 kW heat • Both units are 14 SEER • Each unit comes with a 1 year labor and 5 year parts warranty • Attic installations, with-new emergency drain pans, float switches,'-and thermostats Total: $7,495.00 • Price does not include repair of front unit All material is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices.Any alteration or deviation from aboye specifications involving extra costs,will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements are contingent upon strikes,accidents, or delays beyond our control.This proposal is subject to acceptance within days and is void thereafter at the option of the undersigned. .Authorized Signature Xmin J3a& Acceptance of Proposal The above prices,spedifications,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 SS/KB