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Home My WebLink About19-20945 CITY OF ZEPHYRHILLS 5335-8TH STREET ' (813)780-0020 20945 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20945 Address: 38250 A AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 14-26-21-0010-01300-0010 Improv. Cost: 55,200.00 1OWNER INFORMATION Date Issued: 3/12/2019 Name: SOUTH PASCO HEALTH CARE PROPER I Total Fees: 320.00 Address: 485 N KELLER RD STE 250 Amount Paid: 320.00 MAITLAND FL 32751-7535 Date Paid: 3/12/2019 Phone: (813)782=5508 Work Desc: A/C CHANGE OUT TONAGE NOT GIVEN CONTRACTORS APPLICATION FEES MEDIC AIR SYSTEMS INC A/C CHANGEOUT 320.00 -PM Nou Aj SO Ins ections Re uired 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. "A I f &-, CON CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 013-780.0020 City of Zephyrhills Permit Application Fax-013-780-0021 Building Department Date Received 01/22/2019 Phone Contact for Permitting r I I I t t l t l 1 1 1 1 1 Owners Name South Pasco Health Care Properties,Inc. Owner Phone Number 407-975-3000 Owner's Address 485 N.Keller Rd.,Suite 250,Maitland,FL 3 751 Owner Phone Number Fee Simple Titleholder Name N/A --- I Owner Phone Number Fee Simple Titleholder Address n JOB ADDRESS a 5n U3 OT It SUBDIVISION N/A PARCEL ID# (DWAINE.III..PROPERTY T�rice) WORK PROPOSED e NEW CONSTR e ADD/ALT I t/1 SIGN � DEMOLISH INSTALL REPAIR PROPOSED USE 0 SFR 0 COMM 0 OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME /�S�TEE�EL �. l i - DESCRIPTION OF WORK U� 1/v (O OU_TC100� SeC-Q\r�A Y BUILDING SIZE L SO FOOTAGE HEIGHT f =BUILDING 5 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL S AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING S =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING F7 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISIEREU Yt N FeeGURREN YIN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRER Y!N Address License tt PLUMBER COMPANY SIGNATURE REGISTERED YIN FEE CURREN Y/N Address License# MECHANICAL (� ,,(� v COMPANY iC Or545 e0\r -1 !1C• SIGNATURE Own '_ T_"/a RECIIS`TERED /± Y/ N ^^FEE CURR=_/nt� Y/N Address i1�� QLl _/% _I- J/ r1_-7a/tS�4e# li�C.��'.2 00 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LY I N Address �— - License# f Illtllllllllllllilllllllllllilllllllllillllllllllllllllllllllllllll 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 submittal date. Required onsite.Construction Plans,Stormwater Plans w/Silt Fence installed. Sanitary Facilities&1 dumpsler,Site Work Permit for subdivwsionstlarge 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. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sill 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 completely. Owner&Contractor sign back of application,notarized If over S2500,a Notice of Commencement is required. (A/C upgrades over$7500) '• Agent(for the contractor)or Power of Allomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (cony of contract required) Reroofs if shingles Sewers Service Upgrades A+C Fences(PlotiSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF D€ED 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 stale 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 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 89-07 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—Homeowners 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 & 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 for 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 YOUR NOTICE OF COMMENCEMENT. FLORIDA dURAT(F.S.1 zos�)��avid Rodman -- OWNER OR AGEN ificer CONTRACTOR tbs rib and s� rn to{{or affir9ledl before me this Subcnbe and swom to affilr1edkbefore" IFiis _L by't�NV r D �CO�{ya rin/ _ Ql l _ by= uif�rCL Qr ——— WI o!stare personally known tome or hesfhave produced Wh� so—rmrai� rows- re or h shave produced C .at1i� +aet�as identification. _ as identification. rr,,. Commission No.allotary Public �'�y��1�_��Nary Public Commission N �0 T rF �� QI - oyoe=-s r_vp/4 Nyt_*N,, Name of Notary typed,printed or stamped Name of Notary typed,printed or stamp. rwrpr CELESTE D.CHILD °� NOW1 Public•Stan of Florida CMAW&W 0 FF 920401 �.V'r 04&, Notary Public State of Florida �ti MY CMAL EXPUIZ Jan 2a.2020 Christina Hyland ' My Commission GG 199604 Qi�tl�lla0i�lf (il�aryA9Sif• Va�d; Expires 04/25/2022 VItDIC AIR SYSTEMS, INC. MI-VIANICAL CONTRACTOR 1.lCEN;E„`.SC05:a.q3 700 Glades Court Port Orange, FL 32127-4324 Phone:386-760-2356 Fax: 386.760-81321 Zephyrhaven Health and Rehab 38250 A Avenue Zephyrhills, FL 33540 Quote#: 10545 Date: 11/12/2018 Medic Air Systems is pleased to provide you with an expert opinion on the following repair recommendations that are needed to maintain your building standards. Scope of Work: Remove and replace defective 100%outdoor unit serving therapy Lead Time: 11 weeks Make:Aaon Model#: Serial#: Description Qty. Price (per) Extended Price 100%Outdoor Air Package Unit 1 $49,100.00 $49,100.00 Thermostat 1 $390.00 $390.00 Crane 1 $2000.00 $2000.00 Labor 32 $105.00 $3360.00 Misc Material 1 $350.00 $350.00 Grand Total $55,200.00 * Electrical and permit fees, if necessary, are excluded from our pricing. * Unless otherwise stated, overtime labor is not included in our pricing. Thank you, c—''�2;ervice Department 'ys AIR S' I MS, INC. MEiNf:Ni CAL CON:7hC7Cn Phone:386-760-2356 Conditions: �. All invoices are due within 30 days from the date or the invoice. 2. In the unlikely event that collection proceedings become necessary, the customer agrees to be responsible for Medic Air's collection costs and reasonable attorney's fees unless the ;Medic Air claim proves to be improper. 3. Medic Air Systems shall not be liable for in uries to persons,or damages to property,except those due to the negligence of our employees. n no event shall Medic Air be liable for any consequential damages. Customer Acceptance: Quote# 10545 Title: i-,f;;: Date: Medic Air System Acceptance: OW je y K�� r��l®�c --- Date: 0,11Z119 T hank you for allowing us to quote this work. r afossu�+ ]Si 7�"I.4i'7 t►u ratawwet Pme0ow'd nommuoP+t'o*Mx ` w oueW ucwot o wotiwopww aaanPayi wa+M l� gad pis Worn ,pWgm fpaM/N "1 —L�"' m +Wtr>lwReo+a�ngf�w+v�}M'II•f'Rrp++rwr+aefda_"'_ =L.•.� �8 26^ J�•+�� 1 l�► 'te�pt;�'t!�taR.n""i�sraa�+wga�PaOPanowigf�*tuai.nanq +Vrl -paw v-a-wamwas PIANO Syr�/F{�'{]�� }m9yitN Y}�IfY99 fi�liJNMONk•10Ur0�� f m2!fm -C-O 0 V � �do g / ��V jfl 0 i9M0'a PYItaQPQMf1ww 1G4 fa j $ '� iNX{aV1aSiNled�11P4f1�fVYi+W�+a+Pu+SufAaeasgwtSwtf6yajawtQwfaaAltiiMtQiift7ftt�LajoO;pfttaOwA v m (� 1S1 3II imNtlflDAtf k4sR�OM�_ �3M0 As�ta4ttrNraoH8cN31 NttNi ,-r--1 ,�°" ��do�'a�1 , �wtt.��idin'dreati°i°rr��a�r� `++aar°tnw doo r� ' •- _ .. • -• m OCk y�,r3flfrruwoa ao aaua» u io 1i»t+rae�sct>�i�r a3+M0 3Mt�s 9OMPt rd dntY�l3wiw of OtVItAN►M po .{--I c t�I�i?ttt(eYt�+�toesWat �+uPaWa�W�aaRam+9tM�Yfi'+fq�+W� C.) .0 Q awl a WfwlRta arup oua muMfuof Sa,+fGNa ar@ aotw aq!Oa Ravi ewro utPraaw atal um+w0;tigweWo�ca O�ifq�t aiaoudd 3 'G I A C7-4'fit+.0 +�ORfPft�fa4+»�!muastPat0�e3uwW t mD td��;�p� 't°w1q�+'tW°til�YtltiSttr�sswP*cMasas+a�wHa�++OfiaGmROasra�peoiot • G-Q � ��'77 '�'tp �tn 1°Ass±loo,aucomp'�tasu+Not.waAwoiat w . d N t"C`19 Q yD�� OC9i LOr waor°aP+t«�saaoNffWa+lit 2 q'+ �+ asosC Rna sae�al 'n t7?-h '�t� idp , W �-� 09"MS~ ioii�l`8i so X �/yr�� ",.� il,i�`!��►�'3�'�" ;ar,mmsfP��+A+�'si t�..�� ps%W se gwea 04 Rwot etwu mnao 000,o U*W waw 000 nu a mn Ro Otwul"aoy+ai is 9409 ow UAM wawa ....___-............�_..--_._.....,_;•alatwowQgftylatnN7 spa' ►. vM �zt cce�arr ;Rsuaa ONE MM f++�Vt�9MdmaO�W6U�4.lt�al • - :1IIN �owhut aaWls aaa»•wM JWeawd y Ywlw lawn 11 osa �n�+t�ri 9a►> auowN+Drmia•fallol awaamda sises•t ay,n u0pofagtiu�ro aa10+�++ent.+f+o '� OMEE , ."""Pon ' ipwut!'ettaoaw?�aau+awskoout tomorir,vesma mqa. m s baws"o+douapmaaWe� i*4 anw®caaai efw aspaw smyI R4waw 03NG4d801u13+t U 01-5 ,0.Ht8 i �/Y + Y`0-0 /r-%Y -!h! 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