The URL can be used to link to this page

Home My WebLink About08-8115 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 8115 Permit Number: 8115 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv, Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 3,395.00 7/25/2008 50.00 50.00 7/25/2008 AlC CHANGE OUT Address: 38188 M DICAL CEN ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 35-25-21-0070-00000-0050 Name: PIUS, JACOB Address: 11245 GRANDVIEW DR ZEPHYRHILLS, FL. 33542 Phone: 813 788-1266 ~ {\&/uB /V'bD N DUCTS INSULATED FINAL REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." ~ CON CTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received ~ J ftc:..D B med,~l I I ! If) ed;altl &jV ler f}-oe I LOT # I I PARCEL ID#I 3 5' ~5" ~I 067t? a?a>t> M5t) I (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D D D Owner Phone Number Ce ~er.4k. Owner Phone Number I I Owner Phone Number I Owner's Name 'T2-r. H ~ Owner's Address I 3 g L ~ g Fee Simple Titleholder Namel JOB ADDRESS Fee Simple Titleholder Address I I 33/B'S I DESCRIPTION OF WORK B D D II}/~ NEW CONSTR INSTALL SFR BLOCK I ~ D D elutJ^5e.- tJtLt I SQ FOOTAGE I ADD/All REPAIR COMM FRAME DEMOLISH SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION OTHER STEEL I D OTHER I HEIGHT I BUILDING SIZE 1111' II1II . III , 11111 . IIII 1 H II , 1111 , . II1111IIII , 1111111111 n 11111111 " III It IIII " . IIIII1 , III , I 111 , . . III P . I III . 1111 . II . 1111111 , , 1111111 n 1111111 .. I D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL 1$ I 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111I111111111111111111111111111111II111111111111111111111111111111111111111I1111I1111II111111111111111111111I11111111111111111111111111111111 I I I I I License # I I II3f1hr s ff+oPAtVe GAs f-/J~ .TJJ4 I Y / N I FEE CURRENT I Y / N I License # r. A (!D '-f S 9 LIt'" I I I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C, VALUATiON OF MECHANICAL INSTALLATION COMPANY REGISTERED BUILDER SIGNATURE Y/ N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # COMPANY REGISTERED PLUMBER SIGNATURE Y/N FEE CURRENT Y/N Address MECHANICAL SIGNATURE Address OTHER COMPANY SIGNATURE REGISTERED Y / N FEE CURRENT I Y / N I Address License # ~ r 1 ie r 9'1' I1I111111111111111I111111111111111111111111111111111111111111111111111I111111I1111I11111I1111I1111I1111111111111111111111111111111111111111I111111 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 dumpster; Site Work Permit for subdivisions/large projects Attach (3) 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 wi Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT Dl~~~ii~~~': ' , . . . . , , , . , , . . , , . . . , , , . . , , . . . . , , . , . . . , . . . . , . . . , . . . . , . . . , . , , , . . , , , . . , , , . . , . , . . . . . . . . . . , , , . . , . . , , . , , , , , , . . . . . , . , , . , . . , . . . . . , . . , . , , , , . . , . . Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadwaysuneeds ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deetl" 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 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-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 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 Officia~ for a period not t~ exceed nin~ty ~90) da~s 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 JURAT (F.S. 117.03) CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or haslhave produced as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed. printed or stamped 07/25/2008 15:48 813-78~020 8137831374 BAHR'S PROPANE GAS City of Zephyrhills Permit Application Buiking Oeplll1ll1enl PAGE 01/01 '~~'>'~~'8 ( I ~ D'" ReceIVed :J .1+eJ) me.du:~l . eetJler Ak. Owner PhoneNumblIr I I Owner Pholl8 Number I Owner". NllftIe Ownefs Add..... 'I Fee Slmpla liU.holder NlIII1el I I Fu Simple Tidehold~r AcIdmIs,l I 3319't? /f)edld,;r/~lerf}tJe " , I ,Lou'l', ',I . I PARCEL aMI 35' ::15 ~I ' Oti 7b ~ 'a15Z> I , (OIlTAlNEDFROIoI PROPlERTYTAXfoIOTlCEI, . rvf ADD/ALT 0 SIGN 0 MOve 0 ,DEMOl.lSH CJ REPAIR D. COMM D o FRAM= 0 OJ,~'"5E!-'' ll.:t I SQ FOOTAGE I ' JOB ADDRESS SUBDIVISION DESCRIPTION OF WORK B D o I*/d , NEW CONSTR INSTALL SFR BLOCK , OTHER I STEEL 0 WORK PROP08ED PROPOSED USE TYPE OF CONSTRUCTION OTHER I I HEIGHT I BUILDING SIZE .. ... T....llr1 .... "rrrTl ...fllrT.... II.... .... . .. .. .... .... ... 1$ I 1$ I IS I 1$ I o GAS 0, ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONii A~ dYES DNO 1111111111111111111111111111I111111111 11111111111111111 UIlIIlIIIlIlIlIIIIIIIlIIIIlIIIIIi'" 1111111111 n 1111111111" 1 i 1111111111111111111' 11111 lit :''::~:RE I I ~=~ I Y I N FEE~ENT UL!U 'I Addle" I License # I ELECTRiCIAN I' COMPANY I, ~ I 8IGNA TlJRE . R1iGlSTEAED Y I N FEll CURRENT ' L.Y.llLJ Addrus J Ucense 11- I ~~:~ I I ~c:= Y I N FEECURREIIT LYl1LJ I -.. ~ . .: Ucense. I. I MECHANICAL, '~' , " ' " ~ 'COMPANY I~rs: ~ @L ~.2AI<l SIGNATURE =:::==:=:::::== ~ f\eGlS11:RED -..:!! N I ,FEE CIJRREloIT ' Y / N Add,... EM) - Z-i,,/1s g , Ucense1l- tfla64S 9LfK I OTHER I I ~~~~ I SIGNATURE . ,~v_.~,,~ Y / N FeECURRiHT LrL!LJ ' AddRlll8 I Ucensd Ie . ~.11 ,. fItCl' I 111111111111111 II 11111/ J' 111111111111 III 1111111111111111111111111111111111111111111111111111 11111 I 11111'1111 11111111I1111111111111111111 II Ii 111111 RESIDENTIAL Altach (2) Plot ,"Jans; (2) sets of Building' PIBIIS; (1) 'set of Energy Fortns;' R-O-W Permit for 11_ alnstlUction. Minimum t8I1 (10) WOrl<Jng days after submlll8l dale, Requited 0118118, ConslruCtionPlans, Stonnwalllr Plans wi Sill Fence installed. Senllaly Facilities lie 1 dumpster; Site WOfk Pennlt for llubdivlalorllll1arge proJecls '. COMMERCIAL, ' AltIJoh (3) sets of Building PIlII\I; (1) .et of Energy' Fonns. R-O-W Permit for new construction. MlnimlBll ten (10) worIcinglle)'$ after submitl8l date. Required onslte, eon.tniotillf1 Plans, Stonnwater PI....s w/SiJt Fence InstaNed, Sanitary FlICINties lie 1 dumptter. Site, Work P8Il\111 for all new projects. All almmerCial requirements must meet compliance ' , A1tach (21 seta of EngInMr8d Plans. ' '--PROPERTY SURVEY requlrad for all NEW conslruCtion, D D o o BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVIce CJ PROGRESS ENERGY o W.R.E.c. PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION SIGN PERMIT Di~~~~':""~".'..".'.'....".'" ... .... ... a.. ... .......... Fill out application completely. OWner & COnlraetor 5ign back of application, notartzed If owr $2500. . Notice of CClmmencement Is required, (Ale upgnd8$ cMor $5000) .. Agent (for the con\nlcliDr) Dr Power of AtlOMlIY (fOr Ihe own...) would be 6OmllDl1e wilh nol8rized letI8r from owner authorizing same OVER THe COUNTER PeRMITTING (Fronl of Applicetton Only) Rer0af8 S_ Service Upgrades AIC ... ... ............................... ............, ... Fences (plot/SUlVeyIFootage) Driv8wa~ over Count... If on public roadwaya..neede ROW Pasco County Parcel: 35-25-21-0070-00000-0050001 Page 1 of 1 Search Again Show Map Generalized Building Schematic Estimate Taxes Frequentlv Asked Questions Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Weekly Archive - Saturday, July 19, 2008 Parcel ID 35-25-21-0070-00000-0050 (Card: 001 of 001) Classification 19 - Professional Service Building Mailing Address Property Value JACOB PIUS & GEETHA Ag Land $0 11245 GRANDVIEW DR Land $19,238 DADE CITY, FL 335258564 Building $62,152 Physical Address Extra Features $605 38188 MEDICAL CENTER AVE ZEPHYRHILLS, FL 33540-1380 Market Value $81,995 Legal Description (First 4 Lines) Assessed (Save Our Homes) $0 PASCO MEDICAL ARTS CENTER Taxable Value $81,995 PB 23 PG 24 N 27 FT OF S 108 FT OF LOT 5 SUBJ TO INGRESS & EGRESS EASEMENT OVER EAST 24 Land Detail (Card: 001 of 001) I Line '6i:3 Description Zoning I Units Bfj Price Condition I Value* I I 1 I 1900 PROF.BLDG I OOOP I 4,050.00 SF $4.75 1.00 I $19,238 I Additional Land Information II Acres " 0.09 " Tax Area lr 30ZH If FEMA Code II X IICommerical COdeIl PPMA 7 AA I Building Information - Use 19 - Offices Professional or Medical (Card: 001 of 001) Year Built 1984 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Steel Frame or Truss Roof Cover BUilt-Up Tar and Gravel Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line Description Sq, Feet Repl. Cost Ne 1 AOF 1,080 $93,560 2 CAN I 135 I $3,552 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 PAV ASP 1984 2,592 $525 2 SWC 1984 107 $80 Sales History Previous Owner II BALA SAM G & ROSARIO C Year I Month II Book/Page I' Type , Amount 1996 11 I 3658 / 1825 WD $82,000 1984 07 II 1348 / 1808 WD $70,600 1984 06 1345 / 0200 WD $0 Seilr.clLA.,gain Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions Other Agency Data: Tax Collector School Board Supervisor of Elections http://appraiser,pascogov.comlsearchlparce1.aspx?sec=3 5&twn=25&mg=21 &sbb=0070&b... 7/25/2008 ~. WORK ORDER#/SERVICEMAN DATE/TIME TAKEN TAKEN BY DATE/TIME PROMISED CUSTOMER#/LOCATION PHONE# ROUTE/SEQ PROPANE GAS AND A/C INC. 813-782-5013 Service Ord~r /Proposal Am,,;;a LASTS AND LASTS AND LASTS. Sales, Service & Installations 4441 Allen Rd. · Zephyrhills, FL 33541 NOTES: ~/lK JACOB, DR 38188 MEDICAL CTR AVE 15177 07/11/08 JM KB 13:48 03 10100 813-788-1266 EST 7fO "06 2/ JACOB, DR 38188 MEDICAL CTR AVE ZEPHYRHILLS FL 33540 ZEPHYRHILLS ESTIMATE REFRIGERANT R, LBS FILTERS Changed Monthly FILTERS Changed Monthly REGULAR o WARRANTY LIMITED WARRANTY: All materials, parts and equipment are warranted by the manufacturers' or suppliers' written warranty only. All labor performed by the above named company is warranted for 30 days or as otherwise indicated in writing, The above named company makes no other warranties, express or implied, and its agents or technicians are not authorized to make any such warranties on behalf of above named company. OCASH OCK# o DEBIT 0 CREDIT 0 OTHER f have authority to order the work outlined above which has been satisfactorily completed. I agree that Seller retains title to equipment/materials fUrnis,'led until final payment is made. If payment is not made as agreed, seifer can remove said equipment/materials at Seller's expense Any damage resulting from said removal shall net be the responsibility of SeHer. NET 30 DAYS A 1 1/2% SERVICE CHARGE Will BE ADDED MONTHLY TO ALL UNPAID BALANCES OVER 30 DAYS. NO REFUNDS DATE COMPLETED TECH CUSTOMER SIGNATURE :?ll~ o/ou DATE FL33540 UNIT PRICE AMOUNT tU' , i 2o/J iao ~o ---L--.i TOTAL SUMMARY SERVICE CALL TOTAL MATERIALS MAINTENANCE PROG, ,10% J I TAX i ~ ! TOTAL :?.J/jS;~O