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Home My WebLink About09-8738 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8738 BUILDING PERMIT Permit Number: 8738 Address: 37840 MEDICAL ARTS CNTR 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: 34-25-21-0080-00000-0030 . mprov. Cost 4,450.00 �� MiI Date Issued: 1/15/2009 Name: PASCO SURGICAL & FL OBESI Total Fees: 55.00 Address: 37840 MEDICAL ARTS CT Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/15/2009 Phone: Work Desc: A/C CHANGE OUT 3 1/2 TON CHRIS'A/C CO. A/C CHANGEOUT 55.00 DUCTS INSTALLED DUCTS INSULATED FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one 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." CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8738 BUILDING PERMIT Permit Number: 8738 Address: 37840 MEDICAL ARTS CNTR 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: 34-25-21-0080-00000-0030 Improv. Cost: 4,450.00 Date Issued: 1/15/2009 Name: Total Fees: 55.00 Address: 37840 MEDICAL ARTS CENTER Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/15/2009 Phone: Work Desc: A/C CHANGE OUT 3 1/2 TON CHRIS'A/C CO. A/C CHANGEOUT 55.00 DUCTS INSTALLED DUCTS INSULATED FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one 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 recordin our notice of commencement." CONTFACTOR SIGNATURE PERMIT OFFI R 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 2.v, Fax 813 7sU-UUZ1 Building Department Tf J� ✓ Date Received Phone Contact for Permitting 35 J 5aI,— r�- c/ 7j Owner's Name aS LO & r /o da ( wner Phone Number g 13— 1 7 ' !8 O 55 Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 ��o r" ,Ji �4s Ot LOT# C� SUBDIVISION J PARCEL ID#I " 5_ l-oog0 OO0OO --©©3D (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR ADD/ALT Q SIGN [� MOVE �] DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q/� BLOCK [_] FRAME Q STEEL Q OTHER DESCRIPTION OF WORK f"t) ' OAeL e O c- 3 BUILDING SIZE I I SQ FOOTAGE I I HEIGHT 11111111•IIIIIIIIIIII IlIlillIllIl•IltIllilIl I 111111111 I ItlIllIllIll 11111 IllIllIllIll IllIlillIlt•ilillillllll IllilillIllI IlIlIllillIl liii,,liii till Q BUILDING Is VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. Q PLUMBING Is MECHANICAL $ CO 00 VALUATION OF MECHANICAL INSTALLATION GAS Q ROOFING 0 SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES =NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# ELECTRICIAN I COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# I MECHANICAL COMPANY I CJixI SI `7c., Q' / I SIGNATURE J 22 rr REGISTERED Y/ N FEE CURRENT /No Address W J License# ��o 6 OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# I 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 wl Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL 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 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 Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (A/C 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 A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW N TILE O =DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"Festrictons' w ich may be more restrictive than County regulations. The undersigned assumes responsibility for Compliance Witli ant ap licable deed restrictions. U L RS ICENSED CONTRACTO AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractol` 6I contractorsi :Undertake work, they may be required to be licensed in accordance with state and local aegtilations. if the co tractor is+tint"licensed as required by law, both the owner and contractor maybe cited for a fnisdt;meanor.Violatioh iJ ndf r state>,laW.. If the owner or intended contractor are uncertain as to what licensing requirements may apply b t ie int nded WOf_k3 they are advised to contact the Pasco County Building Inspection Division—Licensiiig Sectloh at Z f-8 7- 80 .: FLlrtt e'rmore, if the owner has hired a contractor or contractors, he is advised to have the coiit'actor(s) sigh portions of the aontractor Block" of this application for which they will be responsible. If you, as the owner sign as the co tractor, tFiat Fiiay be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County a TF ANSPOR ATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned Understands that Transpotation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of Usie in existitg buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 00,-07 as- amdnded 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 OWNonstruction. I Iunderstan faith d thatinform conditions separate permit may be equiired for electrical forth this affidavit prior to commencing work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. permit issued shall be construed to lth r, or hnical codes, nor shall issuance hof a permit the Building Official from there work and not as authority to violate, cancel, eafter set aside any provisions of the tec permit unless a correction of errors y in plans, construction is commenced tmmencedlwithin six ations of amonths of perny codes. mit issuance, or ifwork authorized by unless the work authorized by such per the permit is suspended or abandonedthe Building lOffcial fo6 od of six( ) months after the l a period not to exceedme tn ninehe ty days and will demonstrate may be requested, in writing, from justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandone . WARNING TO OWNER: YOUR FAILURE TO RECORD A ICE OF INTEND OETO OBTAIN FINANCING, CONSULNCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and sworn to(or affirmed)before me thi Sbscribed and sworn to(or affirmed)before me this I,f ! _by $ by Who Is/are personally kno n to me or has/have produced Who Is/are perss ally knoeoo to me or has/have produced as identification. as Identification. ' Notary Public lR Notary Public INE B0GES *;' Commisel Commi ion No. reS December 12,2010 Commi ion No. ppyp Rf,e.�" "n�wAMT4WF* Commission DO 621833 79 Name of Notary type „qb, (on &in InsufanCe 000.985-7019 Name of Notary typed,printed or stamped - & i - JAN-9.2-r 9 11:32 Frm:Fxr_[ SURrir'PL 21?7 29628 To:13525213393 Paae:i i -< I -00000 po30 CHRIS' A/C COMPANY .'�' '� �' /O d CAC058575 Proposal Submitted To' Date: 1/12/2009 Phone: 788.5569/F 782-8628 Pasco Surgical& Florida Obesity 37840 Medical Arts Court Job Name: Same Zephyrhills, Fl. 33540 Address: Replace indoor coil only in 3.5 ton Carrier Air Handier *1 Yr. Pasts and labor Warranty* Price $1735.00 Replace 3.5 ton Unit with new Trane 3.5 ton R410A indoor and outdoor unit. Hook to old dint work and wiring. New Air Handier Model#44TEC3F42A1 New Condenser Model#4TTB3042A1000 *5 Yr. Parts and 1 Yr, Labor Price $4,450.00 Price$ See Above Warranty; Chris'one year limited warranty on materials and labor. TOTAL x year limited manufacturers warranty on oompressor_ X Yrs.Warranty on equipment only parts. X Yrs. Warranty on X Yr. Part warranty on outdoor coil only. IPment only labor. Payment to be made as follows: [ Due Upon Completion floraws CHRIS Authorized Signature: _Jj ( ii' - NOTE: This proposal may be withdraw"by us it not accepted within 30 days. I may have authority to order the work.whirl)shell be oetfotrttsd as outlined above. It is agreed the Seller will ete n tills to any oquipnisnt or material that be held harmless tot and al llayment is made,and it sattterr�erq is not made as agreed,the sailer shah have the iigrit to rymovd 4+ttA10 and the aeller will the eld h r i a aes resultth from the removal then f.I Ogres to pay all cost and reasonable etmmsy`p%a it gqg ihv lg t6 laced in homey for eollecjvn.Seller is subject to restocking range'ot job canceled FiuiAHCE GHAAA!ls;s tlwsao Ow e+rsr i4� 1 1x216 tt'A'EREB tie orCNrTM � Y7G At WUAt.RA wYl be ierpotai f(' 'm 1eWleeeb. Customer Acceptance Signature; Signature: Signature: Date: Date: 12232 US HIGHWAY 301 DADE CITY, FL. 33525 PHONE 3S2-624-4977 FX 352-521-3393 Valerie Cardwpf