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Home My WebLink About13-13978 CITY OF ZEPHYRHILLS 5335-8TH STREET - (si3)�so-oozo 139�8 BUILDING PERMIT Permit Number: 13978 Address: 38026 MEDICAL CENTER DR Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: 3,995.00 Date Issued: 3/13/2013 Name: DRAGAN, ROBERT Total Fees: 55.00 Address: 38026 MEDICAL CENTER DR Amount Paid: 55.00 ZEPHYRHILLS, IFL. 33542 Date Paid: 3/13/2013 Phone: (813)779-8829 Work Desc: A/C CHANGE OUT 2.5 TON/COMMERCIAL A � • 55. �C�^� �� r � / �� - i L DUCTSINSULATED 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 cons�truction 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. "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 pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. � C TRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER - • PROPOSAL � � � PROPANE GAS � AND A/C iNC. ��rce 1988 �813-782-5013 4441 Allen Road—Zephyrhials, FL 33541 Ph: 813-782-5013 Fax: 813-783-1374 E-mall: bahrs.ac��tam�abav.rr.com Proposal Submitted To: Date: 7/24/2012 REHAB POINT INC ' ° ' E-mail: PT4you@yahoo.com Phone: 813-779-8829 . • Fax: 813-779-8827 Name: Robert Dragan, RPT, C/NDT Job Name: Street: 38026 Medical Ctr. Ave Street: City Zephyrhills City: , State & Zip: FL 33540 State & Zip: We hereby submit specifications and estimates for: �� 1 —2.5 Ton "Frigidaire" Package A/C w/Heat strips: $3,995.00 Includes: Ancho�ed Hurricane Pad, Digital The�-rriostat, Custom Duct Cover, � Wire from Air Handler w/new Disconnect Box ► & Line Whip, City Permit w/ Duct Sealing Affidavit. **Upgrade to a 3 Ton A/C Unit - $4,195.00 � All material is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any altercation or deviation from above�specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our controL The proposal subject to acceptance within 30 days and is void thereafter at the option of the undersigned. Authorized Signature f `� Accentance of Pronosal The above prices, specifications 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 ' � ,��o y� � �j�-< i�o��-�Ly KB/j lm 813-780-002C� City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date lieceived, �� Phone Contact fo�Permlttin ��J 8 Z � �� Owner's Name /C D r nJ Owner Phone Number 7 — g�� Owner's Address � r3 b z � //'/�.Q� ' L ` �j' Owner Phone Number C Fee Simple Titleholder Name Owner Phone Number � Fee Slmple Titleholder Address JOB ADDRESS , LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTtCE) WORK PROPOSED e NEW CONS7R 8 ADD/ALT �� SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER �— TYPE OF CONSTRUCTION Q BIOCK � FRAME � STEEL Q DESCRtPTION OF WORK /��.� �/G G ��' BUILDING SIZE SQ FOOTAGE�� HEIGHT �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAI. $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ IECHANICAL $ � ��o VALUATION OF MECHANICAL INSTALLATION OGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# C —� PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address �icense# C —� MECHANICAL � �y , COMPANY ��/1 f /�o �✓f q.�' �--4 � rfyG SIGNATURE G�� REGISTERED Y/ N FE CURRE� Y/N Address y�`�// �� .f1� ,/� 3�-s% License# �[Q Y,39 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Petmit for new construction, Minfmum 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 subdivlsionsllarge projects COMMERCIAL Attach(3)wmplete 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. Requi�ed onsite,Construction Plans,Stormwater Plans w/Silt Fence instalted, Sanitary Facilitles&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 ot application,notarized If over E2500,a Notice of Commencement is required. (A/C upgrades over 57500) '" Agent{for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of AppUpUon Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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 more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicabie 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 cont�actor, 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 Resou�ce 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'SfOWNER'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 �egulating 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 Environmentalty 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 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. 1 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�II, 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 O N ATTORNEY BEFORE RECORDING YOUR N E OF COMME FLORIDA JURAT(F.S. 117 OWNER OR AGENT CONTRACTOR Sub cribed and swom to(or affirmed)before me this Subscribed and sworn to(or affirm before me us 7 �3 � � by by Who is/are ersonally known to me or hasJhave produced Who islare pecscpal1�-known to me or has/have produced -p-- ---- as identification. as identificadon. � �;��; � ;�-e �/C�' Notary Public _ �T`',��r��;1� �C_ � �_Notary Public '� � .� '``�� ComtAissiorfNo. Comarfssion y� - S '� #EE Name of Notary d �2014 Name of Notary typed,printed or stamped �eoo,��o�y