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Home My WebLink About15-16654 ( 1 CITY OF ZEPHYRHILLS , - • 5335-8TH STREET ` (sis)�so-oozo 16654 • � ' BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16654 Address: 7894 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: NEW CONST/COMM Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYR COMMONS Est. Value: Parcel Number: 35-25-21-0130-00000-0030 Improv. Cost: 62,965.12 OWNER INFORMATION ' Date Issued: 10/09/2015 Name: SF ZEPHYR COMMONS LP Total Fees: 8,960.27 Address: 1-2851 JOHN ST Amount Paid: 3,164.83 MARKHAM ON L3R 5R7 CANADA Date Paid: 10/09/2015 Phone: � Work Desc: BUILD OUT 1,184 SQ FT HEAR USA CONTRACTOR S - APPLICATION FEES " LC CON TR CTI N MANA E ENT LLC B I NG FEE 1,061.24 ELECTRICAL FEE 214.43 KW MORROW&SONS ELECTRIC INC PLUMBING FEE 144.30 MECHANICAL FEE 101.01 PSG PLUMBING SERVICE INC. SEWER CONNECTION COMMERC 428.38 WATER CONNECTION COMMERC 136.61 AIR-Q,INC. FIRE PLAN REVIEW FEES 71.04 TRAFFIC IMPACT FEE 99% 6,735.23 TRAFFIC IMPACT FEE 1% 68.03 � G - _ �- �(:� � �� 3{� (� � � � _s 9�, �.�c'�� `� � :�P�� `� � ? �.�. U�r.`�.c-.�. _�.c��3s(.c�- `f. 2�d1.c,rc�s_ � IQ-- � ; ; °� - - Ins ections�Re uired � �- r , • �s O ER 2N ROUGH PLUMB MI C INSULATION CE LING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECYION 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 pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � CONTRACTOR IGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER il � I il ... .. .......................... .... .... .... ...... ..._............ .. ._...._.. ..... , � � , �!� : �.. . ��:; � :i ., :i ":I; , .�r, .�� , ,. „��z• � _ ;`; .. ,. 1� _. �� ,��.,. ._. ��'�'�,'i. �, ,:�, . .� � .� � i.i ;..i�� .f.!''','J ,� � !'��; i _ < < .�. .� i:., �I�I � �ij ii I�'.;�"� ;j'., :,i'f �; � 4 �'.II i!,! I i�'� r�:l�'.ii�I . , . ."� . . i i'.� I� �. , .� ii I�;.li..i '��..� i ; 41 . ,. .. r' � �-�i � . I�:.�..i �.�� ..� �'i �' - �� , 4 :�i , .� � :i� � . .i :� .� :! �•i' i!..) ,"�,':I .`.�' � � . :i .'� ��.., �...i .�.�.I�: .I.�'.I << � .. • .i..�_� •i i � 1 . ' �� -� ' ., ! � .i ;i ` _,i�c� . �� . , n .��'�f. , 'i � s i�;y�� ;.ii!.I� �, i ,:i � .i .� ., ,.i..�;'�� i�i .�%�,: ! .. .: ��., � ,. . . � ... t , .�. ;'.i ;3� , �r t � i I ,i�� " :� �.�. � :1� � . �� . � �� , �• .� . . � • ,, % . � 'I" . i I �� :i , y..• _ �� '.;� } i � � � � �; �..i ,I T � ,�. � � ., � � .� , � . '1' . . , , . �j � � � � . � � . . 'f ;� .,.. � ' ,..r�� _ '•, F'�4SC0 COl1NTY, FLORIDA ;� . Permit No. � Date Permitted Builder Name/Owner Name �l� ��GC�G � - County Parcel No. �-�-Z,�.jf��.��..�3� SubDiv: � ��..� J Address/Location '7(� 9 ��1� �`�//' Classification/Type of Use �.2` �,., ' � ' � �`'l r TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: �� Exempt [] Yes [] No How Determined � Impact Fee Amount $ �rj 3. 2,� Zone No. T,c�; SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ (057) Mobile Home - � � (058) Other Residential 123) Collection Fee Exempt Yes [I No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ Exempt [] Yes [] No How Determined 'r LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt � Yes � No How Determined Total Amount RESOURCE FEE ERU TOTAL AMOUNT Prepared By �,� cked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL (NSPECTIOfV PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE RECEIPTED FOR BY A CENT ALEP RMI IDTTING OFFICE OF PASCO COUNTY Acknowledgement below does not imply acceptance of concurrence, but slmply recelpt of a copy of this form,placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY � RECEIPT NO. DATE gY I 7894 Gall Blvd-Hear USA-1,184 sq ft o umn SQ.FEET PRICE MAIN OR LIVING: 1 184 $ 53.19 07HER AREA UNDER ROOF: _ $ gg.pp OTHER: - $ VALUATION $ 62,965.12 FEE SHEET $ 962.00 ADDRESS $ 40.04 DRlVEWAY $ 40.00 BUILDING: $ 1,061.24 ELECTRlCAL: $ 214.43 PLUMBIMG: $ 1d4.30 MECHANICAL: $ 101.01 3UB 7dTAL $ 9,520.98 TOTAL $ 1,520.98 SEWER: $ q2g,38 WATER: $ '136.61 lRRIGATION: $ _ TOTAL: $ 564.99 WATER METER: �a IRRIGATION METER $ _ FIRE DEFARTMENT FEES PLANS TOTAL: $ 71.04 INSPECTION TOTAL: PERtNIT TOTAL TQTAL: $ 71.04 PUSLIC SAFETY tMPACT FEES PQLICE FIRE 5°l0 $ _ � T4TAL: $ - n/a � 31�� '� SUB-TOTAL $ 2,157.01 --� �` PARK IMPAC7 FEES �/a SIF'S: 100.0°k $ / ,.o�ie � G�r�J/I t� r�^� TOTAL: n!a R l� ��. .�+ � �(,LQ "'f�t f��.�(p �� t,,�r-*i-u- �.�.�,.,,,�,-�(�93 ` r T I F'S: $ 6,803.26 agreement 57 u s � � 99% $ 6,735.23 ay pay 25"/o-(9,d07.82} inct e �th balance due 75°10$5,402_44 before pre-meter can be,reteased� 1°lo $ &8.U3 ar R ue. �.�j� Odv TOTAL: $ 8,960.2? S f�'�.�1. �� ''7(��j -�j "'�u �c�t�, �j (�`7�CQ 2. �' 'i� i �,�qr�,.� D�i�� i�C',t!rv�2.-�`� `��-��`-�� I i 7894 Gall Blvd-Hear USA-1,184 sq ft o umn SQ.FEET PRICE MAIN OR LIVING: 1,184 $ 53.18 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 62,965.12 FEE SHEET $ 962.00, ADDRESS $ 40.00 DRIVEWAY $ 40.00 BUILDING: $ 1,061.24 ELECTRICAL: $ 214.43 PLUMBING: $ 144.30 MECHANICAL: $ 101.01 SUB-TOTAL $ 1,520.98 TOTAL $ 1,520.98 SEWER: $ 428.38 WATER: $ 136.61 IRRIGATION: $ - ' TOTAL: $ 564.99 WATER METER: na IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 71.04 INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ 71.04 PUBLIC SAFETY IMPACT FEES POLICE FIRE 5% $ - TOTAL: $ - n/a SUB-TOTAL $ 2,157.01 PARK IMPACT FEES n/a SIF'S: 100.0% $ - , 1.0% $ - TOTAL: n/a i F'S• 6,803.26 per agreement 5746 per thousand sq ft 9°/a $ 6,735.23 paided-$1,007.82 ck#3119 10/9/15 new balance due $5,795.44 before pre-meter can be rele ed 1% $ 68.03 TOTAL: $ 8,960.27 � ��_ �� Z��/a �b 7 d�� C ' � 813-780.0020 City of Zephyrhills Permit Application Fax-813-760-0021 Building Department � � � ' Date Received 0 d��v Phone Contact for Permitting Owners Name Audiology Dist�bution,LLC dba HearUSA pWner Phane Number 5611178-8770 10455 Riverside Drive,Palm Beach Gardens,FL 33414 Owners Address Owner Phone Number Fee Simple TiUeholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS 7894 Gall Blvd LOT# � suBO�ws�or, PARCEL ID# 35-25-21-0130-00000-0030 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONS7R e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR � COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK � � �{e fl'� V(`O O A C� �o' � � BUILDING SIZE SQ FOOTAGE �_ HEIGHT i QBUILDING $�� VALUATION OF TOTAL CONSTRUCTION S�G��v�",D�O��, O QELECTRICAL $ � ��o AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. d a XOPLUMBING $ � �O� / � ``!C'(�� =Y `�(%C/�� 7 / XQMECHANICAL $ �O� VALUATION OF MECHANICAL INSTALLATION ' QGAS Q ROOFING Q SPECIALTY Q OTHER ��) Z� G �:/ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �� BUILDER / COMPANY L S Y1 �l�Y� SIGNA RE REGISTERED �Y N FEE CURREN Y/N Address �� k' � � � License# qC� � (O Z� ELECTRICIAN COMPANY 1�W IV"�v�D� s2f �O'�'� SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# �3� �d70 PLUMBER COMPANY ..� 'IUIMb�n SCrJi�� SIGNATURE REGISTERED % N FEE CUR N Y/N Address �2 �v � J � StA��Q G License# `_.1�Z�Z5� MECHANICAL COMPANY %'-�i+' � I Y1 C " SIGNATURE REGISTERED / N FEE CURREN Y/N Address � 0 ►�V Z S � M� 33(, License# �M G q � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# Itlllllllllllllltllllllllllllltlllllllllllllllllllllllllllllltlllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consWction, Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""'PROPERTY SURVEY required for all NEW conshuction. Directions:• Fill out application completely. Owner 8 Contractor sign back of application,notarized If over Ez500,a Nodce of Commencement Is required. (A/C upgrades over 57500) " Agent(for the contractor)or Power af Attomey(for ihe owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of conVact required) Reroofs'rfshingles Sewers ServiceUpgrades A1C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if an 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 Buiiding Inspection Divisior�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 buiidings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco Counry 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 WatedSewer 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 appiicant, 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 cerGfy that no work or installation has commenced prior to issuance of a permit and that all work will be pertormed 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, WeUand 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 fiIl material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"wili be submitted at time of permitting which is prepared by a professionai 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 inGuded 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,aiter,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 MA,�RESULT N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB tN F NANCING�ONSULT WITH YOUR LENDER9R AN ATTO BEFORE RECORDING YOUR NOTICE OF M CEMENT. FLORIDA JURAT(F.S.1 OWNER OR AGENT CON R 9�,S b ribed and �(or affi ed)before me this Sub c e a m (or affirtned b fore me this v 'c�c' o.,ns b Who is/a ersonalty known me or hasRiave produced 1/Vho is/a ersonali kno o me or has/have pro uced as identification. as identifiration. �L�LL��_Notary Public !� 1� Notary Public Commission No.FFO� 7��f Commission No. F� � '1��q � S Q►'l c�rw I�GIC r � l�-1�� I"\�� Name of Notary typed,printed o mped Na , . ;. �,,;w -,�,�",•y� A.MATEO .:� •�'" ,��;NDRA BERGEL =.; .`• �conu�issioN:FF�aassa {v�UMMISSION M FF067481 �,��cs: EXPIRES:July?7,2018 '�,��. F:?cPIRES:Octoba 31,2017 •?„RG;�•': BaMed Thru NotarY Pud�c Undaiwriters w � _�S"'J o'�« ' i a�U i�uniun , ' ��_^� , , �_. . . �y City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: L. C. C ON STR.UGTI 0/U Date Received: � — � 6 -- / S site: ��4Y GALL Q�uO Permit Type: =NTCRI O R. QV l LD 0 V T Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be ke t with the permit and/or plans. ; �� Kalvin i z r lan � xaminer Date Contractor and/or Homeowner (Required when comments are present) i • � III��IIIIIIIiIIIIIIIIIIIIIIIIIIIIIIIIIIl�II�IIIIIIIIIIIIII�I Rcp4.:1719529 Rec: 10.00 DS: 0.00 IT: 0.00 2015163809 10/09/2015 J. R. , Dpf.y Clerk Permit No. Parce��No_ 35-25-21-0130-00000-00 0 NOTICE OF COMMENCEMENT s��ao� Florida co�,nryor Palm Beach THE UNDERSIGNED hereby gives notice thet improvemenl wi0 be mede to certain reel property,and in aaordance with Chepter 713,Florida Statutes, the following infortnatlon is prov(ded in this Natice of CommencemenL• 1. DesctipfianofProperly: ParcelldentificationNo. 3�J-Zrj-2�-��.�Q-QQQQQ-��.3� saee�aaareu: 7894 Gall Blvd 2. GeneralDescriptionoflmprovement Tenant Improvement-Build-out 3. ONmer Infartnation or Lessee informatfon if the Lessee conVaCnd for the improvement: Audiology Distribution,LLC dba HearUSA Name 10455 Riverside Drive Palm Beach Gardens FL Addross City State Interest in Property: Lessee Name of Fee Simple Tilleholder. (If dif}erent from Ovmer lisled above) Address City Stafe � Contractar LC Construction Management LLC � 7531 N�� GT Miami 33)g � FL � Address 305-945-1242 °ih' stete Y �� ConUactofs Tetephone No.: w s. Surey. a � V � w Name � W u- � W U � C4�pS� J r Addreu City State U3 z U (n J � � Amawt of Bond: $ a Q O Q � a THaphone No.. _ 6. Lender: � LLt � z (�/) � , I Name � O� Q J O Address City Slate F— =O O U I Lenders Telephone No.. � � 1— >- w Y 7 Sedion 7 3t13(�a)(7�FIon'da Sfatutes:�8nated by the owner upon whom notices or other documants mey be served as provided Dy � Q� �' W Audiology Distribution,LLC dba HearUSA,Attention: Legal Department = U U Name Q ~ F- J (� 10455 Riverside Drive � t.}i_ W � � O J Palm Beach Gardens FL OC — � a Z Address C�ry State � � � tL S 0 � Telephone Number of Desipneted Persan: � �Q � } O 8. In adCitian to himsetf,the owner designates L2gal DepartRlent °� O O � � Audiology Distribution,LLC to receive e copy af lhe Llenors Notice as provided In Sedton 713.13(1)(b),Flortda Slatutes. w w � Q � Telephone Number of Person or Entlry Designated by Ormer: 5 6 1-d 7&8 7 7 0 w �— � � L.L 9. E�iretion date of Notice of Commencement(the e�iratian date may not be bafore fhe completion of wnstruction and final peyment ta Ihe � � �� p„ (� contraaor,but will be one year from the date o}recording uNess a drflerent date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENi MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCINCa WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. , � �L. Under penelty of perjury,I dedare that I have read the foregoing noti commencemertt that the fads stated fherein are true to Ihe 6est � � ��°� af my knowledge and beGef. °� STATE OF FLORIDA ' COUNTY OF PASCO J ' ��,. �T �� igneture af Ovmer or Lessee,or Owner's or Leuee's Authorized '� • �.y� � ° Offi dDiredor/PartnedManager ,� Q � a„ � '� �! ��Q�l�+��l: � . � �.' . SiBnatoys Tille/Office G � a �a � '.1 l; �' � m � The loregotng InsWment was ecknowledgad before me 1his�day oi,��,20�ty E ri c� yJ„E V QM S � l� � �;� " � as C�AJK' f (type of authority,e.g.,officer,Wstee,aCOmey in fad)for � g�� OQ V i s�-e=�fi�'C6f� ��C dbo. � Paf'�.�$Q(nam�of � � ��6d� ---� t �7�party�o�n�be�haff a!wham ins ent was exseuted). � ' � �. ��, , Personaly Knrnm�Qfj produced Identifica6on❑ Notary Signature o�(•Y•H1�� ,• � Type of Identfication Praduced Name(Print)_ J Q►1 d 1�C1 1�-Q,,��r PAULA S 0'NEIL,Ph.D.PRSCO CLERK B COMPTROLLE� 10/09/201��l��m 1 sfZ G� OR BK Z PG Z o �/�'MAND�RA BER�Ea '�� F,XPIRES�Oaober 31,2017 a wpdatarocs/noticecommencement�c053048 -- --°-- ---�------- -�-- �---- - - --° I_ ' 7894 Gall Blvd- Hear USA-1,184 sq ft o umn SQ. FEET PRICE MAIN OR LIVING: 1,184 $ 53.18 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 62,965.12 FEE SHEET $ 962.00 ADDRESS $ 40.00 DRIVEWAY $ 40.00 BUILDING: $ 1,061.24 ELECTRICAL: $ 214.43 PLUMBING: $ 144.30 MECHANICAL: $ 101.01 SUB-TOTAL $ 1,520.98 TOTAL $ 7,520.98 SEWER: $ 428.38 WATER: $ 136.61 IRRIGATION: $ - TOTAL: $ 564.99 WATER METER: na IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 71.04 INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ 77.04 PUBLIC SAFETY IMPACT FEES POLICE FIRE 5% $ - TOTAL: $ - n/a SUB-TOTAL $ 2,157.01 PARK IMPACT FEES n/a SIF'S: 100.0% $ - 1.0% $ - TOTAL: n/a T I F�S: $ 6,803.26 C� �!!L��.../(((�� ' uP�Gn�� - i•�C�� 99% $ 6,735.23 G�/��`7�'�'(�S�R�P`C��lC/ ' `� �1 �D�•g Z- 1% $ 68.03 • ��,t,�q b u�Q.�ce �� s, i c�2. �y !�_�. TOTAL: $ 8,960.27 ��, � ��.n�avi�T �� a �� ^1 M :�-� %� ' � Hear USA 7894 Gall Blvd o umn SQ. FEET PRICE MAIN OR LIVING: 1,184 $ 53.18 OTHER AREA UNDER ROOF• - $ 88.00 OTHER: - $ - VALUATION $ 62,965.12 FEE SHEET $ 337.00 ADDRESS DRIVEWAY BUILDING: $ 343.74 ELECTRICAL: $ 75.83 PLUMBING: $ 60.00 MECHANICAL: $ 60.00 SUB-TOTAL $ 539.57 TOTAL $ 539.57 SEWER: $ 2 . C�2�j.�� WATER: $ ��,�� IRRIGATION: $ - TOTAL: $ 564.99 WATER METER: IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 71.04 INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ 77.04 PUBLIC SAFETY IMPACT FEES POLICE FIRE 5% $ - TOTAL: $ - SUB-TOTAL $ 1,175.60 PARK IMPACT FEES SIF'S: 100.0% $ - 1.0% $ - TOTAL: $ - T I 99% $ 6,835.23 �� vp�� .i�Z/a�l�G�(��Eiz�i� `� 1% $ 68.03 TOTAL: $ 7,978.86 � � I, .�' - 'r' � City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Retail No. of Square Feet � � 1184� Impact Fees Within City Limits Outside City Limits Water Distribution System $ 136.61 $ 170.76 Wastewater Collection System $ 274.59 $ 343.23 Wastewater Treatment Plant Capacity $ 153.79 , $ 192.23 TOTAL $ 564.98 $ 706.23 i �� ' �EPHY��{[l�L� Fl�� P��°�Ef�� i , • 6907 Dairy Road, Zephyrhills, FL 33542 FIRE SEf2VICE USER FEES Oecup�ncy No.: Plan No.: Contractor: Business Name: Billing Address: Business Address: Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE n Site Plan N/C Annual N!C Sprinkler $50 1st Alarm NJC LbMulti-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C (Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C �, ❑ Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRIMKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLUWCE $150 26 plus Heads $100 SPRINKLER SYSTEIMS Fuel Tanks- Perwnk $50 STAPIDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 persystem Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 0-25 Devices $50 FIRE ALARM SYSTEflA Place of Assembly $50 Mnual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEM6S Recall Acceptance $50 Flammable Application $50 nnnuai Wet $50 OTHER Waste Tire Storage $50 Mnual Dry $50 Fire WalUSmoke Wall $15 perwau Generator<KW $100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 � � Hood/Ducts $50 Tent 10'x10'or greater $15 perten� Toroh Pot/Applied $50 i OTHER Fire Pump $45 Haz.Materials $100 annuai BLP Installatlon per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 Exhaust Hood/Duct $30 �Natural Gas InstallaUon $50 � Re-inspection DBL (Per System) (other than annual) �Spray Booth $50 � Inspection scheduled DBL � and cancelled less than 24 hours Construction Insp. N/C ' Emergency Vehicle A� $50 FALSE ALARM PLANS TOTAL� J. � INSPECTION TOTAL� PERAAIT TOTAL f� TOTAL�- i �I GRAND TOTAL � ,, Comments: Date: / �r J �� , Inspector: mn F�� • Space Input Data ZEPHYRHILL 07/06/2015 ,;, MDS En ineerin Cor 07:OOPM . - HEAR USA 1.General Details: Floor Area-------------------------------------------------------------------------1184.0 ft2 Avg.Ceiling Height-�-�----�-----�-•-�--�•--�---------•----------------�--10.0 ft '� Building Weight.--•-�-•---------------------------------------------------------70.0 Ib/ftz 1.1.OA Ventilation Requirements: Space Usage--------------------------------------------------RETAIL:Sales OA Requirement 1 -------------------------------------------------------------•--7.5 CFM/person OA Requirement 2--------------�-------------------------------------------.0.12 CFM/ftZ Space Usage Defaults______________ASHRAE Std 62.1-2004 2.Internals: 2.1.Overhead Lighting: 2.4.People: Fixture Type-------------------------------------Recessed(Unvented) Occupancy----------------------------------------------------------------------------12.0 People Wattage------------------------�-�----------------------------------------------------0.00 W/ftz Activity Level--------------------------------------------------------Office Work BallastMultiplier-------------------------�------------------------------------�--1.00 Sensible------------------------------------------------------------------------------245.0 BTU/hNperson Schedule------------------�---------------------------------------�----------------Mone Latent-----�----------------------------------------------------------------------------205.0 BTU/hNperson Schedule---------------------------------------------------------NEVU Schedule 2.2.Task Lighting: 2.5.Miscellaneous Loads: Wattage--------------------------------------------------------------------------------0.00 W/ft2 Sensible---------------------------------------------------------------------------------------0 BTU/hr Schedule-----------------------------------�--------------�------�----------------None Schedule-----------------------------------------------------------------------------None ILatent--------------------------------------------------------------------------------------------0 BTU/hr Schedule=---------------------------------------------------------------------------None 2.3.Electrical Equipment: Wattage------------------------------------------------------------------------------0.00 W/ftZ Schedule------------------------------------------------�------�-�--�---------------Mone 3.Walis,Windows,Doors: Exp. Wall Gross Area(ft') Window 1 Qty. Window 2 Qty. Door 1 Qty. N 475.0 2 1 0 S 475.0 2 1 0 3.1.Construction Types for Exposure P! Wall Type-------------�----•--...-�--.............. ...... ._..----.. ...._. NORTH 1 st Window Type.....................................STOREFROMT NORTti 2nd Window Type----------------------------------------------WINDOW NORTH 3.2.Construction Types for ExposuPe S Wall Type---------------�--..-__---- - ..... _._...... .--.SOUTH WALL 1 st Window Type--------------------------------_--------------------STOREFRONT ' 2nd Window Type-----------------------------------------------WINDOW SOUTH � 4.Roofs,Skylights: ,,��e�,�� (No Roof or Skylight data). `-- \O p u ��\� 5.Infiltration: �I Q`�•' ��''9�y 6�0 Design Cooling----------------------------------------------------------�- 100.00 CFM � C�. ��G E N SF•�� G�i Design Heating-�------------------------------�--�----------------------�-------0.00 CFM o/ , �B Energy Analysis-----�....................................�--�-��---�-•-�-----...0.00 CFM � ° N0. o � 4 Infiltration occurs only when the fan is off. � y+r : � � � � � 6.Floors: �� ,p• ;� �� TYpe---------------------------------------------�------Slab Floor On Grade �. Floor Area-----------------------------------------------------------------------1184.0 ftZ a� O • c Total Floor U-Value------------------••---•---------•-----------------------0.100 BTU/(hr-ft?°F) �a ss ' ' � \�m Exposed Perimeter------------------------------------------------------------0.0 ft �A r� ,.@. � Edge Insulation R-Value..................................................0.00 (hr-ft?°F)/BTU �0�mx,.,��ma°�° 7.Partitions: 7.1.1st Partition Details: 7.2.2nd Partition Details: Partition Type---------------------------------•-----------.-----1A/all Partition Partition Type---------------------------------------------------Wall Partition Area------------------------------------------------------------------------------------1280.0 ftz Area----------------------------------------------------------------------------------1280.0 ft2 U-Value---------------------------------------•------------------------------------0.500 BTU/(hr-ft?°F) U-Value--------------------------------------------------------------------------------0.500 BTU/(hr-ft?°F) Uncondit.Space Max Temp___________________________________________75.0 °F Uncondit.Space Max Temp.__._.__.______.___.._......_.___._..___._.75.0 °F Ambient at Space Max Temp.........................................95.0 °F Ambient at Space Max Temp__.______.____._.........__________.._.._95.0 °F Uncondit.Space Min Temp____________________________________________75.0 °F Uncondit.Space Min Temp.._._.._.____.__._..._.._.____________._.._.75.0 °F Ambient at Space Min Temp..........................................55.0 °F Ambient at Space Min Temp_.._.____.__....._...._._._.._._._._......55.0 °F ;� �� Air System Sizing Summary for HEAR USA Project Name:ZEPHYRHILL 07/06/2015 ,: Prepared by:MDS Engineering Corp 07:OOPM I �;, Air System Information '• • Air System Name......................�----•----------�---�--�---HEAR,USA Number of zones-----------------------------�------------------••-•--••--------------------� EquipmentClass----------------------------�--------------------PKG VERT Floor Area------------------------------------------------------------------------------1184.0 ftz Air System Type-----------------------------------------------------------SZCAV Location----------------------------•-----------------------Chicago IAP,Illinois Sizing Calculation Information Zone and Space Sizing Niethod: Zone CFM.............................Sum of space airflow rates Calculation Months_._._.._._._.._.__._._..._..._________._._._.._.____Jan to Dec Space CFM..................... Individual peak space loads Sizing Data._._.._____._.__._._...._._._.._...... ..................User-Modified Central Heating Coil Sizing Data Maxcoil Ioad-------------------------------�--------------------------------------22.1 MBH Load occurs at------------------------------------------------------------------Des Htg CoilCFM at Des Htg--------------------------------------------------------1200 CFM BTU/(hr-ftz)---------------------------------------------------------------------------------18.6 Max coil CFM---------------------------------------------------------------------1200 CFM Ent. DB/Lvg DB------------------------------------------------------68.7/86.1 °F Water flow @ 20.0°F drop------�-------------------------------�------N/A I Supply Fan Sizing Data Actualmax CFM-----------------------------------------�--------------------1200 CFM Fan motor BHP------------------------------------------------------------------------0.00 BHP StandardCFM----•--•...............•--°-•-----�---�-��---........_..--•---.1171 CFM Fan motor kW----------------------------------.........._.......................... 0.00 kW Actual max CFM/ft2-----------------------------------------------------------1.01 CFM/ftZ Fan static------------------------------------------------------------------------------------0.00 in wg Outdoor Ventilation Air Data Design airflow CFM-------------------------------------------------------------240 CFM CFM/person----------------------------------------------------------------------------20.00 CFM/person CFM/ft2--------°-------------------•-----------------------------�----------------------0.20 CFM/ft2 Hourly Analysis Program v.4.3 Page 1 of 1 * � � Zon� Sizing Surr�rv�ary for HEAR USA Project Name:ZEPHYRHILL 07/O6/2015 ' . Prepared by:MDS Engineering Corp 07:OOPM `, Air System Information = - Air System Name-------•----------�---�---�-----�------•�--------HEAR USA Number of zones-----------------------------------------------------------•---------------� EquipmentClass-------------------------------•-------�---------PKG VERT Floor Area------------------------•---------------------------------------•-------------1184.0 ftZ Air System Type---------------------_-.....------------------------------SZCAV Location_--_--------------------------------_------------Chicago IAP,Illinois Sizing Calculation Information Zone and Space Sizing Niethod: Zone CFM............................Sum of space airFlow rates Calculation Months._._......_.__._._____...._.._...._.__.._._..._.._..Jan to Dec Space CFM........................Individual peak space loads Sizing Data_._....__________..._...._._._.._.__._......___________._..User-Modified Zone Sizing Data Maximum Design Minimum Time Maximum Zone Cooling Air Air of Heating Floor Sensible Flow Flow Peak Load Area Zone Zone Name (MBH) (CFM) (CFM) Load (MBH) (ft2) CFM/ftz Zone 1 19.1 1200 1200 Sep 1400 24.3 1184.0 1.01 Zone Terminal Sizing Data No Zone Terminal Sizing Data required for this system. Space Loads and Airflows Cooling Time Air Heating Floor Zone Name/ Sensible of Flow Load Area Space Space Name Mult. (MBH) Load (CFM) (MBH) (ft2) CFM/ft' Zone 1 HEAR USA 1 19.1 Sep 1400 577 24.3 1184.0 0.49 Hourly Analysis Program v.4.3 Page 1 of 1 � , . , Space Design Load Summary for HEAR USA Project Name:ZEPHYRHILL 07/06/2015 � ,. Prepared by:MDS�ngineering Corp 07:OOPM •� . TABLE 1.1.A. COMPONENT LOADS FOR SPACE "HEAR USA" IN ZONE "Zone 1 " DESIGN COOLING DESIGN HEATING COOLING DATA AT Sep 1400 HEATING DATA AT DES HTG COOLING OA DB/WB 84.4°F/70.8°F HEATING OA DB/WB -6.0°F/-7.2°F OCCUPIED T-STAT 75.0°F OCCUPIED T-STAT 70.0°F Sensible Latent Sensible Latent SPACE LOADS Details (BTU/hr) (BTU/hr) Details (BTU/hr) (BTU/hr) Window&Skylight Solar Loads 292 ftZ 12917 292 ftZ - - Wali Transmission 658 ft2 2283 - 658 ft2 11279 - Roof Transmission 0 ft2 0 - 0 ftZ 0 - Window Transmission 292 ft2 1004 - 292 ftZ 13031 - Skylight Transmission 0 ftZ 0 - 0 ft2 0 - Door Loads 0 ftz 0 - 0 ftZ 0 - Floor Transmission 1184 ft2 0 - 1184 ft2 0 Partitions 2560 ftz 0 - 2560 ftZ 0 - Ceiling 0 ft2 0 - 0 ft2 0 - Overhead Lighting 0 W 0 - 0 0 - Task Lighting 0 W 0 0 0 - Electric Equipment 0 W 0 - 0 0 - People 12 2940 2460 0 0 0 Infiltration - 0 0 - 0 0 Miscellaneous - 0 0 - 0 0 Safety Factor 0%/0% 0 0 0°/a 0 0 »TotalZone Loads 19144 2460 24310 0 TABL:E 1.1.B. EfdVELOPE LOADS FOR SPACE "HEAR USA" IN ZONE "Zone 1 " COOLING COOLING HEATING Area U-Value Shade TRANS SOLAR TRANS (ft2) (BTU/(hr-ft?°F)) Coeff. (BTU/hr) (BTU/hr) (BTU/hr) N EXPOSURE WALL 329 0.225 - 153 - 5640 WINDOW 1 119 0.588 0.811 409 1459 5309 WINDOW 2 27 0.588 0.811 93 332 1207 S EXPOSURE WALL 329 0.225 - 2131 5640 WINDOW 1 119 0.588 0.811 409 9066 5309 WINDOW 2 27 0.588 0.811 93 2060 1207 Hourly Analysis Program v.4.3 Page 1 of 1 , � .. � , A . � � Zone Design Load Surnmary for HEAR USA Froject Nanie:ZEPHYRHILL 07/O6/2015 �, Prepared by:MDS�ngineering Corp 07:OOPM � - � Zone 1 DESIGN COOLING DESIGN HEATING COOLING DATA AT Sep 1400 HEATING DATA AT DES HTG COOLING OA DB/WB 84.4°F/70.8°F HEATING OA DB/WB -6.0°F/-7.2°F OCCUPIED T-STAT 75.0°F OCCUPIED TSTAT 70.0°F Sensible Latent Sensible Latent ZONE LOADS Details (BTU/hr) (BTU/hr) Details (BTU/hr) (BTU/hr) Window&Skylight Solar Loads 292 ftz 12917 - 292 ftZ - - Wall Transmission 658 ft2 2283 - 658 ft2 11279 - Roof Transmission 0 ftZ 0 - 0 ft2 0 - Window Transmission 292 ftZ 1004 - 292 ftz 13031 - Skylight Transmission 0 ftZ 0 - 0 ft2 0 - Door Loads 0 ft2 0 0 ftZ 0 - Floor Transmission 1184 ftz 0 - 1184 ft2 0 - Partitions 2560 ftz 0 - 2560 ftZ 0 - Ceiling 0 ft2 0 - 0 ftz 0 - Overhead Lighting 0 W 0 - 0 0 - Task Lighting 0 W 0 - 0 0 - Electric Equipment 0 W 0 - 0 0 - People 12 2940 2460 0 0 0 Infiltration - 0 0 - 0 0 Miscellaneous - 0 0 - 0 0 Safety Factor 0%!0% 0 0 0% 0 0 il »Total Zone Loads 19144 2460 24310 0 Hourly Analysis Program v.4.3 Page 1 of 1 , • � � p , � Q i � ' ��___..-�---=--�—=-=--��=-:..._.a�.��..- Fi�n��,.,,�.•� � .�.,. .� �� °'-�.�,�., ` `. ,I,�, =�_ �� `� �'�� ~'y '��. City of Zephyrhills: `" �� • . . . . � _ Building Department _ : -_ - _;� � = " Phone: (813)-780-0020 }`�� Fax: (813)-780-0021 `; - , 4 � �, I ��.�� TO: Daniel FROM: City of Zephyrhills Building Dept , � i � FAX: 305-851-2252 FAX#: 813-780-0021 , � i � DATE: � [��(�—(�� #OF PAGES: 2 , � • ' � � � � MESSAGE: per our request break down for fee due to pick up permit. � . , � � ' � � ; Thank you have a great day � � � � � ; hfj�� Gt C:l�._ U '""r �'� `��l L� � � S(�r'I�'�� -0 W"�^� c.J , ; ��r I� `�' � e � v�a ; � C� � M� � � � ' Zd� �-e,�.�, � �ak.C� �-�.e� po `c� � � , � � , � � . , � ' �' � � �� g Z �`�-�- � ( � 6�� g z ��-Qe-s ' � � � � � � q.��crr,,�J �p�t�c�cA � (o�( 3.s° � +�' � ' ,' S 1� L� � � �=�-�- ��l � � � � (�. w � � , , � � � , � � ��—��e r W��. � �� _ � �� , , � , , , � , , � � , � �a�� , � � � ; e�3-�8 � oc�z c� e�C r �s13 ; � ------------------------------------------ -----------------------