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HomeMy WebLinkAbout16-17523 CITY OF ZEPHYRHILLS 5335-8TH STREET •- - _ (813)78o-ooz0 175 � BUILDING PERMIT PERMIT INFORMATION LOCATION�INFORMATION Permit Number: 17523 Address: 38135 MARKET SQUARE DR Permit Type: COMMERCIAL , ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: COMMERCIAL' Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-03900-0030 - Improv. Cost: 193,000.00 OWNER INFORMATION Date Issued: 7/13/2016 Name: FLORIDA MEDICAL CLINIC Total Fees: 1,545.44 Address: 38135 MARKET SQUARE Amount Paid: 1,545.44 ZEPHYRHILLS, FL. 33540 Date Paid: 7/13/2016 Phone: (813)780-8440 Work Desc: RENOVATION MEDICAL OFFICE SPACE 2,574 SQ FT CONTRACTOR S APPL'ICATION FEES FHS INDUSTRIAL CONSTRUCTORS LLC BUILDING FEE 1,146.00 JN ELECTRIC OF TAMPA BAY INC ELECTRICAL FEE 60.00 LR SIMMONS PLUMBING PLUMBING FEE 60.00 ENVIRONMENTAL DESIGN SOLUTIONS W MECHANICAL FEE 60.00 FIRE PLAN REVIEW FEES 204.44 FIRE INSPECTION FEES 15.00 � � - �-� � -� � , ' � � Ins ections Re uired FOOTER 2 D ROUGH PLUMB MISC INSULA I N EI ING 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. 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 pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. li� O SIGN TU E PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � „ �.� . :� }3 .'i� t ������Od` `� Y � 1' � I ' •,;r,^-:. . Cl�O��p�'1�t�X5 BUiLDING PLAN REVIEW COMMENTS Cc►ntractor�xameo,�ner: �. /'�� Date Rec�ived: (�—`�P —��o . Site: , � 3�' S�-� . � : Penmit Type: r r�Y �D tJC�,, �---- � Approved wlno comments:Q Approved wlthe below comments: D Denied wlthe below comments: II i . A � /4 • / r . i d'f � I J" J f- �� /' ��f�,�� J I � I ! This comment sheet shall be kept with the penmit andJor pIans. C� �� . K.�1vin Switzer xaminer Date Cantr cta dlor H eo (Recluired when comments are present) -;� ! Juo, 30. 201b 9: 18AM SUNZ Insurance No, 1587 P. 1 . : • .�Jj\ r 4� ' 4/'-- / �/" ���� ��I• r � J1'V�LEG'�"R'1[af Tam�a Ba,t„�, Inc, J�nne 2s,2016 -- ---- —� - - ___._�-+-- -- - - -�- -- -- - -- - -- �:EC000247$ . Dear�,iccnsing: - P�ease update m��e�istration with yo�r cxt�'for the 2015-20�6�'�ar. Y have enclosed a copy of aur State�,ieense&ot�r Pasco County Business Tax Receipt. - This is written�u.tharization f+or th�fc�llowing ta pull p�xmit�for my comp�x�', '�'homas E. Tovu�xex T560-825�55•096,0 Ste�ve Y.opez �.12p-79b-54-0440 � Bri,�n'VVhr�rry 'VV'600-Q61�63-263�0 Ale�Walter 11V436-OOS-71-095-0 �i.cha�d AlXe� A�SQ-746-fi0=027-0 . l�ewie Sil�rer 5416-172-52-254-0 � 'Aa�niax�Milden N[43S-X79-88-�4�7-0 Tf you have�n�'ques�ions or need��'�dditianal information,please ca11 me(7a,8�3-945- 1608. Sincerely, �� . xo}�P.I�arcisi ST'A'Y'E OF FLQRYbA � CQ�N'�"Y�F�ASC� � Sworn to and subscrib�d ta b fore e this Jun�2$,201d by John F. Narcisi, who is persona�l.� r�n ~ �"_=`��°� .10Yc�E.iVEVPtAbID % , *MYC�1l5SlQH�ff'19P�11 - ' x c . e l�nd.Notar �, ��:�eaa,ary i1,2ote � Y +�,,, eono�lltw eudpe�NaI�Ys�rues C�tam Rasf�tial�Remodell�g•CammerGial Phone(813�848-1608 • Fax(413}948-1805 • 244�Old t�p�s�CresSs.Road �Land 0'L�k9s,FL 34639 Ju�, 30, 2016 10:59AM SUNZ Insurance No, 1591 P. 1 ��, �� � � i � ., � � J��,I `:'�I ,�p�� , '� pqG� , , `�,,,,� o�A� �, , . . ���� .w., � � , - , s... ,�a� �,�Q�� , . �-� � '``*�: , . . . . , 6$51 'Q� W��ti�ql 910Z ''0� 'unr-a�uil pa.nia�ay e�-�ao.00za City at'�eph�rtfilils Permit Applicettan �9�-n ' eu�w��m� o�tatt�eesv:d ' • •ati�c��,r�m 7�-�� . :; _ .. ,,, •` aWl►�tY N�MII 4 Q�\O A" �{C lY R.. �..1-t,N l �• 4wnrr t+ha�Numher g��J'. � O" ��1 o�.rs��. $�3 MA�,1G��C � o��o�,.N� � � . �f n M�. �w�ww....i. � tya 81mph Tltl�holdw NanM At • . Ow�t�r•Pf�onr�fwMbrt ' V . Fi0$ti11p1�1'1t�9�101�f1Rd�161� � JOI!MOR�98 J$l � M K,�� .. 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' , Oit+actta�u: ._' � . FCi aut,op�tlr�lo�anmptat�}r. Owner��on�ector�Fgn be4k•ot opplk+�tbn�lfo� • tt astar�'�0,t�t�ta1lt�of Ccimmett�tt�t+��W»�. {AfC�d�av�r 1�7�D4j . . . ,�;..,r..N • `" A�att(for the O�o�'y�o[�M��nr of.A�tp�F�ejl(Iar�ia tlwn�t}w�utd t�i sOmap�le wifh npta�ir,o�d let�frnm o+�rtpa�'ai�tl�t�zlnq tremne 't3ltkt��llE'G�t1�iT�tP.�3El�'�llik� :{�iont�r#lt�plloQ�o�ttknty) - , . R�ia if+shinpUle 'S,eavere S�rvtoo ilp�,�rndee J0.IC Fenc�s(PiaU9urvaY1F�} p�iv�l�atovercn�rtt�a�bUc�raya.,�daF�a`t'�w ' � � . , .,.�.,, . � i iriiie iieii iiiii iiiii iiiii iiiii iiiii iiiii iiisi iiiii iiii i�ii , . 2016108257 This space for use by Clerk of the Circuit Court only. Rcpt:1785373 Ree: 10.00 DS: 0.00 IT: 0.00 07/12/2016 J. R. , Dpty Clerk ' I PRULR S 0'NEIL Ph D PASCO CLERK & COMFTROLLER' 070R BK01�3��m PG 2�$�, Notice of Commencement I State of Florida County of Pasco The undersigned hereby give notice that improvements will be made to certain real property,and in accordance with section 713.13 of the Florida Statutes,the following information is provided in this Notice of Commencement. 1. Legal Description of Property: Parcel ID 02-26-21-0010-03900-0030 38135 Market Square ZB�.11;yrhills, %IViIUO JJJYG � 2. General Description of Improvements: ll]tBClOI'I"81170d@I Of Of7C0lOgy SU%f8 sa. owner Name: Health Care Reit Inc. c%Altus Gioup Owner Address: PO BOX 92129 SOUfhlBl(e, TX 76092-0102 3b. Owner's interest in site: 3c. Fee Simple Title Holder Name 8 Address(of other than Owner): F2e Slfl7pl8 TIf/8 HOId@� Address: 4 Contractor Name,Address&Phone: FHS Industrial Constructors, LLC, 2651 SR 60 W, Bartow, FL 33830 863-535-1148 5. Surety Name: N/A Amount of Bond: N/A Address: Phone: 6. Lender Name: N/A Contact: N/A Address: Phone: 7 Persons within State of Florida designated by the Owner upon which notices and other documents may be served as provided by Section 7 13.13(1)(a)7,Florida Statutes Name: Chad Eichel nddress: 38135 Market Square Zephyrhills, FL 33542 Company: Florlda Medical Clinic Phone Number 863.838.3220 8. In addition to himself,the Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 7.13.13(1)(b),Florida Statutes Name: John W. Cliffon Address: 5150 Linton Blvd., Suite 430, Delray Beach, FL 33484 !:c^';;.�ny: ��1e!Ito��,ef, /nr. PhonaNiimher• (Sg�IQOR-71�1 9. Expiration date of this Notice of Commencement(expiration date is one(1)year from date of recording unless a different date is specified). STATE OF FLORIDA Sig �of Owner Printed COUNlY OF P8SC0 �� The above instrument was acknowledged before me this �'d te of �ul 2016,by � � T�� wh is are)personally known to me or produced (Driver's License#) . ! ;�r ry'••• PAUTA M.THUMM�HILLEMAN , :�� � MY COMbUSSION e FF 924865 ���pg EXPIRES:October 18,2019 ��%Rf���'�� Bonded Thru Nofary pubGe Unde�ero Signature-Notary Public (A copy of any bond must be attached at the time of recordation of this Notice of Commencementj I " � ZEPHYRHILLS FERE DEPARTIVIEfVT 38410 6th Ave Zephyrhills, FL 33542 � FIRE SERVICE USER FEES Occupancy 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 � Site Plan N/C Annual N/C Sprinkler $50 1stAlarm N/C �Multi-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 I �Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $50U Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Pe�rank $50 , STANDPIPE 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 � PerPump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 ann�ai 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 ,nnnuai Wet $50 OTHER Waste Tire Storage $50 ar,nuai Dry $50 Fre walUSmoke Wall $15 Per wau Generator<KW $100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 Other $50 Natural Gas $25 Persyscem BiaHazard Waste $100 Mnual KITCHEN EXHAUST Fumigation Tenting $50 �Hood/Ducts $50 Tent 10k10'or greater $15 per tent Torch PoUApplied $50 OTHER Fire Pump $45 Haz.Materials $100 nnnuai LP Installation per tank $50 Fire Suppressi0n $30 Fuel Tank Installation $50 System Acceptance ❑ (Per Tank) $50 B Exhaust Hood/D'uct $30 Naturat Gas Instaitation $50 Re-inspection DBL (Per System) (other than annual) �Spray Booth $50 � Inspection scheduled DBL B �I and cancelled less than 24 hours �Construction Insp. N/C Emergency Vehicle Ai $50 FALSE ALARM PLANS TOTAL�,U INSPECTION TOTAL� PERMIT TOTAL� TOTAL� / GRAND TOTAL Comments: + Date: ��3rj,6 Inspector: mn � Jul 121610:43a LR Simmans Plumbing 8136542188 p.� sa�7eo�aato Clty of ZephyfitUs Psrm[t/t�apCceatEon �mc�s»r� a�,aeirq�m , Daurt�aiw�e �• '�Z�? _ `. , q�.,,.�+.� �.aRtDR' ��GR� t..�1�1L GrrnrrRhan.Mutttbrc �1��7 �1'1 - OwttsYtAdAtrt �i ��9.1��� t1 O�m�rPharNumb� � � Fa►9lrnpt�:itl�Aeqf�ttyetr L �vT_ •,�...._.� � ChrtMri+R6rN putl#r 1 -�� � _ Fw9tmpi+'Rtl�l�oid�rAddesss j .roeu��es �"$1 '� M�R. �T hR� Z Fit�.s ��3�'Sti'�-� ta�r• �_� I 8U8DtV1�lON ��'i�—`�� PARCE4tD! � fO�TAM�BlNOM F'MOMAITt�AIIlO1fQR �, . wowEp�aovoa�u .� � ,aw�car�► ' aan�u�a Q s�cM �(� �C] n�t�tcusK • IIiSTJItI. -•�R�PAIR PROPO�ED UI86 �SPR C�OMM [�,,] O7fi[R 7rP6 OF QOk87R1iCROM. B�OC7(' FF1JU41E � STE6L [�. ['�i"�'�"� I�� IOE�cRiPrialNOPwtyluc . IM' �IJoJATtD� 1^0�1. M111E�3kh� aFF�c� SPhC� w �K,�(1�••� >> .�.�i. IHUfLDtM0�1� . 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Ala3'Ta �/3341p� �� Cfi�O �{Jle � ...._.._..._ � - � , . �s,..� i �o�►ut�inae"� � .a�e�en�� �a� �.-„_--.�'_ J�aarw - . 4toAw M . p�R ( ��; c�3API4t�Sf � ��� al0ll�Ttl4IE � .. � 'i�%Btq�D /t+4.� sE6CiR� , �Y.t+4 - � 11oYfM���..'�� 1 a�a�tia.. ••�a�a+W++ssa€a.t���:�•�i�t�'Iinr�iYa�at�.iqAr�ci+�ur�:w�.n�i.t�o.w. '" E -�t�t � �"�f�f�nK�StoeRswrltf�ic��IttF+entrh�l�Yad. a�s�:l�c,�t. � #+q�t,atEer�i�t4"d�t���d o�e;' �aNd7'F.: R+xn'�4P.?�N!!p�9�fp0l1�-=':., ;. . cCMetEApu. l�laon caY 'qlsof PLYu p'6:e�C�f:s.ba�+Oa Cf)Nsc�Fr+erne�ra�me.t�cYw Permn ter new mr�hidbn. Fwfl6nLmW►(tOl�MwkGtiQmr7r+�lt�mitll0dsb.ReqtAndwrolE�,Canattw�nPle�/,SLomlMabtPlrteedSptP�ro�tn�Itlid� BMctryFaoll6�tai d�rfspwe:Stf!War1t�4?�d„ttt9�L.W�wv pto�.At9o�nmrW�ta�taar�r��ust�R mtnp�+oe 9l3NPEltAllf�1Ws11C4��"�#!Ls(t•.;;:rxt.__ . ""?RQPFRI V_9t7f�/E,1,'_!�i4!!1�Q,lof.liR�.AOId�CR. atr.olton.: � � ptl aut�pWaMYon oomP�Y� �a+cor�ti.om.rq�ad��ar.aa�aer�+.um►ne • N ov�r t�.a RuNo�qtCas�eMneMN�t N r+�ndl. tl�G���� . " 1�p�fttia'tl�eeo�orjw:R�rbEA�biiby�fsioMMt)wnwabe.ornee�rwishrot�eal�Kieano,�n�suowdrl�p�ame 'tSHIM[11�"CtatRiTERRRRYtL'fUi4• IF�eFllpp6o9on•G+IY) ' . RKoatsitistn0iea 8e�ra 9�MaYppiad�NC F�ao6sji"ia�ltV�t2Foo�r} DM�nwayr�Nat Oww WuYu k+m p�Aa toodwalf�.n�d�'IbDw► ;uacaJ LOO'd 9Q9H 14=�F �40Z/Z4(LO � , 813-780-0020 City of Zephyrhills Permit Application Fax 813-] Building Departrnent /�ate Recelved - ` . . . . . � _ � � Phone�Contactzfor"Permittin�", ' ��� �: :i Owner's Name �o��D R" ��C R�L �.�-�N.l �. Owrner Phon�Number �13' �$O� �1�l. � Owner's Address ��S l�j M A2.IC�T . �A � Owner-Phone Number Fee Simple Titleholder'Name=� �'�'� � � Ownec Phone Number� -_ _ ' _ , �if' � . ' . ' . . . .. Fee Stmple Tltleholder l�ddress °' °r, - � , • JOBADDRESS ��I � MA�Q,I(,E� v�(?f- Z'�{L�.LS �L33��— LOT# � SUBDIVISION - � PARCEL`ID# ' - _ -, �� _ , . � � � "'(OBTAINED FROM PROPER7Y TAX NOTICE) - WORK PROPOSED ': NEW CONSTR •• � ADD/ALT Q SIGN�" [� ` Q�, DEMOLISH .. - - BI•. ' INSTALL .REPAIR' , ` PROPOSED°-USB.. SFR �COMM'` � OTHER " � � TYPE OF CON8TRUCTION, ' BLOCK�' 'Q�` �� FRAAAE 'Q STEBL. � Q. - ti DESCRIPTIONOFWORK � IM�• EN��AT�D(✓ I-o(L Mf�IC�4( oFEI.L� Sl"�C� w tK�,�'..� , ,� ��� �UILDING�SIZE ' 4— (S i;,�� t$Q.FOOTAGE �'�s1 � � . . � ;-�: , , ,.HEIGFiT•. l �C.��_�o QBUILDING $ ' : VALUATION�'a�bTAL''"CONSl'RtJCTION " � � . . � �oc� . � � - - , QELECTRIC�IL $ � AMP SERVICE ' Q ` PROGRESS ENER� [� W.R,E.C. ; ! � QPLUMBING $ . J'� , � I � , .. .,, t ��� �/ , [�MECHANICAL $ � 'VALUi�TION OF..MECHANICAL.INSTALLATION r � � , .� .- �S �� 0�►S Q, • ROOFING:+�Q SP,ECIALTY �-- OTHER �� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO `-'" '� �'/"�\/I �CtST�n1� . - -- '��A' C V ��( . . ,�� � j 2� w /� � L BUILDER � � 1 �A r , :� n •_ � �. r J �-C� COMPANY . ,-.,_.,: . .._� , SIGNATURE REGISTERED Y N. �e CuttR�n' , Y l.N. ,: . . c� � c��SSgo , �dres$ 5`�3S' h-�..� l���b-s� �No r,1� sT �-rc,. ,c, .3 _ - � � F 3�,7� ��cense# Z(�6(ct�l ' - - . , , �,: t ' ELECTRICIAN -• : - ��J PANY .. - � . � - , � SIGN�ITURE Cc/li� REGISTERED Y/ N FEE CURREk Y'/N� ' � ' � , __ , , ' q � Address -- . � '�Ucense#>, � �`L' PLUNIBER ' ,� COM ,. , .. . � snx SIGNATURE ` ' ����� �,��G " � , � , " 02�, REGIS�TERED; . . -:,Y,/�N''' , �FEE:CURREP�� 'Y/N: �'�� � R'I° 780�002� _ " �9(3-�ddress ,, . � � � ..Ucense# , ' I MECH�NICAL .. ��p ' -_ _ -.0-OM�A�If' ��`�'� -����°'��� �=i �..3 nv+�-o SIGNATURE �%' "' � "' • �l z � , REOIS7ERED: .,:.:/.N: ,::FEE CURRE� ' Y-:/�►V:+,� • ' � s2 ddfesS� . .. . _ , .,_ ` ,., ._ " _ , , LICenSB#- , . , �. - . . • 7@n.. , - �u.,. . ,.. . : ... ' :- , ,, . . - . . , �- OTHER :�; . ,:_ . . .. . _ - . . . . SI(3PIATURE���`'`�: ,:_ ', .,,.. _. '' . ... C GqAPANX,,. _ _ _ R � , „ Y/.N: :FE6�urt��-„ Y�/.N� . Address ' ,= _ ... �y` .. . _ -. " . , d,- ' _ . < `License#• - � , . � RE�IDEWTIAL�:. �:q ��; - _ _.:�.�=•�. 4;�.� ..:,4:;;G• _ ,x��,�=, �;� .��:s� ;A:4�;� .,.,:. . ... - _ -, ,.., tta .(2);,Plot;,P,lans;�(2);set's,`=of,Bulltlin Plans;, 1�.�set;of`Energy�Forms•�R=O=W�Permi � � - . ,9':. �-)`'�. �,;.:�.ry._ . ,t:for neuy';con�,truClion; . n;Mlnlmurti�.ten'�(+10)}w.orlting�;days�a(ter„sutiriilttaliiiate:r!Requlted onslte;qConsUucdon�Plaris;�Stormuvater'Flans:w/Sllt Fence Insfalled, . ���SaMtary FedlltlQs,&f1�,dumQster,,SlteyWoricw�Per.rnit'for:sutitli�lslOns%lapg`e;projects�%:_�:;;;Le;�"':':`''��: -� � . ` � � � � � CONIWIEE2CIaL Attach(3j csomplete"sefs'of Bulldirig Plans plus a-Ufe Safety Page;(1)set of Energy Fortns.R-0=W Permlt�for neW constructlon. ` Mlnimum te�(90)working days'�fter submlttaLdate. Requtred onslte,,Constructlon Plans,Stormwater Plans w!Sllt Fence Installed; - - Sanitary,Fadlttles.�1.dumpster.;Slte.Work.Permlt for:all�new:proJecis:'�All'commerdal:requfrements must:meet compllanca SIGNPERMIT Attacti(2)set§ofEng;in�e�ed;Pla[�s;q:,;;:�;'��-•�:: ' • .. - , "'•PROPERTI!ySUR.V,,EY:requlred�fora)1_NEW;cons.tructlon.:...,,_ - - . - •-�- .. Dlrectlons: ,:;�•_.h:. . .. -• .--... _. . _ _. . _ . . FIII out eppNcaUon completely. � Owner&Contractor sign back of applfcatlon,notadzed If over 52500,a�Notice.of..Commencement ta requlresl. (I�JC upgrades over 57500)._ _ .. . �, ...,,..... ..... ... " Agent(for tFie ccnTVacto�)"o�-Power of Attortiey(forthe�owner)would be someone with notarized letter from owner autho�izing same 'DVER THE COUNT�R?PERMITrINti�===""'`(Front=of<Appllaation�Arily)'���=�,��m�� Reroofs If shingles Sewers Servlce Upgrades A/C , .Fences�(Plo.t/Survey/Footage) _ _ _.__ _ .� _. _ . _- .-�- -_ - - _. .. - - �;.,.. ; ��_<<. ;..;:;�..''„� - , .,, � . _ .... . - , , Drlvewrays-Not over Counter tf on publlc roadwey&::rieeds ROW � . , , _ . _ . _. . , ;:�. . - .... � ,� � �;;.s �. , � ��EE�:RES, . 1CTIONS��,The: n .. ct , 'fi;�t� .m .:b�.,:, ..._deed:rrest�tcttons,..`..,` TR � . - e. . _, .. ,..-. .,..:,... .. . .�. „Yt� � . , . _. .. . �„ ._;.,,.�_,. . . . ;. u de�rslgnedr, nde�#�n,ds�;t ;tht�x.�.�rm.i,t, .ay:a:�,sub��,�t.�...r�.�£.,..�• �.,,.;.,..�p�.,.>;; s�,:_.J.,.. L iay::be�ymore��restt(ctive�thel�.G�unty`�nagFilatfor�� Ttie`=.dnd"e.'�slgned��a��umes�'res'p�n�siblltljc`fo"r�c6tnpliarice�vvitli��any� � '� � acable.deed::r�stricttons. . � - _ .� - � . . , - ' �C,:.i:-.<... `r ai"d:..�c�T:..S"..x '*�:«:..*.ry��.i�. '2.M��f i ' • ' .� .e " f.N�....n.�v, .-.r •.� �A .� ' NCiCENSED�'CONTRAC'fDRS.�AND�CONTRACTfJR�.R�SPC1�i�SI81i;1<i��3`:���`�i€:�he �oiivne�=-�Fia�s=hired':"��ci�ititra�tor or a�ntractors�to undertake-wcrk�_tFte ma ,',be,re� uired�ta��e.�licensetl;�ln�:accordance:wlth�state::and.local�r,e ulatlo�s:�:;lf�tfi�--f.` ,:�= Y- Y.,:._ .a,4. - w.r;. �. � . .�.�: ��a�:... . � � � .9.:.,,,�. antractai�„ts,_i�o#--.Ilcensed='a���reqiilce�¢liy"lativ,.tiotit�;#Fie`owner-ani��:contra�tvr�r�ay��be�cited�forry�i==mts�letrieana�-violation , nder state law. If the owner or Intendeti�;co.ntre�tor�ere,�uncertalin:as':td what ltcenaine ;qulrements; y�: pP,�r: ax��{-;���v��r ,.. ,. :. .. _ _ . .r� .. ... ma. ;a.. I, �i�°w;th'e�:: S� .4'. � •�,,�,.,...,er,,w... . tended"work;�they are�sifvlseil�to�t�intact=fhe';Pasco�.Coui�ty�Build!%ig;Irtspectlon4Qtulslon�;tc�r�sing�3ec#bn at 727�7• , . . _. ,_. _ _....,. ,,�, _ :��.,.��.::•�-�.a...�:��>..,=::,� • ,.. ,.._.,. 309. Furtherrriore; tf tF�e'�.owher tras"hiired�a�con"tracto�'a��contractors;�'he�is f aifvlsed}to{liave;.the ,cantracto s,,.sl n,,,,,, ,,��,,.. � , ,,.,.:.._ .. K � .8; ., � �rtions bf'the "contreator pinck"..af_ttile appllcation.,far.:which_they.will be�r.esp,onsll�le, ;,1�you,�-as.._fhe`av+iner�stgn:��as''the~'`"`-", . mttaatoT,-tFia#�may-6e�ari indlcat#orr�#hiat he 1s=not}�properly�llcensed and=�ls�not"eri�tled #o'penri�ting pr�rlle{�es3 in Pasco.. . r� ' ounty. ' .� �� = � - �- . � - ... ..� �, . .4, .,. .;;;N�.:,;,:,,�.,.,,..,:.., ;, � - ;;; � RANSPORTA'flQN:IMP�4C7�UTiL1'�'lES:#tlY1Rl��7:A1��=1�ESQU�CE�REGt?YEttY�FEES;�T�t�inder�lgr�ed`�uirtderstands �� ' at Transport�tion impact Fees:and.Reca.urse Recov.�ry.Fees.m'ajr>epplyy#a tFre constructlon:of:new:buildtngs;:�change�of�=�-�'-f����y` ?' : ;e in exisKng buildings;�a��,�ezpai�si�i`r�i��:of=�e�i(sNisig��ir�llitflngs;as�spealfled:i� P�asco,County.O�dln�nce number 89=07-and I-07. as amended.;�.,,'�h� undetsigned alsa,understa�tds� tfisi�°su�Ft fees;::$s}:may��ia::dt�e;,,v�tlF:be i.dent,tfiied at ths'tiime°of�;`� fi:f:;;,;. , ;� jrmitting. It Is furtfier unde�stood that Tre�sportatlan��lmp�cf`Fees and��Resourae.Rei�e�"y�"Fees�musti be paid prlor to ° , ceEvtng.a�"certi�catewof=oc�upancy-"--ar flnatv.�ower;rolease.::1�-the.pro���,does:nii#�It�vo�re<�:certi�os#.e,af occupaiitcy o�����i r'-'�- , ial power4release;.�the�Afees=mt��t~be;�ald=p�lor`to permit Issuance. :F,�,kt�i.ermare;i�ff`.Pasc�r,;,Countyr�Vllaiter/S.e,wer�lmpact�-� � . �a. , ; . .. ,. y I r, .. . es are due,they;must be�patd:prtor to,.Perniit�iss4anae�:ln..a�cor�'ance W1t�r:�Ppilratile:Pasco':County+�onllnances. 01VSTRUCT119N`1:IENxi:AV11(Chapt�r 713;Fiortds'�tafu#�a,�a aen�ntl�dj: if valuatlon of work is$2�600:OQ�or�more;•<I;� :- �._�,: ;, �rtify th�t_I�._the_:applicant,.,�iave��been�.:.,provldetl==wltFiKa��copy:of�-_the�-"Fiorida•��ConstivcNon�:Lien.:Law—Homevwnar's �otectlon Gulde" prepered by tF�e Flo�da Depa.,rfi�enf of A$rlcu}tt�re.and�Canstt,m�r•AfFaits; If the appticant is someona ,. :;, ;.s- her than the"ov+mer"� I certifys_th�tJ�bave,.obf�trie���i�'copy:af:the,abQve..des,c�itiie��:�dticu�ent�end,pro�ii,se�ain;gp6d�.fraith;.fo..; ._ ,... . 3�11l8t��tQ:��18r"t}tl{Rt81""'=�G�OPa;�0��4tt11'l18�1C8ti1B11t:` '"�`"'`� ' • ,._. , r. . .� - - ' �. ... � _. `.- _. . . 01�TRACTOR"S/OYYNER'!�aFF11�AViT:. i.cei�ti[y:�stki�ak,at�:=#he�;lnformatlon:.l��thl� applfcatlon is accurat�:�nd that all work f�.,... ill'be done in compliance with all•appllcable(aws�regulatlng c�nst'uct�an.zqnln�and�land�developt»ent� Applfcatlon Is �reby made tc� obtatn�fa,.permitnto;;sdo;f:w�fi�s�and;.l'ri�ta�latian as indlcefe�l:�.:`) cer#t�ji�'ti�at no iivortt=:or instaltation iias �mmenced p�ior to issuance�of'a pemilf�and�•thaf all�work will be petformed�to meet�standacds:,of:all laws regulating- rnst�ctlon, County and City codes, zoniog-regul�tlans� and land developmer�t reg�lattor�s�`in`tFi��>Jui�lsdtction::°,�1�al'so . �rtlty that I uaderstand that the regulatfons of other�governm�nt agencles may�apply,;to...the�intended:work, and that it i§ � ' y responslbllity ta identlfy:wh�t,acttons l.mustit�ke;ta aesln:.cor�p!lancQ�Such egenctes-lnciude but=ace:na#llmtted.to: _ : t � - Departrtie"nt of E�vironmental>'Prote�ctiTin'�C�+press.'Bayh�ads�;EV�ieU�nd{Areas and Envlroncnentally Sensitive Lands}WateNWastewater Treatment. ' � - Southwest Florida Water Manags�nec��.;�fsErtct=Wells; �Cypress.'�'.Bay��atts��� 'Wetiand Areas, Altering � Watercourses.. ., . _ - , � :.i ,. - Army Corps of Engtneer3�Seawall�;�.Docks,Nsvigatile Watenivays. � ; - ,Department_of.,Health�:,�;;,Rei�iabilitative.Service�lEnvironmen;tal:�Mealtti :UMt:We�l.s; Waste.vQaater�Treatnnent, ~ ..r .. t Septtc Tanks:,.,. . .,;. : ; � � � • ,. -. , - US Enviror�tra�nGai Protection Agency-Asbestos abatem,e.nt.,.. . . � Federal Avlatlon:Autiao�Ity�Rumivays. ~ - � `" _ ---. ndees#and that the:foliouv�ng,`:restriEtlons.apply'tatfie use of fltl: .. . , - U'se of flll-is.'not all�wed,in�Fload;Zone"V"unless�xpressly„permitted. . � - If.ttie_flll�µ'meteri�il':'is=�to;�be�,used=>lie��f Iood,.Zone. °A", �If. is undecstood�that a draln�ge plan a�dresstng a "compensating volume"wilf.be submitted at#�m�of,-�per:mltting whtch is prepared by a professionai engineer Iicensed bY;thee�tate�of;Flofida:, _ .. .� .� .. - 1#th�_�Il.:mate�lal�:1��#0=be��us.ei� In �tood Zone "A" in;connectlot��v�t�'a���iermi#ted b�ltdl�g using stem wait ' constrvc8on,.l,certify th�at_fill:�diall=b.e�sed only�to.�ill the.acea..wtthin�the.stem wail. .� . -: .r. _�. , ...�, , - !f�-flli'iiiatet�al.;i's��#o:��tie'-�used:lrr=�any area�;=1�:�cettli�t �hat .use. of such� �il1 wlii r�at a�dversely affect adjacent ' properties. ,tf use of,fill is forind.to adyecsely...t�fFectYadjaEen#��prciperties,.the owner may be cited for violating. the condlllon"s';:of�ttie"ti�iillding�;p�rniit tssued-under ttie�'at�aclied�ermit�appltcatton; foc lots less #han:one (1) � acre whEait ar��eleirafed'bY:fllt;:�r:t engtneer�ed dratnage pfan ls requtred, . am the AGENT.FOR.THE.OIMNER;:'I�ifromise,in good_faith to=1M'orm the�owner�of��the,:permitting condft�ons.set forth In :,� s afftclevif prior to commencing,constn�citon:...l`ui�iler�tand:thst ai separate permii may be requtred tor etectrlcal w+ark, ;';:; ; -,� �. .,; imbing, signs, welis,�po.ois,,;air.,condittaning�.,gas.,,�ar�,ott�e.r. Instal��itions not.spec�laai(y Inciu�ed�in.the appitcation;. �A ... �,. ;..,,.,e.s:, .. rmit Issued sFialf be-constttrued ta he�a`'license�to,pr;roceed with`tHe'viio�k and not:;as„author.tly:to violate..cancei. alter. or ;, C aslde eny provlslons of�#�ie`�tecli�ilcal:cqdes;�nor shatl lssuance�tif a:pe�mlf.pievent#tie 8ulldirig t�#11cta1 from thereaf�er , �ulring a correctlon-af;errorszin�_plans,-;;construction,or violatlons:ofaany-ycodes:�=:�very,p'errrilt�Issued�shalf bec�rme invalid : �ess ihe work author#zed�by siictt perrrtit':�Is=co��iericed wlthtn:sUc mon#hs;of.�permit tssaartce, ar#f�rark au#horizec! by �-' -.�.;t ., _ 4 jt �permit is suspendad:.or,ebar�donedrfor-.a�:peciad:�of;.�elx f8).�mon�sr;aRer"the Ninte�the�work•�is commen�ced. An extenslon :�, . iy be requested, in writitig;ftom the'Biillding;t3tflcial�for�a period:�not to.:ex�eied�nlnetjr{90):�ays�a�d wllf-demonstrate �:' t�3abte ca�ise for.=the ezten`sio�:�If wor.k c�ss.�s foc nlnefy{90)canaacutive:clays,..the,bb�is�considered aba�doned. ``;; r ;4 ' , ,_.,.. ,. . , :�..... '- i�Y � " ' - - - "�`�..� n.. '. ;;.,; i'! iRNITtG TQ'CIWNERc�YCfUR',�AIL1;tRE�tl;,R�C��t�A4�.1�[QT�IGE;.OF:-GOMMEMCEMEM7'�NtAY-RESU�T-�IN Yt'�UR . ' : ; YING TWICE.FOR:IMP.RQVEMEN�'�,T+t?YCt�R�_PROPEI�TY:v:;I��YOU?1�4�E�D"TQ��3B�?A1N�<flNi�fi1�1NG;<�ONSULT ���� I" OU " D.. .�GI� A �T't'i N� �R � �:, ,p ;C ,;-, E „ , fRtDA JURA��(F:.�:4f T.:03j_,,.-�— -'--___.._- ----- ...- _._ - .,. - �.,.c::�a:::;z.�.... :. . .. - --- - - � - -- , :� . . . .:: ..- ____ _ ,.. " !./'�.,�._...'��._.:,.�,--.-" --- '_ N�R OR AOENT CONTRAGTO , saibed and swom to(or alflrtned)b�fore rae thts Su`"sc�'Itied'ai�d'awatn=ta ot aftfnrred'b` ;m '#iit9�i � � by ,by• . . �Islare pe�sonally knovm to•me or haa/have producad o:l'slaRe nally,knowri�hf n�s:or�ha�lhave•pradi�d � .: as ldenB�ca84�• - . ��- �.�"�:� es tileii�flcatlon. �:� _ ,. �;�,, Notary Publlc . .' / (.C�'/' � Nofary Publlc imtsslon Na: Comm s .Pto. ,,�Qtin�Y°v1�c,r JACQUELINE BOGES �e ot Notatry IYP��P��tfld or atampad Name oi Notsry � q�� �8 mber 12,2018 Q; ����oF�F�g Bonded Thm Tmy Fan Ineurance E00•3BS•7079 m � �L9� '°N�I �Z� 9'lflZ� "l�P-awtj, �an�a�a� � ' w sis.��n2a �nf Zeph�rrtailis Perrnit Appli+c�n Fa�e»-�z i . . . auYsnn�t?epu.rim�lt - . I ,�_.�.., .__..._.�-...�-..�---- CIn�Ri�aiv�d r +�� a v �Fhoas•�oneactioc�Ptr�nl4ktn +�'' '3=C �� "a�' '3�' �� �C.''� . .� � ' -y+r, c��r:w�.. o�.'� �'A�c. ��-t w.t � a,�n.��t ttu�� 3�'� c�- 8'"t't � . 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N CN�E:tAL l�tad�{S�iiYple�`ao���af�`'Pleii�'�i('e Se�'�:i aet+aLFnegyFbnns RrO-L F�ermRtor neMv�actruclt t�Nnturn i (1�y oikb+B�a�t r aN.rtfal d�sia. Reqale d o[ia Can�twc�lon Paana.sarrttwt�r Plene vrd SIIt F�Inaed, Sandtery�',U6es 1 dwn�4�er:.�e 1��t�arntl fo�a�F ae'�i�oJi.All oorm�ardet Re4r+ematt_muet Rnaet oomp noe S N PE iAi1' Ai1at�'i��is b�"sai'oeere�3�n a:�� �- • ' � Standard Form of Agreement Between t�wner �nd Contrac#or #or a �'roject Where the basis of payment is a �tipulated Sum This AGREEMENT is rraade: June 29, 2016 BETWEEN the Qwner(Tenant)_Florida Medical Clinic 38135 Nlarket Squate Zephyrhills, Florida 33542 � and the Contractor: FHS Industriai Constructors, LLC 2fi51 SR 60 West Bartow, Flarida 33830 for the fa1lowing Project: Oncology Expansion-Florida Nledica! Clinic 38135 Market Square Zephyrhills, Florida 33542 The Architect is: Oliveri Architects The Owner and Contractor agree as foilows. ` ARTiLG�E'1 THE CONTRAC7 DOCUMENTS The Contractor shaii complete the Work described in the Contract Documents for khe project. The Contract Documents cansists of: .1 This Agreement signed by the Owner and Contractor; .2 Generat Conditions of the Contract for Construction of a Project; .3 the Drawings and Specificafions prepared by the Archifect, dated, and enumerated as follows: D�awrings: 71 -7itle Sheet-6.3 16 LS1 -Life Safety Plan-6,3.16 A1 - Existing!Dema Partial F1oar Pian &New Partial F.(oor Pian -6.3 16 A2- Existing/Demo Partial Reflective Ceiling Plan & New Reflective Ceiling Plan -6 3 16 A3a-lnterior Elevations-6.3 46 A3b-Interior Elevations-6 3 16 A4-Cabinet Details-6.3 96 � A5= Daor Sched., Room Finish Sched'. (whreh has been revised) � Finish Fioor Plan-6 3 96 N1 -Architectural Specifications-6.3 16 P0.1 -Plumbing �egends Notes& Details-6 3 36 P5 1 - Plumbing Partial Floor Plans-6 3 16 P10 1 - Isometric�Diagrams-6 3 '16 Mfl 1 -Mechanical Legend, hlotes, Code Criteria &Air terminai Schedule-6 3 16 M5 1 -Mechanical Partial Floor Plan-6.3 16 M12 1 —Mechenical5cl�edules—6 3 i6 � M14 1 -- Mechanical Details—6 3 16 nn��.r,-r�-:",�"�i�34-€�(#a�&i-F-a�-�Betai4s—�-3:-�6 (Deleted} EO 1 —Electrical Legend, Notes & Code Criteria—6 3,18 E5 1 — Electrical Lighting—6 3 16 E6 1 — Electricat Power—6 3 18 j E10 1 — Electrical Light Fixture Schedule& Panel Schedules—6.3 16 E14_1 —Electrica! Deiails—6 3 16 ; f ! } ` I� � 1 1 i� Specifications: on Drawings ' .4 addenda re ared b the Architect as follows: Received new finish schedule P P Y .5 written change orders or orders for minor changes in the Work issued after execution of this Agreement; and .6 other documents, if any, identified as follows: Contractor's Revised Proposal dated June 29, 2016 which takes precedence over the design documents ARTICLE 2 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION DATE The date of commencement shall be the date of this Agreement unless otherwise indicated below. The Contractor ' shall substantially complete the Work not later than six.consecutive calendar weeks(42 davs), alus move in time required bv Owner between qhases (TBD), subject to adjustment by Change Order. Start date to be determined based on lead times of materiais as provided in Contractor's Revised Proposal(1 6) or date of receiqt of this fullv executed contract or receipt of building permit whichever is later. (!n"serf Ihe date or number of calendar days after the date of commencemenl.) ARTICLE 3 CONTRACT SUM 3.1 Subject to additions and deductions by.Change Orde�, the Contract Sum is:$191,762.00 One hundred ninetv- one thousand, seven hundred sixtv-two US cfollars (which is inclusive of the paint alternate add of�4.848) 3.2 For purposes of payment, the Cont�act Sum includes the following values �elated to portions of the Work: Portion of 1Nork: See 5chetlule of Value in 1.6 above Value: 3.3 The Contract Sum shall include all items and services necessary for the proper execution and completion of the Work. ARTICLE 4 PAYMENT 4 1 Based on the Contractor's Application for Payment certified by the Architect, the Owner shall pay the Contractor as follows Appljcations for Pavment based on Percentaqe of Completion will be submitted on or about the 30"'of the month. Remittance of�oavment from Owner to contractor shall be bv the 15 of the followina month. Owner to retain 10% of the percenta4e of work completed for each Apqlication for Pavment Retainape due to Contractor at completion of punchlist and submittal of closeout documents required (Here insert payment procedures and provisions for retainage,it any) 4.2 Payments due and unpaid under the Contract Documents shall bear interest from the date payment is due at the rate of , or in the absence thereof, at the legal rate prevailing at the place of the project. (Usury laws and mquiremenfs under fhe Federal Truth in lending Acf,similer Stafe and loca!laws and ofher regulelions at the OwneYs and Contracfors principa!places ol business,the localion of the Piaject and elsewhere may aHecl the validity o/this provision.J ARTICLE 5 INSURANCE 5.1 The Contractor shall provide Contractor's Liability and Owner's Property as follows: � ((nsert specifrc insurance i�quired by the owner:) 5.2 The Owner shall provide Owner's Liability and Owner's Property Insurance as follows: ! (lnsert specifrc insurance tumished by lhe Owner) � � 5 3 The Contractor shall obtain an endorsement to its general liability insurance policy to cover the Contractor's � obligations under Paragraph 3.12 of the General Conditions of the Contract for Construction of a Project. , , 5 4 Ce�tificates of insurance shall be provided by each party showing their respective coverages prior to commencement of the Work. . ARTICLE 6 OTHER TERMS AND CONDITIONS (fnsert any other terms or conditions below.J This Agreement entered into as of this day and year first written above OWNER CONTRA OR C �'° - � 3 /� (Signefure olOwne - NS! _ stria nstrucfo ,LCC, on Srnrth Pres�den� ` (Pri»t name,tifle, �d-�ddress) (date) CITY OF ZEPHYRHILLS, FLORIDA ' , 5335. 8TH STREET CONTRACTORS COMPLETION NAME: FHS INDUSTRIAL CONSTRUCTORS. LLC DATE: August 19, 2016 ADDRESS : 38135 MARKET SQUARE DR PARCEL I.D. 02-26-21-0010-03900-0030 SUBDIVISION : City of Zephyrhills TYPE OF.BUILDING : RENOVATION MEDICAL OFFICE 2,574 SQ FT , PERMIT'(s) 17523 REMARKS : FINAL DATE: AUGUST 17, 2016 BILL BURGESS BUILDING OFFICIAL/ JB ,