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Home My WebLink About15-16849 CITY OF ZEPHYRHILLS � 5335-8TH STREET : (813)780-0020 168 9 BUILDING PERMIT " PERMIT INFORMATION ' � . . LOC�ATION INFORMATION - Permit Number: 16849 Address: 7050 GALL BLVD Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 30-26-20-0000-00200-0010 Improv. Cost: 495,000.00 OWNER INFORMATION Date Issued: 12/18/2015 Name: FL HOSPITAL OF ZEPHYRHILLS Total Fees: 2,549.00 Address: 7050 GALL BLVD Amount Paid: 2,549.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/30/2015 Phone: (813)783-6189 Work Desc: INSTALLATION TRAN CVHF 500 WATERCOOLER CHILLER CONTRACTOR S ' APPLICATION FEES TAMPA BAY TRANE MECHANICAL FEE 2,349.00 SOUTHERN ELECTRIC OF TAMPA , INC ELECTRICAL FEE 200.00 � � I � + � � � ��3 Ins ections Re� uired - D CTS I STALLED DUCTS INQ ULA�Ei�_ FINAL � ��i REINSPECTlON 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 SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER O� o . • .��1'CUIIIUH ' ►_ �s�� .:��'��°R' - � � ' - - t City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �MQ9 BAY TRA N�. Date Received: � 2- -' l '- � S site: 70 50 GALC. l3LV D Permit Type: wQ�'"' W�� ' "l �`� �S�.�P,�f Approved w/no commer�,ts: Approved w/the below comments: 0 Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. � �� Kal ,in it -Plans Examiner Date Contractor and/or Homeowner � (Required when comments are present) sis-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 . Building Department `� lS Date Received ` r / �� ' 2 Phone Contact for Permitting — �G. ��. � Owne s Name P Owner Phone Number Owners Address � ! ��f Owner Phone Number Fee Simple Titleholder Name � Owner Phone Number Fee Simple Titleholder Address JOBADDRESS LOT# � J�f�jL�� +�� SUBDIVISION PARCEL ID# �%, (OBTAINED FROM PROPERN TAX NOTICE) �� WORK PROPOSED [� NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH �� INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � �% � DESCRIP110N OF WORK Y.� � I �. � � r ��O � • BUILDING SIZE SQ FOOTAGE� HEIGHT � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ j 1ECHANICAL $� � L _ _ VALUATION OF MECHANICAL INSTALLATION Fi v �� P`� �� QGAS Q ROOFING Q SPECIALTY � OTHER �j �I�v � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � +s,�'r. �lj��jj�'1 �v\. BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �] ,�r' . � ELECTRICIAN _ // COMPANY �Ol�'l.ri1'7L (= .L�7l� " SIGNATURE �"'�l y REGISTERED Y/ N FEE CURRE� Y/N Address License# �=L��/ �Bp PLUMBER COMPANY SIGNATURE GISTERED Y/ N FEE CURRE� Y/N Address Lice�se# ` 'e Y / c��'!� MECHANICAL COMPANY If�✓1'� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N • �.. /��,�, Address � p License# L:e//>��S d�a OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItII RESIDENl1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit(or new construction, Minimum len(10)working days after submillal dale. Required onsite,Conslruction Plans,Slormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Sile'VVork Permit for subdivisionsAarge projects COMMERCIAL Attach(2)complele sets of Buildin�g Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new conslruction. Minimum ten(10)working days aRer submiltal date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Sile Work Permit for all new projecls.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERIY SURVEY required for all NEW construction. Directions:• •--^•--•--•--r�.--..-r.--r L.��1--f=...�-r.--•-+--.�-.—.-r.--•-•—•--r.--r�.�-•-••�-•--•— Fill out applicalion completely Owner 8 Contractor sign back of applicatlon,notarized If over a2500,a Notice of Cammencement is roquired. (AIC upgrades over$7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh notarized leller from owner authorizing same OVER THE COUNTER PERMITTING (copy of conlract�equired) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on pubiic roadways..needs ROW ' y 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 Building Inspection Division—Licensing Section at 727-847- 8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"ownet", 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 appiication is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. ' - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. ' - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall ' construction,I certify that fill will be used only to fill the area within the stem wall. ' - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating � the conditions of the building permit issued under the attached permit application, for lots less than one (1) �, acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Building 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 COMMENCEM AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T FINANCING,CONSULT WITH YOUR LENDER OR AN A7TORNEY BEFORE RECORDING YOUR NOTI MENCEMEN FLORIDA JURAT(F.S.117.03 OWNER OR AGENT CONTRACTOR Subscribed and swom lo(or affirmed)before me this Subscnbed and swom to or affirmed) efore me this ��— —! by__�5.4-A� H• MEMLHQ�N by Who is/ e.�ersonally kn�A�o me or has/have produced Who is/are personally nown to or has/have produced as identificalion. as idenlification. �^�'—f�' F'�`�-6 Nolary Public � Notary Public Commission No. �� i Qg�' ^� Commission No. 1��►"ti.�1 K�MOE'OrLY S. HILI. ► w VTa�VI.� `�-1 Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ,�'�� IQMBERLY J.HILL '•i;'••, =iA �: ot�wq� Notary Pubtic State of Florida =+: ,r MY COMMISSION�EE 198821 r ; Andrea M Conley �,. •g EXPIRES:July 19,2016 �i,� %'�,pf��` BondedThNNotaryPublicUndenvriters MyCOmmlenionEE189504 II '�"�k�,� �xplf�607M3/c"016 , � This spnce for use by Clerk of the Circuit Court anly. I II�III IIIII IIIII IIIII IIIII IIIII IIII�IIIII II�II{ll�l III{IIII ; 2015189460 Rept:1730260 Rec: 10.00 . DS: 0.00 IT: 0.00 NOTICE OF COMMENCEMENT 11/25/2015 J. R. , Dpty Clerk Permit Number• Tax Folio No. 35-25-21-0010-10500-0000 The undersigned hereby gives natice that Improvemenls will be made lo certain real proper[y,and in nccordance with Section 713.13 of ihe Florida Stamtes,the following infarmation is provided In the NOTTCE OF COMMENCEMENT. 1 Legal Description of property(street address required): 7050 Gall Blvd- eahvrhills FL 33541 2. General description of improvements: Replacement of a CVHF 500 3a. OwnerName: Adventist Health Svstem/Sunbelt Inc Owner Address: 7nsn rall Blvd-Zeohvrhills FL 33541 3b. Owner's interest in site: 3a Fee Simple Tide holder(of other than owner) Address: . Contractor Name: Tampa Bav Trane Address: 902 N Himes-Tampa,FL 33609 Phone: 813-877-8251 . 5. Surery Name: Amount of bond: Address: Pltone: 6. Lender Name: Contact: Address: Phone: 7 Person within the State of Florida designated by owner upon whom notices or other documenu may be served as provided by Section 713.13(i)(a)7,Florida Statutes. Name: Address: Phone Number 8. In addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 7I3.13(1)(b),Florida Statutes. Name: Address: — I Phone Number: 9 Expiration date of Notice of Commencement(expiration date is one(l)year from date of recording unless a different date is specified). � WARNINC7'OO�VNER: ANYPAYMEN'fSMAUEIlI'TIIEOWNF,ItAR7'V.RTffEEXPIRATIONOFTHENOTICEOFCOMMENCE111ENTARE CONSIDERED IA1PROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RFSULT IIV VOUR PAYING TWICE FOR IMPROVEMENTS TO VOUR PROPERTY,A NOTICE OF COMMENCEAIEN7'MUS7'BE RECORDED ANU POSTED ON TIIE ' JOB SITE BEFORE THE FIRST 1NSPECTION. IF YOU INTEND TO OBTAfN FINANCING,COIVSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMfvIENCING WORK OR RECORDING YOUR NOTICE OF CO�IMENCEMENT. �� ,i�'��G'lu�-� Signature of Owner or Lessee,or Owner's or l.essee's Authorized Officer/Director/Partner/Manager ��.��t.�,�/ i«�r- Signatory's Title/Oflice STATE OF FLORiDA COUNTY OF PASCO The forcgoing instrument was acAnowledge before me this�_day of 1\��V1�� ,20�� • � by�`Cla>� {�l��Y�r��k ss�[��.1 n�`ifeeftO.for L�� Personally Known OR Produced fdentification Type of 1 n�iG yro uce �;o`�°•• MAHANEY , ��:, r..��'."fbi A 1'i� •� fv1Y CUH:�:II:�S14N#FF186580 � �y"��OyM1�Q.�'} EXI''IRES J:s:u.r.iry 1.2019 ' -- (eo�ssa-otss �t�.r��t::i,:.,:'..; ,•,. Under pe , � d Iliat the facrs stated in it are[rue ro the best of my knowledge and belief. �� Sigiature of Namral Person Signing Above . PRULA S.0'NEIL,Ph D PASCO CLERK 6 COMPTROLLER � il/25/2015'••12:04 m 1 of 1 (A copy of mre bond must be nnrchcd ol ihe lime of rewrdalion of Ihis Notice of Commcnccmcnt) OR BK g 29� P� 22j5 / � � o � C/ STATE OF FLORIDA COUNTY OF P�SCO �`��' ` � �� , i THIS IS T0�CERTIFY THAT THE FOREGOING IS A �, � . �' TRUE AND CORRECT COPY OF THE DOCUMENT �, �� •. � ON FILE OR OF PUBLIC RECORD IN THIS OFFICE �t � WITNES MY HAND A D OFFI IAL SEALTHIS ;� . I„c,o��"'Q�.�••,,. ♦,r 2 0/ C� � � �DAYOF � PAULA S.O'NEIL, CLERK&COMPTROLLER �,�c• � ; � �68� �P BY DEPUTY CLERK � • � OF�' � r 902 North Himes Avenue u, Tampa Bay Trane PO.Box>8547 Tampa,Florida,33609 813-877-8251 T��° 800-96E8251 Toll Free 813-877-8252 Service Dispatch 800-966-8252 Toll Free Service Dispatch 813-877-8257 Fax I i www.tampabaytrane.com � ' I City of Zephyrhills—Building Department 5335 8th Street , Zephyrhills, FL 33542 November 24, 2015 � Contractor Licensing, I grant the following individuals the power to sign any permit documents and to be able to pick up any permits on my behalf: George Barbari Gary Denton Shane Helmer Eric Kepner David Burness � Respectfully sub ' by, �. awr ce Patterson. Q ifier—Tampa Bay Trane MC1250427 State of Florida County of�� On this, the day of C�� , 20� ore me a notary public, the undersigned officer, personally appearedl,W,`��C.�. , nown to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. In witness hereof, I hereunto set my hand and official seal. �6�.,. Notary Public '.'Q�� Not�ry Public Slete oi Flonaa ' � �lndrea M Conley of� N1Y Commis5ion EE 189504 EXpif4s 07/13l2016