HomeMy WebLinkAbout18-19380 CITY OF ZEPHYRHILLS
- 5335-8TH STREET
, (813)780-0020 19380
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
' Permit Number: 19380 Address: 7050 GALL BLVD
Permit Type: COMMERCIAL 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 fdumber: 35-25-21-0010-10500-0000
Improv. Cost: 101,750.00 OWNER INFORMATION
Date Issued: 2/28/2018 Name: FL HOSPITAL ZEPHYRHILLS
Total Fees: 825.00 Address: 7050 GALL BLVD
Amount Paid: 825.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/28/2018 Phone: (813)783-6189
Work Desc: ELECTRICAL RENOVATE FOR THE CT ROOM
CONTRACTOR S APPLICATION FEES
APG ELECTRIC INC. - ELECTRICAL FEE 825.00
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Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY I
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC. 'I
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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIG U PERMIT OFFI R �
PERMIT PI S IN 6 MONTHS WITHOUT APPROVED INSPECTION '�
OR INSPECTION - 8 HOUR NOTICE REQUIRED �
PROTECT CARD FROM WEATHER
s�saeaoozo City of Zephyrhills Permit Application Fax-s�sasaooz�
Building Department
� ~ Date Reeelved � /� phone Contact for Permittin —
Owners Name AdvenGst Health System Sunbelt Heallh Corporation Owner Phone Number
Owners Address �050 Gall Blvd.Zephyrhills,FL 33541 Owner Phone Number I
Fee Simple Titleholder Name Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS �050 Gall Blvd.Zephyrhills,FL 33541 LOT# �
SUBGIVISION PARCEL ID# 35-25-21-0010-10500•0000
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTa� ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIP710N OF WORK Renovation of CT Room
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
� 04' QELECTRICAL $�01750 ERVICE Q PROGRESSENERGY Q W.R.E.C.
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QPLUMBING $
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QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � S� n�l V� `� �� •
�9
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISf�ED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N '
Address License#
ELECTRICIAN COMPANY APG Eleclric,Inc.
SIGNATURE REGISTERED Y i N FEE CURREN Y/N
Address 4825 740th Avenue NoAh Clearwaler FL 33762-3822 License# EC0000486
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/�T-
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plol Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construclion,
Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facitilies 8 1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Buildin�Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWclion.
Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FaciliGes&1 dumpster Site Work Pertnit for ali new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•"`PROPERTY SURVEY required for all NEW construction.
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Directions:
FIII out application completely
Owner&ConVactor sign back of appticatlon,notarized
If over EZ500,a Notice of Commencement is requlred. (A/C upgrades over$7500)
•• Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh notarized letter from owner authorizing same
OVER THE COUNTER PERMITfING (Front of Application Oniy)
Reroofs ii shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on pubtic roadwzys..needs ROW
, NOT[GE OF DEED RESTR1CT10NS: The undersigned understands that this permit may be subject to"deed"restricfians"
:., which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLtGEPISED CONTRACTORS AND CONTRACT4R RESPOFlSIBILiTiES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and locai regulations. �f the
contractor is not licensed as required by law, both the awner and contractor may be cited for a misdemeanor violation
i ander state iaw. If fhe owner ar intended contractor are uncertain as to what licensing requicements may appiy far the
intended work,they are advised to contact the Pasco County Buiiding�nspection Division—Licensing Section at 727-847-
8009. Furthermare, if the owner has hired a contractar or contractors, he�is advised to have the cantractar(s) sign
' portions of the"cantractar BIocK"af this application far which they will be responsibie. If yau, as the awner sign as the
� contractar,that may be an indicafion that he is not properiy licensed and is not entitied to permft#ing privileges in Pasco
� County.
TRANSPORTATION IMPACTIUTtLITiES INIPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply#o the construction of new buiidings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
80-47,as amended. The undersigned aisa understands,that such fees,as may be due,wii(be identified at the time of
permitting. It is further understood fhat Transpartation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final pawer release. If the project does not involve a certificate of occupancy or
finai power release,the fees must be paid prior ta permit issuance. Furthermore, if Pasco Gounty WaterlSewer lmpact
fees are due,they must be paid prior to permit issuance in accardance wEth appiicab[e Pasca County ordinances.
CONSTRUCTION LIEN LAW(Ghapter 713,Flarida Statutes,as amended)� If valuation of wark is$2,500.00 or more, I
certify that i, the appiicent, have been provided with a capy of the "Florida Construckion �ien Law—Homeowner's
Protection Gnide°prepared by the Florida department of Agriculture and Cansumer Affairs. If the applicant is someone
other than the"awner",I certify that I have obtained a capy of the above described document and promise in goad faith ta
deliver it to the"owner'prior to commencement.
CONTRACTOR'StOWNER'S AFFiDAVIT: 1 certify fhat all the information in this appiicatian is accurate and that all wark
will be dane in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made ta obtain a permit to do work and installation as indicated. I certify that no work ar installation has
camm�nced prior ta issuance of a permit and that all worK wi11 be perfarmed to meef standards of all iaurs regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulatians of other government agencies may apply to the intended work,and that it is ;
my responsibility fa identiiy what actions I must take ta be in compiiance. Such agencies include but are nat I'smited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaliy Sensitive
Lands,Water/Wastewater Treatment.
- Sauthwest Flarida Water Management Ristrict-Weiis, Cypress Bayheads, Wefland Areas, Aitering
Watercourses.
- Army Corps pf Engineers-Seawalls,Docks,Navigable Waterways.
- Department a( Health & Rehabilitative SetviceslEnviranmentai Health Unit-Weiis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviatian Autharity-F2unways.
1 understand that the foliowing restrictions apply ta the use of fiii:
- Use of fill is not allowed in Flaod Zone"V"unless expressly permitted.
- !f the fi{! material is to be used in Fload Zone "A", it is understood that a drainage plan addressing a
"compensating volume"wil(be submitted at time of permitting which is prepared by a professionat engineer
licensed by the State of Florida.
- !f the Fi!{ materia! is to be used in Ffoad Zone"A"in connec,ion with a permitted building using stem wall
construcfion,I certify that fi((wiil be used oniy fo fill the area within fhe stem wa1i.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
prope�ties. !f use of fi{I is found to adversely aifect adjacent properties,the owner may be cited for violating
the conditions af the bufiding permit issued under the attached permit app{ication,for Iats iess than one(1}
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,!pcomise in good faith to inform the owner of the permitting canditions set forth in
this a�davit prior to commencing construction, i understand that a sepacate permit may be required for electrical wo�k,
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 as�de any provisions of the technical cades,nor shail issuance of a perm9t prevent the Building C}fiicial fram 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 abandaned far a period of six{6}months after the time the wark is commenced. An e�ctension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90) days and will demonstrate
justifiabie cause for the extension. If work ceases for ninety(90)consecutive days,the jab is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NQTfCE OF COMMENCEMENT MAY RESULT iN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO QBTAIN FINANCING,CONSUL7
WITH YOUf2 L�NDER OR AN A'iT0 EY BEFORE REGQRDING YOUR NOTtGE OF CQMMENGEMENT.
FLORIDAJURAT(F.S.i .03j
OWNER OR AGENT � CONTRACTOR !�`v�/...-
Subsaibed and swom ta{or affirmed)befoce me thi Subscribed and swom to{ar affimted)before me r
by i�2��1$ by �
4Vho is/are personally known to me or hasAiave pro Who islare personall�known to me or has/hav roduced '
as identificatio�. as identificaUon.
Notary Pubiic �� �-- Notary Public
CommissionNo. Comr�si,o No. �-iC-i i'72'7i'Z
Name of Nata[y typed,prinfed or stamped Name af Notary ty d�:"� , §tamped
;*; ;,: MY COMM1SSi0N#GG 1?2,7i2 ,
': �o`: EXPIRES:January 29�2021
"''-.'FpF�;;°Q: Bonded iThtu No�sY AlbtiC Undetwtkats ,
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ���T ��G //{G��i
Date Received: l /02/�C� //�'
' Site: ��,J d ��G(,� ��2�l��
Permit Type: �/7� 1���C.(dY� C�� �L-D�'
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Approved w/no comments�� Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
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� 'Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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, 1lQlli�� ��Rcpt:19Z6354 Rec: 10.00
2018012846 j DS. 0.00 Y'�': 8.0�
- _ _.... r.-. . i1. D t Clerk ,
. . __ . ._ . -- • --- 01/24/2018 B ,. P�Y e.
Pe�nr�. Pe,�i,n�, s�-zs-z�-o��a�osoa0000 __._._r..,. _... .
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NOTICE OF COMMENCEMENT ?fiULA 5.0'NEIL,Ph.D.Pq540 CLERK & CAI'lPTROLlER
,01/24/201 11�:44 1 f 1
siw.o�Roaida co�vo�Pasco �R BK:��6�'pG �,2�� J
if1E UNOERSIGNED hereby Ot�es roUce Ifiet Imqrnemercl w�be emde to ceMln�eet pfoperry�and In�csad�e wil�Clwplu 71J.Flaelda Stalulei,�.
1lfe folowy+p Uffartnetlon h provlded in Ws No6ee N Cortmanoeme�t
�. o��r��rP�n,r p��ad,anmti�,r�.ss-zs-ai-oo�a�osao-a000
• • sp�� 7050 Gaf1 Blvd.ZephyrhAls.FL 33549 -
y �����„�y,��Renovalion oE CT Room
3. Owner Mform�Uat or Lewe Morrnellon tf U�e Leasa+contraded for ihe Mprouement;
Adventlsl Heaith temlSunheft Ina
� 7050 Gall Blvd.� ZeQhyrhlps FL ,
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Addta6t Clty Sloto
a. Camsnnr..APG E[ec�cic,Inc.
48251401�i°�venue Ncrth dearvvater FL
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camrecmr�7elephone No,: 727-530-0077 , -
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7. Ptic��b ciihL�Cw''3iclu u!:•taluu oazi{�.iatca by ftre ownx tipon whan noticaa a olher auaart�eNs may he senred as prouided by
, Section T IJ.13(1j(�}pJ.Fb�fda StnWlas:
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� ���� p TdepAO�te Num6etr af Benan ar Enpty Deslpnsted try Owner _
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� � �-Qp-�i Q WARMPIQ TO OVYNER: ANY AAYMENTS N1ROE BY 7HB 0'VVNFA AFTER THE E�PIRATION OF TFIE NDi10E OF COMM9JCEMENT
-n�j�-1� ARE.CONSIOEAED IMPFiOPER PAYMENTS UNOER CHAPTER 719, PART 1. SECTION 713:19, RORIOA STATLITES.AND CIW
�O O S Z RESUL7 IN YOUR PAYING T1MCE FOR IMPROVEMENTS 70 YOUR PROPERiY. A NOTICE OF COMM�lCEMENT MUST BE
n n��� Ili ,.,,t RECORDED AND POSTED ON THE JOB SfTE BHFORE THE RR571NSPECTION.IF YOl7 INTEPf�TO aBTA1N FiNAfddNG.COtiSUIT
O D� �� � WR}�YOUR LEMDER OR fW ATfOF1NEY BEFORE C0IAMENCING WORK OR RECOpDING YOUR NOTtCE OF CQMMENCElAEtiT.
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