Loading...
HomeMy WebLinkAbout18-19726 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 19726 BUILDING PERMIT y PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19726 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: 42,500.00 OWNER INFORMATION Date Issued: 5/25/2018 Name: HEALTH CARE REIT INC C/O ALTUS G Total Fees: 565.00 Address: PO BOX 92129 Amount Paid: 565.00 SOUTHLAKE, TX. 6092-0102 Date Paid: 5/25/2018 Phone: (863)838-3220 Work Desc: INTERIOR REMODEL PULMONOLOGY CONTRACTORS APPLICATION FEES FHS INDUSTRIAL CONSTRUCTORS LLC BUILDING FEE 352.50 COLWILL ENGINEERING DESIGN BUILD ELECTRICAL FEE 60.00 COLWILL ENGINEERING MECHANICAL I MECHANICAL FEE 60.00 FIRE PLAN REVIEW FEES 25.00 REVISION FEE 67.50 l 11/ Insliklions Required FOOTER 2ND ROUGH PLUMB MIS(; 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 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 40eTkAeT S NAT RE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: A/ Date Received: Site: �! Permit Type: Approved w/no comments* Approved w/the below comments:'' Denied w/the below comments: ❑ C,A j��t_ OLVI�5 r7, C_l rl c,r vciZ Sal ,A C- ✓ ��� (30- 533-2z1.3 �13- S-3Y- i1�9 @. l0: 3Zrr�— This comment sheet shall be kept with the permit and/or plans. Kal ' tzer Plans Examiner Date Contr or or H eowner Ile (Required when comments are present) i B13 City of Zephyrhills Permit Application Fax-813.750002i Building Department Date Rrawod /t Phone Contact for Porin}tUn' t 1 (0 OwnerY Narrie. �. - L'. � rr tAvnnrFhona Numtwr ' DwnereAddress =.CJ' 17 tTonorPhanaNumbar7f�- �t(1�1f6L- Gt Fee Simple THlshofdar None r. 10I.Phonallumbet Fee Simple TitishoWwMdross .JOB ADDRESS � 12(C� � _ LOTtR SUBDIVISION ;.�Sj PARCEL�Di ~ 2i�2( (ooi(� �* ( 3 U -- - (QWAWMFRWIIPRQPERTYTMNOTICE) WORK PROPOSED ® ttflrGkL5iR8 ADDIALT = SIGN CD 0 DEMOLISH 1NS'TALL REPAIR PROPOSED USE = SFR �- Comm 17-71 OTHER TYPE OF CONSTRUCTION ] BLOCK E FRAME STEEL DESCRIPTION OF WORK Vy.. ' • +.:.t��1 t, r �:( Ul t.V 13WLDING SIZE :jSG FOOTAGE HEIGHT QBUILDING 5' VALUATIONOFT07ALeCONSTRUCTTON A-0-c0b] QELECTRIcAL g' R{f1 AMPSERVICE C] PROGRESS.ENEF-OY Q W.R.E.C. PLUMBING =MECHANICAL §, VALUATION OF MECHANICAL INSTALLATION �'.- + . =GAS Q ROOFING .0 SPECIALTY r--j OTHER FINISHED FLOOR ELEVAn6NS. ' FLOOD ZONE AREA [=YES No ' �94 (�DER ' cora�PANw F-- ,.) 60. 2 7,ic° NATURE REt3ieTEREQ •! ... NATURE ..� �Py�-'.(.r`^�•_ Y 1"t+� >�Cto2Rr:n YIN'. 2WAL-mTfilc WN - .r idPANY' lotiWil� �r.(;nccr:, t Of%iW 6- tc�. 1a . .SIGNATURfi: r- REGSSEER6) YtN' "FEeCu.,F '�ffu Address. `1'l. .off' ._ fltaAw. �r, Lken:er EC t3o012o0 PLUMBER ( COMPANY SIGNATURE l RE(NTEM I YIN, FEECURRen' Addtw r r� r ��C r'�� �I}t HAHIt:AI r tOMPANY Wil --� intcri.v ) cL6A*%1-a In(.-, SIGNATURE ir>ctsTEnm I. Yd N CUFi �Y IIN Add. 15a C.: .Prdo�• ��.. License lFF&AL VVSo 11 _ OTHER COMPANY = - - SIGNATURE _ REGISTERED I Y/N. .I..EE.CURREh ':YIN Address Ltcertae#1' RESIDENTIAL Attach(2)plot Plans;(2)"h of BtiUdlag Plaiu;(1)so ` l of Energy Forms;R Q 1N P,arinll farnve canaWct3on, hTmtn*n ten(10)working days efidr submittal,dat6:.Required onMte;'C6nstrii66n Pian's,'Slormwater Plans wl Silt(F.enoo inwilail; Sanitary.Fac7lUea 81.duinpstor;;Silo Wafi Porinl('for;subdh+lsloAsllorge pro)ects COMMERCIAL Attach(3)comp.1 aid.syls of iOdInq Plans pius a,li(a Sefety;Pago;(1)oot faf 6norgy Forms,,R Ci.V!/,i?rzm)t for naw;oonstructlan. hCnlmumtun-(1b)ypAIngdaysettnrnubmittat'drito;�Requliedoaslte,�ConsWdanPlan©Storm»aYoiPlans,wlSlttiorfcalnilolied, ',SantiaryFacllluos:81ldmpster,SilwtacrkPermitfor Olt rf"Pro)beta:Ancoemcidnl'`eguiiemebts'inu,, ir", ,,'mplla- SIGN PERMIT Attccti(2)Oats or-Englneertid Phis. . "PROPERTY SURVEYreii adfoioUNEW nstrucUoir.: DiiacttanD:; Fill outappficaton completely. Owner Contractor sign back of aWlcatfon,notarized If ovor E75Qb,a tfotics of Commoncatitant is requlred. (AIC upgrades over ST500) Agent(for the contracW)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING .(Front Of AAppticatfoa Only) Retools If shingles Sowers Servico Upgrades'A/C Fences(Plot/Survey/Footage) Drlww.ys-Not over Counter Iron public medweys-needs ROW r City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: Site: Permit Type: Approved w/no comments:El Approved w/the below comments: Denied w/the below comments: El This comment sheet shall be kept with the permit and/or plans. K2�Azep-44ans Examiner Date Contractor and/or Homeowner (Required when comments are present) ZEPHYRHILLS FIRE DEPARTMENT 38410 6th Ave Zephyrhills, FL 33542 FIRE SERVICE USER FEES increase 1/1/2018� Occupancy No.: Plan No.; Contractor: Business Name: 6A(_� 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 Annual- Ed ucation,healthcare,De tention&Correctional Public Assembly,Business, schools, Storage,Mercantile and Churches Site Plan N/C Industrial. no charge Sprinkler $50 ulti-Family/Commercia .03 sf up to 800 sq ft $ 24.00 Standpipes $50 i(Minimum Char $24:00 801 -1,500 sq ft $ 34.52 Fire Pump $50 Plan Revisions DBL 1,501 -2,500 sq ft $ 60.02 Hoods $50 2,501-3,500 sq ft $ 90.02 Fire Alarm $50 SPRINKLER SYSTEMS 3,501-5,000 sq ft $ 127.52 LP Gas $50 �'0-25 Heads $50 5,501-7,500 sq ft" $ 187.52 Natural Gas $50 26 plus Heads- $100 7,501-10,000 sq ft $ 262.52 Fuel Tanks- per tank $50 STANDPIPE SYSTEM 10,001-15,000 sq ft $ 375.02 Sparklers $100 �?Per Riser $50 15,001-20,000 sq ft $ 525.02 Fire Works $500 FIRE PUMP 20,001-30,000 sq ft $ 750.02 Camp Fire(recreation: $25 Per Pump $100 30,001-40,000 sq ft $ 1,050.02 Controlled Burn(15da: $100 FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1,500.02 Hood/Duct $50 0-25 Devices $50 60,001-80,000 sq ft $ 2,100.02 Place of Assembly $50 Annual 80,001-($2,100.02)per 26 plus Devices $100 ea add 1,000sq ft $ 0.06 Fire Protection $25 SUPPRESSION'SYSTEMS (Business closed until Flammable Application $50 Annual Wet $50 violations corrected) Waste Tire Storage $50 Annual Dry $50 SPRINKLER SYSTEMS Generator<KW $100 CO2 $50 Hydro Undergrounds $45 Generator>30 KW $100 Other $50 Hydrostatic Test $65 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Acceptance Test $45 per system Fumigation Tenting $50 0,Hood/Ducts $50 Hydrant Flow $75 Torch Pot/Applied $50 OTHER Haz.Materials $50 Annual t HLP Installation per tank $50 FIRE ALARM SYSTEM 'Fuel Tank Installation $50 System Acceptance $50 (Per Tank) $50 a Recall Acceptance $50 Natural Gas Installation $50 OTHER (Per System) Fire Wall/Smoke Wall $15 per wall 0 Spray Booth $50 LP Gas $25 pertank Natural Gas $26 per system Tent 10k10'or greater $15 per tent Fire Pump $45 Fire Suppression $30 System Acceptance Exhaust Hood/Duct $30 Re-inspection DBL (other than annual) Inspection scheduled DBL and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle Acce $50 PLANS TOTAL INSPECTION TOTAL PERMIT TOTAL= GRAND TOTAL Comments: Date: Inspector: nlh FALSE ALARM FEE 1 st Alarm N/C 2nd Alarm N/C 3rd Alarm N/C 4th Alarm $100 5th Alarm $150 6th Alarm $200 L:JNON COMPLIANCE $160 Cont.Annul Inspection Fees 3-11 Units price per unit $ 5.36 12-25 Units price per unit $ 4.82 26-50 Units price per unit $ 4.29 51-100 Units price per unit $ 3.75 100 or more Units price per unit $ - 2.68 Fire Safety re-inspection types First Re-inspectiol N/C Second re-inspeci $75 Third-re-inspectior $ 125.00 lnspectlon scheduled but cancelled 24 hrs $ 50.00 1 TOTAL C� mh fi City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: A)-O CA�4, 6-ufi� Date Received: S--7- Site: Permit Type: Approved w/no comments:C Approved w/the below comments: 0 Denied w/the below comments: 0 This comment sheet shall be kept with the permit and/or plans. Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner (Required when comments are present) GoA ' Postal Zephyrhill To: ' John Cleveland Subject: 0E: FK4[Z-HiUs Facilities From:AmirYocoub Sent:Tuesday,June 12, 2O1O3:2ZPK8 To: Ron Smith >; Chad Eiche| ( ) Cc:Joe O|iveh Subject: FK4CZ-HiUsFacilities Ron, Please see attached. As discussed on the phone,the requirements is 50 occupants before you have to swing the door in the direction of exiting in Business Occupancy All doors are required toswing out-if the building is classified as Hospital. |f you have any questions, please call. Thank You. Ammir Yacmub Senior Project Manager � � 32707 US Highway 19 Palm Harbur, FL 34684 727.781.7525 ° Phone 727.781.6623 ° Fax COW, ����� Go Green. Please consider the environment before printing this email. CONFIDENTIALITY NOTICE:This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to which they are addressed. if you are not the intended recipient,you may not review,copy or distribute this message. If you have received this email in error, please notify the sender immediately and delete the original message. Neither the sender nor the company for which he or she works accepts any liability for any damage caused by any virus transmitted by this email. "Faith ia the most powerful of all forces of humanity. And when you have it,nothing can get you dovvo" 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received PhontContactfouPermittin Owner's Name AL, LCMA6 yi,_ ( :_ l 1 V b Owner Phone Number V Owner's Address V V Owner Phone Number Fee SimpieiTitlehoider.Name T 'Y Owner Phone Number Fee Simple Titleholder Address tt JOB ADDRESS ✓ 0aft,(-, LOT# t p� SUBDIVISION � - PARCEL ID# " ~ ����' � "` O�J�� (.�3 — 43 (OBTAINED FROM.PROPERTYTAX NOTICE) WORK PROPOSED NEW CONSTR" ADD/ALT SIGN Q DEMOLISH ;e. INSTALL .8 -: REPAIR PROPOSED,USE " Q SFR. COMM" - ''Q -OTHER'", TYPE OF CONSTRUCTION �'. ' BLOCK ' `[� FRAME [ STEEL y _ DESCRIPTION OF WORK,, 'ff i �L'i�•i ()(� (} OL BUILDING SIZE SQ FOOTAGE , HEIGHT" QBUILDING $ ;~, - �OV VALUATIOi�!`tOF TOTAL CONSTRIICTiON' ' i QELECTRiCAL IL,7;W AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �. [PLUMBING =MECHANICAL $ 'VALUATION OF;MECHANICAL INSTALLATION 4 F2Ji' [ GAS Q ROOFING _Q SPECIALTY. ] OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES. .NO ,�.�i -� Icy R �+ LDEi��al/04L �� CO:M ANC` a. e2 (�E11}`���'A I. NATURE REGISTERED I Y/ N- 'FEE CURREN Address Cleans # ff TR{CIAN �{ =COMPANY `.,�SIGNATURE REGISTERED Y/ N FEE CURRE�4' Y/N Ad teas _ Llcense-#' �3 PLUMBER_ COMP..ANY SIGNATURE REGISTERED, Y/,•N•'' 5 wFEECURREK; Y/N, '• Address .License,#' NATURE REGISTERED... Y/ N. : :: :FEE CURREn:.. SIG . r d OTHER r - ;COMPANY SIGNATURE REGISTERED' Y/ N.= : FEE CURRE� Y/N 77. Address =t:icetise# RESIDENTIAL.,;:- Attach`(2};PlotPfans;:.(2jsetsof.'SullilfngPlans{.i}`set"offnergyFarms;.°R=O=WPermitfor-new construction,,. Minimum}tenp(1t1)woriiing;days;after_subm{ttai date. Required drisitd 666trubdon Runs:Stoinriwater Plans w!Silt Fence installed, Sanitary Faculties;&.1;dumpster' yV r!j Permit fdrsUbdiyisionsAarga':projects:: COMMERCIAL Attach(3}complete sets'of Building Plans'plils a Life Safety Page;(1)set of Energy Forms.R-O-W Permit far new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater glans w/Silt Fence installed, Sanitary Facilities&T dumpster.Site Work Permit for all new,prajects:All commercial requirements.must meet compliance SIGN PERMIT Attaeii{2}"s®ts ofEiigineered Pieria:;,._ '*"'PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) '• Agent(for the contractor)`or Power of Attorney(far the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING- ---."-(Front of-Application-Only) - Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways-heeds ROW NOTICE OF DEED RESTRICTIONS: The undersigned,under:stands;that;thls;ppcmit:may,be.subj�ct to"deed"restrlctla s"K which may°tie=rnore'.restirictive-than County regulations. The undersigned assuriies'responsitiltty for°compliance wifti'any applicable-deed-restrictions. :....-::. UNLICENSED CONTRACTORS AND CONTRACTOR�RESPONSIBILITiES tf°the-owner has•hlred;-a`contractar or contractors to undertake work, they may:baxeguired.�to.;'bd licensed:In accordance;with_state.and local:regulations: Ifi-the ' contractor.-is not.licensed is requlred`by law, bath the owner ariii contractor°may be=cited°far aRmisdemeanor violation under state law. If the owner or Intended,cont_ractor-;aremneertain as'to what licensing requirements`may apply,:for h,e= `;1 Intended work;they are'stiv!§ed to aaritact°fha Pasco County Buikllrtg;Inspectldh,t?Ivlslp__4 censing Section at 727-847- t3009. Furthermore, .If the owner'Fias fil-* a con dtar oP contractors, he is advised to have the cantractor(s),;sign; portions of the-"contractor.Block".of this application-application they will..be:responsible.-.•if.:you;-as the ownei'-'sign-as'tlie- , .: contractor; that�may_bi an Inoicatlori that'he'Is-not'properly liderised"and ls`iiot'dhff led to permitting priiilleges In Pasco . County. TRANSPORTATION.IMPACTIUTILfTIES:IMPAC' ANb RESOURCE RECOVERY-FEES: The undersigned understands . that Transportation Impact Fees:and.Recourse Recovery.Fees may;appiy:to the construction:of ting new.buildings,changezof`=` use in exis bull'dings, or:_expansloInI-o6VeiiIdh'_#`buildings, as specified.in Pasco County Ordinance number 89-07 and, 90-07, as amended..-:The undersigned also understands, thet-suah fees.-,gs jnay'be-3due;wIIhbe.Identified at the4IMWdf 4.;.. permitting. It is fu'rtfier understood that Transportation Impact'`Fees and'Resourae:Recovery fees..must be paid prior to receiving-a"certificate.-of occupancy"orfinai•power lM lose.-:if-the.project..does;riot-lnvolvee<a:certi 6M6 of occupancy.4t 's final power:release;ahe;fees muit be'paid prior#a;permit issuance. F�rthermore;lf:.Pasco,Gounty;Water/Sewer Impacfi fees are due,_.they must.be:_pald:.piior to:.permtt_i§suarice°In.accordance with applicable:Pasco•.County ordinances. CONSTRUCTION-LIEN-LAW rjCttiepter T13�Florida Sfatutes�as amended): if valuation of work Is$2,500.QQ;or more, l... = , certify that I, the.applicant,.-have.been-provided with: a-copy of`the Florida~Construction"Lien.:Lavw--Homeowner's Protection Guide" prepared by.the Florida Department a#Agrtcuiture and Consumer-Affairs, If the applicant Is someone,:. other than the"owner", 1 certify that.j,,4ave,ot�tained°a co of. abr�ve described:document-,and protnise::in,good,.faith to deliver it to:-the.'owne prior=torconimencemi3nt: CONTRACTOR'S/OWNER'S AFFIDAVIT: 1.certify:::that:all.thojnformation:in-this application is accurate.and that all work will be done in compliance with all.applicable laws regulating construction, zoning,andJand=development. Application Is' hereby made to obtain-.a.permit,,to;doyw.q*zand Installation as Indicatedv­-4 certify that no work or Instattattdn lies commenced prior to Issuance of'a permit''and that`all work will be performed to meet standards of:ali laws regulating-. construction, County and City codes, zoning regulations, and land development regulatlons'In the'jurisdiction.' 1-a1so 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 must4ake.:to be,in corrlptiance.Such.agencies include but-are,not limited to:. t. Department of,Environmental Protection'irz ss'Bayt eadsi; Wbitand Areas.and Environmentally Sensitive Lands,Weter/Wastewater Treatment. Southwest Florida Water Management- .District Wells, cypress.+Bayhoads;-'Wetland' Areas, Altering Watercourses. Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. Department.of. Health 8..Rehablittative.,;Senilces/Environmental::Health Unit Wells,:Wastewater Treatment,; Septic-Tdfiks' . US Environmental Protection Agency-Asbestos abatement.:.- Federal Av-IatlonAuthority-Runways: l understand that the folloiniing;reslrtctions apply to the-use of fill:- Use of fill is not allowed in:;Flood2one"V"unless-expressly permitted. If the-All 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 ho'state of florida: If tha fiil-materlal-,Is'to-be:used in Flood Zone "A" Inc connection vrlth~a permitted building using stem wall; construction, I certify;that f111141fi:be;used only.to..011 the area withln'the•stem wall: if fill material Is to be used In..any area 1 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 condWons:.of.the Wilding'permit.Issued under the:°attadhed,permit application;.foe.aats less:.than.one (1)[ acre which are eievated.-tiyt eft;an engineered drainage plan Is required:. s If f am the AGENT FOR_THMOWNER, I-.promise In good faith to Inform the°owner of-the permitting conditions set forth 16 this affidaVlt`prior to'commencing constructfon. 'I understand that weeparate permit may be required for eleatricaf work,; plumbing;_signs,.wefts,..pools;,air.conditioning,.gas;-or:other. InstaliAIM'S not,specifically included-In.the application. .A' permit issued shall be construed to'be'a'Ifcense•td proceed with the;yiork and.not-as:authority:to.violate-.cancel, alter, or; - set aside any'p"rovistons of the.tealinlcal.codes;-nor shall Issuancetof a.permit.prevent the Bulldlrig 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 slx.,months of-permit Issuance, or 9 work authorized by the permit is suspended�or..abandoned�for-a period,;of�six.(+B)-montINsi.after,the time thaworMs commenced.. An extension; may be requested,,In wrlting;from tho,'i 6.Ming,'Officiai for a perlod.rnot.to exceed1ninety'(90)days ohd-will demonstrate I justiftabie'cause forthe extension: if work.ceases:for ninety.(90)consecutive days;..the job4s.considered abandoned. WARNING TO OWNER: YOUR.FAILURE..T0,RECQRQ,A�NOTICE;;OF.•COMMENCEME#T�.MAY.-RESULT iN OUR PAYING TWICE:FOR IMPROVEMEPO'S;TO.YOUR;P WPERTY.SIP.YO.U,lt4TENWTO"0BTAiN,rFINANEiNO;'C.ONSULT'; W11 YOI I LEND O. API TTO NEY ORES ORfl ry OU 'O FLORIDA'JU�Ai'.(F.S:1.1Tar3} :�____ .: . .. .. ....: .. OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or aMrmed)before me this Subscribed'andswom-to(or aforrnad}-befors me'thli' . by ...by.... Who is/are personally known tome or has/have,produced. Who-Is/am personallyknown•o.:me or has/havworoduced as idenonca8pn: as EdentiticaQon. - Notary Public Notary Public Commisslon Nw. Commission.No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 FIRE SERVICE USER FEES Occupancy No.: Plan No.: Contractor: Business Name: -r 14A C Billing Address: Business Address:_ IAA%4�1 4d. Business Phone No.:. Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: t--7 PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE tM�Site Plan N/C Annual NJC Sprinkler $50 1st Alarm N/C t>d'Multi-FamllylCotnmercia 06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C (Minimum Charr $25.0 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 H 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 8 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $46 per system Camp Fire $25 Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual 26 plus Devices $100 System Acceptance $50 ire P SUPPRESSION SYSTEMS 8 Recall Acceptance $50 Flammable Application $50 Annual Wet $50 1 OTHER Waste Tire Storage $50 Annual Dry $50 Fire Wall/Smoke Wail $15 per wall Generator<KW $100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 Other $50 Natural Gas $26 persystem Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 Hood/Ducts $50 Tent 10x10'or greater $15 pertem Torch Pot/Applied $60 OTHER Fire Pump $45 Haz.Materials $100 Annual 8 LP Installation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 Exhaust Hood/Duct $30 Natural Gas Installation $50 Re-inspection DBL .(Per System) (other than annual) Spray Booth $50 0 Inspection scheduled DBL 8 and cancelled less than 24 hours 8 Construction Insp. N/C Emergency Vehicle At $50 FALSE ALARM PLANSirOTAL= INSPECTION TOTAL PERMIT fi AL TAL�� �ry GRAND TOTAL A � C Comments: (� Date: Inspector: Alh IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 2018079079 Rcpto1955888 Ree: 10.00 DS: 6.00 IT: 0.00 05/09/2018 K. R. M., Dpty Clerk This space for use by Clerk of the Circuit Court only. PRULR S.0-NEIL,Ph.D.PASCO CLERK & COMPTROLLER . 05/09/2018 03:16 m 1 of 1 OR BK 972 PG 2015 Notice of Commencement 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 02-26-21-0010-03900-0020 36135 Market Square Zephyrhill,Florida 33542 2. General Description of Improvements: Interior remodel of POImonology Suite 3a. owner Name: Health Care Reit Inc.c%Altus Group Owner Address: PO Box 92129 Southlake, TX 76092-0102 ®� o 3b. Owners interest in site: ® �. 3c. Fee Simple Title HDider Name&Address(of other than Owner): Fee Simple Title Holder Address: 4. Contractor Name,Address&Phone: FHS Industrial Constructors,LLQ 2651 SR 60W,Bartow,FL 33830 5 863-535-1148 y tti 8� 5. Surety Name: N/A Amount of Bond: N/A Address: Phone: �� px �.•, �� 6. Lender Name: N/A Contact: N/A , y Address: Phone: "S'��• ® M 7. Persons within State of Florida designated by the Owner upon which notices and other documents may be served as provided by V Section 7.13.13(1)(a)7,Florida Statutes Name: Chad Eichel Address: 2150 Via Bella Boulevard-Land o'Lakes,FL 34639 Company. Florida Medical Clinic Phone Number. 863.838.3220 Q Z U W 8. In addition to himself,the Owner designates the following person to receive a copy of the Lienols Notice as provided in ® W CO Ill U Section 7.13.13(1)(b),Florida Statutes U z Q M J } Name: John W.Clifton Address: 5150 Linton Blvd.,Suite 430 Delray Beach,FL 33484 co — U CO J O ZD Company: WeIIToWer,Inc. Phone Number.561.496.3111 Q 0 0 = Q N ry 0- a- (D 6 Lu ♦— W 9. Expiration date of this Notice of Commencement(expiration date is one(1)year from date of recording unless a different date Is LL W W U) O- C] specified). O Ij 0 � Q Q O STATE OF FLORIDA Signature of Owner Printed ® FF_ O- LLI O Y COUNTY OF Pasco _OU U .1 Q J IN The above instrument was acknowledged before me this date of f 11�� 201$by��u�A�dl&J,( w o is (are)personally known � 1- U m C) Li ULl - to to me or produced /(��' ZQ } LLJ (Driver's License#) ® Q' (Y LL LL_ 0 0 0 U. LLJ (!)QW.I �W Ii Z Signature-Notary u is Q1-- x� Z H Q } (A copy of any bond must be attached at the li e f recordation of this Notice of Commencement) a (Q TOmo.WORLEY CotnmfulonA GG 1933/7 r a Expllee INerch 7,2022 '41.1. BMdWTltmTmyFslnljwcer BOMBs701 -Power.of Attorney€or Authorized Agents Re: Authorization Letter/Power.of Attorney for the following_ to act as Agent for Building Permit Activity I; Ronald Marshall Smith Jr., contractor's license number CGC055980, hereby. authorize'the following to act as my Agent.in obtaining permits in the.City.of Zephyrhills, Pasco County, Florida: Agent(s)_Name(s): Driver..License #: 1. -John R. Cleveland C414-478-59-013-0 This authorization is to remain in effect indefinitely,.unless canceled by me in writing. Contractor's Si9 nature: Dater j Sworn to and subscribed to before me thisNr day of -�1'1l , 2018 by Ronald Marshall Smith Jr., who is personally known to me or has produced . as identification and who did (did not) take an oath. " Notary Public: - Seal: +i; CYNTHIALTHOMPSON cs ": r.�.<�: Notary Public-5tateof Florida My Commission Expires: :•- Commission 9GG122650 ufl r :` My Comm.Expires Jul 9,2021 F��;`°•`° Bonded through National Notary Assn. 2651 SR 60 West—Bartow,FL-33830 863.534.1212—Fax 863.534.1170. General Contractor CGC 1521181 p; City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ',!! Date Received: Z 7Jj� Site: Avkl Permit Type: Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑ 4 [his comment sheet shall be kept with the permit and/or plans. ep p pan . salvin Switzer—Plans Examiner Date Contractor and/or Homeowner j (Required when comments are present) 8 City of Zephyrhills ? BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: Site: 7 Permit Type: l®rr Approved Who comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. Fire Safety Officer Date Contr or /o Ho wn (Required when comments are pres t) l