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HomeMy WebLinkAbout18-20330 (2) CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 20 EMERGENCY GENERATOR PERMIT PERMIT INFORMATION LOCATION°INFORMATION Permit Number: 20330 Address: 38250 A AVE Permit Type: FIRE EMERG GENERATOR<30K%A ZEPHYRHILLS, FL. Class of Work: FIRE-EMERGENCY GENERATOR Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 14-26-21-0010-01300-0010 Improv. Cost: 288,061.00 OWNER INFORMATION Date Issued: 10/31/2019 Name: SOUTH PASCO HEALTH CARE PROPER I Total Fees: 170.00 Address: 485 N KELLER RD STE 250 Amount Paid: 100.00 MAITLAND FL 32751-7535 Date Paid: 10/16/2018 Phone: (813)782-5508 Work Desc: INSTALLATION GENERATOR W/ELECTRIC/SLAB ati CONTRACTORS APPLICATION FEES . VOLT AIR TRU TORS FIRE PERMIT FEES 100.00 FIRE PERMIT FEES 50.00 CALADESI CONSTRUCTION CO CONTRACTOR CHANGE 20.00 r n 1449 Ins ections_Re uired FIRE INSTALLATION-Final ELECTRICAL FINAL FINAL Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activities such as inspections, plan review, administrative fees, and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "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 RE ORDING YOUR NOTICE OF COMME ENT " C CTOR SIGNATURE PERMIT OFFIC PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE - 813-780-0041 CITY OFZEPHYRHILLS 5335-8TH STREET' (813)780-0020 20330 EMERGENCY GENERATOR PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20330 Address: 38250 A AVE Permit Type: FIRE EMERG GENERATOR<30KVI ZEPHYRHILLS, FL. Class of Work: FIRE-EMERGENCY GENERATOR Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est.Value: Parcel Number: 14-26-21-0010-01300-0010 Improv. Cost:" 288,061.00 OWNER.INFORMATION Date Issued: 10/16/2018 Name: SOUTH PASCO HEALTH CARE PROPER 1 Total Fees: 100.00 Address: 485 N KELLER RD STE 250 Amount Paid: 100.00 MAITLAND FL 32751-7535 J Date Paid: 10/16/2018 Phone: Work Desc: INSTALLATION GENERATOR W/ELECTRIC CONTRACTORS APPLICATION.FEES VOLT AIR CONS-1 RUUTUK5 FIRE PERMIT FEES 0.0 Ins ections Required T - ina ELECTRICAL FINAL. FINAL Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activities such as inspections,plan review,administrative fees,and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "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." CONTRACTOR SIGNATURE PERMIT OFFICER PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION-8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE- 813-780-0041 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting — Owner's Name Owner Phone Number Owner's Address Owner Phone Number Owner Phone Number JOB ADDRESS F LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL 0 DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY G l �n �rvC, SIGNATURE REGISTERED / N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ****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. (A/C upgrades over$7500) •• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 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 f6r 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 is 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I 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 f6ilowihg,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 W, 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 prorhise 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 per milt issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and Will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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. 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GENERATOR ADDMON $ O N•CONaULTINGEGINEEFIS 7aD GNf/IIYA 10Nflfil$RQC� 67eO 7p� i& -77 fil3�iDIAGRAM=IEWWORK rtmeeai- ftwWol.m .cwmGa� r�gaa:ol.ieon "�tr Z ZEPHYRHILLS HEALTH & REHAB CENTER W � PLANS FOR 5 Jo I.^ GENERATOR ADDITIONi ,Z e h hills 7350 DAI RY ROAD D z HEALTH&RE AB CENTER ZEPHYRHILLS; FLORIDA - 33540 JULY 2, 2018 CONSTRUCTION DOCUMENTS VOL *fIIR AREA MAP, KEY PLAN vohAir Consulting EngIneari,Inc. . . 220 West 7th Ave,Suite 210 R Tampa,Fbrba 33802 TEL 873.867.4699 CQA 027750 Project No.Ot 111077 � c. _ ..si^: ':.�_ _ _�tyz:a•-='. ,�7�u-^_:' ::t,� _ —"'="'a-r`��:-. �.._ :� Mz_�_•ri j'�L.'��=') .�r�,r _.4<:„fh`:�.°.'t,:.�;cr:i^!?E-'d)::�Siiif-_i'i�s9'=..iz::_:�•.;;:.'i.�.:.Ei.^?_....�-_.•tF{n10 � .. N•r CODE COMPLIANCE WiCE . w - ' :i:r.�.,� 'r 6si: :c:yQ .. ..,✓: !n. ruaubu�'m� SCOPE OF WORK � i "!9' .. 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Permit Application Date Received F Phone <I�Ctfor errmit e13 - e67 Owner's Name South Pasco Health Care Properties,Inc. Owner's Phone Number -407 975 3000 Owner's Address 485 Keller Rd.,Suite 250,Maitland 33542 Fee Simple Titlehblder Name N iA Titleholder Phone Number Fee Simple Titleholder Address Job address 38250 A Avenue,Zephyrhills,33542 Lot# Sub Division Parcel# 14-26-21-0010-01300-0010 c. _ - (OBTAINED FROM PROPERTY TAX NOTICE) Bio-Hazard Waste Storage c ANNUAL Fumigation Tent M Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL • Controlled Bum Hood Installation Emergency Generator<30 kw' LP/Natural Gas-Installatior Emergency Generator>•30 kw LP/Natural Gas-ANNUAL Sale a Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL Q-1 d7y FS—.--11 ® Other Sprinkler I] ❑ ❑' Recreational Bum Fire Alarm ❑ ❑ ❑ Sparklers Hood Cleaning ❑ ❑ ❑ = Sprinkler System Installations Hood Suppression ❑ ❑ ❑ ❑ Standpipes(Sprinkler Sys) Fire Alarm Installation r1 Torch RooringRar Kettle QRe Pumps � Waste Tire Storage ANNUAL Flammable Application-ANNUAL Valuation of Project Fuel Tanks 0 Other. Contractor - A _ Company Signature Registered Y/N Fee Current Y/N Address. License# ELECTRICIAN Company VoiWtrConstruclors,LLC Signature A Registered 1YIN Fee Current Y/N Address 220 W 7th Ave. Suite 210 Tama FL 33602 License# EC13006590 PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y'/N J Fee Current Y/N Address License# OTHER . Company Signature Registered Y/N Fee Current Y/N Address License# Directions: - Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over 52500,a Notice of Commencement is required(Mechanical work over 55000: Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(htip:llappraiser.pascogov.com) 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. 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--Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith-to deliver it to the"owned'prior to.commencement. CONTRACTOR'S/OWNER'S.AFFIDAVIT: I certify that all the information in this application Is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I 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. 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 pemit is commenced within six months of permit issuance,-or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN-FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOkE RECORDING YOUR NOTI COMMENCEMENT, FLORIDA JURAT(F.S.117.0 ) David Rodman OWNER OR AGENT Officer CONTRACTOR 84bscdbed and sworn to(or affirmed)before me Jhis S Ibscribed a d sworn trine of i e me this 9 Iff by D�-��'D RODri:i �i 1/ $1 by .r.�. efgr_ Who is/are personally known to me or has/have produced Who islare personal) known to me or has/have produced as identification. as identification. Notary Public / .o Notary Public Commission No.6_f /�T .I�Cy� Commi ion No. C�C� f�2� 2 Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ,.•ti}e'vc�•,, KRISTIEA.WILLIAMS ° - Notary Public-State of Florida ,.1�•4e Notary Public State of Florida , • 021 Christina Hyland • Commission=GG143Z25 • My Commission GG 199504- ;,�OF, � My Comm.Expires Dec 22,ins or Expires04/2512022 Bcrdedthrou0hatmrWNotaryAssr� -L'to-"I.. City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: t Gy's". >&, Date-Received: 1-2S-l" W Site: ,— Permit Type: ADS r tA) ..... — Approved w/no,comments:V/ Approved w/the below comments: 11 Denied w/the below comments: C3 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)