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HomeMy WebLinkAbout18-20389 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20389 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20389 Address: 38107 MARKET SQUARE DR Permit Type: COMMERCIAL 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: 02-26-21-0010-09300-0020 Improv. Cost: 128,519.00 OWNER INFORMATION Date Issued: 10/30/2018 Name: HEALTH CARE REIT INC Total Fees: 1,525.52 Address: 4500 DORR ST Amount Paid: 1,525.52 TOLEDO, OH 43615-4040 Date Paid: 10/30/2018 Phone: 561-496-3111 Work Desc: INTERIOR REMODEL 1600 SQ FT OFFICE SPACE-PHASE1 /400 SQ FT- PHASE 11 CONTRACTORS APPLICATION FEES FHS INDUSTRIAL CONSTRUCTORS LLC BUILDING FEE 765.00 PATTIE ELEC. & REFRIGERATION ELECTRICAL FEE 307.50 COLWILL ENGINEERING DESIGN BUILD MECHANICAL FEE 82.50 FIRE PLAN REVIEW 183.00 FIRE INSPECTION F EESS 187.52 Ins ections Required FOOTER 2ND ROUGH PLUMB MI C 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. Q�'L 07 O TRACTOR SIGNATUR PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20 89 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20389 Address: 38107 MARKET SQUARE DR Permit Type: COMMERCIAL 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: 02-26-21-0010-09300-0020 Improv. Cost: 128,519.00 OWNER INFORMATION Date Issued: 10/30/2018 Name: HEALTH CARE REIT INC Total Fees: 1,525.52 Address: 4500 DORR ST Amount Paid: 1,525.52 TOLEDO, OH 43615-4040 Date Paid: 10/30/2018 Phone: 561-496-3111 Work Desc: INTERIOR REMODEL 2,000 SQ FT CONTRACTORS APPLICATION FEES FHS INDUSTRIAL CONSTRUCTORS LLC BUILDING FEE 765.00 PATTIE ELEC. & REFRIGERATION ELECTRICAL FEE 307.50 COLWILL ENGINEERING DESIGN BUILD MECHANICAL FEE 82.50 FIRE PLAN REVIEW FEES 183.00 FIRE INSPECTION FEES 187.52 186 Ins ections Required 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 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. C TRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-8.13-780-0021 Building Department Date'Recelved Phone Contact for Permitting F( ),2, Owner's Name fig Q.rqmc" RVI-T—iiiCAL0 1-ty� Owner Phone Number Owner's Address C -760 Owner Phone Number Fee Simple.Titleholder Name 1Ai Owner Phone Number 101'93S7_ -6q'No I Fee Simold1itleholder Address Gi GjCc. t b koJi JW?rb�FL- --1 48 3 Q JOB ADDRESS fT LOT# SUBDIVISION 1 -3010-7 PARCEL ID#16 7- Z. —0 Of 1) 0D (7) (OBTAINED FROM PROPERTY TAX NO ICE) WORK PROPOSED NEW CONSTR M AbD/ALT EE�f SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE SFR COMM OTHER I TYPE OF CONSTRUCTION BLOCK FRAME � 'STEEL IF gc,PL, C, M lFc q%j DESCRIPTION OF WORK -BUILDING,'SIZE r SQ FOOTAGE HEIGHT EpIBUILDING VALUATION OF TOTAL CONSTRUCTION [2� 32 GoonAMP SERVICE PROGRESS W.R.E.C.LECTRICAL =P,.LUMBING 1$ EEMECHANICAL VALUATION OF MECHANICAL INSTALLATION =G'AS Q ROOFING- 0 SPECIALTY OTHER - , FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES F No I.........Hill! ........ ........ ...... ... ... .......... HHHHHIIIHIIH COMPANY OMPANY SIGNATURE REGISTERED Y 1 N . FEE CURREN Address 61- 3 3tl� License# -'ELECTRICIAN COMPANY SIGNATURE REGISTERED Y1 N FEECURR.EN' LKLN�j Address, License'# PLUMBEkf COMPANY SIGNATURE REGISTERED 1 ,Y/ N­l FEE-CU! RREN Address -License#' F MECHANICAL COMPANY, SIGNATUAE-. : REGISTERED Y/ IN FEE CURREN L-Y_IN Address - License OTHER • -COMPA NY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# ....................... ....... Hill RESIDENTIAL Aftacfi,(2)'0jot Plans;.(2�sets of building Plans;(1)set of Energy Fo' s;Rw6-W.P6rrnit fo n6im,constructiori— - 1,6)working" ! . . . rgy Forms; - 17.1-date. Reqt)ired"ohisite,Construction-Plans;Stormwater'Plan'WiSilt Fence installed, Minimum ,days aftbiStIbmittal Sanitary Facilities&I 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 submiffai'date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, Sanitary-Facilities&i dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)Sets of...Engineered ad Plans. ""'PROPERTY SURVEY required for all NEW construction. ........... biieaio,n,s: Fill.out application completely. OWneT&'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 Attomeyffor the owner)would be someone with notarized letter from owner authorizing same °OYEFCTTHE-,COUNTER PERMIT-TING (copy of contract required) Re roofs: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 maybe 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 fbr.a-misdemeanor violation under state law. If-the owner-or intended contractor are.uncertain as-to-what licensing.requirements:may apply'fort'the'- intended work, they are advised.to contact the.Pasco County Building Inspection Division—Licensing Section at 727-841- 8009. Furthermore, if the owner has 'hired a contractor or contractors,. .he is .advised .to .have the-Con tractor(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 IMPACTNTILITiES 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 89-47;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 bepaid prior to permit-issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LiEN- LAW(Chapter_7.13, 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"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT:.,•I certify that all.the information in:-this-application is accurate and that alll.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. f certify L 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/WastewaterTreatment. : 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 P"r'otection 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. I if the fill material,is,to be used in Flood Zone "A" in connection with a permitted building using stem wail construction, I certifythat"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 maybe required for electrical.Work, plumbing, signs, wells,-pools, -air conditioning, gas, or other installations not specifically included in the application. AV"' 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 orabandoned for a period of six(6)months after-the time the work is`commenced. An.,6xtension 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 FOKIMPROVEMENTS'TO YOUR PROPERTY. IF YOU INTEND'TO OBTAIN FINANCING;CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by by Who Is/are personally known to me or has/have produced Who is/are personalty known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary"typed,printed or stamped 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department " Date Received p� g �i t 1 Phone Contact for Permitting — 1 ® Aye vrier's Name IT t.r�t�t( ( A KB t c 1 L— LL-1 Y�t t_.. Owner Phone Number �t�A�e 6.5—Vf. qa Owner's Address 6 0 L t1 f Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Addddresss? �ryy �a JOB ADDRESS V I t g�°Y < °"�T _S :Z= LOT#. C� SUBDIVISION PARCEL ID# � � 7Lq-Z —U0i0~C? O `0 D (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW EONSTR B ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE 0 SFR Q COMM = OTHER TYPE OF CONSTRUCTION Q{{�'t BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ MECHANICAL $ Q/.�/�. ,VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE // ,1 /� REGISTERED Y/ N FEE CURREI, ``Y,/N Address 1. 0 'S- b v L� t7 2TdhS License# V 5 o ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN " Y/N Address \ License# I MECHANICAL �� bb �J OMPANY ��li�>.r[C�^f7 C C�ll S-("btA nok SIGNATURE I REGISTERED I Y/ N FEE CURREN I Y/N IV % Address q Q MI�S �. License# l/ OTHER COMPANY SIGNATURE- REGISTERED Y/ N FEE CURREN I Y/N ' Address License# RESIDENTIAL Attach(2).Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-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 4 COMMERCIAL Attach(2)complete sets of Building Plans plus a Life SafetyPage;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater Plans wLSilt 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' F0 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 i i B10.780•0020 City of.Zephyrhills.Permit Application Fa><Oi3 Teo-0o21 ' F3Widing Doporunonl Date,Rewlvod Phone Contact4or Pormlttin vnor'i,Namo 1 o(r_,iF '3 C. (j i l Y.l_ ). .1 V).) .: OwnbuPhona'Numbdr 2p r n Ownor s Addrosir 3 t - 1"1 F t Z 1:1 � �Q O,�`\ Owner Ptiono Number Foe Slmp-la Titleholder Namtr Owner Phono Number Fro Simple ThIsholdir Addrosa Jog AD RE LOT R SUBDIv►sioN PARCELIDN . "i k IJ J :.�i .-''l C©li}-I)°35t� '�D ( "IOdiAINED FROM PROPERTY TAX NOTICE) - - WORK PROPOSED B NEW CONSTR B ADDIALT Q SIGN Q Q DEMOLISH INSTALL REPAIR. PROPOSED USE Q SFR Q COMM 0 OTHER - TYPE OF CONSTRUCTION' 0,. BLOCK Q FRAME 0 STEEL DESCRIP.TIOH OF WORK BUILDING SIZE SQ FOOTAGE=. HEIGHT QBUILOINC+ S' VALUATION GP TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. PLUMBING S QIAECHANICAL (S VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA []YES NO BUILDER �. �1'`,.,I COMPANY `>. .I N�U�iI"RI L. �J' I�d CTf.C� SIGNATURE "�• MdMTERea Y'l'N tt rr /� 'r FEF..CURREN'. ' : YIN' . . Addrrrss I rJ n; l0�1-%JC1 C7-ZRt'z / Ucensep / ELECTRIC C MPANII r, �P�yp,• St E a+siCriEo, Y f N . see ctmRFn. -YIN Addrosa PLUMBER COMPANY SIGNATURE REGISTERED Y 1 N. FFF CORRIr.. 'Y f N . 'Addro99 - ..Lif:enSDb MECHANICAL COMPANY SIGNATURE. nwameEo Y 1 N FEE CURNEF Y I N Addrbse Llernsok' ' OTHER COMPANY SIGNATURE REGISTERED YIN FEE C FIRED YIN ' Address License 0 RESIDENTIAL Attach(2)'Pioi Ptans;(2)sows of Building Plans;(1)set'oi Energy Forms:R•O•W Permit for new rondtruction, Mtirimufn ICn(10)working days af18r eu>>rTlttal date. Regv:rcd on;ilc,Construction Plans,Stormvrotcr Pl.+ns w/Shc F.enco In_stallod; ; Sarthary Faulitics&t durnpsler;Silo Work Pormit for subdMsionsAarpe projects COMMERCIAL l,nach(2)complete idle DI Building Plops plus.a ufo Safety Pagu;(1)set of Enerpy.Forms.R•O•W Permit la naw oonstrucuon, Afitilmum ton(10)vbd6ng days after submittal date, Roqured onsile,Construction Plans.Stormwotor Plans w/Slil Fence Installed, Sanithry Fac lll)es A 1 dumpslet.,Slta Work Permit for o0 now projects.NI coinmercial roquiremenls must meet cwmpilanee' SIGN PERMIT Attach(2)sots of Engineared Plana. ....PROPERTY SURVEY required lot all NEW construe". - . . Diroctlona: , Fill out opp1=60n completely. - pr.ner&'Contractor sign Nick of apphwtion,notarised If over$2500,a Notice of Commencement is rogylrod. (AIC upgradas over$7500) � Agont.(for.trio caitraclur)o?F'awer cf Atlomey(tor the.rnmer)wovld lie som000a with notarized teller Irorn owilM qutnortrirg same OVER THE COUNTER PER►11'MNG (copy of contract requ red) Rvduf*ilbhfogls:I' -Sowu(s Sorvico Upgrrnles Pic Fences(P.lousurvcylFoolage) Orivowap:Not over Countor if On public roadvrays..needs ROW _ 1 l 813-780-0020 City of Zephyrhitls Permit Application Fax-813.780-0021 Budding Department ' Date Received pharto Contact for Parmittln [� p Owner's Name LC r� l"> ✓S (C 1 L CL�7(G� Owner Phone Number E313- ►Q� ~o C) Owner's Address JU( 5 f If ►� , •`� �k gwrtor Phone Humber Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address �/y� J� / JOB ADDRESS 76 O (L I-El 'AJ IL•i.-. LOT A C� SUBDIVISION E PARCEL ID# i 4 D Z'14'2 6'-63 Qp Oil Z-L) (OBTAINED FROM PROPEirTY TAX N ICE) WORK PROPOSED a NEW CONSTRe ADD/ALT = SIGN 0 �] DEMOLISH INSTALL REPAIR PROPOSED USE = SFR Comm OTHER TYPE OF CONSTRUCTION Q, BLOCK = FRAME = STEEL = DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE= HEIGHT =BUILDING is VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL s AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING s =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO BUILDER 11 i COMPANY T t 1 1+V E)U t!1 l ,1,+r r r`fJ CI-t Cu SIGNATURE fJ ^�'1••' REGISTERED YIN FEE CURRtr. Y/N Address S Q &r r . did L-- License M CG ELECTRICUIN PANY t^oIa-IJ FAq:new<<wo� lyres , SIGNATURE REGISTERED I YIN FEE CURREIL I Y/N Address y7r g - '. 4-F[ 33tbo _ Licensed PLUMBER COMPANY F SIGNATURE REGISTERED I Y/N FEE CURRU MN_N Address I License'# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREA IYIN Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEECURRE- LKLN Addr"s 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/SIN Fence Installed. Sanitary Facilities&1 dumpster;Site Work Permit for subdfvisionsllarge 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/Slit Fence installed. Sanitary Facilities&1 dumpster.She 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: F01 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 noted2ed letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades AIC Fences(PtoVSurvey/Foolage) Driveways-Not over Counter if on public roadways..needs ROW � �a� City � Yr'`of Z h hills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: - Date Received: Site: ` Permit Type: ' (�� �- Approved Who comments:E5-/ Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. •G�-t8' Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner (Required when comments are present) O City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: '�y Altc1G; C�6 Date Received: r Site: Permit Type: ,fl �d a4to (}�I" Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ VC, This comment sheet shall be kept with the permit and/or plans. s Examiner Date Contractor and/or Homeowner (Required when comments are present) Z:EPHYRHILLS. FIRE DEPARTMENT. 1= 38410 6th Ave•Zephyrhills; FL: 33542 FIRE:SERVICE.USER FEES. increase 1/1/2018 Occupancy No. Plan No::: Contractor; G7 i Business Name: Pa WA 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= Educatiort,healthcare,De t6riton&Correctional Public As mbly,qusi se Hess, . schools,. Storage,Mercantile and Churches Site Plan: N/C Industrial. no charge Sprinkler. $50 :. Multi-Farnily/Commercial .03'sf : up to 800 sq ft $.: 24.00 Standpipes: $50 (Minimum;Charge_$24:00 801-T,500 sq ft' $ 34.52 Fire Pump $50' Plan Revisions: DBL. 11501-2,500 sq ft: $ 60.02: Hoods . : $50 2; -501 3,500 sq ft . $ 90.02 Fire Alarm $50 SPRINKLER SYSTEMS ;000 sq ft $ 127.52 LP Gas $50 0-25 Heads'.•. : $ 5,5 �Osq ft $- ,:NaturalGas :. . .$50 26 plus Heads. $100 -1 ft Fuel Tanks- per tank $50 . 8 . 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=301000 sq ft $ 1 ,750.02 Camp Fire(recreation: $25 n Per Pump_ $100 30,001-40,000 sq ft . . . $ .11050.02 Controlled Bum(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 $ 21100.02, Place of Assembly' $50 .Annual - 80,00142,100:02)per. 26 plus Devices- $106 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 365. Per system Bio-Hazard Waste, $100: Annual . . KITCHEN EXHAUST: Acceptance Test: $45,. per system . Furnigation Tenting. . $50 Hood/Ducts` $50 ',` Hydrant Flow' $75 Torch Pot/Applied $50 OTHER' Haz.Materials.. . .$50 :Annual. LP Installation per tank .$50' FIRE ALARM SYSTEM Fuel Tank.Installation' $50. System Acceptance $50 (Per Tank) $50 B.Recall Acceptance. . $50 EI Natural Gas installation $50'" OTHER (Per System) Fire Wall/Smoke Wall $15 per-wall Spray Booth. $50 LP.Gas. . : $25 per tank 'Natural.Gas' $25 per system Tent-10'x10'or.greater $15 pertent Fire Pump, : . : '. $45'. .Fire,.Suppression. . . $30. System Acceptance Exhaust Hood/Duct $30 Re-inspection DBL' . (other than annual) Inspection scheduled . 013E and'eancelleid less than 24 hours . Construction Insp., N/C Emergency Vehicle Acce .$50 PLANS TOTAL. INSPECTION TOTAL ty7,''�l PERMIT TOTAL cZ S GRAND.TOTAL. : Comments: Inspector: toe back: mn . FALSE ALARM FEE .1"st Alarm. ' N/C 2nd'Alarm N/C 3rd Alarm ' . : : . . N/C . 4th'Alarm'. . : $100 Sth Alarm $150 P6th Alarm .$200" NONCOMPLIANCE $150 . Cont."Annual.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 51A00 Units price per unit $ 3.75 100 or more Units price per unit" "$ 2.68 Fire Safety re-inspection types .. i' First'Re-inspeotioi N/C Second"re-inspect. : - :-$75. Third re-iri pectior' $" " 125.00- Inspection scheduled but cancelled_24'hrs $- 50.00 TOTAL filh . 4 I IIIIII lIIII IIIII Il llf IIl ll IIIII IIIII IIII!Illlf Iflil IIII Iill _ 2018176518 This space for.use by Clerk of the-Circult Court only. Rcpt:19915 0 Rec: 10.0 DS: 0.00 IT: 0.00 10/17/2018 K. R. M. , Dpty Clerk PAULA S.0-NEIL,Ph.D.FASCO CLERK & COMPTROL_ h 10/OR 1111 q.:gm P.- 823 Notice of:Commencement State•of Florida County of Pasco The undersigned'hereby give nofice that improvements will be,made to:certain-real,property;and in adcordance with''section 7f3.13 of the Florida'StatA%thd,F6llowlfig.)ntormation is provided iin this Notice of Commencement. 1. Legal Description of Property: Parcel-ID 02=26f2:1-0,010-03900=0020 38107Market°SgUil Zephyrh111,iF1oHda:33542 2. General Ddsaoffoh of Improvemenis: Interior remodel Of.Odhopill Suite 3a, Owner-Name: l!tWelltower•Inc, Owner Address: PO Bbx:92:129::Southlake,'7.X-7609Z01'02 all 0wner's interest In Me: 3c. Fee Slrtiple.Tlt(e H81tJer'Name B Address(of;other,ihan owner): :F.ee Simple.:Ttle Holder Address:: 4. Contractor Name,Address&Phone: FHS Industrial Constructors,LLC, 2651 SR.60W,Bartow,FL-33830 863-5351148 6. Surely Name: WA Amount of Bond: N/A Address: Phone: 6. Lender Name: N/A Contact: N%A Address: Phone: 7. Persons within State of Florida'designaled by the Owner upon which notices and other:docurtidnts may be seined as'provided by Section 7.13:13(1xa)7.Florida.Siatul@s Name:. Bob.Gould. Address: 381 07 Market Square,ZephyrhlBs FL 33542 Company. Florida.-Medical Clinic Phono NujnIl ;813-61.-"048 .8. In addition to.himself:the.Owner designates:the•following person:to receive a,copy of:the Liendr's Notice:at provided in Section 7.13.130M,:Florida Statutes; Name:: Jbhn'W'Clifton :Address: .5150 Linton Blvd.,Suite 430 Delray Beach,F.L.33484 , Company. WeflTowen Inc.. -Phoriij:Numtier: 5sy.dse:3iat 91 Expiration date of ttiis.Notiee of Commencement(expiration date is.one,(1)-year:from.date of recording.unless a'differerit date,is specified), ell /O .STATE OF FL'ORJDA S ire oPOwner Print COUNTY.OF Pasco The above instirument wasacknowiedged Ill melhils. date bf Oc106O& 01'$by l.�ti✓�0J✓ who(isl e)personalljr known: Wri produced) _. (Driver's:Lioensa q) 70NI0.WORLEY iv Commiselon#09193W Explive barrio 7,2022 gaWodTlwTto)IFitnlmtlrta►o�Q00.1811.M -a4 OA Signature•Notary .b is (A-copy of any:bond must be aftadhed at the-time f r cordation of This Notice oI Commencement) STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT . �► ON FILE OR OF PUBLIC RECORD IN THIS OFFICE IJXLAVIC' HAND AND FICIA_LSEALTHIS InyodlVeTrust DAY OF 2 G * - + ��/ EIL,CL &COMPTROLL R 1881 BY DEPUTY CLERK '9t OF Fi.� �® ,