HomeMy WebLinkAbout19-21769 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21769
BUILDING PERMIT
> PERMIT INFORMATION LOCATION-INFORMATIONA= } +{ '
Permit Number: 21769 Address: 7050 GALL BLVD
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: 35-25-21-0010-10500-0000
Improv. Cost: 100,000.00 OWNERJNFORMATION
Date Issued: Name: ADVENTIST HEALTH SYSTEM/SUNBELT
Total Fees: 787.80 Address: 7050 GALL BLVD
Amount Paid: ZEPHYRHILLS, FL. 33541-1347
Date Paid: Phone:
Work Desc: RENOVATION COMPOUNDING PHARMACY
CONTRACTORS APPLICATION FEES. 3
STEVENS CONSTRUCTION INC BUILDING FEE 550.80
ELECTRICAL FEE 121.50
MECHANICAL FEE 67.50
- FIRE PLAN REVIEW FEES 24.00
FIRE INSPECTION FEES 24.00
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Ins ections Required
FOOTER 2ND ROUGH PLUMB MISQ 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.
CONTRACTOR 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 Permi e9Car>---,. Fax-813-780-0021
Building D 'men
Date Received .rC Phone Contact fo Permittln
Owner's Name Advent Health System/Su nbelt Inc. Owner PhoneNumber
7050 Gall Blvd.
Owner's Address z Owner Phone Number �:�
Fee Simple Titleholder Name I I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 050 Gall Blvd. Ze h rhi FL 33541-1347 LOT#
SUBDIVISION PARCEL ID# 5-25-21-0010-10500-0000
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW
CONSTR®ALL REPAIR SIGN = = DEMOLISH
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK enovation to the existing USP Compounding Pharmacy
BUILDING SIZE I = SO FOOTAGE 245 HEIGHT
X=BUILDING $100000.00 VALUATION OF TOTAL CONSTRUCTION
X=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
}(=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER — COMPANY Stevens Construction Inc.
SIGNATURE REGISTERED Y/ N FEE CURREt Y/N
208 Whiskey Cree Drive
Address Ft. M ers, FL 33 9 1 License# CGC-057163
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
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/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111 :
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 subdivisionsAarge 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,Storrnwater 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.
' 1 1 ' 1 1 1 1 1 1 1
Diredlons:
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
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ZEPHYRHILLS FIRE DEPARTMENT
38410 6th Ave Zephyrhills, FL 33542
FIRE"SE'RVICE USER FEES increase 1/1/2018
Occupancy,No.:
Plan No:: Contractor: y
Business,-Name: Air&vC A ey3,ur-1f_ Billing Address: 34c; i gam.
Business Address: `7 0.5 0 C',9 j-L &_VD.
Business Phone,No.: Billing Phone No.: I.l!O`l- 3-• �° .
Businessfax No.: Billing Fax No.:
Contact:' Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
.Annual-
Education,healthcare,De
tentlonBCorrectional Public
Assembly,Business, schools,
Storage,Mercantile and Churches
Site Plan N/C Industrial. no charge Sprinkler $50
`Multi-Famlly/Commercial .03 sl pup to 800 sq ft $ 24.00 Standpipes $50
(Minimum.Charge$24.00 801-1.,500-sq.ft Kjj, $ 34.52 Fire Pump $50
Plan Revisions DBL.j, 1',501-2,500 sq $ 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
;26pluslHeads $100 7,501-10'000 sq ft $ 262.52 Fuel Tanks- pertank $50
_STANDPIPE.SYSTEM T 10,001A5,000 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 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 $ 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 $25
S.IJRPRESSION SYSTEM$. '< ;(Business.closed;dntil Flammable Application $50 Annual
Wet $50 vlolationscorrected) Waste Tire.Storage $50 Annual
Dry $50 SPRINKLER SYSTEMS Generator<KW $100
CO2 $50. :"Hydro Undergrounds $45 Generator>30 KW $100
Other $50"H
1iHydtostatic Test $65 per system Blo-Hazard Waste $100 Annual
KITCHE HI Acceptance'Test $45 per system Fumigation Tenting $50
['Hood/D.ucts $50 Hydrant'Flow $75 Torch.Pot/Applied $50
OTHE. Haz.Materials $50 Annual
LP.Installation.per.tank $50 FIRE ALARM SYSTEM
Fuel:Tank Installation $50.; System-Acceptance $60
(Per'7ank)' '$50^[=Recall Acceptance $50
Naturai•Gas Installation $50 OTHER
(Per=Systern) 'Fire Wall/Smoke Wall $15 perwall
Spray Booth $50 iLP•Gas'. $25 pertank
r
H4Natural Gas. $25 per system
.7ent.10'x10'or greater $15 per lent
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 6 0� PERMIT TOTAL S'd
-771
GRAND TOTAL I 77D
Comments:
Date: 3lit, Id ..Inspector:
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Column ts
SQ. FEET PRICE
MAIN OR LIVING:
OTHER AREA UNDER ROOF: -
OTHER: - $ -
VALUATION $ 450,000.00
FEE SHEET $ 2,290.00
ADDRESS
DRIVEWAY
BUILDING: $ 2,335.80
ELECTRICAL: $ 515.25
PLUMBING: $ 343.50
MECHANICAL: $ 240.45
SUB-TOTAL $ 3,435.00
TOTAL $ 3,435.00
SEWER:
WATER:
IRRIGATION: $ -
TOTAL: $ -
WATER METER:
IRRIGATION METER $ 1 -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5% $ -
TOTAL: $ -
SUB-TOTAL $ 3,435.00
PARK IMPACT FEES
SIF'S:
100.0% $ -
1.0% $ -
TOTAL: $ -
TIF'S:
99% $ -
1% $ -
TOTAL: $ 3,435.00
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ZEPHYRHILLS FIDE DEPARTMENT
38410 6th Ave Zephyrhills, FL 33542
FIRE SERVICE USER FEES increase 1/1/2018
Occupancy No.: IRS
Plan No.: Contractor:
Business-Name:. ;3dc-?,t Billing Address: 30, er
Business Address: -?05-0 �n�� '?,,z �/0 6 do >o ,
Business Phone No.: Billing Phone No.: 'O-cO-7 3—X0-
Business Fax No.: Billing Fax No'.:
Contact:' Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
Annual-
Education,healthcare,De
tention&Correctional Public
Assembly,Business, schools,
Storage,Mercantile and Churches
Site Plan N/C Industrial. no charge Sprinkler $50
'Multl-Family/Commercial .03 sf 4t up to 800 sq ft $ 24.00 Standpipes $50
(Minimum Charge$24.00 . 801-1,500 sq ft $ 34.52 Fire Pump $50
Plan Revisions DBL.2,5011-2,500 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 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 $ 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 (BuMness 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
Hood/Ducts $50 Hydrant Flow $75 Torch Pot/Applied $50
.OTHER Haz.Materials $50 Annual
8 LP Installation per tank $50 FIRE ALARM SYSTEM
Fuel.Tank Installation $50. System•Acceptance $50
(Per Tank): $50.8 Recall Acceptance' $50
❑Natural Gas Installation $50 OTHER
(Per System) Fite 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 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 ',� cf & PERMIT TOTAL
GRAND TOTAL S22Q '
Comments:
Date: ty 0ly Inspector: 6
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FALSE ALARM FEE
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1stAlarrn N/C
2nd Alarm N/C
3rd Alarm -N/C
4th Alarm $100
6
5th Alarm $150
6th Alarm $200 i
NON COMPLIANCE $160
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Cont:Annual Inspection Fees
3-11 Units price per unit $ 5.3611,
12-25'Units price per unit $ 4.821
26-50,Units price per unit •$ 4.29
51-100 Units price per unit $ 3.75i
100 ormore Units price per unit $ 2.68,
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Fire Safety re4nspectioWtypes
First Re-inspectior . N/C
Second re-inspect- $75
Third re-inspection'$ "12500
.••Inspection?scheduled but=cancelled 24�hrs $ 50.00
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TOTAL- —�
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Column
SQ. FEET PRICE
MAIN OR LIVING: 100,000 $ 112.65
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 100,000.00
FEE SHEET $ 540.00
ADDRESS
DRIVEWAY
BUILDING: $ 550.80
ELECTRICAL: $ 121.50
PLUMBING:
MECHANICAL: $ 67.50
SUB-TOTAL $ 739.80
TOTAL $ 739.80
SEWER:
WATER:
IRRIGATION: $ -
TOTAL: $
WATER METER:
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5% $ -
TOTAL: $ -
SUB-TOTAL $ 739.80
PARK IMPACT FEES
SIF'S:
100.0% $ -
1.0% $ - -
TOTAL: $ -
TIF'S:
99% $ -
1% $ -
TOTAL: $ 739.80
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit may be subject to"deed"restrictions"which may be more restdctive
than County regulations.The undersigned assumes responsibility for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired a contractor or contractors to undertake work,they
may be required to be licensed in accordance with state and local regulations.If the contractor is not licensed as required by law,both the owner and
contractor may be cited for a misdemeanor violation under state law.If the owner or intended contractor are uncertain as to what licensing requirements
may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-8009.
Furthermore,if the owner has hired a contractor or contractors,he is advised to have the contractor(s)sign portions of the"contractor Block"of this
application for which they will be responsible.If you,as the owner sign as the contractor,that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or
expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended.The undersigned also understands,that
such fees,as may be due,will be identified at the time of permitting.It is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a"certificate of occupancy"or final power release.If the project does not involve a certificate of occupancy or final
power release,the fees must be paid prior to permit issuance.Furthermore,if Pasco County Water/Sewer Impact fees are due,they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended):If valuation of work is$2,500.00 or more,I certify that I,the applicant,
have been provided with a copy of the"Florida Construction Lien Law—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-Welis, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone W"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction.I understand that a separate permit may be required for electrical work,plumbing,signs,wells,pools,air conditioning,gas,or
other installations not specifically included in the application.A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from
thereafter requiring a correction of errors in plans,construction or violations of any codes.Every permit issued shall become invalid unless the work
authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a
period of six(6)months after the time the work is commenced.An extension may be requested,in writing,from the Building Official for a period not to
exceed ninety(90)days and will demonstrate justifiable cause for the extension.If work ceases for ninety(90)consecutive days,the job is considered
abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF 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.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swam to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
b by
Who is/are personally known to me or has/have produced Who is/are personally 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