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HomeMy WebLinkAbout91-1999 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT <3 ;2.:L '-..) '--(j 1-813-788-6611 Type of Permit ~/. 7,5 - c2::2,.!J"7J .;( tJ. (}[) ~UIU;~ 0CTRIC~GUMBI~ MECHANICAL Permit N~ 1999 ;j Date /d..- -It - 9/ . -15.~~ /-::;n.A, , oJ ~ <J /,~l U " .tZz, (".'), -"-1 %I0J 'U Property Owners Name: Job Address: 6~ /9 Legal Description: Sub.Div. Zoning CI: t3 -:L C. -;;:L~ ^ Description of Work iJ_LAA '- ~j; Lot Blk. ~,7:;I'-n ,;f~Z~..< . ~~Z~:Y-7 ~~/~~ #;" !/ f '#'~ r () 7. ./ () 7-Arp Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: Lj:;z . /71)"(), {.J-n / Fee: All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # .3 ':? / COMPANY ADDRESS TELEPHONE # BUILDING ELECTRICAL )lu'" n,)j,4--tIl ~'//0 Ftr.~o Tp.Serv. Pre S.LB~ Rough In Lintel ~ ~ Meter Can FRM./-1041- JJV Const. Pole Insul.CL ~ . Pool W LI .-v 'J..o.q~ . :.A ~..-.~ -rm.v P~e-Meter I _ J FInal Drivew'1~J_t:_ floer- I-(Or~ WcJ.L~~J.< /"S-qz.... ~~_ Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) dollars shall be made for each trip. ftfoVe..... ~L.IJ\!:k- I tU'J.t\o c..+, b.:J (a) Wrong Address 2.. 6- ... I (b) Condemned work resulting from faulty construction - - '7 2-- ~ (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. Thc payment of reinspection fees shall be made before any further permits will be issued to the person owning same. -------/ Breakers Ducts Insl.::l-(;,.,- t:;1_ Compressor Final SUN MEDICAL BUILDING RESCARE INC. 6911 GALL BLVD. N/A Sq.Ft. Living x '$ N/A N/A Sq.Ft. Other x '$ N/A CONTRACT PRICE VALUATION: '$ Building: '$ J .;2,;}, .s() Plumbing: 22.50 Elec. 51 . 75 Mech. 20.00 SUBTOTAL: $ BUILDING PLANS REVEIW CREDIT: - 63.00 TOTAL: $ CONNECTION FEES: Sewer $ 319.50 Water 87.50 Meter N/A TOTAL . $ 407.00 . RADON GAS: $ N/A Sq.Ft. N/A 1700 X '$ 1,063 TRANSPORTATION FEES: '$ 1807.10 x 99~ x 01~ $ '$ 1789.03 18.07 GRAND TOTAL $ 1-- SUNMEDICAL BLDG, RESCARE INC. 6911 GALL BLVD. 'YA~T~:A - WdRK~HRRT ,r.TTY OF 7.F.'PHVRHTT.T.~ ~Omm~TTON y;'RR~ ORD. 0395 RESOLUTION 1.51 & 329 WATER $1.7 S/GAr.LON SEHER $G.39/GALLON RF.~TnF.NTT AT. (F.nr.h T.ot or tJnit:~ Residence .$ 350.00 $1,278.00 " : Travel Trailer Park 131..25 " 7 9 . 25 . . ~ ~nMMF.Rr:T AT. (PF.R FTXTtffiF.) Sinks .. 87..50 319,50 .Water Closet 131. 2S 479.25 Urinal , 87.5.0 . 319.50 Lavatory 1.3,75 159.75 TublShower 87,50 319,50 Washing Nachines 350.00 1,278.00 FOOD SERVICE - , Dishwasher . 700.00 2,556.00 Sinks .. 175.00 639,00 Car Hash (p~r Stall) 1,000..00 6,390.00 .. .'. " 'f . FIXTURE G.P,D, tt WATER SEHER TOTAL PER FIXTURE SINK 1 87.50 319,50 /,n7 nn " 87,50 319.50 407.00 ~" WATER I'lETER N/A 407.00 GRAND TOTAL ._~E AMERICAN INSTITUTE o F ARC HIT E. C T S AlA Document Al07 Abbreviated Form of Agreement Between Owner and Contractor For CONSTRUCTION PROJECTS OF LIMITED SCOPE where the Basis of Payment is a STIPULATED SUM 1987 EDITION THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES,. CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. This document includes abbreviated General Conditions and should not be used with other general conditions. It has been approved and endorsed by The Associated General Contractors of America, AGREEMENT made as of the Twelfth Nineteen Hundred and Ninety One BETWEEN the Owner: Sun Medical Corporation (Name and address) 6719 Ga 11 Blvd. Zephyhills, Florida 33541 day of December in the year of and the Contractor: (Name and address) Hermes, Inc. 8329B W. Hillsborough Avenue Tampa, Florida 33615 The Project is: (Name and location) Rescare, Inc. Office Sun Medical Office Building 6719 Gall Blvd. Zephyrhills, Florida \ \ The Architect is: (Name and address) Long & Associates 3902 Henderson Blvd., Suite 203 Tampa, Florida 33629 The Owner and Contractor agree as set forth below, Copyright 1936. 19'51. 19'58. 1961. 1963,1966.1974,1978, @1987 by The American Institute of Architects. 173'5 New York Avenue, N.W., Washington, D,C. 20006. Reproduction of the material herein or substantial quotation of its provisions without writlen permission of the AlA violates the copyright laws of the United States and will be subject [() legal prosecution. AlA DOCUMENT A107. ABBREVIATED OWNER.CONTRACTOR AGREEMENT. t':INTH EDITION. AlA'" . @ 19H7 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N,W., WASHINGTON, D,C. 20()n6 A107-1987 1 1.1 The CO"'''''or ,h~1 exeoUle the ontl"' Work de"'"bed In the eon,,,,, Doeumenffi, exeep' '0 'he ox<e", '",,;o""'y indioued in the Contract Documents to be the responsibility of others, or as fOliows: ~RTlClE 1 THE WORK OF THIS CONTRACT 2.1 The d"e of eommeneeme", h 'he da<e from whleh 'he eon""" Thne of P"'""ph 2.2 h m=u",d, "'d ,h,J] be 'he dale of 'h" Ag,eome"" " fl,,, ""i<<en ,bove, unl", 'difEe<<", da'e h '''"'' below 0' provhion h nude for 'he "'<e '0 be fixed in , nO<lee '0 pro. ceed issued by the OWner. ("~ ,,. ""'eo>! ~m~.". if" "'U= - ,,. """ of "''' -"' if __.. _" ,,,., ,,. """ 0'''' ,. lUa' I" 0 ~'". . --.J ARTIClE 2 DA TE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION 2.2 The Con'''e'", ,h~1 "hleve SUb."""laJ Completion of the en<lie W",k no' I"e' 'h", Be b ruary 28, 1992 "~m ,,. Mfflda. do,,", "om,., 01 M""""""y, <if... ,,. """ of _m......". "ro I~m "") ..,,,'~,, I'" ~,,,. "''''<ami., CDm",","" "1""0," "",. lions of (be Work. if not stated elsel/'bere in tbe COntra<:t Documents.) (If the contractor achieves Substantial Completion during the period ten (10) days prior to February 28, 1992, he will be paid $100.00 per day for each day he has completed the work early.) , Subject to adjustments of this Contract Time as proVided in the COntract Documents. (Insert Pro/'isions. if any. for liquidated damages relaling to failure to complete on lime.) Final Completion: March I, 1992. The contractor will be assessed a penalty for each b d March 1, 1992, which is $100.00 per day. Maximum penalty day completion falls eyon will be $1,000.00 ARTICLE 3 CONTRACT SUM 3.1 The Own" ,h~1 p,v 'he Co",,,,,o, in eU,",n' fun", for the CO"'''''n,', P"(onn",,, of 'he Co",,,,, 'he Co",,,,, Sum of Forty Two THousand DoJl'n I' 42 , 000. 00 ), ,uhie" '0 'ddl<ion, "'d ded""ion, " provided in 'he Co",,,,, Documents, AlA DOCUMENT A 107. A88REVIA TED OWNER'CONTRACTOR AGREEMENT. NINTH EDITION. AlA'" . @ 1987 . HIE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVENUE, N,W.. WASHINGTON. D,C. 20006 A107-1987 2 .' ARTICLE 21 OTHER CONDITIONS OR PROVISIONS This Agreement entered into as of the day and year first written above. CZllJd/4~ ~ .. (Signature) Sun Medical 11 A 107-1987 (Printed name and tit/e) Richard G. Hermes, G.B.I., President AlA DOCUMENT Al07. ABBREVIATED OWNER-CONTRACTOR AGREE.\lENT. :"INTH EDITION. AlA" . @ I <)H7 THE AMERICAN INSTITUTE OF ARCHITECTS, 17,~5 NEW YORK AVE:"I['E. :"I,W, WASHI:-.IGTON, D,C. 2{)()(l6 10/87 -,._'." ..-...""...,.,<.,'.,............"'."...".-".. " ""'" .-. ._, ".."_..,.,......__.,,.'........_-_....,_.-.--""""'""~~..;;... '-."~ . 11 .."',(' - ZEPHYRHILLS FIRE DEPARTMENif Zephyrhills, Florida 33540 38410 6th Avenue (813) 782-8184 FINAL BUILDING INSPECTION Fire Chief William T. Fenton Assistant Chief Robert Hartwig OCCUPANCY: j // // /// .-/f/c~/-/ I ADDRESS: ;;? /'? &/? // ,e/' ,....j{ DATE: " / ,2. '/ A I "i -:' BUSINESS PHONE: 7'1'2 - :3 c,/- ,,5?';! I OWNER/MANAGER: ~) ,1./ .,' I( I, ~ This huilding has heen inspected hy the Zephyrhills Fire Department under the codes and regulations of the NFPA Minimum Standards and other local fire safety codes. . ! ,~', ....,--- ~ APPROVED NOT APPROVED I , \ CO~I~IENTS: , !I /-/ 1/ -t-- A :.- c.'\ /./ / ;(//11 ".7 /< ,f , - t/ I I i/ .~..J .' , INSPECTOR: I I / ;' l / /; ,/ '/ ,;/ ,/ ,'I DATE: .. . /~/'.' .:.' - TIME: /1//........,) i I I SIGNED::' l , J ,/ i< }../_~'..( TITLE: ,<<0/ 06/17/86 als .. ~~__'. ... _":"~.'_.___._~_.C:......._.'''':__.___ .._~.~_;~'.__'--,-.........___~~~~_-,--_..:.:"""......__~-,-- '_~ ..--- --..... ,...........:.- ,. APPLICATION FOR PERl'lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ,~~ '" "- APPLICANT Sun Medical Corporation ADDRESS 6719 Gall Boulevard: Zephvrhills. FL 33541 PHONE (813) 782-3488 OWNER Sun Medical Corporation JOB LOCATION 6719 Gall Blvd., Suites 102 & 103 LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4F of Units _____M / H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ,'d, **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ ,. Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECT~QNA ~ Company_~ .kC/)A-v'Jd' ~ State Cert. or Regist. 4F City License Registration iF ~?3 / ****************************************** BUILDER Signature ELECTRTCTAN Company F/~c. 1'J14/" oJ -n ~ / State Cert. or Regist. 4F -, OCO Signatur '1/.-/ltr ...(,.;~a City License Registration iF 7;)., ** * ** * * ** * ** ** ** * * **** *** * * ** ** * -1:* -I: ** * * * * * . Company "K'tt II. )?t;- ~"}U,q-,v Jd- -.7 j}. () /J,/ State Cert. or Regist. ~,! C C.. 01 Signature :j,....t.A:.t...L ;;t~ City License Registration jf /5-"1 ****************************************** PLl;MBER Signature Company II/lA., [ c I'V ;j +s State Cert. or Regist. 0 City License Registration # ****************************************** T 1-/ LJ.uC . t}A c ~'7,/ &/5 ~ .s- /I,~ OTHER Company State Cert. or Regist. # City License Registration # Signature APPLICATION APPROVED BY ~~~.~.~;:;~..*..*..*....... PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit lay be subject to "deed restrictions" which may be more restrictive than City regulations, The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay 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 lay be cited for a misdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart~ent, 1813l 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed and is not'entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docuient and promise in good faith to deliver it to the "owner" prior to cOitenCelent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land develop.ent, Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOitenced prior to issuance of a perlit and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance, Such agencies include but ~ie liCtt limited to: * Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways * Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks * US Environlental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tliat a drainage plan addressing a "colpensating volute" will be submitted which is prepared by a professional engineer reqistEiGd in the State of Florida prior to permit issuance, A pertit issued shall be construed to be a license to proceed with the work and not as authority to vioiate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Bui~ding Uffici~1 from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall becote invalid unless the work authorized by such per.it is co.menced within six months of issuance, or if work authDI lzed by the perait is suspended or abandoned for a period of six lonths after the time the work is commenced. One 90 day e;t~hsIOil of tile, aay be allowed for the pertit with fee charge of ~15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six lonth period, or the project will be considered dbaiJooned, 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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE~__t1t...~- CONTRACTOR SIGNATURE ---------------------------------- OWNER OR AGENT NOTARY AS TO OWNER OR AGENT ----------------------------- NOTARY AS TO CONTRACTOR DATE --------------------------------------- MY COMMISSION EXPIRES MY COMMISSION EXPIRES____________,______ ---------------------- Notary Polill!:, Sfn!!! of Fror1dil , My Comm. Exp. May 9, lSjJ Bonded tl1ru PICHMW llis. I\pne:'