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
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-
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
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A :.- c.'\ /./ / ;(//11 ".7 /< ,f ,
- t/
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,
INSPECTOR:
I I
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/; ,/
'/
,;/
,/ ,'I
DATE:
..
. /~/'.' .:.' -
TIME:
/1//........,)
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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:'