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HomeMy WebLinkAbout94-4146 'BUILDING PERMIT. Permit N'~ CITY OF ZEPHYRHILLS (813) 788-6611 ~ Y DI, ~ 'j 67. -.57J 9' )!5-: t) 0 ELECTRICAL PLUMBING MECHANICAL Sewer Conn if~ $6;;2. PJ) ~~ ~.~~ l' . Water Conn: II,; 9~.tJV Pcoperty owne'~ ~ Wate, Mew ~:~,:~d~~';'=ff?r u ~, - - ~ c--:~-a' 'j, .u,~:~. TLF', /k, /J-VS/ Zoning: En,er~y Code: Radon Gas: Description of Work /3~cf-~ ~. ~L~.Jl /#~..tI~~ 'i13:.2,Sl) BUILDING NO OCCUPANCY BEFORE C,O, Date 414611 7-7-71 FINAL h')~ / Q- DA E C,O, ~2- Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordar't:'e with City Codes and Ordinances. SLB Tub Set Water Sewer Final ~~~ ~~ l~"l,$ -QY ~dr J.~ ~'- DV ~Z lXU<'~ ~ ~~l).N r J '6--19'-"'-1 r I ~....S -R4.. cBoS J~I(.(.- REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: 2./ a, 7 -7- 9''1 ~I /J -;;27-9f /;-.f /:2 -Jk-9<( /" ~i-;' f~r~~ 5 H #----r yaluation or Contract Price ~ Ii c.I ~ S 33. tJ7J City License Registration # ~ / .2- State Certified License# O?$M~L_ ,;J. / JY' ELECTRICAL FRM. Insul. CL WL Const, Pole Pool Pre-Meter Final Driveway \l:F ~~~ -2-1. -~4. g,LL. PL,-,,,,,,,Bt~l.- 'f~d ~-(o'ic.f aLL a. b. c. d. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. e. f. g. DATE Permit Fee 6./ 1.1'16. 02.5 Signature~./ ~4' Company Address Telephone# 8 \ '1' 78E. <:,~ 7!.'-i y~ I1JJU~1~d ~.- I I .J... MECHANICAL PLUMBING /I?.b Breakers Ducts Insl. Compressor Final The payment of inspection fees shall be made before any further permits will be issued to the person owning same. .< Florida Medical Clinic 38135 Gall Blvd. Build-out Excluding areas marked future and alternate VALUATION: SQ. FT. MAIN COST/FT: Based on $53.00 complete $1,.044,533.00 35,126 $26.00 SQ. FT. OTHER: COST/FT: 7,721 $17.00 VALUATION DRIVEWAY $1,044,533.00 $0.00 ADDRESS $0.00 FEE SHEET SQ. FT. UNDER ROOF $2,755.00 o RADON GAS $0.00 TRAFFIC IMPACT FEES 99% 1% $'16,150.<.5~ $.15,989-.01 161.50 PERMIT FEES BUILDING: PLUMBING: ELECTRICAL: MECHANICAL: SUB-TOTAL: CREDIT: TOTAL : 4,132.50 467.50 1,401.25 445.00 $6,446.25 100.00 $6,346.25 CONNECTION FEES SEWER: 43,452.00 WATER: 11,900.00 METER: 0.00 SUB-TOTAL$55., 352.00 CREDIT $11,803.00 TOTAL$ 43,549.00 GRAND TOTAL: $66,045.76 .. 6-27-94 FROM K-MART TO MEDICAL CLINIC TRANSPORTATION IMPACT FEES NET AREA DEVELOPED ON FIRST PHASE: 39,025 S.F~ CENTER K-MART CREDIT 39,025 S.~ X 2,5Q~; ER 1,000 S.F. = MEDICAL OFFICE CHARGE 39,025 S.F~ X 2,954'. PER 1,000 S.F. = LESS A 7% REDUCTION IN T.I.F. NOTE: T.I.F'S WILL BE COMPUTED ON EACH PHASE TOTAL 97,913.72 115,279..85 17 , 366.13 1,215.62 16,150.51 TABLE A - WORKSHF.F.T CITY OF ZEPHYRHIT_Lc; CONHEGI'lOH FEES ORD. #395 & RESOLUTION #312 WATER $1.75/GALLON . SEWER $6. 39/GALLON RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $1,278.00 Travel Trailer Park 131. 25 479.25 COMMERCIAL (PER FIXTURE) Sinks 87.50 319.50 Water Closet 131.25 479.25 Urinal 87.50 319.50 Lavatory 43.75 159.75 Tub/Shower 87.50 319.50 Washing Machines-Commercial Size 350.00 1,278.00 Washing Machines-Domestic Size 87.50 319.50 FOOD SERVICE - Dishwasher 700.00 2,556.00 Sinks (3 Compartment) 175.00 639.00 Car Wash (Per Stall) 1,000.00 6,390.00 FIXTURE G.P.D. t~ WATER SEWER TOTAL PER FIXTURE Sinks 50 0 .~z~~ /9' /7 ~ ;:2. cf-{ 2, - Water Closets tt l/~/.~ "" ~- 'f14, ~O 75 1313,2-~ Urinals 50 / 2, #7; ~() 3 f 'l L 59 ~/~ '7; - Lavatories 25 9 3 9:3. 15 / t./31. '75 / ~/3 /. 5V - Tubs/Showers 50 Washing Machine 200 Washing Machine 50 Dishwasher 400 Sinks-3 Comprt 100 2- - d) /Z7,9,O<? /Ca2"2, - ~D. - Car Wash-p/st. 1,000 .::J-53- 1 , 50 ?;2~~5t) 1/ $D3, - " " C/f2F!J/-r WATER METE~~ ~ GRANI> TOTAL I. ?O3', ~ ") ,.' TABLE A - WORKSHF.F.T CITY OF ZEPHYRHII.I_fi COBBECTIOR FEES ORB. '395 & RESOLUTION 4~312 WATER $1.75/GALLON SEWER $6. 39/GALLON RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $1,278.00 Travel Trailer Park 131. 25 479.25 COMMERCIAL (PER FIXTURE) Sinks 87.50 319.50 Water Closet 131. 25 "479.25 Urinal 87.50 319.50 Lavatory 43.75 159.75 Tub/Shower 87.50 319.50 Washing Machines-Commercial Size 350.00 1,278.00 Washing Machines-Domestic Size 87.50 319.50 FOOD SERVICE - Dishwasher 700.00 2,556.00 Sinks (J Compartment) 175.00 639.00 Car Wash (Per Stall) 1,000.00 6,390.00 FIXTURE G.P.D. 4~ WATER SEWER TOTAL PER FIXTURE . Sinks 50 63 5,512.50 20,128"~0 25,641.00 Water Closets 75 35 4,593.75 16,773.75 21,367.50 Urinals 50 1 87.50 319.50 407.00 Lavatories 25 35 1,531.25 5,591.25 7,122.50 Tubs/Showers 50 2 175.00 639.00 814.00 Washing Machine 200 Washing Machine 50 Dishwasher 400 Sinks-J Comprt 100 Car Wash-p/st. 1,000 11,900.00 43,452.00 55,352.00 " WATER METER GR^NU TOTAL APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE FMC Market Square, Inc. OWNER'S ADDRESS 38109 Market Square, Zephyrhills, FL 33540 JOB ADDRESS Market Square, Zeplrryhills, FL 33540 PHONE 813-780-8440 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL l.D.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction -1L.Addition -1L.Alteration _Repair _Install _Sign --"ove _Deaolish PROPOSED USE: _Single Fallily --"IF _' of Units _K/H ~eo..ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: Convert former K-Mart into medical office space BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED -!.....BUILDING ~ELECTRICAL ~KECllANICAL ~PLUKBING $ 1,044,533.00 Valuation of Total Construction Existing AKP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation NA GAS x ROOFING SPECIALTY TYPE OF CORSTRUcnON: ~Block _Fralle _Steel Other FIRISBED FLOOR ELEVATIONS: Fr. IS PROJEct IN FLOOD ZONE AREA? YES NO ........................................** CONTRActOR SECTION Signature COHPARY Hinson Buildina Cornoration State Cert. or Regist.' OG C04450~ City License Registration' 412 ***..************.********.********.****** BUII.DER ELECTRICIAN COHPARY APG Electric, Inc. ~ . '::i.1' State Cert. or Regist.' €..r? IIC)t'\("\ Signature - ( .P ~ '-- r City License Registration' -:::;} / P *..*.*...**.******.**********..*********** cj~~ PLUMBER OOHPARY Southeast Mechanical Contractors State Cert. or Regist. . C!.F~ OZ~S- City License Registration . '~G; ********************.**.************ IIECIWIlGU, L COIIPANY Soutreast Mechanical Contractors ~ State Cert. or Regist. . /'-N1cAOgzz/ Signature ~ ~ City License Registration' \ \ L.. " .... .....*...*...................**.**.. WlIU COKPARY State Cert. or Regist. . Signature City License Registration I ***.****...******.*****************.*****. APPLlCATIOR APftlOVED BY "11 ~~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOO'ICE OF DEED RESTRICTIONS !he. undersigned understands that this pmit lily be subject to 'deed restrictions' which lily be lOre restrictive than City regulatiCl18. !he undersigned as81lleS responsibility for cmpliance lith any applicable deed restrictiODS. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer has bired a contractor or contracton to undertake work, they lilY be required to be liceD8ed in accordance with state and local regulations. If the contractor is not liceD8ed as reguired by law, both the owner and contractor Iilr be cited for a lisc181eanOr violation under state law. If the owner or intended contractor are uncertain as to "hat licensing reguireIeDU lily apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. Furtherlore, if the OlDer has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the IContractor Sectionsl of this application for wbich they will be responsible. If you, as the OlDer sign as the contractor, you are indicating that JOU, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lily be an indication that he is not properly licensed and is not entitled to pmitting priVileges in the City of Zepbyrhills. 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 'Plorida's COnstruction Lien La, - lkIIeoImer's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUll!I Affairs. If the applicant is SOIl!OI1e other than the 'OIII1er', I certify that I have obtained a copy of the above described docUIent and prcmse in good faith to deliver it to the lOIII1erl prior to co.enCeleDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infOIJation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, loning, and land developleDt. Application is bereby Iilde to obtain a perlit to do wort and insWlation as indicated. I certify that no work or insWlation has CDIeIlced prior to issuance of a pmit and that all work will be perfOIJed to _t standards of all 1_ regulating construction, City codes, loning regulations, and land develO(llellt regulations in the jurisdiction. I also certify that I understand that the regulations of other gov8IDlelital agencies laY apply to the intencled work, and that it is If responsibility to identify ,hat actions I lUSt tue to be in COIpliance. Such agencies include but are not IHited to: t Depart:lent of EnviIOlllelltal Requlation - Cypress Bayheads, Vetland Areas and EnvirOlllleDWly SeD8iUve Lands, Vater /Ifastewater treatlent t Southwest Florida Vater Jlanagl!l8Dt District - Vells, Cypress Baybeac1s, Vetland Areas, Altering Vatercourses t ArJy Corps of Bnqineen - Seawalls, Docks, Navigable Vatenars t DepartIeJ1t of Health i Rehabilitative Smicu, InviIOllleJ1W Health unit - Wells, Wastewater treatlent, Septic tanks t US InvirODleJ1tal Protection Agency - Asbestos abateElt I also certify that, if fill Iilterial is to be used in Flood Zone IAI or lA, etc. I, it is understood that a drainage plan addressing a lCOIpeDSating vol_I will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 perlit prevent the Building Official fICII thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit issued shall becaIe invalid unless the work authoriled by such perlit is ~ced within sillOlltbs of issuance, or if wort authoriled by the perlit is suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day elteD8ion of tHe, IaJ be allowed for the perlit with fee charge of $15.00. !be elteD8ion shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the proj"ect ,ill be cODSidered abandoned. IfARJlIIIG to (MfIR: YOUR FAILURE to RlCORD A ROIICK OF C<lllBlCIIIIR! lilY RlSULf III YOUR PAYING fllICK POR IMPROVIIID!S to YOUR PROPmY. IF YOU IJIUND to IR PIIlIICING, COIISULt WID YOOR LDDIR OR AR AnomY BIPORI RICORDIRG YOUR DICK OF moa J URDU '2,5 ALUI DO NOI NEED to RECORD AND POS! A 'NOIICK OF aJIMBMCIIIIJl!l. \:\ \...... ., , \\, \: eo QfIH> ~kL /1 SIGlIA!URI: S!AD OF FLOIlIDI COOllY OF PlNELLAS The foregoing instrument was acknowledged before me this July 5 , 19-2L.. by w is ersonally known to -'Ie or who has produced as identification and who did/did not taterrth. ~N~ ~ (Signat~r-- / I (Mue Typed, Printed or Stamped) NOTARY PUBLIC John L. Wallace' who is personally known to me or wbo bas produCed NA as identification and 0 did/did not ta an it-th. I. (Signature) Sandra A. Keeling (Nue Typed, Printed or Stuped) NOTARY PUBLIC N()(qry Public, State of Florida CARO:"YN F. NEWTON My C0mm. EXQ. Feb. 14, 1997 Comm~ No. CC 260950 15" z'5-9<-1 :! 1; -2b~q'f q... \ t. ..~ '-\ q...;l '1... Cf4 II-lco-qf . /1.- 27 ~ '74 i 11-3b -Cl/{ GuilD ( C2.f'vL-Y2-C~ ~g W\LL) GLJA D l f-u;.L, GPAU- ~lJD\ r d- rAAMt~G- ~VA-t>"3 f:LU-\?Lv~ 7 -- ~~~ ~O~O 1, E.. - ~... ~ ~L5 ~u~.u l I\tpv~ c..61L.t~ GUA-b L IQbolfg, <$lu"\ <<- Qv~v ~ F1ftnv1'LC8u~<.s ~. . t)zu- ~1/6ru- ~Z>~ )6;vL- -g~f) /3, u- ~/ Blf.J.- fp'b I ~c LL ~~ . . ~ CONSULTING ENGINEERING ASSOCIATES, INC. 14044 Icot Boulevard, Rubin Icot Center, Clearwater, FL 34620 50 Years of Engineering Experience Clearwater, (813) 536-5531 · FAX (813) 535-3227 December 12, 1994 Mr. Robert L. Youmans Electrical Inspector City of Zephyrhills 5335 8th Street Zephyrhills, FL 33540 RE: 38109 MARKET SQUARE ZEPHYRHILLS, FLORIDA CEA: 94-574 Dear Sir: Per your request we have reviewed the contractor's wiring method for raceways above the ceilings in the medical offices throughout where such cavity is a return air plenum. The installation consists of EMT with four inch (4") square outlet boxes and six foot (6') maximum flexible metal conduit. Our office believes such installation complies with NFPA 70 1990, Section 300-22(c). If there are any furth,er questions please contact me. Sincerely, 7 EL:anthe;, P.E., M.E., E.E. C.E.O. ECM/ds cc: Mr. Scott Reidy/APG Electric Mr. E.C. MantheilCEA File .- CONCRET~atR~~G~~U REPORT t..,.~ >0", Of. , " I _-.. " 'J..~~- ..u.."::J ,..l.r...r;:. -'\,~ .......... . ;1",f..JJoO.:.~ll , ,- \I i " ? i. t;."'".... ...~ ~ ':' '.f10P ~,~ 'I" ~ . t,.' h,'~' '. 1','" II' 0'.. alamo/saxena consultants, inc. geotechnical englneenng / materials testing I special inspections . .' "i"~ (", ,."1,..., r.~ -'{I:.t 56151W~i~~~lithfgh~~y:;uites 1.3 Ilakeland, florida 33801 I 813 687 8800 DATE MOLDED 19 SEPTEMBER ,lg3~ D~E 1q nCTn~~R lqq4 DATE RECEIVED 20 SEPTEMBER ,lg9~ JOB NO. 94LI019 LAB NO.le CLIENT HINSON BUILDING CORPORATION FLORIDA MEDICAL CLINIC PROJECT CONTRACTOR HINSON BUILDING CORPORATION EWELL INDUSTRIES CONCRETE SUPPLIER MAIN ENTRANCE CANOPY FOOTINGS TECHNICIAN LOCATION OF POUR 3,000 STRENGTH REQUIREMENT PSI AT 28 DAYS DESIGN MIX NO. NO. "CYLINDERS 4 SETNO. 1 SLUMP 5 INCHES TEMP. CONCRETE OF TICKET NO. TEMP. ATMOSPHERE 85 OF AIR CONTENT OF CONCRETE 10: 15AM TIME BATCHED Truck No. 10:45AM 0/0 UNIT WT. LBS/CU. FT. Water added on job gals. Water Authorized By 14 xxx QUANTITY REPRESENTED THREE M CU. YDS. TIME SAMPLES MOLDED CYLS. DELIVERED BY A S C CYLINDER NO. TEST AT DAYS DATE TI:STED TOTAL LOAD LBS. COMPRESSIVE TYPE REMARKS STRENGTH PSi FRACTURE A 7 b9/26/94 82,000 2,880 5 FDOT B 28 ~0/17/94 98,000 3,440 ':I ASTM "'" C 28 ~0/17/94 101,000 . 3,560 3 ASTM D HOLD HOLD C>- <170NE ~ CONE r~J SHEAR P --: =1 ;PLIT I --'I~THER '_. ~HEAR __ 3 CONTRACTOR OTHER REMARKS:DIAMETER/AREA (INCHES) A=6.02/28.46, B=6.02/28.46, C=6.01/28.37 NOTE: CYLINDERS WERE MOLDED BY CONTRACTOR REPORT DISTRIBUTION: 1 :HINSON BUILDING CORPORATION BY: 1 THU 11:42 Pill' i ~ 1 <'~:.' .~" . .~. ~i. . . .. . ':" :: ,--, ", A" ". '~.. '0 ' t'~' ;~. ~ ..,~ .. . '''" ';",', , .j;i '_,'t ",':' .... ~'.' ~, J.: ~. ,- U. ~. = ,. :,. .t.... ~.'. ': . .: , ;, '.~~. ",. t" .. > - .~ \' .1 ~ .\'. . . FAX NO. 18132871830 .~L. ,~ P,01 ,., HOUR FIRE DOORS IN S.A . -'I ~l ~ L END( ........ ;';i~;t, J; . :"" ~~...::..:.:.';:t~':~~;i..,::t~S~,~;:\ ,',;' .',.-t,..,:. "... ..1:I;I"\IW'\A:~:Ut:I"\II.'Ali'~,ctNC:V,;:"": . . . r.IW'J""'I:':.t.IWIIia.I"~'1tl. ....l'~.:-.. . C' .. .,".. '..;' ~'. 'I' '~.... ..... .'.l...' .'. 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Il. ,', 'I t '-, I; I ~ rl 'j ~.' ; .. ,~ .;~I ~ I :~ I ' i : ,~ , , ! ki : i q. i ,~t.~~;l ~ ....i. 1,!,1 . ~,~,~ t 11 ''I.' 'I " , t ,; i: : l J I'J-C ~l' 'h! I . I. II'.' . 'I I . -4.-.JJ I''''''''' ':,E... .~. . t 1'1 I :~ . H~'I'! ~ l . ; i .fI . " , !' i : I. ,; ,i>i~; '. "I" · '.'j I ti:d J ,/,.'..1. ; H' li,;.,:~ ..... ,,' #,'j r~ JI>i[f~ "ii, 1". I.~:; J~ 1 /'1,1, . ' ~'. c;; ..fl' ~. i j' . ~ ' '! '.L. I'Tt: :.Iti;> r $tb:, 'rr~ .;';";:f!('i/! : ~,--' ~ ZEPHYRHILLS FIRE DEPT ",".,...-. Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name .I...,' Classification Address ,_.:" Owner/Manager ~' Occupancy Load Emergency Contact Phone Alarm Monitoring Co. ~ T Phone # goo ..229 - ~.? Business Phone TYPE OF INSPECTION CONDUCTED 0 QUARTERLY 0 FINAL 0 ANNUAL 0 BI-ANNUAL 0 RE-INSPECTION <0 OTHER ;;' ,- 1J. ''?/ ,.. / "',', ./.... ,/ .; .:I . j . . .' /-',- .IS_ ' ,.0.",' / /. /... /'i~/ 0 APPROVED ([) NOT APPROVED o COMMERCIAL CHECK Listed below are items which must be complied with before this occupancy can be approved by the Fire Department. o CODE VIOLATIONS This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code. // I -,'. ," ~ .A', .' ,;. , /. /'f . /:"1'"',/, , .r i ' ' /'-' '.,"" <. .., / '.- ,..' <,:>;~.{ 1,..1''';' /.,/,/ ," /7-1 .., , / I / /':! /.1 ,': '- '.'/." " / .-"'.-)' : -' /- . , /~ ,~' 1 f' / 1/', /1 ,::',_''1/(. '.-1- .... l'.r. ,/. (' ,i-/,/... ,~ /_"",.. . j.. " l I ' oj":'" l;' /". . '//i, I ~- ",' .. / .,": 1/ "- c " ../", .' .' , ,~/ / / /";F",'~ ,t< /0;. ./'l ' ':_~ I)"./':/'/J~"./.... <,:' lr',.//'" ,'/ r. ~ t 1/ /.>,' /, .j';, 'I~, / .' ,\..' of c. ",I " , // ",,"" / //' C" /'" / f / 'i "'7/ .</ ;;), ,,.- I .' ,,:.-:.' t''" p,:;..' ,- ,,-',J_" ,,../ /" / "'" '~:..' '" J." .: .../",.:; /~'. ~ ,", I' ,'" '-' .,..- , I I" ....:_' I'!...'~/ /' .',.:"; , , ,!..-, ,-"< ~ (.. ,'r/'/,.>//",- .' ~ L >~ I,~' -,'I i , ,~.. ( /., 1,1 /,,'./ Inspect. Date I /2// t /-;/ '/ -i 7,. //1 I " /:'<;'t.1 / I l " ,~ /'i; . ,,7 ":' .2-'" ,7 ~: .' .. ,- .'../ /.~ .' .'" /:'''' /;;" .I ,.' . /" '>'- {I " ,/,. i,_.' ! //., /,.. , ~/' ,-"'" ',-- // Re-Inspect. Date Inspect. Time 111~~1.. /If " /.. , ~/ ,. Inspectors Name-:"'" ,t,-~- - ~., {...J , \; / Fire Oept. 10 # !', /.::c::::Ti---.~~.~- (1" ,r , '- Owner/Manager Signature ~ Title 5. L) P i"~ This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes. While Copy - File Yeilow Copy . Bid. Depl. Pink Copy - Business - -.--- - ~ ~ - - - -. - -- ----'-.'-_._"- .-".,,--.:~ - -- -- - ---- .-- ._- C E N 1 R ALP E R MIl 1 PASCO COUNTY, FLORIDA DATE: 1.2/2:=:/':~'l F'?KiE: 1 OF :I I '::;:::;UE (IFF ICE: D RECEIPT NUMBR: 00234400 OFFICE: DADE CITY t I'.! Ci CONTR{.iCTOF' fF ~ NAME: FLORIDA MED.CLINIC ADDP: :3:::: l~:;:~:; GP\LL. BL ~}D C/~:T: Z /H I L..L:.:: FOR: CHE'CK # CP::::I.-l ACCI\.rr 1 1n TOTAL AMour.IT: COMPNY ACCOUNT CENTER B450 - 363000 - ~ ::::0. ::::0 AMOUNT DESCRIPTION/PERMT DATA DRieR 30.80 ****** SOLID WASTE FEE 60 / F:ECE 1. "lED BY -..-.__._..._.f._L...:.:...L__;;..___..____...L_,'-L_.(__!.-_L___~._ ...~~,",' -... , ~.~_~. .' - .~, +"'~"~'''f ";,,1,,.1. ;'. ..;'...... ...i:~:~:,:-'~. :':'~'X:~,>~~<- -~ ~ U.~ "1~~ <:~~i' > L-:;~t.,...- ..;~:~~'~;.:"..:"~~~:.~i,:"~ ;>,..t~,~,- .~'c~d~vj.L;:~~~'~"'~~T~'~ -'~1ffi~, PASCO COUNTY, FLORIDA Permit No. . / 1:, Date Permitted ' '/ I Builder Name/Owner Name County Parcel No. Location I I Subd. Classification/Type of Use J.' "f TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./Unit Prepared By .......~ Impact Fee Amount $ --- -- ---.-. ~_ _.~ -'- ---- .:;;:.~:: --., ~.~...._-- The above impact fee has been estabJjshedpursuant to the PasroCounty-.:f.r.ans.Qortation Impact Ordinance as adopted by the Board of County Co~ers. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize Jh015ermitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units Gross Sq. Ft. (GSF) Rate/ERU - 50.00 x 0.96*/Year or $0. 1315/Day ERU Assign No. TOTAL FEE $ Assessment - (GSF) x (ERU) X (0.1315) x (No. Days) 100 ."""" II TOTAL FEE $ -+~'"5\ .. Assessment - (No. Units) x ($0.1315) x (No. Days) *Discounted for Prepayment The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197, as commended. THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OmCE OF PASCO COUNTY. Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and the conditions of payment for same. Date Received By --------------------------------------------------------------------------------------------------------------------------------------------------- OFFICE USE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce