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Home My WebLink About95-5191 I/O ?ty'C.... ./ ~ -D ::, I,O/:J. · BUILDING BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit If! (813) 788-6611 hO- '-51916 /J ~ Water Conn: :::::,~:~e'~~~~~::n:~/0fgit a;;;_1At~4jo~::e~,Mete'. - - J.;"'- ID~' ELECTRICAL -- Date _ XJ-/7.1 9~ PLUMBING ~o MECHANICAL Sewer Conn Parcel I. D. # Zoning: Description of Work FINAL Jj~ DATE C.O. LL-/b-~- DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. , Inspector J ~ermit Fe~ " '1~ Signature i/ / /t7~~~ Company City License Registration # /1" 0 Address State Certlt;ed Ucense' C'-G -: ::(:1903 Telephone' ~e~'1 __~~Qflt (ffi'41~~Y'-V -Pdr/;~ -:r~ BUILDING ELECTRICA~ 1/ ~ PLUMBING =rIf ~~ MECHANICAL #, I#.;z Tp. Sent. 16 t '1:r>LB 1-14"- g,lL B,eake's Rough In 1. N...{2,;...;..A 'I:B Tub Set 9,,;)::f-qs- B,LL Ducts Ins\. Meter Can Water Compressor Const. Pole Sewer Final Pool Final Pre-Meter Final ~AU-- ,(PI-J 1)U(r q~}.I.-z.'r 808 ~\(!).~-q$~e '{~~ ~"'d.'\-tV$ ~J..Q. REI\clSPEC~ION 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: 1- [)O Valuation or - Contract Price / 7 ~ 1) /) 0 . Ftr. Pre SLB Lintel FRM. G...;;l~q~ B,Ll- Insul. CL WL Driveway a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PRRKlT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT OWNER · S NAKE PacCQ,Medical.Arts Center Partnership PHONE 783--1666 OWNER' S ADDRESS 38014 Medical Center Ave., Zephyrhills, FL "" . JOB ADDRESS 38035 Medical Center Ave., Zephyrills, FL 33540 LEGAL DESCRIPTION: LOT(S) 6 & 7 BLOCK SUBDIVISION PASCO MEDICAL ARTS PARCEL 1. D.' TRACT #89 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction -Addition JL...Alteration _Repair _Install _SigB ---"ove _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units ---1t/H 1L-eo-ercial _Indust. _Swia. Pool _Other ~estaurant & Health Departaent Approval DESCRIPTION OF WORK: Interior build-out of medical offices. BUILDING SIZE: g Z . 4 X "i I') I') 0 6 0 Square Feet ,_- Height ~ story (build-out size) RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED -A-BUILDING $ l70.an.OO Valuation of Total Construction _ELECTRICAL AHP Service Florida Power Corp. W.R.E.C. ---1fECBARlCAL $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l"10N: _Block X _Fraae _Steel Other RllllllER FT. IS PROJECI IN FLOOD ZONE AREA? ~ YES NO FIRISBED FLOOR ELEVATIONS: ..................... Signature OOKPANY Precise Construction, Inc. State Cert. or Regist. , CG-CA22903 City License Registration' 'l~A ..................... ANY ;1\1 !":prlrh r.()n!":t rllC"t. ion State Cert. or Regist." ER0008721 City License Registration" 147R ............................. Signature COKPANY Hlln!":hPrgpr Plllmhi ~ tate Cert. or Regist.' dh:!;o4i!Jc:Z:R3 City License Registration' II J.! 11.-'1. .................................... 7 ~~ PLUMBER MECHANICAL Signature ( {'kL J ~ C1JIIPANY ""rri~..r TamhPr~ _ , State Cert. or Regist.' ,("'~ 04?"i4f1 ~ City License Registration' 1 .......................................... I ,(9:;l COKPANY State Cert. or Regist. . '. City License Registration .. ....,..................................... nTRRR Signature . : APPLICAttON APPROVED Ii::, PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands tIIat this perait .ay be subject to -deed restrictions" which lay be lOre restrictive than City regulations. rhe undersigned assutes responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tile owner has hired a contractor or contractors to undertale 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 lilY be cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguiretents laY apply for the intended worl, they are advised to contact the City of Zephyrhills Building Departtent, (813) . 788-6611. FurtherlOre, if tile owner bas hired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of the -Contractor Sections- of this application for which they "ill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wisbes you to sign as contractor that lilY be an indication tIIat be is not properly licensed and is not entitled to per.iUing privileges in the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of -Florida's Construction Lien Law _ HOERmer's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is SOIeone otber than the "owner", I certify that I have obtained a copy of the above described docuteDt and prOlise in good faith to deliver it to the "owner" prior to COlleDCetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT, I certify that all the inforaation in this application is accurate and that all worl will be done in co.pliance with all appliCable laws regulating construction, loning, and land developteDt. Application is bereby .ade to obtain a per.it to do wort and installation as indicated. I certify that no worl or installation has cOlleDced prior to issuance of a perai t and that all lorl will be pedoCled to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand tIIat the regulations of other goverDleDtal agencies laY apply to the intended work, and that it is .y responSibility to identify what actions I lUSt tate to be in cOlpliance. Sucb agencies include but are not Ii.ited to: I Depar_t of Envirollllelltal Regulation - Cypress Bayheads, Netland Areas and Envirollllelltally Sensitive Lands, Nater/lfastewater rreattent f Soutbwest Florida Nater HanageleDt District - NeIls, Cypress Baybeads, Netland Areas, Altering Natercourses f Ar., Corps of Engineers - Seawalls, Docks, lIavigable Naterways I Departlent of Health , Rebabilitative Services, EnvirODlental Health Unit - NeIls, Nastewater rreattent, Septic rants I US EnvirODleDtal Protection Agency - Asbestos abatetent I also certify that, if fill .aterial is to be used in Flood Zone "A- or "A,etc.-, it is understood tIIat a drainage plan addressing a -cOlpeDSating volute- will be subtitted wbicb is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A perait issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perait issued shall becoIe invalid unless tbe IIOrk authorized by such perait is couenced .ithin sillODtbs of issuance, or if work authoriled by the per.it is suspended or abandoned for a period of sillOJltbs after the tile the work is c-.meed. One 90 day !!Itenaion of tile, laY be allowed for the perait with fee charge of $15.00. 'l'be !!Itension shall be requested in writing to the Buil' ffic'. An approved inspection 8IIst be logged during each sillOntb period, or the project will be considered ed WARlfIIlG TO OIfIfKR: YOUR FAILURB TO RECORD A BOlICH OF allfDCBNIlfl MY RESULT III YOUR PAYIIIG fill PROPERTY. IF YOU IIfJIIID TO OirAIII FlIfAlCIIIG, COIlSULT WIrH YOUR LEER OR BEFORE COHHBIIClMBIfT. JOBS UlfDER $2,500 IN VALUE 00 liar IIEED TO RECORD AIfD post CH OF C STA'l'E OF FroR A coum OF The foregOing in~trumen was acknowledged before me this :2/3 , 19 95' by I wh~i:9:~~nal~ kn~htl~~r who has produced as identification and who did/did not take an o,~h. ~ ~ ~ A.rJA.../ t&t~ A .A.. (Signature) ~~ ~-~ SIGI lMIII-- - A - ~ STATE OF ~DA COUlfTY OF XO\.~(.D The foregOing instrument was acknowledged before me this 3~ , 1~ by O~~V\ ~ . ~\\~~~\'("\, ~i's "personally known to me or who has produced "f\- \:)\......~ \~ -~3'l-t:)9 -o~....'C as identification and who di Id not ~an oath. _ . _ ~' ~~.~ (Si ature) (Name Typed, Printed or Stamped) NOTARY PUBLIC Notary Public, State of FlorIda JUNE M. HERNDON My commbsion Exp. Feb. I, 1991 Comm. No. 252632 \3uiU>IN& aGL112. \(.., itu.~ ,- ! ::,EL---i St'..- C ~ , ' ';, I 'Ci- ~; i')" IL'! 1:4), C....il"ir;-i.t.. AvE" YAWr\"r'tt'N: \'fl),C ~ Cr. ;--.;!-,,,,,\- i'tp/,lh/ITivr:' . I;Dill'~ }O;}.- t-.,,~,' :: c "'-"". I. n\PD\tWlLAL- 2i.... ~~J 5\JB1C> .(it l- U(1i.!HT - /5"u/"-:;' 70 T-I\-l- .slUv~ WI\Lr-:~ /V\~ lb-rr\ L 8fl (au~~w f~& N/A ~c I\~i)b,,) ..-:'" r~p- 0.L.-....'':> ~A-~ 6t'6 tJjn BGlw~ .~?Vl /- ;f\../ L1 '-j ........ .7tiitJ6YDllrm7wJ tm~ fi'J-_S ., t.' .. ... ....... - . "..... :. ~. "-:"""..... . 6i' fT: ~,' viN is- ~. F~ oTItlUL f __ 10 -- I . ~ ----------- , ! --~ mo X::::j 31-< 11:::0 ~m en \O:-l I ::::. W~ OV1 IW \0 V1 ~ ~g~ g ~~~ ~"d~ o . en z 0" . 0 Qc:g~ p;lOm ~:<(J) . (J)("'),-< NWOO e;')O\O\Z::Z:: tzl\OOt/lZ Z.-~~t/l . 0 1:7;le;') Z ("'):;tl:;tlH O>tzlZ ZZt%l("') ~ t::I Z. p;l0:;tl ZO ("') ::Ill "de;') p;lp;l tzlt%l ("')e;') HO t/lp;l tzlt-< , Of ;::;: ,<' 0' -, li>'i "0: -;:r' '<I ~i 2:: sn: "Tli 0" ~: a:i 1>>1 "":l t"""d t"" > W("') Wt%l V1 o \0 }~. P re- CI<.-e.- (;J- ~/-~fS!dj- J ._ J... ~- 1,'2- J...-IJ-<r '0-1 o.rt'c... S - kddCL1- 9 M~- 3-- p;;~- w;P;::c-- e/~ - ~l - 5 - ~- 3 -A v1A-4~ __~ f3M ;f:-- rNo ~(~ - L1 r~ - ~ - ~ - AA-J,..~ - tJ/~ ;Jb-~ ~--1- t;t~ d!Z- ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name [ ~ 7- ~,/I:; / , . ,/ 'li )".:u' /.:j ,_J.~,.~:..;'l,4.:'? //:;/ c:/ - / Business Phone ~.-} ,..." ~~ - D .-P' -:::'_/'/(/.' Classification Owner/Manager /~ l".; //>:'>,::-.~> /., /' .,;.'/ I" c, Emergency Contact Phone" " ,. ,. '/ / /..-- Address 3 ;?-." :3 ::;' i?/~~,~!.>. ,h:// C~;, t'.~._:'::-~~~'.,;i~ Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY '(J FINAL 0 ANNUAL 0 BI-ANNUAL Q RE-INSPECTION 0 OTHER 7>,,~'J., ./'1./ / Ci' APPROVED 0 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. 1/ /~/ ,. l: // , '-1-. , ;/1 / /' H /:/ ... f , " {/> 'I'> ,// ./ . >:/. ", l. /'. i lJ' ,v., "','7 I' ,.' (;/':,' .,(, .' ,< ?/,-,y / 5, - ' , P. /'-. Wt- i_ " .1 "t.....,? I' /1: ,.J.; I ,/ .~., .1" ii' I ::~' .1.;' ! ' ,} --..,.-' ,/" ,. "'f ,/"-:;: J , I~' ,/:>' ~.t./>,,{ _ /'i.:'~ .::- I- '._' / i:-',' / .--- .' .' _,to /"~ //f /./~; // /~: /." /:./ i~ I /: ~"." :. .\ ! ./ /'" ," /J ,', I ;/ f.'/' :/:)'._' , / .. ,,',... 'I / ) r 'J ,1:'<,<~ L/ I "I~' ,/ .,I (.'/.:.' / 1/ . ~/ ,,' !' l ({ l. ,...'1 ._< . i~ ;r: ij':.... i~'." /'~ ,l//..",?' :.< / ' ,..(j /.... (".- l//< </ /I.~ ". / /r -r" '.~" , j ,;~' / ' ,/J.'; /-7"1 I ,(! /(1,' '/y j' ! ";' {' 'i, J' , , , ' , I /, I " " (--~-:~/ji::::~ ~ /'-<l?..::" /< ,r..': I :-::: ! -.(~ {, .(:.~ .......;/ 1_ ;' 'l/~'/.>: /-J'/~i::ic.,_. _/" ;' '-" I ':..~'.,../r Inspect. Date t ./ __../'~ IIi .'i ')'/- Inspect. Time /<1-3/:'; Fire Dept. 10 # ,,,*: Re-Inspect. Date Inspectors Name I .,.).' / ,I / Owner/Manager Signature ~.':: '( / -?- /<",./ _l...<,jl "..~_. l.......( , Title 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 Yellow Copy - Bid. Dep\. Pink Copy - Business Z'EPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name Classification Address Owner/M~Ul~g.er Business Phone Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED o FINAL 0 ANNUAL o OTHER o NOT APPROVED OBI-ANNUAL 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. Inspect. lime Inspectors Name Fire Dept. ID # Inspect. Date Re-Inspect. Date Owner/Manager Signature Title 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. White Copy - File Yellow Copy - Bid. Dept. Pink Copy - Business