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Home My WebLink About96-5668 BUILDING PERMIT-- 5' 'P ~ CITY OF ZEPHYRHILLS Permit J1! ~ 'J-r --"V (813) 788.6611 q 1'.'JL/ ~ d-!5J - ELECTRICAL PLUMBING ~ - 566~~ , ~-1(?-9~ Date - BUilDING ~o MECHANICAL Sewer Conn :9 /9' ~-.a. >?7 so ::~:~,~:~e' ~t~"0l!x~1f!1..:/~ Parcel I. D. # Zoning: Ene~y Code: . 2 .Radon Gas: . ~ Description of Work ~ SLA-z &.hIe/> (5 A.fV - VC/0 Water Conn: - T.LF:s: NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or ff- . oc.-> Contract Price / I); tJ 00 - Permit Fee Signature Company Address Telephone# Inspector Ci.y Ucense Regis''''ion ~ State Certified license# ~ Q~J,t~4 {lA' {)~~ MECHANICAl,!-/ "J"U V/LTYJ.Jl~} BUilDING ~. {]~~r ELECTRICAL II 97 ,Pl MBING-;f /6!P - Ftr. Pre SlB lintel FRM. Insul. Cl Wl wo~ Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SlB Tub Set Water Sewer Final Breakers L Ducts Insl. C\ \"~\t\o W~ Compressor Final Driveway M1o~ ~.(.\~ - ~~~~ u&L REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: 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. FEE SHEET BUILDER: FMC Market Square Inc. ADDRESS: 38135 Market Square OWNER: FMC Market SQuare SQ. FT. PRICE LIVING OR MAIN AREA:I N1A I OTHER AREA UNDER ROOF:I N1A I OTHER AREA:I N1A SQUARE FEET UNDER RooF:1 N1A VALUATION:~ N/A ADDRESS:L N/A DRIVEWAY:l N1A FEES:~ $ 65.00 , BLDG. PLUMB. ELEC. MECH. PERMIT FEES:~ $ 97.50 I $ 25.00 r $ 25.00 I $20.00 314" 1" 1-112" 2" WATER METER SIZE:I $ N/A 1~.00 I $ N/~~.OO I $ N1A 610.00 I $ N/A I 840.00 SEWER WATER METER CONNECTION FEES:I $ 319.50 I $ 87.50 I N/A RADON GAS:I PERMIT FEES:' $ CONNECTION FEES:I $ TRANSPORTATION IMPACT FEES:~ $ CREDIT:~ $ N1A 167.50 I 407.00 , 111....1 re. ,~ '!> ,<- 25.00 , ' 'oJ TOTAL~ I 8&~, JfS CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET ORD. #3!M5IRESOlUTIONS 31213n WATER $1.75 GAL. SEWER $8.39IGAL RESIDENTIAL (Each lot or Unit) Residence $ 350.00 $ 1,278.00 Travel Trailer Park $ 131.25 $ 479.25 COMERCIAl (Per flxtire) 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 Washina Machine-Commercial Size $ 350.00 $ 1 278.00 Washina Machine-Domestic Size $ 87.50 $ 319.50 Dishwasher-Limited Use $ 87.50 $ 319.50 Food Service-Dishwasher $ 700.00 $ 3 556.00 Sinks C3-Comoartment) $ 175.00 $ 639.00 CarWashCPerStaIO $ 1 000.00 $ 6 390.00 FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE SINKS GO 1 $ 87.50 $ 319.50 $ 407.00 WATER CLOSETS 75 $ - $ - $ - URINALS GO $ - $ - $ - LAVATORIES 25 $ - $ - $ - TUB/SHOWERS ao $ - $ - $ - WASH. MACH. COMM. 200 $ - $ - $ - WASH. MACH DOM. 560 $ - $ - $ - DISHWASHER COMM. 400 $ - $ - $ - DISHWASHER LIMITED USE 60 $ - $ - $ - SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PER/STALL 1000 $ - $ - $ - SUB-TOTAL $ 87.50 $ 319.50 $ 407.00 WATER METER GRAND TOTAL $ 407.00 3/15196 OWNER'S NAME , o>D . ' A"~~ f f()J--' :z!i.'~':7'b APPLICATION FOR PERKIT ~. f, / ,;) r- J / :1-, ' CITY OF ZEPIIYRllILLS ~. 'JJ~.a/A U ' BUILDING DEPARTMENT r~ "D ~ /lV ~,~ ~ (813) 780-8774 ~~C Market Square, Inc. PHONE OWER'S ADDRESS 38135 Market Square, Zepbxrhills, FL. 33540 38135 Market Square, Zephyrhills, fL.. 33540 Zephyrhills Colony Company - Lands PB 1 Pg.55 Portion of Tracts LEGAL DESCRIPTION: LOT(S) B~SUBDIVlSION 39 & 42 desc as com at SW cor PARCEL'I.D.' 02 2621~010 03900 0030 JOB ADDRESS (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: X New Construction, ---^ddition ----..Alteration ~epair _Install I - _Sign ----"ove ->>eaolish PROPOSED USE: _Single Feaily ----"I F _' of Units ---1t/H -Leo..ercial _Indust. _Swia. Pool _Other -Restaurant &: Health Departaent Approval I DESCRIPTION OF WORK: Build out future expansion area BUILDING SIZE: 24 II 31. ~ Feet, 8' Height A1TACII (2) PLOT PLAlfS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORHS. A1TACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORHS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. RESlDEIITIAL: COMMERCIAL : PERMITS REOUESTED ~UILDIRG ,$ 10,000 Valuation of Total Construction X Rl.RCTRIGAL AKP Service Florida Power Corp. \')W.R.E.C. 2.JmCIWIIGAL $ Yaluation of lIechanical Installation 2...J'LutlBING GAS ROOFING TYPE OF CORSTRUCTION: ~loclt -'reae _Steel SPECIALTY Other FIllISBBD FLOOR ELEVAnONS: 8 FT. IS PROJEct IN FLOOD ZONE AREA? X YES NO .......................................... BIJTI.IlER '0 I " WI1-!/U COMPANY FMC Market Square, Iuc. o State Cert. or Regist. f N/ A Lt City License Registration f N/A .***..* ..***.~.....***~***~*e*t'~.t.*~~~ ~ - r J1l/flZ-t"V e:( , p.vpv'r-.: iJ COMPANY ,.v.a-<^,,js~te Cert. or Regi't. f . , City License Registration f _~ ....**.......*..**...**............*...... CONTRACTOR SECTION SignatUre '/Rl.RCTRICIAN ~ ~ ~~, p7[DDU'l'{'l . . Cji7 OK /" SiimAture Signature COMPANY State Cert. or R gist. f ((c/ City License Registration t *.~...**********.**.**...*...**.***. 8 '- COMPANY S" \~'}t:/l/ L~1:1L G{- 'b~4P.)V{bN/ ) -. " State Cert. or Regist. t C~1A.:~(o D~~7.~4-L.I'3 ~' . ~ 2 ~'''-'--- City License Registration f __ _ -19- .:;K.. bo/ ..**....**..**....*...*..*.....*********** I .,/ PLUMBER tlECBANICAL Signature I OTHRR COMPANY State Cert. or Regist. f City License Registration f ...............*.............A*..*....**.. . Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to 'deed restrictions" which laY be lOre restrictive than City regulations. The undersigned assUles responsibility for COIpliance 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 lisdBleanor violation under state law. If the OWner or intended contractor are uncertain as to what licensing requirelBDts laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. I FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for wbich 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 wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlitting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HOIeOI.Der's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is so.eone other than the 'owner', I certify that I have obtained a copy of the above described docUlBDt and prOlise in good faith to deliver it to the 'owner' prior to COIleDCBlent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work, will be'done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas coaenced prior to issuance of a perlit and that all work will be perfoIll!d to leet standards of all laws regulating construction, City codes, loning regulations, and land developlBDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDleDtal agencies laY apply to the intended work, and that it is Ii responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not liJIited to: t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Envirollll!lltally Sensitive Lands, , Water/Wastewater Treatlent t Southwest Florida Water HanagBlent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, lIavigable Waterways t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US InvirODleDtal Protection Agency .. Asbestos abatl!lBllt , I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan addressing a ICOlpensating volllle' will be sublitted 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 frOl thereafter , requiting a correction of errors in plans, construction, or violations of any code. Every pmit issued shall beCClle invalid \ unless the work authoriled by such perlit is ~ced within sillOntbs of issuance, or if work authoriled by the peIlit' is ' suspended or abandoned for a period of sil IODtbs after the tile the work is C08eJlced. One 90 day Bltension of tile, lilY be allowed for the perlit with fee charge of $15.00. Tbe Bltension shall be requested in writing to the Building Official. : An approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned. WAIUUNG TO OWNER: YOUR FAILURE TO RECORD A NOTICH OF C<IIMBRCBHEH'1' MAY RESULT IN YOUR PAYlIIG !IIICH FORl.Ml'ROVIIlmS TO YOUR ~ROPlRfY. IF YOU InEIID TO OB'fIIII FIIIAIICING, COIISULT WITH YOUR LEllDIR OR AH AftORIIEY BEFORE RECORDIIIG YOUR NOTICE OF : aJlHBIICEHENT. BS UHDIR $ 500 IN VALUE DO lOT NEID TO RECO POST A 'IIOTICE OF COHHElfCBHEH'l". I I G~O ~ STATI OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum OF I The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an o~th. who is personally known to me or'.'who - has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC Florida Medical Clinic, P.A. Board of Directors Mark Eisner, M.D. Paul Hughes, M.D. Wali Khan, M.D. I Chandresh Saraiya, M.D. David Sikes, M.D. Hasan Ha~hmi, M.D. Donald Mc13ath, D.O. Cardiology Wali Khan, M.D. Shahid Malik, M.D. Arjumand Hashmi, M.D. Family Practice Paul Hughes, M.D. Todd LaRue, M.D. Nancy Finnerty, M.D. Shahnaz Khan, M.D. Douglas 13aska, D.O. Gavin Jagan, M.D. Donald Mc13ath, D.O. Daniel Mc13ath, D.O. Gastroenterology Marl~ Eisner, M.D. David Shepard, M.D. Tawfik Chami, M.D. Internal Medicine Chandresh Saraiya, M.D. Parag Pitroda, M.D. Christopher Valencia, M.D. Athena Valencia, M.D. Mahender Reddy, M.D. William Ruiz, M.D. Neurology Christopher Valencia, M.D. Pulmonology Juan Cevallos, M.D. Rheumatology David Sikes, M.D. Amdrillis Torres, M.D. Coy Cahalin, A.R.N.P. Surgery Hasan Hashmi, M.D. Vijay Ferris, M.D. Sam 13010, M.D. I Jordon 13aum, M.D. Carlos Cesar, M.D. i Joe Delatorre Chief Executive Officer Colleen H. Cuffe Chief Financial Officer March 1, 1996 Bill Burgess Building Department City of Zephyrhills 5335 8th street Zephyrhills, FL. 33540 Dea~ Mr. Burgess: Please be advised by this letter that Curtis Lankford will serve as General Contractor for FMC Market Square, Inc projects. ' If you have any questions, please don't hesitate to call me at 780-8774. Officer /di/city-build Subscribed and sworn to before me this I~ day of~~.~ 1996. ~:-.~~\~~ ,,'G'C{~ ~ c05) nC\~ My ommission Expires ;:~~~:'f~ KELLY EVELYN HERNMDEZ s*t.JJ;,;~ ;*% MY COMMISSION II CC409423 EXPIRES ~.~z.~ September 25. 1998 ~.ii.~~ BONDED THRU TROY FAIN 1HSUIWlCl:, INC. -.fJ ('jf ~ cl (.t, State of , It\.5CD County of 38135 Market Square · Zephyrhills, Florida 33540 . (813) 780-8440 COMMERCIAL CHECKLIST FOR NEW CONTRUCTION PERMITTING CITY OF ZEPHYRHILLS U Site Plan Review da te : requirements satisfied & approved - ~Plication completed in its ENTIRETY. ~Check if contractor & subs are currently registered. --? Florida Energy Efficiency Form completed. ~~ SETS of Engineered Building Prints with Electrical, Plumbing and Mechanical diagrams. ~~. If Business Classification is State Regulated, approval must be on engineered building prints. ~J41 CITY R-O-W Use Permit, if applicable. ~ Give Elevation ~ Water' Certificate, if applicable. Sewer Service. Sewer & Water Connection Fees, Transportation Im~ Fees & Water time of permit issuance. Meter Fe~-paid prior to or at p-.L t 77 ~Annual Solid Waste Assessment Fee must be paid prior to of Certificate of Occupancy. DATE PAID issuance Plans Review Fee ($.03/sq. ft. - $15 min.) ~ 0<'. ~-6-~ .Amount Paid $ ". r - Date ~ ,(0 Received by'(. _ _ ~~~ ~~;;:/44{~-