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Home My WebLink About98-7952 "7D,fJ1J r:p1?f-> BUILDING PERMIT 7952 ;3 BUILDING J~-' trb ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 AFTER HOURS PHONE NUMBER ~~3~..s262 ~. a-D PLUMBING MECHANICAL Permit Date f--I'f -?j/ / I ;}. .-SlJ ~ ~ ~ . ~ - .~ Property Owner: ~:~~d:':'f-~~ :~~ ;~~_ ODJO Sewer Conn ~.?- >~ (;'''f>. ~..5';fZ; 6'V Water Conn: =:..)'0. ~ c26;;,..!;;V Water Meter: -I f<;!j d /) T.I.F.'s: Zoning: Energ~ Description of Wo~.+. t"\ ,. Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL (J", I 'jJ... 9.? DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# Signatu e Company Address Telephone# Valuation or 4 Contract Price If.) ::L ~-". cro ~~ ~ 9'J~gAI6L _.L.~~~ PLUMBING MECHANICAL~ SLB q /I, /'11 ff, 'II Tub Set 9/1 ih 1 info Water Sewer Final (1 ~<i'"hf)A.- IY{~~ 97 BUILDING ELECTRICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL 8{)~_ Tp. Servo Z h Rough In 9 '.0 g Meter Can Const. Pole Pool Pre-Meter Final <f h<4/ f1 Breakers Ducts Ins!. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($+&:eO) shall be made for each trip for each trade: ~-; tTD 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. a. b. c. d. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED ? - -3 /~ ;9 17 PLANS REVIEW FEE -3 () . cJ-v OWNER'S NAME ~ 0 ~ Ut=~::;, /tJ If If JC' 3 f I 3..s- #.t?t/r 67 S"B u A.e ~ BLOCK PHONE g-/3 -7oV' -J'VC/ 0 JOB ADDRESS LEGAL DESCRIPTION: LOT(S) SUBDIVISION PARCEL ID # tJ.~'--- ~/;-;d/--4t!lg-6' :J9tJt!-M.3g (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEW CONSTRUCTION [JADDITION ~ERATION [J DEMOLI SH [J REPAIR [J INSTALL [J SIGN [JMOVE \ PROPOSED USE: [JSGL FAMILY DWELLING ~MMERCIAL [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [J OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK A47cl'e /JpE !,b'7-??&?S/! //1//0 ~ RXll1'tu /a:>ntS , () BUILDING SIZE SQUARE FOOTAGE 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 REQUESTED ~UILDING ~LECTRICAL $ ~s- CaJ / VALUATION OF TOTAL CONSTRUCTION AMP SERVICE ~FLORIDA POWER [J W.R.E.C. ~ PLUMBING ~MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS [J ROOFING [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION:~BLOCK FINISHED FLOOR ELEVATIONS [J FRAME [J STEEL [J OTHER IS PROJECT IN FLOOD ZONE AREA[J YES [J NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # *************************************************** -~(. /' ...../' .,;'''-,..-.,.:.,... .. _/7 ,--"-/,,, '/{LC:'A-~ COMPANY NClT'+J~ CLz..c...f-,..;c" hc-' STATE CERT OR REGIST # 61( 00/34't c; - CITY PROCESSING # q 7 PLUMBER **********************************************************~* " COMPANY ~ / b.r J tIt;V ;J() (1 (/-11 b,' "J gt STATE CERT OR REGIST # RF O/Jbb 'II,; CITY PROCESSING # J 6 G . . SIGNATURE *.* * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ~ ** * ** ** * * ** ~ ~ MECHANICAL ~ ~ COMPANY ....<0...... 1~ r"/~ \ o ~ ~ STATE CERT OR REGIST # ~ R"'"'- OOo-f"1P'O SIGNATURE -->> ~_ CITY PROCESSING # Tft::r -..53 ***************************************************************** OTHER ~&!& COMPANY FlO("ldc; l/'h..Qd'lcc...oClW:d: !l ~ V STATE CERT OR REGIST # . I ~ CITY PROCESSING # . -.....................................................,........ SIGNATURE CONDITIONS OF PEI~IT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the ~Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If ~he contractor wishes you to sign as contractor that may 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. CONSTRUCTUION 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 Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the ~owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet 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 governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is understood that a drainage plan addressing a ~compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit 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 month period, or the project will be considered abandoned. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". 'x'GNATURE'~ OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by ~GNATURE: CONTRACTOR acknow.ledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid D:l.id not take an oath Dwho has produced (type and whoD did D did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped Sincerely, ~ Ophthalmology Joe Oelatorre Christopher G. Spanich, M.D.. Chihief f'~ . Offi Thomas Foster, O.D..~ xecutlve cer Psychiatry /dilb Pius Jacob, M.D. urgess Barkat U. Khan, M.D Cardiology Wali Khan, M.D. Shahid Malik, M.D. Arjumand Hashmi, M.D. Dermatology Lowella Esperanza, M.D. Family Practice Paul Hughes, M.D. Todd LaRue, M.D. Nancy Finnerty, M.D. Shahnaz Khan, M.D. Douglas Baska, D.O. Gavin Jagan, M.D. Donald McBath, D.O. Daniel McBath, D.O. Kathryn Cornette, M.D. Carl Graves, M.D. Alicia Fernandez-Garcia, M.D. Gastroenterology Mark Eisner, M.D. David Shepard, M.D. Tawfik Chami, M.D. Infectious Diseases Emilio Dominguez, 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. Eduardo Gonzalez, M.D. Neurology Christopher Valencia, M.D. Pulmonology Juan Cevallos, M.D. Joseph Hubaykah, M.D. Radiology Richard Schwab, M.D. Rheumatology David Sikes, M.D. Amarilis Torres, M.D. Surgery Hasan F. Hashmi, M.D. Vijay Ferris, M.D. Paul Citrin, M.D. Jordan Baum, M.D. Jonathan Anderson, M.D. Saleem Naviwala, M.D. Florida Medical Clinic, F?A. ,r' August 26, 1998 William Burgess City of Zephyrhills Building Dettartment 5335 8th Street Zephyrhills, FL. 33540 Dear Mr. Burgess: I am writingJhis letter to verifY that Curtis Lankford, the Supervisor of our Maintenance Department, is authorized to handle any necessary correspondence relatingJo the ugcomin&. renovations for the Infusion Center here at Florida Medical Clinic, 38135 Market Square, Zephyrhills, FL. 33540 ..".-" 38135 Market Square · Zephyrhills, FL 33540 · (813) 780-8440 flA. .,..77 LAWS n 713.1' NOTICE OF COMMENCEMENT SEMINOL!; FORM 408 State of Florida } County of \ The undersigned hereby informs 011 concerned that improvements will be made to certain real property. and In accordance with section 713.13 of the Florida Stotutes, the following Informotlon Is stated In this NOTICE OF COMMENCEMENT. '''''.''ARE IN DUPLICATIE. Description of property . t!~-:a?6.-:-dl/~.tit!!II!:-:-:. .a3f{!(J~. /P(#$()..................................... .......... ...................... ...........0......0....0........ ........ .............................. .............. .",..... ....., ............................................. .......... ..................................... ....... ........... ....... ....... ..... General description of improvements. . . ./.1.? ~L.. . /&?t:1. .~d. . ./ /V .7:~. .. . *,. .~. Jt?a?~S. .. .. .... ::d~::,...~r;;c..;;;~;;;;;?..~~;;~~..;4~~>f~3$;Y. Owner's interest in site of the improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee Simple Title holder (if other than owner) R N.':'e ~. eJ#~m&cz-...... ....................................................... ......................... Add,... ..3'((~ //isr.o/~dd1:.qd...a~S?~......q.....q... Contractor.. .eMtf!.Z...................................................................~............................... STATE OF FLORIDA Address ..................................................................... 'COUNTY OF P ASOO . . . . . . . . . . . . . . . . . . . . . . . . . . . . THiS IS TO CCFm~Y THt,T T!'H: FOREG01NG IS A Surety (if any) ............................................................... 'lRl;JE'Mo!B()ORRE(;T-(.0PY\~r:rHG DOCUMH!.T.Oi;j[.U. . .. . . on OF FUf..UG J:CORD iN Tn!S OfF:CE. JITf,r')S MY Address ...................................................................... HAND 'I'~' .c . !l~t "t~ . Any person making a loan for the construction of the improvements: 'R~~;~r.r.G~i':/,: Address ...................................................................... BY Person within the State of Florida designated by owner upon whom notices or other documents may be served: D.c. Nanle .......................................................................................................................... Address ........................................................................................................................ In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (h). Florida Statutes. (Fill in at Owner's option). N a tne .................................... __....-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Add'e" T~'~~;~~;'~"~;C~~~'~~~~;~~;;........................... .\\)1. .... .<!-6D..................... ,XC} ... .....:;,;.;UqiipiU . IRIIIIIUI ~!!I~ll!!UI 1111I11111111111 Swom to ond 'ub,c"bed =0 one :~!d~~ 7rr:FC~ i D, ;?j1t.vr~bJ .... .... .... ... .,.fi'. '~~yu.f1;rc~.............. {);/(&//U//9 A. ~GE- .No. VIRGINIA A. YAGER ~ JJ:."'" SIala of Florida f ~ " Comm. E..,.,..: 101Ol/lt ~ COm. CC 414528 Rcpt: 265704 DS: 0.00 09/01198 Rec: IT: 6.00 0.00 DptV Clerk JED PITTMAN, PASCO COUNTY CLERK 09/01/98 04:08p. 1 of 1 OR BK 3~~B PG 1 BOO Iii HARVARD JOLLY CLEES TO P P E ARCHITECTS, P.A. A I A 5201 W Kennecly.PJvd BY: Suite 515. Tampa. FL 33609 . 813/286 8206 AA COOOll9 CC: LETTER OF TRANSMITTAL TO: Curtis Langford Florida Medical Clinic 38135 Market Square Zephyrhills, Florida 33540-2505 DATE: August 20, 1998 PROJECT: Florida Medical Clinic Infusion PROJECT NO: 98-17 WE ARE VIA FOR YOUR MARKED Sending 1 st Class Mail Checking & Approval No Exception Returning x Overnight Signature Exceptions x Under Separate Cover Courier x Use/Files Resubmit THE FOllOWING x Prints Original Tracings Progress Report Shop Drawings Supplemental Instruction Proposal Request Change Order Other NO. OF COPIES 3 Sets ITEM DESCRIPTION Signed & Seal Comments: FAX: 813/287-1830 FLORIDA MEDICAL CLINIC 38135 MARKET SQUARE (4 - EXAM ROOMS) SQ. FEET PRICE MAIN OR LIVING AREA $ 40.00 OTHER AREA UNDER ROOF $ 15.00 OTHER 648 $ 22.00 VALUATION $ 14,256.00 FEE SHEET $ 95.00 ADDRESS DRIVEWAY BUILDING: $ 112.50 ELECTRICAL: $ 35.00 PLUMBING: $ 45.00 MECHANICAL: $ 25.00 RADON: $ - CREDIT: $ 30.00 TOTAL $ 217.50 u.Jf />1 / .~ SEWERI $ WATER: $ TOTAL: $ 3/4" WATER METERI $ I "II W r : I TI F'S 'I 99% $ 1% $ TOTAL: $.- 2,O~S:SO / Lj 3 g-,-.Su I CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET ORD. #395/RESOLUTIONS 312/372 WATER $1.75 GAL. SEWER $6.39/GAL 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 WashinQ 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 $ 2,556.00 Sinks (3-Comoartment) $ 175.00 $ 639.00 Car Wash (Per Stall) $ 1,000.00 $ 6,390.00 -3 ~ {;,.2.-,>'l 9..5- e-..>"V SINKS 50 '-4- $ 35El.C>6 $ 1,278.00 $ 1,C2:6.ro ., WATER CLOSETS 75 $ - $ - $ - URINALS 50 $ - $ - $ - LAVATORIES 25 $ - $ - $ - TUB/SHOWERS 50 $ - $ - $ - WASH. MACH. COMM. 560 $ - $ - $ - WASH. MACH DOM. 200 $ - $ - $ - DISHWASHER COMM. 400 $ - $ - $ - DISHWASHER LIMITED USE 60 $ - $ - $ - SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PER/STALL 1000 $ - $ - $ - SUB-TOTAL $ ~ -- ~~ - A "'....n "'''' $ ~ ~"'n ~n _........v.vv , =v I, 3/4" WATER METER GRAND TOTAL ~ 1 ~,)Q nn -'- ~ ........... FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE 9/3/98 J ;) .1./. tnJ .J