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Home My WebLink About98-7777 P,"perty Owo., t8;;I?~ >>1jfi:/i-/;- f;;.< Job Address; 3~~ _ _. __~ Parcel 1.0. # Zoning: 4 Energy. Code; ~adon Gas; Descriotion of Work _~~H- ~~V!.<:J ~ 7/~} b /!:> -. (J7) BUILDING BUILDING PERMIT 7777 13 JJ~ ~-.S-.3~ ELECTRICAL CITY OF ZEPHYRHILLS (8-D~8J611 7J~j 8"7- IV / crv - Vi? PLUMBING MECHANICAL Permit .,5-- D2-7 - 9 r Date Sewer Conn Water Conn: Water Meter: T.I.F.'s: FINAL 10' 9~ DATE C.O. /,j' r 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. Valuation or Contract Price R"if. / f). (f. ~ .., Permit Fee Signature Company Address Telephone# Inspector City License Registration # c;) '19' State Certified License# ~;rJ~ ~ Cl t-' ->> /7d.- /I~I>>V1f.l3~{)'- )loYU-1.~3lB PLUMBING MECHANICAL BUILDING ELECTRICAL Ftr. Pre SLB Lintel FRM. 7/Ilen r,ll I Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final \J<...l\s Pv>...~L.; ^ llllq~ &\1 ~ f)~~O_,~ 9 SLB Tub Set Water Sewer Final Breakers Ducts Insl.lJ~3o..9 8' .eL;q compreslor . Final q Ilt.li\g U. rc 7(1 jei? III C Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($+57001 shall be made for each trip for each trade: .;LfJ-:-m a. b. C. d. e. f. g. 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. 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 OWNER I S NAME East Pasco Medical Center PHONE (813) 788-0411 OWNER I S ADDRESS 7050 Gall Boulevard Zephyrhills, Florida 33541 JOB ADDRESS LEGAL DESCRIPTION: LOT(S)See Attached 38058 Arbor Ridge Drive BLOCK SUBDIVISION PARCEL 1. D. t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ~Alteration _Repair _Install _Sign ---.Move _DeJIlolish PROPOSED USE: _Single Faaily ---.MI F _* of Units _M/H ...!.-eo..erc ial _Indust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: Interior Renovation Accounting Building for East Pasco Medical Center 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 $ 8<l/2}? ~ Valuation of Total Construction ~ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. 2-MECHAlUCAL ~PLUKBING $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~lock _FraJIe _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTIOij BUILDER COMPANY State Cert. or Regist. # City License Registration ************************************** Poole Construction Company, Inc. Signature CG C027876 I 249 COMPANY APG Electric, Inc. State Cert. or Regist. # CCOOOO~8~ City License Registration # ***************************************** PLUMBER. ~~.-' COMPANY Harper Mechanical Corporation State Cert. or Regist. i CF-C033860 City License Registration ~ ****************************************** Signature MECRANI~~ COMPANY Harper Mechanical Corporation /L ?1~~/:. State Cert. or Regist. # CM-C042548 Signature ~ ~~~~~ City License Registration # ****************************************** Q.'II.lER COMPANY StateCert. or Regist. # Signature City License Registration # ****************************************** \PPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perJit lay be subject to "deed restrictionsll which .ay be lore restrictive than City regulations~The undersigned assUles responsibility for COlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611. Furtherlore, 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 YOur as the owner sign as the contractor, you are indicating that your rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he 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 1/ the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is sOleone other than the .owner", I certify that I have obtained a copy of the above described dOCUlent and prolise in good faith to deliver it to the "owner" prior to couenceJent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOllpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perl it to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to teet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governJental agencies lay apply to the .intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands, Water/Wastewater TreatJent * Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, EnvironJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US Environmental Protection Agency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volu_e" will be submitted 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 requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is commenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in ~riting to the Building Official. An approved inspection lust be logged during each Eix lonth 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 IHTEND 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 IINOTICE OF COMMENCEMENT". ' SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUl\'l'Y OF The foregoing instrument before me this was acknowledged I 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC SQ. FEET PRICE MAIN OR LIVING AREA - $ 40.00 OTHER AREA UNDER ROOF - $ 15.00 OTHER - $ 0,85 VALUATION $ 84,129.00 FEE SHEET $ 410,00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 615.00 ELECTRICAL: $ 85.32 PLUMBING: $ 87.00 MECHANICAL: $ 100,00 RADON: $ - CREDIT: $ - TOTAL $ 887.32 SEWERI $ WATER: $ TOTAL: $ 3/4" WATER METER:~ $ T IF'S :1 $ 99% $ 1% $ TOTAL: $ 887.32 This Instrument Prepared Uy: Name: Address: '"11""11' "'" 1111I1111' 111111111' "'"11111111 98043824 Pel'mit No. 12R I) 3 98 Rcpt: 231164 OS: 0.00 04/16/98 Rec: IT: NOTICE OF COMMeNCEMeNT 10.50 0.00 Opty Clerk JEO PITTftAN, PASCO COUNTY CLERK 04/16/98 12:23p. 1 of 2 OR OK 3916 PG 731 STATE OF Florida COUNTY OF Pi'l~rn TilE UNDERSIGNED herby gives notice that improvement will be maje to cel'tain I'eal pl'operty. and in accor-dance wi th Chapter- 713. Floridu Stu tues, the following informution is provided in this Notice of Commencement. 1. Descr-iption of proper-ty: (legal descl'iption of propel'ty. 8nd stl'ect uddr-css if uvaileble) See Attached 3. Owner- infol'mation a. Name and eddr-ess: Interior Renovations Accounting Building for East Pasco Medical Center Adventist Health Systems, D/B/A East Pasco Medical Center 7050 Gall Boulevard, Zephyrhills, Florida 33541 2. General descr-iption of impl'overnent: b. Interest in pl'opel'ty: Owner c. N/l!Ile and address of fee silOple titleholder (if othet' thun owned: .p.~.'~'. Contr-actor-: (name and address) ~<i ~ 'f"irL tj{-' '~ ~5.~Surety a. Name and addr-ess: Poole Construction Company, Inc. 544 Douglas Avenue Altamonte Springs, Florida 32714 b, Amount of bond $ N/A N/A (" Lender: (name and addr-ess) N/A 7. Pel'sons within the State of Florida designated by Owner- upo~ whom notices or other- documents may be ser-ved as pr-ovided by Section 713.13(1)(a)7. Florida Statutes: (name and address) David Haugen . East Pasco Medical Center 7050 ~i'l11 Boulevard - Zephyrhills, Florida 33541 8. In addition to himself, Ownel' designates the fOIlowing pel'son(s) to r-eceive u copy of the Lienor-'s Notice as pr-ovided in Section 713,13(1)(b).F10rida Statutes: (name and address) 9. commencement (the expiration date is 1 year- fr-om a different date is specified) '\)~'.) \' ^ \--\ ~\.) tb~ t\ (Print ~nel"s NaUle) Owner's Address: 7050 Gall Boulevard Zephyrhills, Florida 33541 The for-egoing instrument was acknowledged befol'e me thiS~/~/~bY DC)-. ,,\c:1. ~ ~~'f\whO ~ ~n to me/wllo pr-odu,::ed as identification and wlr~ke an oath. State of Florida County o~~~ ( L) Commission H ~ . ~'''''='-~'\~~~lY Commission Expires: ~\ (Notary) All Information Must Oe Typed 01' Printed Legibly to Comply With Recording Requirements - ~ ....~'.r,<.~s::,..._ JUNE M. HERNDON 11 t.1" .~~ MY COMMISSION II CC 590009 I~! .... '.- IRES' February 1 2001 -I;:,il/r..~'9" Bonded Thru ~ Public Unoorwrtters OR BK 3916 2 of 2 LECAl_ DESCRIPTION Lots 9 &i 0, Af~I:;OI\ f\IDGE SUF3DIVISI()f\), 0:) recorded ill P I C1 t Ei 00 k 2 2 , P (j(JC:~ Ij Ij , F' ubi i c r~ ceo r cLeo 0 ( 1:-' 0 S C 0 Co u n t y, f~ lor i ci (J. SUB,JECT To c::;usernen t to F-I_Of'\IDA r::'lQWEF\ COf\:P., u s r e cor d ed' ir1' 0 fr i c i (] I I~ e cor d [~ 0 0 k ~) ~l :) , P (] 9 e 6 ~J7 , F'ublic f\ccords of (='osco Coun ty, Flor'icio. S U i~L 1[-:: C T TO C (I ~c; C III en t :'; 0 S :> c t ( 0 r tho nth c P I u t 0 f Ar-\UOf~: !;:!UCE. SUEEJIV1SIO/\)U, recorded in i'lo t [3ook 22, Poqe /H, f:'ubllc f\:f::corcJs of PCI:::;CO County, Flor-ido. PG 732 APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME East Pasco Medical Center PHONE (813) 788-0411 OWNER'S ADDRESS 7050 Gall Boulevard Zephyrhills, Florida 33541 JOB ADDRESS 38058 Arbor Ridge Drive LEGAL DESCRIPTION: LOT(S)See Attached BLOCK SUBDIVISION PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ---Addition ~teration _Repair _Install _Sign ---1fove _Deaolish PROPOSED USE: _Single Faaily ---1f/F _' of Units _M/H 2-ec-ercial _Indust. _Swia. Pool _Other ~estaurant & Health Department Approval DESCRIPTION OF WORK: Interior Renovation Accounting Building for East Pasco Medical Center 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 -2-BUILDING .2-ELECTRICAL $ Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. 2..JmCHARICAL $ Valuation of Mechanical Installation .2-PLUKBDlG GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~loclt _Fraae _Steel Other FIlUSHED FLOOR ELEVAITONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION .mt.DBR ~ COHPAIlY Poole Construction ~ State Cert. or Regist. t CG Signature ~ City License Registration . ****************************************** Company, Inc. C027876 249 ~ F.T.RC'l'RICIAH COMPANY APG Electric, Inc. State Cert. or Regist. f City License Registration # J 7 d- ****************************************** .....--- 51anAt.ure PLUKBER Signature COMPANY Harper Mechanical Corporation State Cert. or Regist. . City License Registration f ,3 ?-~':1 ****************************************** ..- HEGBAHICAL Signature COMPANY Harper Mechanical Corporation State Cert. or Regist. f City License Registration' --.5" cr--&.- ****************************************** L--- OTHER COMPANY State 'Cert. or Regist. f Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER; CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned undetstands that this peIlit lay be subject to Ideed restrictions" wbich JaY be lOre restrictive than City regulations~ Tbe '~dersigned assUles responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the UContractor 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 lay be an indication that he is not properly licensed and is not entitled to perlitting 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 IFlorida's Construction Lien Law - HOJeOWner's Protection Guide" prepared by tbe Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOleone other than the lowner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the II owner II prior to couenceJent. 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, loning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a peIlit and that all work will be perf oIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies JaY apply to the intended work, and that it is my responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: . Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treat.ent . Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways . Departlent of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnvironJental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "AU or "A,etc.", it is understood that a drainage plan addressing a .COlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A peIlit 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 requiring a correction of errors in plans, construction, or violations of any code. Every pecJit issued shall becOle invalid unless the work authorized by such perlit is cOJJenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tie the work is coaenceo. One 90 day extension of tie, JaY be allowed for the peIlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURB TO RECORD A NOTICE OF COMMENCBHKNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVBHBNlS TO YOUR PROPERTY. IF YOU IIl'J'END TO OBTAIN FIHANCING, CONSULT WITH YOUR LENDER OR IN AnORHBY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~ ~ - S GNATURE: OWKE OR AGENT STURE: C CTOR STATE OF FLO~ coum OF \ JC\... ~ L D The foregoing inst~ent was acknowledged before me this <4- J.J- b , 193R by ~ ~~X) who is Bonally kno to me or who has produced - as identification and who di~d no~ ~e an oath. \r----..'\r ~ ,..,,,_ _~~\;l~ ,~""~\J\ (Si ature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ....~M:t,.,_ JUNE M. HERNDON i~W~':~~ MY COMMISSION' cc 590009 ~ }.~ EXPIRES: Febru8IY 1. 2001 .., "l Bonded TIlRI NolIIY PUblIC \)ld8lWIhIrI , " STATE OF FLOR~ COUNTY OF ~ Ck.S L(::) The foregoing i~~~rument was a~wledged before me this ~ l b , 19..:::1Q.... by ~\'-(>-s-\~ ~~()o\~ ;~~~gnaH~e or who has as identification and who did/did not ~ke an o~l:!..r--..._~, _'\. _ -~'-~~~~~~ (S ature) (Name Typed, P ........... . DON NOTARY PUBLIC f(Qr ~~ MY COMMISSION' cc 590009 ~ : i EXPIRES: February 1. 2001 "" "1Iond8d TIlRI NolIIY PublIc IJndelWlII8nI LEGAL DESCRIPTION Lots 9 & 10, Af\t3 or~ RIDGE SU F3 01 VI SI or\j, CI ~~ record cd in Plot [;ook 22, Poge 44, Public Records of F\lSCO COUll ty, f:-Ioriclo. SU8,JECT To eosemen t to FLOf\IDA POWER COf<P., Cl s r e cor de d < i n- 0 ff i cia I f\ e cor d Boo k 9 9 5 , P 0 9 e 6 Sl7 , Public r~ecords of Posco County, FloridCl SUB,JECT TO casements as set forth on the Plot of ARf30R F<IDGE SU BOI VI SION 8, recorded in f)lo I Book 22, Page 44, Public Recol-cJs of PClSCO County, F"lorido.