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Home My WebLink About00-9241 BUILDING PERMIT Permit " 09241 c:2 - /5 -DO Date ::::::,~.:ne' 10,,:~ rfJJ~4.~ ,eJ47d Parcell.D. # f;zr; Zon;n9' Ene'9Y Code'. ~ _R.donG." . fL/ ri ) O""';o';on of Wo" ~.,.~ ~ . _ _ -:::';:'J ",-t;OitzJ.L 9"'f. _ Sewer Conn A ~ Water Conn: {'/ I ( Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances, FINAL ~ - Jf-tJiJ DATE City License Registration # State Certifi~ License# ~~ ~~U .~ ~J/9 Valuation or Contract Price OOJ~~O'~ BUILDING /J ? r; 84tz- ELECTRICAL 17~ ~ ~ (Ielephon~ ~ ~tJ7-8~z-- ~P;2.2r ~;~ /Yl~ PLUMBING e$q3 ~ MECHANICAL2g~ Tp, Serv, Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr, Pre SLB Lintel FRM, Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.00 I 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, t\ . ,. 1)((. ~ U~1? _ ~"(\.'\) " ,t" ~ ') " - - .,- T I oOUl. ( e>N'7:> . 7 ()~-C) G"t\v.... ~ i.....,,' i~ . ~ 1" V,)) c.~ ,1/1'; j) . SQ. FEET PRICE MAIN OR LIVING AREA Co '7() '7 .:- ~ Q ;:)~ OTHER AREA UNDER ROOF OTHER . t . , BUILDING: 411. ." 0 ELECTRICAL: q '5". ;;, c, PLUMBING: _"'" \) 7.> V '-,, MECHANICAL: .50. ~ ~ RADON: tJlff CREDIT: ~in 50'2-"50 >* SEWER: rJ ; J~ WATER: TOTAL: ~ I T .1. F'.s I ",I ('f I --c:; r~ 7P ~t() Ie, '" '" This Instrument Prepared By: .Name: Address: NOTICE OF COMMENCEMENT I 111111 11111 11111 11111 11111 11111 11111 11111 11111 IIRI 1111 IIII 2000012131 Rcpt: 388417 Rec: DS: o. 00 IT : 02/01/00 Dpty Clerk JED PITTMAN, PASCO COUNTY CLERK 02/01/00 02:20p. 1 of 2 OR BK 4303 PG 1,e.og 10.50 0.00 Permit No. STATE OF Florida COUNTY OF Pn !'lr!n TilE UNDERSIGNED herby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Floridu Statues. the following information is provided in this Notice of Commencement, 1. Description of property: (legal description of property, und street address if available) See Attached 2. General description of improvement: East Pasco Medical Center Cath Lab 3, Owner information Adventist Health Systems, D/B/A East Pasco a. Name and address: 7050 Gall BId Z h h'll l' ou evar, ep yr ~ s, F or~da Attn Don E. Welch, CPO b. Interest 1n property: ; Medical Center 33541 c, Name and address of fee simple titleholder (if other than owner): R~. Contractor: (name and address) 5, Surety a. Name and address: N/A b. Amoun t of bond $ N In , Poole Construction Co" Inc. 544 Douglas Avenue Altamonte Springs, FL 32714 G. Lender: (name and address) N/A 7, Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 7l3.13(1)(a)7. Florida Statutes: (name and address) Roy Clark East Pasco Medical Center, 7050 Gall Boulevard, Zephyrhills. In addition to himself, Owner designates the following person(s) to receive H copy of the Lienor's Notice as provided in Section 7l3,13(1)(b) ,Florida Statutes: (name and address) FL 33541 8, 9, ion date of notice of commencement (the expiration date dat of recording unless a different date is specified) 'Ii tM< is 1 year froDl (Signature of Owner) Donald E Wp.lr!h (Print Owner's Name) r1<'() Owner's Address: The foregoing instrument was acknowledged befol'e me thiSA-/ -L~bY JAt1aJ d vV ~ Ie. h who is personall~ho produ.:ed as identintion and who did not take an oath. County of f1J ~ (! (j Commission /I My Commission Expires: g / J ( /-9, 600 J'~~~\ SUSAN L BENNETT {.:~:.. MY COMMISSION , CC 575808 ~ '1 EXPII&: AuguIt 11, 2000 '.. IIandId nuu NalIIy PublIc ~ All Information Must Be Typed or Printed Legibly to Comply With Recording Requirements LEG A L ZEPHYRHILLS COLONY CO LANDS ING ~ OF DAIRY RD R/~ AS NO~ 122 & TR 103 EXC W 187 FT OF E OF l'R 10q ALL EXC US HWY 301 FOR POB iH ALG N LN TR 105 100 FT H OF HE COR TR 1n~ TH LN lR 10~ 100 FT 4 OF NE COR 103 S89DG 55' 34"C 480.69 Fl' ~;8<"[;G :j~,' 2.1'[' 172.01 FT TO!f T H ;; L G H U~ r.: / ~ S 0 C D G 1 0' ~ 5 . \-.I c:CI~iG :.; L~': D..-:;~C;HT~~R'!, !~:D f,/;.J ~S:-~.0il FT 1Ll S\.-l COR Tf,' 1:'-:2 TH COR TR 120 TH N8YDG 58' 3!"~ FU~ TH ALe [ U~ r,/~ j~000r. 1 H' LESS Thr, T F-r 1I~ 122 L ':'HH; 30 OR BK 4303 2 of 2 P6 1 770 o c S C RIP l' ION: F'E: 1 f.'G 5::' FOLL DESC Pfwr' l Y.- LOCATED lRS 105 106 1]9 120 a ~67 ~T UF N 172 FT g E 100 FT F/W ALL rll~A COM /~I-l CGr, TR 1 tiS S890G 56' 33'[ 5~3.35 Fi TO Pl tolOeDe Of; I OJ I C ~J 1 . ~!I ,'1 O:'u N 11~ 1t')':: 'Ill ~LC: tl Ll~ TF:S 10~ l!.. lH S:JC:>C 10' 4:':;"W li':.~C IT 1H LN l!.>.!::-::Y f..:li I.:/O-! .:,~. t~O~ LGC('1Tl.U 1 :;, :3 7 . :::-' F 1 T 0 ~; L N T R 1:' ~ Ti'; r_! C IJ !. U h/~! N8?OC :,9' 30" \-! NOOUC 0~' 03"C 316.21 FT 10 S~ U~S. ; R ,- r :0 L LN US Ii~.(f 301 =~C'r: :J~.,-::.eo F1 TU pot: F I ~I ;'-l~ SOUT/-! i..J l~t: SLC STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE. WllllE8S MY HA 0 NO OFFICIAL SEAL THIS~ DAY OF 2~ IRCUIT COURT EPUTY CLERK APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME East Pasco Medical Center 7050 Gall Boulevard - Zephyrhills, Florida PHONE (813) 788-0411 33541 JOB ADDRESS LEGAL DESCRIPTION: LOT(S) See Attached! BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICF.1 WORK PROPSED: DNEW CONSTRUCTION o ADDITION _ALTERATION o DEMOLISH o REPAIR o INSTALL Os I GN o MOVE PROPOSED USE: DSGL FAMILY DWELLING KJ COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE X SQUARE FOOTAGE ~?'ttJ 4t 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 IJl BUILDING $ VALUATION OF TOTAL CONSTRUCTION QJ ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. QJ PLUMBING Kl MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION U GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO SIGNATURE ~ COMPANY Poole Constructi~o.. Inc. ,J la~ STATE CERT OR REGIST # rr- rO?7A7h ~ CITY PROCESSING # 249 ****************************************************************** BUILDER ELECTRICIAN SIGNATURE COMPANY ZlPr- F1A"'+-'t';"', "'(];l"'. STATE CERT OR REGIST # EC 0000486 CITY PROCESSING # 17 ~ . ****************************************************************** PLUMBER COMPANY Harper Mechanical Corporation STATE CERT OR REGIST # CF CO-33860 CITY PROCESSING # SIGNATURE SIGNATURE **********~******************************************************* COMPANY HNrper MechNnicN1 Cnr~nrN+-;nn STATE CERT OR REGIST # CM C042548 CITY PROCESSING # MECHANICAL ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS OF PERMIT 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 the 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 cerLify ehat, if Iill 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 ~ DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~GNATURE' OWt-OR V;:~ STG~ STATE OF FLORIDA /~ COUNTY OF \. '-::;t (;L.:5 t-~) The foregoing instrument was~~nowledged . Before me this ..LiL...d~ of ;. ----Ik. ,... ~ by aI/ALAr..;::i) , =-.J!.OGJ/-'-=- . .,./tname of person acknowledged) ~o is personally known to me, or STATE OF F~~~l), Ai.. ___ COUNTY OF ~ The foregoing instrument was Before me this ---/..- day 0 by . ~ame of person acknowledged) trWho is personally known to me, or o who Name ~..~',j\\~. SUSAN L. BENNm !*W: . :*i MY COMMISSION' CC 575808 "'. . i EXPIRES: August 11.2000 .., Hr.. .' IlondlId Thru NalIry NllIc tRIIIWItIn o who has produced (type of identification) and../.'~,. Ddid (." ' d a. t )~ke an" oath /' I .' ~t?~'~. ~aLd Signature of person taking acknowledgment '7ob!(r' =-5'. .~wPT^/l~t::> Name(r!:..f ~, pr~<l.~amped :: : :~ MY COMMISslOH , CC534927 EXPIRES ~"......, '<r,; Februlry 22, 2000 ~Rf..f,I~ BONDED THRU TROV FAIN INSUIIANCf.INC. =",,__=-_~i~. - ...____en!r.,A,:!Il!iI 7 FAX 813 530 0045 ~2~~~/9~__!E~_~~~5~~. _.~-.-,ct._...r!!!I. APG ELECTRIC 4U( Itl2 8523; --=..-=- Jen-31-00 5:14PM; 141001 Page 2/2 SIGNArURE DAft RIIanKD .UlII'a ~ .... OlOIER' ~ NIIME JOB ADDRESS 7050 Gall Boulevar~ - Zephyrhills, Li:GAL DESt:lUPTIO~; LOT IS) See Atta.l::hed! BLocK PARCEL ID . WORK l>J<<)l"SED: DNBW CONSTRUCTIoN OSJ:~ PROPOSED USE: OSGL FAMILY DNEtLING IJ COJIIIuRCIAL [J ADDITION OHOVI: t::J RES'1'AU~T Ii HJUU.TH LIEPA [J HOB La HOME OOTH DESCkIP'J'Iolf . OF' WORK BUILDING SIZE x RESIDtNTIAL. CCHHI!:RC:tAI, , HBlc;wr ATTACH (2) PLOT ~~S , (2) SSTS OF BU ATTACH (3) SilTS or BUII.DIHG PLANS I (1) PROl>EA'l'Y SIIR\lEY RBQt1IRJl:D !'OR ALL NEIl ENERGY PERMITS ME [J BUILDING (] ELECTRICAL, a PLUMBING rJ MECHANICAL $ VALUAt'J:ON or T AH1' SERVICE o Cl Ii.R.E.C. $ VALUATION cr ri,A's"'," l:JROOFING' - . 1:I sri:cri>:tiY'" Cl OTRE'R TYPE OF CONSTRUCTIOlIf: 0 BLoCK o 1'1Wf5 o 51'EEL IS l'RO.TI!l T ~NISHED FLOOR ELEVATIONS . r:c 0000486 .*..*.....*...**........*.*..*..~...~.... PLUNIID -CDlUr::u .......*..~..*....*...6.*.*.*..**.+....*. i5IGJlATURE .....~......*.*..~*.......*..........+*.* oama SIGNATURE! #I ~~..~~**.............~.*..*.........*.~.. ... . ................ FEB-10-00 THU 11:29 AM . -* Sent By:'POOLE CONST COj 407 882 8523; FAX NO. Jan-31.00 5:18PM; P. 01 Page 2/2 UPLICAtfIQlIl lOa Cln 01' U1'S1DHX BUILDIJlTG D.lPAa DA.ft .axvm PUNS azvx_ I'D OWNER'S NAMt PHONE P~O~O~~D Us~:(J3GL FAMI~~ DWE~LING 10 COMMERCIAL QMULTJ: -l"AMIl>Y CJ INOU3TMJU. tJ o o Ml'A1M D INST It Jon AI>DRESs 7050 Gall Bo~1ev~d - Zephy~hill$, WCIR.K PROPSEDI ClNEW C:ONST~I1CTI0N DSIGN o ADbtTION o MOVE . 1: UNITS o MOBl E HOME [J OTHi o R&STAT,JPJ\NT , H~'tK DEPM A ROV~ OtSCRI~TION or WORK BUILDING SIZE x SIJUARE FOOTAGE HEIGHT SUl'..sIDENTIAL: ATTACH 12) PLOT PLANS & (Z) SETS OF BUI (;OMMERCIN.: ATTACH (~) SE'rs OF BUILDING PL1\NS & (1) SET EN PROPER.TY SVP.VE'Y REQUIMl> FOR Ar.r.. Nt" CO ST'R AMP SE1WICE & (1) SET ENERGY!O S. P'OIlWJ . ex BUILDING $ [J ELECTRICAL " PLUMBING ro ~AANlCAL ~ o GAS";' 'tJ'RoorlN'(,; - [J 5PECIALT\: '0' OTHER [J o W,1\,E,C,