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Home My WebLink About00-9518 BUILDING PERMIT /, .3 ~/, 5"0 BUILDING 19. 9J:- CITY OF ZEPHYRHILLS (813) 788-6611 17/5'0 PLUMBING Permit 09518 " Date h - g -0 0 .5; :l. 7t 73 !, ~1/:5" ?.3 ELECTRICAL /16 MECHANICAL Sewer Conn Property owner:\....L4 /JlYL'~k ~~~ 1.-. {Jhl ~:~ Job Address: '$ if J 0 '7 ~.,.t:~;''t/ c-::{~<A/J~ Parcell.D, # Zoning: Wate.' Conn: Water Meter: T,I.F.'s: ~JAC'~;~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, """ aD FINAL -2 DATE C,Q. - DATE Inspector Sre. NO OCCUPANCY BEFORE C.O, Valuation or c:2 ~ / ~ yO Contract Price afs;> I ~ /9d>l ~~~~~~~ ~- Company Address cerePh~~ I ~tJO- ~ -OF? ~o ~ City License Registration # C Stat~ ~ertified License# PLUMBING" 2J MECHANICAL SLB 6..-1 AI -(J)GJ 2vf Tub Set (p ~2J-ttJt')JM? Water Sewer Final Breakers Ducts Insl. Compressor Final (~VkW ~ -lk/-Gb 2JC Driveway Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ttJalJ ~ h'?~/(J& ~e ~ Y]-r'i-- [) fY~ rc Ftr, Pre SLB Lintel FRM. Insul. CL WL REINSPECTION FEES: When extra inspection trips are necessary due to anyone ofotlOwlrllr-feasons;-3- charge of Fifteen and 00/100 Dollars ($ 25.001 shall be made for each trip f ach trade: ~~~~~ C '_'-- 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, a. b. c. d. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. FLORIDA MEDICAL CLINIC 38107 MARKET SQUARE HINSON BUILDING CORP, SQ. FEET PRICE MAIN OR LIVING AREA 5,252,0 $ 45.00 OTHER AREA UNDER ROOF $ 15,00 OTHER VALUATION $ 236,340,00 FEE SHEET $ 881.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 1,321.50 CREDIT: $ - BUILDING lESS CREDIT: $ 1,321.50 ELECTRICAL: $ 88,84 PLUMBING: $ 77.50 MECHANICAL: $ 146.00 RADON: $ 52.52 TOTAL $ 1,686.36 SEWER: $ 5,271,75 WATER: $ 1,443,75 TOTAL: $ 6,715,50 SUB-TOTAL . f$ 1,443,75\ $ 5,271.75 $ 6,715.50 WATER METER IRRIGATION METER IRRIGATION CONNECTION FEE GRAND TOTAL $ 6,715.50 'l'I'I"""'~II~'" ,..___. '" 5/9/00 IQ.-.er4I) A tMF...w LCft'- u~ ^-f " '- '3 "B l t:J '7 y1.-1(-\f2.~ ~Cf U r-wtli. 1~l.)ll.U ~0T : ( H I. ,() ) oN E~jlLO "" G ~f2P. '\ q SQ. FEET PRICE MAIN OR LIVING AREA :::)L'5 2- '-15, DD OTHER AREA UNDER ROOF , OTHER 5/ (~~ BUILDING: ELECTRICAL: 0~.~~ PLUMBING: 7'7~SO MECHANICAL: ltJ~J. 00 RADON: rJ/ft p.l~"('(~b CREDIT: IJII1 'f - ~/c, SEWER: - ~~ q - ~t,.s l<5 WATER: TOTAL: I &'., 'tiN r; MIi..U lUtL tX> iZ. T.IPsl 'fJ/11 I 1, APPLICATION FOR PERMIT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT ~ OWNER'S NAKE Florida Medical Clinic PHONE J 813-780-8440 OWNER t S ADDRESS J8135 Market Square - Zephyrhills, Florida 33540 JOB ADDRESS 38107 Market Sauare. Zeohvrhills. Florida 33540 LEGAl. DESCRIPTION: LOT(S) BWeR. SUBDIVISION PARCEL 1. D. . (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ~ddition XXXAlteration ----lRepair ____Install ____Sign --.Kove ____De.olish PROPOSED USE: ____Single FUlily ____H/F ____' of Units ____H/B xxx eo..ercial ____Indust. ____Swim. Pool _Other ____Restaurant &: Health Deparblent Approval DESCRIPTION OF WORK: Construct Physician's Office in EXlsting Space BUILDING SIZE: 39 X 135 ,5,265 Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PWT 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 $ 225,000 Valuation of Total Construction ____ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. --JlECllANlCAL $ Valuation of Hechanical Installation ____PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: ____Block ____FrtHIe _Steel Other FIlUSBED FLOOR ELEVATIONS: Yr. IS PROJEC'l' IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION 72'1 52 ~ D/~I '10"'''' v" Hc,(t' Signatur COMPANY Hinson Buildinq Corooration State Cert. or Regist. . CGCO 44505 City License Registration' 17~~ ....................................... oK COMPANY ~/ - &-vN.y {-_UlflZl( t'~. State Cert. or Regist.' {.:~()VU /rJu"7L, City License Registration' /~ ./ ~ ...*.*****************.****.****.********. ,I V c/ t/t-rJ h Signature ~.4 COMPANY State Cert. or Regist. . City License Registration . **.............................* . !J 1 COMPANY "r if/tlN ~ I J7 State Cert. or Regist. . C City License Registration f ..........*....*..******.*.*.************* HEGHANlCAL OTRRR COMPANY State Cert. or Regist. . City License Registration . .******..*.*.......*.**.*..*......*....*.* 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 wdeed restrictions" which lay 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 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the ONner 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 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 peIlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES , ~! , D. CONSTRUCTION LIEN LftW (ClffiPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HoIeoIner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsOler Affairs. If the applicant is 8OI8ORe 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 CORenCl!lent. E. CONTRACTOR'S/OWNER'S AFI:IDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, loning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation has COllenced prior to issuance of a perlit and that all work will be perf OIled to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goveCDlental 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 li.ited to: · Departlent of BnvirODlental Regulation - Cypress BByheads, Vetland Areas and EnviroDlentally Sensitive Lands, Vater/Vastewater Treallent · Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses · ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways · Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - VeIls, Vastewater Treatlent, Septic lanks · US EnviroDleDtal Protection Agency - Asbestos abateaent 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 volOle" will be sublitted which is prepared by a professional engineer registered io tbe State of Florida prior to perlit, issuance. . A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit issued ahall beCOll IDvalid unless the work authorized by such per.it is cOllenced within Sil tonths of issuance, or if work autboriled by the perlit is suspended or abandoned for a period of sil IOnths after tbe tile the work is cOIIenced. Ooe 90 day 81tension of tile, aal be allowed for the perlit 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 IOntb period, or the project will be considered abandoned. VARKIIG TO OVtIER: YOUR FAILURE TO RECORD A NOTICE OF COMMEICBHHIT HAY RESULT IN YOUR PAYIIG TlUCE FOR IIIPROVEIIBIl'S TO YOUR PROPERTY. IF YOU IKTEID TO OBTAIN FIKAICIKG, COISULT VITH YOUR LEIDER OR All AnORlKY BEFORE RICORDIHG YOUR HO'IICE OF COHH . JOBS UNDER 0 IN VALUE DO NOT NEED TO RECORD AID POST A .IOTICE OF COHIIBICBMDI.. ~~ I STATE OF FLORIDA n. COUKn OF ru..SC' 0 The foregoing instrument was acknowledged before me this Q..1\c!. , ~Q)O by JCe fX-lahrr~ who is p~sonally ~n to ~~ or who has produced as' ntificati n~~. ho did/dl'd not ta n ..path _4) 7l,(,~ J _rn.GL~ ( ignature) -~- inginstrument was acknowledged thi s rY'\J) Jf ~ tJ \), ~.d..O.QQ by (Name Typed,....g~.~nted ~~Ia~~~ NOTARY PUB~T~ MYCOMMISSIONICC776815 EXPIRES ~ q~ September 20, 2002 ."1.'i;.....~$ 80NDEDTHRU TROYFAIN INSURANCE, INC "',P,f,,~' (Name Typed, Printed or Stamped) NOTARY PUBLIC ",\1""" Usa Gaye Biglin ~r:r\commiSSion # CC 789147 =; JiE Expires DEe. 20, 2002 ;'t1 .....~~:: BONDED THAU "'"OF VIl,,\,\ ATLANTIC BONDING CO.. INC, 'u" HINSON BUILDING CORPORATION 5435 9th Street North St. Petersburg, FL 33703 Phone (727) 528-0181 Fax (727) 528-4454 CGC044505 City of Zephyrhills Building Department 5335 8th Street Zephyrhills, Florida 33540 RE: AUTHORIZATION LETTER To Whom it May Concern: I, John Wallace, contractor license number CGC044505, hereby authorize the following to act as my agent in obtaining permits in Pasco County, and City of Zephyrhills: Timothy A. Bell Agent's Name FL B400-80 1-69-044-0 Driver License Number 424-15-5090 SS# This authorization is to remain in effect indefinitely, unless canceled by me in writing, ~/Jb- J hn L. Wallace, President/C.O.O. Sworn to and subscribed to before me this ~ Day of June. 2000 by John L. 'Wallace, who is personally known to me and who did not take an oath. /" v" My Commission Expires: /;)..- J.,O - ()~ ..\~","l'" Lisa Gave Biglin ~~~~ Commission #. CC 789147 g.l' A').~ Expires DEe. 20.2002 ~~\~!-~g BONDED THRU '-," c.if\\.~'" ATLANTIC BONDING co" INC, I",!",\. FLA. 1977 LAW. F.713,13 NOTICE OF COMMENCEMENT ~:a:~t;f o~lorida } IPR~PARE IN DUPLICATE' ~~~~~~ll~l~1II111111111111111111111111111111111111 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713,13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. SEMINOLE FORM 408 Description of property, 3.8 !~.7.,. ./.1i1./S..I.c;..~.r.. ..$qq.~ ~.er.,...,..".....",.....,... ,.... ..,...,'.,..". .. .... .... .... ........... .............0 ................... .......... ..... .....0 Rcpt: 418512 OS: 0.00 06/06/00 Rec: 6.00 IT: 0.00 Dpty Clerk ....0 ...... .............................. .... ................................ ... General description of improvements ..;t;:: N.r:?f. ~~ '? r? . , , . g ~'Y. ~ .v. ~, '!! ,~, , , , . , .. , , .. , , . . . . .. .. . , . , , , . .. . '" Owner .. .F.~.t?f?.i.OH.. .. J( ~,Q! .c;A .~.... ~.~.( 1.<:-: .l..c;.. .. .I?!of/. ,..... .. .. .. .. .. .. .... .. .. .. .. .... , .. .. . . . , .. .. .. .. Address .~8.1.3,5.,.. tJAR,I<t;fr:... .:5A.Y~.C?.... .'"?SP(l,X/~J~ !,'-:~ ,). 'I, F.~. .,~. .~.$.1-,9"."..,.,." O ,. " f h . I:: ~ J:" <l~l ^L ~ wner s Interest In site 0 t e Improvement...... ./:-. I;:; J-r.......~ .. .r:.,.".,., ' "', Fee Simple Title holder (If other than owner) ii90~~~~MAri : GC:;O fOUNTo"f C1ERK Name,. ,F~,qJ~,I,O.~\,., ~~, P!.C;.~~.,.. ~.~,I.~.l.~.:.. p"~'~"""""'?~' ~.~., .~~7~.... .~~.. .J~~3 ,. Address ,~~, J. ;,?,S... ./.::f.JJ./~J<r:f:r.,.. .S.c:i ,l.:t: .1'Ji!-.~,... .Z.~ P.t!Y~lf. /'l;-;<:-. .S. ",f'~". .~. ,~,? 1P.."",."", Contractor, .Hi.IY.S~.~,.. .13.i.,f,1.~,QJI)6-..,. .C,#.l~,r.~t;,"!.~.....,..".."....""..,."..,...."".."..,...,.. ~:~ Address ,.94:-,~?,.. 9.!!!.,. ~/7?~-r7~.... .M".". .sr.. J?~rl!:'~~,~~~:/ .f:.~.,.. ,3.3.7~ 3 h,... Surety (if any) ., ,J). (:! ~/ E . , , , , . . . . . . . . . . , . . . . , , . . , , , , . . , , . , , . , , , . , , . , , , . . . , , , . . , , . . . , . , , , . , , . . , . , . , . , , . , , . . . . . . . . , . . , , . , . . . . Address .,'....., f':I.lf1. . . , . . . . , . . . . , , . , . . , , . . . . , . . . . , . . . . . . . . . . . . , , . . . . , . . . . , , . . . , , . , , , . . . . , ,Amount of bond S . . ~ II!'! . . , . . . , Any person making a loan for the construction of the improvements: Name ,. ,S,~.N, ,T~~T,.. J3.~ !~..,...,....,..,....,...."...,",.,....,..,',.,.,',.,.."...,...,..,""',...,...".,. Address ,.5'.1.~ $." C-/J. ,~,~" /~.':-.t!,P..".,. '?~ PH'/.~ /I/~':-'~"f'/;. <-."..,.,...,....,."..3.3 ,6.~(",..., Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name . J:c.: ~". D,E,l;.../t'fP,~(?,c;:,.. ". .F~~.~~.Q.':\... .'-'.\,~-().1. Pi.~,. .<;,~, ~./~.d~...""",.."...,...,..,..... Address ,~~, ,I,~S." ,f.1~.f?I<~-T.... .$~ ~.~.,' ,?4-~.Ijy'g.Jt!.~~,.~" {.t;<-..., .3..~. ?1:.9."".,.,....,. 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). ' Name .,. .~/~..,' ~..". "',.,.. ,."..~'__,.."..""...,..,.......,..,.,"",..,..,",.,.....,.,."..".,',."..,..,..,",. STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COpy OF THE OOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE;.YiITNESS MY HAND NO FFICIAL SEAL THIS~ DAY OF 2~ IT COURT OEPUTY CLERK (\,W . . ,'1- O~~~~. . . . , . . , . , . . . . . , , . , . . . . . . . . Sworn to and subscribed before me this, ,P. ~....,..,.,"",.,..," ,........,........,.....dayof ,T~n,c,..,."..."".,."".,...".., ~.~,~ .. :~~,C!-" 71. 1.., .gi<:~1.7z:~cf, / Notary Public ................... ..................... Address ..""..."'..".,...,',.......,.."...."....,',.,.,',.".,.,' .., ., . " THIS SPACE FOR RECORDER'S USE OI\!LY ~,~\~ Debra M Howard f*rQr~ MY COMMISSION # CC871443 EXPIRES ~~i September 20. 2002 "~Fir.'ti...., BONDeD THIlU Tltjy 'AlN INM,\Ng INl;. CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET ORD. #395IRESOLUTIONS 3121372 WATER $1.75 GAL. SEWER $8.39/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 Lavatorv $ 43,75 $ 159.75 Tub/Shower $ 87,50 $ 319.50 Washing 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-Compartment) $ 175,00 $ 639.00 Car Wash (Per Stall) $ 1,000.00 $ 6,390,00 SINKS 50 9 $ 787,50 $ 2,875.50 $ 3,663,00 WATER CLOSETS 75 4 $ 525.00 $ 1,917.00 $ 2,442.00 URINALS 50 $ - $ - $ - LAVATORIES 25 3 $ 131.25 $ 479,25 $ 610.50 TUB/SHOWERS 50 $ - $ - i$ - WASH. MACH. COMM. 560 $ - $ - .$ - WASH, MACH DOM, 200 $ - $ - $ - DISHWASHER COMM. 400 $ - $ - $ - DISHWASHER LIMITED USE 60 $ - $ - $ - SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PER/STALL 1000 $ - $ - $ - IRRIGATION METER SUB-TOTAL $ 1,443.75 $ 5,271.75 $ 6,715.50 WATER METER IRRIGATION METER IRRIGATION CONNECTION FEE GRAND TOTAL $ 6,715.50 FIXTURE G.P.D, # WATER sewER TOTAL PER FIXTURE 5/9/00