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Home My WebLink About01-0531 BUILDING PERMllN,2 0531 CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7"l')O,'~ BUILDING 5J.':;'g Date till/of / oe) ~O.-- .)L )~, - MECHANICAL Sewer Conn ;; 5 S- '=, . 'i?5' 700 ~ ELECTRICAL PLUMBING Property Owner: F ( 0,'" I j " jv1:;d,. Co. \ L , I " ; (. Job Address: 3'? 1'55" M 'ir k e ~ S"c~ . Parcel I. D. # Water Conn: Water Meter: T.I.F.'s: Zoning: Descriotion of Work Energy Code: T^~~(,).~ rer-'lod42.( Radon Gas: FINAL - .2 -0 I DATE C.O. II-S-o 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 I i '1 J 9 0 5") . ..:-(-' Permit Fee i..f ) J. :S ;X Signature ~ Company Address -:5 City License Registration # State Certified License# ~. Telephone# 1l." SC."I .~ u',l d~." (' J BUILDING I 4 2 --~ AP{' r;-te( ELECTRICAL , {2 s (~ Y k c P 14,vb PLUMBING ))')2. A., MECHANICAL ; 9 2. 5" 5~ Tp. Serv. Rough In 9-2 i- Of sa Meter Can Const. Pole Pool Pre-Meter Final 9-,1.1/-0) 6R- Ftr. Pre SlB Lintel . FRM. C)/2~/b' . Insul. Cl WL SlB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 1I1.ut dzJ ~j;tIJ-~()()~'I tvAU- 'PG. j>lGG IO'I{-o/sf(, Driveway ?"I'..\;~.\ ~,>ut.,,":'o' to.l-()! Sa REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) 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. Florida Medical Clinic Hinson Building Corp. 38135 Market Square SQ. FEET PRICE MAIN OR LIVING: $ 40.00 OTHER AREA UNDER ROOF: $ 15.00 OTHER: $ - VALUATION $ 149,905.00 FEE SHEET $ 620.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 930.00 CREDIT: $ - BUILDING LESS CREDIT: $ 930.00 ELECTRICAL: $ 52.58 PLUMBING: $ 60.00 MECHANICAL: $ 35.00 RADON: N/A TOTAL $ 1,077 .58 SEWER: $ 2,556.00 WATER: $ 700.00 IRRIGATION: $ - TOTAL: $ 3,256.00 WATER METER:I $ IRRIGATION METER $ SUB-TOTAL $ 4,333.58 , SIPS:II 97.5% $ 2.5% $ T IF'S :11 99% $ 1% $ TOTAL: $ 4,333.58 I 10/25/96 10:29 FL LEAUE OF CITIES ~ 1+813 576 1794 904 222 3806 NO.522 P00~/~0~ Thia Iastnlmcnc Prepercd By: Name John L. Wallace Addrea. 5435 9th street North St. Petersburg, FL 33703 Permit No. NOTICE OF COMMENCEMENT PG\tce.l j!: Tax Folio No. 0 l~(PJ' 00 I 0 o ~'1oooo30 STATEOF Florida COUNTY OF Pasco THE UNDERSIGNED hereby givca notic:c that improvement will be modo to certGm real property. ancI in accordance with CheplCr 713. Florida StatUtc8. the following information is provided in thia Notice oC Commencement. I. Description ofpropcny: (legal description oCpropcny. ond street addre.. if available) 38135 Market Square - Zephyrhills, FL 33540 11111111111111111111111111111111111111111I111111111111111111 2001123404 Renovation of existing receiving area into physician's offices and exan roans. Rcpt: 526634 Rec: 6.00 DS: 0.00 IT: 0.00 09/06/01 Dpty Clerk 2. General description oC improvement: 3.OwncII'information Florida Medical Clinic .. Nune anc:IlKIdro..: 38135 Market Square b. Intere.t in propcny: Zeohv:r;hills FL 33540 c. Name and addres. oC fee simple titlcmOld"," lif01ner'thm ownCl"}: 4. CoruraclOr: Hinson Building Corporation a. N....andaddrca.; 5435 9th Street North b. PhQDen~: St Petersburg FL 33703 c. Fox nWDba' (optional. if .crvic:c by fax i. acceptable). ' F' ,'.~"'\ t 727-528-0181 5.Surety a. Name and addre.s: b. AmOUDt of bond $ c. Phone number: d. Fax DUmber (optional. if service by rax is ~tablc): N/A JED PITTMAN. PASCO COUNTY CLERK 09/06/01 1~:58am 1 of 1 OR BK 4713 PG 1220 6. Lender .. Nama and DCIclreu: Suntrust Bank - Attn: Earl Young b. PbonenumbCll': 5435 Gall Boulevard - Zephyrhills FL 33541 813-780-4149 c. Fax number (optional. if service by Cax is acceptable): ' 7. Pcr.an. within the State of Florida dosigna&ecl by Owner upon whom notiCCII 01' other documc:nta inDy be served as providod by Section 713. 13(1)(a)7.. Florida Statutes: a. Namo and acldre..; N / A b. Phone nwnber: c. Fox number (optional. i r servic:c by fox i. acc:eptable): 8. In addition 10 himllClt. Owner dcaipaln tho followinS ponon(a} to receive a copy of tho Lienor's Notice a. provided in Section 713.13(l)(b). Plorida Statutes; Suntrust Bank - Attn: Earl Young .. Nunc and IIddrn.: b. Phono number. c. Fax number (optional. if service by Cax is acceptable): 9. :?~~~:.te ornotice of conuncn~l (&he expirAtion dAle i. ) year fram tho d.~1C oC ~~7o;;S 0 different date Swam 10 and lubscri . 0 b .:::r; e..- 'Pe 10---!lJ IUU!.... Sipature oC Owner ~ n. e: D Who is perlonally known 10 m prod~ "_ _ ... sa l ~l ,look an 0 did ~take Owner's Name 0 E: 0 e..U\ \ D Ut: anoath,thi. (p daYOf~:f~h>j1(~ii' J.' Owncr'sAdd.-caa 3~1~(' (h().~Kd & n(''i'C- ~=~ - ;~; - ..- - ~ -6rfh,rl..ll\ F-L"- \. S-L/ 0 Coauni...on No.lExpU'a&loD~ _~ _~ ~ I_SEAL: "'\"~"~"" ~~~>!\..~~~ Debra M. Howard ~{ ;:~ MY COMMISSION # CC871443 EXPIRES -'ri......~~.: September 20 2002 ALL INFO~il'ON ~~~f'f::'f~'r1R"'PRlNTlID l.EOIDL Y '1'0 COMPI. Y WJ11-J ImCORDINO REQUIREMENTS. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATE RECEIVED 8//7/t1 t PLANS REVIEW FEE- OWNER I S NAME F L. () fZ. ( D J'J JOB SITE ADDRESS 18/35 UE- 0 I C. A L Co L (u ( c... PHONE CONTACT ~ R ~ ~E- r S ~ t.lIt1e.-e I "2 -/-Ii 1/ 5 ;: I 3 3 S'1'- 0 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: DNEW CONSTRUCTION o ADDITION (OBTAIN FROM PROPERTY TAX NOTICE) ~ERATION o REPAIR 0 INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMILY 0# OF UNITS o MOBILE HOME ~HER o COMMERCIAL o INDUSTRIAL o SWIMMING POOL c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK 1400 Oil. ()FFtU-S ""IV/) l!)t'~ ~S iD "'~t..t'J6y J')~r. BUILDING SIZE SQUARE FOOTAGE /98t:J HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT ATTACH (3) SETS PROPERTY SURVEY PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENE~GY FO. S~\. OF BUILDING PLANS & (1) SET ENERGY FORMS.~)ql ~ U~ REQUIRED FOR ALL NEW CONSTRUE7:0N. I~ ... :;' ~ If!? rY \ t~ {1Y'~1'5' ;J'; ~ 10\ PERMITS REQUESTED 1J"~~.Jo.J( ri~ ~ \ ( ~/~'.1 1,(y'J "'~ (\1 / 1-" 9 (/ ~ VALUATION OF TOTAL CONSTRUCT~' tJ. '\ ~ILDING 6~CTRICAL ~UMBING ~CHANICAL $ o GAS 0 ROOFING 0 SPECIALTY TYPE OF CONSTRUCTION: ~CK AMP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL o OTHER o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT PLUMBER BUILDBR f}4 . COMPAN.. Y N/N.SIJA/ ,aU ~~~.v? t],;e( l.. II ~ STATE CERT OR REGIST # Go 0 11-50 SIGNATUR U/I ~ CITY PROCESSING # J9;< ~ !-. I vV BLBCTRICI ~****~.P7~*~:::::**;;;;**;;.~;::;;;;~*~,"- ~ ~L G 'i""Vl r STATE CERT OR REGIST # ~ 1:6..' SIGNATURE {/ / <..::;:T L!:::I ~q rei '- CITY PROCESSING # ... )1) v./o K *****************1?************************.* ****J:*****~****** V fYcv.; COMPANY Si4jka {1}-.,1.o '''':"j ~flJ'11. .1-lAc... . 1/ L ~ STATE CERT OR REGIST # CFCO S(.. 55'2.J.. '- 6 LA/v- CITY PROCESSING # ~f~bf!-. >> V f'l(,w ******~~******************************************** ~ L4t/D COMPANY 8~I1TUAJ line, ;r~e.~ ~ STATE CERT OR REGIST # III ON l - ~_TY PROCESSING # L?2~ ~T /2.; 00 /z ******************************* * *********** ** *** ~**** SIGNATURE MECHANICAL SIGNATURE OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** 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 regulat:ions. 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 perfoDmed 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 $2 0 I~~X~E.;.~<:> NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". ~ J II/Jt,.~ S GNATURE: CONTRACTOR STATE OF FLORIDA' 1\ n< COUNTY OF ~.. ~\ t'\~~ Th~ foregoing ins~ument wa~~nowledged Before ~e this ~day ^q.f" ~,---> , it9:J~ by ~Oh n. L. IN ~O-Ce..- (name of person acknowledged) ~ho is personally known to me, or -cD STATE OF FL~IDA COUNTY OF seo The foregoing instrument wa~ acknowledged Before me this 10 'fl.. day oft)pD+. " H~I by J~ ~Ia~" ...:" ;1;,: (name of person acknowledged) ~who is personally known to me, or o who has produced (type of identification) an 00 d~o/ ~id not take an oath. 14$ V~~-.---/ of person taking acknowledgement "PaLL/a... L. Vetil rJ 0 r (y"tJ.I'\ Name typed, printed or stamped "';::r.~r~',, Paula L VanNorman l:rb.~::: MY COMMISSION # CC776815 EXPIRES ;.,~ ,All. September 20, 2002 ..;t,i'.....~.. BONDEOTHRUTROYf~NINSUR,6,NCE INC ".Rrll~" o who has produced ~------~i~~:tOf identification) ~Wh:'~did~~ take an oath ~erson takina acknowledgment Of Fl JOANN ROBERTS '\, 01> 4 Name "" pr' n~~ 9887415tamp d rsonalII' -. II 0lI1er 1.0. SEP. 2<1, 1(,,81 10 1 iAIV 72i-523-4~54 . HOMASSON ASSDC 1 A1'E5 I He PHCN: t-D, : 813 SS2 3220 \. Ii ,'''' ~ 2 Ii 'j, ~l L:' , ^ ^ i . . Scp, 24 2001 e9: 4SAM P2 lllo.~ -1 ~ ntsJ"b I a- i~~il' .'i2iH @ ~ 'tg:~J ;..j o~fiiii: ~ iff' ..I. f. ~r 8>'- ~~ i ~! "- z>- C 'TI ~ 0 0 "'""l 0 Q. OJ :0 s::: co CD ::) 0. 0 0 ~ < Q.) c.> ~ -- 0 ~ 0 ~ - - ~ :J '-) C) :ft ~ ............ rn