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Home My WebLink About01-0534 BUILDING PERMIT ~~ 0534 (Jeel; + t: c:, {O l,b7. - Lred. .f o 0, 5_'1 ELECTRICAL CITY OF ZEPHYRHILLS (81i~J~8~6611 S -0 ~ . u_ Permit BUILDING PLUMBING (.f'c"-t.-/ ."t- . - D" (2~. -' MECHANICAL Date l,llIlDf , , Property Owner: east :? t45cO Sewer Conn <)2.3 G. ::;.9 . 50 Water Conn: "'2 .- ~i; uw'l G",-,^, W Job Address: 70 50 be., II 15 , vel Parcel 1.0. # .~ S . 2 t) - 21' {)O t f).. los-v c. cooO --- JI1 (. J Water Meter: T.I.F.'s: Zoning: Energy Code: Radon Gas: Description of Work 6e ( ; a+r : <.... ~. y c. it ; c. +..... (<. P e" ~,,' a+. Q '" FINAL C.O. ,...0:2- DATE -&:2.. 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. DATE Valuation or Contract Price s~ 0 IbU J , f';} Permit Fee 'f. Signature Company Address ...;.. Telephone# :;0 (1'<?,I...J..) City License Registration # State Certified License# ;f5~-~~9-02/~O reo j e ~.... s ~ . BUILDING J"i 9 APG ~(t'<.. ELECTRICAL 17 z. I+-/" ftlr- M eG ~ . PLUMBING .~ 33 1,4,r f q ~ <. ~ t., ?~.~ MECHANICAL Ftr. Pre SLB Lintel FRM. 'nsul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final /~~~ 'Vii{ SLB Tub Set Water Sewer Final ~/ tf", oUvP;l Breakers Ducts Insl. Compressor Final ;/' g -.J.. " -117 ;;> Rl't H:ro , Pi it' h'!To I RL"f f(j) I Driveway 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. Poole Construction 7050 - Gall Blvd. Psychiatric Unit Renovation SQ. FEET PRICE MAIN OR LIVING: 6,912 $ 55.00 OTHER AREA UNDER ROOF: $ 20.00 OTHER: $ 20.00 VALUATION $ 380,160.00 FEE SHEET $ 1,313.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 1,969.50 ------ CREDIT: $ - , BUILDING LESS CREDIT: $ 1,969.50 ELECTRICAL: $ 60.54 ( PLUMBING: $ 85.00 MECHANICAL: $ 125.00 RADON: $ - L/ TOTAL $ 2,240.04 P-?mc- (]~dd:: SEWER: $ 2,236.50 WATER: $ 612.50 IRRIGATION: $ - TOTAL: $ 2,849.00 I J I I I WATER METER:I $ IRRIGATION METER $ SUB-TOTAL $ 5,089.04 I SIF'S'll 97.5% $ 2.5% $ I - I T IF'S 'I' 99% $ 1% $ TOTAL: $ 5,089.04 I ~.r, ~ A-;i . - - .;1.;z~a o~ - fJJ St ij'q. OWNER'S NAME JOB ADDRESS APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE East Pasco Medical Center, Inc. PHONE (813) 788-2411 7050 Gall Boulevard, Zephyrhills, Florida 33541 LEGAL DESCRIPTION: LOT(S) See Attached {OBTAIN FROM PROPERTY TAX NOTTCEl PARCEL ID # BLOCK SUBDIVISION WORK PROPSED:ONEW CONSTRUCTION OSIGN [J ADDITION o MOVE :KJALTERATION o DEMOLI SH o REPAIR o INSTALL PROPOSED USE: OSGL FAMILY DWELLING KlCO:MMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWI:MMI~G POOL o MOBILE HOME o OTHER CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL Geriatric Psychiatric Renovat~on BUILDING SIZE DESCRIPTION OF WORK SQUARE FOOTAGE RESIDENTIAL: CO:MMERCIAL: -m BUILDING rn ELECTRICAL rn PLUMBING rn MECHANICAL o GAS 6a ROOFING HEIGHT ATTACH (2) PLOT ATTACH (3) SETS PROPERTY SURVEY PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY OF BUILDING PLANS & (1) SET ENERGY FORMS. REQUIRED FOR ALL NEW CONSTRUCTIO~~ PERMITS REQUESTED FORMS. $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME [ I STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO BUILDER SIGNATURE ELECTlUCIAN SIGNATURE PLUMBER SIGNATURE MECHANICAL SIGNATURE OTHER ~~ ~ COMPANY Pool P. Con!'ltrnction Co . Tnc. STATE CERT OR REGIST # C~ :C027876 CITY PROCESSING # .~ f f f!}t- ****************************************************************** COMPANY APG Electric, Inc. ~ CIl/~. ~ STATE CERT OR REGIST # '- . CITY PROCESSING # ~~ . / *******************tt**************************************~****** .- ~~-~ Har er Mechanic COMPANY STATE CERT OR REGIST # CITY PROCESSING # ;;; g''3 o OKv- ****************************************************************** ~ . ~ COMPANY Har er Mechanical Cor oration .. STATE CERT OR REGIST # Co M~ ~ CITY PROCESSING # ~~X~'- OJ5---- ***************************************************************** SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** I 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 responsibil~ty 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 SectionsH 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, a~e 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 ~ownerH, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the ~ownerH 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 AIeas, 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 ~AH or ~A,etc.H, it is understood that a drainage plan addressing a ~compensating volumeH 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 $2,5<1 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT", . SIGNAM@ of identification) take an oath. STATE OF FLORIDA 0\ r--. COUNTY OF _ ()..S c... '-' The foregoing inst~ent w~acknoWledged Before Ale..thi~ \1 ~y~ \. .)\'\... , ]S~, by ~~,"\.Q.-<S \....n~(") 'Q.... (name of person acknowledged) ~is personally known to me, or Owho has produced (type of identification) and who Odid B::tta' not take an oath STATE OF FL~DA COUNTY OF \ CX5 c.. D The foregoing ins~ument was acknowledged Bef~e me this \'l. 't:... day of -S- u \'-\ , 1a~OO I by \-<..:\~o.-.~ CO ,-\~\-e\. ~ . -1name of person acknowledged) ~ho is personally known to me, or Owho has produced (type and whoO did [gdfCl not P'i\ Name typed, Name typed, HARPER since 1911 5401 benchmark lane sanford,j/orida 32773-6433 phone (407) 321-8100 fax (407) 323-7007 Date: July 16, 2001 TO: City of Zephyrhills Building Department Re: Mechanical Permits Russell E. Moore - Harper Qualifier Mechanical License #CM C042548 Subject: East PascbMedical Center - Geriatric Psychiatric Renovation Gentlemen: Please accept this letter as my authorization for Mr. Gene Sikes to apply for and pick up the Mechanical Permit on the above subject, in my absence, as I am the undersigned state certified license holder for Harper Mechanical Corporation. Very truly yours, d~e'4z ~~te Russell E. Moore Manager, DesignlBuild Services Mechanical License #CM C042548 HARPER since 1911 RM:tl STATE OF FLORIDA COUNTY OF SEMINOLE The foregoing instrument was acknowledged before me this 16th day of Moore who is personally known to me and who did not take an oath. . ~ ;j..~~ Jul:y 2001 by Russell E. Terri L. Licking Notary Public, State of Florida My commission expires: ,.; ~ Terri L Licking *":/if~*My CorM1lsIiOn CC826000 ,~" ExpIres May 21. 2003 HARPER since 1911 5401 benchmark lane sanfiJrd. f/orida 32773-6433 phone (407) 321-8100 fax (407) 323-7007 Date: July 16, 2001 To: City of Zephyrhills Building Department Re: Plumbing Pennit Russell E. Moore - Harper Qualifier Plumbing License #CF C033860 Subject: East Pasco Medical Center - Geriatric Psychiatric Renovation Gentlemen: Please accept this letter as my authorization for Mr. Gene Sikes to apply for and pick up the Plumbing Pennit on the above subject, in my absence, as I am the undersigned state certified license holder for Harper Mechanical Corporation. Very~urs, /~~//E~ Russell E. Moore Manager, Design Build Services HARPER since 1911 RM:tl STATE OF FLORIDA COUNTY OF SEMINOLE The foregoing instrument was acknowledged before me this 16 th day of Russell E. Moore is personally known to me and who did not take an oath. j.e.~' ~.' ,-.(tcfJ'Cl~,-rJ. ~ . Terri L. Licking Notary Public, State of Florida July , 2001- by My commission expires: ~ ~ Ten1 L UcIcIng ~.*My~CC826000 '\;.~ Elcr*8I MlIy 21, 2003 APPLICATION FOR P1!:1lMl'l' CI'l'X 01" ~Hr.RRILLS BUII.DJ:NG DEP~ DAD RECEIVED . J?LARs Ja:YDI:Ir I1IZ OWNER'S NAME East Pasco Medical Center, Inc. PHONE (813) 788-2411 JOB ADDRESS 7050 Gall Boulevara, Zephyrhills, Florida 33541 LEGAL DESCRIPTION: LOT(S) :aLOCK SU:aDIVISION PARCEL 10 # See Attached roeTATN ~ROM PRO~F.RTY TAX NOAICF.) WORK PROPSED: DNEW CONSTRUCTION OSIGN E'ROPOS~D USE: OSGL FAMILY DWELLING E)'COMMERCm [ J ADDITION Xl ALTE RAT ION o D~OLI5H o REPAIR o INSTALL o MOVE: OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMI~G POOL o MOBILE HOME o OTHER o RESTAURANT Ii HEA.LTH DEI'AATMENT APPROVAL DESCRIPTION OF WORK Geriatric Psychiatric Renovat~on BUILDING SIZE: SQUARE FOO'I'AGE: HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (4Zl PLOT P;LANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR J\.LL NEW CONSTRUCTION. PERMITS REQUESTED '13 BUILDING $ VALUATION OF TOTAL CONSTRUCTION I:iI ELECTRICAL [3 I:'LUMBING C3 MECHANICAL AMP SERVICE D FLORIDA POWER o W.R.E.C. ~ DGAS Ea ROOFING o SPECIALTY VALUATION OF MECHJ\.NCI.AL INST.ALLA.TION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME :1 ! STEEL o OTHER ~INISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE MEAD YES D NO JI'UZWEI\ SIGNATU~ COMPANY ~oolp Con~TTUc~ion Coo, Tnc STATE CERT OR REGIST # CG ;cn17B7~ ClTY PROCESSINc; # . ELBC'rlUC ************..**.***..*+...*.**.*****.************** COMPANY APG E~ectric, Inc. STATE CEflT OR REGIST # EC.OOOb'-\~~ CITY PROCESSING # ****.****.****.****************.********************************** COMPANY STATE CEflT OR REG!ST # CITY PROCESSING * ' Harper Mechanical CorpOration I'I.OMBER. SIGNATURE SIGNATURE **************.**************~*********.**********************~*.. . COMPANY- Harper Mechanical Corporation STATE CERT OR REGIST # CITY PROCESSING # Hli:CBARI: CAI. ***************************************************************** OTllEtl COMP AN'! STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *************************.*************************************** ZOOIZOO ~ NOI~JnaLSNOJ ~OOd CZS9Z99LOt XVd tS:CT NOH TOOZI9T/LO