HomeMy WebLinkAbout05-3967
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3967
3967
Permit Type: ADDITION/ALTERATION
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 78,426.00
Date Issued: 3/10/2005
Total Fees: 746.15
Amount Paid: 746.15
Date Paid: 3/10/2005
Work Desc: INTERIOR REMODELING
Address: 6739 LL LVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: DR.AHAD MAHOOTCHI
Address: 6739 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
FIRST CLASS ELECTRIC
CHRIS BAHR PLUMBING
KINSEY CENTRAL HEATING & AlC
PLUMBING FEE
MECHANICAL FEE
52.50
E 1 ROU
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC._
MISC. INSULATION CEILING MISC. MISC._
MISC. DRIVEWAY MISC. MISC._
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
"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. n
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~~~ lk-~
~ ... CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
c;0ilos
PHONE CONTACT FOR PERMITTING ?!?-~ - cJ Y 7 &'
JOB ADDRESS
j!)R,
11/.. ~tI
67~ 9
"/'/'0 tY 4 eft ~ f e 4. ,
GJ// ~/I//
PHONE
:z e j.) L ~/C /, . '/ +. r L
I / '
OWNER'S NAME
J .1-.r~51 -L
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
J - Q) /; -~ I ~ {J d / t7 - ~ ~tJ tit!! - eft <!?.l 0 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION o ADDITION MALTERATION o REPAIR o INSTALL
o SIGN o MOVE 0 DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME
R!.COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
Lv .; ~ t . '11 /t:-- It [J V'7 d dfJ /. 1 )1. \ r;
. /'
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING $ 7J;~J-f VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C.
o PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER ~
SIGNATURE Y' ~
~ -
COMPANY rr~ ~ /-1 ~,f' ~ . >'-~ C /tC.I C 7-
STATE CERT OR REGIST # else-- t!J .t?\J-/ )>
******************************************************************
SIGNATURE
COMPANY r. -f sf C' /"" s. ~ E I
I I
STATE CERT OR REGIST # ec.. 00 0 .2 :) 7( j
ELECTRICI
w*********************************************************
~
PLUMBER ...-0 /. I ...
SIGNATUREL .,' - ~!d~
COMPANY C:lf;t.r f 1S,1/t/2 Ii U /11b/'I/J&
STATE CERT ~R REGIST # if( F 00 Y-/~C; fl
SIGNATURE
************************************************~*******~***~*1t*
COMPANY )<1)'\ s~ CUvVl=1-
~ ~L---- STATE CERT OR REGIST # / ./i 2,
MECHANICAL
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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, 813-780-0020.
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 indica~ion 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 corrunencement.
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 corrunenced 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 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 corrunenced 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 corrunenced. 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
$2,50~N VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
Ii -f .~ ~ ~:€'~
~IGNATURE: CONTRACTOR
STATE OF FLORID~ ~
COUNTY OF 1\ ~C 0
The egoing instrument was acknowledged
Befo e this da of Fe&,I.... ~t.b 20 OS
by t:- I
~ name of person acknowledged)
~who is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
Befor m his day
by L
~name of person acknowledged)
~o is personally known to me, or
fpsc.o
acknowledged
, 20g2
Owho has produced
(type
Odid not
o who
of identification)
take an oath.
~"t\. Susan A McCollum
Name ~,j':~~t~\~~:~~4~~amped
j 5"," A""""""
Name typJ.J rri:MY~@Il!Tl,~g~~d
..... " !Jq)lrea May 13, 2005
John L. Smith Canst.
6739 Gall Blvd.
SQ, FEET PRICE
MAIN OR LIVING: 2,440 $ 30.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ ..
VALUATION $ 73,200.00
FEE SHEET $ 376.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 564.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 564.00
ELECTRICAL: $ 80.65
PLUMBING: $ 49.00
MECHANICAL: $ 52.50
SUB.TOTAL $ 746.15
RADON: $ -
TOTAL $ 746.15
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
WATER METER:I $
IRRIGATION METER $
~ I
746.15 I
- I
SUB-TOTAL $
PARK IMPACT FEES' $
PUBLIC SAFETY IMPACT FEES
POLICE $ -
FIRE $ -
5% $ -
SIF'S'I $
97.5% $
2.5% $
T I F 'S 'I $
99% $
1% $
- I
- I
TOTAL: $
746.15 I
----
Proposal
Date Nov. 12,2004
John L. Smith Construction, Inc.
4240 Coats R4.
ZephyrhiUs, Fl. 33541
(813) 782-0470
CBC 059519
Proposal Submitted To
Work To Be Performed At
Name Dr. Ahad Mahootchi
Street 6739 Gall Blvd.
City Zephyrhills, FL
Telephone # 779-3338
Street Gall Blvd.
City Zephyrhills, FL
Date of Plans Revised 8-24-04
Architect R Watson
We hereby propose to furnish all materials and labor for the completion of Interior remodeling to specs of plans
and attached spec sheets.
All material is guaranteed to be as specified, and the above work to be completed in accordance with the
drawings and specs submitted for above work. All work and materials to meet local industry standards and
existing codes in effect at date of this proposal. The above work to be performed for the sum of
Seventy eight thousand, four hundred twenty six and 0011 00 Dollars ( $ 78,426.00 )
with payments to be made as follows: See attached spec sheet.
Any alterations or deviations from the above specifications involving extra costs, will be executed only upon
written orders, and will become an extra charge over and above the estimate. All agreements contingent upon
strikes, accidents or delays beyond our control. Owner to carry fire, wind and all other necessary insurance
required upon above work. Workers Compensation and Public Liability Insurance to be taken out by builder.
Cost of collection and attorney's fees in the event of any default by the Owner and in the event that the Builder
must initiate any collection proceedings or must engage attorneys for any purpose whatsoever relating to this
agreement, including but not limited to seeking the enforcement of its tenns and conditions, the Owner
acknowledges, agrees, confirms and warrants, that they are responsible for all costs and attorney's fees incurred
by the Builder.
Respectfully submitted C
Per John L. Smith Cofifuuction
This proposal may be withdrawn by us if not accepted withinlnlays
~ -;?-" ~
Acceptance of Proposal
We, the undersigned have read this proposal and do agree to the tenns and conditions as listed above and to any
a. ttacbments, ifincluded. We authorize you to do the ~. payment will be made as outlined in this
proposal. (/ ~
Date /llz-/ t:>Y ~ ~
"
/I",{ ~k4n--
11111111111111I111111I111111111I1111I11111111111111I1111111I
2004230223
Rcpl:837885 Rec: 35,50
os: 0, 00 IT: 0, 00
12/10/04 ~_____ Dpty Clerk
JEO PITTMAN, PASCO COUNTY CLERK
12/10/04 03:17~ 1 if3~7
OR BK 614Q PG ~
SUNTRU8T
Notice of Commencement
Florida
BORROWER
Ahad Mahootchi, M.D., PA
GRANTOR/MORTGAGOR
Ahad Mahootchi, M.D., PA
ADDRESS
ADDRESS
6733 Gall Blvd
Zephyrhills, FL 33542
TELEPHONE NUMBER
IDENTIFICATION NUMBER
6733 Gall Blvd
Zephyrhills, FL 33542
TELEPHONE NUMBER
IDENTIFICATION NUMBER
ADDRESS OF REAL PROPERTY
6733 Gall Blvd
Zephvrllis, FL 33542
Permit Number
State of
County of
Property Tax
Folio Number
Florida
Pasco
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property Street address (if available)
6733 Gall Blvd
Zephyrhills, FL 33542
Legal description of property
The South 1/2 of Tract 32, lying east of Seaboard Airline Railroad right of way, in Seciton 3, township 26 South, Range 21
East, as said tract is numbered and shown on the plat of Zephyrhills Colony Company Lands, recorded in Plat Book 2, Page
6, Public Records of Pasco County, Florida (hereinafter the "Original Note(s)") which Original Note(s) is/are secured by that
certain mortgage dated September 24,2001 and recorded on October 12, 2001 in Official Records Book No. 4730, Page
1470, Public Records of Pasco County, Florida (the "Mortgage") for the purpose of creating a lien on the real property more
particularly described in the Mortgage.
2. General description of improvement
Copies: 1
Distribution; Original - recorded in land records; After recordation -
Certified copy- Grantor
630417 (6/04)
Page 1 of 3
1111111111111111111111111
3. Owner information
a. Name and address
Ahad Mahootchi, M.D., P.A.
P.O. Box 1059
Zephyrhills, FL 33539-1059
OR BK 6146 PG 1308
2 of 4
b. Interest in property
c. Name and address of fee simple titleholder (if other than Borrower)
4. Contractor
a. Name and address
John L. Smith Construction, Inc.
4240 Coats Road
Zephyrhills, FL 33541
b. Telephone Number
c. Fax Number
5. Surety
a. Name and address
b. Telephone Number c. Fax Number
d. Amount of bond: $
6. lender
a. Name and address
SunTrust Bank
'-"..\.. 211 Perimeter Center Pkwy
Suite 100
Atlanta, GA 30346
b. Telephone Number 770 352-5221 c. Fax Number 770 352-5440
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.12(1)(a)7., Florida Statutes
a. Name and address
Heriberto Gonzalez
MC: FL-Zephyrhills-6011
5435 Gall Blvd
Zephyrhills, FL 33542
b. Telephone Number 813-780-4179 c. Fax Number 813-780-4170
630417 (6/04)
Page 2 of 3
OR BK 6146 PG 1309
3 of 4
8. In addition to Owner, Owner designates
of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1 )(b), Florida Statutes.
Name and Address
Telephone Number
Fax Number
9. Expiration date of Notice of Commencement [the expiration date is one (1) year from the date of recording unless a
different date is specified]:
::NER ~7t~
/Ahad Mahootchi, President
OWNER:
OWNER:
OWNER:
OWNER:
OWNER:
OWNER:
OWNER:
STATE OF FLORIDA
COUNTY OF Pasco
-+'h
Sworn to and subscribed before me this C( -. day of JJy C.Q/v'\o\. C^-l ......
i'A l-\~~> ~~~\. ~ t-\-O 0 'IC!, ~t ~)
who are ~~me or who have produced
dOOl/
as identification,
(b~ ,CQO--A
Notary Public
My Commission Expires:
.,
(L. .-fi---
I_X_LL\.\"'c\".1~
~J' Clereen BllJnty
\~I My Commission 00123860
OF~ Expires Junlt 15, 2006
630417 (6/01)
Page 3 of 3
".
OR BK 6146 PG 1310
4 of 4
Exhibit A
ExhibitAtoattached I Notice of Commencement
P.A. ("Mortgagor").
dated December 09, 2004 by Ahad Mahootchi, M.D.,
The South 1/2 of Tract 32, lying East of Seaboard Airline Railroad right of way, in section 3, Township 26 South, Range 21
East, as said of tract is numbered and shown on the plat of Zephyrhills Colony Company Lands, recorded in Plat Book 2, Page
6, Public record of Pasco County, Florida
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 I~J THISWFFICE ESS MY
HA AND OFFICIAL SEAL THI DAY OF
2
JED PITT K OF CIRCUIT COURT
BY DEPUTY CLERK
630361 (03/04)
/~
AF-CKA -y ENG fNEEF-C fNG fNC.
STRUCTURAL ENGINEERS
April 13, 2005
John L. Smith Construction, Inc.
4240 Coats Road
Zephyrhills, Florida 33541
Attention: John Smith
Re: Interior Renovations for Ahad Mahootchi M.D. - Zephyrhills, FL
Arkay Engineering, Inc. Job # 8182
Dear John:
I have evaluated the header beam requirements for the new openings to
be cut in the Lobby and Office areas of the above referenced project.
The rough openings shall be no more than 8'-0" in width.
Based upon the roof loads along this wall, the openings need to have
a triple 2" X 12" (#2 yellow pine) header beam (with 2 1/2" plywood
spacers) installed with a triple 2" X 6" (#2 yellow pine) studpack
at each ,enCl... Anchor the studpacks to the existing block wall with 1/4"
X 2 3/~"TAPCON screws spaced at 12" on center, strap the studpacks to
the be,ani,wii;h a>Simpson "LSTA21" on each face (the existing roof uplift
shall be ~es~s~~d by the existing masonry bond beams over the opening) .
. < '..r ~_ .' '"
If 'you need' any,'.iurther assistance with this matter, please give me a
call at ,the off~~e.
-
~ P.E.
-
- mail
5600 US ~WY. Gt8 NORiH - SUliE- #5 LAK.E-LAND, F-LORIDA 3380<1
PHON~: 863-853-2711 F-AX: 863-816-2118
S i A iE- OF- F-LORID A CE-R ilF-IC A iE- OF- AUiHORIZA ilON # E-66347
RICHARD L. K.IDDE-Y, P.E-. - F-LORIDA L1CE-NSE- # 372Gt6