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Home My WebLink About05-4806 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4806 Permit Number: 4806 Permit Type: ADDITION/ALTERATION Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 6947 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 55,000.00 8/09/2005 5,963.52 5,963.52 8/09/2005 Phone: INTERIOR BUILD OUT PHYSIOTHERAPY & ASSOCIATES PHILLIP MI HAEL INC 6947 GALL BLVD ZEPHYRHILLS, FL. 33542 MA MARTIN ELECTRIC WILLIAMS (INDIVIDUAL) RADON WATER CONNECTION COMMERC TRAFFIC IMPACT FEES 99% COM 72 , L 31.47 SEWER CONNECTION COMMERC 865.70 TRAFFIC IMPACT FEES COMM 3,037.47 1 ,204,55 30.68 <J;'~ ./ 120/0':;; 0 f./(j a0. If)' Ib"' ~j:;:,~ ~ft.1y 'I 1, ~ 41 \ \1,-\.3 ~(,v I ,\ ...:t~ ND FO I T DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2 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." 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. ~. SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Ryman Construction 6947 Gall Blvd. Units 2 & 3 SQ. FEET PRICE MAIN OR LIVING: 3,147 $ 30.00 OTHER AREA UNDER ROOF: $ 50.00 OTHER: $ - VALUATION $ 94,410.00 FEE SHEET $ 460.00 ADDRESS $ 30.00 DRIVEWAY $ - BUILDING: $ 720,00 CREDIT: $ - BUILDING LESS CREDIT: $ 720.00 ELECTRICAL: $ 73.65 PLUMBING: $ - MECHANICAL: $ - SUB-TOTAL $ 793,65 RADON: $ 31.47 TOTAL $ 825.12 SEWER: $ 1 ,204.55 WATER: $ 865.70 IRRIGATION: $ - TOTAL: $ 2,070.25 WATER METER:I $ IRRIGATION METER $ : I PARK IMPACT FEESI $ 2,895.37 I -I J:L>> I ti f(2.1~ f (I t{&-,01 \S <\)\QC(,' - %. ~.'.\ 'Y.& \t~\~~ / ,,5-- V'-~ 70 <)~,Y,: ~ // 1...- 4 0'11 I ..77' /, L~ c(u - .. ,II r Il~.~ 3D SUB-TOTAL $ PUBLIC SAFETY IMPACT FEES POLICE $ 511.82 FIRE $ 549.50 5% $ 53,07 TOTAL: $ 1,114.39 SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - TI F.S: $ 12,272.62 99% $ 12,149,89 1% $ 122,73 TOTAL: $ 16,282.38 I .square Feet .53 }lf7 Dollar Amount ~~. ~ ~ (;J7l)) OJ T Valuation Building Electrical Plumbing Mechanical ~OON. ~/~b Connection Fees ../."" c~ \... i ~ t'fi.t(\ ~ \ ~- :L~ - - 1.7- ~. ~ -- Sewer Water Meter J, Z-P't ,5-5' I <jl.:;-. 7~ ~ Ii 2t>\fL f-) L1i~ .~ rrr-~ ~~ b .1 q '15 ~>rfl4- School Impact Fee N I A- '2 ju. , ';/ j "J... " :.> Transportation Impact Fee 5/i?? I \.. ~ J Bi 6Z1, 10 L ~t)1i~6 . ~li- \" r\ \ L- 4 (0 ,~5' \ 0 (., ~ J Z,'L72.bl- ---r~It'- Park Impact Fee Public Safety Impact Fee f\ rU- =::3.14- 1-- /7"5-::- .i''f!, :;0 _ JD l?1 '7L 1-1. "-)' -::: yc:u<-i::: ?, l't y.. I b? =- :,-1/. b 2., "1J,; ~ 1,lli. ~l~ City of Zephyrhllls Water and Sewer Impact Fe. Calculation Land Use Type: Doctor or Dentist Office No. of Practitioners No. of Employees per 8hr Shift Water Distribution System Wastewater Collection System Wastewater Treatment Plant Ca acit TOTAL Impact Fees Withi $ $ $ $ it~utside City Limits 865.70 $\ 1,082.64 2;-f5u.~; 2,688.02 1,204.55 1,504.13 4,221.07 5,274.79 Nl~ 1f'\~"lv0l1"~ p::f-f=)f V~ ~ .~ -)\\00 Ryman Const. Unit #2 Retail SQ. FEET PRICE MAIN OR LIVING: 1,800 $ 65.00 OTHER AREA UNDER ROOF: $ 50.00 OTHER: $ - VALUATION $ 117,000.00 FEE SHEET $ 531.00 ADDRESS $ 30.00 DRIVEWAY $ - BUILDING: $ 826.50 CREDIT: $ - BUILDING LESS CREDIT: $ 826,50 ELECTRICAL: $ 87.05 PLUMBING: $ 68.00 MECHANICAL: $ 85.00 RADON: $ 18.00 TOTAL $ 1,084.55 SEWER: $ 523.58 WATER: $ 135.75 IRRIGATION: $ - TOTAL: $ 659.33 I I I WATER METER:I $ IRRIGATION METER $ 180~00 I SUB-TOTAL $ 1,923.88 I SIF'S'I $ 97.5% $ 2.5% $ : I TI F'S: $ 3,814.20 99% $ 3,776.06 1% $ 38,14 TOTAL: $ 5,738.08 , ~r)rl~b Ryman Const. Unit #3 Retail SQ. FEET PRICE MAIN OR LIVING: 1,200 $ 65.00 OTHER AREA UNDER ROOF: $ 50.00 OTHER: $ - VALUATION $ 78,000.00 FEE SHEET $ 392.00 ADDRESS $ 30,00 DRIVEWAY $ - BUILDING: $ 618.00 CREDIT: $ - BUILDING LESS CREDIT: $ 618.00 ELECTRICAL: $ 85.30 PLUMBING: $ 68.00 MECHANICAL: $ 75,00 RADON: $ 12.00 TOTAL $ 858.30 SEWER: $ 349,05 WATER: $ 90,50 IRRIGATION: $ - TOTAL: $ 439.55 WATER METER:I $ IRRIGATION METER $ 180~00 I SUB-TOTAL $ 1,477.85 I SIF'S:I $ 97.5% $ 2.5% $ : I TI F'S: $ 2,542,80 99% $ 2,517.37 1% $ 25.43 TOTAL: $ 4,020.65 I CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~ 813-780-0020 FAX: 813-780-0021 . 0 S- DATE RECE IVED PHONE CONTACT FOR PERMITTING ~~ . "'" . ~ OWNER'S NAME ~ io I I lid[ Qe-{. ffit!.- JOB ADDRESS. j7 ~1JJ.. &cf2 r PHONE ? 1-3 ~ 7rPo- -DJ'~.r- ~ ;Z*~ LEGAL DESCRIPTION: LOT (S) vOID BLOCK f5D(~ PARCEL 10 # ()3-.:2~ ~ - 90/0 - f)D/CD - 90(0 SUBDIVISION ~{o (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION 0 REPAIR 0 INSTALL o DEMOLISH cELLJ'i d ~ DSIGN o MOVE PROPOSED USE: DSGL FAMILY DWELLING ~MMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK D ~.I-e.-r~ BUILDING SIZE SQUARE FOOTAGE 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, ErBUILDING PERMITS REQUESTED $ 55} D~<0D VALUATION OF TOTAL CONSTRUCTION 2tr.s H vt u- AMP SERVICE 0 Progress Energy 0 11 tf6CJ& IfrELECTRICAL ~UMBING o MECHANICAL W.R.E.C. VALUATION OF MECHANCIAL INSTALLATION $ o 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 0 NO BUILDER 'LECTRIC~ ~ COMPANY ~.f-r'''-. c!!.J e. ~, ~ SIGNATUR ..~.........~......::::~.~~~:.~~.~~~:::.~.......... PLUMBER COMPANY ~V\..~, Wl[ll~~ SIGNATURE STATE CERT OR REGIST # MECHANICAL COMPANY ~. SIGNATURE -. '----. STATE CERT OR REGIST # ***************************************************************** OTHER - COMPANY SIGNATURE .----- r-- 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 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. Appli~ation 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 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 $2,500 IN VALUE DO NOT NE 0 TO RECORD AND POST A "NOT CE OF COMMENCEMENT". owl edged , 200S STATE OF FLORIDA COUNTY OF The foregoing instr~ wa a knowledged Befo~ rqe this ~ day of , 20 &IS by ~'Db t-<<::-~, (name of person acknowledged) ~is personally known to me, or Dwho has produced (type of identification) and who ~d not take an oath ,,{/'- o who has produced - (type of identification) ~ not take an oath. Signature 0 person taking acknowledgement ~-- . . My Commission 00165587 Name typed, ~~UII't~1i Si ature of person taking acknowledgment ~ ~ Angela HeimS !'~' . My commission 00165587 Name type~~~~Il9Ff~~ped Physiotherapy Associates ZEPHYRIDLLS CLINIC if fYo & 10/12/05 To Whom It May Concern: Physiotherapy Associates is an outpatient physical therapy clinic with one full-time physical therapist. Division standards for our company are for each therapist to see 10- 12 patients per day. Our physical space will accommodate growth to 3 or 4 therapists over the next three years. If you have any questions please feel free to call me. ~'1 0 fI'hh/!A 1.1, Craig D. McGhee PT, ATC Clinic Director Physiotherapy Associates 6945 Gall Blvd. Zephyrhills, FL 33542 6945 0aJJ Blvd. ZephyrbiUs. FI. 33542 PH: 813-788-8516 FAX: 813-788-8519 Page 1 of3 Bill Burgess From: UPIK.SUWARNO@kimley-horn.com Sent: Wednesday, October 19, 2005 8:22 AM To: Bill Burgess Cc: Christopher. Hatton@kimley-horn,com Subject: RE: Physical Therapy TIF FEE Bill, Based on the information provided for the proposed physical therapy office, I've calculated a daily trip generation rate of 36 trips per 1,000 s.f. for the proposed physical therapy office. This is consistent with the avg. trip generation rate for LUC 720 Medical-Dental Office Building based upon ITE. Based on ITE, the average trip gen rate for a medical-dental office is 36,13 trips per 1,000 sf, Here's how I calculated the trip gen rate for the physical therapy office: 4 empl x 12 patients x 2 trip ends (entering/exiting) = 96 trip ends 4 empl x 2 trip ends = 8 trip ends 2 empl x 2 trip ends = 4 trip ends (assuming 1/2 employees going out for lunch or fed-ex pickup/drop-off) 96+8+4 = 108 total trip ends (Size of bldg = 3,000 sf) 108 total trip ends/3 = 36 trips per 1.000 sf Since it is consistent with a medical-dental office building, there is no revision to the impact fee rate, Unless they can provide actual driveway counts to a similar site. Please let me know if this is what you needed, Call me if you have any questions and let me know if you need anything else, Thanks, Upik Suwarno Upik Suwarno, P.E. Kimley-Horn and Associates, Inc. 10117 Princess Palm Avenue, Suite 300 Tampa, Florida 33610-8300 phone: (813) 620-1460 fax: (813) 620-1542 email: uoik.suwamo@kimlev-hom.com From: Bill Burgess [mailto:bburgess@ci,zephyrhills,f1,us] Sent: Tuesday, October 18, 2005 4: 15 PM To: Suwarno, Upik Cc: Hatton, Christopher Subject: RE: PhYSical Therapy TIF FEE Apparently the therapists make their own appointments so 4 employees is correct. The 10/19/2005