HomeMy WebLinkAbout06-5551
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
5551
Permit Number: 5551
Permit Type: ADDITION/ALTERATION
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv, Cost: 400,000.00
Date Issued: 4/07/2006
Total Fees: 2,725,00
Amount Paid: 2,725,00
Date Paid: 4/07/2006 Phone:
Work Oesc: RENOVATION OF EXSITING HOSPITAL TO NEW CATH LAB
Address: 7050 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0010-10500-0000
Name: FLORIDA HOPITAL ZEPHYRHILLS
Address: 7050 GALL BLVD
ZEPHYRHILLS, FL. 33542
, I
APG ELECTRIC INC,
PYRAMID PLUMBING
BCH MECHANICAL, INC
PLUMBING FEE
RADON
MECHANICAL FEE
186.90
. ~\)
\ ;~~ ~~
~Yi@
U H PL
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: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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,
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
NO OCCUPANCY BEFORE C.O.
. ~~
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMLT A~~~~~A~~U~
BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
PHONE CONTACT FOR
DATE RECEIVED ~ /.;} /pCp
(; ~'WJL
PEBMITTING 7/5"-7/2-~
OWNER'S NAME 1=LO~)bA f~p.rr4LZ-;JJtt ~
JOB ADDRESS 7b50 GALL Sl...JJ b..
PHONE 7B3"" &, lid q
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
D ADDITION
(OBTAIN
'/(ALTERATION
o DEMOLISH
FROM PROPERTY TAX NOTICEl
PARCEL ID tt
WORK PROPSED: DNEW CONSTRUCTION
OSIGN
PROPOSED USE: DSGL FAMILY DWELLING
D COMMERCIAL
D REPAIR
o INSTALL
o MOVE
DMULTI-FAMILY
D INDUSTRIAL
D. OF UNITS
D SWIMMING POOL
D MOBILE HOl'
~OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL
DESCRIPTION OF WORK ~/)\IA-T7"N tJF ~'XISY7Nb ~~J7/ft- T? Nt=h/r"ATJ-l L-A1J
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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
fJOC!-- -
::s--s-/
PERMITS REQUESTED
)('BUILDING
o ELECTRICAL
D PLUMBING _
D MECHANICAL /
$ 41)0 /YY)
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D Progress Energy 0
W,R.E.C.
$ 'DO bDO'
\
VALUATION OF'MECHANCIAL
31.;)3- (\.C'tG~L{, C/Y,,-
\oJL l L~ s...uo " (-..Fa
."ULQ(~~
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
I~ ~!~--T""" ~'"' ~- -, - - -;--~~-.~ t ~ ~~ - ~I ~ ~ -1 ~- ;-~ ------->-~-- --~- -- ----- J - -I" ] 1- - ~ - - --.-...- M ~ --r 17" - ,l~j~~~~:
~', ~ ,!' ',' ii' "", ,,": I ,~:, I I I' , , ," I' ' . IV <'17~'
_ __.~ ..~_~_...........____'-~+_'--_ _,,--_._~-'1.._____~____----- -- --- ---~~--~
BUILDER ~ ,,1\\ COMPANY-~~ (J)~IST. fl). I>k:_ ~
SIGNA;URE~I 11if( STATE CERT OR REGIST ~ CbCI?II/7/ ~
**********: ****************************************************** ~
SIGNATURE
Q ~ ~<ryV\ 0->
COMPANY ~" P (:;>
- :
to QrJL;~
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ELECTRICIAN
STATE CERT OR REGIST #
******************************************************************
PLUMBER
------
'IGNATU
P>y \~. . - _
- " ...-.-
.,*-
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************************************************* ~
COMPANY j~ C \-\ (h~...hc"\jY~(, ~ r-
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STATE CERT OR REGIST #
********************************************~****~***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A.. NOTIC,E OF DEED RESTRICTIONS
The undersigned understands that this p~rmit may be subject to ude~d restrictions" which
may be more restrictive than city regulations, The undersigned assumes responsibility fer
compliance with any applicable deed restrictions;
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner. has hired a contractor or contrq~tors 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 uCohtractor Sections" of this ~pplication 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 CONNECTI,ON FEES .
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, haye been provided with a copy 'of uFlorida's Construction
lien Law _ Homeowner's ,Protection Guide" prepared by the Florida Department or Agriculture
and Consumer Affairs. If the applicant is someone other that the uowner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the uowner" 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.
Applic:ation 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 wiil be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land developmerit 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 inolude but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, wetiand 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 UA" or uA,etc."; it is
understood that a drainage plan addressing a;~'compensa.ting 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 CO ENCEMENT. JOBS UNDER
$2,500 VA E DO NOT NE TO RECORD AN" POST A "NOT: ~F COMMEN EHENT"'.;,
S TURE:
STATE OF FLORIDA
COUNTY OF
The foregoing
Before m hi
by
(name of persor ackn wledged)
[1ho is personally ~no.wn to me,o~f\
~ has produced 1), f Ve 15 +--/
(t of identification)
d t take an 0 th
~,5(O
STATE OF FLO~~ {
COUNTY OF .' (O
The foregoing instrument was
Before . t,l].is ayj of
by ILYI ,'-e
~me' of person acknowledged)
lIJ1:lho is personally known to me, 'or
and
ment
\
usa/n. L.
6:l1a~W:Wled:e~::~~
'. .y,:-,Aj'\'J> ,-,
~~'IlYCOMMISSION . 26
~~I E(PlRES: AUl'Pst 11,2008
loM~.~~~':,::,~ A' y Ft. Notary Oiscoun~ I\!.$IX. Co.
ped, printed or stamped
Name typed, printed or stamped
Cath. Lab Renovation
7050 Gall Blvd.
SQ. FEET PRICE
MAIN OR LIVING: 5,500 $ 100,00
OTHER AREA UNDER ROOF: - $ 88,00
OTHER: - $ -
VALUATION $ 550,000,00
FEE SHEET $ 1,780,00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 1,815,60
ELECTRICAL: $ 400,50
PLUMBING: $ 267,00
MECHANICAL: $ 186,90
SUB-TOTAL $ 2,670,00
RADON: $ 55.00
TOTAL $ 2,725.00
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
oo~
-I~
WATER METER'I $
IRRIGATION METER $
FIRE DEPARTMENT FEES
PLANS TOATL: $ 220,96
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ 220.96
PUBLIC SAFETY IMPACT FEES
POLICE $ -
FIRE $ -
5% $ -
TOTAL: $ -
SUB-TOTAL $
PARK IMPACT FEESI $
2,945.96 I
I
SIF'S: $ -
100.0% $ -
1,0% $ -
TOTAL: $ -
TI F 's r
99% $
1% $
TOTAL: $
I
2,945.96 I
APR/05/2006/WED 01: 49 PM ZEPHYRHILLS BUILDING FAX No. 813-7,80-0021
NOTICE OF COMlVIENCE~NT
State of FLoR.! ;Yt County ofJ1t~~ D
P.001/001
. " ..
'rIlE UNDE1t9IGNED hereby gives notice that frnprovement Will be mad~ to certain real prop~y. .
anq in accord&l1oe with Chapter 713, Florida Sta,tutes, the follbwinginforniation is provigeeJ, in
tbis Notice of Copunencement:. . . .. . , ,. .... . . . .. ,... .
1. Description of rropertyl Parcel No, . ~ s- z.:~ - z..1~ Db 1 {) --Jb<;:o /)'-' 0 Vf) 0' '. .,
. .... i. . .. ,
(Legal description of.the property and.street addressifa,vail!lble)
2, General Description of Improvement Un-c:R/pR.. R,r:;;JnV~T71J)J
~~~~~~lll~!~11I1II1111111I1I1111I11I111I1I11I1I1111
..~#LI'~."
3, Ownerlnformation: Nl\llle r::LnRID.A )-Ic;r;:rITAt.;t't
Address 7{)t;;.O 6W--L.. 6LJj~" city2.c.I-hlL'S",
DW/'lbR.
Name of Fee Simple Titleholder: ~4M1==
. (If other than oWner) . .
. State Ft.-
. , ..,
Rcpl:986732
os: 0.00
04/07/06
Rec: 10.00
IT: 0.00
Dpty Clerk
Interest in Property,
. Address . City ..
R. " 4. Contractor: Name f\p~T11< i'J7JiJST. Co ' " (D:JSTE;'i.
A.ddress Z."ZDL N.11 JF:Jrs.Jt12F' City,'Tk1~ ...
s.rYTE: LbO ' . . .
5. Surety; Name Nb^l~ .
..
State . .
COAJSTCO).:" .
. S~at~'P'-" .
..~?Jfd)/' . .
~ ~~ o~
Zoli;.O-l'
0.." c)>
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o~~==-im
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c:; ~ ~ 0'" ."
>0-t~"Ur-
r-El8:D)>O
C/) -"tI:::! C/):D8
o mZ-<=:2-'
.." ;:t'-to-+ioC!
S! ':>< r- == ~:z: 0)>
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(') ::!: om"ti
C:'-cn.,.,o~
:::j " :!! 0 ffi
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i ~ ~ !i~
Adqress
Amoqntof Bond; $
6. Lender: Nl\llle N)A
Addr~ss
City
.' . State_
JEDPITTMAN. PASCO COUNTY CLERK
04/07/06 02:02e: 1~ 0..3f195
OR BK 692 L-!.G
City.
persons within the State of Florida designate<! by Owner JpoDwhom' notices. or other'
dOCQQ1ellts.IIlay be served as pJ.'ovided by Section 713,13(1) (a) (7); Florida S'tafi1t~s:' .
N&~e R'Cl..J4Rh f3~~//:::;;L~' . .., . .., .
Address 7(J50. 64~L Buij), City~. J~lLJ~, .. S~ateR~
I drl;' h' 1 . '5 3 I .'
u a L#Q.on to unse f,Ownerdesignates . .. .' .... .
of .. . ., ,'. to receive ~ cbpy of the Li~nor's Notice as
provldecl1nSectlon 7l3.13 (1) (b), F1oridaStatutes, ..... .. . ", " .' '"
9. :gxpiraQ.on date of Notice of Commencement (the expiration date is 1 year from the date'
of recording unless a different date is specifieq,) " "
Signature of Owner':
Norary PQ.blic;
My CoIllIUission Expires: .
PC9~05304B/A
~~~V,fp',*.... UNDA F, LAV/ANa , .
~'i "A" ~.~ MY COMMISSION II DO 323041
<~~~~~< EXPIRES: June 19, 2008 .
il',~f.lfti\\" Bon~ed Thru Notary PUblic lJnderwrit8~. .
Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE USER FE~ /1
Occupancy No.: Owner: \)~-\t::\L (Gr~\~~c_\,',-c:,,,,
Pla~ No.: ~'. ~ \-\ ' 'J ~ . , . Billing Address: ~2.z..6 7- )..;, bJth751Jc,/'2F
Business Name: \e-v' '(k ~\Q\ f~~~'\\S:. Jv!:/e 2~
BusinessAddress: /6~() ~ \ \ /,h1/&-' /- L ~bO 7
Business Phone No,: ~~- 18 Billing Phone No,:
Business Fax No,: Billing Fax No,:
Contact: Contact: -71 <).-
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
&Site Plan ~. Annual N/C
Building Plans (.04.. sf. 1st Re-inspection $25
'--"'--
Revision .06 sf 2nd Re-inspection $50
3rd Re-inspection $125
4th Re-inspection $250
5th Re-Inspection $500
Construction $15
Commercial $25
Cf.,'ZJ-!
STANDPIPE SYSTEM
o Per Riser $25
SPRINKLER SYSTEMS
B 0 - 25 Heads $30
26 plus Heads $60
FIRE PUMP
o Per Pump $100
FIRE ALARM SYSTEM
B 0 - 25 Devices $30
26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
GREASENENTILATION
o Hood/Ducts $35
~qb
PLANS TOTAL ~--
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood / Booth $30
Grease Duct $15
FIRE ALARM SYSTEM
B System Acceptance $50
Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall $15
LP Gas $25
Natural Gas $25
Fuel Tanks $25
Tent $15
INSPECTION TOTA~
7/2) //f>3 65,-~r37
/
FALSE ALARM FEE
1 st Alarm N/C
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $25
5th Alarm $50
6th Alarm $75
7th Alarm $100
8th Alarm $150
9th Alarm $200
10th Alarm $250
Non Compliance $150
"Affidavit of Service/Repair"
SPRINKLER SYSTEMS
o Automatic $15
FIRE PUMP
o Fire Pump $15
FIRE ALARM SYSTEM
o Detection $15
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
$25
$45
GREASENENTILATION
B Hood/Ducts $15
Kitchen Suppression $15
I FALSE ALARM I
PERMIT TOTAL TOTAL.
Comments:
~;/r"11
Date:
Inspector:
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