HomeMy WebLinkAbout07-6694
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6694
r: 6694
Permit Ty e: COMMERCIAL
Class of W rk: ADD/AL T COMMERCIAL
Proposed U e: COMMERCIAL
Square Fe t:
Est. Val e:
Improv. Cst: 30,500.00
Date Issu d: 5/17/2007
Total Fe s: 846.10
Amount P id: 846.10
Date P .d: 5/17/2007
Work e c: RENOVATIONS - WALLS/PLUMBING
Address: 37834 MEDI AL ART
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 34-25-21-0080-00000-0030
Name: FL HOSPITAL OF ZEPHYRHILLS
Address: 7050 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone: 813 788-0411
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CARR'S CONS .
CARRS' CONSTR CTION SERVICES,INC
APG ELECTRIC IN .
/':
'h f\J\ ~~O\
~y (j/ P
PRE-METER
WATER
FRAME
SEWER
INSULATION WAL
INSULATION CEILING
REINSPECTI N FEES: Reinspection fees will comply with Florida statute 553.80 (2)(c) when extra inspection
trips are n ssary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty nstruction c) repairs or corrections not made when inspections called d) work not ready for
inspection w en called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In ad~ition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found ih the public records of this county, and there may be additional permits required from other governmental
entities such a~ water management, state agencies or federal agencies.
The payment 0 inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to wner: Your failure to record a notice of commencement may result in your paying twice for
improvemen to your property. If you intend to obtain financing, consult with your lender or an attorney
before record ng your notice of commencement."
NO OCCUPANCY BEFORE C.O.
CTORSIGNATURE ~M~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Date Received
Owner's Name
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813-780-00120
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
I
I
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/l/2/.s /J.. ouLf I LOT # I I
PARCEL 10#1 ~ J(- tX j- dl./ - wEe; - O~ - 0080 I
~ (OBTAINED FROM PROPERTY TAX NOTICE)
fII"\ SIGN D MOVE D DEMOLISH
Owner's Address
Fee Simple Titlehol~er Namel
Fee Simple Titlehol~er Address
I ...J7g.3i/ PI4d/(!.I~L
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JOB ADDRESS
SUBDIVISION
o
o
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
COMMERCIAL
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
PLUMBINp
I
MECHANkAL
GAS
OfFF.tUL
OTHER I
~
;~::= I rlaS: ~ ~~7; J~~.7i<e fJ
License # ILCC~6~b I
COMPANY
REGISTERED
License #
CU11I 4J/Vfm-~ rervrJU?J~
I (!) N I FEE CURRENT ~ I C!JI N I ...,...-~
License # .2 i
FEE CURRENT
License #
Y/ N
Y/N
FEE CURRENT
Fences (Plot/Survey/Footage)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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.
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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work.
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce~d with the work a~d not as authono/ ~o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dJng OffICial from the~eaft~r
requiring a correction of errors in plans, construction or violations of any codes. Every permIt Issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work is commenced.. An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty (.90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the,Job IS 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.
FLORIDA JURAT (F.S. 11 . 3) /J ~ /J /?'~
CONTRACTOR~
Subscribed and swOrP;to (or afflrmed}..\>efore me t liS/,?
5-7-:;(o()7by{d41i~ h i~f~HY.Y.?~
Who is/are personally known to me or has/have produced
- ----- as identification.
~~~~k~d ~a-or~
Notary Public
~ ~ .J.a / J ofcgAf7'a~ Notary Public
Commission No.
Commission No.
Name of Notary typ .
Name of Notary typed. printed 0
MY COMMISSION II DO 323041
EXPIRES: June 19, 2008
Bonded Thru NoCIry NlIic U\'1dOIWriIIlS
F. LAVIANO
MY COMMISSION It DO 323041
EXPIRES: June 19. 2008
Ilanded Thru NOy PuIIlIc UndIIWrIlIrI
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NOTICE OF COMMENCEMENT
State of J1 (j\J,)~ County of fc,v( u
TH~ UNIj)ERSIGN~D hereby gives notic~ that improvement will be made to certain real property,
and III acqordance wIth Chapter 713, Flonda Statutes, the following information is provided in
this N otic~ of Commencement:
1. Descrtption of Property: Parcel No. ? l( - :< .F :2 ( - (J C 81) - G OQ () (i _ 00 3" u
F 7~?1 ~~'.CQj 4Pv1J C~h.4-
. (Legal descnptIon of die property and street address if available)
2. Generrl Description of Improvement ./fI1 6vJ..y: c.~ "'o/~'^;P
IN-kAllZr ~~ "vv-rl flutc'k,'f 1r~'d.
3. Owne~Information: Name pI (lY\'l1" It."tila ( 2.e; ((' L!(f
Addre$s ~ (Y-J>'-f .;fAe&24 (Au ~-1- City L€y'luy/fU1C/ State f'L.
Interdt in Property: {) <:..AI e~ 111111111111 "11"111""11 1111I11111 1111I111111I11111111111
2007079018
R4.
Name ~f Fee Simple Titleholder:
(Ir other than owner)
Addre~s
City
~~ ~,v~vh~ se~c~ ~[J
CJcrl{~.'r,~R JJI/lt.e- City ~UJi'sI~ C~ State k, 33Sc;:J..
.vA
State
. /
(ff 5.
Contraptor: Name
I
Addre~s "16 (;~
SuretYl Name
I
Addre~s
Amou+ of Bond: $ /&..4
I
6. Lende~: Name
Addresls City State
7. personl within the State of Florida designated by Owner upon whom notices or other
docum~nts may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
.r? JED PITTMAN~ PASCO COUNTY CLERK
Name I rt (f}\..., ~ 0!5/07/07 11: 27am 1 of 1
I OR BK 7488 PG 1017
Address City State
City
State
Rcpt: 1097371 Rec: 10.00
DS: 0.00 IT: 0.00
0!5/07/07 Dpty Clerk
8. In addition to himself, Owner designates r1 {j LA.. .p
of to receive a copy of the Lienor's Notice as
provip1d in Section 713~13 (1) (b), Florida Statutes.
9. Expira~ion date of Notice of Commencement (the expiration date is 1 year from the date
of recotding unless a different date is specified.)
Signature 0; Owner:
Sworn to an subscribed before me thi 7 [Ie day of
~ J cf~~
My Cammi sion Expires:
PC93053048/
rn~ ,2007.
ST E 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 IN THIS OFFICE. WITNESS MY
HAND AND OFFICIAL SEAL THIS DAY OF
h7;<J.. Y 2 (J{22
JED !iJJ:'nm'rCOURT
BY {(. . DEPUTY CLERK
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Parcel Information for: 34-25-21-0080-00000-0030 Card: 001 Page 1 of2
).oSL \qq)? &I~
--:' 06'>r J1., CJ ~ ,D4 II
,- l..... oJ,JJ.-V l!:: '7 ~
~lC-t"\ &l.:~earCh Again Show Map Generalized Bui/din!:! Schematic Estimate Taxes
roJLJ-'
P Other Parcel Cards: 1 I .2
See Tax Collector Information - Current/Delinauent Taxes Frequently Asked Questions
ParcellD 34-25-21-0080-00000-0030 (Card: 001 of 002)
I Classification 19 - Professional Service Bui/ding
Mailing Address Assessment (totals)
PALL Y & RAO MD PA Ag Land $0
37852 MEDICAL ARTS CT UNIT 4 Land $58,613
ZEPHYRHILLS, FL 335414325 Building $255,531
Physical Address Extra Features $1,575
37806 MEDICAL ARTS CT
i WESLEY CHAPEL, FL 33544 Total Assessment $315,719
, Legal Description (First 4 Lines) Save Our Homes $0
TOWNVIEW MEDICAL ARTS CENTER Taxable Value $315,719
PB 29 PG 68 THE EAST 100 FT
OF LOT 3
SUSBJECT TO EASEMENTS PER OR
Land Detail (Card: 001 of 002)
L ine I Use I Description I Zoning II Units II Type II Price " Cond II Value I
11 1900 PROF.BLDG I 00C2 115,000.00 II SF II 8.00 II 1.00 II $40,0001
2 1900 PROF.BLDG 00C2 7,000~ SF I 2.15 I 1.00 $15,050
3 1900 PROF.BLDG 00C2 3,750.00 SF I .95 I 1.00 $3,563
Additional Land Information
Al res II 0.36 II Tax Area II 30ZH "Fema Code 4 I Comm Code I' PTVM2AA
Bl i1dina Information - Year Built 1992 USE 19 - Offices Professional or Medical (Card: 001 of
002)
Ext Wall 1 Common Brick Ext Wall 2 None
ROI f Str Gable or Hip Roof Cov Min Roof(Corr. or Sh M)
Int ~a1l1 Drywall Int Wall 2 None
Flo >ring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
AC1 Central Baths 2.00
Line Description Sq. Feet Repl. Cost New
1 BAS 3.150 $326,813
2 CAN I 93 I $2,905
Extra Features (Card: 001 of 002)
Line Description I Year II Units I Value
1 DWA II 1992 4,028 $1224
2 SWC II 1992 I 267 I $351
Sales History
Previous Owner PALLY MADHAVA T
~ar Month Book I Page I Type II Amount i
1998 04 3916/1243 I WD II $315,000 I
1996 02 3542/1441 I WD II $118,300 I
, II I
http://appraiser.pascogov.comlsearchloffIine _ tca.asp?Sec=34&Twn=25&Rng=21 &Sbb=OO... 5/9/2007
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Parcel Information for: 34-25-21-0080-00000-0030 Card: 001
Page 2 of2
1990
12
1967 / 0523
WD II
$0
Search Aoain Show MaD Generalized Buildino Schematic Estimate Taxes
Other Parcel Cards: 1 I .2
See Tax Collector Information - Current/Delinquent Taxes FreQuentlv Asked Questions
http://appraiser.pascogov . com/search! offline _ tca.asp?Sec=34&Twn=25&Rng=21 &Sbb=OO... 5/9/2007
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
, 1
i
ContractorlHpmeowner:
Date Receive~:
~:d OCQxv
5- 7--01
3/<63 LI fY\.e-~ A.,,+<:--
Site:
Permit Type:
Approved w/~o comments~
-
{2JUY\~\ ~
Approved withe below comments: 0 Denied withe below comments: 0
This comment heet shall be kept with the permit and/or plans.
Date
Contractor and/or Homeowner
(Required when comments are present)
;P/t"J-'i
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Fire Chief Robert Hartwig
riw
Occup ncy No.:
PlanN ..
BUSine~ Name:
Busine sAddress:
Busine s Phone No.:
Busines Fax No.:
Contactj
9LAN REVIEW FEES
~Site PI~n N/C
BUildin~ Plans ~
Revisioll .06 sf
ST1NDPIPE SYSTEM
[I Per Ri+ $25
,
1
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE USER FEES
Owner: ..-;
!J!:L-1f~' Billing Address:
?3:;~d1atJ,*,C!.
I
SP~INKLER SYSTEMS
B 0 - 25 H+ads $30
26 plus fjfeads $60
FIRE PUMP
o Per pum~' $100
FIRE ALARM SYSTEM
B (I - 25 evices $30
26 plus Dfvices $60
SUPPRbsSION SYSTEMS
~wet I $35
Dry i $35
C02 i $35
Other I $35
INSPECTION FEES
Annual N/C
1 st Re-inspection $25
2nd Re-inspection $50
3rd Re-inspection $125
4th Re-inspection $250
5th Re-Inspection $500
H Construction $15
LJ Commercial $25
u
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
GREAsJNENTlLATION
o HOOd/Duct~ $35
I ~141%2p~d~
PLANS TO~AL ~ INSPECTION TOTALc=]
CommHnts:
Date:
Inspector: __"
Billing Phone No.:
Billing Fax No.:
Contact:
PERMIT FEE
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
GREASENENTILATlON
B Hood/Ducts $15
Kitchen Suppression $15
r----J FALSE ALARM I
.__PERMIT TOTAL~ TOTAL.