HomeMy WebLinkAbout07-7019
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 9/12/2007 Phone:
Work Desc: REPLACE WIRE FRM METER SOCKET 400AMP TO INSIDE PANEL W
7019
ELECTRICAL M ISC
ELECTRIC SERVICE REPLACEM
MEDICAL
PATTIE ELEC. & REFRIGERATIO
500.00
Name: FLORIDA MEDICAL CLINIC
Address: 38107 MARKET SQUARE
ZEPHYRHILLS, FL. 33542
ELECTRICAL FEE
35.00
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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 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.
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 payin
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.
~kuJ.-L ~~
. ~ CONTRA~=T EXPIRES IN . MOHTIIS WITlIOUT APPROVIlD INS:"~I~ OFFI R
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Date Received
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
813-780-0020
111.....1.
Owner's Address
I)" 'lIs fl. 3 J 5''1;..
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Fee Simple Titleholder Name
Fee Simple Titleholder Address
JOB ADDRESS 3~ 101 IV/tIt-rk'C t S~",,~e Zefk.c.rrh;Jfs- Fl 33:)<12- LOT #
SUBDIVISION I PARCEL ID#I 0,2. ,;.., -..JI- Of) I () - 0 39~() - tf)(l,j./)
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/AL T 0 SIGN D MOVE 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR D COMM 0 OTHER 'C/) I'f "7 (' "S" eo rv I ~ .. -~ /I-fr ptM ~ tvJ~el
TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I I
DESCRIPTION OF WORK -e )ItCC ....,\~~ F'l""" >M,..+uS,ac.ket -td ,;"'siJr
BUILDING SIZE SQ FOOTAGE I HEIGHT
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1$ I
D MECHANICAL 1$ I
D GAS 0 ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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VALUATION OF TOTAL CONSTRUCTION
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PLUMBING
VALUATION OF MECHANICAL INSTALLATION
Y/N
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BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Address
License #
PANt ~ ~/t:'ch-"c
I Y / N I FEE CURRENT
ELECTRICIAN
SIGNATURE
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COMPANY
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License #
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Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address License #
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster, Site Work Permit for all new projects, All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans,
....PROPERTY SURVEY required for all NEW construction.
Di~~~ti~~~': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTtNG (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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, wilt 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 witlr1 a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of ~riculture 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 wilt 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 installations not specifically included in the application. 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 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 the work is commenced. An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nin~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. 117.03
CONTRACTOR
Subscribed and sworn to
by
Who Is/are personally known to me or has/have produced
as identification.
OWNER OR AGEN ~
Subscribed and sworn to (or a rmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
~~ ~m~p"~i'
C Ission .
Notary Public
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
Map - Pasco County Property Appraiser Page 1 of 1
Pasco County, Florida Section 02, Township 26, Range 21, 1.5 miles NNW of
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MapID# 494197
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Department.
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Parcel Information for: 02-26-21-0010-03900-0020 Card: 001
r/ 3~'07M~~.
Page 1 of2
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Super Homestead Estimator
Parcel 10 02-26-21-0010-03900-0020 (Card: 001 of 010)
Classification 19 - Professional Service Building
Mailing Address Assessment (totals)
FMC MARKET SQUARE INC Ag Land $0
38135 MARKET SQUARE Land $650,894
ZEPHYRHILLS, FL 335427505 Building $4,360,883
Physical Address See All 10 addresses Extra Features $153,032
38045 MARKET SQUARE DR
ZEPHYRHILLS33542 Total Assessment $5,164,809
Legal Description (First 4 Lines) Save Our Homes $0
ZEPHYRHILLS COLONY COMPANY Taxable Value $5,164,809
LANDS PB 1 PG 55 POR OF TRACTS
394041 & 42 DESC AS COM AT
SW COR OF NW1/4 OF SEC TH
Land Detail (Card: 001 of 010)
Line Use Description zonil~Efnlts Type ::J:Ece Cond Value
1 1900 PROF.BLDG 00C2 ,000.00 SF 7.32 1 $87,840
2 1900 PROF.BLDG 00C2 38,000.00 SF 4.86 1 $184,680
3 1900 PROF.BLDG 00C2 50,000,00 SF 2.75 1 $137,500
4 1900 PROF,BLDG 00C2 229,404.00 SF 1.05 1 $240,874
Additional Land Infonnatlon
Acres 1/ 7.56 Tax Area II 30ZH II Fema Code 1/ X 1/ Comm Code 1/ M3012AP
Building Information - Year Built 1984 USE 19 - Offices Professional or Medical (Card: 001 of
010)
Ext Wall 1 Concrete or Cinder Block Ext Wall 2 Concrete Block Stucco
Roof Str Rigid Frame w/Bar Joist RoofCov Built-Up Tar and Gravel
Int Wall 1 Drywall Int Wall 2 None
Flooring 1 Ceramic Clay Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
AC Packaged Roof Top Baths 6.00
Line Description Sq. Feet Repl. Cost New
1 CAN 2,814 $97,060
2 BAS 26,068 $2,997,820
3 AOF 7,000 $805,000
Extra Features (Card: 001 of 010)
Line Description Year n Units Value
1 PAV ASP 1975 194,147 $39315
2 L1GHTSM 1975 15 $9563
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Parcel Information for: 02-26-21-0010-03900-0020 Card: 001
Page 2 of2
3 ELEVATR II 2002 1 $20400
4 SPRNKFP jtJE~ 33,068 $43402
5 CANOPY 420 $1213
6 CANOpY 2000 480 $1386
7 CANOPY 2000 660 $1906
8 CANOPY 2002 576 $1764
Sales History
Previous Owner NORO-MARKET SQUARE HOLDINGS BV
Year Month Book I Page TVDe T Amount
1993 11 3228 / 0293 :=f $0
1987 12 1703/1337 $0
1987 12 1676/0198 WD U $0
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Other Parcel Cards: 1 I 2 I 3 I 4 I 5 I 6 I 7 I 8 I 9 I 10
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Super tfOl'l1estejldE~ti l1'Iiltor
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