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Home My WebLink About08-7177 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7177 7177 Permit Type: ADDITION/ALTERATION Class of Work: ADD/AL T COMMERCIAL Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 38022 MEDICAL CEN ZEPHYRHILLS. FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 35-25-21-0070-00000-0021 7,049.00 70.00 70.00 11/08/2007 REPLACE AWNING Name: KNIGHT, RANDOLPH Address: 38022 MEDICAL CENTER AVE ZEPHYRHILLS, FL. 33542 Phone: 813782-5543 fZf\J J-'1 j '12/ dii ( ,d/ C(p 2N H PLU B FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME 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." ~~ . d Y(i t&10;i,J; CONTRACTOR StGNAT' RE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ..__w_.... ".-...-.-..-- _..._--~.-.~ .-........--..----~ -... -_.~.. .:.. ---- . .......-.----.....-.. ....----.-..-. -, 1A-5C 0 r/J'J't t'- ................. :::::CitY::~fZephyrlrllls , BUILDlliGJlLAN REVIEW co:M:MENTS , Date Received: , , . ;f!dr ;l !t{ "" ,/lU "" };'C~ '/1- 1-01 3 bu :,l ~ ' /Vlt'd r (",1 ~e"\i'( f 'A~.-, (t -c"") " ; ("-' Fij)'{ i( , 'r" It\.i ,:( . ContractorlBameowner: Site: permit Type: AppIovedw/no ~~ents~ .j Approved. wIthe below comnie:nts: 0 Denied withe below comments: ,0 . ' Kal' . Contractor and/or Homeowner , (Reqmred whe:n: ccrm"TTI~t!': are prese:n:t) 'This c . er Date 813-780-0020 Fax-813-780-0021 Owner's Name Owner Phone Number ote~~umber I Owner Phone Number I Date Receive,d Owner's Address WORK PROPOSED 3 kr I Td5a Medrif 1)-15 ~ D NEW CONSTR ~ D INSTALL tj PROPOSED USE D SFR D TYPE OF CONSTRUCTION D BLOCK D LOT # c;;( JOB ADDRESS SUBDIVISION ADD/ALT REPAIR COMM FRAME D D D OTHER I STEEL D SIGN DEMOLISH OTHER I ;;;;~~~ I~" ,,~~,~ ,',p" ~~~; r~~,t" ",!, " , ~~:~~~, .I.. " " " " " " "" , " ,I" " " " " " " " " " " , 1$ 7oLfq~ 1$ 1$ 1$ c=J GAS D FINISHED FLOOR ELEVATIONS I ROOFING I I I I D I AMP SERVICE oQ PROGRESS ENERGY D ~VQ ~~ ~~ r- 94NO W,R,E.C, c=J BUILDING VALUATION OF TOTAL CONSTRUCTION c=J c=J ELECTRICAL PLUMBING c=J MECHANICAL VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE OTHER DYES Address ~~ 4LtIf::'['~/fG License # le8C.~ t, 677 ELECTRICIAN SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT License # Y / N FEE CURRENT License # Y/ N FEE CURRENT License # Y/ N FEE CURRENT Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address License # 1111111111111I1111111111111I11111111111111111111111111I111111111I111111111111111111111111111111I11111111111111111111111111111111111111111111111111 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 subdivisions/large 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 wI 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~~~t;~~~': ' , . , , , , , , , , , , , , , , , , , , , , , . , , . , , , , , , . , . , , , . , , . , , , , , , , . , , , , , , , , . . , , , , , , , , , , . , , , . , , , , , , , , , , , , . , , , . , , , , , , . . , , , . . , , , . . , , , , , , , , , , , , , , . , , , . . , , . 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 PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (PloUSurvey/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 an~ 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, WaterlWastewater 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 ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n~luded. In the application. A permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y !o vlolat~, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r requiring a correction of errors in plans, construction or violat~o~s o~ any codes. Every ~ermlt 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 Official for a period not t~ exceed n1n~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 f LURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROV ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ATTORNEY BEFOR RECORDING YOUR NOTICE OF COM ENCEMENT. FLORIDA JURAT W5. 7.0 Notary Public Notary Public FtORlDA T__......llH l'",\,l N?~,\~: PI TBll~ ~~\ ~~F;~?,I.UU\ Name of Notary typed. prifitetfdr staniJiettlj~.,j 'TY;;:.: "r) ~~ 01' Z -Ik/ Ir 111111111111 1111I11111111111111I1111I11111 1111I11111 11111111 2007184717 Rept: 1140705 Ree: 10.00 DS: 0.00 IT: 0.00 11/07/07 Dpty Clerk JED PITTMAN~ PASCO COUNTY CLERk 11/07/07 11 : 27am 1 of 1 NOTICE OF COMMENCEMENT OR Bk 7682 PG 1937 Permit No. Property Identification No. 35'-;)1)-62/- L?07tJ -oa OCJO--tJCbL! THE UNDERSIGNED hereby give infonns you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information isrrovided in this NOTICE OF COMMENCEMENT. I PI- pascO /lftdl Cf{,. IIrt s Cukr -P8 .:1.31'"," ~ {A/.es-d- 3....00 l.Description of property (legal description:) ~ 1-01 e:. ~ P6- /7.. a) Street Address: 3ffO:Jd-, ( :3 2.General description of improvements: 3.35W 3.0wner Information a) Name and address: b) Name and address offee simple tleholder (if othe n R c) Interest in property a; 1'7 er> 4.Contractor Information I a) Name and address: &hr""" JI/u.mln(~. .:t.-?t:. O b) Telephone No.: / / 5.Surety Information a) Name and address: b) Amount of Bond : c) Telephone No.: 6. Lender a) Name and address: PI't!x(:;<1;:J 1::i/ lrY./4, rf.- 335'1.2- Fax No. (Opt.) Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713. 13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASC01d . Signa~;1 oro or Owner's A horized 0 fie rlDireetor/Partner/Manager /Y larIU mf)n tn y r~n Print Name J The foregoing inst:ruIpent was acknowledged before mer this &.f -<.. day of 1Ja;.e1Y1...~r- , 20. tJ7 , by ~t1:~ PJO/l/J()..@./1 _ jl~ _ ff~etlt'r (type of authority, e.g. officer, trustee, attorney 10 fact) r /oLtiAo/, >/1. .K-/}/"f j- (name of party on behalf of w~m ,strum~nt was executed). . Personally Known LOR Produced Identification _ Notary Signature ~ {!&L ~ ~ I' 1 NOTARY PUBIJC. STATE OF FLORIDA ....,. -. " ':-W'~ Stacie Hartwig , / J / I Type ofIdentlficatlOnProduce~~ iCo~mission#DD652189 Name (print) .J'"'JL~tJ~ /Y tl/Y-A/i 9 '........",.. ExpITes: OCT. 16, 2009 BONDED TIiRU MLANTIC BONDING co., INC. Verification pw:su~t to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated 10 It are true to the, best of my knowledge and belief. STATE OF FLORIDA FORMSlNOG,rvsd2gpUNTY OF PASCO fHIS IS TO CERTIFY.THAT THE FOREGOING IS A T"UE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUllllC RECORD IN THIS OFFICE, WITNESS MY HAND AND OFFICIAL SEAL THIS...zt.L.. DAY OF ,IIJo 1/ 200? JED ~MAN.~ _OF CIRCUIT COURT BY I4A ?UltfL DEPUTY CLERK '-/