HomeMy WebLinkAbout08-7914
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7914
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv, Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
7914
COMMERCIAL
ADD/AL T COMMERCIAL
NOT APPLICABLE
Address: 38111 MA K SQUA
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-03900-0020
21,150.00
6/03/2008
495.00
495.00
6/03/2008
INTERIOR RENOVATIONS
Name: FMC MARKET SQUARE
Address: 38135 MARKET SQUARE DR
ZEPHYRHILLS, FL. 33542
Phone:
MARTIN ELECTRIC
SHOUPE ROY LEON JR
KINSEY CENTRAL HEATING & AlC
E I
35.00 MECHANICAL FEE
35.00
F' ftY1~ 0 g
1'~ 1</
LUM
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,
REINSPEC110N 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
re recordin 0 otice of mmencement."
T RSIGNATURE PERMIT OFF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813)780-0041 Fax (813)780-0044
Fire Chief Keith Williams
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: ~ ~ \i
Business Name:
Business Address: ::-:- ~ , -- ~ '11
Business Phone No.:
Business Fax No.:
Contact:
fJ.l~
PLAN REVIEW FEES
~ Site Plan N/C
I~ Mu"i-FamiIy/Comme~
(Minimum Charge ~~
o Plan Revisions DBL
INSPECTION FEES
N/C
N/C
$100
$250
$500
$100
Annual
1 st Re-inspection
2nd Re-inspection
3rd Re-inspection
4th Re-Inspection
(Business closed until
violations corrected)
SPRINKLER SYSTEMS
~ Hydro Undergrounds $45
Hydrostatic Test $65
Acceptance Test $45
Hydrant Flow $75
per system
per system
SPRINKLER SYSTEMS
B 0 - 25 Heads $50
26 plus Heads $100
STANDPIPE SYSTEM
o Per Riser $50
FIRE PUMP
o Per Pump
FIRE ALARM SYSTEM
B 0 - 25 Devices $50
26 plus Devices $100
SUPPRESSION SYSTEMS
B:: ::
Bother $50
KITCHEN EXHAUST
o HoodIDucts
OTHER
B LP Inslallation per tank
Fuel Tank Installation
(Per Tank)
o Natural Gas Inslallation
(Per System)
o Spray Booth
FIRE ALARM SYSTEM
B System Acceptance $50
Recall Acceptance $50
~ OTHER
Fire WalllSmoke Wall
LP Gas
Natural Gas
$15~1
$25 per lank
$25 per system
$50 ~ Tent 10'x10' or greater
Fire Pump
Fire Suppression
System Acceptance
B Exhaust HoodIDuct
Re-inspection
(other than annual)
$50 0 Inspection scheduled DBL
and cancelled less than
24 hours
B Construction Insp. N/C
tt!..-, D Emergency Vehicle ACI $50
PLANS TOT~ INSPECTION TOTAL~
$15
$45
$30
per lent
$50
$50
$50
$50
$30
DBL
GRAND TOTAL
Comments:
Contractor. Jeg,~(' (;J,~~vh'a7
Billing Address:, 7t,t1..o 'J'f:.... /VL
Billing Phone No.:
Billing Fax No.:
Contact:
~)c~- 7/t/ ....S-~~
PERMIT TOTALc==J
I ., /IJ3,S1i; ~
PERMIT FEE
$50
$50
$50
$50
$50
$50
$50
$50
$100
$500
$25
$100
$50
$50
$25
$50
$50
$100
150
Sprinkler
Standpipes
Fire Pump
Hoods
Fire Alarm
LP Gas
Natural Gas
F~I Tanks- perlank
Sparklers
Fire Works
Camp Fire
Controlled Bum
Hood/Duct
Place of Assembly
Fire Protection
Flammable Application
Waste Tire Storage
Generator < t<NII
Generator >30 t<NII
Bic-Hazard Waste
Fumigation Tenting
Torch Pot/Applied
Haz. Materials
B
FALSE ALARM FEE
1 st Alarm N/C
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $100
5th Alarm $150
6th Alarm $200
NON COMPlIANCE $150
Annual
Annual
Annual
$100 Annual
$50
$50
$100 Annual
FALSE ALARM
TOTAL I
Date:
Ins~ctor:
0-/30 Io~
.&" &mJ. -~
813-780-0020
City of Zephyrhills Permit Application
. Building Department
Fax-813-780-0021
Date Received
Owner's Name
Fee Simple Titleholder Address I
38111
fI\~, ll:.~:\-
LOT# I
.s" \.H~ re.., I
I PARCELlD#1 Ol/~fo,.. ~- OOID ;' 7J31riU- OOZO
(OBTAINED FROM PROPERTY TAX NOTICE)
D NEWCONSTR ~ ADD/ALT D SIGN D MOVE D
D INSTALL t::j REPAIR
PROPOSED USE D SFR D COMM D
TYPE OF CONSTRUCTION D BLOCK D FRAME D
DESCRIPTION OF WORK l ~\..l +e..r-l '0 r KeNo if A+ IOM's
BUILDING SIZE I I SQ FOOTAGE I I
[2i' , , , ~~,~~;~~ ' , , , ., , ' 'i~ ' , Z':; , : ';~~ ' , , , , · i' , , , , ~~~~~:~~ '~; ~~~~~ ~~~~~~~;;;,~~' , , , , , , , , " ,. , , , , , , , , ' , , , , , , , ' , , , , , , , , ' , , ,
1$ 7600 I
1$ ~ZLX? I
1$ 37~ I
D ROOFING D
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
D ELECTRICAL
D PLUMBING
D MECHANICAL
D GAS
AMP SERVICE
DEMOLISH
OTHER
STEEL
I
D
OTHER I
HEIGHT I
D
o
W.R.E.C
PROGRESS ENERGY
OTHER
~D~
VALUATION OF MECHANICAL INSTALLATION
FINISHED FLOOR ELEVATIONS I I FLUOD ZONE AREA DYES ONO
III'.. 11'1... I' ,I..., 'I p., p..." 1111. III"'" I tit. '11"" 11"'1; III" (11'1. .1'1'..' I. I' P 11111.'.' I" III 1'.1. I" II. p. I., 111'1..." 1"'..1'1. I".. I ,
SPECIALTY D
BUILDER
SIGNATURE
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address/
OTHER
SIGNATURE
COMPANY
REGISTERED
Address
License # I Cb c.. ; Lr3 OLj /
LC. e C7,12 ("( $>1) C
FEE CURRENT Y / N
License # lEI< /3oo/3?J"3
License #
~ 1{)5 f)~. C o...J 1"~
Y /)( I FEE CURRE T
1-(0.:/7 #;1:0:.1
Y/N I
License #
FEE CURRENT
License #
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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) complete sets of Building Plans plus a Life Safety Page; (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.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions:
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 AlC 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 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 Ar-eas 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 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 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) mo~ths after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a penod not t~ exceed nrn~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 IN-':END TO OBTAIN FINANCING, CONSULT
WITH YOUR LEN ER OR AN ATTORNEY BEFORE RECORDING YO OT F C E EMENT.
FLORIDA JURAT (F.S. 117.0 ~ '
Public
EXPIRES: August 10, 2010
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
May 30, 2008
Plan Review Comments
I have reviewed and approved the plan for an interior remodel located at 38111 Market
Square Dr under the following conditions. My comments have been placed below.
Please contact me if you have any questions with regards to my comments.
1, Firewall shall be continuous from floor to roof deck and fire caulked at roof deck.
2. Panic hardware required on rear exit.
3, Address rear door.
4. Smoke detectors shall be hardwired with battery backup and tied together.
5. If sprinklered, sprinkler modifications shall require separate plans and permit.
6. Certified fire extinguisher required in accordance with NFPA 10.
7. If sprinklered, knox box required. Occupant may want to purchase a larger box so
other Florida Medical Clinic buildings can utilize because it will be required once
those buildings are inspected. (those buildings that have a sprinkler or fire alarm
system) 1 box per 4 units. Application provided,
8. No storage can be located in rear room at rear exit. Can not exit through a storage
related room.
Inspections required:
1. Firewall inspection,
2. Building final.
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Site:
'~rLu- ~
-
S-~ I-O~
'38(11 ~W- ~
'-'1\~'() V ~
.
Contractor/Homeowner:
Date Received:
Permit Type:
Approved wino comments~
Approved w/the'below comments: 0 Denied wIthe below comments: 0
shall be kept with the permit and/or plans.
5/ 3D -6 ~
Date Contractor and/or Homeowner
(Required when comments are present)
Florida
Medical
Clinic
BOARD OF DIRECTORS
PAUL HUGHES, M,D., J.D.
President
MARK EISNER, M.D.
Secretary
CHANDRESH SARAIYA, M.D.
Treasurer
DAVID SIKES, M,D.
Vice President
BARRY FRANK, M.D.
Vice President
EMILIO DOMINGUEZ, M,D.
Member-At-Large
IRA GUTTENTAG, M,D.
Member-At-Large
June 3, 2008
JOE DELATORRE
Chief Executive Officer
COLLEEN CUFFE
Chief Operating Officer
To Whom It May Concern:
Florida Medical Clinic authorizes the following to perform work on its
premIses:
Tedder Construction Inc.
37420 Moore Drive
Dade City, FL 33525
If you have any questions, please contact me at 813-780-8774.
JZ;elY,
f~~"
Patt Hurle
Associate dministrator
ALLERGY/lMMU NOLOGY. CARDIOLOGY. DE RMATOLOGY. FAM ILYPRACTICE. GASTROENTEROLOGY. GENERALSURGERY
HEM AT 0 LOG Y I ME D I C A LON C 0 LOG Y . H 0 S PIT A L M E D I C IN E . IN F E C T IOU S D I SEA S E S . IN T ERN A L ME D I C I N E . N E P H R OL 0 G Y
OPHTHALMOLOGY.ORTHOPAEDICS.PATHOLOGY.PSYCHIATRY.PULMONOLOGY.RADIOLOGY
RHEUMATOLOGY.SLEEPDISORDERS.UROLOGY.VASCULARSURGERY
38135MARKETSQUARE. ZEPHYRHILLS, FLORIDA 33542 · 813.780.8440
NOTICE OF 'COMMENCEMENT ,
1111111111111111I111I11111111I111111111111111111111I1111111I
2008082148
Permit No.
Rcpt : 1184178 Rec: 10.00
OS: 0. 00 IT: 0. 00
06/03/08 Dpty Clerk
~~90~J~~M~~:1~%C01CO~~Tl CLERK
Property Identification No. OR BK 7850 PG 1943
, THE UNDERSIGNED hereby give' informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following infor;mation is Ilrovided in this NOTICE OJ; COMMENCEMENT. . I' 'r/tiit.f,J'
, l.~f'''''f 1... (/~ C! D lOAJ( cc""""fJ~t'J '1 t.. ,qnJdJ P i3 I pc..-:::;r- 1'0'- ~ r I I .
l.Description of property (legal description:) 3? -4-,/2. Jj("~ M Co".., 19 f Sv:J Coro+ IV';; ><-t 0 ~ .~e.c. TN ~lJi- n'
a) Street Address: ,"1$/,}5*" =Arl$.~'/.- ..5., V-9,q~ ' ' "
2.General description of improvements: ' .:::r iV e,.r /o,e , ~ AJ() VAl,,' OV S '
3.0wner Information ,
a) Name and address: ,PIc.Il..-d;q m€p;'<:!4/ CeiIJf(r.3'8tSf t1?~('kl-' -S:].Jotre.-
b) Name and address of fee, simple titleholder (if other than owner)
~ c) Interest in property , .'
, onlractor Information ' ..-r- ' , ,',0, " ,
, a) Name and address: .! CDi:JtFtl.. Ca~kvd-..o,J .3?YLC> mooe e ..P~
b) Telephone No.: . ~')~ - Se.. 7 ~ ~ 0 '='</ ' "Fax No. (Opt.)
5 .Surety Information '
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
J/AOE C;"s.
bO
, ~~
r?J1J
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 iri Section
713.13(I)(b), Florida Statutes:
a) Name and address: ...
'b) :Telephone No.: ,Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expirationdate is one year from the date ofrecordmg,un1ess 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, ULT YOuR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE f:0 NCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
C~D
Signature o'f Owner or Owner Authorized OfficcrlE>ircctorlPartnerlManagcr
"'0- ' ) .dUb Dt=;"lrnrollf'
Print Name , '
The foregoing instrument was adm, oWl~d-fe.9--QefOre me this 3 cd- day of -:JU I) e ., 20 oj. bY 76-e Df> I aJorr.tL
as ('r:: () .' (type of authority, e.g. officer, trustee, attorney
infact)for 'F{IH(i/:i.- /}\eJ(c.aJ C! /',uc- " (nameofpartyonbehalfofwho instrument was executed).
. . ~ ~
PersonalJy Known VOR Produced Identification _ Notary Signature . IW
, /
Rita ykes
NoIllIY PIbIic Slate of Florida
. nnA,11A.,.,
~ 5, 2010,Expir&tion Dele
T)1Je ofIdentificati.on Produced
Name (print)
FORMSINOC,rvsd2007
:e-tead the foregoirig and that
'ferification pursuant to Section 92.525, Florida Statutes. Under penalti
thz factS stated in it are true to the best of my knowledge and belief.