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Home My WebLink About07-7329 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7329 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: 7329 COMMERCIAL ADD/AL T COMMERCIAL NOT APPLICABLE 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 '-0 A b_ -1.414,472.00 ';ilJ.?1' - 12/21/2007 } 7,035.95 7,035.95 12/21/2007 E/R ADDING 12 NEW EXAM RM- T APG ELECTRIC INC. PLUMBING FEE SEALANDER CONTRACTOR SERVICES I~ FIRE PLAN REVIEW FEES MASSEY METALS CO SEWER CONNECTION COMMERC 1, 280.50 MECHANICAL FEE 282.18 FIRE INSPECTION FEES 2,027.61 WATER CONNECTION COMMERC 196.35 120.00 1,801.16 ~(\J 'r " I~D~ 1--~ fp I U 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. 'l,e payment of inspection fees shall be made before any further permits will be issued to the person owning same Vaming to owner: Your failure to record a notice of commencement may result in your paying twice for lrovements to your property. If you intend to obtain financing, consult with your lender or an attorney 're recording your notice of commencement. n ~~ ~~~~ ~O TRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 7050 GALL BLVD- PRMT#7329-CARR CONTRACTING SVC E/R ROOM ADDING 12 EXAM RM SQ. FEET PRICE MAIN OR LIVING: OTHER AREA UNDER ROOF: 4,703 $ 126.50 OTHER: - $ - VALUATION $ 594,929.50 IV FEE SHEET $ 1,870.00 ADDRESS DRIVEWAY BUILDING: $ 1,907.40 ELECTRICAL: $ 420.75 PLUMBING: $ 280.50 MECHANICAL: $ 196.35 SUB-TOTAL $ 2,805.00 RADON: ..- TOTAL $ 2,805.00 SEWER: $ 2,027.61 WATER: $ 1 ,801.16 IRRIGATION: $ - TOTAL: $ 3,828.77 WATER METER:I $ IRRIGATION METER $ I N/A N/A FIRE DEPARTMENT FEES PLANS TOTAL: $ 282.18 INSPECTION TOTAL: $ 120.00 PERMIT TOTAL ;- TOTAL: $ 402.18 PUBLIC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ - N/A SUB-TOTAL $ 7,035.951 PARK IMPACT FEES I $ I N/A SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - N/A T IF 'S 'I $ 99% $ 1% $ : I N/A 7,035.95 , TOTAL: $ ~ C(:.t"t)lt!.~ll~ ~\Jt~~ FEE SHEET COMM ~ RES 7050 ~ \~~. ~~Ult~ f!..~VV\ ~'i-"]I:. B\~ ,~)oST Square Feet: Valuation: Radon: Connection Fees: Sewer: Water: Water Meter: ('JlA '+703 Rate Computed At: j'2.i.Q.'~ Q ./CUse System Calc for Fees) ~~,q'}.q. -;~ I ~\t\ 'W27 (b\ ~ Size 6/11/07 ~ %" 220.00 All Residentials 1" 320.00 1.5" 725.00 2" 990.00 3" & 4" Contact Louie for Quote Irrigation Connection: Nfi1 Impact Fees: 266.00 Plus Meter Charge Above Based on size School: Njlt ~\I) Transportation: ~t\ ~~~ ~'it'f .y::.. ~a.r-I J:>P- Public Safety: t't14 _ ~,~ \.) r<p fut ~r Park: City of Zephyrhllls Water and Sewer Impact Fe. Calculation Land Use Type: Doctor or Dentist Office No. of Practitioners No. of Employees per 8hr Shift Water Distribution System $ Wsst8u'ater ColI~r.tion Sy~tp,m t\\A- ~')T'~b- $ Wastewater Treatment Plant Capacity $ TOTAL $ Impa~:in ~i~--L~~ Outside City Limits 1,801.16 $ r J,e20.aa $ 2,027.61 $ 0' ,44~.69 $ 2,251.45 --- _._.- 4,525.40 2,534.52 9,311.36 i NOTICE OF'COMMENCEMENT I 1111I111111I1111I11111111I11111I1111I11111 11111111111111 111I 2007197492 Rcpt : 1145931 Rec: 10.00 OS: 0. 00 IT: 0. 00 Permit No. 12/04/07 Dpty Clerk Property. Identification No. 3"---c:0--=02 / - 00)0 - /0. ~Oe-" -0000 i~90~}~~M'm': ler~CO 1 CO~~17c7LERr , ' : ' OR BK 770'+ PG ~ , 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, th"t'foJlnwlng information is provided in this NOTICE, OF COMMENCEMENT; C" {).. 1 \ . I.Description of property (legal description:) , ,_~e e. IJ~ OW a)SnetAddre", ~~~ ;;; 2.0enera!descriptionofimprovements: ~~ 'Y" .-- A,~;L,Q (jel, ~G'Jfl2'nJ/l;Y ~Ap.:frnLEl'lyr /-?,(M,~ /CL N~t.J !fYJ4rn :2;_<1 3.0wner rmation /-J I a) Name and address: 'rr Z C)6 y( \ I b) Name and address offee simple title older (if othe than owner) c) Interest in properly' , 4.Contractor Information . ! , a) Name and address: lJr-wi/Q Ll t!.~4/J/l b) Telephone No.: fIla -77CJ~ 7~(..){l 5.Surety Information a) Name and address:_ b) Amount of Bond: _ c) Telephone No.:_ 6.Lender a) Name and address:_ 3'') 'if I JC;OdL: c.JAltU)F}orf) IJJi. lUGsl.JE:v rJh(VJKi p:j.4. <"13';"YI ' . ' ",Pax No. (Opt.) ~r? - 7tlD - f?6~-7 ZEPHYRHILLS COLONY co LANDS PB 1 PG 55 FOLLOWING DESC PROP LYING W OF DAIRY RD R/W AS NOW LOCATED TRACTS 103,105,106,119,120 & 122 & E 100 FT OF TRACT 104 & E 105.76 FT OF TRACT 121 ~C W 187 FT OF E 267 FT OF N 172 FT OF TRACT 103 & EXC US HWY 301 R/W & EXC R/W FOR DAUGHTER.Y RD;& ARBOR RIDGE SUB PB 22 PG 44 LOTS 5,6,7 & 8 OR 3041 PG 160 OR 3154 PG 65 OR 164 PG 724 .I...u.VLU.. ~...u. ted by owner upon whom notices or otherdocmnents may be served: } 6. ~ b) Telephone No.: PaxNo. (Opt.) EJkf - '7/33-c'IOth ' 8.In addition to hUnself, owner designatesilie following person to receive a copy of the Lienor's Notice as provided in Section 713. 13 (I)(b), Florida Statutes: a) Name and address: b) Telephone No.: . Pax No. (Opt.) _ 9.Expiration date of Notice of Commencement (the expirationdate is one year from the date ofrecordlng.unless a different date is . .. j . . . specified): , " . '! , .' , I " 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 RESl)LT 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 INSPEC'pON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOuR LENDER OR AN ATTORNEY BEFORE ::=:::AWORKORRECORD~GYOuRNOTICE~OFCO~, . ~NCEMENT.. '-I ,,'. " COUNTY OF PASCO t/ . . . ro..a<o., ~~ p, ,-I. dA.'; /~ '-/,h 'p fciJ ' , Print Name .. . ' ,/ ' I ' The fore~oingjnstrunient was acknowledged before me this 3P.D day of ' DE C . ..200("]. bY~ \ c..t1A~[:> ByFl5 ~ Pas DlP.Et'1"OA of Pt,.AN1" 'SC=AV,C,e- ~type of authority, e.g. officer, trustee, attorney in fact) for ~ L,oAiOA. Ho5P\1' AI. ZIi<PH)'Rttl~ame of party on behaIfofwhom instrument was executed). Personally Known -/- OR Produced Iden~cation --,- Notary ~ignature h-.U~OUL~ <:-'1C ~~ T)ye of Identificatio Niune (print) oK'...... f!o ~ Po ~''1 "To H-' L. L Verification pursuan '0 e, nder penalties f pexj the factS stated in it are true to the best of my' knowledge and belief. FORMSINOC,cvsd2007 Si 12/17/2007 11:11 FAX 7275300045 APG ELE CTR I C 141001 ~ FRED PETTY, CFC TAX COIJ..EC'X'OR - PINEU..As COtrNTY COURTHOUSE 315 Cou.t Street P. O. Box 1729 Clearwater, .ti'lorida 34617-1729 PHONE: (81.~) 464-3383 FAX: (8131461-6271 August 31, ] 995 RE: Repeal of the Pinellas County Occupational License Tax Ordinance NOTICE THAT NO TAX IS DUE Dear Occupational License Holder: At this time of year I would ordinarily be sending you a notice advising you that before October t, 1995 you would be required to pay the tax for the annual renewaL of your Pinellas County Occupational License. This year I have a rather unique and pleasant experience, for after 25 years of notifying people they must pay taxes, I am now notifying you not to pay the tax or renew the County Occupational License. YOU ARE HEREBY NOTIFIED that effective September 30,1995 the PineHas COWlty Occupational License Ordinance Was repealed by the July 25, 1995 action of the Board of County Commissioners. A copy of the minutes of that meeting reflecting the official action of the Board is attached to this notice. Please understand the ordinance repeal referenced here applies only to the COllil'ty Occupational License Tax. You must comply with all regulatory licensing laws applicable and you must also continue to meet any occupational license requirement of the cities. M w. Fred Petty, CFC Tax Collector, Pinellas County WFP/vl 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-S1 ~-780~0021 Date Received Owner's Address Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Fee Simple Titleholder Address PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK 'z-/4,'Us FlA. d3~t.{ { I LOT# I PARCELlD#1 ~S... J-5 -2( -oD/o - 10.500 -0000 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D JOB ADDRESS YoSo 6,<:JJ...L- f3wdL ~ D D A I 6 D D AOD/ALT REPAIR COMM FRAME DEMOLISH SUBDIVISION WORK PROPOSED OTHER STEEL 1$11~1L r/l./I. D OTHER I I?uJ /...-12 01 Lr BUILDING SIZE 1111 " 111111111111 , II I III 111 , ,. II , 1111111111111 , , , . I III " II , , I III r I II , , , I 1III , , III , . I II , 1111 . 1111 , , . III ,. . 111 , III II III , . 11" III , IIIII r . 11111111 I II czj BUILDING VALUATION OF TOTAL CONSTRUCTION ROOFING D I SPECIALTY D FLOOD ZONE AREA D W.R.E.C. D ELECTRICAL ITf PLUMBING cri MECHANICAL AMP SERVICE VALUATION OF MECHANICAL INSTALLATION OTHER DYES DNO :~~~~~RE ktff~(,~~~ Address COMPANY REGISTERED ~ECHANICAL r SIGNATURE COMPANY REGISTERED License # I e6~ tJ60 C? I( h I 1f:~(i:f~~'C' I Y/N I ~:t''' License # I ~{JOC)O .AI fib' I 6hv/~ I-. ~ FEE CURRENT Y I N License # I~~~ Pl.:}. 71/;;;8 I /f1J65-Y ~d/; f'o'~r7NY _Y / N _ FEE CURRENT I / N~ License # I Address w;* /J II /vo lJ:tJ;,( ~/4L/2-u Be,,) t'?/-}/3JbERUA AI/~ ..2-)/,tL., ~~~ , COMPANY REGISTERED ELECTRICIAN SIGNATURE PLUMBER SIGNATURE COMPANY REGISTERED Address Address COMPANY REGISTERED OTHER SIGNATURE Y I N FEE CURRENT Y/N COMMERCIAL License # 1111111I111111111111111111111111111111111111I11111111111111111111111111111111111I1111111111I1111111111111111111111111I11I111111111 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 wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsions/large projects 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 Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. i:il~~~ti~~~':' , , , , , , , , , , , , , , , , . , , , , , , . , , , , , , , . , , , , , , , . , , , , , , , , , , , , , , , , , , , , . , , , , , , , , , , , , . , , , , , , , " ' , , . , , , , , , , , . , , , . , , . , , , , , , , , , , , , , . , , , , , , , . . , , , , , , , , , 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 (Plot/Survey/Footage) Address 111111111111111 RESIDENTIAL SIGN PERMIT 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 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 uA", 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 Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\~ob 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 OTI OF C MEN EME FLORIDA JURAT (F.S. 117 3) ! CONTRACTOR C. Ap..L.. k. E:'A 1-" N Subscribed and sworn to (or affirmed) before me this n p-a-a" b~ CI>.PoL.. If. ~E"A LAN/:> e.... Who Isfare ~so ally knoWD:l\!t me or has/have produced as identification. &6..u~~ ......u Notary Public ~~ ~ Notary Public Commission No. Name of N Name of Notary M\' J."iI.ON . 00338717 EXPIRES: July 19, 2008 IlondId Thnl NCIIIIY PIlblIo Undt/WltleII Commission No. 12/18/2007 17:18 I i/LUJ i/IllL'I~ Ij{ ~ j " . . /' 11S.11O-11020 813-523-2138 (~I L.ttll1li"II.L..';' L.lJluJl...... J'~:. "., ,". ~~~:~Y METAL COMPANY ,. , CI\y~' 2*!lh.,mlh Pellult APP"~~on:' " . '. ' ' .au~G~" '.:";,:'.:'~" , .~~ \~:.~: II .'il' :~ .f'-. 'JWIoD--' . :, .ullill~.: '. WDllK'.o~9~'!D / 1,.1... ,Dee~"'~. CJ . ~r:Tt\lC~ ~ I "UJMB~. .., IT1,": ~PAl.' ~II". IiLl~~ IlVlIlA1'\JlU; ~ ,', "'''''*Itl, , . ,.....TllU ' MAlA.... ~PlAMIOM. ~ ,~"l\Illi. MIIrt... .... 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" "::<,\,:y~,; ~~'.':.': ~~."...~.::,~~".~~ .~~',.:.j~.::..: .,< .; .:'.; ;~'.:, ~ ; ~~: Q-"~"--"'~'~ ,....' ..,," ",.' ...-.... " ".""tII!I',.~.."'~..............~...~.VW...'" .....'..' - .:' : "\ ,":. :",,-": ..'~ ,\/I;', ..._.."'.--.._._....__............~""'~~~.;,F :'..' . -ovIl\llIIOOUM1IlU'lllMmtlll) tl'1lllIl r","""OIffi' " ..... .."r .-.,.,~.. .. ~~~~~~~_~JI~-~:~:(.~:;~~:!~iifK~ ... .....11". PAGE 02 ZEPHYRHlllS FIRE DEPT No. 0060 P. 1 Zt:~HYKHILLS FIRE DEPARTMENT 6907 Dairy Road. ZephyrhiHs, FL 33542 Bus (813)780-0041 Fax (813)780-0044 RRE SERVICE USER FEES Nov, 16, 2007 7: 50AM Fire Chief Keith WiDiams Occupancy '[j Plan No.= ~ - Business Name: Business Address: Business Phone No.: Business Fax No.: Contad: ~'?~ ~- #3 PLAN REVIEW FEES B Slle PIIrI HIe Mulli-FanlilrlCant__ ,08 . (Itinum CI'Iqe $25,00 o hn RftIsians DBL INSPECTION FEES ~AnnuBJ NIC 1 1If R...flIpedion N1C 2nd RMllf*tiun '1m 3Rt R6-inepedior, S250 4h R.e-Inspectlo.. Sl500 (~CIClMd uIlII viaIIIIions CllftIICted) ~SYSTEMS ~ ~ UndergnIunds $45 ~T_ S65 per.,..", .Accept.- Tell S45 ,.., IIWIMI I-IyihIt FlClw S15 SPRINKLER SYSTEMS BO-25HIIIdt sso 26 plUB He8dI $100 BTMDPIPE SYSTEM o PI!' R_ $SO FIRe PUMP o Per Pump $100 FIRE ALMM 6Y5TEM B Q - 25 DfMce$ $50 PRE ~ $TSlEM 28 plus DevicE $100 B SyIIIm Accepb..... 150 ~SU:."AESSION8VSTEMS I5D .~R~ ~ ~ DIy $SO F_ w.tIIIIIIDlIa W8II $15,..,... C02 $SO.. LP Ga $2S per_ Other 150 NIIlunII GI5 $25 '*...... KlTCttI:N EXHAUST DHaadlDuct5 OllER B LP InslIIIIIIiDR .....181* Fuel T..-~ (Per Tank) o .... G..- ......... (Per System) o SJlIIIY 800Ih $50 ~T. 10)r1lr..... Fire P\Inp $50 Fn ~ $SO SysbIm ~ $50 B EJlbIIuGt ~ S30 $SO R...~ DBL (dher lhIn 81l1'1UB1) $50 0 Inspdon lIICh8IlIled DBL Irld caJCeIIId _1IIIn 24 hocn )<1> 8 CcInIInacUan ~. NIC PLMSTOT~ =:..~:~- "5 .._ $45 $3D Ollrnrnents: fl GRAND TOTAL ~ ~'1.l ~\6.c\~ BiDing Phone No.: Billing F.x No.: Contact: P!RIIIT ~ FALSE AlMM FEE 1. AIInn NIC 2IId AIIrm NIC 3nI AIInn NIC 4th Alann $100 5Ih AIiIIm '150 6Ih AIann $200 NON~ $150 SprInIdw S18ndp1pes AnI Pump Hooda Fire AIIIrm LP GIl$ NlIbnI GiI8 F~ Tena- per_ ~ ,Fh Warb c.mp FarerCanlnlIkld Bum HDadIOullt PIiloe ~ As&embIy Fn Pl1I6ec:lioo $SO $SO S60 150 $SO ISO $SO $SO SlOD S500 S25 $100 $50 $9) """.. $2S s:IO MoooIIII _ AnnftI $100 150 $100 _ $SO S!iD '100 A~ B PERMlTTOtAL~ t,f' ~d.. ItfJ FALSE ALARM TDTALc=J Date: 1~'3f~ Insq;ctor. Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Kerry Barnett Bus (813) 780-0041 Fax (813) 780-0044 December 13, 2007 I have reviewed and approved the plans for a remodel at Florida Hospital located at 7050 Gall. I have attached the comments for the plan approval. If there are any questions please contact my office at 813-780-0041. 1. Building construction shall be in compliance with the Florida Fire Prevention . Code. 2. Separate plans are required to be submitted to obtain a permit for the sprinkler system. Plans shall be in accordance to the edition (2007) ofNFP A 13. Plans shall provide calculations, all details and specs. 3. Separate plans are required to be submitted to obtain a permit for the alarm system for sprinkler monitoring. Plans shall be in accordance to the latest edition (2007) ofNFP A 72. Plans shall provide battery calculations, all details and specs. Copy of certificate of monitoring company also will be required. Inspections Required 1. AIl rated walls shall be inspected. Each layer of rated drywall shall have a screw inspection prior to being taped and mudded. 2. AIl fire dampers located in rated wails shall be inspected for installation and operation. 3. AIl penetrations in rated walls shall be inspected. 4. AIl life safety and critical lighting shall be checked. 5. Additional inspections will be associated with other permits that are required. 6. Overall remodel finaL ..----.--.. .--- ...- City of Zephyr hills ; "BUILDING PLAN REVIEW COMMENJ3S Site: 01<< Mad>ry' oJ/i /2-Y()/ j1J5D wtrl( ~/Jjj - Sld/6/iJ-.!!-f ftiK'- IotTm 1E-;(.IJe;J'6. . 1JIIj/~ /2 .. . . Approved w/thh below comments: D . Denied wIthe below comri:1ents: 0 ContractorlHomeowner: Date Received: Permit Type: Approved wIno comments:D This comment sheet shall be kept with the pemiit and/or plans. . I Contractor andJorHomeo'WD.er (Required when: cmMnents are present) 12/18/2007 13:05 813-623-2138 MASSEY METAL COMPANY PAGE 02 A~' ~~~ lJ~,~ 7 .~ STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESS~ONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L0705080070S L~CENSE NBR .OS 08 2007 060135048 CSC056658 The SHEET METAL CONTRACTOR Named below IS CERTIFIED .'Under t.he provisions of Chapter .489 FS.. BxPiration date: AUG 31, 2008 . ....1. ..- ., .. '. MASSEY," . RONALD ALAN MASSEY METALS COMPANY : .2501 .N 29TH BT . ';l'AMPA FL 33605 CHARLIE CRIST GOVERNOR DISPLAY AS REQUIRED BY LAW . HOLLY BENSON SECRETARY acc. CODe 090.027 BUSINESS TYPE CONTRACTOR-SHEET METAL EXPIRES 9-30-2008 FOLIO NO. 40 I RENEWAL l~ 1915.0000 J H. WASTE TAl< 5UltCWARGE 40.00 72.00 2007-2008 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT . I~CllmEB~~CNNe$ 0 LOWOMB 0 I RATB 0 IIMPLOVEEB 007 -2QDap~~08LVD NAME MAILING ADDRESS MASSEY JAMES DBA MASSEY METALS CO POBOX 89297 TAMPA FL 33675-0560 BUSINESS TAX RECEIPT DOUG BELDEN. TAX COLLECTOR 813-135-5200 . THIS BI!COIIIIS " TAX. RI!CIElPT WHI!N VALIDATED. PAID - 9239 - 85 08110/2001 *.... 112.00 HAIl HMeIY ""'D A ....IVn..EOE TAil TO ENGAGE WI BUBlNEBB. PROI'l!S$lON. OR ClCCU~AT1ON B~ECIMO HeREON. 12/18/2007 13:05 813-523-2138 1I1;1J1 10; L.UU II I VII 11.:Jot J\1n mu I~ rl!q~u II~ .J\n> MASSEY METAL COMPANY nl^ IlV, II./ ';lJ .)!! I PAGE 03 j. VUI .~. CERTIFICATE OF LIABILITY INSURANCE I '.l'1lll'lMlDlItY'II 1V18107 ""oDIIO," 727-7se-leeo TH18 CiRTlflCATE 18 I&IUED AS A MAnER OF INFORMATION Weill Fargo In.urenel' Servic;.. ONL.V AND CONfI.... NO "IOHre UPON THE CERnFlCATI! HOLPeR, THIS C&fITIFICATE DO&8 NOT AMEM>. EXTEND OR P.O, Box 31888 AlTER THE COVERAGE AFFORDED .V THI! POLIClIS IELOW. Tlmpl. I=L 33631-3886 INSURERS AFfORDING COVERAGe IHIUMO Ma..ev Metel. Compen.", Inc, IN~A; Twin Cflv f'1r1 111I CG J~I, Zenith In'l.I'lnCI Co-OB M0880V FDbric:ctors. Inc. JNI~C:: Hlrtfv,d C..uelw Ir1e Co P.O. Box 89297 7smpfJ FI. 33688 '"'~ II: -,-_. COVIRACiES TttI ~LIC:EGOF INIUAA"CE'l.IS!.~ 'ELOW HAVniE" IiiUiDTOTHE i'ijiUiiiO-NAMllfAioVi'foft THE"POi.a'jo..'iOD'WO'il:ATiO: NOTwf(Hif~1WiN'ij ANY REQUIREMENT. TINo1 OR CONorrlON OF ANY CON'Tf'ACT OR OTHlR OOCU....... wrnt REIf'iCT TO WHICH 114. cemFtCATl: MAY ae ISSUIO OA MAY I"IRTAlN. THE INSUftNlCe APFOfIDEO 6V THE POLICies DEsc:mem HEIlElN IS SUBJECT TO AU.. THE T9lMS. EXCLUSIONS AND CONDrTlONS OF SUCH ,"OUClEI. AlJOfliOA-rw UMfTllHOWN MAY HAve I!IN MDUQO 8Y ....to ~ ~ I'l"l: Y'VN0l'1IIIUIWICI! I'OUCVIMIIIIl ~ UMITI A ,,!!"Ml.UAIlUTY 2'UUI\tUT4HI~ 11/01107 11/01/08 U.CH OQCUIIMHQi . ",A'l/'"'' ~ pM,~IllCI.&L ORNiIlAL Ud'UTY "II! llAM"'! ,,.,,, .ft, llrtl . :10....0" CLAI1l41 N1AO! [!] OCCVII MID fXP ,"""___ , 1..../10 I-- ~L,....II\1"""UI\... . LO""OOO CICII'I~_T~ . 2000000 GIN'\. .'(IElAn UNT un ,~, PIlDIIUCT8. CD_IO'_ . 'lIlnUIU, W roue... n ~~ .:oc: A ~OMOIU UMlUTY :ZlUUN\,JnHI~ 11/01 to7 " 101108 00Me1lCl IIIOGl.e UMT . ~~~D CIIa_ UOOOOO ~ AU. OWtfIO AUf08 eopl\.Y 1N.NI'lY" .,.. .... , ICHlPUI.fO """" ~ H~ .wrOI: IDolLY IH.IUIII'I' . ~ "'~AVTO& C~ .......1I _rJITY __ I ,......-., 0AlWI!! WIIIU1Y NJTO ClHlY - 'A /IoCCIO!M" . ~-.-HV "LITO OTIlOTHAH i" lICe I AUTO OJil..\I: AQO . C Illcael.lQLlT'l' 31RHUTT9000 11101107 11101/08 r~~ OCQUlllilMCi . ."....11.... ::iJ OCCIAl 0 C~I "'AIlE AClGIl!CIATl! . 1I11I1/1011'''' . ~ lltDUOTlllU . X IIfTW'IlON . lOdOoll , . WOtlllIRl =__ATIOft AND Z'a07~"'7 3/3'/07 3/31108 ~ ID~ _1.O'f!Rt" ~"lY ..~ lAC" IlCCIOIHt . 1l>l>...."1l. E.L DIIE'-, iA BH\RYEE . 1110111100 e.L. DI'IASI- P'OUc:'V I.NlT . 1110Daall A OTHIUl 21UUNUT4183 111'01107 11101108 EQUIPUliNT L.EA8EDlflENTED 'HXl,OOQ oi"" AJ:n D__,,"O'" OF O....TlONIILOC..l1C1M1N1110LIIIlllCW*lO... AD_ I" INOClMCMINT,.lI'l!ClAL NeVlIlDlIlI ..... ....-.-.-.... ... .-.-------~.-..._---.-.--.-........-_"'...... "'M.'__, ....,.,...-....._..- -,....... ......,...._,....._..........,..............._...~..._......._. ...... ..I'U"........ .......... ...... ._..._... _ ......._... '''d__.__... .............___ ..._.. . - ...... ..... ..... .... ,.-...... -..........-...-..., -- ...-.. ....---. "-'. ............ ... ......-.-. .............--.....---...... .._.._...._..__.._._.._ ... .__ NO' ....., ... ...._.__ .......--.......... ......--...-...- . -...-.------. ..---- .. Fl.A STATUTe MANDATeS 10 DAVS NOTICE DF CANe. FDA NONflAY OF PREMIUW CERTIFICATI! "'OLDIM I I AoDITIO....L 'NIIu"e", ..u.... wrrM, CANCElLATION CITY OF ZEPHYRHILlS ,"OUYl Nrt ", T"I AIOYI _CIIM& JIOUC* II C~ 111'1)1III TIll &I(JlIJU.TIC>>l PATI T....O.., 'TIle IAUlII8 """"'" WIU. INlltAYOlI TO MAIL ~ DAYI WIlTTDl BUILOING DEPT NOTQ TO Till c:ill1mO'... MOUIH IUMIIl TO TIll Llil'f. IUT FAlLUIlI TO 00 SO SHAl.\. 6336 8TH STREET Jl8ClIt 110 OILIGATION 011 UAIIUrf 0' IIIf'I leWD ,WO/l/ 'rHf ~ ItS I'OINT& 011 ZEPHYRHILLS, FL 33642 """"ATI\IeI. A'/ ~~ATIft ~_ .-.- ....,. ACORD 260& (7117) 48.36 . ACORD CORPORATION '988 DEC/18/2007/TUE 11:55 AM Wells Fargo Ins Svs FAX No. 727 799 5117 p, 001/002 A CORD... CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIPDIYY) 12/18/07 PRODUCER 727-796-6666 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wells Fargo Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 31666 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa, FL 33631-3666 INSURERS AFFORDING COVERAGE INSUREP Massey Metals Company, Ino, INSUREIl A: Twin City Fire Ins Co Massey Fabricators. Inc. INSURER Il~ Zenith Insurance Co-DB P.O. Box 89297 INSUREIl C: Hartford Cssulllty lOll Co ~ampa FL 33689 INSUREFI D: INSURER E: COVERAGES THE:" POLJCIESOF jlllsuRANC'E LiSTED BELOW-HAVe 'BEENiss'liEoi'O-THE iillsuREo'NAMEci ABOVE FOFI TifE pOLiCY PERioD iNDicATED': NotwiTHSTANDING ANY REQUIREMENT, TE~M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~: TVpe O~ INSURANCE POUCY NUMBER ~lJ.'~frM~~' Pg~il,~~~wr LIMITS A ~I!RAL UABllITY 21UUNUT 41 63 11/01107 11/01108 EACH oeeUFll'l&Nea . 1000000 .lS.. eOMMeFlClA~ GENERA.~ UABIUTY FIRE DAMAGE (Anv one lire) . 300000 ~- CLAIMS MADE W OCCUR MED exp IAny one 'plIt$anl $ 10000 - PERSONAl & ADV INJURY . 1000000 - GENeRAL AGGREGATE e 2000000 - GEN'~ AGGREGATE UMIT APPn PBI' PIlODUCTS - COMP/OP AGG S 2000000 Xl pOllev n p'~g; Lac A ~TOMOBlLE UABIUTY 21UUNUT4163 11/01/07 11/01/08 COMBINED SINGLE liMIT lb occident! s 1000000 L ANV AUTO I--- AU. OWNeo AUTOS BODILY INJURY hpersan' . SCHEDULEO AUTOS I-- ~ HIIlEO AlITOS ElODILY INJURY . ,.x NON-OWNED AUTOS (per eccldent) PAOPEA'TY DAMAGE S (Per IlCcldentl GARAGE UABIUTY AUTO ONLY - EA ACCIDENT . C=j ANY AUTO OTH~ THAN EA ACC S AUTO ONLY: AGG S C EXCESS liABILITY 21RHUTT9000 11/01107 11/01108 EACH OCCURRENCE . 2000000 t2SJ OCCUR 0 CLAIMS MADE AGGREGATE . 2000000 S g OECUCTIIlLE . X RuENTION S 10000 S El WORKERS COMPENSATION AND Z830729817 3/31/07 3/31/08 X I T~~.rr~S I IOJ~ EMPLOYERS' UABIUTY E.L EACH ACCIDENT S 1000000 e.!.. DISEASE - eA EMPLOyEE . 1000000 e.L DISEASE - POLICY LIMIT . 1000000 A QTHER 21UUNUT4163 11/01/07 11/01/08 EQUIPMENT LEASED/RENTED $100.000 SCHEDULED $182450 DE$CRIPTION OF OPERATIONSIl.OCATIONSNEtlICLEl/iXCl.USIONIO ADDED BY ENDORSEMEHT/SPEClAl PROVISIONS . .. ... ........_-_.. ..~_. ---._.._~_...... ----....--.-..-.--.....--...---. ..-.---.-.-.-....-..-..--.- ---.---...---....--..- ..-.-...----. .... .--....-...-. __.._.__ .._.___.._.._...u.__....._._.._.. .00 .- .. , .. , - , .. .. ., .... . ,- .... ..... .. .. - .. . ....... . 1- 00 - - . , .. -_. I FLA STATUTE MANDATES 10 DAYS NOTICE OF CANC. FOR NONPAY OF PREMIUM CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURelI lEl'TelI, CANCELLATION CITY OF ZEPHYRHILLS SHOULD ANY Of THE ASDVE DE8CIUBEtI POUClES lIE CANCeUED eEfORE THE EXPIRATION DATI! THEREOF. THE ISSUING INSURER WIU. ENOEAVDR TO MAil ~ DAYS WRITTEN BUILDING DEPT NOTI~ TO 'nlE ~Il'T1FlCATE HOLDER NAMED TO TilE 1E1'T. BUT ~AlLUAE TO DO tiO SHALL 6335 8TH STREET IMPOIlE NO OeU$ATlON OR UABIIJTY OF ANY KIND ,UPON THE 11ll8URelI, ITS AGENTS OR ZEPHYRHILLS, Fl 33542 AEPllESENTATlVES, // AUTHDRlZED REPRESENTATIVE ....//- I ......--HfIY l../ ACORD 25-5 (7/97) 46. 36 Ii ACORD CORPORATION 1988 Page 1 of 1 Jacqueline Sages From: Billy Poe Sent: Wednesday, December 12, 2007 10:48 AM To: Jacqueline Boges Subject: Florida Hospital Jackie, The hospital still needs to: 1. Construct the sidewalks along Dairy Road and Daughtery Road. 2. Landscape the parking lot that was redesigned. Billy tiJ if ~ 12/12/2007 Page 1 of 1 Karen Miller _.*,.'~~.~'~~'~_.'.- ".'_'__~_'__^~'~'__V~_~~~~~__'~""'~~'~"_"'_"_'^_ "-~,',_,'m..._~~~~~__.,__,~~~__~~._w....^~~~C ,,,,,^~^_,~,,~,,c,~,_,V""'~'V'V""N_"~_^~'~_.~m...,_~~~_'---",~.~~~.,_ From: Karen Miller Sent: Thursday, February 14, 2008 3:01 PM To: Todd Vandeberg; Billy Poe Cc: Bill Burgess Subject: Development Order - ER Renovations Importance: High The below commercial property has requested a Development Order. D.O. is only been sent to the Planning department due to outstanding issues from previous permits. Before a Certificate of Occupancy can be issued we need your review/inspection. Please advise if your review/inspection will be delayed. We will need your comments and/or sign off placed in our Development Order Book located in the Building Department. Thank you. Karen Name of Business: Owner: Address: Type of Structure: FI Hospital of Zephyrhills FI Hospital of Zephyrhills 7050 Gall Blvd ER Renovations Approval from Planning for: 7. Construct the sidewalks along Dairy Rd & Daughtery Rd 2. Landscape the parking lot that was redesigned 'l(p.ren fMilfer City of Zephyr hills - Building Dept 813-780-0020 ext. 3513 813-780-0021 Fax kmiller@ci.zephyrhills.fl.us 2/1412008 Page 1 of 1 Karen Miller _~"'_~~~~~~'~,~.'~~Nm~~"'__v v"_,^~,~~~~,".'~~__~N^~'__~~'_~~",~,~~~~,~~~,,,~__,~~~~_____'__'__'_^'__V___'^___.W'_~' """""~"_V^'_~'C~C'_'_"'_'_"'~W"W~'~'V^~W~~~_~~"._'._.'A~'.'~.~.v~~_ From: Billy Poe Sent: Thursday, February 14, 2008 4:57 PM To: Karen Miller Subject: RE: Development Order - ER Renovations Karen, Do not issue a Certificate of Occupancy until further notice. The issues that you have listed below have not yet been resolved. Billy From: Karen Miller Sent: Thursday, February 14, 2008 3:01 PM To: Todd Vandeberg; Billy Pee Cc: Bill Burgess Subject: Development Order - ER Renovations Importance: High The below commercial property has requested a Development Order. D.O. is only been sent to the Planning department due to outstanding issues from previous permits. Before a Certificate of Occupancy can be issued we need your review/inspection. Please advise if your review/inspection will be delayed. We will need your comments and/or sign off placed in our Development Order Book located in the Building Department. Thank you. Karen Name of Business: Owner: Address: Type of Structure: FI Hospital of Zephyrhills FI Hospital of Zephyrhills 7050 Gall Blvd ER Renovations Approval from Planning for: ,. Construct the sidewalks along Dairy Rd & Daughtery Rd 2. Landscape the parking lot that was redesigned 'l(p.ren :Mi{[er City of Zephyrhills - Building Dept 813-780-0020 ext. 3513 813-780-0021 Fax kmiller@ci.zephyrhills.fl.us .2/1'510~ L\Jm {:.x &~ 2/15/2008