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HomeMy WebLinkAbout08-8361 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8361 BUILDING PERMIT Permit Number: 8361 Address: 7050 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-10500-0000 Improv. Cost: 480,000 00 Date Issued: 10/06/2008 Name: FL HOSPITAL ZEPHYRHILLS Total Fees: 2,615.56 Address: 7050 GALL BLVD Amount Paid: 2,615.56 ZEPHYRHILLS, FL. 33542 Date Paid: 10/06/2008 Phone: (813)783-6189 Work Desc: INTERIOR REMODEL FOR 2ND FL FOR THE NEW CATH LAB#3 ffJ STEVENS CONSTRUCTION INC BUILDING FEE 1,260.00 ELECTRICAL FEE 630.00 APG ELECTRIC INC. PLUMBING FEE 340.00 MECHANICAL FEE 255.00 WYATT-FITZGIBBONS SHEET MTL IN FIRE PLAN REVIEW FEES 70.56 FIRE INSPECTION FEES 60.00 2' l FOOTER 2ND ROUGH PLUMB SC INSULATION CEILING 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 any one 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 y ur notice of commencement." CONTRACTOR SIGNATURE PERMIT OFFI R 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 'Fire Chief Keith Williams Bus (813)780-0041 Fax (813)780-0044 FIRE SERVICE USER FEES Occupancy No.: ��/Lr s, qr ' Plan No.: Contractor: Business Name: Billing Address:. ' C Business Address: Billing Phone No.: 9 Business Phone No.: Billing Fax No.: Business Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE N/C Annual N/C Sprinkler $50 1st Alarm N/C Site Plan 2nd Alarm N/C Multi-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $503rd Alarm N/C 4th Alarm $100 Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 (Business closed until LP Gas $50 6th Alarm $200 SPRINKLER SYSTEMS 8 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pertank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparlders $100 Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 per system Camp Fire $25 Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 Annual Wet $50 OTHER � Waste Tire Storage $50 Annual Dry $50 Fire Wall/Smoke Wall $17-Ypervraii Generator<KW $100 CO2 $50 LP Gas $25 pertank Generator>30 KW 150. Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 flHood/Ducts $50 Tent 10x10'or greater $15 percent Torch Pot/Applied $50 OTHER Fire Pump $45 Haz.Materials $100 Annual 8 LP Installation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 Exhaust Hood/Duct $30 Natural Gas Installation $50 Re-inspection DBL (Per System) -(other than annual) ❑ Spray Booth $50 9 Inspection scheduled DBL and cancelled less than 24 hours 8 Construction Insp. N/C Emergency Vehicle Ac' $50 FALSE ALARM PLANS TOTAL INSPECTION TOTAL I PERMIT TOTAL TOTAL II GRAND TOTAL 3 ',S Comments: Date: du lnspApctor: 1 /" .............. ... .................. FEE SHEET COMM /RES 7cc ( L Square Feet: 4 l Rate Computed At: r' It F 15 " (Use System Calc for Fees) Y 25 Connection Fees: Sewer: ILtVS Water: Water Meter: Size 6/11/07 $ 3/" 220.00 All Residentials 1" 320.00 1 .5" 725.00 2" 990.00 3" &.4" Contact Louie for Quote Irrigation Connection: 266.00 Plus Meter Charge Above Based on size Impact Fees: School: isflP Transportation: Park: ��fl Public Safety: r` frc FLORIDA HOSPITAL Zephyrhills October 1, 2008 Stevens Construction Inc. 6208 Whiskey Creek Drive Fort Myers, Florida 33919 ATTN: Mark A. Stevens RE: Notice to Proceed at Florida Hospital Zephyrhills—Cath Lab#3 Dear Mr. Stevens: This letter is to confirm Florida Hospital Zephyrhills' intent to enter into a contract with your firm for providing construction management and General Contracting scope of services for the subject project. This letter is given with the understanding that the final contract will be issued at a later date, contingent upon our mutual agreement to the contract terms as well as the contract price. Please accept this letter as the Owner's authorization to proceed. The project start date is anticipated to be on or about September 15, 2008 and completed in January, 2009. Actual project start date will be affixed in the contract agreement. With this letter you are authorized to allocate and reserve the necessary resources to secure any long lead material items and initiate any required shop drawings as well as file for permits and notices. We look forward to a mutually successful project. For the Company: Florida Hos i Z h rhills I By: Signature fl/(#/i& /i . (ñI4 /C Printed Name 4, g C / g I i' Printed Title Adventist Health System 7050 Gall Boulevard • Zephyrhills, Florida 33541-1399 • (813) 788-0411 • Fax (813) 783-6198 TDD — Telecommunication Device For The Deaf (813) 783-1242 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department g ' Gf+21S CWk Date Received — j Phone Contact for Permitting 7J I_s 6 -- i Owner's Name DLO 4O 1 1- ZEpWyLUIiJS Owner Phone Number I 8i '783' 1W I Owner's Address 70 SO (,411 iVt Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 70So i *IL 8LV. Ze9rL A1cL1t5g 1 . LOT# SUBDIVISION I PARCEL ID# .!v•2(D•ZD•DOOO.0OZ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR ADD/ALT Q SIGN Q MOVE Eli DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR 0 COMM ® OTHER 11$Dic.4L, TYPE OF CONSTRUCTION Q BLOCK FRAME Q STEEL Q OTHER DESCRIPTION OF WORK I ttarsor , BUILDING SIZE I I SQ FOOTAGE I HEIGHT BUILDING $ L VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ i`�C? U`xt -CSC-' AMP SERVICE E PROGRESS ENERGY Q W.R.E.C. PLUMBING l$ I ��C1 - (,iL MECHANICAL VALUATION OF MECHANICAL INSTALLATION 0 GAS Q`7 ,ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES =NO BUILDER COMPANY STW&NS 6DIOTtzX-MAJ IM ..SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address a'KYS FL License# L C9 c•o511(.3 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/N Address I License# PLUMBER ,'/ COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# MECHANICAL II 1 COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# 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&I 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. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of commencement is required. (A/C 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 A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW fl1JIIR4,j tun *IMI N tiMN- MIA�� ,tt*MIIIW..u3 0 �tt�N 00�MN/I�tIW �� 111111 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 IMPACTIUTILITIES 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 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 job is considered abandoned. WARNING TO OWNER: YOUR FAILUR O RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMMPRRO M ONTS ' YOUR PROPERTY. IF YOU BEFORE RECORDING YOU INTEND TOFOBOTAIN FIN MENT.' CONSULT OWNER OR AGENT CONTRACTOR WITH YOUR LENDER FLORIDA JURAT(F.S. 117. lbscrib and sworn or affirmed)bef e t Subscribed and s affirmed)befo a this l'_y by ;/� / 9'3by o is/ rep sonaHy own to me or as/have producedfire personally known to me or shave roduced as Identification. J ,]� as Identification. Notary Public Notary Public 7� Commission Commission v �1( Name of No Ate Name of Nota � � P QjuDA ! IV o .en Mary C. I�Qrth Jcommission#DD465013 Expires: AUG. 23, 2009 Bonded 11tnt Atlantic Bonding Co.,Inc. 09/03/2008 14:27 FAX 7275300045 APG ELECTRIC E001 613-780-o 0 City at Zephyrhills Permit Application Fax-M3aeo-002l Building Department I+ii5 Caa*P� �.r� Date Received Phone Contact for Pemi ' S (0 +_ Qv r G owners Noma t1�r• owner P ne Ilumdar . �7'7P3 �i Owners Address 70 SO (M1I rfl Owner P one rJumber Fee Simple Tltlaho 4r Nam Owner Póne Number I Pee Simple Titleha erAddieec JOB ADDRESS IOW IA.. FIdPJ)9 :O{ LOT# I euspMeloN. ___ PARCEL 1D/F 3t 2(e• OfEO4.Erb?UO*OO/G t09T INIM I ILOY PROPERTY TAX NOTICE) WORK PROPOSE e NEW CONSTR [ ADD/AL,T. ]"] Sl [� MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE . [] SFR [• COMM ® OTH R i.i1tt(�oje&A- TYPE OF CUNS1I CTION O BLOCK FRAME [ J OT9L LJ OTT 1[R I DESCRIPTION OP ORK I IetlO.►'A3P 2GAl4vwts t3UILDINO Btu SQ FOOT AGte HEI 4 HT l 1 Q BUIIAIN 3 J VALUATION OF TOTAL CONS UCTI-KN ELECTRI IS J AMP SERVICE �'RO(Oft55 ENERGY W.R,E.C. i'LUMBI S El MECHAN § J VALUATION OF MECHANICAL I STAI LATION GAS ROOFING ® SPECIALTY 0 - 01-HITR FINISHED FLOOR NATIONS J FLOOD ZONE AREA ', iE3 [ N0 BUILDER COMPANY T14.NS CCMST'r wrio u INC.. SIGNATURE - � IMST M90I Y tlN F IRRFtJf U I YIN Address 6 • '5 ;iert3ei# Gtai.4571(03 t'eLECTRIRiAN COMPANY A 21C// ttJ . SIGNATUREGISTEREDU t( N I CLXaMNr Y N� Address 4 Z i .t 4bm 4 .-k K G.L% —I — - .-Icense# l EC t�0004 D�P PLUMBER COMPANY ' SIt'3NATURE 'LU tEGISTEREDI Y/N Fop CURRENT U I Y/N Address I.icerR9e# MECHANICAL ' COypAN1. 1 SIGNATURE L U REGISTERED Y I1N_j cuRRENr U 1 Y/N Address U U ',Icenav# C -- OTHER COMPANY SIGNATURE R O FEE CURRENT J YIN Address ;.icense S RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans:(1)sot of Energy Farms;R-O-W ermil for new caristruclion, Minimum(en(10)woddn days alt submittal date. Required onslte,Cortstru - Plat,s,Strxmwater Plaits WI Silt Fence installed, sanitary Faryutiva&1 rianpcter;Site Work PermIt for s,.rbdMWaioneAsrOs trnV.nM COMMERCIAL Attach(3)complete sets of adding Plans plus a Life Safety Page;(1)set of Erie y Fo[tne,R-O-W Permit for new ponatTucdoa Minimum ten(10)working days after submittal date.Required ansite,ConsDuc Plait,Slomlweler Plans WI Silt Fence Installed. Sanitary FadTltes&I dumpster,Site Wcrk Pennit for all new prolocts. Jlcommi IaI nromenle must meet compliance SIGN PERMIT UAttach(2)sets of Enolneered Plane. ""PROPERTY SURVEY required for all NEW construction, ' DUectlons UIIltEhFFHilIIIlI:::::: '' ', ; Fu dut appli -n completely. . Owner&Conli tar sign back of appacedon,notarized If over 32500. NoU of Gommencoment Is required.(NC upgrades over$.7000) . Agalt(for the tractor)or Power of Attemey(for the owner)would be someone with notarized latter from owner authori dM same OVER THE COUNt t PEuwmNG (Front of Appacotien Daly) 11 Reroofe Sewers Seryice.Upgrades A/C Fences(Plot/Survey/Footage OrlveWays•Not ver Counter It on puoue roadways--need::ROW L0/L0 39Gd NOIl +LLSNOC SN3A3LS 19e91,'5L2 I ea:bT BPOE/EO/60 09/03/2008 14:20 FAX 863 647 1865 DIVERSIFIED GLOBAL PIPE 0 001 �r1 vvl .G44VJ hY,J.V .L YV f l.4 L' G.J. J.L,vI, I r.-+`�� ama-row-eu L.Ity UI Ll9frllyl I PIII r n III.rJrnacau JII Building Department �iIhQIS ciok Date Received phonq Contact for permlft►n 7 aP tIIIITTLLL •OwnefrsName 92LOR4DA L OwnlwPhoneNumber $' "7$ ' &[ i Own■r'e Addrooa 7O S1 Owner Phone Number Fes simple Tltletnolder Norco Owner Picric Nunlbor Fee Simple Titleholder Addf>c« JOB ADDRESS Z r L T# SUBDI VISION. PARCEL IPf ,O'ZQu* ?.o-poor lOeTAtNID FROM PROPERTY YAX P10501 WORK PROPOSED NEW CO TR Ahh/ALT. [J SIGN `•J MOVE Q DEMOUSH F INSTALL REPAIR PROPOSED USE Q Srl [ ] • COMM OTHER TYPE OF CONSTRUCTION © Bi.QCic FRAME Q STEEL Q OTHER AEOORIRTION OF WORK BUILDING SIZE I I Q FOOTAGE[TiiHEIGHT EIUILCING S VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE PROGRESS ENERGY © W.R.E.C. PLUMBING Q MECI IANICAL $ V/'ILIATION OF MECHANICAL INSTALLATION GAS Q ROOFING' [ J SPECIALTY J - OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA cJYES =NO BUILDER COMPANY MKS COKLt$?G1"ION siKNATURE REGISTEREn Y/ N i EE curaa5NTLI≥LJ Aadreag Fo t -S - I . Ucenee# C.[mom t43 ELECTRICIAN V COMPANY SIGNATURE R S1STERfiP Y I N I FE2 CURRENT Lri..J Address License# PLUMBER COMPANY ► i A SIGNATURE REr3ISTPRCD Y I N FE 4 CURRENT E LLJ Address 1 ç ucenee ' FC MSL�HANICAL COMPANY SIGNATIJI E RIERISTEREb Yl N FEE cuiapi L LLJ Address Uuanee# OTHER COMPANY NAtUUE R Q$eraaeo L!L. LJ rm glurtr z r L!LJ Aildr'ask Liconco B RESIDENTIAL Attach(2)Plot Puma:(.)aatei BµUdlrmg Plane:(1)set of Energy Forms:R-Q-W Permit for new cent ruclian, Minimum tern(10)working day ,after submittal date. Required ensile.Constructtvn Plans,Stormwuilter Plans wl t Fence inatafed. Sanitary Facilities h 1 dump.aump.e Site WOM Permit for eubdivialons/Iarge pr eta COMMERCIAL. Aftacli(2)osmplete sets of Bu► Ping Plans qua a Life Safety Page:(1)set of Energy Forms.R-O-W Permit ror ne construction. Minimum tan(10)worklnSt'do 'after eubmtltal date- Required onsite,ConsLaction Plans,Stoimwater Plans wl t pence installed, Serlitsry FACJrlaea a 1 dump* ,.Ole Work Pc mnIt r c all nc v pro)aate.All oanwnaroie{Mquiremente must moot a pllanae SIGN PIRRO41T AtbcA(2)sets of Engineered F ans. PROPERTY SURVEY requ ad for all NEW construction. Directions • . ' '. V. Fill out epplloetlon oompletely, Owner&Contractor sign back of apalleallon.ni irtead If over$2500,a Notice of Commencement is muIrd_ (A/C Upgrades ov I xaeoD) Agent(for the contractor)or Power of AttorneyF the owner)would be someone with notallydead letter from owner eathorizihp scm OVER THE COUNTER Pti;RMrrTINCa (Front orloatlon Only) Reroofs Sewers Service Upgad A/C Fenree(Plot/Smavay/Footage) Drlvowoys-Not aver Counter If an public roaowllye..nesas ROW FROM WFSM (WED)SEP 3 2008 14:46/ST.14:46/No.7626077227 P 1 09/03/2008 14:27 14075716861 STEVENS CONSTRUCTION PAGE 02/02 vlty vi L.vp lyIlmw I cIIIIIr1.q.nuc4uuIu Bulding Department GIMIZi Copp Dab Received Phone Contact foP.nniiia jIO1 5Io — IIIj Owner s Name Owner Phone Ntanbsr I 8 7$Y' G( q Owner's Matr* 1 7D (,MI 4h I Owner Phone Number Fee Simple TRiiholder Nam I Owner Phone Number Fe Slnpk Titleholder Address JOB ADDRESS 7 1. TM SUBDIVISION. I PARCEL III[N.2 "Z0-0000•PD 0 (OOTAMlO FROM P*oP TY TAX WORK PROPOSED ® NFW['.QNCTR ® ADDIALT. [J SIGN Q MOVE Q DEMOLISH INSTALL REPAIR PROPOSED US! Q SFR • COMM ® OTHER TYPE OF CONSTRUCTION Q BLOCK FRAME L] STEEL 0 OTHER DESCRIPTION OF WORK BUILDING SIZE I 6G FOOTAGE I HEIGHT BUILDING S VALUATION OF TOTAL CONSTRUCTION Q ELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. PLUMmN s - MECHANICAL ; VALUATION OF MECHANICAL INSTALLATION n GAS Q ROOFING [: SPECIALTY Q . OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY ST&KS GWi%TgWaYOIJ SIGNAfuR! ItEosTesD FMCUPOWNT L /N• Address 62ogk .wic j . PA+Meant APLI GOB 57103 ELECTRICIAN COMPANY SIGNATURE REQISTEPSO LY I N IFScr. rBrr L L!iJ Address `� Ucanse# PLUNGER COMPANY SIGNATURE RF.G18T RSo j Y/N I L LfLJ Address �ryLiicense(f MECHANICAL COMPANY I FI (TJB LS S1ã SIGNATURE ,, REGISTERED I FW CORRWr L I N OS ≤ ••,,MJI4&23iIJVA P1..3'3X/ ,Ucern.M OTHER COMPANY t:IONATURC ReG STV(Ep I Y/N raa c.wtwai L LLJ Address Licentse�l !lllIll!llJll .r:IIuuIIIIuII:JIuuIJllIItIluIlltltllrl(T 11111!! II. RESIDENTIAL Attach(2)Plot Plans;(2)eels Building Plans;(1)set of Elegy Forms;R.O-W Permt for new consVNdbn. Mk Imum ten(10)woddng da dun submittal date. Required onslte,Conebuelen Plants,Stormwater Plans wf t Pence Installed, Sanitary Pee)Naee 61 duet S'le Work Permit for subdlvlaionaRarge prgjeoto COMMERCIAL Attach(3)complete sets of Bi4iing Plans plus a Life Safety Page;(1)get of Energy Forms.R-O-W Permit for nt censeuctIon. • Minimise ken(10)working da after submittal data- Required onsite,Con si uclon Plans.Starmwater Plans W/ I Fence installed, Sanit ry ILuSSes&I dumpate.Cite Work Permit for aN new projects,AN commervial requirements must meet a plane SIGN PERMIT Attach(2)-sets of Enylneered Plane. PROPERTY SURVEY r.qu ed focal NEW construction. 111111 III lIllIllill ii Ilililillil lIlliluIll 1,11111 1111111111111111111111 III IllulIllill Ill Ill till IlilillIlli 11111111111111111 11111111111111111' Directions: • PIN out application completely. Owner&Contractor Stan beds ofeppfoeton,no ed It over$2500,a Ngticy of Commencement Is regrWed. (A/C upgrades over$5000) •• Agent(for the contractor)or Power of Attorney(r the owner)would be someone with notarized letter from owner author zing lam UVER'I HE GWN'I OR PuRMI I IINO -(From of A4pcicamitjn O tiy) Reroofs Sewers Service Upgrad A/C Fences(Plot/SulveylFootage) Drtwwoya-Not over Counter If on publlo roe .necdo ROW Invitation to Bid PROJECT: FLORIDA HOSPITAL Zephyrhills Cath Lab 7050 Gall Blvd. Zephyrhills, FL BID DATE: 9-12-08 TIME: 2:00 P.M. PROJECT DESCRIPTION: Interior renovation of a 2,000 SF cath lab. The scope includes: light gauge metal framing, wall insulation, drywall, radiation protection (lead lined drywall, doors, hollow metal frames, leaded glazing & associated hardware), doors/frames/hardware, welded flooring, VCT, acoustical ceiling, interior painting, toilet/bath accessories, misc. specialties, electrical, plumbing, med-gas, HVAC & associated controls, fire sprinklers. We invite your company to submit a proposal to furnish and/or install all work related to your trade. All proposals must be in accordance with the plans, specifications, and addenda as issued prior to bid date. Written proposals must be received no later than the date and time specified above. You may fax your bid to us at (239) 936-9010 -Attention:Jodi Maher. If you have questions, please contact Chris Cooke at 407-516-1878 or email ccooke@stevensconstructioninc.com or Pete Garcia at 239-462-5074 or email pgarcia@stevensconstructioninc.com. Thank you for your interest. Please indicate below whether you intend to bid on this project or not, and fax this form back ASAP to (239) 936-9010. Plans will be available via email or CD. CD's will be distributed once invite is returned and you receive a call that your disk is ready. We do not have prints for this job. Thank you. Company: Contact: Phone #: ( ) Fax #: ( ) Scope of work: Email: YES - I will be bidding NO - I will not be bidding Please give us your Fed-Ex or UPS account number for shipping of CD's, thank you. Fed Ex 6208 Whiskey Creek Drive, Fort Myers, Fl 33919 Phone: 239-936-9006 Fax: 239-936-9010 I 111111 11111 1111 111111111111111111111111111111111111 I I I I I I I I NOTICE OF COMMENCEMENT 2008133147 FS 713.13 PERMIT# Rcpt: 1202727 1202727 Rec: 18.50 DS: 0.00 IT: 0.00 09/11/08 Dpty Clerk PARCEL IDENTIFICATION NUMBER: 35-25-21-0010-10500-0000 THIS INSTRUMENT PREPARED BY: Chris Cooke JED PITTMAN, PASCO COUN COUNTY CLERK 09/11/08 03:32 m 1 RETURN TO: Stevens Construction Inc. OR BK 7923 PG f97 6208 Whiskey Creek Drive Fort Myers,Fl 33919 STATE OF: Florida COUNTY OF: Pasco PROJECT NAME: Florida Hospital Zephyrhills-Cath Lab No.3 The undersigned hereby gives notice that improvement(s)will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property(legal description of the property,and street address if available) See Attached-Florida Hospital Zephyrhills,7050 Gall Boulevard,Zephyrhills,Florida 33541 2. General description of improvement(s) Interior demo of existing space&renovation/alteration of existing 2nd floor, 1500 SF area for new Cath Lab and support offices for Cath Lab. G.C.Project No.08-1231 3. Owner Information Name: Adventist Health S/S Inc.DBA Florida Hospital Phone No.: 813-783-6189 Address: 7050 Gall Boulevard,Zephyrhills,Florida 33541 Fax No.: 813.783.6106 4. Fee Simple Title Holder(if other than the owner shown above) Name: Phone No.: Address Fax No.: 5. Contractor's Name&Address Name: Stevens Construction Inc. Phone No.: 239-936-9006 Address: 6208 Whiskey Creek Drive,Ft.Myers,Florida 33919 Fax No.: 239-936-9010 6. Surety(if any) Name: Phone No.: Address: Fax No.: Amount of Bond: $ 7. Lender(if any) Name: Phone No.: Address: Fax No.: 8. Persons within the State of Florida designated by owner whom notices or other documents may be served as provided by§713.13(1)(a)7,Florida Statutes: Name: Mike Gardner-Florida Hospital Zephyrhills Phone No.: 813-783-6189 Address: 7050 Gall Boulevard,Zephyrhills Florida 33541 Fax No.: 813-783-6106 9. In addition to himself or herself,Owner designates the following to receive a copy of the Lienor's Notice as provided in§713.13(1)(b),Florida Statutes: Name: Mark A.Stevens-Stevens Construction Inc. Phone No.: 239-936-9006 Address: 6208 Whiskey Creek Drive Fort Myers,Florida 33919 Fax No.: 239-936-9010 10. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): 3/1/2009 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 1,SE TION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN NEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Verification pursuant to Section 92.54StatFl tes.Und alties of perjury,I declare that I have read the foregoing and that the facts stated In it are tru o y k and belief.Signature of Owner: I +✓ _ /s'(Note:per Section§713.13(1) ),Flor (Print Owner's Name) "Owner must sign...and no one II,.may be permitted to sign in his/her st •I S g.r' Signed' State of: unty of: The foregoing Ins ent was acknowledg bef me thi .jL.day of fiJ 20 Who is personally known to a or has produced: as identification,and 4—did take an oath did not tak an oath. L Re nni Notary Printed Name: Notary Signal (notaries seal must appear below) �r$II*L.IEMETT • Merry Pak-saeNfN" M�rrelAa&o1e{ celw�lwl.11�oo t��n M Tiwllpt 111110 Mme, Pasco County Property Appraiser - Legal Description for: 35-25-21-0010-10500-0000 Page 1 of I Welcome : Records Search : Parcel Details : Legal Description OR BK 7923 PG 1938 2 of 2 Legal Description 35-25-21-0010-10500-0000 Assessed in Section 35, Township 25 South, Range 21 East of Pasco County, Florida 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 EXC W 187 FT OF E 267 FT OF N 172 FT OF TRACT 103 & EXC US HWY 301 R/W & EXC R/W FOR DAUGHTERY 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 Please be advised that our legal descriptions are for assessment purposes only, and are not intended for use in legal conveyances. Pasco County Property Appraiser Page Layout Modified: 12/6/2007 9:18:55 AM The Local Time Is: 9/11/2008 9:12:30 AM STATE OF FL RiDA- COUNTY OF PASCQ '1 THIS IS TO GERTIFV'.T I THE.EQREGOINddS A TRUE AND CORRECT COPY OFTH DI#CI ►'ENT ON Ff6E OR OF PUBLIC RE€ORD 0 THISF.FI TNEsSS-i1�Y H p AND FFICIA SEAL T .LL1Y;OF JED PA C'�Rf 63F C, IT.CUUR .' BY �bEPUT &��RK http://appraiser.pascogov.com/search/legal.aspx?parcel=2125350010105 000000&cache=F... 9/11/2008 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS gontractof/Homeowner: Date Received: Site: D C) 'emdJ Permit Type: i _ Approved wino comments:❑ Approved w/the below comments: t Denied w/the below comments: ❑ L '- C MW 9 C cxii- This comment sheet shall be kept with the permit and/or pl CC lans Examiner Date Contractor and/or Homeowner (Required when comments are present) Zephyrhills Fire Rescue 6907 Dairy road,Zephyrhills,FL 33542 Fire Marshal Bus(813)780-0041 Kerry Barnett Fax(813) 780-0044 E-mail: kbamett@fire.zephyrhills fl.us Plan Review#: 08-104 Project: Florida Hospital(Cath Lab#3) Number of Pages: 34 Date: September 18,2008 The plans have been reviewed for the new cath lab located within the hospital at 7050 Gall Blvd and listed my comments below that shall be complied with. With the review process complete the project may move forward to the construction stage. Should you have any questions,please contact me at the information above. 1. Contractor shall provide adequate fire protection during all phases of construction.When the fire alarm system is down for 4 hours or more Zephyrhills Fire Rescue shall be notified and hospital security will be placed on fire watch. When the sprinkler system is down for 4 hours or more Zephyrhills.Fire Rescue shall be notified,hospital security will be placed on fire watch, and fire extinguishers will be readable accessible in the area that is down. When on fire watch,the person designated for that unction is to remain in the down area until it is back on line. That person's function is for fire watch only and no other r detail. 2. Fire alarm contractor shall pull a separate permit. Plans shall be submitted along with specs, details,and calcs for the job to enable the permit to be pulled. 3. Sprinkler contractor shall pull a separate permit. Plans shall be submitted along with specs, details,and calcs for the job to enable the permit to be pulled. 4. Medical gas shall be inspected by a 3`d party inspector meeting the requirements of ASSE 6030"Professional Qualifications Standard for Medical Gas Systems Verifiers"(NFPA 99). The inspections conducted shall be copied and given to the Fire Marshal during final inspect. 5. Smoke wall and fire walls shall be labeled as such. Walls shall be sealed at roof deck with all penetrations be done in accordance to the plans reviewed. 6. Certification report will be required showing each duct detector(in remodel area)has been tested and calibrated. 2 Items that require inspection for building final: 1. Smoke/Fire Walls 2. Duct Detectors 3. Fire Dampers 4. AIIU-I shut down with fire alarm 5. Damper activation for AHU shut down 6. Shunt trip works properly 7. Emergency/exit lighting along with critical &life safety lighting KERRY ARNETT,FIRE MARSHAL ***Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes. This review is not intended to be a final approval of the submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances. In the event that further examination or site inspection reveals areas of non-compliance,it shall be the contractor's sole responsibility, at their sole expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. Zephyrhills Fire Rescue 6901 Dairy Road,Zephyrhills,FL 33542 Fire Marshal Bus(813)780-0041 Kerry Barnett Fax(813)780-0044 E-mail: kbarnett(Jfire zephyrhills.fl.us Plan Review#: 08-104 Project: Florida Hospital(Cath Lab#3) Number of Pages: 34 Date: September 18,2008 The plans have been reviewed for the new path lab located within the hospital at 7050 Gall Blvd and listed my comments below that shall be complied with. With the he review process complete the project may move forward to the construction stage. Should you have any questions,please contact me at the information above. 1. Contractor shall provide adequate fire protection during all phases of construction. When the fire alarm system is down for 4 hours or more Zephyrhills Fire Rescue shall be notified and hospital security will be placed on fire watch. When the sprinkler system is down for 4 hours or more Zephyrhills Fire Rescue shall be notified,hospital security will be placed on fire watch, and fire extinguishers will be readable accessible in the area that is down.When on fire watch,the person designated for that fimction is to remain in the down area until it is back on line. That person's function is for fire watch only and no other detail. 2. Fire alarm contractor shall pull a separate permit. Plans shall be submitted - - - ----- - --- along with specs, details, and calcs for the job to enable the permit to be pulled. 3. Sprinkler contractor shall pull a separate permit. Plans shall be submitted along with specs, details,and calcs for the job to enable the permit to be pulled. 4. Medical gas shall be inspected by a 3 party inspector meeting the requirements of ASSE 6030"Professional Qualifications Standard for Medical Gas Systems Verifiers"(NFPA 99). The inspections conducted shall be copied and given to the Fire Marshal during final inspect. 5. Smoke wall and fire walls shall be labeled as such.Walls shall be sealed at roof deck with all penetrations be done in accordance to the plans reviewed. 6. Certification report will be required showing each duct detector(in remodel area)has been tested and calibrated. 2 Items that require inspection for building final: 1. Smoke/Fire Walls 2. Duct Detectors 3. Fire Dampers 4. AHU-I shut down with fire alarm 5. Damper activation for AHU shut down 6. Shunt trip works properly 7. Emergency/exit lighting along with critical &life safety lighting KERRY ARNETT,FIRE MARSHAL ***Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes. This review is not intended to be a final approval of the submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances. In the event that further examination or site inspection reveals areas of non-compliance, it shall be the contractor's sole responsibility, at their sole expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. 09/29/2008 15:51 FAX 2399369010 STEVENS CONSTRUCTION fJ 003/003 TE CF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 467-1395 ' 1940 NORTH MONROE STREET " ± 1 ' TALLAHASSEE FL 32399-0783 I AJ` STEVENS, MARK ALAN STEVENS CONSTRUCTION INC 6208 WHISKEY CREEK DRIVE FORT MYERS FL 33919 STATE OF FLORIDA AC# 3890302 Congratulations! With this license you become one of the nearly one million DEPARTMENT OF BUSINESS .AND Floridians licensed by the Department of Business and Professional Regulation. PROFESSIONAL REGULATION Our professionals and businesses range from architects to yacht brokers,from f boxers to barbeque restaurants, and they keep Florida's economy strong. CGC057163 08/04/08 086021588' Every day we work to improve the way we do business in order to serve you better. For information about our services,please log onto www.myfloridalicense.com. CERTIFIED GENERAL CONTRACTOR There you can find more information about our divisions and the regulations that STEVENS, MARK ALAN impact you,subscribe to department newsletters and learn more about the STEVENS CONSTRUCTION INC Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Is CERTIFIED under the provisions ot.Ch:489 Thank you for doing business in Florida,and congratulations on your new license! 8s2010 L08080.400895' expiration date. AUG 31, DETACH HERE AC# 3890302 STATE;OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L08080400895 LICENSE NBR 080.4/.2.008 1088021588 CG.005716,3 The GENERAL CONTRACTOR .: Named below IS CERTIFIED Under the provisions o ::' Chapter 89 FS. Expiration date: AUG 31, 2010 STEVENS, MARK ALAN STEVENS CONSTRUCTION INC; 6208 WHISKEY :CREEK "DRIVE FORT MYERS FL 33919 CHARLIE CRIST CHARLES W. DRAGO GOVERNOR SECRETARY DISPLAY'-AS"REQUIRED BY LAW 09/29/2008 15:51 FAX 2399369010 STEVENS CONSTRUCTION fI002/003 S0O00.135 Lee County Tax Collector 2480 Thompson Street ��-- Fort Myers, Florida 33901 www.leetc.com Tel: (239) 533-6000 Local Business Tax Account:0404441 Dear Business Owner: Your 2008-2009 Lee County Local Business Tax Receipt is attached below. Please detach the receipt and display it in a place that is visible to the public and available for inspection. The Lee County Local Business Tax Receipt is in addition to any other license or certificate that may be required by law and does not signify compliance with zoning, health or other regulatory requirements. The Lee County Local Business Tax Receipt is non-regulatory and is not an endorsement of work quality. Your 2008-2009 Local Business Tax Receipt is valid from October 1, 2008 through September 30, 2009. Annual account notices are mailed in August to the address of record at that time. Please follow the instructions on the back of this letter to transfer your Local Business Tax Account due to a change of business name, ownership, physical address or you are closing your business. I hope you have a successful year. Lee County Tax Collector Detach and display bottom portion and keep upper portion for your records LEE COUNTY LOCAL BUSINESS TAX RECEIPT 2008 - 2009 ACCOUNT NUMBER: 0404441 ACCOUNT EXPIRES SEPTEMBER 30, 2009 "•'•' May engage in the business of. GENERAL CONTRACTOR Location 6208 WHISKEY CREEK DR FT MYERS FL 33913 THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY STEVENS CONSTRUCTION INC STEVENS MARK ALAN THIS IS NOT A BILL- DO NOT PAY 6208 WHISKEY CREEK DR FT MYERS FL 33913 PAID 246570-12-1 08/21/2008 09:16 AM WEB $50.00 09/29/2008 15:50 FAX 2399369010 STEVENS CONSTRUCTION IJ001/003 iH1 aar rnn1 Stevens CONSTRUCTION INC. FACSIMILE TRANSMITTAL SHEET TO: PROM Jackie or Bobbie Lizette Mardn COMPANY: 1>cri:: City of Zephyrhills Building Dept. 9-29-08 PAX NI; PPI R: 1'U FAI"NO.op PA(;Es INCLUDING W%Tlt: 813-780-0021 3 RE: C(:: Florida Hospital Zephyrhills Cath Lab Permit Application Requirements ❑ URGENT ❑ FOR REV II \L' ❑ I'Ll: Sri CO\{hf1iN"{ ❑ I'LIE:\sE RMP1.1' ❑ PL :. st: RIC}'(:1.1 Attached please find the current licenses for Stevens Construction, Inc. Should you have any questions,please do not hesitate to call. Thank you. 6208 Whiskey Creek Drive FORT MYERS, FL 33919 PHONE(239)936-9006 FAX(239)936-9010 ICA Survey Report Team: Survey Date: c t ti :A Submission: ject: f\\6 ¶' ) rvey Type [] Progress 100% ❑ Re-Survey •Q Pick-Up _ (CS-2) ` (CS-3) (CS-4) (CS 5) ti e: The comments in this report area draft copy only. A final typed and signed copy will be provided at.a later date. commend that this project be Approved./ ❑ Disapproved with the following comments: S: C r": - tit T ai e r OYC- illy-,w /C Gtr' 1 ' NgMK�IdPOtflU��bYIE/OrN'rS1M11bM .._ �1�j 1ay p chhar AIc1w'it IUUM oSoe ofP Cu ii i Buses(40'1)316.4887 S Thmn SanTm =(407)344-4887 400W.Ra S-325 F s(407)bin=St.Su 317-7182 _. o�do,Florida 32801 W liMm1kbOm -