Loading...
HomeMy WebLinkAbout09-9118 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9118 BUILDING PERMIT .k ,,,1:,;,:,,,,N' 7: +F = ,. a .E _ E. € Permit Number: 9118 Address: 6748 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: 02- 26 -21- 0010 - 02500 -0020 Improv. Cost: 439,601.00 .00 .A. .:. , ,,, :'E.�� -u4 «� d.t�� f' �"hS,- tee � =D 1 :. "� 2 ,�. Date Issued: Name: FLORIDA HOSPITAL ZEPHYRHILLS INC Total Fees: 2,287.00 Address: 7050 GALL BLVD Amount Paid: 2,287.00 ZEPHYRHILLS FL 33542 Date Paid: 5/28/2009 Phone: (813)783 -6189 Work Desc: INTERIOR RENOVATION MEDICAL EXAM OFFICE . ,_. .'_ 5- .s. � ., � :_ �.�G <� ,.., ., .. ° � s, F � � � 62� , n$�I _�: ; t k' 3,��, STEVENS CONS TRUCTION IN BUILDING FEE 1,620.00 ELECTRICAL FEE 3 5. 0 0 lc"- ANi) Po,-(& PLUMBING FEE 35.00 MECHANICAL FEE 35.00 DIVERSIFIED GLOBAL PIPING & CONS FIRE PLAN REVIEW FEES 547.00 FIRE INSPECTION FEES 15.00 WYATT- FITZGIBBONS SHEET MTL IN 9' , K :# % aII , te a t n i •i 'i :: \3:, t . .a ^• a „ - F OOTER..5 � � 2ND ROUGH PLUMB MISC 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 y • u intend to obtain financing, consult with your lender or an attorney . you notice o '-, ment. " 7 _ % �% ?TRACTOR SIGNATUR PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS, FLORIDA 5335 8th Street CERTIFICATE OF OCCUPANCY NAME STEVENS CONSTRUCTION TNC DATE r ADDRESS 6748 GALL BLVD PARCEL I.D. # 02-26-21-0010-02500-0020 SUBDIVISION CITY Ole 2EPHYR*1 ; commercial remodel TYPE OF BUILDING PERMIT #y 18 REMARKS FINAL DATE: ' BILL BURGESS BUILDING OFFICIAL/ J b .VHITE : Contractor or Owner YELLOW: Bldg. Dept. PINK: Utilities Dept. Jacqueline Boges From: Kerry Barnett Sent: Thursday, September 17, 2009 3:24 PM To: Jacqueline Boges Subject: RE: approval for final Jackie, I gave them a conditional CO. They can not occupy the building to conduct business with patients until the little thinks are corrected. Therefore it is ok to process on your side. Kerry From: Jacqueline Boges Sent: Thursday, September 17, 2009 8:26 AM To: Kerry Barnett Subject: approval for final Kerry, 6748 Gall blvd interior renovations hospital (stevens construction) is this project ok for a co? Contractor said you have .given them little things to complete but nothing major that could hold up the co. Let us know thanks Jackie Boges Code Support Specialist ext. 35 1 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9118 BUILDING PERMIT 3 "" : a v: z a " :', # °" fit s q Permit Number: 9118 Address: 6748 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: 02- 26 -21- 0010 - 02500 -0020 Improv. Cost: 439,601.00 ' Name: FLORIDA HOSPITAL ZEPHYRHILLS INC Date Issued: Total Fees: 2,287.00 Address: 7050 GALL BLVD Amount Paid: ZEPHYRHILLS FL 33542 Date Paid: Phone: (813)783 -6189 Work Desc: INTERIOR RENOVATION MEDICAL EXAM OFFICE ,:0_01412:::-4_,::;.±:::: "° ,e. cr,:, t_. -. ^ m :r; 1 a..z+w%�» , ' ';; , —,: -, e. o f i STEVENS ONSTRUCTION INC BUILDING FEE 1,620.00 ELECTRICAL FEE 35.00 APG ELECTRIC INC. PLUMBING FEE 35.00 MECHANICAL FEE 35.00 DIVERSIFIED GLOBAL PIPING & CONS FIRE PLAN REVIEW FEES 547.00 FIRE INSPECTION FEES 15.00 WYATT- FITZGIBBONS SHEET MTL IN ( je i i.ea e v �s� 6 _ 0` @ 8 :5 1 i» -, /' , ,, 7,,I 4,17., , t sa . " a s =„%h‘',, x a ',"'',,Y.,—‘'"' N s FOOTER 2ND R PLUMB MISC IS 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 your notice of commencement." CONTRACTOR SIGNATURE • PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 1 City of Z ephyrbllls BUILDING PLAN REVIEW COMMENTS ' , OehdirtiO6)-1 Contractor/Homeowner: v Date Received: 28 64- i( �! 0 R Site: �d � , , et 5a --- 1.4% Ve-7 4 "led *c•I/e/roz-0-1 v, z c... Permit Type Denied w /the below comments: ❑ Approved w /no comments: Approved w /the below comments: ❑ i I( it / tall 6-c if4d . .. thrl .,_ . , k P 11- , 2 i lk , . oipli • - ce.e, ,,,,/ ..,_,,,,. _, �� - CI I ,f r /i S ./ 3 4 `---, - ja. /-e 12.• / ,14 , 7 . - This comment sheet shall be kept with the permit and /or plans,; AP / • g om o wner / /~ l sr and/or Alig ��� Date Conte resent) ans Examiner • tr. - d when comments are p s Kalvin Switz CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9118 BUIJDING PERMIT Permit Number: 9118 Address: 6748 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: 02- 26 -21- 0010 - 02500 -0020 Improv. Cost: 439,601.00 Date Issued: Name: FLORIDA HOSPITAL ZEPHYRHILLS INC Total Fees: 1,725.00 Address: 7050 GALL BLVD Amount Paid: ZEPHYRHILLS FL 33542 Date Paid: Phone: (813)783 -6189 Work Desc: INTERIOR RENOVATION MEDICAL EXAM OFFICE a� a STEVENS CONSTRUCTION INC BUILDING FEE 1,620.00 ELECTRICAL FEE 35.00 APG ELECTRIC INC. PLUMBING FEE 35.00 MECHANICAL FEE 35.00 DIVERSIFIED GLOBAL PIPING & CONS WYATT - FITZGIBBONS SHEET MTL IN C Rs CL _ s ` ' FOOTER 2ND ROUGH PLUMB MISC 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 your 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 Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnett@fire.zephyrhills.fl.us Plan Review #: 09 -035 Project: Twelve Oaks Interior Remodel Number of Pages: 28 Date: May 11, 2009 I have received and reviewed the plans for the interior remodel located at 6748 Gall Blvd. and will allow this project to move forward. Paying for permit, contractor agrees to the items listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Ensure fire wall is properly sealed where penetrations exist. Method of sealing penetrations shall be listed and approved not to affect the rating of the wall. 2. Separate permits are required for the fire alarm and automatic sprinkler system. Plans shall be submitted along with all calculations, details, and cut sheets. Plans shall be to the latest editions (2007) of NFPA. Sprinkler system FDC shall be a single 5" - 30 degree Storz connection. Double backflow preventor shall have tamper switches. 3. Separate permit is required for underground for automatic sprinkler system. Plans shall be submitted for permit approval. All details and cut sheets shall be provided. Work that is performed shall be completed by a certified contractor. Once underground has been flushed it shall be capped off until connected to sprinkler system. 4. Fire alarm shall extend into existing units. 5. Duct detectors are required in a unit with a CFM of 2000 or greater. 6. Install emergency lights in restrooms. 7. The exit through the break room will be allowed only if no furniture is located in the room and the egress is unobstructed. 8. Install panic hardware on egress doors. 2 Inspections required: 1. Firewall Inspection to ensure penetrations are sealed and wall is labeled and fire caulked. Fire dampers will also be inspected at this time, if applicable. 2. Sprinlder and fire alarm inspections will be noted on the plan review comment sheet from the plan submittal from those respective contractors. 3. Underground pressure test and flush. 4. Final i / �7/ KERB /jARNETT, 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 DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Kt! ith Williams Bus (813)780 -0041 Fax (813)780 -0044 FIRE SERVICE USER FEES Occupancy No.: �1 / f Plan No.: et - 03S - Contractor: _5"7 S C_.i, 4-..c'1f'7u'' Busin ss NaEne: 7 eJ dig.i( J Alam Billing Addre 2b c CV ,dj Busin I ss Address: 7 W '�7-o Busin ss Phone No.: Billing Phone No.: Busin ss Fa�C No.: Billing Fax No.: Conta : Contact: 1 PLAILI REVIEW FEES INSPECTION FEES _ PERMIT FEE _ FALSE ALARM FEE Site Ilan N/ , Annual N/C ` Sprinkler $50 _ 1st Alarm N/C . 1 — ] 4 / Multi Framily /Commercial 06 sf 1st Re- inspection N/C _Standpipes $50 _ 2nd Alarm N/C (Minimum Charge $25.00 III 2nd Re- inspection $100 ` Fire Pump $50 _ 3rd Alarm N/C Plan Revisions DBL , 3rd Re inspection $250 _ Hoods $50 _ 4th Alarm $100 II 4th Re- Inspection $500 _ Fire Alarm $50 _ 5th Alarm 5150 t SP INKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 _ 0 - 25 Heads! $50 violations corrected) _ Natural Gas $50 _ NON COMPLIANCE $150 — 26 pits Heads $100 SPRINKLER SYSTEMS — Fuel Tanks - per tank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 _ Sparklers $100 0 Per Riser 1 $50 Hydrostatic Test $65 per system _ Fire Works $500 FIRE PUMP Acceptance Test $45 per system Camp Fire 525 0 Per P mp $100 Hydrant Flow $75 — Controlled Bum 5100 — FIRE RM SYSTEM _ Hood/Duct $50 — 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 � 550 OTHER _ Waste Tire Storage $50 Annual _ Dry I $50 Ire Wall/Smoke Wall _ Generator < KW 5100 — CO2 ! $50 L P Gas per tank _ Generator >30 KW 150 Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annual — KITCHEN EI HAUST _ Fumigation Tenting 550 ❑ H ucts $50 Tent 117x10' or greater $15 per tent Torch Pot/Applied $50 _ OTHER _ Fire Pump $45 — Haz. Materials $100 Annual _ LP Ins Ilation p $50 _ Fire .Suppression $30 Fuel ank Installation $50 _ System Acceptance Per Tank) $50 _ Exhaust Hood/Duct $30 EI Nat ura Gas I" � nation $50 _ Re- inspection DBL ( er System) (other than annual) 0 Spray Booth $50 0 Inspection scheduled DBL and cancelled less than _ 24 hours 8 Construction Insp. N/C Emergency Vehicle Aa $50 FALSE ALARM PLANS TOTAL ( Ord ..249 INSPECTION TOTAL Al PERMIT TOTAL I TOTAL. GRAND TOTAL 1 J L 2P I Comments: 1 Date: d'/ D' Insmct r: a- r L'd1 Pasco County Property Appraiser - Physical Address List for: 02- 26 -21- 0010 - 02500 -0020 Page 1 of 1 Welcome : Records Search : Parcel Details • Physical Addresses Physical Address List for Parcel: 02- 26 -21- 0010 - 02500 -0020 Displaying 5 records View in groups of: 10 25 50 100 500 Street Number Street Name 4' Unit 6748 GALL BLVD 6748 GALL BLVD 101 6748 GALL BLVD 102 6748 GALL BLVD 103 6748 GALL BLVD 104 Pasco County Property Appraiser Page Layout Modified: 2/17/2009 1:10:37 PM The Local Time Is: 5/12/2009 11:49:45 AM 5-1 0 http: // appraiser. pascogov. com /search/physadd.aspx ?parcel= 2126020010025000020 5/12/2009 Pasco County Parcel: 02- 26 -21- 0010- 02500 -0020 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Parcel Cards: 1 1 2 Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: I Weekly Archive - Saturday, May 09, 2009 I Parcel ID I 02 26 -21- 0010 - 02500 -0020 (Card: 001 of 002) Classification 1 19 - Professional Service Building Mailing Address Property Value (Estimate Taxes) FLORIDA HOSPITAL ZEPHYRHILLS Ag Land $0 INC Land $146,856 7050 GALL BLVD Building $839,678 ZEPHYRHILLS, FL 335411347 Physical Address - See All 5 addresses (First Shown) Extra Features $18,010 6748 GALL BLVD Market Value $1,004,544 ZEPHYRHILLS, FL 33542 Assessed (Save Our Homes) $0 Legal Description (First 4 Lines) ZEPHYRHILLS COLONY COMPANY Taxable Value $1,004,544 LANDS PB 1 PG 55 NORTH 1/2 OF TRACT 25 LYING EAST OF US 301 LESS EAST 230 FT THEREOF & Land Detail (Card: 001 of 002) Line II Use 0Descriptionll Zoning II Units II Type Q Price II Condition II Value 1 II 1900 II PROF.BLDG II 00C2 II 2,800.00 U SF II $7.32 II 1.00 II $20,496 2 II 1900 II PROF.BLDG II 00C2 II 26,000.0011 SF II $4.86 11 1.00 II $126,360 Additional Land Information Acres II 0.66 Q Tax Area II 30ZH U FEMA Code II X IlCommerical Codell M3012CP Building Information - Use 19 - Offices Professional or Medical (Card: 001 of 002) Year Built 1998 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Metal Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 6.0 Line I Description II q. Feet II Repl. Cost New 1 0 I 11,546 I $1,260,015 2 p CAN II 1,902 II $62,313 Extra Features (Card: 001 of 002) Line II Description Year II Units II Value 1 II SWC 1998 1,460 I $1,551 2 PAV ASP 1998 II 6,264 I I $2,748 3 p SPRNKFP 1998 II 11,546 I I $13,711 Sales History Previous Owner CAPSTONE CAPITOL CORPORATION Year I I I Month Book /Page II Type II Amount 2009 01 8021 / 0206 0 WD 0 $ 1997 06 3771 / 1013 ll WD II $ 1997 0 05 3771 / 1001 II WD II $0 http: / /appraiser.pascogov. com/ search /parcel. aspx ?sec= 02 &twn= 26 &rng=21 &sbb= 0010 &b... 5/12/2009 04/27/2009 15:25 FAX 7275300045 APG ELECTRIC Z002 04/27/2009 14:30 14075716E161 SCI MAITLAND PAGE 02/62 • • 13. 780.0020 City Of Zephyrhills Permit Application " - rax- aTS- too -ouzi Building Department • GN�IS 600/4C• Da Roc Aired Phone Contact for FormitN L/0 s/ro - J r�7 O wners ame 7 -O P_tt T" ACSPt•4• -- z g14:1 OwnerPhonENumber S 3 - 7S (J D Owner's 'ddreae 1 '7DS 5 & 1{3cu.L• Owner w Rumbor 1 I . I Fee Sim - (o TlUoholdgr Namol.--: Owner Phone', liuriber I - Fee Slm.leTttleh01derAddress 1 COWS '�-' /3!-VD ,- - JOB AD ESS I r R LOT # I L. swim .ION . I • .1 PARCEL IDfSTOZ• Zc fZt.• O0 t • C:/g Q-5 s• cc2o • (011TAINEr PROPERTY TAX NOTICE WORK P - OPOSED - R NEW CONSTR 1 ADD /ALT n SIGN ' ' MOVE Q DEMOLISH • • INSTALL MI • REPAIR ' PROP • - D USE . I SFR - COMM n OTHER l 1•'t ) et,cs -SCE _.__ - TYPE 0 - CONSTRUCTION I l BLOCK I I FRAME . P4 STEEL ' T i OTHER I - j PESCRI ION OF WORK INTTatt01., ( ,)`IGUA - ViNN fbg,T,•lEW M'£Diegl f F:,t,Ann dickSpice • BUILDIN SIZE 11\ 3 Or / ( • •• SU FOOTAGE I fat C' ] HBGHT j BUILDING I$ ] VALUATION OF TOTAL CONSTRUCT ON ' L ELECTRICAL. $ • 015,coD. AMP SERVICE J ' PROGRESS ENERGY n W.R.E.C. © PLUMBING I J 1 MECHANICAL $ VALUATION OF MECHANICAL INSTA LATION . • n 'GAS ( ROOFING I= SPECIALTY Q OTHER FIN(SHED FLOOR ELEVATIONS I FLOOD ZONE AREA J :?•YES ONO • r.1 BUILDER ` COMPANY I Sttue, „ •• 1 .1 . GoNs}rvc-(- 1 SIGNATURE • ` ` REGtsTERFD 1 Y/ N , Fee UI RE T ( Y / N 1 ,11 � -]�� Address. Ilazfa Whrg. f • � ke Pi. AT, !v 3 !i ,iLlc # ESC 65-71 ee3 I Vi . U F� S IG �N ► n COMPANY 9 ' c L � �_ L 4 1 f I di / + L RiosTF,REO F£ RENT ] Addr'sse • = Z5 ” 1 40 - . S.4r iw. i4., cw1. 6-35 'License.# I i^ c ate., eiC I Sup Su0 I a ,, (; ' . J� r PLUMB COMPANY [ r l , / SIGNATURE /�.� �'��� `� REGISTERED I Y / N '. F aUWTENr 1 Y! N I 'y rte/ Address I License # I tL r I • MECUM ICAL COMPANY • SIGNATURE - REGISTERED I Y / N Om cUMENT ® , AddlKas '. License # I • OTHER I COMPANY I I SIGNATURE REGISTERED I Y/ N FEE CURRENT 1 Y/ N 1 Addreao I 1Ucense# I • I RESIDENTIAL Attach (2) Plot Plensi (2) sets of Building Plans; (1) set of Energy Forms; R-O -W Penrtdt for new construction. Mlnimum ten (10) working days after suemittal date. Required onsite, Construction PI<'.`TS, Stonnwater Plans w/ Silt Fence installed. • I Sanitary FacilUee & 1 dumpslsr Site Wgrk Parmlt for stlhd(visioneAarge projects ' COMMERCIAL Attach (3) complete sets of Building Plans plus a Ufa Safely Paga: (1) set of Energy Fi.ims. R-0-W Penult far new construction. Mminum ten (10) working days after submittal date. Required putts, ConstnlcUon PI:'is, Stonnweler Plans w/ Silt Fence installed, Sanitary FadUUes & 1 dumpster. Site Work Permit for all new projeote. All commercial , mqulrernerus must meet compliance - SIGN PE M UT Attach (2) sets of Engineered Plans. - ""PROPERTY SURVEY required for ell NEW concetlaaon. Dtrectlors: • Fill c ut application completely. . Owner & consAgtor alga beck at application, notarized If o/er g25a0, a Notice of Commencement Is requires. (A/C upgrades over $5000) "" Aga d (far the contractor) or Power a( Attorney (far the owner) would be someone TMIh notarized letter owner authorizing same • OVER THE COUNTER PERMITTINI3 (Front of Application Only) - RaNOfs Sewers Satvlca.Upgrades AIC Fences(Plot/Survey /Footage) Drlveweys -Not over Gourif If on publIcraedweys::neecJL.ROW • • 813-780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department J. Ci( 1 ( f5 4- 2 6 -01 Phone Contact c XE y 5/ (0 / fl7 8 Date Received `f Phone Contact for Permitting - Owner's Name f1- oe%Dr•1 1-)osp %-l-AL. - -zepRtif214 1 Owner Phone Number P/3- 7 n . (.1 o � �q Owner's Address - 7C ) SO &qv t- BLVD. Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 6o7'18 GL" 13L-VD JOB ADDRESS LOT # SUBDIVISION PARCEL ID# 0 2. 2-f0 . 2 N • C) 01 U • 02_50 • 002,0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED l 1 NEW CONSTR �� ADD /ALT n SIGN n MOVE n DEMOLISH INSTALL 111.11 REPAIR PROPOSED USE I I SFR COMM 1 1 OTHER I MED biCIE. I TYPE OF CONSTRUCTION I I BLOCK 1 I FRAME STEEL n OTHER 1 I DESCRIPTION OF WORK 1NtER1OV.- UOUA-1-4o• c(jQ %Me MEDI CM /EXAK+ C % .S LE. BUILDING SIZE X\ C)CJc 5e /1344>' SQ FOOTAGE SV VC) HEIGHT 1 ,4 BUILDING $ Z561) / _ I , D° VALUATION OF TOTAL CONSTRUCTION I v ELECTRICAL $ (_l lD AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.0 . Cc 000 . -- co , vi PLUMBING $ 9st a /� a ( • V M J 1 ,�I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 3o .3' I I GAS 1 1 ROOFING 1 I SPECIALTY n OTHER S I1' e FINISHED FLOOR ELEVATIONS e,4154 t .Q FLOOD ZONE AREA 1 'YES 1 ■ -� ,}D �S , ,, l BUILDER I '' ' COMPANY STeU e N.S C Otv $4S`uC_ +(G J SIGNATURE 1 � ` &______ REGISTERED I Y / N I FEE CURRENT I Y/ N I Address 6 . IWht3 ke7 C clit Fr Myers 339 19 License # UDC- 6 5 - 7 / (ei3 O ELECTRICIAN d� n (' -� COMPANY SIGNATURE t REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 Address J 1 License # SLUMBER n t[ ,� ���, f „ ^� 21?/C7 t COMPANY SIGNATURE �J- t 0` lA ! REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address n %." License # n 44 " MECHANICAL �Q� *� COMPANY SIGNATURE X-� REGISTERED I Y/ N I FEE CURRENT I Y / N 1 Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 Address License # I 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. 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 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 "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 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 ' N ATTORN BEFORE RECORDING YOUR N TICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) cf OWNER OR AGENT r""' Ir CONTRACTOR Subscribed and sworn tt or affi ed) bef ' thi Subscribed and sworn t (or affirmed) before me this by /79/L / A � ✓✓ • e 7 e 0 /• IC by N. lL CT�'U — 11( Who is /are personally known to me or has/have produced Who is /are personally known to me or has /have produced as identification. as identification. pear Notary Public ere* Cann* D00772985 : Commission No. Commission No. ! Expkr,s 3127/2012 Name of Notary typedugl .$Y Name of Notary d o s�DD871333 6 a • EXPIRES: April 7, 2013 t ' Bonded TtIU Notary Public Underw e( - .7CA1GUU&G V.S. l.A.MILLIGLUICIA 1Jb■1 11,WAtial%'OD Mau. n vosisaa< a wsv a v+ a • 1. i -) a ` i..k ^: :; i C Window Schedule of Commercial Lead Thickness and Weight{ !read Sheet Thickness* Decimal Fractions of an Inch Mill titer Weight Nominal L6s. Equivalent Per SF 1/64" .0156" .03988mm 1# 1/32" .0312' .07937mm 2# 5/128' .0391" .09922nrn 2 %# 3/64" .0469' 1.1906mm 3# 1/16' .0625' 1.5875nin 4# 5/64" .0781' 1.9844mm 5# 3/32' .0937 2.3812mm 6# 1/8" .1250' , 3.1750nm 8# 5/32" .1562' 3.9697mm 10# 3/16' .1875" 4.7025n an 121 1/4" .2500' 6 3500mm 16# 3/8' .375' 9.5250nnn 24# Shielding is 99.9% puns sheet lead, meeting Federal Spedication QQ-L -201 F * Standard Uickeness tolerance for lead sheet : Plus or Minus 0.005" *" Standard thickness tolerance for feed platE~ Plus or Minus 0 .010" Lead Plate Thickness** Decimal VVeight Nominal Lbs. fAillimeter Fractions of an Inch Equivalent _ Pr SF 1/2" .050" 12.70nan 30# ` 3/4" 0.75" 19.05mm 40# 1" 1_00" 2540mm 60# 1 -1/2" 1.50" 38.10mm 90# 2' 200' 50.80mn 120# 2 -1/4" 2.25' 57.15mm , 136# 2-1/2" 250' 63.50mm 150# 2-3/4" 2.75" 69.8Srrm 165# 3" 3.00" 76.20rnm 1801 3-114" 325' 85.55mm 195# , 3-1/2" 3.50" 88.90mm 210# http:/ /www.afabxray. eightS.Mm ! 5/21/2009 , ..'' ,.., ,.., .: •,, r , .., . ., • , ... _..... . .., : G : , I 1 El ; ,. .. . - 7 . .:: ,..:: c c ‘• , t C. c.. -,., „., ,-, t..- ,_ i c II , i 1 -1- -:' . . , . .:: . ., ": co ,_ r.:5 I "' " % T ..:'1'.i 1 ',..4 4 '7, "".", .,,.. 0 .„,„'..) 7•, — 74; .. ' l i _ . , ,- Z 2) i : , - . cr i u.... . - ,, ---. - " I) 5 `....." ( r -4 ) ;■ 0 Di - 1 ., -. ., . ,_, '-.47 L , .....1 ' , .: :, : ..",.. . ( .2* :::•1 ' 0 ' L , =. -':::' ‘.':.-' .: ,-, ,. ,;) .'i - L - 7) '.. ', ,, 1 . ' to , <1, > , " t.) -•,-;.-., ,.-.: .. •' "..: ,-, .. , ' , , t.' . V %--- 4= .x 0 . ' ' -" ■ t . ° Z ItI '. 0 () , , ••-••• ':..-.., ';''' -..,: .::: r ' 1 ' . ■ :.-„, , fo ., 1 ; , — 111 C3 Q 2 .... co ' uj a , c..);c'E ,.. L a) 0. 13. . 0 Lb. - i Aimee Keller Florida Hospital Zephyrlulls Zepllpii is Florida 33541 PROTECTIVE BARRIER REQUIREMENTS Project Location: 12 Oaks Medical Center EFFECTIVE WORK WEEKLY WALLS BARRIER THICKNESS Room Number: Cath -Lab R & F Room A - B 1.587 mm Pb / (, lnchdes Door B - C 1587 mm Pb 17 4. Includes Door Includes Window C - D 0.000 min Pb D - A 2.381 mm Pb •13 •• E - F 1.587 mm Pb No shielding Inquired on ceiling or floor Protective Barrier Conversions magma WEIGHT 1N P RJNDS FORA 1 SOUARE FOOT SECTION Nominal Wert Actual Weight 0.80 = 0.79 2.00 1.85 1.00 _ 0.99 250 2.31 120 _ 1.19 300 2.76 1.60 _ 158 4.00 3.69 2.40 = 238 — 5,53 'NOTE: I) All Calculations baled on Worldoad Disirthation as a fraction of kVp as defined in NCRP 147 2) Warier r on NCRP REPORT No. 147 3) All ' • the the length o _ - , and 7 foot height mioimam June 25 David A. Hernandez, ' . Date i I A Project Location: 12 Oaks Medical ceder Room Number: R & F Room Hallway Pi �....� _ X 0 N 3(33t. I F T 46 a � 3$j • I It r . Se7 r ■ c 0 ( I-1 I E ■ r 1 Outside Building • t i 04/27/2009 14:24 FAX 863 647 1865 DIVERSIFIED GLOBAL PIPE PIPE Z 0 • �_ py.r O rr avu� lr. T.r• J. `hv r , r i 44' +. of tip Permit rAx- N, r6Y- tJUZ1 ,37$0 - }.1020 G Pate Rec • ivcd - Phone Contact for PennINI : . _ ‘1 - Owner's ama 1 /ZSpta 1 `"P- 01 ILLS Owner Phone Number R' 3 - 7 Er3 -• r ° 1 p -- 70.5c , Cam} c • e V owner PNona Plumber owner's • ddYwse ! Owner Phone NWtiber ` , 2 Fee Sim - e Titleholder Hartle( . w� r Fars Sim ■ • Tide Crag- C I4L -- r 7 '_vd -- ' LOT* I • 1 r JOB AD • RES3 - su6Dlvi - ION • • L. 1 PARCEL 1 ) C7 OBTAINED 7-,. PROPERTY - C.2 1 o a - [ r,7_,4 • WORK F - OPOSED n NEW CONSTR ADD/ALT r—i SIGN 1:Z1 MOVE 1---1 DEMOLISH , INSTALL REPAIR PROP • - - D USE , © SFR Comm 1 r 4THER /tll^rr., biroP' - I • TYPTYPE 0 ° GortsTRtacTloN r7 BLOCK FRAME • • ® STEEL OTHER 4 -i o,J New M'FD COA, /EMICUN -• : - - --L-1 DESCRI - TION OF WORK I SN��n� �' ►1d►! BUILDIN SIZE A t][aG `t 1 - - SQ FOOTAGE ( CDC0 HEIGHT I 1 BUI DINtli I$ I VALUATION OP TOTAL CONSTRUCTION Lje ELECYIiIGAL {� I AMP SERVICE F PROGRESS ENERGY • WR.E.G • , '1 rr■I• PLUMBING r 1/1 , 5 q S 00 I . L ( ✓-1 MECHANICAL is I VALUATION OF MECHANICAL INSTALLATION . I ' GA3 1:=I ROOFING r ...� J SPECIALTY OTHER . FINISHE . FLOOR ELEVATIONS I FLOOD ZONE AREA =iYQS rlNO - • ■ ' ! � COMPANY ST'cvcivS Cow?S4 r6L�tar.J SJGI,PB NA FIE ......i." REGISTERED OMEN Fee cunnewr WREN . SIG ♦ L ! Ad • aas I a,20 = wA�ts k� a � � t Pr M•r 33 I' Llamas* 1 t L 65 ./ 4 1 • ELECT - CIAN I 7 I R g yro COMPANY 1 . . • 1,_ J , Y / H FEE CURRENT y + • N 1 91GNA RE L ovneo!k • Ad • sae ANY ► dt�L 1F1 • r P ! r cif S I NA =' ' (� I COMP ,aea�srt�n ® cuRiorn - r i'�'� SIONAY RE Y Ad- co X* 5 .-. Elf -• Li (.Ad. Li ( u' # I (•F(_i1 -1 54 8( MECH - ICAL I COMPANY this CURRENT -- $IGNAT RE _ REO Mgara. 1 license* Atl• eon I - - ' OTNER COMPANY P iiE CURRWY • SK N*T RE r GIST6tf� ® • License* 1 • i Ad . eaa • RESIDE TIAL Attach (2) riot Plans; (2) acts of Building Plans' (1) set of Energy Forms R W Pe Pla ns r n e w cons r co Slit Ponca Inatslletl, • . Minimum tan (10) working days after submittal data. Rs aired ornate. CortalresEari Sanitary Facilities & 1 duMpstor; Site Work Permit for sundNlstorre/large prokots COMME' LAL Attach (3) complete eats of Building Plans plug a Life Safety Page; (1) set of Energy Forma, R•0-W Permit for nSW construction. Willman ten (10) wking Sanitary Fact Ittos & dump after toeWorh submittal for new omits, All oommorolal must moot eo petalled, pllence *ION PE' MIT Attach SURVEY r� piano. for alI NEW cnncauction. • Directlo Fill • ut application comptotety, or a Contractor sign bact< of application. notarized N o ar 12600, a WRIER of Commencement to regetrod. (A/C uporadao over !•000) ,.. Ag = t (far t he tgntraCtoT) or Pawer of AttpmeY (for Boo owner) would be someone wit notarized totter from owner authorizing soma . OVER T E ctIUNTER PERMITTING (Front of Application Only) Re ' ofs Sowers SeniiC6.Uppradas NC FenCee (PlDN3tlNaY/FOOtapa) • D ri ye-Not avor Courifiar If on pu6ftc readwaye:.neede..RGW • ' 04/27/2!309 14:29 14075716861 SCI MAITLAND PAGE 02/02 • Fax- e1U- ftIWuZ1 - 613- 780 -0020 City of Zephyrhills Permit Application Building Department G /4et5 Cc y o , s/ ro _ 4'76 Date Kee void .4 ' Phone Contact for Perini • : c IIItmr. tit, Fst3.7s-3 -G; . • �p4 I\ospt4'AL - -Z 4 Owner Phone Number Owner's Rine " 7o S4 ( � -C_ 1 V/- Owner Phone Number Owner's ddrese I Owner Phone Number Fee 81mp • Titleholder Memel • Fee Sim. • Titleholder Address 1 788 Gam- (3L . I I LOT 0 � . JOB AD r' - US UMW ION 1 I PARCEL IDMI 0 Z 265 , 2,'- OW 1 U - o2.5°0 • w2-O 1 mermen FROM Montter( TAE NOTICEI �� ADDIALT n SIGN n MOVE n DEMOLISH WORK OP08ED NEW CONSTR r INSTALL MI REPAIR , PROPOSn " n SFR COMM Q OTHER TYPE OF CONSTRUCTION n BLOCK FRAME ® STEEL p OTHER 1 1 (q}iow ;roe. St w M>cDI /EVAN'S I CL Sp4C.e DtsSCR(' 1011 OF WORK 1 IRIS/AID,- R� l BUILDIN • SIZE I \\ auO5e A " SQ FOOTAGE) ST-104=1 I HEIGHT 1 1 • BUILDING (S I VALUATION OF TOTAL CONSTRUCTION I IS AMP SERVICE = PROGRESS ENERGY ( WR.E.C. ' © PLUMBING IS 1 " • 1 el MECHANICAL I 30 K 1 VALUATION OF MECHANICAL INSTALLATION . • • = GAS n R r SPECIALTY El OTHER FINISHEI. FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO BUILDS I COMPANY 1 STe•VeNI C00.)S'INJC4t I SIGMA RE < < REds1ERED I Y I N J FEE cuwE - tar 1 Y 1 N 1 Ad esa I(o2n'. whtSre•f C/24 -C AL Ft ESS 33 19 Licenses I C.64. 657/f 3 I ELECTR • COMPANY L Y/N 1 I SIGNA RE REGISTERED .1 Y 1 N 1 FEE CURRENT 1 Ad' . I ' I License it 1 J COMPANY I I PLUM o SIGNAT RE REG ISTERED I Y/ N 1 FEE CURRENT I Y/ N I I A• . es I • 1 Uc•ase0 I • MECH ICAL �y /) COMPANY Iyy 1 ` , 1 F 4 /etrl 5 SWEET 87711— r` 810NA ` E " de/ REGISTERED / FEE CMR.0 I Y / N I Ad. ESE Icios ht) 4FkkBAI) h F'L. J3liS License* 1 CA7C. 33Sab 1 ' OTHER COMPANY I I SIGNA RE • REGISTERED I Y/ N I PEE CURRENT I Y/ N 1 Ad s I I license al 1 • I RESIDE TIAL Attach (2) Plot Plans; (2) seb of Building Plants: (1) set of Energy Forms; R-O-W Penult for new conouction, Minimum len (10) working days after submittal date. Required onsite, Construction Plans, Storrnwater Plans w/ Silt Fence Installed, Sanitary FaciiUes & 1 dumpetar, Site Work Permit for aubdlvtatonanerge projects COSINE • CIAL Attach (3) complete sets of Building Plans plus a Life Safely Page: (1) set of Energy Forms, R Permit for new construction. Minimum ten (10) working days after submittal date. Required omile, Construction Plena, Stonnwaler Plena w/ Silt Fence Installed, Sanitary FacllIUee & 1 dwnpater. Site Work Penult for all new projects. All commercial requirements must meet compliance • SIGN IT Attach (2) sets of Engineered Plans. — *PROPERTY SURVEY required for all NEW construction. • Directs • . FIN • t appNealian completely. 0 & Contractor sign bade of application, notarized ' If 0 r S2500, a NotiCS of Commencement le required. (A/C upgrades over 85000) Age 1 (for the contractor) or Power of Attorney (for the owner) would be someone wllh notarized letter from owner authorizing same OVER E COUNTER PERMITTING (Front of Application Only) R . • s Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driv ways -Not over Counter if on put& rvedway..n•eds.ROW 04/27/2 13:02 FAX STEVENS CONSTRUCTION [4 001 /002 Client#: 63830 STECO2 DATE(MMlDDIYYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 04/23/09 PRODUCER ' THIS IS ISSUED AS A MATTER OF INFORMATION • • ONLY ANDCONFERS NO RIGHTS UPON THE CERTICATE Gulfshore insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4100 Goodlette Road North ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ' Les, FL 34103 -3303 NAlC # 261.3646 INSURERS AFFORDING COVERAGE INSURED m INSURER k Aerisure Insurance Company Stevens Construction, Inc INSURER B: Stevens Development, LLC INSURER C: 6208 Whiskey Creek Drive INSURER D: I Fort Myers, FL 33919 INSURER E: COVERAGES PERIO THE POLICIES OF INSURANCE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE ANY REQUIREMENT, TERM OR COND OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT O TO WHICH L THIS CERTIFICA MAY BE I SUED OR NOTWITHSTANDING 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. POLICY EXPIRATION LIMITS INT NS GENERAL LIABILITY GL NDO I RC TYPE OF INSURANCE 1 POLICY NUMBER 1 D ATE ( MMIDOFYYI DATE (MMI DOM'I _ 2053485000000 04/26/09 04/30/10 EACH OCCURRENCE $1,000,000 A DAMAGE TO RENTED $300,000 PREMISES (Ea occurrence) )( COMMERCIAL GENERAL LIABILITY MED EXP (Any One Person) $1 0,000 CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OPAGG s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER 1 POLICY 1 ^ 1 jECT I LOC Q4(3OI1 O A AUTOMOBILE LIABILITY CA20534830001 04/26/ COMBINED SINGLE I LIMIT $1,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ (Par accident) i X NON -OWNED AUTOS I PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY EA ACC $ 1 ANY AUTO OTHER THAN AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY CU205348600 04/26/09 04/30/10 EACH OCCURRENCE $2,000,000 X OCCUR I I CLAIMS MADE AGGREGATE $2,000,000 $ X I DEDUCTIBLE $ RETENTION $O WCSTAT fOTH- A WORKERS COMPENSATION AND WC205348701 04/30/09 04130/10 X I TO I IM 1 I ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNE OFFICERJMEM ERR EXCLUDED? ECUTIVE E.L. DISEASE - EA EMPLOYEE $500,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $500,000 SPECIAL PROVISIONS below A OTHER Leased/ CPP2053483000000 04 /26/09 04/30 /10 $35,000 Limit $500 Deductible Rented DESCRIPTION OF OPERATIONS f LOCATIONS/VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyrhills - Building DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 fl DAYS WRITTEN Dept NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 8th St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Zephyrhills, FL 33542 REPRESENTATNES. AUTHORIZED PRESENTATIVE �� +•p/_ ACORD 25 (2001108) 1 of 2 #M354277 SJH 0 ACORD CORPORATION 1988 FLORIDA HOSPITAL � i ZephyrhZs l (Owner's Letter Head) April 3, 2009 Stevens Construction Inc. 6208 Whiskey Creek Drive Fort Myers, Florida 33919 ATTN: Mark A. Stevens RE: Notice to Proceed Florida Hospital Zephyrhills — 12 Oaks Renovation Project 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 April 20th, 2009 and completed in August 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: _ (Name of Owner /Company) iin ,A � ( Signature ) By: /:,/h.14_,/ (Printed Name) /� (Printed Title) Title: A / 1)\491-7 n�f Date: y G- 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 .. ! NOTICE OI JMMENCEMENT 09046999 FS 713.13 , PERMIT# Rcpt : 1236184 Rec : 18.50 DS: 0.00 IT: 0.00 PARCEL IDENTIFICATION NUMBER: 02 -26 -21 -0010 -02500 -0020 04/06/09 Dpty Clerk THIS INSTRUMENT PREPARED BY: Chris Cooke PAULA S. 0' NE IL , PASCCOO CLERK & COMPTROLLER 04OR6 8 5b 1 PG 260 260 RETURN TO: Stevens Construction Inc. 6208 Whiskey Creek Drive Fort Myers, Fl 33919 STATE OF: Florida COUNTY OF: Pasco PROJECT NAME: Florida Hospital Zephyrhills - 12 Oaks Medical Office Building 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 - 12 -Oaks Office Building, 6748 Gall Boulevard, Zephyrhills, Florida 33541 2. General description of improvement(s) Interior demo of existing space & renovation /alteration of existing interior for new medical offices and exam spaces. New Fire Protection. G.C. Project No. 09 -1289 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 ∎.. it 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): 9/25/2010 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, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT M T BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A • EY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Verification pursuant to Section 92.525, Florida Statutes. Under . , `alties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to • est of my kno -; . nd belief. L Signature of Owner: / A4, At /y1J68 Iv. 1I?l&,t/ ' (Note: per Section §713.13(1)(. , lorida Statutes (Print Owner's Name) �1 "Owner must sign _.and no one else relay be permitted to sign In his or her ead.•) Date L/ — % _ - , 9' r� n Signed: V� State of: rt&�(7k(,„ . County of: VOA g A e The foregoing n instrument was y�nowledged before me this V day of I t p.) , 2009 By: 1tl C U[C'e I (C:ar it ii_t.). / � L Who is personally known to me or !/ has produced: as identification, and * did take an oath did not take an oath. 1/� �.F'f DR i?1)_ /�E1� lV� 0 Notary Printed Name: Notary Signature: (notaries seal must appear below) r i 1 AURA D VS �, S• /•M �_ sSS • �V� W1Y�S"f((�ra. 0 4. , Cornmit< DD0772985 ? J Expires 3127/2012 s N „Fn Florida NoferyAan., Inc Pasco County Pro? ty Appraiser - Legal Description for: 02- 26 -21- 0010 -02500 -0020 Page 1 of 1 welcome : Records Sc.:rch : Parcel Details : Legal Description OR BK 8056 PG 261 Legal Description 2 of 2 02- 26 -21- 0010 - 02500 -0020 Assessed in Section 02 , Township 26 South, Range 21 East of Pasco County, Florida ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 NORTH 1/2 OF TRACT 25 LYING EAST OF US 301 LESS EAST 230 FT THEREOF & LESS WEST 160 FT OF NORTH 1/2 LYING EAST OF US 301 OR 8021 PG 206 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: 2/17/2009 11:49:04 AM The Local Time Is: 4/3/2009 11:42:01 AM http: / /appraiser.pascogov.com /search /legal. aspx ?parcel= 2126020010025 000020 &cache= Fal... 4/3/2009 1 1 1 1 1 STATE OF FLORIDA, OF PO LA A THIS IS TO DOCUMENT TRUE AND OR OF PUBLIC RECORD TI- S OFF CE W OFFICIAL SEAL THIS FILE OFFICIA WITNESS MY HAND A LA 2 S _DAY OF "S -ODNEI L RK & COMPTROLLE DEPUTY CLERK U) • i A STEVENS CONSTRUCTION • FORT MYERS, FL 33919 - �' 4 01 DATE INVOICE NO. INVOICE AMOUNT RETAINAGE DEDUCTION BALANCE: 6 -09 -09 060909 15.0C .0C .00 15.00 4 DATE K 6 -09 -09 K 14401 °) 15.0C .00 .00 15.00 City of Zephyrhi11s B1dP.LEAgE p lj THISPORTIONANDRETAINFORYOURRECORDS . 813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 Building Department � Date Received - e ei' Phone Contact for Permittii C--! 0-'4 Li 7 Owner's Name F/ li05 ZI'ii7 45 -1 7 Owner's Address / �fe f e O tIiG G, :/4 Fee Simple Titleholder Name J �%fiYJ9 i /' // ' 0-tit Fee Simple Titleholder Address A e '5 JOB ADDRESS 6 7/{/,k r!Tr 'fi''Q'-_ Ci �i���f l D " 7 r SUBDIVISION PARCEL ID #F 7 t lfiNo of- / - / 1 WORK PROPOSED NEW CONSTR ADD /ALT 1 INSTALL REPAIR te/ PROPOSED USE I 1 SFR 1 1 COMM 1 v 1 nCrN I I TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL n OTHER 1 1 DESCRIPTION OF WORK P � ?70f} /.Y /c/) ,7 va/Ze92 ,44‘ ._. -1/ s / ..4 , fel ? 727. BUILDING SIZE SQ FOOTAGE I HEIGHT I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. 1 1 PLUMBING $ ( /, /= 9l ..- - ,7 (-_,_,,,, MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,5,47)24-)15 40"; GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES Ell NO BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 License # 1 ELECTRICIA \ � � COMP ( \CLt 611CA lC).A_ J-C✓ �^L SIGNATURE ` �/ R EGISTERED A/110 ) N FEE CURRENT I Y / N I Address I License # PLUMBER COMPANY SIGNATURE REGISTERED l Y/ N 1 FEE CURRENT 1 Y/ N I Address License # I MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 Address License # OTHER COMPANY ' SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 - Address License # I 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. 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 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 co.gipliance 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 "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 Tots 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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by by Who is /are personally known to me or has/have produced Who is /are personally known to me or has /have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped ■ ■ ■ ■ ■■ EN ■■ ■. ■■. ��� 1111 • •• •• • NMI__ ■••••• - s evens CONSTRUCTION INC. June 9, 2009 City of Zephyrhills 5338 — 8th Street Zephyrhills, FL Fax: 813 - 780 -0021 Attn: Building Department RE: Permit #9118 — Change of Subcontractor To Whom It May Concern: Please be advised that we are removing APG Electric from the above permit, and replacing them with Strickland Power, Inc. The $15.00 fee is forthcoming via mail. Should you have any questions, please do not hesitate to call. Thank you. STEV NS CONSTRUCTION, INC. Mar Stevens • President STATE OF Florida COUNTY OF LEE The foregoing instrument was acknowledged before me this 9 day of June 2009 By ark A. Stev ns who is personally known to me. stamp otary Public (� (� � WIN WIN l � CL � #i 1• : - An 0o1SI0N #DD871333 OW ""'� � �_ , EXPIFES: Apt 7, 2013 f� �. Bmdsd Thiu Nobly Pubic Und■Mten JU IL City of Zephyrhills Lic. # CGCO57163 6208 Whiskey Creek Drive • Fort Myers, FL 33919 • Phone: 239.936.9006 • Fax: 239.936.9010 www.stevensconstructioninc.com 06/09/2009 13:59 FAX STEVENS CONSTRUCTION 'J001 /001 _ 1 r ti !•M■ ■em # —a 1111 r. ••l ' w.��• 1111 • ••:•5•• =.= Ili/ s evens CONSTRUCTION INC. June 9, 2009 City of Zephyrhills 5338 — 8th Street Zephyrhills, FL Fax: 813- 780 -0021 Attn: Building Department RE: Permit #9118 — Change of Subcontractor To Whom It May Concern: Please be advised that we are removing APG Electric from the above permit, and replacing them with Strickland Power, Inc. The $15.00 fee is forthcoming via mail. Should you have any questions, please do not hesitate to call. Thank you. STEV CONSTRUCTION, INC. Mar Stevens President • STATE OF Florida COUNTY OF LEE The foregoing instrument was acknowledged before me this 9 day of June 2009 By j ifi ark A. Stevens who is personally known to me. M A ∎ stamp . 4 otary Public jig:. s MY�tfD0371333 -,- - EXPIRES: Aped 7, 2013 ti ,\ 3andsd Thu Notary Piddle undm ren Lir. # CGCO57163 6208 Whiskey Creek Drive • Fort Myers. FL 33919 • Phone: 239.936.9006 • Fax: 239.936.9010 www.stevensconstructioninc.com CITY OF / / / / BUILDING ZEPHYRHILLS • - DEPARTMENT OF ADDITION OR CORRECTION DO NOT REMOVE ADDRESS TE PERMIT f Cts 6 ( 48 k , L \ti> 9,11-1 61 1 THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be mode before the job will be accepted. Y TrIA4 L.- N f2-rzPv•I - Fg-- 1 &birzLMINC Fta- 2 u / It is unlawful for any Carpenter, Contractor, Buiide or other persons, t AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth 780 - 0020 FOR RE- INSPECTION or other material, until the proper inspector has had ample time to approve the installation. INSPECTOR �.�`I S OFFICE HOURS 7:30AM - 4:30 PM MON. -FRI.