HomeMy WebLinkAbout11-11501 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
. • �si3)�so-oozo 11501
BUILDING PERMIT
Permit Number: 11501 Address: 7050 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: MEDICAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-10500-0000
Improv. Cost: 820,000.00
Date Issued: 2/15/2011 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 3,731.11 Address: 7050 GALL BLVD
Amount Paid: 3,731.11 ZEPHYRHILLS, FL. 33542
Date Paid: 2/15/2011 Phone: (813)783-6189
Work Desc: INTERIOR REMODEL OBSERVATION RM 3,560 SQ FT
✓ . 5 .
APG ELECTRIC INC. PLUMBING FEE � 348.75 MECHANICAL FEE ✓ 244.13
DIVERSIFIED GLOBAL PIPING 8 CONS FIRE PLAN REVIEW FEES i/ 213.60 FIRE INSPECTION FEES '� 30.00
WYATT-FITZGIBBONS SHEET MTL IN
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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 aorrections 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."
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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BUILDING PLAN REVIEW COMMENTS
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ontractor omeowner: �: �. �' �
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Approved w/no comments: ❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment, sheet shall be kept with the permit and/or plans.
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� ' DISPLAY AS t�EQU1RE0 BY LAW'' . ' .
PINELLAS COUNTY CONST[tLICT1nN
LIC�NS[NG BOARI}
TH15 CERTfPIBS THAT John R Kevul�
b�A APG Etectrk Inc
STA1F. CERT M 1-ECOOOB466
HAS FIGED H[SJHER LICBNS6 AND PROQF OF R�QUIRED
LIABILITY ANb WORKEItS' COMPbNSATION
tNSURANCB wITH THLT HOARD.
IN C,aOD S7ANdINO UNTIL S+eple�nber 39, Zli]1
DATEOFI33UANCE 07h5/Zd10
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to the public thruugh a Profes9i+unal Enguu undc�r Ch�ptcr 471, Florida 5tatutea.
Certificate of Authorization
EJCPIRAT(ON :2iZ8,►2p93 CA. LIC. No:
AuDIT NO: 226201300518 �g47
_ 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
contrador, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILRIES 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 pertormed 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-Seawalis, Docks, Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmental 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 appliqtion, 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, welis, 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 COMM MENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT �NTRACTOR
Subscribed and sworn to (or affirmed) before me this / bsc ' d swor i ed) b me '
by
Who is/are personally known to me or has/have produced o i re ersona nown o m r has/have produced
as identification. o
Notary Public �tiG�J1�.WOtary Public
Commission No. Com sion No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped s ' �
NOT/4RY PU�,ICi
3'PA'fiE OF Fi,pRIpA
. CornitxlE GD7�
�n. v�erso�a
I�DDIA
..�......��.
Florida Hospital - Observation Area
budget proposal
January 19, 2010
Print Copies / Reproductions $ 1,800
Builders Risk Insurance by owner
Building Permit / Impact Fees / Gov. Fees by owner
Temporary Facilities $ 5,000
Supervision $ 40,000
Clean up / Hauling $ 8,500
PayrollOverhead $ 35,000
Temporary Walls / Dust Control $ 16,500
Final Cleaning $ 3,400
Dumpster by owner
Misc. Cutting / Patching $ 12,000
Millwork $ 28,750
Rough Carpentry $ 11,500
Rough Materials $ 13,000
Roof Penetrations / Patching N.I.C.
Finish Trim $ 5,000
Insulation $ 3,500
Storefront $ 4,500
Doors / Frames 8� Hardware $ 13,500
Door & Hardware Installation $ 1,100
Metal Studs / Drywall $ 17,200
Painting $ 5,800
Acoustical Ceiling $ 8,000
Floorcovering $ 24,700
Cubicle Tracks / Curtains by owner
Misc. Accessories $ 12,000
Fire Extinguishers $ 2,400
Plumbing / Medical Gas $ 65,000
Fire Sprinkler Relocation $ 10,000
HVAC $ 32,500
Electrical / Fire Alarm / Low Voltage $ 175,000
Subtotal $ 555,650
CM Fee $ 19,350
TOTAL $ 575,000
not included in the above budget:
permit, impact, utility or any other governmental fee
security system / cctv
electronic door hardware, magnetic locks, automatic door openers
Page 1 of 1
This Instrument Prepared By:
Name: Rod Construction, Inc., 250 E. Hi,�h[and Drive, Lakeland, FL 33813
Permit No. Tnx Folio No. 3�"� J� I��Q I(} "' �� S�" ��� �
NOTICE OF COMMENCEMENT
CTATE OF Florida
COUNTY OF Pasco
THE UNDERSIGNED hereby gives notice that improvements 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 property, and street address if available)
Florida Hospital Observation Area Legal: 35-25-21-0010-10500-0000
7053 Dairy Rd. I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII) IIIII IIII �III
Zephyrhills, FL 33541
2. General description of improvement: demolition 2011010069
3. Owner/ Tenant information
a. Name and Address: Florida Hospital Zephyrhills, 7050 Gal! Blvd,Zephyrhills, FL 33541
b. Interest in property: Owner
c. Name and address of fee simple titleholder (if other than owner):
� Contractor:
a. Name and address: Rodda Construction, Inc., 250 E. Highland Drive, Lakeland, FL 33813
b. Phone number: 863-669-0990
S. Surery Rcp4, :1346678 Rec : 18 . 50
a. Name and address: N/.9 DS : 0. 00 IT : 0. 00
b Amount of bond $ 01 /21 / 11 C. Cook , Dp1.y C 1 erk
c. Phone number: aau�a s o ' NE I L, Ph D PRSCO CLERK & COMPTROLLER
6. Lender 01/21/11 0:5 am 1 of 2
a. Name and address: N/A OR BK �5�4 PG 3�'j �
b. Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided in section 713.13(l)(a)7., Florida Statutes:
a. Name and address:
b. Phone number:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b)., Florida Statutes:
a. Name and address: Rodda Construction, Inc., 250 E. Highland Drive, Lakeland, FI 33813
b. Phone number: 863-669-0990
9. Expiration date of notice of commencement (the ezpiration date is 1 year from the date of recording unless a different
date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.I3, FLORIDA
STATUTES, AND CAN RESULT IN YOUR PAY� TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND OSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND
TO OBTAIN FINy1N ING, CONSULT TH Yp R' LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NO E OFYC0�1�7ENCEME�� ,
�,�.�. � �� , ..' ;�
(Sign(ture of Owner or Owtier's Authorized Officer/Director/P rtner/Manager)
' r �' ►�P�o�.
(Signatory's Title/Office) �
� ��
The foregoing instrume t was a knowledged before me thi�� day oj �1'L , 2011, by !� V �%��/(�la ner
(name of person) as %�OY (type of authority, ... e.g. o cer, trustee, attorney in fact) jor (name ofparty on
beh lJ f who instrument as execute
� C w�rH�rv s. r�c,�u.�
Nor�r Pu�
, gnature ojNotary Public - Sta of Florida) � � F �� A
(Print, Type, or Stamp Com ssioned Name of Notary Public) ��� ��
E�ires 1/18/2p12
Personally Known OR Produced Identifcation Type of Identification Produced
Zephyrhills Fire Rescue
6907 Uairy Road, Gephyrhills, 1-'L 33542
I� i�•e Marshal [3us (8 ( 3) 780-0041
Kerr}� 13ariletl E�aa (8l3) 780-U044
�;-mail: kbarnett� r f7re.Lephy ls.t7.us
Plan Review #: 11-010
Project: Renovation (Observation Room)
Number of Pages: 37
February 7, 2011
I have received and reviewed the plans for the renovation located at 7050 Ga11 Blvd and will
allow the plans to move forward. By paying for permit contractor acknowledges to comply with
the items below. Should anyone have any questions, please do not hesitate to contact the Fire
Marshal's office.
]. Proper safety practices shall be used during renovation.
2. If either of the fire protection systems (fire alarm, fire sprinkler system) are down,
this agency shall be notified and a fire watch shall be established (if 4 hrs or more).
3. The modification of the fire alarm system and fire sprinkler system will require
separate plans to be submitted along with any cut sheets, details, calcs, etc... to
obtain a permit. If a system is modified and calcs are not required then a letter will
be required by the installing contractor that states the modification does not affect
the previous calcs of the designed system.
Inspection Required:
1. Screw Inspections on Firewall
2. Firewall Penetration Inspection (includes fire dampers)
3. Firewall Final
4. Renovation Final
NOTE: Additional inspections will be required with fire alarm and fire sprinkler systems and will
be noted on those plan reviews.
. �
KERRY BAR T, 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.
Z���iYRHIL�S FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chi�f KesYf7 V1lilliams Bus (813)780-0041 ax (8� 3)780-0044
FIRE SERVICE USER FEES
Occupancy No.• /� �L �,, �
Plan No.: � U Q Contractor: /� CG� �-a�l
Business Name: ,r � Billing Address: ��Q,�
Business Addres ���f� C�� �
Business Phone No.: Billing Phone No.: 6-- O rrc.�
Business Fax No.: Billing Fax No.:
Contact: Contact: r
PLAN REVIEW FEES 1NSPECTION FEES PERMIT FEE FALSE ALARM FEE
��Site Plan N/C Annual N/C Sprinlder $50 1 st Alarm N!C
M � MuNi-Family/Commercial .O6 Sf 1st Re-inspection N!C Standpipes $50 2nd Alarm N!C
(Minimum Charge $25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
� Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $t00
4th Re-Inspection $500 Fire Alarm $50 Sth Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
0- 25 Heads $50 violations corrected) Natural Gas $50 NON COMPIIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- �� r��k $5p
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
� Per Riser $50 Hydrostatic Test $65 pe� syscem Fire Works $500
FIRE PUMP Acceptance Test $45 �r Sy�em Camp Fire $25
� Per Pump $100 Hydrant Flow $75 CoMrolled Bum $100
FIRE ALARM SYSTEM Hood/Duct $50
a 0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 A ual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 A uai
Wet $50 OTHER Waste Tire Storage $50 n �ai
Dry $50 Fire Wa111Smoke Wall $15 Perwau Generator < KW $100
CO2 $50 LP Gas $25 pertank Generator >30 KW 150
Other $50 Natural Gas $25 � S BiaHazard Waste $100 A ual
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 TeM 10'x10' or greater $15 Per ��c Torch PoVApplied $50
OTHER Fire Pump $45 Haz. Materials $100 n� �ai
LP Installation per tank $50 Fire Suppre55i0n $30
Fuel Tank Installation $SO System Acceptance
❑ (Per Tank) $50 8 Exhaust Hood/Duct $30
Natural Gas Installation $50 Re DBL
( Per System ) (other than annual)
� Spray Booth $50 � Inspection scheduled DBL 8
and cancelled less than
24 hours
Construction Insp. N/C
PLANS TOTA��� � INSPECTION TOTAL � PERMIT TOTAL �_ FALSE TO R
�---I
GRAND TOTAL
Comments:
Date� � �
Insq��ctor s � /!��
Florida Hospital
SQ. FEET PRICE
MAIN OR LIVING: 3,560
OTHER AREA UNDER ROOF: -
OTHER: -
VALUATION $ 820,000.00
FEE SHEET $ 2,325.00
ADDRESS
DRIVEWAY
BUILDING: $ 2,371.50
ELECTRICAL: $ 523.13
PLUMBING: $ 348.75
MECHANICAL: $ 244.13
SUB-TOTAL $ 3,487.50
buildin surcha e $ 53.40
TOTAL ; 3,540.90
SEW ER:
WATER:
IRRIGATION: $ -
TOTAL:
WATER METER:
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: S -
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5%
TOTAL: S -
SUB-TOTAL $ 3,540.90
PARK IMPACT FEES S .
SIF'S: $ -
100 0% $ -
1.0% $ -
TOTAL: ; .
TIF'S:
99%
1% $ -
TOTAL: $3,540.90