HomeMy WebLinkAbout11-11426 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
�sis)�so-oc�o ` 11426
BUILDING PERMIT
Permit Number: 11426 Address: 38220 HENRY DR
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0080-OOA00-0122
Improv. Cost: 12,600.00
Date Issued: 1/27/2011 Name: HCRA PROPERTIES I LLC
Total Fees: 150.00 Address: 333 N SUMMIT ST
Amount Paid: 150.00 TOLEDO OH 43604
Date Paid: 1/27/2011 Phone: (813)788-7114
Work Desc: INSTALL 486 SQ FT 4 POST SHADE STRUCTURE
5.
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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 wiil 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 con�ections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site � 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 properly 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 notiae of commencement."
✓ �"G
CONT CTO SIGNATURE PERMIT OFFI R
PE IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
PLEASE CUT OUT TNE CARD 9ELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLQRiDA IMPORTANT
UEPARTMENT OF fINANCIAL SERVICES
pry�� pp yyp�s ppMPENSpT10N Pursuant m t:f�epter 440.051141, F.S., an of ficer of a uuporation who
CONSTRIJCTIQN I1�1�STRV � etects exemption from this cAepter by filing s certificate of election
CERTIRICATE oF B.ECTtON TO � EXEMPT FROM FLORlDA •� L under this section may not recaver benefits o� compensstion under this
wo�uc�s co�snn� uw p �
EFFECTIVE: O!i/15/Z008 EXPIRATION DATE: 09/15/2011 pursuant to Chapter 440.05112), F.S., Certificates of eleetion to be
PERSOI�k RONALD J MClNJl�iLIN H ezempt... appty on{y withi�. the scope of thc business or vede listed on
FEII1k Z0075d7Z4 R the notice of election to be exempt
BUSINESS NAME A1VD ADDRESS: � Pursuent to Ch�ter 440.05(13l, F.S., Notices of alection to be exempt
PARADISE WATERfALLS & EFPECTS LlC and eertificates af alection to be exempt shs11 be subject to revocation
�oa snaov ix if, at any time aher tl�e filing of the natice or tAe issuance o4 dte
�oncw000, F� 32750 certificate, tlie person na�ned on the notice or cettificate no lonper meets
the �equiremeMS of tAis section for iss+mnce of a certificete. The
Aep�rdne�rt s1r14 revoke a certificate ert �y time for failure of the
SCOPE OF BUSII�SS OR TRADE person mrned m� the certificate ta meet the requirements nf this
1- PONDS/WATERFAIL INSTAtI �
QUESTIUNS? {85D1 4 t 3-1609
CUT HERE
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCf
nAr� °F �'°RU�" IMPORTANT
�nrtrM� oF Fnreurcu� s�tvicEs
Dh/tsbN oF WoRK6RS' C0111P0�SA'T1oN O Pursuent to Chapter 440.05114), F.S., en officer ot a corpor�tion who
CONSTRlIC7'ION INDtlSTRY elecu examption from this chepte� by filing a certificate of election
�n�� ������PT �� ��� L under this section may not recuver benefits or c ensation under Mis
WORKERS' COMIPENSATfON IJtW °�
D chapur.
EFFECTIVE 09/1S/2008 EXPIRATION DATE: 09/1S/ 11 Pursuent to Ct�epter 44Q05(121, F.$., Certificates of election to be
PERSON: BREt�[T MCLAU6iiLIN � H exempt.. apply only within the scope of the business or vade listed on
FEIN: 2007'J�0744 �� R the notice of elaction to be exempt
BUSINESS NAhAE AND ADDRESS: E Pwsuent to Chapter 44Q.05{131, F.S., Notices of election to be exempt
PARADISE WATERFAIIS $ EFFECTS LLC ifld certificates of G�GCLI011 ZO bE EXERI� shall be Si�)CC1 t0 revocation
ioa SHADY LN if, at any time after tf►e filinp of the notice or Me issuance of ffie
LONGWOOD, FL 327b0 certificate, Ute person named on the natice or certificate no longer meets
the requirements of this section for issu�ce of a certificate. The
departme�rt shell revoke a certificate at any time for failure of the
SCOPE OF BUSII�SS OR TRADE person named on the certificate to meet the reqnirements of this
1- POROSfWATERfALI INSTALL SBCti01L
QUESTIONS? (850) 413-1609
CUT HERE
* Carry bottom portion on the job, keep upper portion for your reaords.
WC-25T CERTIFICATE QF ELECTION TO BE EXEMPT REYISED 09-06
�
� Plil I IIIII IIIII lilli illi� Illil II(il I�I�I ��III IIIII IIII IIII
202100603@
Permit No. Tax Foli,o No. �
NOTICE OF COMMENCEMENT
State of Florida Coun of ���C C> > • _ � ��,��� .- � � f ��"�'�
tY SHORT LEGAL �� _� C�� - _;�� - G _ � ��G�'� ��:' � ` 1l01
The undersigned hereby gives notice that improvements wilt be made to certain real property and in
accordance with section 713.13 of the Florida Statutes, the foilowing information is provided in this NOTICE
OF COMMENCEMENT.
Legal d cription of prope (including street address if available) _� L�`�,� U ,<��,�' y,j�j1 ,
. � � iL L s L , ,,,� - S oZ - � r 'c r L � � - vZ - � c^ �' �- -�%: �' �� -- � /
General description of improvements '�Si LL /S' �Z �' S �. � c`c.�(,�� C �'�(�' _S, G E' "; �:�
Owner /VC; C'_'- �4 �� ' L ;,E? '/`C i � l' % - ��,5 .� ` L- �`
Address 3 b' �,� �,q/ ' /�. Z �%' � i LL 5 � , ._� 35 . -�
Owne�'s interest in site of improvement ,� taJ�t,�£/?
Fee Simple Title Holder (if other than owner) it�'��
Tel
Name
Address ° � '' , z - � � �L , .� ",� ' f,
Contractor G" �� L � }C l,1/G ,
� ddress 3 Y�'C :^1 ��i SS q c' T, P� �`-i-�A2Le TT�. ,�- �,, 33 ��C�
hone number �-�+f/- ��{-7G3`i Fax number �:��!" I- 7�! -� �Z5 �`l�.'vZ
Surety (if any�
Address /', /�
Lenders Name and Address: Rcpt :1345368 Ree : 18 . 50
Name ___I�/; � DS: 0.00 IT: 0.00
Add�ess_ N�/r� 01/12/11 K. Gareia, Dpty Clerk
Phone number /V`� Fax number �r/��
Person within the State of Ftorida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13(1 }(b), Fiorida Statutes:
Name �'i,-�t,' ,�'l� L�i_�GN i
Address i� 5� S�IA ��' �/(�' L��' ., c�Jc��� ��. 3 7�
Phone number ;j �r_- d,��- y�G r� Fax number `/D 7- 2E�' --�"7S�
In addition to himself, owner designates the following person to receive a copy of the Leinor's Notice as
provided in Section 713.13(1)(b), Florida Statutes.
Name /�'/ / c-H.��-1- !"I � � ��/ER
Address_ ��`!E' �'I�LT,55A CT r�i �° ff.�2L�TT� �L, ' `%�O
Expiration date of Notice of Commencement
(Expiration date is one year from the te of recording unless a d�fferent date is specified).
Prepared By �L �
Si nature of ner/A ent
This space is for recorder's use onty ,�,�1 d y�n .�' /�'j� L,a�1�U,�f
Print Name
Sworn to and subscri �fore me this � Z day
of � 2B�4A: is personally known
to me, or ha roduced ��er�S�-
as identificati
� �
Notary Pubiic
,:���►Y JACQUELINE BOGES ��
��� E �.om, ►rossion # EE 0405� �
,�,. �.�,: xP r�es December 1 ,
J°f.,rR, • 6oiaee nni rroy Fdo Yuuranoa eoa36 1�? ;
r.
PRULR S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER
01 0R BKi ���2 P � o i��
r
DATE: Olil��=11 PASCO COUNTY PROPERTY APPRAISER 16:42:24
O N- L I N E P A R C E L� P R I N T O U T
PARCEL-ID: 02 26 21 0080 OOA00 0122 TYPE: STATUS: A DLA: 040708
SC TP RG SUB BLOCK LOT TRACT: 0330022
PARENT: 02 26 21 0080 OOA00 0120 DATE-SPLIT: 073186/CAR CLASS: 74
NOTES: SPL POR 8-A-12.1 95 WDL OR 3416 PG 184 LETTER CD-
2005 E/C (05) OWNER CHG-
NAME: HCRA PROPERTIES I LLC 333 N SUMMIT ST
/ADDR
FS119 CODE: TOLEDO OH 436041531
PREV OWNER: HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA
STREET ADDRESS: 38220 HENRY DR ZEPHYRHILLS F
VALUE & TAX INFO: E X E M P T I O N I N F O: SOH HX APP
LAND AG: NUM CD H W D V T PCT HX-OVRD YEAR DATE S YR DVD%
-MRKT: 671183 ** NO EXEMPTION(S) ON FILE **
BLDG: 1395729
XFOB: 55461
--------------------
ASOH: 2122373 OR BK �5�2 PG '19�
NS ASD: 2122373 2 of 2
RPG:
EXEM:
----------------
BS TXB: 2122373
S DVD:
S TXBL: 2122373
AREA: 30ZH ACRES: 8.16 SPEC HX:
BC TXB 2122373
ADD EX:
C DVD:
C TXBL: 2122373
PRIOR YR VALUE: 2242027
PRIOR YEAR MKT: 2242027
HX VAL: 0 NON-HX: 2122373 MKT DIFFERENCE: p
MKT CHG HX: 0 NON-HX: 119654- PRIOR HX VALUE: p
MC LAND HX: 0 NON-HX: 0 PRIOR HX PCT:
PHYS HX: 0 NON-HX: 0 PRIOR NON HX: 2242027
PRIOR N-HX ASD: 2242027
S A L E S:
YEAR MON BOOK PAGE SALES-AMT INST XFER QUAL ST LIFE I/V TOI
1986 06 1510 0093 431700 WD V
1989 03 1796 1681 4062000 WD 3 I
1995 Ol 3416 0184 QC DC I N
2007 12 7727 0075 WD 1 DC I N
L E G A L D E S C R I P T I O N:
ASSESSED IN SECTION 02, TOWNSHIP 26 SOUTH, RANGE 21 EAST,
PASCO COUNTY, FLORIDA
TYSON SUB PB 4 PG 109 POR OF TRACT "A" DESC AS COM NE COR
OF S1/2 OF SWl/4 SECTION 2 TH S89DG 53' 27"W 1083.00 FT ALG
NORTH LINE OF SOUTH 1/2 OF SWl/4 TH SOODG 20' 58"W 19.50
FT TO SOUTH R/W LINE OF HENRY DR FOR POB TH CONT SOODG 20'
58"W 85.00 FT TH N89DG 53' 27"E 100.00 FT TH SOODG 20'
58"W 398.10 FT TH S89DG 53' 27"W 753.60 FT TH NOODG 20'
58"E 483.10 FT TO A POINT WHICH LIES 19.50 FT SOUTH OF
NORTH LINE OF SOUTH 1/2 OF SW 1/4 TH N89DG 53' 27"E 653.60
FT TO POB OR 3416 PG 184
OR 7727 PG 75
Pasco County Parcel: 02-26-21-0080-OOA00-0122 001 Page 1 of 2
Data Current as Of: Weekly Archive - Tuesday, January 18, 2011
Parcel ID 02-26-21-0080-OOA00-0122 (Card: 001 of 002)
Classification 74 - Homes for the Aged
Mailing Address Property Value
HCRA PROPERTIES I LLC Ag Land $0
333 N SUMMIT ST Land $671,183
TOLEDO OH 43604-1531
PhysiCal Address Building $1,395,729
Extra Features $55,461
38220 HENRY DR
ZEPHYRHILLS FL 33542-7535 Market Value �2,122,373
Leqal Descriotion (First 4 Lines) Assessed (Non-School Amendment 1) $2,122,373
See Plat for this Subdivision �'' Taxable Value ¢2,122,373
TYSON SUB PB 4 PG 109 POR OF
TRACT "A" DESC AS COM NE COR
OF S1/2 OF SW1/4 SECTION 2 TH
S89DG 53' 27"W 1083.00 Ff ALG
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
�1 7400 HOMV AGED OOR3 11,000.00 � $8.90 1.00 $97,900
�2 7400 HOMV AGED OOR3 39,000.00 SF $6.48 1.00 $252,720
�3 7400 HOMV AGED OOR3 316,449.60 � $2.25 0.45 $320,563
Additional Land Information
Acres 8.16 Tax Area 30ZH FEMA Code � Commerical Code MMED2AC
Buildina Information - Use 74 - Nursing Homes (Typical Skilled Nursing Facility) (Card: 001 of
002)
Year Built 1987 Stories 1.0
Enterior Wall i Tile or Wood Frame Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wali 2 None
Flooring i Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 69.0
Line Description Sq. Feet Repl. Cost New
1 BA�, 38,158 � $3,919,590
2 AN 932 $28,762
3 FD�C' S76 $35,541
4 l�D�l 128 $3,903
Extra Features (Card: 001 of 002)
Line Description Year Units Value
1 PAV A P 1987 55,538 $11,246
�� SWC 1987 5,334 $2,000
3 LI HT M 1987 20 $12,750
4 PRNKFP 1987 39,090 $29,318
5 LFENCE 1997 � 216 $147
Sales History
Previous Owner HEALTH CARE AND RETIREMENT
Year Month� Book/Paqe Type � Amount
�0� 12 7727 / 0075 �� $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21 &sbb=0080&b... 1/21/2011
s�s-�ao-0ozo City of Zephyrhilis Permit Application Fax-813-780-0021
Building DepaAment � %/� �
Date Received � r ��I � �– gO
Phone Contact for Permittln ��
Owners Name (/ � ` ' Owner Phone Number ' "' �
OwneYS Address � � � r Owner Phone Number
Fee Simple Titleholder Name Own Phone Number
Fee Simple Titleholder Address ~ �
JOB ADDRESS �.J � r � l0T# C J uZ ;�
SUBDIVISION /�!� � PARCEL ID# C �' � �i ' " C� G � '" � �
(OBTAINED FROM PROPERTV TAX NOTICE)
WORK PROPOSED e NEW CANS7R 8 ADD/ALT Q SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL �
DESCRIPTION OF WORK I S� C-L- -! ��G S J S! � T ��� G��
BUILDINGSIZE �� , �i t � SQPOOTAGE �f(' HEIGHT �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
I � � �G, GC
QELECTRICAL $ �� r � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0
QPLUMBING $ / - , �. � � l (�
QMECHANICAL $ ,V VALUATION OF MECHANICAL INSTALLATION �v �
� U � a-` ..� �
OGAS Q ROOFING Q SPECIALN Q OTHER � �'�
�
FINISHED FLOOR ELEVATIONS ' FLOOD Z�E AREA QYES i NOi
�(� h ��
\�'X � l
V �
BUILDER ' � COMPANY
� /7�11c�
SIGNATURE REGISTERED Y! N FEE CURREN Y/ N
Addrcss � License # C �� �- l� �� �' ���
ELECTRICIAN /� � A COMPANY �_
SIGNATURE ��/ . REGISTERED Y I N FEE CURFEN Y/ N
'��� License #
PLUMBER /�� � COMPANY —�
SIGNATURE �`� .� REGI6TERED Y/ N FEE CURREN Y/ N
Address L�cense # �y�,/
� u �„�,-
MECHANICAL COMPANY n lGt�,'
SIGNATURE �/�� -� REGISTERED Y/ N FEE CURREN Y/ N Y J Q�
ra._ �
Address License # � K' �
OTHER G �, l � 1 C L L:.. �� i C O M P A N Y H I S '�' '` 7 �"' � y' I[ S �n ,� 1 \�
SIGNATURE REGISTERED Y! N FEE CURREN Y/ N �`''�
Address [.� �- ' /� –*f.i�� � � � License # S � e � � CiJ 3 � b `� 1
������������������������������������������������������������������� l,�a �-
RESIDENTIAL Attach (2) Plot Plens; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new constniction, s �.,
Minimum ten (10) working days after submittal date. Required onsite, ConsWdion Plans, Stwmwater Plans wl Sdt Fence installed, �-•_J) _
Sanitary Facilities & 1 dumpster; Site Work Partnd for subdivis�ons/large projects \���
COMMERCIAL Attach (3) complete sets of Building Plans plus a Lrfe Safety Page; (1) set of Energy Forms. R-0-W Pertnd for new consWction.
Minimum ten (10) working days after submittal date. Required onsite, ConsWction Plans, Stormwater Plans w/ Sik Fer�e mstailed,
Sandary Facilities & 1 dumpster Site Work Pertnit for all new projects. All commercial requiremeMs must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans
""'PROPERTY SURVEY required for all NEW construction.
1••• •� Vi• 1 1 1� li..l
Directlona. •
Fill out applicetion completely
Owner & Contrador s�gn back of applicat�on, nMarized
If over 52600, a Notice of Commsncemant is roquired. (AIC upgrades over 57500)
" AgeM (for the contrador) w Power of Attomey (fa the owner) would be someone with notarized letter from avner authorizing same
OVER THE COUNTER PERMITi1NG (Front of Application Only)
Reroofs 'rf shingles Sewers Service Up�ades A/C Fences (Pbt/Survey/Footage)
Driveways-Not over Counter iF on public roadways..needs ROW
NOTICE OF DEED RESTRICTtONS: The undersigned undersfands that this p�rmit may be subject to "deed° restrictions°
which may be more resfictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPON5IBILITIES: If the owner has hired a corrtractor or
contractors to undertake work, they may be required to be licensed in accordance with state and locai regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violatan
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 Pasoo County Building Inspectan Divisior►—Licensing Section at 727-847-
8009. Furthertnore, if the owner has hired a contrador or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block° of this application fo� 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 enfitled to pertnitting 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 �nstruction of new buildings, change of
use in existing buildings, or expansron of existing buildings, as speafied in Pasco Counly Ordinance number 89-07 and
9U-07, as amended. The u�dersigrted also understands, that such fees, as may be due, will be identified at ttie time of
pertnitting. It is further understood that Transportation ImQact Fees and Resource 12ecovery 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 pertnit issuance. Furthertnore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior �o pem►it issuar�ce in accordance wilh applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Ftorida Statutes, as amended): If valuatan of work is $2,500.00 or more, I
certiiy that I, the applicant, have been provided wi}h a copy of the °Fbrida Construction Lien Law—Horr�eowner's
Protection Guide° prepared by the Florida Departrnent of Agriculture and Consumer Affairs. If the applicant is someone
other than ttie "owner', I certiy that 1 have obtain� a copy of the above described docurt►ent and promise in good faith to
deliver it to the °owne�' prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortnation in this application is accurate and that aA work
will be done in compliance with all appl'icable laws regula6ng constniction, zoning and land development. Application is
hereby made to abtain a pefrt�it to do work and instaNation as indic�ted. I certity that ra wak or msfailation has
commenced prior to issuance of a pertnit and that all work will be perfortr�ed to rrieet standards of aB laws negulating
construction, County and City codes, zoning regulations, and land development regutations in the jurisdidion. I also
certify that I understand that the regulations of other govemment agencies may apply to ttie intended work, and that it is
mY responsibility to identify what actions I must take to be in tbmpliance. Such agencies i�dude but are nd limits� to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
La�ds, WaterMhast�rater Treatrnent.
- Southwest Florida Water Management Disfict-Wells, Cypress Bayheads, Wetland Areas, ARering
watercourses.
- Army Corps of Engineers-Seawalls, Dodcs, Navigable Waterways.
- Departrnent of Health 8 Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatmeni,
Septic Tanks.
- US Environmental Prot�ec�ion Agency-Asbestos abatement.
- Federal Aviation Authority-12unways.
I understand that the foNowing restricctihons apply to the use of fill:
- Use of fitl is not allowed in Flood Zone'V' unless expressly permitted.
- ff tl�e fill material is to be used in Fbod Zone "A", it is understood that a drainage plan addressing a
"compensadng volume' will be submitted at 6me of pertnitting which is prepared by a professional engineer
licensed by ihe State of Fbrida.
- lf the fill material is to be used in Flood Zone °A" in connection with a pertnitted building using stem wall
construction, l certify that fiN will be used only W filt U►e area within tl�e s�em waU.
- If fill material is to be used in any area, I ceRify that use of such fiA 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 bts less than one (1)
acre which are elevated by fiN, an eng+neened drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to infortn the owner of the permitting cbnditions set iorth in
this affidavit prior to commencing consbuciion. I understand that a separate pertnit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installatans not specifiqlly included in the application. A
permit issued shau be consvued to be a �ioense to proceed with the work and not as auttiority to viotate, canoe�. aKer, or
set aside any provisions of the technical codes, nor shall issuance of a pertnit prevent tl�e Building Official from thereafter
requiring a cortection of ertnrs in plans, construction or violations of any oodes. Every permit issued shaN become invalid
unless 1he work autho►ized by such pertnit is commenced within six months of permit issuance, or 'rf work authorized by
tlre permit is susper�ded or abendoned �or a period of six (6) months after the 6me the worlc is cornmenoed. An exEension
maY be requested, in writin9, from the Building Official tor a period not to exceed ninety (90) days and wdl demonstrate
justifiable cause for �e extension. If wwk ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TQ QWNER: YpUR FAIWRE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUIT IN YOUR
PAYING TWICE FOR IN�ROVEMENTS 70 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YO R LENDER OR AN ATTORNEY BEFORE RECORDING YO R NOTICE OF C MMENCEMENT.
FIORIDA JURAt (F.S. 117.00i)
OY�NER OTt AGElIT (�/�TpR
Subscnbed and swom to (w afirtned) before me this S and (w is
bY by
Who is/are personalty known to me or hasThave producetl personaly known to me or hasfiave
as iderNification. 6�( (Zy�_CO � �p6on.
��, �� �-� h�ec� �. R�P,� �-�� �,, �
�
Commission No � ryo
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Nem� of NotarY tyP�d, P�sd ar stamWd s d Nohry tYPb. P��d N. ��R
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12, 2 �,10 2010 - 2011 � �
Receipt # 1 1-000108 5 7
City of Longwood
175 W. Warren Avenue, Longwood, FL 32750 STATE #
EST. 187g�
LOCAL BUSINESS TAX CITY TAX s 5 0. o 0
LOCATION: l04 SHADY LN ,����1t11iiHN(ll1J/j�j� ADMINISTRATIVE FEE $ 10. 00
For the Occupation: �``` �`�
HOME OFFICE/NO EMPLOYE� ��'� ��°�y'�� TRANSFER FEE $ . 00
-'�'�'� Q ' �� s PENALTY % $ 15 .
PARAD.I-SE WATERFALLS b EFF '3$ 00
104 SHADY LN �; 5��� :z COUNTY TAX $ 25.00
LONGWOOD FL 32 � �
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MCLAUGHLIN, RONALD J, w �'r.j''••• "•• �O� TOTALS 100. 00
, ��� 1t1
YEAR: 10/10-09/11 DIRECTOR OF FINANCE �
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RECEIPT MUST BE CONSPICUOUSLY DISPLAYED AT BUSINESS LOCATION.
PARADISE WATERFALLS & EFFECTS
104 SHADY �N
LONGWOOD FL 32750
D$PARTMENT OF BIISINSSS AND PROFESSIONAL REGIILATION
CONSTRUCTION INDIISTRY LICENSING BOARD (850) 487-1395
•a °j�•�� TALLAHAS EEMONROE STRELT32399-0783
MCLAUGHLIN, RONALD JAMES
PAR.ADISE WATERFALLS & EFFECTS LLC
104 SHADY r,n�nz
LONG�IOOD FL 32750
Congratulations! With this license you become one of the nearly one miilion st'A�.t�Ft„�R1pa ��` „� �, u`, r � '� �_ ��
Floridians licensed by the Department of Business and Professionai Regulation. - D '�`�� .-Q� :�
Our professionals and businesses range from architects to yacht brokers, from - �� d ��� � ��'���
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boxers to barbeque restaurants, and they keep Florida's economy strong, f- � =-� `���`,=' ��-=����•-: `�_
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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 wvrw.myfloridalicense.com. � �" �^°`+''
There you can find more information about our divisions and the regulations that =���� �� � ��
impact you, subscribe to departrnent newsletters and leam more about the - p��p�_� ;; - �
DepartmenYs initiatives. �"���� I;�
'�I��M _�,�F� �- ,
Our mission at the Depa�tment is: License EfficienUy, Regulate Fairly. We ` c � ''��� + `��� ` '
constantly strive to serve you better so that you can serve your customers. °`'.':A�a �==-- ��:
Thank you for doing business in Florida, and congratulations on your new license! Ig ������ �� ��'pLO°'fsipae�, qf c�►.489. rs
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CERTI�`�CATL° UpE5 NOT AFFlRIYfATNELY OR NEGA'rN�LY ANIEN�, EXTEND OR ALTEFi i'HE COV�RA�3E AF�ORDEp B7 TME PQ�,ICIEg
BELOW 7HI8 CERTiFIGATE b� INSURANCE bOES MOT S?DNSTfTUTE A CON7RACT BEiWE�N TyE IEStNNG INSURER{S), AUTMORiZE'D
REPRESEMTATIVE OR P1xODU�R, ANb 7H� C@R71F1CATE 11pLDER.
II1111PORTANT: If the e�ertlflcato ho�d�r la an AopITIpNAL INSURW, the policy(ies) must be endprsed, M UBRUGA7T�N 1S WANED, sabjact to
ths tarms end canditioas of tha Policy, certain policies may roquine an endona�n�nt. A statament on this �artifiaabe does not cwifef �igilts tn the
certlHeata boM�► in Ilau a� suCh endors�merrt{g�
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Lake ANary. FL 32?48-6092 . .
.._.__�. INSLIRE AFFORDiNGrAVERA(iE NAIC�
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'COVERAGES CERTIFICA'1'� NUMBER: ItEHi 1 N NUM$ER:
7'FlIS IS T0� GER'T1FY 7HAT THE POLIG$$ OF INSURANCE USTEd BELOW FIq1fE BEEM 1SSUEp TO TNE INSUREp NP,IutED ABOVE FOR TFIE POLNC1f PERIOD
INDICq7'Ed. NOTVNTHSTANDING ANY REQVIF�MENT, TERAA OR COf�DITPON QF ANY C{7NTRACT L1R OTHER DOC�JM�NT yV17H RES?gCT Tp yy�.rCH TNIS
CERTIFICA't'E MAY BE 13SUED OR MAY PERTqIW TFIE IM5URANCE /qFpORDED BY THE POLICIE5 DESCRIBEd HEREIPI IS SU6JECT TD /1Lt 7F{E TERMS
DCC�USION9,4ND CONDIi'IONS CIF SUCFI POUCIES. LItu�T SHOWN Mq Y HAVE BEEN REDUGED BV Pqlp CLPJMS.
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The City of Zaphyr Hi119 is tisred as a aerdficate hdder in reference to Ganera� ��I►ry.
Fax to Building pep=, � s13-780-0pp5
CERTIflCq1E HOLdER � CANCELLATIDN --- --�
The Giiy of Zephyr Wilis
533b �� SHOUIb ANY pF'1� pgpyE DF,�cRIBED AOLNCIES BB CpNCEIL�D aEFa1iE
THE EXPRL4TtON DA'IE THEREOF, iW710E WILL e� OFLNEREb IN
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
.---�
Contractor/Homeowner: � �/ ! /� � �.1 � Ci
Date Received: l- 1 J"/�
Site: ��' Z 2 C� l`��1 r ��
Permit Type: �+lS'F � �JDS� � �u OQ-�, `7`�� S� � �7`"
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet sha 1 be kept with the permit and/or plans.
. �Z�l
Kalvin S tzer Pl xaminer Date Contractor and/or Homeowner
(Required when comments are present)
333 N. Summit St. , � greement
Tolecio, OH 43G04-2617 Page 1 of 1
(419)252-5500
s� N°- 3is io� iaoos
Job N�ne HeaAiand of Zephyrfiil{s
7nb No. 3 � g l O l l OSE
Aod Paradise Waterfall.4 and Effects LLC
Madc at Toledq 04io � 04 S�y [.�t�e
Datc: June 25, 2010 L,c�n�wood, FL 32750
Sy and between
Heartland of Zephyrhilis FI., LLC Haeinaftcx designatcxllhe Co�trador,
hercirtafhx designated the Ow�ner,
W1TNE5SETN: Whezeas thc Coniractorhas ea�und into a contract Ritli Heartland of Zephyrhills FL, LLC
Ner�eix�after desig�ed che Owncr, for the cone�vctioa of As DeSCribed Below
Herci�fter designaoed the Jsb, bcaolad at
3sz� a��y nri� Zepbyrhills, FL 33�
He�inaHcr designated the Site, accoNinK to the Plans a�d fPoci�tp�s P��� �' �l� by AS DeSCribCd BC1oW
Hercinafter d�ignated the Pfans and SpeeMcations, end whenas, the Contractor, having carefully cacamined the plans and specit'ications,
and hav�g visited and pcamined the site ared ass�miing all risks therefrom, deares to oontrt�et the job.
It is agrced between th e Owner and Contractor in considaation of the contract amount as folbws:
Article 1- "f71e Conu'acxor aontiacts from thc Owner the j�b, hereinafter designated the Contrdctor's Work, to wit
Conuactor is to provide atl labor, materiaL�, tools, taace., msurance, permits if re�uired, supervision, and necessary services to complete
the following:
1) Purnis6 and install one (1) four post quad sf�ade sail pyramid Sun Veil 18x27x7 wzth Duide cable.
2) AlI labor and material.
3) Conlractor is responsible for legal removal and disposal of any discarded ibems or trash associated K�ith this job and �ti not use the
faciliLy�'s durnpster.
Codc: 03008 Cantract AmounC $12,6d0.00
Artiele 2- Contractor agrees to commeoce the Contractor's Work on Contrac6or agrees to co�ripl�e the Contraetor's Work on
Artieles 3 throagh I Q �f this Agrcement, general conditions ef rhe Contract, and Contiactors responsibilities and instructions for wnveoience aitached, are to
be construed as part ofthis agmem�;n� as fully as though printed alwve Ibe sigrratures. This agreemen[ is binding apon 1he undersigned successors, exccutors, and assigns.
OWNER CONTRACTOR
Hesrdaad ofZcphy�ir'Ns FL, LLC paridise V1%aterfulls and Lffects LLC
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By: EricL rsen BS� : �yC/�� a'u�;.�i'�'�
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BUILDING TYPE OPEN
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EXPOSURE TYPE CATEGORY C
INTERNAL PRESSURE COEFFICIENT NA. — OPEN STRUCTURE
ROOF MATERIAL
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-.5" DIA
HOOP PIPE
/
-- ALLUMINUM CAST HOOP CONNECTOR
(3) 3116" SELFTAPPING SCREWS
ALLUMINUM INSERT
GA STEEL PIPE
4 CONNECTION TO COL.
SCALE 6" = 1' -0
TABLE 1 -- FOOTER & COLU
SCHEDULE
COLUMN
COULMN SIZE
FOOTING
FOOTING
SIZE
FOOTING
REINF,
C1
5 NOMINAL DIA
F1
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3 5
3.5" O.D.
PIPE SCHEDULE 40
4" 0. D.
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=E:/W
TA BLE 2
SINGLE SHADE
STRUCTURE
STRUCTURE
HOOP SIZE
SIZE SQ FT
0 -500
2" 0. D.
500 -
L J
1001 -1500
3.5" O.D.
1501 -2100
4" 0. D.
5>'CGTA L
5" o• D, mi
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TRIANGULAR
SHADE SAIL
E - S LIDER
STEEL PIPE OS PER TABLE 1
NAL FINISH BY OTHERS
-' OOTING: SEE
TABLE 1 FOR SIZE
EBAR AS PER SCHEDULE
TABLE 1
OTE:
CONCRETE FOOTER TO BE
i POURED IN UNDISTURBED
SOIL -- NO FORMING REWRED
MIN. ColvewE ST'RejelTI:{
3coo ?5t,
3 INBEDDED COL.
SCALE 1' = 1' -0"
CROWN
`t
CONNECTOR
TRIANGULAR
SHADE SAIL
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HOOP PIPE
CROWN CONNECTOR
SIDE VIEW
27' -0"
a V,,.
FLAN VIEW
CROWN CONNECTOR
1 SCALE:
5 3/4"
v
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•
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E -Z SLIDER — E -Z SLIDER
T/4" CABLE AROUND
PERIMITER OF EACH 2 HOOP PIPE TYPICAL
SHADE SAIL (TYP.) 1 SEE TABLE 2
UNIT 27'X 18'X 8'
1 SCALE = 1/4" = 1' -0"
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GENERAL NOTES:
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1, ALL WORK SHALL CONFORM TO THE STANDARDS OF THE FLORIDA BUILDING CODE,
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2007
EDITION.
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2. STRUCTURES ARE DESIGNED IN ACCORDANCE WITH FBC, 2007 EDITION, AND ASCE 7 -05. S
THE PIPE COLUMNS ARE DESIGNED FOR A MINIMUM WIND SPEED OF 150 MPH (3 - SECOND
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GUST) WHEN FABRIC IS REMOVED,
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3. ALL STRUCTURAL MEMBERS ARE GALVANIZED STEEL (MIN. 36 KSI).
4. FABRIC MEETS NFPA 11.9.1.5.
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5. THE STRUCTURE IS A TENSILE STRUCTURE FOR DESIGN PURPOSES
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6. ALL EXPOSED STEEL TO BE GALV. (MIN 36 KSI).
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DESIGN CRITERIAA PER FL FBC 2007,1
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ROOF LIVE LOAD WIND LOAD AS PER ASCE 7 -05
ROOF D
OF-AD LOAD N.A.
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FLOOR LIVE LOAD N.A.
FLOOR DEAD LOAD NA.
DESIGN WIND VELOCITY 150 MPH (STEEL STRUCTURE ONLY)
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WIND IMPORTANCE FACTOR 0.77 (PER FBC 3105.4.2.1); 1.0 WITH FABRIC REMOVED
BUILDING CATEGORY I (PER FBC 3105.4.2.1); 11 WITH FABRIC REMOVED
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BUILDING TYPE OPEN
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EXPOSURE TYPE CATEGORY C
INTERNAL PRESSURE COEFFICIENT NA. — OPEN STRUCTURE
ROOF MATERIAL
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RESISTANCE RATING 75 MPH
SOIL BEARING CAPACITY 2000 PSF (ASSUMED)
STRUCTURE 13 DESIGNED ON THE BASIS OF F8C, SECTION 3105.4.2.1. THE FABRIC
COVERED MEMBRANE IS DESIGNED FOR QUICK REMOVAL AT WIND VELOCITY OF
75 MPH, AND A 3- SECOND GUST AT 90 MPH, IMPORTANCE FACTOR OF 0.77, AND
EXPOSURE C.
NOTES TO OWNER:
FABRIC SHALL BE REMOVED FROM STEEL FRAME WHEN SEVERE WEATHER
CONDITIONS SUCH AS GUST WARNINGS OF 75 MPH OR HIGHER, TORNADO OR
HURRICANE WATCH /WARNING ARE FORECASTED FOR THE AREA BY NATIONAL
OR LOCAL WEATHER AUTHORITIES,
CONTRACTOR SHALL PROVIDE LEGIBLE SIGN POSTED ON COLUMN OR FABRIC
WITH INSTRUCTION FOR REMOVAL OF FABRIC DURING TIMES OF HIGH WINDS
EXCEEDING 75 MPH.
HOOP PIPE
CROWN CONNECTOR
SIDE VIEW
27' -0"
a V,,.
FLAN VIEW
CROWN CONNECTOR
1 SCALE:
5 3/4"
v
.e -",
•
I
E -Z SLIDER — E -Z SLIDER
T/4" CABLE AROUND
PERIMITER OF EACH 2 HOOP PIPE TYPICAL
SHADE SAIL (TYP.) 1 SEE TABLE 2
UNIT 27'X 18'X 8'
1 SCALE = 1/4" = 1' -0"
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5343 PARK PLACE CIRCLE
BOCA RATON, FL 33486
561- 699 -3776
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STATE OF FLORIDA
5343 PARK PLACE CIRCLE
BOCA RATON, FL 33486
561- 699 -3776