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Home My WebLink About11-12638 i • CITY OF ZEPHYRHILLS � ' . � 5335 - 8TH STREET • (si3)�so-oo20 12638 BUILDING PERMIT Permit Number: 12638 Address: 7052 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-10500-0000 Improv. Cost: 315,300.00 Date Issued: 12/21/2011 Name: ADVENTIST HEALTH SYSTEM SUNBELT Total Fees: 1,852.03 Address: 7050 GALL BLVD Amount Paid: 1,852.03 ZEPHYRHILLS FL 33541 Date Paid: 12/21/2011 Phone: 8134771910 Work Desc: REMODEL INTERIOR 1,247 SQ FT ANGIOGRAPHY RM , 55. . VOYLES ELECTRIC CO INC PLUMBING FEE 169.95 MECHANICAL FEE 118.97 WYATT-FITZGIBBONS SHEET MTL IN FIRE PLAN REVIEW FEES 107.52 FIRE INSPECTION FEES 45.00 DIVERSIFIED GLOBAL PIPING & CONS . I � 2 ��,•2 ,� 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 � 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. "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." Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. , , � � C NTRACTOR SI ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ' . Builtling Departmenl �f � �� l •Date Receiv¢d � S�� -- L.{ '� G f hone Contact for Permitting , v � 11111 I 11 �` . y, 1 t..Y'1 Owners Name ({�/ n 1 � �.� Owner Phone Number 3� l�� Owners Address �1 V Owner Phone Number �_ Fee Simple Titleholder Name � Owner Phone Number Fee Simple Titleholder Address JOBADDRESS LOT# � SUBDIVISION PARCEL IDN " '� �� O �' O (OBTAINED FROM PROPERTY T NOTICE) WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR �' COMM � OTHER TYPE OF CONSTRUCTION � BLOCK � FRAME 0 STEEL Q DESCRIPTION OF WORK �'�, � iJ M BUILDING SIZE SQ FOOTAGE I�"7 HEIGHT � � � 1 1 1 1 � � � � � � � 1 1 1 1 1 � � � � � � 1 1 1 � � � � � � 1 1 � � � � � � � 1 1 I � � � � � � � 1 1 1 � � � � � 1 1 1 � � � � �BUILD�� $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PR SS ENERGY O W R.E.C. �PLUMBING $ ��, / ° �— �� _...�_. I j �---�--��"_. ..._._ � , OMECHANICAL $ � VALUATION OF MECHANICAL INSTAL�P,TION � �/ '� i� �GAS 0 ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY O� G �O� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N o ` C Address . � � License # ELECTRICIAN � . COMPANY p ' CS �I� `'R`G �r +N� • SIGNATURE REGISTERED Y/ FEE CURRE� Y/ N Address License # � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # RESIDENIIAL Attach (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans wJ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a L'rfe Safety Page, (1) set of Energy Forms R-O-W Pertnit for new construction Minimum ten (10) working days after submittal date. Required ons�te, Construction Plans, Stortnwater Plans w1 Silt Fence installed, Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for ail NEW construction. �� Dnections: Fil� out application completely Owner 8 Contrador sign back of application, notarized If over E2500, a Notice of Commencement is required. (AIC upgrades over �7500) " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITi1NG (Front of ApplicaGon Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DfED 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 ceRify 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 8 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 ceRify 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 specificaliy 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 T,.07RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPR EMENTS T q�raj UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL WITH YOUR LENDER OR AT R �FORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S 117 0) � l /�� OWNER OR AGENT / CONTRACTOR � ��' � � l Su cri d and swo r affirm d) his S b ed sworn to i ) fo� me this �' by o is re ona now to me or has/have produced Who is/ ersonally kno to me has/have produced as identAication. � G� '� '`� "" o ry Public • � otary Pubhc Commission No Com ion No �1�� s. � Na of ed, printed o �p� . �pN� Name of Notary typed, printed or stamped �1�Q'f/�Y ��`. Notuy Public - St�b of flori0� STATE OF FLORIDA • • Mp Canm. Expine Aup 11. 20t2 . Comm# DD728233 Canmlaion �r OD tt2112 E�ires 1/16/2012 • Send�e TlKOUph N�Noiw Nobry Af�. � ] ..�r � lr i��iG l , •y�.•� , ,�llq��Ilr1 i ) ` + �) y � �D�Z�S� r.J Lf(1�� i :ill r � Y 1• �!Y'I i ,_ yfOS,x�C'''^ ,xj � inC��s('M_•s a�'� ;•'� `I� 1R � sfi�t+"RIG,� .�f3tA'�ti+Li' �4 . ar' ^gC;hc�r• •��:.�r`� From:8636828274 �� 12/20/2011 15:21 #246 P.001l002 Froro: 12120/2011 14:05 �673 P.001f001 e��-�eo�oto City oi Zephythitle Permit AppNcBtion , F'*'et�-�eo°°T� �°°.�'"` � t� C.ly avE on.x.�.�.a o�.c�w.r 5 �61 _ �I'I �� - Ow�Ks Name � � �� p�� ► � Own�s Addma l V Own�r Phen� 1MimAer t � fN iimGN TkM1�old�rNUas � � OwMr MIaM Nwnba �� FM SImpM litl�AONM AddnK JOHADDRe68 LOT� C� EU9DIV1810N � � iANCELIO/ �S��S'� BI�OAIn•�OS�"O� pRAl1�1R0Yl11o�ifllll f101�W WORKPROPOiED e NEw� ADD/�tlT �] 81ON [] [] DEMOUSH IN8TAl1 REPNR PROP08E0 U6E Q SFR �' CdAAA Q OT1ER Ty�E Op �S'TRIICTON Q 6lOCK � FR/1ME Q ST'EEl Q , DESCRIP'OON OF 1NORK a��:� �—� ��,� 1 4 � „ �.��,��„ ��,�,��..�.��..��,�� „ ��.�,�� „ ��,�� \� Vl1l.tlATION OF TOTAI CON8TRUCTION y Il�•• QELECTRICAL f` ' A1+IP 8ERvICE � C] .� Q� �f QPLUM81Nfi . .. / � _ -..,,�_.__..._.... _ � t C [��cwwca a va.wna+ oF �cHn�ac� n+e�r,u.una+ , ,�/ � pa�s Q Koov»ro p sa�Tr Q on+�x � , FlNISHEDFLOOREIEVAT10N9 fl00DZ0lEARFA QYES NO BUILDER • COMPAM/ K �1�.0� Ykri �� ilMMTUJ� IWNitllm riEGAUIS. Y Aarrs. . � Uo�n.ss �� ELECiMCIAN �< COMPAfi1f �i Q S I[ f C. �, . SkINATURE �EON7l11m N �YtOUNMA ll�a.». 6�onw s � �„_,.__— . �� C��._.L.f' �,� �atrew Re dMwe. AddlNS LkrIM�� I�C�IAIM��L COM►AlIV lY irT�'il /17�I I �J�W��L qO�lAf{IIIE MMlwo wE ,�„.. �a rc 8 �... Nc osa3�' o� � � �M" ,... , (-- sx�Na� � , �a,a�, �aar«. lb«w / 1 11E�3IDENf1Al AItKh Gq Pbt PWr: W�Ir d C�i�nD PMm� It) tN N F.Mryy Farm; R O-W P�m�ll fa rwv wnrYucron. �IlNnwrn ten it01 wwMlnO dys rMr nbmlly d�b., it�pi+d oradM. Conatudbn Pwu� Ston��wlr PN�rK va� 81M F�nor Nul�ed� S�nNry F�IYas i 1 d�rnpstit; SIM Wqk PwmN /x � poj�oh COMMEI1pAL All� (�} mrtpNM �Nt e( B� Ol�n Okn a llk S�Ny P�S; (1) wl d C�nyy Fams. R-0�W Paml[ br n«w oonMiueMon. �Mn4nkn Nn (101 MiorMM�O d�Y+ a�vsubllWMl d�Ae. Rpulr�d emis. Canln�Mon Plru� Sbrrt�waMl?Yru NV 811 F�nae MW�A�d� SfnlWy F� i 1 4rrosbr. 8i� Wak Pamll for N trw pro}tl�. M oannMR�F11 npurmNnb mwl nMN oaryY�na SI WJ pERAMT AM�d� (� aNS a! Eqlrr�nd PMna. 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OwnHs Name � � Owrrr PhoM Numb�r own.rs naa�ss � V owner wwn. w,me.r t �� fw 3tmnN TiHMdd� N�ms � � Ow1� P4on� PWmber � F�►fimpb 11tl�holda AAdNrt JOBADDREBS lOT/ � SU9QMSION � � PApCEL ID� � �� ^ O p�r� r�eor r�wn �wq woacPaonos�o nEwao �oa�r p sa� p p o�ausH e �NBTAII REPNR PROP0.lED t1BE Q �R �' COMM � OTHER 7YPEOFCONSTRtJCf10N Q 9lOCK � fRAME [� STEEI Q . DESCRIPTION OF WORK BUILOIN6 SIZE � sG FOOT/KiE � `1 IIEIOHT t 111�111�1111111111111�11��111�lIt111�1�i1111111111i111t11� 08UIL01� `�� VALWTIOl10F TOTAI CONSTRUCTION �� V [�ELECTRICAL { AMP 8ERVICE � Q �RC�Yi Q�.R.E.C. QPLUMBING � ,,, /� T . .. � ,.�_..�.--__...._. - Iv� Q�cwwc,u a � v�u.w►twN oF �cwuacu �NSra.�ana+ , �j+ ��. Qo�s p aoova�o p spECVaTV Q or►�R , FIN9F�OFLOORELEYATION3 fl00DZONEAREA QYES NO .�� ►,►� �R e��.ons' c, 'or� SlONATURE I�tatTll� vrFaw�en Y/ Addn�s • � .IJoMiO• EI.ECT�IICIAN COMPAf4Y o �S I t I� • C. �. . 51�1A7URE � • NEWMtIt11W N I�aWIC� AAdfMS I.�CMq!! _FLUIIABER I � C0IAPAUIY � �. 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(f� �. .+ t City of Zephyrhills BUILDING PLAN REVIEW CONIMENTS � . �, C ContractgsG�omeowner: _ Date Received: _.T� ' I 3 ^�� - , �, Site: '�D�� b a0.e, Permit Type: � v � , ..��t�%�� < <�L � � Approved w/no comments: ❑ Approved w/the below comments: Denied w/the below comments: ❑ ` �i ti .��,✓ C��c :/ Z� � f ( f ��u.� � i < <� �� .:��5----� ��'�� G n `�'r;� ,� �,�►/ �5 � ! � C i r � `� G� ��,� �� , �� ,.� ?-G�� /��- This comment sheet shall be kept with the permit andlor plans. _ ,� � Kal S vv� er — s Examiner Date / C tractor and/or om wner equired when comments aze present) . Pasco County Parcel: 35-25-21-0010-10500-0000 001 Page 1 of 2 Data Current as Of: Weekly Archive - Saturday, December 17, 2011 Parcel ID 35-25-21-0010-10500-0000 (Card: 001 of 004) Classification 73 - Hospitals, Private Mailing Address Property Value ADVENTIST HEALTH SYSTEM/ Ag Land $� SUNBELT INC Land $2,958,514 7050 GALL BLVD Building $28,061,153 ZEPHYRHILLS FL 33541-1347 Extra Features $257,847 Phvsical Address - See All 5 addresses (First Shown) .7ust Value �31,277,514 7052 GALL BLVD Assessed (Non-School Amendment ZEPHYRHILLS FL 33541-1347 1 � $31,277,514 Leaal Descriotion (First 4 Lines) ZEPHYRHILLS COLONY CO LANDS Taxable Value �� PB 1 PG 55 FOLLOWING DESC PROP LYING W OF DAIRY RD R/W AS NOW LOCATED TRACTS 103,105,106,119 Land Detail (Card: 001 of 004) Line Use Description Zoning Units Type Price Condition Value �� 7300 HOSP PVT OOC3 11,000.00 �F $8.90 1.00 $97,900 �� 7300 HOSP PVT OOC3 39,000.00 SF $6.48 1.00 $252,720 �� 7300 HOSP PVT OOC3 1,113,124.06 SF $2.25 1.00 $2,504,529 � 9400 RIGHTOFWAY OOC3 6,167.94 SF $2.25 0.10 $1,388 � 7300 HOSP PVT OOOP 45,323.00 SF $2.25 1.00 $101,977 Additional Land Information Acres 27.89 Tax Area 30ZH FEMA Code � Commercial Code MMED3DC Buildina Information - Use 85 - Hospitals, Public (Card: 001 of 004) Year Built 1985 Stories 4.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Rigid Frame w/Bar Joist Roof Cover Built-Up Tar and Gravel Interior Wall i Drywall Interior Wall 2 None Flooring 1 Asphalt Tile Flooring 2 Carpet Fuet Electric Heat Forced Air - Ducted A/C Central Baths 43.0 Line Description Sq. Feet Repl. Cost New 1 BAS 294,779 $51,462,518 �— 2 —� � 9,740 $850,205 � 3 �AN 9,072 $475,207 Extra Features (Card: 001 of 004) Line Description Year Units Value 1 � PAV ASP � 1985 243,370 $49,283 � 2 PAV CON 1985 2,304 $864 3 SPRNKFP 1985 r 84,901 $63,676 �— 4 —� CON PTO 1989 � 3,600 $1,350 5 � ELEVATR 1985 3 � $61,058 � 6 � SWC �1985 � 6,300 � $2,363 7 ELEVATR �� 1985 2 $30,618 � 8 � ELEVATR 1985 2 � $33,067 Sales History http://appraiser.pascogov.com/search/parcel.aspx?sec=35&twn=25&rng=2 &sbb=0010&... 12/20/2011 . Pasco County Property Appraiser - Physical Address List for: 35-25-21-0010-10500-0000 Page 1 of 1 Welcome : Records Search : Parcel Details : Physical Addresses Physical Address List for Parcel: 35-25-21-0010-10500-0000 Displaying 5 records View in groups of: 10 25 50 100 500 Street Number Street Name • Unit 7053 DAIRY RD 7135 DAIRY RD 7205 DAIRY RD 38047 DAUGHTERY RD 7052 GALL BLVD Pasco County Property Appraiser Page Layout Modified: 2/17/2009 1:10:37 PM The Local Time Is: 12/20/2011 9:39:56 AM http://appraiser.pascogov.com/search/physadd. aspx?parce1=21253 5001 O 105000000&eas... 12/20/2011 This InstrumentPrepared By: . l�ame: Rodda Construction Inc 250 E. Hi�hland Drive. Lakeland, FL 33813 I IIIIII IIIII I I I ( IIIII IIIII IIIII IIIII IIIII IIII , 2011193854 Permit No. Taz Folio No. Rcpt:1404192 Ree: 18.50 NOTICE OF COMMENCEMENT DS : 0. 00 I T: 0. 00 STATEOF Florida 12/14/11 K. Gareia, Dpty Clerk COU_NTY OF Pasco THE IINDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the fol[owing information is provided in this Notice of CommencemenG 1. Description of property: (legal description of property, and sireet address if available) Florida Hospilal Zephyrhills Angiography Room LegaL 35-25-21-0010-I0500-0000 7050 Gall Blvd PRULA S 0'NEIL,Ph D PqSCO CLERK 8 COMPTROLLER ZephyrhiUs, FL 33541 12/14/11 0:49a 1 of 2 2. Generaldeseription ofimprovement: Room Upgrades OR BK �� PG 3864 3. Owner/ Tenant information a. Name and Address: Florida Hospi#al Zephyrhills, 7050 GaU Blvd, Zephyrhills, FL 33541 b. Interest in property: Owner c. Name and address oJfee simple titleholder rf other than owner): 4. Contractor: a. Name and address: Rodda Construction, Inc., 250 E. Highland Drive, Lakeland, FL 33813 b. Phone number: 863-669-0990 S. Surety a. Name and address: N/A b Amount of bond $ c. Phone number: 6. Lender a. Name and address: N/A 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(1)(a)7., F[orida Statutes: a Name and address: b. Phone number: 8. In addition to himself; Owne� designates the joUowingperson(s) to receive a copy of the Lienor's Notice as provided in Section 713.13{I)(b)., Florida Statutes: a. Name and address: Rodda Construction, Inc., 250 E. Highland Drive, Lakeland, F1338I3 b. Phone number: 863-669-0990 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANYPAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTTCE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR NG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT ST BE RECORD ND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINA C, CO SULT YOUR LENDER OR ANATTORNEYBEFORE COMMENCINC WORK OR RECORDING YOUR NOT C O ME CEM 1 (Signatu o Owne or Owne s uthorized Offuer/Director/ artner/Manager) r- ��.. � � (Signatory's Title/Off ) _' � i,�/f �� ; The foregoing instru nt was ckn � l , edged bef e me this /�7 �day of , 2011, by � t�-�� -�v� �(��Z�t�� VI.QxL, (name of person) asl t,�ld� �Y1a..ti�(fy�uthorily, ... e.g. officer, trustee, attorney in fact) for (name of party on beha ojwho instrumen executed � KATHLEEN 3. McCALLl� . NOl'ARY PUBLIC t ature of Notary Public - Sta Florida) 97ATE OF �LORHaI► . Comm# DD728Z39 (Print, Type, or Stamp Com ' sioned Name of Notary Public) Explrea 1/16/201Z Personally Known OR Produced Identifieation Type of Identifieation Produced . DATE: 12/14/11 PASCO COUNTY PROPERTY APPRAISER 10:46:35 C N- L I N E P A R C E L P R I N T O U T PAR.CEL-ID: 35 25 21 0010 10500 0000 TYPE: STATUS: A DLA: 100107 SC TP RG SUB BLOCK LOT TRACT: 0328004 PARENT: 35 25 21 0010 07200 0000 DATE-SPLIT: 050205/VGL CLASS: 73 NOTES: 83Z/C #346;CMB 1-104-1,1- 106-0,1-122-O;CMB 1-103-0 LETTER CD- ,1-121-1,6-0-4,6-0-5 HERE 94WHOLLYOK;SPL 1-103-1 OWNER CHG- NAME: ADVENTIST HEALTH SYSTEM/ 7050 GALL BLVD /ADDR SUNBELT INC FS119 CODE: ZEPHYRHILLS FL 335411347 STREET ADDRESS: 7052 GALL BLVD 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 DVDo -JUST: 2958514 001 19 0 0 0 0 0 1995 030194 BLDG: 28061153 XFOB: 257847 -------------------- A SOH � 31277514 OR BK g633 P � 3865 NS ASD: 31277514 2 of 2 RPG: EXEM: 31277514 -------------------- -------------------- BS TXB: S DVD: S DSM: S TXBL: AREA: 30ZH ACRES: 27.89 SPEC HX: BC TXB 31277514 ADD EX: C DVD: C DSM: C TXBL: PRIOR YR VALUE: 31277514 PRIOR YEAR MKT: 31277514 HX VAL: 0 NON-HX: 31277514 MKT DIFFERENCE: p MKT CHG HX: 0 NON-HX: 0 PRIOR HX VALUE: p MC LAND HX: 0 NON-HX: 0 PRIOR HX PCT: PHYS HX: 0 NON-HX: 0 PRIOR NON HX: 31277514 PRIOR N-HX ASD: 31277514 S A L E S: YEAR MON BOOK PAGE SALES-AMT INST XFER QUAL ST LIFE I/V TOI 1982 Ol 1170 1830 410000 V 1982 Ol 1170 1881 145000 V 1984 11 2051 0751 V 1992 10 3164 0724 QC I X L E G A L D E S C R I P T I O N: ASSESSED IN SECTION 35, TOWNSHIP 25 SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA ZEPHYRHILLS COLONY CO LANDS PB 1 PG 55 FOLLOWING DESC PROP LYING W OF DAIRY RD R/W AS NOW LOCATED TRACTS 103,105,106,119 ,120 & 122 & E 100 FT OF TRACT 104 & E 105.76 FT OF TRACT 121 EXC W 187 FT OF E 267 FT OF N 172 FT OF TRACT 103 & EXC US HWY 301 R/W & EXC R/W FOR DAUGHTERY RD;& ARBOR RIDGE SUB PB 22 PG 44 LOTS 5,6,7 & 8 OR 3041 PG 160 OR 3154 PG 65 OR 164 PG 724 �°.'� `` STATE GF FLORI�A, CC�� {�� THIS IS TG CERTf�;�HAT TH�E FQRE�Uitt�• +S � TRUE AND CORRE��OPY.-OF THE DCaCti+V�t�r�T ON FILE OR OF PU�I�Ft£COR[3� I�`FNIS OFFfGE WITN S MY HANQAND, FFI��LS� �L�IS DAY OF PA LA E�L�C�LERfC'& � MPTI�OLL R BY DEPUTY CLERk ' FLORIDA HOSPITAL ANGIOGRAPHY RM- 7052 GALL BLVD- 1,247 SQ FT SQ. FEET PRICE MAIN OR LIVING: 1,247 OTHER AREA UNDER ROOF: -$ 88.00 OTHER: - $ - VALUATION $ 315,300.00 FEE SHEET $ 1,133.00 ADDRESS DRIVEWAY BUILDING: $ 1,155.66 ELECTRICAL: $ 254.93 PLUMBING: $ 169.95 MECHANICAL: $ 118.97 SUB-TOTAL $ 1,699.50 TOTAL S 1,699.50 SEW ER: WATER: IRRIGATION: $ - TOTAL: 5 - WATER METER: IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 107.52 INSPECTION TOTAL: $ 45.00 PERMIT TOTAL TOTAL: S 152.52 PUBLIC SAFETY IMPACT FEES POUCE FIRE 5% $ - TOTAL: S - SUB-TOTAL $ 1,852.02 PARK IMPACT FEES SIF'S: 100.0% $ - 1.0% $ - TOTAL: S - TIF'S: 99% $ - 1% $ - TOTAL: $ 1,852.02 7052 Gall Blvd SQ. FEET PRICE MAIN OR LIVING: 1,247 OTHER AREA UNDER ROOF: -$ 88.00 OTHER: - $ - VALUATION $ 315,300.00 FEE SHEET $ 1,128.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 1,210.56 ELECTRICAL: $ 253.80 PLUMBING: $ 169.20 MECHANICAL: $ 118.44 SUB-TOTAL $ 1,752.00 RADON: $ 18.71 TOTAL S 1,7T0.71 SEWER: 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: E - SUB-TOTAL $ 1,770.71 PARK IMPACT FEES SIF'S: 100.0% 1.0% $ - TOTAL: S - TIF'S: 99% 1% $ - TOTAL: $ 1,770.71 � Z�.��'��ItLL.S FIRE DEPQ►RTMEN7 6501 �airy Road, Zephyrhilis, Ft, 33542 Fir�e Chief iCedYh Wiiliams Bus (893)780�0041 Fax (813)7�0-0044 FIRE SERVICE USER FEES Occupancy No.: Plan No.: //-/3 Contractor: 4� Business Name: � / o � Billing Address: �- Business Address: � � Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEIN FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE 8 Site Plan N!C Annual N/C Sprinlder $50 1 st Alarm N/C MuNi-FamilylCommercial .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 $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th AIaRn $200 8 0- 25 Heads $50 violations corrected) Natural Gas aSO NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- �� k g50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 �� sy�m Camp Fire $25 � Per Pump $100 Hydrent Flow $75 CoMrolled Burn $100 FIRE ALARM SYSTEM HoodlDuct $50 8 0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly �SO Annual 26 plus Devices $100 System Acceptance E50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 nnnua� Wet $50 OTHER � Waste Tire Storage $SO Annual pry $50 ire walUSmoke wall $15 per wau Generator < KW $100 CO2 $50 LP Gas $25 per tank Generator >30 K1rV 150 Other $50 Natural Gas $25 �� SySc�m Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts 350 Tent 10'x10' wgreater $15 Perte�t Torch PoVApplied $50 OTHER Fire Pump $45 Haz. Materials $100 Annual 8 LP Installation per lank $50 Fire Suppfe55ion $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $5o E�aust 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 Emergency Vehicle Ac� $50 � FALSE ALARM PLANS TOTAL�� INSPECTION TOTAL� PERMIT TOTALC� TOTAL�_ _ � GRAND TOTAL � Sj� Comments. 1/ f7� � G� G �� o ' F�" a 7 � F-+- Date: �� Ins��ctor: � �"1 Zephyrhills Fire Rescue 6907 Uairy Road, "L.ephyrhills, T'L 335�2 {�'ire Marshal Bus (813) 780-0041 Ker�•v 13arnett Fax (8l3) 780-UO��t y �-mail: kbarnett�u.tire.zephyrhills.f7.us Plan Review #: 11-137 Project: Building Rehab — Angio Rm Number of Pages: 66 December 19, 2011 I have received and reviewed the plans for the building rehabilitation located at 7050 Gall blvd for an angio room located at Florida Hospital. At this time, this project will be allowed to move forward. Paying for permit, contractor acknowledges complying with the items listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Use safe practices during construction in accordance to NFPA 1. 2. Several plan pages were miss labeled. Roof Plan page is A2.5 not A2.4, Partial Roof Plan - Plumbing page is P2.2 not P23, and Siemens added a Medical Equipment page not indicated on the main cover page. 3. If any of the fire protection systems are shut down for 4 hours or more, this authority shall be notified. Fire watch shall be set up and appropriate documentation shall be filled out by those conducting the fire watch. Once fire watch is lifted, notify this authority and the paperwork shall be forwarded to this authority. 4. Ensure AHU has a duct detector (over 2000 cfm's) 5. Separate plans will be required to be submitted by the contractor making changes to the fire alarm and fire sprinkler system. Plans shall be submitted along with cut sheets, details, calculations, etc... 6. Several methods were noted in the plans for protecting the different penetrations in the rated walls/floors/ceilings. The contractor shall provide which method is being used to this authority at the time the penetration inspection is being conducted. 7. Where any valves or dampers are located above ceiling, label and/or mark ceiling tile in that location as such. 8. Building Official is responsible for med gas inspection. 2 Inspections Required: 1. Rated shaft wall and rated partition wall. Screw inspections will be required on each layer. Penetrations can be looked at during this time. 2. Final fire rated wall inspection. 3. Dampers shall be inspected. 4. Building Final KERRY B TT, 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. N � O N � � M � � � � � Q z � H A O � �" � ¢ � � � � z (z, �' a N a w �w a o �� a� � o z x N O � �� N > � a a °° ° H � � ,1� �' ¢ � .� -� N � U A v� � � � � 'n �, ° - O ~ z � � p o .� r� � ~ ~ I U o 0 o x � � a ¢ � ¢ U , � � o W O � � ° � c7 0 � � N o z � ,� N U A v C'3 � C� � 0 0 � z m U p � A v� � � Cl � •• � � � � � � � a w x � W � U W � f� � z Q a � � m