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Home My WebLink About12-13531 CITY OF ZEPHYRHILLS 5335-8TH STREET �si3��saoo2o 13531 BUILDING PERMIT Permit Number: 13531 Address: 7050 GALL BLVD Permit Type: DEMOLITION 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: 13,000.00 Date Issued: 10/15/2012 Name: FL HOSPITAL OF ZEPHYRHILLS Total Fees: 75.00 Address: 7050 GALL BLVD Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/15/2012 Phone: 813 783-6189 Work Desc: DEMO INTERIOR EMERGENCY AREA WORK STATION, CABINETS,COUNTERS) �`� 7 � u �� j .. "� �� 1 � �n, oc� � � REINSPECTION FEES: Reinspection fees will oomply 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 t� 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 govemmental 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 reoording your notiae of commenoement." Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. � � CONTRACTOR SI ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER n,s-rdu-uuzu City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date�ecetved Phone Contact for Permittin (�, " �� .- SS� Owner's Name L` 11� Owner Phone Number � � � _ — � � O�nmer's Address � �� `� Zc , 3 5 I Owner Phone Number l - �I 3 -7�13 -��'j � Fee Simple Titlehoider Name Owner Phone Number � Fee Simple Titieholder Addroas JOB ADDRESS �'5��1 E C�vY��, �--iy c LOT A� � SUBDIVISION PARCEL ID#� (OBTAINED FROM PROPERTY TAX NOTICE) MVORK PROPOSED NEW CONSTR ADD/ALT [—� SIGN Q � DEMOLISH INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME [_] STEEL Q DESCRIPTION OF WORK tl�/�l�ll� C' �1f,�!NESS C�c..��g (,� o NS VI2 Q� BUILDIN(i SIZE SQ FOOTAt3E � O HEI(iHT QBUILDING S l VALUATION OF TOTAL CON�CTION � ��'`�' 0� 1� QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 QPLUMBING a � (�353 / OMECHANICAL S VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO BUILDER �r� COMPANY �� C�{v — Lc c�i . SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N Addreas vZ50 � �l�o(d(,4;v� �I� U��p � License# ��C Q�o �/•�9 q � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# —� PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# IIIIECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Ucense# � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y!N Addreas License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new const►uction, Minimum ten(10)worlcing days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Fadlitles d�1 dumpster;Site WoNc Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Fadlitles 8 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 fa all NEW consUucdon. Directlons: Fill out application wmpletely. Ovmer 8 Contractor sign badc of applicatlon,notaNzed If over S2S00,a Notice of Commencement Is roqulred. (AJC upgradas over i7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter irom owner authorizing same OVER THE COUNTER PERMI7TING (Front of Applicatlon Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Drf�ewaya+Npt ove[Counter if on,pdWfc rohdways..needs ROW " "'"" ' ' ' �� '�-�°-�_ � ` i r + , � - } a � . < . �:,,,-... _ , ._ . � �..�. .... . ,. ... . . �...,.a...� 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 applicabte deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBtLITIES: if the owner has hired a contractor or cont�actors to unde�take 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 clted 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(sj sign po�tions 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 flcensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTlUTILITIES IMPAC7 AND RESOURCE RECOVERY FEES: The undersigned understan s that Transpo�tation Impact Fees and Recourse Recovery Fees may apply to the consUuction 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 fu�ther 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. Furthe�more, ff Pasco County Water/Sewer Impact fees are due, they must be paid prio�to permit issuance in accordance with appiicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Flo�ida 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'SIOWNER'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 certity 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 devetopment regulations in the jurisdiction. I also certify that I understand that the regulations of oiher 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 mate�ial 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 specificalty induded 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 pe�mit 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 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL7 WITH YO R L DE TTO FORE RE ORDING Y UR I F FLORIDA JURAT(F.S. 117. 3 , �'� �'\ CONTRACTO ' OWNER OR AGENT �� " u and swor ,(or aiflrmed)b r this Sub and swo to(or e ed b m b � � � y � o i lare sonally nown me or has/have produced e, or��l k me or ha ave produced � as identificatlon. ( � as idendfication. � - �. otary Public L�IG Notary Public Commissfon No. Commission No. ^ « "' '�::•A�f�.BE�M�ETf �"1'tC`��9"+�, SUSM!L BENNETT ,, .. r,'1 � .E 214702 �EE'•+a7o2 Name of Notary typed,printed or . . ��'�'��k.N F Name of Notary typ � S • ' �tFIRES:A�guer�� ^016 IRES:R:r.tust 5�.2016 Q�, +]onde0?hru kotarv��muc Unde�w�NMf BondedThNNotarr�!rN�[�Jndenv�itllS �•��• —