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HomeMy WebLinkAbout13-14023 CITY OF ZEPHYRHILLS . . 5335-8TH SIREET (si3)�so-oo20 �4�'' ' � BUILDING PERMIT �'� . Permit Number: 14023 Address: 38021 MARKET SQUARE DR Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: NEW CONST/COMM Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-04000-0050 Improv. Cost: 1,228,000.00 Date Issued: 4/03/2013 � Name: HEALTH CARE REIT INC C/O CPAC Total Fees: 33,354.�-7'l(ot �� Address: 38021 MARKET SQUARE Amount Paid: 3�;35�-�F��,r����� ZEPHYRHILLS, FL. 33542 Date Paid. 4/03/2013 �'s�o�>>� Phone: (813)780-1543 Work Desc: CONSTRUCT NEW URGENT CARE FACILITY 3065 FT/EXISTING BLDG � , 4. ,7 1. SOUTHERN EQUIPMENT CORPORATION ELECTRICAL FEE 468.68 WATER CONNECTION COMMERC 1,538.40 SOUTHERN EQUIPMENT CORPORATION PLUMBING FEE 312.45 TRAFFIC IMPACT FEE 1% 256.88 JN ELECTRIC OF TAMPA BAY INC MECHANICAL FEE 218.72 TRAFFIC IMPACT FEE 99% 25,430.89 FIRE PLAN REVIEW FEES 183.90 POLICE IMPACT FEE 499.59 FIRE IMPACT FEE 536.38 PUBLIC SAFETY 5% 51.80 / �'�''��cYt� i�1 e�c'r/ � ✓ �-2�3'�3 f t3•. ���� � ���.c.Ke �5�� I� f � 21- 5 � ��z�,�i �Ylr� � p -- (�— 3 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 calied e) permit not posted on job site� plans not at job site g)work not acxessible. 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. "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 pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. ���_____.-�- CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Wallace A�sociates-38021 Market Sq. 3065 sq ft new addition Urgent Care Facility SQ. FEET PRICE MAIN OR LIVING: 3,065 $ 227.88 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ _ VALUATION $ 698,452.20 FEE SHEET $ 2,083.00 ADDRESS DRIVEWAY BUILDING: $ 2,124.66 ELECTRICAL: $ 468.68 PLUMBING: $ 312.45 MECHANICAL: $ 218.72 SUB-TOTAL $ 3,124.50 TOTAL E 3,124.50 SEWER: $ 1,731.82 WATER: $ 1,538.40 IRRIGATION: $ - TOTAL: S 3,270.22 WATER METER: n/a IRRIGATION METER $ - n/a FIRE DEPARTMENT FEES PLANS TOTAL: $ 183.90 INSPECTION TOTAL: PERMIT TOTAL TOTAL: a 183.90 PUBLIC SAFETY IMPACT FEES POLICE $ 499.59 FIRE $ 536.38 5% $ 51.80 TOTAL: E 1,087.77 SUB-TOTAL $ 7,666.39 PARK IMPACT FEES n/a SIF'S: n/a 100.0% $ - 1.0% $ - TOTAL: 5 . T I F'S: $ 25,687.77 PAY IN FULL OR 99% $ 25,430.89 25%-$6,421.94 UPON PICK UP OF PERMIT 1% $ 256.88 75%-$19,265.83 BEFORE PERMANENT POWER TOTAL: $ 33,354.16 , Broadcast Report p � 10/21/2013 09:25 , • SePldl N0. AOED4�11001438 T�: 182058 Addressee Start Ti�e Time Prints Result Note 917275200789 10-21 09:25 00:00:29 001/001 OK ORG NOte MBNiDxi Mixu�6 Or3gi�nai T��7dX1n1CgA L:��.ualiTX�CSRCZeC1SRCtg1F�D:F�p� FradroePCc�p�Pgc-Faxx�. RLY� Re�a1e-M�XedCOnf3dCrit�ale BUL�•BUiletPin�.1SIP��I��Fax.F�:FIP Add►'Resx:F�,TX. I-FAX: �1�ernet�FaX Result 01(: Comnunication 01(, S-OK: Stop Comuaunication, Pw-OFF: Po�er Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: BusY, M-Fu11:Meaary Full, LOUR:Receiuin9 length Ouer, PON2:Receiuing page Ouer, FIL:FfIe Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. � � � � � � � � m � o . , � .-. 0 � � � � � V � y a � � � � � �� o � � � o � � � � � � � �. Q g � � � � � a � � � h � � $ � � � � o N � � � � � � o � �� � - . � � � � � m � � � ` PASCO CtJUNTY, FLORIDA "' Permit No. ���1 3 Date Permitted -3-z��-�3 Builder Name/Owner Name ���i���i�'E ✓����'•�2�J�lC Control# Counry Parcel Na Oz-Zk 7_�- 0�lC'-c,��L'CC-C)L'S0 SubDiv: � y�///'S Address/Location ��C''�%1 1 r���"��� �Cl�c.+'� Classification/Type of Use Gt�"y�n� �'Ct r^� � C��ilr �� TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: l�J Exempt � Yes � No How Determined Impact Fee Amount $ Z.�j� �=`� `�;77 Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Family petached House Amount $ ��� (�57) Mobile Home (058) Other Residential 123) Collection Fee Exempt Yes [] No How Determined PARKS AND RECR�ATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreatlon Totai Zone TOTAL AMOUNT $ /�� Exempt [] Yes � No How Determined LIBRARY FEE Land Account �and Credit Land Total Facility Account Facility Credit Facility Total Exempt � Yes [] No How Determined Total Amount /Tf�— RESOURCEFEE ERU TOTALAMOUNT Prepared By � Checked Sy N�CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE REC�IP7ED FOR BY A CENTRAL P RMI ITI'NG OFFICE OF PASCO COUNTY Acknowledgement helow does not Imply acceptance of concurrenae,6ut slmply recelpt of a copy of this form,plaaing the bullding permit owner on nodce of this assessment and the conditions af paymant for same. DATE R�CEIVEp BY RECEIPT NO ___ pATE BY 813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 Building DepaAment Date Received `� _ 2 7� � 2 V _ U� � o , Phone Contact for Permifting �1�1 ,� x��� 7J '�f-�,1�1Gvy -{''' ! Owners Name �.-p!�„ � �F ��{ � �,•pw, r Pho�e N mber � Owners Address�� � �!)��}l.l��L, ��n�Phone Number Fee Simple Titleholder Name � F e 1,"^ �1" 8 q� ���� Owner Phone Number D jr �( Fee Simple Titleholder Address � e E, JOB ADDRESS � � �Z� /7\RI��ET �V q�� , t f� LOT# ��r�t SUBDIVISION A PARCEL IDq ��."1�0'Z.�' OQ 1 O�01.{Op p- O O 'O � (OBTAINED FROM PROPERTY TAI(NOTICE) WORKPROPOSED NEwCONSTR� ADD/ALT � SIGN INSTALL REPAIR 0 �, DEMOLISH PROPOSED USE � SFR � COMM � OTHER TYPE OF CONSTRUCTION � BLOCK FRAME � STEEL � DESCRIP110NOFWORK WI�ISTQ.J(,'� A,S�N��E SToR, G�tPA�IS�oIJ Tp �X�ST1��0 1�V��, . ����'�� � BUILDING IZE ��N`LE ST• gQ F�TAGE �� HEIGHT �I/ MAX ;;1�`( BUILDING $1'1�$'00 Q �VALUATION OF TOTAL CONSTRUCTION ��' T -ra.� � Z 7��,�x ELECTRICAL $ AhIP SERVICE'pb V � PROGRESS ENERGY � EF p W.R.E.C. PLUMBING g �� � � P I Q�S �� � �� � , 3 s�,f dMECHANICAL VALUATION OF MECHANICAL INSTALLATION { i7i �D�,y ✓ �.�- oJ . �) I QGAS � ROOFING Q SPECIALTY Y � I l �� 1/�C�� �n �j I�i�V«`�-lQ- �� . �� FLOOD ZONE A�—RE�A �THE�YES NO --- FINISHED FLOOR ELEVATIONS �' /V�`�G� CV�� � 3v�_t- C..�1 s'� r ` _ . c.h�-,+�c� �'�''`! I BUILDER COMPANY w A U.A1�,� �+�QTES � h� �l� SIGNATURE � '�� REGISTERED Y/ N FEE CURRE� � Y/N ��-t��tiJ �vt��` ' __ /wd►ass y3.� 17Q.. - L �'1, . . ETE FC.T211ce3ex CGC O'S83g�-1 ��j�12 �� �►� ELECTRICIAN � /�\' � r`�--�u��'1 q/ SIGNATURE /�.. COMPANY / ry� REGISTERED Y! N FEE CURRE� Y/N t �� ���.f.'� Addre83 � � -7�0�Qw/Z� # PLUMBER ��^1�� COMPANY �— SIGNATURE rr REGISTERED Y/ N FEE CURRE� Y/N Address r--- " License# �l� �� MECHANICAL �.(� /��� COMPANY ,� SIGNATURE V t � REGISTERED Y/ N FEE CURRE� Y/N t�� �a � � 3_-��,�,L�� Address � I License# OTHER �� � COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI. r Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Builtling Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construcdon, Minimum ten(10)working days after submittal date. Required onsite,ConsVUCtion Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commerdal requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 I Directions: Fill out application completely Owner&Contractor sign back of application,notarized If over j2500,a Notice of Commencement is required. (A/C upgrades over 57500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW e�a-��°°z° Ciqr of Zephyrhiils Permit Application � Fa�e��7eo.00s� �� . ` o�.tispiv.d � w�ons coor.et ro.wemiql Ownw's N�n� Owmr Plwe�Ninib�► Ownw's Addn�s Orrt�sr Plwn�N�rnb�r � � FN SImpM 7Ttlshdde►Wme � Ownsr Phon�Numbsr Fws SinpN 71HN�old�r Addnp .�8 ADDRES8 �+��1 //1G�'(�/�G�C �G LOT tM �� ���� � � PAI�EL IOi (0lT11MlD P110N PROP6lTYTAX N01ICfJ WORK PROP06ED e NEW CoNSTR 8 ADDlALT Q SIGN Q Q DEMOLISFI INSTAIL REPAIR PROPO$ED USE Q SFR � COA�1 Q OTHER IYPE OF WIJS1'RUCTION C] BLOCK Q FRAME � S7EEl Q DESCAIPTIOPIOFYIFDWC f/yi,C ,J � (/ �(lQ�� � ��Q i'C.r Bl,NLDING SlZE � � SQ FOOTAGE FIEIGI{T �� QBU0.DING �� VALUATION OF TpTAL CON.STRUCTiON �` l/y,y'��iLG��.NV"� �,f Q IPT� _ iv QELECtRiCAI. �� AMP SERVICE Q PROGRESS ENERCaY Q W.R.E.C. ����Jd /} Y QPlUM81NG �� ���r-�/�/ /p'��/�i�j , / G/ G/..��j��!�°L� �4r✓L..,� 4W��-G�C 7�.�' C]�cw�rac�n� (;'—""'—'� va�unnoN oF�c�uwica.iNSra�u�noN � /��2 � j I.___ pc�+s � Roo�r+c Q s�Gn��n � or►�x � ----'�, FItdSHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO BiNLDER � � WIAPANY � � ��N� HECNSTEA� V!N FEE cuFt�t. Y 1 N ,� �._j. � LicenBB i � �-�-•(�'���1�P%Yl�-- � ELECTRIGAN �ppH� � � ��- �� ��TV� nEOts�BVED Y/N iEE Cu�l, Y/N � Addrass —_ �;�— � '�� . �� � ��� ��T�� ►+�c�BT�o Y/N �q�, Y!N Addnaa ���—�—� MECIiANICAL � COMPANY � ��T�� Rec,�siE�u Y/N peE a�n Y!N �°4f •-� Lioa»e i �� OTHER __�„ � � SN3NATURE COMPANY n� ^'L1'` nEWB�D Y/N Fff c�qr+� Y/N p Addnss � � .�^� Lkanse! ���Q.�B�� // IIIII / IIIIII / IIIIIt11 / 11 / 1I1t111I 11111111111111111111111111111I111 / ,� � � RE310ENTtAL Atlach(�Plot Plens:(�aets M BuUdInO PMns:(1)aet d Enerpy Fams;R-O-W Pertnit fa naw coratrt�cYan, l i " Mkiknum tan(t�woAiYp deYs atle�'aibrt�sl dNe. ReQuirsd oroife.Ca�tuctlon Plens.S4o�mwaMr PMns w/S4 Fence inMaled, �% SenNery Fac�es 31 diqn�er;Ske Work PemYt ior�ubdivhion�rpe pelecb WMMERCIAI Attedi f�oomplete sets oi Bu�rp Pl�ns pke a Llfe SdetY Papa:(1}sef d Enapy Fams.R-O-W Pamit for new consbuctla�. 1Akiimun ten(1�worpnp dM il0et�ubndtlai�Aa. RequYstl orxl6e.Cora4uqi0n Plans.Stonmwfa►Pkina vA S8t Fenc9 kfe�Med. Sard�y FsdNtfes d.1 dumpsbr.SMe V1k�k PaMi for al new proJeds.N cortqnardel roquhanerYs muat meot compAenca SKiN PERMR At�h(�seb d 6pinesied plerm, ""PROPERI'Y SIIRVEY rsqiisd�cr eR t�W oonatrucUon. Dir�ctlOna: Flfl out appNcetlon oompleAey, ownsr a conasaor.qn o.ac a.ppucaua�.mtanzea N owr i2a0G.a Notic�o!Canmrncun�nt b nqulnd. (A�uppnAu ov�i7b00) " Apsnt t►or the conbacfor)a Power d AttaneY(for Ihe owr�vwWa be sansone wNh nomrcized Ieaer irom wnr�er a�Morianp srne OVER THE COUNTER PERMITTING (FroM d AqNicatlon ONY) Reroats IF ahY�piss Swvers SorHca U(lyt�des AIC Fer�ces(PbUSurvey/Footpe) Drireways-Plot over C•atxAx K on P�tic ro�hraya..rleeds ROW . NOTICE OF DEED RESTRICTlONS: The undersigned uoderslands that this permit may be subj�ct to"deed"resUictions" ' which may be more resiriclive than Counly reguladons. The uxiersigned assurn�s respor�aibWty for corry�liance wilh arry applicaWe deed resl�idrons. UM.ICEN8ED CONTRACTORS AND CONTRACTOR RESPONSIBILlTIES: If ihe or+mer has hired a cantractor or coniraclors to undeRake work,they may be required to be licenscd in accordance with state and tocal regulallons. If the conlraclar is no►licensed as required by law,bolh Ihe awn�and contractor mey be clled for a misderneenor violation under state law. If the owner or intended convactor are�ncartain as to vvhet licensing ret�uiremeMS may epp�y for the iMended work,they are advised to conlact Ihe Pasco Cow�ty gu�ding�nsp¢ctipn pivisicn—uCensing Seqion at 727-847- 8009. Furthemtore, i(fhe oNrt�er has hl�d a conhador or Contractors, he is advised !o have the corNractor(s) sign palions of the`oor►trador Block"of tttis applicalion tar which thay wil be responsible. If you,as Ihe owner sign as the o�rNractor,tha!may be an indicalion that he is not propetly fiansed and is not eriUed ta permilting�ivNages in Pasco Counry. TRANSPORTATION IMPACTlUTIUTIES IMpACTAND RE80URCE RECOVERY FEEB: The undersigned undarstands that 7ransportafio�lmped Fees end Reaourse Rec,overy Fees may apply to the aa�stniction of new bui�ngs,change of use in exisling buildings,ar expeneion of existir�g buiWirtga,as speci8ed In PasCO CouMy Ordinance number g9-07 and 90-07.aa amended. The w�dersipned eko understa�ds,lhet such fees,as mey be due,will be iderNifed al ll�tirt�of pemiitting. It b furthar urderstood that Transpdtelion Impact Fees and Rasarce Recovery Fees rnust be pald priw to rooeiving a"certificate of occupanq"ot t�l power release. Ii lhe prc�jed does not involve a ceAilicate p{oo�upa�,y a finaf power release,the feea must be pald prlor to perrrrdt is,wenoe. Furlhermore,if Pasco Counly yyeterlSewer Impact fees are d�,they must be paid prior to pemw't Issuence in eccordarxe wfth appliceble pasco Cour�y�n��, COH87R11CTION LIEN UUAf(Chapter 713,FbAda Statutss,as amendedj: Ii vak�ation M work is:2,50p,pp or more,I oertiy If►at I, the applicarri, hgve been provided yvNh a copy of the "Florlda Cona�uclion Lien Lew--Homeownerg Protection G�rde'prepared by the Floiida Deparlmenl of Agripdture and Cor�surna A({airs, fl the applicaM Is someone other then ti�e°owme�',I oertfy that I here obtained a copy of the above described doc�uneM and promise tn good failh to deNrer it to 1he'awner pdar tp Cpmrr�er�ert�ent, CONTRACTOR'SIOWNER'3 AFflDAV1T: I certify Ihat�I the i�formatlon in this application is accurate and lhat a1 wo�k r+n'1�he done In campfiance wilh aN appltcxbte laws regulathg consUudion,zoning and land developmerp. AppGcation is hereby rnade to obtain a pem�t to do worlc and installalion as N�dlCated. I aatlfy tf�at no work or InstaqaUon has commenced prior to issuance o(a permit and that all wak vvGl be performed to meet standards of all laws regulaNng construction.County and City codes, zonirg r�lalfona,and land development regulalions� the jurisd'�ction. I also certify lhal I understand that the regtdaUons of olher govemment agenaes may appty to the intendgd worlc,and lhat it is my rasponsibiily to idenlify what ectiaris I must take to be in aortiptianoe. Su,�t ayenGea indude bu��n«Nrniled to: - Departrt�nl of Environmenlal Proteqion_Cypress gayheads,WetNnd Areas and Enviror�ntapy Ser�itive Lands,WeteNWeslewalerTreaiment. - Southwest Fbrtda Water MenegemeM Dislritl-WeBs. CYpress Bayllegds. Wetla�td Areas, Altering Watercourses. - Anny Co�s of Engineers-Seawalls.Docks,Wavigable yVate�ways. - Depa�lment of Health & Rehabditative Senrioes/Environmer�tal He�th Unit WeAs, Wastewater TreaUr�ent, Seplic Tanks. - US Ernirom►erNaf Protedion Agency-Asbestos abatemeM. Federal Av�aHan AulharifyRunways. I understand that Me following restnCbions apply to Iho use ot fill: - Use ot fMl is nol allowed in Flood 2one"V"unless expressly pernatted. - If lhe flll materfal � to be used in p�ood Zor�e •A", i1 is �derstood that a drair►age pl8n addressng e "compensating vofune'will be submiped at ikne of perrnitling wt�ich is prepared by a pro(essanal engfneer ticensed by tha Slate of Florida. - If the fill meterial is M be used in Flood Zone 'A fn oonnedion wilh a pertnitied buid'ug using stem wall conetructlon.I eertify ihal fiM v�ill be used only to fill Ihe area vWhin the stern w�l. - If tdl materfel is to be used in eny area. I oeAffy thel use of such I�I wNl not adveraey af(ed adjaoerN praperties, If use of fiN is fou�d to edve�aely affed adjacent properties,the owner may be aled for violaiinp the oondillona of the bullding permil fasuad under the altacF�ed pem�f applicatan,for late less than one(1) ecre which are elevated by fid,an engfnaered dralnage plan la req�dred. It t am the AGENT FOR THE OWNER,1 prortilse in good faith to inf«m the owner pt the pe�it�p c�df��ons set forth n IhfB eftidavil prior to commencing opnst�uaion, I u�derstand that a sap�ale pem�it rnay be reqiared for e�d�al yYprk, pl�xtibing.signs, wells.Popls.air cai�tioninp,gas,or WFier instaMations not speCiGcally�duded in!he applicatian. A permil issued sheN be cansln�ed io be a lioense to{xooeed witi�1he work ar►d not as authorily to violete,canc�,aNer,or set aside en}r prov�gions oi the lechnlcal cades,nor shaA issuanc;e of a permR prevent tt�e guuil�ding p�Ciel from Ihereafler requiring a corredlon of errors in pfans,oonstnidton or vfoladons ot any codes. Every permN iasued ahaA beoome invalid unless Ihe work authaized by such pertnit is comrnenced wiqiin six rnonths of pemiit Issuenoe,or ii v�1�authorized by the permit is suspended or ebandoned for a period of six(6)rnonlhs after the Ume the work is oommenced, An exler�on may be requested,�writing,from the guildiny p�dal for a period not to exaeed ninely{90)days end yyp�denwnstrale jusliRable cause fa Ihe extension. If work ceeses for ninety(90)conseculive days,the job is oonsldered abandoned. WARNING Tp 01NNER: YOUR FAILURE TO RECORD A NOTICE OF COMNENCEMENT MAY RESULT IN YOUR PAYING 71MCE POR tl4PROVEMENT3 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CON$ULT TW YOUR E Y BEFO REC Y CE FLORIOA JUR14T(F.3.11 OWNER OR AOENT ONTRACTOR r— � and nwo lo me t S d antl� t (ar e rmedy b�[or� s1 t„ is/s pet[atWly n to ma of hDlAleW Prod�x'.eA NR10 if/as P�eaMIN tneW/110 mB oI heNlav!produCeA ����'� ea identifwalron `�,��11t{llllflil�/ , � ' . a\\��FER F o�Y � Na�y P�ol� � J� .l n�M'� LD _Na�y Puw� ..... � `����g � Canmksion No. qq���� ' i,``F �20�� � � I � � �* � wr�� i !�Y U'p�.DMnlsd a sumpetl N d Not�rY�YP�.Wb�a Kam�tl y �. �D�� :�: �tid�r°�� Notary Public State of Florida ��y. Vickie Dunmire �"��� �1 :�` < My Commission DD991075 �9�.�� �����•'��`��� �a'�`o�P Expiros06/25/2014 �N�l���i��w� � � Mar, 26. 2013 1 : 14PM JN E�ECTRIC No, 1929 P. 1 Fro�a: • 03I26/2013 11 :49 #234 I'.U01/001 e���eo.00�o Cit�r ot Zeph�s p��p►ADlitatlon F�a�a�eo.ovs� � c�.R.�v.a � _ 27– 3 q»c�.a�w�n � ' Z SZ�u .. U7 0 U x.�l t 3 7h�a ow�r,wm. L 4� ��'�' � G. , $�,.��. own.r■aea�ss�, S'+-n ikU1 � v��a�e awnee. ' � rr�nvk Tleaiet/e�lam. `C n-go J� I O�r,rr Pnaw Nun�esr Qv 1"1-�.'rg�' g 9 }t�6 Z� fw 9MnR��Id�tAddna � �` t �� � 01,1 11t�ql�LE-T Q"AR.� �� -� �ors �—NR i a� N A wva��ior 0�:1�•-11- o010-oyoc o-o a o � (�AN60 HLOr�NOI�TY TAX IIpfICC) woiac�ec n�woo►� �awa�T d si�r p �, oEMOUSH tN61'ALl REPAIR PAWOBED UB! [] gFR COAAM � OTMER IYPE OF GtlN9TRtICT1pt� � �p�K FflAME � SiEEI [] 1 �y oESC►nvro�tOFMlORK NStR�Ci as��11�� �ToR. �ANSlela 1 0 ~C l Il�lo ��t11, . c.�rj�- �"rr� su� '1N/.Wt Sc. sQ r•aornoe �rQ �rrr Z.�' M#X . c . 4�ti 1 HUIIAIN6 ;I�Z�.��0 0 0 �'VALUATfON oF To'S'AL CONSTAUCiION 7 l� '�' 'TIi4+ �7 7'� �,�+1� fLEGTRfCAI i E� AMP sERVICEIpb O �J PROGFiES&ENERC�Y � W,R.E.C. t i f� PLU1�61NG = E� �,,. .. ��i'S� i' 1.+EI I�� u �-� P �j�c�+�w�ca� � • vncunnor,oF►�cyarricn�ir�sra.unoN '� '�1D�•• , ' o� � `_ _ � r �"14it ��. inc�d� �n �lcf.(_v:.l�e. O� � ROOFINO � SPECW.TY[� prN�R " � ��/' " FIWSMED FLOOR ELEVA7IONS �� Q� F10007aNE AREA x �1�ES Y, AI�'E G� �{�';S'i � 5 '�5.�1�' �l S'�. � ' (;r'e�C'�u�•iyt,�L� �ui� ,. .coM�n,�, W�4uR�£ +4m�S �,•-.i�y sIt�U47uRe %•� aeasra�o r�n �c,+am� ��' f� `'� i�'c'1.% � � 5"� . ` � . ��s��. CGC os�b�gy ♦ / , • �nlz s��� s��,,,� + �' +�� TN�/��r� Y,`��, a Y �' ���" ,, �eawss 'l�! l�/d rPSs y .�o��.�z� EL'G�b 2 7� vw+weea ' S� wr�Parv ac�uru� � ��, r �eares� � u�te r INEidiANGU. COMPANY s�c,�wtuaE Rerastaro r i N �c,u�uw '�°'�°° uoa,re s OTMER COYPMIY 81G11A7uRE �o�W Y/N �e cuvm� Y�N �� 1i0�1ba A � ��I1l Pbl Piwts;W wfs d&�Idhg PYm:(1)�e!el Enryy Fan�c:R�4W PwmM Aor nwv eon�uc�on, Mwnw�M kn(1�rwiA4g days ellor w+bmlu�l ae1e.ReqieneA eimle.Cerab�cyoi P41ns.8tom�valx Plene wl Si Fenee insfeNed, eo�eac�a� a��e,s(i m ple�e;;.e:a�A p���P.o����ee�a� �IMIY1�n�mrl(7C7 wakY�p deys Mer nlhrtdMf!dNl.R�AU:�d oasN�.Cor�uelian Plens,SfoeTiwelr P�s� InWapaO, 6ari1�Y FKiMai E 1 dinipseer.SMe Wak PemAll�sA now pola�ti.M men+erdd rcq�ire�nts mwit meCt oa� a�c�t PERwur Amp��)raa a EnpMwand Plane. , ""PRGPERTY SURVE�ietplrad br al�n►kw m�p,�eq, p1�:1111Y,� 1f111111111llltllllfll ! lIIIIIIIi1111111111l111111 / Illl11 Fileultpppta�q��ppyp�y Owkr a�ypbnrslg�baalt dapqlwllon.ralrRatl KAr�r�!/00�a IdoNca d�mR�lq�l�nt b nqWne, (AIC upptids or.r iT�l � '" AYr+t Ikr ths canheeer?er Pa�wer e(AMOnwf�(!ar qw an�woido De aamaene v�n netaYa�Q klkr hnm arier autl�atrinp eame � � OVlR TNE CDIN�IfER PERMITINUC3 (FroM alApprcallon pdy) • NAO�i if t1�Nqbs 6ew�ra 3etifee UPB�1�aC ,fr�n(Pbys►vwYfF'ootaYel w�.reyN+a orw ca�ar n a,vudc ro.a�eys..�aow i Reseived Time Mar. 26. 2013 1 ;03PM No, 1928 03/26/2013 TUE 14: 49 FAX $13 SOUTHERN fiQUIPMENT �J001/001 • s�3aeo•oozo City of Zept►yrhiils Permit Application Fau-813•7800021 ewafoe oepsrlmeM Dete Reeefv6d 2 . � .7� � 3 Phone ConUct(or Parinitlln ��4 J Zv _ v�� U ' ZC T�� �j /�'l d)y1(A/,,,y Owners Name (,,, (t„F �1� � (,,�� �p A i � r phone NumL'por Ownee'a Acldreas�'��W `--�S�V'`��'���-� ���hone Number ��� Fee Simple 7itichofdorName /^t � OwnerPiwne Numbvr ��1' L.S�' J8� /� � � �L�. Fee$impU Titlehoiqer Addtnu �, �� 0 JOB ADDRESS U p 11 {��.�.�T �V A�Q,,,�, LpT q � sueav�srori �I� fiAi2CEL IDM �l'l�^l l� o p t o-o�o 0 0-o og�o (OBTAIN80 FRON PROpBitTY TIUC NOTiCFJ WORiC PR�PO5E0 � HEW CANSTR� ADD/ALT � SIGN Q � pEMOLISN INSFALL REPAIR PROPOSEO USE Q SFR � COMM [� OTi1ER TYPE OF CONS7RUC7fOtJ � BLOCK FRAME � STEEI, Q DESCRIpTtONOFWORK GO*IS�c4.�C.'L A S�NVLE S"CoR. �.k�A*15�e1� i o � tS'�' �b �Vlt. , �,��1'�c�L•`1l� 1,�i1C._ / J BUILDIN iZE S It�(�L� ST• �q FOOTMIE �O� HE16HT �I• M�X v'7 l�,'C� BUItOING $`�1�$'�a Q �OVAt,UATIOIV OF 70TA1 CONSTRUCTION �%�" T -r/�L-. � ( i� f.►X [�LECTWCAL t( e� AMP SERVICE Ipb O � pROGRESS ENERGY Q W.R.E,C. •'� O PLUM9ING g �� RO� � ��S ^ �� � �f � �=�- P �MECHANICAL �� . yq�UAT10N OF MECHqNtCAt INSTALLATlON � i'L J�L�� � �^—^� 01J \.,.� �^ LJ�$ ROOFING Q SPECt/LLTY � �� t�..�. 1/1(�� 1/l �j�LIS 1�t.1,�e_ Q OTHER • �� ftNiSliED PI.00R E�EVATtONS �� � ~ �]G; t1 Fi00620NEAREA x QYES NO - ���� ��S'.., i� 1 � J '3�E" C.�t 1 •S`1.�.�. T� �1 in••'c�.c� BUILDER A �'����� 81GNATURE j�.--- COMPANY �*'i�r��� �+�STES� ��• �l'> _ aemereaeo Y/N fE8 CUANEA "Y!N i�(!l.✓�'^b"�{ _._..._.. aadross i"� $"'�j - 1. �"I,. . E-TE FC..2'�1�■ ��C OS�39�-{ - ,� ��JZ ,t G y') � ELHCTRI AN CpMPANY � i tJ_�� SlC3NATURE REG�STCrteu Y/N �e CuAnB. Y/!J � F��� Address t U'( �O"L':/�'j - —_,,,__a PWMBHR / 1 � �/ Q� 1l/ �� �`D�� SI(�NATURE � r�lrCr""`-" "�• �+ L�. � �aC aMs�rteD Y��Nf F�cuanen C�'`-Y�� - Address " r) �' Lkense p fJ!Z J'r�� MECHAMICAL ' CQMPANY �C� .j.��ll �.QN 1 ,. ' SIONATURE aE0�6TE�D Y F�CuRaEn Y N .� t lq� dC.le ;, � `��;i,.�;1�21 Adamss � � iiCense# OTHER COMPANY SIGNATtJRE REOIST@RED Y/N t�CUrta�n V/N AOtlreas Li��� � � RESIDENTIAI AHaoh(2)Plol Piana;(2)sels of Bu�ding Plans;(1)sel of E�etpy Forms;WO•W Permit fornew consGuqyon, AAinlmum ten(40)working deys afler submittal date. Required onsfto.ConsUUCtion Plens,Stamwater Plans w/SIB Pence instailed, Senitary FacWties&f dianpsler;SNe Work PerrNl tor subdiWsionsAerge pr�j�s CUMMERCIAL lulad�(3}complefe sets of BWldinp Pi�s plus a LI(e 3atety paDe;(1)sN of Eneigy Forme.R-O-W Pa�mit for new conaWUlon. Minimum ten(10�workklp dpya alter submitfel dale. Requked onefte,Cons�nactioq p�ans,Slorthwater plans w/SNt Fence intlelled, 3anilsry Facllilies 81 dumpater.SNe Work Pertnil ior all new projects.All cortuqe�q�t r�eq�Imme��g muat meet compNance SiGN PERMiT Aftech(2�seta of E�gfneered p�ans, ""PROPER'fY SURVEY required for aq NEW consVud;on. IIItliillitl [ liillllllitlllFi � lllllllilll [ lI1111llllllllllltllltii ! oiroctions: Filf out epplicaGOn Comp1¢leiy, �w7Qt&COMtaCtM Sipr1 back of appliCaliOn,nOlBrized If over t2500,a Notica oi Commenume�t is requlrad. (A/C upgrades over=760p� " Agent(for ehe contraclor)or power of Atlomey(for tAe pHmer)woulq be somoone wifh no�ariud letter/rom wyner eulFrorizing aame OVER THE COUNTER PERMtTTING (Frorst of Applicetion Only) Reroo(a if shingles Sewers Service UAB�tl¢s aC Fences(Ptot/3urveylFOaape) Orivewaya-NO1 over Countar If on pubNc roadways„needs ROW �oo��oo�d ssz� ZI�ZI E1�Z/9ZI�D :tuo�� 03/26/2013 TUE 14: 50 FAX $13 SOUTHERN EQUIPMENT �001/001 - 813•780•0020 City of Zephyrhills Permii Application Fwhe»-�eo-0oz+ BWidinp oepanr�M Date RecoWed 2 ,. ��7�-� Pharte Contaetlor P�rmlain � 2 ,Z'c� _ {�� �U � ZC.T'�� �J �J'L d��'Il�.Q. OwnePsName 1., �.�. ��i. � (r•p,,,� r�honeNum`par ` Owner's Mdress�, q� ��O! .5��✓�'�{'l.N�-+ 4�� r -'j �+.Iy-i- one Number � 3 Fce Slmpla Tllleholdor Name �' p�er Phw�e Number D�1' L.S�' g� f.� ��� 'j FeeSimpl�TiUeholderAddrmas - i ' � Y JOB AODRESS .3 � '4�1 M R R�L£�T F��►A R.'� LOT/! � SUBDiVI&ION �i PARCE�tbAt O�L^�.�0`�.�' O(�{O�OL(O O O'D O '0 (OBTANJED FROM PROPBRTYTA7f NOifc,� WORK PROPOSBp NtW CoNSTR ADD/AL7 � SIGN Q � DEMOLISH IlJSTALL � REPAlR PROAOSEO USE Q SfR COMM � OTHER IYPE qF CO►i37RUCTtON � BLOCK FRAME � STEEL Q �^� ) p� �_ .r�;/ AESCRIPTiON OF WORK �..V 1d SZ'�.�C.'T �4 S Hy 1�L� S'L o 1L ��A+JS��� �O �.�C 1S'�1��0 �V l\. , [.�r� l:� i� '••"_ 6UILDING tZE StiN��.� S'C• gQFOOTAG� V�� �,I� ��'�( kE1GH7 ����r t BUILDINCs S �1�$�00 Q �'VALUATION OF 7pTAL CONSTRUC7iON � ` �,��x '�T"' Tl�4t,.� �ELGCTRICAI S �� AMP SERVICEIp�t� � PROGRESS ENERGY � W.R.E.C. [VJPLUMB�NG a €� A o � 3 .�,�-: � �c�s _ �� i ,s:�.i , MECHANICAL �� o� • VALUATtON OF MECHANICAI INSTALlAT10N ` �`!��,� ��C V O�S � ROOFING [� SPECIALTY 4/ � �I ��• I/�C+"�✓'� i/1 �j I Gt.I�Y�.IK e. [—� OTHER • V FINISIiBD fLOOR EIEVAT10NS � p FLO00 ZONE AREq x QYE8 NO � - -��L� ��� 'J� � � J �5![..�'- (,y�� •S�/-�. � �y�,��,�ir-��awt� BUILDER � �f���`� �i��s � � SI(3NATURE ��.-- COMPANY �, �{_'� r+�s r E r t e o Y/N f�e c t r a rt En Y/N ��:.�-��,y�I�Z L�V� .____. Address y .S� . .�,. �T'(�, S . �.'f'E +�1.����� « �CyC O'�'u���1y ����. J!�"1'I, ELECTRIC{AN � COMPANY ��� SIGNA7lfRE RE61$TERf� Y/N �ctxtR�. Y/N ' � F�� Add�.ss .y -7�a_c;�".� PLUMBER / /�, � �� �)� COMPANY O.i.4 SIONAri1RE � r�/ v""`��C G7� 1,Reds�n�o �cuars�n �.< Adaress ' ' f r.- _ Lkense�tl �+Z ��(,�� �MECHANICAL � ���^ � �1 �7J.��� SIGNAY.uF2E COMPANY C�. �I�A�N ' .� �}A!'/J�.� RE6ISTERED Y N fEE CUItREA Y/N L i S,-������sy� Adarose Ucense# � O7H8R COMPANY S!(iNATURE REGfBTEREO Y/N gEE cu�uten /N . Address License p � � RESIDENt1At Attach(�Pbt Plans:(2)sets M BWIOinp Plans:(1)set ot Energy Fom1s;R-p-W pe�pil for ne�ycon5lNpipn, MiMrtwm len(t0)watcing days aryer wbmlltal date. Rgquired onsfte.Conefructlon Pkns.Stormwaler p�yr/Sfll Fence instaUecf, COMMERCIAL Attaoh(3)s�ete eeta o/Bull�ng PIenB piVS a L�¢rSof@ly�P9g@$(1�gEt of Ettergy F01m6.R-O-W Petnlll iw tIBW Cp1161Ndi0�. Minimum uo(70)workhp days atler supmltta�dato_ Required o�s1�e,Consuvction pla�s,8tormwaler Plnns wl SUt Fence Instalkd, Sanilary Fadqdes 6 1 dumpsler.Site WoAC pemi(�/or all new projOCts.All comrrlBrqW requiremeMS muat meet complisnce 816N PERMI7 Altadi(2)sets of Enginaered Plais. ""PROPERTY SURVEY requ(retl for eN NEW cansWClion. � it � � i � iii � � � � � � i � � � � � � i � � � � � i � ei � � i � ei � t � i � � i � � � � i � � irii � ti � � iii � � DtrpctFOns: FSIf oul npplicelicn¢pmpi0leiy. Owner&ConGactw sign badc W appllcetion,notarized It over S260D,a Notice of Commencomont is required. (qIC upgndes over 5T600� •• A9en1(ta Ihe corniapor)or Power ol Atlomey(for Ifie owner)woultl be sameorte with nola�iutl leper!rom owner eulMrizing samo OVHR FHE COUNTER PERMITTING (Froni of Applicatton Ony) Roroofs it ehingles Sew,ors Senrire Upgmtles A/C Fencea(P1ovSurvey/Footage) Driveways-NO1 over Countar i!on puMic roadways„neeCS ROW l00/l00'd 5�Z# ZI�ZI £lOZI9Z1£0 :aoa,� City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Hospital No. of Beds 4 Impact Fees Within City Limits Outside City Limits Water Distribution System $ 1,538.40 $ 1,923.00 Wastewater Collection System $ 3,865.22 Wastewater Treatment Plant Capaci $ 1,731 82 $ 2,164 78 TOTAL $ 3,270.22 $ 7,953.00 ► , Florida Energy Efficiency Code For Building Construction EnergyGauge Summit0 Fla/Com-2010, Effective Date: March 15, 2012 -- Form 506-2010 Total Building Performance Method for Commercial Buildings PROJECT SUMMARY Short Desc: FMC-Urgent Care Description: FMC-Urgent Care Owner: - Addressl: 38021 Market Square City: Zephyrhills Address2: - State: FL Zip: 33542 Type: Healthcare-Clinic Class: Addition to existing Buildina Jurisdiction: ZEPHYRHILLS, PASCO COLJNTY,FL(611600) Conditioned Area: 5883 SF Condidoned& UnCondidoned Area: 5883 SF No of Stories: 1 Area entered from Plans 0 SF Permit No: 0 Max Tonnage 5.6 If different,write in: EnergyGauge SummitO Fla/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15,2012 6/12/2012 Page 1 of 16 Compliance Summary Component Design Criteria Result Gross Energy Cost (in $) 4,026.0 4,091.0 PASSED System Unmet Hours 96.0 92.0 PASSED LIGHTING CONTROLS PASSES EXTERNAL LIGHTING None Entered HVAC SYSTEM PASSES PLANT None Entered WATER HEATING SYSTEMS None Entered PIPING SYSTEMS None Entered Met all required compliance from Check List? Yes/No/NA IMPORTANT MESSAGE Info 5009 -- -- -- An input report of this design building must be submitted along with this Compliance Report EnergyGauge Summit0 FlalCom-2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 6/12/2012 Page 2 of 16 . CERTIFICATIONS ,�S4AS9911�g� I hereby certify that the plans��c���,�overed by this calculation are in compliance with the Florida Energy Code zq �. ^ '•°a:`�� ,°d�n �Q° �,•!��'•~•°'�a'�:•:e . r � ,_...--- Prepared�y: FSa ,S. �s,��-•� Building Official: ��. °� � �:, J.,v: �, ` I�ate�e (,�� ,v Date: � Z� �� ,:�Rj p���:�- �'..�• � - °j �, ,� , e `��:'.i" �::+�� :,;'i<, I certify that this building is��•�rrr�l�ia ce vqi#I��1'i�,�rida Energy Efficiency Code ��_�.e.,� � r �4 i5 el � °��'"°,'��� h"' �dB�'��;`ti��.�M 'y°\` `'. Owner Agent: �0�s'�s a v a a�+'�`�'g� Date: If Required by Florida law, I hereby certify (*) that the system design is in compliance with the Florida Energy Efficiency Code Architect: Reg No: Electrical Designer: Reg No: Lighting Designer: Reg No: Mechanical Designer: David S. Bess Reg No: PE-51871 Plumbing Designer: David S. Bess Reg No: PE-51871 (*) Signature is required where Florida Law requires design to be performed by registered design professionals. EnergyGauge Summii0 Fla/Com-2010 Section 506.4 Compliant Software. Effective Date: March 15,2012 6/12/2012 Page 3 of 16 Project: FMC -Urgent Care Title: FMC- Urgent Care Type: Healthcare-Clinic (WEA File: FL_TAMPA_INTERNATIONAL AP.tm3) Building End Uses 1) Proposed 2) Baseline TOtal 256.80 323.30 �4,026 $5,114 ELECTRICITY(MBtulkWhl$) 256.80 323.30 75255 94695 $4,026 $5,114 AREA LIGHTS �i.so 65.30 20956 19131 $1,121 $1,033 HEAT REJECT o.o0 2s.�o 0 7523 $0 $406 MISC EQUIPMT so.2o so.2o 14717 14717 $787 $795 PUMPS 8� MISC 4.10 io.io 1198 2945 $64 $159 SPACE COOL gs.bo 143.40 25069 42006 $1,341 $2,268 SPACE HEAT 2.ao ib.to 711 4713 $38 $255 VENT FANS 43.00 �2.so 12604 3660 $674 $198 Passing requires Proposed Building cost to be at most SO% � PASSES of Baseline cost. This Proposed Building is at 78.7% EnergyGauge Summit0 FlalCom-2010. Sec6on 506.4 Compliant Software. Effective Date: March 15, 2012 6/12/2012 Page 4 of'16 External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP (W/Unit) or No.of Units (W) (W) (Sqft or ft) None EnergyGauge Summit0 Fla/Com-2010 Section 506 4 Compliant Software Effective Date:March 15,2012 6/12/2012 Page 5 of 16 Project: FMC-Urgent Care Title: FMC- Urgent Care Type: Healthcare-Clinic (WEA File: FL TAMPA_INTERNATIONAL AP.tm3) Lig6ting Controls Compliance Acronym Ashrae Descriation Area Design Min Compli- ID (sq.ft) CP CP ance 101 -AIR LOCK 12 Lobby(General)-Reception and 45 1 1 PASSES Waiting 102 -WAITING 12 Lobby(General)- Reception and 861 3 1 PASSES Waiting 103 -TOILET 6 Toilet and Washroom 54 1 1 PASSES 104-KIDS WAIT 12 Lobby(General)- Reception and 162 2 1 PASSES Waiting 105 - HOUSEKEE 2 Storage& Warehouse- Inactive 88 1 1 PASSES Storage 106-OFFICE 17 Office- Enclosed 112 1 1 PASSES 107 -TOILET 6 Toilet and Washroom 56 1 1 PASSES 108 -CORRIDOR 5 Corridor 108 1 1 PASSES 109-BREAKRO( 9 Food Service- Bar/Lounge 27R 1 1 PASSES I 11 -CORRIDOR 5 Corridor 105 1 1 PASSES 112 - ELEC 1 Electrical Mechanical Equipment 115 1 1 PASSES Room - General 113 -OFFICE 17 Office- Enclosed 129 1 1 PASSES 114-CORRIDOR 5 Corridor 264 1 1 PASSES 115 - RECEPTIOP 12 Lobby(General)- Reception and 416 2 1 PASSES Wait�ng 116-CORRIDOR 5 Corridor 93 1 1 PASSES 117 -BIOHAZAR 2 Storage& Warehouse- Inactive 26 1 1 PASSES Storage 118-LAB 18,002 Laboratory 276 1 1 PASSES 119-TOILET 6 Toilet and Washroom 58 1 l PASSES 121 -CHECK OU' 16 Office-Open Plan 85 1 1 PASSES 122 -TRIAGE 17 Office- Endosed R4 1 1 PASSES 123 -CORRIDOR 5 Corndor 81 1 1 PASSES 124-TREATMEP 1Q004 Exam/Treatment(Hospital) 90 1 l PASSES 125 -TREATMEP 10,004 Exam/Treatment(Hospital) 90 1 1 PASSES 126-TREATMET 10,004 Exam/Treatment(Hospital) 90 I 1 PASSES 127 -TREATMEr 10,004 Exam/Treatment(Hospital) 90 1 1 PASSES 12R -TOILET 6 Toilet and Washroom 58 1 1 PASSES 129- SAMPLE R( 3 Storage& Warehouse- Bulky 89 1 1 PASSES Active Storage 131 -CORRIDOR 5 Corridor 229 1 1 PASSES 132 -TREATMEP 10,004 Exam/Treatment(Hospital) 171 1 1 PASSES 133 -RECOVER� 10,002 Recovery(Hospital) 850 1 1 PASSES 134-TREATMEI' 10,004 Exam/Treatment(Hospital) 111 1 1 PASSES 135- STORAGE 2 Storage& Warehouse- Inactive 35 1 1 PASSES Storage 136- DICTATIOP 17 Office- Enclosed 35 1 1 PASSES 137 -CORRIDOR 5 Corridor 111 1 1 PASSES 138 -CONTROL 1 17 Office- Endosed 73 1 1 PASSES 139-XRAY 10,004 Exam/Treatment(Hospital) 265 2 1 PASSES EnergyGauge Summit0 Fla/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 6/12/2012 Page 6 of 16 PASSES EnergyGauge Summit�Fla/Com-2010 Section 506.4 Compliant Software. Effective Date: March 15,2012 6/12/2012 Page 7 of 16 Project: FMC-Urgent Care Title: FMC- Urgent Care Type: Healthcare-Clinic (WEA File: FL_TAMPA INTERNATIONAL AP.tm3) System Report Compliance RTU-1 RTU-1 Constant Volume Packaged No. of Units System � Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Evap 12 60 11.50 12.60 11.70 PASSES Cooled 65000 to 135000 Btu/h Cooling Cap Heating System Electric Furnace 1.00 1 00 PASSES Air Handling Air Handler(Supply)- 0.34 0 82 PASSES System -Supply Constant Volume Air Distribution ADS System (Sup) 6.00 PASSES System (Sup) RTU-2 RTU-2 Constant Volume Packaged No. of Units System � Component Category Capacity Design Eff Design 1PLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Evap 14.00 12.10 14.00 12.30 PASSES Cooled<65000 Btu/h Cooling Capacity Heating System Electric Furnace 1.00 1 00 PASSES Air Handling Air Handler(Supply)- 0 39 0.82 PASSES System-Supply Constant Volume Air Distribution ADS System (Sup) 6.00 PASSES System (Sup) RTU-3 RTU-3 Constant Volume Packaged No. of Units System � Component Cate�ory Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Evap 12 60 11.50 12.60 11.70 PASSES Cooled 65000 to 135000 Btu/h Cooling Cap Heating System Electric Furnace 1 00 1.00 PASSES Air Handling Air Handler(Supply)- 0.35 0.82 PASSES System-Supply Constant Volume Air Distribution ADS System (Sup) 6 00 PASSES System (Sup) EnergyGauge Summit0 Fla/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 6/12/2012 Page 8 of 16 RTU-4 RTU=4 Constant Volume Packaged No. of Units System 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Evap 12.60 11.50 12.60 11.70 PASSES Cooled 65000 to 135000 Btu/h Cooling Cap Heating System Electric Furnace 1.00 1.00 PASSES Air Handling Air Handler(Supply)- 0.36 0.82 PASSES System -Supply Constant Volume Air Distribution ADS System(Sup) 6.00 PASSES System(Sup) PASSES Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss liance None EnergyGauge SummitO Fla/Com-2010. Section 506.4 Compliant Software. Effective Date:March 15,2012 6/12/2012 Page 9 of 16 Piping System Compliance Category Pipe Dia ls Operating Ins Cond Ins Req Ins Compliance �inches� Runout? Temp �Btu-in/hr Thick�in� Thick�in� �F) .SF.F� None -1 EnergyGauge Summil�Fla/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 6/12/2012 Page 10 of 1(, Project: FMC- Urgent Care Title: FMC-Urgent Care • � Type: Healthcare-Clinic (WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3) Other Required Compliance Category Section Requirement(write N/A in box if not applicable) Check Report 506.4.2 Input Report Print-Out from EnergyGauge FlaCom attached Operations Manual 303.3.1, Operations manual provided to owner � 503.2.9.3, 505.7.4.2 Windows&Doors 502.3.2 Glazed swinging entrance&revolving doors: max. 1.0 cfrn/ft2;all � other products: 0.3 cfm/ftz Joints/Gacks 5023.3 To be caulked,gasketed,weather-stripped or otherwise sealed � Dropped Ceiling 502.3 Vented: seal&insulated ceiling. Unvented seal & insulate roof& � Cavity side walls HVAC Efficiency 503.23 Minimum efficiencies: Tables 503.2.3(1)-(8) HVAC Controls 503.2.4 Zone controls prevent reheat(exceptions);separate thermostatic control per zone; Ventilation 503.2.5 Outdoor air supply&exhaust ducts shall have dampers that � automatically shut when systems or spaces served are not in use. Exhaust air energy recovery required for cooling systems (Exceptions). / ADS 503.2.7.5 Duct sizing and Design have been performed u HVAC Ducts 503.2.7 Air ducts, fittings,mechanical equipment&plenum chambers d shall be mechanically attached, sealed, insulated&installed per Table 503.2.7.2. Fan power limitations. Balancing 503.2.9.1 HVAC distribution system(s)tested&balanced. Report in � construction documents. Piping Insulation 503.2.8 HAC and service hot water. In accordance with Table 503.2.8. � Water Heaters 504 Performance requirements in accordance with Table 504.2. Heat �. trap required. Swimming Pools 504.7 Vapor-retardant or liquid cover or other means proven to reduce � heat loss on heated pools;Time switch(exceptions); readily accessible on/offswitch. Motors 505.7.5 Motor efficiency criteria have been met � Lighting Controls 505.2,502.3 Automatic control required for interior lighting in buildings � >5,000 s.f.; Space control; Exterior photo sensor;Tandom wiring with 1 or 3 linear fluorescent lamps>30W EnergyGauge Summit0 Fla/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15,2012 6/12/2012 Page I 1 of 16 Project: FMC -Urgent Care Title: FMC - Urgent Care Type: Healthcare-Clinic (WEA File: FL TAMPA INTERNATIONAL AP.t m3) Unmet Hours Report Proposed Buildinq System: RTU-3 Zone:112 - ELEC Hours Under Hours Under Heated Cooled Jul 0 2 Yea r: 0 2 System: RTU-4 Zone:102 - WAITING Hours Under Hours Under Heated Cooled Mar 0 1 Apr 0 2 May 0 4 Jun 0 7 Jul 0 16 Aug 0 18 Sep 0 16 Oct 0 6 Nov 0 � Year: 0 71 Zone:103 - TOILET Hours Under Hours Under Heated Cooled May 0 3 Jun 0 15 Jul 0 18 Aug 0 25 Sep 0 22 Oct 0 8 Year: 0 91 Zone:104 - KIDS WAITING Hours Under Hours Under Heated Cooled Apr 0 � May 0 4 Jun 0 11 Jul � �� Aug 0 22 Sep 0 22 Oct � $ Nov 0 � Year: 0 86 EnergyGauge Summit0 Fla/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 6/12/2012 Page 12 of 16 � Baseline Buildinq System: PrOSy5 Zone:123 - CORRIDOR Hours Under Hours Under Heated Cooled Jan g p Feb 2 p Year: 10 0 Zone:124 - TREATMENT Hours Under Hours Under Heated Cooled Jan 6 0 Yea r: 6 0 Zone:125 -TREATMENT Hours Under Hours Under Heated Cooled Jan 1 0 Year: 1 0 Zone:126- TREATMENT Hours Under Hours Under Heated Cooled Jan 7 p Feb 2 p Year: 9 0 Zone:127 -TREATMENT Hours Under Hours Under Heated Cooled Jan 1 0 Year: 1 0 Zone:128 - TOILET Hours Under Hours Under Heated Cooled Jan 7 p Yea r: 7 p Zone:129 - SAMPLE ROOM Hours Under Hours Under Heated Cooled Jan 3� p Feb 24 0 Nov 5 0 Dec 27 0 Year: 87 0 Zone:132 - TREATMENT Hours Under Hours Under Heated Cooled Jan g p Feb 7 0 Dec 1 0 Year: 17 0 Zone:133 - RECOVERY Hours Under Hours Under Heated Cooled Sep 0 1 EnergyGauge Summit�Fla/Com-2010 Section 506.4 Compliant Software. Effective Date: March 15,2012 6/12/2012 Page 13 of 16 Yea r: 0 � System: PrOSy6 Zone:134- TREATMENT Hours Under Hours Under Heated Cooled Jan 10 0 Feb 11 0 Dec 6 0 Yea r: 27 0 Zone:135- STORAGE Hours Under Hours Under Heated Cooled Jan 18 0 Feb 21 0 Dec 11 0 Yea r: 50 � Zone:137 - CORRIDOR Hours Under Hours Under Heated Cooled Jan 10 0 Feb 8 0 Year: 18 0 Zone:138 - CONTROL ROOM Hours Under Hours Under Heated Cooled Jan 14 0 Feb 18 0 Dec 11 0 Yea r: 43 0 Zone:139 -X-RAY Hours Under Hours Under Heated Cooled Jan 5 0 Year: 5 0 System: PrOSy7 Zone:105 - HOUSEKEEPING Hours Under Hours Under Heated Cooled Jan 6 0 Feb 3 0 Dec 2 � Year: 11 � Zone:106- OFFICE Hours Under Hours Under Heated Cooled Jan 4 0 Year: 4 0 Zone:107 - TOILET Hours Under Hours Under Heated Cooled Jan 10 � Feb 13 � Dec �� � EnergyGauge Summit0 Fla/Com-2010. Section 506.4 Compliant Software. Effective Date. March 15, 2012 6/12/2012 Page 14 of ll, Year: 33 0 Zone:109 - BREAKROOM Hours Under Hours Under Heated Cooled Jan 3 0 Year: 3 0 Zone:111 - CORRIDOR Hours Under Hours Under Heated Cooled Jan 6 0 Jul 0 4 Year: 6 4 Zone:112 - ELEC Hours Under Hours Under Heated Cooled Jan �� p Feb �p p Dec 2 p Yea r: 23 0 Zone:113 - OFFICE Hours Under Hours Under Heated Cooled Sep 0 1 Year: 0 1 System: PrOSy8 Zone:101 -AIR LOCK Hours Under Hours Under Heated Cooled Jan 15 p Feb 14 p Nov 3 0 Dec �g p Year: 48 p Zone:102 - WAITING Hours Under Hours Under Heated Cooled Jan 4 0 Year: 4 p Zone:103 - TOILET Hours Under Hours Under Heated Cooled Jan 7 � Feb g � Dec 5 0 Year: 21 p Zone:104 - KIDS WAITING Hours Under Hours Under Heated Cooled Jan 6 0 Feb 2 � Dec 1 0 Year: 9 p EnergyGauge Summit0 Fla/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 6/12/2012 Page 15 of 16 EnergyGauge Summit0 Fla/Com-2010. Section 506.4 Compliant Software. 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S C n � H M ;"�i 1U "'17 n _ � `i7 � O o O O n � � O O O O O 'Z � „Z A � � � = n J y � � �� � � �r � e� ,� — v � � � _ w n � IJ '9 .+ �� S y � :'b C � � C C � A � � � � � Pasco County Parcel: 02-26-21-0010-04000-0050 001 Page 1 of 2 Data Current as Of: � Weekly Archive - Saturday, March 23, 2013 Parcel ID 02-26-21-0010-04000-0050 (Card: 001 of 002) Ciassification 19 - Professional Service Building Mailing Address Property Value HEALTH CARE REIT INC Ag Land $p C/O CPAC Land $160,200 PO BOX 92129 Building $131,iss SOUTHLAKE TX 76092-0102 Physical Address Extra Features $6,5i0 38021 MARKET SQUARE DR 7ust Value $297,868 ZEPHYRHILLS FL 33542-7504 Assessed (Non-school Amendment 1) $297,868 Leqal Description (First 4 Lines) ZEPHYRHILLS COLONY COMPANY Taxable Value �297,868 LANDS PB 1 PG 55 COM SW COR OF NW1/4 SEC TH NOODEG 13'24"W ALG W LN SEC Land Detail (Card: 001 of 002) Line Use Description Zoning Units Type Price Condition Value 1 1900 PROF.BLDG OOC2 12,000.00 SF $6.60 1.00 $79,200 2 1900 PROF.BLDG OOC2 18,000.00 SF $4.50 1.00 $81,000 Additional Land Information Acres 0.69 Tax Area 30ZH FEMA X Commercial Code M3012AP � Code ❑ �� Buildina Information - Use 19 - Offices Professional or Medical (Card: 001 of 002) Year Built 1984 Stories 1.0 Exterior Wall i Concrete Block Stucco Enterior 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 i Ceramic Clay Tile Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted A/C Packaged Roof Top Baths 2,p Line Description Sq. Feet Repl. Cost New 1 AOF 3,194 —� $308,445 � 2 —� FST —� 600 $28,971 3 CAN 755 $21,921 Extra Features (Card: 001 of 002) Line Description Year Units Value � 1 � SWC 1984 � 620 � $233 2 LIGHTSC 1984 3 —� $1,800 3 PAV ASP 1984 22,108 $4,477 4 VAULT 1984 224 $0 Sales History Previous Owner FMC MARKET SQUARE INC Month/Year Book/Page Type DOR Condition Amount I http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0010&b... 3/26/2013 "��c� � �, City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �/��q � �1���� �SSb CPa�..c�,s Date Received: 2- Z�—�� Site: ,� �� �- � �/'l� I �� Permit Type: `��f�nS� � �n � � li�.� � �2)G��S`I-/ � Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet hall�ept with the permit and/or plans. ��:� '/� K lvin Switz' —Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) � • . CITY OF ZEPHYRHILLS UTILITIES WORK ORDER WATER ACCOUNT NO.: DATE: 9/3/2013 OWNER/RENTER/BUSINESS:Florida Medical Clinic/Wallace Associates CONTACT PERSON: Thomas MAILING ADDRESS: 38021 Market Square Dr PHONE NUMBER: 727-647-0790 Zephyrhills FI 33542 EMAIL ADDRESS: SERVICE ADDRESS: 38021 Market Square Dr SHUT OFF SERVICE ❑ ❑X WATER 7URN ON SERVICE ❑X ❑ SEWER INSTALL MEfER ❑X ❑ GARBAGE READ METER ❑ ❑X IN CIIY CHECK METER ❑ � OUT CITY OTHER � DESCRIBE OTHER: 1'irrigation meter NUMBER OF UNITS DEPOSIT AMOUNT AMOUNT LAST BILL DATE MISC. CHARGE METER: FULL IIRRIGATION 1' I WORK COMPLEfED BY&DATE ORDER TAKEN BY: ��� �' ____ COMPLETED ORDER GIVEN BY: � Revised 9/2010 +� � � � o�o� .� � � T�`"� � �k � f �- �A r * �W D � �� m * m. � �. �r N- * �� D r* * c z N K � �� N x� �'�' O � � O o � om � u� N � �� D' w m * �om O � � w� V� �' x- o= r r � '� W r : �' '� F-�• * C� � � • O ~ � � m � w �' � r �.j �F �' G m � �R N- r � � � � �' � � �� N ',� � a � o n � � N m ¢ O � f"' `� � W F' W � (D n.i rt � K � � � � C� � m vCi � W = ,."3' n D � ` W n � �m , o � � nA � � � O � Tz � ox p , r � D i r ~ D {n �-' � m � � t tDn � U� �, � O w � rn � � 7E � W rn � � D -i � .� �l-O Q+ _ (mA �z lJl � �� � r � � � i � u' � W � � � W � �r O � � N i � i� � 1'"CRIV� � �v. . . - •- - � LANDSCAPE AND IRRIGATION DETAILS . � � ��--� _ ��� - �1�7 . .. ,cs�. w � ,�����i�� ��.+�.t��`� �°C� �,��.c��?��4 . . ���E�; ; ;���.f�; �.n.�_�.,��._�.-�ry--�-.. - _ �� S.�f�,, --� � �__s_�������._�� w.���.�.,�.. - �� - _ ,,�. �,.� _� ,.�,. �.�,�,�.��.�_. �-�. SITE PLAN COMMENTS � ��`�����N����,���._�,,.�..,� 2. Site Plan Revision (Response) submitted by Florida Medical Clinic, 38021 Market Square i Drive to construct a new 6000 sq.ft. Urgent Care Facility. (File Nos. 16-12-SPR and 8-10- ; SPR) J Conditions • Update site plan(LI page) with proper landscaping legend and to reflect change in tree location to avoid sanitarily sewer and provide planning staff with AS-Built reflecting changes • Provide planning staff with copy SWFWMD permit when available • Submit revised plans and a revise�s ite�lan fee of$150.00 � 5�hM i� �,�---.� ( a�—/J -� ;l`f C C.�,,�L�.,���/�� Jacqueline Boges To: DIAZ@SOUTHERN-EQ.COM Subject: GAS LINE PERMIT NOT NEEDED Upon looking at permit there is not additional permit needed for this type gas line sorry for the confusion we only permit for natural gas lines, gas line installation will fall up under original permit. - So you do not have to worry about doing an additional permit . Would need additional permit for the fire alarm and sprinkler system. Thank you Jackie Boges (ext 3513) What Greater love can a man give...... � City of Zephyrhills � BUILDING PLAN REVIEW COMMENTS � Contractor/Homeowner: ��i�-'���� Date Received: //�� �'7 1.� Site: � �d Z"/ �`� Permit Type: �J���� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. �� - 1 Kalvi witzer ,ans Examiner te Contractor and/or Homeowner / (Required when comments are present) sia-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin — Owner's Name Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS ! V� ' LOT# � SUBDIVISION —� PARCEL ID# (OBTAINED PROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE C] HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ � \�C � � V � � OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� �J�- � �GAS Q ROOFING Q SPECIALTY � OTHER � � �ul ��I��i ` FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGfSTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attacn(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, Sanitary Facilities& 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. **`*PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner 8�Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C 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 PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW . ���I�YE���fL�� F(�� ��f�faR�f�f�NT 6907 Dalry Road, Z_ephy�hlllS FL 33542 • Fire Cnief Keith 1h�illiams Bus (813)780-0041 Fax (813)780-0044 FIRE SERVICE USER FEES Occupancy No.: � �/ Plan No.: Contractor (/vl �/�(� �,�,��-�,���/,� Business Name� Billing Address: Business Address� 3L;D� / /G%�ir � Business Phone No : � Billing Phone No.� Business Fax No Billing Fax No. Contact: Contact: � �`� LAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE .L . -SitePlan N/C� Annual N/C Sprinkler $50 1stAlarm N/C � � ' Multi-Family�merci �' O6 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C "�Minimum Cha�ge$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 Alarm $200 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- percank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 persystem Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammabie Appltcation $50 Mnual Wet $50 OTHER Waste Tire Storage $50 nno�ai Dry $50 Fire Wall/Smoke wail $15 per wall Generator<KW $100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 Other $50 Natural Gas $25 persystem Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts $50 Tent 10'x10'or greater $15 pertent Torch PoUApplied $50 OTHER Fire Pump $45 Haz.Materials $100 Annual 8 LP Installation per tank $50 Fire Supp�ession $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 Exhaust Hood/Duct $30 �Natural Gas Installation $50 Re-inspeCtion DBL (Per System) (other than annual) �Spray Booth $50 � Inspection scheduled DBL 8 and cancelled less than 24 hours 8 Construction Insp. N/C ��'���u Emergency Vehicle Ai $50 FALSE ALARM PLANS TOTAL�'� C, INSPECTION TOTAL�_ �� PERMIT TOTAL�_ __j TOTAL L_ � _ J�-" ' �"� �� GRAND TOTAL Comments: � y<.�� �� (h��i"3'� — (lF .�� r", � F� � CC ' .5 'f''{G� : Ir�-l���C-2J L��- fr v� 7- �. —v , (1.k�� �� � �'wV,�L. - ti�StYl �" l L�_ Date: �-�� �� 1�' Inspector. E'� u,��w ``< " �1�, /Ilh i1 i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii ' 2013070621 � • NOTICE OF COMMENCEMENT Permit No. �aozs Rcpt:1514783 Rec: 10.00 DS: 0.00 IT: 0.00 PropertyldentificationNo. o2-ZS-2�-oo�o-oa000-ooso 04/23/13 C. Miner, DptY Clerk THE LJNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713 13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. 1. Description of property(legal description:) See Atlached 8� StI'8eY A(IdTeSS: 38021 Market Square Drive.2ephyrhills,Florida 33542 2. General description of improvements Construdion of a single story expansion to an existing single story building,interior renovadonlbuild-out and minor site modifica6ons 3. Owner Information 8� NBTIle Slld SddieSS: Florida Medical Clinic,2150 Via Bella Blvd.,Land O Lakes,Flonda 34639 b) Name and address of fee simple titleholder(if other than owner) Heaiw ca�e Reir,i��.,ss�u���e��ri ei�a.,s�ae�oo,��pce�,Fio�da ssasa c) Interest in property �easenoidoW�e� 4. Contractor[nformation 3� Na1716 atlCl 3CICI1'OSS: Chuck Adair,Wallace Associates�LC,5435 Dr Martin Lulher King Jr Sl North,St.Petersburg,Florida 33703 b) Telephone No.: 72�-szo-o�oo Fax No.(Opt.) 72�-5zo-o�ass 5. Surety Information a) Name and address: NA b) Amount of Bond: NA c) Telephone No.: NA Fax No.(Opt.) NA 6. Lender a) Name and address: NA 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a� NalTle 811d addCeSS: Colleen Cuffe,Florida Medical Clinic,38135 Market Square,Zephyrhills,Fbrida 33542 b) Telephone No.: 813-�ao-ena Fax No.(Opt.) 813-788�411 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a� N1Ttte at1CI aCICII'OSS: �ohn W Clifton,Heafth Care REIT,Inc.,5150 Linton Blvd.,Suite 430,Delray Beach,Flonda 33484 b) Telephone No.: ss�-ass-��as Fax No.(Opt.) 561-4963113 9. Expiration date of Notice of Commencement(the expiration date is one 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 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT. � STATE OF FLORIDA � COUNTV OF PASCO S ature F Owner or Owner's t �zed Officer/D�rector/Partner/Manager l�� C1,t� �'.G�c,i�—� rr�,f��, Print Name � Q� , w � The foregoing instrument was acknowledged before me this pr�day of ��1, ,20�,by ��'�`��t �'1`�\� Ut t'�. as �(�(1 (type of authority,e.g.officer,trustee,attorney in fact)for ��\G C 1dc� 1�(\tc\,�u� C�I ri 1�- (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identification Notary Signature__J��{,����.�j.l J-�(,�L�� Type of[dentification Produced Name(print) �>C���{��1� �iC.�L�,IC� Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury.1 declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. �� FORMS/NOC rvsd2007 e Natural Person S���ng ve ���� � � N�y�C•E�!M FlpfWi PRULR S 0'NE I L,Ph D PASCO CLERK & COMPTROLLER M�►CoaMn.ExpMKMnr11.2016 04/23/13 ���� 1 of���� � ��� ConNM��ion#�EE t96300 OR BK PG �� „ar,, �i.P���'4i�J.3��4 ;�c,aaAr ,�''l. ,�,;>•t @si+ti�i` 9,tq;,3 gtbYlYN k t tit;.•rr.�; ,•:r+- ;;M 3, ,,,,` ,..g„ , ,' . . -.�w..�,..M' � , .� - �