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Home My WebLink About13-14184 CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo20 �'84 BUILDING PERMIT Permit Number: 14184 Address: 36819 EILAND BLVD UNIT 2 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: 0426-21-0000-00100-0060 Improv. Cost: 526,870.00 Date Issued: 5/22/2013 Name: BILL NYE REAL & SIMPLY THREE LL Total Fees: 9,902.31 Address: 34619 SR 54 Amount Paid: 9,902.31 ZEPHYRHILLS FL 33541 Date Paid: 5/22/2013 Phone: Work Desc: BUILDOUT DIALYSIS 9,500 SQ FT JN ELECTRIC OF TAMPA BAY INC PLUMBING FEE 260.85 MECHANICAL FEE 182.60 MECON INC SEWER CONNECTION COMMERC 4,152.89 WATER CONNECTION COMMERC 1,324.38 TEHAN PLUMBING INC WATER METER 1.5 1,141.54 FIRE PLAN REVIEW FEES 225.00 FIRE INSPECTION FEES 450.00 �� I �-- ( ��'( � 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)wndemned 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 fl 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 wmmencement may result in your paying twice for improvements to your property. If you inbend to obtain fnancing,consult with your lender or an attorney before recording your notice of commenoement." Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinanoes. NO OCCUPANCY BEFO C.O. ,`�� ,. � CONTRACTOR IGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � Dialysis Build out 9,500 sq ft-Wallace Associates-36801 eiland blvd ste 102 � - �/,0, (� f ( V / [ SQ. FEET PRICE MAIN OR LIVING: 9,500 $ 55.46 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ _ VALUATION $ 526,870.00 FEE SHEET $ 1,739.00 ADDRESS DRIVEWAY BUILDING: $ 1,773.78 ELECTRICAL: $ 391.28 PLUMBING: $ 260.85 MECHANICAL: $ 182.60 SUB-TOTAL $ 2,608.50 TOTAL s 2,608.50 SEW ER: $ 4,152.89 calculated for doctor(1) WATER: $ 1,324.38 calculatedfordoctor(1) IRRIGATION: $ - TOTAL: S 5,477.27 WATER METER: $ 1,141.54 1.5 meter cost f7� S-2 2 -(3 IRRIGATION METER n/a FIRE DEPARTMENT FEE � �� V� �'-m�3�C�# 3 L�j�� S �r2�'0-'+x �,� PLANS TOTAL: $ 225.00 � �'� �� INSPECTION TOTAL: $ 450.00 PERMIT TOTAL Na TOTAL: S 675.00 PUBLIC SAFETY IMPACT FEES POLICE paid on shell FIRE 5°/a $ - TOTAL: S - SUB-TOTAL $ 9,902.31 PARK IMPACT FEES n/a SIF'S: n/a 100.0% 1.0% $ - TOTAL: TIF'S: n/a 99% 1% TOTAL: $ 9,902.31 � J s�Yfe Y-'�M' CITY OF ZEPHYRHILLS UTILITIES WORK ORDER WATER ACCOUNT NO.: DATE: Jul 26,2013 OWNER/RENTER/BUSINESS:Bill NYE Real&Simple Three LLC CONTACT PERSON: Thomas MAILING ADDRESS: 36819 Eiland Blvd unit 2 PHONE NUMBER: 727-525-0700 Zephyrhills fl 33542 EMAIL ADDRESS: SERVICE ADDRESS: 36819 Eiland Blvd unit 2 SHUT OFF SERVICE ❑x X❑ WATER TURN ON SERVICE ❑ ❑ SEWER INSTALL MEfER �X ❑ GARBAGE READ METER � ❑X IN CITY CHECK METER ❑ ❑ OUT CITY OTHER ❑ DESCRIBE OTHER: 2'water NUMBER OF UNITS DEPOSIT AMOUNT AMOUNT LAST BILL DATE MISC. CHARGE METER: FULL 2' IIRRIGATION I WORK COMPLETED BY&DATE ORDER TAKEN BY: Jackie Boges COMPLETED ORDER GIVEN BY: on file Wallace Associates Revised 9/2010 ��t�`j�_�. 5��,� �C�'� � h� - � � � , l �� C�u.i ' City of Zephyrhills �--°�'- BUILDING PLAN REVIEW COMMENTS ��_. 1� / � Contractor/Homeowner: .�I�1`-�( l�, �� '-S-��Ci C( .� Date Received: �� /'� r Site: �` / `f�L'� ��h'tC�t �l �J � r � cJ� s� �.�� Permit Type: r� �� G�.L ��l . iif /��/�G��T / � Approved w/no comments:❑ Approved w/the below comments: [�� Denied w/the below comments: ❑ �� , . l� � � .. ,- �� % This co��uneny sheet sh �be kept 'th the permit and/or plans. , f � � /._ �' � � , � / {/ GL / � )�/ � �\�f�.4-! ��I�.-4._ � \ Kalv'n Switzer—P s Examiner Date ontractor and/or Homeowner v-`,� � (Required when comments are present) - _ �� . iiiiiii��iiiuii�iiiuuiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiui � 2013088052 NOTICE OF COMMENCEMENT Rcpt:1321838 R�c: 18.S0 Permit No. DS: 0.00 I T: 0.00 03/20/13 E. Mungula, Dply Clerk Propert}+Identification No. _ _ 1'HE UNDERSIGNED hereby gives notice that impmvements will be made to certain real properiy,and in accorclance with Section 713 13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMEIVT. 1 Description of PraP�Y��Sal descrTptfon:) sas aacnm al Street Address: �eaoi Eoana eaa,zeaharmiNa.Flo�sa�a 2. General descnpt�on of unprovements Ske Dsvelopment tor FMC Dfalysk Gmer 3. Owner Information 8� NHttIC aDd 8�iESS: FMC E9a�d LLG 2150 Vf0 Belq BNd.,Land O Lakes,FIoMa 34839 b) Name and address of fee simple tideholder(if other than owner) c) Intcrest in property �4 Contracwr Information 8� Name and address: cn�ac nmi.,WNlace Aaeociates LLC,5435 Or.MaNn LWier Kinp Jr.St.NonA,SL PdersCurp,fbriOa 33703 b) Telephone No.: M�� Fax No.(Opt) M�a�� 5 Surety Information a) Name and address: � b) Amount of Bond. � c) Telephone No.: N^ Fax No.(Opt) �'�^ 6. Lender a) Name and address: � 7 Identity of person within the State of Florida designatsd by owner upon whom notices or other documents may be setved; . a) Name and address: ,bn�e��ni.Fro�neemmi cwn�c.�iso vr edr ewd.,�nd o�ices.fbraa� b) TeIephone No.: 8t-��4 Fax No.(Opt) B��-�� 8. In addition to himself,owner designates the foliowing person to receive a copy of the Lienor's Notice as provided in Section • 713 13(1)(b),Florida Statutes: 8� NBIllC 8lld 8�lCSS: Scott Hilsmen,NYE Commerclal AtivLaors,2800 Windguard Cirida Suite 101,Wesley Chapel FL,3354t b) Telephone No.: s».ersozu Fax No.(Opt.) a»-�sz.ms9 9 Expirahon date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNIlVG TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMI�IENCEMENT ARE CONSIDERED IIVIPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTiON 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYIl�iG TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A NOTICE OF CONIII�NCEMENT MUST BE RECORDED AND POSTED ON THE JOB S1TE BEFORE TFIE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR M1�ATTORNEY BEFORE COMNIENCING WORK OR RECORDING YOU NOTICE OF CO CEMENT. STATE OF FLORIDA � � COUNTY OF PASCO Signuurc OF Owner Owner'a Authorized O �cedDirertor/PaMer/Mansga �0 C �Fl Iq'TO Q-�-� Prmc Namo The foregoing instrument was acknowledged before me this fOi day of �� ,20�,by J o e �e Ia�v r re as �V (type of authority,e.g.officer,trustee,attnmey in fact)for � � C � (natne of party on behalf of whom instrument was executed). Personally Known ✓OR Produced IdentiScation_ Notary Signature .JV Cl.YY��,� Type of[dentification Produced Name(print) �Gl-�'L� �T U�Gl Verification pursuant to Section 92.525,Florida Statutes.Under pcnaltics of perju , tha have e foregoing aad�ttiat the facts stahd in it are truc to the best of my knowledge and beliof. � � Foxusrtaoc.N,azom +' Sigeeom dN�eual Peom ' Abwe , y��,�.��y� � .^wMl��rN1�N PRULR S 0'NEIL,Ph D PqSCO CIERK 8 COMPTROLLER �C��"'�" 05/20/13 10:4 1 of 2 �� OR BK �� PG 324 .. . � . �„� . ' w � � � OR BK �8�5 P� 325 2 of 2 � h W� � � V �0. � �� w, � W � � 0.� M � � � � o - O \� C� � [� coW � V � � O ,ar, W �' ,,�►� w � tn � � � � c� •, � � o � � � � � o ct,�-. cv � � ° � '� � o �rQ �.� c�'oo � �w � � � � � a � � � � o ° �i � o t� � W � � W �`' �`�„ zc_"'..1 � Or� tqOcpp � � ,,.� � `n ut � �4 � '� �"�� O r ' �: c� � � �W co W � �c1��,`�c. �,� � W � � � U] '`� � u""�'�z°� �`' �t � � V � �' w ��w�� : oo� � � r� z�c'"�,�,� c.� w r� W � ��-�,� ,� , [�-� � E•�QO � �' F' �.�J �Q�� O O � ei �1U- �Q J p � 0� 0 � �' th Q� UmO � U 0. � ~ C� i� ti �h- �d Z OJ� �� "�CEr � � CO � �� p2 �Z ; „' N � � "' � '�' '1- Oa � � O c�ij � � 4�w �' � W wc~nQ �� . f� � 00 � � E.. � W � w� � � �� 0 v~i �� O ��a -m � � � � �� 0 � 0 �GV�t , *� � � � � ♦ � 4� � q � � V , � W y • .. .. ' st 0 � � 4 � 0 � � 3 .. ��°;'�� , �� ti �• � �+� .�t r � C� L�1 �n � � � � � o y , � �' "�'�� . [� � W � c'� � q o `�„h• � nc°'.. � S �, � v � � MO � � * * � � � o :�'`� ° � Cxl V � q �' � �w ,� � [� o •� w0. �� Vth � v � � �� WON N C�.� W �4 � t-�, � � i _. _ . . . iiiiiiiiiiiiaiiiiiiiii�iiiu�ii�iiiiiiiiiiiiiiiiiiiiiiiiiii ' ' • 2013088031 NOTiCE OF COMMENCEMENT - Permit No. Rept:15218°S8 Rec: 18.50 D5: 0.00 IT: 0.00 PropertyIdentificationNa. 0°3/20/13 E. Mungula, Dpty Cle�k THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,ar►d in accordance with Secaon 713 13 of ihe Florida Statutes,the following information is provided in the NOTICE OF CONIII�NCEMENT 1 Description of pmperty(legal descriptian:) �^�� al Strcet Address: 3sem eae�e awe.,zePny.nims.Flone� 2. General description of improvement� �z.000 SF Singb�ay FMC Dialysb Carner and Olfioe Buitlinp 3. Owner Information 8� N81116 Si1Q 8�78SS: FMC Eiland LLC,2150 Via Bella Blvd.,Land O lakss.FbiWa34830 b) Name and address of fee simple titleholder(if other than owner) c) Interest in property � 4 Contractor Information H� Name and address: ��*Aa�o-,Wallaca Associatea ILC.5435 Dr.Martin LuVier King Jr.SL NoM.St.PetersDwg.Flafda 33703 b) Telephone No.. n�� Fax No.(Opt�n�-��78� 5 Surety Information a) Name and address: w+ b) Amount of Bond. ►� c) Telepho�No.. �^ Fax No.(Opt) �+ 6 Lender a) Name and address: � 7 Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: ��eai��Fbrida Medinl Clink,2150 Vla Bdln BNd.,tana o�nkes,Fiwiea�e b) Telephone No.. 813-��74 Fax No.(Opt) 81-�� 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(l)(b),Florida Statutes: a) Name and address: b) Telephone No. Fax No.(Opt) 9. Expiration date of Notice�of�Commencement(the expiration date is�one year from the date�af recording lmless�a differer►tdate is specif'ied): WARNING TO OR+NER:ANY PAYMENTS MADE BY THE OWNER AFI'ER THE EXPIRATION OF THE NOTICE OF COIVIIVIENCEMEN'�A�tE GONSIDERED-IIVIPROPER•PAYMENTS-iTNDE�t GHAP'PER 713,-PART-1,SECTION•7�3_1-3, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROP�ERTY.A NOTICE OF COD�Il�IENCEMENT MUST BE RECORDED AND POSTED ON THE JOB S1TE BEFORE T73E FIRST INSPECTION.IF YOU llVTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE CO1VII1iIENCING WORK OR RECORDING YOU NOTICE OF CO CEMENT. STATE OF FLORIDA n�j� COUNTY OF PASCO �-l�V Signawre O Owna Owna's Awhoriz �cedD'uectodPartnedMmager Jo�E DE�v�iof�R�.. Print Name The forcgomg instrument was acknowledged before me this�hday of mC��I .20�,by �n Q �e_Ia,-b r re as 'EU' —� (rype of suthority,e.g.officer,trustee,attomey in fact)for 1 l<- (name of party on behalf of whom inswment waa executed). Personally Known ✓OR Pmduced IdentiScation_ Notary Signature ��M lU.�%�- •J� Type of Identification Produced Name(print) �Ll.Y'Y1�� l?(��t C� V�rification pursuant to Section 92.525,Florida Statutcs.Under penalties of pequry,I dec t have ongoieg and that the facts staud in rt are truc to the best of my knowledge and belief. ��s,��, �� SipuNrtofNaWnl mSigni�A �� PRULA 5 0'NE IL,Ph D PASCO C�ERK 6 COMPTROLLER N�/YOIk•SI�01 F1011d� 05 OR BK 0:41 FG of 22 � � Mq►Co�aa.E�pk�Mnr 14.2014 �8�� 3 ��.�.�,�� . .�. a. , .. � . . � t� �j _ _ , � � � � � OR BK gg75 2 323 � � �� ~ "� � r�' �� W� �, W � ° 4,�" 0� �0 � � � � � o \�t°,� w cnw �cw,, �; � o � WV� W � � � � �� v � � o �� I �' �x °� ;� ao i � q �� , � ' w � � � � o �� o � � w � o° �i � o � � �� ow � WE.� � c�, � d, wW� °' c� � co \� � � � � a � w � "' � � E�.� � :,� � �w�� W W (� Cti E�. w w V C7��' _ ._ J U � Z � U � v� ?�� JO � � W � � �j W � � � �o� w N � W � � `� C� W � OF" O �� z � � � I W O � u. F' c� Q . �' �2 O� p� E. �, �- � i''" cr � O � � Z = 0o �� t 4 N .., �e-- �- � ,� �s �� QF. � '� � � �~ � � o� � .r ° ..� � cp Z �r v�c.� z u' OC�'� 'Z", � � � }� Um `� U � � C`�aW �'' � w '�� n=. Z o .._i � �1 � q00 � � �� cru- = awf WVr�,rd, � � � � �� oO �.. o ? x ° c� o � � ° �' W �'� c� W �i � � �-- z ° � cn o C� w O �' t,a� � �' p � „�--�u� � ,� �°� � � WA � � W �'' � � �w�- t�- o � a m � 0 �4 � � � � � �' � � ti � � o Gv��. '�• * � � � `�W • � �' `� �c• � �' V C� � � • � � � � � W� � � � � � �0� � �y 0.� � C� �� CCq � • � �° •'� '� [.. � p � � �', �, `+ a V 'a Q :�`ti °Q w � '� '. � �� . �,' V �h W O �] ; '�, W Cwi � �W �"a � �O ` A � q, �� W � � � '* �F W � � � � � eM� awon2 N VW �A � C� � � �EPHYRHILLS FfRE �EPAR��IENT ' 6907 Dairy Road, Zephyrhills, FL 33542 FIRE SERVICE USER FEES Occupancy No.: Plan No.: Contractor: Business Name� �. ` �C�L� Billing Address: Business Address� Business Phone No Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE � Site Plan N/C Annual N/C Sprinkler $50 1st Alartn N/C Multi-Family/Commerc� 06 sf 1st Re-inspection N/C Standpipes $50 2nd Alartn N/C pC; (Minimum Charge$ .DO 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 Atartn $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- per�a�k $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Spa�lclers $100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works 5500 FIRE PUMP Acceptance Test $45 per system Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Bum a100 FIRE ALARM SYSTEM Hood/Ducl $50 B0-25 Devices $50 FIRE AI.ARM SYSTEM Place of Assembly $50 Annual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 F�ammable application $50 Annual Wet $50 OTHER �y Waste Tire Storage $50 Annual Dry $50 Fire WaIl/Smoke WaIf�S $15 Perwau Generator<KW a100 CO2 $50 LP Gas $25 per tenk Generator>30 KW 150 Other $50 Natural Gas $25 persystem BiaHazard Waste $100 nnn„si KITCHEN EXHAUST FumigaGon Tenting �50 � Hood/Ducts $50 Tent 10k10'or greater a15 per tent Torch PoUApplied a50 OTHER Fire Pump $45 Haz.Materials a100 nnnuai LP Installatlon per tank $50 Fire Suppression $30 Fuel Tank Installation 350 System Acceptance (Per Tank) $50 E�aust Hood/Duct $30 �Natural Gas Installation $50 Re-inspection DBL (Per System) (other than annual) � Spray Booth S50 � Inspection scheduled DBL 8 and cancelled less than 24 hours Construction tnsp. N/C Emergency Vehicle A� �50 FALSE ALARM PLANS TOTAL;�s ^ INSPECTIOM TOTAL�� PERMIT TOTAL� TOTAL� GRAND TOTAL n • a� Comments: Date: �n�--�� Q�3 Inspector: _ 9-�.� L��st�°,�-c�� /I Ih Plan Review Comments: 1. F.F.E. shall be a minimum 8" above road elevation or to the engineered site plan. 2. Tie-in survey required before pre-slab inspection to show elevation. 3. Compaction test required. 4. All setbacks shall be met. 5. All property markers to be exposed before first inspection. 6. Drainage Plan Requirements must be made before pre-slab inspection. Ordinance #974-07 Section 6. 7. All glazing requirements to be met per chapter 24 of the F.B.C. 8. All means of egress are to be per chapter 10 of the F.B.C. 9. No plumbing, mechanical, electric, or framing shall be cover with inspection first. 10. Dumpster enclosure shall be inspected and signed of by Public Works Dept. Inspection and approval shall be done before any concrete is poured. 11. R.O.W. use permit required for all driveways and all driveways to include expansion materials. 12. All handicap and A.D.A. codes and requirement shall be met. 13. All welds, if any, shall be inspected by an independent engineering company, and a copy of their report shall be given to the building department. 14. All Architectural plans must be approved by the Planning Department. 15. All plumbing, mechanical, and electric shall be separate from unit to unit. This shall include underground plumbing and electric. 16. All signage shall require separate plans and permits and be done in accordance with Ordinance No. 870-04 F.F.E. — Finished Floor Elevation F.B.C. — Florida Building Code R.O.W. - Right Of Way A.D.A. - Americans with Disabilities Act • 813-T80-0020 Ciiy of Zephyrhilis Permit Application Faz�813-780-W21 � € :� � Building Department '� �� ; �,o-^ , � 4x � _ i ��, �!n� � Dale Received �� "� Phone Contactfor Permittinp __ -I-f'T-1- � ITf i p Owners Name M�+ \LA�� '`� Owner Phone Number l '��d� a,� � Owner's Addreas � 0 �A E LLA �-�� L 0�L�L �b�her Phone Num6er � Fee Simpla Titlehoider Name I � Owner Phone Number � Fee Simple Titleholder Address �oeaooreess No�db ��Rrtp B��D. ,�noa �0• EP �uS � 33�o�'a I�(A SUBDIVISION � f� � PARCEIIQ!! (08TI11NE0 fRON PROPERTYT�%NOTICE) WORK PROPOSEO � NEW CONSTR 8 ADDJALT Q SIGN � Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SfR � COMM Q OTHER TYPE OFCONSTRUCTION Q BLOCK �, PRAME Q STEEL J� v DESCRIPTIONOFWORK �V�O"o`rC OR. lo� n �RST Ft�Oa�L �PAC..0 �OQ.. E.V.1 ��AL USE• BUILDING SIZE �11�D V� T O R. SQ FOOTA " � HEIGHT I 'O��'T �SS �E�,,,�r �, , �` � t T 1 f 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 �� M�� QBUILDING S VALUATION OF TOTAL CONSTRUCTION � �° � F .+� QELECTRICAL S AMP SERVICE ��O � PRO�ESS ENERGY Q W.R.E.Q �" � 7 � QPLUMBING S -�� J/`}(x.��l. J4 �y., � � * ,* �MECHANICAL �� VALUATION OF MECHANICAL INSTALlA710 L�J�, ,L;' y y � „ � QGAS Q ROOFING Q SPECIALTY Q OTN£R ��9i�� ! � � ' FINISHED F100R ELEVATIONS (�� ,r� FLOOD ZONE AREA QYES �`P�0 �. �-�!� y' , , �, tJ ,u., F�--> � ry , BUI�OER COMPANY I.JA��flcE SSO(,tAT�s (..LL SIGNATURE �(w� REGISTERED Y 1 N FEE CURRE� Y/N Address M�L��IAI�oST. • ,ST, ��103 Licenset �L d �-` ELECTRICIAN COMPANY �'N l� 1 V(,.i�K�� SIGNATURE REGIST£RED Y! N fEE CURREn Y/N Addre License x� (�l�vQ 0 2-�/ (..) PLUMBER COMPANY ` 1�-=�� ,//�� I� SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N '�x ^-'U��„ Addresa License i 7 � r M ` � C � I� � TURE � RE� Y/ N iEE CURRE� Y/N Q Ch J � h AtlY1�ss �I�Me� OTHER � � COMPANY SIGNATURE REGISTERED Y! N FEE CUFRE� Y/N Address License i � 11111111111111111 / 1111111111111111111111111111111111111111111111111 RESIDENTIAL Atlach(2)Plot Plaas;(2)sets ot Building Plans;(1}sel ot Energy Fortns;R-0-W Pertnil(or new consWCtbn. Minimum len(10)workinp days afler submittal dale. Required onsita,ConsWCUOn Ptans,Stormweler Plans w1 Silt Pence instatled, Sanitary FaGldies 8 1 dumpster,Site Work PertnA(a subdiHSionsllarge projects COMMERCIAL Attach(3)complete sets of BuiMinq Plans plus a Life Safely Pape;(1)set of Enerpy Forms.R-O-W Pennit for new conswdion. Minimum ten(10)�+orking days aftar submittal dale. Required onsile,ConsWCtion Plans,Stormvsier Plans wl5ill Fence installed, Sani[ary Facilities d t dumpster Site Work Permfl for all new projects.All wmmerdal requirementa musl meet campliance SIGN PERMIT Aliach(2)sets oF En�ineered Plans. •••'PROPERTY SURVEY reqwred tor aA NEW construd'an. Diractions: Fill out apD��atan completely (Tnner&Contractor sign back of applicaUOn,notarized If over;2500,a Notice of Commencement Is�equired. (A/C upgrades over 57500) " Ayent(tor the contractor)or Power of Allorney(for the owner)would Ge someone with notarized letter tmm amer aulhorizing same OVER THE COUNTER PERMITTING (FrorN oC Applicalan Only� Reroofs if shingles Sewers Service Upgrades A/C Fences(PbUSurvey/Footage) Driveways-Not over Counfer rf on public roadways needs ROW 05120/2013 15:44 8138187006 TEHAN PLUMBINGINC PAGE 01/02 �ro�: 05f2012pi3 10:19 �294 P.001/002 s�a�a�oo¢o G;he d ZepbyelMMa Pom+�t Applioallot� r�sae.e� �R� WM N�e�N�M � •�l�� P�O�Ia N� �1 1" �,,�,.�'a�:,rare� �+ t• OwNHham IMwMw �7$O`$"17 � �'.Li.A 1.Y ,o•L�1•�y�P,�sr ayrp�aw�'»v"" OsMh Ad4w�r � Puom Mw� F..s4�p.7w.n�la..ru�n► �� cw,�er�qon.w�.aa fe.61�PN 7�tl�6a1Nr Iw�.4 .MtrA00R6s6 iM�a �LM14 0, � �P lb1,� �� IIBOIVI91Mt �� I ►I�ACEI,IDN A�Oe1q� Mrowcrworaeo � «�wao��l �oauw.r p spw � (� o�ot�+ Mror�.� („7 �►,� ►ev►vaea woe Q srv� � cars p an+�n rweoFCO�srr�noa p �.oaa a� p s� ,�- ti��_. o�T�w�oFMlqWt 1 0� •►t �► 4 7 FMOaR. ,SPA�,E ot 6 �I►t VSE• YNt�oNiGS� ��t 1`0 �qpppLl� NeIONf � Ou- •SS tt��OH'r �` � � vAl1aAT10N0�TOTAI.CDl1G'if�ICnON �T�, � ��r �P1�. � N�+� �p o � ��►�C C� Wf�C. �`a� ,. � �k �.� � (��e� �MCAL �-� YKWnpi OF1AE�,N87k.t.�1„QI �✓ � �� 0 �K7'Y� �'� �� " �' �o Ft.00�e o.ew►r�o►�s. q q , �,� a000 zat��, L�v�s �� ,.,� w � :� eawat ca►r�wr �.J AwAc� SS a� 1�� L 4 C �ON�'�I� �o cu�► �W ,�e�.. sn•�. w � 33�p3 u�.rf��5,�,=,3�y 1 e.eerAa� eo�tw � LG_ �C � aneu►rwa� �w.r.m �'��d...► H uoeaer Z p�.u�re awwu�v �+^��ri8ac,dC. 81CNIII�IRR r.,op�p �awo, 'M-�dl�1c �... a �✓ c�..�. ��Z`�'t%,'► � � �wrua� JN �� s G'c� � �i ,�.�._...1� +Ba �aw�wv �IA1fll�! ne�e�o ►i�a,�, MM�M Uears! s��i��i��i�i��r��iei��il�i�i�� ii�iiii�ll��1i��ri 1�l,olNl�hl Naon�lbtrre�l�arac��Pw��+�:t+t..+den�yFMnewawarmAN►wwcaiaum►n. 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Ewn Lv yb� �---� �;;;:s.w.:�M,.. .a•��' Phee�tlumt�r r�81mpN71wnoltl�rNarw O�m�rlMauNw�Wr � �N SNe�p4 7NI�Aald�r AdGren JOBADOR@88 N0�l1b �LptiO I.JO. ��/W,�1 IUS ��01� � �� PARClLION {wTA1Nl0 rROr Mo�iltrrTAt Npt6q woaic rwvoSEO �w�srn e �ow,�r [� sx�t [] � ��►+ MISTALL REPNR PROA�ED IlE! C] SFR COI+M � OTMER TYPE OF CONBTWJC110N �] BLOCK � iRAME [� 8tee� OEOCAIVTIONOFWORK b�C O'7 a T `�OQ JC� o� E 16AL VS�G• eu�a� �r1to�� ro2 saFOOr� riewhr � 'O�- �.� �£tid�T * Q euaaNC : v�wriaa oF rara.co►+srr�ucnori � .� �� r.�. QELECTRICAL �� AMP SERVICE $b O � P �RD�iESS ENERGY Q W.R.E.C. .;� �.�� T� t�u�HC : �///�� .(.�t C �/� . e. O�Ct�� VAtUAT10N OF fAEC�1IANIGL 1N6TALLATON �'.��,,. .'� �i 0� C� �� O s�cw.rr p on� /� � '" �a�ns�a F��evnraNS q q �� .000 zo��n, pres �j`t,9�� - C7 �' s�:� �� R caran�►n L,1 A�.�.A cE SS o c,�A'r ES L L C � SICNAIURE � ti[aw�H� Mw... r�►•1.•k�aV . ST. 33��3 u�..�L o5839y ei.cc�acuw � ea�wuar � � �(' � �►� �•�.� Y! /N 1 �te c�wn�. ��°y llo�ns/ �R COMPANV I -� �T�� niaate� YJ N reEUwe� ��~ 110rM�i�� 4 ,�)2 a p�'1 e�"� � •_ � .ff a.oa, �p �--� - � .�.. *►�� oow�rwr �ONA7{RtE rEasrsiRO �q�, �� 41er�f III1111111111 / 111fIt� 11111111illtllllllllllllllllilll1111111t1t/111 RESIDENTIAL Altd�l2)Plol PM�s;(t)pb d BWdlnp PIpKt f1)iN ot ErMiqy Fortnk R-O�W A�nnil ter mw aauYUalon. MlWmro Un 110)��0��Mr M/mYYI d�N.ibRA1W pol�.6orwfnxabn PYnt.�PYm vW S�l Fina MaO�ed, S�aWyFWIMa i/duppM;811�YVMk P�mR far�Crol�ot� COMM&tC1AL Apach l3)eaAPY1�sN�of dlq�q PWa Musa 41fs SM�b�W:f1)aN ot Em�oy FomN.R-0-W P�mi tar iuw consrudlon. MinhMrtn qn{70)wotkYiO dqR aMr Mbn�Md d�tt.RpuMW arlM.Conqiuetlon PMn,BlenmwM�?Wr MM SR F�n ImIM�0. SK3N Pl1pNiT A�sMs�d Epk�Plrr. VYoAc PwnMt tar d row pm��ds.AM mm�r�dd nqulrwsrM�mud rtaaf oar�pY�no� ""PROPERTY 8lM3HEV r�0uird ta d I�W ea�riwllon. F711 aut�pNwpon�on1d��Ny OrMNr�Co�W�otor Myn O�elc of�pp(wlbn.iwl� M ov�r iti0o,�Notla�W Caam�na�muN M nqolnd. (AIC uppnd�s owr t7lOD) " Ap�rtl(Wr ths oart�da)w Pwwr d Aaorrwy(fa tlN ownsr)wwid bs somsa�s wNh nchAssd kra tAm ar�er�utlw�shp wn� OVER TNE CW NiER PBt1�1771N0 (f�wit ar AppteNp�pnA.J Rneoh Y fUky�t Swnvs inNn Uppr�d�s NC Fanoes(PIOYSwwy/Foolspe) OAwways.Not wr CwYv If on PuCAc�ya.�wtla ROVV NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more resirictive than County regulaGons. The undersigned assumes responsibility tor compliance with any applicable deed restrfctions. UNLICENSED CONTRACTOR8 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 Iicensed as required by law, both the owner and contrador may be cited for a misdemeanor violation under stafe law. if the owner or intended contractor are unceRain as to what licensing requirements may apply for the intended work,lhey are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a cont�ector or contractors, he is advised to have the conttactor(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 irxlication that he is not prope�ly licensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES. The undersigned understands Ihat Transportation Impaci Fees and Recourse Recovery Fees may apply to the construction of new buildings,change oi 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 idenGfied 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 fi�al power release. If the project does not involve a certificate of occupancy or flnal power release,the fees musl be paid prior to permit issuance. Fu�thermore,if Pasco Counry WateNSewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances, CON3TRUCTION LIEN LAW(Chapter�13,Florida Statutes,as amended): If+raluation o(work is$2,500.00 or more,I certify that i, ihe applicant, have been provided with a copy of the "Florida Construckion Lien Law—Homeowner's Protection Gufde"prepared by the Florida Department of Agriculture and Consumer Aflai�s. if the applicant is someone other than the"owner",i certify that I have otMained 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 ihis 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 instailation 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 la� development regulations in the jurisdiction. 1 aiso certify that I understand that the regulations of other government agencies may appty to the intended work,and that ft is my responsibility to identify what acUor�s I must take to be in compliance. Such agenaes include but are not limited to: - DepaAment of Environmental Protection-Cypress Bayheads, Wetland Areas and Envirw�mentally Sensitive Lands,WatedWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeBand Areas, Altering Watercourses. • Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Weils, Wastewater Treatment, Septic Tanks. - US Environmental Protection AgenCy-Asbestos abatement. - Federal Aviation Authoriry-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood 2one"V"untess expressly permiried. - it the fili material is to be used in F�ood Zone "A", it is undersiood that a drainage plan addressing a "compensating volume"wili be submitted a!time of permitting which is prepared by a professionai engineer licensed by the Stete of Florida, - If the fill meterial is to be used in Flood Zone "A"in connection with a permilted building using stem wall construcGon,I ceRify that fili 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 ot such fill wiil not adversely affect adjacent properties. If use of fili is found to adversely aHect adjaceni properties,the owner may be cited for violating the conditions of the buiiding permit issued under the attached permit application, for lots less than one(t) acre which are elevated by fill,an engineered drainage plan is required. If I am the AtiENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this a�davit pnor to wmmencing oonstruction. I understand that a separate perm�may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas,or other installations not specifically included in the application. A permit issued shall be construed to be a Iicense to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the iechnical codes,rmr shall issuance of a permit prevent ihe Building Officiai from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless lhe work authorized by such permit is commenced within six monihs o(permit issuance,a-if work aulhorized by the permit is suspended or abandoned fw a period of six(6)months aRer the iime ihe work is commenced. An extension may be requested, in wrifing,from the Buiiding Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases(or ninety(90)consecutive days,the job ls considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOl'ICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE F I PROVEMENTS TO YOUR PROPEItTY. IF YOU lNTEND TO OBTAIN FINANCING,CONSULT WIT Y R R 770RN Y EF REC RDIN Y R N TIC F CO CEMENT. FIORIDAJU T(f.S 1 7. / OWNERORAGENT CONTRACTpR C-�"'� Subsc�ed and rn to r affirtne 4efore me is �,n u and swor t or aftt be(�e m this �u►3 ny `� a�l ��"i� �,, �.`l�Aa�� r. �na�l�. Who islare personall to me w haslhave produced Who isla personaly�krwwn�to mio�hasThave produced as idenhfica0an. as ident�wtion, ��.1�,19.- /.dV�N��. NolaryPubiic � / "'� �� Comm�ssion No. E� ��l��C� Commission No.�� o�o�� q � Nofary Public State ol Florida �GirY1P.��` ��c� oM �C.�� a..o � homasMloCicero Name of Notary ryped,printed w slamped Name of Notary typed,printed or stamped Y Commission EE 864649 oi n Expirec 01l13/2017 �a.�wna PAMELA 6Wx.� _ . Nob►y�ubNC•Sqb ot ilorid� � M�r ConMn.ENpin�Mhr 14.20/A '�i • Ci0T1�=/�0/1�ff��Q �,::�` � .,,,,,�,. �.ttiti1#j�M11Q � ,°'"" ,'�.. li0�teti b Nq$ siMtt"i�1iMM =a r `: aras.►�rR��r� �+rw►_� `Y elOE�t )1 +R �i:��8�mmo;1 �:. ..'�� - ----_,.__._.._W.._.� ,.......__�_,_ .,...�«v,.-�,...�«�,�.aa.�.e.-.-. Build-out 9500 sq ft. SQ. FEET PRICE MAIN OR LIVING: 9,500 $ 55.46 $ 111 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 526,870.00 FEE SHEET $ 1,739.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 1,833.78 ELECTRICAL: $ 391.28 PLUMBING: $ 260.85 MECHANICAL: $ 182.60 SUB-TOTAL $ 2,668.50 TOTAL s 2,668.50 SEWER: $ 4,152.89 WATER: $ 1,324.38 IRRIGATION: $ - TOTAL: S 5,477.27 WATER METER: $ 1,141.54 1.5 inch IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: _ - PUBLIC SAFETY IMPACT FEES POLICE $ 1,548.50 FIRE $ 1,643.50 5% $ 159.60 TOTAL: S 3,351.60 SUB-TOTAL $ 12,638.91 PARK IMPACT FEES SIF'S: 100.0% $ - 1.0% $ - TOTAL: S - TIF'S : 99% $ - 1% $ - TOTAL: $ 12,638.91 City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Doctor or Dentist Office No. of Practitioners � No. of Employees per 8hr Shift Impact Fees Within City Limits Outside City Limits Water Distribution System $ 1,324.38 $ 1,655.48 Wastewater Collection System $ 2,662.00 $ 3,327.50 Wastewater Treatment Plant Capacity $ 1,490.89 $ 1,863.62 TOTAL $ 5,477.27 $ 6,846.59 Jacqueline Boges To: Chuck Adair Subject: RE: Eiland Site Adress and Suite Numbers Attachments: 36801 eiland blvd shell 12,OOO.xIs; 36801 eiland blvd ste 101 2500 sq ft doctor office.xls; dialysis center 9,500 36801 eiland blvd ste 102.x1s See attachment for fees for shell,davita and doctor office. Let me know if you have any questions Jackie Boges (ext 3513) What Greater love can a man give...... From: Chuck Adair [mailto:chuckadairCa�wallace-associates.com] Sent:Thursday, May 09, 2013 3:01 PM To: Jacqueline Boges Cc: thomasCa�wallace-associates.com Subject: Eiland Site Adress and Suite Numbers Jackie, Find attached the Addresses for the projects: 1. Building Shell—36801 Eiland Blvd. 2. FMC Office Build-out—Suite 101 3. DaVita Build-out—Suite 102 Chuck Adair Wallace Associates, LLC Senior Vice President/C.O.O. 5435 ML King Street North St. Petersburg, Florida 33703 Phone: 727-520-0700 Fax: 727-520-0789 CGC#058394 1 Todd Vandeberg To: Richard.JoudreyC�1 avidgroup.com Subject: FW: Site Plan Approval `R.i.c�, The Site Plan Review Committee previously approved the site plan for a p�oposed 12,000 sq ft. medical office located on the north side of Eiland Blvd in Zephyrhills, Florida. The remaining special approval conditions associated with this approval are as follows: 1.) Provide the City Planning Department a copy of the approved SWFWMD permit; 2.) Provide the City Planning Department a copy of all required Pasco County permits; 3.) Dumpster shall be field located with City Public Works staff prior to construction; 4.) All construction shall adhere to the approved developer agreement agreed to between the City and applicant for subject property; 5.) Applicant shall provide a copy of final as-builts (site plan and landscape plan upon completion)to the City Planning Department; 6.) Proposed development shatl adhere to all City Codes and Ordinances and required fees. Please be advised that Staff will retain a copy of the approved site plan in our office and stamp and approve the remaining copies of the site plan for your distribution. At this time you may proceed to permitting with the City's Building Department. Please feel free to contact me if you have any questions. Sincerely, 7"odd 3-(: "Vand�e 73er� Director of Planning Planning Department City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 Phone:813.780.0006 Fax: 813.780.0005 vandeber� ci.zephvrhills.fl.us "It's not the Plan that's important.... it's the Planning" i r • ~ . . Todd Vandeberg To: Richard.JoudreyC�3 avidgroup.com Subject: FW: Site Plan Approval `Z�.lC�., The Site Plan Review Committee previously approved the site plan for a proposed 12,000 sq ft. medical affice located an the narth side of Eiland Blvd in Zephyrhills, Florida. The remaining special approval conditions associated with this approval are as follows: 1.) Provide the City Planning Department a copy of the approved SWFWMD permit; 2.) Provide the City Planning Department a copy of all required Pasco County permits; 3.) Dumpster shall be field located with City Public Works staff prior to construction; 4.) All construction shall adhere to the approved developer agreement agreed to between the City and applicant for subject property; 5.) Applicant shall provide a copy of final as-builts(site plan and landscape plan upon completion)to the City Planning Department; �, 6.) Proposed development shall adhere to all City Codes and Ordinances and required fees. Please be advised that Staff will retain a copy of the appraved site plan in aur office and stamp and apprave the " remaining copies of the site plan for your distribution. At this time you may proceed to permitting with the City's Building[3eparCment. Please feel free to contact me if yQU have any questions. Sincerely, `.IIO�G��. �VG�?2G�� .`Z3�Y� Director of Planning Planning Department City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 Phone: 813.780.0006 Fax: 813.780.0005 vandeber� ci.zephvrhills.fl.us "It's not the Plan that's important.... it's the Planning" 1 Florida Energy Efficiency Code For Building Construction EnergyGauge Summit� Fla/Com-2010, Effective Date: March 15, 2012 -- Form 506-2010 Prescriptive Compliance for Renovations, Occupancy Change, etc. PROJECT SUMMARY Short Desc: Davita-Zephyrhills Description: Davita-PLantation Owner: Davita,Inc. Addressl: Eiland Blvd. City: Zephyrhills Address2: State: FL Zip: 33541 Type: Healthcare-Clinic Class: Renovation to existing buildi Jurisdiction: PLANTATION,BROWARD COiJNTY,FL(163400) Conditioned Area: 8777 SF Conditioned&UnConditioned Area: 8777 SF No of Stories: 1 Area entered from Plans 2373 SF Permit No: 0 Max Tonnage 4 If different,write in: EnergyGauge Summit0 Fla/Com-2010. Section 506.4 Compliant Software.Effective Date:March 15,2012 3/13/2013 Page 1 of 13 Compliance Summary Component Design Criteria Result RENOVATED ENVELOPE PRESCRIPTIVE PASSES LIGHTING POWER 9,056.0 11,512.0 PASSES LIGHTING CONTROLS PASSES EXTERNAL LIGHTING PASSES HVAC SYSTEM PASSES PLANT None Entered WATER HEATING SYSTEMS PASSES 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 � a� � a � , ��c��Ei'_' f,.4r ,,J t,,,��:`` F , ' , � \i ;„�,��A9 `L.'�`��'� ""c ,�� "l;��r �— ,�` 9� hA �' ��, � _ A." ;�A, ,`± ' — .. • r .� V ��` � ' � � ` `^ o � i. . r. �.� " ~ , • - • �` ^ , ,_ ',`'` . ` : � � � " . `,� � '�''� � 's . a� � EnergyGauge Summit0 Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 3/13/2013 Page 2 of 13 CERTIFICATIONS I hereby certify that the plans and specifications covered by this calculation are in compli ce � the Florida Energy Code Prepared By: Brad Shepherd,P.E. Building Official: Date. Date: I certify that this building is in compliance with the FLorida Energy Efficiency Code Owner Agent: Davita, Inc. Date: If Required by Florida law, I hereby certify(")that the system design is in compliance with the Florida Energy Efficiency Code Architect: Alex Roush Architects Reg No: AR0013436 Electrical Designer: Dwight Beasley,P.E. Reg No: 72125 Lighting Designer: Dwight Beasley,P.E. Reg No: 72125 Mechanical Designer: Brad Shepherd,P.E. Reg No: 53606 Plumbing Designer: Brad Shepherd,P.E. Reg No: 53606 (") Signature is required where Florida Law requires design to be performed by registered design professionals EnergyGauge Summit0 FlalCom-2010 Section 506.4 Compliant Software. Effective Date. March 15,2012 3/13/2013 Page 3 of 13 Project: Davita-Zephyrhills Title: Davita-PLantation Type: Healthcare-Clinic (WEA File: FL_FORT_LAUDERDALE.tm3) Prescriptive Envelope Compliance Item Zone Description Design Criteria Meet Req. Glass Zone 1 Percent glass Max allowed 16.667 50.000 Yes North Wall Zone 1 Exterior Wall: UValue Max allowed .025 0.052 Yes North Wall Zone 1 Exterior Wall:Absorptance Max allowed .220 0.300 Yes Window North Wall Exterior Window: SHGC MaY allowed .250 0.250 Yes Window North Wall Exterior Window:UValue Max allowed .450 0.450 Yes Door poor Exterior poor:UValue Max allowed 350 0.700 Yes Door poor Exterior poor.UValue Max allowed 350 0.700 Yes Skylights Zone 1 Percent Skylight Max allowed .000 5.000 Yes Roof Zone 1 Exterior Roof UValue Max allowed .025 0.033 Yes Roof Zone 1 Exterior Roo£Absorptance Max allowed .220 0220 Yes Glass Zone 2 Percent glass MaY allowed .000 50.000 Yes Skylights Zone 2 Percent Skylight M�allowed .000 5.000 Yes Roof Zone 2 Exterior Roof UValue Max allowed .025 0.033 Yes Roof Zone 2 Exterior Roof:Absorptance Max allowed .220 0.220 Yes Glass Zone 3 Percent glass Max allowed 8.929 50.000 Yes South Wall Zone 3 Exterior Wall: UValue Max allowed .025 0.052 Yes South Wall Zone 3 Exterior Wall:Absorptance Max allowed .220 0300 Yes Ext Window South Wall Exterior Window: SHGC Max allowed .250 0.250 Yes Ext Window South Wall Exterior Window:UValue Max allowed .450 0.450 Yes Door poor Exterior poor:UValue Max allowed 350 0.700 Yes Skylights Zone 3 Percent Skylight Max allowed .000 5.000 Yes Roof Zone 3 Exterior Roof UValue Maac allowed .025 0.033 Yes Roof Zone 3 Exterior Roof:Absorptance Max allowed .220 0.220 Yes Glass Zone 4 Percent glass Max allowed .000 50.000 Yes Skylights Zone 4 Percent Skylight Max allowed .000 5.000 Yes Roof Zone 4 Exterior Roof UValue Max allowed .025 0.033 Yes Roof Zone 4 Exterior Roof: Absorptance Max allowed .220 0.220 Yes Glass Zone 5 Percent glass Max allowed 16.667 50.000 Yes South Wall Zone 5 Exterior Wa1L•UValue Max allowed .025 0.052 Yes South Wall Zone 5 Exterior Wall:Absorptance Ma�c allowed .220 0.300 Yes Ext Window South Wall Exterior Window: SHGC Max allowed .250 0.250 Yes Ext Window South Wall Exterior Window:UValue Max allowed .450 0.450 Yes Skylights Zone 5 Percent Skylight Ma�c allowed .000 5.000 Yes Roof Zone 5 Exterior Roof UValue Max allowed .025 0.033 Yes Roof Zone 5 Exterior Roof:Absorptance Max allowed .220 0.220 Yes Glass Zone 6 Percent glass Max allowed 19.231 50.000 Yes East Wall Zone 6 Exterior Wall: UValue Maac allowed .025 0.052 Yes East Wall Zone 6 Exterior Wall:Absorptance Max allowed .220 0300 Yes Ext Window East Wall Exterior Window: SHGC Max allowed .250 0.250 Yes Ext Window East Wall Exterior Window:UValue Maa�allowed .450 0.450 Yes South Wall Zone 6 Exterior Wall:UValue Max allowed .025 0.052 Yes South Wall Zone 6 Exterior Wall:Absorptance Max allowed .220 0.300 Yes Ext Window South Wall Exterior Window: SHGC Max allowed .250 0.250 Yes Ext Window South Wall Exterior Window:UValue Max allowed .450 0.450 Yes Skylights Zone 6 Percent Skylight Max allowed .000 5.000 Yes Roof Zone 6 Exterior Roof UValue Max allowed .025 0.033 Yes Roof Zone 6 Exterior Roof:Absorptance Max allowed .220 0.220 Yes EnergyGauge Summii0 Fla/Com-2010.Section 506.4 Compliant Software. Effective Date: March 15,2012 3/13/2013 Page 4 of 13 Glass Zone 7 Percent glass Max allowed .000 50.000 Yes North Wall Zone 7 Exterior Wall:UValue M�allowed .025 0 052 Yes North Wall Zone 7 Exterior Wall:Absorptance Maac allowed .220 0.300 Yes East Wall Zone 7 Exterior Wall:UValue Max allowed .025 0.052 Yes East Wall Zone 7 Exterior Wall:Absorptance Max allowed .220 0300 Yes Skylights Zone 7 Percent Skylight Max allowed .000 5.000 Yes Roof Zone 7 Exterior Roof UValue Max allowed .025 0.033 Yes Roof Zone 7 Exterior Roof:Absorptance Max allowed .220 0.220 Yes Glass Zone 8 Percent glass Max allowed .000 50.000 Yes Skylights Zone 8 Percent Skylight Maac allowed .000 5.000 Yes PrOZo41Rfl Zone 8 Exterior Roof UValue Max allowed .025 0.033 Yes PrOZo41Rfl Zone 8 Exterior Roof: Absorptance Max allowed .220 0.220 Yes Glass Zone 9 Percent glass Max allowed .000 50.000 Yes Skylights Zone 9 Percent Skylight M�allowed .000 5.000 Yes Roof Zone 9 Exterior Roof UValue Max allowed .025 0.033 Yes Roof Zone 9 Exterior Roof:Absorptance Max allowed .220 0.220 Yes Meets Shell Envelope Requirements -- PASSES Project: Davita-Zephyrhills Title: Davita-PLantation Type: Healthcare-Clinic (WEA File: FL FORT LAUDERDALE.tm3) External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP (W/Unit) or No.of Units (VV) (W) (Sqft or ft) Ext Light 1 Building facades(by linear foot) No 5.00 400.0 2,000 572 Tradable Surfaces: 0 (W) Allowance for Tradable: 750 (W) PASSES All External Lighting: 572 (V� Complicance check includes a excessBase allowance of 750.00(VV) EnergyGauge Summii0 Fla/Com-2010 Section 506 4 Compliant Software. Effective Date: March 15,2012 3/13/2013 Page 5 of 13 Project: Davita-Zephyrhills Title: Davita-PLantation Type: Healthcare-Clinic (WEA File: FL FORT LAUDERDALE.tm3) Lighting Power Compliance Space Ashrae Description Area Height No.of Design Effective Allowance ID (sq.ft) (ft) Spaces (W) (W) (W) Lounge 9 Food Service-Bar/Lounge 145 l0A 1 172 172 174 Office 17 Office-Enclosed 615 10.0 1 758 758 677 Storage 2 Storage&Warehouse- 145 10.0 1 172 172 44 Inactive Storage Conference 15 Conference/meeting 145 10.0 1 172 172 189 (Multiple Functions) Exam 10,004 Exam/Treatment(Hospital) 585 10.0 1 688 688 878 Office 17 Office-Enclosed 775 10.0 1 1032 1032 853 Waiting 12 Lobby(General)- 695 l0A 1 774 774 903 Reception and Waiting Treatment 10,004 Exam/Treatment(Hospital) 1,265 10.0 1 1160 1160 1,898 Office 17 Office-Enclosed 560 10.0 1 774 774 616 Treatment 10,004 Exam/Treatment(Hospital) 735 10.0 1 516 516 1,103 Treatment 10,004 Exam/Treatment(Hospital) 760 10.0 1 516 516 1,140 ROBicarb 1 Electrical Mechanical 380 10.0 1 344 344 570 Equipment Room-General Storage 2 Storage&Warehouse- 370 10.0 1 344 344 111 Inactive Storage Biomed 17 Office-Enclosed 110 10.0 1 172 172 121 Treatment 10,004 Exam/Treatment(Hospital) 1,440 10.0 1 1376 1376 2,160 IT Room 1 Electrical Mechanical 52 10.0 1 86 86 78 Equipment Room-General Design : 9056 (V� PASSES Effective: 9056 (W) Allowance: 11512 (W) Passing requires Design to be at most 100% of Criteria EnergyGauge Summii0 Fla/Com-2010.Section 506 4 Compliant Software. Effective Date: March 15,2012 3/13/2013 Page 6 of 13 Project: Davita-Zephyrhills Title: Davita-PLantation Type: Healthcare-Clinic (WEA File: FL FORT LAUDERDALE.tm3) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- ID (sq.ft) CP CP ance Lounge 9 Food Service-Bar/Lounge 145 1 1 PASSES Office 17 Office-Enclosed 615 4 1 PASSES Storage 2 Storage&Warehouse-Inactive 145 1 1 PASSES Storage Conference 15 Conference/meeting(Multiple 145 1 1 PASSES Functions) Exam 10,004 Exam/Treatment(Hospital) 585 4 1 PASSES Office 17 Office-Enclosed 775 5 1 PASSES Waiting 12 Lobby(General)-Reception and 695 4 1 PASSES Waiting Treatment 10,004 Exam/Treatment(Hospital) 1,265 3 1 PASSES Office 17 Office-Enclosed 560 5 1 PASSES Treatment 10,004 Exam/Treatment(Hospital) 735 1 1 PASSES Treatment 10,004 Exam/Treatment(Hospital) 760 1 1 PASSES ROBicarb 1 Electrical Mechanical Equipment 380 1 1 PASSES Room-General Storage 2 Storage&Warehouse-Inactive 370 1 1 PASSES Storage Biomed 17 Office-Enclosed 110 1 1 PASSES Treatment 10,004 Exam/Treatment(Hospital) 1,440 2 1 PASSES IT Room 1 Electrical Mechanical Equipment 52 1 1 PASSES Room-General PASSES EnergyGauge Summii0 Fla/Com-2010.Section 506.4 Compliant Software.Effective Date: March 15,2012 3/13/2013 Page 7 of 13 Project: Davita-Zephyrhills Title: Davita-PLantation Type: Healthcare-Clinic (WEA File: FL FORT LAUDERDALE.tm3) System Report Compliance AHU/CU-1 AHU-1 Constant Volume Air Cooled No.of Units Single Package System< 1 65000 R �/hr Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES Single Pkg<65000 Btu/h Cooling Capacity Heating System Heat Pumps Air Cooled 7.70 7.70 PASSES (Heating Mode) Single Pkg <65000 Btu/h Cooling Capacity Air Handling Air Handler(Supply)- 0.38 0.82 PASSES System-Supply Constant Volume Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) Air Distribution ADS System(Ret) 6.00 4.20 PASSES System(Ret) Energy Recovery Compliance Not Applicable PASSES Unit AHU-9 AHU-5 Constant Volume Air Cooled No.of Units Split System<65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES Split System<65000 Btu/h Cooling Capacity Air Handling Air Handler(Supply)- 0.10 0.82 PASSES System-Supply Constant Volume AHU/CU-2 AHU-1 Constant Volume Air Cooled No.of Units Single Package System< l 650(10 Rtn/hr Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES Single Pkg<65000 Btu/h Cooling Capacity Heating System Heat Pumps Air Cooled 7.70 7.70 PASSES (Heating Mode) Single Pkg <65000 Btu/h Cooling Capacity EnergyGauge Summit0 Fla/Com-2010 Section 506.4 Compliant Software.Effective Date: March 15,2012 3/13/2013 Page 8 of 13 Air Handling Air Handler(Supply)- 0.38 0.82 PASSES System-Supply Constant Volume Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) Air Distribution ADS System(Ret) 6.00 4.20 PASSES System(Ret) Energy Recovery Compliance Not Applicable PASSES Unit AHU/CU-3 AHU-3 Constant Volume Air Cooled No.of Units Single Package System< 1 65000 Rtu/hr Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES Single Pkg<65000 Btu/h Cooling Capacity Heating System Heat Pumps Air Cooled 7.70 7.70 PASSES (Heating Mode) Single Pkg <65000 Btu/h Cooling Capacity Air Handling Air Handler(Supply)- 0.38 0.82 PASSES System-Supply Constant Volume Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) Air Distribution ADS System(Ret) 6.00 4.20 PASSES System(Ret) Energy Recovery Compliance Not Applicable PASSES Unit AHU/CU-7 AHU-7 Constant Volume Air Cooled No.of Units Single Package System< 1 65000 Rtu/hr Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES Single Pkg<65000 Btu/h Cooling Capacity Heating System Heat Pumps Air Cooled 7.70 7.70 PASSES (Heating Mode) Single Pkg <65000 Btu/h Cooling Capacity Air Handling Air Handler(Supply)- 0.38 0.82 PASSES System-Supply Constant Volume Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) Air Distribution ADS System(Ret) 6.00 4.20 PASSES System(Ret) Energy Recovery Compliance Not Applicable PASSES Unit EnergyGauge Summit0 Fla/Com-2010 Section 506.4 Compliant Software. Effective Date:March 15,2012 3/13/2013 Page 9 of 13 AHU/CU-1 AHU-1 Constant Volume Air Cooled No. of Units Single Package System< 1 65000 B �/hr Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES Single Pkg<65000 Btu/h Cooling Capacity Heating System Heat Pumps Air Cooled 7.70 7.70 PASSES (Heating Mode) Single Pkg <65000 Btu/h Cooling Capacity Air Handling Air Handler(Supply)- 0.38 0.82 PASSES System-Supply Constant Volume Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) Air Distribution ADS System(Ret) 6.00 4.20 PASSES System(Ret) Energy Recovery Compliance Not Applicable PASSES Unit AHU/CU-5 AHU-5 Constant Volume Air Cooled No.of Units Single Package System< 1 _ 65000 R �/hr Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES Single Pkg<65000 Btu/h Cooling Capacity Heating System Heat Pumps Air Cooled 7J0 7.70 PASSES (Heating Mode) Single Pkg <65000 Btu/h Cooling Capacity Air Handling Air Handler(Supply)- 0.38 0.82 PASSES System-Supply Constant Volume Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) Air Distribution ADS System(Ret) 6.00 4.20 PASSES System(Ret) Energy Recovery Compliance Not Applicable PASSES Unit AHLT/CU-6 AHU-6 Constant Volume Air Cooled No. of Units Single Package System< 1 �sonn Rt�ihr Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance EnergyGauge Summit0 Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 3/13/2013 Page 10 of 13 Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES Single Pkg<65000 Btu/h Cooling Capacity Heating System Heat Pumps Air Cooled 7.70 7.70 PASSES (Heating Mode) Single Pkg <65000 Btu/h Cooling Capacity Air Handling Air Handler(Supply)- 0.38 0.82 PASSES System-Supply Constant Volume Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) Air Distribution ADS System(Ret) 6.00 4.20 PASSES , System(Ret) Energy Recovery Compliance Not Applicable PASSES Unit AHU/CU-8 AHU-8 Constant Volume Air Cooled No.of Units Single Package System< 1 65000 Rtu/hr Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES Single Pkg<65000 Btu/h Cooling Capacity Heating System Heat Pumps Air Cooled 7.70 7.70 PASSES (Heating Mode) Single Pkg <65000 Btu/h Cooling Capacity Air Handling Air Handler(Supply)- 0.38 0.82 PASSES System-Supply Constant Volume Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) Air Distribution ADS System(Ret) 6.00 4.20 PASSES System(Ret) Energy Recovery Compliance Not Applicable PASSES Unit AHU/CU-4 AHU-4 Constant Volume Air Cooled No. of Units Single Package System< 1 65000 Rtu/hr Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES Single Pkg<65000 Btu/h Cooling Capacity Heating System Heat Pumps Air Cooled 7.70 7.70 PASSES (Heating Mode) Single Pkg <65000 Btu/h Cooling Capacity Air Handling Air Handler(Supply)- 0.38 0.82 PASSES System-Supply Constant Volume EnergyGauge Summit0 Fla/Com-2010.Section 506.4 Compliant Software.Effective Date: March 15,2012 3/13/2013 Page 11 of 13 Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) Air Distribution ADS System(Ret) 6.00 4.20 PASSES System(Ret) Energy Recovery Compliance Not Applicable PASSES Unit PASSES Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None Project: Davita-Zephyrhills Title: Davita-PLantation Type: Healthcare-Clinic (WEA File: FL FORT LAUDERDALE.tm3) Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss liance Water Heater 1 Electric water heater <= 12 [kW] 98.00 0.92 PASSES PASSES 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 EnergyGauge Summii0 Fla/Com-2010.Section 506.4 Compliant Software. Effective Date: March 15,2012 3/13/2013 Page 12 of 13 , _ , . Project: Davita-Zephyrhills Titte: Davita-PLantation Type: Healthcare-Clinic (WEA File: FL_FORT_LAUDERDALE.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 F1aCom attached � Operations Manual 303.3.1, Operations manual provided to owner � 503.2.93, 505.7.4.2 Windows&Doors 502.3.2 Glazed swinging entrance&revolving doors:max. 1.0 cfrn/ft2;all � , other products: 03 cfm/ft2 Joints/Cracks 50233 To be caulked,gasketed,weather-stripped or otherwise sealed � Dropped Ceiling Cavity 502.3 Vented: seal&insulated ceiling.Unvented seal&insulate roof& � 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 � HVAC Ducts 503.2.7 Air ducts,fittings,mechanical equipment&plenum chambers 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/off switch. Motors 505.7.5 Motor efficiency criteria have been met � Lighting Controls 505.2,502.3 Automatic control required far 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 3/13/2013 Page 13 of 13 CITY OF ZEPHYRHILLS, FLORIDA 5335 8th Street OCCUPANCY Z�PORARY NAME wallace Associate� DATE 7n/��/i'� ADDRESS 36819 Eiland Blvd unit 'L . PARCEL I.D.#04�26-21-0000-00100-OObO SUBDIVISION GitX, �f 3��hyrhi 3 1 a TYPE OF BUILDING Commerical — Dialyels PERMIT# 14184 ' REMARKS Pe.r BB see below FINALDATE: 10/3C1/t'i BILL BURGESS BUILDING OFFICIAU ib '1 �-' WHITE : Contractor or Owtf�#**************�**C01�NT5***************** YELLOW: Bldg. Dept. Approval to place items in unit tesnporar� occcupancy for PINK: Utilities Dept. �� • 1X Result Report P � 10/31/2013 08:06 S8Yld1 N0. A0�11001438 'i�: 183154 Addressee Start Time Ti�e Prints Result Note 917275200789 10-31 08:05 00:00:29 001/001 OK Note M�I�X= ��le S��edC��i�i BUL�Bulletin.iSIP�SIP Fex�FIPADR�iP ddrRTS�Fax.TX. I-FFIX�"I�I�ePI76t FaX - Result OK: Connunication OK, S-OK: Stop Co�munication, Pw-OFF: Po�rer Switch OFF, TEL: RX fran TEL, NG: Other Error, Cont: Continue, No Ans: No Ans�er, Refuse� Receipt Refused, BusY: Busy, M-FuI1:MlemorY Full, LOYR:Receiuing len9th Over, POUR:Recefuing pa9e Ouer, FIL:File Error, DC:Decode Error, MD�I:MDH Response Error, DS�I:DSN Response Error. C�TY O� ZEPHYRH�LLS� FLOR��A S3S5 8t1� 3eroot o Y OGCUPANCY NAME Waiia a oc+�r� OATE�p/z��i: A��RESS_ 36ai9 Eilaad 8z..w . � PARGEL l.�.tlt 04-26-22-OOOA�on�nn_r�r��n SUB�NIS�ON �t r�. ..v �e�hy�s,�� TYPE�F BUIL��N6_ com�er+c t _ n tor off+ pERMfTylk �s�ua REMARKS PlNAL�ATE: �n i an i�a S�LL Bl.lRGESS 8l.l�L�fNG OFF�CL�U �n WNITE : ConY�l��r+�w�Orw��w�wys�skCO1�NTSsk+Rwwwww�w�wwwy.wwww YELLOW- Bld�. ��pt_ I►ppRppAi, Tp pypCE ZTHMS 2N UN=T TE[IPORARY OCCVPANCY FOR PINK: Uti1�H�s �opt. 10 DAYS� C�TY OF ZEPHYRM�LLS■ FLORl�A � 5335 8th Stro�t ��-- - — - -- OCC�JPANCY TEUIPORARY NAME idaliac• Aasociatea �ATE •n/a a i�z A��RESS 36819 H11and Blvd uait 2 PARCEL l.�.N04-26-21-0000-00100-0060 SUB�IV1810N cY ry .,t ��=yy:.�t..i�_ rl/PE OF BUIL��NG_ Comm�rlcai - Dialvsis PERM/T�t 1 61A6 , RLIIAARK3 Pe= 88 saa b�1ov F�NAL�ATE: t n i�n i�a 31LLBUROESS 8�1L�IN�i OFFICIAV jb NH�TE : Contractor or Ow�hM+t+t+4�+►y►+k+t+kst�ww+t rey►CO2�IItENTB+�+t�+►+t+��++kw+awww+kw+tse fELLOW: Bldg. ��pt. Approval to piac� itsms ia auait tomporary occcupaacy For � ��NK: Utllitl�s ��pt_ 10 dayw�