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Home My WebLink About13-14185 CITY OF ZEPHYRHILLS 5335-8TH STREET �� (813)780-0020 ' i`+i o5 BUILDING PERMIT Permit Number: 14185 Address: 36801 EILAND BLVD 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: 04-26-21-0000-00100-0060 Improv. Cost: 665,640.00 Date issued: 5/22/2013 Name: BILL NYE REAL & SIMPLY THREE LL Total Fees: 6,945.32 Address: 34619 SR 54 Amount Paid: 6,945.32 ZEPHYRHILLS FL 33541 Date Paid: 5/22/2013 Phone: Work Desc: SHELL ONLY 12,000 MEDICAL BUILDING JN ELECTRIC OF TAMPA BAY INC PLUMBING FEE 302.55 FIRE PLAN REVIEW FEES 720.00 TEHAN PLUMBING INC POLICE IMPACT FEE 1,548.50 FIRE IMPACT FEF 1,643.50 PUBLIC SAFETY 5°/a 159.60 � ��C �� - , 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 wili comply with Florida Statute 553.80(2)(c)when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notiae of commencement may result in your paying twioe for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be performed in acaordance with Ci Codes and Ordinanaes. NO OCCUPANCY BEFO C.O. C'� � C��.�- ICONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �ss�� !� (�'� ' ��5 `� -� -- `� �' ,� -�y ,,�� d� I , City of Zephyrhills �`� BUILDING PLAN REVIEW COMMENTS � Contractor/Homeowner: /�� UC�14�.1' Date Received: �� Site: Permit Type: �'``'� ��u 1 GY�lt� /�l C,�1-L 2, .5a� �� Approved w/no comments:❑ Approved w/the below comments: Denied w/the beJs��omm • ❑ r �- ,� 'c�� „�` . �� 1,�,�,� ;� � �.� � E % i7'lt -r.� J, �z�% � ' i�Pc v�� _ �__.__._ _.�- i This comment sheet shall be ke t with the permit and/or plans. ,�1, P,,' , - �-�-� �.,�,�,� ,� � �� Kalvin S itzer- s aminer Date Contractor and/or Homeowner � � (Required when comments are present) �"'. 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: 36801 Eiland Blvd PHONE NUMBER: 727'-525-0700 Zephyrhills fl 33542 EMAIL ADDRESS: SERVICE ADDRESS: 36801 i Eiland Blvd SHUT OFF SERVICE ❑X X❑ WATER TURN ON SERVICE ❑ ❑ SEWER INSTALL MEfER X❑ ❑ GARBAGE READ MEfER ❑ ❑X IN CITY CHECK METER ❑ ❑ OUT CITY OTHER ❑ DESCRIBE OTHER: �rrigation ( � '.�' NUMBER OF UNITS DEPOSIT AMOUNT AMOUNT LAST BILL DATE MISC. CHARGE METER: FULL IIRRIGATION 1'•5 I WORK COMPLETED BY&DATE ORDER TAKEN BY: Jackie Boges COMPLEfED ORDER GNEN BY: on file Wallace Associates Revised 9/2070 Shell-Eiland 8 Simmons Rd-Wallace Associates-12,000 sq ft building 4 i r85 SQ. FEET PRICE MAIN OR LIVING: 12,000 $ 55.47 OTHER AREA UNDER ROOF. - $ 88.00 OTHER: - $ - VALUATION $ 665,640.00 FEE SHEET $ 2,017.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 2,117.34 ELECTRICAL: $ 453.83 PLUMBING: $ 302.55 MECHANICAL: n/a SUB-TOTAL $ 2,873.72 TOTAL S 2,873.72 SEWER: n/a charge at b/out WATER: n/a charge at b/out IRRIGATION: $ - TOTAL: S - WATER METER: n/a IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 720.00 INSPECTION TOTAL: n/a PERMIT TOTAL n/a TOTAL: S 720.00 PUBLIC SAFETY IMPACT FEES POLICE $ 1,548.50 FIRE $ 1,643.50 5% $ 159.60 TOTAL: S 3,351.60 SUB-TOTAL $ 6,945.32 PARK IMPACT FEES SIF'S: 100.0% $ - 1.0% $ - TOTAL: 5 - TIF'S: 99% $ - 1% $ - TOTAL: $ 6,945.32 . 813•760-0020 City of Zephyrhilis Permit Application fax-$13-760-002I 8uilding DepaAmeM ..,. � Oate Recetved � p�ne Contact tor Permittin _, •- - -i-f T-1-1-I"f 1" C�.'L]�� rr"r�-i-[' p y Ownefs Name M�- (4�i►�Q �-L e' Owner Phone Numbar o� � 1$Q� ��1� —r��—� �� 3 41�3°� Owner'a Addreas �SO 1 A E L�A +�—'� �°� FL Owner Phone Number � _� Fee Simple Titleholder Name Owner Phone Number � � Fee Simpte Titleholder Address � JOBADDRESS ENO�T)� l(.ANJO L�D • S o �• � J�, LOTK �� SUBDIVISION � ��► rl � PARCELIOq � (OBTNNED FROM PPOPERTY TA%N0710E) WORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOIISH INSTALI REPAIR PROPOSED USE Q SFR �„ COMM � OTHER � TYPE OF CONSTRUCTION �, BIOCK Q FRAME Q STEEL Q � DESCWPTIONOFWORK 1N4LF ToQ _ (�EE ,�.►ANOiNl9 �ARSoNQ 1'�OS w FVVL S iTF BUILDING SIZE `N �aL� T� � S FOOTAGE ,Z 1 1Dp� HEIC�HT � M A x �BUILDING 1, �jA�,UATION OF TOTAL CONSTRUCTION � �QEIECTRICAI 5 AMP SERVIC� � PROGRESS ENERGY Q W.R.E.0 � %� 7 ' �. � :f��, � QPLUMBING S �' �/�� , ' �tr x '� � �MECNANICAL �� VALUATION OF MECNANICAL INSTALLATION z �GAS � RpOFING Q SPECIALTY � OTHER �� ,��,,, FINISHED FLOOR ELEVATIONS /1 � ` O FLOOD ZONE AREA OYES NO �� X�� ..y BUI�DER // COMPANY �A�'�a�C ASS�C.�ATES LL�..� SIGNATURE �+�'l.�- � REGiSTEREO Y/ N iEE CURREA Y/N Address �� a• M•�'• �. .N. ST• £'(� � 33�03 Licensei GVL d 3L1 � ELECTRICIAN 1 COMPANY �� /L/ I.i ! �� `�� SIGNATURE RE6ISTERED Y 1 N fEE CURRE� Y 1 N Address License/ V�Z�� PLUMBER �� J.��jJ��__ �CQK�+/J�/� COMPANY � SIGNATURE � � ` RE61StERED Y/ N FEE CURREA Y/N Address License�1 � MfeCFlAOIIliM►� �� ` � SIGNATURE REGISTERED Y 1 N FEE CVRREA Y J N flISdT�ef '��@�� OTHER COMPANY � SIGNATURE � � REOISTEREO Y J N FEE CURREA Y J N Addresa License M� � IIIIi1111i1111111111111111I1111111111111111t111111111111i1111111111 RESIDENTIAL Atlach(2)Pbt Plans;(2)sets of Building Plans;(i)set of Energy Forms;R-O-W Pemdt for new consWCtan, Minimum fen(10)working days afler subrtrttai dete. Requi�ed onsite,Cautruction P1ans.Stamwater Plans wl SYt Fence installed. Sanitary Fadlities&1 dumpster.Site Work Permil tor subd"Msions/large projects COMMERCIAl. Attach(3)complete sels oI Buiklinp Plans plus a life Safety Page;(1)set ot Energy Forms.R•O•W Permit tor�ew conslruGion. Minimum lan(10)workinp days aRer submittal date. Required onsite.Constac0on Plans,Slortnwater Plans w/5iit Fence inslalled. Sanitary Fea�itias 8 1 dumpster Site Work PertnH for all new pr�ecls.All commerdal requiremeMS must meet compliance 51GN PERMIT Atlach(2)sets M Engineered Plans. ""PROPERTY SURVEY reqWred tor all NEW conswctan. DVecdona: Fill out application complele�y Owner&Contraaor sign back o(application,notanzetl If over f2500,a Notice of Commencement Ia requ{red, (AIC upgrodes over t7500) " Agenl(lor lhe contractor)or Power of Attorney(for the owner)vroutd be someone wiih nolarized letter irom owner authorizing same OVER THE COUNTER PERMITTING (Front ol P,pplicaCron Ony) Reroofs i(shmgies Sewers SeMCe Upgrades A!C Fences(PIOVSurvey/Footage) Dr(veways-Not over Counter A on public roadways.needs ROW 95/21/2013 08:01 8138187006 TEHAN PLUMBINGINC PAGE 01/62 Frow: 05/21«013 07:D7 �297 p.Ofl1f002 eu.v�loonoo C9t�"M Ze�Y�s Pa�mlt appllcatfon �•oa�y�aaaR� �� e.wwtwa " , •rr-rrr+'n- 4L'�. ONeaMaw�r � "7�o-$11''� o.w.�. 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(MC uppne�a owr=7i00j " ApeM tfor IM oorMnGOr)a Pw�rW A�ornsY(forri�ewn�wala bs wnrme wltb nWSNed INlar tom a�r auhoArJnp a�me OVERTlIECWNTERPEW6Ti1N(i (F�onto/AppqplbnON� Raroolt lf�li�plst Sawars SKNC�Upphdu NC Fanos�(PIOYSUreyfFoot�Oel D+1v�waya-NOI owr Co�wM�r Y on puefa ro�Ow�ys..nsWs ROYV NOTICE OF DEED RE3TRICTIONS: The undersigned understands that this perrtrt may be subject to"deed"restrictions" which may be mwe restrictive than County regulaGons. The undersigned assumes responsibility for compliance with any applicab�e deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI8ILITIES: If the owrrer has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulalions. If the contractor is not Iicensed as required by law, both the owner and contrador may be cited for a misdemeana�violaGon under state law. If the owr�er or intended contractor are uncertain as to what lioerufng requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Di�rision--Licensirtg Section at 727-847- 8009. FuRhermore, if the owner has hired a contractor or contraciors, he is advised to have the conlractor{s) sgn portions of the"contractor Block"of this application for which lhey will be responsible. If you,as the owner sign as the contractor,that may be an irxiication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPAC7 AND RESOURCE RECOVERY PEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may appiy to the constructi�of new buildings,�hange oi use in existing buildirgs,or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07,as amended The undersigned also understands,thai such fees,as may be due,will be identified at the time of permitting. li is turther underslood that Transportation Impact Fees and Resource Recovery Fees must be paid prior lo receiving a"cenificate of occupancy"or final power retease. If the project does not invoive a certificate of o�upancy or final power release,the fees must be pafd prior to permif issuance. Furtherrrwre,if Pasco County WatedSewer Impact fees are due,they must be paid prior to permit issuance in accordance with appiicable Pasco Counry ordinances. CQNSTRUCTION LIEN lAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer ANairs. If the appticant is someone other ihan the"owner",I certify that I have obtained a copy of the above described document and promise in good failh lo deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVI7: I cerGfy that aU the information in this application is accurate and that ail work will be done in compliance with all applicable laws regulating construction,zoning and larx!developmenL ApplicaUon is hereby made to obtain a permit to do work and instaltation as indicated. I certiry 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 regula6ng cor�struction, County and City codes, zoning regulaUons, and land development regulations in the jurisdicGOn. I also ce�tify that I understand ihat the regulaiions of other government agencies may apply to the intended work,a�d thai it is my responsibiliry to identity what actions I must take to be in compliance. Such agencies indude bul are not limiled to: - Department of Envlronmentai Protection-Cypress Bayheads, Wetland Areas arxi Environmentally Sensitive Lands,WatedWastewater Treatment. - Southwest Florida Water Management District-Welis, Cypress Bayheads, Welland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigabie Waterways. - Department oi Health 8 Rehabilitative 5erviceslEnvironmental Health Unit-Welis, Wastewater 1'reatment, SeptiC Tanks. - U5 Environmentai Protec6on Agency-Asbestos abatement. • Federal Aviation Auihority-Runways. i understand that the following restrictions apply to the use o(fill: - Use of fill is nol ailowed in Fiood Zone"V"unless expressly permitted. - If the fill materiat Is to be used in Ftood Zone "A", It is understood that a drainage plan addressing a "compensating volume"wili be submitted at time of permitting which is prepared by a professional engineer Iicensed by the State of Florida. - It the fill materiai is to be used in Fiood Zone "A" in connection with a permilted building using stem wall construction,I certify that fill will be used oniy to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fili will not adversaly affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit appBcation,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permilting conditions set foKh in this a�davit prior to commencing construction. I understand that a separate permit may be required for elecirical work, plumbing, signs, wells, pools, air conditioning, gas,or other installations not speafically induded in the application. A permit issued shali be construed io be a license to proceed wiih the work and not as authority to violate,cancel,alter,or set aside any provisions of the lechnicai codes,nor shali issuance of a permil prevent the Building Official from thereafler requiring a correction oi errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a pe�iod of six(6)months after the time the work is commenced. An extenston may be requested,in writing,from lhe Buflding Offiaal for a period not to exceed ninety(90)days and wili demonstrate justifiabie cause for the extension. If wo�k ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO O ER: YOUR FAILURE TO RECORO A NOTICE OF COMMENCEMENT MAY RE3ULT IN YOUR PAYIN(3 TWICE F R PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO 08TAIN FINANCING,CONSUIT WITH Y R LEN R AN RNEY BE RECORDING YOUR N TICE�F C MENGE ENT. FL IDA,RIRAT(F.S 1 7. /J OWNER OR AGENT ._ CONTRACTOR /.i�4 � _ Sub�Q;e�,d andbswom lo r aHimied)betore me this p�� rul ubs 'b, and bnvaorn ( affk )bef ine Ihis _ - �.Y�At�S �• AoA�R, Who is/are to me a hasrtiave produced Who�s/are perso�ally krwwn to me or haslhave produced es identiBcaUon. — as idmtMcetion. ��.{�11� % �� Notary Public 1 l �-�""r �V Cort�mission Na. L� l� C �J L�� Commiuion No.�E $�`�by°1 plic State W Florida �Q i��r'.I�•• G v U,�C� rw A Lo G c.E Qo . . Thomas M LoCicero Name of Notary typed,pnnted or stamped Name of Notary ryped,pdnted or stamped ISSIOn EE 884849 '-- q E'KpiretOt113/20t7 �� . . Mll�ry�'�IIC•qMf 01 ii/1ih Mp Co�n.E�Nu Al�r 1�.Y01 � ,�• Co�nn�ion N ff ilES00 .`�A�r.�r� OJIi00 Aj'�iMi �is�11�•�f�M'1 k�N �. +4S.�t pM�aaiq�t�.�n�o1 WA , �Qt64t �3�t noMasern+�tn� L�.,,.,',N�,••'" _- __,......�.,_�,.._......,,�,..__._..__._,.�w... _..._ .. _ _. _�., . .. ,. .._,__��,a��,�,««�.�,..r..�_.., .. ._._..._,........,.,..,�.��,,, Pasco County Parcel: 04-26-21-0000-00100-0060 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, May 04, 2013 Parcel ID 04-26-21-0000-00100-0060 (Card: 001 of 001) Classification 10 - Vacant Commercial Mailing Address Property Value BILL NYE REALTY INC & Ag Land �o SIMPLY THREES LLC Land $793,973 34619 SR 54 Building �o ZEPHYRHILLS FL 33541-2132 Extra Features �o Phvsical Address - See All 3 addresses (First Shown) ,7ust Value �793,973 36819 EILAND BLVD 102 ASSeSS2d (Non-School Amendment ZEPHYRHILLS FL 33542 1� $793,973 Leaal DescriDtion (First 4 Lines) COM AT SW COR OF SE1/4 OF Taxable Value �793,973 SE1/4 OF SEC 4 TH NO2DEG 34' 22"E ALG WEST BDY OF SE1/4 OF SE1/4 523.24 FT TH S89DEG 51' Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value �� 1000 COMMERCIAL OPUD 11,000.00 SF $6.50 0.80 $57,200 � 1000 COMMERCIAL OPUD 39,000.00 SF $5.00 0,80 $156,000 �� 1000 COMMERCIAL OPUD 212,271.00 SF $3.42 0.80 $580,773 Additional Land information Acres 6.02 Tax Area 30ZH FEMA �Commercial Code CMAJ8FG C�� Code Building Information (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) Line Description Year Units r Value No Extra Features Sales History Previous Owner SILVER NICKEL INVESTMENTS INC Month/Year Book/Page Type Code Condition Amount 07/2006 7082 / 1183 Warranty� Vacant $1,187,800 Deed http://appraiser.pascogov.com/search/parcel.aspx?sec=04&twn=26&rng=21&sbb=C1000&b... 5/10/2013 Pasco County Property Appraiser- Physical Address List for: 04-26-21-0000-00100-��060 Page 1 of 1 Welcome : Records Search : Parcel Details : Physical Addresses Physical Address List for Parcel: 04-26-21-0000-00100-0060 Displaying 3 records View in groups of: 10 25 50 100 5C►0 Street Number Street Name + Unit 36801 EILAND BLVD 36819 EILAND BLVD 101 36819 EILAND BLVD 102 Pasco County Property Appraiser Page Layout Modified: 2/17/2009 1:10:37 PM The Local Time Is: 5/10/2013 10:21:46 AM http://appraiser.pascogov.com/search/physadd.aspx?parce1=2126040000001000060&eas=... 5/10/2013 Map - Pasco County Property Appraiser Page 1 of 1 Pasco County, Florida 1.8 miles WNW of Zephyrhills Mike Welis � i � . Pasco Countv Prooertv M�raiser LT !A LAN . When I click on the map: � Quick Info Full Info* o Zoom In 1.5x Choose Layers: � -- Parcel Lines(Default) ' -- Parcel Labels(Automatic) --Street Names(Automatic) 2011 1 ft-Color --Select Additional Layer --Select Grouping � � Image Size / Quality: � o�000 (Quality applies if imagery is selected) Low Quality(Fast/JPEG) Links of Interest: rtP�anr Salea in this area ` T � �arch for oroo in Pasco Man Search � 2,631 Feet MapID#18172287/4222 Street name information is maintained by the Pasco County BOCC GIS Department. http://maps.pascogov.com/maps/showmap.asp?Name=PascoMap_New&mdi=18172287&... 5/10/2013 ��'f�t�twc.J GCJt.It�+lTY y ri_.Clk1:I>� i��f�i:;��.a �. ��)F ti-- C:CJi�!'T'kACTOt� #: �i'S"5"�'S�'� :f SSIJF� O�H:C CF:: A �!(ai'+41=:� C:I-Il1C��: (tZ)(-1l:fi lii�'l.:I::l:�''i" �lU�iT�h« O:I.:;;:;;.;��Ea:i f1I}X?F.:: 5�.;�; i�(Lk; �3'T"hi::�::'Y' UFF':Lt::�:::: D�iI7T:: (.;:I:TY ClS'r: �.iT �'F=.T"F_. F�CIF�� GHE:C;R:: # CCAfiD C�r.li�lT�:fit:;'f'UF::: ��S'S��i�99 �rf]�TAI... �1MOlJi�E�':� c5(7�at? FaC;Ci*!�' [::C)�il�'�+lY (�CC:C�Ui�'T C:I_�!f 1�=�': (��t{:1tJ�l7 tJ!_:�iC:1'�iXF''T'7:(:li�!/F'E:Fi'fif7' I?(-t'T'(-1 I11�lCF� :t}4 B�i(?:I. — ��4:i.:;q�4 -- .? 20.nU t�I� SERVT.C1�:�3 fs0 :..'U� L�401 •- ':;4:1::;t)�4 •- ;�'. :?t).,t�U Ci I:£y �E.F:V]:CF��i f►U '?U4 �OC}:1. -- ;��:L::.U� •- `.? '.?�..t�q GI:.7 ��.RVICF� b0 �k:C:E.I'V�U �.�Y ____ . __..._._Q S NELL : 3 6$OI �ILA^lD $I.V� 3�(� [`� ��.� �3(V� F M G ; SJ t'�E l 0 i �A•I�TA : ��31'fE �oa �S�V�� \�� `�' �r � /, / ✓ City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: / � /r�( �� / ��j OC� �— Date Received: �.-�' ..3 � Site: �� /' ��'f'(s�!'�l�'j / ,�J � /� ,�" Permit Type: S`'�� l� /G'�`CI i��t � � Gf�1G�/�1.- � Z,��' `� �/ � � 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. --�--� � � Kalvin Switzer Pl s Examiner e Contractor and/or Homeowner (Required when comments are present) ��pHYRH[L[�� FIF�� DE�AR�f�[EN� 6907 Dairy Road, Zephyrhills, FL 33542 FIRE SERVICE USER FEES Occupancy No.: Plan No.: Contractor: Business Name� 1c�SS,C�- 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 a50 1st Alarm N/C Mutti-Family/Commercial ��0��f� 1 st Re-inspection N!C Standpipes $50 2nd Alartn N/C (M�nimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C � Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEU�S (Business closed until LP Gas $50 6th Alarm $200 0-25 Heads $50 violations corrected) Natural Gas $50 NON CAMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- perrank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 per sys�em Fire Works $500 FIRE PUNiP Acceptance Test $45 per syslem Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Bum 5100 FIRE ALARM SYSTEM Hood/Duct $50 8 0-25 Devices E50 FIRE ALARM SYSTEM Place of Assembly $50 Annual 26 plus Devices a100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acoeptance $50 F�ammable App�ication $50 Annual Wet $50 OTHER Waste Tire Storage $50 Annual Dry $50 Fire WalUSmoke Wall $15 per wall Generator<KW a100 CO2 $50 LP Gas $25 per unk Generator>30 KW 150 Other $50 Neturel Gas $25 per system Bio-Haz2ird Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting a50 �Nood/Ducts $50 Tent 10k10'or greater $15 pertent Torch PoUApplied 350 OTHER Fire Pump $45 Haz.Materials $1OO Mnual 8 LP Instanatlo�per tank a50 Fire Suppression $30 Fuel Tank Installation $50 System Acoeptance (Per Tank) $50 E�aust Hood/Duct a30 �Natural Gas Installatlon $50 Re-inspection DBL (Per System) (other than annual) � Spray Booth $50 � Inspection scheduled DBL 8 and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle A� $50 FALSE ALARM PLANSTOTAL!1�� INSPECTIONTOTAL� PERMITTOTAL� TOTAL� GRAND TOTAL . ��. Comments: Date: ,S� 3� �n,3 , Inspector: -��- c�� `�,2 t' � ��'l �.. rnn J �� . � :. ��; � Ene��u�e�i�ii��it��Q'4��:�tt�t�T�v,�'1� --� �`:�ti �'c�t��t�tg�rf�'�i��e�nd#t�rr�m�� . . PROJECT SUMMARY Short Desc• FMC Description: Florida Medical Clinic Owner: Florida Medical Clinic Addressl: Eiland Blvd. &Simon Road City: Zephyrhills Address2: State: Florida Zip: 0 Type: Office Class: Ne;w Finished building Jurisdiction: ZEPHYRHILLS,PASCO COUNTY,FL(611600) Conditioned Area: 2480 SF Conditioned&UnConditioned Area: 2480 SF No of Stories: 1 Area entered from Plans 2480 SF Permit No: 0-- Max Tonnage 4.�) If different,write in: _ EnergyGauge Summil�Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/16/2013 Page 1 of 8 Compliance Summary Component Design Criteria Result Gross Energy Cost (in $) 2,487.0 2,922.0 PASSED LIGHTING CONTROLS PASSES EXTERNAL LIGHTING None Entered 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 EnergyGauge Summil0 FlalCom-2010.Section 506.4 Compliant Software.Effective Date: March 15,2012 4/16/2013 Page 2 of 8 CERTIFICATIONS I hereby certify that the plans and specifications covered by this calculation are in compliance�nr,'th the Florida Energy Code � � Prepared By: Garland Patterson Building Official: � Date: �1C�' ��Z Date: �i � � � I certify that this building is in compliance with the FLorida Energy Efficiency Code Owner Agent: Date: _ If Required by Florida law, I hereby certify(')that the system design is in compliance with the Florida Energy Efficiency Code Architect: Joseph Oliveri Reg No: 14028 Electrical Designer: William Ritola Reg No: 59480 Lighting Designer: William Ritola Reg No: 59480 Mechanical Designer: Garland Patterson Reg No: 14175 Plumbing Designer: Garland Patterson Reg No• 22812 (') Signature is required where Florida Law requires design to be performed by registered design professionals. EnergyGauge Summit�Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/16/2013 Page 3 of 8 Project:FMC Title: Florida Medical Clinic Type:Office (WEA File:FL_TAMPA_INTERNATIONAL_AP.tm3) Building End Uses 1)Proposed 2)Baseline Tot11 156.30 :t29.20 $2,487 $3,653 ELECTRICITY(MBtulkWhlS) 156.30 229.20 45799 67153 $2,487 $'3,653 AREA LIGHTS 2�.ao 2s.so 8024 8354 $436 $454 MISC EQUIPMT 3�.20 3�.20 io9oo io9oo $592 $593 PUMPS�MISC o.io o.io 17 15 $l $1 SPACE COOL ss.2o ��.so 16186 22807 $879 $1,241 SPACE HEAT 9.30 9.°° 2738 2642 $149 $144 VENT FANS 2�.io �6.60 7934 22435 $43l $1,220 Credits Applied: None � PASSES Passing Criteria = 2922 Design(including any credits) =2487 Passing requires Proposed Building cost to be at most 80% of Baseline cost. This Proposed Building is at 68.1% EnergyGauge Summit�Fla/Com-2010.Section 506.4 Compliant Software. Effective Date:March 15,2012 4/16/2013 Page 4 of 8 External Lighting Compliance Description Category TYadable? Allowance Area or Length ELPA CLP (W/Unit) or No.of Units (W) (W) (Sqft or ft) None Project:FMC Title:Florida Medical Clinic Type:Office (WEA File:FL_TAMPA_INTERNATIONAL_AP.tm3) Lighting Controls Compliance Acmnym Ashrae Description Area Design Min Compli- ID (sq.ft) CP CP ance PrOZo1Sp1 17 Office-Enclosed 2,480 5 1 PASSES PASSES EnergyGauge Summii�Fla/Com-2010 Section 506.4 Compliant Software.Effective Date:March 15,2012 4/16/2013 Page 5 of 8 Pmject:FMC Title:Florida Medical Clinic Type:Office (WEA File:FL_TAMPA_INTERNATIONAL_AP.tm3) System Report Compliance PrOSyl System 1 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 Air Cooled 13.50 ]2.23 14.0(} PASSES <65000 Btu/h Cooling Capacity Heating System Electric Furnace 1.00 1.00 PASSES Air Handling Air Handler(Supply)- 0.30 0.82 PASSES System-Supply Constant Volume Air Handling Air Handler(Return)- 0.30 0.82 PASSES System-Return Constant Volume Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) Air Distribution ADS System(Ret) 6.00 PASSES System(Ret) PrOSy2 System 2 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 14.00 12.23 14.00 PASSES Split System<65000 Btu/h Cooling Capacity Heating System Electric Furnace 1.00 1.00 PASSES Air Handling Air Handler(Supply)- 0.30 0.82 PASSES System-Supply Constant Volume Air Handling Air Handler(Return)- 0.30 0.82 PASSES System-Return Constant Volume Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) Air Distribution ADS System(Ret) 6.00 PASSES System(Ret) PrOSy3 System 3 Constant Volume Air C'ooled 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 14.50 12.23 14.50 PASSES Split System<65000 Btu/h Cooling Capacity EnergyGauge SummiK�Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/16/2013 Page 6 of 8 Heating System Electric Furnace 1.00 1.00 PASSES Air Handling Air Handler(Supply)- 0.30 0.82 PASSES System-Supply Constant Volume Air Handling Air Handler(Return)- 0.30 0.82 PASSES System-Return Constant Volume Air Distribution ADS System(Sup) 6.00 4.20 PASSES System(Sup) � PASSES Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance �— None —� Pmject:FMC Title:Florida Medical Clinic Type: Office (WEA File:FL_TAMPA_INTERNATIONAL_AP.tm3) Water Heater Compliance Description Type Category �sign Min Design Max Comp Eff Eff Loss Loss liance Water Heater 1 Electric water heater <= 12 [kW] 0.94 0.93 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 SummitC�FlalCom-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/16/2013 Page 7 of 8 Project:FMC Title:Florida Medical Clinic Type:Office (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:�ttached � 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. l.0 cfm/ftz;all � other products:0.3 cfm/ftz Joints/Cracks 502.3.3 To be caulked,gasketed,weather-stripped or otherwise sealed � Dropped Ceiling Cavity 502.3 Vented: seal&insulated ceiling.Unvented seal&i�sulate roof& � side walls HVAC Efficiency 503.2.3 Minimum efficiencies:Tables 503.2.3(1)-(8) � I-NAC 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 ar•e 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.Far�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 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 4/16/2013 Page 8 of 8 ❑ � � � o � ot Q �, a � �' N � w Hu F �� v� .� a�i � ' � '� � . � Q �, c a� w o w � ,� z o z � N � F ++ L "� ..�i O � � � °� o � a � � '� � � � y � � � ��., �n � � � �o:� ++ � � Q ''� cv , w h � � �' � � xu o � � � � v z � � a � � � w 3u o � � � � � � o `� � � � N � � � F �" y V �w 8 a� Q� �"� C !0 A u � � A � O a � � � .� N cn � � a � o � w � a z w -d o � F a ~q o 'c �' U � '� � U � V � � U '� b '� > � U � � � � � C •� � '� '� � p jQ ++ O fS. w W � o �•4 �' " '� -- o. 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