HomeMy WebLinkAbout13-14266 � CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 1 4
BUILDING PERMIT
Perrriit Number: 14266 Address: 37920 MEDICAL ARTS CT
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0080-00000-0021
Improv. Cost: 700.00
Date Issued: 6/10/2013 Name: PREMIER COMMUNITY HEALTHCARE G
Total Fees: 60.00 Address: P.O. BOX 232
Amount Paid: 60.00 DADE CITY FL. 33526
Date Paid: 6/10/2013 Phone: (352)518-2000
Work Desc: 10 FT PERGOLA OVER PICNIC TABLE
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site t) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other 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 acxordance with
Ci odes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONT , TOR SIGN TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 ��� City of Zephyrhills Permit Application ����'ax-s�s-�ao-oo2�
� ��� Building Department � (�� _ � "
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Date Received <�- �
�- Phone Contact for Permittin �' -- ���� ��� �'DOc�
Owner's Name C ��CM\� �`n.M v�v: \�(�,-� � Owner P,tyorfe Number
�_O � NC-
Owners Address � � r � , Owner Phone Number
3�sac�
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � 1 I�O �C _\C \ � -� UCZ LOT� ��
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SUBDIVISION PARCELID#,�� �c� �� I"OVOb— ��O-Cj��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR � COMM [� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK ^ � �� �C � �
BUILDING SIZE SQ FOOTAGE NEIGHT
[�'�ILDING E �!� f�f , VALUATION OF TOTAL CONSTRUCTION
�J ��,tiJ � �,f �� �
QELECTRICAL $ AMP SERVICE Q PROGRESS E RG Q W.R.E.C.
C�7�e�� �/�' G�F� C?.L ��
QPLUMBING $ �7��l�'l� �Gr2%ri�'1 �P .
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OMECHANfCAL $ VALUATION OF MECHANICAL INSTALLATION ����� � � r'i a'
�m�t � � ;,�,1
[�GAS Q ROOFING Q SPECIALTY 0 OTHER �
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FINISHED FIOOR ELEVATIONS FLQ�ZONE AREA QYES NO
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BUILDER ~' �-V', COMPANY ������Z ���1�V��ti�
SIGNATURE �- ��. � � ��
� REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y J N
Address License# � —�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
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)v�roricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FadNties&1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(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
31GN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construcUon.
Directions:
Fili out applfcation completely.
Owner 8 Contractor sign back of application,nota►ized
If over 52500,a Notice of Commencement is required. (AIC 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(PlotlSurvey/Footage)
Driveways-Not over Counter if on pubiic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibflity for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "ce�tificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
ce�tify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, t certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by�II, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWiCE FOR IMPROVEMENTS TO YOUR PRQPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BE ORE RECORDING YOUR NOTICE OF CO E E . —
FLORIDA JURAT(F. 03) � �\ ,. �, _
OWNER OR AG � CONTRACTO �
Subs'�be�d�and swom to a rmed)before me s bscribed and swom to(or aiflrm before me this
���'�:.b.J 2-bY ' bY
Who Is/are personally known to me or ha ave pro u o is/are personally_known to me or haslhave duced
�--- as IdenGfication. as identl �._
� Notary Public Notary Public
Comm J NIFER MAFFETT Com ` on N . R MAFFETT
=•; �•*: MY COMMISSIUN#DD925881 _., � ';,:
Name f ed,p n e or s �1e ' Name of Nota � t���g ctober 28,2013
(407)3 -0 Flo dallotarya�ke.com 407�398-0153 FbrideNWaryServke.com
� DISCLOSURE S'►'�'►'F•�•NT .EOR OWNER
C=TY OF ZEPHYRH2.L7.S StT2LD2NG DEPARTMENT
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= have read arsd fully understand atid
,
agree •to the provisions of �this trument.
The undersigned states and affirms that he or she is desirous of constructing,
r�ovating, adding to or reroofing his or her own domicile, •that he or she
actually occupies, or wi11 occupy by said domiczle, and same is not for
•rent, lease or sal.e. That he or she sha11 comply with the following conditions:
1. That the owner and.he or she alone sha11 act as the builder for all phases of
construction. -
2. That the owner will comply with a11 provisions of 'the City of Zephyrhills
ordiaances and c`odes pErtineat to the buildiag.
3. That in the event various phases of' const=uction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. �hat in the enent the Building Inspector shall rec�,;re corrections to be made,
the oFmer will assume full responsibility to insure �they are made, and upon
completion will ca13 for a =e;*+_�ctioa before proceeding with the building.
5. That the owner sha11 assume fu11 responsibility for the construction aad wi11
not expect_ supervision of his work f'rom the City of Zephyrhills Building
Departmesit.
6. That prior to fiaal inspection aay additional fees, including reinspection
fees, must be paid a.a full. A written requsst from this office sha11
constitute an official notice -to pay add.itional fees..
7. That the owner sha11 comply vrith a11 City, State and Federal laws in regard to
social security, workman's compensatioa, lien 1aws, etc. , where applicable.
8. That the owner sha11 comply wit� a11 the safety codes issued by the Florida
Industsial Com�i.ssion.
9. State law re�T�Tas constrLiction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owsaer o£ yovr property, to act as your own contractor vrith certain
restsictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-fam�.ly residence or a fazm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building or resideace must be for yovr own use or occupancy. St may not
be built or substantially improved for sale or lease. If you sell or lease a
bvilding you have built or substaiitially improved yourself within 1 year after
the construction is complete, the law �,ri11 pres�e that you built or
substanti.ally improvad �if for sale or lease, which is a violation of this
BXemption. You may aot hire an unliceas�d person to act as your contsactor or
to supervise people working ori your building. It is your responsibility to
make sure that people employed by you hane licenses rern��red by state law and
by courity or murli.cipal licensing ordinaaces. You may not delegate the
responsibility for supervisiag work to a licensed contractor who is not.
licensad to perform the work beiag doae. AnX person wor3cing oa your building
who is not liceased must work under your di.rect supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compeasation for that employee, all as prescribed by law.
Your const�ruction must comply with a11 applica}�le laws, ordissances, building
codes, and zoning re tioas. ��
OWNER'S S DATE � l�� '�)
ADDRESS � Z�� �
PHONE - U U �l
W=TNESS PERMIT #
ITEM #0365040
allen + roth 10 FT. PE
RGOLA
c'ass�c s'y'e w�rh a modern tw�st'"'
MODEL #GF-12S039B
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U.S.A. Customers: Replacement canopies are available for purchase at www.Lowes.com
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ATTACH YOUR RECEIPT HERE �� # I � � !` ~
Serial Number Purchase Date
O Question, problems, missing parts? Before returning to your retailer, cail our customer
service department at 1-866-439-9800, 8 a.m. - 8 p.m., EST, Monday - Friday.
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Get 5%`Off Every Day or Speciai Financing*` 10-ft x 120-in x 6-ft
Minimurn Purchase Reyuired 9-in Brown Steel
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Description
'C-ft X?0-ft x?2��-^.x 5-ft 9-i.^,�r,w:^.SteF:i�2zeFx,
• Black,,xwder-coatec rust-froe ste�:f�ame and zlumin�m-root tutre
• ..'ater reGefent canopy wi[;a;;�,,,.,r:t
• Easy to assrr?b�e:tocds rec;u�;e:i
• I nc;udes 15-r•iece stake set
Specifications
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Ex*eror tye�ght!Fee:; r g
VJa�ra^ty 1;�ea�
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tfrirafa�"u�er,^,ol,dFinish BrowniBla:;k Fec,:^.tia:io.^.Vr?dth 1Fee?i 1�_0
Golorif-ins`.�amilq '�I,ck P`�:``�g`•':-F"9Gk;I.^.:!�osj
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0 2013 Lowe's.All righis reserved.Lowe's and the gable design are registered trademarks of LF,LLC
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Fxfena� Width(Inct�es) 7?C?t� lrmit�d
Extetior Qeptt�{Inches) 120 0 frtt�n�r Peak H�i,yt�t(t�eef? tt?3
Floor lncluded N� Foundatia�Lengtft{F�et} 10.{�
Manu(acturer Color/Finish Brown•°Btadc �°undatic�n Width(Feet} i�_p
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor amee�vn�r` �� �,�� � `���
Date Received: ���'� � - �
Slte: � 6 � �� ���r'�� r��r�,.."/C�a
Permit Type:
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This co t she�t 1 be kept with the peimit and/or plans.
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Kalvin Switzer— ans Exaniiner Date Contractor and/or Homeowner
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Pasco County Parcel: 34-25-21-0080-00000-0021 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, May 11, 2013
Parcel ID 34-25-21-0080-00000-0021 (Card: 001 of 002)
Classi�cation 19 - Professional Service Building
Mailing Address Property Value
HEALTH RESOURCE ALLIANCE OF Ag Land �p
PASCO INC Land �i8,486
PO BOX 232
DADE CITY FL 33526-0232 Building $62,���
Physical Address Extra Features $52g
37920 MEDICAL ARTS CT 7ust Value #81,�92
ZEPHYRHILLS FL 33541-4323
ASS@SS@CI (Non-School Amendment 1) $81,792
L@Qal DeSC�IDtIOn (First 4 Lines)
See Plat for this Subdivision Taxable Value �o
TOWNVIEW MEDICAL ARTS CENTER
PB 29 PG 68 EAST 21.34 FT
OF WEST 128.50 FT OF LOT 2
OR 4499 PG 562
Land Detail (Card: 001 of 002)
Line Use Description Z Units Type Price Condition Value
1 1700 1STORY OFF OC2 3,361.00 SF $5.50 1.00 $18,486
Additional Land Information
Acres 0.08 Tax Area 30ZH FEMA X Commercial Code PTVM2AA
C� Code
❑
Buildina Information - Use 19 - Offices Professionai or Medical (Card: 001 of 002)
Year Built 1991 Stories 1.0
Exterior Wall i Common Brick Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Metal
Interior Wall 1 Drywall Interior Wall 2 None
Flooring i Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Duded
A/C Central Baths 2,p
Line Description �Sq, Feet Repl. Cost New
1 BAS 1,008 $92,504
2 CAN q2
$1,193
Extra Features (Card: 001 of 002)
Line Description Year Units Value
1 SWC 1991 176 $169
� PAV ASP 1991 1,370 $360
Sales History
Previous Owner ADVENTIST HEALTH SYSTEM/
Month/Year Book/Page Type DOR Condition Amount
Code C�
12/2000 4499 / 0562 Warranty�
Deed Improved Multi-Parcel Sale
Quit ����
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=34&twn=25&rng=21&sbb=0... 5/24/2013