HomeMy WebLinkAbout14-15627 CITY OF ZE, HYRNILLS ,s, '
5335-8T STREET
(sis)�e -oozo 15 27
�
BUILDIN PERMIT
� PERMIT�INFaORMATION`;'�'�`�"��'``��=��"�#'r�:"�x.'���°��'�L�O:CATI'O,N INF�ORIVIATIO,N���.���� �
Permit Number: 15627 Address: 7050 GALL BLVD
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: 35-25-21-0010-10500-0000
improv. Cost: 473,227.00 �i�' ��`���'. `r � .�� � � `-_a-� �
�:�.�,�„s-� ���OWNER.�INF�O.RM�ION
Date Issued: 9/05/2014 Name: FL HOSPITAL ZEPHYRHILLS
Total Fees: 3,112.20 Address: 7050 GALL BLVD
Amount Paid: 3,112.20 ZEPHYRHILLS, FL. 33542
Date Paid: 9/05/2014 Phone: (813)783-6189
Work Desc: INTERIOR REMODEL 9,000 SQ FT B BY PLACE,DEPOT
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Q��C:ONTRACTOR:Sl ° �' ��.: � &APPLIC�ATION�FEES"��ty� -i� �
STEVENS CONSTRUCTION INC BUILDING FEE 2,410.50 ELECTRICAL FEE 60.00
DOYLE ELECTRIC SERVICES,INC PLUMBING FEE 60.00 MECHANICAL FEE 60.00
COASTAL MECHANICAL SERVICES LLC FIRE PLAN REVIEW FEES 521.70
COASTAL MECHANICAL SERVICES LLC
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FOOTER 2ND ROUGH PLUMB ISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED EWER MISC.
ROUGH ELECTRIC LINTEL ISC MISC.
1ST ROUGH PLUMB PRE-METER I SULATION WALL MISC.
DUCTS INSTALLED WATER ISC DRIVEWAY
PRE-SLAB SHEATHING ISC. MISC.
CONSTRUCTION POLE FRAME ISC. MISC.
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following re sons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this properly that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme , state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob ain financing,consult with your lender or an attorney
before recording your n tice of commencement."
Complete Plans, Specifications Must Accompany Appl cation.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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' CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
813-780-0020 City of Zephyrh Ils Permit Application Fax-813-780-0021
Buildi g Department
Date ReceiWed �. Z�� Phone Contact r Permittin �o� ��� __ ����
O�nrner's Fdame �� lT � /! n���S Oarner Phone Fdumber
Oeaner's Address �D�� C%��� �✓� Oevner F'hone tdumber
Fee Simple Titleholder Mame �vaner Phone idumber
Fee Simpie Titleholder Address
JOB�1DpRESS 7D�� ��� /�/ai,� �j.�If �G u LOT!t �
SUBDINISIOM P�1RC� ID�
- - - -- (OBTAINED FROM PROPERTY TAX NOTICE)
WOR6C PROPOSED B rvEw coNSTa B ADD/A � SIGN 0 � DEMOLISH
INSTALL REPAI
�FYOPOSEID USE Q SFR Q COMM � OTHER
T1fPE OF COMSTRUCTIOM Q BLOCK Q FRAME STEEL �
D�SCRI�TIOfd OF MlORK ���•D� ���'
BUILDIfdG SIZE SQ FOOYAGE / `�� HEIGHT
BUILDING $ ��? ���� /
,� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � � �S " '�
� j ���
OMECHANICAL $ VALUATION OF MECHANICAL INSTALL�4TIOIV R�
� ���
OGAS Q ROOFING Q SPECI LTY � OTHER � ����
�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER ��� � � � J�, S C RflPAMY - �
SIGRIATURE 6 RE ISTERED Y N FEE CURRE� Y/N
dlddress !(J��� � G°��� � �g License#
ELECTRICIAM � � (�F COMpAfdY � `°!� ��, �
SIGMAT'URE f RE ISTERED Y/ �V FEE CURRE� Y/N
Address License# �
PLURAABER `� � � C iMPA1dY Lf��� ��G��A•� • t` �'�' /
SIGMv4TURE u � v RE ISTERED Y/ N FEE CURRE� Y/N
�[(�
E\ddress License# L FL 1 k a�� �
MECH�11dICAL ����' � � .O C RAF'AfdY �� �ie �7�"". (;�"�i
SIGRI�4TURE i!w"" RE ISTERED Y! N FEE CURRE� Y/N ,') G
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�lddress License# G Vn c'._) 2s'av� �
OTHER C MPARlY
SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y I N
Address License#
RESIDEtdTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster;Site Work Permit for ubdivisions/large projects
COiMAAERCIAL Attach(3)complete sets of Building Plans plus a Life fety Page;(1)set of Energy Forms. R-O-W Permit for new constructfon.
Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities.&.1 durrapster.Site Work Permit for II new projects.All commercial requirements must meet compliance
SIGRi PERAAIT Attach(2)sets of Engineered:Plans.
""PROPERTY SURVEY required for all fVEW cons tton.
DirecQlons:
Fill out application completely.
Ovmer&Contractor sign back of application,notarized
If over 5�500,a Motice of Commencement is required. (6UC upg ades over 57500)
°" Agent(for the contractor)or Power of Attomey(for the owner),would e someone with notarized letter from owner authorizing same
ONER THE COUMTER PERMITTIfdG (Front of Application Only) �
Reroofs if shingles Sewers Service Upgrades i4IC Fence (Plot/Survey/Footage)
Driveways-Not over Counter if on pufilic roadways..needs ROW
IVOYICE OF DE��1 RE�;TRIC1"I�ON�: The°undersigned understands that this permit may be subject to"deed"restrictions°
which may be more restrictive than County regufatians. The undersignec# assumes responsibiti#y foc compEiance wifh any
applicable deed restrictions. .. , ,_ � ,, ,. �
v�fLlCEN��D �Oi�TRA�TOE�� ��1D GC?Pl���'�'�"!�2 �����PY�I�tL@Y91��: If the owner has hired a contractor or
contractors #o undertake work, they may be required ta be licensed in accordance�writh s#ate and'local.regulations. tf fhe
contractor is not licensed as required by law, both the owner and contractor may be cited for � misdemeanor violation
� under stafe law. ff the ovvner or intanded contractor are uncer#ain as fo vuhat iicensing require►rtents may appEy for fhe
intended work, they are advised to contack the Pasco County �uilding Inspection Division—Licensing Section at 727-847-
80Q8. Furthermore, if ttte owner has hired a contractar or contractors, he is advised to have the contractoe(s} sign
portions of the "contractor 81ack" of tf�is application far which they wili be responsible. tf you, as the owner sign as the
contractor, khak may be an indi.�a�ion that he is not prop�rly lic�nsed and is not,entitled to permitting privileges in Pasco
Counfy. , .. , . .. . .
k Y6�A�l�PORl'A71PJP1 IIVI��C7'/UTILB�'I�� INfl��►GY��D ���OU�CE FtfECOVf�RY I��ES: The undersigned understands
#hat Trartsportation lmpact Fees and Recours� Recavery Fees may agply to the constructian of nevtr buildings, change of
use in exisking buildings, or expansion of �xisting buildings, as specified in i�asco County Ordinance number 89-07 and
90-07, as amended. The undersigned aiso understand5, that suc� fees, as may be due, vuil! be identified at the time of
permit#ing. lt is further understooci that Transportation Impact Fees and Resource Recovery Fees must be paid prior ta
receiving a "ce�tificate af occupancy" or final povuer release, If the project does not involve a certificate of occupancy or
frnai power release, the fees must be'paid prior to permit issuance. Fur#hermore, if�asco County WateriSewrer Impact
fees are due, Yhey must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
�QNS3RUCT1�i� l.l�i� L�►16V�Cha���er�'�39 �1�e��a��f�$tat��o �s �e��r�d�c9}: 1€valuation of wark is $2,540A0 or more, !
certify that I, the applicant, have been provided wikh a copy of�the "FI'orida Canstrucfion Lien L�w—Fiomeovuner's
Protectian Guide" prepared by the Florida Depaetment of Agriculture and Consumer Affairs. !f the applicant is someone
other than the"owrner", I certify that i have obtained a copy of the atiove described document and promise in good faith ta
deliv�r it to#he"owner"prior ta commencement.
CONTR�GT{��'Sl�tlVlN�R'� �iFiFll��ltlT: 1 certify that all the informafson in this application�is accurate and that all vvork
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 uvar4c ar�d installation as indicated. I certify that no vuork ar installation has
commenced prior to issuance of a permit and that a�l work vvill be performed #o meet standards of ati taws regu(ating
construction, County and City codes, zoning regulatians, and land development regulatians in the jurisdiction_ I also
certify that 1 understand that the regulatians of other governmen# agencies may apply to the intended work, and fhat it is
my responsibility#a identify what ackions I must take ta be in compliance. Such agencies include but are not limited to:
- Depa�tment af Enviranmental Profection-Cypress Bayheads, UVetiand Areas and �nvironmentally Sensitive
Lands, Water/Wastewater Treatment.
- Sauthwest Florida Water Nianagement Dis#ricf-VVeEls, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays.
- Deparfinent of Health � Rehabilitafive ServiceslEnvironmental Health Unit-We11s, Wastevuafer Treatmen#,
Septic Tanks.
- US Environmental Protectior�Agertcy-Asbestas abatement. .
- �ederal Aviation Authority-Runways. � , '
I understand 4hat the followring resfric4ions apply to the use of fill:� , .
- Use of fill is not al(owed in �laad Zon�"V"unie5s`expressly perrtmitted�. �' ` -
- If the fill material is to be used, in Flood Zone "A", it is understood that a drainage plan addressing a
°compensating volume" wrill be subriiitted at time of permitting vuttich is prepared by a prafessional engine�r
licensed by the State of Florida.
- If the fill material is ta be used in Flood Zone "A" in connection vuith a permitted bui{ding using stem �nral!
construction, ( certify tha#fill will be used anly to�II the area within �he stem wall.
- !f fil! material,isr ta_be .used �in any, area, ! certify that use of such fil! v�ill not adversely affect adjacent
properfies. tf use of fill is �ounci to adversely affect adjacent properties, the owner may be cited for viotafing
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre vuhich are elevated by f's11, an engineered drainage pEan is required.
If I am the AC�NT �Of�,T9ilE Oolif�d�IR, I promise in good faith to inform the,owrner of#he permitting conditions set forth in
this afficlavit prior ta cotnmencing�construction. 1 understand that a sep�rake permit may,be required for etectrica) v+tork,
plumbing, signs, wetls, pools, air conditianing, gas, or other insta(iafions not specifically included in fhe application. A
permit issued shall be construed to be a license �o proceed �rith the work and not as authority to violate, cancel, alter, ar
sef aside any provisior+s of the technical codes, nvr shall issuanc�of a permit p►'event the Building OfficiaE from fhereafter
requiring a correction of errors in plans, canstruction or violations af any codes. Every permit issued shall become invalid
un(ess the work authorized by such permit is comrt�tenced writhin six months of pertnit issuance, ar if wark authorized by
4he permit is suspended or abandoned for a periad of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building C?fficia! for a period not to exceed ninety (90) days and will demonstrate
justiiiabie cause for the extension. If vvork ceases for ninety(90}eonsecutive days, the job'is considered abandoneci.
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1#V13H YQt1�t �EML)�@�4J�,�dd�iTT'd�Ri11f�Y��IF��� �����2�i�lii�Y�tJR 1��"CI�E qF Gi���fiE�NGEi�I��S�'.
FLORIDA JURAT(F.S. 117 Q3) `
O�1VN�E2 Oi21�C'sEPIT Gt}iU'f�C'TOPt ����J"l/C�(G��
Subscrlbed and sworn to or affirmed before me this S ybscribed nd swo� to o a-�'i med_�efo� me thls
by �1-f2-14� by � '�.%f �C"��'��
Who islare personally known ta rrie or haslhave produced 1Nh i,S/ar er onall}�knp wn to me or haslhave produced
as Identification. �[ � �<�F'S(��G�-i_Q as idenGfication.
Notary Public Notary Public
Commisslon No. Co JAGQUE�IN�g g
issi r�`�� ��' Co
=�• d^ Expires December 12,2U14
'�:4�,�°�'~ ��aea�u„r Faai�t
Name af Notary typed,printed or stamped Name of o , -
� - � 11111111181111111111111111111111111111111111111111111111111
2014137637
Name: Stevens Construction,Inc. RcpZ:1625232 Rec: 10.00 �•
Address: 6208 Whiskey Creek Drive DS: 0.00 � IT: 0.00
Fort Myers,FI 33919
This instrument Prepared by:Denise Castaneda 08/26/14 E, 17unguia, Dpty Clerk
Address: 6208 Whiskey Creek Drive ppULR 5.0'NEIL,Ph.D PiiSCO CLERK & COMPTROLLER
Fo�t Myers,FI 339,19 08/26/14 02:50 m 1 of i
Property Appraisers Parcel IdentificaUon(Follo)Number(s)• OR BK 9��� PG 3�$� `
SPACE ABOVE THIS LINE FOR PROCESSINC3 DATA SPACE ABOVE THIS LINE FOR RECORDING DATA
NOTICE OF COMM NCEMENT
Permit# ' -
State of Florida � � }
Couniy of Pasco }
The underslgned hereby glves notice that Improvements will be made t certain real property,and in accordance with section
713.13 of the Florida Statues,the tollowing InformaUon is provided in this OTICE OF COMMENCEMEIJT.
Legal description of property(include Street Address,if avail ble) 7010 Gatl.Blvd. �e�o�y�l+���s,�'G
Parcel ID:35-25-21-0010-12100-0030 ZH COL SUB PB 1 PG 55 OR TR 121 DESC AS S 150.00FT OF W 280.0 FT OR
8806 PG 1795
General description of Improveme�ts Bab Place Ren vation
Owner Florida Hos ital Ze h rhills,Inc.
Address 7050 Gall Bivd,2e h ilis,FL 33549-1347
Owners Interest in site of the Improvments WA
Fee Simple Title holder(if other than owner) WA
Names N/A
Address N/A -
Contractor: Stevens Construction,Inc.
Address 6208 Whiske Creek Drive,Fort M ers,FL 33919
Surety N/A Arnount of Bond$
Address N/A
My person making a loan for the construction of the tmprovemen s
Name N/A
Address N/A
Person within the State of Florida designated by owner upo whom notices or other documents may be served
as provided by SecGon 713.13(a)7.,Florida 5tatues
Name N/A
Address N/A -
In addition to himseif,owner designates NIA .
of N/A
to receive a copy of the Lienor's Notice as provided in Secti n 713.13(1)(b)�Florida Statutes ;
Expiration date of Notice of Commencement(the expiration date is 1 year frorn the date of
recording sa ' erent date:i`s`specified:�: _ _ ' ;, - ' � -_ ,_ , - �
_ _ - . _ "�� '� -
.gnature of Ownei :_ _ " _ - _ _, - "�Fri_ ed Sfgnature of Owner-
NOTARY RUBBER STAMP SEAL; � � - - •1 h ve ralied-upon the following identificaUon of the Atfiant �
- ' - ` _-- � - � , - PEf+Sr�HAuy. _vc�c�wN
' - � ' om to and"subscritied betore me ttiis l5 day.of �►uGUS7
_ 204 - . - . _ _ �-,
�1�7i�� IQABERLYJ.HNl. - , - • . � .- .
:r: r MYCONfMISS40N/EE1988Z1:_; . ;;,`--.--.,,_, _ �S�.rtSa�-"'�'�-a�='::'�t1:
��; D(PIRES:Juty 19,2016 . - __ _ -_ ...- __ .N tary Signature
.;��hae s,�a nw►iaary we�u��_ -
i �
_
����i��'/
.�� � ' ' � ��'� STATE OF FLORIDA,COUt�TY QF PASCO
�' ,�d+ TH1S IS�0 C�RTIFY THAT 1'HE Ft)REGQING IS A
G,��• TRUE AND CORRECT COPY QF THE DOCUMENT
�. "� ON F1�E QR QF PUBL.IG CORQ IN THIS QFFiCE
�} • Jns°d�''e�"u` ° WIT � MANDA F1ClAl. AI.THiS
�!�' �r ,,,�'
�' AY QF 2_�,�i�'.
-' ;� LA S.U'NEVL, ER CaMPTROLLER
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��'��QF F�.��'�P eY �,�:,�„ � _ —n�PUr�c����.
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��P�f`t'�.H�L�� F(�.� [��P�f����[��
6907 Dairy Road, Zeph rhills, FL 33542
F6RE SEl2�/ICE SER FEES
Occupancy No.: �-!.�-wl.��,5 �S���C�1'1
p��� �Im,; Contractor:
Business Name: ''"� � � Billing Address:
Business Address: �
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
FEES IIdSPECTION FEES PERMIT FEE FALSE ALARM FEE
Site Plan N/C A nual N/C Sprinkler $50 1stAlarm N/C
'-Fa ' ommercial p sf st Re-inspection N/C Standpipes $50 2nd Alartn N/C
(Minimum Charge$25. `- 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 SYSTEN9S (Business closed until LP Gas $50 6th Alarm $200
8 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Per�ank $50
STNdDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
� Per Riser $50 Hydrostatic Test $65 per sys em Fire Works $500
FIRE PUAAP Acceptance Test $45 per sys em Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARAA SYSTEM Hood/Duct $50
0-25 Devices $50 FIRE ALARM SYSTEfVI Place of Assembly $50 Mnual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEM9S Recall Acceptance $50 Flammable Application $50 nnnuai
Wet $50 OTHER Waste Tire Storage $50 Mnual
pry $50 Fire WaIl/Smoke Wall $15 perwa Generator�KW $100
CO2 $50 LP Gas $25 per tan Generator>30 KW 150
Other $50 Natural Gas $25 Per s em Bio-Hazard Waste $100 nnn�ai
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10k10'or greater $15 perle Torch PoUApplied $50
OTHER Fire Pump $45 Haz.Materials $1O0 Mnual
�P Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 Exhaust Hood/Duct $30
�Natural Gas InstallaUon $50 Re-inspecUon DBL
(Pet System) (other than annual)
❑ Spray Booth $50 � Inspection scheduled DBL �
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle A� $50 FALSE ALO,RM
PLAI�S TOTAL� IRISPECTION TOTAL� PERMITTOTAL� TOTAL�
GRAIdD TOTAL
Comments:
Date: ��'
Inspector: �
nm
: � - ` �
��ois��` �� � . ,
.�3' _ " � � ll,�'\
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_ �
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Cit of Z h rhills I '
Y P Y
BUILDING PLAN VIEW COMMENTS
Contractor/Homeowner: � �'�'S ��'� "��\�
Date Received: •-� 2 '�
Site: 7 S U + `� �� ��
n � - �,-� �,,�G��Q ,�'�r-�,1�'y
Permit Type: 1`JZ�. i�✓ 4�
Approved w/no comments:W` Approved w/the below omments: ❑ Denied w/the below comments: ❑
�
� '
This comment sheet shall be kept with the permit and/or lans.
�a�� � AUG 2.5 �014 •
Kalvin Switzer—Plans aminer Date Contractor and/or Homeowner
(Required when comments are present)
I CITY OF ZEPHYRHILLS, FLORIDA �
5335 8TH STREET
CERTIFICATE OF COMPLETION
NAME: Stevens Construction Inc DATE: October 21, 2014
ADDRESS 7050 Gall Blvd
� PARCEL I.D. #35-25-21-0010-10500-0000 SUBDIVISION : Citv of Zephvrhills
TYPE OF BUILDING : interior remodel baby depot 9,000 sq ft
PERMIT'(s) #15627
REMARKS : Contractor completion of work FINAL DATE: October 17, 2014
BILL BURGESS BUILDING OFFICIAL/ JB_�)