HomeMy WebLinkAbout15-16202 CITY OF ZEPHYRHILLS
5335-8TH ST'REET
� �ai3��8o-oozo 16202
� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16202 Address: 5214 GALL BLVD
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-16600-0250
Improv. Cost: 79,000.00 OWfdER INFORMATION
Date Issued: 4/24/2015 Name: VICHRIS INC
Total Fees: 601.50 Address: 5214 GALL BLVD
Amount Paid: 601.50 ZEPHYRHILLS, FL. 33542
Date Paid: 4/24/2015 Phone: (813)782-9556
Work Desc: REMODEL INTERIOR & EXTERIOR PATCH / PAINT
CONTRACTOR S APPLICATION FEES
RYMAN CONSTRUCTION O LORIDA IN BUILDING FEE 601.50
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Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
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� 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 accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �!,l�t.- ��c��;�C�C��
Date Received: �7�—��f��
Site: c.j��7` �0��� �� ��
/J :� �
Permit Type: �,1610� /�.�f� ` ��� �[�
Approved w/no comments: A roved w/the below comments: ❑ Deni
pp ed w/the below comments: ❑
This comment sheet shall e kept with the peimit and/or plans.
. d% �
Kalv witz — ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
,
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received — �17j `��j2 _ �j�'�
Phone Contact for Permitting
Owner's Name �1 i..i... C.��W�i t� �I I�xR-�� �i`k-' Owner Phone Number ��'����
Owner's Address � ZZ�`�' ��'-��OS CLV2+�1L �0��I Owner Phone Number
Fee Simple Titleholder Name Si�f�.`c- Owner Phone Number
Fee Simple Titleholder Address S��-�-
JOBADDRESS ���`'1� ��U-�1-�1U: ��P� �I'���-1-5 LOT# �
SUBDIVISION ��A . PARCEL ID# ��'�-�o'"Zti' �a��'� �b4:cG--02.`�O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH
e INSTALL � Y REPAIR
PROPOSED USE Q SFR � -_ COMM 0 OTHER
TYPE OF CONSTRUCTION BLOCK � •— FRAME 0 STEEL Q
DESCRIPTION OF WORK Iv ` GD�C1- i IvT�t2,\u�'��.(��� ���i� �,��vP�
BUILDING SIZE �� X �`�' SQ FOOTAGE ���`��t HEIGHT 1����V--S
�BUILDING � �-7 O� �� VALUATION OF TOTAL CONSTRUCTION
6 � �
DELECTRICAL $ N� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
���
�MECHANICAL $ � � VALUATION OF MECHANICAL INSTALLATION
J � �2 ���1�`�
OGAS Q ROOFING Q SPECIALTY � OTHER �
N��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N��� �1�/ �I�,��
�'� 'b L
BUILDER � ' `�� COnAPANY �y���l Gc=NS-r�,�.c:r�t oF ��nfl �,
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �-17a S '� Nl�i�S License# C,�.�,1�\`1 Vl l 2
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER •�1 � COMPANY
SIGNATURE ��t REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL l` � COIIflPANY
SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER �� COHflPANY
SIGNATURE REGISTERED Y 1 N FEE CURREA 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)wor{cing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans.plus a Life 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 I
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construction, i
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Directions.
Fill out application completely.
Owner 8�Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over 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 PERBAITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) _ �
Driveways-Not over Counter if on public roadways..needs ROW � �
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2015064770
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`Rcptc167�64� Rec: 10.00
DS: 0.0Q IT: 0.00
04/24/2015 E. M. , Dpty Clerk
� Pecmit No. Parcel ID No �1���D�2, -aCJ�`�•�j(�(�C�Q,-C+��]�f
NOTICE OF COMMENCEMENT
State of ��di�-1fl� County af �i'�,S�.G`�
TNE UNQERSIGNED hereby gives nokice khat impravement will be made to certain real property,and in accordance with Chapter 7i 3,Florida Statutes,
the taliowing i�fortnation is provided in this Notice of Cammencement:
1 Qescription of Praperty Parcel Identificatian No. ��"�.�G-Z�-'���`i(C�C�-��.�0
Street Address: �� L:sAI,J-,�1-V�1 �—G��.,��l.1S�R�-t�-, ��J��-r'�"'
2. General Description of Improvement �1�l�l4L���_� �14� ���Q►�d�'AIf�"`tila(�.
3. C3wner Information or Lessee information if the Lessee contracted for the improvement:
����..C��a�;� �V����r.�\
{Vame �
l ZZ.!DE.(. \is�nb W�NtYa ��RCt� �,���"CY
Address City State
Ir�terest in Property' �'"'Z11�4.��"�
Name of Fee Simple Titleholder �il�l`Il.�..
{1f difterent from Owner{isted above)
� Address �» City State
�antractor: ��ltlt,�tJ C.�,.aJNS�C'R�i,t,�t'1�l�1 G�- �1(Z-lnA � `C
Name���-�,�� '� n ��{ T `�---
i Address r�
c�`� �'`��-?`'i- City 7�� 1-e.
, Contrector's Telephane No.. �����c._' '��s��7
i 5. Surety: �l/�
� Nam�7� '
� Address City • State
Amount af Bond: $ Telephone No.:
6. Lender. �I�e
Name
Address City State
lender`s Tetephone No.:
7. Persons within the State of Florida designated by the ow�er upon whom notices or other documents may be served as pravided by
Sectiofl 713.23(1}(a}{7�,Florida Statutes;
Name
I����
Address City State
7elephone Number of Deslgnated Pe[son:
8. In addikion to himself,the owner designates ��� of
to receive a copy o#fhe�ienor's Notice as provided in Seckion 713.13(1){b},Ftorida Statutes.
Telephone Number of Persan or Entity Designated by Owner
9. , Expiration date of Notice pf Commencement(the expiration date may not be before the campietian of canstruction and Sna!paymsnt to the
contractor,but wfll be one year fram the date of recording unless a different date is specified):
WARi+�1NG TO OWNEF2: ANY PAYMENi'3 MADE BY THE OWNER AFTER Tk-iE EXPIF2ATIOh! dF TiiE t30T10E dF COMMENGEME{dT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAP7ER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUFt PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST 6E
RECQRDEQ A1dC)POSTEp QIV THE JC7B SITE HEFQRE THE FiRST tflSPECTION. 1F YOU 1PlTEND TQ OSTA4ht F4NANCING,CONSU�7
WITH YOUR LENE7ER OR AN ATTORtJEY BEFOF2E CQhAMENGING WORK 4R RECORDING YQUR NQTICE OF CdtvIMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing natice of commencement and that the facts stated therein are true to the best
ot my knowiedge and beS'tef.
STATE•OF FLORIDA . � `
GC7URlTY OF PASCO
Signa e of. tt r or C.esses, w s or�essee's uthorized -
Oncer/Director/Partner/Manager
C�'��-��
Signatory's Title/Office
The foregoing instrt�ment was acknow►edged before me this�� day of_ ' t� �,245�,by Y"`t t 1 t� Cj�i r t s�"f�;
as ' (type of authority,e.g.,officer,trus2ee,altomey in fact)for
, {name of on eh t of wtrom instrument was executed}. __. ,
II
Personally Known�OR Praduced Identification[] Notary SignatUre ��
Type of tdenEificafion Produced Name{Print)
�,�4� Notary pubiic State of Florida
. Tammy Verdadero
'�,� �` �Y�Q+�+miss"son FF 18441g
W n Expires t2116/2018
wpdataJbcs/noticecommencement_pc053048 -pau�.R 5 0'NE I l,Ph D FRSG� CLERK & COt�PTROLLER
04/24/2015 02:06 m 1 af 1
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_ Document A�05 2�47
Sfandard Form of Agreement Be#ween Owner an�f Contractor for a Resr'dentia!or
Smatl Cornmercial Project
� AGREEMENT made as o�the 24 day of March in the year 201 S
(.•lfrrrc{z hi�ei�tyfoxrllr,tsve��lyf(lee�t. ADDITIONS ANDDEIETIpNS:
The author of(his document has
BETWEEN Ihe Owner: added informatinn needed far i[s
(Nunie, legal Stattrs,address�uM oelrel•rr fo►•�rrn�ion) completion.7he au�hor may also
have revised the text of the original
ViChris,Inc. AIA standard form.An Addit�ons and
12204 Woodlands Circle Oeletions Report ihat notes added
DBde City,FI.33525 iniormatlon as well as reuisions to
the standard form textis avaflable
from!he author and shaufd be
and the Cantractor: re�iewed.A vertfcal Iine in ihe teft
(Name,legul status, address a►�d orirer inforrttnllo►tJ margin of th(s document indicates
where ihe author has added
Rymaa Cott9ttuctian Of Florida,lnc. necessary informati�and where
36413 State Road 54 the author has added to or cieleted
Zx,[�1�yrhills,FL 33S41 from the original A1A texl.
Thfs document has important lega!
consequences.ConsuRation witn an
for the following Project: atlorney ts encouraged with respect
(Name,localJon and cleraJled descripiio►r) to its completion or modificalion_
Village Inn State or Iaca1 law may impase
5214 Gall Boulevard �equirements on contracis far home
improvements,if lhis doeument will
zephyrhills,FL 33541 be used tor Wnrk en the Ownet's
Restaurant remod6ling restdence,ine Owner should consult
local authorities or an attomey Io
The AiC111tCCt: veri(y requirements applicable!o this
{Nanre, legal starus,adil►ess aird orire►•inJ'o+•ma�ro►r) Agreement.
[.7ohn Studebaker
400 West 48�'Avenue
Denver,CO 842]6
The Owner and Contractoc agree as follows.
I AIA Oocument A105Tti—2007{tormerly A105T"—7993 and A206'"—1893).CapyriQM�1993 and 2007 hyThe American Institute of Architeats.qp�ghts
IAIt raaaned.WARNING:Thts AIAs Document Is protocted by U.S.Copyr}ght Law qttd International Treatias.UnautAorized reproduction ar dlstribution .�
of thts AIA'� Oocument,ofany pof110n of i[,may resutt in severe civll and criminal penaitles,antl wlll be prosecuteU to ttle rodxlnlum ektent pDSSible
j under the law This documenl was pr�uced by AIA soflwa�e al 10:21 43 on 04I01/2616 unAEr Orde�No_7066922624_7 which expires on 1011&2015,and i6
�ot tor resate.
UserNotes: (1798661704)
7ABLE OF AR�ICLES ,
9 THE CONTRACT DOCUMENTS
2 DATE 4F C�MMENCEMENT ANO SUBSTa1JTIAL COMPLETION DATE
3 CQNTRACT SUM
�
4 PAYMENT j
5 INSURANCE °
6 OENERAL PROVISlONS �
7 OWNER
8 GONTRACTOR
9 ARCHITECT
10 CFIAPIGES IN THE WORK
11 71M�
1Z PAYMENi'S AND COMPLETION
13 PROTEC�ION OF PERSONS ANO PROPERTY
14 CQRRECTION OF WORK
15 MISCELlANEOUS PRdVISIONS
1B TERMINATION OF Tt��CONTRACT
17 OTHER TERMS AND CONOITIONS
ARTICL� 1 THE CONTRACT �OCUMENTS
� 1.1"fhe Contractor shall camplete the Work described in the Contract Documents for thc Project.7'he Contract
Documents cansist of
.1 this Agreement signed by the O►�yier and Contractor;
.2 the drawings end specilications prepared by thc Architcct,dated Pcbniary 3,2015 ,and enurnerated
I as foilows:
Drawings:
Number Title Date
I 1170032b Village[nn 02103/l5
� resta►�rant rentodel
Speci Fcations:
Section Tille Pages
1 irf blueprinls dra��hng index CS thn��2 • l2 pages
.3 addenda prepared by the Architect as follows:
AIA Documant A705"'—2007((ormetly A1057°—1993 end A205�"—1993}.Copyright�1993 and 2007 byThe Americ3n InsliSute of Architeds.AN rights
�n14 releNed.VVARNING:Tl�is AIAx Document la ptot9cted by U.S.Copyright Law 2nd Internatianal Treaties.UnauUtorized reproductlon or dtstribution .Z
of this AIAti Document,or Any poftlon o1 it,may resu(t In sovure clvil ane erlminal penaltles,and will bo prosecuted to tne maxlmum eYtent possible
j under the lavi.This documenl was produced by AW sokwafe al 10'21:43 on Od1Qtf2015 under Order No.70fi6922624_1 Which e�ires on 1011 6120 7 5,and is
i nol Tor resele.
UserNotes: (1788651704)
Number Date Pages
1 \one n/a n/a
I
.4 �;�ritten orders tor changes in the Work issued after execution of this Agreement;and
.5 other docume�lts,if any,identified as fallows:
� Attached bid letter dated February 3,2015
ARTICLE 2 DATE OF COMMENCEMENT AND SUBSTANTIAL CQMPLETION
The number of caicndar days available to the Contractar to substantial ly complete the Work is the Cotitract'1'ime.
' The date of commencxment of the�uork shall be tl�e date of this Agreeruent unless othenvise i�ydicated beIow.The
Contractor shall substantially coinpleic the Work,no later than six (b }calendar days from the date of
� commencement,subject to adjustment as provided in Article 10 and Artic[e 11.
(lnse►•r rlre date ojcommencemeiit, ff i1 d�ers fi�au!he di7le of!/ris:��•eenre►�tJ
� Saturday,May 2,2015 at 3:00 p.m.to Friday A9ay 8,20l 5 3:00 p.rn.
� ARTICLE 3 CONTRACT SUM
§ 3,1 Subject to additions and deductions in accordance with Article 10,the Contract Siim is:
' � seventy-nine tttousand,six hundred and ten dollars {$79,610.00 }
§ 3.2 For purposes of payrnent,the Contract Sum includes the following values related to portions ot'the 1Vork:
(Ite��tr_e dre Contracl Sust among Ihe nrr ja•porl io�rs of Ihe Ff�ork.)
Portlan of Work Value
Isea attacP�ed bid breakdown n/a
§ 3.3 Unit prices,if any,aze as follo4vs:
(Ident�ufrd slate the r+ni►prrce;.s�a1e Ihe qrranli�y lintUalrons, if rrrry.!v ir/ricli tlre iu�i1 prrce►ri!!be a��pl+cable.)
Item Units and Limitations Price perUnit($0.00)
Isee attached b1d breakdowu n�'a n/a
§ 3.4 AlEowanecs iacluded in the Contract Sum,if a�iy,are as follows:
(Idettt�nllowance and s(ate esclrrslo��.r, if rr�}r,froi�t Jlte a!lotvarrce p�ice.J
Item Price
� none ��/a
§ 3.SThe Contract Su1tt is based tipon the fotlowing alternates,if atty,�vhich are described i��the Ca,ttracc
Documents and hereby aec:cpted by the Owner:
(.Srate rlre number•s or o�her/dene flcaelo�a ojaccepred alre�•rrares. lfrfre biddrng or pro��nstr!dcx�rrnre�Ns pe�•�rrrl 1lre
Ust�rier!o aCCep(ollrer allernrrles srrbseq�tenl lo!!re execrrtiun of riris�lgr•eenre►rl, (�1![ich a scheclyde o/'surlr ollrer
alternn�es shnwing the a►u�rr►t�for eacJ�arrd llie dce►e+vhe+t I/r�rl�srlolur►expires.J
I no alternates included
§ 3.6 The Cantract S�un shail include all items and services necessary for the proper exec.�utian and completion of tlie
Work.
ARTICLE 4 PAYMENT
� 4.1 Based on Contractor's Applications for Pa}�nent certitied by the Arcliitect,the Owner shall pay the
Contractor,in accordance with Arlicle l2,as follo�vs:
(lnserl belotic ti►uirag jor prry•nrer�ts and provisro��s fa•►rirhholding relnrnnge,If nr7}:)
� Totxl Amount Due fnurteen(1�)clays f'rom final insgections II
AIA Document A105'"-200T(formerly A705�"-1993 and A205'�-1993).Copyrlght�1993 and 2007 by The Americ3n InsUWle oi Arthitecls.Aq dghts I
����' YB80Ned.WARNINC,'Tpls AIAs Document�s protected by U.S.Copyrlght Law and lntemattonal Treati2s.Unaulhorized re roduction or distributiOn '
p 3
af this AIA� Document,or any portion af it,may result in severe clvll and criminal penaiues,and wili be prosecu�ed to the maximum extent possible
J untler the law Thls Gocument�vas oraduced by AU1 soRware at 1Q21:43 on o4lOtf2075 under Oraer No.7066922624_1 which expires on Y0/18I2015,and is
not for resale.
User Notes: (1798681704)
I I