HomeMy WebLinkAbout15-16206 „-,
CITY OF ZEPHYRHILLS
5335-8TH STREET
� (sis)�so-oo20 16206
BUILDING PERMIT
PERMIT INFORMATI4N LOCATION INFORMATION
Permit Number: 16206 Address: 5207 8TH ST
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERClAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHlLLS
Est.Value: Parcel Num6er: 11-26-21-0010-18400-0010
Improv. Cost: 9,850.00 OWNER INFORMATION
Date Issued: 4/2812015 Name: ZSC INC
Total Fees: 127.50 Address: 5209 8TH ST
Amount Paid: 127.50 ZEPHYRNILLS, FL. 33542
Date Paid: 4/28/2p15 Phone: (813)788-7924
Work Desc: FRAME W! INSTALLATIQN 4 VlNYL WlNDOWS
CONTRACTO� APPL1CATiON FEES
JEFF DIX yN CON TRU TI N INC B LDIN�FEE 127.50
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Ins ectians Re uired
F (')TER 2 OU PL B Ml INS TIOlV GEIL! G
FOOTER B4ND DUCTS]NSUTATED SEWER MISC.
RQUGH ELECTRIC LINTEL MISC MISC.,
15T ROUGH PLUMB PRE-METER INSULATION WALL MiSG.
DUCTS(NSTALLEp WATER MiSC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRt1CTiON PQ�E FRAME MISC. MISC.
REINSPECTZON FEES: Reinspection fees will camply with Florida Statute 553.80 (2)(c)when e�ctra inspec#ion
trips are necessary due to any one of the following reasons: a)wrong address b) canderrined work resulting
from fautty construction c) repairs or corrections not made when inspections called d) work nat ready for
inspection when called e) permit nat posted on job site t) plans not afi job site g)work not accessibte.
NOTICE: In addition to the requirements of this permit, there may be additional restrictians applicable to this property that
may be faund in the public records af this county, and there may be additEanal permits required fram ather governmenta(
entities such as water management, state agencies or federal agencies.
"Vltarning to owner: Your failure to recorc!a notice of commencement may result in your paying twice for
improvements ta your property. If you intend to abtain financing,consult with your lender or an attorney
befare recording your notice of commancement.”
Comptete Plans,Specifications Must Accompany Application.Alt wark shall be pertarmed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
RACTO SIGNATURE PERMIT CJFFI R
PERMiT EXPIRES IN fi MCINTHS WITHOUT APPRC}VED iNSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
� Building Department
Date Raceived Phone Contact for Permittin �� S - � 7 � !
Owner's Name G Q � R��/ � -��7 U�`/�+v��R p Owner Phone Number ��� " 7�� '� 7/�
n c� ��1
Owner's Address �c�� O �/7 .S�2e Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �O S//� S I�C'C'� LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEw CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME 0 STEEL Q
DESCRIPTION OF WORK � �. ii/ fIQ ,D /V�/�f'/ �N /���f//�Q�i/S
BUILDING S12E ����"f�U SQ FOOTAGE S�J�� HEIGHT
QBUILDING $ �B�D��Q VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �/
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
���Z '�
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS /�� ��
FLOOD ZONE AREA QYES NO j
%. � i
BUILDER �� COMPANY �F� �x�w NS'��C �B� /.(,e
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 7�Og �� �e y� �/ ti`° License# �Q l���5�66�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ltcense#
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 Fom►s;R-O-W Permit for new conshucUon,
Minimum ten(10)working days aRer'submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed,
Sanitary Facilitles&1 dumpster,Site Work Permit for subdivisfonsAarge proJects
COMMERCIAL Attach(3)complete sets of Buflding-Plans plus a L-ffe Safety Page;(1)set of Energy Forms.R-O-W-Permit for new construcUon. _
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles 8�1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans. ' ' ' �' �
""PROPERTY SURVEY required for all NEW construction.
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over a2500,a Nottce of Commencement is required. (A/C upgrades over E7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
�VER THE COUNTER PERMITTING (Front of Application Only). �
Reroofs if shingles Sewers Servioe Upgrades.A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW.
� � �� l ' �I Illlll lilll lllll Illll IIIII fflll Illli Illll lllll Illil llll lill
; 2015067816
'Rcpt:1678874 Rec: 10.00 `
� DS: 0.00 IT: 0.00
04/30/2015 T. S. , Dpty Clerk
PAULA S 0'NEIL,Ph D Pf1SC0 CLERK & COMPTROIGER
04/30/2015 09:15am 1 of 1
NQTICEOFCOiV[MENCEI4ZENT OR SK �'1�� P� 444
Pezmit Na.�({��l.J�(J
Property Tdentification No. ' ('— ��°r�--��(�j� ��"' l�`�(l.(..J���
THE UNL?ERSIGNED herabq give informs you that the unprovement will be madedo certain real praperty,and'm accordance with
Section 713,13 of the Florida Statutes,the follpwing informatiott is provided in this NOTICE OF COMIVIEPICEMEIVT.
I.Description of property(Iegal descr Hon:
a)StreetAddress:
2.t3eneral description ofimpravemeafs: �2.
3.Owner Informatiqn �
a)Name and address: l� 4' {` �
b)Name and addrese of fee simple titieholder(i other , o er) �• F'L �a 35�f�
c)Interest int proper4y
4.Coniractor Infarmation n � /
a}Name aad addtess: —��'��1J 1XL�/U ��/D�f ,�d�/�'�Sj Z����/4'f�/l,$ f„�����
b)Telephon�s No.: _���-- 7/y--> `�'��, __Fax No.(Opt.)
S.Surety Infortnation
a)Name and address:
b)Amount oPBond:
c)Telephone No.: Fax No,(Og�)
6.Lender
a)Name and address:
Phoae No.
7.Tdantity of person within the Scate of Florida desiguated by owtter upon wham aotioes ar ather docnments may he served:
a)Name and address:
b)Talephone No.: Fax Nq.(Opt.)
8.In addi8on to himsel�owner designates the folIowing�erson ta receive a capy ofthe Lienor's Notice as provided in Section
713.13(I)(b),Florida Statutes:
a)idame and address:
b}.i eIephone No,: L Fa1t No.{Opt.}
9.Expirat:on date ofNorice of Commencement(the expiraHon date is one year from the date of recordrng unless a different date is
speciSed):
WA.1iiVING TO OWNER: AIVY PA'YMENTS 1VIAIDE BY THE OWNEYL AFI'ER THE�XPIRATION OF"THE NOTICE OF
COlYIMEAICEMEPtT ARE COIYSIDEREA IMPR4PER PAXMEI+TTS TJI�Ii}EIt CHAP'1'ER 713,PART T,SEGTION 713.13:
FLORIDA STATUTES;ANI?CAN ItESULT IN YdY7It PAYIIYG fiWICE FOIt IMPROVEMEIV'i'S TO YOUT21'ItOPEYt'i'Y.
A 1VOTICE OF COMMENG'EMENT MUS1'BE RECQRDED e1ND P4STED ON THE JOB SITE BEFORE THE FIItST
IN3PEC'i'IOIY. IF YC?U INTEND TO 4BTATPI RINANCING,�4NST7LT YOTJit LE2YDER OR AN A�TT'ORi+IEY BEFORE
CflNFMENCIIYG WORK OI2 RECCiRDIlYCr'YOUR NdTICE(JF CONCMENCEMENT.
rg 4A �,�aTHERESA M SQMMERS ���� .���^ �
y ="};� •°: MY COMM{SSFON�k"EE203772 Si�aatureof�Chme orClwrn�er's Authori�ed O�cer/DirectodPartna/M�egez
�%�� ��� EXPIRE6M�My30.ZO�Hi Pric�tName JJvDlJ7/ {�i�L�--'„���
" 398-0l53 Fton�3iNotstySema�.�m (�,
� 1����t�.�-
The f regoing ins�ument was aclmowledged ba�are me this. �LS y of G`l 20
' �� �—�-;- as `��m c���,�cf� c a�,� type of authority,e.g.ofScer,lxvs#ee,attomey
m act}for K�=C3-1..r_1 '��ir�f� • (name o£parry on behaTf o£whom instivment was executed}.
Persoually Known_QR P'roduced Identi8eation_(G Notary Si�natvre��4,�!}�9�.,_.�., �a.�
Type of Identification Produced�� � I4ame(print)i�,��1.- �s '"Y)�Y�.IMfQ�1�
Y��S---��?T��
Verificarioa pursuant to Sectian 92.525,Florida Stawtes.Under penalties of perjury,I declaze that I have read the foregoing and that
the facts stated in it are true ta the bcst af my knaw2edge and belie�
�c�_,�����-f�.�
Signature ofNamraE P Sign[ng Ab4ve
FORMStHOC,rvudiWl
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Aage# � of r pages
��������
PROPOSAL SUB iTTEd Td: � � {,to� JOB NAME JQB#
s " �. J�' D �5�...
AD flESS � JOB LOCATION
��a � /
� ("' �( I S DATE� � j� 1� DATE OF PtANS
` � ��. �33 r �
PHONE# . FAX# ARGHITECT
�$1 � �- �� �- O�r�. P..�l�'!ea�""
�e hereby submit specifications and estimates for: _____^
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���-�-�-.���-�-�--�-�G��.�.�t�..l�.Y.,___.�._r-�.s.�.�..._I�...����_.__....- . ----
_�;���_1_1____��n__y.�_.���{�,��.,����_�,����� , ��..� __ _ __
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—��..i�.�,.___Q��`��r -�-�[�._S_�� ___ � —__ _________-- ---
�i �i n��t�._.s_._C�!lC�.��'�,---.�_._L�,.�?o..�_��e�!"`v�Y_1i __ ��----�L��.�___D_--�_____
____����_�+�?t`--i,�_��_�:�i�"'A S�__�� --�_________ ..----------_-----.---- -
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e ropose hereby to furnish material and labor—complete in accor ance with the above specificatians for the sum of:
$ '"��1- ��" A � � --- Qollars
with payments to be made as follaws: � � p a D� ` � �r a C'D `�Y2,
My alteration or deviation from above specifications involving extra costs ReSpeCtful(y
wlfl be exec�ted only upon wri#ten order,and rrit!become an extra charge SUbtTiitt�d
over and a6ove the estimate. All agreements contingent upon sVikes,
accidents,or delays beyond our controi. Note—this proposal may be withdrawn by us if not accepted within days.
�cce�t��ce of �ro�o���
The aBove prices,specifications and conditipns are satisfactory and are
hereby accepted.You are authorized to do the work as specified.
Payments wifl be made as outiined above. - Signature
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DatsafAccep#ance� !��f���� � Signature
A•NC3879/T-3850 09-11
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: `J�f� ► p IJ � V �
Date Received: � � Z� — � S
Site: �S�0 Z ���- c�'T�,�'j"'
Permit Type: f RAr►tE �N QA�, � �.NSTaU. �Yl�t�la� WcaD�U�
Approved w/no comments� Approved w/the below comments: ❑ Denied w/the below comments: ❑
SUII.D�G SHAI.L CO�L�WIT�
_ .�..�t ��F 1F3LnLDING,
gyEGTRICAL,PLIJARB�N�A�
�CHA1dICAI.CO�JTS.
I
This comment sheet shall be kept with the permit and/or plans.
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Ka vin S itzer—Plans Examiner Da e Contractor and/or Homeowner
(Required when comments are present)
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