HomeMy WebLinkAbout15-16493 �CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 16493
BUILDING PERMIT
I
PERMIT INFORMATION LOCi4TION INFORMATION
Permit Number: 16493 Address: 6429 GALL BLVD
Pe�mit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Cla�s 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: 03-26-21-0020-00000-0030
Improv. Cost: 15,000.00 OWNER INFORMATION
Date Issued: 8/07/2015 Name: WALGREENS
Total Fees: 285.00 Address: 6429 GALL BLVD
Amount Paid: 285.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/07/2015 Phone: (847)315-4717
Work Desc: INTERIOR REMODEL 175 SQ FT
CONTRACTOR S I APPLICATION FEES
PRODIGY CONTRACTING G UP INC BUILDING FEE 165.00 ELECTRICAL FEE 60.00
GULF ELECTRIC COMPANY MECHANICAL FEE 60.00
DYNAMIC HEATING&COOLING INC ��
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Ins ec ions Re uired
FOOTER 2ND ROUGH PLUMB I MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED I SEWER MISC.
ROUGH ELECTRIC LINTEL I MISC MISC.
1ST ROUGH PLUMB PRE-METER I INSULATION WALL MISC.
DUCTS INSTALLED WATER I MISC DRIVEWAY
PRE-SLAB SHEATHING I MISC. MISC.
CONSTRUCTION POLE FRAME I 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 correctior�s not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fl 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 recordin �
g your notice of commencement."
Complete Plans, Specifications Must Accompany IApplication.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
1��� � �
o �
C N SIGNATU E PERMIT OFFI R
PERMIT EXPIRES IN 6 MON IHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS, FLORIDA
, 5335 8TH STREET
CERTIFICATE OF COMPLETION
NAME: PRODIGY CONTRACTING GROUP DATE: January 15, 2016
ADDRESS 6429 GALL BLVD
PARCEL I.D. 03-26-21-0020-00000-0030 SUBDIVISION : CITY OF ZEPHYRHILLS
TYPE OF BUILDING : COMMERCIAL
PERMIT'(s) 16493
REMARKS : REMODEL 175 SQFT FINAL DATE: December 07 ,2015
BILL BURGESS BUILDING OFFICIAL/ JEB �
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BUILDING PL'AN REVIEW COMMENTS
Contractor/Homeowner: �� V''��(�I'v'
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Date Received: �--���
Site: ��,y Cp�/� �l �" �
Perrnit Type: C�l�(�i� /���2� �7�5' �
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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 Switz lans Examiner I�ate Contractor and/or Homeowner
(Required when comments are present)
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I IIIIII IIIII IIIIIIII'IIIIIIIIIII IIIII II'II IIIII II'IIIIII I"I
� 201v104341
Rept: 1694430 Rec: 10.OU
, DS: 0.00 IT: 0.00 i
06�30/2015 eRecording
Permif Na par�l ID No �-2s-21-0OQO.OW00-0030
� PAULA S.O'N i , h. . ERI(8 COMPTROLLER �
NOTICE QF COMMENCEMENT 06{30/2015 03:56 PM 1 of 1
��� FLORIDA I �,�„� p�� oR BK PG 1524 �
THE UNDERSIGNED he�eby yives nottce the[tnprovemeMwa 6e made to cerfein�ae1 ptoperry,and in aaosdenca with Chapte1713,FlOtida Statuh�s,
the idlowfr�g Infortnatian Is provided In ffiis Notice o1 Comme �
1. Desalption of Praperqr Perce!Identfticatlon Na 0� 1-0020-00000-9034 il
Street Addresa: 6479 OALL BLVD I
2 Ger�eral�escijphon of Imprwament Interior rnnodel LQ apPrmc.1T5 aqft of exisiing refai a�aCe addl�ane oonsultaffon room,mod'�iqCon af
existing 74�systerre ta acccmmodate tkw aid epaling apecea.
3. O�mc InFOrtnatlon orLessee Intortnetlen Kthe l.euee Iconpaded iorffie fmpoverner�
Wel een Ca.do Thanas WiLSOn
Name
200 W�not Rd MSxt640 Deerfielra tL
Ad�ess I �ILY Strle
Interest in Pmpertyr.
Name of Fee Sirt;ole TNatwldar I
(If differertfram Ow�jerlleted abave}
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AddRA .�E
4. Cu aor. �i . A P I , � .
1�°1��"�F,9 ti,.� i�z �
Contracaors Telephone No.:���7���O��D�J�J lj C� � �te
5. Sizcty. I
[Vame I
Address I City State
Amount oi Bond: S_ Telephorce No.:
6. Lendc
Name I
Add�ess I ��, � �
LendetsTelephate Na-
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7. Persons vriMun the S�fe of Flatda des�gn�ed by e rnmar�yon wtwm nolirxs or ofhc�urc�}�may be aerved as provided hy
Sectiort 7t3.13(1)Ia)(�,Florida StaUrtes: 1
Naone
Add�e.ss I •Cily 541¢
Telephone Number of Dealgneted persorc
e. In addAion to fdrnseN,the rnmer rlesignntes I �
Lo r� ve a eopy of 1he Lienors Nocce a9 prrnAded In Ser�an 713.13(1)�),Rorida Staurtes_
Telephorie Num6er oT Person or Eniily Desi�a[ed hy er.
9. '
F�lratlon dete of Notict of Cornrnencemert(the ratlon date may nct be bafaa tha compldlon oF com►NCtion�d 1ine1 payment to 1Be
cm�tr�Ctor,but w1 be one year from the dale of teoo p unlese a�ffetant dffie is speefie�: •
WARNING TO OlNN6R: ANY PAYMENTS MADE B�THE OWf�R AFfER THE EXP1RA71DN OF THE NOTICE OF COMNEMCEMFNI'
.4RF CONSIDERm IMPRDPER PAYMENTS UNdER (xiAPTER7�3, PART 1, SECTION 713.13 FLORIDA 5TAME5. AND CAN
RE5ULT IN YOUR PAYING 1WICE FOR IMPRDI'IEIUENTS TO YOUR PROPERTY. A NdTSC�OF COMMENCEMENf MUST SE
RECORDED AN�POSTED OPf lT�JOB SRE BEFORE THE FlRST INSPECTION. IF YOU INFEPm TO OBTAIN FlNANdNG,COFISULT
1MTH YpUR LENDE72 OR AN ATfpRNe-Y BEFORE�OMMENCING WORK OR RECORDING YQUR NO710E OF COMMENCEMEPIT.
Under pena[(y pf pe�ury,I deders thet I tmve r�ad th forepo�y noCca af cammerxemm!and fhatlhe feds st�ed the�are true!n the best
of my fmmvleCge aM be6ef
sTA�oF��er�--�n . ��.... �
counrrv oF r�tsee- `..c,�.x; ���,:..
' s�namre of ovrt,er or Lessee.or owrters or Lessee'a autho�(zee
Of�'xedDirectnriPerfierfA7ersager
'�rt+6.«t�MlS.�'f 1`w�wCt
sr�arorysr�u�ar�
The foregoing Inshvme�d rovas admo�rdedged betote me tifl daY af s�,28�,�by � [ i`���"� •
es � �
(rypa of authority,e.g.,olitca,hustee,avnmeyin fact)for
(name oT party on he}tstF uf whom instrument yvas exewted).
PersonaiyKnvwn�PradueedldeMMration]] NoterySfgnafure �O�e.a_ � ` �.p}�'1�.
� Type of]drntdieation Produced Name(Pm[} � L �?�p L a, ,- 0
oFF�cia�sea�
SNARJ L ROULEY
Ho[aty Public-State of Illinas
Mf�Commission Expires Apr 18,2U�8
wpdatalhcsln odceewnrnen cemen(ycD53048
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813-780-0020 City of ZephyIrhills Permit Application Fax-813-780-0021 •
Bufiding DepaAment
Date Received � �
Phone Contact for Pertnittin
-i-rr-r
' Owner's Name Walgreen Co. I Owner Phone Number �847�315-4717
Owner's Address Z00 Wilmot Rd MS#1640,Deerfield,IL 60015 I Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
I
Fee Simple Titleholder Address I
JOB ADDRESS �z9 GALL BLVD I LOT# �
SUBDIVISION PARIELIDi� 03-26-21-0020-00000-0030
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW coNSiR e ADDIALT I X I SIGN Q Q DEMOLISH
INSTALL REPAIR 7T
PROPOSED USE Q SFR Q COMIM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK Inlerior remodel to 175 sqft of existin�space,modificalion of ME systems
BUILDING SIZE SQ FOOTAGE� HEIGHT � ��
QBUILDING $ �5,000 VALUATION OFTOTAL CONSTRUCTION 1��
�
QELECTRICAL $ AMP SE IVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ,\�n �,` IG(��J�/ /
�
QMECHANICAL $ V F,C VALUATI N OF MECHANICAL INSTALLATION �� /'` '� ���"���✓ /
p �) �y� /
i���G � �
QGAS Q ROOFING Q SPECIALTY 0 OTHER v � �C�� V
FINISHED FLOOR ELEVATIONS FLOpD ZONE AREA DYES NO �J ���,��
��Z ��:�� �� � ��
BUILDER '�(I�,/ `ln t ICOMPANYr/
S� . �� 1 �SIGNATURE � �I��� W REGISTERED Y I N - FEE CURRE� Y/N
� I
.�l Address � � License#
�
, ELECTRICIAN �i7 ��' ' � �COMPANY
SIGNATURE l— � iREGISTERED Y/ N FEE CURRE� Y/N
Address I License#
' PLUM BER COM PANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
i
Address License#
MECHANICAL �� �/ � COMPANY
SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y I N FEE CURREI. Y/N
Address I License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)�et of Energy Farms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date Required onsile,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanilary Faciiities 8'I dumpster,Site Work Pertnit orsubdivisionsflarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)sel of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days aker submittal date� Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed,
' Sanilary Facilities 8 1 dumpster Site Work Pertnit or all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERN SURVEY required for all NEW construction. i
�
Directions:•
Fill out applicalion completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the conVactor)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(PIoUSurvey/Footage)
Driveways-Not over Counter'rf on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigne understands that this permit may be subject to"deed"restrictions°
which may be more restrictive than County regulations� The undersigned assumes responsibility 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 contra��ctor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application foF 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 IMPACTNTILITIES IMPACT A D 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 understar�ds,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"certificate 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 pertnit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of woric 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 Departmen�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'SIOWNER'S AFFIDAVIT: I certify th�t all the infortnation 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 in'stallation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that�II worlc will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulaUons, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take td 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, WeUand Areas, Altering
Watercourses.
- Artny 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 pertnitted.
- 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,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any are�, 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 fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in�ood 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 inGuded 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 s�all issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction r 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 Offic�al 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 PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117 � I
OWNERORAGENT//Gt�.� C NTRACTOR
Subscribed and to or affirmed)before me this bscribed and sworn to(or affirmed)before me this
—�b �.�?.Q� bY
Who islar ersonally kn o me or haslhave produced Who is/are personaliy known to me or has/have produced
as identification. as identfication.
o ry lic Notary Public
OFFICIAL SEAL
Commission No. Commission No.
Na��gg��;��������e,2��8 Name of Notary typed,printed or stamped
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