HomeMy WebLinkAbout16-17187 CITY OF ZEPHYRHILLS '
5335-8TH STREET
(813)7so-oo20 1 87
BUILDING PERMIT ��?�j gv �3��
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� PERMIT INFORMATION ' LOCATION INFORMATION ! �
Permit Number: 17187 Address: 3.9456-�OUTH AVE
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 13-26-21-0050-00B00-0070
Improv. Cost: 164,500.00 OWNER INFORMATION "
Date Issued: 3/28/2016 Name: CITY OF ZEPHYRHILLS
Total Fees: 1,200.00 Address: 5335 8TH ST
Amount Paid: 1,200.00 ZEPHYRHILLS FL 33542-4312
Date Paid: 3/28/2016 Phone:
Work Desc: INSTAL•LATION NEW PRECAST LIGHT VAULT & ELECTRIC SVC
CONTRACTOR S � APPLICATION FEES
HL PRUITT CORPORATION BUILDING FEE 907.50
HL PRUITT CORP ELECTRICAL FEE 180.00
BAHR'S PROPANE GAS &A/C, INC. MECHANICAL FEE 112.50
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' Ins ections Re uired �
FOOTER 2ND ROU H PL MB ISC IN ULATI CEILIN
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: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTO IGNATURE PERMIT OFFI R
PE MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
1
Jac ueline Bo es ' I
q 9
From: Jacqueline Boges
Sent: Monday, March 21, 2016 3:00 PM
To: Nathan Coleman; Brian Williams
Subject: BUILDING PERMIT ENTERPRISE FUNDS
Attachments: enterpr.pdf
Greeting Nate the project for the precast vault and lighting for the air port you will need to have Finance do a journal
entry for the permit cost the permit cost is$1,100.00 . Please get with brian and I need a copy of the entry for the
permit cost. See attachment about what I am speaking about.
Thank you Nate.
Jack�c Boges
813-780-0020 cxt 3513
�_
'%�/take carc o�m�y character;ua�y reputatfa�a sull6 take care o�itsel�"D�igl�t L, Moodd/
Florida has a very broad public records law. Electronic communications regarding most City
of Zephyrhills business are public records and available upon request. Your e-mail �
communications may therefore be subject to public disclosure. ,If you received this message in
error, please do not read, forward, copy, etc. and delete immediately.
I
1
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,� � �:�r'.;;, PURCHASE ORDER
`,-`" ``�"`��„ �_?�'{�r No. 0�000285'1b
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�i�y �f ��ph�rhill� � "'
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v�xnoR: s�Ta Bu�.To:
xs...���c4� c;cy ofz�ny�i7rs
SOl Wacle St gg3g g�S�,
Wiater Springs,FL,32'708 Zephyrhills,FL 33542
,
VER'DOIt PIO. YE7YDOR PHdNE NUhRBEit T`EItMS DA'i'E ItF.QUTRED DELIVERY DATE
xz,�c o oir�inoi�
SFIIPPING IIVSTRUCTIOlV5
{none)
ITEM QTY U/M dESCItIPTIdIV/1'ASIZ PRD CODE ACCUUNT 1U1V7T PR10E AMCIUNT
1 Q-� Electrical Vault Cons�uction 042-42�-Sa2-63I9 554,575.00 554,575.00
File!l 411541
Approved by City Cow�c7 on
12-]a-Is
Bid#k 2 2-35-03
FAAAIP 3-12-0069-013•2014
FDOT F.M.428139-2-R4-D2
SUB'I'OTAL: 554,575AD
TAX: 0.�
SHIPPWG: 0.00
TAXA$LE: No TpTAI,; 554„5?5.00
CONFIRMING;
�1����-. � 1�.-�"v
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AUTFIflI2IZED SICINATTJRE
IIt�ITPORTANT: QUR.{7RDE22 NUMBER MUST AP'PEAR diV EVEEtY INVflICE AND PACKAGE
Ibis piachass ordar is givcn upon tho ropreseatatian and guatamy of t6e m�ufachuer or scller that no breach of azry Statc or Federal
Law or Rsgulation has occaixe3 in commcctian with the mam�'aauuia&P��s�B,btaud'mg,labtling or u¢nspv�tation of
tho memheadiso herein menfioned. If such breach occurs or ia c6arged by any kgally�constiwted Stero or Fedraal au�hrnity,
the buyer s6a11 be entitled ta rtisciad the order and xehmi t6a uwecd merchandiee�d stell al,w be held Lazmless by the mm�ufacturar
ar seller againsi aay pena}ty incuned nndlar the cost af defeuse af mry gauceeding danigncd to pemliz�the buyer.
i iiii�i�ii��ii�ii iiii�iiiii iiiii iiiii iii�i iii��i�iii iiii�iii -
2016038606
Pertnit No. Parcel ID No
�3 —Z(o - 2����0—�D�OI�—�I �
�, NOTICE OF COMMENCEMENT '
State of rlOr��� County of ,r 0.SG�
THE UNDERSIGNED hereby gives notics that improvement will be mada to certsin real property,and in accordence wfth Chepter 713,Florida Slatutes,
Ihe following infortnatlon is provided in this Notice of CommencemenL•
1. DescripUon of Property Parcel IdentKcation No. � �Z�O"� �Q�.� C�� — Cb�S
Street Address: 39 N�D �� �� • !�/J�'�hf�'t r�I$� �L 3�9r�Z ��n
I � •• Q
��%1�1 VAu''1�'— P/'�la S�' S'�Uv}W2_ ►+ e•
2. General Description of Improvement�v�s'�'4Y� r1QUJ �1 � �..
�(r� n.F� ¢.�¢.Ci'�ri Gk,( SfJvi C.Q. m m c�n
3. Owner Infortnation or Lessee iniormation jf tr�e Lessee contraded for the Improvement: � A
Cri� of � �i fhi4l �
,�yS� �1 m o
3 Ne ��r 7�- �T ��Nt'�(� S �C� 3 N
Address City State , ��
Interest in Property� � •• �p
Neme of Fee Simple TiUeholder. ✓� � ���
(if different fro Owner listed above) r.��„�
�C m m
Address n ��y /y City Stete
4. Contractor. �L• l��1 Tl `f.!� � �
�� �1 ad� �. —� W�o-Frr S�ra n-�S 4��- �
Address 4�,/O City State �
ConVectars Telephone No.. �7�3 27`�(� l O
5. Surery: a.�"�++�Ti�c.n ( 5ura..c1L ,�
��Na G Fa��f�S�F. �"na'�nw�� Q�
Amount of Bond: $ 7���S�5• 0p Telephone No: ��3- 3�9- So� State
6. Lender: n��
Name
Address City State
Lenders Telephone No..
7. Persons within the State of Floride designated by the owner upon whom notices or other documents may be served as provided by
Seclion 713.13(1)(a)7),Florida Statutes: �D
�IR�. �I n A p \r�-
Name �►-�n
5335 �;�f'�C. S�-• 7���.�r�,(ls �L �,��
AddrPess 9 �� r� `.7�Q �C9O State ���
� �
Tele hone Number af Desi nated Pe�son: S_r ��,_
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8. In additlon to himseff,the owner designetes `0�2vY�tC1 °( wN 3
/ r —
r tiid/S' to receive a copy of�thie Lienors NoGtice as provided in Section 713.13(1)(b),Florida Statutes, w�o
Tel one Numb r of P rson ar Entity Designated by Owner• a�3 —7 O 9"` 0�3 0
�w�
D
9, E�iration date of Notice of Commencement(the e�iration dale may not be befare the compleUon of consWction end final payment lo the 3 0
contrador,but will ba one year from the date ot recording unless a diHerent date is specified): 'O �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE ONMER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ��m
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN A
RESULTIN YOUR PAYING TWICE FOR IMPROVEMEMTS TO YQUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE NO �
RECORDED AND POSTED ON THE JOB SITE BEFORE TF�E FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT �yf 9°
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT �
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Under penalty of perjury,I dedare that I heve read the foregoing nctice of commencement and that the facts steled therein ere hue to the 6est 3
a
of my knowledge end beGef. � �
CO NTY FLO RIDO �' C -� � �� • �
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\\��\\N����'lll������ � ' - Signature of Owner or Lessee,or O fs or Lessee's Authorized �
\`\'���OP��S�`�� ///�//'' Qfficer/Dire or/Pe edManager
,.� ;�.\s NF •.' y
` :��j Jb��3,2pj'�Aj9�: � Signstoys Title/
�The���sg�ng insWment-JG�s:a'�cr�yrtedge beforQ me lMs,�day of A�h,'20�tby�/DIJP%�7 1� /r)�ma /
� a �� 'Q GG (rype of authoriry,e.g.,otficer,trustee,a omey in tact)tor
%�� 2 Q —��' (name of pa on behaff otwhom instrument was executed).
"�"� �� � �� d entific n'❑ Notary'Signeture • i
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Ty��i���t����_ Na:ne(PrinQ �. /�
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,A������'�'��" �H STSQO'CER7RlFYT�E�fAT�T�E�C7REG0 NCOSA
��' � `�, �°�j► TRUE AND CORRECT Ct7PY OF 1'HE D�CUM�FJT
' � ° ' ;� �;� ON FILE OR OF PU�LIC RECORD IN THIS Ot=FiCE
�" ��G°:�.�.�'-� �• '�` W1T(,V MY FEAfilD N OFFCCIA�SEA�T 1S
�} °' 7n�i��'We 7`,ru�1 . � �� DAY OF �,� 2 ���
�� FA S.C?'NElL,CLERK&CC}MPTRQLk.ER
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,�,s �88 s � gy ^��Qro�� _ DEPUTY CLERK
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City of Zephyrhills �
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: , � �/�
��
Date Received: cJ—����i � - I�
s�te: �i��� �SIJLt ����2.
Permit Type: ��GU 1-� -c�'7`�" /;' L'�—�f�C�i 0 e"�C�C����.
Approved w/no comments: Approved w/the below comments: �❑ Denied w/the below comments: ❑
T'his comment sheet shall be kept with the pernut and/or plans.
, 3 �,/�
Kalvi itz� — lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
f'� 1 ` �,
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recelved Phone Contact for Permittin V — � �
Owners Name (i�Y 01� � 1� Owner Phone Number ��3"' � ��
Ownefs Address ��J �- ZQ�I �� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Tltleholdar Address ✓�/�
JOBADDRESS 3"I�r�SJ 50�7 ,�- /ywC. � � �I �L LOT# � I
SUBDNISION � � PARCEL IDl� �3�Z�—LI ���� � Q�I 9Q ���
(OBTAINED FIiOIA PROPERTY TAX NOT1C�
WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH I
� INSTALL EPAIR
PROPOSED USE Q SFR �COMM 0 OTHER I
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL �
DESCRIPTION OF WORK ( I I � ��5� I 7YA (.�I���" Q,�(�j�A�f4 S� t�Q�
! i� r,
BUILDING SIZE b � S S�FOOTAGE� HEIGHT
r� � 19 Trl i � � � � � � � �� r�
�BUILDING $ iuD p�` VALUATION OF TOTAL CONSTRUCTION
!-7 r�J�M
,rw
ELECTRICAL $ /� ���r AMPSERVICE��� PR@6RE�J9ENERGY Q W.R.E.C.
QPLUMBING $ � •� ���n f C�^
N` � ; ' .\ � �� F�
/
[�tECHANICAL $ � r_ _.� yALUATION OF MECHANICAL INSTALLATION ^ „/�I ��j � �
7�rJ � � l%�'�" I l% �
�GAS ROOFING Q SPECIALTY 0 OTHER `� / �l�
FINISHED FLOOR ELEVATIONS G�. FLOOD ZONE AREA QYES NO �d! ,� �1
� .,
BUILDER ✓OMPANY /�•�' '` v� "� �`�f '
SIGNATURE / REGISTERED Y/ N FEE CURREN Y/N
Address �fJ) �� � W i�"�v �l, S License# �G�+ '7 ��q�
ELECTRICIAN / " `COMPANY •G� �r✓�'� �� °
SIGNATURE � REGISTERED Y/ N FEE CURREN Y/N
Address License# �-- �nQ �C1��
PLUMBER �� COMPANY
SIGNATURE � REGISTEFiED Y/ N FEE CURREN Y/N
Address f License#
ICAL ��� I`� i� MPANY
S NATURE rtEcisreaEo Y/ N FEE CURHFt: Y/N
Address License#
OTHER COMPANY
SIGNATURE �cis�rtEo Y/ N FEE CURREN Y/N
Address License#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
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)worfcing days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Siit Fence instalied,
Sanitary FaCilities&'I dumpster,Sita Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)sat of Energy Fortns.R-0-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsRa,Construction Plans,Stortnvrater Plans w/Silt Fence installed,
Sanitsry Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMR Attach(2)sets of Engineered Plans.
""PROPER7Y SURVEY required for all NEW construction.
Directions:•
FIII out application completey
Owner$Contractor sign back of application,notarized
If over 52500,a Natice of Commencemant Is requlred. (AIC upgrades over 57500)
" Agent(for the contrector)or Power of Atlomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMfTTiNG (copy of contract required)
Remofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public madways..needs ROW
T ;y.r •
V�
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 responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to unde�take 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�icensing 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"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 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�-lomeowners
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 commencemept.
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
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 to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. �
- Army Corps of EngineersSeawalls,Docks,Navigable Watervuays.
- 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,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 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 fill,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 pians,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 PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
\\\11�����URAT(F.S.117 3) /
��1'�'\�N,�FlM4NBIz OR•ryqENT � ��` CONTRACTO�
��OQ..�\• ' �d�'�+p t (or af irmed)be , is ' Subscribed nd sw m to(or affirtned)bef�me. i��s ;� _
)� �ey, `TJtianLS'i�
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S .V�Op as identification. �-«x'�$.�as identification.
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