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HomeMy WebLinkAbout15-16754 ! � CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 167 4 BUILDING PERMIT � PERMIT INFORMATION " LOCATION INFORMATION Permit Number: 16754 Address: 5151 GALL BLVD Permit Type: ADDITION/ALTERATION 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: 11-26-21-0010-16600-0100 Improv. Cost: 10,000.00 • OWNER INFORMATION I Date Issued: 11/19/2015 Name: 5157 GALL BLVD LAND TRUST KENT R � Total Fees: 127.50 Address: 108 4TH AVE S Amount Paid: 127.50 SAFETY HARBOR FL 34695-4020 � Date Paid: 11/19/2015 Phone: 727-726-2728 Work Desc: RENOVATION /AUTO DAMAGE CONTRACTOR S ' APPLICATION FEES - C SI NATURE CONSTRU TION CORP BUILDING FEE 127.50 I 12 -- c 2 — rSr i�� �'i U ��� - � � Ins ections Re uired - � � F OTER 2ND ROUGH PLUMB MISC INSULATI N 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: (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. - NOTTCE: In addition to the requirements of this permit, there maybe 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 BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIG ATURE PERMIT OFFI R PERMIT XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�saso-oozo City of Zephyrhills Permit Application Fax 813-780-0021 Buiiding Department Date Recelv�d Phone Contact far Permtttin - � Owner's Mame � �� �� Owner Phone Nuniber Owners Address �(... � Q� Owner Phone Number � �� Fee Simple Titleholder Name �`J�5� ` � .� Owner Phane Number ��' � r Fee Simple Tltleholder Address �b ~ c� c�r -�� �L � JOBrADdRESS '....��' I�I (Z �1 v�� � �L 3.�-a 5 LOT# C� SUSpIViStON �� � PARCEL ID# I �- - � (OBTAINED FROM PROPERTY TAX NOTICE)� WORK PROP�SED NEW CONSTR ADD/At.T � SiGN [� Q pEMOt,ISii INSTALI. 8 REPAIR PR4PQSED.UBE � SFR �, COMM 0 pTNER TYPE OF CONSTRUGTION � BLOCK " [� FRAME [ ^] STEEL Q DESCRIP7'�ON OF WORK � �C.. j � �IG{, (�m� BUIIDtNG SIZE � � $Q fOOTAGE�� HEIGHT _____� ������1��'' � �d Q�� �� VALUATION OF TOTAL CONSTRUCTiON f QELECTftIGA� � � AMP SERVICE Q PROGRESS ENEFlGY Q W.R.E.C. QPl.UMBlNG �_� �_�[ -'`�"1 ` QMECHANICAI $ VALUAT[4N OF MECHANICAE INSTA�lAT10N }��� QGAS Q RQQFING. Q 3PECiAl.TY �� OTFiER FIfVISHED FLOOR ELEVATIQNS �-----r� FLOOD ZONE AREA QYE�u NO BUILDER ,� ����(� COMPAl�}lf c..�� ��; o,_ n ' n . SIGNA7URE � REGISTERED / N FEE CURRE� Y N Address � c }�- �L 3`Jla(o�' License# (,'(�C_.l 51 '-E �?,�'2... � E1.ECTltEC1AP! COMPANY SIGNATURE '' REGISTERED Y/ N FEE CURRE� Y/N Address Lfcense# �� � PLUMB�R �111 COMPANY SIGNATURE __` REGISTERED Y/ N FEE CURRE� Y/N �d�s$ License# � � MECHANICAI. COMPAI�IY SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N Address �License# �— � � OTHER�- - - - -- - _ _ _ , ._ CQMPANY i � —� — �._—_.� SIGNATl7RE y� REGISTERED � Y/ N' FEE CURFtE� Y/N Address License# �� � - RESlDENTIAL. Attach(2}Fiat Plans;(2}sets af$tiilding'Plans;{1)set af Energy�Eorms;R-O-1N Permit iar new canstruction, Minimum ten(10)working days after subrrilttal date. Required onstte,CanstrucUon Plans;Stormwater Plans w/Silt Fence installed, Sanitary Facil(des&1.dumpster 51te Work Permit for su6divisionsAarge proJects CQMMERCIAL. Attach{3}complete sets of Buitdirig'Ptans plus a Life Safety Page;(i)set of Energ}r For►ns.R Q-W Permit for new canstruction. Mlnienum ten(10)working days after submittat date. Required onsite,ConstrucUon Pians,Stormwater Plans w/Silt Fence installed, Santtary Facilities&1 dumpster.Site Work Permit for aU new projects.Al!commerclal requirements must meet compllance ;1 SlGN PERMIT Attach{2}sets of Englneered-Plans., ••*`PROPERTY SURVEY required for all NEW constructlon. DErectlons: FIII out applicadon completely. , Owner&Contra�tor sign back of applicatlon,notarized If aver y28Q0,a NoElae of Cammenasment is requEred. (AlC upgrades over S7SOQ) " Agent•(for the cantractor)or Power of Attomey(for the owner)would be someane with notarized letter from owner authorizing same DVER THE CQUNTER PERMiiTiNG (Front af Appitca#ion Only) Reroofs If shingles Sewers Service Upgrades A/C Fe�ces(PIoUSurvey/Footage) Drivewa -No �s `�:: a, • .. ; _-`'. ' �:-�U�;;..:_'.:. s�.j,:��, "<,. _ ys tove�Countefi€an�public,roadways..aeedsROW _ _�;,,,a; ,. , ; .� n .� , .. . . =- ' f7 <<„�: � :., . . , . ':,c,i.;: • ,t;', �j' � �. � �. � , �i -- ",�.....:.,..'il' _, �_ � i -_ r � , � � , t': ' ' � f t'}i. .� �Y�Jv�� / —�._ _ . NOTiGE QF DEED REST,�ICTIO�iS: The understgned under�tands�th�t.#his.;p�rmlt.may.be.sub�ect tv"deed"restric#ions° ' which may be;more��r.est�ict(ve.�thaln�County regui�tions.'�The undersigned�"assumes°responsibiitty for compitance with any appiicable dea�d restrictlons. , l3N�tCENSED C�NTRACTORS AND CONTRACTOR RESPt�1NSIB1LITI�S: -Ef the awner has fiired a co�tractor ar contractors ta undertake work, they may be c�quired.�.to be�Ilcensed In accordance.with state.and•loc�l regulations. If the con#tactor is not Ifcensed as requlred"6y law, 6oth the owner and cont�actor may be aited�for a-misdemeanor violafion under state law. If the owner ar lntended contra,etor are:uncertain as"to what iicensing.require�nent� may apply��for,the intended work,they are advised to contact the Pasco County Building tnspectlon Dtviston--Llcensing Sectton at 727-847- • 8009. Furtt�ermore, if the awner has htred a contracfoi- or contractors, he is advised to have the"co»fractor(s) sign portions of the "contractor Block" of thls application for virhich they will be.responsible. If you,.as.the owner sign as the co�tractot, that tr�ay be an indicatlon that�he is not.property licensed and is no#entltled to permitting privfleges in Pasca � County. � � ' ' � ' TRANSRORTATION IMPACTIUTIL{'FIES-IMPAC�`AND-�iESOURCE RECCIVERY�FEES; fihe undersigned understands , that Transpor#ation Impact Fees and.Reco.urse Recove.ry.Fees may,::appiy ta-the consttvc�on af new buildMgs,�ahange of use in existing buildings, or,expansion�of��existi�g;�6uildings, as specffled.in Pasco County Ordinance number 89-07 and 90�07, as amended. .l'he undei�slgned sEso ur�derstands, fhait�suct�fees,.as�may�tie�due,:wlll.�e tdentt#ted at the�t�me of permitting. It Is furkfier understood that Transpo�tation Impact Fees and Resource Recouery`Fees must be pafd prior to rece�ving a °certlficate of occupancy"-ar final pawe.rrelea�e. :!f#he project does not lnvoive:a.cert�icate af oceupancy oi� finat pawer relesse, the�fees must,be paid prior ta permit issuance. ���thermore;�if Pasco County 1NaterlSewer-impact fees are due, they.must be-paid prior to permlt�issuance�tn accordance wlth appltcable.Pasco�Cauniy oidinances. � CONSTRU�TION CIEN l.AW{Ctiapter 713, FlaNda 5#a�utea,�s amen��t�}: i�vaiva�on ofi work Is$2,500.00 ar more, 1 ; certify that I, the applicant, have�been pravided with� a copy� of #he °Florida Construction Lien�Lav�--Homeawner's Protectlon Guide" prepared by the Fl�rida Departme�t of Agrlc.ulEure and ConsumerAffalrs. (f the appllcant ts someone ather than the"owner", I certify#hat I h�ve.obtained'a"copy;of the above.described docurr�ent°and.promise In.good falth to deliver It to the'ownec"prior.to�commencement: CaNTRACTGR'5/C►WNER'S AFPIDAVIT: 1 ceitify.that all the.,inf.ormatlon in this apptication is accurafe and that aii wark will'be done in compliance with all applicable laws regulating construction, zoning and land development. Application is heceby made to obta[n .a pecmit to do warlc;and ii�staElatlon as tndECafed.� `I cectifjr #hat no work ar Installatton has commenced prior ta Issuance of a permit-and that.all work will be pertormed to meet standerds of all laws regulating� aonstructlon, Counky and Gity codes, zoning cegutations, and tand devetopment r.egalatlons�ln Ehe jurisdictian. ! si'so certify that 1 understand th�f the regulatlons of other government agencies may�apply�to the intended work, and#hat it is my�esponsibility to identify�whak:act(ons I must take.to be5ln:.corr►pltance: Such agencies include bu#are.not limited to: - �epartrnen# of Er�viron�ental-Prcitectton-Cypress.B�yheads; Wetiand Areas and Envtronmenta#ly Sensitive Lands, WaterNVastewater Treatment. - Southwest Ftorida Water Management .Dfstrict WellsF Cyprass. Bayheads; Wetland Ateas, Ai#ering Watercaurses. - Army Corps of Englneers=Seawalls; Docks�N�v[ga�le Wateruvays. � - Depa�tment of Health��� Ret�abltitafive SenilceslEnvitonmentat Heai#h Uitit Weits� Wasfev�taater�Treatmenf, � Septic TanKs. � � - US EnvironmeMaf Protectfon Agency-Asbestos�batement. - Federai Aviatlon Authority-ftunways. � !unda�stand that the foAowing:restrlctlons apply to�the use of flll:� ' - Use af ftli is not aliowed in Ftood�Zane"V"unless expressly permitted. � - If the fill mateNal is �to be used. in Flood Zone "A", it. Is understoad that a drainage plan addressing a °compensating valume"will be submltted at time of permitting wMch is prepared by a professlanal engineer Ucensed by the State-of Florida: - !f the fi#! materia#.fs to be used in Ftood Zone °A" in�connection=with.a��ermltted buiiding using stem waH ' canstructian., I certify#hat fill:witl=be used only.to fitl the area within the stem Mratt. - If fill material Is to be used in any area} I �oerkify that .use. of such fiU wpl not adversely affect adjacenk '� properties. If use of fill ls#ound to adversely:�fifect adjaeent�properties, the owner may be cited#or viafating , the condltions af the building:perrnit issued under the.atkaotied permit application, for lots less than one (1) acre whlch are elevated�by f�!!,an engineer�ed dralnage plan is req�aired. . If 1 am the AGENT FOR THE OWNER, t,:promise In good faith#a infiorm the-awner of the.permitting.canditlans set.forth In ; this affidavlC�prier to commencing constructlon. I understand that a-separate perm(t may be requlred for ele�Mcal work. plumbing, signs� welis, pools; air conditioning, .gas� or otiaer tnsta{I�tions not spec�ically included-in.the application. .A penrait Issued shall be constcued to be a Iicense to proceed with tFie work and not as:autho�tty to.vialate,cancei, alter, or � set aside any provlsians of the techolcal.cod�s;�nor sha�l Essuance�of a pecmlt.pcevent th�e Bulldlrig Q�ftclal f�am iherea#�er } requiring a correction nf errors In.pians, cons#ruction or violations of any codes. Every permit Issued shall become invalid �,,!ess the wark authorized.by such permit�Is-cori�tmenced�w1tP�ln sfx months of�permlt Issuance, or if work autharized by the permit ts suspended or.�bandoned for a perEod of six(8}mnntF�s.efter the tima the�wowk is cammenced.. An e�ctension ' may'�e requestedy, In writing; from the Building Official far a period no#to_exceed�ninety�(90.�.days and=will--demonstr�te ---- - - - �usttfi�6ie cause fo�the extenslon� If work ceases for ninety{90}consecutive days�..the Job��s considered abandoned�� � WARNING TQ OWNER; YOUR.FAILURE•TQ.�RECQRD.A Nt?TIGE Qf-CQMMEMCEMEMT�MAY°RESULT IN YOUR PAYtNG TWiCE FOR IMPROVEMENT3 TO YOUt�PROPERTY. tF�YO.U�IN�'FE�iiD"TOfY38TAIN�FIRtANC1NG;�C.CINSULT lNIT YUUR NDE . N ATTORNEY� FORE� ECOR�C1 G:�YOUR' O �G :OF` •' � - • F�ORiQA JlIRA�'{F,S .17.OS) _ - DWNER OR A(iE � ���. -.- -- CONTRAGTO 5ubscribed and or fli edj befare me this Subscaibsd'a ' to(at a�itmed)�betore me ttit� by (� ' ��,,: .b �1(a^��n� ��lre��.�.-�"IL JVho islare perso y k wn to.me or haslt�ave produced Who Is/a e nal�ykna to me or ha ave�produced • as Iden��c�tlon. as[den8flca8on. �,�_Notery Public . �,�C��.�!G���`� � ��,:��G1.lC" . Notary Pubilc �ommisskon No. CommiSslon IVa. Y Vame ai Natary typ i or��.�,Akt1.00K Name of NatarY tyPed,pdMed or stamped � ;• �•� ` MV'G'�1�i1SSit�i 1�F�i�f866 * ` ,*,�'Cfl�iM15Si0N#FF i51866 * � * EXpIRES:August 18,2048 EXPIRES;August 18,20i8 �'��r�a�� �on9sAThrufludp�tFtof�rySeMtEs �r�att�tl�°P �4n�1d"it+ru6udgetNobry5eivlces _ " p ,' O I:1U111UN� � ��:,�;s'�. � '��, - City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �C �i GNaTU(�E CONSTRUCTtc�l� g Date Received: �� — I � — � 'J� site: 5151 G A Ll. (3 l.V D. f Permit Type: E N 0 V A T l� N 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 wi �'r lans Examiner Date Contractor and/or Homeowner / (Required when comments are present) ' � IGNATUR CONSTRUCTION IC O R P O R A T 1 O N I GENERAL CONTRACTORS GENERAL CONTRACTORS ROOFING AND MARINE CONSTRUCTION ROOFING AND Iv1ARINE CONSTRUCTION ��.. , � November 3�d, 2015 . r , City of Zephyrhills Building Department 5335 8th Street � Zephyrhills, FL 33542 , ,, , I Joseph Matissek;license.holder for SC Signature Construction & Roofing, authorize the following people to apply/sign for permits under my license numbers CGC1514332 &CCC1328842�: ' Carla Garlock � David Southworth Robert Pope Steve Williamson Jos tissek, President ate of Florida County of Pasco ' The foregoing instrument was acknowledged before me this 3�d, day of October,2015 by,Joseph Matissek, I who is personally known to me an did not take an oath. �iGj • 6� Notary Public,State of Florida e�`;."•�:;�% CARLA M.GARLOCK * ,* IaY�C61A(�IISSION t�6151866 EXPIRES:August 18,2� N�ArFOF F1.�P\�e Bonded Thru Budget Notary Servlces 8530 Oreto Dr � Port Richey, FL 34668 � Office 727.842.5163 CGC1514332 I CCC1328842 IGNATUR CONSTRUCTION IG O R P O R A T 1 O N I GENERAL CONTRACTORS GEIJERAL CONTRACTORS ROOFING AND MARINE CONSTRUCTION ROOFI�JG AND MARINE CONSTRUCTION �- � �. � ' r 8530 Oreto Dr. � Port Richey, FL 34668 � Office 727.842.5163 CGC1514332 I CCC1328842 NOTICE OF CO�E�CE�NT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 2015181766 PermitNo. Rcpt:1726883 Rec: 10.00 DS: 0.00 IT: 0.00 Propertyldentification No: 11-26-21-0010-16600-0100 11/12/2015 L. 5. S. , Dpty Clerk THE UNDERSIGNED hereby gives notice that improvements wilI be made to certain real property,and in accordance with Section 7l 3.13 of the Florida Statutes,the foliowing information is provided in this NOTICE OF COMMENCEMENT. l,Description of property(lega!description): 11-26-21-0010-16600-0100 --- a) Street Address:_ 5151 Gall Blvd Zephyrhills,FL 33542 2.General descnption of improvements: Repair auto damage to front SE corner of block wall 3. Owner Information Kent Runne3ls PA Tnsstee 515"1 Gall Blvd Land Trust a}Name and address: 108 4�'Avenue S Safeiy Harbor,FL 34695 Pq��p S 0'NEIL,Ph D PASCO GLERK & GOMPTROLLE� ' b) }Name and address of fee simple titleholder(if other than owner}; 31/12/2015 09:01am PG �G� c) Interest in property: Owner OR BK ���� J 4.Contractor Information T a)Name and address: S.C. Sisnature Construction Corp. 8530 Oreto Drive Port Richev FL 34b68 b}Telephone No.: 727-842-5163 Fax No, (Opt.} 727-�74-0008 5.Surety Information a)Name and address: NA b)Amount of Bond: c)Telephone No.: Fax No. (�pt.) 6.Lender a)Name and address: NA Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: NA b)Telephone No.: Fax No.(Opt.} - � 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section .. 713.13(1)(b),FIorida Statutes: a)Name and address: NA b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified}: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF C�IVIMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS T�YOUR PROPERTY. A NQTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING VVORK QR RE�ORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA rn�rT��ry r��p�ec�n � Signature of Oa�ner or Own Authorized O�cer/DirectodPartner/Manager �H�- s���H�/� Ptint Name The foregoing instrument was acknowledged before me this�G day of W�C�2015 by � � �il as�lJSj� (type of authorify,e.g.officer,trustee, attorney in fact)for,;f���W��UL��A:���I;•_ s�(Jr�n ���3 (name of party on behalf of whom instrument was executed). Personally Known ;/OR Produced Identificarion /Notary Signature � Type of Ident�cation Produced Name(print) � Gl � Verification pursuan#to Section 92.525,Florida Statutes.Under penalties of perjury, declaze that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. �o`;a%��8�% MARY 0.MANESTAR * * MY COMMISSION#Ff 089870 ,� � EXPIRES;February 5,2018 '+rFoF�o��O BondeG ihN 9udget Notary SeNices *- .;� ' }, i -., ��,�@AJh� �,.`�� � '� �°Co �� 0 � a��' STATE OF FLORIDA,COLI�lTY�F PF��CO �, - � �' ' .� THIS IS TO CERTIFY THAT THE FOREGOING IS A • 1n�o��Ne,fy,�t\ � TRUE AND CORRECT COPY OF THE DOCUMENT � . �•� � ON FILC OR OF PUBLIC RECORD IN THIS OFFICE E = �_�� • � WI NESS MY HAND AN OFFICIAL SEAL THIS �Z. l �p�`—' DAYOF - � a���� � - I , C R C P ROL(L E R � SrATE�F F�"��� �_ BY