HomeMy WebLinkAbout16-16870 � /
CITY OF ZEPHYRHILLS
•- ���, 5335-8TH STREET
(813)780-0020 16870
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit lolumber: 16870 Address: 6026 GALL BLVD
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class r'of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Squa�re Feet: Subdivision: CITY OF ZEPHYRHILLS
Es4. Value: Parcel Number: 03-26-21-0010-12800-0000
Improv. Cost: 65,000.00 OWNER INFORMATION
Date'Issued: 1/12/2016 Name: HESS RETAIL STORES LLC C/O PROPE
Total Fees: 941.25 Address: 539 S MAIN ST
Amo�unt Paid: 941.25 FINDLAY OH 45840-3229
Date Paid: 3/15/2017 Phone:
Work Desc: REMODEL UPGRADE BATH TO ADA/REINSTATE 1 time 6 MONTH
� CONTRACTOR S APPLICATION FEES
ALAMO CONSTRUCTION COMPANY , INC BUILDING FEE 517.50
SUNCOAST PLUMB & ELECTRIC PLUMBING FEE 60.00
TECC, INC RE-INSPECTION FEE 258.75
RE-INSPECTION FEE 30.00
CONTRACTOR CHANGE 15.00
' ELECTRICAL FEE 60.00
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Ins e �ons Re uired
FOOTER 2ND ROU H 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
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 g�vernment 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
impro�ements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Comple�e 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.
�'
ONTRAC O SIGNA URE PERMIT OFFI R
, PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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ALAMO CONSTRUCTION CO.,INC
PO BOX 399
'� BELLEVIEW, FL 34420
352-307-8911
SHALAMOCONSTRUCT@AOL.COM
LIC#CBC1252893
� Change of Subcontractor
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March 10,2017
�To the City of Zephyrhills
�IPlease remove Kwik Fix Plumbing from permit number 16870.
Located at:6026 Gall Blvd.
i;Zephyrhills, FL
��Please add Suncoast Plumbing to permit number 16870.
iLocated at:6026 Gall Blvd.
I�Zephyrhills,FL
4! .
� Thanks,
�/� .�GZ`�'�i��
� Shawn Hughes—President
� Alamo Construction Co.,lnc.
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MAR'15-2017 15:27 TECC Electrical 407 330 2939 P.O1/O1
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a����� CUy oi Zephyrhllls Pennit Application F��e�a�aa-0at�
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� paN � — PMon�6w�t+elta►P�md 819 43b � 4770
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o�rnd�Ad��s 539 S MNN ST FlNDLAY OH 46890-3?29 Ovrmr PRon•Mr�r
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senwy waprea s�aump�ln:s�a wwx r�4a s�mmN.wn.rt.rye woJed. .
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� Mir�mum Im(1�v�a�l�daye efler�tbmtRal da1e.Reau(ad cn�lte.Colroblte0on Plaro.Sbrmweter Phns wlS�l Fe�oe h�statl�E,
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OYER 7HE COUH�ER PEi11iQTTfHO (wpy�oonYe�t r�qW�
Rn�oWa HatiU�ples Sewers Sa+vlae Upyredes AfC FOaOp(PIoNSwvyYJFocqge)
OtMw�p�tlat avs Couiter Ban p�tfe roadrnys.neede HOW
Total P.O1
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a�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
�� � Building Department
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, Date Reci�ved _ - - �2 � phone ConWct for Permittin 813 434 4770
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Owner's Name HESS RETAIL STORES LLC Owner Phane Number 1-800-643-1948
Ownev's Address 539 S MAIN ST FINDLAY OH 45840-3229 Owner Phone Number
I � Fee Slmple Titleholder Name SeB owne� Owner Phone Number
�� Fee Slmple Titleholder Address
JOB ADDRESS 6026 North Gall BNd., Zephyrhills,FL 33541 LOT# �
SUBDIVISION EPHYRHILLS COLONY CO ppRCEL ID# 03-26-21-0010-12800-0010 �
(OBTAINED FROM PROPERTY TA%NOTIC�
�, WORK PROPOSED B NSTALL�8 REPAIR � SIGN Q Q DEMOLISH
� .
PROPOSED USE Q SFR Q COMM Q OTHER
i TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q �
tl DESCRIP710N OF WORK �nterior/Exterior accessibility upgrades ��►�,r�'�tm �� ' V �. �
"� 1 Story 912 SF —14 Ft
i BUILDING SIZE SQ FOOTAGE� HEIGHT �
�j �BUILDING $65000 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
� QPLUMBING $ `1���� �� n��"' `�
�i � � `� � t/�
�� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �'
� � (,�o�-���35 i � �������
QGAS Q ROOFING Q SPECIALTY Q OTHER 1 n�J
� FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA qE QYES NO■ �
� ���7 �S
� � lamo Construction Company,Inc.
�i BUILDER / OMPANY
�J SIGNATURE rteeisTErteo ■Y/ N FEECURREN Y!N
�i
Address 4 9 SE 110th Street,Suite 1, �eville,FL 34420 License# CBC1252893
�{�� �� ELECTRICIAN ,fj '� � COMPANY �
S� SIGNATURE C� REGISTERED Y/ FEE CURREN Y/N
CJ�3 7�� I' ,P pddress License#
j�n'''� '� LUMBER L��e " COMPANY
1 � b G� IGNATURE ✓ � REGISTFAED Y I N FEE CURREN Y/N
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��(�.-��(�DU��il Address Lfcense#
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MECHANICAL COMPANY
SIGNATURE REGISTFRED Y/ N FEE CURREN Y/N
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Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllll
IRESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon,
� Minimum ten(10)working days a8er submittal date. Requfred onsite,Conslruction Pians,Stormwater Plans w/Silt Fence installed, ;
Sanitary FacllfUes 8 1 dumpster,Site Work Pertnit for subdivislons/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
� Mfnlmum ten(10)working days afler submitlal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed,
p Sanitary FacilfUes&1 dumpster.Site Work Permit tor all new projects.All commercial requirements must meet campllance
, SIGN PERMIT Attach(2)sets of Engineered Plans.
••••PROPERTY SURVEY required for all NEW conslruction.
DlrecNons:•
, Fill out applicaQon completely. �
� Owner 8 ConVactor sign back of applicatlon,notarized I
, If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500) I
� •• Agent((or the conVactor)or Power oi Attomey(for the owner)would be someone with notarized letter from owner authorizing same ,
il OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs N shingles Sewers Service Upgredes A/C Fences(PIoUSurveylFootage) �
� Driveways-Not over Counter If on public roadways..needs ROW
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'� CITY OF ZEPHYRHILLS
�a 5335-8TH STREET
�' �� (813)780-0ozo 16870
�,,
�i BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Rlumber: 16870 Address: 6026 GALL BLVD
Perrn�it Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Squa��e Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0010-12800-0000
Impro�. Cost: 65,000.00 OWNER INFORMATION
Date�lssued: 1/12/2016 Name: HESS RETAIL STORES LLC C/O PROPE
Total Fees: 881.25 Address: 539 S MAIN ST
Amo�nf Paid: 881.25 FINDLAY OH 45840-3229
Date Paid: 3/13/2017 Phone:
Woo�k Desc: REMODEL UPGRADE BATH TO ADA/REINSTATE 1 time 6 MONTH
'' CONTRACTO.R S APPLICATION.FEES
��
ALAMO'CONSTRUCTION COMPANY , INC BUILDING FEE 517.50
SUNCOAST PLUMB & ELECTRIC PLUMBING FEE 60.00
hi RE-INSPECTION FEE 258.75
�' RE-INSPECTION FEE 30.00
i CONTRACTOR CHANGE 15.00
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II Ins ections Re uired
FOOTER ,� 2ND ROUGH PLUMB MISC INSULATION 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
SLAB SHEATHING MISC. MISC.
CONSTRU9CTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local ��vernment 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 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 properly. 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 I
� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ,
�� NO OCCUPANCY BEFORE C.O.
a� ; '�
� �
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CONT TO SIGNATURE PERMIT OFFI R ;
� PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION '
�� CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED i
' PROTECT CARD FROM WEATHER �
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� CITY OF ZEPHYRHILLS
�� � 5335-8TH STREET
� _ (813)780-0020 1 70
' BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Idumber: 16870 Address: 6026 GALL BLVD
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Clas� '�f Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
S uare Feet: Subdivision: CITY OF ZEPHYRHILLS
pEs�. Value: Parcel Number: 03-26-21-0010-12800-0000
Improv. Cost: 65,000.00 OWNER INFORMATION
Date�lssued: 1/12/2016 Name: HESS
Total Fees: 577.50 Address: 6026 GALL BLVD
Amount Paid: 577.50 ZEPHYRHILLS, FL. 33542
Date Paid: 1/12/2016 Phone:
Wo�k Desc: REMODEL UPGRADE BATH TO ADA
'� CONTRACTOR S APPLICATION FEES
ALAMO'�CONSTRUCTION COMPANY , INC BUILDING FEE 517.50
WORKMANS KWIK FIX INC PLUMBING FEE 60.00
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I! 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
v
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
iw
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 property that
may b°e 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.
"Wa'"rning 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
�i City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. �
' NO OCCUPANCY BEFORE C.O.
pj
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' 'CONTRACTOR 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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�� Alamo Construction Company, Inc.
� -
G� ' . ---• P.O. Box 399
� Belleview,FL 34421-0399
' PH: 352307-8911 Fax: 352-307-8930
i License# CBC 1252893
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December 17,2015
�E: Speedway#6540 �
6026 North Gall Blvd. �
� Zephyrhills, FL 33541 �
Parcel ID:03-26-21-0010-12800-0010 �
To Whom It May Concern:
��
This letter serves as confirmation that Chris Haines and Stephanie Bartlett of INFINITY ENGINEERING
GROUP. LLC. are authorized to act as agent on behalf of Alamo Construction Co.for Shawn Hu�hes for
the purpose of making application submittals for permits and negotiating conditions for the above
�,
referenced project.
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�Respectfully,
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Sh n Hughes
Construction Manager
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STATE OF�L.
COUNTY OF�I Sl7ovo�� �
S�he forgoing instrument was acknowledged before me this a-� day of �-�e-Y'L-�-Q-^� . 2015, by
hawn Hughes, Construction Manager for Alamo Construction Co.,who is ✓personally known to me or ;,,'�
� who has produced as identification and who did (did not)take , .
an oath. ���J�
/ �' _,.._ �
� �� _____---
ignature of Notary
(Notary Seal)
/��,i S 6'l�l (�k�-e_f-�✓
��%�; pLIgHA N WHEELER Print Notary Name
.�'; � •'E MY COMMISSION fi FF237826
';�;,� ExP►RESJune o8.2079 Notary Public—State of �(�1 Y��0.-
,oc�;'�aoo��a. Fw��.��so�����r Commission No.'�6=�.-���5�7.1 n
• I; � My Commission Expires: �, �„n r� S�. ��c� ,
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� Fro"m: O�/OS/2016 �6:30 #534 P.001
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� OaN R�rwWW � � PAon�Co�uaet 1or P�rmltU 813 434 _ 4770
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I prmar�N�m� HESS RETAIL STORES LLC py��phon�NumyN 1-800-843-1948
'�'� 539 S MAIN ST FINDLAY OH 458403229
Owmr's Addreu Wm9r Phon�NwnEK
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JOB�DDRESS 8026 Nat►h Ga1181vd..ZePhYrhiYs.FL 33541 LOTi �'
A ��N EPNYRHNIS COLONY CO PARCEL IOi�'�'21-0p10.72800-0010_
�aeTNntn Fnau Paovp�n r�x aoricfl ,
WORNPRQP09ED B nEwCDWS1R8 ADD/ALT Q SIGN Q Q DE610LISH
I INSTALL REPAIR
PqOPOSEDUSE Q SFR Q COUPM Q OTHER
TYPE OFCONSTRUC7101d Q BLOCK Q FRAME Q STEEL Q
� OESCRIP'TION OF WORK I���e��Y�PB►� �'i ' Y �
�I BtF�dNG S¢E �S� s0 FOOTAGE 8�a Sf HEtGHT `14 Ft
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a � BIHLDING Ss� VALWTIONpFTOTALCONSTRUCTIpN
�ELECTR�CAL S' AMP SERVFCE PqOGRES3 ENERGY W.R.E.C.
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MECHAMICAL S VAI.VATION OF MECHAN1CAl INSfALLATION ���1 �Z���
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QGA9 Q ROOFING Q SPECIALTY Q OTHER ^�
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA qE QYES NO� �
sW�DER � ��oMp�j��('� Consfi�cti�Cortipany.inc.
SIt3All1TLRE - qEdSTexr� �Y!N �eturai� YlN
s Addnss SE 11Qth Sheet,Suile 1, I�e.FL 34420 ��� CBC1252893
ELECTRICUIH CONPANY
SIGNATURE aFctSie�ID YJ N FEECURREN Y/N
ACOnst _ •l �yex
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LUNBER �PANy
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SKiNANRE REGisr6+Eo Y/H vEEas� Y/N '
Addreas Lk.e�e a �
. IIIIl1�l1i�1111111111111111111111111t11111�lI �t�111�11 �1� 1111�11111
RESIDEN11A1. Altach(2)Plot Plans:(2)o�b d Bu1d6q P7ane;(1)set al Eneryy Fortna:R-0-W PerrMl ta new canatuctlan,
AkkdrtKnn fen(10)Nwktr�g deye after�tbmlual dotp.Rpuied o�flo.Cor�aWG{an P{7via,Stormwale�Plarts wl Slfl Fenoe Installed,
Sonitoiy fed@tlee 31 dumpater,Site Wa+k Pom�tt forsubtllvlsbnslluge pro)ecls
COMMERCIAL ARerh(2)cornplefe eats d Butldnp Plane plus a Lf1e Safety Pagm:{f)set d E��y Fortns.R-0�W.Pem�it br new cor�sYucllpn. ;
MiNmun tan(70)Mnrkk�g days eRa auWrdltal daW.RequirW onslN.Corts►ueion Plarm.Stormweter Plans w/Srl Fenee{natelfad,
' Ssnitery FacRtlee 81 dunpsta.Sks WaAc Permit for aN new projeets.A!I opnmerelal raquYemmtt must meat oarpi's�co i
I � SlGN PERINIT Atlarh(2)sets d Engneered Pfarrs.
^"PROAERTY SURVEY reqW�etl for�NEW oonstn�cUa�.
/ilil��iRd"'�ILIi�.ie�li6i.�i1�/.i1 �611i�ii.�i��fii' •i��•
� 0lrKtlono:
i F0 an eppYestlon eanplMey.
Owner 8 Contreetw otgn baek oi�pRratbn.notatzed
4� If ovw f2300,�Notla of Cow�m�ne�nt b requNod. (AfC'uppndo�ovmr f7500)
i� •• Aflerd por 1he eorqrectaj or Pawer M Adomey(fw Ihe owner)would De aomeone wIY�ndarited letlar fian owner euthorhJnp sema �
� OVER TNE COUMER PERMITTMQ (copY d con4ac!roQWred)
Remds 11 ahingles Seurer5 Sarvk�Upp�adr�AfC Fsxes(PIoUSweY��9a� �
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rl NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
whi�h may be,more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
�' appiicable 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 unce�tain 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 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpohation 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 WatedSewer 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—Homeowners
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 commencement.
� CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurete 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 instaliation 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 government 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,Water/Wastewater Treatment.
k' - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
'� Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
�j 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 wiil be used only to fill the area within the stem wail.
" - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
j� properties. If use of fili is found to adversely affect adjacent properties,the owner may be cited for violating
�I � 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.
�i � If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
'i 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
i � permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,aiter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
i requiring a correction of errors in plans,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
i 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 FQR IM�P OVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENPSER O AN A�'G Y BEFORE RECORDING YOUR N IC OF C MMENCEMENT.
�� FLORIDA JURAT(F.S 1 .03 _ _
� ,� • ��-
OWNER O AGENT %' CONTRACTOR r(
�, S b bC� an�,swor , or affirtne r � ub crib d and swom o r � ed)be ore e� i '
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�i ho is/are ersonalyl known to me or has/have produced Who is/are ersonally known o me or has/have prod ced
, �-1 �NSG as identification. as idenlificadon.
�----' � - ��Public ' �� � Notary Public
� �Comm' sion No. Commission No. ��� � �� �f/
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Name of Nota typed,printed or stamped Name of Notary ryped,printed or sta
, ;�,:�:�°i:%�., JAMESVANDERCRAKE ;�►'"'^�4fri;: ALISHANWHEELER
:.; :- Commission#EE 870434 =•• •c MY COMMISSION tt FF237826
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� BUILDING PLAN REVIEW COMMENTS
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Contractf I r/Homeowner: �Q�' ���(�7� � ��e�
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Date Received: � L 2� " �-.�
Site: �I V
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Permit T e:
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This comment sheet shall be kept with the permit and/or plans. ; �
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Kalvin S;witzer—Pl � iner Date Contractor and/or Homeowner
(Required when comments are present)
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„ . '_ � 2016004689
� Penntt No. Pe,�i�No os-zs-z�-0o�a�zeoo-oo�o
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ji N0710E OF COMMENCEMENT
i� s�a Fl«iaa co„my or aasco
THE Ut�OERSIGt�ED hemtry ph�ea�tl�et knprwanerd w61 ba mede to eertaln real properly.and(n oecadartce wdh Chapter 713,Ra[da Stetutes,
the(Ulowtrp fMamaUon b prov�ed in tMs Nottee o1 Commenarnenl•
�. oeaa�uon a wopeny: Pmod ta�,�eua�rw.s�aned,ed��oes«;puo�, o�zs-2�-o0�o-�2eoo-oo�o
isae��lddr�a: ��'���"d••Z�r�"�.Fl-�� RcUt: 1739882 Rec: 10.00 i
2. GeneralDeautptiondlmprovanent�^���^��acoessmiutyupgrades. DS: 0.00 IT: 0.00 i
I� 01/11/2016 eRecording �
3. OMma Irdormefton or I.atae�I�fotmation 1(fhe Lessee ewrtrnued fa fhe improvemeid:
HESS RETAIL S70RES LLC
fJame
' S39 S MAIN ST FINDUIY OH 45840.9229 OH
� �� -- �
I�tn Property: ��°� � PAULA S.O'NEIL,PhD.PA9Cd CLER&COMPTROLLER
,; t�amoaFeestm�er�enaa� 01/11/zo16 04:10 P23 1 of 1
pt d�(erant trom owner Iiated above) OR BK P G 3
� �� Atamo Cot�WcUon CompanY.lrtc Shawn R.Hughes CBC1252893 aH �ate ,
� 4. ConVaU�:
4894 SE 11�t,Sude 1. Believ�la.FL 3442t! R
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, Conhadara Tdepla�No.:
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Lendefs Telepho�e No.:
7. Peraona wiUdn the Sta�d Flaida des�nated by fhe avner upon wfian not(�ar dha doamenla may De aerved es PmWded bY
Sedton 713.19(1)(aK71.Florfda S�:
Name ,
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rel�l,one n�mner a Deslpnatea ver�ar.
8. In edd�Hon b I�rnsalf,B�e ownerd�dpnatea a_
b reoeive.eapy auie uenor.NcBee as prov�dea in sedbn 718.t3(iKb>.Fbrlaa sbhrtes. �
Telephone Ppunber of Pe�son or En1iH�ated bY Ow�+e�
9. E�iration date d Nodee d Canmer�netd(tho m�traUm data may nal 6e betore fhe eomple6an of construdion�d flnal payment to the ��
- o�r.n�w�ns wro y�r r�om�n.affie a��r�.�re�a aece w.��: -
I WARNNO TO OWt�ER ANY PAYNENiS MADE BY TttE OVIMgt AFTER THE D�IRATION OF iHE NOTICE OF COAIHNENCEJWENT
ARE CONSIDERED IIV�ROPER PAYMEMS UNDER CHAPTER T19, PART 7, SECTION 713.73 FLORIQA STATUTES, MO CAN
RESULT IN YOUR PAYINO 71MCE FOR IMPROVEMENiS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE '
I RECORDED AND POS7EO ON iHE JOB SITE BEFORE THE FlRST INSPECTION, IF YOU INiEND TO OBTAIN FlNANGN(i,CONSULT ,.
' 1MTH YOUR LEN�ER OR AN ATTORNEY BEFORE COMMENGNG WORK QFt RECORDING YOUR N0710E OF COMNIEIdCEMENT.
u�ae�pemtry a pe�ny,�dedaro mac 1 nare reaa n�e tore9ano ne r m u�rem ra a�w n,.beat
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�r`'+ ,P��NtES VANDERCRAKE s a ow,.r ar ,or .o,uu�zee ;
'� �'__ Commission#EE 87Q434 «�
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"�f w�i�.R`` Ba�dndihuTiayrFaa�fna+am800385�i019 �`�r�i��'G (�{'C' i
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n�e forep�o insaunem wm edmdMeaoed nerore mb nas�day d r��¢,�1��br :��!�`l L fvt .l {-%/1�1�!�1
� m ��YPs a�N�aHy.e.p.. .6ustn.aCaneY In t�cq for
i (name of�arty on behdf of was
fl Faaa�elh Known 0 QS Produced IdenfUieatbn[� DbtaiY St0 -.._....!.�"cc� Q ._eir ' oV
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� Type of Id�6ficallon Produeed��J S/l L��.4�S� �wme�aanq / A��^� l�a��'�C��G�
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City of Zephyrhills
f� BUILDING PLAN REVIEW COMMENTS ��5� � S�
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Contractor/Homeowner: �-/��( (� L�-�l�L'J`/� --=�
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Date Received: _ /- Z �{� � � ���2�`C.��-i
Site: 1�
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Pernut Type: ��S'! d}'1 �'�"�"�
Approved w/no comments: Appro�ed w/the belo�anm��tts: � Denied w/the below comments: ❑
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This comument sh �t s.all be kep w'� the pemut and/or plans. �
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� Kalvin Switzer-P s � ' er Date Contractor and/or Homeowner
p� (Required when comments are present)
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CITY OF ZEPHYRHILLS, FLORIDA
� 5335 STH STREET
�
, CERTIFICATE OF COMPLETION
NAME: Hess Retail Stores LLC/Speedway DATE: April 19, 2017
ADDRESS 6026 Gall Blvd
PARCEL I.D. 03-26-21-0010-12800-0000 SUBDIVISION : City of Zephyrhills
TYPE OF BUILDING : Convenience store - remodel upgrade bath to ada/
PERMIT'(s) 16870
REMARKS :
Final Inspection: April 3, 2017
BILL BURGESS BUILDING OFFICIAL/ JB
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