HomeMy WebLinkAbout17-18145 /
CITY OF ZEPHYRHILLS
_ ~ 5335-8TH STREET
(813)780-0020 181�k5
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18145 Address: 38522 A AVE
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT �OMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 14-26-21-0010-01700-0060 '
Improv. Cost: 20,000.00 OWNER INFORMATION
Date Issued: 2/15/2017 Name: CROWN CASTLE GT COMPANY LLC
Total Fees: 417.50 Address: 4017 WASHINGTON RD
Amount Paid: 417.50 MC MURRAY PA 15317-2520
Date Paid: 2/20/2017 Phone: (813)342-3853
Work Desc: INSTALL PROPANE GENERATOR W/ 10 X 5 TANK PAD
CONTRACTOR S APPLICATION FEES
J CROMPTON ELECTRIC INC BUILDING FEE 202.50
J CROMPTON ELECTRIC INC ELECTRICAL FEE 60.00
SECURE GAS SERVICE FIRE PERMIT FEES 50.00
FIRE INSPECTION FEES 25.00
/ FIRE PLAN REVIEW FEES 50.00
Q �,, , CONTRACTOR CERTIFICATE 30.00
U
.r � (�,( `f
, 2
Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CE LING
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.
REINSPECTYON 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 reinspes;tion,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 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.
C T C R SI NATURE PERMIT OFFI R
P MIT XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
ALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
/
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38410 6th Ave Zephyrhills, FL. 33542
= FIRE SER1/tCE U�ER FEES �
Occupancy No.:
, Plan Na.: Contractor:
Business Name: Billing Address:
Business Adcfress:
Business Phone Na.: Billing PFiane No.:
Business Fax No.: Bilfing Fax No.:
Contact: Contact: ',
�
P[.14R!REVIEW FEES iNSPECTiON fEES , PEI2MIT FEE FAISE AtARM FEE �
8 Site Plan N/C Annual N/C Sprinkler $50 1stAlar'rn N/C
MuiB-Fami(ylCommerclai .06 sf 1st Re-3nspection NIC Standpipes $50 2nd A(ann NIC
(Nlinimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
❑Pfan Revisians DBL 3rd Re-insgecGon $254 I-100dS $50 4th Atarm $900
4th Re-Inspectian $500 F Alarm $50 5th Alarm $150
SPRINKl..ER SYST�MS (Business closed until LP as $50 6th Atarm $200
�0-25 Heads $50 violations corrected} :, a ural Gas $50 NON COMPLIANCE $150
26 pius Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pertank $50
STAt+IDPtPE SYSTEM Hydro Undergrounds $45 Sparkters $100
� Per Riser $5Q Hydrostatic Test $65 per system Fire Works $500
FIRE Pt1MP Acxeptance Tesi $45 persys#em Carnp Fire $25 �
�Per Pump $100 Hydrant Flow $75 Controlled Bum $100
FIRE AEARM SYSTEM HaodiDuct $50 •
8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 annuai
28 plus Qevices $10Q System Accepfance $50 Fire Frofe�tion $25
3UPPRESSt01d SYSTEMS Recatl Acceptance $50 Flammable Appiication $50 Mnuai
Wet $50 07HER Waste Tire Storage $50 Mnuat .
Dry $50 Fire Wa1USmok�Waii�M1 $15 perwatt Generator�KW $100
CO2 $5p P Gas� $ per tank Generator}30 KW 150
Other $50 Na ra� as $25 persystem B�aHazard Wasfe $900 annuat
KITCHEN EXHAUST Fumigation Tenting $50
�HoodlDucts $5Ci 7ent 14'x90'or greater $15 per tent Torch PotlApplied $50
Fire Pump $45 Haz.Materials $10p ,annuai
LP t r nk $50 Fire Suppress3on $3Q
, Fuet Tank Instailation $50 System Acceptance
{Per Tank) $50 8 Exhaust Hood/Duct $30
�Naturai Gas instaitation $50 Re-inspection DBL
��� Per S stem
( y ) (other than annual)
�Spray Boath $50 �Enspection scheduled DBL e
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle At $50 FALSE ALARM
PLANS TOTAL� INSPECTiON 70TAL� PERMIT TOTAL� TOTAL�
GRAND TOTAL C��1�:�
Comments:
Date:
inspector:
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: , ,�%�'(�Y�
Date Received: �—�� �
Site: �� J Z Z �'����
Permit Type: �
��S��E':�P ��rE 2
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.
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Kalvin Swit — s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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816298 80959 ` 2017023472
Permit No. I D��s Parcel ID No 14-26-21-0010-01700-0060
NQTICE OF COMMENGEMENT
State of Florida County of Pasca
7HE UNDERStGNED hereby gives notiCa thaf improvement wIII be made to certain rEal property,and in accordance with Chapter 713,Florida Sta#utes,
the following infortnation is provided in this Notice of Commencement 'p p�
1 Description ot Property: Parcel Identification No.14-26-21-0010-01700-0060 Maores First Addition To City Of Zephyrhills PB 1 Pg 57 ►r?!!�9
Lots 6,7,&&inclusive Block 17 OR 4639 PG 280 N �'
Strees Address: 38522 A Aue. 2eghvrhil(s,FC 33542 ti@;�
N O O�
2, C�eneral Description oC Improvement Verfzan wirelesspr000sina to install a new orapane eenerator with an external 500 gal ���
tank usine a 10'x 5'tank pad. 7c m
3. Chmer Information or Lessee information It the Lessee contracted for lhe improvemznt: au��
. �
Crown Castle�T Companu I.LC ���
Name �
A017 Washington ftoad,PMB 353 McMurray PA a m�
Atldress City Stata y .
tnterest in Properiy: T4wer Qwner K m
cY
Name of Fee Simple Titteholder:
(Sf di(ferent trom Owner iisted above) �
� ,
Address City Slate
4. Contraclor: �•Crompton Electric,Inc.
1290 OId Congress Avenue West Patm Beach F�
� Cit State
ConVador's Telephone No. �321)288-7093 Y �N c
i aOYD
5. Surery: NJA �4 N o
Name
�z
•+m
Address Cify Siate ��^+r
Amounl of Bond: 5 — Telephone No. �•/�/yIN?
•W.• o
6. �ender: N�A i�n�i D
Name
3 n
0
Address City State �r�
�ende�s Telephane No. �
0
7 Persons within the Slale of Florida designated by the owner upon whom notices or other documents may be served as provided by N"'�
Sec6on 713.'13(1)(a)(7),Fiorida Statutes; NF`3
N�F; � F- � Y
Name � �Z� �. L�
r ,, � � W
Address City State A � �� Q� ��+� U
Telephone Number of Oesignated Person: ��y� � ��� �"
�- Ca � Z4 `� �= n�.
8. In addition lo himsetf,Ihe owner designates N�A �f— (y W � � w �"` LL.�
to receive a copy of fhe l.�enor's Notice as provided in Section 713.13{1}@},Florida Statutes. {� a�G� Q �
7elephone Number of Person or Entiry Designated by Owner: � �- � � `� C7
9. Fxpiration date af Notice af Commencement(the expirakion date may noi be befote the compietian of canstntcGon and finai payme�t to the � _� �� �
� F--}{�{,�- �
contraclor,but will be one year from the date oi recording uniess a difterent date is specified): o F,,, � t,t}�^j � �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AF7ER THE EXPIRA710N OF THE N0710E OF COMMENCEMENT C� <C O ���d'
ARE CONSSDERED IMPRdPER PAYMENTS UNDER CHAPTER 753, PART 1, SEC7ION 713.13, FLORIDA STATUTES, AND CAN = CJ U W y
RESULT SN YOUR PAYlNG 7WlCE FOR 1MPRt?VEMENTS TO YOUR PR6PERTY A N6TlCE 4F CQMMENCEMENT MUST SE Q E-���_.i !
RECORDED AND POSTED pN THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENQ 70 OBTAIN FINANCiNG,CONSULT (� �.. U p�� � (,)` 1
WITH YOUR LENpER OR AN A7TORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEN7 � ���� O�..,,`
t3nder penaity of petjury,!deciare thaf i have read the foregoing notice ot commencement and ihat tha tacts stated therein are ime to the best Q���� ��
of my knowtedge and behef. � tl.i(�� � � �
�— c.:,
STATE OF FLORIDA �'� '��--""'� 1Je L, ,-��Q �'•`' O
COUNTY QE PAS�Q Hi(is6orough (� �— �
Signature of Ovmer cr Lessee,or Ownets or�essee's Aufhorized � LLi(F) �
OfficerlDirectodPaiinerlManager ����L1J �
„plpject Manaaer . � ��� F-- �
Signatory's TitlelOffice L� &--t—'Q � a �
The/oregoing instrument was acknowtedged before me lhis 14th day of February ,20 17,by ��c�V�- ��-LP
as Project Menager (type of authority,e.g.,officer,ttustee,attomey in fact)tor
Crown Castle GT CompanV LLC (name of party n behalf otwhom'ns ment was executed).��----�•- ��� � �
1 ..�1 L\ I �,�al � �� �T'
Personally Krwum�9&Produced ldentification� No�ary Slgnature +�.�� �'�".� .•�
��
Type of ldentificaiion Produced Name(Prin-�� { ��.t`4 `����v�' �
;'��"•"4ef;.,, KRISTEN A.RUDGY � m
o` � a
'r• ;: Notary PuClic•State o1 Fbrida � , • �'
�'! ! �
- ��?p�y Gomm.ExptteS Dec 26.2Q 17 ,,� �' � �
M.%�'.'`' Commisslon#FF D79561 ` c�
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wpdalalbcslnoticecommancemenlyc053048 ���� Q �
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a�saaaoozo City of�Zephyrhilis Permit Application Fax-813-780-U021
• �Building Department
815298_59059 u�
Date Rocoived � 1 �
PhoneContactforPermfttin n1' 3a� 3352
Crown Castla GT Company LLC ior t'arizon E1�-3^.�-3�5=
Owner's Name Ownor Phone Number
4511 t7 Himas hve, Ste 210, Tampa, eL 3"s619
Owner's Address Owner Phone Number
Cra::n •�aa.1e GT Comcany L...,
Fee Simple Titleholder Namo Owner Phone Number
:G.`�{Jr1�SHING39ti AD Ptd'r 3S',i, u �
FeeSimpleTlGeholderAddreas 2;� 1SUARIY PA 15?i�-25zo
JOB ADDRESS 3&522 A ave , Zephythills, FL 33542 LOT# °' �' b 9
-2c-'_1-OC10-017C0-OJGO
SUBDIVISION PARCEl10# i�
i (OBTAINED FROM PROPERTY TA7C NOTICE)
, WORKPROPOSED B NEwCONSTRe ADDIALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
, PROPOSED USE Q SFR Q COtdM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FR.4ME � STEEL Q
�, 'Je�i�on Wireless proposirg co install a neu trcpane gzne:ato_ •.rich an e�.ternal 500 gal
, DESCRIPTION OF WORK tar.}: vs?n a 10' x S' tar.k oad. -�
BUILDINCi SIZE SQ FOOTAGE� HEIGHT �
' QBUILOING S �u,000 VALUATIONOFTOTALCONSTRUCTION
ELECTRICAI S AMP SERVICE PROGRESS ENERGY W.R.E.C.
� � 0
QPLUMBING $ � s
QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION � ` � � '
�IiAS � ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
1 � J. Crompton Eiectric, Inc.
BUILDER � � �i ✓ COMPRNY
SIGNATURE RE6ISTERE� Y/ N FEE CURaEn Y/N
�4C Old Ccna -,,., .,.�. �.�,,,, Falr.� Sc--h,F.. 37�C3 CGC629i.
Address " a 1 � License#
ELECTRICIAN � b • COMPANY S. Crompcon Electric, Inc.
SIGNATURE PEGI9TERED Y/ N F'e'e CURRE� Y!N
AddfC55 ��OG 0_d Jc gtes= ?. _, 'rles: Palm 9=ach,FL 339 5 LfC8�58# I �L�3Db28�TZ
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License�
' MECHANICAL COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y 1 N
Addross License#
OTHER COMPANY
SIGNATURE REGISTERE� Y! N FEE CURREA Y/N
Addresa License�
RESIDENTIAL Attech(2)Plol Plans;(2)sets of Building Plans;(t)sel af Energy Forms;R•O-W Pertnit fa new conslruction,
Minimum lon(10)wortcing days after su6mittal date. Roquired onsile,Construction Plans,Stormwater Plans wl Siit Fence tnstalled,
Sanilary Facililies&1 dumpster;Sile Work Pertnit for subdlvisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Llfe Safety Page;(1)set of Energy Fortns.R-O-W Pormit for new conshuclion.
Minimum ten(10)woricing days atter submittel date. Required onsite,Construclion Plans.Stormwater Plans wl Silt Fence installed,
Sanitary Facililies 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PCRMIT Attach(2)sets of Enginaared Plans.
""PROPERTY SURVEY required forall NEVt'coneWction.
................................... ......................... ......._
Dlrecdons:
Fill out application complelely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notica of Commencement Is requlred. (A/C upgrades over 57500)
•• Agent(for the contractor)or Power of Altomey(for the ovmer)would be someone with notarixed letter trom ownar authorizing same
OVER THE COUNTER PERMIT7fNG (Front of Applicalion Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFoolage)
Driveways-Not over Counler it on public roadways..needs ROW
816298_89059
� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" I
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 hirad 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 I
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the I
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 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 occupanc�'or final power release. If the project does not involve a certficate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counry WatedSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRt1CTION 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"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'prior to commencement. ,
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compiiance 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 fnstallation has
commenced prior to issuance of a permit and that all work will be pertormed 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 inciude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatrnent.
- Southwest Ftorida 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,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. �,
I understand that the following restrictions apply to the use of fitl:
- 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
consVuction,I certify that fill wiil 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 pennitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for elecVical work,
N�umbing, 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 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
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
justifiabie 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 PIOTICE 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 PVOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.1 .03) (1
LJ � J
OWNER OR AGENT CONTRACTOR r
' Su scribed and swom�)(�or affirm )befory,me Qiis Subscribed and swo�A t�o(or Qffirmed)before me this,'��,Sow���2a17
a ��7 by IC.2.VLl� �+�-F7.�_ by lC\1G014Q� �g�r:tr
Who is/are personallYlsnown to me or hasl ave produced Who islare 2ersonally known to me or haslhave produced
�—as identificadon. as Identiflcation.
�` l Notary Public �/ • 1Qd/k l.(.WtJ W�.� / ,e�� Notary Public
Commfss(on No. ���'��'1 s�a� Commission No. �� 0 3� 7�J
„ ,�•-r Sv�Iai�r:E�WF��
,,,,RY P,,, p ,pnn e or s em e Name of No`���d d�
a • '��g�9Cr��PUF3LlC
�o�� �e�.,� KRISTEN A.RUDDY r�.,�{����:�a ��,S�'r1TE OF�LQRIDA
5 r: :°c Notary Public-State ol Florida �.�.�;����C�,.�,�FF437G'05
;^: :o�;My Comm.Explres Dec 26,2017 sf,���.,cy
��°%%°���°��,
Commisslon # FF 079561 �"�t`e�7��'����'�7