HomeMy WebLinkAbout17-18180r
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: CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 181�80
, BUILDING PERMIT ��'�J
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18180 Address: 5409 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class 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: 11-26-21-0010-12200-0010
Improv. Cost: 2,500.00 OWNER INFORMATION
Date Issued: 2/23/2017 Name: J�lE-l�fC-�ii1�I��R"O�S �� � i�E--
Total Fees: 50.00 Address: 5409 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/23/2017 Phone:
� Work Desc: CONSTRUCT DUMPSTER ENCLOSURE
CONTRACTOR S APPLICATION FEES
OWNER BUILDING FEE 50.00
( �
�/1
� '/�
� �
Ins ections Re uired �
FOOTER 2ND ROUGH P U B MISC INSULATION CEILING
FOOT,ER 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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CON IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
20�7 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT FILED
DOCUMENT#L16000078304 Feb 23, 2017
Entity Name:ZPH REI LLC Secretary of State
Current Principal Place of Business:
CC7504070842
232 PEDRO STREET
VENICE, FL 34285
Current Mailing Address: I
232 PEDRO STREET
, VENICE, FL 34285
FEI Number: 65-0358597 Certificate of Status Desired: No
Name and Address of Current Registered Agent:
GUZMAN,STEPHENL
232 PEDRO STREET
VENICE,FL 34285 US
The a6ove named entity submits this statement for the purpose of changing its registered o�ce or registered agent,or both,in the State of Florida.
SIGNATURE:
Electronic Signature of Registered Agent Date
Authorized Person(s) Detail : i
� Title MGR
Name GUZMAN,STEPHENL
Address 232 PEDRO STREET
City-State-Zip: VENICE FL 34285
I hereby certi/y that the in/ormaGon indicafed on fhls report or s�pplemenfal report is true and accurate and thaf my e/ecVonic slgnature shal/have the same/egal eHect as i(made under
oafh;that I am a managing member or manager ot the limited lia6ility company or the receiver or trustee empowered to execute this report as required by Chapter 605,Florida Statutes and
that myname appears a6ove,oron an attachment wfth all otherlike empowered.
SIGNATURE:STEPHEN L. GUZMAN MANAGER 02/23/2017
Electronic Signature of Signing Authorized Person(s)Detail Date
� CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner:
Job Location/Address:
Parcel I.D. #:
SHOW ALL EXISTIl�TG&PROPOSED STRUCTURES GIVING DIlvIENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE&FOUNDATION INFORMATION
� i
� ,
FRONT PROPERT3C LINE
— — — STREET — — — — — — — — — — —
(NOTE EXAMPLE51&2)..
' Example 1. Setbacks for Rl &It2 Zoning Example 2. Setbacks for R3 Zoning
�
�a
ia �
ia �
p E
R X �
0 I lU ��� I fU
10' � T 10' � 14�'
S I ��
E N
D (1
PROP(�Sm
� 10'•SUIQEFAIs'm,Y! �'DUPlFX
FRONT PROPERTY LINE lRORT PROPERf Y LDiE
— —— SlRh�T — — — — — — — — — — — — —— SRiEET —— — — — — — — — — —
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
; ' Building Department
Date Received �
' - -Phone Contact for Permitting , _.
Owner's Name �� C� � � ,�,(� Owner Phone Number �. — � d".�=�3 Z
Owner's Address � d �G� ��/� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS O �/>G� Q4 l/� � LOT# �
SUBDIVISION PARCEL ID#
(08TAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED B ,. NEW CONSTR B ADD7ALT � SIGN � Q DEMOLISH
INSTALL REPAIR
PROP,.OSED USE Q SFR Q COMM 0 OTHER .
TYPE'OF CONSTRUC770N Q BLOCK •- Q FRAME Q STEEL Q
DESCRIPTION OF WORK % l/f/� f� � G�SJ'�f'G�j�
BUILDING SIZE SQ FOOTAGE� HEIGHT �
�BUILDING $
,��Q O VALUAl'ION°OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
t. .
QPLUMBING $
��'�f�
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ` �
QGAS Q ROOFING Q SPECIALTY Q OTHER ,
FINISHED FLOOR ELEVATIOIVS FLOOD ZONE REA QYES NO
-BUILDER COMPANY L/'�(J/L��i�
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/IV.
Address �License#
ELECTRI,CIAN :.; - COMRANY
:. SIGNi4TURE REGISTERED Y/ N FEE'CURRE� Y/N
Address � License# . � ` ��
' A . „ �
PLUMBER,,.;, , . COMPANY�� : �- - ' •
,�SIGNATURE � -REGISTERED ' ; "Y.•/"'N, " FEE CURRE� � Y/N
Address, � License# , .,
> , ,�,� . _ . ,
°'.MECHANICAL` , , � . COMPANY •
' SIGNATURE'�" ' � ' ' REGISTERED ,' Y/, N: -� FEE CURRE� Y/N ` � .
' :r.�„ � , '
Add�e'ss��.' ' ' ' . Licens,e.#. -
'�jii� ��:� . . . , , . , -
�OTHER�K�• ,.Y: . _ � ` ` , � � . . COMPANY , . .. , �
,,
,.�';SIGNATU_RE_. .- �� REGISTERED Y/ N... FEE CURREK Y/N - ,
_ �. .:Address,• .:� . .� . .;. .. � .. . Lioense;.# - ' _' ,"
,_+}`' _ �. ,
�-.�;,,�" - _ . . _ ;-,F;;,. - _ ::�k�,;,.::' _ „ ._ . ., ,., . .
.�RESID.ENTIAL'„;:?:Attacti:;2:°Rlot`;P.lans;'�2 sets:ofBuildiri� Rlans;�:1-�sef.of�Ene� 'Forms,.R-O-VN-;Fermitfornew.construotion;"'�� �
. _ _. _.. � .) . .. �.) . . 9 �_). ,... �9Y. ,., : ;
_ - � ,�;;;�-,��s�`;=:Minimum'sten,(110.)�:working"day's��afte�,sutiinittal�date.'Reguired�-onsite;Consfriiction°Plan's;-Stormwafer;Plansw/Silt Fence installed,
" ` �8anitary-,FacilfUes&1,du'mpste{;,Site Woric-Permitforsubdivis'ions/large`projects��_ . - , . ` .-- - -
:,. .r
��';;EOMMERCIAL - Attach'(2)complete sets`of'Building Plans�plus-a L'ife Safety.Fage;,(1)set of:Energy.Forms�,R-O-W R,ermit fornew consUuction. " ` ,
-� ' � Minimum den,,(10)working day,s afteF,subrriittal date. Required onsiCe,.Construction:Plans;•Stormuvate�:Plans wL Silt Fence install'ed,; -
��- ` • San(tary'Facilitles 8�;1`.dumpster.,Site;Work P.emiit'fo�;all-netiv.p'rojects..AlLcommercial.requirementsmust.meet.compliance �
_�_,SIGN=PERMIT '""•Attacfi`(2)'sets,.o_f,Enginee�ed•Flans:�'�� ���,.�� -� - � • � � � ,
- . ,�"**"PROPERTYS.URVEY;�equired;for.all:NEW,�con"strucdon:-_ _ _ _ _ �, , - _ , `
;DiFectlons:. , - . . � , . . Y ... _ . � . , - _ .. =
- =Fill out application completely.� • - � �
O.uuner:8 Contraotor.sign,back.of.:appliqation;,notariied :�.` :• ,: � -
� If,-over$2500,a`Notice:of:Commencement;ts:required::,(AIC upgrades:�over;$T500)`, _;; ; „ ,
,.,;�., .
`:�""'� "A ent,fortFi'e'cont'racto_r'or�Power of'Rttome -for_:tFie=owner would be�someone:with:notariied:letter.from owner.authorizin same �
Q � ) Y� ).�. 9
-.. ,> - ,
, �. . � , _� �
::OVER.THE COUNTER:PERMIi•TING. ...;,`'-,(copy of contract�requireii)"�, =��',',,, ;:
��
'•��;Reroofs•if.shingles: �. Sewers• '- ,=.-SerVice.Upgracl'es,NC Fences(Plot/Survey/Footage)., " �-
. _ - ,... _ ..�.. -• � �;:,. _ -_ - _ - � - - � � .r
;Driveways-Notoye�.Counter�if:on.putilic�roadvuays::needs'ROW; ' � � , . : -
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NOTICE OF DEED RESTRICTIONS: The unds�signgd.understands.thatthis;permit may.be,s.ubject:to".deed" rest�icfi'or%s"'..,-::„..;a�
• • .. � ..�4 �.. . � .`. .i . . . » ..- _. . . .. � . : . . , �_
" —° ,.._�„-_ ' "y.,i;.:�v. . ..'ftt:'i „ .rr[3:=..r:_, '„3;'','
,__:.,.,.,.��..,,.,M. .,a. . ` �,,.
which:.may:be:mare:restr�ct�ve�#han�Got�n#y�:regulations:�.�Tlae�undeisigheiJ'��a"ssumes�-responsFb�t�ty�for"'comp{iance`with.:any.'�'���;�?,
applicable deed restrictians. . . ,- .:� :t�`YS�'�`:.��":�'�':`"'�:
UN�ICENSED: GC}NTRACTORS AN0 C�NTRACTOR RESPONSIBl�IT1ES:- Ef��-tlie=owrier��has: hired�a�,:con#ractor or ��t
contractors«ta undertake work;�they may..:be�r:equired to be'-lic�nsed in accardance witH�state and`:local,r,egulations::;='If:�.thex:A%:=��:
: . �>... , .-.�._ -.
cont�actor..�s:not licensed��as:r.equired�tiy`law, both�the av+rner:artd"eo�fracfor=may=;be��citedafor;a;'misdemeanor uiolation� "�°�'
under state iaw. If fhe owner or.intended confractor are uncertain as to what licensing requirements;�rna`,y.x�apply:for.:;the.:.�J�:,,
intend�d work, they=are,advised to�contact��lie`Pasco Cpunty Building'"Inspection�Diy,ision:-Lic'ensing Section at�727=847= � ;n'
, :.., , ,
8009. Furthermore, if the owner has liired a contractar or corttrac#o�s, he is advised�to;haveqthe contractar(s:}:,,s.tgn,:;;.`:;:�:'
portions of the "contractar Block"of this application for which.they:will be.resp.onsible:�:-If yau,_as�the`��owner`'s�ig�n'asY'flie ' `°''��;
contractac, that-maybe an�iridicaE�on that he�is not praperiylicensed`and��is not'erititled�to�permitting privileges,.in:;Pa:s.cau;_;::.f,
County. � . _ - . ' . , _.,:�.��.�.��>�.,��;� �
TRANSPORTATIQN IMPACT/UTILITIES�IMPACT AIVD RESOURCE RECOVERY FEES: Ttie undersi�ned understands ,..:,";h� �
-'�H ;j
#hat Transpor#ation impact Fees and Recourse Recovery Fe_es;may:apply to the cons#ruction.o.f.,new;bui(.dings,:cttange�of���=:��::, (
use in existing buildings, or:expansian of�.:existing buifdings, as specified in Pasco Counfy Ordinance number 89'�07�and ��.�;�
;�„�
90-Q7, as amended. 3he�undersigned a{so �anderstands,�that such.fees,.as:rnay�;be.due, wlll��e�identified��at`;ttie`k,time�of��`�;_�;,,_'
permitting. �I# is further understood that Transportation impact Fees:and Resource�Reeovery�Fees must be paid prior�to � -;�,
receiving.a.°certificate.of occup�ncy° or fina!_power release. !f the project does not�involve�a certificate of ac.cupancyuoc�<<a�";i
final,power re(ease,_.the�fees-must be;paid pr'iar ta permit issuence. „Furtfiermore,..if..Pasco�Cbunty WaterlS.ewer,;lmpact`..rv ;:
fees are.due,tfiey must_be.paid prior ta permit issuance in accordance.with'applicable_Pasco�County ordinances. �
CONSTRUCTtON t�1EN-�:AW{Chap#er 718, �larida Statutes,as amended}: If valua#ian.of wack is$2;500.00._or.mar:e;n1;+,.r, �;�
certify that 'I, the applicant, have been provided with a copy..of..the "Florida Construetian:'Lien �Law:Homeowne�s �
Pratection Guide" prepared-�y ttie florida Department of Agricutture and Consumet.Affairs. If the applicant�is,•someane�, ,�
ather#han the"owner", I-eertify that I.have abtained a capy of the above desc�i6etl'document�and promise�in-goo,a?:faith to';�:±„ .�
deliver it to:the,'�owne�':prior-;fo:.commeneement. " �
CQNTRACTtJR'S/�WNER'S AFFIDAVIT: ;.t�.certify#hat all the infarmation in this apptication is accurate and that alt"work
will be done in compliance with all applicable�laws regulating construction, zoning�and land-developmen#. Application,is
hereby made to obtain„a _perr►�tit to. da�_,urark aitd installatian as -indicated. 1�certify #hat no worlc or-installation.has
commenced prior to issuan'ce of a permit and�that all work will be perFormed ta.meet.standards af all laws regulating
construction, Gounty and City codes, zoning regulatRarts, and land developmer►t�regulations in`:the jurisdiction. "=!� also
certify that i randerstand that the regu(ations of other government agencies may apply to the intended work, and that it is s
my responsibility to identify what actians I must take to be in compliance. Such agencies include,but are not limited,to:
- ,Department of Environmental::Protectioh=Cjtpress Bayheads, Wetland Areas and Enviranmentally Sensitive
Lands,VUater/Wastewater Treatment.
- Southwest Florida Water Martagement District Wells, Cypress� 8ayheads, Wetland Areas, Attering {
Watercourses. .
- Army Corps of Engineers=5eawalls, Docks, Navigabfe NUa#erways.
- Department af Mealfh & Rehabilitative Services/Environmental Health Uni#-Wells, Wastewa#er Treatment, �
5eptic 7anks. �� �
- US Ertvironmental Protectian Agency-Asbestos abatement. � :�.:
- Federal Aviation;Authority-Runvuays.
t understand that=the following_restrictions apgly to#he use of�11: _ .�
- Use of fili is not�allowed in F(ood Zone"V"unless expressly permitted. � -�
- If the fill- materiaf::is to be used .in Flood Zone "A", it is understood that a drainage plan addressing a
"carrtpensating volume"will be subrriitted at time of permitting which is prepared by a professional engineer �
licensed by the State of Florida.
- If the filf materiat is to be used �n Flood Zone °A" in connectian wi#h a permi#ted building using stem wall
construction, I certify that fill�will be used only to fill the area within the.stem wall.
- (f fill material is to be used in any area, I cer#ify that use of such�filf will not adversely a�Fect adjacent ,
praper#ies. if use of fill is found #o adverse(y affea#adjacent properties, the owner may be ci#ed for vio(ating
the conditions of the building permit i,ssued under the attached permit.application� for lots less.than one (1}
acre which are elevated by fill,an ertgineered drainage plan is required.
If I am the AGENT FOR THE OWNER;�:I pramise in good faith to inform the owner of.the permitting condi#ians set forth in
this a�clavit prior-fo commencing constructipn. 1 understand that a separate permit may be required far elec#rical wark, - '
plumbing, signs, wetts, paols, air conditioning, gas, or�ather insta(lations not specifically included in the application: A
permit issued shall'be construed to be a license ta proceed with the work and not as_authority to violate, cancel, alter, or -
set asicte any provisibns of tlie't+echnical codes, nor shatl issuance of a permit prevent the BuiSding�fficiat from ther.eafter
requiring a correctian of e�rors in plans,��construction or violations of any codes. Every permi#issued shall become invalid
unless the work authorized by such permit is commenced wifhin s�c months of petmit issuance, or if work aufhorized by
the permit is suspended.or abandoned for.a�period:.of.six(6) months after the time the work is'commenced. An extensian
may be requested, in writing, from the Building Officia! far a period nat to excaed ninety(90) days and wi!! demonstrate
justifiabte catase for the eactensian. tf work ceases for ninety{90}consecutive days,the jab is considered abandoned. ' ',
WARNING TC? QWNER: YOUR EAI�URE TO REGORD A NOTtCE OF COMMENCEMENT��IAY RESU�T IN'YOUR
PAYING TWICE�'FOR 1MPROVEMENTS:,'�O YOUR.PROPERTY.. IF YOU:INTEND:TO C)BTAIN;�FINANCING, CONSULT
914'lTii'Y43UR`LffVD�R-OlR-Q+lti1/�'fTO"RNEY B�EOR�FtE�.�RDlN�=VI�UR-I�QT1C��F�CQMIt111�1+1�EME�lT:-- -- - --- - :
FI.ORIdA JURAT{F.S.t 17A3) - � �
OWNEft OR AGEN7 �p��qGTQ�
Subscr'rbed artd swom fa(or affimsed)betr�re me thts Subscribed and swom to(or affirmed}befvre me'this �
by by
Who islare personaAy known to me or haslhave produced ' Who fslare personafly known to me ar haslhave produced
as ldentifica6a�. as Identification.
Notary' Public � Notary Publlc
Commisslon tVa. Commission No. �
tVame of tVahary typed,pr�nfed or stamped {Vame of tVotary typed,pdnted or stamped