HomeMy WebLinkAbout18-19998 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 998
- BUILDING PERMIT
PERMIT_INFORMATION'".. LOCATION INFORMATION
Permit Number: 19998 Address: 5915 GALL BLVD `
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: NEW CONST/COMM Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0020-00000-0090
Improv. Cost: 219,869.32 OWNER INFORMATION
Date Issued: 7/25/2018 Name: ZEPHYR II LLC
Total Fees: 2,283.13 Address: 7162 READING'RD STE 730
Amount Paid: 2,283.13 CINCINNATI OH 45237-3845
Date Paid: 7/25/2018 Phone:
Work Desc: CONSTRUCT SHELL ONLY*****PIZZA HUT 1,892 SQ FT
CONTRACTORS APPLICATION FEES
VENTURE CONSTRUCTION COMPANY BUILDING FEE 1,237.80
J MCDONALD ELECTRIC INC ELECTRICAL FEE 256.50
J & S PLUMBING INC -PLUMBING FEE 171.00
DEMPSEY ROOFING COMMERICAL IN POLICE IMPACT FEE 257.31
FIRE IMPACT FEE .331.10
PUBLIC SAFETY 5% 29.42
b
Ins ections Required
FOOTER 2ND R UGH PLUMB MSC 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
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Rennspection 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.
CONT C OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Venture Construction-Pizza Hut 1,892 sq ft-5195 Gall Blvd
Column Es
SQ. FEET PRICE
MAIN OR LIVING: 1,892 $ 116.21 M IS
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 219,869.32
FEE SHEET $ 1,140.00
ADDRESS $ 30.00
DRIVEWAY $ 45.00
BUILDING: $ 1,237.80
ELECTRICAL: $ 256.50
PLUMBING: $ 171.00
MECHANICAL: $ - will pay full cost at build out
SUB-TOTAL $ 1,665.30
TOTAL $ 1,665.30
SEWER: due at b/out
WATER: due at b/out
IRRIGATION: $ -
TOTAL: $ -
WATER METER: confirm/unknown
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL: due at b/out
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 257.31
FIRE $ 331.10
5% $ 29.42
TOTAL: $ 617.83
SUB-TOTAL $ 2,283.13
PARK IMPACT FEES n/a
SIF'S:
100.0% $ -
TOTAL: .$ - n/a
T I F'S: due at b/out
99% $ -
1% $ -
TOTAL: $ 2,283.13
o-L 22� fo o
. o ,
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/H )�� n- �-�'�' .c1��l/L �<1.r�9 l Qu 1-1
Date Received: �7 1 i B I l 8
Site: 2f.rL �
Permit Type:
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
�h �LU'!1 r�l►U4.�wo 2" $`►tP-1 eNIkL�— 6��t�-a7 �i Tu!'��f �Y�����E Cz �-�(P
'i"�C:.l��- �l��- �a�t>�-S f, I 2i s Vic. �� ✓� �.Z �S
This comment sheet shall be kept with the permit and/or plans.
Bill Burgess-Building Official Date Contractor and/or Homeowner
(Required when comments are present)
813-7804=0 City of Zephyrhills Permit Application Fax-613-78MD21
Building Department
Date Received Phorie Contact for Permitting� —
.•a.ra..rr-rr-r
Owner's Name77 Lr [ �7q Owner Phone Number
Owners Address ( �t C �l c' 1 l JV Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address 7 7Zr C.!�L'(P')fo-t�i v �5a37
JOB ADDRESS -7 S r`v LOT C
SUBOMSION PARCEL ID# O�- (/ 'Z �— 0 U Z'Q' v QC""—
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �OR`.f/rC !.• � ri c'r t --dd r. I(Ale
BUILDING SIZE t'I`:Z SQ FOOTAGE ?Tl.Z HEIGHT
=BUILDING S VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f ! /
=GAS Q ROOFING Q SPECIALTY Q OTHER �I GGG
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY r Venture Construction Company
SIGNATURE F REGISTERED N FEE CURREn I Y/N
Address 105 N.Falkenburg Rd,Suite A;Tampa,FL 33619 License# CGCO09286
ELECTRic1aN I �> COMPANY Joe McDonald Electric
SIGNATURE r REGISTERED Y N FEE CURREn Y/N
Address 2310 Circuit Way;Brooksville,FL 34604 License#I EC0002723
PLUMBER - COMPANY EJ&S Plumbin
SIGNATURE REGISTERED N FEE CllRREh Y/N
Address 4021 S.50th St;Tampa,FL 33619 Ucense#[7CFC1429243
MECHANICAL COMPANY United Sheet Metal
SIGNATURE REGISTERED [YIN I FEE Cu[RTREI, I Y/N
Address 215 Contractors Way;Lakeland,FL 33801 License#I CAC1819393
OTHERE�e--
A01k I
COMPANY Dempsey Commercial Roofing
SIGNATURE REGISTERED I JYJN FEE CURREt. I Y I N
Address 1 3615 Century Blvd-Unit#5'Lakeland FL 33811 Ucensa#I CCCO37007
110111It11 ➢ 11t1111111113111'➢ 1111IIG1111 ➢ ➢ 1 ➢ 1 ➢ t1 ➢ 11 ➢ ➢ 111111 ➢ 11 ➢ 11111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fors;R-O-W Permit for new construction,
Minimum ten 00)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionallarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'^PROPERTY SURVEY required for all NEW construction.
Dtrecdons:,
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with rwtarbmd letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Piot/SurvaylFootage)
Driveways-Not over Counter if on public roadways-needs ROW
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 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 uncertain 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 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",1 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 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 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.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland 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 fill:
- Use of fill is not allowed in Flood Zone"1/"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 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
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 COMM
FLORIDA JURAT(F.S.117M)
I OWNER OR AGENT CONTRACTOR �
Subscribed andsworn to(or affirmed)before me this Subscribed and bswo�"of WC��,m�i is
Who Ware personally known to me or has/have produced Who We n 1A own to me or haubave produced
as identification. ON ��as Identification.
Notary Public �+^ Notary Public
Commission No. Commission N.D.
Name of Notary typed,printed or stamped Name of N4 " nttd #FF 15990
Expires December 16,2018
•� � emdedTlw Tray FA Imsumm 0,115,7019
n4y°fi
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
D 1a.t11e11R1_eFc�eWived r CPho nIe Contact f10 r T P Na im Ming
-- - .-
I I I I I lg 9 3",_x* 111 1 IU1f
Owner's Name e, Owner Phone Number
I G Owner Phone Number
Owner's Addressl '9- kecv-klj,� go,j Ste 756 1
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address 4tr I T-v cm i4f
JOB ADDRESS' LOT#
SUBDIVISION r PARCEL iD#F
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED FPQ NEW CONSTRE] ADDIALT SIGN DEMOLISH
rl INSTALL " REPAIR
PROPOSED USE Q SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Ae-) ,,jQ,Z t 5hell
BUILDING SIZE SQ FOOTAGE HEIGHT
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . .
E COMPANY L
SIGNATURE WILDER REGISTERED LT- Y-IN FEE-:CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N rEECURREI, YIN
Address License#
PLUMBER COMPANY
SIGNATURE I REGISTERED Y/ N FEE CURREh
Address License#F__
MECHANICAL COMPANY =
SIGNATURE REGISTERED Y I N FEE CURREN YIN
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N_] FEE CURREN
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-OAAJ Permit for new construction,
Minimum ten'(10)working days after submittal date. Required onsits,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisionMarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page:(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(110)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
SURVEY required for all NEW construction.
. . . . . . . . . . ..... . . . . . . . . . . . . . . .
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required- (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter irGm owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Remofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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 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 uncertain 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 IMPACTIt1TILITIES 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—Homeowner's
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 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 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.
- 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,
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"W 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
I
he 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 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
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 COMM
FLORIDA JURAT(F.S.117.03)
OWNER ORAGENT CONTRACTOR _tar
�t0
Subscribed and sworn to(or affirmed)before me this Subscribed and swo t (or affirmed "brefrore mo thisa6{ O
by by � �
Who Is/are personally known to me or has/have produced who is/are personally known to me or has/have produced
as identification. r�1, k as identification.
Notary Public e LP Notary Public
Commission No. Commission No. V
MICHELLEILOVE
Name of Notary typed,printed or stamped Name of NMI' N. �j�k�'t 6fiftFlfll#FF 159900
7 7*:
;a. Expires December 16,2018
Bonded Thru Troy Fain Insurance 800-385.7019
a...._ ._ - `.rsc-m—I
eta Tao oozo City of Zephyrhills Permit Application Fax$13780.-W21
Building Department
Date Received Phone Contact for Permitting—
Owners Name Owner Phone Number
Owners Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS I I LOT# C.--�
SUBDMSION PARCEL ID#
(OBTAINED FROM PROPERTYTax NOTICE)
WORK PROPOSED e NEW OoNSTR e ADDIALT SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME LJ 'STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE= HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
[RTE"LECTRICAL $� AMP SERVICE = PROGRESS ENERGY �.RE.C.
=PLUMBING $ 46w
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CLIRRFJ, I Y/N
Address ^'� yy��((��,,//U�mnse/&��/� �Jy �/�
ELECTRICIAN COMPANY , ) L k)Q�L�L i �C� Vic.
. .
SIGNATURE REGISTERED 1LY•! N FEE CURREN Y/N
Add oC f L-..# -C
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRtIS Y I N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREn Y/N
Address I Lkxme#
OTHER COMPANY
SIGNATURE REG19TI32ED Y!N FEE curREn Y/N
Address License#
Illllllllllllllllllllllllllll,IlllIIIIIIIIIIII111llllllll [ [tllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities$1 dumpster,Site Work Permit for subdivWfors/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsfte,Construction Pieria,Slomwrater Plans w/SEt Fence installed.
Sanitary Facilities&1 dumpster.Site Work Permit for all new project.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Diections_
Fill out application completely.
Owner&Contractor sign back Of application,notarized
K over$2500,a Notice of Commencement Is required. (A!C upgrades over SMO)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs If shingles Sewers Service Upgrades A(C Fences(Plot/Survey/Footage)
Driveways-Not over Counter If on public roadways-needs ROW
e13-780-0020 City of Zephyrhills Permit Application Fax al3-7eo-0o21
Building Depadmerd
Uate Received phone Contact forPernitling —
Owners Name Owner Phone Number
Ownees Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT N
SUBDIVISION PARCEL IDY
IosruHeo FMar anooa►nTax noneq
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE I SO FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING s
=MECHANICAL S VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y r N MECURREn 1 Y/N
Address Ucertea i
ELECTRICIAN COMPANY _
SIGNATURE RECUSTEREn I YIN FEE cuM tM Y/N
Address License#
r �—y
PLUMBER COMPANY In �nC1
SIGNATURE PMOSTERM I Y/ N FEECUMU N
Address • e_ License•
MECHANICAL COMPANY
SIGNATURE I Y/N I FEECURrrEn I YIN
Address Llcensef
OTHER COMPANY
SIGNATURE W"TER® I Y/N FEE CUMS Y/N
Address IJcense i
IIIItIt1111111tI1111111111111111E1111111 [ 1111111111111111111 [ 11II1 [
RESIDENTIAL Attach(2)Plot Plants;(2)sets of Building Plans;(1)set of Energy Fonts;R-O-W Permit for now construction,
Minimum ten(10)worldrhg days after oubmittel date. Required onsile,ConshmdDn Plans,Stornw ater Plans vd Sat Fence installed,
Sanitary Facilities A 1 dumpster,Site Work Permit for subdivislonsltarga projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Be"Page;(1)rat of Energy Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onstle.Construction Plans.Stomhwater Plans w/Sit Fence Installed,
Senitary FaoTities 61 dumpster.Site Work Permit for an new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
PROPERTY SURVEY required for all NEW construction.
DI a:
Fill out application completely.
Owner&Contractor sign bark of application,notarized
If over$2500,a Notice of Commencement Is required. (AtC upgrades over$7600)
Agent(far the contractor)or Power W Attorney(for the owner)would be someone with notarized{crier from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/SurveyfFootage)
Driveways-Not over Courtier if on public madways..needs ROW
Alabama Montana
_ Arizona Nebraska
' Arkansas Nevada
California New Hampshire
Colorado New Jersey
Connecticut New Mexico
_ Delaware New York
District of Columbia North Carolina
Florida Ohio
Georgia Oklahoma
Idaho Oregon
n n n _ Illinois Pennsylvania
V�11 �1 �J�E CONSTF;ZIJCTION COMPANY lowaana Rhode Island
South Caroline
Kansas South Dakota
ESTAe4SHED 1969 ® Kentucky Tennessee
105 North Falkenburg Road Louisiana Texas
Suite A Maine Utah
Tampa,FL 33619 Maryland Vermont
813 689-7983 Massachusetts Virginia
Michigan Washington
Telefax:813 681-2415 Minnesota West Virginia
www.ventureconstruction.com Mississippi Wisconsin
May 22, 201B License—CGCO09286 Missouri Wyoming
City of Zephyrhills: Building Department
5335 8th Street
Zephyrhills, FL 33542
RE: Pizza Hut
Gentlemen:
I hereby authorize purchase of building permit,and any other related permits,licenses,etc.for
the referenced project in the name of Venture Construction Company signed by the following:
Patrick McMillen
I certify that the above person is employed by Venture Construction Company,and I understand
that I am fully responsible and liable for all acts performed under said permits,
VENTURE CONSTRUCTION COMPANY
n J c
L.F. HOLLINGSW TH, Senior V.P.
(Signature of Authorized Agent)
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged before me this 2-&
Day of -i"i , 20 1$ by L.F.Hollingsworth
of Venture Construction Company,who is personally known to me and who did not take an oath.
NOTARY PUBLIC - --9-��Sd^`�• �-9 �5
ALLISON M. LEWIS ALLISON M.LEWIS-
My Commission Expires: 08/21/2016 �>�SAgust 2i 2�02058
4 GENERAL CONTRACTORS
GEORGIA (rAl C BRANCH Corporate Division: 5660 Peachtree Industrial Blvd.,Norcross,GA 30071,P.O.Box 4175,Norcross,GA 30091.4175.770 441-6555,Telefax:770 441.9813
IIIYYY»> Atlanta Division: 6660 Peachtree Industrial Blvd.,Norcross,GA SM71,P.O.Box 4175,Norcross,GA 30091-4175,770 441-2404,Telefax:770 441-6566
Rl��' Greensboro Division: 4-A Terrace Way,Greensboro,NC 27403,336 852-1946,Telefax:336 852-2094
t xr L s'ON n ,y INTICerir Kansas Division: 7010 West 107th Street,Suite 220,Overland Park,KS 66212,913 642.2972,Telefax:913 642.5314
Memphis Division: 3085 Stage Post Drive,Suite 1,Bartlett,TN 38133,901 372.5766,Telatax:901 372-6831
Commercial and Industrial Construction Nashville Division: 605 Autumn Springs Court,Suite 2A,Franklin,TN 37067,615 778.=2,Telefax:615 778-0001
Richmond Division: 151 Le Gordon Drive,Suite 200,Midlothian,VA 23114,804 379.3610,Telefax:804 379-2185
1 Alabama Montana
Arizona Nebraska
Arkansas Nevada
California New Hampshire
Colorado New Jersey
Connecticut New Mexico
Delaware New York
District of Columbia North Carolina
Florida Ohio
Georgia Oklahoma
¢ Idaho Oregon
4. Illinois Pennsylvania
n Indiana Rhode Island
�l1 �.I � U� E CONSTRUCTION COMPANY owa South Carolina
Kansas South Dakota
ESTABLISHED 1969 OR Kentucky Tennessee
105 North Falkenburg Road Louisiana Texas
Suite A Maine Utah
Tampa,FL 33619 Maryland Vermont
813 689-7983 Massachusetts Virginia
Michigan Washington
Telefax:813 681-2415 Minnesota West Virginia
www.ventureconstruction.com Mississippi Wisconsin
May 23, 2018 License—CGCO09286 Missouri Wyoming
City of Zephyrhills-Building Department
5335 8th Street
Zephyrhills, FL 33542
RE: Pizza Hut
Gentlemen:
I hereby authorize purchase of building permit,and any other related permits,licenses,etc.for
the referenced project in the name of Venture Construction Company signed by the following:
Carl Kirby
I certify that the above person is employed by Venture Construction Company,and I understand
that I am fully responsible and liable for all acts performed under said permits.
VENTURE CONSTRUCTION COMPANY
4.�(- mwte
L.F. HOLLINGSWO TH, Senior V.P.
( gnature of Authorized Agent)
STATE OF FLORIDA
COUNTY OF HILL5BOROUGH
The foregoing instrument was acknowledged before me this 23
Day of tro!A , 20 I% by L.F.Hollingsworth
of Venture Construction Company,who is personally known to me and who did not take an oath.
NOTARY PUBLIC J-, �",s-Q— -�V\- IL
i5
ALLISON M. LEWIS LALLISON M.LEWISMy Commission Expires: 08/21/2016 158
94158
sss 21,2
vvW
1Ep WEq,Er� GENERAL CONTRACTORS
o! y
GEORGIA�A®C� BRANCH Corporate Division: 5660 Peachtree Industrial Blvd.,Norcross,GA 30071,P.O.Box 4175,Norcross,GA 30091-4175,770 441-6555,Telefax:770 441-9813
r S Atlanta Division: 5660 Peachtree Industrial Blvd.,Norcross,GA 30071,P.O.Box 4175,Norcross,GA 30091-4175,770 441-2404,Telefax:770 441-6566
Greensboro Division: 4-A Terrace Way,Greensboro,NC 27403,336 852-1946,Telefax:336 852-2094
SKILL QFSOON51►T��1{ INTEO RITI Kansas Division: 7010 West 1071h Street,Suite 220,Overland Park,KS 66212, 913 642-2972,Telefax:913 642-5314
Memphis Division: 3085 Stage Post Drive,Suite 1,Bartlett,TN 38133,901 372-5766,Telefax:901 372-6831
Commercial and Industrial Construction Nashville Division: 508 Autumn Springs Court,Suite 2A,Franklin,TN 37067,615 778-0402,Telefax:615 778-0001
Richmond Division: 151 Le Gordon Drive,Suite 200,Midlothian,VA 23114,804 379-3610,Telefax:804 379-2185
Alabama Montana
Arizona Nebraska
w Arkansas Nevada
Califomia New Hampshire
Colorado New Jersey
--'"-- Connecticut New Mexico
Delaware New York
District of Columbia North Carolina
t Florida Ohio
Ij Georgia Oklahoma
Idaho Oregon
I Illinois Pennsylvania
'1 Indiana Rhode Island
E $ U E CONSTRUCTION COMPANY Iowa South Carolina
II Kansas South Dakota
ESTABLISHED 1969 p Kentucky Tennessee
105 North Falkenburg Road Louisiana Texas
.Suite A Maine Utah
Tampa,FL 33619 Maryland Vermont
813 689-7983 Massachusetts Virginia
Michigan Washington
Telefax:813 681-2415 Minnesota West Virginia
www.ventureconstruction.com Mississippi Wisconsin
May 22, 2018 License—CGCO09286 Missouri Wyoming
City of Zephyrhills: Building Department
5335 8th Street
Zephyrhills, FL 33542
RE: Pizza Hut
Gentlemen:
I hereby authorize purchase of building permit,and any other related permits,licenses,etc.for
the referenced project in the name of Venture Construction Company signed by the following:
Patrick McMillen
I certify that the above person is employed by Venture Construction Company,and I understand
that I am fully responsible and liable for all acts performed under said permits.
VENTURE CONSTRUCTION COMPANY
n n c
L.F. HOLLINGSW TH, Senior V.P.
(Signature of Authorized Agent)
STATE OF FLORIDA
COUNTY OF HILL5BOROUGH
The foregoing instrument was acknowledged before me this ZZ`��
Day of , 20 12� by L.F.Hollingsworth
of Venture Construe ion Company,who is personally known to me and who did not take an oath.
NOTARY PUBLIC o o'-- `M•
ALLISON M. LEWIS ALLISON M.L�2020
IS
M Commission Expires: 08/21/2016 i„fExpftES:SIGN#F 8
y p �mFs:/�11gLL4t zt
GENERAL CONTRACTORS 6ENFgr7C
o!
GEORGIA a ®C BRANCH Corporate Division: 5660 Peachtree Industrial Blvd.,Norcross,GA 30071,P.O.Box 4175,Norcross,GA 30091-4175,770 441-6555,Telefax:770 441-9813
ti Atlanta Division: 5660 Peachtree Industrial Blvd.,Norcross,GA 30071,P.O.Box 4175,Norcross,GA 30091-4175,770 441-2404,Telefax:770 441-6566
�F ANE Greensboro Division: 4-A Terrace Way,Greensboro,NC 27403,336 852-1946,Telefax:336 852-2094
S K I L t 4ESpGNEr�E�,{{ INTEGRITY Kansas Division: 7010 West 107th Street,Suite 220.Overland Park,KS 66212, 913 642-2972,Telefax:913 642-5314
Memphis Division: 3085 Stage Post Drive,Suite 1,Bartlett,TN 38133,901 372-5766,Telefax:901 372-6831
Commercial and Industrial Construction Nashville Division: 508 Autumn Springs Court,Suite 2A,Franklin,TN 37067,615 778-0402,Telefax:615 778-0001
Richmond Division: 151 Le Gordon Drive,Suite 200,Midlothian,VA 23114,804 379-3610,Telefax:804 379-2185
Venture
6m
o umn Es
SQ. FEET PRICE
MAIN OR LIVING: 1,892 $ 116.21
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 219,869.32
FEE SHEET $ 1,140.00
ADDRESS
DRIVEWAY
BUILDING: $ 1,162.80
ELECTRICAL: $ 256.50
PLUMBING: $ 171.00
MECHANICAL: $ 119.70
SUB-TOTAL $ 1,710.00
Public Fee 1% $ 17.10
TOTAL $ 1,727.10
SEWER: r
WATER:
IRRIGATION: $ - )
TOTAL: $
WATER METER:
IRRIGATION METER $ - 7
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 257.31
FIRE $ 331.10
5% $ 29.42
TOTAL: $ 617.83
SUB-TOTAL $ 2,344.93
PARK IMPACT FEES ' ,
SIF'S:
100.0% $ f -
1.0% $ v -
TOTAL: $ -
T I F'S:
99% $ - I
1% $
TOTAL: $ 2,344.93
• _ Alabama Montana
Arizona Nebraska
Arkansas Nevada
' California New Hampshire
Colorado New Jersey
Connecticut New Mexico
Delaware New York
District of Columbia North Carolina
Florida Ohio
Georgia Oklahoma
Idaho Oregon
n I _ Illinois Pennsylvania
Rhode Isl
U [E CONSTF�IJCTION COMPANY lowlana outhCarolilina
Kansas South Dakota
ESTABLISHED 1969 ® Kentucky Tennessee
105 North Falkenburg Road Louisiana Texas
Suite A Maine Utah
Tampa,FL 33619 Maryland Vermont.
813 689-7983 Massachusetts Virginia
Telefax:813 681-2415 Mlchlgan Washington
Minnesota West Virginia
www.ventureconstruction.com Mississippi Wisconsin
May 22, 2018 License—CGCO09286 Missouri Wyoming
City of Zephyrhills: Building Department
5335 8th Street
Zephyrhills, FL 33542
RE: Pizza Hut
Gentlemen:
I hereby authorize purchase of building permit,and any other related permits,licenses,etc.for
the referenced project in the name of Venture Construction Company signed by the following:
Patrick McMillen
I certify that the above person is employed by Venture-Construction Company,and I understand
that I am fully responsible and liable for all acts performed under said permits,
VENTURE CONSTRUCTION COMPANY
n� c
L.F. HOLLINGSW TH,Senior V.P.
(Signature of Authorized Agent)
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged before me this
Day of `f" , 20 1$ by L.F.Hollingsworth
of Venture Construc lon Company,who is personally known to me and who did not take an oath.
NOTARY PUBLIC - --q-4�sd^`M• o�s�-►��5
ALLISON M. LEWIS LALLISON M.LEWIS
013�21�2016 mmLssION 0 FF994158My Commission Expires: 12ES:A»pst21,2020
GENERAL CONTRACTORS
t
i
GEORGIA` A BRANCH Corporate Division: 5660 Peachtree Industrial Blvd.,Norcross,GA 30071,P.O.Box 4175,Norcross,GA 30091-4175,T70"1-6555.Telefax:770 441.9813
•� Atlanta Division: 5660 Peachtree Industrial Blvd.,Norcross,GA 30071,P.O.Box 4175,Norcross,GA 30091-4175,77D 441-2404,Telefax:770 441-6566
Greensboro Division: 4-ATenace Way,Greensboro,NC 27403,336852-1946,Telefax:336 852.2D94
rs r<r L rwncr,ur Kansas Division: 7010 West 1071h Street,Suite 220,Overland Park,KS 66212,913 642.2972,Teletax:913 642.5314
•f-am r ` Memphis Division: 3085 Stage Post Drive,Suite 1,Bartlett,TN 38133,901 372.5766,Telefax:DD1 372.6831
Commercial and Industrial Construction Nashville Division: 508 Autumn Springs Court,Suite 2A,Franklin,TN 37057,615 778-=2,Telefax:615 778-0001
Richmond Division: 151 Le Gordon Drive.Suite 200,Midlothian,VA 23114,804 379.3510,Telefax:804 379-2185
813-780.ONO City of Zephyrhills Permit Application Fax a13-7eana2l
Building Department
Oate Received Ptmrie Contact for PermiHingr�'r} - —
"C'r•7"r•tr"r•"r•r 'r'r"r 1'7 r`c-rry
owner's Names !( � [ .^� Owner phone Number
Owner's Address 7 'e'. �'J )(' 7 ( U Owner Phone Number
n
Fee Simple Titleholder Name t . ! �- Owner Phnna Number
Fee simple Titleholder Address c4,7G1r�#-A; 64t W17
JOB ADDRESS T LOT a 1
SUEOMSION PARCEL ID#
(OBTAINED FROM PROPERTY TAR NOTICE)
WORK PROPOSED HEyt cdtdST H 8 ADDlALT r + SIGN C] Q DEMOLISH
Pq lNSTAU REPAIR
PROPOSED USE = SFR COMM [ ] OTHER
TYPE OF CoNsmuanm Q BLOCK r� FRAME STEEL
GF Q
DESCRIPTION OF WORK `Ori•,3/Y�t : !K '_ '•r ,, c - — rife
BUILDING SIZE 1<?f`j Z� SO FOOTAGE t.Z HEIGHT F`f 1 rl
W . . . . . . . . . . . .
=BU1LOkNG � VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY W.R.E.C.
=PLUMBING
=MECHANICAL �� VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING 0 SPECIALTY= OTHER
FINISHED FLOOR ELEVATIONS �- FLOOD ZONE AREA =YES NO
»3.:.f+:.&S.,?.e.F+."e�S�..E��eo.i�3.2'='r—:=t-.i.c..:.3► i _ ,s:o3+:'
BUILDER COMPANY Venture Construction Company
SIGNATURE l I REGISTERED N I FEE M RRR Y I N
Address 105 N.Faikenburg Rd.Suite A;Tampa,FL 33619 license:: CGCO09286
ELECTRICIAN 1 . CoMPAmy Joe McDonald Electric
SIGNATURE REGISTERED Y N ' FEE cuRREN YIN
Address 2310 Circuit Way;Brooksville,FL 34B04 �-- Ucense# EC0002723
PLUMBER COMPANY i .i&S Pltlmb'ino
SIGNATURE REGISTERED rqN FEE CURREr, I Y I N
Address 4021 S.50th St;Tampa,FL 33619. U..#I CFC1429243
MECHANICAL COMPANY
SIGNATURE REctsreRFDI YIN FIEEECURREn Y!N
Address Ucense#
OTHER COMPANY �empsay Commercial roofing
SIGNATURE r REGISTERED �[Y N FEECURREe YIN
Addross 3615 ttu Btvd-Unit# land FIL 33S11 License# CCC037007 �
11011011i151111it1ti0 I31111fI1I11Yi11ICtt ➢ ICllltlflllllt # Rltitlltl
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building plans;(1)set of Energy Forms;R-0-W Permit for now construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w#Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subd'svislonsnarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safely Page;(1)set of Energy Forms.R-O•W Permit for new construction.
Minimum ten(10)working days after-submittal date. Required onsite,Construction Plans,Stormwater Plans rr<Silt Fence installed,
Sanitary Fatalities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must most compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'PROPERTY SURVEY required for ail NEW construction.
Diredfons: .
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notion of Commencernent is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized Setter`ram owner authorizing same
OYERTHECOUNTERPERMITFING (copy of contract required)
Reroofa if shingles Sewers Service Upgrades A/C Fences(PlollSurvey/Fnotage)
Driveways-Not over Counter if on public roadways..neads ROW
2018124934
/Rcpt.:1976749 Rec: 10.00
DS: 0.00 IT: 0.00 ,
07/25/2018 E. M. , DpW Clerk
JAULA 5.0'NEIL,ph.D.PASCO CLERKef CiMPTROLLER
07/25/20113 12:38pm PG �4 1
OR BK 9 ],
This Instrument Prepared by:Amanda mcHillen/ venture construction company
Address:
SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR PROCESSING DAT
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida
County of
The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with section
713.13 of the Florida Stattites,the following information is provided in this NOTICE OF COMMENCEMENT. Legal description
ofproperty(Include Street Address,if available)pizza Hut- 5915 Gall Blvd; Zephyrhiils,•FL 33542
�21`1 0020 DCMQ dot-2
General description of Improvements Construction of now shaming ter (shell only)
Owner Zephyr r fC
Address 7162 $eadinq Ed Suits 730: ninninattit- Ohio 4S237
Owner's Interest in site of the Improvement 100%
Fee Simple Title Owner(If other than owner)
Name
kddress _V__2
re construction company
ontraaor
ddress 105 11. •Faikenburg Rd, Suite A; Tampa, FL 33619
Surety
Address Amount of bond
Any person m mg a oan or Me construcnon oTffr mprovemenW.
Name
Address
Person within the State of Florida designed by owner upon whom notices of other documents may be served as
provided by Section 713.12(l)(a)7.,Florida Statutes.
Name
Address
In addition to himself,owner designates
Of
to receive a copy ofthe Lienoes Notice as provided in Section 713.13(I)(b),Florida Statutes. Expiration date of Notice of
Commencement(the expiration date is 1 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
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13.FLORIDA
STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND 70
OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
t-�1 w4'm�tQ'3
Sign, j..., �� Printed Signature ot Uwner
PAMELAA.WEITjge relied upon the following identification of the
t
*r• .., I*= Notary Public,State of Ohio
�Jo _ saBl FebSaZ su rib ore a this
S� ti.. •�� % day of
Underuil�eclare that I have read the 1
foregoing dtlu th �c stated in it are true to the best . otary Signatd,61
of my knowledge and belief.
Signature of Natural Person Signing Above Printed Notary Signature
DI
STATE OF FLOIZIDA, COUNTY OF
G THIS IS TO CERTIFY THAT THE F PASCO
TRUE AND CORRECT COPY OREGOING IS A
'•n fio�Zye?ter - ON FILE OR OF P OF THE DOCUMENT
;•..�,ti •. �r WI ES UBLIC RECORD IN THIS OFFICE
Y HAND AN lei SEAL 2.
THI
DAY OF
*
888 A
O NEIL C OMPTROLLER
BY
DEPUTY CLERK
CITY OF ZEPHYRHILLS, FLORIDA
l
5335 8TH STREET
CONTRACTORS COMPLETION
NAME: Venture Construction DATE: October 26, 2018
ADDRESS
PARCEL I.D. 10-26-21-0020-00000-0090 SUBDIVISION : City of Zephyrhills
TYPE OF BUILDING : Pizza Hut Shell construct only
PERMIT'(s) 19998 20359
REMARKS : Certificate for completion of Shell Building of Pizza Hut
Final Inspection : 10/26/2018
BILL BURGESS BUILDING OFFICIAL/ JB
i
UNI IVERSAL
ENGIN EERING: SCIENCES
Consultants Ins Geotechh:al Engineering;•Environmental Sciences
Geaphysical.5eivices•Construction;I., eiialsTesting-'.Threshold inspection
6611d1ng Inspection•Plan peviev;•:Hsiiidlrig Code kdminlstraEipn
UES CWI Visual Inspection Report
Project No: 0810.1800176.0000 Date: Tues, September 25, 2018
Project Name: Pizza Hut- Zephyrhills Client: Venture Construction
Superintendent: John Karaphillis Company: Venture Construction
Welding Company: Panda Welding Work Order No.: 86551
UES Inspector: Jay Nunes, CWI #16010811
Elevation/Area Observed: All Building locations
Structural Elements Visually Inspected: Overall
%Accepted Rejected
X Decking: X Welded X Lap Screws X Pinned 100%
X Joists Welds: X Embed Beam X Girder 100%
X Joist Bridging: — Per -- I 100%
X Girder: X Bolts X Weld/Column X Weld/Embed 100%
_ Beam Bolts:
X Perimeter Angle: All building Locations 100%
X Column Anchor bolts: One Column on Building 100%
_ Other:
Other:
X Post Welding Inspection X Re-inspection X Final Inspection
Remarks:
1) All Locations Inspected and accepted 100%.
2) TOP Joist Bridging omitted by Panda Welding,Accepted per attached RFI from Vulcraft EOR.
3)
4)
5)
6)
7)
8)
9)
Field Copy to: John Karaphillis
Notes: Final Inspection issued upon completion of all inspections.
All work inspected this day was found to be in conformance with the project plans, project specifications, approved changes by
the Engineer and/or Architect of Record and the AWS D1.1-15 Structural Welding code.
Excluding the deviations/deficiencies noted herein.
9802 Palm River Rd, Tampa, FL 33619 • (813)740-8506 ,iy i mince
www.UniversalEngineering.com CM 1r 0110 111 _
OGI tee.1tt 7019-
UNIVERS.A.-L
ENGINEERING SCIENCES
Cons ut:=�ntsrniGeotachiiiealEngire r6ig"•Envlronmentalscience.
Geophysical Services•Construclicn 11Malerials7esting-"Threshold.IMSPeLtion
Building InspEctlan•plan Rt;vi�v;�r3uilolvi�Code'R;dmrnlstration
VULCRAFT SR-OUP
Seplle6ibpr 19;2018
P&A Welding,8. Machirse Attn:'RandyBoggs
2811 Stateld.60,West
Mulberry, FL 33860
Reference: Pizza Hut Lephyrhills Vulcrafi-File Ir:0.14-1,8=0463
Sheet no: i of 1
To.wlipm.it may concern;'
After ft e;i9eck°is affactie:d;it is ecceptabk to feri�ove the`;op'ch' d
iiorizonial,&irclg'rig...Do r61,t'er7iove.t�ciltom chord bridging,
Ir you li6i e dhy.estions qr'dd riaf"feceiVe cill of.tM.se,pages;plegsc call
R�speet,it,r,lly,
muct
+,rluhr
Michael Whifitle.
V0lcra6 t6gine6rin.g Department No 77393
.4.
All work in anges by
i5P I Wenc—.Mrnrs�ton 5:rcct F.Irre?cp,SG.1n5G I r'nunc=i843}6G2-0381 F 4. rr2-3 f 3p om
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