HomeMy WebLinkAbout18-20000 CITY OF ZEPHYRHILLS
5335 8TH STREET
(813) 780-0020 200 0
DONATION BIN
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 20000 Address: 5658 GALL BLVD
Permit Type: DONATION BIN ZEPHYRHILLS, FL.
Class of Work: DONATION BIN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-05700-0252
Improv. Cost: OWNER INFORMATION
Date Issued: 7/23/2018 Name: ERIC HOOPER INC/WENDYS
Total Fees: 75.00 Address: 5658 GALL BLVD
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/07/2018 Phone: (813)782-5442
Work Desc: DONATION BIN EXPIRES 7/2019 WENDYS
CONTRACTORS APPLICATION-FEES
DONATIO BIN 75.00
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Ins ections Re ui d .
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 may be 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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE
THE APPROVED TAG SHALL BE PLACED ON THE FRONT OR DEPOSITING SIDE OF THE
RECEPTACLE.
813a80-0020 City of Zephyrhills Permit Application Fax-813J80-0021
Building Department
Date Received Phone Contact for Permitting —
Owner's Name t-dT"*7 to COVGT , 1/l Owner Phone(~lumber l
�-
Owner's Address 4 Q,�1 F'P""�7 3 _ Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number —�
Fee Simple Titleholder Address �r
JOB ADDRESS J I/ 6. a. .3.3.5 '2- LOT#
SUBDIVISION F — PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q DEMOLISH
e INSTALL 8 REPAIR
PROPOSED,USE 0 SFR Q Comm OTHER 8
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE F SO FOOTAGE�� -HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
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=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E:C: ;
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=PLUMBING g
�pd
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
I €
=GAS ROOFING F--j SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
`Y SIGNATURE REGISTERED Y/'N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L=N
Address License# F `
PLUMBER, COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# �—
i
MECHANICAL COMPANY
SIGNATURE REGISTERED =JY/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Address License# �—
RESIDENTIAL Attach(2)Plot Plans;(2)sets ofBuilding Plans;(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 far subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life.Safety Page;(1.)set of Energy Forms.R-OW Permit for new construction.
Minimum ten(10)working days after submittal date. ,Required,onsite,Construction Plans,Storrriwater 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.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If aver$2500,a Notice of Commencement is required. (A/C upgrades aver$7500)
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 aver.C,ounter if on public roadways..needs ROW
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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 undersigne_d 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 slate and local regulations. If the
contractor is not licensed'as.required bylaw,both the owner and contractor may be cited for misdemeanor violation
understate 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 IMPACT/UTILITIES 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 Watef/Sewer Impact
fees are due,they must be paid"prior to permit issuance in accordance with applicable_Pa'sco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,W0.00 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",I certify that I have obtained a copy of the above described document and promise in good.falth to
deliver It to the"owner"prior to commencement
CON,TRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all.work
Will tie hone.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. 1 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 l 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'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
constriction,I certify that fill will be used onlyto fill the area within the stem wall.
- If fill material is to be used in any area, I'certify that use of such All 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 Iots,less than one(1)
acre which are elevated by fill;an engineered drainage plan is required.
If 1 a`m tho AGENT FOR.THE OWNER,1 promise in good,faith to inform the,ownor of tho pormitting conditions act 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 woik 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.
�';NG 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 ATTORNV BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT A CONTRACTOR
/Subs_crib d an swornto(or affirm be m s S affirmed)
Subscribed and sworn to(or armed)before me ails
CJ ho is/re rally kno 0 or ve produced Who Is/are personallyknown to me or has/have produced
s ida cation. as identification.
Notary Public Notary Public
missio No. Commission No.
NaE(jd
ad ed or stamped Name of Notary typed,printed or stamped
ry Public State of Florida
nifer Lawrence•omrrlission GG 1959e1
es 031f8r2022
Jacqueline Boges
From: Jacqueline Boges
Sent: Monday, July 23, 2018 11:52 AM
To: 'Jim Hohs'; 'Jennifer Lawrence'
Subject: RE: donation bin information
Attachments: donation.pdf
Hello Jim,
Received the approval for renewal of donation bin (see attachment) .The renewal fee is$75.00 that has to be paid for
the new permit and that is cash or check only.
Thank you for your patience...
i
claekle Boges
813-780--0020 ext 3513
"A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed, a mere doctrine, but it is He
Himself we have."Dwight L. Moody
Florida has a very broad public records law. Electronic communications regarding most City
of Zephyrhills business are public records and available upon request. Your e-mail
communications may therefore be subject to public disclosure. If you received this message in
error, please do not read, forward, copy, etc. and delete immediately.
From:Jacqueline Boges
Sent:Thursday,July 19, 2018 9:12 AM
To: 'Jim Hohs'<jhohs@charityrecyclingservice.com>;Jennifer Lawrence<jawrence@charityrecyclingservice.com>
Subject: RE: donation bin information
Hello Jim,
No Bill has been out on vacation just returning into the office . We should have something for you today or tomorrow.
Thank you
iq Yt
daekk Boges
i
. Dave Thomas.
. .4 ... . . .. . ation
Found : •: •:. • : : :. : : . :. .. . .: . . : . . . ..-
for.Adoption•: .
Faadi�gFcreva:i afiul�for.Cwlareni+FasterCare:.: :
June 20;2019
:To-Whom It-May.Concern,: .'
The Wendy.'s Cainpany:has permission-to display andcollect donations:using the Dave Thomas
"
Foundation for Ado tt.on:branded rec chngbins
Please feel free to contact Dean Bring;Director;Partnerships,at..
::dean,bring@davethoinasfoundation- rg or�614764-316.4 with. questions.:. -
Rita L. Soronen.
President:&CEO
716 Mt.Ai hire Blvd,,Suite 100'1 Columbus,OH432-351 1.800.ASK.DTFA I davdIlhomdSfounclation.09.
ap.
.. ..
June 8;2018: :
•
As the,property owher.of Wendy's located at:56 '8.Gall Blud;.Zephyrhills,FL;!•authorize the
-Dave Thomas Foundation for;Adoption.Bin fo sit outside.in:the parking lot.
_sincerely, : . .
Eric Hooper..
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner:
Date Received! —2—?—�
Site:
Permit Type: ��� � 2-016 Zo I
Approved w/no comments:❑. Approved w/the below comments: Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
Bill Burgess— i ing Official Date Coiftractor and/or Homeowner
(Required when comments are present)
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