HomeMy WebLinkAbout19-21139 CITY OF ZEPHYRHILLS
5335-8TH STREET '
(813)780-0020 21139
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number:21139 Address: 7248 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: 35-25-21-0010-08800-0000
Improv. Cost: 15,000.00 OWNER INFORMATION
Date Issued: 4/23/2019 Name: PROVEST TOWNVIEW LLC & MISSION H
Total Fees: 240.00 Address: PO BOX 515
Amount Paid: 240.00 HUDSON, NY 12534-0515
Date Paid: 4/23/2019 Phone: 785-249-1141
Work Desc: INSTALL ROOF MOUNT ANTENNA W/ROUTE CONTROL CABLE TO RADIO IN STORE R
CONTRACTORS APPLICATION FEES
ATLAS SOLUTIONS INC BUILDING FEE 172.50
ATLAS SOLUTIONS INC ELECTRICAL FEE 67.50
(�- A
Ins ections Required
FOOTER 2ND ROUGH PLUMB mlbu 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 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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received ;� —21 - j 9 Phone Contact for Permitting `�( 52(o — S�31
Owner's Name veS� �ow�.v p�. Lt_C Owner Phone Number
Owner's Address 7'1 4,% C.-.<< itvd. -JIS L 31yLf I Owner Phone Number
Fee Simple Titleholder Name r.l d Owner Phone Number
Fee Simple Titleholder Address K/A
JOB ADDRESS 7 14$ C-,o—tl LOT#
SUBDIVISION PARCEL ID# :3S- ZS--21 ^ 001 D -d$$as -aooa
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR e ADD/ALT ® SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR COMM OTHER s-inr rock &,s l ro-L+`4 4s L-
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK tvAS411 o rvwuv�� �chl-e.r`�, 14 Yflv)2 Go►��vol lo� � r"10 �(AC� h
BUILDING SIZE SQ FOOTAGE= HEIGHT
®BUILDING $ VALUATION OF TOTAL CONSTRUCTION I sjDda
ELECTRICAL $ 5/ O b AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
U
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER-1 AA ' r l�hh I COMPANY
SIGNATURE REGISTERED N FEE CURREN /N
Address Zb1l Me- C.r. <I-. `�j-d.,��,, �G �� License# GC'
ELECTRICIAN �. AK J'�%PANY 4ke s Sotv�;r,k-S k,
SIGNATURE REGISTERED / N FEE CURREN L12 N
Address 'ZoII 58 �� Gr, . :Zi '�L3 3 License#
PLUMBER COMPANY —71
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building 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 for subdivisions/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 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.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencernent_is•required::,(A/C upgrades over$7500)
" Agent(for the contractor)or PowerofAttofr)ey'(for the,ownec)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING;:`+'% .(Copy;of,.contract;rep dire
7)
Reroofs if shingles Sewers -;,�Si3rvice'UpgFad'es]A%C:: Fences(Plot/Survey/Footage)
" ,.{.; .•,;,;,,;,,,,,,,;;,•;..: � ;�,,•,.mod:,.....
Driveways-Not over`:Cbunterif 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 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 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"V" unless expressly permitted.
If.the fill material .is to be used in Flood .Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is'to be used'in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill 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 bne (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 O AN ATTORNEY BEFORE RECORDING YOUR AIOTJM OF COMMENCEMENT.
FLORIDA JURAT(F.S. 1.17.03
OWNER OR AGENT CONTRALTO.
Subscribed and sworn to(or rrned)before me this •Subscribed.an&swo^� T a rmed fo me_this--
Who is/are personally known to me or has/have produced Wh are.o . onall know me or has/have produced
as identification. f Id 1, �s �C 'f���as identification.
Notary Public !At Notary Public
Commission No. Comm(sion • 'J"
av "AUViss INEBpGES
Name of Notary typed,printed or stamped Name of Note
tg�,,, r 1
""""�7roYFaln I �Opp�70f8
NOTICE OF COMMENCEMENT INSTR44 2019061612 BK 9893 PG 1510
04,123/2019 10:25am Page 1 of 1
Permit Number Tax Folio# 35-25-21-0010-08800-0000 Rcpt: 2047996 Rec: 10.00
DS: 0.00 IT: 0.00
The undersigned hereby gives notice that improvement will be made to Paula S. O 'Neil , Ph.D.
certain Real Property, and in accordance with Chapter713, Florida Pasco County Clerk & Comptroller
Statutes,the following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY:
(Legal description of the property and street address,if available).
7248 Gall Blvd. Zephyrhills,FL 33541
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Install roof mounted antenna,route communications cable into store room to existing rack mounted This space reserved for recording
equipment frame. Sprint Site TA92XS012.
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name&Address: sprint wireless-7248 Gall Blvd. Zephyrhills,FL 33541
Interest in Property: Lease hold
Fee Simple Title Holder(if different from owner listed above):ProvestTownviewLLc
4. CONTRACTOR: Name: Atlas Solutions,Inc. Phone Number: 941-812-9952
Contractors Address: 2071 58th Ave.cir E Bradenton,FL 34203
5. SURETY(If applicable, a copy of the payment bond is attached): Amount of bond: $
Name: �� Phone Number:
Address:
6. LENDER'S NAME: iV� Phone Number:
Lender's address:
7. Person's within the State of Florida Designated by Owner upon whom notice or other documents may be
served as provided by Section 713.13(1)(a)7., Florida Statutes.
Name: Phone Number:
Address:
8. In addition, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Phone number of person or entity designated by Owner:
9. Expiration of notice commencement (the expiration date will be 1 year from date of recording unless a different date is
specified. 20,
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 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFO7 nNCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Aaron Natalie- Manager
(Sign re of Owner or Lessee,or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of,74"G-4/ County ofaor�
The foregoing InItru��ent was acknowledged before me this 2� day of 20 �� by
n�A a�l`� for S0!'-yff
(type of authority, ...e.g.officer,trustee,attorney in fact) (name&p�on behalf of whom instrument was executed)
Personally Known or Produced Identification /fin Q
AFRAI`tCINE gy'L
Signature of Notary Public Notary Public-Notary Seal
State of Kan as FormIPS02—Revised 01/13/15
Niy Commission Expires_ ID ,)_& �3lJ7�j
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: J 1 +) (, -� so v 4 V�q S 7
J, C
Date Received: 3/� 7
Site: 7�, VW '
Permit Type: h S`� I �� M o wlw A, 4C h{le,
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the be co ents• ❑
1Vl
This comment sheet sha e kept with the permit and/or plans.
APR 9 .9 2019
Kalvin r—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
Cascade: TA92XS012 Store#: 7696
Sprint'
Mini Macro Retail Store Site Survey Report
Store Address: .7248 Gall Blvd. Zephyrhills, FL 33541
Survey Date: 9/25/2018
Survey By: Dave Mann/Atlas Solutions,Inc./941-812-9952/DaveMann@atlassolutionsinc.net
On Site POC: Jean-Paul Zapata 813-815-5180.
Explanation of cable entry: We will re-use the existing cable entry on the back wall of the building.
Surveyor Comments/Site Challenges: Limited access behind store, Panera drive through.
0Nail-Salon
f-"— �'` .•, • .Existing mount,antennas and
� � i Proposed cable path in 2" i «� cabling to be removed by
PVC conduit supported
with Dura-Blok sleepers. '�'M Install contractor.
� .
Proposed antenna location mounted
on non-penetrating sled with
protective rubber mat underneath.
r
Aerial Map of Building Showing Proposed and Existing Equipment Locations over Store
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Sprint
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f$ l Pill J
T + n • J11�
• • of Existing BDA or NSC units insidestore
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Cascade: TA92XS012 Store#: 7696
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Photo of Proposed rCAN Location
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Cascade: TA92XS012 Store#: 7696
(Intentionally Left Blank)