HomeMy WebLinkAbout19-21330 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020F, 21330
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21330 Address: 5713 GALL BLVD
Permit Type: DEMOLITION ZEPHYRHILLS, FL.
Class of Work: 636-DEMOLITION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-03200-0030
Improv. Cost: 9,600.00 OWNER INFORMATION
Date Issued: 6/03/2019 Name: JERRYS CRYSTAL BAR INC
Total Fees: 100.00 Address: 5707 GALL BLVD
Amount Paid: 100.00 ZEPHYRHILLS, FL 33542
Date Paid: 6/03/2019 Phone:
Work Desc: DEMOLITION 3,368 SO—FT CRYSTAL BAR
CONTRACTORS APPLICATION FEES
JOHNSON'S EXCAVATION & SERVICES DEMOLITION 100.00
/11,
Ins ections Required
FINAL
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.
d�,Zlz - &, k,ff�
ONTRACTOR 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 Phone Contact for Permitting —
Owners Name Jerrys Crystal Bar Inc./Robert A Geddes Owner Phone Number
Owner's Address 5713 Gall Boulevard Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5713 Gall Boulevard LOT#
SUBDIVISION PARCEL ID# 11-26-21-0010-03200-0030
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR COMM = OTHER
TYPE OF CONSTRUCTION BLOCK FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE 3368 HEIGHT
=BUILDING Is
h O o VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY 0. OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO.
.. . .. :..ice .. .
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address License#
y o.e.
OTHER PANY QII�IJOn�s�X(cvd�lQl� I V
SIGNATURE REGISTERED Y/ N I FEE CURREN I Y/N
Address LrA$ G" lis7p3 License 5 (.j
11111111111111111111 1111'111111111111111111111.111111111111111111111
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 Commencement is required. (A/C upgrades over$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 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 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 inn-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 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 COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENTnnnathan A_.Inhnsnn CONTRACTOR Donathan A.Johnson
Subscribed and sworn to(or affirmed)before me this Subscribed and swam to(or affirmed)before me this
6-3-19 by—BonathaaA—ln nson 6-3-19 nson
Who is/la personally known to me o iasmave produced Who is/are pe ovally known to me has/have produced
sidentfication. as identification.
` ` aJ blic vw
Comm i io $WP,,!i:•,' CHRISTINA BRASWR L RUPP Commission BRA$WEU.RUPP
MY COMMISSION#GG 142525 _= My COMMISSION#GG 1in 9A99
Name t W Name of Not M•For s
'''For f;QQ' Bonded Tlw Notary Prr6Gc UnderwriteB. ''rFiiF a;?? Bor"11"Noharll Public U11*11411i is
r INSTR#2019092443 OR BK 9915 PG 917 Page 1 of 1
_ 06/03/2019 10:26 AM Rcpt:2059723 Rec: 10.00 DS:0.00 IT:0.00
' Paula S. O'Nei6 Ph.D., Pasco County CCerk&ComptroCCer
Pamtit No Pam)ID No 11-26-21.0010.0320D-0030
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE UNDERSIGNED hereby gives notice that improvement vrill be,made to certain real property,and in accordance with Chapter 713.Florida Statuw,
the following information is provided in this Notice of Commencement:
1 Desorption of Property Parcel Identification No. 11-28•21-0010A3200-0030
SfreelAddress, 5713 Gall Boulevard
2. General Description of Improvement Demolition and tegal disposal
3. Owner Information of Lessee atfomtation If the lessee contracted for the improvement:
JerryS Crystal Bar InC,/Robert A Geddes
5707 Call Rlvd Name Zephyrhills FL
Address City State
Interest in Property: Ownerqa
Name of Fee Simple Titleholder,
(If different from Owner listed above)
Address
Cjty Stateft
4 Contractor rihn.....as e......vgtlnn n Rpnircx=c ln(` --- r •�. 2M m
Name f
17nR F T �pll Rd Plant C'iN, EL—
Address City Stale
o
Gontrectafs 7etzphane No.. 813752.7097 � �-
5. Surety
Name
Address City State
Amannt of Sand::Z Telephone No.
6. Lender Q W
Name � SQ LULL, LLLL
Address City State 0 Z � O = J U
Lenders Telephone No.. VV
00S2 —t NO
7 Persons within the State of Florida designated by file owner upon whom notices or other documents may be served as crowded try C� 2 Q D
Section 713.13(1)(a)(7),Florida Statutes LU Z J 0L.L Of
G
0 0 ] U
Address Ciry 3tata 0 ¢O w Y
Telephone Number of Designated Person: IL tY
B In addition to himself,the owner designates —of— < F— I_ J Z
to receive a copy of the Lienor's Notice as provided in Section 713.13(f)(b),Flortde 6tatutetl, to 0 m 0 LL U
Telephone Number of Person or Entity Designated by Ovmer LU Q 2 O J
® Q }
9. Expiration dale of Notice of Commencement(the wipiration date may not be before the completion at constrittitln and final payment to the —j W � 0 2 0 Z
eontractor,but will be one year from the dam
te of recording unless a different date isspeafied) 0 U X }�
WARNING TO OWNE ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ( � �.0 U)
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1, SECTION 713.13. FLORIDA STATUTES AND'CAN Z. -1
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF CpMMENCEMENT MUST BE W C7 Q J J
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPrC71ON IF YOU INTEND TO OBTAIN FINANCING,CONSULT F^ Li —
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT <C =5 u-
Under penalty o1 perfury,I declare that I have read the foregoing notice of commencement and that the facts stated thEram aratrue to the best 1--- F-O S )a }
of my Imow Indge and belief. m
STATE OF FLORIDA 7
COUNTY OF PASCO / "� A
Signature of Owner or Lessee or Owners or Lessee's XdWriza
Officer/Oi rector/Panne r/Mart alter
Signatoys TlUe/Office I
The foregoing instrument was aclotawledged before me this 3 day of June 20��by 1 Q n b e r-L A. �,J
as (type of authority.e.g..officer,trustee,attorney m fact)far
(name o1pqrjv on behaff of who .re t wa xe ned).
Personally Known❑PE Produced Identification N�l Notary SI(II.
Type of Identification ProducedL. !l�� Name(Print)
R:E
ubfiC State c0 Florida
s R Hull
rnUonf GG 293a86
01/MU23
wpdatalbe6/noficeoommenoeme nl_pCU53048
= 11-26-21-0010-03200-0030 1 Pasco County Property Appraiser Page 1 of 1
Parcel ID 11-26-21-0010-03200-0030 (Card: 1 of 1)
Classification 03300-Night Clubs
Mailing Address Property Value
JERRYS CRYSTAL BAR INC Ag Land $0
5707 GALL BLVD Land $70,600
ZEPHYRHILLS, FL 33542-3451 Building $23,193
Extra Features $0
Physical Address
5713 GALL BOULEVARD, Just Value $93,793
ZEPHYRHILLS, FL 33542
Assessed (Non-School Amendment 1) $93,793
Legal Description (First 200
characters)
Non-School Taxable Value $93,793
See Plat for this School District Taxable Value $93,793
Subdivision
TOWN OF ZEPHYRHILLS PB 1 PG 54
LOTS 3 TO 7 INCL BLOCK 32 OR
4475 PG 1313 OR 7571 PG 1309
Jurisdiction
CITY OF ZEPHYRHILLS
_ Land Detail (Card: 1 of 1)
Lin Use a Code Description �- Zoning,Umts Type 'Price Conditio-Value
1 3300C 2AR-1 Night Club FBC4 7,000.00 _ SF ;_$_7.00 1.00 $49,000
2 3300C 2AR-2 _ Night Club i FBC4 8,000.00 SF $2.70 1.00 $21,600
Additional Land Information
_ Acres _--'_Tax Area �^FE_MA Code _ - Res Code Com Code -{ Condo Code
0.34 1 30ZC -i X M301 j M301 j- M301
View Sketch Building Information - Use 3300-Bars, Lounges, Night Clubs (Card: 1 of 1)
Year Built 1951 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plywood Panel Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
/C Central Baths 3.0
Line Code IDescription -, _ -_ Sq. Feet________ Value
1 BAS01 LIVING AREA 2,664 $20 486
2 FST01 FINISHED STORAGE 704 i $2,707
Extra Features (Card: 1 of'1)
Line -- Code —DescriptionT v w_ . Y r—
No Extra Features
Sales History
Previous Owner: GEDDES ROBERT A TR &GEDDES TRUST
Month/Year Book/Page Type DOR Code Condition .--*mount
07/2007 j 7571 / 1309---_-f _Quit Claim Deed Improved $0
11/2000 j-4475 / 1313 Quit Claim Deed -` Improved $0
http://search.pascopa.com/parcel.aspx?parcel=2126110010032000030 6/3/2019
JOHNSON'S EXCAVATION & SERVICES, INC.
SIGNATURE AUTHORITY FORM-FOR THE
PURPOSE OF OBTAINING PERMITS
City of Zephyrhills
I, Donathan A. Johnson, President of Johnson's Excavation & Services, Inc. do
hereby designate the following individual (s) as having the authority to sign and-submit
applications and related documents for the purpose of obtaining any permits under my
State Contractor's .License, reference #CBC059540 for Johnson's Excavation &
Services, Inc. I further acknowledge and accept as a licensed contractor, my
responsibility and liability for each project permitted under the authority designated on
this form, and that my failure to assume and fulfill said-duty may be grounds for the
initiation of disciplinary action against my contractor's license.
(C ntra'c Signature)
DESIGNATED SIGNERS:
1. Randy Borovich 3. Tom Hull
2. Robert Beach 4. Sean Givens
To and subscribed before me this 03
day of June.2019.
CHRISTINABRASWELLRUPP ^
� * My COMMISSION#GG 1 j
EXPIRES:J,aWY 10-2022 (Notary Public)
Gn^+wThNH��7�U11dB(Y�RI��Ib
(11�ls O Is not personally known to me.
1706 East Trapnell Road . Plant City 33566 . (813) 752-7097 . Fax(813) 719-9052
License# CBC059540 email: sales(idescontractins.com
\\JOHNSONSERVER\everyone\DEMOLITION\Lake County\AUTHORIzation
FOR PERMIT everytime.doc