HomeMy WebLinkAbout19-21564 CITY OF ZEPHYRHILLS
5335-8TH STREET
` (813)780-0020 21564
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21564 Address: 37130 EILAND 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: 03-26-21-0010-12200-0020
Improv. Cost: 4,500.00 OWNER INFORMATION
Date Issued: 7/30/2019 Name: 7-ELEVEN INC
Total Fees: 100.00 Address: 3200 HACKBERRY RD
Amount Paid: 100.00 IRVING, TX 75063-0131
Date Paid: 7/30/2019 Phone: 305-525-2075
Work Desc: DEMOLITION REMOVE UNDERGROUND TANKS & PIPING /CANOPY
CONTRACTORS APPLICATION FEES
GUARDIAN FUELING TECHNOLOGIES LL DEMOLITION 100.00
n
Ins ections Re uired
FI AL
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 Phone Contact for Permitting Ztl"7
17177-17M,I......... 11 1 1,I....... ................ .........
Owner's Name -7 - ail E-1i Owner Phone Number
Owner's Addressl3>400 14vitAe:,
Owner Phone Number
P,\4-k __I K r?-5_6 4 Owner Phone Number 5_.Z5_7-- 267
F
JOB ADDRESS 13 LOT#
SUBDIVISION PARCEL ID# 0.3 2-t -06 t 0 - 1 Z-ZLiQ'- 60ZO
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK OV17 A4 Si C`Sf- 6 ` 4��\1 Z5�4� !��- V Li`(&—c,-QLL0d _61VI`K's aij
1 1 "7 BUILDING SIZE SQ FOOTAGE HEIGHT
.....I I
71=
1*�EBUILDING 1$ 1 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING F__1 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
REGISTERED Y/ N FEE CUNREN Ly
BUILDER COMPANY &LUMXCA VEIE�V%(\C, ,�AA
SIGNATURE _LNvj
Address License# FACao5Z -7 3,�,
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L11N J
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License J7
HHHH
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 wl 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 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.
****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 S e I rvica_Uoj�ades.A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counf6r if'6n'b6k&foadwdys'..heeds 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 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
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
—WIT-H YOUR LENDER--OR AN ATTORNEY BEFORE RECORDING YOUR NOT CE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) ---- ----
OWNER OR AGENT • CONTRACTOR
Subscribed and sworn to(or affirmed)before me this ubscribed and swor to(or affirmed)before me this
by 2-4-0 by �fn�i s l tc,z A
Who is/are ersonall known to me or has/have produced Who i re er onallll known to ry�g or has/have produced
p y as identification. ,t�-ti`S�d(� h C e1 1(Gc/G s identification.
Notary Public Notary Public
Commission No. Corn Vs on No.
Name of Notary typed,printed or stamped Name of Notary typed;;pttd
Commission#GG 276457
F ' • ?off Expires December 12,2022
Bonded Thru Troy Fin limam 80SMS-7019
i
FIGURE 1
SITE LAYOUT MAP
MARATHON#438
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E-/LAND BOULEVARD T H E
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iNSTR#2019139392 OR BK 9957 PG Z706 Page 1 of 1
08/16/2D19 01:29 PM Rcpt:2082151 Rec:10.00 DS:0.00 IT:0.00
Nikki Alva ezS wles-Eso-Pasco County Clerk&Comptroller_
P i
Permil No. Parcel to No 03-26-21.0010-122OD-0020
NOTICE OF COMMENCEMENT
Blatant Florida County or Pasco
THE UNDERSIGNED hereby gives notice that Improvement vAll be made to certain real property.and in aaonlWce with Chapter 713.Florida Stables.
the following Information is provided in this Notice of Commencement:
1. Description of Property:Parcel Idenbecalion No. 03.26-21.0010-12200.020 37130 Eland Blvd..ZephyrNgs.FL 33542
Street Address: 37130 EILAND BOULEVARD.ZEPHYRHILLS,FL 33542
2. General Description of Improvemenl Removal of underground storage lanks.piping and canopy.
3. Omer Information or Lessee Information it the Lessee contraded for the lrWrowmenl:
7-ELEVEN INC-NH1
320'Hadrbeny RDa Irvin T%
Address City Stele
Interest in Property: Lessee
Name of Fee Simple Titleholder.
of different from Owner fisted above)
j Address Guardian Fuelin Technologies. city Slate
4. Contractor. g 0 ogles,LLC
5100 W.Grace BL Tampa
FL
Ad,1 a Oily Slate
Contractor's Telephone No.: 813,918,2177 I
5. Surely. Na
Name
I
Address City Slate
Amount of Bond:S al Telephone No.:
6. Lender: We
Name
Address City Stale
Lender's Telephone No.:
7, Persons within the Stale of Florida designated by to owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7).Flonda STelules:
Name
Address City Stale
Telephone Number of Designated Person
a. In addition to himself,the owner designates of-
to receive a copy of the Lierror's Notice as provided in Section 713.13(1)(b),Florida Stables.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Nodw of Commencemem(the expiration dale may not be before the completion of construction and final payment to the
contractor.but will be one year from The date of recording unless a different dale is sped8ed):
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 1,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 ANATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of per)ury,I dadore'hat I how read the foregoing notice of commencernenl and that the fads slated therein arc true To the best
olmyMrl.M doe arhd hotnel.p
STATE OF
COUNTY OFIM6eby
Blgnaluro of Owner or Lessee.or Ovmer'a or Lessees Authorized
O dfrfOhedorReNher/Manager
ININ\kcjr bi1Vk( (VM9ttEeSl 5s(�cQ.S
slgnefoya nd ONce
The faragdthp instrument was advnoWadped h _t W ere (type olaulhodty,e.g..officer,trustee.attorney in lad)la
'7- _1e3feM���ss (name of any on behatf a wham I stnmem was ececuled).
Personally Known Vo Produced ldentificstIon0 Notaryslgnalue _`
Type of Identification Produced tl�!M Name IPdni) 1L^17 fk
IjFyy ISAIAH EL:11AIREIDNotary Public, e of TaxesComm.Expir3.12-2022N,,.� Notary ID 496 91
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