HomeMy WebLinkAbout19-20959 CITY OF ZEPHYRHILLS
` 5335-8TH STREET
(813)780-0020 20959
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20959 Address: 38122 HENRY DR
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0080-OOA00-0070
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 1/10/2020 Name: CITY OF ZEPHYRHILLS
Total Fees: 123.75 Address: 38122 HENRY DR
Amount Paid: 123.75 ZEPHYRHILLS, FL. 33542
Date Paid: 1/10/2020 Phone:
Work Desc: INSTALLATION CANOPY OVER CELLULAR EQUIPMENT ON EXISTING SLAB-1x reinstat
CONTRACTORS APPLICATION FEES
UC12 CONSTRUCTION SERVICES LLC BUILDING FEE 82.50
BUILDING FEE 41.25
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Ins ect ons Required
FOOTER 2ND ROUGH PLUMB Misc 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.
bv�C-
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20959
BUILDING PERMIT
PERMIT INFORMATION LOCATIOWINFORMATION
Permit Number: 20959 Address: 38122 HENRY DR
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0080-OOA00-0070
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 3/19/2019 Name: CITY OF ZEPHYRHILLS
Total Fees: 82.50 Address: 38122 HENRY DR
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 3/19/2019 Phone:
Work Desc: INSTALLATION CANOPY OVER CELLULAR EQUIPMENT ON EXISTING SLAB
CONTRACTORS APPLICATION FEES
UC12 CONSTRUCTION SERVICES LLC BUILDING FEE 82.50
c�
q
Ins ections Required
FOOTER 2ND ROUGH PLUMB MISC 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 /00
Date Deceived 813 386 _6202
Phone Contact for Permitting
owners Name T-Mobile c/o UC12 Construction Services Owner Phone Number 813-386-6202
owners Address 5173 Shadowlawn Avenue,Tampa,FL 33610 Owner Phone Number 813-386-6202
Fee Simple Titleholder Name I City of Zephyrhills Owner Phone Number
Fee Simple Titleholder Address 5335 8th Street,Zephyrhills, FL 33542
JOB ADDRESS 38122 Henry Drive,Zephyrhills, FL 33542 LOT III
SUBDIVISION PARCEL ID#I 02-26-21-0080-OOA00-0070
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR® ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Install aluminum cellular equipment canopy on existing slab.
BUILDING SIZE SO FOOTAGE= HEIGHT
=BUILDING $2,400.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY UC12 CO rUCtIOn/SefVices, LLC
SIGNATURE REGISTERED Y/ FEE CURREN I Y/N
Address I FLicense# SCC131152079
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ FEE CURREN Y/N
Address Licens
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N
Address 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#
1111111111111111111111111111111111111111111111111111111111111111111
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,Stonmwater 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.
11 ' 6.11111 . 1131111118„
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. I
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'SIOWNER'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 INTENP TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN A170P.NEY4BEFORE RECORDING YOUR NOTAC15 OF COMMENQEMENT.
FLORIDA JURAT(F.S.117.0
OWNER OR AGENT CONTRACTOR
Su cribedand sw o a armedkbefoNe this Su ri e�nd sworn r affirmed)before me th' OI`I
by ebbc��y �
W o is/are persona ZyZkanown to me or Masthave produced Who is/are personally known to me or hasthave produced
as identification. as identification.
C �otary Public Notary Public
Commission No. 7 Commission No. �Q/O�7%Tg
......y lary VM l�.ryetA 9RSON Name of Not rRe q �'—•
!""`f;: EM LYE ANDERSON
••i MY COMMISSION tl FF202933 •' MY COMMISSION#FF202933
EXPIRES March 20,2019 - i•• EXPIRES March 20,2019
,4'fi••
f407)398-0153 FbWallotatySerhee.com (007)398-0153 Fiaidallota Servtu.tbm
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received:
Site:
Permit Type: (4 ) U Yvi (4 C^W
Approved w/no comments. Approved w/the below comments: 0 Denied w/the below comments: El
This comment sheet shall be kept with the permit and/or plans.
MAR 0 7 2019
Kalvirr Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
n., Letter offransmittal
a
a
Date: 2/20/19
u
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To: From:
City of Zephyrhills Building Department UCI Construction Services, LLC
Permitting 5173 Shadowlawn Avenue
5335 8th Street Tampa, FL 33610
Zephyrhills, FL 33542 Fax: 813-386-6202
RE: Permit Application -Site Address 38122 Henry Drive, Zephyrhills, FL
We would like to submit the following package for permitting:
As required, enclosed is the signed and notarized permit application, and two (2)
sets of plans for your review and consideration.
Thank you in advance and please let us if you require any additional information.
Sincerely,
Debi Drury
Sr. Project Coordinator
UCI Construction Services, LLC
(813) 386-6202,
Debi@uci2.net
CITY OF ZEPHYRHILLS, FLORIDA
5335 8TH STREET
CERTIFICATE OF COMPLETION
NAME: UC 12 Construction Services LLC DATE: January 17, 2020
ADDRESS : 38122 Henry Dr
PARCEL I.D. 02-26-21-0080-OOA00-0070 SUBDIVISION : City of Zephyrhills
TYPE OF BUILDING : Commerical- Install canopy over cellular equipment
PERMIT'(s) by#20959 Final 1/16/20
REMARKS :
BILL BURGESS BUILDING OFFICIAL/ JB