HomeMy WebLinkAbout19-21766 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21766
BUILDING PERMIT
' PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21766 Address: 5039 1ST ST
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: 10-26*21-0010-12800-009
Improv. Cost: 56,200.00 -OWNER INFORMATION
Date Issued: 10/09/2019 Name: J & G RESTAURANT PROPERTIES LLC
Total Fees: 410.00 Address: 20015 TAMIAMI AVE
Amount Paid: 410.00 TAMPA, FL. 33647-3368
Date Paid: 10/09/2019 Phone: (813)713-0094
Work Desc: CONSTRUCT POLE BARN 30 X 70 &ADD 18 X 20 BATHROOM
CONTRACTORS APPLICATION FEES
WOOD'S CUSTOM BUILDINGS BUILDING FEE 295.00
DENNIS WILLIAMS INC/PLUMB CRAZY ELECTRICAL FEE 70.00
AMERICAN ELECTRICAL SVCS OF TAMP PLUMBING FEE 45.00
Ins ections Required
FOOTER 2 D ROUGH PLUMB MI C 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
Ciq Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
Cd1NTlkACT6R 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 Applicati Fax- 0-0021
-002
e Applica 0)
Permit
ti:2
ent
r�
Building IDepartment Pe
Date Received rm
rrTTrTrr ..Phone.ne.Con.tac.t for Permitjtin V3 1) 713 1,W.
... .. ... .. .. ... ...
Owner's Name I Owner Ph'one Num e
Owners Address Owner Phone Number
Owner Phone Number
41
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#*JS 10 7
(OBTAINED FROM-PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
®. INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL
2-0
DESCRIPTION OF WORK 3o-f —76 [ & CV l 6 r-
BUILDING SIZE 1:=SOX 70 SO FOOTAGE HEIGHT, •�� v �]
BUILDING 1$
VALUATION OF TOTAL CONSTRUCTIONIS 0007
n ®ELECTRICAL AMP SERVICE DUKE ENERGY = W.R.E C.
=PLUMBING
[MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY 0 OTHER
FLOOD ZONE AREA =YES �N2A
el FINISHED FLOOR ELEVATIONS
W Ir
.............. ............. . . .....
/=1k
BUILDER COMPANY *I/
SIGNATURE , REGISTERED Y/ N FEE CURREN
Address '110eY /ezx License# RW lo5g�50
ELECTRICI
P COMPANY
SIGNATURE J REGISTERED Y/ N FEE CURREN L)L/N
Address License#
tkJ'
PLUM,�Q' COMPANY of ks 0, 11
SIGNATURE REGISTERED Y/,-N FEE CURREN tY�j N I
Address License# ICFC/q;c.S(007)
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/-N FEE CURREN LILN_j
Address License# F-
OTHER COMPANY
SIGNATURE REGISTERED FEE CURREN
Address License#
+f+
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.-ConstrucCion 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 ohsite,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.
- ---------;!will 11ifflff MEN -1�1 1 0 1 1 1 l 1 1 a milli;i 111 111lowil 11;1 .5 5 N ff
P4444:1Z
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 respo6sibility,fot compliance with any
applicable deed.restricti i S.L.
UNLICENSED
N ICENSED CONTRACTORS;AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to.undertake work,.they may be required to be lice'nsed.-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.-ownet'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 Recou'rse-Reicovery 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:uaderstands, 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 occupahby 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$2500.00 orr more, I
certify that 1, the applicant;- have been provided with a copy of.the "Florid.a-Construction Lien Law—Homeowner's
Protection.Guideo.prepared by the Florida Department of Agriculture and Consumer'er Affairs. If the applicant.Js 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.
CONTRACTORIS/OWNERIS:AFFIDA,V,IT: I certify that all.theinformation in this-,aipplication-Iis accurate and that.,all work
rk
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 indicaked. I certify that no work or installation has
commenced,prior to issuance of a permit and-that all work will ber,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 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,W8terMastewater:Treatment.
Southwest Florida Water Management District-Wells, Cypress bayheads. Wetland Areas, Altering
Watercourses.
Aimy Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/EnVironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmefital,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 ls,preppred by a professional engineer
licensed by the State of Florida. i -
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 condition's of the building permit issued under the attached permit application, for lots less than one (1)
acre which,are 6lev6ted,-by fill,:an.iengineered 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 f6rth'in
this.,affidavit prior.to.commencing construction. I understand that a separate te 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 fora 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'.
WARNINGTO_.'OW,N1ERi -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 YOUR7LENDER OR,AN ATTORNEY BEFORE:RECORDING YOUR NOTICE OF'COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER-OR,AGENT CONTRACT ,
Subscribed and sworn to(or affirmed)before me this Subscribed a 1 6 ffirin
by by
Who Ward personally known-to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as,identificafidn..
Notary Public Notary Public
Commission No. Commission No,.,
Name of Notary typed,printed or stamped -Nam e:of-Notary typed,printed.or-stamped
r
}, r` C ' Applcat�813-i8D•DD2D � A
: pyF
r $ucldiAg Department
Date RucaWed d
C!�.y Jar �y1
PPior�,e Contacf.for.PermliNn�9" /.. 'C�•• --
"` Oiarners Name .f"' I..( 5 Llvm hori9 Niim er P
Ownei'e Address:
04vner Phvrte NurnI
-- - �. p�'f- � •,�� � Ovin€rrPFiorinNuniktsr -
JOB ADIAESS LQT�
'i y;.e S110E)tWt81OH I. PARCEL ID
(D T44ED f[6M-ORaPERTY TAX ROTICEI
WORK PftOP®s£D rIEW'.CONS2Tt'RI' DVAOLISFf
REPAIR
PR6P05E!)USE:, SFR_ 'i .'COfulYdl OTHER
TYp oF cONsiRUCTl61a. ( _;s..sE.QCK- . .. j FRr�sB: sli_ 77
ViSCRIPTION OF WORK i���U� ' 11�.I��'y. �'7 b� �6
:. BttEEA! G 7PJ SIZE FOE)TAGE
... �,
I ._:. .a ; BUILDING-• ;'5 :.,".~::.. . ,, _, V
V, LPAT*N.cF ToULCONsTRuC,IQt64 S �)z
�ELECTRICAL $' G _ - ... AMP SERVICE DUKE•ENERGY W.R.E,C:'
k =fAECJ4AI,IIC,AL $ VALUATiON QF MECHANICAL!PlST L-A-1`16N, .
r' =GAS ROOFING i SPECiA1;1`l 0 OTHER1C,4
FINISHED FLOOR E_LEVA7EONS FLOOD ZONE AREA '=YES
a rrrra�rrasr� E
BUELDER ` k C037PAW : //.Vf . -
J�. �/v�+'"3
SIGNATURE REGi5TE D Y11�E.=, "FEE CrJRR Y•/shI
I ELE&R;Ct J i COMPANY At, S
StGNATUR �� 7, i REG�BTFRI p Y 1:N pu CURRY•
s ! 11 w rV t`O * .8 d
A�d�ag ��.:�...:_.. � Cleanse.. _
k. PLUlA 71,
COMPANY
-
3IGAIA RE I�. 'REGISTERUE) Y.t Pd- FEE CURRCfi' Yf-N
x _. _..
Address License,{ .
n 11 nHANlCAL COMPANY
SlGNA7l1RE: R6GisT�ftE'J -Y! N" FEE fA?IREi• Y 1 N
.
Address 'Ui ense*
(9Tli AT I COMPANY
NY
.: SIGidATEJR€ REG(STEitED Y 1'N ' FEc CVRftEn Y I N
' Address E-mnse�ff
REStDElrTiAL t.Plans(2)sass pf.E3u;ltiirig Fia�rs;(1)se!of Energy Forrtis;�t 4 b1�"Permit!ar new c5onstsueai zn,
Wtinimum#en(9U)Working&ys avierssibmlital$etec:ltrgvirod orts'sta; iiiisfitictlon;PEans,Storori�vaier Plans w!Slit Fence Installed,
CNN svwvwv
SECTION 10, TOWNSHIP 26 SOUTH, RANGE 21 EAST
PASCO COUNTY, FLORIDA
OR PLAT THEREOF AS RECORDED IM PLAT BOOK A PAST 71,PUBLIC
IALLS COLONY COMPANY,A00MING TO 1HE MAP OR PLAT nimeor
w ra rowslip 26 SOUTH,gajo�aERCCO"s OF
'D SURFACE ROAD,AS NOW AS MUDIM
79NCE RUN a, fifARM OF 5ja it
12,
5 Far FORA POINT OF SEGNAM6V THME SRM'J5`W,
ROME ALSOV9'331E,DOW FWF ROVX 959 9Z74 Mr.-
OF ABOW Oa..LANOS X'V'I�C.1 OF
A SUMlfSlaV AS PER ILA r VADWOF RECORDED A
2ER'lD.P-l'&
ma CAW— co M.
(c) 0
oe
1>
M M3&Y TOPQY
P
STORY
, .\ %01.0
. .4p
NOT
ASPHALT M4-1 AME 41'
V v
--------------- E4 Wo o— w
- ------- LAKE Da ---------- ------------17---------
SHORE
4P
7.23
'110 LOT I T
BLOCK 8
rill
•
431
LOT2
eta i 0.a
smrvvEors Notes. 2. DAVID L. S,VITH 5W
46
AI
� |
. .
Clayton Bristol,-PE
2216 KristoLn
Brandon, FL33S11
Phone:352-223-6305
Email: 8riato|EngiHeerinoSe0iceS@gmaiicoNn
Registered Professional Engineer#84183
Notice to Building Official of
Use of Private Provider
r/Ff�� L'f-7}1���� \
Project Name- ^` ``~ ` - ' � ~^--- '
Parcel Tax (D:
Services to be provided: Flans Rsview_�� |nspectip
Note: If the notice applies to either private plan review or private inspection services the Building
Official may require, at his or her discretion, the private provider be used for both services pursuant to
Section S53.791(2) Florida Statute.
/ the fee owner, affirm | hoveentered into a contract with
Bristol Engineering Services, Clayton Bristol, PE (address, phone number, and license number listed
abovmm),for the services indicated above.
| have elected to use one or more private providers to provide building code plans review and/or
inspection services on the building that is the subject of the enclosed permit application,as authorized by
s. 553'791^ Florida Statutes. | understand that the local building official may not review the plans
submitted or perform the required building inspections to.determine compliance with the applicable
codes, except to the extent specified in said law. instead, plans review and/or required building
inspections will be performed by licensed or certified personnel identified in the application. The |axx
requires nninirnunn insurance requirements for such personnel, but| understand that| may require more
insurance to protect my interests' By executing this form, | acknowledge that | have made inquiry
regarding the competence of the licensed or certified personnel and the level of their insurance and am
satisfied that my interests are adequately protected. I agree to indemnify,defend,and hold harmless the
local government,the local building official,and'their building code enforcement personnel from any and
all claims arising from my use of these licensed or certified personnel to perform building code inspection
services With respect to the building that is the subject of the enclosed permit application.
! uncl ding Official retains authority to review plans, make required inspections, and
enforce the applicable codes within his or her charge pursuant to the standards established by s.553.791,
Florida Statutes. if I make any changes to the listed private providers or the services to be provided by
those private providers, |shall,within 1 business day after any change, update this notice to reflect such
changes.The building plans review and/or inspection services provided by the privateproxiderisUmn/ted
to building code compliance and does not include review for fire code, land use, environmental or other
codes.
Iof2 .
. --__-_-
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
tf
Contractor/Homeowner:
Date Received: 11--C0 4 9 .
Site:
Permit Type: Ntcp 6 �� is 2-D
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
l% L51 t.17`►t "'7(�t,�.�j" � &ct, t i lark= Cr�
h%W1 0\e- OY I V Dy i�1 f fits- G� Ur1C'(c
This comment sheet shall be kept with the permit and/or plans.
k4 r
910- u% i
BE Burgess-Building Official Date Contractor and/or Homeowner
(Required when comments are present)
-
. .
Clayton Bristol, PE
3216 Khst@Ln
Brandon, FL33S11
Phone:352'212-6306
Email: Bristol E 'neeringSemices8BgQmaiLcomm
Registered Professional Engineer#84l83
The following attachments are.provide a,required:
z.ova|Vicetxzngmtemems and/or resumes of the private provider and all duly authorized representatives.
z. Proof of insurance for professional and comprehensive liability in the amount of$1 million per occurrence relating
to all services performed as a private provider,including tail coverage for a minimum of 5 years subsequent to the
performance of building code inspection services.
|a6hvidma< Corporation AT Partnership
Print CorrQotion me Print Partnership Name
By: A By:
(signature) -- ��gnutDrel (signature)
Print Print -�� � �z� Print
Name: Name: �� ~ `�—�~ ~" mame:
QK�
Address: ,^~ . Address:
rL ^~`
Telephone Telephone /l'�� (� Telephone
mv: No: ' No:
Please use appropriate notary block.
STATE OF
COUNTY OF
individual Corporation Partnership
Before me,this______day uf Before me, this day of Before me, this dav
z0___'personally z�___� personally
appeared personally appeared IMS of appeared
who executed the foregoinga partner/agent on behalf of
instrument, and acknowledged corporation, on
before methat same was executed behalf of the state corporation,who executed a partnership, who executed the
for the purposes therein expressed. the foregoing instrument and acknowledged foregoing instrument and acknowledged
before me that same was executed for the before me that same was executed for
purposes therein expressed. the purposes therein expressed.
Personally known or Produced identification lL----Type of identification produced
Al Y-Ck V�
?imnatu,eofNotary Print Name
Notary Public:NOTARY STAMP BELOW
xxy commission expires:
Alexandra Wilder
E:Explm 09/1212022
2of2
f @,
_ 1
a' r eers`Board of-�'ro
-
.. '. t-•-`�+
Arteststthatt ,.,.:,�,�.�;:,•�.�,�<
,. >.
+.E.Am�Js,s-T.. _ _ _ _
_ {,
Cla ton=Geor .e.Bari _tot-` <.P:E. _
Y __ . - FOP
laEW ,'-.��" docer��•L2ia ear.-':r. _ '•max"` :�� P(al11 SC'f�'jA(IhZ.ltit(kc+
C>Do RoCar ttus umept, any. v '
Is..lice>tised.as a Profession'aI Eneer under'Clipter 471; Florida'Statutes.
Expiration's 2%28/2019' �x;r <? PM.Lic.No:
.Audit No 4 201935950 I -Alwaysa`✓ 84183~
verify licensesonlinetat•MyEloridaLicciisc com
This,is,your license:It is unlaaful'for nyone other than the licensee to use this doctimena-, _