HomeMy WebLinkAbout19-21700 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21700
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21700 Address: 6512 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: 02-26-21-001A-00000-0010
Improv. Cost: 80,675.00 OWNER INFORMATION
Date Issued: 9/03/2019 Name: RADIANT GROUP LLC
Total Fees: 1,191.52 Address: 6512 GALL BLVD
Amount Paid: 1,191.52 ZEPHYRHILLS, FL. 33542
Date Paid: 1/17/2020 Phone: (813)247-4731
Work Desc: INTERIOR REMODEL 4,550 SQ FT SPACE (CIRCLE K)
CONTRACTORS APPLICATION FEES.
ASH ENTERPRISES BUILDING FEE 195.00
TURNING POINT ELECTRIC INC. ELECTRICAL FEE 322.50
LIGHTNING AIR SERVICES INC PLUMBING FEE 165.00
ALL THINGS PLUMBING INC MECHANICAL FEE 165.00
FIRE PLAN REVIEW FEES 136.50
FIRE INSPECTION FEES 127.52
CONTRACTOR CHANGE 20.00
V CONTRACTOR CHANGE 20.00
/) CONTRACTOR CHANGE 20.00
V CONTRACTOR CHANGE 20.00
Ins ections Required
FO TER 2 D 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 SlbqATURE 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
Owner's Name �C N�- 1 (,L Owner Phone Number
Owner's Address -7 I Owner Phone Number
Owner Phone Number
JOB ADDRESS b (Z C_°�C I (J 2� G, (ti'�S 335y2 LOT#
SUBDIVISION e r roll feL 2 PARCEL ID# -Uv 14 -00006 -0 vl U
__(_0J3TAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR ADD/ALT SIGN = = DEMOLISH
INSTALL B REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
l
DESCRIPTION OF WORK // L
BUILDING SIZE SQ FOOTAGE t��U HEIGHT l /Ova
BUILDING $ 2�i VALUATION OF TOTAL CONSTRUCTION
EX-DELECTRICAL $ �/l o D AMP SERVICE = DUKE ENERGY = W.R.E.C.
=PLUMBING is
Iq OJ
MECHANICAL $ ' VALUATION OF MECHANICAL INSTALLATION
U
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FE CURREN
FT
Address if , _5 T_t 4 6 7 License# I MSG (J<Z (U
ELE ;TRICIAN n`� I COMPANY
°t SIGNATURE N"E� / REGISTERED Y/ N FEE CURREN Y/N
Address— ------, License#
PLUMBER PAT
COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
IVIECHANI CAL�
~c COMPANY �1
j SIGNATURE ��Q `}� REGISTERED Y/ N FEE CURREN Y/N
P 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 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-specked 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 $2,5.00.00 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 in work, and that it is
my responsibility to identify what actions.) 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 goodfaith 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 FOWIMPROVEMENTS TO YOUR-PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT_
WITKYOUR LENDER OR AN ATTORNEY BEFORE RECORDING.YOUR NOTICE-OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn o or affirmed)before me this
by by c -el
Who is/are personally known to me or has/have produced Who is/are personally known to me or h"s/have produced
as identification. as identification.
Notary Public Notary Public
.Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
INSTR#2019122573 OR BK 9942 PG 2300 Page 1 of 1
07/22/2019 02:16 PM Rcpt:2074092 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez--Sowles,Esq.,Pasco County Clerk&Comptroller,ad Interim
Permit No. Parcel ID No 02-26-21-001A-00000-0010
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE UNDERSIGNED hereby glow notice that improvement wit be made to curtain real property,and in accordance with Chapter 713,Rmida StsbAes,
the following InIbin nation Is provided In this Notice of Commencement
1. DesciptionorProperty:PancelldentificatlonNo. 02-26-21-001A-00000-0010
StreetAddresm.6512 GALL BOULEVARD ZEPHYRHILLS,FL 33542
2. Gomel Description of Impnovemod Interior renovations(mowing Mechanical,Electrkial,and Plumbing
3. Owner inrmmadon or Lessee Information If the Lass"contracted for the improvement
RADIANT GROUP LLC
Name
PO BOX 711 DAl I AS TX 75221-0711 DALLAS TX
Address City State
interest In Property. 100%
Name of Fee SNrple Titleholder. N/A
-• - -„ -^-- _.. .,--_.-�_ - - - ---•(tr-dtireeeMSomOwne�-Iistedabove)"-' __-�- .:���- ......_-�._�c--�-�_ - ..�r1_=••�•--� _.-- '-
Address cit�kstta Construction Inc.
4. cmdredor, S°rtO
-
1409 E.E Street Plant City, 33563 FL
Address
Coftdoft Telephone 813 707 0082 City state
S. surety.
None
Address City State
Amaurd of Bond:$ Telephone No.:
s. Lender NIA
Name
Address City State
Lender's Telephone No:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served ae provided by
Section 713.13(1)(B)(7),Florida Sfah tes. '
Name
Address City State
Telephmna Number of Designated Person:
a. to addition to himself,the owner designates of_ .
to receive a copy ref the Lienarb Notice as provided In Section 713.13(1)ft Florida statutes.
Telephone Number of Person or Entity DesWm ed by Owner
9. E)#mUon date of Notice of Commencement(the expiration date may not.be before the completion of mrmhuctiot and final payment to the
_.__ -• -contractor,but ivil be'ond year f wf d%date of recording unless a different date is epedfiedg --- - ---
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE E(PIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATURES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF.COMMENCER 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 BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury.I declare that I have read the foregaung notice of oommencememt and that fads stated therein are true to the best
of my taowledge and belief.
STATE OF FLORIDA
COUNTY.OF PASCO
Signature of Owner or Lessee,ar or Lessee's AuHnotmd
OlfleodDlrectodPeronerlMeaager
�y} Signatory's ThlefoRioe `
m The foregoing hnshu rd was adaowledged before me this210dsy of Jam.20 jj by �raLn k-1)• LCLe IKl l -1
as M dPM (typo of authority,a g.,officer.trustee,attorney in fad)for
aimQnLuc (name of party an behalf of vAwM Instrument was ermade4
Personally Known eQR Produced Idsntlltflon❑ Notary Signature
Type of Idmrtlhicsfian Produced Name(print). Ti ex v e
RENEE E RALEY
- Notary Public-State af.Ficr>dit
• . . Commission tGG14Q090-
---- -- •,�*_' MyComm.ExpiresOecls.1021 -.
„cer�,.• 3mdedthnoee�nhrdsnaltstuyAra.
- - - wpdataibcs/nottce<arrirtrercamen Lpc053048 - - - - -
STATE OF FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A �
TRUE AND CORRECT COPY OF THE DOCUMENT
`#
ON FILE OR OF.PupLIC RECORD - THIS OFFICE a ,
WI S MY HAND FFICIAL SEALnlS In Goof»'e gust
�DAYOF 2— ;
L C PT ROLLER
1887 �
8 DEPUTY CLERK9.
-` OF FL�����
813-78CM20 City of Zephyrhills Permit Application Fez-813.780D021
Building Department
Date Rewiwd Phone Contact for Permitting
Owners Name IL^�"'1 iJ I,L�- Orm■r Phone Number r? -4 27'?
Ownora Addn Js■ 7 rr pN..S t22 J']It
Owner Phone Number
Owner Phone Number
JOB ADDRESS 6�rz _„(, (Jd 2( 4 (L✓pf YZ _ LOTA
SUBDIVISION C rWo fh 2. PARCELIDI OZ'Zb-ZI'OvI�`D0000_v�rU
OBINED FROM PROPERTYTAR NOTICE$TA
WORK PROPOSED NEW CONSTII ADD/ALT SIGN = = DEMOLISH
B INSTALL a REPAIR
PROPOSED USE = SFR = Comm = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
1 uI
DESCRIPTIONOFWORK n(-rltr tcYro JaF�") r'/ A G
BUILDING SIM, SQ FOOTAGE r 17�D HEIGHT
BUILDING $,-7 .L VALUATION OF TOTAL CONSTRUCTION
Q23ELECTIRICAL $ �il,s O 1 AMP SERVICE = DUKE ENERGY = W.R.S.C.
®PLUMBING
MECHANICAL $ r VALUATION OF MECHANICAL INSTALLATION
=OAS = ROOFING = SPECIALTY= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY 4^rJ
SIGNATURE t'� REGisTEItED / r corms. YfN _
Address J G37�7 ((G �- 67 Ucemad (-
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/_N FEE CURREn Y/N
Address rI License 0,
PLUMBER �' COMPANY r"i 1 r /-1/torn z N G
SIGNATURE REGISTERED TIN FEE CURREt. Y/N
Address 7C06141tedt'14sRI D - 3 LicenaeN C.1-c OS L _
MECHANICAL COMPANY
SIGNATURE F REGLsfERED I Y/N FEE CURRa LILN
Address ucense N
OTHER COMPANY
SIGNATURE MOSTFFED I YIN FEE CURREI, YIN
Add— ucenee N
RESIDENTIAL Attach(2)Plol Plans; lding(2)cab of Bui Plane:(1)set of Energy Forme;R-O-W Permit for now construction,
Minimum ten(10)woddng days attar submiral date.Required omite.Construction Plans,Stormwater Plans w/Silt Fence installed,
Santary -llOes&1dumpster,sit.WorkPermitforst&&viconeaargepro)octs
COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms.R-0-W Permit for new consbrclim
Minimum ten(10)working days after submittal date.Required onsite,Construction Plane,Starmwater Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new pro)etla.AN commercial requirements must most compliance
SIGN PERMIT Attach(2)seta of Engineered Plans.
—PROPERTY SURVEY required forall NEW comtructian.
Direction■:
FRI out implication completely.
Owner&Contractor sign bark of application,notarized
N over$MD,a Notlm of Commencement la nquked. (ATC upgrades own$7600)
Agent(for the contractor)or Pourer of Attomay(for the owner)would be someone with solarized letter from owner euthor drg same
OVER THE COUNTER PERMITTING (copy ofaonbaet required)
Retools If shingles Sewers SwAce Upgrades AM Fences(PIoUSurveylFeotape)
Ddveways-Not owr Cwntar if on public roadways-needs ROW
913•780.O020 City of Zephyrhills Permit Application Fax-e13a80-0421
Building Departinerd
Dab Received p Phone Contact for Pormft rt
Owner's Name �l��t^�1 �! Z L�Lr� / Owner.Phone Humber
Owner.Address 7O f �� �/! 6'Na5 1 y 2Z,0 711 Owner Phone Number
Owner Phone Number I
JOB ADDRESS b�tZ —v(d [J� <9�r f{ IUS ,� �7 Z LO.T#
SUSDMSION e2i r((Atn f��- 33S=1�I PARCELID# 02-' ro-21-o.v 14 pporxi -vale
{O''rAW-0 FROM PROPERTYTAX NOTtCE)
WORK PROPOSED a NEW CDNSTN 8 ADDIALT 0 SIGN 0 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME [_] STEEL [�
� r/}
DESCRIPTION OF WORK
BUILDING SIZE Y� $0FOOTAGE TT<o HEIGHT
BUILDING S VALUATION OF TOTAL CONSTRUCTION
QZ]ELECTRICAL S 19 e� AMP SERVICE Q DUKE ENERGY Q W.R.E.C.
®PLUMBING IS
!)y7�`��
(MECHANICAL $ ! VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER 1i�- COMPANY 1Aq k11Jj0C<ej
SIGNATURE f PZEASTERED --I TIN' FEE CMU t+ LYLN j —
L3nl�i (f4 - �i36� License#Address �C�,CTG lSz: 1�59
ELECTRICIAN
ff" �fL COMPANY
SIGNATURE REGISTERED I Y FEE CU(MIE Y/N
Address Ucense#
PLUMBER COMPANY
SIGNATURE ( REGGTERED Yt N FEECUT��'E'n`'�tN
Address License#I
MECHANICAL COMPANY
SIGNATURE REGISTERED I YIN FEECURREP LILN
Address License#1
OTHER COMPANY
SIGNATURE ItEGW8RED I Y•1 N FEE CU(RRREEr` Y/N
Address License#
Fennit for new coTr;Uuctian,
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pons;(1)sat of EnergyForms;'R-O W
Minimum ten(10)working days after submittal data. Required onsite,Construction Plans,Stormwe ter Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for subdivlsions/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 submitted date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed.
Sanitary Facilities&1 dumpster.Sits 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.
Fin out application completely.
Owner&Contractor sign bark of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
Agent(far 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 contneet.requirod)
Reroofs if shingles Sewers Service Upgrades AtC Fences(Plot(SurveytFoutage)
Driveways-Not over Counter if on public roadways..needs ROW
1
E73-78"020 City Of Zephyrhiiis Permit Application Fax-813-7eo4)021
Building Department
Date RscNxed g .Phone Contact for
r Perm"(Ilan f
Owner's Name r j ��.> 4"r JJ ( L Owner Phone Number A '(n j` Z7 l
ra Owners Add .r�_Address � #�*''�(��(� asf..54`�^S l '�2Z e 0�11 Owner Phana Number
I '� Owner Phone Number
JOB ADDRESS b3`/Z -,.t i (J 2(.G r"{n)uSAl, 3 yZ- LOT#
SUBDIVISION f�frWd fet- 3XY7- PARCELID# 6Z-Ldc-2i-0° Popoo —v )10
(013TAMED FRM PROPERTY TAXWOTICtq
WORK PROPOSED e NEW CONSTR 8 ADDIALT �IGN 0 [� DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM OTHER
TYPE OF CONSTRUCTION = BLOCK FRAME STEEL =
DESCRIPTION OF WORK rlttw {iwJNit`"f
BWLDlNGSIZE SO FOOTAGE ((ej,�0 HEIGHT A' Flnu�
1�21BUILDINP $t,7 7,2 VALUATION OF TOTAL CONSTRUCTION
[�DELECTR}CAL S U AMP SERVICE [�] DUKE ENERGY Q W.R,E.C.
7 r)
®PLUMBING 8(t(Od Ji
u
MECHANICAL $ j";V ] VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING = SPECIALTY L OTHER
FINISHED FLOOR ELEVATIONS (� F1O60 ZONE AREA =YES NO
li
BUILDER COMPANY </ •r "� s
SIGNATURE REcisTERED I YIN Per wEnRf�t+� Y!N jl
Address l) 3 F . (_ 1-5 f�"ra >�=t5N-75J ucense#CL.LsG 151- (05,1
ELECTRICIAN COMPANY '
SIGNATURE REMSTMI) I Y/N FEEMWIFn Y!N
Address Lk$nse
PLUMBER L COMPANY
SIGNATURE REGfSTERED Y J N FEE CtIRRET, YIN
Address _ license#C
MECHANICAL COMPANY C -- a j t
RED SIGNATURE REGISTE Y/ FEE Ci1R Y/N, Y
i
Address License
i OTHER COMPANY i1r-�-----
SIGNATURE t REtes UM Y t h FEE CUma
Address Ucense#�� 1
"HiIIHIHIIIIH! Hl bile Him
RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans;(1)set of EnDrgy.Forms:R-O-W Permit for new construction.
Minimum trnr(10)workinlidays after submittal data Required onsite.C'o+suuetion Plans,Stomiwater Plan;w/Slit Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for sube&visions large projects
COMMERCIAL Attach(2)complete sets of Building Plans phis 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 omens,Constriction Flans,Stormwatei Plans wi Sit Fence Installed,
Sanitary Famlities&1 dumpster.Site Work Permit foratl new projects.AA commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
-PROPERTY SURVEY required for all NEW construction.
I
Directions:
FIB out application completely.
Owner&"Contractor sign back of app}tcation,notarized
it over=00,a Notice of Commencement is required. (A/C upgrades aver$7E00)
•' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIMNG (copy of contract required)
Retools if shingles Sewers Service Upgrades A/C Fences(Plot/SurM/Footege)
Driveways-tdat over Counter If on public roadways..needs ROW
i
i '
4608 S 66th St
Tampa FL, 33619
Office: 813-247-2192 ASH ENTERPRISES, INC.
Fax,: 813-247-2`194 BUILDING YOUR TOMORROW TODAY
Licensed and Insured •CGC1521054
January 14,2020
To whom it may concern,
The following people are authorized to submit and pickup/sign for permits on my behalf:
Greg Rogers,Chad Rogers, Rick Black,Jim Arnold
Any issues please give me a call at 813-842-2123.
Thanks,
WIA-t-�
Allen Scott Hendry
far Notary Public State of Florida
Felicia Krumm
j gyp" My Commission GG 006302
1,I r+P' Expires OB/12/2020
12O1OmkfieNDrive
P[). Box 111O
Brandon, FL335OH'111O
(813)881-4 F 3)885'8G81
APEC ` ' Autumovd�� ` |e'm.cnm
Automated Petroleum,&Energy Co, Inc.
December 11,3O19
City ofZephyrhUb
Development Services
5335 8to Street,
Zephyrhi8s,FL
RE: Circle Remodel
6512 Gall Blvd,
ZmphyrhilVoFIL 33642
Request for Change of Contractor(s)
RE:Permit No.2170W
Dear Plans Reviewers:
This letter is to request a change of contractor for permit number 21700 and to provide authorization
for Conrad Palumbo to file this request on behalf of the oxxoer. The former contractors, ((Dykstra
Construction Inc.), (Turning Point Electric Inc.), (Sparkman Plumbing Inc.), and (C&CSen/|ces of Tampa
Inc.))are tobe replaced bythe following contractors:
Name: License Number:
- ASH Enterprises, IncCGC1521054
'
lightning Air CAC057920
-All Thifigs Plumbing CFC057411
-Turning Point Flectric EC13004412
Respectfully, �-Lt
PrintN�e:
Title:
. .
�I�UN7yOF WAsk \
The forgoing instrument was acknowledged before by,
t'xlx'�t�b- Signing above ), the ) for
rg3bFz^a'ti6n), who is x,-^pemonaUy known to me or __ who has
producednot)take anoath.
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21700
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21700 Address: 6512 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: 02-26-21-001A-00000-0010
Improv. Cost: 80,675.00 OWNER INFORMATION
Date Issued: 9/03/2019 Name: RADIANT GROUP LLC
Total Fees: 1,111.52 Address: 6512 GALL BLVD
Amount Paid: 1,111.52 ZEPHYRHILLS, FL. 33542
Date Paid: 9/03/2019 Phone: (813)247-4731
Work Desc: INTERIOR REMODEL 4,550 SQ FT SPACE (CIRCLE K)
CONTRACTORS APPLICATION FEES
DYKSTRA CONSTRUCTION INC BUILDING FEE 195.00
TURNING POINT ELECTRIC INC. ELECTRICAL FEE 322.50
SPARKMAN PLUMBING INC PLUMBING FEE 165.00
C & C SERVICES OF TAMPA INC MECHANICAL FEE 165.00
FIRE PLAN REVIEW FEES 136.50
FIRE INSPECTION FEES 127.52
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.
wx &�_ &t�
ON TOR IGNATURE PERMIT OFFItYR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Building Construction Services
Contractor Licensing
- 8731 Citizens Drive, Suite 230
`- New Port Richey, FL 34654
(727) 847-8009
Email: contractorlicensing@pascocountyfl.net
CONTRACTOR AUTHORIZATION FORM
STATE LICENSE NO.: CBC058998
PRINT QUALIFIER'S NAME: Darry Dykstra
BUSINESS NAME: Dykstra Construction.
*THIS AUTHORIZATION SUPERSEDES ALL PREVIOUS SUBMITTED AUTHORIZATIONS*
I authorize the following individuals to sign for and obtain permits: (Please print names clearly.)
Krysten La Croix
Signature of Qualifier: Date: Zt�
State of Florida
County of Pasco b
Sworn to and subscribed before this day D
-Notary Pt lic State of Florida
(Stamp) ; �?i�t► CONRppCHAR1ESPj11UMB01tl
My commission expires a G Commission IGG182454
:, o•- Expires February 4,2022
+•F�h��: 80,4WThruTtq Fain YWjm NO-U54M
g/devsvcsdocuments\1-documentspecialists\bcs\bcsforms\Contractor Authorization Form Revised 4/3/17
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: n co in
f de
Date Received: 7_ s2
oi
Site: .�1 1 J i V t
Permit Type: 1n�t�Y1`U� f1 )2 o y, 1 b In
Approved w/no comments: Approved w/the below comments: x Denied w/the below comments: D
f FvLe
417 —234
This comment sheet shall be kept with the permit and/or plans.
fALss1—Building Official Date Con actor andl)r H meowner
(Required when comments are present)
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ZfEPHYRHILLS FIRE DEPARTMENT
38410 6th Ave Zephyrhills, FL 33542
FIRE SERVICE USER FEES increase 1/1/2018
Occupancy No.:
Plan No.: Contractor: _4 fcf r rr
Business Name: C,,tx_ r - K K L Billing Address: QLoy
Business Address: h Sal GA I-` Z<vn 3 VI-i V OIL 30
Business Phone.No.: Billing Phone No.: £1.,•3 -41'3 ?o
Business Fax No.: Billing Fax.No.:
Contact:' Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
Annual-
Education,healthcare,De
tention&Correctional Public
Assembly,Business, schools,
Storage,Mercantile and Churches
Site Plan N/C Industrial. no charge Sprinkler $50
Multi-Famlly/Commercial .03 sf •• up to 800 sq ft $ 24.00 Standpipes $50
(Minimum Charge$24.00 801 -1,500 sq ft $ 34.52 Fire Pump $50
Plan Revisions DBL. 1,501-2,500 sq ft $ 60.02 Hoods $50
2,501-3,500 sq ft io $ 90.02 Fire Alarm $50
SPRINKLER SYSTEMS 3,501-5,000 sq ft'�S� 127.52 LP Gas $50
0-25.Heads $50 5;501-7,500 sq ft $ .187.52 Natural Gas $50
,.26 plus.Heads $100 7,501-10,'000 sq ft $ 262.52 Fuel.Tanks- per tank $50
STANDPIPE-SYSTEM 10,001-15,000 sq ft $ 375.02 Sparklers $100
Per Riser $50 15,001-20,000 sq ft $ 525.02 Fire"Works $500
FIRE PUMP 20,001-30,000 sq ft $ 750.02 Camp Fire(recreation: $25
Per Pump $100 30,001-40,000 sq ft $ 1,050.02 Controlled Bum(15da, $100
FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1,500.02 Hood/Duct $50
0-25-Devices $50 ,60,001-80,000 sq ft $ 2.100.02 Place of Assembly $50 Annual
80,001-($2,100'.02)per
26 plus.Devices $100 ea add 1,000sq ft $ 0.06 Fire Protection $25
SUPPRESSION SYSTEMS (Business-closed until Flammable Application $50 Annual
Wet $50 violations corrected) Waste Tire Storage $50 Annual
Dry $50 SPRINKLER SYSTEMS Generator<KW $100
CO2 $50 :Hydro Undergrounds $45 Generator>30 KW $100
-Other $50 Hydrostatic Test $65 per system Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Acceptance Test $45 per system Fumigation Tenting $50
®'Hood/Ducts $50 Hydrant Flow $75 Torch.Pot/Applied $50
.OTHER Haz.Materials $50 Annual
LID Installation per tank $50 FIRE ALARM SYSTEM
Fuel.Tank Installation $50. :System Acceptance $50
(Per Tank) $50 8<Recall Acceptance $50
Natural,Gas Installation $50 OTHER
(Per SySfelY1) 'Fire Wall/Smoke Wall $15 perwall
❑Spray Booth $50 LP Gas $25 per tank
'Natural Gas $25 per system
Tent 10'x10'or greater $15 per tent
Fire Pump $45
Fire Suppression $30
System Acceptance
Exhaust Hood/Duct $30
Re-inspection DBL
(other than annual)
Inspection scheduled. DBL
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle Acce $50
PLANS TOTAL 136- -8 INSPECTION TOTAL FJa 7 PERMIT TOTAL
GRAND TOTAL �.
Comments:
Date: '- .Inspector:
see back
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FALSE ALARM FEE
1stAlarm N/G
2nd Alarm WC
3rd Alarm VC
4th Alarm $100
m 5th Alarm $150
6th Alarm $200
NON COMPLIANCE $160
Cont Annual Inspection fees
3-11 Units price per unit $ 5.36
12-25-Units price per unit $ 4.82
26-50 Units price per unit $ 4.20
51-100 Units price per unit $ 3.75
100 or more Units price per unit .$ 2.68
Fire Safety re-inspection-types
First Re-inspectim N1C-
Second re-inspect $75•
Third re-inspectior $' "125.00
{nspeetion.scheduled but,canceiled 24 hrs $ 50.00
TOTAL, C�
ASh
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CITY OF / / / / BUILDING
ZEPHYRHILLSNOTICE DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT REMOVE
ADDRESS DATE PERMIT f
2'2 7 ZZzP
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
Avg ,, 1 4 9h , C<:?—Z
n
P�
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR �1