HomeMy WebLinkAbout93-3079
BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
_ 3079 {l
DatE!.:$ - y- - C{ ~
Water Meter:
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ELECTRICAL
PLblf 1B1~
M[ell~L
Sewer Conn
Pmpe,ty owne'~B,o,;" LlQi - -Ccf
Job Address: _~? ~ D,p.--
Parcell.D. #
~!e~sb.
I/A if .5.-
'Water Conn:
Zoning:
Description of Work
Energy Zde: .
~ +-'10 i"
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City License Registration #
State Certified License#
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3Es
Permit Fee
Signature .L
Company
Address
Telephone#
FINAL
C.O.
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Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Valuation or
Contract Price
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BUILDING
PLUMBING
MECHANICAL
Ftr. Tp. Servo SLB Breakers
Pre SLB Rough In ~..lb -Ci\ ~ B~ Tub Set Ducts Insl.
Lintel Meter Can Water Compressor
FRM, 3- \0 -q~ ~~ Const, Pole Sewer Final
Insul. CL Pool Final ,/
Pre-Meter 3"':b-~3 ~
Final S'd.b",,\3 ,~
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REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the followin reasons, a
charge of Fifteen and 00/100 Dollars ($15,00) shall be made for each trip for each trade:
a. Wrong Address
b, Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called,
e. Permit not posted on job site,
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR FE.'RKIT
CITY OF Uli.mTJlILLS
'3tlf'.: U: !l t'~G ml'PARl11'!l1l'1NIT
OWNER'S NAME
Pauf.R.,6-6 ShoeSoU!l.CQ. PHONE 817 485-7'273
860 AiJrrx>>t;t F JteeL\X(ij Weot, SuA;tQ 300, HU!l.Ot, TX 76054
OWNER'S ADDRESS
JOB ADDRESS US H,{ghAtly 307 cmd CWrute., Sy:ac.e. 530, MeJtC.hant.6 SquaJte ShoppiYlg CenteJt, ZephyM{il.6, FL
/JERCHAWrS S2.UARE SHOPPIf\G CENTER, 7407 G<\LL BLVD., ZEP/-fRIHILLS, FL ,33547 SECTI(}.J 34 TiliNSHIP 25 1WU. 27
LEGAL DESCRIPTION: LOT(S) BLOl.."'K___SrmDIVISIO~
PARCEL 1. D . f
T encmt IrnptWVement
WORK PROPOSED:_1!iIev Construction __t.dditiml ~Alteration _Repair _Install
_Sign
_,_l'IIove
_ __Deaoli sh
PROPOSED USE:
Single F3lIIil}"
~eo.aerci,al
_..JflF
.~:fi!: of Units
_litH
_.I:ruIu.s 1::
~_.,__Swia. Pool
Other
_Restaurant & Health )j.ep:'J'I".JliIen~-.,pproval
BUILDING SIZE:
35 X
80 ,__,_??qg,,,,_ "._. "'H___S"uare Feet.
Height
RESIDENTIAL:
COHHERCIAL :
ATTACH (2) PLOT Pl...~.t~S &: (2) SEI'S OF BUILDliNfG PLMlS & (1) SET ENERGY FORMS.**
ATTACH (J) SE:TS O!-l' BiJU.jJI.iM1'; PI..tUJS r: (1) SET ENERGl FORMS. H
t*c:opy OF CO~C'i' RE'QUJ1&ffiD.
PF~lS RR.o'JE.:5TED
~BmLDING
$ 35,000.00
Val.u.atior.. of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
s.
V,>luation of Mechanical Tn..t~11~f'ijon
_rLurffi"inG
Gd~
Kuv..ilN~
~',r L~L-'\L.j'.l
TYPE OF CONSTRUCTION!: _Block __FraJlJe __'._Steel
Other
FIllfiSHED FLOOR ELEVATIONiS:
FT.
IS PROJECT IN FLOOD ZONE ARE..,",-?
YES NO
*t*********************~******************
OJNTRACTOR SRCT'ION
BUILDER
(I/J J M. ".
Signature l/I1.J..,~ dA_~
*""**********~',
M4tu~
~ , ~. H' A.. :;_ P..t'cwn:m CaVlh:t:trLt.c.,tW VI. CCfYI}XU'Uf, I VlC..
C;t~te .';t2rt. or Regist. # C G C079586
Ciy:Licu-.:.> ~ Registration:; N/A
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")oo(PA~"'f -f7v~t C~~ C!~c. {-
State Cert. or Regist. ~
City License Registration' /_'7
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PLUJKBER
CO'IfP~JY_ _, ________
Signa ture
:::'LalCe;~~rt;. or Regi;"i _ jll-
City Iicense Registration I
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I!'f,ECllAiNfICAL
CU.:i.'ili\!IY
St3te ~crt. or Regist:. ~
Cit:.y Li.::erLSe Registration j
******************************************
Signature
011IER
cmtPANY
State CerL or Regist. #F
City U,cense Registration ~
************~&2'~.**~~ .~*****************
Signature
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APPLICATI.ON APPROVED BY., ,
PER."fi r OFFI CER .
C~NDITIONS CF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIQ~IS
The undersigned understands that this perlit 11'\1 he sllbjecf tJ "rtel'd restrictions" which lIay be lore restrictive than .Ci ty
regulations. The undersigned assules responsibility f~r cOlplianre with any applicable deed restrictions.
B. UNLICENSED CONTRACrORS AND CONTF-~TOR RESPONSIBILITIES
If the owner has hired a contractor l)) ~~;;t';;;';(;~'~-:C~.~;;d~;' -~:~k;' they may-'"b~-;;'Q~'i-red 't;b;l-i"censed in accclrdaf\ce with
state and local regulations. If the contr1C\ . ?~~~t lice~: ~,-equirrd by law, both the owner and contractor ~ay be
cited for a lisdeleanDr violati~n und~r stat~ l~~, "i ~hE O~: : cr Intended contractor are uncertain as to what licensing
requirelents lay apply for the intefltj'~d 1I0r" ~ t!r~y ar, "dvist"J :0 contact the City of Zephyrhills Building Deparhent, (813)
788-66 II.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this applic~tion for which they Kill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indicatiJn that ~e is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
c.
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D. CONSTRUCTION LIEN LAY (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleOMner's Protection
Guide" prepared by the Florida Depart~ent of Agri:ulture and Consuler Affairs. if the applicant is SOlfone other than the
'owner', I certify that I have obtained a copy of the above de~cribed document and promise in good faith to deliver it to the
"owner" prior to cOI.encelent.
E. CONTF:r-iCTOR I S/O\..JNER.:.?...-....FFEh'I)P!\lX::'
I certify that all the infoflation in thIS "p[:l;:~t '" is aCcliite and that all work will bE.' donE.' in compliance with all
applicable laws regulating constructi~n, zoning, ~Ii :~~d d~V~;Dpt~J;.
Application is hE.'reby aade to obtain iJ perait to do work Clnd .<lstallation as indicated. I cedify that no w(lrk (Ir
installation has cOllenced prior to i5suance of a pfiJit nj ~i'at all work "ill be perforled to seet standards of all laws
regulating construction, City codes, coning regtlatiDns, cnd land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governJental agencies lay apply to the intended Mork, and that it is
IY responsibility to identify what ac~ions I lust take to be in co.pliance. Such agencies include but are not limited to:
I Departlent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater TreatmE.'nt
f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
f Departlent of Health & Rehabilitative Services. Environlenta] Health Unit - Wells, WasteMater Treat.ent, SE.'ptic Tanks
I uS Environlental ~fiHeU!Un ,;Qe!!0. ;;;,;Jl:,,~I.:: ,o:.~t:;;;~,,~
I al!:o certify th?t.. if .r~11 ~~t~r!.,l ': !r. ~r, ~~~:~ ~n !=![~,;d 2~;:c. .:,s or BA~['b:.a, ~t i: under:;t:lod thL:it a draiildq2 plan
addressing a "colpensating volule" wi.l be sublitted which is prepared by a profE.'ssional E.'ngineer rE.'gistered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, caocE.'1 alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall teeole invalid
unless the work authorized by such perlit is cOllenced within six months of issuance, or if work authorized by the per~it is
suspended or abandonE.'d for a period of six lonths aft~r the ti,eE.' the work is co~&encE.'d. One 90 day extension of ti~e, lay be
allowed ~or thE.' perlit with fee charge of $15.00. The exie~sion shall be requested in writing to the Building Official. An
approved' inspection must be logged during eatlt ~jx Goni~ period, Dr the project will be considered abandDned.
WARNING TO Ol/NER: YOUR FAILURE TO RECORD i\ NGil..: iJF ~},;;~Nl riEN, MAY RESULT IN YOUR PAYING TIIICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, LL. j'L i: JTH Yl Oil '.FrliJER OR AN ATTORNEY BEFORE RECORDING YOllR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO hOT tlEt.' ,v RECR!) t H} POST II 'NOTICE OF COMMENCEMENT".
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SIGNATURE: Ol/NER OR A6fN~ SIGNATURE: CONTRACTOR
~:;;yO~A~_.
The foregoing instl-um,ent was a~~~o\'11eoged
before me this /k6A~, 19.1:.2_ bv
...,c- .
\!ho has
_C\.vA.v- le- ~
\J'jho is
pl-oduced
as identific"ltion and W I did!
~"ath. ~
~..-e-- ~
(Sig ature)
C ha!r1.eh HateJriJ:, 0 Yl HCl.YIiW1h
has
~
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(N3'ile TiP5,'rj ,.,i':j" i nted or Stt'lmped)
t;OT BEY PUBL I C
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(Name Typed, Printed or Stamped)
t'LQTp.f.0 PUBLIC
RUCHaLE E EVANS
Notary Public
STATE OF TEXAS
IIrComaL ElIp. f.tlr.14, 1993
----,
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CONS(:I:RUCTION CONTtlACT
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/ DATE: February 18, 1993
PARTIES:
CONTRACTOR: plowman Construction Company, Inc.
8249.W. 95th Street Suite -IUS
Overland Park, Kansas ~6212
Florida l,.icense No. e ? t,o I '1 ~g (.
II ~
; ~ d
NOTt:: CONTRACTOR'S SAlt:SlUSe TAX INDENTIFICATION NUMBER MUST BE ENTERED INTO ARTICLE
. 3.00. SECTION ~.O~.' ott.;
',"
OWNER: PAYlESS SHOESQURCE,INC" a Missouri corporation
3231 East Sixth Str,Q\
P.O. Box 3591
Top~ka.Kansas 66Q01
"
PROJECT: Payless ShoeSource'4479
US 301/Climate
Zephyrhills. Florida
CONTRACT SUM: Forty-Two Thousand Two Hundred and. No/100 Oollars.($42.200.00)
TIME OF COMMENCEMENT: ; March ~, 1993
TIME OF COMPLETION: March 1~1. 1993'
CONTRACT DOCUMENTS: All documents by Andres dated 1/13/93 unless otherwise noted.
Sheet Cover Sheet '.
Sheet SP-I Specifications & Gen. Notes
Sheet SP-2 Specifications & Gen. 'Notes
Sheet A-I Floor Plan
Sheet A-2 Interior/Exterior Elevations
Sheet A-3 Misc. Details
Sheet TE-1 Telephone Equip. Details
Sheet l-1 Lighting Eqiup. Details
Sheet E-1 Reflecteq Cel1in9 Plan
Sheet E-2 Electrical Power Plan
Fixture Plan bY,others
KPS;leh'
2/16/93
(Rllviaed 0QI2~)
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PASCO COUNTY, FLORIDA
Permit #
Date
Name/Owner
--~--' .'~-'''''--~
County Parcel #
Location
Classification / Type of Use
,.-._"....
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft.! Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of
County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
Gross Sq, Ft (GSF)
Rate / ERU = 50.00 x 0.96* / Year
or $0.1315 !Day
ERU Assign #
Assessment = (# Units) x ($0.1315)
x (# Days)
Assessment =
(QSfl x (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
TOTAL FEE $
*Discounted for Prepayment
The above assessment has been established pursuant to the Pasco County Ordinance No, 89-07 and Resolution No, 89-197. as commended.
TIIE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
OFFICE USE ONLY
-----------------------------------------------------------------------------------------------------------------------------.------------------------------------
TRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
DATE
DATE
BY
BY
White
Applicant
Canary
Trans! Finance
Canary
RR / Finance
Pink
Office
Green
Bldg ! Insp