HomeMy WebLinkAbout98-7949
BUILDING PE,RMIT
BUILDING
fl-5-. ;n?
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
AFTER HOURS PHONE NUMBER
(813) 788-5262 //.5~' PtJ
PLUMBING MECHANICAL
Permit
7949 /f\
Date
9-)tJl-9~
Sewer Conn
Property Owner: {;~;~ ,~
Job Address: -3 tf- S-o <( a ...5,- if
Parcell.D. # ;; -:16 -:1/- po//) ... () 6/ (/ 0 ~ 0 00 tJ
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: ~y Code:
Description of work.2 .A./~ 7.A
Radon Gas:
V E"R c,h?t/ JA-;__~
'~L(P r1:1 ~'1 fYl ft/,:i;: cttJ . Pu
NO OCCUPANCY BEFORE C.O.
FINAL /L> - ;;J 6 -
DATE
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
~
BUILDING
/ r; bI7-D. trv
~--(
Telephone#
~~:~lcr2
ELECTRICAL PLUMBING
:~;:::~~ ~PA1J
Company
Address
Valuation or
Contract Price
City License Registration #
State Certified License#
<.&14 AAJ~-!!H
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
/o/>>./qV B.h
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
Compressor
Final
... ~ p: '\"1 f"esJ tl.-f. hydrQ .sf~{ t
IO/J.,{qi J: vJ~\\:~;o\j
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($--16.eOi shall be made for each trip for each trade:
:2.$: tJ1)
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Oct-19-9g 09:10A
(407)290-1173
P.02
Petroleum
Equipment
Construction, Inc.
PC-C047016
RQ-0066486
CG-C024946
P.O. Box 910 Apopka, Fl 32704-0910
The City of Zephyrhills
5335 Eighth Street
Zephyrhills, Florida 33540
October 19, 1998
Attn: Building Department
Re: Permit # 7949
Subject: Change of Electrical Contractor
Dear Sirs;
It has been necessary for Petroleum Equipment Construction, Inc. to change electrical
contractors. The new contractor will be Royal Electric Company, Inc.. They v..i11 be in your
office the week of October 19th to register and pay the $15.00 charge.
Please assist them in any way you can. Should you have any questions regarding this
matter please do not hesitate to call me at 407-290.3010.
Sincerely,
~~
Phone: (407)290-3010
F~x (407)290-1173
Oct-19-9g 09:10A
(407)290-1173
PoOl
FacsiD'lile Transznittal
Petroleum Equiprnent Construction, Inc.
PHONE' 407 -2 9C!-3'~' ,'J
FAX: 407-290-1 j 73
P.O. Box 910
Apopka, FL 32704-0910
2671 Overldnd Rd.
Apopka, FL 32703
Date: \ D - \ q q D
Company: i" 1 A --1 ()\'r\. '\ \ \\ '
~.~ W oL.Ly' \ ..Jf", f'J I ~
From~b-N t~~o~\l(y ~
I
Fax No.
o 1-- '-"1 c) \ '^ 'I f' "2
Q LJ - I 0 (j -' 0~ '\ V
Attention: ~ \ ':\. ~<> ~
~Dd---C-W\"'-(V ~r,-,'
N1.1IT\her of pages (inC~Udini1hiS cove;): '--' d-'
Reference:
'; ~ ~ ,\& \0\'\ Y
~\::.-. \' .QJ~ 'ff\.i-.~..y ~ \ . \ '1 \
~ ~J 2c, ~~1~Gr,~ Q~ ('.1 ,Uy/
Jl
~~ \'C(C \D e-
POWER OF ATTORNEY
DATE: '<1 liD /ert
I ,
I HEREBY NAME AND APPOINT
OF1')~~ ~loFtil'~)fOBEMYlAWFUL A RNEYINFA .
.T()ACT FORMEANDAPPLYTOTHE~ ~ffl(lW
BlJll.,DINGDEPARTMENT FORA .0 ~_ ~ -
PERMIT FOR WORK TO BE PERFORMED AT A WCA nON DESCRIBEp
:~f~f~~~'~4)~.. bRi;J
AND TO SIGN MY NAME AND $ALL THINGS~ARY TO THIS
APPOINTMENT
GJJ IS :re: k' A:e8
N . OF CERTIFIED CONTRACTOR
SIGNATURE OF CERTIFIED CONTRACTOR
tJ~
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGE BEFORE ME THIS
/0 DAYOF 4 1998BY(,M.,'S 1C~~RAeA
IS PERSONALLY.
PRINTED NAME OF NOTARY
,
COMMISSION EXPIRES
............ CHARLENE LOPEZ
l%::&.~."fVIfG~ MY COMMISSIIN 1# cc &12247
~.: 1"1 EXPI-"'S' January 3. 2002
-;.~... ..I~ ~ . I'.
"'1.~ OF -;'(./ eonded TnN NDlIIY PuIllle UIl\leIWll\tr.; .
"'HtI'~ . ~
11111111111111111111111111111111111111111111111111
98110211
Pennit No.
Tax Folio No.
Rcpt: 26758& Rec: &.00
DS: 0.00 IT: 0.00
NOTICE OF COMMENCEMENT 09/10/98 Dpty C:
JED PITTMAN, PASCO COUNTY CLERK
09/10/98 10:49a. 1 of 1
OR BK 4003 PG 1480
State of FI<?M
County of ~n
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following infOnnation is provided In this Notice of Commencement.
1. Legal Description of property (include street address, if available): Circle K #7130 - 58306 Hwt 54 East Ze h rhills
FL 3540 - See Pia
2. General description of improvem nt: FL EPA Environmental Uoorade
3. Owner infonnation - name and address: Tosco Marketina Comoanv - P.O. BDX 52084 Phoenix. AZ 85072-2084
Interest in property:
Name and address of fee simple titleholder if other than Owner}:
~~~ Contractor- name and address: P ;-Services -1901 N. 1~O Street
rt Phone number: 813-248-2500
Fax number: 813-248-2800
5. Surety - name and address: N/A
Phone number:
Fax number:
6. Lender- name and address: N/A
Amount of Bond:$
Phone number:
Fax number:
7. Persons within the State of Rorida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Rorida Statutes (name and address): Kevin Daloiaz - Tosca Marketina
Comoanv - 5650 Breckenridae Pkwy. Suite 300 TamDa. Fl33610
Phone number: 813-621-5528
Fax number: 813-744-5217
8. In addition to himself, Owner designates Helen Albert of Tosca Marketina Comoanv
To receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Rorida Statutes.
Phone number: 813-621-5528
Fax number: 813-744-5217
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different
date is specified).
~y "1ft.. DAVID J. LENNIE
lay, ~"4ISS1ON # CC ''''570
IJCMES Sf' 30. 2001
~ ~ 1b.4 ICHIlfD 1HIU
~OFfJF' ATlANTIC 8ONDINGCO., INC.
~~.n~
Signature of Own
'j-.J day of , .19 qg
My Commission Expiras:-*'1~OAiDA
COUNTY OF PASCO
lWS IS TO CEr.TfY THAT THE FOREGOING IS A
TRUE AND CORRECT Copy OF THE DOCUMENT ON FILE
OR OF PUBlIC PECORD iN THIS OFFICE. WITNESS MY
HN--lD A."JD OfFiCIAl.. SEAL THIS \0 DAY OF
~oG')- 19 y:{
JED PtTfMAN, CLERKOFCIRcurrcouRT
BY ~~C.
Swom to and subscribed before me this
~J-.~
Notary Public
CIRCLE "K"
38509 CR 54
SQ. FEET PRICE
MAIN OR LIVING AREA $ 40.00
OTHER AREA UNDER ROOF - $ 15.00
OTHER
VALUATION $ -
FEE SHEET $ -
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ -
ELECTRICAL: $ 25.00
PLUMBING:
MECHANICAL: $ 115.00
RADON: $ -
CREDIT:
TOTAL $ 140.00
I
SEWERI $
WATER: $
TOTAL: $
3/4"
WATER METER I $
: I
T IF 'S 'I $
99% $
1% $
TOTAL: $
140.00
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
~~ For Questions Please Call
~ Susan Young - 407-208-9485
. Mobile - 407-399-4630
Pager - 407-372-0798
DATE RECEIVED
PLANS REVIEW FEE
9-21!-9J
,
OWNER'S NAME r AJ\(lQ ~~ ts-f:\=- ru 2f:)
JOB ADDREss3~e:nq Ie oK 51-
PHONE
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID #O~ -:JIo - ~/-(y)IO ...fX'nlffi - C(t\f)
SUBDIVISION
(OBTATN FROM PROPF.RTY TAX NOTICF.l
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
}(R~YAIR o INSTALL
j:).c:.((2, ~
~
UNITS 0 MOBILE HOME
Os I GN
o MOVE
o DEMOLISH
\
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF
o SWIMMING POOL
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL ~
DESCRIPTION OF WORKJ).ER~lWjlftilm~'~~~A.O~J;>/~ ~f4)
BUILDING SIZE SQUARE FOOTAGE HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
PERMITS REQUESTED
$j~) oat) a-U
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
~ECHANICAL ~
o GAS 0 ROOFING 0 SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
--. .-.-----'--~,
MECHANCIAL INST~ J IO~
C!fl~fl-- )
o OTHER '===----...
o STEEL
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
~***********************************************************R****
'1../ l l.
~~, ~ COOPANY
STATE CERT OR REGIST
CITY PROCESSING #
*****************
***********************************
ELECTRICIAN
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SIGNATURE
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
MECHANICAL
**************************************
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, 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 application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If bhe contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IM~CT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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.
E. 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE OT NEED TO RECORD AND POST A "NOTIC=1EMENTH.
~RACT~l~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
19_
(name of person acknowledged)
Dwho is personally known to me, or
o who has produced
(type
and whoO did Odid not
of identification)
take an oath.
Signature of person taking acknowledgement
Name typed, printed or stamped
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
19
(name of person acknowledged)
C1ho is personally known to me, or
Dwho has produced
(type of identification)
and who Odid [liid not take an oath
Signature of person taking acknowledgment
Name typed, printed or stamped
"I
1J[~.
-.J ~~.B.leat.dc
2517 COUNTRY CLUB RD.
SAN FORD, FL 32771
407/323-6300
Terry K. Tabb
QUALIFIER'S NAME
EC0001530
(cl.l h.l' J Q K -=It- 7 I G-'9L)
3~EUq ~ e> ~ R '64-
~-~~;;)y'FC
CERTIFICATION NUMBER
JOB NAME
JOB ADDRESS
CITY, STATE, & ZIP CODE
I hereby authorize
permits ln the
name of K & K Electric Company, signed by
I, Terry K. Tabb, authorize the person bearing
act as my agent in filing application,
signing
on, and any and all administrative steps
necessary for the purpose of registering or permitting as
needed.
7-/~' &fZ
DATE
T 7( 1U-
SIGNATU~OF QUALIFIER
Sworn to and subscribed before me this ~day of ~
j f\~ tJ. ~o..N\ My Commission Expires:
NOTARY'PUBLIC
,1998.
TRACY N. ALLMAN
~ Notary Public. State of Florida
\ M'J comm expires Jan. 30. 2000
, , No. CC528736
~~: !:kn(1'l-' Ihro Ashton Agency. Inc.
~;;--------=:-'~.:;..::.~
""~ -..- .~...
Petroleum
Equipment
Construction, Inc.
P.O. Box 910 Apopka, PI 32704-0910
PC-C047016
RQ-0066486
CG-C024946
Date: g) vr-{qi
T~; 11~ 7rJ.t~(!;J
To Whom It May Concern:
Please be advised that the bearer of this letter, Susan Young, has my authorization to act on my
behalf in submitting plans for permit purposes and securing the permits and any other necessary
documentation as may be required.
Sincerely Yours,
~~d~~
PCC04 16
I(
I
i
\\\\,\\"1 """"1
~".. ~\\-\ A. eft II/;/.
*' ~'V .........~J'..('o~
~ '$ ..:...~\SS'ON ":..~' ~
:"'100: . r::)~' /;':',.0. ~
~ ...~(J ~fOER <$ ~ -.. ~
: :~~~ ~~~~-=
=*: ~ ..... ~ :*:
~~ ~ _ iCC 698779 -'" i;:Jg
-::. ;A -.-oro ~... ~ ~
~~ ..~ 80nded\~\~ \~.. c:::> S'
~~).- .J:~Ub1ic un<i~~.. ~v ~
~/...oU81 ......~c. ()<c: 1\'~
'//1 de Sl'lX''- \,,,
II",,,,,, '"\\\\\\
Phone: (407)290-3010
Fax: (407)290-1173
Lawton Chiles
Governor
FLORIDA DEPARTMENT OF
HEAL T
James T. Howell, M.D., M.P.H.
Secretary
Pasco County Health Department
Environmental Health Division
~)930 Land O'Lakes Blvd.
Land 0' Lakes, FL 34639
(RI~~) ~)~}{)-2747; voice
(813) 996-2698; fax
August 24th, 1998
Ron Moore
Pasco Co. Building De pi.
7623 Little Road
New Port Richey, FL 34654
3g50<'
RE: Circle K #7130, l~E. 54, Zephyrhills
facility J.D. #518519734
Dear Mr. Moore:
We have reviewed plans for the above mentioned facility. The Department has no
objections to the upgrade work being done as shown on the submitted plans, which
includes installation of Bravo fiberglass dispenser pans, Xerxes fiberglass STP sumps
and new double walled fiberglass piping to be spliced into the existing double walled
plpmg.
Storage tank systems, including the tank, integral piping and release detection
components (equipment) shall be constructed in accordance with the applicable
referenced standards, Rule (i2-761.2 10, F.A.C., and be approved by the Florida
Department of Environmental Protection.
If you have any further questions concerning this matter, please contact me at the
above stated telephone number or address.
Sinccrely,n , / / '
~~ Jet l;jtU1vJ
Danny L. Harris
J:nvironmental Specialist II
DLII:lb
Pasco County Health Department
Marc J. Yacht, M.D., M.P.H. - Director
10841 lillie Road · New Port Richey, FL 34654.2533
(813) 869.3900' SunCom 552.7720
G)..............
. .
. .
," "
. .
. .
.. 1rr ..
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
.... .. ....
..............