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Home My WebLink About98-7853 - BUILDING PE_RMIT78530 CITY OF ZEPHYRHILLS Permit "---... S;-O - (813) 788-6611 ;ES Dot. '1- / 'a- 'l~ ~ PL~ c.A~IC~ Sewe' Conn ~ Water Conn: ~pft~~gj~61.~. "" /9::' ------ ~ Property Owner: Job Address: Parcel I. D. # Water Meter: T.I.F.'s: Zoning: Description of Work ~d.' {J Radon Ga_ ~({)h~ - NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or *- i) ~ Contract Price ~ S; DuO' Permit Fee Signature Company Address Telephone~ ~ .. '\~~ ~~ &.. Inspector BUILDING P~ '. Tp. Servo Rough In Meter Can SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final Const. Pole Pool Pre-Meter Final " P"r~'.C\\ tc...~l.. '(1'1/ qi 50~ -ZIN/Qi (/t Driveway pc.<r +: ,J f,c;v..e. REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ ~..6.eOi shall be made for each trip for each trade: ~-5""";V1J 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. ~ ROGER L. 8EBPOL9 0.1l-13~ 6816 GALL BLVD. (REMODEL UNITY LANES) SQ. FEET PRICE MAIN OR LIVING AREA $ 40.00 OTHER AREA UNDER ROOF $ 15.00 OTHER - $ 0.85 VALUATION $ 35,000.00 FEE SHEET ADDRESS $ - DRIVEWAY $ - BUILDING: $ 195.00 ELECTRICAL: $ 50.00 PLUMBING: MECHANICAL: $ 35.00 RADON: $ - CREDIT: TOTAL $ 280.00 SEWERI $ WATER: $ TOTAL: $ - I 3/4" WATER METERl $ - ~ T IF'S :1 $ 99% $ 1% $ : I TOTAL: $ 280.00 INSPECTION REQUEST PERMIT #: l~5~ TYPE OF ~~~ INSPECTION: ~ ,~"-............., ~ o~ DATE REQUESTED: '\ - \~. q" .I SIGNATURE :~~ '--. OWNER'S NAME ]];.:~~'i- \.S 21..:..1;,1- ,f (VA" A JOB ADDRESS ~"""___~ \~~ LEGAL DESCRIPTION: LOT(S)~Q~~LOCK PARCEL I D # 1J ~~ \-5""rl. \; \'-. i0 \ \S-.() d, ~ \) C)l'"\ () ~ a ~:k y<! '1U APPLICATION FOR PERMIT d-- q~ 0. > f '7../ \.oj 3 CITY OF ZEPHYRHILLS q 3" i / !:J 'JyJ}( ~0 ,- J Q -9 V BUILDING DEPARTMENT q J '1 ~ATE RECEIVED -.5 - / y).1- PLANS REVIEW FEE ,'. PHONE 813 .... g 7 9- I 3 6 ? SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o ADDITION ~ALTERATION o DEMOLI SH o REPAIR o INSTALL Os I GN o MOVE PROPOSED USE: OSGL FAMILY DWELLING KCOMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK ~~ ~ ~QN~ v r' SQUARE FOOTAGE ~\~ HEIGHT -=:;,"'\ \.~ ~\~ BUILDING SIZE 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. PERMITS REQUESTED F BUILDING $ .1~ non VALUATION OF TOTAL CONSTRUCTION , g( ELECTRICAL ~\~ AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. , ... PLUMBING o MECHANICAL $ Alif VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION:)a' BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS rllt IS PROJECT IN FLOOD ZONE AREAO YES o NO ~ BUILDER.......... SIGNATURE. . COMPANY STATE CERT OR REGIST # C. 6, c: 0 ~ 7 B (~ CITY PROCESSING # ~,?>I U V' ****************************************************************** SIGNATURE Jioo J. JLJJ ( . . ...........................,.............................~ COMPANY i STATE CERT OR REGIA # CITY PROCESSING # COMPANY!~A.~ ~4f STATE CERT OR REGIST # CITY PROCESSING # )__ 3 R-tJ ~ ELECTRICIAN v .1 ,/ SIGNATURE PLUMBER )( * ***********(;** COMPANY CITY PROCESSING # ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** 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 the 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 IMPACT 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 $2,SOO;N W\L:r~~~D AND POST A "N~ OF COMM;C~~~ &L' '--- C:-.J . y?"",d.~' ~~..~ ~',b..'<~ SIGNATURE: OWNER OR AGENT SIGNATURE: CON RACTOR STATE OF FLOR~_ ~ /1 ) COUNTY OF ~ !:2~.-A__ The foregoing inst~ument was acknowledge~~) Before me this~ day of 3u/...'1 , 19.:t.Y by IAJ-:l(,'a 1M, F. M C) (' r,' S _~name of person acknowledged) ~who is personally known to me, or ?/lScLO STATE OF FLORIDA COUNTY OF The foregoing ins~rument was 1Tlqowledged~r/ Before e this ~day of ;;r , 19 ~ by e-r name of person acknow~edged) o is personally known to ~, or Dwho has produced a...-w~id ~)~r; O~i~;~~tiOn( ~ ~- . ~\. ./Jl/$da~~ of person~aking ~cknowledgment . FLA, 1977 L^WS Fa 713,13 : !IFf 'Jlr 11111 11111 lnl I! II! IlIIllllr 11111111 ~~~~1,M7 NOTICE OF COMMENCEMENT State of Florida } County of \ The undersigned hereby informs 011 concerned that improvements will be made to certoin real property. and In accordance with section 713.13 of the Florida Statutes. the following Information is stated in this NOTICE OF COMMENCEMENT. tPRllPARE IN DUPLICATEI Description of property ......................'................................................................................... . ?1fl. .C;/::?... .r.D,.......O h.. .0.~... .~.f... .0//10...... .O..~.Y (?()....... /::???l. .c?............... .............................................................................................................................. . ,. _ ' IVt'.:!/ srnvCl"t-1'- M /1 F ~ r-> P ,.., , I / 1 A, - ~. ~ ;;. ;;d ,. . (/ 111((/--(- C' - . {~/L /- L./rN S (_ ~ <; AfJ.{ < General deSCriptIOn 9f Improvements......... .//........0 ....'(...~. 5..... .. .-................ .-:'........ .. , ..... r...,.,.. Wi\\\o..""" f. 1Y\~~ ~ns' .. . . . .0. /. .~L /,1.1':/, .1:'(;/Y.l.4. (if),. ;, . . . . . . . . (J/fr/?~ . . [&,4,5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address.... r; .<;r./~;... .6~.4?-.~.... f3.?-. .t,:/.?L........ .?Ptf:~ f:.1!../. ~~~).... ./q.... 3!.-!7! /......... Owner's interest in site of the improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee Simple Title holder (if other than owner) Rcpt: 251.992 Rec: DS: il.00 IT: 87/08/98 6._ 0.00 Dpty Clerk Nanle ............................................................................ 3ED lfII'nIlAR, PASCO COUliTY CLERk 07/88/98 02: 00p. 1 of 1 OR 81M: 3966 PG 322 Address .......................................................................... Contractor ~~~ ~a..<- e... .~\ '\ St..~. . .~.W .~ ~. ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address.. .~~~S\ S.\o~~~~~\\..~ .~.~~.\.. X~~....................................................,.. Surety (if any) ~ \ ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address .......................................................................... Any person mal<ing a loan for the construction of the improvements: Name . .~'\~.... ....................................................................... . . . . Amount of bond $ . ~~\~. . . . . . . . Address ....................................................................................................,................... Person within the State of Florida designated by owner upon whom notices or other documents may be served: Narne .~~.................................................................................................................. Address ......................................................................................................................., In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (h), Florida Statutes. (Fill in at Owner's option). Nal11e~':'>\i\. . . . . . '.., . . . . . . . . . . . . . . . . .... .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address..... .... .. .... .. ... .... ..... ...... .................... ............ THIS SPACE FOR RECORDER'S USE ONLY ...... ..~. ... ....... ...... .(?t~: .~~. ... .d&.~kT Owner Sworn to and subscribed before me this. . ....I0.!!!......d8y of .... JtlNi;~.. . . . . . . . . . . . . . . . . . . . . . . . . . .19rJ..~. ,,'~~,,:'f~o;;, caroIYil~33Il" ../ . ~/) {:r"I.&>r~ twff.c.o.~,M~.~~N'1'9' 2000' . . . . .'. ...-1 .~~ .M~~~ . . . . . . ~'~'!l'~ AprH , Vli'O;~~'<> IlONIliDll1II\JTROY F~I~URANCE,. otary Public . '......... t..:.R;CL;'L 'I N L.t.:;.~ D6A/V Anthony Perrone produced driver's license as identification. ~ M\j C.D,{.tM I?StoN ~Pli'l_Eb Ap/LU.... i '1, "")...t'XjO c..~:# 636 ~q4> ROGERL.DEBORD,GENERALCONTRACTOR 2217 Shadehill Court. Tampa, Florida, 33612 Ph (813) 933-2922 . Fx (813) 931-5898 PROPOSAL AND CONTRACT Date: May 26, 1998 To: Mr. William F. Morris, President REGAL LANES, INC. 4847 Armenia Avenue Tampa, FL 33603 Jobsite: Unity Lanes Zephyrhills, FL Undersigned Owner represents that he/she is the Owner of the property and has full authority to negotiate and execute contracts concerning the property. We propose to furnish all materials and perform all labor necessary to complete the following: Remodel and redesign existing interior structure to allow for two new offices, ne pro shop, additional storage place and provide better traffic flow in concourse area. This will include . Demolition of existing walls per plan . Construct pony wall at West end, close the door opening and window at pool room. . Construct wall back of counter with display case. . Divide area into 2 offices 11.8 x 11.8 per plan . Construct two storage areas secured with plywood celings at back side of coolers . Construct pro shop at East end with drill room, manager's office and storage room . Construct pony wall and locker room walls at East end. . Replace both bath doors, and build bench in locker room. . New bar tops and control center tops Upon receipt of deposit, undersigned Contractor shall immediately schedule construction. Work shall progress steadily, and shall be completed in a timely fashion. All of the above work is to be completed in a substantial workmanlike manner according to standard practices and requirements of the governing authority (city, state, county). Contractor shall obtain and be responsible for all permits and inspections necessary. In the event, due to implementation of new requirements by the governing authorities, additional fees are assessed, Owner shall be responsible for payment thereof. Contractor is fully licensed in the State of Florida as a Class A General Contractor, License #CGC02 7 816, bonded and insured for liability. Contractor shall take all prudent precautions to prevent theft, vandalism or other loss, but is not financially responsible for same. Should Owner require insurance against such loss during construction, he is responsible for payment of same, Contractor to furnish "no lien" affidavi t upon final payment and completion of work, provided Owner has paid all monies due in full. Payment shall be due as set forth below, and in the event of non-payment, should legal action be necessary for Contractor to collect just payment due, any attorney and court costs incurred shall be paid by the undersigned Owner. CONTRACT PRICE IS Thirty-Five Thousand Dollars ($35,000.00) $3,500 deposit, draws based on percentage of completion during construction and balance immediately upon completion and final inspection by the governing authority. Extra work or materials desired by the Owner shall be agreed upon in writing and shall form the basis of the change order which shall be executed between the parties and thereby become a part of this contract. Unless otherwise agreed upon, such extra work shall be paid for as such work is performed. Requests for changes should be submitted to Contractor on "Change Order Request" forms as provided by builder, completed by Owner's Agent. Notwithstanding anything set forth in the Contract to the contrary, if the Owner has orally authorized the work, the Contractor has performed the work and the Owner's Agent has accepted this extra work or materials without the execution of a written change order, the Contractor shall nonetheless be entitled to payment therefore. It is further presume that the Owner has accepted such extra work in the absence of a written notice to the contrary. Contractor shall advise the Owner at the time of agreement as to any extra or additional work as to what additional time will be required to perform this Contract which is associated with such extra or additional work. STATE OF ROll'I 0\0... Respectfully submitted: COUNTY OF ~I \l<;bD"-ou~t"' ~o~~~,~ Roger L. DeBord FL Class A General Contractor Acknowledged before me this ~ 10 day of t'V)Q LJ 19 ~~, by P..oCje..r be&,-d who is personally known to me or shown identification. Seal: Con~ct Accepte~: Lu~~ William F. Morris, President ~j,~/?{ Date ( STATE OF COUNTY OF b--,bH-6bc::;>fou.Sh Acknowledged before me this d. Co day of VY"o..4 , 19c1'6, by LDi llu:).vY"\ F vnorrl S who is personally known to me or shown identification. ,.JJuJ-u ~ [{),/L{ 0-t Notary Signature Seal: -<.tMI,. OFFICIAL NOTARY SEAL I .fi~ SHERI L. WRIGHT ! *.* COMMISSION NUMBER I CC 580161 I 't ~ MY COMMISSION EXPIRE' , IIF AUG 27,2000