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Home My WebLink About01-0778 BUILDING PERMIT~~ 0778 d.-3 5'.&W BUILDING ~5'~ ELECTRICAL CITY OF ZEPHYRHILLS ~ 788 6611 710.. OO~fJate -.lJ - ;;).,- 0 ( 5;)_50 PLUMBING Permit Property Owner: ~p....J(4 ~~ Job Address: ~ 5 { ~ co"/I hi vel, M~AL /S- v blAJ"'1 Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. , Zoning: DescriPtion of Work Energy Code: SvhuJ~ - ....On\T~ Radon Gas: 0 ~Qfl ~2r FINAl/~-J -() p. I DATE {J- - ~ C.O. NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ,)<Signature Company Address }{elephone# ~. SU~ Valuation or Contract Price 4 3 000. e--D I ;t~~ City License Registration # State Certified License# r/ '] - 7.Sj--11!'j 'non sri^' r ~'. ~lm.~ ~~ -a:).yo-5" ELECTRICAL c /i)~ 'f-o C!c~ 1t.;l.B 1S PLUMBING MECHANICAL BUILDING Ftr. Pre SLB Lintel FRM. /11.- '/- 0/ R.i'l Insul. CL WL Tp. Servo Rough In /~ - '1-01 LL'f Meter Can Const. Pole Pool Pre-Meter Final'/l2 -fl/ -IJ ( R.L. if SLB Tub Set /2 -L/-oILL.r Water Sewer Final /1~-1'I-~/ RL Y Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. CITY OF ZEPHYRHILLS PERMIT APPLICATION (eM, I{'" 55/0 t (if BUILDING DEPARTMBNT 5335 8th STRBBT ZBPHYRHILLS, FL 33540 ""--_ __ ~12 Phone:813-780-0020 Fax:813-780-0021 (--5- ( / ~ () J DATB RBCBIVED I 0 _ '--- , ~~t ~ ~ PLANS REVIEW FEE OWNER'S NAME ~ ~;1 PHONE CONTACT JOB SITE ADDRESS (,' /2.. '~I/ r'J { V~ L(f' J. 'r p J... Itr (' L. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: [JNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) [J ADDITION !Slt'ALTERATION [JREPAIR [J INSTALL [J SIGN []MOVE [] DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING ill COMMERCIAL []MULTI-FAMILY [J# OF UNITS [JMOBILE HOME [] INDUSTRIAL [J SWIMMING POOL [] OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ~u 6v114-/ f 111.1c:.... I'oll BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~ PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. Jl-~V' cJj~1 PERMITS REQUESTED FORMS. AMP SERVICE o FLORIDA POWER ~, fiV;( f~~~ 'fr1" P:' /V$ AJ~~ o W~,El.C. JJt ~ ,,?,/9 INST~~TI7 ~ " d BUILDING 'Q/ELECTRICAL ~UMBING " $ '-13,000. eo VALUATION OF TOTAL CONSTRUCT .D MECHANICAL $ VALUATION OF MECHANCIAL [J GAS [J ROOFING [J SPECIALTY [] OTHER TYPE OF CONSTRUCTION: [J BLOCK [J FRAME [] STEEL FINISHED FLOOR ELEVATIONS IS PROJECT AREA[J YES [J NO BUILDBR ~ SIGNATURE ~7 ,. COMPANy'(/1fhn J:f.'Yl-l!:. STATE CERT OR REGIST ~ CITY PROCESSING # c;? J" 0 L ****************************************************************** BLBCTRICIAN ~:~ COMPANY RoherT ~~cJ EI-ec ~ ~ - /J STATE CERT OR REGIST # SIGNATURE V '- -'---" . CITY PROCESSING #~ :no<;"""--,- t9t1 ****************************************************************** ~ PLUKBBRv/ ~ COMPANY Coe;. <Or 72J Cc.> ~ s T t'-fr~y . .rr:I ~ ~ STATE CERT OR REGIST # CFC05&7t'o~ SIGNATImEI( I/'L~D _ ,CITY PROCESSING # .aJ?~/( ~ ~ ******************************************************** '*******~ ~ MECHANICAL COMPANY STATE CERT OR REGIST # SIGNATURE CITY PROCESSING # ***************************************************************** OTHBR 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 dompliance 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 ~hd Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I nave 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 DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged ., 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 19 (name of person acknowledged) o who is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid [):lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped l1/U~/Ul 1'1<1 115: 31 t'AA 727 725 5~U~ AMt;Kl ::iTAt't' ~UU2 ACORD... CERTIFICATE OF liABILITY INSURANCE I DATE (MlWDIYV) 11/0912001 PROIIUCER THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGIITS UPON THE CERTIFICATE CONDON MEEK INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1211 COURT ST CLEARWATER FL 33756 INSURERS AFFORDING COVERAGE '- .'- INSURED INSURER A: CONTINENTAL CASUALTY COMPANY AMERISTAFF II, INC _.... ,-- 3040 GULF TO BAY BLVD ~l.!~~.8; -. - SUITE 110 INSURER C: .. CLEARWATER, FL 33759 INSURER D; ., -"-' I INSURER E: COVERAGES THE POLICIES OF INSURANCE LI~Tr:O Dr::LOW I lAve DI:CN IGGUEC TO 'l'HE INSURED ~MME.D ^90VE. FOR T1-IE !>OLICY PIiRIOO INI:lICATEI:l. NOTWITI-ISTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHeR DOCUMENT WITH RESPECT TO WHICH THIS CEIi(TIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .,,'..- iii8R --,. ,.. .- POLICY EFFECTIVE II'QUCY'l!XpiRATION .. L~ TYJ.'E OF INSURANCE POLICY NU-.&R U"TS ,,!!NERAL UA8lLITY EACH OceURllliNCli $ - ... - eo~MERCIAL GENERAL UABILlTY FIRE DA.MAGE (Any _ 1lIe) S .._~ I CLAIMS MADE 0 OCCUR MED EXP (Any OM lIe_n) S r~ncorw. .. AC/V INoIUIW C - - GENERAl AGGREGA're S .. .--- GEN'L AGGREnE LIMIT AF>PLlES PER: PRODUCT$ - COUPlOP AGG S I POLICy ~~ n LO~... LUTOM08I~ LWlIUTY COMBINED SINGLE LIMIT S ANY AlITO lea 8CQlGent) - . ~... t-- ALLOWNEDAUTQS BODILY INJURY CP"r """,on) S &CMI:DUUlt:> AUTOS t-- -.. HIRED AUTOS BODILY INJURY r-- S NON-oWNED AUTOS (Per IICddwJt) - -,"-,- PROPERTY DAMAGE $ CP"r_ent) GARAGI! UA8UTY AUTO ONLY. E.I. ACCIDENT S ,.-. R "toN AUTO OTHER THAN EA ACC S AUTO ONLY: hOC . EXCESS UA81UlY EACH OCCURRENCIi S ::J' OCCUR 0 CLAIMS MADE AGGREGATE S .- ..- S -.... ~ DEl:lUCTI8LE S ... RETENTION S S A WORKERS COMPENSAnON AND WC138201697 07101/01 07/01/02 ~.l.~~L~I'+S I IU~.r '--..'-- EIIPLOYI!RS' UAIIIUT\' Ii,L EACH ACOIDE,,": _.. $ 100,000 ~.h OISEASE . EA EMPLOYEE S .JOO,OOO E.L, DISEASE. POLICY UMrr S 500,000 OTHER .. CESCIW"nOH OPOPERATIONSILOCAnoNSNEIICI..BII!XCWSlONS ADDlED EIV ENIlCIIUII!IIENTISPEClAL PRCMSIClMS THIS CERTIJ:ICATE REMAINS IN Ei=I='I=CT PROVIDED THE CLIENT'S ACCOUNT IS IN GOOD STANDING. COVERAGE IS NOT PROVIDED FOR ANY EMPLOYEE FOR WHICH THE CLIENT IS NOT REPORTING HOURS, APPLIES TO 100% OF THE EMPLOYEES OF AMERISTAFF II, INC. LEASED TO COAST TO COAST OF TAMPA BAY INC CERTIFICATE HOLDER I I IloDDlTlOHAL INSURED;INSURl!R LE'nI!R: CANCELLATION lIfIOULD ANT OFllflO AIIClV!: ClI!SCRlIlED POUCES BE CANceu.I!D BEFORE TIlE EXPlRAnON DIIoTe nt_p, 'fIt1i 'AUlNG INCU._ WIll. 8NDEAVOR TO MAM, ~ nAY5l _ITTBI CITY OF ZEPHYR HILLS NOTICE 'R) llfE CERnFlCATE HOLDER "MEV 'R) THI! U!PT, BUT FAILURE TO DO sa SHALL 5335 8TH ST IMPOSE NO OIIUGATlON OR UABILI'IV OF ANY IClMO UPON TIlE; INSUUR, ns AGEN'r.l OR ZEPHYRHILLS FL 33540 REPRESIlMTATIVE&. AlITHORIZJ!D RBPRESENTAlNE ..... ~ /?'l- _/~~~. I , *1- - .. ACORD 25-8 (7/97) V @ACORD CO~URATION 1988 111111111111111111111111111111111111111I11 ~IIIIIIIIIJlIIIIII 2001163509 PREPARED BY & RETURN TO: Michelle Fava Capitano, Esq. P. O. Box 75141 Tampa, FL 33675 Rcpt: 546043 DS: 0.00 11/27/01 Rec: 6.00 IT: 0 . 00 Dpty Clerk Permit No. JED PITTMANA PASCO COUNT~CLERK 11/27/01 0:l1:22am 1 101'1017 OR BK 4782 PG Tax ID No. 02-26-21-00 1 A-OOOOO-OO 10 NOTICE OF COMMENCEMENT State of Florida County of Pasco The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of Property: 6512 Gall Boulevard, Zephryhills, Florida Lot 1, ZEPHR YHILLS EXECUTIVE PARK, according to the Plat Book 19, Page 68, Public Records of Pasco County, Florida. 2. General Description of Improvement: Subway Remodel 3. Owner information: a. Name: The Radiant Group, LLC Address P. O. Box 5238 Tampa, Florida 33675 b. Interest in Property: Owner R 4. Contractor: Don Stine Construction, Inc. 2509 Turkey Creek Road Plant City, Florida 33567 5. Surety: None 6. Lender: Manufacturers Bank of Florida, Inc. 4144 N. Armenia Avenue Tampa, Florida 33607 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713, 13(l)(a)7., Florida Statutes: Michelle Fava Capitano, Attorney at Law P. O. Box 75141 Tampa, Florida 33675 8. In addition to himself, Owner designates Joel C. Hollis of Don Stine Construction, Inc., 2509 Turtle Creek Road, Plant City, Florida 33567, to receive a copy of the Lienor's Notice as provided in Section 713. 13(l)(b), Florida Statutes. 9. Expi!'ation Date of Notice 0:: Co~enc'n~nt: - .. -... 1"'\"'......... vecemoe! J!. ~0~ <.' THE RADIANT GROUP, LLC . Sworn to and subscri ed before me this By: ~().t;; Print Name: (",tUlt: ~J,.d~vQ) Its: ~er J:\CK\CllDSblJCll204Comm 2001 ,~~\j\~~~~;:., CYNTHIA K. LAWONN f*r h'::'~ 1M 1.:Wlt,lIf;<,IC",j ~ CC 7-38915 ".:;;'~;j:"i E^?IRES /,!,:'.il :~: 2J02 ....~lif:I~~~...... 8ollO€d Thru No;aty f'ub:ic Jnderwrttlrl . " j)cN S 'TI(~ 12- c ~ I~ ::>'. w5J2. MCL,r3.LY0. K~Di fiAJIS U4i- '.r' . .. " . SQ. JIII5!5]" ~ '. .. 'IIMICRLN.; --- , O'1HI!!RAIIU r~lR_ . '0 . YAUlA1DI . . I --- . l ~5" \> c . , ~~DW' - -s 51-. '5 c " Al/A . tJln -roTA- L J/ --> - '7 .c:: ~ , ...)...... C- ...- ..../ I - .. f Tl"..{, tJ/A 1