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Home My WebLink About02-1288 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N! 1288 (813) 780-0020 Date ~ -I C;~ ~ ;Z BUILDING ELECTRICAL P.LUMBING MECHANICAL Sewer Conn Water Conn: /' 'JlA.. Co -rVlc ' d'I I t' iliA', fV;1'tV ater Meter: T.I.F.'s: Parcell.D. # Zoning: EnergMode: ----- ,~ Descriotion of Work ~ . Radon Gas: rl(e..t..J~ ~ :J L.tNU. Is-i'- +h r c.( JZi L if S r;itJ... ~~ 'T~ s J.R. " NO OCCUPANCY BEFORE C.O. ~5' ~ &(({(/'s~.J.J. ~~#~/Oy ., Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE Valuation or Contract Price ..;0 Inspector ~~;:::~: ~ " Company Address \;telephone# 8/3 ~ (p 7/-/ ~7~ City license Registration # State Certified license# ~q7( Ftr, Pre SLB lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Me~r Final v" r; - 2. / - 0 2 , Breakers Ducts Insl. Compre or Final j V U5 e u- Ijr<W(\(((:~ BUILDING SLB Tub Set Water Sewer Final 12tf Driveway REINSPECTlON 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 BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATB RECBIVED tf ~ I C(- () ::z PLANS REVIEW FBB ~i--12ff' OWNER'S NAME I e L i. C PHONE CONTACT F(i ei..l) CldCs C!..-o. ]:n(. JOB SITE ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: DNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) D ADDITION DALTERATION DREPAIR o INSTALL DSIGN D MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMILY D # OF UNITS D MOBILE HOME D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER DESCRIPTION OF WORK D RESTAURANT l(~ /t1~, & HEALTH DEPARTMENT APPROVAL ruVt ~h- (~ 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. PERMITS REQUESTED D BUILDING $ VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. D PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO . BUILDBR ./?~,~~ COMPANY tbl V~ <; of' 4b l/vt ~ .t-I7Yew~5 ~~ / ~ STATE CERT OR REGIST # Co 711f"- SIGNATU~~ Ii -b... . CITY PROCESSING # c:>?97/ ****** ********************************************************* BLBCTRICIAN COMPANY (AM ,VIU< se NOII-€t-r(,r h;('Wtf';/IC5 STATE CERT OR REGIST # ~, 714 C ' CITY PROCESSING # c2 '9' 7/ ******************************************************** PLUMBBR COMPANY STATE CERT OR REG 1ST # CITY PROCESSING # SIGNATURE ****************************************************************** MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF ?EPMIT AFFI9AV~T A. NOTICE OF DEED RESTRICTIONS Th~ undersign-ed understands that this permi t may bt~ sub:i ect 1:0 "deed restrictions" which may be more restrictive than City regulclt:ions. "I']H~ undersiqned assumes responsibility for compliance with any applicable deed rest:l:icti:ms. B. UNLICENSED CONTRACTORS AND CONTRACTOH RESI.>ONSIBILITI~S If the owner has hired a contractor or c:ontrac::tors to underl:ake work, they may be required to be licensed in accordance with state and l,;)cal regula tions. I f the contractor is not licensed as required by law, both the owner and contrac1:or may be cited for a misdemeanor violation under state law. If the ownel: or intended contra<::tor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-661l. 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 si9ns as the contractor, you are indicating that you, rather than the contractor, are responsible for the wo:r:k. 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 prQvided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Fl.::>rida 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 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) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Ddid Qiid not take an oath o who has produced (type and whoD did Odid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped TEMPORARY SALES CHECKLIS';t' C.i ty of ZaphyrhiJ.l~ 5335 - 8th Street Zephyrhill~, F.L 33542 Phone: e13-780~0020 Fax: 813-780-0021 ,,/ ~~ _L' Plot Plan snowing setup of location Nota~ized ~etter from property o~er statlng their approval If ~Qn,- is in~olved a flame re~ardant c@rti!icate is required. Inspec~ion requirea once tent i3 erected. ~f fir9works are invol~ed the following is required: .---Y-.-:..... Proof of s'l:.ata l:l.c.ense ~ Proof of liability insurance _____ City registration fee of $20.00 The fo~lowing fees are applicable: Tem.porary ealee ptilrm.i t: $5 . 00 for the l"t two days and $1. 00 per day for each eonsecut.ive day thareaftar, not to exceed duration of , 30 consecu'l:.ive da1s and no more than one occurr9nCe oer calendar year ~er Ordinance #408. --- - Tent per.a.it (if applicable): $25.00 Electrical permi~ (if applicable): $25.00 Proper':y owner: _~ f11 es g/O ne Applicant.: U~Jl)i: ts~ NbuEU,/ r' FlEE. wt>tts (!o.;kMC Pnone ,::c)nt",c::; 13J.E r "11-/87'-1 Address site: .5/)...JJ / Sf S free..+ .Ja=es of sale: JUNE 15,dUD/). - :fu,-y ~df!()~ ( ;' .__....... t ...... III" . ..,~ CERTIF1CATE. OF FLAME RESISTANCE ISSUIDBY MAIN AWNING AlBNT CO. INC. DmaAYST. aNaNNAn. CIllO 45214 (513) 611'-'7 nus IS TO CDTlPY11L\TTJII DNT~mBBLOW HAS BEBN FJ..AWB UTARDBD. oa IS INBDlDJ11.V NQNIILWUjJlLE- Tf.NT SIZE: 2 - 2IIDDO DAft alMANUPAcnJU: 3 - 2IIX4O YBU.OW a ....m .....1. 1_ 'lBNTPloorJCI'ft POR J COLOR. MA 1DlAL USED: PRO-tEal BY JOHN BOYLE 1JNIWBI8 MMLTY' aJIIIIISwatU mvBaVIBW..~1W1OA nIB UNT...,.1JlIIftA8O'la ~. UADKnauA ft.AMI RBSIS'I'AHT ,ABRIC Olt MA1DIAL umsDIIIID AlII) AIIIIOVIDBY1IIB II'A....OP CAl..II'OaNIA AU MA.GI"~ FOil SUCH US&. 11lADE lW.tB OF FLAMB IlESISI'ANT'AJIIUC C:aIlATDIAL USBD MY REG. NQ.GA.-Z17 FABRIC OIlMAtDIAL UIID UIBIIORBIf.:r~ lIPM-'fOl THE FLAME RBTAJU)ANT~ WILL NalBEREMOVIiD BY wASHING DATE ~M}-- !" .:\:-).-1A~ to' "$ -rC?Al ~ GIVE PERMISSION TO: OWEN YOUNG & UNIVERSE NOVEL n" A FIREWORKS COMPANY. INC. POST OFFICE BOX 1862 RlVERVlEW. PLORlDA 33569 (813) 67'7-1874 TO ~F.T tlP f\ Nt) OPERA. TE f\ TEM.oRA.RV STA.ND ON MY PROPERTV LOCA TED AT: ~ J-/ ;5'1,5,7; 2 -tf1J VII H- (115 r6 I 5"3S-Vd- LOlW BLOCK II SlJBDMSlO~ #I 7~ uJ sf~ . OWNERS SIGNATURE --- <-no t. ... ..,......... ........ _ ....19 t .,~.wJ~ <f?~@/L; NOTARY PI1BI.IC @. PltrIcIa A Selle,. . *__*Mr Commillion CC8824eO ~..~ Expllu NCMmber 1, 2003 l'A'RKIWG l'A'RKIWG l'A'RKIWG STO'R. l'A1tKI~G l'A1tKI~G ro1tTOL:," tao' 20X,0 "T&lT ~n:> J~L~' L f02' 'ST STRH'T. Z-EPH'VRHI1.LS - - STATE OF FLORIDA OFFICE OF TREASURER DEPARTMENT OF INSURANCE TALLAHASSEE, FLORIDA CERTIFICATE OF REGISTRATION SEASONAL RETAILER . THIS CERTIFIES THAT: UNIVERSE NOVELTY & FrREWORKS 8820 US HWY 301 SOUTH RIVERVIEW. FL 33569. HAS REGISTERED TO THE PROVISIONS OF FLORIDA STATUTES TO ENGAGE IN THE BUSINESS OF SELLING SPARKLERS A T RETAIL, FROM JUNE 20 THROUGH JUL Y 5 AND DECEMBER 10 THROUGH JANUARY 2 AT THE FOLLOWING LOCATION. LOCATION: 5021 1ST STREET ZEPHYRHILLS, FL 33540 PASCO ~~ Treasurer Insurance Commissioner Fire Marshal 06 04 2002 07 63 86721100022002 8672110002 200,00 01 31 2003 Issue Date Type Class County LicenselPennit Number Application # Taxes & Fees Expire Date STATE OF FLORIDA DIVISION OF STATE FIRE MARSHAL REGULATORY LICENSING SECTION TALLAHASSEE, FLORIDA GENERAL LICENSE INFORMATION Important: Review all information on your license/permit. Notify the Regulatory Licensing Section immediately if there are any errors on the license. Within 10 days of the changing ofa business address, home address, mailing address, or physical location, you are required to notify the Regulatory Licensing Section of the change, If your license/permit is lost, stolen or destroyed, notify the Regulatory Licensing Section immediately, in writing, Change of address, lost, stolen or destroyed licenses or permits require replacement. Upon receipt of notification you will be invoiced for replacement fees. DIRECT INQUIRIES TO; Division of State Fire Marshal Regulatory Licensing Section 200 East Gaines Street Tallahassee, FL 32399-0342 Phone (850) 413-3623 ~l ~ERT~FICATE OF INSURANCE I I?ROOUCER ':':':':':':':':':.:':I:I:'~I:':':':':':':'.'Z.:.:.~':I;.:.:.:.:.:.:..:.:..:..:.:.:.:.:.:..:..:..:.:.:.~.:..:.:.....=,,:.: ...,.......,.................................iII.......lII.a .. 6/11/ 02 1_ 11IIII1 COMPANIES AFFORDING COVERAG~.J~ 11CO~~ANY A: ST. PAUL REINSURANCE I~ Policy #: SPBS03021702 . Eff. Date; 02/17/02 Exp. Date: O~J.J1J.Q~._ ~ICOM~ANY B: I~ POllCY #~ Eff. Date; II COMPANY C; Policy #: Eff. Date: _ICOMPANY D: policy #: Eff. Date: ~ester Xalmanson Agency, Ino. ~. o. Box 940008 ~aitland, FL 32794-0008 (407) 645-5000 INSURED l ~IVERSE NOVELTY & FIREWORKS k ~. 0 . BOX 1862 RIVERVIEW, FL. 33569 / / Exp. Date: l~ l~ / / Exp. Date: / / I / Exp. Date: rHIS CERTIFICATE IS ISSUED AS INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE IT DOES NOT AMEND, EXTEND OR ALTER COVERAGE BY POLICIES HEREIN. I COVERAGES I This is to certify that policies of insurance listed below have been i~~ued ~o ~he inn~rOQ ~rno~ ~bovc {Q. ~hc policy period indicated, notwithstanding any requirement, term or condition of any contract or other document wit~ re$pcce to whtcn t~i~ certificate may be issued or may pertain, the inaurance afforded by the policies described herein is Q~bject to ~11 the term~. exclusions and conditions of such policies. Limits ahovn may have been reduced by paid elaims. :;:::::::::::::::::::::::::::;:::::::::::::::::~::::::::::;:::::::::::::::::::::::::::~::.::::::::::::::::::~:~~::::::~::::::.::: Co TYPE OF INSURANCE GENERAL LIABILITY [Xl Comm. General Liability [Xl Occurrence [] Claims Made [ ] Owners/Contractor Protective [x] 0, L & T FORM [ ] 1,000 o o 1,000 50 o EXCESS LIABILITY [ ] Umbrella Form [ ] Other than Umbrella $ $ $ $ $ $ $ $ $ A SEE ATTACHED ADDENDUM II A" FOR FURTHER DETAILS: All limits in THOUSANDS General Aggregate Products/Compops Aggregate Personal/Advertising Injury Each Occurrence Fire Damage (anyone fire) Medical Expense (one person) Each Occurrence Aggre~ate Self-lnsured retention ====m=~~=============.===~~=~~~~~======_;;;=~=~============~~~~~~=~~~ DATE OF EVENTS: 6/14/02 THRU 7/7/02 ==========a=======;=~~~=======~==============~~~===~================: ADDITIONAL INSURED{S): CERTIPICATE HOLDRR IS HEREBY ADDED AS ADDITIONAL INSURED ONLY AS THEIR INTEREST MAY APPEAR IN RESPECTS TO THE OPERATION(S) PERFORMED THE NAMED INSURED <<lOR ITIS EMPLOYEE(S) ONLY. ~~===~=~=======~===:=====:=;~~=============~~=====;~~~=========~~~~~~~ LOCATION(S) :ZEP'~ Description of operations/locations/vehicles/other --i CERTIFICATE HOLDER JAMBS STONE 39200 5TH AVENUE ZEPHYRHILLS, FL 33542 CANCELLATION I-- 1 cancelled prior to expiration date, issuing any will endeavor to send 00 daysw~' en notice to cart. holder. ADDENDUM N 0 VEL T Y " A" FOR: U N I V E R S E & F I RigW 0 R'K S CO ---~---------~~-------~---~-~--~--,~~----_._,-------~--------------~--- AGENCY: J...EST8R KAI.MANSON A<?E~CY nqq, . P.O. BOX ~40008 M1\ITLA.~D, FI.IORIDA :. U.S. A.' PH: 407-645-5000 PAX:.407-G/1$-;I,810 i · -----------.-----~-~--~-----.,.'-----------------~--------~------._----- POIlle" PERIOD / TERM: 02/17/2002 rr002/17/2003 (12:01 AM LOCAL SThNDARD TIME) -, , , ______________________.______~________'___________~___--_.._______~M__ POLICY I BINDER NUMBER: SPHS03021702 -~---------~--------------------------------------------.----------..- DESCltI p,'rION OF' INSURANC.B:: ---------------------.-----~-------~---------~-----------------------. A) PREMISES LIABILITY COVERAG~ FOR THE RE1~IL SAL~S OF VARIOUS CLASS II ell FIREWO~KS AND/ OR NOVELTY ITEMS, ONI.JY WHILE UND.lJlR 'l'BE DIRECT CONTROL/ SUPERVISION OF '}'HE NAMIm !NSURED AND/ OR IT I S EMPLOYEE (8) AT ALL TIMES, WHILE A'r VARIOUS TRAVELING (FL) LOChTION(S) (IE. SPECiAL EVENTS, FESTIVALS, ETC.) -----..-~-------~__________~w______________________~__-----_M~_______M B) PRENISES LIlVHI,ITY COV~";RAGE FOR THE REr!'}\lrJ SALES OF VARIOUS CJ..IASS lie" FIREWORKS AND/OR NOVELTY I 'rEM (S), ONLY WHU.E UNDER THB DIRECT CON'I'ROL/ SUPERVISION OF THE NAMED INSUREI') ,AND/OR IT IS f:MPLOYEE:(S) AT ALL TIMES, WHIIJE ON THE NAMED INSURED'S DES:r.GNATED f?REMISES I"OCATED AT 8820 US HWY 301 SOUTH, RIVERVIEW, FL. ONLY. ---------_._------------------------------~-.------.~-------~.._------ C) ADDI'J;'IONAL INSURED ARE ADDED ONIJY AS 'I'HEIR INTERESTS MAY APP:t.~AR IN RESPECTS TO THE OPERATIONS PERFORMED BY THE NAMED INSURED ANDI OR IT'S EMPLOYEE(S) ONLY. -----~._-------.'---------~------.~-------~-------------------~~------ PAG~ 1 or 1 ~~A -----~-------~~~-B---------.----~--s/9n----------ADDENDUM