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Home My WebLink About02-1289 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 1289 (813) 780-0020 Date h -11(-- tl;Z BUilDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: ( Job Address: Parcel 1.0. , Zoning: Energy Code: Descriotion of Work I (~. Te-vt T' 5~ Water Meter: T.I.F.'s: Radon Gas: ;::fr~ ~orKS JUNL IS~Jf'I.(Ji.,{rS?4 FINAL ..-0 .2 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City license Registration # State Certified license# c277/ ~~;~~:;,J1::.- ~ Company ~ Address Wtlephone# <?).3 ~IO 77-/c?7~ 11;11' l/~5-e ).)0 V e /;f 1.1 r /~€W()I"/<-s Co.::+:^I. ELECTRICAL PLUMBING Valuation or Contract Price Un. IVW5R Novt' hI-I q Frre Vcv/(s UJ. ::p...c ' BUilDING Ftr. Pre SLB lintel FRM. Insul. Cl Wl SlB Tub Set Water Sewer Final MECHANICAL Tp, Servo Rough In Meter Can Const. Pole Pool pre-M~er Final L ~)'~ 2/ - O'L- gut 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 BUILDING DBPAR~ 5335 8th STRBBT ZBPHYRHILLS. FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATB RBCBIVED PLANS REVIEW FBB -if /;l?-i OWNER'S NAME:];k PHONE CONTACT JOB SITE ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION DADDITION DALTERATION DREPAIR D INSTALL DSIGN DMOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMILY 0# OF UNITS DMOBILE HOME D OTHER o COMMERCIAL D INDUSTRIAL D SWIMMING POOL c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL I~ l'C1A-f sJ'e JUvu. 15~(4 :S;;L!f:S~ SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK 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 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 D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO SIGNATUR z COMPANY . U 11 ; lifd5(' })[J tlf lily STATE CERT OR REGIST # CITY PROCESSING # c2r 71 BUILDBR ******************************************************** BLBCTRIC~ /"' e COMPANy_ll flil/{!t'Je v'v€ !:~ ~ ~~ STATE CERT OR REGIST # SIGNATUR ~7~ CITY PROCESSING # ;J 1'7! ****** ********************************************************** (/l f tJorK 5 PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The unaersigned understands that this permit may be subject to "deed restrictions" wh~ch 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 1!L- 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) [Lho is personally known to me, or o who has produced (type and whoD did 0 did not of identification) take an oath. Dwho has produced (type of identification) and who Ddid Diid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped TEMPORARY SALES CHEClU.IS': Cj, ty of Zaphyrhills 5335 - 8th Street Zaphyrhills, FL 33542 Phone: a13-7aO~0020 Fax; 813-780-0021 -L. L -~ Plot ?lan snowing setup of location Nota=ized ~etter from property owqer stat~ng tneir approval If ~en,- is in~ol~ed a flame re~ardant certificate is requir~d. Inspec~ion requ1rea once tent is erected. ~f fireworks are invol~ed the iollowing is required: , ~/ Prc;cf of s,-at~ 1.~cense Proof of liability insurance _____ City registration fee of $20.00 The fc~lowing fees are applicable: Temporary sa~ee pe:adt: $5.00 for the lilt. two days and $1.00 par day for each consecutive day thereafter, not to exceed duration of ..30 consecutive da~s and no more than one occurrence per calendar year ~er Ordinance *408. Ta~t pe~t (if applicable)~ $25.00 E~ectrical ~t (if applicable): $25.00 Prope:c:y owner: ;r~.h..h/!YJ4r~ [h 1-e.j.Pt l~S, LkI~-,__ Applicant: U1!Jj)aSl.. NbuW-Y ; PIJ!,f!,WD"({~ (!.~ .Ztf!c.... ?none .::ont...c-::: M3 - &, 7'7"' 1874 Address site: -5.J.J.."p (;.AL1- ~L UD ;:)a=e:s of; sa.le:.:fUNE /5,JIJD2.. - 3vLlf 5', ~OD;;L :SH~A~l' &TO'RIS o lORTOLU ~A'RI(I~C; ~A'nU"lG ?A1tJ(IWC; ~A'RKJWG , 20"'0 "'R'N"T .(~S ) ~S' "- E-7 I I tJ51 1>1W I, 1'J'tN f9H G.l\LL 'BLVD.ZVHVRHILl.S DATE s-) 'ir-r;~ I. .bJIA~_"It:> L'4~ rl> GJVUDMISSIOJIi'JO: OWENYOVNG &I UNIVERSE NOV1:Ln- cl rDlIWOIlXS COMPANY, INC. POST orne! BOX 1M2 RJWRVn:W, FLOJUI\4 33_ (113) WI-In.. TO Sf,T \ll' AMD ORM n A TtM1'OaA.RV STA.ND ON MY P1tO'RInV LOCA TED AT: LOn .LOne' IliI SVBDMSlONiI d -...04-...----..Jl...."'~ ~ ~~iL~ . i"']. ~ Patricia A Selin *ii *My Commllllan CC8824eO '\;.~ ExpIrH~ 1, 2003 ** TOT~L PAGE.02 ** ~-. Gttt'tificltt of flame .esistauct;. '. - . ..' - .t R~9lstertld F ;brlc I'-lumCler ~l40.1 JSSUED BY ALLIANC'E TENTS PO F.WX 8142 lANDIS, NC 280SB 1.8.:10.88-7.94,63 DateD' ManulactlJre ID 'If ThiS is to c;ertify that the materials described herein have been flame-retardant treated (or are inherently nonflamn1i1ble). I I ! 1 1 1 ! r~Lt~ (pV-,M4iL#'Y.V N. 'ml~"Q"~)".ltiu'(:t';~-';.StlPo"i n te;;denl' I i '----.- ... THE.FLAMERETARDANT PROCESS USED WILL NOT BE REMOVED BY WASH!NG . -'"4-- ----". I tuUi'j Cc.llor r do' X ..30 ~ Size STATE OF FLORIDA OFFICE OF TREASURER DEPARTMENT OF INSURANCE TALLAHASSEE, FLORIDA CERTIFICATE OF REGISTRATION SEASONAL RETAILER THIS CERTIFIES THAT: UNIVERSE NOVEL TV & FIREWORKS CO., INC. 5935 GALL BLVD ZEPHYRHILLS, FL 33599. HAS REGISTERED TO THE PROVISIONS OF FLORIDA STATUTES TO ENGAGE IN THE BUSINESS OF SELLING SPARKLERS AT RETAIL. FROM JUNE 20 THROUGH JULY 5 AND DECEMBER 10 THROUGH JANUARY 2 AT THE FOLLOWING LOCATION. LOCATION: 5935 Gall Blvd, ZephyrhilIs, FL 33599 Pasco I ~~ Treasurer Insurance Commissioner Fire Marshal 05 09 2002 07 63 83999800062002 8399980006 200,00 01 31 2003 Issue Date Type Class County LicenselPermit Number Application # Taxes & Fees Expire Dale ----------------------------------------------------------- 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 elTors on the license, Within IO days of the changing of a business address, home address. mailing address. or physical location. you are required to notify the Regulatory Licensing Section of the change, If your license/pem1it is lost. stolen or destroyed, notify the Regulatory Licensing Section immediately. in writing. Change of address. lost. stolen or destroyed licenses or permit 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 STATE OF FLORIDA OFFICE OF TREASURER DEPARTMENT OF INSURANCE TALLAHASSEE. FLORIDA CERTIFICATE OF REGISTRATION WHOLESALER OF SPARKLERS THIS CERTIFIES THAT: UNIVERSE NOVELTY A FIREWORKS CO INC 8820 US HIGHWAY 301 S RIVER.VIEW, FL 33$69- HAS r.::::,'". ........D PURSUANT TO 1lIE PR.OVlSIONS OF FLORIDA STAnrrES TO ENGAGE IN1lIE BUSINESS OF SELLING SPARKLERS TO A RET AlLER --r:- ~ Treasurer Insal'lUlre COIIIIIIissioRer FIn ManIuIl 02 01 2002 07 62 Hillsborough Issue Dale - J:9jJe CIais - -C'OliIfS' - - 66213200011999 - - 1:.i&die7P1!flliit JihiiD'6el" - - 7305060002 "APPUcalicii #T 1000.00 01 31 2003 - - - TdicI'CFCeS - - - - Eiqrm:1JilC 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 Seclion immediately if there are any errors on the license. Within 10 days of the changing of a business address. home address. mailing address. or physical location. you are required to notify the Regulatory Licensing Section of the change. If your licensc:lpermit is lost. stolen or destroyed. notify the Regulatory Licensint,! Section immediately. in writing. Change of address. lost. stolen or destroyed license!> or permit require replacement. Upon receipt of notification you will be invoiced for replacement fees. DIRECT INQUIRIES TO: Division or State Fire Marshal Regulatory Licensing Section .:!{W East Gaines Street Tallahassee. FL 32399-0342 Phone (850)413-3623 I_I 5/17/.02 .I~ ~~O~~~i~Sp~~iO~~i:~~~~GI~ Policy #: SPB503021702 ~I~~~p~t~~ 02/17/02 Exp. Date: I~~ Policy #: ~I~~~p~t~~ / / Exp. Date: I~ Policy #: Eff. Date: ~ICOMPANY D: Policy #: Eff. Date: MI CERTIFICATE OF INSURANCE PRODUCER Lester Kalmanson Agency, Inc. P. O. Box 940008 Maitland, FL 32794-0008 (407) 645-5000 INSURED UNIVERSE NOVELTY & FIREWORKS P.O. BOX 1862 RIVERVIEW, FL. 33569 / / Exp. Date: 1_- / / / / Exp. Date: THIS CERTIFICATE IS ISSUED AS INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT. HOLDER. IT DOES NOT AMEND, EXTEND OR ALTER COVERAGE BY POLICIES HEREIN. _I COVERAGES ,_ This is to certify that policies of insurance listed below have been issued to the insured named above for the policy period indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate 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, Limits shown may have been reduced by paid claims. Co TYPE OF INSURANCE GENERAL LIABILITY " = rvl L.AJ [X] [ ] [X] [ ] Comm. General Liability Occurrence [] Claims Made Owners/Contractor Protective 0, L & T FORM EXCESS LIABILITY Umbrella Form Other than Umbrella $ c y $ $ $ $ $ $ $ 1,000 n v o 1,000 50 o All limits in THOUSANDS General Aggregate Products/CampOna Aagreaate personal/Advertising Injury Each Occurrence Fire Damage (anyone fire) Medical Expense (one person) Each Occurrence Aggregate Selt-insured retention SEE ATTACHED ADDENDUM "A" FOR FURTHER DETAILS: --------------------------------------------------------------------- --------------------------------------------------------------------- DATE OF EVENTS: 6/14/02 THRU 7/7/02 ===================================================================== ADDITIONAL INSURED(S): CERTIFICATE HOLDER , HEREBY ADDED AS ADDITIONAL INSURED ONLY AS THEIR INTEREST MAY APPEAR IN RESPECTS TO THE OPERATION(S) PERFORMED THE NAMED INSURED AND/OR IT'S EMPLOYEE(S) ONLY. ====================================================================== LOCATIO ========---=========================================================== Description of operations/locations/vehicles/other CERTIFICATE HOLDER JOHN MARY ENT., LTD P.O. BOX 17072 TAMPA, FL 33682 CANCEL I cancel issuing c 00 days w Authori ~ ADDENDUM N 0 VEL T Y " A" FOR: U N I V E R S E & FIR E W 0 R K S C 0 --------------------------------------------------------------------- AGENCY: LESTER KALMANSON AGENCY INC. P.O. BOX 940008 MAITLAND, FLORIDA - U.S.A. PH: 407-645-5000 FAX: 407-645-2810 POLICY PERIOD / TERM: 02/17/2002 TO 02/17/2003 (12:01 AM LOCAL STANDARD TIME) --------------------------------------------------------------------- POLICY / BINDER NUMBER: SPB503021702 --------------------------------------------------------------------- DESCRIPTION OF INSURANCE: --------------------------------------------------------------------- --------------------------------------------------------------------- A) PREMISES LIABILITY COVERAGE FOR THE RETAIL SALES OF VARIOUS CLASS "C" FIREWORKS AND/ OR NOVELTY ITEMS, ONLY WHILE UNDER THE DIRECT CONTROL/ SUPERVISION OF THE NAMED INSURED AND/ OR IT'S EMPLOYEE(S) AT ALL TIMES, WHILE AT VARIOUS TRAVELING (FL) LOCATION(S) (IE. SPECIAL EVENTS, FESTIVALS, ETC.) --------------------------------------------------------------------- B) PREMISES LIABILITY COVERAGE FOR THE RETAIL SALES OF VARIOUS CLASS "C" FIREWORKS AND/OR NOVELTY ITEM(S), ONLY WHILE UNDER THE DIRECT CONTROL/ SUPERVISION OF THE NAMED INSURED AND/OR IT'S EMPLOYEE(S) AT ALL TIMES, WHILE ON THE NAMED INSURED'S DESIGNATED PREMISES LOCATED AT 8820 US HWY 301 SOUTH, RIVERVIEW, FL. ONLY. --------------------------------------------------------------------- C) ADDITIONAL INSURED ARE ADDED ONLY AS THEIR INTERESTS MAY APPEAR IN RESPECTS TO THE OPERATIONS PERFORMED BY THE NAMED INSURED AND/ OR IT'S EMPLOYEE(S) ONLY. --------------------------------------------------------------------- PAGE 1 OF 1-------------PS4-B-----------------5/98----______ADDENDUM