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BUILDINC · PERMIT
CITY OF ZEPHYRHILLS Permit N2
1300
II ft,tl ~ re
BUILDING
15)'gp..
ELECTRICAL
(813) 780-0020
5(y eO If 3:) . tdZ-
PLUMBING MECHANICAL
Date
~ -:J.O~ 0 Q
Sewer Conn
Property Own., ~(r1J ~
Job Address: Q I v. . 030)
Parcel 1.0. " 03-.;.2"-:.:2-1 - Oo{O-/~YO" 0"00 -
~'dOnG'. 'f3.75.
- { .v.u \( (3 ((
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: . Energy Code:
oescriDtionofWork~~ B<A'~
NO OCCUPANCY BEFORE C.O.
FINAL - () 2-
Q aDATE
C.O. - 1 - (??....
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or
Contract Price
30 rz soo' ~
Inspector t;?t.- '1 ':]0
City License Registration #
State Certified License# r_6-L 00 ';;L7~O
I~ ~ &n4'.
BUILDING
/hAfffR& I
#- ~'f'1 3
ELECTRICAL
/~~~--O /%#t 61)
. '#~9'7V
PLUMBING MECHANICAL
SLB Breakers
Tub Set Ducts Insl.
Water . Compr~
~-.1y,(J.2R{'1 Sewer .' Final . 9-9 -O"L Rt~/fJO
FinaIL/9-9-t?2 RL'1./lfo
, 1n~. '5 J - 7-31-0;2 RL'f
liTO
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Finall/9-9-C2.
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
12 '- I.{ !IJ{;
,.
Driveway
F~41'J'\L t~nth 0 J Q . ~ ,J . I // J--
wtdf oS OnL'1 - ~-2t~~ f p ~ - :l 5-0'- "",'0 ^ in C{~ F-A
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 ZEPH~~HILLS PERMIT APPLICATION
BUILDING DBPARTMENT '5335 Sth STRBET ZBPHYRHILLS, FL 33540
Phone:S13-7S0-0020 Fax:S13-7S0-0021
DATB RECBIVED
PLANS REVIEW FBB
.~
'"
OWNER'S
NAME &~\I/~ :h~r"-~+
ADDRESS G-a. \..;.
PHONE CONTACT
JOB SITE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
[JADDITION
~TERATION
[J DEMOLISH
[JREPAIR
[J INSTALL
[JSIGN
[JMOVE
DESCRIPTION OF WORK
PROPOSED USE: [JSGL FAMILY DWELLING
~COMMERCIAL
c:J RESTAURANT & HEALTH DSPARTMENT APPROVAL
\ ef\CW\+ --e:u'l \~ .'r:M+ LA", ~ f r~ 1/
SQUARE FOOTAGE / S; 3 7 S- HEIGHT
,
[JMULTI-FAMILY
r/J # OF UNITS
[JMOBILE HOME
[J OTHER
[J INDUSTRIAL
[J SWIMMING POOL
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
[J BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
[J ELECTRICAL
AMP SERVICE
[J FLORIDA POWER
o W.R.E.C.
[J PLUMBING
[J MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIALTY
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
o STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES
[J NO
SIGNATU
******************
COMPAN~lld 3: 'S;f{~~ 4
STATE CERT - OR REGIST # ~ 0
CITY PROCESSI~~ 4~2. 7
*********************~J2~**************
COMPANY Pc~( .... ')~ l
STATE CERT OR REGIST
CITY PROCESSING #
I ' 0
'-1'-,
BUILDBR
)<
PLUMBBR
OTHBR
COMPANY
STATE CERT OR REGIST
~J:TY~CE~SING #
******~*~**~~~***********
COMP1\Ny SifY100 K~ '
STATE CERT OR REGIST #e, 0. r
CIT ROCESSING #
............ . .~~..~.......
,:
CONDITIONS OF PERMIT AFFIDAVIT
A.- NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restric~io~.~ which
may be more restrictive than City regulations. The undersigned assumes responsibility for
con~liance 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 SectionsN 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 GuideN prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~ownerN, I cerify that I
have obtained a copy of the above described docwment and promise in good faith to deliver
it to the ~ownerN 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 ~AN or ~A,etc.N, it is
understood that a drainage plan addressing a ~compensating volumeN 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 COMMENC ENTN.
acknowledged
19_
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
cknowledged
- .;2.a>....
, ~- <><-
(name of person acknowledged)
Dwho is personally known to me, or
or
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
-~-
and
Signature of person taking acknowledgement
Name typed, printed or stamped Name "';' :'........ :. ~ af~tN>i~=~s
i~~ February 22, 2004
'i;~.t~ KONDED THRU TROY FAIN INSURI\NC<. INC
.Q~,,11'"
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[VI d _n_.. ......1 :~.,-
6026 Gall Blvd.
Bealls Out t 1 (
l' "
t1 wi .5I~y~
SQ. FEET PRICE
MAIN OR LIVING: 15,375 $ 20.00
OTHER AREA UNDER ROOF: $ 15.00
OTHER: $ -
VALUATION $ 307,500,00
FEE SHEET $ 1,094.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 1,681.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 1,681.00
ELECTRICAL: $ 152.02
PLUMBING: $ 50.00
MECHANICAL: $ 435.00
RADON: $ 153.75
TOTAL $ 2,471.77
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
I
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WATER METERI $
IRRIGATION METER $
~ I
SUB-TOTAL $
2,471.77 I
SIPS:I $
97.5% $
2.5% $
T IF 'S r
99% $
1% $
I
- I
TOTAL: $
2,471.77 I
NOTICE OF COMMENCEMENT
PERMIT f\rJMBEA
j STATE OF FlORIDA
The UNDERSIGNED hereby gives notice that improvement will be made to certain real property
and In aCCOrdarr". WIth Chapter 113. FLORIDA STATUTES, the following Inforiliawn is pfO'licled
In IhIs Notice of Commencement
LEGAL DESCRIPTION (Must Include either lot. block. subdivision, orsecJion township. range)
Ze hr hills Colony CO Lands
PB 1 PG 55 That Part 0 rac s
113 & 128 Lying East of US 301
Desc as COM at SE COR of SECT
PARca 1.0. NUMBER 03-26-21-0010-12 0-0000
~~~~~~~~lW' 11111 II", "'I' "", "'" 11I11 "" ""
Repl: 589318
DS: 0.00
05/16/02
Ree: 6.00
IT: 0.00
--_ Dpty Clerk
JED PITT"AN PASCO COUNTY CLERk
05/16/02 12:3!pm 1 of 1
OR Bk 495\!J PG 116
OWNER INFORMATION
Gall Boulevard Lqnd Trust, Gus Saravanos &
NAME Dean Koutroumanis Co-Trustees 350 Harbor Passage, Clearwater, FL 33767-
ADDRESS
1811
INTEREST IN PROPERTY
NAME & ADDRESS OF FEE SIMPLE TiTlEHOLDER (if other than owner)
GENERAL DESCRIPTION OF IMPROVEMENT
Com lete interior and exterior remodel for multi-tenant buildi
..
.
Paul J. Sierra Construction, Inc.
CONTRACTOR
ADDRESS 912 w. Martin L. King Blvd., Tampa, FL 33 C
BOND AMOUNTS
NAME & ADDRESS OF SURETY
LENDING ORGANIZATION
(Name and Address ) ~
Persons within the State of Rorida. designated by owner upon who notices or other documents may be served es provided by SECTION 713.13 (1) (a) (7),
FlORIDA STATUTES. .
NAME _
ADDRESS
In addition to hImself, owner designates of
(Name)
to receive a copy of Uenor's as Provided In SECTION 713.13 (1) (b) FlORIDA STATUTES.
EXPIRATION DATE NOTICE OF cOMMENCEMENT
(Address)
Signature of Owner
Printed Name
rom date of recording, W1Iess specified)
STATE OF
The foregoing Instrument was acknOwledged before me this &-. day of
~
Is person~lIy kno to m or has produced
riOV' ~ d Cl.
CERTIFICATION
COUNTY OF
m0-:
~M 4 (1/98)
Cc:
Pns L 0
;::){~DJ- Cx:Cl(l 3. I(o\) +-fou~(in;
~_ ,b
~:~\I~f1~tg.~~/~gJ ( not) take an oath.
: :. ./"/ EXPIRES: October 31, 2003
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FIRE ALARM CONTROL PANEL
SMOKE DETECTOR
PULL STATION
CEILING MOUNT HORN/STROBE
HORN/STROBE
STROBE LIGHT
CEILING MOUNT STROBE LIGHT
GLASS BREAK
DOOR CONTACT
360' MOTION DETECTOR
KEYPAD
EXIT SIREN
FIRE ALARM LEGEND
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FIRE ALARM GENERAL NOTES:
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1. ALL FIRE ALARM EOUIPTMENT SHALL
MEET U.L., N.F.P.A., AND N.E.C.
SPECIFICATIONS FOR FIRE ALARM
SYSTEMS.
INSTALLATION OF ALL FIRE
EQUIPTMENT SHALL FOLLOW U.L.,
N.F.P.A., N.E.C., STATE, AND LOCAL
GUIDELINES AND CODES.
FIRE ALARM WIRING SHALL BE N,E.C.
TYPE FPL, FPLP, OR FPLR UNLESS
NOTED AS THHN OR TFFN. THHN AND
TFFN SHALL BE INSTALLED IN E.M.T.
FIRE ALARM WIRING SHALL BE: 14go.
FOR ALL INDICATING APPLIANCE
CIRCUTS, 18go FOR ALL INITIATING
DEVICE CIRCUTS, 14go FOR ALL
POWER CIRCUTS AND RELAYS, 18go
FOR ALL SUPPLEMENTAL DEVICES,
12go OR GREATER FOR 110VAC TO
FACP.
5. ALL FIRE ALARM EOUIPTMENT AND
ITS INSTALLATION SHALL MEET THE
AMERICAN WITH DISABILITIES ACT
OF 1990.
6. UNLESS OTHERWISE NOTED
MANUAL PULL STATIONS SHALL BE
MOUNTED AT 48" AFF,
NOTIFICATION APPLIANCES SHALL
BE MOUNTED BETWEEN 80" AFF
AND 96" AFF.
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REFERENCE DRAWiNGS
D,.yg File
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REVISIONS
No.
Dote Description
Stomp Area'
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ADT Security Services. Inc. / 5471 W W:aters Ave.
Systems Sales & Engineering Tampa, Ffonda 33634
318-806-7000
Drown By
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FIRE ALARM LEGEND
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FIRE ALARM CONTROL PANEL
SMOKE DETECTOR
PULL STATION
CEILING MOUNT HORN/STROBE
HORN/STROBE
STROBE LIGHT
CEILING MOUNT STROBE LIGHT
GLASS BREAK
DOOR CONTACT
360' MOTION DETECTOR
KEYPAD
EXIT SIREN
FIRE ALARM GENERAL NOTES:
1. ALL FIRE ALARM EOUIPTMENT SHALL
MEET U.L., N.F.PA, AND N.E.C.
SPECIFICATIONS FOR FIRE ALARM
SYSTEMS.
2. INSTALLATION OF ALL FIRE
EOUIPTMENT SHALL FOLLOW U.L.,
N,F.PA, N.E.C., STATE, AND LOCAL
GUIDELINES AND CODES.
3. FIRE ALARM WIRING SHALL BE N.E.C.
TYPE FPL, FPLP, OR FPLR UNLESS
NOTED AS THHN OR TFFN. THHN AND
TFFN SHALL BE INSfALLED IN E.M,T. .
4. FIRE ALARM WIRING SHALL BE: 14go.
FOR ALL INDfC\TING APPLIANCE
CIRCUTS, 18go FOR ALL INITIATING
DEVICE CIRCUTS, 14go FOR ALL
POWER CIRCUTS AND RELAYS, 1890
FOR ALL SUPPLEMENTAL DEV!CES,
12go OR GREATER FOR 110VAC TO
I'AC~,'.
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5. ~LL FIoRE ALARM EOUIPTMENT AND
ITS INSTALLATION'SHALL MEET THE
AMERICAN WITH DISABILITIES ACT
OF 1990.
6. UNLESS OTH~'~WISF. NOTED
MANU".. PULL'STATioNS SHALL BE
MOUNTED AT 48" AFF,
NOTIFICATION APPLIANCES SHALL
BE MOUNTED BETWEEN 80" AFF
AND 98" AFF.
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REFERENCE DRAWINGS
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REVISIONS
No. Dote Desr ~i ption
. .
'.
Stomp Area:
flieD / Fire &.
I Secuflty
AD T Security Services, Inc. / 5471 W Waters Ave.
Systems Sales & Engineering Tampa. Florida 33634
318-806-7000
Drown By Dote
Checked By D .,
!\eViSlon'
DWG. Fiie Nome:
Soles Corsul+.cnt:
Title:
Scole:
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