HomeMy WebLinkAbout03-1823
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1823
Date O? - ...5- 0 3
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
C;+1 of 2~pA1 r h;l(s
Job Address: to tl ~ ~...u-. s T
Parcell.D. # 02- 2(;, - 21-00~O -OOAOO - 0/2..3
Zoning: Energy Code: Radon Gas:
Descriotion of Work Ne.L.J ~1Jc..-tio..... ~ 2er~" ~;11 5
Property Owner:
Water Meter:
T.I.F.'s:
\.
7011~~ ckp1~.
FINAL
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.
Inspector
City license Registration #
State Certified license#
_-50 I t(
Permit Fee ~~
X Signature ~. ~- o/~ C/ r-:z
Company
Address
yrelephone# II /3, 7r7.... G 37l(
Valuation or
Contract Price
'-1<.l nC ~-r 0 V\
e.%l""~l~ '""[R; -(Ovv\t (lW-e.-ys S s. 'R~.5S ~
~ ;J8S'?'
ELECTRICAL PLUMBING
. rr'ocf t3!3 .
~' ~.~~. ~B
Rough In Tub Set
fl- tA1 Meter Can Water / ~,-:2<; 0' 0 -)
Const. Pole V,;J.;U;-p 3 t1fJo Sewer t/ (, .l.'; - L' 5
Pool (J Final
Pre-Meter r/;;j'5/~ 3 Ill'1
Final
it 30"\1
MECHANICAL
BUilDING
(DO/l..C'i/
Ftr. V ~-:2,f-03
Pre SlB
lintel 1/ !--I, /y -17?
FRM.
Insul. Cl
Wl
11:;'0
/.(.JV
Breakers
Ducts Insl.
Compressor
Final 1/
.
Drive~ay , . /7 _ )_/.;-_ 05 ;/.TO
L I ~l( .-ILL? ((.In.) ;1'v1,-t~. . ..-.r.~-- .
L . +- () 7) ..L /J / ) -/. / E'? J - ;).{) ~ [) '3 !t1-f- (tll(r K*
I", J"'-{ rc...~.o...{ (PH'" )/){03 R '
REINSPECTlON FEES: Wheh extra inspection trips are necessary due to anyone of the following reasons, a
charge of twenty-five and 00/100 Dollars ($25.00) shaH be made for each trip for each trade:
Wrong Address r;> l.2...f ~t') 3,1 5-:>- /(mJ &J~ )C:(
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.
3-(/"~3 r~/f~~jUy~ k. tfC'(rl/JO
3-/P(~1J3 ~1" flvJ'lAh '-<A1~t/d 1::;J~'<i - ~L1J-lif()
3"/3-03 '-~rwV'J uee:. ; r~~J ~ Iffo
3-/1-03 ,t;..fer ~6~ Ek~. ~ P/uJJ -6<70 .rRLY
~'1"'!~Cl3 5 ~- ?Ly (/-1100
/f-!((J-oj ~ - /-1:10
1-/-27-0} N~ W~- 6~
,~7-03 SJ,.,jt) FOR /YleZ2qlt(~ h{r(} ,//?C:y
5/2/-; - 5/ t9M>1w;;tw ? p~o- ~;f'L Y
S! ~g3 0e oeCl1'V1~. ;/C/o oL R L f'
~ ~ 9 - 03 /Ie &~ - /-100 if /?( 7'
7~ f~ 03 ;;o--re~ ~L- tj
'7- ICi- '05 footer /100 c:r P L'1
1 ~ 3/,g3 fc4J 5h ~;if;',) I/Jo
;?-13 ~b 3 5~h:';- 0/1 i Y '.- /'I','SO
o-tU-(J) ?~~ F~ ~o KLr I /,00; '36
g- dJ,,{J3 pvcT __ 'f(lGj 0- 4;yo
9- 1-tl] I(f) r~f ~12 Ke '(41'1/"'5 tv~f KCt; ~/Iuo
9-:2y-tJ] '/)ucT tJ~ /1/4 ~- /2CYo?#J6
1\ - 'SdJfL. ../1
!O-7-03 vue( 'sid", rrTD ct AC 7'
/tJ- ;l,;J-tJ3 J)vrnpsTer p~ '-. /100 cT I<L-y
/thJ9tl3 (~Y}'U"/~ C"",L/f ~ ~ ~~ ,fLy J /1:)0
1(-~,-f)3 ~. - Bf?) J-
(1-((1-03, /!hove ~() ~ RGf
ZEPHYRHILLS FIRE DEPARTMENT
38410 SIXTH AVE
PH. 813-780-0035 ZEPHYRHILLS, FL. 33540 FAX 813-780-0036
Business Name
......., -....
Owner/Iv(gr
Address
,---.-
...
Occupancy Load
Date Posted
Bus. Phone
"..'...~......-:
...." -'"
Emergency Phone
Contact Person
Alarm Company
Phone #
Type of Inspection Conducted
Annual _ Reinspect -...__9':J,cgterly~
" ,....---.
Final '... Commercial Check
'",:;.~-
Other
APPROVED .". ,NOT APPROVED
"'-_..~::::::::':::::.~:':::;""J'_~~ _
OK NOT OK OK NOT OK OK NOT OK
_ Exit Signs _ Fire Extinguishers -- HV AC Shutdown
_ Emergency Lights Smoke Detectors Smoke Doors
--
Heat Detectors - _ Alarm Systems -- Elevators
_ Sprinkler System _ Hood System -- ElectrIcal
Exi ts _ Storage _ _ Tamper Switch
Window Size Pressure Test _ Inspectors Test
Control Valves _ Fire Dampers _ _ Smoke SeparatIOn
_ Water Supply Fire Walls Extension Cords
--
Duct Detectors _ Address posted _ _ Tenant Separation
_ Exposures _ Hydrants -- Smoke E vac.
Code violations specified in this report, jf not corrected could cause or contribute to the spread of fire, or
prevent safe egress during a fire. Your immediate attention to the correction of these violations shaH be
required, failure to comply is a violation of the City of ZephyrhiJIs Fire Prevention Code.
Comments:'- ..,.- ...__ 4. .,.. .....:-::;v/...> . ,_ _,
_~.e,
.- .,~ .....
..!"'".
;";.>,-~<:I,,;..,,:::::;' ~"___
--'r---~'~~~.~
<"
r
.-,--
.C-_ ,:-.r
.',/-"/.....":r...
....,---'-----'.
w. .....
-,-'
Inspection Date
Inspectors Name
Time of Inspection
;.-. ...... Re-Inspection Date
Owners I Mgr Name-c~,,-:-,,-::-,
:: "" ...;
;:l"'......:..":.::~, ,_" _ _....._~
--'
Fire Department 1. 0.#
Title
This building has been assessed by the Zephyrhills Fire Department. Utilizing the Codes and Standards of. NFPA Minimum
Standards, the State Fire Marshals Uniform Fire Safety Rules and other local fire safety codes. Revised 08'1299
,.~~ -"'. ,-
White Copy - File
Yellow Copy - Business
lEsrIAB'Nc.
GEOTECHNICAL & MATERIALS
ENGINEERING, TESTING & INSPECTION
Bill Burgess
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33540-4312
Attention: Mr. Bill Burgess
Subject: Zephyrhills Police Station, Structural Steel Inspection
Date: 08/15/03
File No. TL-8557
Report NO.1
Gentlemen,
Our Mr. Cecil Thorpe was at the project site to inspect the erection of the structural steel. The
tollowings items were noted on this date.
I was observed that the beam on D line from .05 to 1.5 does not have the web plates shown on
detail U sheet S1.3/S4.1. This was shown to the contractor who indicated the web plates would
be added.
The balance of the structural steel was found to meet the drawing and specifications
requirements. The welding was tound to meet the quality requirements of the A WS D 1.1 code.
The bolting was found to meet the requirements of the AISC code.
Inspection time: 4 hours
Sincerely,
Test Lab, Inc.
cI;
~. C ~^';JL'--
f J. Cecil Thorpe
A WS CWI No. 84090021
cc: Harvard Jolly Clees Tappe Architects
p,o. BOX 15732. TAMPA, FLORIDA 33684 . PHONE (813) 872-7821
/lltvf!/(/L \
Michael A. Robinson, P .E.
Florida Registration No. 28317
04/28/2003 13:07 FAX 7278940502
~ARVARD .JOLLY
I4J 001
CF
CABANA AND FERNANDEZ STRUCTURAL CONSULTANTS, P.A.
April 24, 2003
Post-it" Fax Note 7671
To ~JJR12 .(3,4tf.!KG:!<
Co.lDepl. fJr?I,N..;~-rLJ,J
Phone #
Co,
Phone tJ
Mr. Phil Roach
HARVARD, JOLLY, CLEES, TOPPE ARCHITECTS
2714 9TH STREET NORTH
ST. PETERSBURG, FL 33704
Fax 1/
Fax #
RE : ZEPHYRHILLS POLICE ST AnON
CF # : A0060,OO
H~~~~~OAJOLLYCLEES
.. RCHITECT~
Dear Phil:
This is to verifY that we will not object if the Contractor pours the concrete columns in small lifts as long as the
reinforcement is either continuous, or a proper lap length is provided. By "proper" lap length, it is meant a lap
according to the following:
# 5 36"
# 6 43"
# 7 63"
Sincerely
UCTURAL CONSULTANTS, P.A.
2701 N. HIMES AVENUE · SUITE 103 · TAMPA, FL 33607.2100 . PHONE (813) 876-7739 . FAX (813) 876-6585
~f~
,~
CONCRETE STRENGTH TEST
(ASTM C 39 - 6" X 12" CYLINDERS)
1eST Ia!i! INt:
GEOTECHNICAL & MATERIALS
ENGINEERING, TESTING & INSPECTION
P.Q, BOX 15732' TAMPA, FLORIDA 33684. 813/872-7821
PROJECT: Zephyrhills Police Station
DATE:
April 9,2003
PROJECT NO:
TL-8557
CLIEl\TT:
Princeton Construction Company, Inc,
LAB NO:
65886
SAMPLING DATA
LOCATION OF CONCRETE:
Slab on Grade - 5' E, and 10' S. of'!\i"W corner of building
SAMPLED:
DATE:
TIME:
BY:
4/02/03
9:15 a.m,
KJ - Test Lab, Inc.
BATCH TICKET INFORMATIOl'\
SLUMP: '7
INCHES
TRUCK NO:
TICKET NO:
PLANT:
STRENGTH:
MIX:
CUBIC YARDS:
TIME BA TCHED:
6479
23404042
RMC Ewell #234
3000 psi
95605
10
TEMPERATURE: AIR:
MIX:
47 of
70 of
AIR CONTEI'IT:
5:34 a.m
0/0
WATER ADDED:
(AT JOB SITE)
DA TE RECEIVED AT LABORATORY:
GALS/
10
CY
4/Q3/03
TEST DATA
SET
NO.
4- A
B
C
D
: AGEl: DATE i CURING i
i (days) ,TESTED I METHOD I
. 7 i 4/09 I Fl
I I
I 4/30 I FL
II 4/30 I FL
I FL
I I
I I
I I
I I
i I
i
TOTAL
LOAD (lbs,)
91.500
DIAMETERI AREA
I
(in.) i (sq, in,)
5,99 28,1/
STRENGTH: TYPE
I
(psi) I FAILURE
3250 SH
28
28
R
REPORTS TO:
Princeton Construction Company. Inc.
Ann: Mr. Larry Barker
(2)
CURING: L-LAB: A-AIR: F-FIELD:
FL-FIELD & LAB: U-UNKNOWN
TYPE OF FAILURE: SH-SHEAR: SC-SHEAR CONE
SP-SPLIT: "-OTHER
ak/65886.4
J~1ILL
\ TEST LAB, INC.
'E&r -JAB INr-
GEOl'ECHNlCAL & MATERIALS
ENGINEERING, lESllNG & INSPEGTlON
P.o. BOX 15732. TAMPA, FLORIDA 3368<4. 813/872-7821
CONCRETE STRENGTH TEST
(ASTM C 39 - 6" X 12" CYLINDERS)
PROJECT: Zephyrhills Police Station
DATE:
PROJECT NO:
CLIEl'l:
Princeton Construction Company, Inc.
LAB NO:
65887
SAMPLING DATA
LOCATION OF CONCRETE:
Slab on Grade - 100' E, and 30' S, of!\.TVv' comer of building
SAMPLED:
DATE:
TIME:
BY:
4/02/03
7:00 a.In.
K] - Test Lab, Inc.
BATCH TICKET INFORMATION
TRUCK NO:
TICKET NO:
PL~l\'T:
STRENGTII:
MIX:
CUBIC YARDS:
TIME BA TCHED:
TEMPERATURE: AIR:
MIX:
56 OF
69 OF
SLUMP: 7-114
INCHES
AIR CONTENT:
0/0
WATER ADDED:
(AT JOB SITE)
DA TE RECEIVED AT LABORATORY:
5
GALS/
5
CY
4/03/03
TEST DATA
SET
NO.
5- A
B
C
D
! AGE I DA TE I CURING I
! (days) : TESTED I METHOD i
I ..., I 4/09 i FL !
I I
4/30 FL I
4/30 FL I
FL I
i
I
i
I
i
AREA
(sq, in,)
28,17
TOTAL
LOAD (lbs,)
85.000
28
28
R
!DIAMETERl
i ., i
: (ill,) :
I - 99 I
I)' i
I I
I !
i I
! I
I i
April 9, 2003
1L-8557
6569
'!3404049
RMC Ewell #234
3000 psi
95605
10
6:42 a,m.
I STRENGTH
I (psi)
! 3020
TI'PE
F AlLURE
SH
REPORTS TO:
Princeton Construction Company, Inc.
Aim: Mr, laITY Barker
(2)
CURlNG: L-LAB: A,AIR: F-FIELD:
FL-FIELD & LAB: U-UNKNOWN
TYPE OF FAILURE: SH-SHEAR: SC-SHEAR CONE
SP-SPLIT: *-OTHER
t/~fI/ ~
TEST LAB, INC.
ak/65887 ,5
'E&r JAB tNe.
GEOTECHNICAL & MATERIALS
ENGINEERING, TESllNG & INSPECllON
P.O BOX 15732. TAMPA, FL.ORlDA 33684. 813/872,7821
CONCRETE STRENGTH TEST
(ASTM C 39 - 6" X 12" CYLINDERS)
PROJECT: Zephyrhills Police Station
DATE:
April 9, 2003
PROJECT NO:
TI.-8557
CLIENT:
Princeton Construction Company, Inc.
LAB NO:
65888
SAMPLING DATA
LOCATION OF CONCRETE:
Slab on Grade - 60' S. and 20' W. ofNE comer of building
SAMPLED:
DATE:
TIME:
BY:
4/02/03
8:10 a.m,
KJ - Test Lab, Inc.
BATCH TICKET INFORMATIOl"
TEMPERATURE: AIR:
MIX:
65 of
70 of
TRUCK NO:
TICKET NO:
PLANT:
STRENGTH:
MIX:
CUBIC YARDS:
TIME BATCHED:
6242
23404057
RMC Ewell #234
3000 psi
95605
10
7:36 a.m.
SLUMP: 7-1/4
INCHES
AIR CONTENT:
(II
/l>
WATER ADDED:
(AT JOB SITE)
DATE RECEIVED AT LABORATORY:
GALS/
]0
Cy
4/03/03
TEST DATA
SET
NO,
6- A
B
C
D
AGE t DATE
I (days) ! TESTED
"7 4/09
28 4/30
28 4/30
R
CURING i
METHOD i
FL
FL
FL
FL
TOTAL
LOAD (lbs,)
81.500
IDIAMETER! AREA STRENGTH TYPE
i (in. ) I (sq, in,) FAILURE i
(PSI)
5.99 28,]7 2890 SH
REPORTS TO:
Princeton Construction Company, Inc.
Ann: M~. Larry Barker
(2)
CURlNG: L-LAB: A-AIR: F-FIELD:
FL-FIELD & LAB: U-UNKNOWN
TYPE OF FAILURE: SH-SHEAR: SC-SHEAR CONE
SP-SPLIT: ..OTHER
ak/65888.6
;J~t1{~.
1E&r JAB INe:
GEOTECHMCAL & MAlERIALS
ENGINEERING, TESTING & INSPECTION
p,O, BOX 15732' TAMPA, FLORIDA 33684. 8131172.7821
CONCRETE STRENGTH TEST
(ASTM C 39 - 6" X 12" CYLINDERS)
PROJECT: Zephyrhills Police Station
CLIENT:
DATE:
April 9,2003
PROJECT NO:
TL-8557
Princeton Construction Company, Inc.
LAB NO:
65889
SAMPLING DATA
SAMPLED:
LOCATION OF CONCRETE:
Slab on Grade - 70' S, and 10' E, ofNW corner of building
DATE:
TIME:
BY:
4/02/03
8:38 a.m,
KJ - Test Lab, Inc.
BATCH TICKET INFORMATION
TRUCK NO:
TICKET NO:
PLA1\"T:
STRENGm:
MIX:
CUBIC YARDS:
TIME BATCHED:
6575
23404060
RMC Ewell #234
3000 psi
95605
10
8:03 a.m,
TEMPERATURE: AIR:
MIX:
68 OF
70 OF
SLUMP: 9-1/2
INCHES
AIR CONTENT:
WATER ADDED:
(AT JOB SITE)
DATE RECEIVED AT LABORATORY:
0'
10
GALS/
10
Cy
4/03/03
TEST DATA
SET
NO
7- A
B
C
D
! AGE: DATE i CUlliNG i
i (days) I TESTED I METHOD!
!.., 4/09 FL
I
I 28 4/30 FL
/' 28 4/30 FL
R FL
I
I
I
I
I
j
STRENGTH, TYPE
(psi) iF AlLURE
2360 SH
TOTAL
LOAD (lbs.)
66.500
IDIAMETER AREA
I (m' ,) . ( I
. sq. in,
5.99 28.17
REPORTS TO:
Princeton Construction Company. Inc.
Ann: Mr. Larry Barker
ak/65889,-;-
(2)
CURING: L-LAB: A-AIR: F-FIELD:
FL-FIELD & LAB: U-UNKNO\.VN
TYPE OF FAILURE: SH-SHEAR: SC-SHEAR CON:::
SP-SPLIT: *-OTHER
~~!!/N~
04/09/2003 16,: 48 .FAX ..
Iii
HARVARD
JOLLY
CLEES
TOPPE
ARCHITECTS. P.A.
A I A
80Ud 01
DIr~C'IOrlJ
It. 'aha CJees. NA
~I!.CoIobla. NA
MIch.... 1(, Ilar1. NA
~ ,. HIFY....' -
Airvw.. M. Helser, NA
AI.nchw 6. Jolly. AIIIr.
'0IIftft A. Sh"....h.n. AlA
1oeodtM 1l1lll>,., NA
2714 Ninth SL N.
51, Petersburg, fl
3370~
727/896 4611
/VIo. COOOI19
III 001/001
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PROJECT NAME:
2e:.PIoo'1lft.1J lLt,{ f..l....l.b
~iP {,1 t,l t"1
OWNER'S PROJECT NO.:
HJC1' PROJECT NO.: 605'1S
COMMENTS:
As ~ 'D1S'L.NS~ ~.,- ;;.~ ..)$81'1 ~
Th~ G.MV 1\ \viti" W,,1.U l, pr "'nl1!i:-
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FAX: 127/8940502
fmmuu.
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CLEES
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ARCHITECTS, P.A.
A I A
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3 3 70.4
n7/896 4611
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~""fL~lUA'
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HJeT PROJECT NO.:
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COMMENTS:
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FAX: 727/894 0502
Feb 27 03 05:17p
~2/27/2B03 1~:q0 8138766585
p.2
PAGE: el2
Fax Memo
CABANA AND FERNANDEZ STRUCTURAL CONSULTANTS, P.A.
2701 NOAtw HI..Es SUITE 103, l'A.MPA FL :J3807 - 87&-7138 FAX: '?a-esa5 R
FROM: Jorge Fernendez PROJECT: .2iit..p,l'l)'"/(.IfI', .t:.-~...s- , t!!>L'
TO: /I../CT.. PR~ECTNO.: , /. .
ATTE~ON: ~/" /C~,4-C// DATE: ~/~ /0 ~ PAGE: ~//
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FAX COVER SHEET
Princeton Construction Co., Inc
1801 nODotosassa Road
Pla.t City, Fl33566
(813) 757-6374 Fax # (813) 754-7622
~~ANY ~ ;\~,~ ~~-\-
,,~~
ATTENTION:
FROM: LARRy BARKER
DA1'E: ~ -~\-~
FAXt#
T
Total .amber of pages including Cover: ~ _
~\~ "-n~
~\. (\1'" <5~..
,~
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b'L~~ ~_, c..ov\d
. Com.ments:
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LJ .Q,.c' Ll r .l"UIUU d::i .l:J HaU1,l '1' AP P LICA'.l'10N
EU!.l,IlHW )JBPAR'l'MElN'1' 5335 8th STRIll/!J'l' ZlIlPIIYRHII,I,S, Fl, 3'3540
Phon. t 813 - " 8 () .. 0 () 2 () F Em I a 13 .. 780.. () ():11
DA'rIlJ RIIOUVIllD ---2=3~:.J2~,
PLANS RRVIBW FBI
, OWNER' 8 liAr1. c...~A/ ~h..'"'f'\";'\'-~---,__",_,__ PIlON8 CON'~~::L'39 ~CJ
JOB SI'l'E ADDRBlSS ~...\..\~,~~:s.-\:.... -;:::~~~h'-~'7~"_'____"_u,_,___"_"_,,_,,,, ,. ,,,
StJBDIVISION .___..__...______._.'_''.'..
I,EGAL DHlEH.1RlP'l'lOllr LOT (S)
------.-
BLOCK
P ARCer, In II C> -:L ~Io- d-.\ - <> C'tO- <:> <:> ~ 0 <:> _ C> \d-~ I08TAIN "RON PRO P ERn '~":~..'::':-:':'.'~),
WORK PROPSIllD I ~'lEW CONS'rRtJc'rrOl~ CJ ADDITION [)AUl'ERATION [) REPAIR I] INSTAl,!,
[JSlGN [J HOVE [J LlEltllOLISIl
PROPOSED {JSE, [JSGT. F'AMH,Y D\~EI,LJNG
~!(j1'1M!IlRCIAll
D. RBlS1'AURAHT & HEAL.'l'H DIllPAR'l'MBlN'l' APPROVAL,
088"'RIP'1'10N OF "01<' '~_c"o"~\..,=-=-~~~~~\~_~'-_.___
OlvllJL'fI - FAMILY
0# OF' UNITS
LI t1(l8 II.Hl IIUIIfJ:
rJ <J'/'IlER
[J INDUSTRIAl,
OSI'lU1MINfJ poor,
BIlII.DING S J ZHl
-_.~------~------_.-
SQUARE FOOTJ\r1B:
RHl8 r:/JAJ~.J'l'IAT.:
Cm1~lEJR(JI/\JJ ,
----....------
IIEWIIT
A'l"l'ACH (;6) PLO'l' PLANS & (:2) SETS OF BUUJnI~lt~ PJ,ANS & (.I) Sill'!' ENHlRGY F(JR~18,
A'l"J'ACII (3) SETS OF BUIJ,lJllm PLANS & (1) 8ElT FJNERGY FOR/viS.
PRUPERTY SURVEY RE~~IJIRED F'OR AL.I, NBlW CONSTRtJC'I'ION.
--_.__.-.._,.~--, <.
~RMIr~~mQQ~STED
o SlllLIlII.lG
$
-----...
VAl,lJATIOH OF TOTAL. COUS'l'RUCTION
[] EJLEJC'l'RWAL
..--...----
Ar-1P SERVICE]
LJ
F'T,ORIDA pm~B:R
D
W.R.E.t!.
[) PI,W-1B JNG
[J [vlEJCIIAIHCATJ
$._----
- VArJUATION OF' M.I!lCIIANCIAf, INST1\I.I,1\'l'ION
[J (11\8
[J ROOF IN<3
['J SPECIAUI'Y
IJ OTHER
'I'YJ:lE: OF' CONSTRUC'l'lON I IJ BLOCK
(J FRAHEl
[J STEWl,
[] OTIIER
1" 1111 811EIJ P'I l)Un B1I.B:VA'l'IONS
-------
IS PRO,JECT IN FLOOD ZOUE AREACI YIiIS
[J NO
BUU,JJBR ~
8H3N1\'l'UREl _~__~~
-
COMPANY ~~ '~~Q.s:::::-.~~~~~s:o.
STATE CEllT OR RBlGIS'l' II C"-!.~______"_'::':\__
CITY PROCBlSSING 1L____._____,_______._____..,
******************************************A***********************
lllI.,lllC'l'RICIAN
Slmm'J'tJREl S'e9- 0 '>
- . r- c---'tf--~
CO/vi PAN Y ___'_'_..,.._,___..,_,____.__.._,__,__ ,
STATHl CElR'I' OR REGlS'!' #
ClTY PROCBJSSING # '1---'- g -..P'--'-'-____n., ..,.
--~-~...._------,-----".._., ,
'****'****'**'**'*********A*"*A**"*"*,**,,*,*******A*'********,
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'LUM.e. ~~~,~:N~;~':-;~"~~~~~~'%I . .
SlGNA'/'lJRIll su... 3 r<.j p~ CITY PRClCIllS8JN<3 II :2 tift)
--'----,- .~-----_..-'- ..---::.1....,_......__.._,_..__._.,___,_..,__,
Fo<:; :,:-X'h-l.""V ...,"'~.i...,..,,",..,. ,1-0,..,..... ~..,...," ',,-! "0 '
.HIl!HANI(!AI. COMPJ\Ny~a\~ ~'-~ ~~~~~_
S1'A TE CERT OR REr; /ST H ~d..?f!..L~ R ;3., ~.._~_, __
8JGtlJ\TtJRlD ~ .__'..____, CITY PRO(,ESSIW~ ~-3fL1J__....__,___.. ,_u,__
*'****'*'****'****'*********"********'*'*"******'**************
O'l'HBlR
---------
CO~IPANY _____,__,_,,_,P,__..,
S'I'A'l'E CERT OR Rmars'J' '1#'-
Clrl'Y PROCESSING # ----.-----__._.______..._.
S IGNA'l'IJRE
'*"*'***'***"***********'**********'********"****'*****'******
---~----_._-.... ------.....-..-..--
/.. II'}I I ,ii, \;1' j;II<I';11 HI!:,'::i'J'IUC'J'jOHS
'1'111:; lI11derslVlleu 1llldel.'stands that: thJs permIt may be sllojeut t:o "deed u:lsl:rlct\l)\lS" \/1l1cll
lila,V be IIICHe restllcLJve l:han CJty L'egulations. The undel:s.lgned aSSllllltHI 1'6spons1.hlltl:y ":01
cOlllp.1 lance III t:.h flny app1.tcable deed res\:r:1.cl:j,ons.
B, IJIH.JCHiNSI!:!1 CON'j'H1\C'I'OHB AND COI'/'l'RAI':'l'OR RESPONSIBIl.I'I'IJ!iS
If the Ulmer has Idr.ed a cOIII:r.actor: or oontractoLs to Ilndertake H(>1:k, they may be requ:1 red
1:0 be IJcellsed 111 auuordallce I-Il!:)) state and local. J:891l1atJ0I18. If t.he contractor 1s not
l.1.oensed as relpllL'ed by laH, both the ol-mer and oontractor Inay be oIt:ed for a lid sdsInsano..
vlulation 1111 dell: state la\L If the Ol'lner or i.ntended oontractor ar.e l\llCe.rta:l.n as \:c} Hhat:
I :\.uensj Ilyrel}\d.rclllellts llIay apply for the intended \wrkl they are advised to CJontact: the
c:lt:y of Zephyt:ld lIs Bul.ldlng Department, 013-'/86."661l.
F'ut'Lllerllloi:e, If the OHller haa hired a contractor or contr.actors, lie is advtsed to have the
cJcmtrac;Lor(s) siyn portions of l:he "Contractor Sections" of tills app,U.aatlon for Hldoh they
.Ill I be respol\sible, If }'DIlI as the O\.mer signs as the oontractor, you are lndtoat1ng thar.
you, ra\:her than the contractor, ar.e responsible for the work. If the contrilClt:or \-/.Ishes
ynll 1:0 s.lyn as oOlltr.actot that Illay be an indlcation that he 1.5 nol: pJ;oper1y l.icensed and .Is
liot: entll:led to penllit:ting ptivileges 1n the City of ::',ephyr:ldlls.
c. 'l'R/\I.IBl'OH'j'NJ' [ON U1PAC'1' FEES AND U'j'ILITY CONHEC'I'ION /l'EES
n. COHS'J'RIJC'{,lJION I,IEH lJ\W (CHAPTER '713, FI.ORIDA S'l'A'I'lJ'I'E,'3, AS AHIr.NllED)
I cel:t! fy that: I, the appllcant, have been provided Hlth a copy of "Jl'lod.da's Constt'lwU.on
1 j en l,al/ .' lIollleol-mer's Protection Guide" prepared by the J!'.lorida DepaJ7tment: of Agr:lclll,l:.\u:e
and COIIBlIlI\er JU:faJr's. If the applJcant is someone other that the "OI'lller", I cEntfy that I
Ilave obta.illed a copy of the above desoribed document: and promise in good faJth to del.iver
1. t to the "oHnel:" llr.1.or to l10l1lffiencelllell t.
E:. CON'I'HJ\C'j'OH' S/OWNIl:fI' B 1\Ii'I!'!flAVI'l'
I oertlfy thai: aLl. the informatJon in tlds applicatJon :La accnrate and t.hal; all Horle \"1.11.1
be dOlle .1.11 compU,allce u1.th all applJaable laws reglllatlng const.rIlCltion, zon.1.ng, alld land
development:.
Appl.l.oal..lon .is hereby made to obtaln a permJt \:0 do wode and l.nstallat.1.on as 1.lId:lo8ted. I
cerU f\' thaI: no Hode or 1n8tal1a1.:10n has oommenced pr.io,r to lSSltallC8 uf a penn1.L alld thaI:
a] 1 V1ot:k wll I be pel:formed to lIIeet standards of all laws reglllat1.ng OOllstUlCItJonl City
()odes, zonJng reynlal:lontl, and land development'reglllatJons 1.n the jllJ:.lsdlatJon. '( alsn
ce.rl:l fy 1:I1aLI IlIlder:st;and thaI: the l:egulatJons of other governlllental agencd.es may apply (:0
the Jllt:endecl v/Cnk, and that 1t is my responsibility to 1dentlfy v/hat: aut.1 OilS I lllllst Lab. Lo
be ill cOlllpJ Lanoe. SlIch agencles Jnclude bllt are not limited to l *Department: of
H:IIVi ronmen I: a 1 Heg uJa l: 101l'-Cypl:ess Bayheads, We tland 1\l:eafil and n:n vJ l:OIlr1l6nt.a 1.1 y SensJ 1:.'1. VEl
Lands, Wa Le r'/Was Lel~a \:er 'Jlr ea tment
*S~)lIthHes\: F'l.od,da Water Nanagement IHstr.tct-Wells, Cypress Bayheads, Wetland Al:eaa,
AIted,lIg WatercOlIl:ses
* 1\rlUY Co rpil of mug! i1eer:s-BeaHalls, flocks, NavJ.gable Wa terways
"')lepar:tmenl: of Ilea 1 tll & Rehab1..Utative Services, J!:nv1.ronmantal Health lInJt-Wells,
WasteHater 'j'raatmeu1:, Bept.lc Tanka
"'u. s. e:llvJl:ol'llnental E'1:otec:t:1011 Agency-Asbestos abatemeut '
'[ also cet\::! f.y that, Jf fLU l1IaterJa1 Js to be used 1n Ii'lood Zone "A" or "A,el:c:.", it :Is
understood Lhat a dra1.nage plan addreasing a "ooll\pensaU.ng VOllHne" Hlll be suhm1.t:t:ed I'IId.ch
Js pl:ep~t:ed by a professional eng.l.neel:' r'eg.1.ste1:t~d in the state of l!'lor1.da prJo[' 1:0 pet:lld,t
iSsl18nue.
A pe1:1IIJt j fislIed sha 11 be (Joilstrued to be a license to proceed Hith the Hark and not as
authod Ly t.o vlolate, canuel, alter, or set aside any provisions of the teohnlcaJ. oodes,
nor shall iss\1allce of a permtt: prevent: the BlIJldJng Official from thereafter re'1u1r1119 a
correuU,ulI of el'.l:ora ln plans, aonstrllol:ion, or viol.ations of any oode. Everv perm.l.t;
i6s\1ed shall bS{Jome invalj,d unless the work allthor:ized by auah perm1 t 113 aOJlllllenueri w.1 Ud II
Sill m011ths of 18l3llanoe, or if \'I01:k allthod.zed by Lhe permlt 1s suspended or abandoned for a
pad.od uf sl)( mOIlUls after the t:1.me the work is commenced. One 90 day eJetens1011 of tlllle
lIIay be a1 LlJl-led fat: tile permi.t \'lith fef$ charge of $15.00. '{'he e)(t811s10n I!lhal.l be u~qllesl:ed
III \'Il:iting 1:0 the BuJldJ,ng OffiGial. An approved inspection mllst; be logged d\l!::! ng each sla
month period, cn: the project \oIJ11 be cOllsldered abandoned.
W1\Rl'lJIW 'I'() OWN lUll I YOUR H'Alr.unE '1'0 RJiJCORD A. NO'1'ICE OF COMMENCIDMf!:t~'1' MAY HffiS\JJ/l' IN YOIII\
PIIYTtH. 'l'WICli: Imp. H1l:'ROVEHEN'I'S '1'0 YOUR PROI?JiJR'rY. IE' YOU I1I'l'EHD '1'0 OB'I'/UN If'JNAIIClIH3, CONSIIL'I'
WITH YO\lIl l.H:lllJF.:H UH AN A'I"l'()RHJl~Y BElroRI!~ RECORDING ymm NOTICE Olr COl'1MENCH:ME!',II'J'. ,fOas 1JHlllf,H
$:2, 50 U III VALlJ Ii: DO 110'1' N I!:ED '1'0 RECOHD AND POS'l' 1\ "NO'l'I Chi Oh" COHMENCEMli:tl'j'".
~~~-----_.
SWN1\'j'IIHE: I CON'l'R1\.C'I'OH
~,
..._------~_...--_..._" ._~..._---- '.--..-.--- ....-- . .--....------.--......---...-.--..--.-
SIGIIA'l'Un!!:l
OWNER (lI\ AI;EtI'l'
S'J'A'l' iiI 0 Ii' Ii' j ,oRI I)A
COIIN'!'Y Oli' ,__,_____ ....,_______.___,__,_
'J'be toregoJng l.11strlllnellt: VlflS ackllovlledged
BeEol:8 me \:Ida _""'_'.'_ day of..,___,____,_., l!t._
by _,..,_.__ ,.. ____...__._._._'."________.__.__.._._____._,.
(nflme of persoll aolmowledged)
[] I-Iho is personaLly klloHn to 1IIe, or
[] Hha has p I:odlloed______.____..___
(type of identification)
and whol] cUd []dJd not taJ;e an oath.
._~----_._-----_.._----------_._----_._------_.._._--
Signature of person tak.t.ng acknoHledgement.
_..._-~,..,-...._-__.______.__. 0.- .__..._._._.__.____..__._.......____..____..
Nallle typed, pdnted ox: stamIled
- _....:: I ',,'.'
.tl:..; '_'.~ ,k \)
S'l'A'I'E: Ol!' IT'LORIIJl\ <t"'t
COUN'I'Y Ob" .-'l:.~~c:L...,_._~__,__....._,_...._
'l'he foregolng 1.11Sl:rl.11ll6nl: Has aoJOJol-/ledysd ~
Bafo~ ~_\s,lay 1}.f~--_;-+9-~ ~
by '._,____. ~ ~,._~~_"_____.
(name of person acknowledged)
[hho is pel'sanally Imown to me, or
lJ Itlho has Pr.OdIlOl\tcl_,...,__.____,____,.._.,..,
(type of Jdellt1.fJ,:at:l.cnl)
and Hllo Ddld ~Ud not talee an oath
~~..'~-,----_._---,_._-,_..
SJ.gnature of persoll tak.Lng aCkllPHledgrnellt I
~ .. ~~.._-----,--,.._,--,_..
f~I~~lIil(~ty~~ct'INA.. -- or a l:amped
!:.; , 1< ~y CO~MI SION 1/ DO 080623
Ii ~ EXPIRES: December 26,2005
" '<<" 0'" Bondod Thru Budget Notaty Services
.--- -------..--+-- .. - -~-~
-~_...~.......- .. ..
.-- -- ~_-'.._'.._r....._...~.
...
'/ L' LH!,.t;" n:t. rttu, 111.t:l .1:' Ha~M.l '1' APPl.d:CATION
BUH,IlHW /J.B:PAR'nlI!1N'r 5335 sth STRllll!J'L' Z!IIPJlYRHII,I,S, Fl. 31540
Phone.813-'lSO-0020 Fa,cI813-780,-0021
IlA'fH RHOHIVBJD ---.._"'__h__, _.,.,
PLANS RHVIBW FHH
I OWN.IlJR I B l'IM1Bl
--..---.----.-.--.--....------
PHONE CONTACT
JOB SI'l'm ADDRESS
-----..-___.._h. .'._
------
._._---..-._---_._.-----_...__._---~ .------.-----..- '-_. --...-
I,SlGAL DllIBC'RIP'!'IOH I LOT (8)
BLOCK
SUBDIVISION
PARcmL ID jl
------
WORK PROPSBlD I 0 HBlW (!ONS'fRtJC'rION
(OBTAIN F'ROM PROPERTY TAlC NO'I'lCHi)
[] ADDITION
-----.-.-------.--
[) A Ul' liJ RAT ION
[] REPAIR
IJ !H8'1'Af,l,
CJSlGN
fJ NOVE
[] LJEtJIOLISII
PROPOSBlU IJSIl: I [JSG!., FAMIl,y DWEIJLING
OlvllJL'rI - F'AMtJ..Y
0# 011' UN1'1'S
LI t10BH,Hl HUT/Hi:
[J (!Of.1MBlRCIAl,
[] INDUSTRIAl.,
OSWIf.1MIN(~ poor,
IJ O'T'llBlR
0, RESTAURANT & HEAL'l'H DBJPAR'!'MENT APPROVAl,
DESCRIPTION OF WORK
-------
M_____.__.____..._._.___.._______._______.___
BlJn,DING SIZID
--.--------.-
SQUARE FOOTA(~E
RillS I1JJllU'l'I AI, :
G'or..,~lBlRCIl\J, I
---....-----
IIBlIl.3I1T
A'!"l'1\CH (:d) PL.OT PLANS & (:2) SETS OF BUIlJnlNt~ PI,J\N8 & (1) SET ElNERGt' P'(JR~18,
ATTACH (3) 8ElTS OF BUIf,Ullm PLANS & (l) 8ElT ENERGY FORMS.
PRuPERTY SURVEY REQUIRED F'OR M,l, NBlW CONSTRUCTION.
_._-_.-..__._~--..
flRMIT~RiQUmSTED
o BllJ:LIllNG
$---
VALUATION OF TOTJ\l. conS'l'RUCTION
Ll Ell,EC1'RlCAl,
M____
AMP 8ERVICBI
LJ
F'I,ORIDA pm~ER
[]
\'l.R.B1.t!.
[) Pl,UMBING
[] IvIECHAIHC1\L
$..-
VAr~UATION OF' MECHANCIAIJ IN8TAI/f,A'l'ION
LJ (~A8
U RUOF 1N(3
1:1 SPECIAUl'Y
IJ OTHER
'I'Y~BJ OF CONS'l'RUC'l'ION I I.J BLOCK
(J FRANE
C) 8TEBllJ
[J OTHER
FllHSIIED F'I,c)UH Ell,EVA'!'JON8
-------
IS PROJECT IN FLOOD ZONm AREArJ YES
CI NO
Burr,rlBR
------..-
------.--
COMPANY _..___ _.__.
STATE CElHT OR RBKHS'!' It _____'_____...,_..,...__
CI'fY PROCSlBSINr1 1L___._________,_____..,.
SWNI\'l'URIll
B1LBC'l'RWIAN /J
// -
./
***************"*******'**'****"'*'***'******'*****'**"
8 [ C~NA'I'IJ R Ell
~/
PLUMSBJR
-----------
COr1PANY--___,_________...________"..,._h. ...
STATE CERT OR RBlGIS'I' # _ _'_..h_._...._,_.._
CITY PROCESSIN(} It
8 WNATl1RllJ
MI:ICHANIC1AI.
********'****~**********'***********************************"****
----..------.---.-----...--..--,..
---
COMPJ~NY ___,_,_..
STATE CBlRT OR RBJC.HST II ____________.,_,_,__,...._...
C11~ PROCESSING #
SlmU~'l'{JRBI
*************'*.*'*'****'***************"**"****************'**
-----------.- --
O'l'HBlR
CO~IPANY
S'I'A'l'Bl CBlRT OR RBlGfST'1r
CITY PROCESSING # -'---._____.___.__..,_.
SIGNATURE
**************************'*******************************'******
--~-----.....__.._..-..
". II,)) Il.ll, \)l! lJ/~;H;JJ HJi:S'l'HlC'I'jOI'IS
'1'116 lI11ders.l Ylled IlndeJ:stands that: t.his permit Illay be slIbjeut to "deed res I:]:! ntl <lns" \of/Il.ch
IiIClY be IiIDJ:e J:esl:rJc\;Jve than CJ.tYt'eg111atiolls. 'J'he unders.l gned assumes respolls.1.bJ ru:y ['o!.
cOlllpl lance Id tll any appl.icable deed l:estr\.cL:j,ona.
B, llNJ,](;H:NSl!:ll (;ON'l'H1\C'l'OHS AND COI'/'1'HAC'l'OR RESPUNSIBIl,I'l'IEiF.l
If tile DlmeJ: lias IIIr.ed a cOlltr.actoJ.: OJ.: contractot's to undertake I,wrk, l:lIey llIay be reCJll:l red
to be IJct:msEld JII auuordallo8 vl1tll state and local J:egulatJolls. If t.he contractor.ls nol:
1.I,oellsed as J.:ecJlIl.t'ed by .la~/, both tile ol.mer and contracl:or may be oJ. led for a lid ademeanor
violation Hudel: state laH. If the o'o[ner or lntended contractor ar:e IIllGerta:l.n as tc> Hila!:
I :l.c:ellsJ Ilyrecpd.tewent's way apply for the int.ended Iwrk, they are advised to oontact the
CJt:y of Zephyr:ld lIs Bul.ldlng Department, 013-rI66~'6611.
!i'urLhElrllloJ.:El, if the OHller has hlred a contractor or contraators, he 1s advisllld to have the
cOlltractor (s) sJgn portions of the "Contractor Sections" of tlds app,lj,aat10n tor vlh.ich they
HUl be I:tlsponsible, If you, as the m.mer signs as the oontractor, you are indicaU,ng thar_
you, l:al:her than the contractor, are responsible for the work. If the contrilClI.:or vl,I8hes
you to s.1 \:Ill as cOlltractor that may be an indJ.cat1on that he 1s not: p1;operly 11cElIISed and 1 s
lIol: F.II1l:Jl:led to peulIU:ting privileges 1n the City of 2,ephyrhi.lls.
C. 'l'RJ\HSJ:>OH'l'lI.'l'TON IHPAC'l' FEES AND U'l'ILITY COHHEC'I'ION Jj'EES
n. COHS'I'RllC'l'llJON LIEN LAW ICIIAP'l'ER '713, Ii'IIORIUA S'l'A'l'U'l'ES, AS AHENllED)
I certj ty that: I, the appli.callt, have been provided \-lith a copy of "Il'lod,da' oS Constructj,oll
1 Jen l.all .. lIollleo\mer's Protection Gu1de" prepared by the B'lorida Depa,I7tlllent of Agr..l.ClIl,l:.la'e
and ConsulI\er. 1\1:1:a11'8. If the appllcant is someone other that the "ovUler", I nacl.fy that 1
Ilave obtaJned a oopy of the above desar1bed aomunent: and promise 11'1 good faith to del.iver
i.t to t.he "owner" pr.l.or to conunencelllent.
E:. CON'I'IlJ\C'I'OHI S/OWNIHl' S 1\F/!'IDAVl'i'
J oert.ify thaI: all the information in thls applinatJ.on:l.a accurate and thaI: all Hork l'I.l:\.l
be dOlle .\.11 compl:l.allce I..,Uh all appllaab.le laws reglllatJllg aonatruot:l.on, 2\on1ng, and land
developmenl: .
ApplloaL.lolI ts hereby made to obtaJn a permit to do wode and lnstal.1.atj,oH as llldloated. I
cerU f\, thaI: no work or .lnstal.latioll has aommenoed prJo.17 to issllallCJe of a perlllll'. and thaI:
all vlor!c \111 I be performed to lIleet sl:andar.ds of all laws regUlating oonstulCtiolll Cl ty
codes, zonJng regulal:lons, and land development -regl\lations 1.n the jtlr:.1.scUctjon. I also
cert! fy tltal:I undersl:and that the J:eglllatJons of other govet:mllen~al agene1es may apply to
the Jll\:endecl I-unk, and that 1t is my responsibility to ldentlfy \'Ihat: autJons I IIIUst take t:o
be in COIllp.U,C\noe. SlIoh agencies include bllt are 1I0t limi.ted to I *Department: of
1l:I\v!. rOlllllen \:a 1 Hegula t!.on-CYP1:esl3 Bayheads, Wetland AJ:eas and Jr.nvJ.ronmental.1 y Sensl U, Va
I,Clnds, WCl tar/Was tewa I:er 'l'rea tment
'AS~)lIthHesl; l!'I,oJ:1da Water Management U1strlct-Wells, Cypress Bayheads, Wetland Areas,
l\lted,lIg WatercOlll:sel3
~l~l:llIY Corps of EllIgjlleelJ:s-BeaHalls, fJocksl Navi.gable Waterways
"'IJepar:tlllenL of lIeall:h & RehabLIJta\:lve Services, n:nvlronlllental Health Unit-Wells,
Wast.ewater. '1'J:eatm6I1tl Sept.lc 'ranks
"'11,.':3, E:llvJ tOl'llnental I?roleCJtioll Agency-ASbestos abatement
1 al fiO (lEl t,l;.l fy tha t., 1 f fLU mater1al J8 to be used 1n Inood Zone "A" or "A, ate. ", :l t j s
1l11(lersl;ood Lhat a dralnage plan addreSSing a "GolllpensaLlng volllme" vltll be submttted \'Ih1GII
ls p);ep~ red by a professional eng:\.lIeel: reg.1.stered in the State of f!'lod,da prj,Ot' 1:0 pet:/llLt:
.issllalloe.
1\ peuuJt jsslled shall be CallS trued to be a li.cellse to proceed Hith the work and not as
authorjLy to vJ.olate, cancel, alter, or set: aside any provisions of the teohllJoal nodes,
nor shall isslIallce of a perrotl: prevent: the BuJlcUng Offloial from thereafter reqlllr:tllg a
con:eoUoH of errors i.n plans, construotion, or violations of any code. IIlverv perm!.t
isslIed shall baoome invali.d unless the work authorized by such permit 1s COllllllenaed wJl:ld n
fli)l IIl'HlLhs of iSSlIl:lllOe, or. Jf Hork authorJzed by the permJt J.8 s\lspended or aballdolledf.o!: a
pedod of sb, mOllths after the tll1le the work is commenced. One 90 day elctensioll of tl1l1e
lIIay be allo\-led for. Llle permi.t \1ith fep charge of $15.00. 'l'he e1ttens.ton shaLl be .requested
In \/1.'1 t:illg Lo the BlllldJ,ng Offic:ial. An appr.oved inspection IUust: be logged dud ng each f:l.ll'
month ped.od, or: the project \..,1.11 be cOllsi,dered abandolled.
Wl\RIHIW '1'0 OWl/mHI YOUR ll'AlJ.UHE '1'0 RfiJCORD A NO'l'ICH: Of!' COMHIr.NCIr.Mlla~'1' MAY HffiSmil' TN YO(J!\
1:'1\l'HI13 'l'WICIi: lI'OIl IMI?ROVEHEN'1'S '1'0 YOUR PHOPgR'l'Y. IE' YOU Ill'rEND '1'0 OB'1'1~rN f!'IHAIWIW3, COIHlllJ.'I'
WITH YOIIH I,rulllJElH OH AN A'l"l'()RNJl~Y Bl!lll'ORI!: RECORDING YOlm NOTICE OF COHMU:NCHlMEH'J'. ,roBS IJlWIf.H
$:2, 500UI VALlIli: DO NO'l' HIl:ED '1'0 RECOIW AND 1:'08'1' A "NO'l'ICE: (W CONMENCEMEN'I"'.
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State of Florida
CITY OF ZEPHYRHILLS
Pasco County
DISBURSEMENT REQUEST - REFUNDS & MISCELLANEOUS PAYMENTS
Date: February 11. 2003
TO: Accounting
From: Zephyrhills Police Department
(Department)
Ll ~V?
.r'
AMOUNT: ~162.39 '/~j7
'j
PAYABLE TO: CITY OF ZEPHYRHILLS
VENDOR #:
REASON FOR PAYMENT: Fee for Radon Gas testing at new police facility
JV f ~~-iJI ~~ ~
-I\~./~'/
/1 ti ~ /
/iI
CHARGE TO ACCOUNT #: 01-521-620
RequestedapJ~d/~ aJ.//-CJ3
( , ature) n ~ J
Approved By:- ," f-" j} ,
(SignatlJfe) /;J~t . t \. /j /."') )
pr7 1",1 '. \ ~ vL
ACCOUNTING USE ONLY: J~ r i'rev / P If / }{tL
tA tt/IJ ,ill,or tV) 1)./ t~ jp ~
~~:c~~~e: I tI' _/' r' '} D c,~ ~ AS' /It ,cr' ill@
;, t~t IV,{; 1,; J'
. Jf1c . ~.c1*"{ j(!v& ~ l-1 IJ};\ j;4t
11 (/./(, \ ,lA f'" 0
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p
PC)UCli- 11ZY'f"
CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A _ WORKSHEET
). #395/RESOlUTIONS 312/372 WATER $1.75 GAL. SEWER $6.39/GAL
.ESIDENTIAl (Each lot or Unit)
Residence $ 350.00 $ 1,278.00
Travel Trailer Park $ 131.25 $ 479.25
COMMERCIAL (Per fixture)
Sinks $ 87.50 $ 319.50
Water Closet $ 131.25 $ 479.25
' Urinal $ 87.50 $ 319.50
Lavatory $ 43.75 $ 159.75
Tub/Shower $ 87.50 $ 319.50
Washing Machine-Commercial Size $ 350.00 $ 1,278.00
Washing Machine-Domestic Size $ 87.50 $ 319.50
Dishwasher-Limited Use $ 87.50 $ 319.50
Food Service-Dishwasher $ 700.00 $ 2,556.00
Sinks (3-Compartment) $ 175.00 $ 639.00
Car Wash (Per Stall) $ 1,000.00 $ 6,390.00
~
<4/ fo 2. . '!:fi
SINKS 50 3 $ 262.50 $ 958.50 $ 1,221.00
WATER CLOSETS 75 15 $ 1,96B.75 $ 7,188.75 $ 9,157.50
URINALS 50 2 $ 175.00 $ 639.00 $ 814.00
LAVATORIES 25 11 $ 481.25 $ 1,757.25 $ 2,238.50
TUB/SHOWERS 50 3 $ 262.50 $ 958.50 $ 1,221.00
WASH. MACH. COMM. 560 $ - $ - $ -
WASH. MACH DOM. 200 $ - $ - $ -
DISHWASHER COMM. 400 $ - $ - $ -
DISHWASHER LIMITED USE 60 $ - $ - $ -
sINKS-3 COMPARTMENT 100 $ - $ - $ -
CAR WASH PER/STALL 1000 $ - $ - $ -
IRRIGATION METER / .,,/~/
SUB-TOTAL $ 3,150.00 $11,502.00 $ 14,652.00
.3 ~WATER METER 3. S;t~,,{)
I~IRRIGATION METER ':,r.- _'"'
fTftf'i &lS IRRIGATION CONNECTION FEE
GRAND TOTAL $ /8. .If :l~. t'J/?
FIXTURE
G.P.D.
#
WATER
SSWER TOTAlPERF~TURE
."/'
V
1/30/2003
~',~.'~
~/:r ( l)~~
. ~-,,-, ~~'; S
~ .....:--
I C)U~ nF-Y I.
CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
ORD. #3951RESOlUTIONS 312/372 WATER $1.75 GAL. SEWER $6.39/GAL
RESIDENTIAL (Each lot or Unit)
Residence $ 350.00 $ 1,278.00
Travel Trailer Park $ 131 .25 $ 479.25
COMMERCIAL (Per fixture)
,
Sinks $ 87,50 $ 319.50
Water Closet $ 131.25 $ 479.25
Urinal $ 87.50 $ 319.50
Lavatory $ 43.75 $ 159.75
Tub/Shower $ 87.50 $ 319.50
Washing Machine-Commercial Size $ 350.00 $ 1,278.00
Washing Machine-Domestic Size $ 87.50 $ 319.50
Dishwasher-Limited Use $ 87.50 $ 319.50
Food Service-Dishwasher $ 700.00 $ 2,556.00
Sinks (3-Compartment) $ 175.00 $ 639.00
Car Wash (Per Stall) $ 1,000.00 $ 6,390.00
K
4/'02. , ::fi
SINKS 50 3 $ 262.50 $ 958.50 $ 1,221.00
WATER CLOSETS 75 15 $ 1,968.75 $ 7,188.75 $ 9,157.50
URINALS 50 2 $ 175.00 $ 639.00 $ 814.00
LAVATORIES 25 11 $ 481.25 $ 1,757.25 $ 2,238.50
TUB/SHOWERS 50 3 $ 262.50 $ 958.50 $ 1,221.00
WASH. MACH. COMM. 560 $ - $ - $ -
WASH. MACH DOM. 200 $ - $ - $ -
DISHWASHER COMM. 400 $ - $ - $ -
DISHWASHER LIMITED USE 60 $ - $ - $ -
SINKS-3 COMPARTMENT 100 $ - $ - $ -
CAR WASH PER/STALL 1000 $ - $ - $ -
IRRIGA TJON METER
SUB-TOTAL $ 3,150.00 $ 11,502.00 $ 14,652.00
.3 ~WATER METER :3 S::it.L(.oo
1 ~IRRIGA TJON METER .:<S c.7..,(:? C'
ft}))~ &1S IRRIGATION CONNECTION FEE
GRAND TOTAL $ /8 I-f:lb. /Jt']
,
FIXTURE
G.P.D.
#
WATER
S8NER TOTAlPERF~TURE
1/30/2003
Ronnie E. Duncan
Chair, Pinellas
Thomas G. Dabney, II
Vice Chair, Sarasota
Heidi B. McCr_
Secretary, Hillsborough
Watson L. Haynes, II
Treasurer, Pinellas
Edward W. Chance
Manatee
Monroe "AI" Coogler
Citrus
Maggie N. Dominguez
Hillsborough
Pamela L. Fentress
Highlands
Ronald C. Johnson
Polk
Janet D. Kovach
Hillsborough
John K. Renke, III
Pasco
E. D. "Sonny" Vergara
Executive Director
Gene A. Heath
Assistant Executive Director
William s. Bllenky
General Counsel
Protecting '(our
Water Resources
Southwest Florida
Water Management District
~"
2379 Broad Street, Brooksville, Florida 34604,6899
(352) 796,7211 or 1,800,423,1476 (FL only)
SUNCOM 628-4150 TOD only 1,800,231,6103 (FL only)
On the Internet at: WaterMatters.org
Tampa Service Office
7601 Highway 301 North
Tampa, Florida 33637,6759
(813) 985,7481 or
1,800-836,0797 (FL only)
SUNCOM 578,2070
Bartow Service Office
170 Century Boulevard
Bartow, Florida 33830,7700
(863) 534,1448 or
1,800-492,7862 (FL only)
SUNCOM 572,6200
Sarasota Service Office
6750 Fruitville Road
Sarasota, Florida 34240,9711
(941) 377,3722 or
1,800,320,3503 (FL only)
SUNCOM 531,6900
Lecanto Service Office
3600 West Sovereign Path
Suite 226
Lecanto, Florida 34461,8070
(352) 527,8131
SUNCOM 6673271
January 27,2003
Rick Moore
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542-4312
Subject: Notice of Final Agency Action for Approval
ERP General for Minor Systems
Permit No: 46024478.000
Project Name: City of Zephyrhills - Zephyrhills Police Station
County: Pasco
Sec/Twp/Rge: 2/26S/21 E
Dear Mr. Moore:
This letter constitutes notice of Final Agency Action for approval of the permit application
referenced above, Final approval is contingent upon no objection to the District's action being
received by the District within the time frames described below.
You or any person whose substantial interests are affected by the District's action regarding
a permit may request an administrative hearing in accordance with Sections 120.569 and
120.57, F.S., and Chapter 28-106, Florida Administrative Code (FAC.), of the Uniform Rules
of Procedure. A request for hearing must: (1) explain how the substantial interests of each
person requesting the hearing wi/l be affected by the District's action, or proposed action, (2)
state all material facts disputed by the person requesting the hearing or state that there are no
disputed facts, and (3) otherwise comply with Chapter 28-106, F.A.C. Copies of Sections
28-106.201 and 28-106.301, FAC. are enclosed for your reference. A request for hearing
must be filed with (received by) the Agency Clerk of the District at the District's Brooksville
address within 21 days of receipt of this notice. Receipt is deemed to be the fifth day after the
date on which this notice is deposited in the United States mail. Failure to file a request for
hearing within this time period shall constitute a waiver of any right you or such person may
have to request a hearing under Sections 120.569 and 120.57, F.S. Mediation pursuant to
Section 120.573, F.S., to settle an administrative dispute regarding the District's action in this
matter is not available prior to the filing of a request for hearing.
Enclosed is a "Noticing Packet" that provides information regarding the District Rule
400-1.1010, FAC., which addresses the notification of persons whose substantial interests
may be affected by the District's action in this matter. The packet contains guidelines on how
to provide notice of the District's action, and a notice that you may use.
The enclosed approved construction plans are part of the permit, and construction must be in
accordance with these plans.
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Parcel Information for: 02-26-21-0080-00AOO-0123 Card: 001
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Welcome : Record Search: Parcel detail
Parcel 10 02-26-21-0080-o0AOO-0123 (Card: 1 of 1)
Classification 00 - Vacant Residential
Mailing Address Assessment (totals)
CITY OF ZEPHYRHILLS Ag Land -
(Q {( t 55a&8TH ST Land $53,526
ZEPHYRHILLS, FL 335424312 Building $0
Physical Address Extra Features $0
1"E!9.cM..Qesgjpticm (First 4 Lines) Total Assessment $53,526
TYSON SUB PB 4 PG 109 PORTION Save Our Homes $0
OF TRACT A DESC AS COM SE COR Taxable Value $0
OF SW1/4 OF SECTION 2 TH S89DG
30' 52"W ALG SOUTH BOY OF
Land Detail (Card: 1 of 1)
I Line " Use 1 Description II Zoning I Units II Type I Price Cond I Value I
01 II 0100 ~FI3 ffR3 I .50 II AC 120,500. 1.00 I $10,2501
02 ~ SF8 OR3 I 1.50 II AC 120,500.00 0.85 $26,138
03 SF,R 00R3 I 1.52 II AC 1120,500.001 0.55 I $17,138
Additional Land Information
I Acres II 3,52 II Tax Area II 30ZH " Fema Code 10 Res Code II1?:HN.S2
Building Information
Unimproved Parcel 00
I Extra Features I
I No Extra Features I
i Sales History I
Previous Owner II --
Year I Month II Book / Page I Type Amount
2001 I 08 II 4Q~4L0762 I WD $70,000
Searcll Again ShowMap Building Schematic Unavailable CalclJ1(lteTaxes
~ee Tax Collectorl nformation - Current/Delinquent Taxes
http://appraiser.pascogov.com!searchlparce1.asp?sec=02&twn=26&mg=21&sbb=0080&b1. .. 1/28/2003
WARNING TO OWNER: UNDER FLORIDA LAW, YOUR FAILURE TO MAKE SURE THAT WE ARE
PAID MAY RESULT IN A LIEN AGAINST YOUR PROPERTY AND YOUR PAYING TWICE.
TO AVOID A LIEN AND PAYING TWICE, YOU MUST 08T AIN A WRITTEN RELEASE FROM US EVERY
TIME YOU PAY YOUR CONTRACTOR.
FEBRUARY 3, 2003
NOTICE TO OWNER /
NOTICE TO CONTRACTOR
71079B57603005274B30
71079857603005274830_ 5274854
To: (Owner)
71079857603005274830
CITY OF ZEPHYRHILLS
5335 8TH ST
ZEPHYRHILLS FL 33542
The undersigned hereby informs you that he or she has furnished or is furnishing services or materials as follows:
ELECTRICAL
for the improvements of real property identified as ZEPHYRHILLS, FLORIDA, "ZEPHYRHILLS POLICE FACILITY /
HJCT COMM NUMBER 00535", PASCO COUNTY, FLORIDA.
under an order given by TRI COUNTY POWER SYSTEMS INC.
Florida law prescribes the serving of this notice and restricts your rights to make payments under your contract in accordance with
Section 713.06, Florida Statutes. In the event that the contract for improvement is bonded pursuant to Section 255.05 or
Section 713.23, Florida Statutes Title 40 D.S.C. Section 270, or any other form of bond, the undersigned intends to look to that
bond for protection and payment. The undersigned requests a copy of the payment bond and a copy of any direct contracts pertaining
to the improvements for this project and agrees to pay reasonable copy costs for such copy.
IMPORTANT INFORMATION FOR YOUR PROTECTION
Under Florida's laws, those who work on your property or provide materials and are not paid, have a right to enforce their claim for payment
against your property. This claim is known as a construction lien.
If your contractor fails to pay subcontractors or material suppliers or neglects to make other legally required payments, the people who are
owed money may look to your property for payment, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL.
PROTECT YOURSELF:
--RECOGNIZE that this Notice to Owner may result in a lien against your property unless all those supplying a Notice to Owner have been paid.
--LEARN more about the Construction Lien Law, Chapter 713, Part I, Florida Statutes, and the meaning of this notice by contacting an attorney or
the Florida Deparment of Business and Professional Regulation.
71079857603005274854
(GEN CONTR)
PRINCETON CONSTRUCTION COMPANY INC
1801 THONOTOSASSA RD
PLANT CITY FL 33563
By:
COPIES TO:
(Under an order given by)
TRI COUNTY POWER SYSTEMS INC
3520 66TH AVE N
PINELLAS PARK FL 33781
TRI COUNTY POWER SYSTEM INC
ATTN: DELLA SAVAGE
3520 66TH AVENUE NORTH
PINELLAS PARK FL 33781
(REF #: 1018)
71079857603005274847
(BOND)
OHIO CASUALTY INSURANCE COMPANY
136 N THIRD ST
HAMILTON OH 45025
TRI COUNTY POWER SYSTEM INC
ATTN,DELLASAVAGE
3520 66TH A VENUE NORTH
PINELLAS PARK FL 33781
I 1111 111111
Address Service Requested
7107 9857 6030 0527 4830
(Ref:1018)
CITY OF ZEPHYRHILLS
5335 8TH ST
ZEPHYRHILLS FL 33S42
WHAT IS A NOTICE TO OWNER?
You have just received a Notice to Owner from NACM Services Corporation. Perhaps you are
asking these questions... what is a Notice to Owner, and why was I sent this document? Those
are both good questions. This short summary will attempt to answer them.
Florida Law prescribes that anyone who supplies labor, services or material to your contractor
on your construction job must send you a Notice to Owner. The Notice to Owner is not a lien on
your property. It does NOT mean that your contractor has failed to the pay the company who
has given this notice. It merely informs you that the company identified in the Notice to Owner is
on your job and gives you a general description of the type of materials they are supplying or the
type of work that they will be performing.
Before paying your contractor, you must make sure that the person who has given this Notice
to Owner has been paid by the contractor. You do this by getting a lien waiver from the person
identified in the Notice to Owner (Lienor's Name and address).
If you have a construction lender and the lender is paying the contractor directly, the lender is
responsible for getting the necessary lien waivers. You may wish to check with your lender to
verify that they will be managing these documents in connection with each payment to the
contractor.
This is a very general description of the owner's obligation under the Construction Lien Law.
If you are in doubt as to your rights or duties under the lien law, you should consult an attorney.
.--....
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CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
ORD. #395/RESOLUTIONS 312/372 WATER $1.75 GAL. SEWER $6.39/GAl
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $ 1,278.00
Travel Trailer Park $ 131,25 $ 479.25
COMMERCIAL (Per fixture)
Sinks $ 87.50 $ 319.50
Water Closet $ 131.25 $ 479.25
Urinal $ 87,50 $ 319.50
Lavatory $ 43.75 $ 159.75
Tub/Shower $ 87,50 $ 319.50
Washing Machine-Commercial Size $ 350.00 $ 1,278.00
Washing Machine-Domestic Size $ 87.50 $ 319.50
Dishwasher-Limited Use $ 87.50 $ 319.50
Food Service-Dishwasher $ 700.00 $ 2,556.00
Sinks (3-Compartment) $ 175.00 $ 639.00
Car Wash (Per Stall) $ 1,000.00 $ 6,390.00
K
1$/1-' . ~q
,'VL- ,.
SINKS 50 3 $ 262.50 $ 958.50 $ 1,221.00
WATER CLOSETS 75 15 $ 1,968.75 $ 7,188.75 $ 9,157.50
URINALS 50 2 $ 175.00 $ 639.00 $ 814.00
LAVATORIES 25 11 $ 481.25 $ 1,757.25 $ 2,238.50
TUB/SHOWERS 50 3 $ 262.50 $ 958.50 $ 1,221.00
WASH. MACH. COMM. 560 $ - $ - $ -
WASH. MACH DOM. 200 $ - $ - $ -
DISHWASHER COMM. 400 $ - $ - $ -
DISHWASHER LIMITED USE 60 $ - $ - $ -
sINKS-3 COMPARTMENT 100 $ - $ - $ -
CAR WASH PERlST ALL 1000 $ - $ - $ -
IRRIGATION METER
SUB-TOTAL $ 3,150.00 $11,502.00 $ 14,652.00
WATER METER ?
w
IRRIGATION METER :..-'
fhJ:~ (...,,~S IRRIGATION CONNECTION FEE
'--..l !
I GRAND TOTAL $ 14,652.00
FIXTURE
G.P.D.
#
WATER
SEWER TOTAL PER FIXTURE
1/30/2003
04/21l/2003 13: 07 F,U 7278940502
HARVARD .JOLLY
I4J 00 1
CF
CABANA AND FERNANDEZ STRUCTURAL CONSULTANTS, P.A.
April 24, 2003
Post-it- Fax Note 7671
To ~.4/212t 43.4IZKG:Je
CO.lDepr.. Prr /,#'.:;G: -r a ,../
Phone #
Co.
Phone /I
Mr. Phil Roach
HARVARD, JOLLY, GLEES, TOPPE ARCHITECTS
27149TH STREET NORTH
ST. PETERSBURG, FL 33704
Fax #
Fax #
RE : ZEPHYRHlLLS POLICE STATION
CF # : A0060.00
HARVARD JOU Y CLE:
TOPPEARCHfTECnfS
Dear Phil:
This is to verity that we will not object if the Contractor pours the concrete columns in small lifts as long as the
reinforcement is either continuous, or a proper lap length is provided. By "proper" lap length, it is meant a lap
according to the following:
# 5 36"
If 6 43"
# 7 63"
Sincerely
UCTURAL CONSULTANTS, P.A
2701 N. HIMES AVENUE · SUITE 103 . TAMPA, FL 33607-2100 . PHONE (813) 876-n:J9 . FAX (813) 876-6585
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STOKES STEEL TRUSS stSTEMS
5060 110th Avenue North
Clearwater, Florida 33781
Telephone (727) 561-9062 Fax (727) 561~9~13
SHEET
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Bearing 3",5.511,811
O.H.
4101'
Revision
(J) 3-25-03
2 4-16-03
3 4-29-03
(4) 5-15-03
Job Number : (02-12061) R4-12061
Pitch :
4/12
Roof Material:
Tic Live 20 psf Tic Dead 10 psf
BIC Live 0 psf B/c Dead 10 psf
Customer :
PRINCETON CONSTRUCTION
CITY OF ZEPHYRHILLS
POLICE STATION
Job Name :
Job Address :
Date :
Scale :
2-24-03
1/811::11 011