HomeMy WebLinkAbout03-2059
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2059
30,000.00
5/08/2003
1,286.65
1,286.65 L
5/08/2003 Phone:
INTERIOR BUILD OUT FOR PHARMACY
1:,",,'2
i
ress: ALL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-09600-0030
iri....l~rUlrlilll!!i::!I!i' !i!llli!II!,:llllll1111Iil'lii,! "iiil
Name: CORREIA REVOCABLE TRUST
Address: 6244 GALL BLVD.
ZEPHYRHILLS, FL. 33542
ermit urn er:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
205
COMMERCIAL
ADD/AL T COMMERCIAL
COMMERCIAL
PLANS REVIEW FEE
WATER CONNECTION COMMERC
MECHANICAL FEE
TRAFFIC IMPACT FEE 99%
ELECTRICAL FEE
PLUMBING FEE
ADDRESS
TRAFFIC IMPACT FEE 1%
i1 ~1'1 t1
., $"- '"I _0 3 'I H .
PRE-SLAB CONSTRUCTION POLE ! 2ND ROUGH PLUMB L/S ~7 -0 3 ! DUCTS INSULATED l" ..> - '} . (7:5
LINTEL I PRE-METER &16 - ~ -/) ~ 1+00 i WATER : FINAL MECHANICAL
FRAME 1/5'-';-03 MISC ; SEWER ' MISC
INSULATION WALL MISC I MISC. I MISC.
INSULATION CEILING I MISC. MISC. MISC.
DRIVEWAY i MISC. I MISC. I FIRE DEPT. FINAL
-REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
"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."
Complete Plans, Specifications and Fee MusfAccompany Application.
All work shall be performed in accordance with City Codes and Ordinances
, NO O-CCUPANCy'BEFORE C.O.
c/ jy ~~
AJ~~;;;~- -~M!OFFI~
::-- / CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUIllDING IHIlI?ARTMElN'l' 5336 8th B'rRElBl'I' ZEPHYRHILl,S, P'L 33540
I?honeI813-780-0,020 F&'<:1813-780-0021 ;J. '...h.'-." '. '.
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PI,T\Ne Rmvnw Jl'BIll.'-'.'_.,",____ "
CMIIER ( S lJA~1El____S9_~~,~_~~~~,~~~~ ___~~____ PHONE c()N'r1\C~'!'._~:_.LJ9-::L.
,T08 S I'rE ADlJREl88u__~~d___~~~ _._:B,~ ~__.. ---_______,_,_u,..__, _______, u _"...
LE1(mL DElSCRTPTIU!1: LO'r(8)
B U)(! K
SUBIJlV I S ION
PARCEl, In # -,-~::_JJe_:-~. L~Cili'Q.,::..Q9.-'aro~JL__..~,:)~~[ N_._F'R(~~..:~~~~~R'~.~_'l~~~._~~~?~I_~~_~....
~WRR PROP8EDl [JNElN CONSTRUCTION 'RlADlJ IT ION DALTERATION [] RHlPAIR LJ INSTA!,!,
[) 8 mil
[) MOVE:
[) DEMOLISH
PRt)!,108EIl USE I lJSGlL FAfvlILY DWEIJI,H1G
[]~1U1,'l'I.. FAMn,y
L1# OF UI11'1'8
[] SN H1~ifING POOTJ
IJ MOBII,El llot1El
~OHMElR(!JAI,
[J INDUSTRIAT,
U OTIIER
C::J REJ8TAIJRANT & IlEAl,TIl DEPAR'1't1EN'I' APPROVAL
IlEJSCRIPTION OF NORK ___~~ _~_~~ ~.. ~~~'\...,YY)~c.~__,_____,_...._____.________,__ ',u__._____
Bun.nrNt3 SIZE --_'__u-.__.__ SQUARE FOOTAGE --,-li\.~~~_ IIE1TGflT -,-__J..Q~_._____
RB:BIDEN'1'IAJJ I
(;OI\1MElRt!IAJ. :
AT'r1\CH (2) PLOT PT~A1l8 & (2) SETS OF BUIl ,DING PLANS & (1) SEl'f ElNElRl3Y FORMS,
A'I"l;A(~H (3) SEl'I'S OF BU1LDING PLANS & (1) SET ElNElRny FORMS,
PROP~RTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
FERMITS REQUESTED
[] BllJr.I.JIW~
IJ EJIJElC'I'Rl (JAI,
[] PI ,tJt<1BING
[J 1,1EI(.!H1\.N n!ATJ
$ ___.__~ Dbl) ~
VAl,uATION OF TOTAL COHSTRUCTION
--.____________ M<1P ~ERVICEl
~ F{,()RIDA POWER
[] W. R . E , (l ,
$,..uh._---'--_______ VALUATION OF' t-1ECHANCIAr, UIS'I'AI,lJATTON
f] (~A8
[) ROUFINt~
[J SPEJC!!AUry
[I OTHER
TYPE OP' COH8'l'RtJCTION: l>.?:Q BLOCK
FINI8HEIJ Fr,oOR ElI,EVATIONS
o FRANE
[) STEElT,
[] OTHER
18 PROcTElC'I' IN FLOOD ZONEl AREA 0 YES
[) Nt)
au I U>IllR
"tallATUR. -"b~~-~--:~-~
COt1 P 1\ N Y _.c_~~.r ~~ -CO.Q?-!.;..,__u__ '.., ._________,_
STATE! CElR'I' OR RElGIS'!' # .-C:A~=~.QZ-?J3_9_.._,~____
CITY PROCESSING tt__.-_;3-Q~_..___u_..________.__,
*****~********k**************~************************************
COl1PANY -~~~~~~.._,_~ret,~__..,,_ '__...__
STATE CERT OR REGIST <<
CITY PROCElSSINlJ #
'-________,..__" _n_.". ._..._____ __..._ ..~. .. _ __ _. _..
._u.___ ..____ ._. '_'___r_..__ ~,_... _~___,._~.._~..._.__,_
**~*****~***************************************
PJJUMBER
__~_.~._____.#_..M..~__.....___... _.~______.____.___~__
(~m'l PAN Y ----------,.____________,____ ...____.,__ .._.__ ___"
STATE: CERT OR REGIST # ______"__ '______._,_,_.___
CITY PROCESSING #
8 WHA'l'tJREJ
--------_._--..__.~_._--~-_..- -_._-- ----.-.- --------- .---.
MBl(!HANICAJ,
**'**'***"*****************************************************'*
_.__.~---_._------.."._----~_._---"...__.._~----
colvl P ANY ________,________ _, .._._ . __,_,__ _ _..._..
STA'rE ('ElRT OR REGIS'r #
CITY PROCElSSIHG #
---- -.------.-.----- .~----~-_.._._._.__._-_.
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---------..-----------------..----- . ---'-~--.
*~************************************~********************'~****
OTUBlR
-._----~~--_._------
(Jot,1PANY
-----------~ --- . --- - --- -. .-. ~ --
STATE CElRT OR REGrST #
CITY PROCESSING #
-----~ -~ ._-~------_._-~---.- - --
._4___..____~___._~______.._______~_____
SWI1A'l'URE
***********************************************************~'****
---~-.._.......------,-._-_.__.--._,......-_._---
CONDI'rIONS OF PERM!'l' AFFIDAVIT
A. NOT~CE OF DEED RESTRICTIONS
The undersigned understands thqt thia plarmit may be subject to "deed restrictions" which
rnCiY be more restri eti ve than Ci ty regulations. The undersigned assumes responsibili. ty for
oompliCinoe with any applicable deed restrictions.
B. UlnICENSED C:ON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBILI'l'IES
I f the O\vner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordarlce with state and local regulations. If the contractor is not
Ii cellsed CIS required by law, both the ovmer and contractor may be ci ted for a Ildsderneclllor
violati on under :otate lenl. I t the oWller' or intended contractor are uncertain as to Vlhat
licensing requirementl:l may apply for the intended work, they are advil:led to contact the
City of Zephyr-hills Building Department, 813-766-6611.
FurtherlnO!:e, if the ovme!: has hired a contractor or contractors, he is advised to have the
contraator(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as tile contractor, YQ4 are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wislles
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting pri v.1.leges in the City of Zephyrhl11s.
c. 'l'RANSPOR'l'A'I'ION IMPAC'l' li'EES AND U'l'ILl'I'Y CONNECTION )fEES
D. CONS'l'RllCTUION LIEN LM~ (CllAprpER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, tile 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 appl.1.cant is someone other that the "owner", I cerify that I
Ilave obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CON'PRAC'l'OR' S/OWNER' S AFFIDAVI'I'
I certify that all the information in this application is accurate arid that all work will
be done in compliance with all appllcable laws regul ating constt'llction, zoning, and land
development.
Application is hereby made to obtain a permi.t to do work and installation as indicated. I
certify that no work or installation has conunenced prior to iSl>uance of a permi t 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 j\lr!sdiction. 1 also
certify th~t I understand that the regulations of otller 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 tal ....Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
....SouthweBt Florida Water Management District-Wells, Cypress Bayheads, WetJand Areas,
Altering Watercourses
*Anny Corps of Engineers--Seawal.ls, Docks, Navigable Waterways
*lJepartlllent 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
author! tY to violate, cancel, alter, or set aside any provisions of tile 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 oode. Every permit
issued shall become invalid unless the work authorized by such permit is cOlluenced within
six months of issuance, or if work authorized by the permi.t .1.5 suspended or abandoned for a
period of s1:l, months after the time the work is conunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requeated
in writing to the Building Official. An approved i.nspection must be logged during each si.x
month period, or the project will be considered abandoned.
WARNING TO OWNER: 'tOUR FAILURE '1'0 RECORD A NO'l'ICE Ob~ COMMENCEMENT MAY RESUI!l' IN YOUR
PAYING TWICE H'OR Il1PROVEMENTS TO YOUR PROPERTY. IIf YOU IN'I'END TO OB'l'AIN b'INAN'~INq, ~(lN~UI:I'
WITH YOUR LENDER OR AN A'l"I'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'!'. JOBS UNDER
$2,500 IN VALUE ...!!-C?_ NO~_~D '1'0 RECORD AND POS'l' A "NO'l'ICE OF COMMENCb~MEN'IlfI.
~EN"-~ SIGN~~~~~o~ci~
S'1'A'I'E Of' FLO~
COUNTY Ob" '.SLo
'l'he foregoing ~~ument was acknowledged
Before IHe this I.f" It. L1a..---'-L-_, )19...2!()3
by --LJ/ ILJrlJ4e L L)~ k'F J,q.
(name ot person ackno~ledged)
~o is personally known to me, or
STA'I'E OF FLORI~~0
COUNTY OF '-~ _ __
The foregoing in;:.~f?t!.nent w~.~nowledged .3
Before me this ~ay of __, ~Q__
by
;:)( (name of person acknowledged)
~ is personCilly known to me, or
o \'/ho has produced
(type of identlfication)
and ;~~ did []did not take an oath.
/~A/<-6 A~ A.d~
~gnature of person taking acknowledgement
[J viho has produced____.
(type
I
k?-~:.0/
pLinted or sLarnpbd
SHIAOEN K DEI. oorro
irlfXlllllE~DlPed
Bonded ThIU NoIely Pldc u..........
~na:ure 0
\~~;~d'
I'lame t
NOTICE OF COKHENCEKENT
'-VD=~L~)
.----
state of l--t.._~-yeA~
County of
TUB UNOCRSIGNEO hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
(0110,,-'1ng inforJ:1ation is provided in this Notice of CommencC!mcllt:
1. Description of Property: Parcel No. 03-.:ll.o-':1I-OOIO- Oc,(pOO-OOgD
2.
<.:."-..C\ -V~\'l. j~C :\ ~
an
General Description o[ Improvement
3.
Olmer Information: Name ("'~E.,-,:\. '~vuC~Q,.\..$::, ~'
',ddress Lrl.44- ~ ~U-)D City -z..~q~J\s. \L State R
Interest in Property: ,":j...Rl~-\\-.
llame of Fee Simple Titleholder:
(If other than owner)
Address
city
State
<l.
Contractor: Name G. L-. SrI:;::-( ~ C-.oLJ S,-re....L)CTt oj.)
1\t1dress -31f.:," ~""H Ai city -z.c:.""'P1J'I e UU..J...,S State FL 33 E;;"4-L-
5 .
Surcty: Name
Address
City
State
J\mount of Bond: $
6.
Lentler: llame
J\ddrcss
city
State
7.
Persons within the State of Florida
notices or other documents may be
713.13(1)(a)(7), rlorida Statutes:
designated by Owner upon whem
served as provided by Section
ll"me
J\dtlress
City
State
8.
In addition to himself, Owner' d~signates
, f
of to receive a copy of the
Lienor's Not1ce as provided 1n Sect~on 713.13(11(b), Florida Statutes.
I). fxplrnl .1"" dote of !IcJtice oC Commencement (the expiratiun date i:3 1 year
fr':lm the <lLlte of rt!cortling unless a different date is specified.)
/ /~~-~ ~",
Sicpature of own~~-'::'- ~ .,:::.- - tIi -' "
Sworn to LInd s~"'c:;~ elore me this ,.24 day of /-1/l/2-'L..
20.L2.3- .
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NotLlry Public:
Hy C:J,',n.i ssion Expires:
PC93053048/A
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SHIROEN K. OEL COTTO
MY COMMISSION It CC 949169
EXPIRES: June 26, 2004
Bonded Thru Notary Publlc Underwriters
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DRAWING NUMBER