HomeMy WebLinkAbout03-2151
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2151
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2151
COMMERCIAL
ADD/AL T COMMERCIAL
COMMERCIAL
Address: 7631 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
6/12/2003
105.00
105.00
6/12/2003
REFRIG. REMODEL
Name: SUPER WAL-MART
Address: 7631 GALL BLVD.
ZEPHYRHILLS. FL. 33542
Phone:
f; VlJ U r 11~(Jl..,
1../-0 u
UGH PL
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
I LINTEL PRE-METER ! WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC. MISC,
INSULATION CEILING ' MISC. MISC, Mise,
DRIVEWAY I MISC. MISC. 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 bip 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 Must Accompany Application.
_________~II work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~
OR S GNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPAR1~NT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED----_________
PLANS REVIEW FEE
OWNER'S Nl\ME~4'V tJ~-~
,JOB ADDRESS r; 0,,3 ( G ~ h I vef .
PHONE
LEGAG DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # ______
(O.B.TA.IN (ROM PROPERT.): TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCT ION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
OSI(;t'l
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
OCm1MERCIAL
OMULTI-FMHLY
o INDUSTRIAL
0# OF UNITS
o SWH1tHNG POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
CJ RESTAURAHT & HEALTH DEPARTt1ENT APPROVAL
.~1ld8 ~M
SQUARE FOOTAGE
HEIGHT
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
0 BUILDING
0 ELECTRICAL
0 PLUMF3I N(;
0 MECHANICAL
$
VALUATIOt-l OF TOTAL CONSTRUCTION
AtvlP SERVICE
o FLORIDA POWER
o W,R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o Gl\S
o ROOFHIG
o SPECIl\LTY
o OTHER
TYPE OF' CONSTRUCTION: 0 BLOCK
o FRAt1E
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o tlO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGW\TURF;
******~**k***********4*~*+****~**~************+***,~********.~~**+**
ELECTRICIAN ~
SIGNATURF0d~~/ ~
COtvlPAtly
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************~**~~******~*~****~***************k**
PLUMBER
SIGNATURE J
COMPANY
C1 \:L I' \ ~ ~ , STATE CERT OR REGIST #
~~V-;. {'-'~ elL{ PROCESSING #
*********** ******************************************************
MECHANICAL
SIGNATURE X
/ \
~w~
Cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
*******k*k*******************************************_~***********
OTHER
SIGNATURE;
Cot'lPANY
STATE CERT OR REGIST #
CITY PROCESSING #
***********~********~****~****4******~********+*+*********"*******
CONDI'l'IONS OF PERl'-lIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED d)NTRACTORS AI'fD CON'l'RACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to \lndertake 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 ovmer 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.
Furthernlore, 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. 'l'RANSPOR'l'A'nON IJI1PAC'I' FEES AI'lD U'rILI'I'Y CONNECTION FEES
D. CONS'I'RUC'l'UION LIEN LAvJ (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien La\J - Homeowner's Protection Guide'! prepared by the, b'lorida Department of Ag,riculture
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" pri,or to conunencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
I certify that all the information in this application is accurate and that all work will
be done in cm~liance 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 in,;;tallation 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: -I.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-Well,;;,
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 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 a~
authority to violate, cancel, alter, or set aside any provisions of the tecllllical 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 cOllunenced I^lithin
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 corrunenced. 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 RESUliI' IN YOUR
PAYING TWICE FOR IHPROVEMEN'l'S TO YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN nNANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED 'fO RECORD AND POST A "NOTICE OF COMMENCEMEN'l'''.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF,
'rhe foregoing instrument Has acknowleqged
Before me this _day of , lU _
by
(name of person acknowledged)
01ho is personally known to me, or'
STATE OE' InORI DA
COUNTY OF
Tbe foregoing instrument was
Before me this _ day of
by"
acknowledged
2Q_
(name of person acknowledged)
Dwho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of id~ntification)
and vJho Ddid DUd not take an oath
o who has produced
(type
and whoD did Ddid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
~ 05/07/2003 09:13
2553898182
PETTUS MECHANICAL
PAGE 131
PETTUS MECHANICAL SERVICES,
P.O, BOX 3237
600 FORD ROAD
MUSCLE SHOALS, AL 35662
PHONE:(256) 389-8181
FAX: (256) 389-8182
IN C,
FROM THE DESK OF
SONORA SMITH
SSM IT H @PETTU S HV AC. COM
FACSIMILE TRANSMITTAL SHEET
TO:
~ -, \-\.\.\
I
D....TE:
<0- \ ;J., -03
COMPANY:
FAX NUMBER:
TOTAL NO. OF PAGES INCLUDING COVER: Zj
SENDER'S REFERENCE NUMBER,:
PHONE NUMBER:
RE:
YOUR REFERENCE NUMBER:
o URGEI:'<T 0 POR REVIEW
o PLEASE COMMENT 0 PLEASE REPLY
o PLEASE RECYCLE
NOTES/COMMENTS:
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PETTUS MECHANICAL SERVICES, INC
P,O. BOX 3237
MUSCLB SHOALS, AL 35662
PHONB: (256) 389-8181
06/07/2003 09:13 2563898182 PETTUS MECHANICAL PAGE 84
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3/0612003 09:47AM
2553898182 PETTUS MECHANICAL
McGriff, Seibe15 and Williams
PAGE 2
PAGE 82
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BI~L1INGH~w ONLy AND CONF=ERS NO RIGHTS UPON THE CERTIFICATE
An "" HOLDER. THIS CERTIFICATE DOES NOT AMENt), EXTEND OR
MCGRIFF, mBElS AND WILLIAMS AL TEFt THE COVERAGE AFFORDED BY TIoI.. POLICIES BELOW.
P,O BOX 10165 COMPANIES AFFORDING COVERAGE
BIRMINGHRM AL 35202-0265 COlAP"',iV
(205) 252-987\ A FIRE & CASUAL TV INSURANCE
IN5UIl!D
Pettus Plunbing & Piping, Inc.
PO, Box 3237
Huscle Shoah, Al 35662
COt-ApANY
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THIS IS TO CERTIFYTHA T THE POLlCIESOF IN8UR ANCELlSTED BEl.OW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEI'lIOO
INDICA TED,NOTWITHST ANDINO ANY REQUIREMENT ,TERMOR CONDITION OF ANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS
CERTIPICA TE MA Y BE ISSUED OR MA V PERT AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU8JECT TO ALL THE TERMS,
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STATES OF: OE, VA, UI,
FL
3/0'/03
3/01/0~
A TJONSLOQ"TIONBJVeH ICLE
RE: Gary W. Pettus - 10 ~Om70, 013571
: ~'~~~~a!f~~~~~ fb jt.!' :~!~~:~~.~'~-.i~~.:!~~:~~,~r~~J.~:r~.~:~~~,:~~~:~ !~~:~:i.::~t ~~~]~~~~:.~~~.~:;t;~~~~~~~~..?{~~~.~~ ~~~~~ ~~.g;~fr!f:7f:~7:f#::f.~~}~~.~;:; ~~~<~}1!~t!t: f.~~~t::~:f5~~~.~:~~:{
Pa~co County BOee
7530 little Road i212
Ne~ Port Richy, FL 3~65~
$HOUUl .>.NY OF TH~ ABO\IE DliSCRl8SD POl.ICIES n CANCELLED BI!FORI THEi
I!XPIAATIOH OloTE TttEIlEOF, THE IIIIIUlNa COMPANY wu. ENDEAVOR to MAL
..,19, , DAYB WRITTEN NOTlei TO ltiE CEIlTIFfCATE HOLD!!R NAMED TO THli: LEFT,
.UT F"IL..WIE TO MAIL sucH NOTIOE SHALL U\olP09E NO OBl-IOATIDN Ollll.....U.ITY
OF ANY KIND UPON TH! COMPANY, ITS ACENT9 OR llePR!8!IIITA11VE$,
AUTHD~ IlECCNTATWE
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~. ~L .~f~ ~~~.;:~.~ :.~:t~~.j ::3:.~~~? ~::~~i ~f..j:i~!~~~~~t~~n.~~~~:: i:~~ r.~::~:~: ;::~~~.~;.:: ~:~;':~~~:~~~~J:~\.:!:. ~t~~~: ~::::~
771 Lakeside Drive
Building K, Suite 201
Mobile, AL 36693
Phone & Fax (334) 666-4466
i~TT{J~
P.O. Box 298
Counce, TN 38326
Phone & Fax (901) 689-5838
MECUAmCAL SERVICES
P.O. Box 3237
600 Ford Rd.
Muscle Shoals, AL 35662
(256) 389-8181 · Fax (256) 389-8182
June 6, 2003
To Whom It May Concern:
I, Gary W. Pettus, authorize Jeff Black to conduct business for
Pettus Plumbing & Piping, Inc. This includes, but is not limited to, purchasing license,
pemrits, inspections, and whatever it takes to complete the job.
11/
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Gary W jpettus
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County
-+;~ n . .-' '!.' --l.l'\L
~~~ '. '~'--'- 7tl. ,
Notary
My Commission Expires:
05/07/2003 89:13 2553898182 PETTUS MECHANICAL PAGE 03
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