HomeMy WebLinkAbout04-2644
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2644
2644
Permit Type: ADDITION/ALTERATION
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 3946 COPELAND DR.
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
25,000,00
1/14/2004
2,776,72
2,776,72
1/14/2004 Phone:
NEW OFFICE, STORAGE AREA,AND SA THROOM
Name: CLYDE SISTON
Address: 3946 COPELAND DR
ZEPHYRHILLS, FL. 33542
PLUMBING FEE
RADON
I WATER CONNECTION MOBILE HC
-:r;.5\J(~ Z/2..1tt6'flo
4'7. .~ ::2.. ... I ;,<<{ fU~ '
gerv,'- 0 I
/) p",Jo t-IS' -of f{dd I .pV'1~
~~ I~)-c-or#'i r/ITo
MECHANICAL FEE
SEWER CONNECTION MOBILE
TRAFFIC IMPACT FEES COMM
1 )..01/1 S<"'-
:5 -'5-1J V 8: 5"
~_I&-O L(
FOOTER ,CT
PRE-SLAB' : CONSTRUCTION P I 2ND ROUGH PLUM
LINTEL . : PRE-METER i WATER
~N~UM~~~;~/~lf fkj"l>, ~:~g i ~~~~R ui ~:~g.
INSULATION CEILING MISC. MISC. MISC.
DRIVEWAY .. MISC. ..,! MISC. ~RE 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 paYITl~rl~of inspectio-,,! fee~~ball be made before any further permits will be.}ssued to the person owning same
i "Warning to owner: Your failure to record a notice of commencement may result in your paying tWice for --..
I, 'improve, m.., en, ,ts, to your prope.rty. If you intend to obtain financing, consult with your lender or an,., a"ttorney,
before recording your notice of commencement."
1-,',---,-". ,-.,.._--,.,-." , """ ,."co".,m,'.'"plete Pia, ns,S-pecifications arId Fee Must Accompany A,PPlication. " .,,' .. .-,._"" ---'."'--,
____._. ,._.______u AII\IV~rk shall b~.performed in accordance with City Codes and Ordinances .
1m n_ d(:~CUPANCY J5EFORE C.O. . .-==::.==--
<1""';'J~~ ~MIT OFFI
. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PEBMIT
CITY OF ZEPHYRHILLS
, BUILDING DEPARTMENT
DATE RECEIVED / J- - ~ 1,..1J :)
PLANS REVIEW FEE
OWNER'S NAME C 1ft de. :f:,,"s-~ PHONE (t?.3 - /0 '1 f
JOB ADDRESS~ 0~ ~,cQ. ~ I
LEGAL DESCRIPTION: LOT(S) I~ BLOCK ~(60 SUBDIVISION ODO
PARCEL IO # .J(..f- ~G>. ::I-/- 1900 - 10.0 I <:) D - to I~"N F~OM PRQPF.8TY TA~ NOTT CF.I
WORK PROPSED: ~CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
~MMERCIAL
OMULTI-FAMILY
~STRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
~
P RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 'Nf;cw rl rf'(~te..... ) S:*r~7e qQ...-r.e!i:.... one.... bec..f.-lt rao"",,,-
SSJ I~""- 0...' ~ '
BUILDING SIZE s{,b. 1J'VIo"Jloo-r) 10/L SQUARE FOOTAGE HEIGHT
(
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.
~ING
~ECTRICAL
~BING
o ME CHAN I CAL
o GAS ~FING
$ ..u;;fX)CJ., CO
~00
N~ ~'?" J
PERMITS REQUESTED er 5Wf"'\j.\'1U /
VALUATION OF TOTAL CONSTRUCTION f~l}f, V
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C..
$
~ ) It-
,
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: ~OCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
PLUMBElR
J'~( STATE CERT OR REGIST # C
SIGNATURE ;!:2L-- CITY PROCESSING # ~7cf
*********** ******************************************************
ELECTRICIAN .L~'~". COMPANY(' LLrI'4/oe ~c.....,
~' ti.. STATE CERT OR REGIST # (; 0 6~ 8' ~
SIGNATURE ;;:;;--- ~ CITY PROCESSING #
....******** *******'*********************'*'*'*:;:::*'Z3;i(~~ I>/~/'~
P-05-'Z..&O
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
***************************~*,t*~********
I COMPANY: {.
./' \ fr;-- STATE CERT OR REGIST #
vV CITY PROCESSING #
MECHANICAL
SIGNATURE
OTHER
COMPANY
TE CERT 0 REGIST
CITY PROCESSING #
*******************.********************************************~
\
;;.
'.
l"\.. J.'lV J. ...l........c.. VI:. J.JI::JJ:JU J:'<.C;:) J. ~J... \..,-}. J........'.1,:...:J
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 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 regulati~ns'. If the contractor is not
licensed as required by law, both the owner and contractor may tle cited ~or 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" ~f 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 aocument 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 regulatin~ 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 fo; 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 RECORD AND POST A ~NOT E OF COMMENCEMEN "
/ .' , 1
/)J-IL ~~ I~' ~.
SIGNATURE: OWNER R
STATE OF FLORIDA
COUNTY OF
The foregoing instr~nt was~cknowledged
Before me this~f day of ~ ,~
by
_ ~e of person acknowledged)
~o is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing ins~~nt wa~~kEowledge~, ~
Before me this~day of ~,.:U()~
by
(name of person acknowledged)
~hn is p~~~onally known to me, or
.l,><:,~"
S~~:~.==
of identification)
take an oath.
o who has produced
~.~~e of identification)
and who Ddid ~ no'C tak~ an oath
~-person taking acknowledgment
Dwho has produced
..,,-(t yp e
. d dJ.d'!d not
erson taking acknowledgement
i: K_ ~R
Name t~ '\>Mt~~ed
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Power Lines DRAFT 12/22/03
From To Purpose Size Notes
Electric Room Plant Plant Main Power 2" 200 amp., 460 v. 3ph Power
Electric Room Plant Plant Lighting 1" 240 v lights on plant to be determined
Plant Starter Panel Stacker Tail Stacker Power 1-1/4"
Electric Room Pit 1 (Under Plant) Pump (Overflow) 1"
Electric Room Pit 1 Under Plant) Agg Sprinklers 1"
Electric Room Type" System Pump F Pump (Overflow) 1"
Electric Room Type" System Pump F Pump to Type" System Overhe 1"
Electric Room Well Well Power 1"
Electric Room Site Lighting Site Lighting 1" Site Lighting Locations to be determined
Electric Room Slump Rack Lighting Slump Rack Lighting 1"
Electric Room Air Compressor AlC Power 1"
Electric Room Admix Shed 110 v. Power (lights) 1"
Control Conduit
Batch Office
Batch Office
Batch Office
Batch Office
Plant Control Panel
Stacker Tail
Rerntron
Electric Room
Electric Room
Electric Room
Electric Room
Electric Room
Electric Room
Electric Room
Electric Room
Notes:
Plant Control Panel Plant Controls
Summing Junction Box
Plant Moisture Probes
Plant (TBD) TV
2"
1"
1"
1"
Stacker Tail
Remtron
Remtron Valve Bank
Stacker Controls
Rerntron Controls
Vibrator
1"
3/4"
1/2"
Pit 1 (Under Plant) Pump Controls
Type II System Pump F Pump Controls
Type II System Overhe Pump Start Controls
1"
1"
1"
Well
Well Tank
Controls
Controls
1"
1"
Slump Rack Area
Controls
1"
Admix Shed
Admix Shed
TV
Admix Controls
1"
Does not include power to pumps at well tanklllll
Location of Site Lighting not yet determined
State or
NOTICE OF COMMENCEMENT
F(6J2..(Pj1-- County of :?J4se 0
TH~ UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and III accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. ~q-~(P-g}.I-OOD 'OOlDO- O(LiQ
3 Q4L.o ~r"-~ ~ . .
(Legal aescnptlOn of the property and street address If available)
2. General Description of Improvement ~ ~ ~ } ~tGlQ ~
1111111111111111I11111111111111I1111111111111111111111111111
2004007S39
3.
Owner lnfonnation: Name ~ ~ ~ (8,sron ')
Address 3Ci4 ~ ~cv,^D 12lu>-e City Z, .jJ~ki!h
Interest in Property: ~
State 'F{
Rept: 747668
DS: 0.00
01/14/04
Ree: 6.00
IT: 0.00
Dpty Clerk
c{
5.
Name of Fee Simple Titleholder:
(If other than owner)
Address
Contractor: Name~
Address 3Co(tf 3 c::, 4 W
City
~'^-b.G~'Yl " ~ ~
f
City~U
State___
StatF(, 6 ~'fl
Surety: Name
Address
City
State
~'~1~~~~M\~:G':~O fOUN1Jf C'iERI<
OR BI< 5693 PG 1184
Amount of Bond: $
6. l..,ender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of 'jecording unless a different date is specified.)
Signature of Owner: ()~ " &~
Sworn to and subscribed before me this ~ day of'3AV\..hA A-rL'-i
.,P ~ Kevin Ryman . I
Notary Public: ! . MyCo/l1lTllSSlonDD12742
Expl"res June 20.
Of'" -=::::::::::::::
My Commission Expires: ~-
~ -
,20O<:i.
--
PC93053048/A