HomeMy WebLinkAbout04-3114
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3114
Permit Number: 3114
Permit Type: SWIMMING POOL COM.
Class of Work: POOUNEW
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 40,688.00
Date Issued: 5/27/2004
Total Fees: 422.50
Amount Paid: 422.50
Date Paid: 5/27/2004
--Work Desc: SWIMMING POOL
Address: 7839 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: MICROTEUJAMM HOTELS,LLC
Address: 7839 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
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--REINSPECTION -FEES:-When eXtra inspection trips are necessarY-due to anyone-of the following- reasOl1!i-;-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
j"Warnlrl"g to owner: Your failure to reconr-anotlce of commencement ma-y-result in your-paying twicefo~-
! improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
I_~f)re rec.ording~f)ur nf),~~~p~~t~O~Ws;~~:a;c~~;~ns- andFee Must Acco"mpany-Application~-- ------..--.-.-
_ ___ All wc?!_~ sh~1I be PE!rforrTl~~ in ac:.cordall.<<:e with City C~~es an~ Ordin~nces__
NO OCCUPANCY BEFORE C.O.
- -----------. -------- - ------_._------- -- ------ ------------ ------.-_.__._-_.---_._.._----~._._--_.. ------ ------- -------..-,.
]~ SIGNATURE - - ~MITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
.
CITY OF ZEPHYRHXLLS PERMIT APPLICATION
BUILDING I)ZPARTMENT 5335 aD st., .?;.phyrhiJ.~s, FL 33542 - 6~
813-780-0020 J'AX: 813-780-0021 l.-J -lJ -
~ DATS :RECUV1\O ~ _
. KohtV! lAh IKQV . __ . th -- ~
PHONR CONTACT FOR PERMITTING~ - Y ~ 0 - 7~ ~ 0 lL.: j(
,35;2, - 510 -' fry) I ~ )
OWNER'S NAME:::fa \JlJ\"" tbleJ.s} LLC __ PHONE
~~~~ss ~ 61 U b W 2-e.-~(hl\15
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
FARCBL 1D #
WORK PROPSED:~NEW CONSTRUCTION
OSIGN
(OBTAIN FROM PROPERTY TAX NOTICEl
o ADDITION
OALTERATION
o DEMOLISh
o REPAIR
o INSTALL
o MOVE
PROPOSED USE; [JSGL FAI~ILY DWELLING
o COMMERCIAl.
OMULTI-FAMILY
o INDUSTRIAL
Dt or UNITS
)(SWIMMING POOL
o MOBILE HOME
o OTHER
o ~STAOflA~ & HEALT~ARTHENT APPROVAL
OilSCRIP'fION OF WOJU{ ,C1L) 1mJLl:] I V'C) ,
BOILDING SIZE SQUARE FOOTAGE
HEIGHT
P~SIDENTIAL: ATTACH (2) PLOT PUU~5 & (2) SETS OF BUILDING PLANS & (1) SET
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (ll SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
ENERGY F'ORNS.
o BUILDING
PBRMl:TS REQUESTED
$ 40., ~~~ DO;ItJtJ VALUATION OF TOTAL CONSTRUCTION
I \\.{)..Q I AMP SERVICE: 0 Progress Energy 0
-tf311Y
o eLECTRICA.L
o PLUMBING
o MECHANICAL $
W.R.E.C.
VALUATlON OF MECHANCIAL INSTALLATION
TYPE OF CONSTRUCTION: (J BLOCK
o FRAME
o STEEL
o OTHER
BlA ~ #-
35~ - '-tl3--7letJ5
o GAS 0 ROOFING 0 SPECIALTY
o OTHER
FINISHED rLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
COMPANY
STATE CERT OR REGIST # ('~)(i03:5 '0SC(
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< SIGNATURE~ STATE CERT OR "GIST. r:;!2.(Yf) ::t,,1SR'
I{/or~ -
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COMPANY
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STATE CERT OR REGIST *
MECHANICAL
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COMPANY
SIGNATURE
STATE CERT OR RBGIST #
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COMPANY
SIGNATURE
StATE C8RT OR REGIST *
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A. NOTIC~ 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. UMLICENS&D CO~TRACTORSAND CON~~CTOR RESPO~SIBILITIES
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. It 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, 813-780-0020:
Furthermore, if the OWner h.e. htred a contractor Or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
wtll 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 indica~ion that he is not properly licensed and is
not entitled to permitting privileges ~n the City of Zephyrhills.
C. TRANSPORTATION lMP~CT F~ES AND UTILITY CONNECTION FEES
D. CONSTRUCTUrON LIEN L~W (CH~PTER 713, FLORIDA STAtUTES, AS AMENDED)
1 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 Jl,.ffairs. 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" prior to corrunencement.
E. CONT~CTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is aCCurate and that all Work will
be tione 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
certtfy that no work or installation has commenced prior to issuance of a permit ~nd 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 th~t 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
*$outhwest Florida Water Management District-wells, Cypress Bayheade, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Se_wal~s, Docks, Nav~gable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.8. ~nvironmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "AU 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 codest
nor shall issuance of a p~rmit 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 per~it is commenCed within
six months of issuance, or if work authorized by the permit is Suspended or abandoned for 'a
period of si~ 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 8uildin Official. An approved inspection must be logged during each six
month period, or the projec will be considered aband ned.
WARNING OWNER: YOUR FAIL RE TO RECORD A NOT!CE 0 COMMENCEMEN ULT IN YOUR
PAYING CB FOR IMPROVE NT TO YOUR PROPERty. IE ~ INTEND TO OBTAIN F. ANCING, CONSULT
WITH LENDER OR ~N T RN Y BEFORE RECORDING OTICE OF COMMEN E~ JOBS UNDER
$ VALUE DO NOT E T.O RECORD AND POST A NO ICE OF CO~~ENCE NT'.
STATE OF FLORIDA / ,~, V /)
COUNTY OF ~ t!... ~
The foregoing inst~ument was aCknowledqed
BOltore me thi$ ~ da~' of ~~ _, za2:/.
by .e:;he\rw\/.l.h L. [J}(lll'/__
~ (name of perSOn acknowledged)
~who is personally known to me, or
STATE Or FLORIDA
COUNTY OF
The foregoing in1tr~ent was acknowledged
Before me ,this 11) ay of IMLlI-1 ,20 Q1
by ;')hr..lly.,AtI.\ I . ((V..II<t>V
mlho (name ot person acknowledged)
~I is personally known to me, or
L.-a k.. ~
o who
of identification}
hk7~
Sig pereo taking cknowledgement
-Kl~ ~Ch(t8'h
Name typed, printed or stamped
ture pf pers 9 acknowledgment
Kl VV\ VU{\&4-~
Name typed, printed or stamped
~ 'd_E9S9'ON,
SlllHdAHd3Z :JO
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"V6S:01 tOOZ . Ii 'AB"
POWER OF ATTORNEY
The undersigned, Sherman Walker, owner of Walker Pools Inc., grant
permission to Tim Dake to sign and receive permits on my behalf,
for Walker Pools Inc.
State of Florida
County of Lake
The foregoing instrument was acknowledged before me this ~ay of
~ 2004, by SHERMAN WALKER, who is personally kno~ to
me or who has produced , as identification.
(seal)
"~"~Y'~~'<.,, KIM M. MCGRAlH
... MY COMMISSION # DO 117595
* *
"'" f'~ EXPIRES: May 17, 2006
l"~OFf\.O~ Bonded Thru Budget Notary Services
POWER OF ATTORNEY
The undersigned, Gary Kosmos, owner of Gary Kosmos Electric, grant
permission to Tim Dake to sign and receive permits on my behalf,
for Walker Pools Inc.
State of Florida
County of Lake
The foregoing instrument was acknowledged before me this day of
, 2004, by GARY KOSMOS, who is personally known to me or
who has produced , as identification.
(seal)
...o":.Y.~~8ti:- KIM M. MCGRATH
*...W * MY COMMISSION # DD 117593
~~o~ EXPIRES: May 17, 2006
"'1'~Of F\.ct'f." Bonded Thru Budget N~ry Servk::ea
t<;g,J4cv~
Notary Pu lie
KIm V1t\, vt~ c &([tf~
Walker Pools, Inc.
~Gall Blvd.
SQ. FEET PRICE
MAIN OR LIVING: $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 40,688.00
FEE SHEET $ 235.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 352.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 352.50
ELECTRICAL: $ 35.00
PLUMBING: $ 35.00
MECHANICAL: $ -
RADON: $ -
TOTAL $ 422.50
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
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WATER METER:I $
IRRIGATION METER $
SUB-TOTAL $
422.50 I
81F'8:1 $
97.5% $
2.5% $
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TIF'8r
99% $
1% $
TOTAL: $
422.50 ,