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Home My WebLink About04-3143 I I . I I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3143 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: 3143 TEMPORARY SALES SPECIAL EVENT NOT APPLICABLE Address: 5935 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 6/09/2004 60.00 60.00 6/09/2004 Phone: TEMPORARY SALES-FIREWORKS-6/15 -7/6/04 WITH TENT Name: ZEPHYR PLAZA Address: 5935 GALL BLVD ZEPHYRHILLS, FL 3542 I I I _.n_____..._____.__________~..__._____n ___._____l...._________________ _n___ .L_____ ___._____._._._.___... 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--failu..e-to recorda notice o'-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-Musf-Accompany Applicatlon~-- ---- _. ...AII wo~~shC!lI~~pe.rfl!.rmed~~~c:c:l!.r~l.ance~th Cittf~es_~I1~Qrdin.C1l1ces _. 63 /-r' ~o :CCUPANQ' BEF()RE, C.C). &- ~~;;;;"E~~~d- - PERMIT OFFI _:!~~:LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED /- PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED /0-7'-0(/ PHONE CONTACT FOR PERMITTING OWNER'S NAME,,/' ;Zt;!r~~ ~~~~, PHONE JOB ADDRESS V LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: []NEW CONSTRUCTION [] SIGN PROPOSED USE: []SGL FAMILY DWELLING [] COMMERC IAL (OBTAIN FROM PROPERTY TAX NOTICE) [] ADDITION []MOVE []ALTERATION [] DEMOLISH [] REPAIR [] INSTALL []MULTI-FAMILY [] INDUSTRIAL 0# OF UNITS []SWIMMING POOL [] MOBILE HOME [] OTHER DESCRIPTION OF WORK D ~RANT& HEALTH. DEPARTMENT AP?-~ L,/- r '~IF~Oi21L ,.~HLt:':5 lull / FIv-r- BUILDING SIZE 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. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~BUILDING [] ELECTRICAL $ Iff PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION AMP SERVICE [] FLORIDA POWER [] W.R.E.C. [] PLUMBING [] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [] GAS [] ROOFING [] SPECIALTY [] OTHER 'rYPE OF CONSTRUCTION: [] BLOCK [] FRAME [] STEEL [] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES [] NO CONTRAqTO~'.',...SECTION BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # MECHANICAL ****************************************************************** COMPANY SIGNATURE STATE CERT OR REGIST # ********************************* ~ ':4, REG,~/ SIGNATURE STATE CERT OR 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 fOT 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 regulations. If 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 has hired a contractor or contractors, he is advised to have the contractor(s) sign po~tions of the "Contractor Sections" 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 indica~ion 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 document 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 regulating construction, zoning, and land development. Appli~ation 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 ~ll 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 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 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument ..u~ acknmdedged Before me this _ day of , 20_ by (name of person acknowledged) Owho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _day of , 20_ by (n~me of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Owho has produced (type of identification) and who Odid []did not take an oath Owho has produced (type and whoO did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped TEMPORARY SALES CHECKLIS'l' C~ty of Zaphyrhills 5335 - 8th S1:.raet. Zephyrhill$, F.L 33542 Phone: 813-780~0020 Fax: 813-780-0021 "-J Plot ?lan snowing setup of location 'i Nota=ized ~etter from property ow~er stat~ng their Oipproval ',,-: If ~enr. is in~ol~ed a flame re~ardant c@rtiticate is requir~d. Inspec~ion requirea once tent is erected. If firgworks are invol~ed the following is required: -'.J Prccf of sl:ata l.~cense '~ Proof of liability insurance _____ City registration fee of $20.00 '- The fo:lowing fees are applicable: TMlporary salee ~rm.it: $5.00 for the l"t t.WO days and $1.00 per day for each consecutive day thereaf~, not to exceed duration of ." 30 consecutive da'ls and no more than one occurrence per calendar year per Ordinance *408. ~s: ~~ TQ."lt permi.t (if applicable): ~OO Electrical. permi 1: (if appliea:ble): ~O ~ D!!. ---, /" Prope:c:y owner: ~_...) ~2.b (r f e...c. 0 -~~----..-:.-- ?none ,::ont",c::: UtiIVM5~ /'I.oulE:.L-fV ; rllt-~w()I<-/~S (!d(TM::!.-, Ji3-.1v71- /%7'1 _51'_85 G-11 LL '/3 LV/) . JUNE J f;J do tFz) Lf - JU L- Y &'1 ~ (.r7Yl/~_ /.3(~lf?- ( '// "'-"-~ P.pplican-4:: Addn:ss site: .Ja=es of sale: 5 '1' " ~ ~ 5 ~A~KIWG ~A'RKIWG ~A'RKIWG ~A1DCIWG 0'.9- t:r s" ~ <<: ~~ be) EJ 'DMf l'OLO 2. , ~JlL{r h~ 9- t'7Y I, (}.;,IL'" k.x<5 of- Or<~ \\"v-- 0~~"'7 I' f'1 v ~ J... np. --L oJ I {JM f S FI }>f b~< 'P' ".~ III?I C(y?d {,l.J (-i't1..S f ~ e)(, fj tft,rd.e<{L. <""",I" /.-"j r;IZC a k~ C/;,~!::, t'i'/ ,v)~ /,4 /v ;Je . r; /1'U1/<,-,rl c; 5' },Jo> ~. I' lea t'. /Y7j 'LJ ~ (:...YIct C) u f-s" I (-l. t e /1 Ji,tU'1e-cs o,c ,I i'-P71- 'I, .]/ -Ie hi hLJ SI'C( ~s - y-/,/::- 5. ;JJf"'S Skd-I /)l2 i/l ~ ul /os,.k'cn <'/7 /e.o-t-fvl tJ /,,!L I efht"#J+ t~.e it fl1.<f --H~V1 ,) l' /~e-~ iJ...,JI II L~ ;~1 5.1' I ~ vf fO I f7 (/1-1, i-fPfl-tJ~f) ~(CJ~d,;'"S --- ., ) , r'1A\' 27 2004 14:::::: m UfH.;EF'~;E rUJELT1' CD 81367'74444 TD 2698432 P.Ol Date bP7/oL/ . I, To h f1 C t C!--C_c::/ GIVE PER..\USSION TO: OWEN YOUNG & UNIVERSE NOVELTY & FIREWORKS COMPANY, INC. POST OFFICE BOX 1862 RIVERVIEW, FLORIDA 33568 (813) 677-1874 TO SET UP AND OPERATE A TEMPORARY STA~n) ON MY PROPERTY LOCATED AT: 5q3 5.x-J~Q ~ J of .Ar)..~-etJ<1 , s.'-dkJ,,-, LOT # BLOCK # SUBDIVISION # l(J-- _~) OWNERS SIGNATURE Sworn to aDd subscribed before me this c:? 7 day oC2119GL20..u t:..... ~.LQ~LWr-- Jcb ~ I"'i\. 'a..""",_,", TARYPUBLIC ,~; My Commission 00016865 0, ,..,. Expires April 1 O. 2005 ** TOTAL PAGE.01 ** CERTlPICATK OF FLAME USISTARCE ISSUBDBY MAIN A WNINO.t: TENT CO. INC. 309 FINDlAY ST. CJNaNNATI. omo 45214 (513)621-6947 nus IS TO caTIFY 11IAT11IB"lBNTDBiatmm BBLOW HAS BBBN FLAMBRBTARDBD. oa IS JNBERBN'I1.Y~ TSNTSIZE: L ce' ' DA1'8OPMANUPACTURE: , APIUL J. 1998 COLOR - 40 a WHI1E TBNTPIODI.JC2D fOR , MATIWAL UIIn PRO-11!CH BY JOHN BOYLE UNM!RSB NOVEL1Y a: FIREWORICS RlVERVIBW. FUlODA "IHS T6NTPSSCIUI'~ ABOVB Il'lnlJOP IS UADB nou A JILAMIi IIIISTANT PABRIC 0Jl MA1'BItJAL REOJS'IBIU!D AND AllmVlDBY1RB ITA1'8ot CAI.IfOIlGA 'FlU UAltSIL\L FOil SUCH USE.. TRADENAMEOPFLAMEIEllSfANTPABIIC",,-MA1IIUAL USBI) pay REG. No.GA-217 FABRIC OR. MA,1ERL\L USBD MBBTS oa BXCBBDS'NFPA-101 THB FLAMB RBTAR1>ANT PIlOC@tJI WILL NOT BE RPMOVBD BY WASHING STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE, FLORIDA CERTIFICA TE OF REGISTRATION SEASONAL RETAILER THIS CERTIFIES THAT: UNIVERSE NOVELTY & FIREWORKS CO., 1Ne. 5935 GALL BLVD ZEPHYRHlLLS, FL 33599- HAS REGISTERED TO THE PROVISIONS OF FLORIDA STATUTES TO ENGAGE IN THE BUSINESS OF SELLING SPARKLERS AT RETAIL, FROM JUNE 20 THROUGH JULY 5 AND DECEMBER 10 THROUGH JANUARY 2 ATTHE FOLLOWING LOCATION. LOCATION: 5935 Gall Blvd. Zephyrhills, FL 33599 Pasco 0 0 0 0 <~ Chief Financial Officer 02 01 2004 07 63 83999800062002 4941580001 200.00 01 31 2005 Issue Dale Type Class County License/Pennit Number Application # Taxes & Fees Expire Date , C:'::t ~ (,l <.?~Ji ,0- r ~.~ _. ,,:,; T I r6l]!:; ,;nCE:. I N::- F: I-~,~i~i!:' 'r p ,EAStJ'~~, I ~;L.,f~t-Jr), F L .. Fr ~ --800--237-3355 NatlQn.3{ tj, r) i - ...:;;: :3;;~ -,;,),--: 7' '~j ~. } G T' 1 c; 3 :"';.[\L '-3 ~'3 ~{' C\ ;:-;. CERTI~ICATE OF INSURANCE :' ..--:: i ; t: ",1:.:,1 i::-- I )"'J'::,: \,j!~ i: L: ADDITIONAL INSURED CITY OF ZEPHYRHILLS 5335 8th STREET ZEPHYRHILLS, FLORIDA 33542 ~. " '. " ,,'~ ".C SS ~F CERTIFICA~E HOLDER CITY OF ZEPHYRHILLS 5335 8th STREET ZEPHYRHILLS, FLORIDA 33542 DATES JUNE 15, 2004-JUL Y 7,2004 ;.:-P' r:~GE EXCESS C:J'.)EFMGE _ Ci ~. ,.. I;. r't r,,; '''' ,. 1 f '~':2Ll0 )~lt)SS 2n CTlgiI)al slgn2~l:r2 appear~ bt? {~ "t'r ." ::.}~; \)A hJ:: ~ E A~~IGI~ A ALLIED SPECIALTY INSURANCE, INC. , ,. ~. ~~, ~ l\ . JUN ld ~~~4 l~:~~ r~ UNIVc~~c NUVcLIY LU !::l1~b"(,(4444 I U '(!::l~~~;':1 i-'.111 .u, ",. \ r " 0 J.)ffr' Official Ucensed I Ci:JI- / ",- ~" \ '\1, \ / . . ~ 1"-' MAS CAR NFL, NBA, M.LB. __~ ~;\.... \\jl'~ "ir .. Festivals" Special Events r ~ . 1. 9'__ ~~~ Direct Importers -? (1'/ 4fI() \ 8820 u.s. Hwy. 301 · Riverviewt FL 33569 1i' (813) 677-1874 Fax (813) 671-1790 - E-Mail: unfireworks@compuserve.com QUANTITY DESCRIPTION PRICE EACH AMOUNT .s-~, dCJ s: ,M (s-:; C-e *-... JUN lid O::::ldld4 1::;':'::::;' J-i'< UN1Vt::i'<~c NUVt::LlY CU l:j1..5b'((4444 IU '(ClldldIdO::::l t-'.I::lO:::: Officiallicen3ed . '-\' "'\- \ \ I /' If f1 () n NASCAR NFL, NBA, M.L.S. () / .;J--~ ~\\... ~, v/j~ ' '& 1/ I~ L Fair · Fes'ivals · Speelal events r Ir J'; /' '",' · .' t '. ~ ~', ~ ~OVEL 1Y & RRQvO~ -J~' ~i::.. ~{;. Wholesale. Retail j ~...;~I\\~ ~~ Direct Importers &(7/d"l ~() \ \ 8820 u.s. Hwy. 301 · Riverview, FL 33569 11" (813) 677-1874 Fax (813) 671-1790 E-Mail: unfireworks@compuserve.com QUANTITY DESCRIPTION PRICE EACH :$~es- 3~ ~ ? S- .s-; t:' /.,e;11. AMOUNT o (t.tf...C c~?~-- v/f-IL-;5 rA/c-e. 'JS ~ /?p~ L ~ I~c .:r;. I~r 9S' /rt?(I c; TAX TOTAL J UN lid .:::1d1d4 l::>;..:ib I-k: UN IIJt:k:::::t: NUIJt:L.I Y LU t::l..:ib'('(4444 I U '(t::ldldld.:::l ~.~.,j . ".).>.\.\.., ~\;.) II 0 Official Ucensed ~ ' '\. . .\ ~ .: _,~~-",.... " _'. V I\.1J ("I NA$CAR NFl., NSA. M.L..S. /J / --........:._ ~ ~~' i '/I~ . Fair · Festivals · Special Events r V- " r.( ~ '1. ~ ~~ Direct Importers ? -? 'Y ~() , \ 8820 U ,$. Hwy. 301 · Riverview. FL 33569 ~ (81 3) 677-1874 Fax (613) 671-1790 E-Mail: unfireworks@compuserve.com QUANTITY DESCRIPnON l5d rll..A-~ 5 PRICE EACH ~"Q 7S:u. 7S: AMOUNT - /~73 'TS ~5?P.s- SCZ S- J TAX 1 TOTAL JUN l~ ~~~4 IJ=5b r~ UNIV~~~~ NUV~LIY L~ t;15bf(4444 'U '(t;~~~~l ~.1d4 (Z~ 0((' '-"", d ' "'\,' \,\" \ I I CI--" ......:., ...{;t:n~1!I ,,' ". '\' ., / ',,, . f1- '1 Fa;~~~~::~~~~.~;;;'" PC, r"~~ ~\WJI~.:: :~~~, ..IOVEL TV & ~IR~WO:.f '-.(l ~. #~4'~ ~~ .~ -4~ I ~~ W~olesale · Retail /" 'b.,,, ~ \\~, ~~ DIrect Importers &/? hf/' ~() \ \ \ 8820 U.S. Hwy. 301 · Riverview. FL 33569 ~ (813) 677-1874 Fax (813) 671-1790 E-Mail: unfireworks@compuserve.com QUANTITY DESCRIPTION PRICE EACH AMOUNT *Of.. /F P4!lOo'" 7J Abovo itamc received on oonBignment CO., INC. I und~tand payment or days from above d3te. ( Slgnat TAX TOTAL ** TnT~1 PQh~ ~~ **