HomeMy WebLinkAbout04-3150
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3150
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:
3150
COMMERCIAL
ADD/AL T COMMERCIAL
COMMERCIAL
Address: 4920 & 4922 AIRPORT RD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
24,750.00
6/11/2004
356,20
356,20
6/11/2004 Phone:
BUILD :3 OFFICES- INSIDEOF STEEL BUILDING
Name: VITALITY FOODSERVICE INC.
Address: 4920 & 4922 AIRPORT RD
ZEPHYRHILLS, FL. 33542
L
ROGERS ELECTRIC
SONNY'S DISCOUNT APPLIANCE, INC,
01
MECHANICAL FEE
59.701
I
PRE-SLAB I CONS~RUCTION POLE I' 2ND ROUGH PLUMB I DUC~S INSULATED
LINTEL I PRE-METER I WATER : FINAL MECHANICAL
FRAME ! MISC I SEWER I MISC
INSULATION WALL I MISC MISC, ' MISC,
INSULATION CEILING , MISC, MISC, i MISC,
DRIVEWAY I MISC, ~ISC. l':.IRE DEPT, FINAL
REINSPEcnON 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
-- "Warnmg to owner: Your failure to recorda notice of commencement m-ay'result in your paYing tWICe fo';--'-
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
_ be~~~e_!'E!C~rding.'y_~ur notice of commencement. "
Complete Plans, Specifications and FeeMust Accompany Application.----- -------
_______AJ!.'v'Vork~hallbeperfor!!1ed in accordance with City Codes and Ordinan~~~ _ __ _ _ _ __ _ _
-~~C~E NOOCCU"ANCY--"EFORE~O. t~;MITOFFI -- -~
CALL 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 RECE IVED
V'f (. I~ /~ '!o<' ,.J.' PHONE CONTACT FOR PERMITTING :J5J...-<j2l..;....O/L/j-'
q I 1 lfVoC( ) ej vi l-e ~ .., " f. _
. 1 '. /7. .' /J ..j he ___ C/j.~'") Lti.~eIJq(,)flJ ..bt,
OWNER' S N~ ChtZi;/ l2lr;eifc. l~V5TR.u(j(u,J. <:/Nv PHONE 35)_..~.2.3-GV~
JOB ADDRESS 191..0 f 'ff22 /J.~IlfJLT R i) ~2,J..I; II <j J-::'L, -SsL- 'I2.V- Of <((j"'-
I
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID # /3 - 4-01../- O{)/.J. {)(}c.JocJ.- () / U
SUBDIVISION
WORK PROPSED:9JrNEW CONSTRUCTION
OSIGN
PROPOSED USE:OSGL FAMILY DWELLING
~OMMERCIAL
o ADDITION
o MOVE
(ORTAIN FROM PROPERTY TAX NOTICE)
:f'N1'miJ/L
Ji(1ALTERATION 0 REPAIR 0 INSTALL
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS 0 MOBILE HOME
o SWIMMING POOL 0 OTHER 1'"
-:f',/(ell ~J11 /::=tUJW1t.:!uVo
(3't;'}.?/-I: 1JiAf)
/7~
HEIGHT
o RESTA~T & HEALTH DEPARTMENT A!?PROVAL
, . '.../:)J(J2. IJ.l(Il-"('I~IL ~(e.JI1'\1
DESCRIPTION OF WORK {3i./',dcl 3 fr<<e..s.k. I tJfI~((J5 -.J-IJ5.dtt Sftc../
BUILDING SIZE '1Jl/ x: <1'1- SQUARE FOOTAGE )./-1/3 -:a
EX/,:trj,)G 1tV-.-/lO/nJ& L'5t.;SjiA)G ,5'77l....,\GTWltJ
~ESID ~~ ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET
~~~I~ ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
F SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
ENERGY FORMS.
r;{BUILDING
fiY' ELECTRI CAL
II o.J PERMITS REQUESTED
$ 1'7 900::::.::;:....-' VALUATION OF TOTAL CONSTRUCTION
I
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
(/~ / 51
//
\ /
'---..-- ------------/
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
IiY' FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
~
SIGNATURE
~~
C()N~q!1'O:RSECTIQN
COMPANY chI';
BUILDER
STATE CERT OR REGIST #
C~( -(J5d 171(p
************************************************************
:e.. COMPANY iJ (,f0;:r f (( ("1? /<'
e:... t' -?--- STATE CERT OR REGIST # ~:?LJ(J I e'er 7'
SIGNATURE
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
~~~ICAL
SIGNATURE 'f:'
*********************************************~**********~*****
() COMPANY :/0 ~"t/~
~.~ ~7 ~ STATE CERT OR REGIST # ~H1 00 t r<Ut>
******** ********************************************************
I
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #,
.
" \,>1:
. ...
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"
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 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.
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.3. 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 fora
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 O~CEMENT".
(!;MVo ~~LMIt-
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA -:;:In...
COUNTY OF ' L!.~lD
The foregoing instrume, nt was acknowledged,l
Befo~. me this ~ day of '--t'Y\n. ~~ ' 20~"
by \':"'\'")1'\ S. ~1}..(l __
(name of person acknowledged)
o who is personally kn9wn to m,eJ,.. or d I" 0.
~""O-~~,3. ~d. -,. u-u
~ who has produced \="l DrlVPY's. \ \~~nt.~
(type of identification)
and whoD did iJdid not take an oath.
~~~Ju(t, "-YYi~~ (FtT
Signature of perso~cknowledgement
1\1 Jf hr Jfl__ M [) ~h.tt.
Name ~ed,~~ or stamped
. ':J'.. My ConwnIIIlOn 00212&03
'~..I. ElqlnI January 05. 2001
(name of person acknowledged)
C1ho is personally knowp to me, Qr "I~ A
~~I.tO ..tDJ3.5J.-"1 U-U
)Q. who has produced~j P~Y\Bf'
~~(type of identification)
and who Ddid ~id not take an oath
_YJi:ii1hJ/J, ~
Signature of person t ing acknowledgment
~J'fhe It M..b~/fH
Name type~r~~ stamped
. .. My Con1Il'IiIIlOn 00212503
'+./:1. ExpIreS Jenuary 05. 2001
Chris Casella Construction, Inc.
4920 & 4922 Airport Rd.
SQ. FEET PRICE
MAIN OR LIVING: 990 $ 25.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 24,750.00
FEE SHEET $ 155.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 232.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 232.50
ELECTRICAL: $ 64.00
PLUMBING: $ -
MECHANICAL: $ 59.70
RADON: $ -
TOTAL $ 356.20
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
,
I
I
I
I
WATER METER:I $
IRRIGATION METER $
~ ,
SUB-TOTAL $
356.20 I
SIF'S'I $
97,5% $
2,5% $
TIF'S'r
99% $
1% $
. I
. I
TOTAL: $
356.20 I
BOLENDER INVESTMENTS, INC.
38462 COUNTY ROAD 54 EAST
ZEPHYRHILLS FLORIDA 33542
May 7, 2004
Dear Sirs:
As owner of the building located at 4920/22 Airport Road in Zephyrhills Florida I am aware of
the work being done to install offices for Vitality Foodservice, Inc., the current leaseholder of the
previous listed rental space. This office has been supplied a copy of the plans that will be
constructed by Chris Casella Construction.
If you have any questions please contact me at 813-788-5969.
John Bolender
for
Bolender Investments, Inc.
1 ~ ~
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I' /
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1/ /
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OCCUPANCY NO.:
CITY OF ZEPHYRHILLS
FIRE RESCUE
INSPECTION DEPARTMENT
6907 DAIRY ROAD
ZEPHYRHILLS, FL 33542
(813) 780-0035
Administration: (813) 780-0041
----D
'f j (fJ
*******************************************************************************************************************
Business Name:
/ .-- cFIRE SAFETY INSPECTION
V;' 1",-/;1'1' racel J (' r(/, Ce. Business Owner:
t./ 9 2L /J I,' /JtJ~ .,L k/ Telephone:
r
Building Name:
Street Address:
Zip ~35"'yt2-
Building Owner:
Telephone:
Emergency Contact # I:
Telephone:
Emergency Contact #2:
Telephone:
Suite: h.. '
City: -? (fJh Y tt. / (Is
Manager:
Telephone:
Occupant Type:
*******************************************************************************************************************
TYPE OF INSPECTION CONDUCTED
Annual:
Reinspection:
Gas:
Sprinkler:
Commercial:
Suppression:
Code Violation:
Other: /-~/
.
Approved: _
Conditionally Approved: ~
Not Approved: _
***********~**~*****J********:***************************************7. ****;;:********~******I******************
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. ...J:?~..~s1~......~...~..................................................................................
This building had been assessed by the Zephyrhills Fire Department. Utilizing the Codes and Standards of, NFPA Minimum Standards, the
State Fire Marshal Uniform Fire Safety Rules and other local fire safety codes.
Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during fire. Your
, )mmediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire
~_evention Code;::"
i.,.',jr***********~******,~* ***~********************************************************]~~***********************
~')h$pection Date: b 1/, t:1/) Re-Inspection Date: / V c' 4 Y./.
Inspector Name:(Print) / / v t: 1'/ Inspector I.D.#: 5') L
lIJ~pector Signature:
-Occupancy Representative
.Si~ature:
: (Jomputer Entry:
Title:
Pre-Fire Plan on File:
Page
of
Revised 04/04