HomeMy WebLinkAbout04-3435
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3435
Permit Number: 3435 Issued: 101062004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: AD DIAL T COMMERCIAL
Proposed Use: COMMERCIAL
Sq. Feet: Est. Value:
Cost: 40,000.00 Total Fees:
Amount Paid: 345.00 Date Paid:
Address: 5707 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: CARRS' NSTRUCTION
Addr: 3330 DRUM RD
ZEPHYRHILLS,FL. 33541
Phone: Lic:
Work Desc: NEW ROOF 1 NORTH SECTION
CRYSTAL BAR
5707 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
N
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTlON 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 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."
~C
NO OCCUPANCY BEFORE C.O.
~-~
-
TRACTORS SIGNATURE PERMIT OFFI
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 /- OtJ
DATE RECEIVED ,/0'-- 4:/:',,- I'
PHONE CONTACT FOR PERMITTING h:;..q vI.{ q 6 (
Cr'/A ( &v- ::{i/\Q-
G-<t- (t . (J ( vo1
PHONE
,--" '
OWNER'S NAME ,,-* O-ry-: r
JOB ADDRESS 5"'1 t) 1
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # II -:1 b-.?I- Otll () -eC J f'ln -o")jJ
(OBTAIN FROM PROPERTY TAX NOTICE)
OSIGN
o MOVE
OALTERATION
roIDEMOLISH
~EPAIR
o INSTALL
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
PROPOSED USE: OSGL FAMILY DWELLING
~MMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
c:J RESTAURANT & HEALTH DEPARTMENT APPR~~~~
-Fe1ro-ff + V' eM.! f'd~ ,//Vd/~ ~ e:::I{Y lV'
SQUARE FOOTAGE ~.{' rJ ()
\
HEIGHT (tJ
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COI1MERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IE' SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. I
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. I .r t/ ~ II __
~6~
~ // j/lAr?
YALUATION OF TOTAL CONSTRUCTION ~ ~ J
..--.
~UILDING
U0 ,('J ad - (J ()
./
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o GAS
o ROOFING
o SPECIALTY
"'
3 <.f~. ~.-J
VALUATION OF MECHANCIAL INSTALLATION j2jlJJEJ.
o OTHER
$
TYPE: OF CONSTRUCTION: 0 BLOCK
I1t FRAME
o STEEL
10'" OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES ty'NO
SIGNATURE
j /J ~ / COMPANY
j)(y~(~TATE CERT OR REGIST # CtfCo6oGC.i~
BUILDER
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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 pOftions 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 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. CONpTRUCTUION 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
certifyl 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, izoning 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 int$nded 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. E,nvironmental Protection Agency-Asbestos abatement
I also ~ertify 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 COMMENCEM T".
acknowledged
, 2Cl-
SI ATURE: CONTRACTOR
STATE OF FLORIDA-'~
COUNTY OF _~7 1Z_~Ji" -(0
The f~oreg?ing ins"S!"ument was acknowledged .4
Bef~e me ;thiS~(?:. ~ O(L T , 20 ~
by II) ,~.,.. f . fl
(pame of person acknowledged)
~~ls personally known to me, or
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name of person acknowledged)
o who ,is personally known to me, or
of identification)
take an oath.
and \'jli6
Signature of person taking acknowledgement
Sig~atUie of person taking acknowledgment
Name typed, printed or stamped
..iJ"'..... Ilobt.ie 5Yfetlam:j-
Name ty~ ~~OO#~~PIRES
.~. r.-N February 22, 2008
.''>-;iif.~~- BONDED THRU TROY fAIN INSURANCE, INC
State of
-, /'
F-- { ;, "
I ()t'\ ()i t'J
NOTICE OF COMMENCEMENT
,)
County of ("'~/,;lJ ( <..)
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1.
Description of Property: ParcelNo. /;-2(, -2/, 0010- oS'/()CJ -(};;(S3
,
2.
(Legal description of the property and street address if available)
General Description of Improvement r'1~0 ?u'J! /"// &J.~ .(~v /../~':JJ1AYJL
;/ ./'7 l ,/
/-I.///,;,n,-<, /~/~/"{
/ 1111I1111111111111111I111111111I111I11111I111111111I1111111I
2004184802
Cr, /.. / 11:,. I( L
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City 2....~;;{/ri. 'f If State
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Owner Information: Name
,,- ,
(> ;f
{
R3.
Address j '70
Interest in Property:
4.
Name of Fee Simple Titleholder:
(If other than owner)
Address 17G 00 r I~ r,Jr City
I
~:'l r ic hlvl
Address . ?~? /0 12 J #J1 If J?
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I~ Utf' ru1 (')
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State /
Contractor: Name
S't"~_hL-(
City 2~~J/1 II:
I I
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,. ,
State/- I
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
State
Rcpl: 820346
os: 0. 00
10/04/04
Rec: 10.00
IT: 0 . 00
Dpty Cler-k
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:
N ame i~90~~~~MAri : rr;~o fOUNT:r CLlRK
Oli BK 6050 PG 1340
Address City State
8. In addition to himself, Owner designates
of. . . to receive a copy of the Lienor's Notice as
provided m SectIOn 713.13 (1) (b), Florida Statutes.
9. Expiratio.n date of Noti.ce of Commencement (the expiration date is 1 year from the date
of recordmg unless a dIfferent date is specified.)
"/ ..,,/ > ,'~/,'
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. ._,,,,,,;;' /",.",..~ "",:./' .,/ ,..-;;~ ,~"-/,_,,,"_'_..__.~_..' ~#o#------
Signature of Owner:.......- /~{<,,/;.> {/ ...,;:;;;'/ ~/~ ?' r:..-- ' ,-
Sworn to and subscribed b~fore me this
, .
Notary Public: etA(f~~
My C()mmis~ion Expires: \ ...
PC930E>30481 A.
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day of oJ
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#t,~Y PU".:., ~_____
~1' "ie" Mv COMMISSION # DO G
OFl\<I EXPIRES' 145085
1-800-3-NOTARY F ' August 27,2006
---- L Notary Service & Bonding, Inc
18/11/2004 14:40
8138395803
JAMMAL ENGINEERING
PAGE 01
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October 11,2004
Mr. Bill Burgess, Building Official
Chief Building Inspector
City of Zephyrlrills
5335 8m Street
Zephyrhills, Florida 33542
RE: Crystal BBI', 5707 Gall Boulevard, Zephyrhills, Florida
Storm Retrofit Drawings Approved on October 6, 2004
Dear Mr. B\U'gess:
The drawings submitted and approved shall be constructed to comply with the 110 wind loads as
well as applicable City of Zephyrhills code requirements and Florida Building Code
requirements. Please attach this letter to the plans as an addendum.
If you have any questions or need any additional jnformation, please do not hesitate to contact
me at 813-748-6669.
Respectfully,
lAMMAL ENGINEERING, INC.
~
Nicholas lammal, P.E.
Florida Registration No. 41946
Engineering Manager
NJ/ngs: 16-mw-bbcb
JAMMAL ENCINEERlNC, INC.
A DIVISION OF DYNAMIC ENGINEERING INTERNATIONAL CORPORATION
1910 w. KENNEDY BLVD.
TAMPA, FL 33606
(813) 254-7826 FAX (813) 251-2465
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10/14/2004 10:10
8138395803
JAM/viAL EHGIHEERIHG
h',.:E 01
'!t#'
October 11, 2004
Mr. 8H1 Burgess, Building Official
Chief Building Inspector
City of Zephyrhills
5335 8th Street
Zeph.yrhms, Florida 33542
RE: Crystal Bar. 5707 Gall Boulevard, Zephyrhms, Florida
Storm Retrofit Drawings Approved on October 6, 2004
Dear Mr. Burgess:
The drawings submitted and approved shall be constructed to comply with the 110 wind loads as
well as applicable City of ZephyrhiUs code requirements and Florida Building Code
requirements. Please attach this letter to the plans as an addendum.
I f you have any questions or need any additional information, please do not hesitate to contact
me at 813-748-6669.
Respec,tfully,
JAMMAL ENGINEERING, INC.
~
Nicholas "aromal, P.E.
Florida Registration No. 41946
Engineering Manager
Co r-J
Nl/ngs: J 6-mw-bbcb
JAMMAL ENCINEERING, INC.
A DIVISION OF DYNAMIC ENGINEERING INTERNATIONAL CORPOF\ATION
1910 W, KENNEDV BLVD,
TAMPA, fl. 33130(1
(P.1~) 2r.47fl26 F~:( !8131 ?51-24",;