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Home My WebLink About04-3546 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3546 Permit Number: 3546 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 30,000.00 Date Issued: 11/03/2004 Total Fees: 456,10 Amount Paid: 456,10 Date Paid: 11/02/2004 Work Desc: INTERIOR ALTERATION Address: 37943 EILAND BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: CVS Address: 37943 EILAND BLVD ZEPHYRHILLS, FL. 33542 Phone: R J MARTIN ELECTRICAL CONTRACTIN PLUMBING FEE BAY AREA PLUMBING ,INC, 68,00 D B DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER ~ ~\ SHEATHING FRAME MISC SEWER ~ ' MISC INSULATION WALL MISC MISC, I 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." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. X~ ~~ C RACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER NOTICE OF COMMENCEMENT STATE OF Florida COUNTY OF Pasco County 11111111111111I111111I111111111111111111111111111111111I1111 2004189779 THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (Iel!al description of property, and street address if available) 37943 Eiland Boulevard, Zephyrhills, FL D'?,7'., -'21 -~o - O,,4DO-tb~V JEO PITTMAN, PASCO 10/11/04 11:08am OR 6K 6061 Rcpl: 822186 OS: 0. 00 10/11/04 Rec: 10.00 IT : 0 . 00 Dpt.y Clerk 2. General description of improvement: Interior Alteration COUNTY CLERK 1 of 1 PG 1186 3, Owner information: a. Name and address: CVS Corporation One CVS Dr. Woonsocket, RI 02895 b. Interest in property: Owner C. Name and address of fee simple titleholder (if other than owner): N/A R. Contractor: (name and address) FPI Construction 8950 North Central Expressway Suite 400 Dallas, Tx 75231 a. Phone number: 800-468-5709 5, Surety: a, Name and address: N/A c. Amount of bond $ i' b. Phone number: I" .- , . 6. Lender: (name and address): N/A i: Ii; , 3 ~::'I Ii L. a. Phone number: CITY OF ZEPHYRHILL~ 7, Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 7 13.13 (1)(a)7, Florida Statutes: (name and address): 8. In addition to himself, CVS Corporation, as authorized agent for Owner, designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: Bill Hellmann ~~.32 Northwestern Ave Racine, WI 53404 9, Expiration date of notice of commencement (the expiration date is one (1) year from the date of recording unless a different date is specified) This Space for Clerk's Use Only By. """U',,, "" '1#, ..." ""-\ ~ ' ...... ,S~ ........ ~/ T .... ~ .. 00 'Y~. $'Ple~~,;t cerirr~~%>y to: Please g Stele efrlrcJ \ -: City of: ~ &9~~ ~rn f'- ve. ~ Zephyrhills Building Dept 0; ~~~9NlI '" S ':;. 0.... ..- ~ ~ ~ ~ -. .. rx. ~ " "0' .......... ""-\. ".... " "'co n..J.r ~........ STATE Or:- r:r;PT"\ CC"fLJr\:"r"',/ ()~ CI.ERK CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPAR. TMENT 5335 8~ St, Zephyrhills, FL 33542 ~. ~ 813-780-0020 FAX: 813-780-0021 U z.. () ~ ~ DATE RECEIVED C V s &f~;;. CONTACT FOR """"","G Z<oZ: (.,S 3..qQ/lb Jd (p OWNER' S NAM~A~RtoJ)J-'1tMp t{ 0 t\tS ~~(b1' PHONE 1i:n l<<Jl.. 4 tv'S JOB ADDREss31Q43 ~.'a~ &\~ LEGAL DESCRIPTION: LOT(S) PARCEL ID II 03- -2L~ - 21 BLOCK SUBDIVISION OCt 0 -a.;..+Q)-co~ (ORTATN FROM PROPFRTY TAX NOTTrF\ WORK PROPSED: DNEW CONSTRUCTION o ADDITION I!IALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: 0 SGL FAMILY DWELLING teCOMMERCIAL DMULTI-FAMILY o INDUSTRIAL o II OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK~~~.r A\~,oJ \~ BUILDING SIZE f.-' SQUARE FOOTAGE 'Oqi)~ ) HEIGHT - RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) ~~S.-tJ/A IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIREu. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. tf2Il..ELECTRICAL ~PLUMBING o MECHANICAL AMP SERVICE o Progress Energy 0 ,,[- v I i'tl /;4 10 @ BUILDING $ ":xJ, 0 et:::) PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION W,R.E.C. TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO SIGNATURE v BUILDER STATE CERT OR REGIST II SIGNATUR *********************~::::::~*~*~;;r~********** STATE CERT OR REGIST II E(. ':tx>2-\ 2.L, ~ J.' 'L..... .:.........:....................... :::::::....... ~.. p' ~:b\ . rJ uP +0 ","'TORe m\ ~ WlQ~Oa\!) 'Tm c~ RemT' ~F WI ~o: ~. ****************************************************************** MECHANICAL--.J. SIGNATURE fA , COMPANY STATE CERT OR REGIST II * *************************************************************** SIGNATURE COMPANY OTHER STATE CERT OR REGIST II CONDITIONS OF PERMIT AFFIDAVIT 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 portions 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. 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.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 R NOTICE F CO~~NCEMENT. JOBS UNDER $2,520 IN VA DE Dr NOT NEED TO RECORD AND POST A 'N TICE OF CO EN~ENT". '''-/ /J ~ SIGNATURE: OWNER OR SIGNATURE: CONTRACTOR wt STATE OF <:I..OnI~ 0 _ . COUNTY OF ~t..,\Y'f The foregoing instrument was acknowledged.i ."11'" Befo.re me this~ day of Stf4' ,2uW ,.' " I"" byt)\Q!.kUo6olll"v ./_1 ~N 84/. ""''G} (name of person acknowledged) -. l""l"' ....... V~ . ..... "'("'" ..- -.. <...~ who lS personally known to me, or f /"~OT AR~.\ : : --.- : ; \. PUBLIC : -:. ~ ~ 1/1 . .......... />.... ._ ~~gn ure of person taking " . / f' .......... '-'- ~ ~ "'" OF W\SC(.) ~~~' t:t..... 'J"",."~,l'UH'"\''' Name ty ed, ~~,-",e/ printed or stamped ~ STATE OF ~A D_ . COUNTY OF t-aC I nJ. The foregoing ins~rument wa~~~knOWledge.~IJ Befor'i m,e this^~ay of -P= ,20 ~ '"'',,,, by F-\Q:!~ UQ\V\ \ . ' "t ~N 8 "" (name of person acknowledgedY' \1... ...... 4/.'''" ~'-- "- .- -. v. , "'1\110 is personally known to me, .:or,-' ... ~ ~ .: .. -. .A"'\ ~ D who has produced : l Nor. \,.. . (type of id~tif:kat~.ARY : ~id not take !n, :;~thPUBL"""'IC j : '::. ~ -.. .,l .: , ~ ... .- ~ aCknow~~~n~.......... ~ ...... ""," f" W'SC()~s~~~" 1,'. tlJlIt""" has produced (type did l1I'did not of identification) take an oath. and who 0 did person taking :6aiA'V printed or stamped FPIConst. 37943 Eiland Blvd. CVS (Eckerd's) Renovations SQ. FEET PRICE MAIN OR LIVING: $ 50,00 OTHER AREA UNDER ROOF: $ 50,00 OTHER: $ - VALUATION $ 30,000,00 FEE SHEET $ 185,00 I ADDRESS $ - DRIVEWAY $ - BUILDING: $ 277,50 CREDIT: $ - BUILDING LESS CREDIT: $ 277 .50 ELECTRICAL: $ 110,60 PLUMBING: $ 68.00 MECHANICAL: $ - SUB-TOTAL $ 456,10 - I 456.10 I RADON:I $ TOTALI$ SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - I I I I I WATER METER:I $ IRRIGATION METER $ ~ I SUB-TOTAL $ 456.10 , 51"5:1 $ 97,5% $ 2.5% $ - I - I T I . '5 :1 $ 99% $ 1% $ TOTAL: $ 456.10 I