HomeMy WebLinkAbout04-3678
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3678
Permit Number: 3678 Issued: 12/14/2004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Sq. Feet: Est. Value:
Cost: 45,000.00 Total Fees:
Amount Paid: 255.00 Date Paid:
Address: 4330 20TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot{s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: THE HASKELL CO.
Addr: PO BOX 43100
JACKSONVILLE,FL. 32231
Phone: 904791-4500 Lie:
Work Desc: FENCE AND GATES
ZEPHYRHILL BOTTLED WATER
4330 20TH ST
ZEPHYRHILLS, FL. 33542
Phone:
ffi UHW
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.
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
"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. n
NO OCCUPANCY BEFORE C.O.
J~RE.' PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DATE:
/zh ~ )t>'-f
I .
CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT
RIGHT-OF-WAY USE PERMIT
PERMIT#
No construc&.. wader ground or above ground of any faclWy .ball be accomplilhed on any City Rlghtl of Way without written approval from the
City BuIldinl Department. Any applkation for approval of construction operatiom on any City owned Ri&htI of Way aha1l fumlah a detailed drawing ahowlng
the complete ICOpe of the propo.ed work In triplicate to the offtce of Che BuIlding 0fIIc1al for approval prior to the commencement of any work. A copy of this
permit b to be kept readily available at the .ite of the work at all time.. 1'\
PARCELLD.## I~ 'Zio 2...1 (jo'7U C)7400 e)Ob~ROAD 201'~ "PI.
DATE 12/' ';J)~LJ
I
LOCATIoN (Legal Description) :
1. ~ TA-
ST,
~o\.nft- el;oo
",;;r;:; ? p rl~ sr.
of J~~ C,O.
!'f.A,,~1)1 F)uflfN.J~
Permission b hereby granted to
for Che conatructlon and maintelUlllCe of
~"F~f ~.
subject to Che following conditions:
1. The construction and maintenance of .ueb utility .ball not Interfere wlCh the property IIIUi rlghtl of a prior occupant.
2, AU work sball be done In keeping wlCh the standard. of Che City Streets Department and wader Che .upervlslon of the City BuIlding Offtclal, who
will be notified at least one day prior to commencement of COIIItnaction.
3, AU materia1a and equipment sball be subject to Inspection by the City BuDdinl Oflklal
-t. Durinl COIIItruction all safety regulatlona of the Department of Transportation aball be ob.erved and the City .ball be reUeved of all
responsibility from damage of any nature arising from this permit. Subject to the aame terma and concUtionI, the permit holder may take .ueh safety mea.aurea,
including p!acinl and display 01 caution siglu, u It may deem necellary In conduct of COlUtruction and maintenance work hereunder, It Is the resporulbillty of
Che permittee to place, maintain, and aupervlse all traflk cootrol and devices.
5. AU private and aU City properly aha1l be reatored to ItI original concUtion u far u practical In the opinion of the City BuDding otftclal
6. AU waderground cros.1ng hutaUationa aball be laid at sucla depthu may be apeclfted by the City BuDding Official
7. The sketch covering Che detalb of this inItaUatlon .ball be made a part of this permit. ThIs permit Is granted wlCh the undentandlng Chat Che
applicant)UP notifted aU other utUity uaen in the area covered by the permit and take. fuU respOlUlbillty for any damage inauTed by prior inItaUatlona u a
reault of his operationa In order Chat Chey may .afe guard their Intere.tI.
8, It Is eIpressly atipuiated Chat this permit Is a licetue for permlsalve DIe only and Chat the p!acinl of faclUtiel upon public property punuant to this
permit sball not operate to create Or to vest any property right In aaid holder.
9. Whenever Che City decides to t\u1ber uplolt the City Rlghtl of Way, any or all.aid polea, wirea, pipe., cable., or other facilltie. and
appurtenance. authorized herewader, aha1l be immediately removed from .aid RIght. of Way, or relet or relocated thereon u required by the City BuDdinl
Oflklal at the upenae of the holder of this permit.
10, The bolder .ballaave and keep the City harmle.a from any and aU damagea, claim., or lnJurieI Chat may occur by reuon of the CODItruction,
maintenance, and operation of .aid facility.
11. The holder aha1l complete the requested work within daya or this permit .ball become nuB and void. In the event the work req_ted
Is ~t completed upon the uplration date of this permit, the City aball have the right to complete .ucla work and to charge the holder of the permit for all co.tI
Incurred in completing .aid work.
12. The holder shaD poat a cash or .urety bond wlCh the City Manager In the aum of S dollan to guarantee perfol'lDllllCC of the obliptiona
bereln, and to guarantee malntelUUlCC of the right-of-way dClcribed herein for a period of one (1) year following completion of the requested inItaUation. In the
event a surety bond Is posted, Che .urety blllld sball be mad~ payable to the City and .ball oblipte the .urety to hold the City harmlell In the event the holder of
tbJI permit ahouid fall to meet any of its obliptionl herewader. The bond .ball alIo indemnify the City for all court co.tI and reuonable attorney'a fee. In the
event legal action Is required to coUed on .aid bond.
13. The permittee .ball have. 24 hour emergency contact name and number listed below,
SUBMlTI'ED BY:
(permittee) t/lb:-t-.'bJ. ( CO .
Signature & Title C&Lo a ~3{ ':)
Address
Phone
~oq -Lf-lllC( -II~ I
APPROVED BY:
CITY OF ZEP
Public Work8
Date:
BuDding Official
Date:
Utilitie. Supervisor
Date:
CIty Manager
Date:
....
~."j,1.S ~'!: I'S'p;,.c,>.'!:.a>1 ~
c.'t'l aT! ?T!.P "" ," 'c, ...."'"'.... '" "." .' C
Btl"lLD"lltG tlE1?p.Jl.~ 0020 ....",.,,,.00>' ..--"" J .
",."0-". 00" .---."
""""" C~ _ ....,,,,.,"'" ------------
",-:l. ' "%~4
1t.A PHO~E~: "33-
I J.~ L-. 1../0
pJ>.RCEL ID 1\
1fiI0FJ'. PROPSED: ONE1fiI CONSTRuCTION
OslGN
o~ u.fJC>
0J>.LTEPJ>,.'l:10N
o DEMOLISH
o REPJ>.lR
o INSTJ>.LL
O'IilNf,R' S NJI,}%
JOB ~tli'.ESS
LEGAL DESCRIPTION:
~DDITI0N
DEScta1?T"lOlt of Wotu<.
SQuJ>,.B.f. fOOTJ>.GE ____ HEIGHT ----
BUILDING SIZE ~
-Dl~G p,J>.NS & (1) sE E.~ERG1 fO~~S'
,,"OlDB""]' hllhC' (2) ,lOl ,LAN' , (2) ,BIS 0' ,0'" "
co_.C'Ae' ,,",CR (31 ",s 0' ,O,]DlNG ,,,"S , (11 sO! ""ORGY ,o,",s. /" ' Q
" "G. ","," oNLY (21 "TS 0' BOGlOBB,,"O ,,,"S ROO"ROO. ,--, / -. co
?RO'O'" '0'"'''' ROOc'ROD ,0' ", ,," COR"RUCT' O. . L--'-:J -,.
0t'lULT1- f)>...MllS
~uSTRIAL
& HEJ>.LTH Df,PARTt'lENT APPROVAL
01\ Of 'JNITS
o S1fiIl~,\!'l1NG pOOL
o MOBILE HOt'lE
o OTH.ER
Ot'lOVE
PROPOSED USE:OSGL f)>...MILY D1fiIf,LLING
o COMMERCIAL
o BUILDING
..,~
s~ v"oATlOR Of 10'" co.".CCT'ON
____ "^' ,o,v,oS 0 ",00'"" on"'OY 0
1fiI.R.E.C,
. rt~
* '~~
o t'lECH.ANICAL
,-------= V ,'0 AT ,0' Of ""cRAN"" ,"",,"'T'OO
o SPECIALTY ~OTEER
o fp.N1f,
o STEEL
IF ,"O'OCI IN 'COOD ,ONO "",,0 yB' 0 NO
~OTHER
o ELEC".:RICAL
o PL'Jl'1BING
O ~~~
",,,:0
TYPE Of CONSTRUCTION: 0 BLOC1\.
o ROoflNG
F1NISEED fLOOR ELEVATIONS ----
Btl"lLDEtl.
.... L(,.. cP.
","0 coR' 0' RDGlF1 · ~
...........................................................
COMPJ>.NY
SIGNAT'JRE
..................................................................
COt'lPANY
SrA'" C'" OR ROolF' I -----
ELEcTtl.1CuN
COMPp,.NY
STJ>.TE CERT OR REGIST 1\ -----
SIGNATURE
..................................................................
.................................................................
COMPp,.N"i
STATE CEP,T OR p-EGIST 1\ ----
1?LuMBEtl.
SIGNATURE
COMPp,.N"
STATE CERT 01'. REGIST 1\_____
MEC~"lCAL
OTHEtl.
SIGNATURE
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 STH St, Zephyrhi11s, FL 33542
S13-7S0-0020 FAX:S13-7S0-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTIN0a J?1-
/~-/$-D4
'lor f'll-I/ cJ I
-;q~
OWNER'S NAME 1llE:S 12.E
JOB ADDRESS 'f 33c:>
LEGAL DESCRIPTION: LOT(S)
WJl..r1E~c) AI of< r11 A-MCi< leA- PHONE & f5 - 7K3
20TH Srt.<./EEr 2.EtdflyA.It/i-L5 ) F'- '3~S'lO
# A- BLOCK ..4//1- SUBDIVISION ,,(//!-
PARCEL 10 #
13 '1.~ 21 0:;.70
C?4OC> ~ (OBTAIN PROM PROPERTY TAX NOTICE)
~DITION DALTERATION D REPAIR D INSTALL
D MOVE D DEMOLISH
DMULTI-FAMILY D# OF UNITS D MOBILE HOME
ld'INDUSTRIAL D SWIMMING POOL D OTHER
WORK PROPSED: DNEW CONSTRUCTION
DSIGN
PROPOSED USE: DSGL FAMILY DWELLING
DCOMMERCIAL
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~I<.II-#LE /UoiJ/~/t::.An~.5
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.
D BUILDING
$
._ PERMITS REQUESTED
.3 ~ IJtJO
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL
AMP SERVICE
D Progress Energy D
W.R.E.C.
D PLUMBING
D MECHANICAL
$
D GAS
D ROOFING
D SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
~HER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
D STEEL
~HER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
CON'!'RAC'l'QR,....SEC'l'ION
BO"'D~ COMeANY 7Hc h'A6l:eL.L. CO.
"~ -- . "A" "" OR REGm . CfiC. a) :l3""Z5
******************************************************************
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 #
Submittal Data Transmittal
THE HASKELL COMPANY
Specification Section
2000
ARCHITECTURE .eNGINfERING .CONSTRUCTION .REAL eSTATE SERVICES
Shaded areas to be completed by The HaskeJ/ Company
Project Number: 32616301 Project Name: ZephyrhillsSecurityUpgrades
Project Location: Zephyrhills, FL Project Manager:
FileNo:
Date:. # 1~6/tY-I
I
TO BE COMPLETED BY SUBCONTRACTOR OR MATERIALS SUPPLIER
Submitted by (print company name):
Item # of Copies Submittal Description
Number Sent Submittal Type
1 1 Shop Drawings Ornamental Fence & Gates
I hereby certify this submittal data has been reviewed and approved prior to submission to The Haskell Company
and the information contained within this submittal has been checked and coordinated with the requirements of
the Work and the Contract Documents. Action indicated on this submittal by The Haskell Company does not
relieve the siqner of any contractual obliqations and responsibilities
Reviewed & Approved by:
Signature Printed Name
Reviewed by:
SEQ.
ROUTE TO
Architectural
Civil
Structural
Mechanical
Plumbing
Refridgeration
Electrical
Consultant
Quality Assurance
Specialist
Project leader
Project Manager
TO BE COMPLETED BYTHEHASKELL COMPANY
Date Submitted to AlE:
Date Required back from AlE:
PERSON
Ga Walo
Mike Wheeler
Peter Skirbst
Tom Osborne
REMARKS:
r~:~~;:.:};;;';'~ii'i;;;:;- _u___
: I
i No. of Copies Received I
,
,
: Date Returned to P.M.
,
,
: No. of Copies Returned:
,-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.
i Submittal Types I
i AS As-Built PO Product Data I
i CA Calculations SA Samples I
. I
I MC Material Certs SC Schedule I
I MO Mix Designs SO Shop Drwgs I
10M 0 & M Manual TR Test Reports I
! v I UUl~1 YVM. VVolli::tll1t:U:t I
l._._~~._._._._._._.___._._._._.~
*STATUS KEY
1 No Exceptions Taken
2 - Make Corrections Noted
3 Revise & Resubmit
Revised 5/1999
THE HASKELL COMPANY
.~ AMERICA'S DESIGN-BUILD LEADER@
Transmittal
Hand Deliver
TO:
Mr. William A. Burgess
City of Zephyrhills, Building Department
5335 8th Street
Zephyrhills, FL 33542
PROJECT:
Security Upgrades
Nestle Waters North America Inc.
Zephyrhills, FL
Project # 32616
We are sending you
DATE:
December 13,2004
SUBJECT:
Permit Submittal
NUMBER
COPIES
the following documents on this project.
TITLE OR DESCRIPTION
PREPARED BY
1 12/04/04 City of Zephyrhills Permit Application THC
Ornamental Fence & Gates
1 12/04/04 City of Zephyrhills Permit Application THC
Entrance Modifications
1 12/13/04 Construction Drawing Set THC
1 11/16/04 Submittal Data Sheets THC
Ornamental Fence & Gates
MHW /kg
These documents are being submitted to you:
D For your use.
D For estimating purposes.
D Approved.
D Approved as noted.
181 For Approval
D Please sign and return both copies; one executed copy will be returned to you
D For your approval. Please return () copies "APPROVED" or, "APPROVED AS NOTED".
D Due to revisions. Please acknowledge receipt, advising if these revisions will affect the
contract price.
COPIES TO: Peter Skirbst, THC
Tom Osborne, THC
Chuck Deem, NWNA
Dave Caisse, NWNA
Very truly yours,
THE HASKELL COMPANY
Mice:.4-t.A
Mic ael H. Wheeler, PE
HASKELL BUILDING.JACKSONVILLE, FLORIDA 32231-4100.904/791-4500 FAX 904/791-4699
11/16/2004 TIlE 14: 19 F.iL\:
!4J 0011004
Ornamental Aluminum Fencing
P.o. Box 5279
Hudson, Fl 34674-5279
Toll Free: an-258-6448
Phone: 727-861-5029
Fax: 727-862..&769
E-Mail: amanda@alumi-guard.com
9l~UII1lfi'!lIDIDlf~
+
~
To ~
Name: / C)rY)
Fax Tzansnrittal Fornl
AMANDA MCCUTCHEON
0<) bor n<?
Company:
Phone number:
9DL} LJ7,5 72'-/,)
Fax number:
o Urgent
i:I For Review
o Please Comment
o Please Reply
Date sent:
I \ - J to . 0 L/
Time sent:
Number of pages including cover page: LI
-);-
Message:
:.(-
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St. Zephyrhi.1.1.s, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
/~-/5'cf
, ,
PHONE CONTACT FOR PEBMITTING
JOB ADDRESS 4330
NAME J1esrL-E r,.;A-rb(~ A/o1.111 Mt&/~ PHONE <cJ3 - 763 -11~1
'20 TH s;r IZ. ~ r ~H ,yA" HI L/....5 1 rL. "335 yO
A/,4 BLOCK ,,4/A- SUBDIVISION A14-
0::>70 O~ o::co
OWNER'S
LEGAL DESCRIPTION: LOT(S)
PARCEL ID #
1-;
'2.~
2./
IORTAI~ ~ROM PROPERTY TAX NOTICEI
o COMMERCIAL
~DDITION o ALTERATION o REPAIR o INSTALL
o MOVE 0 DEMOLISH
OMULTI-FA."1ILY 0# OF CNITS o MOBILE H Ot-1E
~USTRIAL o SWIMMING POOL o OTHER
WORK PROPSED: DNEW CONSTRUCTION
DSIGN
PROPOSED USE: DSGL FA."1ILY DWELLING
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK oKIIAJlfEAI17I-L.. Fi3A/C./3:. AA/f) 6/f7Z:S
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
& (l)W S~ ENERGY FON~S.
FORMS,
",,'-00
2S'J.
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
$
_PERMITS REQUESTED
//5; Ot:t:.) VALUATION OF TOTAL CONSTRUCTION
o ELECTRIC.ll,.L
ANP SERVICE
o Pcogress Energy 0
W.R.E.C.
. r1~
4t ~lp
o PLUMBING
o ~n~
~~W
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
~THER
o MECHANICAL
TYPE OF CONSTRUCTION: 0 BLOCK
o FRANE
o STEEL
gOTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
CONTRACTOR SECTION
COMPANY $e Htf5,keLt... Co.
SIGNA
STATE CERT OR REGIST # Crg;()j 1315
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR PEGIST #
***********************************************************~**~**
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #