HomeMy WebLinkAbout05-3736
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3736
Permit Number: 3736
Permit Type: IRRIGATION
Class of Work: IRRIGATION
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: NORTH GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
NORTH TOWN
NORTH GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
I
PLUMBING FEE
).50'
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35.00
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."
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.
~~~ &~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
fN/05/2o.05/WED 0.9 31 AM
ZEPHYRHILLS BUILDING
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p, 001
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING I>EPARTMEN~ 5335 em St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 'Ja... 'D Q~
. ,I ' DATE RECEIVED n-,
PHONE CONTACT FOR PERMJ:'1'~ING
OWNER'S NAME-.K D h
,fV~ ~iJi'\-CJ2~r
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT (S) 5€ €- ~tt, BLOCK
PARCEL In i ~":rl.\ -()\5~'<"" C6{)(~:y":CX,")'l")
WORK PROPSED: ~ CONSTROCTION 0 ADDITION
SUBDIVISION
rORTATN ~ROM PROPERTY TAX NQTTC~1
o SIGN
o MOVE
o ALTERATION
o DEMOLISH
o REPAIR
o INSTALL
PROPOSED USE: OSGL FAMILY DWELLING OMOLTI-FAMILY
~RCIAL o INDUSTRIAL
Of OF UNITS
o SWIMMING POOL
o MOBILE HOME
DOTfiER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
I>~.CR.IPTION OF liORI< ..:l (: ( \ ~ ~ ( {)I!
BUILDING SIZ~ . l)fG - SQUARE roOTAGE ~
HEIGHT
a J!1t
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) 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.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING DSPECIALTY .P( OTHER :LeQ'c:s~ton
TYPE OF CONSTRUCTION: ~CK 0 FRAME 0 STEEL 0 OTHER
FINISHED FLOOR ELEVATIONS ~ IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
~~~;~t3~~;!'~;;~"--:-~..-:_~~~'~~~-_ - .-~~:~<;~?~~~~~
BUILDER
COMPANY
SIGNATURE
STATE CERT OR.REGIST #
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ELEC!rIUCIAN
COMPANY
SIGNA'I'ORE
STATE CERT OR REGIST #
['J-
SIGNATURE
STATE CERT OR REGIST *
[2]-
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
**********************~*******************************************
COMPANY
SIGNATURE
STATE CERT OR REGIST #
~>~R :r~a,v~
SIGNATURE ~
********************************************+********************
COMPAN~ ",,'d4>>- ~JL~ (.
t. STATE CERT' OR REGIST ft' .)
JAN/05/2005/WED 09:31 AM
ZEPHYRHILLS BUILDING
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hA 110, Cl::-(;:)IJ-UUL:l
P. 002
A. NOTI~E OF DEED RESTRICTIONS
Th~ 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
lioensing 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 contracto~s, 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
O. CONSTROCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, ,AS AMENDED)
I certify that I; the applicant, haye been provided ~ith a copy 'of "Florida's Construction
lien taw - Homeowner's ,Protection Guide" ,prepared' by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that t~e ~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 AFFID~VIT
I certify that all the information in this application is accurate and that all work will
be done in oompliance with all applicable laws regulating construction, zoning, and land
deve:lopment.
Applic:::ation is hereby made to obtain a permit to do work and instaliation as indicated. I
certify that no work or installation has commenced prior to issuance of a per~t and that
all work wiil 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 appiy to
the intended work, and that it is my responsibility to identity what actions I must take to
be in compliance. SUch agencies include but are not limited to: *Department of
Environmental RegUlation-Cypress Bayheads, Wetiand Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps bf Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Weils,
Wastewater Treatment, Septic Tanks '
*O.S.. Environmental Protection AgencY-Asbestos abatement
I also certify that, if fill mated.al is to be used in Flood Zone "A" or "A, etc.", i't 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 authorlzed by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for1a
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 YOOR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS ONDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE COMME T".
SIGNATURE: OWNER OR AGENT
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SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
f 2~
(name' of person acknowledged)
O'who is personally known to me, 'or
Owho has produced
(type of identification)
and wrioD did Odid not take an oath.
Signature of person taking acknowledgement
Name typed, printed or stamped
SIGNATURE: CONTRACTOR
[2]
STATE OF FLORIDA vV7 ./
COUNTY OF f/ //911/1"1 l.r ~
The foregoing instrument was ac~wledged, _
Beforenme. this _ IP t"t-day of ~ '1_ f 20 oS
by ~ALl() ~ H1V41l'-4!-Z
- (name of person acknowledged)
~hO is, personally known to me, or
OWho has produced
(type of identification)
~idnot take an oath
Sig. person taking acknowledgment
2~~~d~in~r stamped
. ..,..JO,r. liMITW,- __._
\ Notary Public - StaIB of FIoricIa
. ~ My CcmniIeiln Expir&I Mar 14, 2IXIl
~~ Commlaaion' DO 100252
, BOI'lded By National Notary Aaan,
-.-. ----,
ExHIBIT ItA..I"
LEGAL DESCRIPTION OF SHOPPING CEN"TER,
LOT 1 OF NORTH TOWN CENTRE AS RECORDED IN PASCO COUNTY PLAT BOOK 50, PAGE
32.
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11:L1 91211216/9121/10
DEVELOPMENT SERVICES DIVISION
Hillsborough County
l L041810]
TAMPA, FLORIDA
LICENSE RECEIPT
RECEIVED OFALVAREZ CARLOS
ADDRESS: SUNSTATE LANDSCAPiNG
8980 ERIE LANE
PARRISH FL
34219
TR'.I~~. . 'CEIPT HAS B.."E.fIN J,rALID-A.T.n1
(:8.., 14-2003
Fee Desc:ript1on
NOT A RE'CEIPT UNLESS VALIDATED IN THIS SPACE
-----------------------------~-----------------------------------.------------------------
neg1st:rat~-O~t Fee z ~ ~ \0 ~ . .. ~ . II ~)
Renewal Fee.".,",..,..,..,)
De 1 ~ nqusl]C',{ Fel:L , , . . , . . . . ., .?
Rec1proc~~~ Fee~~r.~.~~~.~,)
Repl~ement Fee"..........)
"'rota i cha.rge!: l ~ ~_ , ~ .. ~ , If .. " .. . :! )
E.'ft Fes
-----------------------------------------------------------------------------------------
Description
$0.00
$40,00
$0,00
$0, c.;o
$0.00
$40,00
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Contractor LiC~~se
---------~-~----~-~----~.~-----
PaYSlent
--....- -.---- ----------
40.00
Revocable for Cause - Carry Your Card Always
Sign Your Card. It is
Non-Transferable
OS/20/2004 SP10S54
Your card MUSTbe presented when applying for permits.
Contractor will be held responsible for all permits issued
under this Card. If Card is lost, notify Building Dept.
immediately.
"0
:!! Workers Compensation
';'CLi;s~ifica!ian: -MO."!':;;
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~LSVAR<t:P: CARLDS
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~~A TE LANDSCAFING
Cert. No.
QOl.,.3
Your card must be renewed prior to expiration date.
~ EXQires:
~9/30/2005
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