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Home My WebLink About05-3872 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3872 Permit Number: 3872 Permit Type: COMMERCIAL Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 180,000.00 Date Issued: 2/21/2005 Total Fees: 1,560.00 Amount Paid: 1,560.00 Date Paid: 2/18/2005 Work Desc: INTERIOR RENOVATIONS Address: 7320 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: PUBLlX SUPERMARKET Address: 7320 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: NI BURR & TIEGS ELECTRICAL CONTRACT MECHANICAL FEE B & B PROFESSIONAL PLUMBING BREATH EASY HEATING & AlC INC 160.00 ELECTRICAL FEE 180,00 FO R 1 ST 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 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. ~~ 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 DATE RECE lVED /o/<.,jpt/ PHONE CONTACT FOR PERMITTING 1 J7 cJ3 ~ q7/~ ~ ~..c;l~.k1 :2 <;0 /z..'lr OWNER'S NAME PUbL IX ~4'LL~T.s 73:l. 0 c:T;H.i i)L i/1:> /# PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL I D # 0/ () tJ <fJa? (J:Z'O U'1/'/feJ{..(S C}747~' V SUBDIVISION Cb/d4P~Y/~l>~ WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION (OBTAIN FROM PROPERTY TAX NOTICE) ~LTERATION 0 REPAIR 0 INSTALL o SIGN 0 MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL I ~/~A:. 4ft/0W'/f7le?~ BUILDING SIZE .511< SQUARE FOOTAGE HEIGHT / STm- Y / 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. o BUILDING t)- ~{~ . -hn~'\~ 4 r~ W ~~~i""'PERMITS REQUESTED $_I~~Lt)t VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. ~'3 3r('d- o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO BUILDER SIGNATURE ~'4' COMPANY STATE CERT OR REGIST # CtiC 05'9731 ELECTRICIAN ~l"~"""""""":::::::~i?::;;';;;::~'{.:;~;:'~. SIGNATURE ~~ STATE CERT OR REGIST # .--- Jt.tC. ****************************************************************** PLUMBER d // I COMPANY 6p fk,bt \>\,,\.....~\'~~ SIGNATURE4-' ~ -( ~ ~ STATE CERT OR REGIST # ar~() ,!;n:oq?.~ ........;;....... ........................h...~............ MECHANICAL COMPANY Qru.~VvT- 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 adviged 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 corrunencement. 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 corrunenced 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 corrunenced 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 corrunenced. 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 COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 2CL- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 20 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid OEd not take an oath D who has produced (type and whoD did D did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped This instrument Prepared By: Barbara Lynn Address: Publix Super Markets, Inc. P.O. Box 407 Lakeland, FL 33802-0407 Permit No. Tax Folio No. 35-25-21-001 0-08800-0000 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF POLK 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: See Exhibit" A" attached hereto and made a part hereof. 2. General description of improvements: Interior remodel at Publix #0390 - Town View Square located at 7320 Gall Blvd, Pasco County, Zephyrhills, FL 33541-4370, 3. Owner information a. Name and address: Publix Super Markets, Inc. (863) 688-7407 Ext. 54026 P,O, Box 407 Attn: Bob Newman (3300 Airport Rd, Lakeland, FL 33811-3002) Lakeland, FL 33802-0407 b, Interest in property: Leasehold c. Fax number (optional, if service by fax is acceptable): 4. Name and address of fee simple title holder (if other than Owner): a. Name and address: Concire Inc. James Bingham 411 Commercial Ct. Suite E (941) 488-0270 Venice, FL 34292 b. Fax number (optional, if service by fax is acceptable): (941) 488-0790 5. Contractor: a. Name and address: HAWKINS CONSTRUCTION, INe. P. O. Box 1636 Tarpon Springs, FL 34688 -1636 b. Phone number: c. Fax number (optional, if service by fax is acceptable): 6. Surety: N / A a. Name and address: b. Amount of bond $ c, Phone number: d. Fax number (optional, if service by fax is acceptable): 7. Lender: N/ A a. Name and address: b. Phone number: c. Fax number (optional, if service by fax is acceptable): 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided in section 713,13(1)(a)7., Florida Statutes: a. Name and address: See above - Owner Information b. Phone number: c. Fax number (optional, if service by fax is acceptable): 9. In addition to himself, 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: N/ A a. Name and address: b. Phone number: c. Fax number (optional, if service by fax is acceptable): 10. Expiration date of notice of commencement (the expiration date is 1 year from the date of ~ recording unless a different date is specified) PUBLIX SUPER MARKETS, INC. By: ~~ Bob Newman Director of Construction SWORN TO AND SUBSCRIBED before f!le this~ day of (L ~ A ) ,2004, by BOB NEWMAN, Director of Construction of PUBLIX SUPER MARKETS, INC., a Florida corporation, on behalf of said corporation, who is personally known to me. NafARY, ~~L- ....,~t)\~~ Jeri L O'steen f*~'li." ~~ MY COMMISSION # D0142712 EXPIRES ~~:'~!Jj September 15, 2006 "~ 0', "'~.... BONDED THRU TROY FAIN INSURANCE, INC. '.'1 "I'~' SEAL: Printed Name of Notary Commission No. And Expiration Date ""A",J4.oI ... W...........,..... tJ .. .- .... wv .-' DESCRIP.TION #- 31(J - - -'. . . - .. - -. .. ... .#.. . .... A partion of the W-1/2 of the W-1/2 of the"SW 1/4 af Section 35, Township 25 Sauth, Range 21 East, being also a partian of Tracts 72, 73, 88 and 89, ZEPHYRHILLS COLONY COMPANY LANDS SUBDI- VISION as recorded in Plat Boak 1, Page 55, Public Records of Pasco County, Florida; and being alsa a portion af Lot 8, PASCO MEDICAL ARTS CENTER as recorded in Plat Book 23, Page 24, Public Records of Pasco County, Florida, being more particularly described as follows: Commence at the Northwest corner of the SW 1/4 of said Section 3~, thence along the North line of said SW 1/4, run S-89051'40"-E, 663.35 feet to the East line of the W-1/2 of the W-1/2 of the SW 1/4 of said Section 35, thence along said line, run 5-00009' 03M-W, 25.00 feet to the South right-af-way line of Pretty Pond Road for a POINT OF BEGINNING; thence continue alang said line a~d the East line of said Tracts 72, 73, 88 and 89, S-00.09'03"-W, 1Q04.84 feet, thence run N-89055'34"-W, 50.00 feet, thence run S~00009'03M_W, 117.00 feet, thence run N-89055'34"-W, 200.00 feet, thence run S-00.09'03"-W, 109.00 feet, thence run N-89055' 34M-W, 259.00 feet, thence'run S-00009'03"-W, 205.36 feet to a point on the South line of aforesaid Lot'S and the North right- of-way line of North Medical Avenue, thence along said line run N-S9056'33"-W, 133.84 feet to a point on the East right-of-way line of U.S. Hwy. 301, thence along said line and along a curve concave to the West with an angle of 00055'3142", radius of 57395.80 feet, chard bearing N-00010'26"-W, 927,00 feet to the intersection of the West line of said Tract 73" thence alang the West line of said Tracts 72 and 73, run N-00007'20"-E, 509.98 feet to the South right-of-way line of Pretty Pond Road, thence alang said line, run S-89051'40"-E, 648.35 feet to the POINT OF BEGINNING; containing 18.133 acres. :: '.:, .'~ ~ .' .' , ..: ". "- PERMIT ADDRESS/OWNER VERIFICATION PARCEL IS LOCATED IN CITY ZH PF8=RETURN TO "SS MENU PF9=GO TO "LD" SCREEN SEARCH 1 OF THE FOLLOWING (CRITERIA MUST BE COMPLETE) ADDRESS OR PARCEL (R-T-S) : 21 - 25 - 35 - 0010 - 08800 - 0000 DATE: 10/27/2004 TIME: 11:50: PF11=SUBAREAS SCREEN B901 FOUND 7252 GALL BLVD KR01 PA-PARCEL 2125350010088000000 NAME 1: CONCIRE INC 411 COMMERCIAL CT STE E VENICE FL 342921650 OWNER NAME: CONCIRE INC KM01 FEMA CODE: X CARD 001 FEMA-FIRM PANEL 120230 0300 B YEAR BUILT 1990 DPR BLDG VAL 135775 50% 67887 35% 47521 RPL BLDG VAL 226291 50% 113145 25% 56572 LD PARCEL ON FILE-->PRESS PF9 TO SEE FULL LEGAL DESCRIPTION TWAO: SOLID WASTE ASSESS: YEAR: PS PERMIT(S) AGAINST THIS PARCEL BEGIN WITH: #75050 VS NO STOP WORK ON FILE AGAINST THIS ADDRESS TO ADD STOP-WORK ENTER INSPECTOR: AND REASON CODE: ADDRESS: 7252 GALL BLVD ALL AVAILABLE INFORMATION IS DISPLAYED NEXT FCTN: 6335 gihJ'fAu;t 913- 1 ~O-(j) IS $7TY . , WHERE SHOPPING IS A PLEASURE Publix@ suoer markets, inc. October 25,2004. Mark Pehonsky HAWKINS CONSTRUCTION, INC. p, O. Box 1636 Tarpon Springs, FL 34688 -1636 OCT 2 6 2004 Dear Mark, RE: #0390 -Interior Remodel In order to speed up the process, we are enclosing the original Notice of Commencement for the referenced project. Please carry the notice to the appropriate courthouse for recording, The courthouse should give you a certified copy to post at the jobsite. Please have the original recorded notice sent back to Publix, attn. Bob Newman. Director of Construction. Sincerely, PUBLlX SUPER MARKETS, INC. Not signed to avoid delay Bob Newman Director of Construction BN/bal C: File Enclosure word/NOC/NOC Letters/Remodel/0390 Hawkins NOC contractor letter CORPORATE OFFICE, P,O. BOX 407, LAKELAND, FL 33802-0407, (863) 688-7407 Hawkins Canst. 7320 Gall Blvd. SQ. FEET PRICE MAIN OR LIVING: $ 50,00 OTHER AREA UNDER ROOF: $ 50,00 OTHER: $ - VALUATION $ 180,000.00 FEE SHEET $ 720.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 1,080.00 CREDIT: $ - BUILDING LESS CREDIT: $ 1,080.00 ELECTRICAL: $ 180.00 PLUMBING: $ 140.00 MECHANICAL: $ 160.00 SUB-TOTAL $ 1,560.00 RADON: $ - TOTAL $ 1,560.00 SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - WATER METER:I $ IRRIGATION METER $ PARK IMPACT FEESI $ SUB-TOTAL $ - I - ~ 1,560.00 I SIF'S:I $ 97.5% $ 2.5% $ - I - I T I F '5 :1 $ 99% $ 1% $ TOTAL: $ 1,560.00 , ACORQ CERTIFICATE OF LIABILITY INSURANCE FAX (813)282-9374 DATE (MMlDDIYYYY) 06/25/2004 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRO,?,.!J~I3).-:82-1965 Lassiter-Ware Insurance 5600 Mariner Street te 215 '1_"lpa, FL 33609 INSURED Hawkins Construction Inc. P. O. Box 1636 Tarpon Springs, FL 34688 INSURERS AFFORDING COVERAGE INSURER A: Ameri sure Insurance Company INSURERB: Amerisure Mutual Ins. CO. INSURER c: INSURER D: INSURER E: NAIC# 19488 23396 cnVFRAC;ES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~$': ~~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY GL2010976 07/01/2004 07/01/2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 10,000 A PERSONAL & ADV INJURY $ 1,000,000 I-- 2,000,000 GENERAL AGGREGATE $ I-- 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ h POLICY [Xl ~~C?T n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I-- (Ea accident) $ ANY AUTO I-- ALL OWNED AUTOS BODILY INJURY I-- $ SCHEDULED AUTOS (Per person) I-- HIRED AUTOS BODILY INJURY I-- (Per accidenl) $ NON-OWNED AUTOS I-- I-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ tJ OCCUR o CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC2021538 07/01/2004 07/01/2005 X I WC STATU- I IOJ~' EMPLOYERS' LIABILITY 1,000,000 B ANY PROPRIETORlPARTNERlEXECUTNE E.L. EACH ACCIDENT $ OFFICERlMEMBER EXCLUDED? E,L. DISEASE. EA EMPLOYEE $ 1,000,000 If yes, describe under $ 1,000,000 ._, SPECIAL PROVISIONS below E,L. DISEASE. POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS .icense Holder - John B. McCaugherty, Jr License # CG059737 R All Cities and Counties in State of Florida SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO L SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KI AUTHORIZED AC?RD 25 (2001/08) Hawkins Construction, Inc. CGC#059737 P,O. BOX 1636 TARPON SPRINGS, FLORIDA 34688-1636 (727) 938-9719 FAX (727) 938-3208 .. I, John McCaugherty, do hereby authorize Dennis King to obtain and sign for building permits under my License Number CGC059737 for Publix #390 7320 Gall Boulevard Zephyrhills, FL 33541-4370 State of Florida County of Pinellas ~~'" !~OregOing instrument was acknowledged before me this 01(0 ~ day of l) 6.e:A.~ 2roLtby John McCaugherty as Vice President of Hawkins Construction, Inc" a Florida corporation, on behalf of the corporation, He is personally known to me. NOTARY PUBLIC: My Commission Expires: ...'?-.';f..~r;:,"o" JENNY SMITH l..'f ~:. MY COMMISSION # DD 196604 ~. . - EXPiRES: March 25, 2007 o,.;y,'; Bonded Thru NolaJy Public UndelWliters , Sign:~O 6Y\L~ Print: J.e n ('\ l( 5(Yl" i~ State of Florida at Large County of Pinellas c: acctg\permits. wp