HomeMy WebLinkAbout05-3962
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3962
3962
Permit Type: ADDITION/ALTERATION
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 78,000.00
Date Issued: 3/09/2005
Total Fees: 739.10
Amount Paid: 739.10
Date Paid: 3/09/2005
Work Desc: FIRE DAMAGE REPAIR
Address: 39216 VILLAGE CHASE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
VILLAGE CHA A TS
39216 VILLAGE CHASE
ZEPHYRHILLS, FL. 33542
Phone:
A C
WESTBROOK ELECTRIC AND COMMUNIC PLUMBING FEE
LARRIE MEYER SERVICES INC
SHEPPARD & AlC & HTG. INC.
E
78.50 MECHANICAL FEE
92.60
p /Jf ~
J~~)f)
~' ?
RB H 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.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTION 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.
"_,, 7 ~t;-f:>- ~ ~
SI NATURE PERM IT 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 RECEIVED
3/1/0 t;
JOB ADDRESS
/ II I. - - 0 'Us PHONE CONTACT FOR
l/; ~(f (IA~ 7)( ~ .
J-t /l'1~mlJ Yp/-r~i7ic ...
:5 } 0)/6 ,(/r1R..5 <2 Uert2J
PERMITTING
OWNER'S NAME
PHONE ?6J~()??-J-JY/
LEGAL DESCRIPTION: LOT(S)
D/-;)b-J/-CO/O-//S ro -O(:OOIOBTAIN FROM
BLOCK
SUBDIVISION
PARCEL 10 #
PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
OALTERATION ~AIR
o DEMOLISH
o INSTALL
o SIGN
o MOVE
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
D;ESCRIPTION OF WORK h / e... d?1/n?-.5 e ~4~ //'
BUILDING SIZE -7 ~,/l7;) SQUARE FOOTAGE ,;Juu L/
HEIGHT
? 10 II
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.
~UILDING
$
7f t:-
VALUATION OF TOTAL CONSTRUCTION
. 1~
W.R.E.C.
PERMITS REQUESTED
~ELECTRICAL
'~ PLUMBING
~CHANICAL
o GAS ~OOFING
AMP SERVICE
e( Progress Energy 0
$
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION~BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
~)hffetJ~ ;~k<
---STATE CERT OR REGIST # C!?C !) s / ;;;,? h
ELECTRICIAN
COMPANY U/t:.r+-ilIG,)Jj'-' ~k c17d=_
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SIGNATURE
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PLUMBER ~ ~ - ____~ COMPANY " ~
SIGNATURE :::/,>'1 ~,-'~~~' STATE CERT OR REGIST # ~lt<6(QJ
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STATE CERT OR REGIST #
000 ;)r .1"7 E.c
SIGNATURE
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~_ ~ .....?~~ / '__ STATE CERT OR REGIST # em CO c; h J' ~(j
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.MECHANICAL
.>'/'
OTHER
COMPANY
SIGNATURE
,
,
STATE CERT OR REGIST #
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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 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 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,
Appli~ation 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
Environ~ental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southw.est 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,
Wa~tewater 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 YOUR NOTICE OF COMMENCEME JOBS/! NDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". //
,,~~'._-'/ -;:?
C'L cL~~+- '_..-. I ~ ---~-
SIGNATURE: OWNER OR AGENT
STATE OF FLORPb ck
COUNTY OF
.The forego.ing ~ent wa" ~owl\'f'ged.
Before GlB this a. T of t-E, It-R'I 20~
by . .utJ:: ~
kI (name of person acknowledged)
~who ,is personally known to me, or
Owho has produced
(type of identification)
and whoO did p(did not take an oath.
~ 1<,JIb~
Signature of person taking acknowledgement
POL-I(
STATE OF FLORIDA
COUNTY OF
The foregoing inst~vment wa~ac~o~~tdged
Before me this ~~ay of [b~rrrc.'T 20 d5'
by LOLtl.6 . tAtJPJA
~, (name of person acknowledged)
~o is personally known to me, or
Owho has produced
\1~(type of identification)
anj;)1;oJ:L.!id)~t :.;;;;;;;:t}
Signature of person taking acknowledgment
NOTARY PUBUC.STATE OF FLORIDA
NOTARY PUBUG-STATE OF FLORIDA
Name
CommluloD , DD318981
. ixplru: JAN. 23, 2009
Bonded T1vu Atlantic landinl Co., Iftc,
Name
CommwlOD 'DD3S89.7
Expires: JAN. 23, 2009
Bonded Thru Atlantic londlnl Co., Iftc,
FlA. 1977 LAWS
FS 713,13
SEMINOLE FORM 408
. .
NOTICE OF COMMENCEMENT
(PREPARE IN DUPl.ICATE'
State of Florida }
County of \
The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance
with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT,
--'~;J ~ · 1/ A //1 -/.
Des91iption of property . -:-!. J . . . /. .-. . . . .UI./ /.~Sc.. . .C-:. .l.t7'I./.c;::.. . /.-p.~ ._t. ... . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .
/J / / . {/
. .(~((~ /.. .//)#.o/:-:,4.~;7/.-.tJ.o./.O. .-:// .5.w~Qo.o. 0..... ..... ........... ........... ........
L/~..~...... Lo (..t.... =-n....... !5.;~0.(~~....... .~..... SM/.k~ k.-V:t::1^"...............
G .n.co' dem; ptlon of .'m p,ovemen" .. ^ e .A ?. b. : . . C-tl'/</:!f~ 111111111111111111I111I111111I111111111111111111111111111111
OX'n.. .'" . . .#/ / p,.cv:k . .. ./?Y~~;:''."./7 . / f:1. L.. ... . . . 2005~49426 . . . . . . . . . . . . . .
fJ, 0 . Q v...-'t;.... ..., /J';; /7 / __~ /
Address :-:b. L,1.i. ie. .'.w.OS.. LC?dJ.(T: K~~.c /.~tkAJ" .6.A..................................
O ,. ., f h . .0" ~ r/ . --- ~ C,-,,/. (
wner s mterest In Site 0 t e Improvement.......... ...,-...~. v.1..,.....":"--...........;:..':. . ...................................
Fee Simple Title holder (if other than owner)
Name... ..........................................................................
.--..
--
....---.....
Address ............................~.............
Rcpl: 865012
DS: 0, 00
03/16/05
Rec: 10.00
IT: 0.00
Dpty Clerk
.,. ................".....,....."....,..,.,..,................"........"..
Con"acto'................. R...............C.. .~"..... /'W/-r .r... 6C1/:@/d...........
Address................... ..~.............. .~~....... .fe, .0:... .!?vx. ~/lj77)... .~(l.d~l..eJ.;:.-L.. .7jX:}j
Su,et, (If an,) ............................. ~:.::.:-:- j\-'8....................................... .~:....
Address ...................................................................................... Amount of bond $ . . . . . . . . . . . . . . .
Any person making a loan for the construction of the improvements: J'
/-_...-' JED PITTMAN PASCO COUNTY CLERK
Name.............. ................ .~<~~............ .<................. ~~~~/0623~l4m ~G 2f13
Address ..................................................................................................................
Person within the State of Flo~ida designated by owner upon whom notices or other documents may be served:
/~ )
Name
,..,.....,.....,...,.....,...,......,....,.. ,.........,....,.,..,...,..............,...".......,.....,...,.,...,...,.....
Address .............. ./.'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
In addition to himself. owner designates ~he following person to receive a copy of the Lienor's Notice as provided in Sectiol} /
713.13 (1) (hI. Florida Statutes. (Fill in at Owner's option). '
/
Name............... -... .~1C7!.'~~r\:."'.".'..."'.'......~.....'.........................
Address T~I~.~~~~~.F.~~.~~~.~~~.~~.~.~~i~~~~... ...... ................ ...... .~.......... .~........:......
................. ,..... ~~...
Owner
Sworn to and subscribed before me this. . . . . .
....~q:tb...day of . Pe Io.f!{ f1/- if. . . . . . . . . . . . . . . . . . . . . . ,~..;)4XJ~
.. ./J(tac4~~.1.~.. .1.,. 7b)~U!!C)-I1..........
NOTARY PUBllC.STATE OF FLORIDANotary Public
~ Madaliene R. Norwood
Co~lsslon # DD388987
Expl1'eS: JAN. 23. 2009
Bonded Thru Atland~ Bonding Co.. Inc.
. '
Garrad Carpentry, Inc.
39216 Village Chase
SQ. FEET PRICE
MAIN OR LIVING: 2,304 $ 25.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 57,600.00
FEE SHEET $ 312.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 468.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 468.00
ELECTRICAL: $ 100.00
PLUMBING: $ 78.50
MECHANICAL: $ 92.60
SUB-TOTAL $ 739.10
RADON: $ -
TOTAL $ 739.10
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
WATER METER:I $
IRRIGATION METER $
~ I
739.10 I
- l
SUB-TOTAL $
PARK IMPACT FEES I $
PUBLIC SAFETY IMPACT FEES
POLICE $ -
FIRE $ -
5% $ -
I
I
I
SIF'S'I $
97.5% $
2.5% $
TIF'Sr
99% $
1% $
I
- I
TOTAL: $
739.10 I
OCCUPANCY NO.:
CITY OF ZEPHYRHILLS
FIRE RESCUE
INSPECTION DEPARTMENT
6907 DAIRY ROAD
ZEPHYRHILLS, FL 33542
(813) 780-0035
Administration: (813) 780-0041
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Building Name:
Street Address:
ETY INSPECTION
Business Name:
Business Owner:
City:
.::tr
Zip ~ <;2(2----
Telephone:
Building Owner:
Telephone:
Emergency Contact # I:
Telephone:
Emergency Contact #2:
Telephone:
Suite:
Manager:
Telephone:
Occupant Type:
~ I '3-- 7~'2- - / I~O
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Annual:
TYPE OF INSPECTION CONDUCTED
Reinspection: ~ Commercial: Code Violation:
Sprinkler:
Approved: ~
Gas:
Suppression:
Qtly:
OtherX' ~
Fire Protection:
Conditionally Approved: _
NotApproved:_
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Comment" /r F ,,7hct7
I/,'O( ~?I'1S
.(
C"?//.LL-k~
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This building had been assessed by the Zephyrhills Fire Department. Utilizing the Codes and Standards of, NFPA Minimum Standards, the
State Fire Marshal Uniform Fire Safety Rules and other local fire safety codes.
Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during fire. Your
immediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire
Prevention Code.
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Inspection Date: 1.:2 S- Re-Inspection Date:
r/
r--
/)
Inspector Signature:
Inspector I.D.#:
/L3
Inspector Name: (Print)
Title:
Computer Entry:
Pre-Fire Plan on File:
Page
of
DlPvifilPrl "d/Od