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Home My WebLink About05-4005 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4005 Permit Num er: 4005 Issued: 3/24/2005 Permit Type: GENERAL BUILDING PERMIT Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Sq. Feet: Est. Value: Cost: 3,269.00 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 3/24/2005 Address: 7320 ALL BLVD ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: ADT SECURITY SERVIC ,INC Addr: 5471 W. WATERS AVENUE, STE 1000 TAMPA, FL 33634 Phone: Lic: Phone: Work Desc: INSTALL SMOKE DECTORS AT FIRE DOOR ,CONNECT TO ANSUL SYS. & EXISTG. FIRI Name: PUBLlX SUP MARKET Address: 7320 GALL BLVD ZEPHYRHILLS, FL. 33542 F 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." NO OCCUPANCY BEFORE C.O. ~~~ ~.-~ I CONTRACTORS SIGNATURE PERM~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER crry OF ZEPHYRHILLS PERMIT APPLICA'l'ION BUILI>INCl DEPARTMENT 5335 Sth STREE'r ZEPHYRHILLS, FI, 33540 PhOn&IS13-780-0020 FaxI813-780-0021 ~..... DATB RBCBIVBD -.a' ;J../~ O~- C ~~.. PLANS RBVIBH FBB _ , OWNER'S NAME ~I PHONE CONTACT' JOB SI'fE ADD~SS'73-ot 0 ~tdt ;tJ~. / p~ ,J?+4- ~ilk:t- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # .3r-J..s-"'-.1/- "~l () _ () ~ fS'''C> -.0000 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED; DNEW CONSTRUCTION llrA'DDITION o ALTERATION 0 REPAIR [] INSTAI4L OSIGN o MOVE o DEMOIJIS~' PROPOSED USE; DSGL FAMILY DWELLING ~MMERCIAL DMULTI-FAMILY 0# OF UNITS o SWIMMING POOL o MOBILE HOME o INDUSTRIAL o OTHER DESCRIPTION OF o RESTAURANT & HEALTH DEPARTMEN'r APPROVAL . I. _ R _ _-+ ~~~~~~~ar~curtYV,~ WORKk~~~~~~ 4VtLZ-~.tr~ ~~ . SQUARE FOOTAGE HEIGHT BUILDING SIZE RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUIJ~DING PLANS & (1) SET ENERGY FORMS. . PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. t€. ~ d.fi;-~ ~. uY;4V j P1( ~J PERMITS REQUESTED .~ 7) ~~ o BUILDING $ .3 jl,9 J VALUATION OF TOTAL CONSTRUCTION [J ELECTRICAL AMP SERVICE [] FI,oRIDA POWER o W.R.E,C, [] PLUMB ING o MECHANICAL $ VALUATION OF MECHANCIAL INSTAI,IJATION 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 o NO BUILDBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** BLBCTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGNATURE ***************************************************************** j)IL COMPANy/lf):; ,.g~~~ Jt#C- STATE CERT OR REGrST EF "0& II.:J...? - . eTTYPROCESS:r~G#:3 0 ~ D ,/ ~/:3-:3?(Q -S5~.:L2f. * * * * * * * * * * * * * * * * * * * * * * * * C * * * * *~=~~~:_~:.~*.::,,;:,:_::.:.~:_~) * * * * * * * * * * _._..._.._____._..__".~.v. , OTHER ~~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsH whidh may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restr.lctions. B. UNLICENSED CONTRA.CTORS AND CON'l'RAel'OR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be require to be licensed in accordance with state and local regulat~ons. 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, 813-788-661l. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor SectionsH of this application for which they will be responsible. If you, a~ 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. TRANSPOR'l'A'rION IMPACT FEES AND UTILITY CONNEC'l'ION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certjfy 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 aocument 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 t 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 SensitJve 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 perInit 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 requirillg 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 extenslon of tlIue may be allowed for the permit with fee charge of $15.00. The extension shall be x:equested 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 '1'0 OWNER: YOUR FAII,URE TO RECORD A NOTICE OF COMMENCEMEN'l' MAY RESULT IN YOUR PAYING TWICE I!'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'fAIN FINANCING, CONSUJ '" WITH YOUR LENDER OR AN A'r'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO'r NEED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMENT". ~ 'N1J~"~,Ji:v SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 19_ STATE OF FLORIDA COUN'I'Y OF The foregoing instrument was Before me this _____day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and whoD did Odid not take an oath. Dwho has produced (type of identificatio' and who Odid [}:lid not take an oath Signature of person taking acknowledgement ~ Signature of person taking acknowledgment' Name typed, printed or stamped Name typed, printed or stamped BILL TO: PUBLlX SUPER MARKETS,INC. ATTN: EXPENSE PAYABLES P.O. BOX 32014 LAKELAND, FL 33802 863-688-1188 PURCHASE ORDER NUMBER: 6364632 CREATION DATE: 03/15/2005 PAGE 2 OF 2 (includes cover page) VENDOR #: 2000049 ADT SECURITY SYSTEMS, INC. STEVE SCHIAVELLO 5471 WEST WATERS AVE SUITE 100 TAMPA, FL 33634 SHIP TO: PUBLlX SUPER MARKETS, INC. Town View Square Publix #0390 7320 Gatl Blvd. North ZephyrhOls, FL 33541 Standard Messages: PO number must appear on all documents. Absolutely no backorders accepted without authorization. All purchase orders must be confirmed by the vendor as accurate. In the event that the purchase order and the invoice do not match, Publix will pay lesser amount of the two documents. Contact Telephone: 863-680-5290 Fac Purchasina 3 Fax : 863-284-5551 Terms of Delivery Ship Via Terms of Pavment Net 30 Davs Currency: USD Line Publix Item Code Unit Price Ord Price Unit Price Unit Material Desc Net Value Vendor Item Code Order Qty Order Unit Delivery Date 00010 12979742 1,839.00 1 EA MATERIALS-BURG/FIRE 1,839.00 1 EA 03/22/2005 Manufacturer's Part Number: 00020 12979743 1,430.00 1 EA LABOR-BURGULARlFIRE 1,430.00 1 EA 03/22/2005 Manufacturer's Part Number: TOTAL NET VALUE excluding tax and including charges, allowances & discounts 3,269.00 Special Messages: QUOTE DATED 2/28/05 ADD DOOR HOLDERS FOR DOOR CHANGE & TWO NEW ANSULS 3- 11"]-0S- ~+ -/"b CO-A.~ -+0 bc.nl'J"' THIS RIDER,.. th.. 28TH dIlvd FEB ,2006(.. ........beIaw1.. p.td Md.. tobll.a.ctled tD~1 rmde l\e121hd-Vd JuM, 1S1Mbv m betwMn ACT StlCUlityS.,...,.., 10405 CROSSPOINT BLVD, INDIANAPOLIS, IN 4e2&lI hMInIftwcllld'"ADT" n:I Publbr:Super~,Inc...........ctIed "Cu~, for""". ..1Ipm....w..va n Ihe~ dthe CU...,.,....tac.IIan.... below. (.. Sa.I. Adlhu, CIIv. St.a. _n. Code) The Cunlnw heAIbv,...,.... _ ADT 1lIPM. to InmII the ~.tIIIan1l prdKIan: IK~X n X A nt II I FinI ExIt: OMr 0 bIcbl F...ElIIlOonru..'.... """'''''"'C"''''''' f Ind~, ""'md_ , ATM n n n 2 -ADT H m......' 1982L2-ACT Roof H , Unit co.t DtH' IODD ft. _IR Red 1 stranded THHN 10' HIS Circuli _IBK BI 1..... IlrIneled THHN for HIS Circuli _IBR Brown 14.... stranded THHN for omok & duel _IWH Wh"'~ HN for omoko & duel DOWOI 450551P VIoIol N for In_......... WF TS ANSUL AHU sh 4SOM1GR Groen Nforln_cln:ull WF TS ANSUL AHU 4S0551BL Blue 1 otnold. THHN for In_ cln:ull 4!lOS51YE YO/law 1............ THHN for In cln:ull 454844AGR 181410' _ k ods 74021()'L 1812 cand ill _od rod 494483 22AWGl4 CUnei Plenum SA d_ Publbe Store # Address Cft'! State Zip Date Descrif'llon I QTY Stock Code RlJdlan Can 07412G-B 0941""-B 9127U 477967 077 08109 ""132 8004 0130 DI92" 0138 125 03129 08130 01280 01 !l6 37 012116 0113 24 Volt u ALBOOULM-R 1240 BB-55 PS-I2124-8 477967 OlWl"4-R MI224-R 7niIIiiiiO" AS-24 WFR FR R 24 R RSS-2 C-FR AH-24WP-R IWRILR LO!>WD?478W-FR WP R 108046 In t ADT-BG-12L 2 841" 449CRT A77-718B HD801 R 8481 1 MRI01" CN 3208T" 1<lT_3ll?O 23Q2AL-ADT 22 -ACT 1982L2-ADT 20 878938 RVL-18"-"'RN .bIe 1800 800 310 Town View Ssquare, 7320 Gall Blvd Zephythllls FL 02128/05 Add Door Holders for door chena. & two n_ enouls Description u~ ", IR"Io_ FAIBA CMtmI "'" & AcoMMrtoo 1 "..",n'" FAIBA CnnImI "'" & AcoMM_ PPIT l.nTB 12V7AH 2 ADTB 7 b B h_12_1ab1 01 Enclaouno II I u I b IRed Boll 1 I 2 Ion 1.....,_ R 1"....,n...AJ Red Ion '1.lmln. I Del labl RBI.. 11 Del lob 1 OBI lob' I b m B--'Su"""""",,, Mod..... 13 _lobI AlhnnlxPawotSu dolClrcul I b Ix 12V 40AH omok. dol Cln:ul b Irculll_Altx.~ 1 Del 4 natf. _'1 P....l."4-8 s I_A ADT Wh Wh W 5-110ed. w.1I llOed _no 15-100Cd wall OO....coI... mo nt r II B I W B W root R. Su"",," Box IoFA SIaIInn . ~n D , EI R ESLI I H 0_ ,R T Swlch ""'n 0 F R n n to WatfKflowlTamoer :onnll!ldkJn 10 ArulUls 10' I made RI Lahar'" _, CabIA FIno Alarm T In PI &E MonLIl MISC EOlIPMENT & SUPPLIES or. t O. '" 0'''' ot Authorized ADT Signature ~ Steven Schiavello .J .. 2~OO6 S- d/u..a t,,-e 110 ~IU 33541 UNIT MllteriBl abar Cost Houn Authorized Publlx Representative "t'lCO Fire & Security - EXTENDED MateriBl Labor Cost Houn TOTAL Instill led Cost 0.00 0.00 184.38 0.00 0.00 0.00 0.00 0.00 0.00 .00 0.00 0.00 0.00 0.00 0.00 0.00 252.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 211.42 0.00 0.00 0.00 0.00 0.00 20.00 000 85.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.ntI 0.00 0.00 0.00 0.00 o. o. o. o. o. o. o. o. O. 185. 45. 520.00 520.00 1 000.00 0.00 308.58 (p 3~~fo3L- 1:\PROJECTS\PROJECTS-1999\9954\9-24-04\9954FA-1.DWG r i I [lJDDD ~ ~ D 1- ~~ ! >--> '.!> I c::> j..-~ I' ...". ~D ::+. I-A I I I I C0-! - -- _I co (j") o )> I r'1 00 ;;0 J> -0 I o (J) o J> cor .1'1 C8:~ ......... co 11 I o -~ '-.. , ., )> I ~ \... >-->~ , ~ co :::u .. I'l II J> >-->, 6J> .. :::u 3: o o o I---"J> >-< D~ >D -:.j~ n. 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Lc :~ "> :J: 0 -i ~ ~ i"-<~ ,<~. :( -' J.', ~ ~ \.." $;.-. ~'0,. : ~ ~ f ~ r-~ ~ :P ok 'v ~ ~ \ <[.~:>) ~ 8;i3 , ~. tT1 ~ ~<.J.' tj R ~ !,. fk"" ,_~ 3 ALARM PLAN +-- ! i +- \ v) J> (/);;ou -;I'lL o-;J> ;;o:1>n I'l>-<I'l r- :z -; 8 g~ ~r- Ki cY ~~J:::?d ~. ~~~ ~ eo C'> .-2'1 0 .:A \..1\ - \Jf """" '-t "2 ~ tr1 71t1 - '" ~~ ~g. ~ ~ e- go S. .....nQ:. ;. ~l~ J1' ~~~~ O~8-~ .:! a 1i' ~ ~c. () ~ ~g8.-g. -0 ~ ~ '< ~ ~r a ~. ~ ~ a: ... == t;) ~ Publix store TOWN VIEW 7320 GALL BOULEVARD ZEPHYRHILLS, FLORIDA #390 SQUARE C~ t-JJ] 33541 JOG/) --')r; 8 ... 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LAKELAND. FL 33811 n z o -; C V') "., u ~ J> CI I'l :z I'l :::u J> , :z: D ---1 I'l (/) ~.:: -0 ..--- 0 /D I---" ;;D c.-::J ...". ^ ~'.:J W /Dc [::J n G ~ ADT SECURITY ~ SERVICES n o o /D U I-< Z J> -; rr1 J> I I /0 "., '"Tl "., ;;0 -; o V') I f'1 "., -; '"Tl J> I ru '"Tl o ;;0 5471 W. WATERS AVE" SUITE 1000 TAMPA, FLORIDA 33634 813_806_7000 FLORIDA LICENSE # EFOOO 1123 =C J> I , 3: o C z -; "., u u "., < I-< n "., V') -; I "., '"Tl I-< ;;0 "., J> r- J> /0 3: , 00 C ;;0 I J> ;;0 -< , "., CJ rr1 Z U =C I-< -; I -; I "., o --I I "., ;;0 -; /0 J> o "., V') J> I'\) I (.J1 -.=- I I II ~ ----- I """" I I .1 ~0 , I I'\) co [L] / / a J> ~i~~~ I '" ~-:~ () ffl v' r'I~'z I L.-.,- "'..., J> , I '--I V') l"'l I ~ [ nl- r I '~ ,I II II ~ ----~ ------8 n -- t---- I ~--Qi \J I !- -I 111- [=JI ---...1 ~ II:L i; E>- ,-L V'J ;:-'~ w:s: I---A w 11 1"'"1'"'1 f"""l'" \-_.,j ___ I . 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TAMPA, FL 33634 813.901 .0219 FAX 813.901 .9047 certificate Of AUthOrization NO, 00008363 =CJ> .......1 -;1 I n -00 CZ 10 Ie I-< V')-; ;dV') ....- CJ, V') I 00 "., >-< Z V') -; :1> , r- "., o 00 -< -; I "., "., I "., n -; /0 I-< n J> , n o z -; ;;0 J> n -; o ;;0 (/) I I'l I'l --1 :z D --1 I'l (/) ~ "" :;u rr1 < U) o z ~ 1:\PROJECTS\PROJECTS-1999\9954 \9-24-04 \9954FA-2.DWG J> I J> /0 3: V J> z:: f'l ,- t:::J f'l ---i J> ~ I ., ):> I N c.n ::r: I'l I'l -1 Z o V) I--< CI I-" -.-, ~ /0 f'l J> VI oJ> ~/O f'l :::s: /0 Z (,/)0 c---i V I----i -.-, V f--~ In -<J> ---i v~ J> 0 z:::Z:: f'l I J> V J>v I I----i J> :z:: n f'l -.-, ~ /0 r<l J> VI oJ> ~/O f'l 3: /0 :z:: (,/) 0 c ---i v~ v:J In -<J> ---i V I----i J> 0 ZZ f'l IJ> V t;cJv I ~ J> :z:: n f'l -.-, I----i /0 f'l J> VI oJ> ~/O r<l:::S: /0 :z:: (,/) 0 c---i vl----i v:J In -<J> ---i v~ J> 0 zz:: f'l I J> v nv I I----i J> Z n f'l " ru # ~ ;:;:::'2, ~ ~j ~ o ~ I'l o ill ~ N N "'" o ~ o ::D }> :2: z CD -< o I'l c.n G) Z r'1 o CD -< o r'1 < I'l }> ^ " ru # I-" ...". 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