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HomeMy WebLinkAbout05-4514 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4514 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 4514 COMMERCIAL 636-DEMOLlTION COMMERCIAL Address: 5963 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 6/20/2005 75.00 75.00 6/20/2005 INTERIOR DEMOLITION ABC EST AURANT 5963 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: E ~\)//..jA ;//vr ri' 4,,~ 0.dfJ QY~ cf' (i' _f' >'} t'~ I toV' V" ~~iV R C 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 o OCCUPANCY BEFORE C.O. ). ~~ NTRACTOR SIGNATURE PERMIT OFF I ' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF uJ!i.l:'t1:1~n~.Lt.LIi::) .r.l:l.EU~.&~.... ~Ao Ao _..._u_ ___. BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-7BO-0021 DATE RECE IVED {,., ~I PHONE GONTACT FOR PERMITTING Rc:J~{'e. ~ ') OWNER'S NAME tJ. I L v ~ f; J't " (~ \ JOB ADDRESS-S 7~:\ L:x,U .}6fud, PHONE SC)- L)I'?J - 370 I LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: ONEW CONSTRUCTION (OBTAIN FROM PROPERTY.TAX NOTICEl o ADDITION DALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI - FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOM o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~ J ~I"','or 1J(', V\ a l'rhlJ-". BUILDING SIZE ;Y-Oo 'Ii 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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ) PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. u~ PERMITS REQUESTED '11::~ o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING (] SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO SIGNATURE t-/0 BUILDER STATE CERT OR REGIST # CG L - () ~ jCaL( ( \ * **************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST * ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST i ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST i A. NOTICE OF DEED RESTRICTIONS ThEl 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 ~pplication for which they will be responsible. If you, as the owner signs as the contractor, you are indi~ating 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"prepaied 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 conunencement. 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 conunenced 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 certity 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 conunenced 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 conunenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall b7 requeste~ in writing to'the Building Official. An app+.oved inspection must be logged dur~ng each s~x 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _____ day of ' 2CL- by ----' (name. of person acknowledged) Owho is personally known to me,or acknowledged , 20_ (name of person acknowledged) [1ho is personallY known to me, or o who has produced (type of identification) and whoO did Odid not take an oath. Dwho has produced (type of identification) and who Odid [}:lid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped PROPOSAL Bxecutive Contractors 1,Inc. P.O.Box 11028 Tampa,Fla. 33680 (813)918-3901 CGC-037641 CFC-042993 PROPOSAL NO. SHEET NO. DATE 6,-/0 -or s- PROPOSAL SUBMiTTED TO: NAME PHONE NO ARCHITECT We hereby propose to furnish th.~/ma.terigls and perform the labor necessary for the completion of All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawiAgs and specil cations submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars ($ r-o:: with payments to be made as follows. Respectfully submitted Any all Nation or oev,ation from above specifications involving extra costs will oe execuleo only upon written order, and will become an extra charge o..e, ana aoove the estimale. All agreements contingent upon strikes, ac- e.oems, or oelays beyond our control. Per . . Note - This proposal may be wiihdrav. by us if not accepted within_day . ';.,."., . . ....... . ....,..- ~'. .'.. . .... .. ;"AGCI;PTANCE OF PROPOSAl., Thi above prices, spe.pificatiQ!1~~,(1(t condrtion~. ~f~ ~a.tisfa6tory and are nereby accepted. You are authorized to do the wor . ... . . - .1 _ _. _. .&.1:._ _ -.I _ L _-.._ . Roger B. Chewning, P.E. 14307 Grafton Place Tampa, FL 33625 Phone: 813.962-4392 Fax: 813.962-4654 Registered Professional Engineer #21780 HUD Compliance Inspector #1780 06 June 2005 To: Ze'pA'j r h J i Is ' Building Department SUbject: 5963 Gall Boulevard Zephyrhills, FL 33540 To Whom It May Concern: Please be advised that all of the interior walls, ceilings, and wooden floors inside the metal building are not attached to and are not part of the structure and may be removed/demolished without causing harm to the metal building structure. No asbestos was found inside the structure. ~ s ~ ~ '\ ~ ...... ~ ....... 't "<\ ~ \ ~ ~ ~ \t .~ ~ ~ ~ ~ -........: ~ ~ ~ ~ .~ v 'J) ~ ~ " ~ ~ ~ - ~ ~ r1: .... ~ ~ ...... (1) ~ - \1\\ ~=--====- ~ i r k (n77i~ ",T7i ;-,.wl) /Nrlt:<l $M.at~l,jj; I" Xli' /WI 1111' Hie ;.. J;.. &s-T;r", Nc9 ~ ./ 'l:7 /n / 1'2? If ~'\ ~~ ~~t ~\ ~ .: ~~ ~~~ ~ ~ () ~, ~ J I ~ ~~ ~~ _~ ~.~r~ ~ ~ ~~ ~~ ~~~ ~ ~ --2 \.~ X ~ ~ ""- ~ '-- ,iJr OJ ~ i <0 , <>. (~.77i~ ",n; ;-!'/NI) IKr/(k~lAJ#M";;;- In If.' . /WIIIII' Hie IV" 1-1 t7/J i1J ~ ~ , ~ / . ~ ~ ... ~ ~ ~ ~ <:::. ~ ~\ ... ~ " FLA. 1917 LAWS FS ~13.'3. ~ NOTICE OF COMMENCEMENT SEMINOLE FORM 408 State of Florida } County of I 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 thi.s NOTICE OF COMMENCEMENT. cL~~tf~~~rty .le!. .M..~ .llt?~.I? ,,c!.~f!I!.~.. ,~~.!I,."..,....,..".,.".".,..,.............,....". (PREPARE IN DUPLICATE' , , . . . . , , . . . . . . . , . . . . . , , , . , . , , . . , , . . . . , . , . . , , , , . . . . . , . , , , . , . . . . , , . . , , . . , . , . . , . 11111111111I1111111111I111111111111111111111111 1111111111111 2005121239 ......................... '.'...................................................................................................... General description of improvements.. .~+\--r:!\?'(,." ;:J..(0?,lJ.!~,,:,., ,~f.. .(~!,. ./?Jq!f.~t'!:~ .".....,.,...,.. .~ ~hA(J L,:, ~ t~~ . #J h Owner . ,/J,~f, /~7:~,. :;!Y~7:/';' .flf.;),.. U! //!I.@. /.7!~~-:~." .~,.,...,...,.......,.......,.... Address,. ..{ffJ: ,W!ii IZkd. .r?tM~~~, ,;'7,7 7. ~?~........"."..,......,',.". Owner's interest in site of the improvement. , , . . , . , , . . . , . . . . , . , . . . . . , , . , . . . . , . Fee Simple Title holder (if other. than owner) Rcpt: 894369 DS: 0. 00 06/16/05 Rec: 10.00 IT: 0.00 . u_____ Dpty Clerk Name .......,...,....,....,...,..,.......,.,.,..,.,..,...,..,',....,....,',......,...............,............,...,.......,.... ~i~1~~~~MA: . PASCO COUNTY CLERK Address .....~.................. .... . .. .. .. .. .. .. . . .. .. ... . .. .. .. .. . . .. . .. .. . OR BK 641. 52pm;G of 1 Contractor.. eX~ ~.~,s.... ?P~~.~~~~ ,k$.. '+/"~"""""""""""""" ...... .~~.,....... .~.~~.......... Address .3;?(.f.., .(:.. .c~\fh~.<:).... ,9-,/, ,~/~]. .k.I4...,. .-:-??~lC?,....................................,.... Surety (if any) ,........,. /"11 If..: . . . . . . . , . . . , . . . , , . . . , . . . . , . . , . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . Address,...,... ,IV/If,.....,...............",.",...".,.",....",..."....,............ .Amount of bond $ . .!.-I14..,... Any person making a loan for the construction of the improvements: Name ......... #.1 A-: . . . . . , , , , . . . . . , . , . . . . . . . . . . , . . . , . . . . , . . . , . . . , . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . , . . . . . . . . . . . . , . . . Address .....,...........,.,',..,....,.."......,',.....,...,.,..."..."...,...........,..................................,..,. Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name ......,.......,............,...,...,...,.".......,.......,........,...,."................... .....,..,.....,........,.... Address .,..........,...,..,...,.,...,......,..."..,..."..,...,...,.",..,..............,..............................,....,. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section. ..' 713,13 (1) (h). Florida Statutes, (Fill in at Owner's option). l~'-/ Name.. ....... ,...,. ~.. ,. .._,..,.~'.'_'nU__. .,. ".. ,..". ",.. ....... .........:. R"".. ~< . . elfilel;:, 4-)y A- lir;1, ij~/t ~(!j /2J . .__ ~~~/--77/?U Owner Sworn to and subscribe before me this .J G'f~ c..ICL..~(:o-f-: . . . . ~ LlI~~ _ ,~.:) /\~,,,,- .................~~~....Z~;:i~~~UX9L~. "\\\I~"~",, K .~~..~~<t:~ . areA K. Morrow N ':..\ MYCOMMISSION# D0064103 EXPIRES ~'" l October 10,2005 "~ .1\1..... BONDED THRU YroY FAIN INSURANCf,INC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address .....................................................,.............. THIS SPACE FOR RECORDER'S USE ONLY