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:
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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( (
\
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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.
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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""..
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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