HomeMy WebLinkAbout05-4583
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4583
Permit Number: 4583
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 18,000.00
Date Issued: 7/05/2005
Total Fees: 551.35
Amount Paid: 551.35
Date Paid: 7/05/2005 Phone:
Work Desc: INTERIOR BUILD OUT FOR BATHROOM AND OFFICE
Address: 38031 NOR HAVE STE B
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: PEE PAW'S ELI
Address: 3803) NORTH AVEJf/?-.
ZEPHYRHILLS, FL. 33542
N
LATNER ELEC. CO. INC.
AMAC'S PLUMBING INC.
AIR EXCELLENCE INC.
MECHANICAL FEE
FIRE PLAN REVIEW FEES
TRAFFIC IMPACT FEES 99% COM
70.00 RADON
48.00 TRAFFIC IMPACT FEES COMM
278.14
12.00
2.81
s"Fdy
U
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.
_Il,..ge ~2-e-- t'~ ~
CONtRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED .-
PROTECT CARD FROM WEATHER
Bob Raburn Canst.
38031 North Ave.
Pee Paw's Deli
SQ. FEET PRICE
MAIN OR LIVING: 1,200 $ 30.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 36,000.00
FEE SHEET $ -
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ -
CREDIT: $ -
BUILDING LESS CREDIT: $ -
ELECTRICAL: $ 65.40
PLUMBING: $ 75.00
MECHANICAL: $ 70.00
SUB-TOTAL $ 210.40
RADON: $ 12.00
TOTAL $ 222.40
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
WATER METER:I $
IRRIGATION METER $
~ I
222.40 I
- I
SUB-TOTAL $
PARK IMPACT FEES I $
PUBLIC SAFETY IMPACT FEES
POLICE $ 195.60
FIRE $ 210.00
5% $ 20.28
8IF'8'1 $
97.5% $
2.5% $
- I
TI F'S: $ 1,123.80
99% $ 1,112.56
1% $ 11.24
TOTAL: $
1,772.08 I
) t-j'J5- '(, ~
1 q Po -= 031/. tJ:L
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OCCUPANCY NO.:
CITY OF ZEPHYRHILLS
FIRE RESCUE
INSPECTION DEPARTMENT
6907 DAIRY ROAD
ZEPHYRHILLS, FL 33542
(813) 780-0035
Administration: (813) 780-0041
*******************************************************************************************************************
Business Name:
Itp /OU-l
,
"'T', 1_
..'
FIRE SAFETY INSPECTION
Business Owner:
Building Name:
Street Address:
I}l. {
Telephone:
Building Owner:
Telephone:
", (;c'
'.'...;
.-
-~) "?'"
/lJ/" C. Y /1
.
Suite:
.. / /
7'.' J-/
(.....
---:<~. ~ \.
,J
,,) '<, c C
-----:0 - /,
Zip -, . '.. ~-~) "-. Y C Emergency Contact # I:
Telephone:
City:
Manager:
Telephone:
Occupant Type:
//'
(,,'c / Emergency Contact #2:
Telephone:
*******************************************************************************************************************
Reinspection:
c---'--'
TYPE OF INSPECTION CONDUCTED
Annual:
Commercial:
Fire Protection:
Code Violation:
Qtly: r'
,-' , i/
Othe~//_'~
Sprinkler:
Approved: ~
Gas:
Suppression: __
****************************~*~.********.~****.* *'****************~*****~}********************************************
/4 1"<' 5""/t'c--j. c::.IC /"7/<-+,/
Comments: ~.,? ,.. /
,-V Oil:
Conditionally Approved: _
NotApproved:_
;f'e/c'
/' ,.---."'\
t <--.J
******************************************************************************************************************
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, ifnot corrected could cause or contribute to the spread of fire, or prevent safe egress during fire. Your
immediate attention to the corre;!:tio of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire
Prevention Code. /'
*****~**************(*;(** **~,,~~~*********************************~*****************************************
InspectIOn Date: ' ./ ... I // r,) , /Re-InspectlOn Date:
Inspector Name: (Print) /<:~~ j. ,yt,--"'A / ./ L( ~/ Inspector I.D.#: ,//.~
''''p""..- Signatw-e, ':1:;f:-: ;/7'// " t
~ccupan~y Representative ~."_. './ ~. -,2: ~
Signature. &_,--.:-:'-~~ r.....:---~ Title:
Computer Entry:. Pre-Fire Plan on File: Page of
D.:...nco.od RAinA
.';1
,j;.: I
(~I;:''''T~;.t~1
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- - - - -- --- -- -.- _. .-- - -- -----
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CITY OF ~J!i~t1.l~n.Ll.Il.I~ .c-.I:I.EU..&....~ ~..........'""-------
BUILDING DEPARTMENT 5335 STH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-7S0-0021
DATE RECEIVED
~f )/t;~
.
PHONE GONTACT FOR PERMITTING q~7-C>( 5<r
OWNER' S NAME C ~ Ir, ., 1M a.c.c.c,. ((YLL I~J 5 f)~
JOB ADDRESS '3~o3 I Noy-ft, ..Au'<-. ~4~-k J~
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # t'J "Z- 'Z0 - 2-1 ~D - OtJldbt)- COlD (OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
~OMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOM
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK FV'(;)..\M.~ ~ +1Lvfc,,,..-- WAlls' Foy t~ l2~W'\~ O~~c...C2.
BUILDING SIZE ').<:!J1C~O
SQUARE FOOTAGE 'I ZOO. If
lr"/t
HEIGHT _2f..
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.
EJ'" BUILDING
IW'ELECTRICAL
~LUMBING
~ECHANICAL
$
(7Jia:o r c;::-
'2<!:C
VALUATION OF TOTAL CONSTRUCTION
PERMITS REQUESTED
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
4. / ~A ~
I (&:> ;:.x-'.
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
~RAME
o STEEL
o OTHER
TYPE OF CONSTRUCTION: ~BLOCK
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
_--",""'~r"-~~'ZST:rN---'---"'---"'" ~-r'I--"'----~-----'" .. ---..---.~-...-.. r-rr~-.--" -..... --~--f""TIJ:"'=
{~:""II,/;II1"1 J 1 ~l I ~ I ~ I j,I,:JI,1 ,,1 1 ll, \ ~ ~ I, l,t~l.r:J":\'1 ~ 'jr'i'(:HiHj,r;1rtf~I~.:,1~t!~~l1f~tW~~
IrlJ~I:11 J'll~"I'llIlri\i'l t IIUI 11 I" I' 'I,ll 'f I ~', ! '1), I'M ') I I" ~Jr'L;qjf'-j!.ll~,"~It-<,I';"Ii1UtW!
.~~~~ilil.......L~L______~__~_~____~___~__I...~_-",~ 11tl III !' ", lJr_-, ~!4~
BUILDER
SIGNATURE /34 fr~ ~
COMPANY Bo b l2...\ov...vV\. G, VL~tv-,...l(:.....+tov\
STATE CERT OR REGIST # cr; c 0 lOCI 3 r
ELECTRICIAN <.
SIGNATURE
******************************************************************
COMPANY 14ffltt'f7.. c..le47Z{C GYIJ/V Y
~
STATE CERT OR REGIST # lEe (J()(J /2.ty .
~
*************************************************
PLUMBER
COMPANY R w\'n~< S ~I Uvn, & / \\.\ (;, ll\.lC
STATE CERT OR REGIST # C~r:-C i4'2 5' i Cot?
SIGNATURE
SIGNATURE
**********************************),h**********************
COMPANY (?., br.~,~
STATE CERT OR REGIST # LAc.o /3 Y'70
MECHANICAL
******************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOT.ICE OF DEED RESTRICTIONS
Th~ 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 iocal 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 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.
Appli~ation 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: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2U--
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)
Owho is personally known to me, or
(name of person acknowledged)
Ckho is personally known to me, or
o who has produced
(type of identification)
and whoO did 0 did not take an oath.
o who has produced
(type of identification)
and who Odid O: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
f~6 ~f)- b~1lr! L~.r{),.
J \ )~ f)"",
? ") 'J \:. ? , N ~ i'\..', 7 '"'
Iq-~ J?yj-vJ's
.square Feet
~~
Dollar Amount ~O . v
Valuation
Building
Electrical
Plumbing
Mechanical
'7 "\ "-::-.J
U\ -.;
. .
~Do~
~
, Connection Fees
~IA
*-'~ G\j41~f
~r.::L,
. -
,-
Sewer
Water
J3fl)~ .o~ Meter
~ C;. \.;> 11'
1)- W~)]
School Impact Fee ~1 A" ~j~;I( Z. II tel
. .. J ~ )<.. ():f).:r I'H L- Lf\:f...I)i 1
, Transportation ImpacIFeC-4t.'/I2?; 6'~ '0 ~ - b?5. (~
-pTrtL D\JJ2- -)
) JJiJ..'
.-
. "'a)' t,)
, i 7 ':) t.
Park Impact Fee ~j~
F) t\.f,-
Public Safety Impact Fee
'j) c...\....K.~ i.-
I . L "- l'~~:?) ;''":~
Zl Q :..:. ,,,'_ 1)
_ ~. I, 0 -> -;;: cj L':i 6"
C - b""
- II)' .
I . z.. 1- ;7 );-. v _
Zephyrhills Fire Rescue
6907 Dairy Road
Zephyrhills, FL 33542
(813) 780-0041
(813) 780-0044 Fax
INVOICE
L DATE
[6/20/2005
INVOICE #
05-0012
BILLING ADDRESS
PHYSICAL ADDRESS
Bob Raburn Construction
Bob Rayburn
Bob Raburn Construction
Bob Rayburn
BILLED BY
INSPECTOR I
KLB
LLH
ITEM DESCRIPTION QUANTITY RATE AMOUNT
Bldg Plans Building Plan Review Fees - per square foot 1,200 0.04 48.00
Pee Paws Deli TERMS
Plan No. 05-0422 Total $48.00
Due on receipt
MAKE CHECKS PAYABLE TO:
CITY OF ZEPHYRHlLLS
6907 DAlRY ROAD
ZEPHYRHlLLS, FL 33542
_ PERMIT NO.
" .
State of.J:Jo vIde,.
County Of~P"-S<--e:;l
!rhe UNDERSIGNED hereby given notice that improvement will be
made to certain real property. and in accordance with Chapter
713. Florida Statutes. the following information is provided in
this Notice of Commencement.
1. Description of Propert y: Parcel No. 2- 2~- L I - O(X.)O.- 60"aJ .-a:::J1 C
'3 ?1' 0 31 IV () vf-t.1 Au-'L 2 e ,0 '" 'J v l.1," I t~
Lega1 desc. of ~he proper~y & s~ree~ address if avai1ab1e)
2. General description of improvement5Vtt.ev~1- ,?'u,' tiClu:!-
R3.
.?8.:S'~3
Name of fee simple titleholder:
(if o~her than owner)
Address
4. Contractor: c~o~)
Rec: 18.50
IT : 0. 00
Dpt.y Clerk
Address
City
St
~;~0~~~~tI\~ : GtS~o fOUNT:, C~ERK
OR BK 6455 PG 249
Amount of Bond:
6. Lender: Name-1Jj A--
Address
City
St
7. Persons within the State of FLorida designated by Owner upon
whom notices or other documents may be served a provided by
Section 713.13(1)(a)(7)..Florida Statutes:
Name:
N/i1-
Address:
City
St
In addition to himself. owner designates
of to receive a copy of the
lenors Notice as provided in Section 713.13(1)(b). Florida
Statutes ."
Expiration date of notice of commencement (the expiration date
is 1 year from the date of recording unless a different date is
specified)
--------~T------- ---;1----------
Signature of Owner:
Sworn to and SUbscr~-~e met:.h'S
~ Notary Public~,.J?~.
() . \
My Commission Expires: '
Of~
.I~' ji\. loralyn K Hayes
;.~ ; My Commission 00338588
... Of.,.' Exptfe$ Auguat 20. 2008
~l~
F PK NAIL
SW CORNER
SECTION 2- 26- 21
SOUTH BOUNDARY
SECTION 2-26-21
2.3.3.66
S89.52'J7"W
BASIS OF BEARIII.
OR BI< 6455 PG 250
2 of 2
Description: (AS FURNISHED)
A portion of Tract A of TYSON SUBDIVISION as recorded in Plat
Book 4, Page 109, Public Records of Pasco County, Florida
being described as follows: Commencing at the SW comer of
Section 2, Township 26 South, Range 21 East, Pasco County,
Florida, run N89"S2'.37"E, along the South line thereof for 2.3.3.66
feet, thence run NOO"07'23"W, .30.00 feet to a point of
intersection with the North right of way line of North Avenue
and the Easterly right of way line of Fort King Road; thence run
N19.43'4.3"W, along said Easterly right of way line of Fort King
Road, 90.09 feet for a POINT OF BEGINNING: thence continue
9.3.95 feet along said right of way line the some being the arc of
o non- tangent curve concave to the Southwest having a radius
of 18728.70 feet and 0 chord which bears N79.40'04"W for 9.3.95
feet to a point of intersection with 0 non-tangent curwt concave
to the Southwest (same being a continuation of the Easterly
right of way of Fort King Rood); thence run 26.05 feet along the
arc of said curve having 0 radius of 3668.85 feet and a chord
lfhich bears N19.37'03"W, for 26.05 feet; thence deporting said
Easterly right of way run N8g.52'37"E, 127.71 feet to a point on
the Westerly right of way line of 7th Street; thence run 205.03
feet along said right of way line, the same being the arc of a
curve concave to the Southwest having a radius of 370.00 feet
and a chord which bears S4115'50"E, for 202.42 feet; thence
continue along said right of way line S25.23'18.E. 50.37 feet to
an intersection with the North right of way line of North Avenue;
thence run S89.52 '37" W, 145.70 feet along said right of way line;
thence N3.3.24 '4.3"W, 101.52 feet; thence N89.52'37"W, .34.92 feet
to the East right of way line of Fort King Road and the POINT
OF BEGINNING.
LEGEND:
ALUM
BLK.
( C )
COR.
CONC.
C I B
( D )
'-IIC
= ALUMINUM CDESC) - DESCRIPTION =
= BLOCK EL = ELEVATION N.C.F
= CALCULA TION ( F) = FIELD MEAS. FND =
= CORNER F.C.!.P = FOUND CAPPED IRON PIPE F.C.M =
= CONCRETE F.I.R. = FOUND IRON ROD FFF-.NEL =
= CONCRETE BLOCK F,C.!.R. = FOUND CAPPED IRON ROD =
= DEED F.I.P = FOUND IRON PIPE r,U.B '"
- '-IITNESS CORNER ( S) = SFT F.D.O.T =
1) NO UNDERGROUND IMPROVEMENTS (SE\JER/\JA TER LINES,CONCRETE FOUNDATIONS, l
2) NO DOCUMENT OR RECORD REFLECTING RIGHT OF \JAYS, EASEMENTS, OR O\rlNERSH:
SURVEYOR'S
NOTES:
'NUTE:
THIS SURVEY WAS PREPARED EXPRESSLY FOR THE NAMED ENTITIES. NO
PURPOSE WHATSOEVER WITH OUT EXPRESS WRITTEN CONSENT FROM HIL
STATE OF-' FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORO IN THIS OFFiCe. WITNESS MY
HAND AND OFFICIAL SEAL THIS~ DAY OF
Vi(LY 2.aQ;S
AN, CLERK OF CIRCUIT COURT
~
t. OEPUTY CLERK