HomeMy WebLinkAbout05-4657
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
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Permit Number: 4657
Permit Type: TEMPORARY SALES
Class of Work: SPECIAL EVENT
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 7813 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
7/11/2005
59.00
59.00
7/11/2005
TENT SALE 7/12 THRU 7/17/05
Name: FASHION BUG
Address: 7813 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
FIRE INSPECTION FEES
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.
fv:cLQfp" ~.
CONTRACTOR SIGNA PERMIT 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 7- 7- OS
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER' S NAME\~ OfJ:\ ; on ISL\~
JOB ADDRESS ~l8 \~ GoJ \ Bh 1
~13- 1 <(sQ~ 810-13
PHONE
2--f~ "'\A.-\V \\.~ \ \s
~\
S'5SL \ \
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: []NEW CONSTRUCTION
o ADDITION
DALTERATION
[] REPAIR
[] INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
[]MULTI-FAMILY
o INDUSTRIAL
[]# OF UNITS
[] SWIMMING POOL
o MOBILE HOME
[] OTHER
D RESTAURANT & HEAl.TH DEPARTMENT APPROVAL
\ ----t- \ c.' ~ Ii
DESCRIPTION OF WORK --( ("fIVe \ -E.' n+ ,-.:;0.. e- . I -- \.-L- -
(- Jl
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
J}Lj~51
PERMITS REQUESTED
[] BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
:)0 .,,0
~o
11 )'1 '
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 0 NO
BUILDER
SIGNATURE U'~Cf2~
COMPANY
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsn 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 portions of the "Contractor Sectionsn 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 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 Guiden prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownern, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownern 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
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 "An or "A,etc.n, it is
understood that a drainage plan addressing a "compensating volumen 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 COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTn.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
,20_
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)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Ddid DUd not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
l
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EULJ., .POuc'i.' NUMB!;;A
'PAS 36783002
BRANCH 20 ZURICH GROUP-OR
PROOL/CERNUMBER,
, , ,
02253666
AC ,I · ACCOLM'pNUMaER
I MOOBS37330r001-00001
ANNIVERSARY EFF 08/1 /2001
Sunshine Tent Rental,Inc.
PO. Box 351
Btooksville,FL. 34601
352-796-5394
~
ZURI H
PRECISION PORTFOLIO POLICY
COMMERCIAL GENERAL LIABILITY DECLARATIONS
PRECISION AMERICA
SERVICE PROGRAM
This coverage part consists of this declarations form, the common pol:cy conditions, a d
the coverage forms and endorsements indicated as applicable on the forms list.
COVERAGES '. AND ,LIMITS' OF ,INSURANCE
I Som~ of these coverages are subllmits or are subject to aggregate limits
I policy to detern:;ne hON they apply.
GENERAL AGGREGATE
I PRODUCTS AND COWPLETED OPER4TIONS AGGR~GATE
Refer to your
EACH OCCURRENCE
TENANTS LEGAL LIAB1lfTv
I
: MEDiCAL EXPENSES - EAC~ PERSON
I PERSONAL iNJURY A~~ ;DVFRTiSiNG INJURY
,
I
I
I
I
$ 2 . 0 DO , 000
$2,000,000
$1,000,000
$1,000,000
$10,000
$1.000.000
Not:e:
Pasco County Board of Commissioners as certificate
holders and additional insured.
L
COMME::RCIAL GENERAL L1ASllllY
';S'~,)c~ :q :; .:;::,::;
INSURED'S COpy
07/10 001
3.1 1
Z~(-"CI/ t Ofl [2J
X~~ 8L II ~O~Z,/90/l0
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TEM?OR.~-qy SALES CHECKLIST
,..
Ci ty of Zephyrhills
5335 - 8th Street
Zephyrhills, FL 33542
Phone: 8~3-780-0020
Fax: 823-780-0022
Plot Plan showing setup of location
Notari3ed letter from property owner stating their
approval
I= cent is involved a flame retardant certi=icace is
required. Inspection required once tent is erected.
Approved certified fire extinguisher~er NFPA 10
(}.,ileL-t~ en J/lSp~d--
No smoking signs must placed outside entrances
Ch>4?Y) ';::"n$~
Wire fence or chain link fencing must have at least
5 ft setback from tent and at least 2 exits
6-he..L.IL C-n J-P15;L//~
If tenc has sides-the sides shall be in th;ru~P;sition
unless there is inclement weather, then 2 sides mus~ be
in the up position
If fireworks ~are g' valved the following
_____ Proof of t~license
Proof . ity insurance
City r gis r tion fee of $20.00
List of items to be sold at site
is required:
~he following fees are applicable:
Temporary sales permit: $5.00 for ~~e ~st two days and $1.00 per
day for each consecutive day thereafter, not to exceed duration of
30 consecutive days and no more than one occurrence per calendar
year per Ordinance #408.
Tent permit (if applicable): $35.00
Electrical permit (if applicable): $35.00
i\pplicant:
Property owner:
Phone contact:
ll_ddress sice:
Dates of sale:
C()~CIIQE CE~TEI?'~ I
Shopping Center Developers
c@)
,\K ~?J\
1'1 ul
i c a}: f,~() ;;ite/:1-I1J;;/::f~uilding shall comply with
M (Jr./-~. / tl ~/~c. the applicable codes of
Florida Fire Prevention Handbook
NFPA & the City of Zephyrhills
June 30, 2005
Attn: Sandy
Fashion Bug #2523
7813 Gall Boulevard
Zephyrhills, FL 33541
APPROVED
by Fire arsh~ 9f Zephyrhills
RE: Tent Sale
North Town Center - Zephyrhills, Florida
Dear Sandy:
Your request for approval to hold a "tent sale" in the parking lot of North Town Center,
from July 12th to July 17, has been granted. Please accept this letter as authorization to
proceed with your permitting process.
Should you have any questions or require additional information, please call me.
KOB PROPERTIES, LLC
NOTARY
/1
By:, )~
al A. Skala-Harper" ,
Leasing and Property Manager
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-1at:;(~ridf . -. ,.
County of Sarasota
SEAL:
LINDA D MATTINGLY
COMMISSION' 00244280
EXPIRES AUG 24 2007
IlONDeD 1HROUGH
1iU "'5lJRANce COMPANy
411 Commercial Court, Suite E . Venice, Florida 34292
941-488-0270 . Fax 941-488-0790 . Email concirectr@aol.com
~s(
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills. FL 33542
Fire Chief Robert Hartwig Bus (813)780-0041 Fax (813)780-0044
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: /)5=- rg
Business Name: Owner:
Business Address: '/ t/ JJ Billing Address:~i i4nt i? Jf2:$
Business Phon~p.: ?:I-i-. 'L=1 ~ 2-. Billing Phone No.:
Business Fax N~ t?/ )-.:./f'o- 8 t 7:'=? Billing Fax No.:
Contact: ----________ Contact:
PlAN REVIEW FEES ~_..) PERMIT FEE
~ Site Plan NlC ___,.-"",C
Building Plans .04 sf 1st Re-inspection $25
Revision .06 sf 2nd Re-inspection $50
3rd Re-inspection $125
4th Re-Inspection $250
5th Re-Inspection $500
Construction $15
Commercial $25
STANDPIPE SYSTEM
o Per Riser $25
SPRINKlER SYSTEMS
B 0 - 25 Heads $30
26 plus Heads $60
FIRE PUMP
o Per Pump $100
FIRE ALARM SYSTEM
B 0 - 25 Devices $30
26 plus Devices $60
SUPPRESSION SYSTEMS
~ WfA $35
Dry $35
C02 $35
other $35
GREASENENTlLATION
DHoodIDucts $35
PLANS TOTAL I
Comments:
.-
J-Ee
ta
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
WfA Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
.6,.;5;'", ej"S
SPRINKLER SYSTEMS
o Automatic $15
FALSE ALARM FEE
1 st Alarm NlC
2nd Alarm N/C
3rd Alann N/C
4th Alarm $25
5th Alann $50
6th A1ann $75
7th Alarm $100
8th Alann $150
9th Alann $200
10th Alarm $250
FIRE ALARM SYSTEM
B System Acceptance $50
Recall Acceptance $50
OTHER
Fire WaJlISmoke Wall
LP Gas
Natural Gas
Fuel Tanks
Tent
$15
$25
$25
~
FIRE PUMP
Fire Pump $15
FIRE ALARM SYSTEM
o Detection $15
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
$25
$45
INSPECTION TOTAL~
__ G~TOTAL. ~
j"" ~ . b;""JroQ
GREASENENTlLATION
B HoodiDucts $15
Kitchen SupprMsion $15
FALSE ALARM
TOTAL [
PERMIT TOTAL I
1
j~.DG J
Date:
Inspector:
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