HomeMy WebLinkAbout05-4726
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4726
Permit Number: 4726
Permit Type: COMMERCIAL
Class of Work: NEW CONST/COMM
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 60,200.00
Date Issued: 7/21/2005
Total Fees: 651.05
Amount Paid: 651.05
Date Paid: 7/20/2005
Work Desc: SHELL FOR OFFICE BUILDING
Address: 4851 6TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
ST NEWOOD DEVEL P
4851 6TH ST
ZEPHYRHILLS, FL. 33542
Phone:
STATEWIDE ELECTRICAL SYSTEMS,INC
TOTAL PLUMBING SOLUTIONS INC
\ U ~
\. \1 D -../A, -to- r U
~\1.,i . ~ -0 ~ 0'-
:\ }JJ ~ y>
/ V _ G~ rY"
~~J
J
1 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.
REINSPECTlON 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. II
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.
~.
TOR SIGNATURE 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
re -;2L/-D'!J-
DAT}O~ RECE IVED L
PHONE CONTACT FOR PERM~~rTING L/33' 8 '288 .., )
'". "._--._.-...:.~....,~._"._...__.~...--~.. .-,
OWNER'S NAME
~ \C)l-\ 0"-160 U
l185 \
(0 T~.
7' ~VLL.C:P ~1lS..-'\ L r PHONE 'd 1'3- 4 ~ '3 -82 eg
U I J"') . L-. '-- ,
'2 c..P,i YK HILL"5 . f-c., :5SoL( (
}:-) SUBDIVISION
JOB ADDRESS
S:.T~~LT
LEGAL DESCRIPTION: LOT (S) I",.,j) 2. BLOCK
PARCEL ID # ILI/2(P /21/0010/0/500/00/0
( '( I I
WORK PROPSED: ~EW CONSTRUCTION o ADDITION
o SIGN 0 MOVE
(OBTAIN FROM PROPERTY TAX NOTICE)
DALTERATION
o REPAIR
o INSTALL
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
~OMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
'"
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~4-E..LL.
BUILDING SIZE _ .413)( 35
cOr..(S\" RL>C\ \ 0 r{
Of
IS-OOso rr
offl<"'~ iS01~(7.
SQUARE FOOTAGE
I;::) OO~" (-T
HEIGHT
J(i1'
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FQRMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ('
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIO~.
ENERGY FORMS.
g(BUILDING
'JZt ELECTRICAL
\f! PLUMBING
o MECHANICAL
$
50.000
"A I D~.._ , .
~..
PERMITS REQUESTED Is~'
,,!-I 7f D ~..--,
VALUATION OF TOTAL CONSTRUCTIO~~~~ ~
AMP SERVICE 0 Progress Energy ~ ~
#412Lc
$
VALUATION OF MECHANCIAL INSTALLAT
$ r1/ tJ
:J L ()o
., Vfl -/
~ 5/,; 0 ~
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: ~ BLOC.~ 0 FRAME
FINISHED FLOOR ELEVATIONS '~4,~
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREA~ YES
o NO
BUILDER ~
SIGNATURE V' -
j~t -
( -r: .
COMPANY l.~.// 4'i)fL.I4-N {ts C-o,...f<s.TIl.ULT/(Y/
STATE CERT OR REGIST # <f!:....iSc.. 12-5/2..4'8
******************************************************************
~
ELECTRICIAN J \
SIGNATURE ,~~; . ,rt." ,,-lid,
- / ..-:J -r
COMPANY .~< -/ '~l'4Ne1J; C ~ L. .
STATE CERT OR REGIST # CCoOO~ ~ 2 7
******************************************************************
SIGNATURE ....."S.~
..~
a-("L4.~-J~ "
COMPA\rr-----107-/.f t C;?i?&..
.
PLUMBER
STATE CERT OR REGIST #
*******************************************************~**********
MESICGHANNATUICRALE ./. ..c:- ~____~/ ~/./'/ COHPANY l],.<lfJ,'d .~J;;~ t.,~
~~~ STATE CERT OR REGIST # ;:2Coo"lt./'7'"79
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes respo~sibility 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 Sections" 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 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 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,
Application 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 "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 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
~ IN riEl NO"[ED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA--) An
COUNTY OF ' L/ ~ 6'c?b
The_~regoing instrument w~
B for] me this ~ . day of
by'"
(name of perso acknowledged)
Owho is personally known to me, or
\P who has producedtLj)L fllo 1)-/1?-11(-.933'V
_ _ _ (~ype of identification)
and whoO di~id rot t e Bfr ,oath.
_ ~_~{; "', ~ ( /1
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
20
(name of person acknowledged)
C1ho is personally known to me, or
Owho has produced
(type of identification)
and who 0 did D:iid not take an oath
Signature of person taking acknowledgment
Signature of person taking
",u,'/4::.".
<,~y.:~.. Bobbie Swetland
Name J4A}~}~~~~:~~J~~_.
'..,.p.f.,i~W BONDED TH~U TROY fAI" INSI"","(; ,..-
Name typed, printed or stamped
SOUTHWESTFLOR,I:DA
WATER MANAGEMENT DISTRICT
NOTICE OF
AUTHORIZATION
TO COMMENCE CONSTRUCTION
6th Street Office Park - Zephyrills
PROJECT NAME
Commercial
PROJECT TYPE
Pasco
COUNTY
14/26S/21 E
SEC(s)fTWP(s)/RGE(s)
.(
Stonewood Development LLC
PERMITTEE
APPLICATION NO.: 46028611.000
DATE ISSUED: April 19, 2005
~~?
HENRY ROBERT LUE, P.E., DIRECTOR
BROOKSVILLE REGULATION DEPARTMENT
THIS NOTICE SHOULD BE CONSPICUOUSLY
DISPLAYED AT THE SITE OF THE WORK
41.00-075 (10/92)
. ,,," \......
?)'\'~~l--\
ST~j-i- u.s~~j) Db-'" h>:~{~k'l... 'F-rJ1-
j7-9rt4 ~f\J) '<::, G~~'~'.
'-/D;-; eo111- ')1,
q '" CJ-~
o\)
'"' ."",- .
.'- z. r"".'l S)~~
e. en..., -:::::
Square Feet /"'5 \:)'~
Dollar Amount
(c.;c.; ~ -\)
Valuation
'--0 2.-\~ . ,,-'>
\.U ) ~ .
Building
506,~C
'(-s-r0 L,
Electrical
'?5.~'J
C5~1, 0~)
Plumbing
35,~V
Mechanical
Nj~
~Do~ I S_cS-
Connection Fees
Sewer
Water
Meter
.,~
(0
~ ,)Ji.1/rl-iLiNf.tJ ~\ j)~d\.}J L)J'-
C VL'F-4J J T :) I\J -F /1$ g J ~ OL.
School Impact Fee
N)JL
Transportation Impact Fee '(D \~)i- Df;ff/ljt'Vr{Pf) I7T r)\:J L)) (-J,
Park Impact fee ~ ff
Public Safety Impact Fee
\\
/1
C ru=;J1 f ~ /\Ij1-
Yl.}1.- ')l )),F-r-iCf
FLA. 197') U\WS
liS 713.13 . _
SEMINOLE FORM 408
NOTICE OF COMMENCEMENT
~:a~~t;fo~lorida } tPR~PARE IN DUPLICATE' ~~~~1111~~11~1I11111111111111111111111111111111111111
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 this NOTICE OF COMMENCEMENT.
,
Description of property... ~ 9.~.~. .'$.~ ~...... .4~r........... r~\l~.1.0~.... .~.i?P.':2:-~":""??.... .l.?...............
.. ~~~J.... ~.~~..... .~T~.~~T..... .~~~.':1.~J? .~.I.L:-.~>... .,.f~~.~.\9.~...... ~.>.~~.~...........
... T"...fO "'UJ"'! l5""6c>sQ.' of-FILe.... ~\,--i)"~lhS
General description of Improvements...........................................................................................
R
"ST DNE... v-./ OC V I)~" CL-o ?f'\iLl'\ T 1.-. L. (...
Owner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .J. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address. .597..... .v.~~~..... ?:y,..... ~.l.?-r1-.-.... .f.~... .'.. ~:?$. ~.<?\.........................................
Owner's interest in site of the improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fee Simple Title holder (if other than owner)
Name ...............................................................................
Rcpt:897837
OS: 0. 00
06/28/05
Rec: 10.00
IT: 0. 00
Dpty Clerk
Address ........................................................................................................................
Contractor.. A.~~~.J:\":~~~... .~'i::~~~~l.~.~.. ..l.~.~.......... .~~~ ~.~~~.~. ~.~.............................
Address ~l<1)P... .~i.r. fl:.~:'?:?... .H-.~.~9.~... .q..~.:....... .<0~.~'S.~~.T<?~... .f.(.~... .~~.~.?~..............
Surety (if any) ..................................................................................................................
Address ...................................................................................... Amount of bond $ . . . . . . . . . . . . . . .
Any person making a loan for the construction of the improvements:
JED PITTMAN, PASCO COUNTY CLERK
Name .............. .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06/28/05 10: 47am 1 of 1
OR BK 6444 PG 85
Address ........................................................................................................................
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name .~~~~~~~. ~~ ~-:~.~~~I.~..............................................................................
Address. .5Q.l.... .~~ ~.~. ~.... '~'Y""'" .~~.~.. ,. (-:-:~....~. ~.~. .Y.4.....................................
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).
Name............... ~..... ....' '.'.'-'_' .._~.............................................
Add,"" T~'~~;~C;'~;;;~~;~,";~;;~~~~..................... .~;. (IH..................................
Owner
~\\\\"III"""'II. ~__
Sworn t~o~l.s80s~""~fore me t' . ......... .
S' ....... ~~.&"'
..::)~ ..~~\SS'ON e.... ~
....C/l ....... ;.~fl,<"a~..Y'''' .... '}'\..)~.. ... ......
:~~'-I ~'cP:,:
=*: (. ~ : = /
- . - -r-- .
~z. ~ . . 'IIDD385830' . . '.
~~.. 4.. .. ~~
~ ~ ..~'Ia>~~tI\~~~.' tf~
~ ::J-,o~..~~~~~... ~ <<'W
~",lLIC ST"~ Cl\"~
~/""illlll\\\\\~
'5
a.......
~
I
I
I
!
--- ~-~-~ ~--------_.~--'--_.__._._--.._~._----.__._----
n
~
n
n
n
in
:("'1
105763
n 0
~
n
PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7910
5-5 I ~D
CITY OF ZEPHYRHILLS
ZEPHVRHILLS, FLORIDA
WATER ACCT. NO.
DATE
7 (Z7~S
OWNER/
RENTER
IJdl?l'aA1 15 &J: Thr.
Qi30 ~jJ/e55
C;h5rn1Jh, J~L '3353$1
~g;51 't ~ sT '
h,..yb (} r
MAILING
SERVICE ADDRESS
~R
SHUT OFF SERVICE 0
TURN ON SERVICE GJ/'
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
~CITY
o OUT CITY
L No. OF UNllS
_ DEPOSIT AMOUNT
. (
_ AMOUNT LAST BILL
3) II
4
_ DATE
-
wj;y ~
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all times.
Send pink & yellow forms to Water Service Depl.
Water Service Dept. to sign yellow form & return to office.