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Home My WebLink About05-4916 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4916 Permit Number: 4916 Permit Type: ADDITION/ALTERATION Class of Work: ADD/AL T COMMERCIAL Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 89,975.00 Date Issued: 9/13/2005 Total Fees: 990.89 Amount Paid: 990.89 Date Paid: 9/13/2005 Work Desc: INTERIOR REMOD LING Address: 38108 15TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: NYE,McALVANAH 38108 15TH AVE ZEPHYRHILLS, FL. 33542 Phone: J FIRST CLASS ELECTRIC CHRIS BAHR PLUMBING KINSEY CENTRAL HEATING & AlC E PLUMBING FEE FIRE PLAN REVIEW FEES 63.00 MECHANICAL FEE 164.64 35.00 <, 0~flP 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 irnspection 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. -f~.' ~. CONTRACTOR SIG ATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECE IVED >1- :27'-OS- . PHONE CONTACT FOR PERMITTIN? f/-f- 2P j -S~ j-',JCfPl/ OWNER'S NAME IV V IJ__ , / / JOB ADDRESS ~ t? / c!J po rvtr.11 / U;ZN;; 4. y.-- 4 N-I'd A/ PHONE 97'''} - J I J / /~ ~4 17 v e, :z e/:J~V~ It J '/-1:. r I..~ ~J -S-y J. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL II! # //- d~-~ 1- &&ltJ-dlclr!)t!J-!J;JStJ (QBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: []NEW CONSTRUCTION o ADDITION )8IALTERATION o REPAIR [] INSTALL oSIGN [] MOVE [] DEMOLISH PROPOSED USE: []SGL FAMILY DWELLING oMULT I - FAMIL Y 0# OF UNITS o MOBILE HOME ~OMMERCIAL o INDUSTRIAL o SWIMMING POOL o O'rHER DESCRIPTION OF WORK CJ RESTAURANT T/-/ /11 /C ' ' tJ /c & HEALTH DEPARTMENT APPROVAL k,e ~~ ~/'/~/O ,/ BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDEN'l'IAL: 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. [] BUILDING PERMITS REQUESTED tiC' $ 0<)..1 C?r-~ 15 /.~ / /...!o VALUATION OF TOTAL CONSTRUCTION E X \\~Jr'J/f I) AMP SERVICE / iJJ~ <~/~ o ELECTRICAL [] FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL L!!-. $ -<-\CJ tJ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL [] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE lffiEA[] YES 0 NO r-'----------,. BUILDER -.~_~tl1r~'l~'<>1 ~ COMPANY JtI' AI L.., ~ J,'t-'} .7-4. C,/tJ tV/';(, h/C ~ ~R STATE CER'f OR RE:GIST ~ 9/sc cJS 5> S:-/ ? SIGNATURE ****************************************************************** COMPANY rrU'e:; f C(4. '? ~ t-=tec.fv L~ STA'I'E CERT OR REGIST # _ F:.c ..vc.k~~ 70 ELECTRICI ********************************************** PLUMBER ~4~6A COMPANY (lll/els' (JAf#( (?LU#1br';v6 STATE CERT OR REGIST # L Fe I <f 2..f) '1%2. SIGNATURE MECHANICAL ..............~..........**.*~~~~~~.*.~;;:;;;:.~;:;;,:;i*ii~yI~~ . ~ STATE CERT OR REGI ST # _ / P .;( *******~.~********t**********~*t******************~*************** , '-',. OTHER CO~?AN>T, SIGNATURE STATE CERT OR REG 1ST # -----~-~-,._.._~----- A. NOTIC8 OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The 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, EnviroIlmental Healtll 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 co~nenced 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 COMt..JENCEMENT. JOBS UNDF:R $2, 500 ~ VALUE DO NOT NEED TO RECORD AND POST A "N9~ICE OF COMMENCEt"lENT". ,. /' ;/. '" ,/',,;.>'" , ~././. /.7..,/,/ I~,-C '-;t'" /~~_/ezc: ,~_-..'A ---;( S~ATURE: OWNER OR AGENT ---- )GNATURE: CONTRACTOR subject to "deed restrictions" which undersigned assumes responsibility for -~_--:e /12 / STATE OF FLORI DA '7) COUNTY OF r4.Sl.6 The foregoing instrument was acknowledged Before me this ~ day of AU'II&f- , 2QIJ.$" by ~~'^ L. ~~.UA (name of person acknowledged) )(lwho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument wa~ aCkn~edged Before me this ~day s1 t:.\I1Q~ (j~ ,20 OS by ~c."'V\.l..~\M,~ (name of person acknowledged) Olrho is personally known to me, or p Q;}c (;) Owho Owho has produced (type of identification) {t'\.~~tov\ ~ of pers ~ '" CUo\YY\ .~S Name ty~ed, printed Name yped, printed or stamped I I OCCUPANCY NO.: CITY OF ZEPHYRHILLS FIRE RESCUE INSPECTION DEPARTMENT 6907 DAIRY ROAD ZEPHYRHILLS, FL 33542 (813) 780-0035 Administration: (813) 780-0041 ******************************************************************************************************************* Business Name: ",.-- It: 7.#- 5{ lJ 1.. ;;;; L/Oc-' FIRE SAFETY INSPECTION Business Owner: Building Name: Street Address: City: Zip 33 -s'i z- Telephone: Building Owner: Telephone: Emergency Contact # l: Telephone: Emergency Contact #2: Telephone: I (~Ji A II c.... Suite: Z;-I Manager: Telephone: Occupant Type: ******************************************************************************************************************* TYPE OF INSPECTION CONDUCTED Annual: Reinspection: Sprinkler: Approved: V Commercial: Code Violation: Suppression: __ Qtly: Other: ".....--- Fire Protection: Gas: Conditionally Approved: _ Not Approved: _ ******************************************************************************************************************* Comments: n;J (J.;,ll 4,;?7~ SI '/7 /' 0'';' ~Y'I'f R....&'t S^'y/1 (V-- t-57 ) ..... /' fJo 7.k Or ...-/ - // 5.::; v :r h ',,) \ O<...('A"t'(,c \ ~~H!iT ) ./ ()-/ !r 1 /c. (, 5/LJC: oK- ok ~-<- CD r~ h C( v S 1:>, ~ \cl (~5 ,\\..e_ ,+ ****************************************************************************************************************** This building had been assessed by the ZephyrhiUs 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, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during fire. Your immediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code. / *********************~~**~************************************************************************************* Inspection Date: V/'~/0 ? Re-Inspection Date: In,peolo, NamqPrint) ~ d~. ~..e/~' '",p"lnd.D.", Inspector Signature: ~ ~- m /' ,-- /8 Occupancy Representative Signature: Title: Computer Entry: Pre-Fire Plan on File: Page of Revised 04/04 John L. Smith 38108 15th Ave. Remodel SQ. FEET PRICE MAIN OR LIVING: - $ 50.00 OTHER AREA UNDER ROOF: $ 50.00 OTHER: $ - VALUATION $ 89,975.00 FEE SHEET $ 440.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 660.00 CREDIT: $ - BUILDING LESS CREDIT: $ 660.00 ELECTRICAL: $ 68.25 PLUMBING: $ 63.00 MECHANICAL: $ 35.00 SUB-TOTAL $ 826.25 RADON: $ - TOTAL $ 826.25 SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - , I I $ : WATER METER:I $ IR~IGATION METER $ ~UB-TOTAL $ PA~K IMPACT FEES I $ - I 826.25 I - , PUBL,lC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ - SIF'S: $ - 100.0% $ - i 1.0% $ - : TOTAL: $ - I i TIF'S: $ - 99% $ - 1% $ - TOTAL: $ 826.25 I 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.: /) '" .- ~q@~, .f.:--.r- Business Name: J',.'~ ~~ G..,sdrJ'::-~ Business Address: Business Phone No.: Business Fax No.: . 9"~ Contact: 7X3 - 5 '_ PlAN REVEW FEES INSPECTION FEES ~ Site Plan NlC Annual NlC Building Plans .04 sf 1 st R'e-inspection $25 Revision ,06 sf 2nd Re-inspection $50 3rd Re-inspection $125 4th Re-Inspection $250 5th Re-Inspection $500 Construction $15 Comr\1ercia1 $25 i-/1117 STANDPIPE SYSTEM D Per Riser $25 SPRINKLER SYSTEMS B 0 - 25 Heads $30 26 plus Heads $60 FIRE PUMP D 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 TOTALrJl!I;jfl SPRINKLER SYSTEMS Hydro Undergrounds $45 Hydll:lstatic System $45 WfA Acceptance $30 Dry Acceptance $45 Hydrant Flow $25 FIRE ALARM SYSTEM B System Acceptance $50 Recall Acceptance $50 OTtER Fire WlIIlISmoIre Wall $15 LP Gas $25 Natural Gas $25 Fuel Tanks $25 Tent $15 INSPECTION TOTAL[=:J Owner: Billing Address: Billing Phone No.: Billing Fax No.: Contact: PERMIT FEE SPRINKLER SYSTEMS D Automatic $15 FIRE PUMP Fire Pump $15 FIRE ALARM SYSTEM D Detection $15 OTHER ~ LP Gas Natural Gas Fire Works Fuel Tanks $45 $45 $25 $45 GREASENENTlLATION B HoodIDucls $15 Kitchen Su~ $15 PERMIT TOTAL I Comments: h k<//e( 77:~t~'iffi.,f I!v~ FALSE ALARM FEE 1 st Alarm NlC 2nd Alarm NlC 3rd Alarm N/C 4th Alarm $25 5th Alarm $50 6th Alarm $75 7th Alarm $100 8th Alarm $150 9th Alarm $200 10th Alarm $250 FALSE ALARM TOTAL I Date: 9/z t)- " . ~I!I-l Inspector: nlh &/t"Ji! n- Ii Proposal Date June 14, 2005 .. John L. Smith Construction, Inc. 4240 Coats Rd. Zephyrhills, Fl. 33541 (813) 782-0470 CBC 059519 Proposal Submitted To Work To Be Performed At Name Nye, McAlvanah and Henson Street 5360 Fox Hunt Drive City Wesley Chapel, FL 33543 Telephone # 973-2121 Street 38112 15th Ave City Zephyrhills, FL Date of Plans Architect Darrell Howard We hereby propose to furnish all materials and labor for the completion of Tampa Tribune Building to specs of plans and attached spec sheets. All material is guaranteed to be as specifiecL and the above work to be completed in accordance with the drawings and specs submitted for ab0ve work. All work and materials to meet local industry standards and existing codes in effect at date of this proposal. The above work to be performed for the sum of Eighty nine thousand, nine hundred seventy five and 00/100 Dollars ($ 89,975.00 ) with payments to be made as follows: To be agreed upon at acceptance of this proposal. Any alterations or deviations from the above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond 01lll" control. Owner to cany fire, wind and all other necessary insurance required upon above work. Workers Compensation and Public Liability Insurance to be taken out by builder. Cost of collection and attorney's fees in the event of any default by the Owner and in the event that the Builder must initiate any collection proceedings or must engage attorneys for any purpose whatsoever relating to this agreement, including but not limited to seeking the enforcement of its terms and conditions, the Owner acknowledges, agrees, confirms and Warrants, that they are responsible for all costs and attorney's fees incurred by the Builder. Respectfully submitted~- /' --;.r/ _----~--4) Per John L. Smith CoJ'truction This proposal may be withdrawn by us if not accepted within 15 days Acceptance of Proposal We, the undersigned have read this proposal and do agree to the terms and conditions as listed above and to any attachments, if included. We authoriZe you to do the work as specified. Payment will be made as outlined in this ::~ /,77 ! OJ uJ f-/