HomeMy WebLinkAbout05-5069
1'111
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5069
5069
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMME
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5406 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
RE
A & M ELECTRIC
'a CHRIS BAHR PLUMBING
~ VfN&OtJ AIR OONE)ITlmJI~JC & '"'TO IN
,,\~ ~,.Lh.._hC-~4 L t\t>c~~
1 0/25/2005
3,217.88
3,217.88
1 0/25/2005
INTERIOR RENOV
Name: SUB-WAY
Address: 5406 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION COMMERC
MECHANICAL FEE
FIRE PLAN REVIEW FEES
TRAFFIC IMPACT FEE MF 99%
<,of} LR
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DUCTS INSTALLED PRE-SLAB
DUCTS INSULATED LINTEL
SHEATHING FRAME
MISC INSULATION
MISC. INSULATION
MISC. DRIVEWAY
REINSPECTION FEES: When extra in
charge of Thirty-Five Dollars ($35.00
LU
CONSTRUCTION POLE 2ND ROUGH PLUMB
PRE-METER WATER
MISC SEWER
MISC MISC.
MISC. MISC.
MISC. MISC.
ion trips are necessary due to anyone of the following reasons, a
hall be made for each trip for each trade:
(a) Wrong address (b) Condemned work re. suiting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for i s ion when called
(e) Permit not posted on job site (f) Plan . ot at job site (g) Work not accessible
The payment of inspection fees shall be m e before any further permits will be issued to the person owning same
"Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for
improvements to your property. If y u intend to obtain financing, consult with your lender or an attorney
before recording your notice of com e cement."
Complete Plan , Specifications and Fee Must Accompany Application.
All work shall be rformed in accordance with City Codes and Ordinances
OCCUPANCY BEFORE C.O.
I ~
. PER~
PECTION - 8 HOUR NOTICE REQUIRED
TECT CARD FROM WEATHER
Eagle Creek
5406 Gall Blvd.
Sub-Way Renovations
SQ. FEET PRICE
MAIN OR LIVING: 1,958 $ 30.00
OTHER AR A UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 58,740.00
FEE SHEET $ 316.00
ADDRESS $ -
1 DRIVEWAY $ -
BUILDING: $ 474.00
CREDIT: $ -
BUILDn Iq LESS CREDIT: $ 474.00
: ELECTRICAL: $ 110.75
PLUMBING: $ 105.00
1 MECHANICAL: $ 83.95
. SUB-TOTAL $ 773.70
RADON: $ -
TOTAL $ 773.70
SEWER: $ 1,616.00 on
WATER: $ 419.00
I IRRIGATION: $ - -.:'"
, TOTAL: $ 2,035.00
I
I " ilATER METER:I $ ~.UUJ
I IRF J( ATION METERI $ - I J 60 ~ '
~L B-TOTAL $ 2,988.70 /
I PA U IMPACT FEES I $ - I
PUBL Ie SAFETY IMPACT FEES
POLICE $ -
FIRE $ -
5% $ -
TOTAL: $ -
SIF'S: $ -
100.0% $ -
1.0% $ -
TOTAL: $ - I...
"'v J~
TI F'S: $ 1,263.44 r
't
~ v
99% $ 1,250.81
1% $ 12.63 /1 ~
/
TOTAL: $ 4,252.14 ~q(~ ~
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/ ~EP/!6/2005(!Rl 11: 19 AM ' ZEPHYRH1LLS BUILDlt-I; FAX No, 8! 3-780-002!
CJ:n '01' ZIlPlmUlJ:LLS PIIRMJ:!r Dn.J:(:ATZON
JiKn:r.DDQ DIlPAR!!GN'.l' 5335 Sa St:, Z~lU..u.. n. 33542 ~ ~
,813-780-0020 I'AXI8U-780-0021
DAB UcnVllD 0/ :.f< 3 S-
IHOla ~ Faa n~riIMlil '+ '2.. ~- S c<;.-st>lfS
'~~
o HQVI\
'-l;bL~ll:lW.'ION lJ REPAIR 0 INSTALL
o DEMOLISH
NO;RK PROPSEO:
IlDIl.PING SIZE
OMDL'l'I-Ii'AM!LY D, OF ONI'lS
atIAL C INDOSTRIAL 0 ~l'IMING POOL
!'t::1 REBt'ADliuT , REAl.TH OEPARTMEN!l' APl?ROVAL
, -i-U\ 0 f(eiN1 0& '
aQWW: roOTAGE -Lq ~.~
D MOBILE HOME
o OTlUlR
BEIG8o:r
RIllSIDENi'IAL: ATTACH
COMMERCIAL I AT1'ACH
IF SIGN P!RMI'l' ONL
PRoPltR
(4) PLOT'PLANS , (2) s~a OF aOILOING PLANS, (1) S2T ENERGY FORKS.
(~) SUS OF BU1LOING PLANS' (1) BE'!' ENERGY- FORMS. -
\2) BI'l'S OF ENGIm:ERlD PLANS REQUIRED. , Pfl\~"- .,-~ 'r~) \
,SURVEY RiOUIlU:D FOR ALL ,nN CONSTRU,CTION. . \/\&'P- tli1iJ dfflL.T)r
V~- ' 'f2-;;~IJi,~ /
w. ...~ f} fl(IIlf< '" ~~
PBRJaTS .RBQtJJi:STBD
pYaDILP'ING
, '9- !:UC'l'RlCAL
.)l PL~ING '
~JfECHANICAL
D GAs 0 RQ9FING
$
VALUATION OF TO'lAL CONSTRllCTION
,
AMP SIilRVICK
o Progrl!l88 Enucnr 0
$
o .~CIALTY
g ~r:t> cb
VALUATION OF Nli:CHANCIAL INS1'ALLATION
o OTHBR
w C) &, 1
o F1WCil
o STEEL . 0 OTHER
'IS PROJECT 'IN i'LOOO ZONi1 ARl!:AO YES 0 NO
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COMPANY -- - ---- l'\ c.., ~.'.
, )' , 1J1t.fj) - :!J?f- 7 7'11/. IA
. B~ATE CER'f OR REGIS'!' t, CAe- p~-gttf&f;" r~ I '/'/C:) eft..
, '
******.. *+.*****.******+******...*****?jl' *.* ...**-******...**....** l' ..A /
1llf- e: -J:: N Sf'erJ-PON 51/G.5 If ~ ~ p: I q..- eA-JL.i V tV 5 (/G5 f'J-l:
, COHP J0\
~ i" Br~TE 'ClilRT OR RBGIST t' C G /1 0 (j 17cJ6 '7 ~'I 0"
. ._.<<<<*.*******...*.*.*****.**....**,******************.*. ~
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STATE CgRT OR ~GIST t I Y-2 G 'f n.....
ODQ
COMPANY
,r"'~). . ' ' STAT!: "".. OR ""'Sf ·
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Bill To
Zephyrhills Fire Rescue
6907 Dairy Road
Zephyrhills, FL 33542
(813) 780-0041
(813) 780-0044 Fax
Eagle Creek Construction
4711 34th Street North
Suite D
S1. Petersburg, FL 33714
Bldg Plans
Construction
Item
Building Plan Review F
Construction Inspection
Please remit to above address.
MAKE CHECKS PAYABLE TO:
CITY OF ZEPHYRHILLS
6907 DAIRY ROAD
Invoice
Billed By
LLH
Qty
1,958
1
Terms
Due on receipt
Date
9/29/2005
Inspector
KAB
Rate
0.04
15.00
Total
Invoice #
05-0097
Amount
78.32
15.00
$93.32
~~
IHYRHILLS FIRE DEPARTMENT
907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041
Fire Chief Robert Hartwig
Fax (813) 780-0044
FIRE SERVICE USER FEES
Owner: ['1'#:../ E'
Billing Address:
(,e'{;;c;C (irh<k
Occupancy No.:
Plan No.: - D
Business Name:
BusinessAddress: l J..
Business Phone ~.: _'-,eO ~
Business Fax No..':::Z:)
Contact:
PLAN REVIEW FEES
~Site Plan N/C
Building Plans .04 sf
Revision .06 sf
Billing Phone No.:
Billing Fax No.:
Contact: -,2.1 - 72 s-- a vs--
PERMIT FEE q ~;1FAU~tt~M FEE
1st Alarm N/C
2nd Alarm N/C
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
I~SPECTION FEES
N/C
$25
$50
$125
$250
$500
$15
$25
tlS&
STANDPIPE SYSTEM
o Per Riser $25
SPRINKLER SYSTEMS
o 0 - 25 Heads $30
o 26 plus Heads $60
SPINKLER SYSTEMS
Hydr tlndergrounds $45
Hydr s~atic System $45
Wet cbeptance $30
Dry c4eptance $45
Hydr nt Flow $25
Hoo / ~ooth $30
Grea ei Duct $15
SPINKLER SYSTEMS
o Automatic $15
FIRE PUMP
o Per Pump $100
FIRE ALARM SYSTEM
o 0 - 25 Devices $30
o 26 plus Devices $60
FIRE PUMP
o Fire Pump $15
FIRE ALARM SYSTEM
o Detection $15
FlRE ALARM SYSTEM
o Syst ml Acceptance $50
o Reca I Acceptance $50
~THER
Fire ~II/Smoke Wall $15
I
LP G Sl $25
Natu I iGas $25
Fuel a~ks $25
Tent $15
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
$25
$45
GREASENENTILATION
o Hood/Ducts $35
GREASENENTILATION
o Hood/Ducts $15
o Kitchen Suppression $15
PLANS TOTAL 17J: 3'g
INSP dTION TOTA~
FALSE ALARM I
TOTAL
PERMIT TOTALI
/3,32. I
GRAND TOTAL
Comments:
({
,
D'"
\,-(\e
u -Y;\}...)d \~
II~
Date:
Inspector:
--
.....
I n
..
~. NOTICE OF DEED RES~RICTIONS
The. undersigned unders~an~s 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' ap iicable deed restrictions;
B. UNLICENSED CONTRAC oas AND CONTRACTOR RESPONSIBILITIES
It the owner has hired a :contractor or contractors to undertake work, 'they may be required
to be ~icensed in acco nce with state and local regulations. If the contractor is no~
licensed as required b ~aw, 'both the owner and contractor may' be cited for a misdemeanor
violation under state 1 w. If the owner or intended contractor are uncertain as to'what
licensing requirements ~y apply for the intende~ work, they are adviaed to contact the
City of Zephyrhills Bui ~ing Department, 813-780-0020.
Furthermore, if the own t' has hired a contractor or oontractors, he is advised to have the
contractor(s) sign ~oft ns' of the "Contractor Seotions" of this apPlioation. for which they
will be responsible. I you, ,as the owner signe ae,the contractor, you are indioating that
you, rather than the co rector, are responsible for the work. ,If the contractor wishes
you to sigh as contract that may be an indica~ion that' he is not properly licensed and ie
not entitled to permitt privileges in the, City of Zephyrhil1s.
c: TRANSPOR'1'~TION IMJ?.A . FEES AND UTILITY CONNECTION mES '
p. CONSTRUCTUION L!EN (CHAPTER'7l3, FLORIDA STATUTES, AS AMENDED)
I ce~tity that I, t~e a ~icant, haye been provided with a copy 'of ~Florida's Construction
lien Law - Homeowner's, rptection Guide" prepated by the Florida Department of Agriculture
and Consumer Affaire. f! the applicant is someone other that the "owner", I,cerify that I
have obtained a copy' of t~e above described document and promise in good ~aith to deliver
it to the "owner" prior ~ commencement.
E'. CONTRACTOR'S/OWNER' FFIDAVIT
I certity that all the n ormation in this ap~lication'is accurate and that all work will
b~ done in compliance wall applicable laws ~egulating construction, zoning, and land
development.
Appliqation is hereby to obtain Q' permit to do work and installation as indicated. I
certify that no work or stallation has commenoed prior to issuance of a permit and that
all work will be perfo to meet standards of all laws regUlating construction, City
codes, zoning regulatio and land development regulatiohs in the jurisdiction. I also
certify that I,underst' that the regUlations of other governmental agencies may appiy to
the intended work, and t it is my responsibility to identify what actions I must take to
be in compliance. Such encies include but are not limited to: *Department of
Environmental Regulatio - ypr8ss Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Tteatment ' ,
*Southwest Florida Wate Mana9ement Distriot-Wells, Cypress Bayheads, Wetla~d Areas,
Altering Watercourses
*~y Corps Of Engineer
*Department of aealth &
Wastewater Treatment, S
*U.S. Environmental Pro
I also certify that, if
understood that a drai
is prepa~ed by a prdfes
issuance.
A permit issued ehall,b jonstrued'to be a license to proceed with the work and not aa
authority to violate, c el, alter, or set aside any provisions of the technical oodes, ,
nor shall issuance of a rmdt prevent the Building Official trom thereafter r~quirin9 a
correction of errors in ans, construction, or violations of any code. Every permit
issued shall become inv'l d unless the work authorized by such permit is commenced within
si~ months of issuance, 0 if' work authorized by the permit ,is suspended or abandoned for'a
period of six months af Jt the time ,:the', worle iIj c6nimenced. One 90 clay extension of time
,may be allowed for the' iroit with fee charge of $15.00. The extension shall be requested
in writing to:the Buil' of~icial. An approved inspection muet be ,~ogged during each six
month period, or the pr ,ct will be considered abandoned. ,
WARNING T0 OWNER: YOUR LURE TO RECORD ~ NOTIc!;: OF COMMENCEMENT MAY RESULT IN YOUR '
PAYING TWICE FOR IMJ:'RO NTS 'to 'YOUR PROPERTY. U' YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ORNEY BEFORE RECORDING YOUR 'E OF COMMENCEMENT. JOB'S UNDER
$2,500 IN VALUE 00 NOT N 0 TO RECORD 'AND POST.A u' IC COMME~CEMENT"~
-Ieawalla, Docks, Navigable Waterwaye
R habilitati~e Services, Environmental Health Unit-Weils,
p ic Tank15 "
e tion Agency-Asbestos abatement
f 11 ma~erial is to be used in Flood Zone "A" or "A,etc.", it is
g plan addressing a "oompensating'volume" will be submitted which
i nal engineer registered in the State of Florida prior to permit
~
~
PAULA M. PRESTON
COMMISSION' 0005513.-
EXPIRES' NOV OS 2005
8Oti~ ,lttROOOH
ADV~ NOTARY
e~t oL5C;0d~~b~
nt~o (name of person acknowledged)
~ is personally known ,to me, or
o who h~s produced /IJ /
( e of :iiie:~cation)
d not ta e oath
Name
ham
.~ KWC€t~ # DD188869 EXPIRES
~;. .~~....j' May 25, 2007
"'1.:r.iif.;f,.1f.:" BONDED THRU TROY FAIN INSURANCf,1NC.
~IalIng Sl1IHaAHd3Z WV 5!:!! Iatl/~OOZ/9r/daS
RHILLS BUILDING
I
i
'C~ OF COM'MENC'EMENT
, ''',,''PARI: IN DVPi.&C,"'RI '
State of florid. }
County of PNSCiJ ' I
The und....,gned hereby inform.. II ~"oemed ~t "nprow.mems will.b. made 1;Q oettain r.a' property. anti In alcQordan~e \
wi~ ."o1ion 7'9.18. Gf tho FIQrld, tut.., th. follo'wll'lt infprm.t1~n Is ~ted In thJ.,. NbTICE OF COMMENC?1:MEN1'.
D8&CrIP~~nofProp.rtY .. ,.C;;..~~. ..<?-r:...~.f. ~j P:-.\;t.~~~.~...... ~.\? .~... ..p~.~.~!.. .... ........ .... ....,
DE"St.... f\S <:ON\r'n Q.~Q.. (2 6LlC. .\Q. \ ' T ~ "S~3'OG .,J.~ j .~i\ W
,.........t _. ..."'....... ....., .........."1. ....... .,...... ...Q... few...... ,.. ......."",.. _I.'.. ..- -. .... t- ~ II ...............0. ...1...... t". ......
.~9 :.? .~~..fT. ..T9.. .~.~~....~~~ ...!-:-:.~. ..9f.. .;i~.. ::?I..:~.~... .~~ ~p~?......................
Pf>,.~Lc L :t:(::) -.l.l. \ \ - (;) - a. \ - dxb \ t/) ...: \(} \ c:P~ - <D~.s;z... .
GenlJJOll d,-Qrlptlon Of h'nprovementa ... .~.:te~~l=?5h. . . . i?, ~ P'l9. ? P:L.. . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . . . . . . . '.' . . .
Owner . .~~ \\ \\. ~~... }.),.~. 9:. . J. . .. . . . to .. . .. to ." . .. .. . . . .. ... .. .. . '. .. . . .. . .. ... . . . . . .. .. . .. . . . . .... .. . . .. . . . . . .. . . .'. .. .
Addres. .~.%l.~~ :...~~.~. ..I..~~.. ~~.'}" :S'7f.~i'R .~~~~.~.. .P~... .;.~~.~.~. L:-. ~.~~.?-
: . . .;:1 If1Wt\..\~ of t:::X lS"T'<\~ ~\ P Q..<:!..)'(\ ~ .
. Owner $ Interm In Site of the improv . . . . . l-./, . . . . . . . . . . . . . . . . . ... . . . . .' . ~/. ~ . . . . . . . . . .~. . . . . . . . . . . . - . . . . . . , .. . . . . . . . . . . .. 0 S~
Fee Simple TItle holder (H other th owner)' ..::0 ~CI
. . N J ~ j . . ..... " ~ ~~
Name. II. ".... ......... .1.. ,r.). t... 'l" ........ ,.('.............. ,.... ...... II II.. .f.'" t. 10.' ".' _.1.... la... II II ,O.....t. I....... s-t
I; &I'ft~
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Addre5$i ... .... ... .... .... ..... .:... . j........ ........... ..... ..... ..... ....... ..... ............ 0" ....... ...... ........ '0' ..... m~
. S~
R '. C_,. ~.\",.. . fXI f.i?>. + iO.0...i..l g~.'!?~S.....Q .~~.~.:;l ~.,,~. -,........ ..... ... .. ... U),,~
. A~dr.s8 .~. ~L. .~>~. ...:?. . j .0..\.. .Skt.j~. 1:>.......2T:... P~_l~~'""", f<<:-:-:....... .~.~. 3:-.I.~......, 3 g
, l . . ;g toAg
. Surety (If any) ........... .W. .~. o. . j . . . . . . . . . . . . . . 0 . . . . . . . : . . . . . . . . . .' . . . . . . . . . . . . . . . . . . . . - . . . '.' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~
. 1 . .. . ....0 ~
. ._~~
:~r:.~~ ~~ki~ ~ ~.. i~~~' ~~~. ;h~" '~;~~l~~:~; '~h~' ~~~~~~~~~:-.... ~:............... .Amount o~ l>ond $ .... .. ..... . ... UitoA~
. .' ~ . -'=- ~
Name ...:... ....... ...... ... .....~. ~... ... .... ....~.. ... ..... ...... ......... ....... .... ...... ...... 0... .................. ... "
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FAX No.
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2005203332
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Peraon within the state of Florida 8fignatlld by owner upo~ whom notices Qr other documents may be served: .
N8~. ~.\~.f~~~.....1.. i:.~~~..:~.~~.'...\~~'.~", ............................. ..........
~\~ 3'-f'b ~'1.Il.-f. S\..t.l~ D S't. ~ r-:L 33 ':}It.1
~~~~~l~ o;~ .hi~~~lf: .~,;.;~~; 'd~ig' .~ th~ .f~ii~~I~g .p~~~~;; ~-';I~~~' ~~p~'~; 'ih;' i.i~~~~;~ 'N~t~~' ~~. i;r~~ld~d 'i~ .s~~i~~,....~-
713.13 (1) (h), Florida Statutes. (PII if at Owner's aptlon). . \/
. Name . .0. ~... P~.L.~~ ~J E (\, ~.~.~:. .~.~~~....... .~~\:1:~.. ...:....................... ....... .....
Address,. .Y:"l. no.. ..f?~f~:., . :~:..... ..~\..... .?~~..l.~.. J).:.. f?~. .P~. ,~... .~.'~ ~o~....
TI11S8PACEFOfl ftIlCORD&R's U OI\fLY .............. '6["~""""'''''''''''':''''''
Owner
STATS'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 RECORD IN THIS OFFICE. WITNESS MY
HAND AND OFFICIAL SEAL THIS~ DAY OF
~PT 2 Oq::;
Jt~2:Ntf!E.R~ OjJ;C1J.IT COURT .
BY ~ DEPUTY CLERK
Sworn to andsub$orIbed b.fore me this ... ~.I(..:... ,............
_........__.._..:~:r(O:...~~J.?~...:..~.~~:'
PAULA M. PRESTON
COMMIS:;:ON '., PD055134
EXPIRES NOV 05 2065
80NDEDfHR~'
ADVANTAGE NOTARY
'Notarv Publi<:
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