HomeMy WebLinkAbout05-5117
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5117
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5117
SPECIAL EVENT
SPECIAL EVENT
COMMERCIAL
Address: 7921 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
11/09/2005
84.00
84.00
11/09/2005
TEMPTENT 11-15THRU 12-15-05
SPECIAL EVENT
FIRE INSPECTION FEES
~f)
~
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.
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CONTRACTOR SI NATURE 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 A~ ~
DATE RECEIVED d":; (/'-1 < r
PHONE CONTACT FOR PERMITTING(S'6J};)'i1-1fO' 2
j
OWNER'S NAME JtJ V t >-
JOB ADDRESS 71f[)7 6/1 II . tfLI/'j)
PHONE (f / Jjt5"3 fj ~ CI(jD
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 7.avr- seT
BUILDING SIZE t;Oy. ~~
MJcJ. / r:- Jdd)'" ,- /Jec IS-:: ')CltJ)~
, ,
SQUARE FOOTAGE ;;;.yuo
HEIGHT
C/tll(sr~r; rAf"I"'J
"tt7v'T 5lt1:'>
)7'
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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
.1\
~\\
PERMITS REQUESTED
o 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
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
jlJ OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*******************************************************k**********
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
OT.ER-Z -zK:~****** **. ****** .~:~:::: **;;; .~:;;~
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 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 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
$2. 500)~ aUE 00 NOT NEED TO RECO.RD AND POST A "NOTICE OF COMMENCEMENT".
~)%/~ /) f71'!(;~-
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
~o
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
Dwho has produced
(type
and whoD did 0 did not
of identification)
take an oath.
Dwho 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
Ii rl
)/vff,y vv',
['1\{;)~I/,L..t. // [ .. SITE PLAN INDICATING SETBACKS
"v' LETTER FROM PROPERTY OWNER GRANTING PERMISSION OF THEIR
, 0 / SITE FOR TENT USE
6,/ . COPY OF FLAME CERTIFICATION OF TENT BEING INSTALLED
. IF A GENERATOR AND EXTENSION CORDS ARE USED FOR LIGHTING,
GENERATOR SHALL BE AT LEAST 20' FROM TENT AND A WAY FROM
THE PUBLIC. POWER CORDS SHALL BE SECURED IN A SAFE MANNER
AND LIGHTING SHALL NOT BE AGAINST THE SIDE CURTAINS OF THE
TENT.
. NO SMOKING SIGNS SHALL BE PLACE AT THE ENTRANCE AND
INSIDE THE TENT.
. IF THERE IS ANY MESH OR CHAIN LINK FENCING TO BE USED, THERE
SHALL BE A 5 FOOT SET BACK FROM THE TENT AND TWO EXITS
PROVIDED.
· A CERTIFIED ABC FIRE EXTINGUISHER SHALL BE LOCATED IN A
VISffiLE LOCATION AT THE TENT SITE.
. ONCE THE TENT AND DISPLAY IS SETUP, AN INSPECTION IS
REQUIRED BY THE FIRE DEPARTMENT PRIOR TO THE PUBLIC
OCCUPYING THE TENT.
· IF ANY OF THESE CONDITIONS ARE NOT MET, THE PERMIT WILL
BE SUSPENDED, REVOKED OR OTHER ACTION TAKEN TO
MITIGATE THE RISK TO LIFE/SAFETY.
ZEPHYRHILLS FIRE DEPARTMENT
CHECK LIST FOR TENT INSTALLATION
APPROVED
by Fire Marshal of Zephyrhills
/t?/p;,/~j~
Building shall comply with
the applicable codes of
Florida Fire Prevention Handbook
NFPA & the City of Zephyrhills
INSPECTION(S) REQUIRED
BY ZEPHYRHILLS ED.
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LOWE1S
H" ' C1'" \' ....~ p'.... ," ,-' J'
To whom it may concern:
This letter authorizes D/Eagle Enterprises to apply for, sign for and pick up permits for
temporary portable tent on behalf of Lowe's Companies store locations for the purpose
of selling Christmas trees. The location of these tents will be determined by each store
individually. The tents will be set up for duration of no longer than 45 days starting the
month of November and ending in the month of December. D/Eagle Enterprises will
also be authorized to install the tents on the Lowe's location, as specified by each store.
In addition, all customers will have access to the restroom facilities located inside each
Lowe's store location.
1854 Zephyrhills
7407 Gall Blvd
Zephyrhills, FL 33541
Lynn Fahnestock (813-782-0212)
Tent size is "'OxEl&' L/oy:.t:o
Legal Description- Lowe's Retail Location
Lowe's Companies will assume all payment charges associated with apply for, signing
for, and pick up for permits for temporary tents for Christmas trees.
Sworn to and subscribed before me this --2- day of <0~~, 2005
by Kirk Andrews.
Personally Known / or Produced Identification
Type of Identification Produced
~
~ ~~?:J
'~'A~:~ MYCOMMISSlON# 00176963 EXPIRES
~'<j January 14 2007
.' K':.- BONDEDTHRUTROYFAlNINSURANCE,INC
r41
Kirk Andrews
Regional Seasonal Coordinator
PO Box 1111 - North Wilkesboro - NC - 28696-0001 -336.658.4000 - 336.658.4766 ·
lowes.com
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Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE USER FEES
Owner: bi/E 5
Billing Address:. 74/C,J r.:;..4-I~;?~
.~p1A74" :> ~
, ~2--6 2/2-
Occupancy No.:
Plan No.: 05-0~.
Business Name: P. C IE
Business Address:
Business Phone No.:
Business Fax No.:
Contact:
PLAN REVIEW FEES
~ Site Plan N/C
Building Plans .04 sf
Revision .06 sf
;;krv:Jr-tk-)
/
STANDPIPE SYSTEM
D Per Riser $25
SPRINKLER SYSTEMS
n 0 - 25 Heads $30
D 26 plus Heads $60
FIRE PUMP
D Per Pump $100
FIRE ALARM SYSTEM
D 0 - 25 Devices $30
D 26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
GREASENENTILATION
D Hood/Ducts $35
PLANS TOTAL I
INSPECTION FEES
Annual N/C
1 st Re-inspection $25
2nd Re-inspection $50
3rd Re-inspection $125
4th Re-inspection $250
5th Re-Inspection $500
Construction $15
Commercial $25
SPINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood / Booth $30
Grease Duct $15
FIRE ALARM SYSTEM
D System Acceptance $50
D Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall $15
LP Gas $25
Natural Gas $25
Fuel Tanks $25
Tent $15
INSPECTION TOTA~
Billing Phone No.:
Billing Fax No.:
Contact: L-YM n
PERMIT FEE
L-')"5~
ri1../J.Pi.75/ ,oc.:!L-
FALSE ALARM 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
SPINKLER SYSTEMS
D Automatic $15
FIRE PUMP
D Fire Pump $15
FIRE ALARM SYSTEM
D Detection $15
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
$25
$45
GREASENENTILATION
D Hood/Ducts $15
D Kitchen Suppression $15
1Xi
PERMIT TOTAL! 15-1
k U.GRANDaAL - ~ ~ I
Comments: 7L:'/-'7- ~Z/75 . fa. 'Ci.? ,;,I 7~ .., ;/ #'<ZJ
FALSE ALARM I
TOTAL
Date:
/ob?/os-
...~.B(
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Inspector: