HomeMy WebLinkAbout06-5433
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5433
Permit Number: 5433
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 2,500.00
Date Issued: 2/08/2006
Total Fees: 252.70
Amount Paid: 252.70
Date Paid: 2/10/2006
Work Desc: BATHROOM RENOVATIONS
Address: 5610 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-05700-0255
Name: BURGER KING
Address: 5610 GALL BLVD.
ZEPHYRHILLS, FL. 33542
Phone:
J
TERRELL ELECCTRICAL SERVICES INC PLUMBING FEE
DAVE COMER PLUMBING SVCS INC
35.00 FIRE PLAN REVIEW FEES
(', {'~\ \DLfJ
Y<1,O\~
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: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
NO OCCUPANCY BEFORE C.O.
~~~ ~.
- CO NT CTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
~
r r ,-' c.1e;
CIrry OF ZEPHYRHILLS PERMIT APPLICATION '-to\-'4~b--3qq\
BurING DEPARTHIlNT 5335 B~B st, Zephyrhi11S, lI'L 33542 -
B13-7BO-0020 FAX:B13-7BO-0021 . I~_IO^"_.
DATE RECEIVED ~
PHONE CONTACT FOR PERMITTING :::r;~--r- NY Lori-
\
JOB ADDRESS. !S fa ( 0
\< n.t f---1 M <: .
jJ()rz-~6~LL
LEGAL DESCRIPTION: LOT (S) () 0. I ~,., ... ) "'< ,.. ~OCK SUBDIVISION
-
11 _ d. ~.. ~1 - ~ t> f D - ()~?O '() ~'t) ~ S7~TAIN FROM PROPERTY TAX NOTICE\
PHONE
101- '~r~ - t/ooo
OWNER'S NAME -::(-A'u.
bLvd.
PARCEL ID ..
WORK PROPSED: 0 NEW CONSTRUCTION
o SIGN
PROPOSED USE: OSGL FAMILY OilELLING OMULTI-FAMILY 01 OF UNITS 0 MOBILE HOMI
)d COMMERCIAL 0 INDUSTRIAL 0 SWIMMING pOOL 0 OTHER
f-J I A 0 RESTAURANT & HEALTH DEPARTMENT APfROVAL
D..CRIPTION or WORE ~f. '" It/2i'<.., r e. ?l ~ 'It iI 0 ~"" S ::-r;, I/Ii\ e r,ft CC e, S I< 6,1 I T Y eo J e:
BUILDING SIZE LArD 9 ~ y 3 0 SQUARE FOOTAGE ~A .:\ 000 tft HEIGHT 15'
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 PERM~~ ONLY (2) SETS OF ENGINEERED PLANS REQUIRED-
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o ADDITION
o MOVE
~ALTERATION
o DEMOLISH
o REPAIR
D INSTALL
'j- BUILDING
pi ELECTRICAL
)>>' PLUMBING
o MECHANICAL
$ d400
(L'7wrs)
Cft v rei Il t7 5)
$
tJ 9.c..
PERMITS REQUESTED ~ -r II . / ,-,
~....tl.tJ .....I...~ Atl ,1/
It ,_ "-(...,~
VALUATION OF TOTAL CONSTRUCTION ~ to ,!-~~
,~~.
o progress Energy 0 W.R.E.C. /
1~1({".e.\\ \Y~~.
AMP SERVICE
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
)/.FRAME
IS PROJECT IN FLOOD ZONE AREAD YES ~NO
o STEEL
. 0 OTHER
FINISHED FLOOR ELEVATIONS
1'/}5~ . ~
lO I} COMPANY . A.-H-
f t-Jc.
BUIWER
STATE CERT OR REGIST t C tJ>c
SIGNATURE
**********~**************.***************** if)
.~s '>'.: .
ELBUTRICIAN . COHPANy~t<;t{( F lec1/Z.1 I Ne.
SIGNATURE ./-r; ~,......~ ~-.;.:-.;:" ~ .L-L STATE CERT OR ~EGIST- I
,
SIGNATURE
****************************************************************** ~
~- .'.' ~
/ /J ,,). COMPANY .7)~ U~rbo<-tll {J1"",h' "5 S'"^u,'c,, ,vc
ri{ :rR- ,~.---:- STATE CERT OR ~EGIST i
******************************************************************
PLUMBER
MECHANICAL
/.j I tk
COMPANY
STATE CERT OR REGIST I
SIGNATURE
*******************************.************~***~i***************
~/*
COMPANY
OTHER
SIGNATURE
STATE CERT OR REGIST i
A. NOTICE OF DEED RESTRICTIONS
ThEa undersigned understands that this peirmit may be subject to "deed restrictionsti which
~ay be more restiictive.thanCity regulations. The undersigned assumes responsibili~y for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contr~Ftors to undertake work, 'they may be reqUired
to be licensed in accordance with state and local regulations. If the contractor is not
lioensed as required by law, bnth the owner and oontraotor mat be oited for a misdemeanor
violation under s~ate law. If the owner or intendedcpntractor 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 contractor~, he is advised to have the
contractor(s) sign po+tions. of the "Goiltractor. Sections" of this application for which they
will be iesponsible. It ydu,.as the owner signs as the contractor,ydu are indicating that
you, rather than the contractor, are responsible for the work. .If the contr~ctor 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 CONNECTI.ON FEES .
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES,. AS AMENDED)
I certify that I, the applicant, hay~ 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 cionunencement.
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 compli~nce with .all applicable laws regulating construction, zoning, and land
development. .
Appliqation is hereby made to obtain a. permit to do work and instaliation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work wiil 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 a~e not limited to: *Department of
Environmental Regulation-CypreissBayheads, Wetiand 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 abatemen~
I also certity that, if fili material is to be used in Flo~d Zone "A" or "A,etc.ti, it is
understood that a drainage plan addressing a "compensating volumeti will be submitted which
is prepared by a proIessional engineer regietered in the state of Florida prior to permit
issuance.
A permit issued shall ,be ,construed ~o 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
iesned ehall become invalid unlee. the work authorized by euchpermit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for la
period oI eix monthe after the tiJee.the work is cOmmenced. One 90 day extension of time
may be allowed for the permit witb he charge nf $15.00. The.exteneion ehall be requeeted
in writing to.the Bnilding Official. An approved inepection muet 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 INTENO TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTrCE OF COMMENCEMENT. JOas ONDER
$2,500 IN VALU 'DO NOT NEED TO RECbRDAND POST A "NOTICE OF COMMENCEMENT".
!~
ATURE: CO T .
R."'o~€..-~~\ d'
STATE OF FbORIg~
COUNTY OF r> (- u u : ! e_d' G-e...
The foregoing instrument was acknowledged -
Before me-this .:;ll(-/ h day of D o@ cP ,...I:..if 20 ~
by ..1 a.... m P S (4. -r c..- ,... I 0 \
(name of person acknowledged)
~o is personallY known to me, or
TURE: OWNER OR A NT
, K\... v c\ e.. -.z: s \ 0- <'v 6
ATE OF -FL6I\Imt .
COUNTY OF ~ <,,- 0-';' <.\ €-r;\ c- -E:.-
The foregoing instrument was ackndwledged ,-
Before me this .;l 'i-r~ day of P ec.e.m bel, Zoa-5
by TeL....... ~.r" e -{\" C<.. -r'n. e........5 . . .
(name' of person acknowledged)
~who is personallY known to me, .or
o who .has produced
(type of identification)
and rlioO did ~did ~ot ,take an oath. .
tJOTu.~r L~L~1d2=:~~f~Y1k:l"1.j7/~ "#=5:l 4/0
fA)I.'c... Signature of person taking acknowledgement
1\ -0 7 -D "7 c .. . . 0 I I
<..oJ vSej,.,<"I ('(\ c \\j v \ lit .. I'J o.r. '4 (' 'I V l./V ., C.
Name typed, printed or tamped
o who has produced
(type of identification
an~who Odid )<1'id not take an oath
~_. .t.,.4 r>-. _~'1~ -#-.5";) Lf /0
Signature of person taking acknowledgment
S ' ).s. 0.- .Y""\. .('r1.c t\J v \ /1./ - "I r. -r G . 'f f vb) 'c.
Na~e typed, printed 6r stamped
{ I - 0 ;> -V 7
'~ t3B-Cb.Cf'o ~ COPer-
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
Occupancy No.:
Plan No.: ()6-oolC>
Business Name: 6i/r~~ ~
BusinessAddress: ~ /0 il
Business Phone No.:
Business Fax No.:
Contact:
PLAN REVIEW FEES
~Site Plan N/C
Building Plans ~
Revision .06 sf
~JvP
J5itD
STANDPIPE SYSTEM
D Per Riser $25
SPRINKLER SYSTEMS
D 0 - 25 Heads $30
D 26 plus Heads $60
FIRE PUMP
D Per Pump $100
FIRE ALARM SYSTEM
n 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 III'{ p.o
Comments:
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
SPRINKLER 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
B System Acceptance $50
Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall $15
LP Gas $25
Natural Gas $25
Fuel Tanks $25
Tent $15
INSPECTION TOTAL]
GRAND TOTAL
Owner::r~ ~'N~ ~L
Billing Address:
Billing Phone No.: t-/d /--q~-~Ci)
Billing Fax No.:
Contact: ~ \.'f"'\ \";....." \o-r
PERMIT FEE FALSE ALARM FEE
1 st 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
Non Compliance $150
"Affidavit of Service/Repair"
SPRINKLER 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
n Hood/Ducts $15
D Kitchen Suppression $15
I FALSE ALARM I
PERMIT TOTAL TOTAL.
/1 {' :J2 I
Date:
13/ fb
4J~ :t~- ~I't
/
Inspector:
February 7,2006
City of Zephyrhills
Bill Burgess
Building Official
5335 8th Street
Zephyrhills, FL 33542
RE: Burger King #4079
5610 North Gall Blvd.
Zephyrhills, FL 33541
Dear Mr. Burgess:
Please be advised that Mr. Charles Moscarelli has my permission to act, file and
receive paperwork on behalf of Jan King, Inc. and James Taylor, License #CBC 1253495
for the above named job.
If you have any questions or need any additional information, please don't
hesitate to call.
Thank you very much,
~,~
I '
M"mes A. Taylor
Director of Construction
J an King, Inc.
CBC #1253495
JAN KING, INC.
1946 E. Edgewood Drive Lakeland, FL 33803 (863) 688-9454 Fax (863) 683-3375
35 Sockanosset Cross Road Cranston, RI 02920 (401) 946-4000 Fax (401) 942-6130
A Franchisee of Burger King Corporation
SEMINOl.E; FORM 408
FLA. 1977 LAWS
FS 713.13
NOTICE OF COMMEN.CEMENT
~:~~f o~IO';d. } ".:"... " DU"UO"" ~~~lW~!~~~1I1111111111111111111111111111111111111
The undersigned hereby informs all concerned that improvements will be made to certein real property, and in accordance
with section 713.13 of the Florida Statutes, the .following information is stated in thi.s NOTICE OF COMMENCEMENT.
Description of property........ .~.~~~.~.r:. .~.~ ~9... .~~~.?~... .,: .jl. ..7 ft?.. .?:/.... (.? 9./.r;... /If ?PP....~ ?-.-F.j---
5610 Nort~ Gall Blvd.'
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . .~ ~ P.D.Y.~ P. t.J. :L S.l . . F. L. . . . 3.354 i. . ~ ... . . . . . .. . . ~~~\~ ~::503 R~~:: ~~ 0:0
02/10/06 Dpty Clerk
. . . . . .. . . . . . . . . . . . . . . . . . . . . ." . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . .. . . , ... . . . . . . . . . . . . . . . . . ~ . . . . . . . ". . . . . . . . . ". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
General description of improvements... ~.~.Il)~<;1.E;!.~. .I?q t,DX.Q9.IJl.~.. t.0.. mae.t. . Rep.... . . . . .., . ... ....., ...... .. . .... '.' ...
Ownllr..... .o?".':l-.f!-..~:~~9.!...~~<;.'~...... ........ ......... .... ...... .., ... .......................... ..... .......... ... .........
Address ..:'3.?. .~s:>. S:.~?:!1.<?~ ~ ~.t.. .GK9.~!=! . .B.P P.O. ( . . ex.a ns.tQ n ,. . R I. . . 029.20. . . . . . . . . . . : . . . . . ... . . . . . . .. . .. . . . . . . .
Owner's interest in site of the improvement. .... ~o.p.or.a.t.e. .o.wn.e.r.s h i.p.. ... JED PITTMA
Fee Simple Title holder (if cther than owner) . . 02/10/06 0' ': 12~~CO 1 CO~~Tl CLERK
. . .: . " OR BK 6836 PG 739
Name ............................................................................................................................
Address ................................................."......................................................................
R Cont"o'"'.... .Y.9!!. .~Ang.,.. .J:n,.,../..'1 alJ\ei'L .a~.. Ta,y ~o.r... .cae. .#.120.]490...........,......................
. Address....~?. .~~~.l5-~!19.9.-=!~ t.. ..G"k9.9R. .RQi3.0.1.. Cr.anst.on I.. RI... .029.20......................................
Surety (if any) .................................................:...................................................................
Addres.s .:........... ...................:.......................................:............... .Amount of bond S ...............
Any person making a loan for the construction. of the improvements:
Name.. .N9.l').~.... .'. ........ ... ............. ........... .,...... ........................................., ......... ... ..........
Adrl.ress .....................................................,.:................. .... . . . . . . . . . . . . . ..' . :. . . . . . .... .. . .. . ..... . ., . . .. . .
Person within the State of Florida designated by owner upon whom. notices or other doc1Jm~nts may be served:
Name .. .~.E;!.9 ~.l).q. . ~.9.11g....... .. .,... ... . ..... .. .:..... .. .... .... . .............. .. .,. .., .. . .. .,. ..:................ -.., .. . . .
Address ...~ ~4.?. ~~. ..F;9.9.~!{~9.Q.. P.r.i y.e.l.. La.ke Land I" EL... 3is.Q3...........................................
In addition to himself. owne.r designates the following person to receive a copy of the Lienor's Notice as provided in Sectio'1_/:
713.13 (1) (hI. Florida Statutes. (Fill in at Owner'.s option). V
. Nam.e :.............. ~...., .~.~.-...........--"""""""""""" .................:.........................................
Address .............................................................................................. - . . . . . . . . . - . - . . . . . . . . . . . . .
THIS SPACE; FOR Ri:COROi:R'S USi: o II! l.Y
Owner
STATE 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 OFF~,,~TNESS MY
HAND ANQ....OhICtAL SEAL THIS '() DAY OF
Ie:- 2~. .
JE~MA~ CL~RK Of gCUlT COURT
BY 1A U_~-.:t . DEPUTY CLERK
Sworn to and subscribed befora.me this. . . ~7. :.c .~- . .:. ,. . ... . . . .. . . .
'. ~_ ......'\."",1.~. . .-, ,", "t '
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PROPOSED RESTROOM DETAILS
SCALE: 1/4" = 1 '-0"
Building shall comply with
the applicable codes of
Florida Fire Prevention Handbook
NFPA & the City of Zephyrhills
APPROVED
by Fire Marshal of Zephyrhills
with comm t r vided with plan(s)
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ELEVATION 8
SCALE: 1/2" = 1 '-0"
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BUILDING SHALL COMPLY wrrn
ALL APPLICABLE BUILDING,
ELECTRICAL, PLUMBING AND
MECHANICAL CODES.
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REVIEW DATE:
CON5fRlX:f10N NCJ1't5
K1fCH~N N01fS:
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