HomeMy WebLinkAbout06-5932
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5932
Permit Number: 5932
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 7337 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 34-25-21-0000-00300-0020
75,270.00
8/08/2006
687.30
687.30
8/08/2006 Phone:
DEMO INTERIOR & GENERAL RENOVATIONS
Name:
Address:
INLAND SOUTHEAST PROPERTY MGMT
PLUMBING FEE
RADON
FIRE INSPECTION FEES
52.37 MECHANICAL FEE
19.30 FIRE PLAN REVIEW FEES
15.00
37.69
77.00
cV
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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: Reinspectlon 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 cording your notice of commencement."
N CCUPANCY BEFORE C.O.
. ~~
PERM IT OFFI
INSP CTION - 8 HOUR NOTICE REQUIRED
CARD FROM WEATHER
NTRACTOR SIGNA TU
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Receive~
(Oitll.,
.1 Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address
r I JJ7
r]~ ']- r? Q}Lt- BLVD
I /JfeA J~-l 5 b vlMe- 1,;. (fll.1
D NEW CONSTR 0
D INSTALL D
PROPOSED USE D SFR D
TYPE OF CONSTRUCTION D BLOCK D
I ~e,lJt 'jA4,'#S, Pi/hi. CIA :>"3 >A-I I LOT # I
PARCELlD#1 34- -de-:; - C} \ - DOOO -D03DO.- oo~
-----L (OBTAINED FROM PROPERTY TAX NOTICE)
~ SIGN D MOVE D DEMOLISH
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
D
D
BUILDING SIZE I ~ .) {}
//IA
r~
SQ FOOTAGE
OTHER
STEEL
I
D
OTHER I
DESCRIPTION OF WORK
t30/(
I
I
I ~IOC ~
I VALUATION OF MECHANICAL INSTALLATION (.0//<'6 Cc~c.. -./ /'
r-l (/I')J (\'r'-{ - (\ 5
L-J SPECIALTY D OTHER ~J~ ./
I FLOOD ZONE AREA DYES NO
AMP SERVICE
D
PROGRESS ENERGY
D
WoR.E.C,
[ZJ BUILDING 1$ 4tJ, 00 0 r
I2l ELECTRICAL 1$ 10 cJOV :J-
I
,
[2J PLUMBING 1$ 10. 000 +
.,/
.
La MECHANICAL 1$ i 0, & 0 0 t-
.
D GAS D ROOFING
FINISHED FLOOR ELEVATIONS I
VALUATION OF TOTAL CONSTRUCTION
Address
BUILDER
SIGNATURE
~
COMPANY
REGISTERED
]A'- 77
ELECTRICIAN
SIGNATURE
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
License
URRENT
I (2 6 c., I 2.. 5 0 5'3 "3
Address
PLUMBER
SIGNATURE
Address
Address
ce.
~c..h 81\J0- -d\ lOOLo
I
License # I C6 c \ 2 S D 13 "'} ?
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT Y I N
Address License #
1111I11111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111I1111111I1111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
II,IIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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.
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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "N, it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is 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.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as identification.
CONTRACTOR
Gcribed and swo (or affi ed) before me this
~ ;;r61I ~ by 1m !;' WJnJ
Is/are personally known to me or has/hilwrproduced
(i J)l ./ as identification.
Notary Public
~~tJ.1&~
Commission No. j'} b j 9 q s 4- :3
Notary Public
Commission No.
Name of Notary typed, printed or staw.P~
,\~~.f.~"'" Linda L!' 50an
:1('~t~ commiSSIO. n # 00298543
~i1i ~. ~ expires June 15,2008
"If.' , '1IeMId '!Ill\' 'lIII\ ' I~, Inc. 8lIQ48S-701'
, .",
Name of Notary typed. printed or stamped
08/01/2005 15:32
8135005758
MAT CON CONSTRUCTION
PAGE 02/02
11111111111111I1111I111111111111111111111I111111111111111111
2006161331
Rcpt: 1022481 Rec: 10.00
DS: 0. 00 IT: 0. 00
08/08/06 Dpty Clerk
Key No,
Permit No.
State of ?6r~
NOTICE OF COMMENCEMENT
County of As- t?r:r
.
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713. Florida State Statutes, the following information is provided in tt:ljs Nolli;e of Commencement
?"7 - t7-5 --:;)A - b€:>~b - oe:,E! Q - 0 0 ~o
1. Descriptio'n of Property: Parcel No. (( ;f)iL I f ~L
(Lega description 0 he p pe and street ddress if available)
2 Genera! Description of Improvement LOIPd,lord WI).fJk' JED PITTMAN, PASCO COUNTY CLERK
. --' -- - -- 08/08/06 11:0. 2am 1 ~l...1..
OR BK 7124 PG ~2t)
3. Owner Information: Name.-LII1.#1(J 6ouf.lf.r:.d~.J. J(trcJ.~ ~1tlo..f'c... LP
AddressasID.l ~)~('Se-.lJ ~ City ~1rwJL' , State.J:L Zip IoOS'~3
Interest in Properly:
Name of Fee Simple Titleholder (If other than owner):
Address City State lip
R 4. Contractor: Name ' e s ;flf/f!...
, Address; C '72PA1jJ;s.. State ~ Zip ~Z; :z..,
Phone N. '/. ~ Fax No. . 23'/3- '13:3 ';;5"3Y _
,
5. Surety; Name
Address City State Zip
AAlount of eond: $ Phone No. Fax No.
6. Lender: Name
Address
Phone No.
City
State
Zip
Fax No. '
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by SectIon 713.13 1 )(a)(7), Florida Statutes: . .
Name~,,' IJ e t Address 15'D oS O~I A~. ()/rue.~~ City4l1' "k,... f{" IL State f-L
Phone No. -' -3~ Fax No. )-1eA -la-3
I. In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 71,3.13(1 )(b). Florida Statutes.
I. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a
different date is specified.)
,
The recording of this Notice of Commencement does not constitute a lien, cloud or encumbrance on the described r
~al property,. but gives constructive no ice that claims of lien may be filed under ChapteqNtA~tdAbpERTY
, . /" 1. , . L MANAGEMENT CORP.
Ignature of Owner. .{P. ~ . c..t1G. . ." 4 ('tV 750 S. ORLANDO AVE. SUITE 201
TATE OF COUNTY OF WINTER PARK, FL 8278:)
;L day of A:uCfDS./-- ,20J2.1e. by
who is (.,.,.) personally known to me or L) produced
as identifJCation.
Notary Seal:
~, ~~oosme1
't..':.I EJlfliNI JIM 15. 2001
/7<- ( tP;1 4, lI!JtJ t~
,0 I
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4/2- /1 /l/ 77 c:. C- d".... /7l /1 ~ 7) A..-:::;; ~(.
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Mateon - 7337 Gall Blvd
SQ. FEET PRICE
MAIN OR LIVING: 1,930 $ 39.00
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 75,270.00
FEE SHEET $ -
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 410.80
ELECTRICAL: $ 75.14
PLUMBING: $ 52.37
MECHANICAL: $ 37.69
SUB.TOTAL $ 576.00
RADON: $ 19.30
TOTAL $ 595.30
SEWER: N1A
WATER: N/A
IRRIGATION: $ -
TOTAL: $ .
Existing
Existing
WATER METER: I $
IRRIGATION METER $
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 77.00
INSPECTION TOTAL: $ 15.00
PERMIT TOTAL
TOTAL: $ 92.00
PUBLIC SAFETY IMPACT FEES
POLICE $ -
FIRE $ -
5% $ -
TOTAL: $ .
N/A Existing
N1A Existing
N/A Existing
SUB-TOTAL $
687.30 I
PARK IMPACT FEESI $
N1A Existing
SIF'S: $ -
100.0% $ -
1.0% $ -
TOTAL: $ .
N/A Existing
N/A Existing
N/A Existing
TI F'S :1 $
99% $
1% $
N/A Existing
N/A Existing
N/A Existing
TOTAL: $
687.30 I
Fire Chief Robert Hartwig
I~ (j;I.Y~~
--
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.: O{,-~~ #,
Bus~ness Name: G It . .~)~ ({Jf.A<;-
BuslnessAddress: " \
Business Phone No.:
Business Fax No,:
Contact:
Billing Phone No.:
Billing Fax No.:
Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
i: p,,, N/C Annual N/C
/9JOlding Plans 8 1 st Re-inspection $25
RevIsion .06 sf 2nd Re-inspection $50
3rd Re-inspection $125
STANDPIPE SYSTEM 4th Re-inspection $250
[] Per Riser $25 5th Re-Inspection $500
Construction $15
Commercial $25
GREASENENTILATION
B Hood/Ducts $15
V Kitchen Suppression $15
PLANS TOTAL rW- INSPECTION TOTA~ PERMIT TOTAL! I
Levtiu-v OG;:;rhrr't ~* ~~
SPRINKLER SYSTEMS
EI 0 - 25 Heads $30
26 plus Heads $60
FIRE PUMP
o Per Pump $100
FIRE ALARM SYSTEM
B 0 - 25 Devices $30
26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
GREASENENTILATION
o Hood/Ducts $35
Comments:
lJa.h
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 walf$15..)
LP Gas ~
Natural Gas $25
Fuel Tanks $25
Tent $15
SPRINKLER SYSTEMS
o Automatic $15
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"
FIRE PUMP
o Fire Pump $15
FIRE ALARM SYSTEM
o Detection $15
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
$25
$45
FALSE ALARM I
TOTAL
Date:
7/r1o~
~'V tf//U~ - ~~
(
Inspector:
A1L)~rn~ (t(")~
\ \~~. ~V~
. 1\D a
t\~. .0, i>
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'7 ~'?'7 GY1-\,l 19;wp
Square 'Feet
[9 J;'-.;
~Dollar Amount
"?Ct ~ '.;,
J I L
Valuation
"
7) ~~:)~
i .
.Building
,.......,
t-fl0 i.Dv
Electrical
7'- (If
::>i
Plumbing
52,,7
f.>..A DO ~
, 7, <cJ1
N.h~
,
"'\
Mechanical
Connection Fees
Sewer
Water
Meter
rJHt
I
f4iyf; '" is
School Impact Fee . t-J. (;~
Transportation Impact Fee
N I yt " r;:r. i')fj,J is
Park Impact Fee rJ I ~1
Public Safety Impact Fee f\J Il1 ' fjN 'jfir.Jcr