HomeMy WebLinkAbout06-6030
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6030
Permit Number:
P.ermit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6030
ACCESSORY BLDG.
MOBILE HOME SET-UP
COMMERCIAL
Address: 37411 EILAND BLVD
ZEPHYRHILLS. FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-05300-0000
8/10/2006
52.50
52.50
8/10/2006
CONSTRUCTION TRAILER SETUP
Name: GOLDEN HEALTH SERVICES INC
Address: 2424 CURLEW RD
PALM HARBOUR, FL 34683
727 781-5885
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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. n
NO OCCUPANCY BEFORE C.O.
'7ift.; /271 ~ ~
CONl~TOR -i<.t:iA TI:JRE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Date Received
City of Zephy;rhills Permit Application
BUilding Department
I :
Phone Cqntact for. Perml~tlng .
Fax-813-780-0021
813-780-0020
Owner's Name
Owner phone Number
JAR,4J~J<) Owner phone NU~berr
I Owner phone Nu~b~r I
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! (OBTAINED FROM PROPERTY TAX NOTICE)
. D NEWCONSTR B' ADD/ALT D . SIGN D MOVE' 0
D INSTALL REPAIR
PROPOSED USE D SFR D COMM [Z]
TYPE OF CONSTRUCTION D BLOCK D. I FRAME D
DESCRIPTION OF WORK I rc~f/~AR'i:' OIt'IC t 7RAIU'~
BUILDING SIZE I /()X LlO I sa'FOOTAGE I I ,",C/O I HEIGHT I
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11111111...,1,.1.111...11111,11.111111111111111111........11.11..,..11.111..,1111..11......11.1111111111..111..1,11.111111..1111.1111..1111111.111
D BUILDING 1$ VAL~ATION OF TOTAL CONSTRUCTION
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D ELECTRICAL 1$ . AM~ SERVICE ~ PROGRESS ENERGY . D
D PLUMBING 1$ l . IIo--l""
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o MECHANICAL 1$ VALl ATION OF MECHANICAL INSTALLATION
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o GAS 0 ROOFING D ISPECIALTY 0 OTHE,R
FINISHED FLOOR ELEVATIONS I .. 'I '1 FLOOD ZONE AREA DYES [~NO .
1111111'111111111111'1111,'111111111111111111111111111111111111111111111111'111111111111111'1111'1"111'111'1'111111111111111111111111111111111111
BUILDER I I C'aRt C~~~CTZO,J I
SIGNATURE I Y I N I FEE CURRENT I Y I N I
L1c~nse # Ie c,.. - (0 Y') ).) () I
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Owner's Address JJ.(f7
Fee Simple Titleholder Nam~
Fee Simple Titleholder Address I
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JOB ADDRESS
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SUBDIVISION
WORK PROPOSED
DEMOLIsH
OTHER I T;fI4Z'tcR
STEEL D OTHERI
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W.R.E.C.
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
YI N I
FEE CURRENT
Y/N
Address
L1cens~ #
COMPANY .1
REGISTERED
PLUMBER
SIGNATURE.
YI N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CLJRRENT
Y/N
Address
LIcense #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CLJRRENT
Y/N
License #
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I11I1I11 I11I 'II II 1 III , 1111111111' 1 1 1111 II r II II , 1111111111111111111111111111111111111111 1 111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms. .
Minimum ten (10) working daYSafter.SUbmlttal dat~~~ Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) !:iet of Energy forms. '
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet comPllanc~. '.
Attach (2) sets of Engineered Plans.. I
....PROPERTY SURVEY required for all NEW co~structlon. :. , . .. '. .. _ '.' _. '. .. ....., .: ...
1111I1I1I1111111II111111111I111I1I1I11111111111111I1111.,1111.1111111111,1111111111111111111111111111111111111I1111111I11111111111I11I111111II11II
Directions: I
Fill Qut appll<;ation completely.
Owner & Contractor sign back of application, notarized . I -
If over $2500, a Notice of Commencement Is required. (AlC up~rades'over $5~OO) - . . . .
.. Agent (for the c?ntractor) or Power of Attorney (for the owner) WOU1i' be someone WIth notarized letter from owner author~Jng same
OVER THE COUNTER PERMITTING (Front of Application Only) ,
Reroofs Sewers Service Upgrades NC i Driveways Fences (PlciUSlirvey/Footage)
Address
COMMERCIAL
SIGN PERMIT
. NOTICE OF DEED RESTRICTIONS: The undersign!3d understands that this 'pertnit may be subJect to "de~dj, ~estr.ictioris.
.' which may be more restrictive than County regulations. The undersigned assumes responsibility tor 'compliance With !;lnY
applicable deed r~strictions. . . i .' ... ......
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:' If the owner has hired. a colitractor or
c,?ntractors to undertake work, theyrriay be required to be IIcense1d in accordance wltli state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a inlsdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing reqUiremenls may apply for the .
intended work, th~y are advised.to contact the Pasco County Buil~lng inspection biv!siOli-Licensit:19 Section at 7'il-847-
8009.. Furthermore, if the owner has hired a contractor or contractors, he is advised to haVEdhe contraptor(s) sign
. . portions of the "contractor Block" of this qpplication for which they Will be responsible. If you; as the mNher sign as the. .
. contractor, that:may be an indication that h~ is not properly licensed and Is hot enHUed to permittihg privilege!? in Pasco .
. i . .
County. . . ..' .' . i .: . . . . . '.
. TRANSPORTATION I~PACT/UTILlTIES IMPACT AND RESO~ROE REOOVERY fEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of heW buildings, chahge ot
. use in.existing buildings; or expansion of existing buildings, as specified in Pasco County Ordinance hLlinber 89-07 and
.' '. 90-07, as amended. The' undersigned also understands; that sU0h fees, as may be due; Will be Identified at the time tif
permitting.'lt is further understood. th'at Transportation Impact Fe!esand Resource Recovery Fees must be paid prior to
. receiving a "certificate of occupancy" or final power release. If. t.h;e project does hot involve a ceHific~te of. occLlp~hcy or
filial power. release, the fees must be paid prior to permit issuancbe. Furthennore; if Pasco COl,.lntY, Water/SeWer Impact
. fees are due, they must be pai~ prior to permit issuance in accordance with applicable Pasco County ordihances.
CONSTRUCTION LIEN LAW (Chapter.713, Florida Statu~es, a~ amended): 'Ifvaluation of work. is $2,500.00 or more, I
certify that I, the applicant, have been. provided with a copy bf the "Florida Construction Lien taw-Homeowner's
Protection Guide" prepared .~y the Florida Department of AgricLlltpre and Consuiner Affairs. If the applicant is sotneone
. other than the qovmet", I certify th~t I. have obtained a copy of the ;above described document and promise in good faith to.
. deliver it to the .owner" prior to cOrTJmencement. . i . . '.
CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the.infbrmation in this applicatioh is accurate and.that all Work
will be donE! in compliam~e with all applicable laws regulatiflg co~struction, zonitig and land develop"fnent. 'AppiicatlOr1 is . .
hereby made to obtain' a permit to' do work 'and installation as indicated. I certify that ho work or installation has
commenced prior to issuance' of a permit and that all work will Ibe p~rformed to meet standards of all laws regulating
construction, County' and City codes, zoning regulations, and Iclnd development regiJlations in the jurlsdictioh. I also
. certify that I understand that th~' regulations of other government lagencies may apply to the lntende.d 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 Bdyheads, Wetland Areas and Environmentally Sensitive .
Lands., Water/Wastewater Treatmemt. I . .... . .
Southwest. Florida Water Management Dlstrict~VYells, Cypress' i3ayheads,' Wetlahd Areas, Altering.
Watercourses. .'. . I..' '. . ' ... : '.
Army Corps of Engineers-Seawalls, Docks,.Navlgable Waterways.. . ..
Departm'ent of He~lth & Rehabilitative'SerVices/En~ironmental HE;lalth Unit-Wells, Wastewater Treatment,
. Septic Tanks. .. . . . .... . . . I. . . . .
US Environmental Protection Agency-Asbestos abate~ent. .
. _ Federal Aviation Authority-Runways. . I .'. .
I understand that the folloWing res~rictions apply to the. use of fill: I ...
. '. _. Use offill is. not allowed in'.Flood Zone "V" unless exp~essly permitted.. .'
'If the fill material is to be used in Flood Zone "Ai, It Is understood that a drainag.e planaddr.essing a
"compensating volume" will be. submitted at time of permitting which is prepared by a professional engiheer
. licensed by the State of Florida. . .. . .' I.. . .. '. . . . .
. if the fill. material. is to be used in Flood Zone "An in connection With a permitted building using stem wall
construction, I certify that fill will be used only to "fill th~ arE;la within the stem wall. .
. If fill. materhill is to be used in' any area, I certify that use of such fill will hot adversely affect adjacent
properties. If use of fill is found to adversely affect ~djacent properties, the owner tnay be cited fo~ Violating
.:. the conditions of the building permit issued under thle 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 tolinform the owner of the permitting conditions set forth in
this affidavit prior to commencing. construction. I understand th~t a separate permit m~y be required tor 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 ~he 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 pians, con~truction or violat!Ons!Of any codef3. Every permit Issu~d. 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) mo~ths after the time th~ work is comtnehced. . An extension
. 'may be requested, in writin~, .from the Building Official fora period not to exc~ed hin~ty. ~90,> da~s..and Will.~ei'nonstrate
justifiaple cause for the extension. If work ceases for ninety (90)60nsecu~ive days, the Job IS considered abandoned. .
. WARNING TO OWNER~ YOUR FAILURE TO RECORD A NdTlCE OF COMMENCEMENT MAy RESULt IN YOUR.
. PAYING lWlCE FOR IMPROVEMENTS TO YOURPROPERTYI I.F YOU INTEND. TO O.BTAIN FINANCING; CONSULT
WITH YOUR LEND R OR AN ATTORNEY BEFORE RECORDING YOUR.. OT CE of COMMENCEM NT. .
. FLORIDA JURAT (F.S. 117.03) 2' .
OWNER OR AGENt . CONTRA T()R. ... . . .
Subscribed and sworn to (or affirm~d) before me this. Subscribe .ahd sworn to (or affirmed) before me this
. by . . . . . I. by' ..
Who Is/are personally known to me or has/have produced . Who Is/are personally known to me or has/have produced .
. as Identification. I as Identification.
Nolary Public
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NotarY Public
Commission No.
Commission No.'
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
07/18/2006 11: 13 FAX
s'Ju1.19. 2006 10~30AM
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tulDI!NTIAL Attaol'l (2) PIClt Pllln..; (2) 1I11t. of BuildIng P"".; (1 .. of en.IVY I=lllmIlI. .
MinImum ten (1 Olwarld"U de~ 'lfWr -..brnltllll dil" : Aequl..s anaJ'-. COnalruollon Plene. !SlInltary PllcIIllI_ . 1 dUmlllwr
:OMMIlACIAL At1.lIotl (3) e_ eI' Aulldl"a "'1_"lIl (1) 15M or liiNlIgy 1"Orm1l. .
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All ~",m.~1 flIClU/lWmMt. mUM meet oOmpllllnCll 1--' ' . .
IIGN PBRMIT AftllOI'l (2) ... of Enuln..-d P'-nl.
....PRQP.&RT'Y SURVEY .-.qUlNCI to. allllU!W Gel" IlIInJDtkIn. . J f 11"J 11 r I
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It owr .t2SOD. .. Notloe of CammenClem.hll. r.qul....d. (AlC up rad..'aver tsoOO) ,
AeJent (fer It\e oonUliClllgr) or'~awilll' of ''It<lm''Y~(gr Ul. owraW)~' be ..moon. 'WIth noblrtud I"'. m,m o\II:1I'Mf lIutt-tzJng ...me
)VIiR T':IlI5 COUN-rER P.iuil1TINQI' (Frvnt of AppllClllltJon Onbo)
Fiel'OOt'l S_.... GWYI_ UPClllld.. AJC Drtvwwe~ ponoee (~IOI/SIUN~lFoo.g.)
07/18/2008 11:13 FAX
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59 10 Hartfort Street. Tampa. Florida 33619 P: (813) 622-7180 F: (8 13) 628-0732
A~~?: Building Official
:~: . . MASTER LICENSE #EC-0000981
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" ~t ': ..' ~J~pondence serves as lluthDriziI1ion for the following people lO.ap~IY for and receive permits.
~t 'j" t'j" ,
, PrlDt~d Name 81 DllItllr
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'~',,': Tom Lana
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T.om Pritchard
Bjll Larrjs.on
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Don McGuire
Ken !;~reio
e,d Lau~hridge
The following people are authorized to pick-up permits only,
Printed Name
Rod Clark
Steve Pritchard
Mark Goodroecd
10hn Gross
Rick Gue..tin
If )'ou require further direction for this subject, please contact me at the number listed.
Sincerely, ::::7
TR1-CJTY ELECTRICAL CONTRA , INC.
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F, Rance Borderic:k. '
DiStrict Vice President
#EC-000098I
FRa/cal
State ofFloridll
County of Seminole
The foregoing inslrument was acknowledged before mc this ;;/::;) 1'day of I U.IV 6
F. Rance Borderick who is personally known to me. ---0
C~ "- OS" l~
Noto.ry Pub\"
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' '.~'~ P " Notary Publ.c SI,ne Li' Finn. ,; .
~ : . . ,: Cheryl A Lu.1I
I.. ''1. 'i.~ ~ ,. My C!\rn'ni:.~lon OY.,O 18::.&
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