The URL can be used to link to this page

Home My WebLink About06-6097 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6097 Permit Number: 6097 Permit Type: ADDITION/ALTERATION Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 10,000.00 Date Issued: 9/21/2006 Total Fees: 648.08 Amount Paid: 648.08 Date Paid: 9/21/2006 Work Desc: RENOVATIONS - DONUT SHOP Address: 5048 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0000-01400-0000 CUMBERLAND FARM 777 DE HAM ST CANTON, MASS Phone: N DON WARNER ELECTRIC INC DAVID E ALBAUGH PLUMBING LLC PLUMBING FEE SEWER CONNECTION COMMERC FIRE PLAN REVIEW FEES 40,00 MECHANICAL FEE 147,05 WATER CONNECTION COMMERC 45,12 FIRE INSPECTION FEES 40,00 105,68 15,00 ~. ()~ '~~ ({\~ 'l;Julp V\\ \ ,'1. DUCTS INSULATED FRAME MISC, FINAL MECHANICAL 1 H PRE-METER INSULATION WALL FIRE DEPT, FINAL BUILDING FINAL WATER INSULATION CEILING ELECTRICAL FINAL FIRE WALL SHEATHING MISC. PLUMBING FINAL REINSPECTION 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. ~-C-- ... ~-~ ONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER DIU Mcelved ZEPHYRHILLS BUILDING FAX No. 813-780-0021 ~~02 City of Zephyrhllls Permit Application ~ ;'\ ( ~-81~7ao-0021 Building Department ~'-\) '((0 -l311 <tV'Y' _ ' 10 ~ AUG/18/2006/FRI 11 :21 AM 813-7lJO-OO20 OWn.,.. Nalt1ll Ownl!f"s Add"," 177 7 1),,:::> A ~ S+ ~.K'\~ oWner Phone Number I PH &Imple Tilleholcler Namel I Owner PhOl1ll.Nuinber I I I I . , ~JLoul I PARCEL JDIlIUI... 'J.-(p.. "Z.. t .... 0 00 lJ .- 01 l.(ct) ....a.xJ4 (OBTNNI:D FROM PIIllPERTYTAX l1011Ct!j , ADD/ALl D SIGN 0 MailE D oE:MoUSH REPAIR D OTHER I D STEEL D OTHER c:= Fee SImple lltleholdef Add_ I I '5'~~ ~/X.~ , " I B NEW CONSTR c::::J INSTAll . D PROPOS&D USE D SFR D TYPE OF CONSTRUCTION 0 BlOCK 0 k?~( YUO--~ (/")'ve I 8Q FOOTACOE I JOB ADDRESS SUBDIVISION WORK PROf'08I!D COMM FRAME DE$CRPT1ON OF WORK BUlLDlHGlSlZE I HmHT I BUILDING VAlUATlONOFTOTAlCONSTRUC'110N N ~_ i ~r:::./m v' '1/516,"", AMP SERVICE D PROORES~~ .R-E.C. L ~t.u -,r it ~ .. \t;>C-- y::--- LlJI"I~~ \5 c' r--' VALUATION OF MECHANICAlINSTAlLATJON 4 :.c:J,p ~ ,lX1Ol,- ~OK C1'l~ DNO (>1Or.\J'Y\-V\"\~ ~l- Add_ ELECTRICIAN SIGNATURE I>f.UM81!R SIGNA11JRE COMPANY REGISTERED LY1!LI VI N FEE cuRilENr COMPANY _STElIED L'!l.lLJ _ CI.INa!NT LWU Uoense t1 COMNI!!RClAL SIGN PERMIT 0./ Prl~ot over CoIa1ter If on pubic roadwaysnnlleds ROW ON IT CONSTRUCTION - 5048 GALL BLVD SQ. FEET PRICE MAIN OR LIVING: 1,124 $ 31.00 OTHER AREA UNDER ROOF: - $ - OTHER: - $ - VALUATION $ 34,844.00 FEE SHEET $ 205,00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 209,10 ELECTRICAL: $ 46,13 PLUMBING: $ 40,00 MECHANICAL: $ 40.00 SUB-TOTAL $ 335.23 RADON: $ - TOTAL $ 335.23 SEWER: $ 147.05 WATER: $ 105.68 IRRIGATION: $ - TOTAL: $ 252.73 After Credit After Credit WATER METER:I $ IRRIGATION METER $ FIRE DEPARTMENT FEES PLANS TOTAL: $ 45.12 INSPECTION TOTAL: $ 15.00 PERMIT TOTAL TOTAL: $ 60.12 PUBLIC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ - Credit Credit Credit SUB-TOTAL $ 648.08 I I Not Applicable PARKIMPACTFEESI$ SIF'S: $ - 100.0% $ - 1,0% $ - TOTAL: $ - Not Applicable Not Applicable Not Applicable T I F 'S 'I $ 99% $ 1% $ Credit Credit Credit TOTAL: $ , 648.08 I Fire Chief Robert Hartwig ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Bus (813) 780-0041 Fax (813) 780-0044 Occupancy Ng.: Plan No.: Oh '-0064' Business Name: , BusinessAddress: 5"tJ'-j<i1 ~ ~~ Business Phone No,: Business Fax No,: Contact: FIRE SERVICE USER FEES ~ ' Owner: /)JJ U- ,vu Billing Address: '2-1~ f . ~( ~~ '7. ~ Billing Phone No.:':{.- l/U - .:27dC/ Billing Fax No.: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE ~n' Plac ~ Annual N/C 1/,).9' , Building Plans 1st Re-inspection $25 Revision .06 sf 2nd Re-inspection $50 3rd Re-inspection $125 STANDPIPE SYSTEM 4th Re-inspection $250 o Per Riser $25 5th Re-Inspection $500 Construction $15 Commercial $25 SPRINKLER SYSTEMS o 0 - 25 Heads $30 LJ 26 plus Heads $60 FIRE PUMP o Per Pump $100 FIRE ALARM SYSTEM o 0 - 25 Devices $30 o 26 plus Devices $60 SUPPRESSION SYSTEMS ~ Wet $35 Dry $35 C02 $35 Other $35 GREASENENTILATION o Hood/Ducts $35 /z PLANS TOTAL ~ - Comm,c'" Ii Oci1 ~v / IJ.AJ INSPECTION TOTA~ - PERMIT TOTAL! J j;l'AND TOTAL I, btJ a,- [ t. f--..I t1.d tt..JtIJ!Y ~r=I1:!>~ 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 n System Acceptance $50 o Recall Acceptance $50 OTHER Fire Wall/Smoke Wall ;fi'5) LP Gas ~ Natural Gas $25 Fuel Tanks $25 Tent $15 SPRINKLER SYSTEMS o Automatic $15 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 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 GREASENENTILATION [l HoodlDucts $15 o Kitchen Suppression $15 FALSE ALARM I TOTAL Date: Inspector: -f'lt1 Fee Sheet t3N rl ~.:)T (t. I,{c';.. S C f:,~ 8ftt'- f~ffJ. Comm / Res Hj~~Vj7..L ~~T'N\; ~4l\.. <'""1C" ~"\.....~ ~ A S.'l~t'" ,....:;, "'r'1'~':~(;JN.~T ' TJ E- 3/1~~ SquareFeet -D'l. i Dollar Amount Valuation ~ ' ~lf'-ll. ~.~ I (Use System for calculation of fees) Radon ~) ft R'f)T;.-l b- 1'7 ~c 0 "'7 ~/ ~" f"\' Connection Fees Sewer } <<-/'7 ,Co)' - f1~ L\~\) Water /0<)1 ~''b 1tfr)iJ'. c-1.W(\ W. Meter Af j it (All Residentials - % ") % (180.00) _ 1 (250.00) _ 1.5 (650.00) _ 2 (875.00)_ 3 & 4 (Contact Louie) _ Irr. Meter Irr. Conn Impact Fees School I\l )(t _f'l'l rr Public Safety Transportation li}fr Ci2l=J) j r ~,>ftA~. -A.\) \1- l (U2DJ IT' Park ~~ :A~fG/l'H,/.2D~E;./l-.R r .11:21 )! ZEP~~IHtl.s fmUl1NQ"" ~AX: ::#~~...8 t3::7aO~:GQ:~.:1 :.:t'BD3 "".:'; '.:...'-;.'" ,NOnCEoFOEEO~STRlctlON$: Toe ~underStsnds:m1ilil>pet'Il1lt~b$~~h1~d"~~~" -wlilctl maybemore'r6Stnc:tl~lhan(ll:itinty\"6gufatiom;;1'h~ und9r5igne02sStlil'les ~fur OOll'tpltanoe With 'any applicabJedeedreslrlctlons.., ',' , ',' ", '" '" ~, , " ., ,',"'" " UNIJCENSED-CONTRACTPRS-A.I\lOCON"rRACTOR. RESPOf-lSIBlU11ES: ,lft!1eowllerhas hired ,eoontractor or wntractoristo !Jndertake woil(they may be r$qi.ilred~o'PaHG6flSecHn!:lCOOl'dal1ce:wlthi$t8teillndl<icai regutaliOflS' , If Ula oonlracloris ,QOt Iicem6dati required by law, beth the owner and tlOnlractor may be ciledfuramlsdemeal10fV\c!<lltlon oodar state law~1f theoWneror~f1tet'ldoo contractOr am uncertain, <!Sto, wllatllcensing requirements may apply 'for th~, intended work.lhfJyare'aq,.,lmiocornacUhePasco CountY Bl!iiding lnspectionDM'sioo-Licensing 3eGUi:Jn at 727-847- S(J09~, Furlhel'l'flOl'e, if the owner rlallfllred acontrector Ql'conlraetors, ile, is advised to ha..-e!h;;o'contraetor(s}sign portions of the~oontraG!or Blocl( oi'(his appilcatlonfoFwflJClithey will be responsible. . If)!ou;as~I)W!:jl9r' ai~nas;tnf: <.,'Ontractor,thattnsy b& anindlcatlon that heismlt'pl'op$rly Ilcensedand is nOlenilileotoperrnittlng prtvh~.ges, lnPasoo County.' " " ",', '.',' " "'" ,;,',,'. ",' , ,'",'. TRANsroRTA nON IMPACTIUTli.meS IMP ACTAND'RESOURCERECOVERYJ:5aS: 1"l'leunosl'5IS!'lEtd unders':J'11'ld1;; 't.l,alTranspo;iallon Impact Fees and Recourse, RllCO\let') Fees mayspply to theoon5lrUctlonof ~buildings,chang~9f U$e InexistJng buildings, Qr expansiollofemting buildings. Ill$speciftedln I'>asooCounty Ordinance -'.'~ml'l&r89.07 am:: 130-07, as amended. Theundersigoodaisounderstands, that suoh fees,815 may be due, Will be tdentfileda! theJ!me Of p<ermitting;ll rsfurlher understood that Transportaticn Impact Fees and Re$ource Recovery Fees must be paid ptiorJo tSQ6iving a"eertill;;ateofoccup3ney" or ffnalpow61're!ease,lftheproJeel does not Involve a ca.-tir.'Ca!a or occupanG~' (>!~ 111'lalpo'."ft!lf releese,'lhefee6mustbe peidprior,to permit i$!!luanctr. 'f'urthermcr&, ,If Pasoo Courrty WaterJ&'!wer Impact 'fee9'el'e due, they must till pald prior topem;it Issuance in accordance with applicable PalOco County ordinances, ,.'" .. cONSmUCTtONllEN LAW. (Chapter 713,' Florida StabJtl!ll,' 3$ amended}: If valustion of work Is $2,500.00 onnore, I certify that !,theapplicant, have been provlded.....ith:aoopy!Jf~ie~F(orida COll51ruction Uen La\v-Homeowner's , Prolection GUide" prepared by fheF(oridaOepartmar.tof Agrlculture and Censunier Affairs. If the applicant If!SOlrtOOoo otnerlhan the~ov..'i1er',,1 oortlfYiiY.!t I have obtaillede C9PY pf.theabove det;crlbed dooumCl"lt <;Ind promise in good fa10110 dellver it to'tr.e'"owner"[)rlorto commencement. " '".", ,'. :,', .:,..., ,'" " CONTRACTOR'SfOWNeR'S AFFIDAVIT: Icerfifytilat alHhe iOformatlon In this~iosllon J$~ureteano:l ft-.atallwCl'k. Wlif:be.do.'ie1n oompfJance wilh ait applieablela\....sregulallng constNotion, wning and land development.i\ppiicationls l1ereh~' made-tooblain a permit to do ,wOtkand irnllallationa~ inditaled.' I certify thaloo work, of,instanaIlOfFli~ >:ommencedprlortolssuanceof e ~rmil2nd that all work will be perfonned 10 meet standards of alIl!;ws regulating i:lOflstruc!ion, County and Cityaadas, zof'llng regulations, and' land development regulations In :the jurisdiction. I also; certify IMt IlJl'\derstandthaf 'lhereQi.llatlonsor ~ther govemmsnt, agende8 may apply to me ihtendedll'rorK, and that itls my responsibility to k!!lntlfy what actions I musttalle lo,be-10 compliance. Such I3gem:ie& Include but SfllTlO! limited to: , Depsrtmentof En\'lrunmental Proteetion-Cypl'l'J&Saayheads, Weiland Areas8nd;Envirot'lmeniaJIYSensi~ Lands,WaterM'ast&v.r-merTreatment.' " ",.""",." "., " " ",', Southwest Flodda Water ManaaemaritDlstricWvells,Cypress Bal'heads,' Weiland.Are~; Ali&rf.ng ,Watsrcoll1Sa.:';', ':', "',' ..".". ,';", ,: " '" , Arrny Corps of Englneers-S&awal!I,l;Dooks.,NaVigableWatarw~, .".', ," ,,' ", ',' '" Depart.-rnent of HealUI" &~eI1abiliialJ\I@SeJ'YicesJEriVlronmentall-lealth" Un1t-Well$;:Wastev...a~Traatmenf, SepticTanks. , ' ......,' ... ",,' '",'..,"'.,,"'::.'."<, >,'" " , US Environmental Protaotlon AgtlnCy.AsbestOsabalenmht. " Fad~a! AvililtlorrAuthorily-Runweys, '."",,'.,'.', d " 1 uP<!tRtand lt1at tile followi"9 restrlCllOl'lS apply to lrtii! -us€tor fill: . _", , Useaffdi is not allowed in Flood Zone 'Y' unless expressly permitted.." ," '...' ,', ' " .' If the fill mal~riai is to be used In, Flood Zone ~A", It is uncSstood t'laladf<linagepfan,'a(.\d~&inga 'compensating volume' wHt besubmifletlat,llme of permitting which is prej)llred by aprof",s~iona!l\lJjglneer licerisedbythe$tateofFlorlda..", '< ....." "." ,,',. '."..." ,"',',"" If the fill matsria!:ls robe used in Flooo'Zone "A' inconooction,wttha permitted buildIng u$ingsiemwal! 4:;lOflslruclion, I certify ~hat fill WIll be used only to fill the area within th~ $Iem wal!, If:fil! materia~ Is to be used fnany area, f certifY that IJseofsuoh fill wI!J not adversely Bff6ct~jacent .properties, .If use offill Is found ,to adl/al'S&Jy affect adjaooni prop&rtlell, the owner may be cited for vjolaliog' the L'Ondltlons of thelnlUding permlt iSSIM'ld under lht; attad1ed permit app!!catil1n. fot iotll)ess,than one-(1) acre which are elevatet.11)y flIT. an engineered drainage plan Is requtreO. ' ,'" , ' rflalwthe.AGENT F"OR THe OWNe~. I promise in go<<lfalth to inform !he O\vner of ,the permitting conditions set iOi"th'in tht~ mfklavit prior to' commenolngconstrucuon. I under&land that a separalspermit may bee, requirnd for,electlicalwarlt;,. ::plumbing,slgns,wells, pools.atrcondlttonir.g. gas, or-o!ne.r im.taUations not'speClf'lCaBy incl1Jdad In 1heapplicmion.,,A parmil !$~~dshall be oonsiruedloba a licen~e to proceed with L'le work~ oo! as authort1y,to vjolate,cancei,alter.~' set aside any pro...l~ions 01' the technlr.:al oodes. nor shalll$$I.11imCS ,of a perm[lprevent ll1e Build"lllg Offlclalt'romthereafter teql,liring a ~-:!rrection of errors in plans,construcllon or violations of any codes. EvelY permit llisued ShalLbecome Inval!<J ,UnIBB21 the workiilulhorized 1>'1 such perml! 1$ commenood ....~fuin6iX.mQothI10f pennit issLlal1ce. or ITWoricauthoriz;ed by ilie permit is sus,')GI'"odao or abandoned fer a, period of six (5) mQnths after the tlme \he WIJfk is commenced. AI'l:extension me}' be requested, In writing, from the Build!n~ Official fur a period not tn exoeeO ninsty (00) df:lYs and will demonstrate Justifiable cause fOTthe.exre,"lsion. If...'OI'k cealiGO fur ntnety (eo) consecu'JvEl days, the job is consideredabendoneC. 10 n 3 '-IS!. m ::r3zDlm -; ~< z ~OI~Q 0::1 2: 0 w tr n' ~ '2. en i 0 z ,,~.ft/bl!l:; CHARLES H. BRONSON COMMISSIONER 'Florida Department of Agriculture and Consumer Services Division of Food Safety -......,i ANNUAL FOOD PERMIT APPLICATION F.S, Chapter 500 (850) 245-5520 Print Date: September 12, 2005 11111...111111111111111111111111111111 Visit# 2645-1796-0000-38 Bureau of Food and Meat Inspection Attention: Records Section 3125 Conner Boulevard, C-26 Tallahassee, Florida 32399-1650 Note: Inspection by the Department is required prior to submission of this application. The Department of Agriculture and Consumer Services is the exclusive regulatory and permitting authority for any person, busmess or corporation engaged in manufacturing, processing, packing, holding or preparing food or selling food at wholesale or retail. For purposes of this application, food is ronsidered to include, but is not limited to, all prepackaged grocery items, prepared foods, packaged ice, bottled or vended water, candy and other snack foods, soda, infant formula, vitamin and mineral dietary supplements. INFORMATION ABOUT THE LOCATION TO BE PERMITIED ~ Finn Number 26451786900038 Finn Type 141 Territory 706 Established Date 09/12/2005 ( ) Renewal 90 New Business () Corrected Information () Other: Business Name Type Description Location Address City/State/Zip Phone Number Directions Do you manufacture and package ice or bottle water for sale? ( )Yes ( )No. If Yes: Thefollowing information must be submitted with the application: 1. Indicate source(s) of water used. 2. Indicate any treatment provided to the ice prior to packaging, HOLE IN ONE DONUT SHOP #3 RETAIL BAKERY WIFS 14837 N FLORIDA AVE TAMPA, FL 33613-1825 (813) 963-6207 Ext, County HILLSBOROUGH INFORMATION ABOUT THE OWNER ~ Name of Owner Business Type Phone Number Mailing Address City/State/Zip E-Mail Federal Employers ID# (FEIN) Sales Tax # AN PUM SOLE PROPRIETOR (813) 963-6207 Ext, 14837 N FLORIDA AVE TAMPA, FL 33613-1825 39-80-133939-36 This application must be signed by the applicant, owner or chief executive of the applicant, without the need for witnesses. If a corporation is in the hands of a receiver or trustee, this application shall be executed on behalf of the corporation by the receiver or trustee. I certify that I am empowered to execute this application as required by Chapter 500, Florida Statutes, Print Name of Applicant A N J:: u M Signature Cl/ -e VAA- DACS-14306 (IN-63) Rev, 6/03 Title () L() A.] -t--tL Date q-I d- - (!J ,~ Page 1 EIS03030 CHARLES H. BRONSON COMMISSIONER , OD S<\.FE;TY n"JSPECTION REPORT FO . F,S, Chapter 500 (850) 245-5520 f'nnt Date: September 12, 2005 IIUI~ ",.,"" 1111111' 11111 lnl 1"""" .111 11m Dill 0111111111111 IHI Visit# 2645-1796-0000-38 Bureau of Food and Meat Inspection Attention: Records Section 3125 Conner Boulevard, C-26 Tallahassee. Florida 32399-1650 Finn Number: Finn Name: Date of Visit: .'645 J 786')( il I(),~ x iIOLE IN ONE j){ )'11 SHOP #3 (~eptembcr L', .:' I ! Ii'; Finn Location Address: Finn Mailing Address: Finn Type/Description: Finn Owner: 14837 N FLORID \ \ \E TAMPA, FL 33613 14837 N FLORID \ \ \[ TAMPA, FL 33613 '41 RET,'\IL FJAI...rRl W/FS \N PUM Owner Code: O\/El~ALL RATING - GOOD On September 12, 2005. }-j(JLE IN ONE 1)0'.1 -r SHOP #3 was inspected by BRENDA PATRICK, a representative of the Florida Department of Agriculture :lnd COIlSUIlllO'r Sen ices :I!ld the Overall Sanitation Rating was GOOD, PER\lTT c\PPLICATlON INFORMATION Permit Application infonnatlon was rcnc\\cd \\I\h management. Permit Application was found to contain infonnation which was deemed to be incorrect or Illcomplete by the i n'pcclor or the person in charge. A new or corrected Permit Application is submitted with this report, FIELD TESTS The following Held tests 1ycrc .onducted "I th I i I 'CSII t 5 as indicated: .!:egal Illegal LABELING 3 o VIOLATIONS (*) indicates a critical violation. The tollowing violatiOiI" ere noted BAKERY DEPART\ii' r 17 Sanitizer COnCe11tLlIli'il test kits no [', Ie COMMENTS PAYMENT INFORMATION Page 1 of2 EIS03001 New Finn Print Date: September 12, 2005 2645-1796:000 Bureau of Food and Meat fuspectio Attention: Records Section 3125 Conner Boulevard, C-26 Tallahassee, Florida 32399-1650 FOOD SAFETY INSPECTION REPORT F,S, Chapter 500 (850) 245-5520 CHARLES H. BRONSON COMMISSIONER Firm Number: Firm Name: Date of Visit: 26451786900038 HOLE IN ONE DONUT SHOP #3 September 12,2005 Payment Received Yes ( ) No () Refer to the Comments section for payment explanation, ACKNOWLEDGMENT I acknowledge receipt of a copy of this document, and I further acknowledge that I have verified the location and mailing addresses on the first page of this document are correct, or I have written the correct information on the first page of this document. (P~ -~ -(Signature 0 DACS Representative) ~~nmcharge) f). N ?UM 0 UJNe~ (Please print name and title) BRENDA PATRICK, SANITATION AND SAFETY SPECIALIST Page 2 of2 DACS 14205 Rev, 10/96 City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Restaurant (A) Conventional No. of Seats Water Distribution System Wastewater Collection System Wastewater Treatment Plant Capacity TOTAL Impact Fees For Type A Within City Limits $ $ $ $ Outside City Limits $ $ $ $ (B) Fast Food/Drive Through No. of Seats Water Distribution System Wastewater Collection System Wastewater Treatment Plant Capacity TOTAL Impact Fees For Type B Within City Limits $ $ $ $ Outside City Limits $ $ $ $ (C) Deli/Sandwich Shop with no dishwasher and disposable dinnerware only No. of Seats Water Distribution System Wastewater Collection System Wastewater Treatment Plant Capacity TOTAL Impact Fees For Type C Within City Limits $ $ $ $ Outside City Limits $ $ $ $ (D) Bakery -S~~ No. of S~t Impact Fees For Type 0 Within City Limits Water Distribution System $ 190.45 Wastewater ColleQtisFI 9}/c:t,em f'\.'A ~)T!$...$ 473.18 Wastewater Treatment Plant Capacity $ 265.00 TOTAL $ 928.64 Outside City Limits $ 238.18 $ 591.36 $ 330.91 $ 1,160.45 City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Retail No. of Square Feet Impact Fees Within City Limits $ 84.77 $ 210.62 $ 117.95 $ 413.34 Water Distribution System Wastewater Collection System Wastewater Treatment Plant Capacity TOTAL Outside City Limits $ 106.02 $ 263.22 $ 147.29 $ 516.52 CITY OF LA,KELAND Building Inspection Division BU.ILDlNG ...PERMII - . ., ., . --- . :".'r ." -,..- ... Tt.tIS CARD TO BE PO~TED UNST'REET SIDE OF' LOT BEFORE WORK STARTED Permit No. ~.3CoO()-~ - I "Dale / l.3A /0(,. ~::~on ~:/~' t=;; W fa;;" , Contractor TmS ('~'''-~/ ~e~uci.: Zone Purpose _ _ " ___~_v-f (JQ!t:JCie It is your obligation to notify the Building Inspection Division when you are ready for the indicated inspections. Failure to do so may cause you additional expense and inconvenience. Under normal circumstances and on regular work days, inspections will be made within 24 hours after notification, or sooner if conditions warrant a priority. FOR INSPECTIONS - CALL 834-6250 LAN NY R. WAlKER, BUILDING OFFICIAL BY ~ rain:> 4. /!.u.JQ U PERMIT VOID IF NOT USED WI IN SIX MONTHS c/ ELECTRICAL MECHANICAL PLUMBING-GAS BUILDING INSPECTOR'S DIRECT LINE 834-6015 UNDER SLAB INSPECTOR'S DIRECT LINE 834-6016 ROUGH. IN INSPECTOR'S DIRECT LINE 834-6017 UNDE'fLAIf ,~ -/ ~pector Date ROUGH-IN, TUV~ ~e l1-0 ~ Inspector Date SEWE~ Datr INSPECTOR'S DIRECT LINE 834-6014 FOOTING Date Inspector Date Inspector Inspector RO~~H.It.( '):. t~.,rf u.." \.'> MI.\, ",' .-"t? Date Inspector Date (OTHER) SLAB Inspector Inspector (OTHER) I.. . (OTHER) LINTEL, BEAM Date Date Inspector ~~~D~ Date J NO INSPECnII WlL BE MADE UNLESS PERMIT CARD DISPLAYED AND APPROVED PLANS ARE READILY AVAILABLE. CERTIFICATE OF OCCUPANCY MUST BE SECURED BEFORE THIS BUILDING CAN BE USED FOR ANY PURPOSE. FRAMING Oat!? ~spector INSULATION Date Inspector Date FINAL ~ .3--3D /7 Inspector Date Inspector OTHER FINAL INSPECTIONS ROOFING 834-6250 ENGINEERING 834-8437 LANDSCAPING 834-2233 DATE: INSP.: DATE: INSP.: DATE: INSP.: "Ji'JWARNIf~~G TO"OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN JPUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.1f' YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ALL GRASS, ROOTS, TRASH AND FOREIGN MATTER MUST BE REMOVED FROM AREAS UNDER CONCRETE SLABS'BEFORE PLACING FILL DIRT OR CONCRETE. ..../) <, -._, r / J U_, I, '-'::' ;!" Of! 1.0 - 13 ( J Florida Department of Agriculture and Consumer Services Division of Food Safety FOOD SAFETY INSPECTION REPORT 111111111111101111111111111111I1111I11111I11111111111I1111I1111I111111 F,S. Chapter 500 Visi1# 4034-7781-6002-28 Bureau of Food and Meat Inspection Attention: Records Section 3125 Conner Boulevard, C-26 Tallahassee, Florida 32399-1650 CHARLES H. BRONSON COMMISSIONER Print Date: February 20, 2006 Firm Number: Firm Name: Date of Visit: 301872 HOLE IN ONE DONUT SHOP # 0003 FebI1llll)' 20, 2006 14837N FLORIDA AVE TAMPA, FL 33613 14837N FLORIDA AVE, TAMPA, FL 33613 141 RETAIL BAKERYW/FS AN PUM (DBA HOLE IN ONE DONUT SHOP) OVERALL RATING - GOOD Owner Code: Firm Location Address: Firm Mailing Address: Firm Type!Description: Firm Owner; On February 20, 2006, HOLE IN ONE DONUT SHOP # 0003 was inspected by KEVIN CARROLL, a.representative of the Florida Department of Agriculture and Consumer Services and the Overall Sanitation R.ating was GOOD, ~, PERMIT APPLICATION INFORMATION Permit Application Information was verified with management. FIELD TESTS The following field tests were conducted with the results as indicated: Legal illegal LOTS EXAMINED FOR INFESTATION LABELING TEMPERATURE - COLD 4 5 5 o o o VIOLATIONS (*) indicates a critical violation, . The following violations were noted: BAKERY DEPARTMENT 14 Food contact surface Gfutensil/equipment is not designed, installed, made of safe materials, corrosion resistant, nonabsorbent or smooth and easily cleanable, BARE WOOD SHELF/CART UNDER BAKER'S TABLE. RETAIL AREA 14 Food contact surface of utensil/equipment is not designed, installed, made of safe materials, corrosion resistant, nonabsorbent or smooth and easily cleanable. BARE WOODEN SHELF UNDER DONUT CASE, 15 N on-food contact surface of utensil/equipment is not designed, installed or constructed of durable safe materials, corrosion resistant, nonabsorbent or smooth and easily cleanable. C02 BOTTLE NOT SECURED, 5 Thermometer in hot or cold storage unit is not provided or when present is not conspicuous. IN MILK SELF SERVICE CASE. DACS 14205 Rev, 10/96 . Pagelof2 EIS003000 . Page 1 of 1 Karen Miller From: Todd Vandeberg Sent: Wednesday, September 13, 2006 1 :59 PM To: Karen Miller Subject: RE: 5048 Gall Blvd This would be a permissible use in C-2 zoning. Todd Vande Berg Director of Development City Of Zephyrhills 813-780-0006 813-780-0005 (FAX) tvandeberg@ci.zephyrhills.f1.us ._._...__m~_,.,.....".."".",,____...__~,~......._..,--.._~~..,..,.,...._~..,........_.~_~._....._....___._~~...,....___.__..._."'._._.___."._'''''_~M''''''""_~___",,-____,,,,,,_~__,_,_,__,,,___,_",,,_'_..%.._.._.....--,-...,.._..._....,.,--._.........._..~_......_._._._..._..................._..._----,.............. From: Karen Miller Sent: Wednesday, September 13, 2006 2:52 PM To: Todd Vandeberg Cc: Billy Poe Subject: 5048 Gall Blvd Todd- On 9-5-06 I received your verbal approval on a Donut shop going in at 5048 Gall Blvd with no issues or requirements needed from your department. Could you please respond back with your written approval on this as we have a permit ready for issuance. Appreciate it. Thank you. Karen 9/13/2006 k;N ~ ~ ~ fV\. 8;;tv\ -...)~ 'VC:()~ s: V\ CC) ,.J ....J I -.J ~ '"'3:::- c:;:- -r: '- '-0 %i Qj\XlY- ~::t ~p~ V)~ K ,AUG/I8(2fi06/Fnl L:21)j[ ,ZSPllYRH~USOO1LOIN:; . 'cfAX3io.8J~7~?G"JD2.1 , " " p, 804 . ". .' . .. '. . . .... -:.. ".: ~ . . : . 111111111111111111111111111111111111111111111111111111111111 2006184966 .."" ... .,:.. .. ...... ,",. ... ..... . ... 2.~etM~tj()h{)fTIri~VCl'!1eni .. ',." ,,' ", ~~~l0 ~:~1693 R~~:: ~~ 0~0 "..,' , ""', ' 09/11/06 Dpty Clerk ~3, 4~ 5. Ad~s ,,',c'~itY""" " 7.Pe~~WithiDtl1e:State:of'F16ricladesign~~d bYO~e~-'~~ whom h(ltite~&(")~' . docUIIlents~Ybe'servedaSproyided,by $ectibn 713~n(1) (a) (7); Florida SOltU~t, . . ..... ...:" .......::" .. :::... .... .... ," ". .. ,"' ,." ,",. .... .::...... .Na.me " , ....-...... . .. Aiidress ";-City '" .8~ 'h111dditi6Ilb~~~-()~~~~~;:';:'~:~- " 9.....;;~;=l~~;:tt1t~t~t$