HomeMy WebLinkAbout07-6386
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6386
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:
6386
COMMERCIAL
COMMERCIAL HOOD
COMMERCIAL
Address: 6215 ABBO
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS VILLAGE
Parcel Number:
4,850.00
80.00
80.00
1/23/2007
HEAT EXHAUST HOOD
C RVALL S JUAN
6215 ABBOTT STATION DR (107-108)
ZEPHYRHILLS, FL. 33542
Phone: 813788-6257
FIRE PERMIT FEES
15.00
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FOOTER DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPEcnON 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.
~~.~ ~~
CONTM TOR IGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6386
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:
6386
COMMERCIAL
COMMERCIAL HOOD
COMMERCIAL
4,850.00
80.00
C VALLOS JUAN
6215 ABBOTT STATION DR (107-108)
ZEPHYRHILLS, FL. 33542
813 788-6257
HEAT EXHAUST HOOD
Phone:
FIRE PERMIT FEES
15.00
-f2l)
~~~/
CJi
2
FOOTER DUCTS INSULATED MISC.
ROUGH ELECTRIC LINTEL MISC.
1ST ROUGH PLUMB PRE-METER MISC.
DUCTS INSTALLED WATER DRIVEWAY
PRE-SLAB SHEATHING MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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.
~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
Owner's Name
~~,~~
1-','1 0'/
Dl}v i V
City of Zephyrhills Permit Application
Building Department ~ t R
f513
Fax-813-78u-uu;.n
813-780-0020
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
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PARCELlD#1
LOT # I $, I~ 8
JOB ADDRESS
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PROPOSED USE D
TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK 11-1 E ;;-r
BUILDING SIZE I I sa FOOTAGE I HEIGHT I
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1$ I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ 1.1 c: r. cC:: I
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D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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:~~~RE I :.:: I Y f N FEE"'-"RENT Y f N I
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NEW CONSTR
INSTALL
SFR
BLOCK
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D
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SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
WORK PROPOSED
ADD/All
REPAIR
COMM
FRAME
D
D
D
OTHER I
STEEL D
OTHER I
~c)D
D
BUILDING
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E,C.
VALUATION OF MECHANICAL INSTALLATION
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
Address
License #
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COMPANY
REGISTERED
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I Y / N
Sftt:?;T Me 7T/L
FEE CURRENT I Y / N I
License # IRS tJo 2 if psg-
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
COMMERCIAL
Address License #
1111111111 " II " III " 111111111111 " 111111111111111111111111 " II " 111111I11111111I111111I " I " 11111111 " 11111 " " " 111111111I11I1 " II " " 111111 " II
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence Installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
SIGN PERMIT
DI~~~ti~~~': . . . . . . . . . . . . . . . . . . . . . , . . . . . . . , . . , . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . , I I I I I I I I , I I . I I I I . . . . . I I I I I I . I I I I I I I I . I . , I . I I . I I I I I I I I I I I I I . . I . . . I . .
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (Ale upgrades over $5000)
.. Agent (for the contractor) orto,-,wer",6f~e}t1tQ, i"ml'd.U!Pt~,'~,' b6I~eone with notarized le7-.m~~r~, ,~j~"a.:,'~~", e, "",,*_.,
OVER THE COUNTER PERMIr+G," .'(Froftf:Of AppltcatfohOnly). , ~. " 'i;' . ':.\>; ,;,1,"""" .< 1
Reroofs Sewers " servld<<~des:,,;,.', Me. cf;l F,~ts (Plot/Survey/Footage), " ."j". ,.,.<~;,:::.~1v' Y '.~ ""1)1-
Driveways-Not over counte~f$PlJblICr?ad~YS..ileedsROW~' .' ~'M;;:.:;,;,; ,,,~>...,,.,\(.:. .' . '~~l/~
.,...."... . "'.. . 1-".>,,-~' -A" ,,"of (. ,1,' 1.;.,/ ~ \(' ",'~";>...").; "~.,: fI!'
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~m!I~~'~f'~I!ED'RESTRICTIONS: The undersigned understands that this permit may be. slJbjedto,"9~ed'iit~strI9~i?h5~
~~I''"' &'jl~;':~I~~~we then County regulatkms. The undersigned essumes respci",~lbnrty fo'j~i>!I!~~<~~~;;r2\
ftl'< "".Ii~?P()~TRACTORS AND CONTRACTOR RESPONSIBILITIES:, Ifthe,?"XnE!~has.,hlre.9a9(jntt~clof or "f
~~~~~.~~. .,,' n~~[lake work. they may be required to be licensed In acc<li<Jen'7,yit~'h\l!!~i<j~I}~~I~.lJilHg"\1.ijll)~/
"" ,. ''''ct~.liqensed as required by.law, both the owner and contractor m~ybeRite~tqt<~Misa~llis,a,h?'f,Vi(:jlatib~
t~ Ylfthe owner or intended contractor are uncertain as to wh~t, Iiq~nsin~r.~qYit~h1~~t~rn~Yia~plY,f(jfth~ I
'~y are advised to contact the Pasco County Building Inspectioi1.I>iViSiori"Lic~nSit19~~8HQ~:N?tt"84t- ,I
",',;,n,'"','"',s."..,'"',,,,'o,",",,,f',',,',,,. ~~.~. n the owner has hired a conlracto' or conl,aclors. he Is.advlsetiJo H~" \11".ji<l~tt.~SUlf!~ ).~igh
.."" ' ",' ""ntractor Block" of this application for which they will be resp,onsible. if you'"a,.'s .theowti~,t,Sign' a,S ,the
tractQri:', ,,"ay be an indication that he is riot properly licensed and is not entitled to pefmittihg priVileges ih Pasco
9lJhty,{"'n'J[i~>\, .'., '" ' " '
ijA~$~(r"" "I~N IMPACT/UTILlTIES;IMPACT AND RESOURCE RECOVERY FEES: " The under~igned, Understands
th,~.t,.rah, .,,'tlJmpact F=e.es and Recourse Recovery Fees may apply to the construction of new blJiidings, change of
y~~i'll~xis.>~iI9ings, or expansion of existing buildings, as specified in Pasco County Ordinance ,nurnber89-07 and
;:~o,-07,asam~.?q,e~; The undersigned also understands, that such fees, as may be due, will be identiW~d at tile time of
p~riniHing.ilt.,lsf~Hher understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
re{:9iVing a~~~,ftifipate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
fin~1 powerrel~~se,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fe~s are due,J~~xmust be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTI()N 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 "A", 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 thne the work is commenced: An extension
may be requested, in writing, from the Building Offici a! for a period not t~ exceed nin~ty (,90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for mnety (90) consecutive days, the Job IS conSIdered abandoned.
e
otary Public
Notary Public
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Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-004~1 Fax (813) 780-0044
FIRE SERVICE USER FEES .,I . '" _J J J.I J f)
Occupancy No.: Owner: ~ )htte~ /V(~
Plan No.: ~ _ . Billing Adlll-ess:
Business Name: v- ~ ~(~ -=- )
BusinessAddress: l ~ -~~~~ S'\1V
Business Phone No.:
Business Fax No.:
Contact:
PLAN REVIEW FEES
N/C
.04 sf
.06 sf
B Site Plan
Building Plans
Revision
STANDPIPE SYSTEM
o Per Riser $25
SPRINKLER SYSTEMS
n 0 - 25 Heads $30
026 plus Heads $60
FIRE PUMP
o Per Pump $100
FIRE ALARM SYSTEM
n 0 - 25 Devices $30
o 26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
i7f GREASEIVENTllATION
~ Hood/Ducts $35
PLANS TOTAL I ~
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
e.... "'f.t? Ill€.
. 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
Billing Phone No.:
Billing Fax Z.: .
Contact: 'U~
PERMIT FEE
SPRINKLER SYSTEMS
o Automatic $15
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
~/S- ~7?-f'-2)J
"Affidavit of Service/Repair"
FALSE ALARM I
TOTAL
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood / Booth $30
Grease Duct $15
B
FIRE ALARM SYSTEM
System Acceptance $50
Recall Acceptance $50
GREASENENTILATION
~ Hood/Ducts $15
IT Kitchen Suppression $15
PERMIT TOTAL~
~b ... 9
OTHER
Fire Wall/Smoke Wall $15
LP Gas $25
I Natural Gas $25
Fuel Tanks $25
Tent $15
tP
INSPECTION TOTA~
GRAND TOTAL
Date:
I /;;';;Jy ~
' . ~r-A-
Inspector:
State of
NOTICE OF COMMENCEMENT
111111111111 11I1111I1111111 11111 1111111111 1111I 11111 1111 1111
2007012410
County of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following.information is provided in
this Notice of Commencement:
1. DescriptionofProperty: Parcel No. 1)3-2' - 2/- ()LOO_ 00000_ DOC 0
(Legal description of the property and street address if available)
2. General Description of Improvement ('.--tlYv1M.f7fl'Ca(2 Ylvno( e.)('/h~~ T
3. Owner Information: Name &VlItr I (oS JUtL.n Cl~J
Address ~ 2/ S 1J.6bl,# sId-r dn City 2e;JJ.y~ j, 1 Is
Vnvl v SRI V 6-F.5
, State 1- L
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address
-
~~~t0. ~~67285 Rec: 10.00
01/23/07 IT: 0.00
-------- Dpty Clerk
Contractor: Name
k.f-K
City
5/fa, fA lij/fL
RJ.
State
bJ.~
~_c~~
n 4.
Address 770cJ nR:r KctJb-
City 2 cf'lIY;t Iflu;
State rL
336""]1/
5. Surety: Name,
Address
City
State
Amount of Bond: $
JED PITTMAN, PASCO COUNTY CLERK
01/23/07 08: 53am 1 i5~
OR BK 7357 PG 7
6. Lender: Name
Address
City
State
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
Address
City
State
8. In addition to himself, Owner designates
of ' to receive a copy of the Lienor's Notice as
provided in Section 713.13 (lJ,(b), Florida Statutes.
\
9. Expiratio? date of Notice of okencement (the expiration date is 1 year from the date
of recordmg unless a differe t da, is specified.)
I
Signature of Owner:
,20fJ.!:L.
Sworn to and subs
Notary Public:
My Commission Expires:
PC93053048/ A
BRYANT