HomeMy WebLinkAbout07-6418
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6418
Permit Number: 6418
Permit Type: GAS/FUEL
Class of Work: GAS CHANGEOUT
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5518 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-05700-0250
200.00
Name: WELLESLEY DEVELOPMENT CORP
Address: 5518 GALL BLVD
ZEPHYRHILLS, FL. 33542
70.00
70.00
2/01/2007 Phone:
TWO 2 120 TANK REPLACEMENTS/UPGRADE
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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."
NO OCCUPANCY BEFORE C.O.
(~ &e-~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
Occupancy No.:
Plan No.: C> 7-0(:, -3 _
Business Name: ~\~ S\.of ~~~?"1'.\1
BusinessAddress: ~C:;l~ ~,~
Business Phone No.:
Business Fax No.:
Contact:
FIRE SERVICE U~~~S ~ 'l
Billing Addre~~~ ~\ ~..4oj ~
Y/~ 7S-2-1..//ff"
PLAN REVIEW FEES
B Site Plan N/C
Building Plans .04 sf
Revision ,06 sf
STANDPIPE SYSTEM
o Per Riser $25
SPRINKLER SYSTEMS
o 0 - 25 Heads $30
o 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
PLANS TOTAL I
Comments:
INSPECTION FEES
Annual N/C
1st 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
o System Acceptance $50
o Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall $15
LP Gas $25
Natural Gas $25
Fuel Tanks $25
Tent $15
~
INSPECTION TOTA~
GRAND TOTAL
Billing Phone No.:
Billing Fax No.:
Contact:
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
GL-
$45
$25
$45
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"
FALSE ALARM I
TOTAL
GREASENENTILATION
o Hood/Ducts $15
o Kitchen Suppression $1? O~
PERMIT TffAL~
70V I
Date:
Inspector:
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6418
Permit Number: 6418
Permit Type: GAS/FUEL
Class of Work: GAS CHANGEOUT
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
200.00
Address: 5518 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-05700-0250
J
Name: WELLESLEY DEVELOPMENT CORP
Address: 5518 GALL BLVD
ZEPHYRHILLS, FL. 33542
70.00
Phone:
120 TANK REPLACEMENTS/UPGRADE
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.
&R_~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I , )i'HONE CONTACT FOR
We.\\~ Sl~ (}JJQ\ C.f1")iC~' COIf) .
OWNER' S NA~l~1 + SJ-of2-rAm i) u Gr'l II
JOB ADDRESS 55) g GflLL f!jv~ '~h~rh'll)5 ~L -:
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 DATE RECEIVED J\ ~ \ \ l~f
PERMITTING ~ ~-I'~ ~ L(
PHONE
?/3--2qg-~~61
LEGAL DESCRIPTION: LOT IS)
BLOCK
SUBDIVISION
PARCEL 10 # \ \,.;Jl9-~- WOo if..)/CO {)::;)SO
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED
USE: DSGL FAMILY DWELLING
~OMMERCIAL
~ESTAURANT
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
& HEALTH DEPARTMENT APPROVAL
BUILDING SIZE
. ,_~ J
remJ\~ ~tirxa- olrLlL) I'lL) -tOJ'lKS ~ 5d'(l-) J 2D up~ ~.
SQUARE FOOTAGE HEIGHT
'DESCRIPTION OF WORK
RESIDEt:JTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & II) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & II) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
-~~.
-
PERMITS REQUESTED
o BUILDING
$
{;)Db. 0-0
VALUATION OF TOTAL CONSTRUCTION
~>.u..dLr2c9 -k> ~I rr-,
i 131107
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLU~1l3ING
o MECHANICAL $
~AS 0 ROOFING 0 SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDE:R
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
COMPANY
SIGNlI.'I'URE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
.
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
OTHER (-)~~*** * * * ***** * * * * * * ** ** * *:~~::;~~~* *Q~
SIGNATURE -~ ( . ~~ STA'fE CERT OR ~gGIS; f ::
A. NOTICE OF DEED RESTRICTIONS
Tha undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be requir~d
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
City of Zephyrhills Building Department, 813-780-0020:
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor 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 ~n the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have 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 commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that 'all work will
be ~one in compl~ance with all applicable laws.regulating construction, zoning, and land
development.
Appli~ation 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, City
code~r' :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 are not limited to: *Department ~f
Environmental Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 Shfll issuance of a permit prevent the Building Official from thereafter requiring a
correc ion of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is cOIllinenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for ia
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must 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 INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500'IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNAC/2~~NT ~iCJU~OR
STATE OF FLORIDA Vr-:p.c ,. "
COUNTY OF '-..)
The foregoing instrument was acknowledged--,
Befne me thiS~ day Of~ ' 20~ [
by ,:hr\~+\YJa... nPtf1;=>
(name of person acknowledged)
Dwho is personally known to me, or
~o has produced~.J!lIti~'J~~
(type of identification)
and WhO~d not take an oath.
~ ,
Signature of person ~,ii~ngg a acckknnoowwlleedgement
~O~,~
~""
"\ Y,Pt Ka.r~. M.
Name !!fI.':i;: eom n9fo d
'\-a~ Expires October 29,2010
II -.. Tilly Fein -'_0, Inc. 800-385-7019
STATE OF FLORIDA
COUNTY Of
The foregoing in~trument w~OWledge~
BefOrn,me thiS.--;~ day of ~ 2rP-L
by r\('I."T-l-I' ~nJL,H-c1 ~
(name of person acknowledged)
[1ho is personally known to me, or
~whO has'produced ~~
(type of identification)
and who Ddid Q:iid not take an oath
~co
(JJ
Signature of perso{l~ing ~cknowledgment
G~~' ~~
~~ · ." . Karen L. Miller
Name typedi-: eGonamiSliQQ
~R.. Expires October 29,2010
',,; I~ Bonded TIOy Fein -1_0, Inc 800-385-7019
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INSPECTION(S) REQUIRED
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4600 Paul Buck H"
man rghway, Plant City, FL 33565 (813) 752-4188
L 989-1799-8 L 8
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