HomeMy WebLinkAbout07-6571
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6571
6571
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 59,340.00
Date Issued: 4/04/2007
Total Fees: 606.60
Amount Paid: 606.60
Date Paid: 4/04/2007
Work Desc: LAUNDRY RENOVATIONS
Address: 5951 ALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0020-00000-0030
Name: ZEPHYR LLC
Address: 7162 READING RD #730
CINCINNATI,OH 45237
Phone:
RAC ELECTRIC OF ST PETERSBURG IN
MEHRMAN GAS INC
MEHRMAN GAS INC
E
PLUMBING FEE
FIRE PLAN REVIEW FEES
FIRE PERMIT FEES
48.00 GAS FEE
55.20 FIRE INSPECTION FEES
45.00
35.00
25.00
TALL
2ND ROUGH PLUMB SEWER
DUCTS INSULATED INSULATION WALL
LINTEL INSULATION CEILING
PRE-METER MISC.
WATER FIRE DEPT. FINAL
SHEATHING ELECTRICAL 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 jot' site g) work not accessible.
L
FINAL MECHANICAL
BUILDING FINAL
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."
c'----;i!' __NO OCCUPANCY BEFORE C.O. ~ ~
CONT R SIGNATURE' PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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LAUNDRAMAT
ZEPHYR PLAZA
ZEPHYRHILLS, F'L
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h"1I P 't Art Fax-813-780-0021
813-780-0020 n~ City of Zephyr I S erml pp I~a ion -r :.... -, _::}. ,CS '-\ 20(0 \>0..'\
\' Building Department ( ,.,' \ \ -" ':7- I
7 d7 - L/ L( 1-{ - d,cl g d...
Date Received
s-~-o
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Name
l-L-L
~~ad ,\, R&:f\ 730
Owner's Name
Owner's Address
Fee Simple Titleholder Address I
5~ ~ I
GAU
I
r:s:::I ADD/ALT 0
D REPAIR
D COMM 0
D FRAME 0
DESCRIPTION OF WORK I~ e..f'Y\ 0(".) ~ L ~ U \"\ <::0 Q;'1
I I SQFOOTAGE I \ ~ ~C)
TTfTTII , , . , II , , . III . , , III , 111I , III , 1111I1 , 11II1 , . 11I1IIIIII . III , III1 , . . I1IIIII1 , , . I , I . III111III . III . III1 , , . III r I III , III , III , I 11111111I , 1I1111I rill
JOB ADDRESS
o} vJ
LOT #
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
PARCELID#I \ (). 2t.v . 2- \ _ 0020 - ou(X.D. OU3 D
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRUCTION
El
o
o
DEMOLISH
BUILDING SIZE
- New ~I eJ.
r
HEIGHT I
PI0f\o\b
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OTHER
STEEL
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OTHER I
.s c.S ~
1$ Q IS:)(~ I
~ ELECTRICAL 1$ :2): 5 (:) 0 I AMP SERVICE D PROGRESS ENERGY DC c:. ::c.
~ PLUMBING 1$ I -- ,90.0-0
I () GO 0 __ ,90. OD - (.( Al!-.
,
~ MECHANICAL 1$ I 5 (') 0 I VALUATION OF MECHANICAL INSTALLATION O~tY:>~ '-
~ GAS D ROOFING D SPECIALTY 0 OTHER f7n'""l - rl ~N\.I..":) 3/:za
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111
~
BUILDING
VALUATION OF TOTAL CONSTRUCTION
BUILDER
SIGNATURE
fl~~
COMPANY
REGISTERED
License # leG C Do'6911L I
(. If:L+t- ic 0 f 9.PQ/f;M.
FEE CURRENT I Y I N r
License # I ~c., OOa g. S s -U
y ~ /;1" (f? ~I ;t2 t""'C .
N Y/N
Address
ELECTRICIAN I H fi? ..p
SIGNATURE / ./ L. 4~
Address I
:~::r~~E W ~.le I1r-L-
Address I
MECHANICAL ~~~/'0--
SIGNATURE =~"-\vL.
Address
~~":TURE l/j ~ je ~
Address I License # jc.r~ () )-7 I 77
111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111
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 subdivisions/large 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.
COMPANY
REGISTERED
L'}.f-\.c,
Y I N I
COMPANY
REGISTERED
FEE CURRENT
COMPANY
REGISTERED
COMPANY
REGISTERED
COMMERCIAL
SIGN PERMIT
DI~~~ii~~~': . . , . , , . . . . , . . . , . . . , . , . . , , , . . . , , . . . . . . , . . , . , , . . . . , . , , , , . . . . . . . . , , . , , . . . , , . . . , , , . . , . . . , . . . . , . . . . . . . . . . . . , , . . . . . . . , . . , . . . . . . . . . , , , . , , . . . . .
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 PE~MITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC 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 "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 perm~t may ~e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically 1n~luded. In the application. A
permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y ~o, vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o~ any codes. Every ~ermlt Issued. shall become. invalid
unless the work authorized by such permit is commenced Within SIX months o.f permit Issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed nrn~ty (.90) da~s 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)
-,(CONTRACTOR ~ R ~
SU~Cribedand sworn to (or affirmed) ~efore me thilj _
S ()D 107 by (.C>I'",c1 (.'1")"'0 b.,'Y'.t'l'\,' he ~,
WhoJs/are personally known to me or has/h~ve p~bdu~ed
~L- \:>~v ,'"2 \ \ Ce ,,,.::..p as Identification.
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.
Name of Notary typed, printed or stamped
Name of Notary typed,
Notary Public
Notary Public
c1~r. .. _____
Commission No.
Commission No.
Site:
City of Zephyrhills If /il /J .M k
BunnING PLAN REVIEW COMMEN'ffi. r p~' ,
Kl'()~ (1J.~L ~+ !}/t&t0 frloS11
tf-1--5-o7 {fI~i~
5q61 WlrE/ ~/J/j) stJ~
iltfYl ole~/ ~t'
Contractor/Homeowner:
Date Received:
Permit Type:
Approved wino commen~:6' Approved withe below comments: D Denied withe below comments: 0
This comment sheet shall be kept with the permit and/or plans.
Contractor and/or Homeowner
(Required when comments are present)
G.E.Lee Enterprises-5951 Gall Blvd - Remodeling
SQ. FEET PRICE
MAIN OR LIVING: 1,380 $ 43.00
OTHER AREA UNDER ROOF: - $ 91.00
OTHER: - $ -
VALUATION $ 59,340.00
FEE SHEET $ 320.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 326.40
ELECTRICAL: $ 72.00
PLUMBING: $ 48.00
MECHANICAL: $ -
GAS: $ 35.00
SUB-TOTAL $ 481.40
RADON: $ -
TOTAL $ 481.40
N/A - Existing
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
WATER METER:I $
IRRIGATION METER $
- I
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 55.20
INSPECTION TOTAL: $ 25.00
PERMIT TOTAL $ 45.00
TOTAL: $ 125.20
r-
~
PUBLIC SAFETY IMPACT FEES
POLICE $ -
FIRE $ -
5% $ -
TOTAL: $ -
SUB-TOTAL $
606.60 I
- I
PARK IMPACT FEES I $
SIF'S: $ -
100.0% $ -
1.0% $ -
TOTAL: $ -
TO F 'S 'I $
99% $
1% $
: I
TOTAL: $
606.60 I
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Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
March 26, 2007
Plan Review Comments
I have reviewed the plans for the "Zephyrhills Laundry" located at 5951 Gall Blvd. and
my comments have been placed below. Please contact me ifthere are any questions with
regards to my comments.
1. Building shall comply with the applicable codes of the Florida Fire Prevention
Code 2003 edition.
2. Install additional combo exit/emergency light at west exit.
3. Install smoke detector (hardwire wlbattery backup) in storage related room.
(where hot water heater is located)
4. Fire extinguisher shall be compliant with NFPA 10 for laundry facilities.
Inspections required:
1. Pressure test required on all gas lines.
2. A building final shall be conducted.
Fees assessed at this time are for plan review, gas permit and pressure test.
Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE USER FEES
Owner: {j,E
Billing Address:
LEt?
Occupancy No.:
Plan No.: t>7-"'~
Business Name: ~ ~'1r' ki'1! 1uLA?d:~
BusinessAddress: ,~t:j<:;' / bNI
Business Phone No.:
Business Fax No.:
Contact:
1.3~
PLAN REVIEW FEES
~. Site Plan N/C
Building Plans 04 sf
Revision 06 sf
STANDPIPE SYSTEM
D Per Riser $25
SPRINKLER SYSTEMS
n 0 - 25 Heads $30
D 26 plus Heads $60
FIRE PUMP
D Per Pump $100
FIRE ALARM SYSTEM
n 0 - 25 Devices $30
D 26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
GREASENENTILATION
D Hood/Ducts $35
~~
PLANS TOTAL ~
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
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood I Booth $30
Grease Duct $15
FIRE ALARM SYSTEM
D System Acceptance $50
D Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall $15
$25
~
LP Gas
Natural Gas
Fuel Tanks
Tent
$15
btk J/I// /,;se3
,
Billing Phone No.:
727-3 7-1- ~'r73
Billing Fax No.: ~
Contact: ~)(/ (fit- _
PERMIT FEE 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
SPRINKLER SYSTEMS
D Automatic $15
FIRE PUMP
D Fire Pump $15
FIRE ALARM SYSTEM
D Detection $15
OTHER
ft LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
~
$25
$45
"Affidavit of Service/Repair"
FALSE ALARM I
TOTAL
INSPECTION TOTA~
GRAND TOTAL
GREASENENTILATION
D HoodlDucts $15
D Kitchen Suppression $15
PERMIT TOTAL! ~f
/...z.s . Zjl)
Date:
Jlu,1!:
. l'r-'l' b ~# - /'l4
Inspector:
Fee 'Sheet
51-5\ (j1LL fx--'lV.
G,'p--. ~ ~~\')i2-1
Comm ./
. Res
LfNN~)-(l'i \~"'~~'-
Square Feet
\~iSD
59 .l{-:2; u
, I
D~
Lf 3~~
"'-,
Radon
0\'11 f~puA~
se System for ca1culatiori Offees)~
~
Valuation
Connection Fees
Sewer
~~r1ts
% (180.00)
1 (250.00)
1.5 (650.00) _
2 (875.00)_
3 & 4 (Contact Louie) _
Water
W. Meter
(All Residentials - % ")
Irr. Meter
Irr. Conn
Impact Fees
School
.~f\
t1/fJ
Transportation
. ~/'f} -/2-'N'5fiN,(,
Park
Public Safety
~li~6
Mike ID
Prillirrian
Realty, Inc.
City of Zephyrhills
Buildin~ Department
53358 Street
Zephyrhills, FL 33542
March 27, 2007
RE: Authorization for interior remodel and new air conditioning unit/system
Property Information:
Physical Address - 5951 Gall Blvd., Zephyrhills
Tax Parcel Number - 10-26-21-0020-00000-0030
Ownership - Mark Ayer d/b/a
ZephyrLLC
Corpaorate Tower
7162 Reading Road #730
Cincinnati, Ohio 45237
Tenant - Peter J. Hartwick, President
Tandum Holdings Corp.
17214 Broadoak Drive
Tampa, Florida 33647
Phone (513) 608-3619
Phone (727)444-2982
To Whom It May Concern:
This is written authorization for Peter J. Hartwick, President of Tandum Holdings
Corp. and his contractors and/or vendors to install a 7.5-ton air conditioner
system and interior remodeling pursuant to plans submitted to the Building
Department.
Authorization of the above referenced work by:
~a~
Michael A. Prilliman, Property Manager
For Mark Ayer, Zephyr LLC
38122 12th Ave. . Zephyrhills, FL 33542. Phone 813.788.4849 · Fax 813.782.7372
www.mikeprillimanrealty.com
MAR-27-2007 09:46 FROM:
TO:813 782 7372
P.001/001
NonCE'OF:OOMMENCEMENT
State ot ;:;.c~ County of ~A sean
THE UNDERSIGNED bereby gi"es natice that improvement will be madEl to cettain real propc~,
and in accordance witb.Chaptcr 713. Florida Statutos. the following information is provided 1.n
[his Notice of Commencement:
1. D"cnpnoo of Property , poroe\ No. 10 - 2/" ~ ~ --00," () · ~ -0030
""' ~1)/'+'()zJ ()~1?~EG~~ S9s. ~~CD~~$~ DArtk-tt
(Leg.! ...,crlpdon of the ~ I\1ld """" addt...1f availpbh>) l!! I> .
2. General Dcscn?,'ion ofl=vcm'" .2" t i,.!h I: 0 ..... <> f 1-../ ~t j er .Jo
t;/'UI/ a_-./P/~'
~ --=
3. Own'" Infonnatio"' Namcf.7G ell Y g, $ /.. J. c- ) /J1A.E ~ Ilj 61<->
~ 75D'
Addre." ~ F<..C/t D /AI G- /?Jiry c.'>JwJ.{'IKrt State t? 1-'1~ 31 $8'1S"
InterostinPIopcrtY: 1~t1~ O~,J~p..
Name of Fee Simple Titleboldcr: ;?'~ I' II 'I ~ t. J. e.-
(If other than ownC(') .
Address7.I"~ ReA1?JtJ6 ~City aIN~nJNA'"j) State t)./-J .~SZ ~
4. Con,",ctoc N- G'. F: Lee 5 ~kP Z...
A_ la-no 4,?'-/lS'J. 4!_01y ;: _ r ' State rt:. fJ'7/Q
5. Surety:Name ~
"
Addresll
Am,ount of Bond: $
6. Lend~r: Name
City
State
City State
7, Persons within the State of Florida desi ted b 0
documents may be served 8S . vid d bgnaS - y 7 wner upon whom notices or other
/1/1 . e 'I ect10n 13. 3 (1) (a) (1), Florida Statutes:
Name~C. LL '7J I'T2 i
-;J . . -.J. '0 11<. rg, LLJ M.4~ _~t:AL ~ J IN c...
Ad.dress ~ 2. ,~ City~PIIJ~U.Sstate ~G.
S. In addition to himself, Ownerd=d.gna~ #hCJ.IA~~' ~/1.L.1 mAI'i
of
provided in Section 7l~ 13 (1) (b) PI ...._ S to receive il copy of the Lienor's Notice as
. , . on..... tatutC8.
9. Ex.piration datc of Notice of Co . . .
of recording unless a different =isn~:ifi~~~e eXpIntJOn date is 1 year from the date
Adrj~s
~~ar.'ll'eOfOwner: ~ I vf/l~~
Swo.rn to. and. subscribed before me this :1-7 d f
ayo ~~
J/Not2.T)' Public: ~ ~ .
My Commission Expires: ANDRAS NIX N'
PC930S3048/A NOTARY PU~LIC, STA~ OF OHIO
My Commission ExpIres 01-07-09
.20p.!.2--
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City of Zephyrhills Building Department
Commercial Check Application - Fee $60.00
5335 - 8th Street, Zephyrhills, FL 33542
Phone: (813) 780-0020
Application Date: /'- &- 0 2
Business Owner: ~;fjJ T /IA/?rt-/IC~
B",inessName: T~~ C/~ ~j:!/-</6 p (6,,,,,-
Building Owner: 4_k ~~ _ _:.4 C L C /
Site Address of Commercial C eck: set. 6 I Gsa..l\ ~'0d.
Zoning Category & Confirmation: C, ~
Present Use: G,...., ~-" E./......... ~ 7'
Proposed Use In Detail: (~/,' .., ~n /"7' rL ...../
L/'Q. /"
Are There Any Floor Plan Changes: ~_
Phone: ;?~?- 9YY'-;~~~
IMPORTANT: SOMEONE MUST BE PRESENT AT TIME OF COMMERCIAL CHECK
ThisSectionForCityUseOnly \(..UL.l>~ - E(\Qlol @ (\'.30 ~
Comments and/or Requirements: Building, Electrical, Plumbing & Mechanical
1;;1 d// I?~f-[;k- P7;"-Kt
(41",:. , Z/.. (1,; f,J, .. !. ~ (':7 ')
flvf1
/5 A/i .....DOi...;l
P/~h >
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o Approved
-1
f Disapproved - See Comment;
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Inspector's Signature:
)
Business Representative Signature:
CITY OF ZEPHYRHILLS, FLORIDA
5335 8th Street
CERTIFICATE OF OCCUPANCY
NAME ~eher ~'c..~
ADDRESS 5'151 ("~.L\ \ ~Iucl
PARCEL I. D. # 10 -210. 2J - ()b'2..0 -DDoco -0030 SUBDIVISION
TYPEOFBUILDlNG ~ r;~O
REMARKS 1~t:A-U-f ~ ~ Or\ - ~\ ~ ~ ~
t'1.f~t""~ - S~~OD al(Q/07 8) 11,='3C",,~ (&fAf'"Ptti ~ '3/1~~tV
WHITE: Contractor or Owner ~
YELLOW: Bldg. Dept.
PINK: Utilities Dept.
GOLDENROD: General Services
DATE bl - a. %--0,
CITY OF ZEPHYRHILLS
FIRE RESCUE
INSPECTION DEPARTMENT
6907 DAIRY ROAD
ZEPHYRHILLS, FL 33542
(813) 780-0035
Administration: (813) 780-0041
OCCUPANCY NO.:
Business Name:
************************************************************************************1******************************
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FIRE SAFETY INSPECTION
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Business Owner:
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Building Name:
,,;:;..
5 9 t{:"/
Telephone:
Street Address:
l:::p.//
Building Owner:
City:
7? LJ
Zip );;;;' 5'-1-;>
Teiephone:
Emergency Contact # I:
Suite:
Telephone:
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. Emergency Contact #2: I
1.,. !. I
Occupant Type: ,',1'v}'i,(I'''I. Telephone: I
fi I
if ' I
*************************************************************************************r****************************~
TYPE OF INSPECTION CONDUCTED I
i
Code Violation: I
I
Suppression:i
i /-
Approved: _ Conditionally Approved: _ Not Apprmred: ':..--'",....
I
* * * * "'!* * * * * ** ** * ** ** * * * * * ** ~ ",*,:"* * * * * * * *.* * * * *..;'\' * * * * ** * * * * * ** * * * * * * * **** * * * * * **** * * ****r * ** * * **~**** **** * ** * *** * * ****
Comments:'- ,i/ //'~.";~(< ~<~.,/'.-/,r~':" ... t-~":"'/)i'r'l /'Jjj,~::/(/';:~'::L-r ;(..jr~h ..,.. ..-.
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./~i -'T,> [.>'~~ {~/f ,// ,,~';l~~:''''./''~~:':Jw.'.:_<~;'~..P'' /.::::~>A~~:
Manager:
Telephone:
Reinspection:
Commercial:
.~r"
Qtly:
Annual:
Sprinkler:
Gas:
Other:
Fire Protection:
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This building had been assessed by the Zephyrhills Fire Department. Utiliz;~g the 'C~d~~-'~iS~dclr&dtf'. N.FPAMinimum'S""tilnaardS;1:be""-- --,
State Fire Marshal Uniform Fire Safety Rilles and other local fire safety codes; '.
Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or ptevent safe egress during fire. Your
immediate attention to the correction of these violations shall be required, failure to comply is a violation df the City of Zephyrhills Fire
Prevention Code. ,I
***********************.*******************************************************************************************
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':.' ,::; ; '-f ," ,( Re-Inspection Date:
,'~ <Y,1::'~t~;-A- Inspecto< It
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Inspection Date:
Inspector Name: (Print)
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(',t. ,
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Inspector Signature:
Occupancy Representative... . ..;'
Signature: . '~._.-.~~--,-....
Computer Entry:
Title:
Pre-Fire Plan on File:
Page
of
..'~'.-'~ "_...._.._-----~.__.....~-_..._... ....
...--------.. ..-..
City of Zephyrhills
BUll.DING pLAN REVIEW coMMEN'US
Approved wino comments:O
I
b~ ~ ~,~N~~) -
~/2-b/-7 -
59 <)\- \:sI1'-\.. fLV(9.
~DfL-t ~~L
.. Approved withe below comments: ~Denied withe below oomments:
0_
ContractorlHomeowner:
Date Receivea:
Site: '
Permit Type:
~:~~-AWr-~~ ~l~
~ C-Jf{7 C~l'tl(2..i\C~ ~-.Jl ~
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Tbiscomment sheet shall be kept with the pemrlt and/or plans.
~q~ . ...
B- Burgess - ding Official
.'..' ...~......_.A....~_.'
:1 u l;;f7
- _ Date_
- C-~~::~_...-
Conandlor Homeowner
(Required when: comments are present) -
NOTICE ,OF COMMENCEMENT
;:;:/)R.I'D~ County of "PL4 sc..n
~\
State 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.
2.
3. Ownerlnformation Naml:7€PHYI2. L.L c-) /J1,4R. ~ Al/61<.>
'1/. #73D '.'
Address 7/' 2 ^,cAD IAlG- RJ,ity coJe/NNA'T1 State C'Ij-sl.67z 31 $8~S-
Interest in Property: 1(; (J ~ 0/,4) Jt:P-.
Name of Fee Simple Titleholder: ;?cf>H,/~ (,.4 t!-
(If other than owner)
Address 71i:z ReAVJtJ6 ~City aINGJ/JrJA"T) State (/11 ~tfSz.3
G' -r-' .--./ ~
,l-. Lee hM ;re~",~,,,p J".r
Address /" &()(') <jCj /"// .5' r: .t/ City S' j: )!~ j;: State rz .? .f ? /0
~M
/
4. Contractor: Name
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7.
P~AL II I tV c..
8.
of. . . to receive a copy of the Lienor's Notice as
provIded 10 Sectlon 713.13 (1) (b), Florida Statutes.
9. Expiratio~ date of Noti.ce of Commencement (the expiration date is 1 year from the date
of recordmg unless a different date is specified.)
~~nature of Owner: ~ <<OJ-- I vVl~lM'~
Sworn to and subscribed before me this ':2-7 day of ~ ~
vNotary Public: ~~ ~
My Commission Expires: ANDRA~ NIXON
PC93053048/A NOTARY PUBLIC, STATE OF OHIO
My Commission Expires 01-07-09
, 20Q.Z..