HomeMy WebLinkAbout07-6692
ermit Number: 6692
Permit Type: COMMERCIAL
Class of WOrk: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv, Cost: 5,296.00
Date Issued: 5/08/2007
Total Fees: 3,129.89
Amount Paid: 3 129 89
Oale Paid: 5/08/2007 Phone: ZEPHYRH/LLS, FL. 33542
Work Desc: ADD L.F. PARTlT/ON,FLUORESCENT LIGHT, 8 RECEPTLES
CITY OF ZEPHYR.HILL~,----
sns - 8TH ST1lEEr '> ::;;;r'
(813)780-0020 .
6692
Address: 6308 GAll BLVD
. ZEPHYRHILlS, FL.
TownshIP: Rang,., Book:
LOI(S!: - . Black: Section:
SUbdIVISIon: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-08100-0000
Name: PEFECTA EAR
Address: 5710-C GALL BL VD
\=~~ CLG2 d
5-1'7 -0 7
f&JV.-
Ii B .J:Yllt-I,- u c(
, 5,21-01
lTER BONO _ DUCTS INSULATEO_ SEWER_ MISC._
IGH ElECTR1C_ LlNTEl_. MISC_ M/SC._
ROUGH PLUMB PRE-METER INSULATION WALL MISC._._
TS INSTAlLEO_ WATER.... MISC_ DRIIlEWAY_
SlAB_ SHEATHING MISc. MISC._
STRUCTION POLE FRAME MISC. MISC.
=- =. =
:NSPEcnON FEES: RellISJJectjon fees WIll comply wiIIJ Florida Statute 553.80 (2)( c) When extra in_on
· are I1f!Cessary due to anyone of the follOWIng reasons: a) wrong add_ b) COndemned WOrk resulting
· faulty conSbuctJon c) repa/... or COITectIons - _ When illSl>ections called d) WOrk _ ready for
ection When called e) IJennlt not PDSb!d on job s/1e f) Plans _ at Job s/1e g) WOrk _ 8a:essible.
CE: In Bddltion to the reqUirements of this permit, there may be Bdditional restrictions applicable to this property that
>e foUnd In the public records of this county, and there may be additional permIts required from other governmental
!S such as water management, state agencies or federal agelldes.
IYment of inspect/on fees shall be made before any further permits Will be iSSued to the J>erson OWning same
ring to OWner: Your failure to - a notice of commencement may result in yOUr paying lwice for
""""'nts to yOUr 1Jl"OJ>erty. If YOu inlend to obtain financing, consult WIth YOur ,_ or an attomey
i recOrding Your notice of commencement. ..
NO OCCUPANCY BEFORE C.O.
&
'''-.....
SIGNATURE PERMIT OFFI
CAll FOR INSPEcnON - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received ~ '" ?:iJ- 0"1
Owner's Name e..r t!!.....-~ <!...
Owner'sAddress 167/0"c... ~ a....LJ- ~ ,Q.
F,e Simple Titleholder Namel (\
J.- '€.. ~ ~ +!.!D14'€-r ~ v r l ~.\n "'~ 20'" ..Q. J
Fee Simple Titleholder Address I
Owner Phone Number
I Owner Phone Number I
.~ k ~~ Owner Phone Number I
o , arT
SUBDIVISION
It 3o:g ~a..(/ ~&.) Z~r- ~,':1-Q(
.J((+- I PARCELlD#1 ()3_~Ic_;).I-eDto-O(j/cD-DtDOD
~~d (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR ' ADDIJ([b D SIGN 0 MOVE 0 DEMOLISH
INSTALL REP)Jr('
SFR [k;}- COMM 0
BLOCK D FRAME D
LOT #
\1/4-
,
JOB ADDRESS
DESCRIPTION OF WORK
B
o
o
to&.
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER
STEEL
I
o
OTHER I
BUILDING SIZE
j..fL{ 1...
I
a r+' f.l :,......
SQ FOOTAGE I
HEIGHT
~ ELECTRICAL
1$ ~ Ocz t,. cf)C> I
1$1
. I / .;;;L~. w ~ .
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111I1111111111111I11I1111111111111111
If\Ltm"f~~/N~~J~1
License # I ~ J.;zsO ~ 1'1 I
IM~~ I
I Y/ N I FEE CURRENT I Y/N I
License # I e=-c... /3DO /~ f 3 I
~ (~ I
Y / N I FEE CURRENT Y / N
Add".. r'" I I
~I~~~~~:L !. ~ \ ~ ~::~"= Y I N ~ ~RRE", Y I N
Address License # I
OTHER I COMPANY I
SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N
Address I License # I
1111I1111111111111111111111111111111111111111I1111I11111111111111111111111111111111111111111111I11111111111111111111111111I111111111I1111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
11111111111111111111111111111111111111II11111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111
Directions:
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 PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC
AMP SERVICE D
~~
~ '
PROGRESS ENERGY
D
W.RE.C.
BUILDING
VALUATION OF TOTAL CONSTRUCTION
VALUATION OF MECHANICAL INSTALLATION
o \o...t c.b).,. S 0
\> <..) ~v)
v\-li:.t. 3'>' SO
. I '7.
l
Address
COMPANY
REGISTERED
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
PLUMBER
SIGNATURE
COMMERCIAL
SIGN PERMIT
Fences (PloUSurvey/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 accor~ance 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 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 proce?d with the work a~d not as authori~y ~o viol~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 of permit Issuance, or If work authorized. by
the permit is suspended or abandoned for a period o~ six (6) mo~ths after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Officla~ for a period not t~ exceed nln~ty ~90) days 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 INYOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTOR EY BEFORE RECORDING YOUR N TICE OF COM MEN EMENT.
FLORIDA JURAT (F.S. 1, .03)
/
~/u L %j
Commission No.
Notary Public
~ U' L ~Nom~P"~"
Commission No.
~ Anna Marie Lynch- Teny
. -Myom."o
Name 0 'De~ Pr\n'ftcT or ~a
0; '" exptres April 04. 2008
~ Anna Marie Lynch- Teny
Name of Notary type~ ~~~. 00306431
,~ 01 ..:.1 Expires April 04. 2008
SunState Builders - 6308 Gall Blvd - Unit B-Build Out
SQ, FEET PRICE
MAIN OR LIVING: 960
OTHER AREA UNDER ROOF: -
OTHER: - $ -
VALUATION $ -
FEE SHEET
ADDRESS $ -
DRIVEWAY $ -
BUILDING:
ELECTRICAL:
PLUMBING:
MECHANICAL:
SUB-TOTAL
RADON:
TOTAL $ -
SEWER: $ 935.43
WATER: $ 241 .34
IRRIGATION: $ -
TOTAL: $ 1,176.77
WATER METER:I $
IRRIGATION METER $
180~00 13/4 meter
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 37.44
INSPECTION TOTAL: $ -
PERMIT TOTAL $ -
TOTAL: $ 37.44
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5% $ -
TOTAL: $ -
SUB-TOTAL $
1,394.21 I
- I
PARK IMPACT FEESI$
SIF'S: $ -
100.0% $ -
1.0% $ -
TOTAL: $ -
TI F'S: $ 1,735.68
99% $ 1,718.32
1% $ 17.36
TOTAL: $
3,129.89 I
-'
.-.---
SunState Builders - 6308 Gall Blvd - Unit B-Shell Only
SQ. FEET PRICE
MAIN OR LIVING: 960 $ 49.50
OTHER AREA UNDER ROOF: - $ 88.00
OTHER - $ -
VALUATION $ 47,520.00
FEE SHEET $ 270.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 275.40
ELECTRICAL: $ 60.75
PLUMBING: $ 40.50
MECHANICAL: $ 35.00
SUB-TOTAL $ 411.65
RADON: $ 9.60
TOTAL $ 421.25
t; ?> 'S'.. "'3 SEWER: $ -
~ if 1 I "3'-t WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
Shell Only
Shell Only
WATER METERI $
IRRIGATION METER $
- I Shell Only
FIRE DEPARTMENT FEES
PLANS TOTAL: $ -
INSPECTION TOTAL: $ -
PERMIT TOTAL $ -
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 156.48
FIRE $ 168.00
5% $ 16.22
TOTAL: $ 340.70
761.95 I
I
SUB-TOTAL $
PARK IMPACT FEES I $
SIF'S: $ -
100.0% $ -
1.0% $ -
TOTAL: $ -
f-~r?-~ ~'t)
TIF'S'I$
99% $
1% $
- I
761.95 I
Shell Only
TOTAL: $
~,I
, ,. ~;. ~ ~
"-~-
{,
n
(',
r
I
n
r\
(1
o
o
~
('I
~
PERFORMANCE BUSINESS PRODUCTS. INC. 813-71~ FAX 813-719-7918
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
DATE 5-t6-07
..
OWNER!
RENTER
~ ~t< ~C
t,3o e (JM! AI J/D
MAIUNG
SERVICE ADDRESS
fr;3a8 ~iYll ,61/J1!)
o Qt' WATER
SHUT OFF SERVICE
o SEWER
TURN ON SERVICE
ni
J
o GARBAGE
rnl'IN CITY
INSTALl. METER
READ METER
o
CHECK METER
o
o OUT CITY
-L No. OF UNIlS
OTHER
o
_ DEPOSIT AMOUNT
'.4 3/ 'I JA€.-~
wm; f If (p (/f z,.
_ AMOUNT LAST B1U-
_DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
Retain white form in office at all times.
Send pink & yellow forms to Water Service Depl
Water Service Dept. to sign yellow form & return to office.
NOTICE OF COMMENCE:MENT
STATE OF
FLORIDA
COUNfY OF PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statues, the following information is provided in
this Notice of Commencement:
1.
Description of Property: Parcel No. 03-26-21-0010-08100-0000
6308 Gall Blvd.. Zephvrhills. Florida
description of the property and street address if available)
(legal
2.
General Description of Improvement: Interior Remodel
3.
Owner Information: Name: Perfecta Ear. Inc.
Address: 571O-C Gall Blvd.
City ZeDhvrhills
Interest in Property: Owner
Name of Fee Simple Tittleholder:
If other than owner: Address:
City
State FI
Zip code .lJ5V J-
State
Zip Code
ca4
Contractor: R vman Construction of Florida. Inc.
Address: 36413 S.R. 54 West, Zephyrhills, FL 33541
5.
Surety: Name N/A
Address
City
Amount of Bond: $
State
Zip Code
6.
Lender: Name N/ A
Address
City
State
Zip Code
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
N/A
State
Zip Code
8. In addition to himself, Owner designates: N/ A
of to receive a copy of the Lienor's Notice as
provided in section 713.13(1) (b), Florida Statutes.
N=
eg=
eg=
.....=
eg;;;:;;;;;;;;;;
ClD=
eg=
eg==
~-
ep-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
eg CI:::a
UI cnn
........"
~eg~
......(g~
~eg~
.....
ClD
W
~
::a
Hili
~n
ceg~
'tJ. eg
...eg.
IC: eg eg
n eg
-
It
'"
~
eg~
o Ulm
::a ...... CI
OJ ~"'U
~......H
eg~
~......;
--eg:D
.a::.~.Z
U)N"'U
~:D
~3cn
o
o
"'U~o
a 0
c:
~z
of' :c!
OD'""p
m~
~
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the
date of recording unless a different date is specified.)
N/A
Signature ofOwner:~ ~ Printed Name .:;7", L r A ~ Rc T ~ Y
Sworn to and SubSCri~---;;t~ ~ ,2007.
Notary Public: . . f-t
---
My Commission Expires:
oW .
o ~t"'1. ..-../ ones
~ ': Bobbie J Knight
~~- 'i My Commission DD416222
0;,,0 Expires 03/31/2008
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6692
6692
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv, Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5,296.00
5/08/2007
3,129.89
3,129.89
5/08/2007 Phone:
ADD L.F. PARTITION,FLUORESCENT LIGHT, 8 RECEPTLES
Address: 6308 GALL BLVD
ZEPHYRHILLS. FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-08100-0000
Name: P FECTA AR
Address: 5710-C GALL BLVD
ZEPHYRHILLS, FL. 33542
MARTIN ELECTRIC
WATER METER RES 3/4"
TRAFFIC IMPACT FEE 99%
180.00 FIRE PLAN REVIEW FEES
1,718.32 TRAFFIC IMPACT FEE 1%
~~'na-L2(~
5-1'7-0 7
f~
lz ~ .c;ncc( i U C(
~~ 2/-01
IS I
FOOTER BOND 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 th.is 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.
SIGNATURE ~ ~~.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
/
.,.If~
'.?-.