HomeMy WebLinkAbout07-6806
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6806
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:
6806
SIGN
FREE STANDING SIGN
CHURCH
Address: 38924 C AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0100-03300-0040
2,540.00
6/28/2007
102.50
102.50
6/28/2007
SIGN W/PAD & ELECTRIC
Name: ZEPHYRHILLS WESLEYNN CHURCH
Address: 38924 CAVE
ZEPHYRHILLS, FL. 33542
Phone:
~-
ELECTRICAL ROUGH
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. II
NO OCCUPANCY BEFORE C.O.
?--;(' c 1? f~-~
CONTRACTOR SIG ATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI-rV'OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS '7 ' ,.- \ ^ . DATE PERMIT r#! - I
11(}t)j I)~( /c/zl0-7 ~~O> .
THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job
. will be accepted.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-~INSPECTION
INSPECTOR), . < r >. "
1\ is unlawful for any Carpenler, Contractor, Builder, or olher persons. to
cover or cause to be covered, any part of the wor1<: with flooring, lath, earth
or other malerial, until the proper inspector has had ample time to approve
lhe inslallalion.
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
IJ>PJ~Y C
I
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
/7ue
7'it/-/~ j F/
/
I PARCELlD# I / r'-d b - j I ~ ~ J tJ,1- r!J.l-l tJ tJ - de; y t/
(OBTAINED FROM PROPERTY TAX NOTICE)
o ADD/ALT [El SIGN D MOVE D
D REPAIR
D COMM D
D FRAME D
!if @ /[J C~
n NEW CONSTR
D INSTALL
PROPOSED USE 0 SFR
TYPE OF CONSTRUCTION D BLOCK
DESCRIPTION OF WORK I s: " It 1-( L0 /11\ J I
BUILDING SIZE ,/ I SQ FOOTAGE I HEIGHT I
11111111' , ' 111II11111111I1 , 11111I ' 11II11 , 1111111III1111111 , . 111I1 , 11111111111111111111111111 , 11111 , . 111111I1111111 ' 1111 , II lid ',(j II , ' 11111111111 . I
o BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION ~S 7' tJ -=---
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
LOT #
DEMOLISH
OTHER
STEEL
I
D
OTHER I
0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C.
0 PLUMBING 1$ I tJO(?;V
0 MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION
0 GAS D ROOFING 0 SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
License #
1111111111111111111111111III1111111111111111I1111I111111I11111111111111111111111II11I11111111111I1I11111111111III111I111111II11111
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 on site, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All cornmercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
BUILDER
SIGNATURE
ELECTRICIAN
SIGNATURE
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
~"~-I'" /
Y I N I
License # ItR[/ O~'l~/9
r !~S-.r L/t' c-
FEE CURRENT I Y I N I
License # I l=L-0002--5?O
YI N
Y/N
FEE CURRENT
License #
YI N
Y/N
FEE CURRENT
License #
Y/ N
Y/N
FEE CURRENT
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 . 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) 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 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 permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not specifically in?luded. in the application. A
permit issued shall be construed to be a license to proce~d with the work a~d not as authorlo/ ~o vlolat:, 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 violat~o~s o~ any codes. Every ~ermit 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 time the work is commenced" An extension
may be requested, in writing, from the Building Official for a period not t~ exceed nin~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 LEND OR AN ATTORNEY BEFORE RECORDING YOUR NO ICE OF COMMENCEMENT.
FLORIDA JURAT (F,S. 17. 3) "\.. / ~ ~
~ . CONTRACTOR
~ scri d and by m ~1i~)~M$\
o i lare ~onaily known to me or haslhave produced
( ...J C as identification.
otary Public
'nted or sta d
i~ a\. Carolyn Zappulla
. ~ .: My Commission 00273751
~or,,',/ Expires Dec:ember09. 2007
d
. .: My Commission 00273751
~ 0' ,,',/ Expires December 08. 2007
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
,
COUNTY OF PASCO
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following infonnation is provided in this Notice of Commencement:
Description of Property: Parcel No. 14-26-21-0100-03300-0040
Street Address: 38924 C Ave. Zephyrhills, FL 33542
General description of Improvements Concrete pad for sign
11111111111111I111111I111111111111111111111111I1111111111111
2007109878
Owner Information:
Name Zephyrhills Wesleyan Church
Street 38924 C Ave.
City Zephyrhills, F:L 33542
Interest in Property: Owner
Rcpl : 1110330 Rec: 10. 00
DS: 0.00 IT. 0 00
06/27 /07 _~ Dpty Clerk
~E92~~~~M~:~aescolcO~NTl CLERK
OR BK 754! PG ~39
Name of Fee Simple Titleholder (If other than owner)
Do. ntractor: JOHN L. SMITH DmlA JOHN L. SMITH CONSTRUCTION
p- 4240 COATS RD.
ZEPHYRHILLS, FL. 33541
...
Surety:
NameN/A
Street
City
Amount of Bond
Lender: N/A
Name
Street
City
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT copy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE. WITNESS MY
H NO AND OFFICIAL SEAL THlsr~"'7 DAY OF
2r.zr:j
RCV,ITC
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
Street
City
In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
Expiration date of Notice of Commencement to be 1 year from date of recording unless a different date is
specified
c--....-.
SignatureofOwne;;-~ /4~~~
Sworn to and subscribed before me this '1 ~ . ) 5 DCv 'day of June 2007
I
Notary Public: D D fp 1 tfJ.. g ~
.....
My Commission Expires:
.4.3,dO(/
. GARYL.
......, PulIIIc . ..... Of ,......
. ~ _ COIlltI 11_--'''' 3. 2It1
. CIMrUlln . DO "... ~
.....................,... .
0;t;(5 :.Jf'.:l " .r--1J
l
ACORD CERTIFICA~ ~E OF LIABILITY INSURANCE I DATI! (MIIIODIYYVVI
71Il , 06/27/2007
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bauer & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
12210 US Highway 301 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Dade City, FL 33525
(352)567.3702 INSURERS AFFORDING COVERAGE NAIC tI
INSURED JOHN SMITH INSURER A: AUTO OWNERS INSURANCE
4240 COATS ROAD INSURER B:
ZEPHYRHILLS, FL 33541 INSURER C:
(813)782-0470 INSURER 0:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE liSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERUS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR DO' POLICY NUMBER POLICY EFfeCTIVE POLICY EXPIRATION LIMITS
~NERAL LIABILITY EACH OCCURRENCE $ 300 000
A X COMMERCiAl GENERAL lIABiliTY 20632794-07 05101/07 05101/2008 DAMAGE TO RENTED s N/A
f-- ~ CLAIMS MADE [K] OCCUR MED EXP IAnv one a.-son) S 5,000
f-- PERSONAL & ADV INJURY S 300,000
f-- GENERAl AGGREGATE S 600,000
~rAGGRFE liMIT APnS PER: PRODUCTS - COMPIOP AGG S 600,000
POLICY ~~,P.,: LDC FIRE DAMAGE $50,000
r-!!!TOM08ll.E LIABILITY COMBINED SINGLE lIMIT $
ANY ALrrO (Ea ac:ddenl)
I-
I-- All OWNED AUTOS BODILY INJURY
S
SCHEDULED AUTOS (Per person)
t--
I-- HIRED AUTOS BODilY INJURY
S
NON-oWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE S
(Per aa:idenl)
~E lIABILITY AUTO ONLY - EA ACCIDENT $
ANYALrrO OTHER THAN EA ACC S
AUTO ONLY: AGG S
5ESSlUMBRELLA LIABILITY EACH OCCURRENCE S
OCCUR [J CLAIMS MADE AGGREGATE $
$
==1 DEDUCTIBLE $
RETENTION S $
WORKERS COMPENSAnON AND I ~~r~#~ I IOJ~-
EMPLOYERS' LIABILITY E.l. EACH ACCIDENT
ANY PROPRIETORlPARTNERlEXECunVE S
OFFICERlMEMIIER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $
I g~~l~~ribe under !low E.L. DISEASE - POLICY LIMIT $
OTHeR
DESCRIPTION OF OPERATIONS IlOCAnONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
GENERAL CONTRACTOR
CERTIFICATE HOLDER
CANCELLATION
CITY OF ZEPHYRHILLS SLOG OEPT
5335 8TH ST.
ZEPHYRHILLS, FL 33540
SHOULD IUl'f OF THEABOI/E DESCRI8ED POLICIES BI! CANCI!LlI!D BI!FORE THE eXPIRATION
DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERnFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAlL
IMPOSE NO OBLIGATION OR LIABILITY OF IUl'f KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2001/08)
TOO~
"JNI 'JOSSV ~ H30Va
~~~O~ZSZS~ XVd ~~:TT LOOZILZ/90
lIlI
0
0
C'l
'-
.,.
...
'-
C'l
...
4: W
Q ~ I
~ I
0 Q \
...I Z i -
u.. ~
:e 0 \1
...
0 ~
a::
u..
..... '" II
D. ...
UlZ :e Q.
WQ w )( U) ill l< .
'S:!:C. .~ w (/) a
x w <(
>Ul w II: II: a::
~~~~~ .... a
... 1-0
8 s au t-
<(~ II:U
...I:Een..... en C'l o;i
~8a~~ 0 0 aZ t-
C'l r- zQ (/)z
ZitlZ~!.i '- .... ... (/)8
~a::",(JUl ID r- <(tJ
::> w",
i5iL~z~ffi ... I 0 w~ q Zz
'- 0 '"
C'l 0 r- ~~ M iiio
_u..a:: 0 u..D. M
a::oo~o:E ... -:I C'l <(0 Cl :)=
g!Z~uw8 ZU a:: ~ lD~
ill J: '" u.Cl
:::woi!.iitl > (/)t: t- ~ o~
Z (/)2; <{
o~~""lfffi i= w'" 0 'i: w~
w~_en_llI: 0 0 z~ U a::
(/) >- Q,.W
!.iD.!!!z~a:: w Z - Z 0 J: oU
.....w~8w~ u. II: (/)J: q Q. .
U. W W :)0 '" w 0'
UlQQ (J W 0 U. lD~ q N (/)-
I-~,
/
./
/
-"
Proposal
Date June 9, 2007
John L. Smith Construction, Inc.
4240 Coats Rd.
Zephyrhills, FL 33541
(813) 782-0470
CBC 059519
Proposal Submitted To
Work To Be Performed At
Name Zephyrhills Wesleyan Church
Street 38924 C Ave.
City Zephyrhills, FL 33542
Telephone # 715-0263
Street Same
City
Date of Plans 9-28-05
Architect J.M. Stewart Corp.
We hereby propose to :furnish all materials and labor for the completion of Footer, electric and erection of
lighted sign. Sign and engineered drawings for sign to be furnished by others.
All material is guaranteed to be as specified, and the above work to be completed in accordance with the
drawings and specs submitted for above work. All work and materials to meet local industry standards and
existing codes in effect at date of this proposal. The above work to be performed for the sum of
Twenty five hundred forty and 00/100 Dollars ( $ 2540.00 )
with payments to be made as follows: See attached sheet.
Any alterations or deviations from the above specifications involving extra costs, will be executed only upon
written orders, and will become an extra charge over and above the estimate. All agreements contingent upon
strikes, accidents or delays beyond our control. Owner to carry fire, wind and all other necessary insurance
required upon above work. Workers Compensation and Public Liability Insurance to be taken out by builder.
Cost of collection and attorney's fees in the event of any defimlt by the Owner and in the event that the Builder
must initiate any collection proceedings or must engage attorneys for any purpose whatsoever relating to this
agreement, including but not limited to seeking the enforcement of its terms and conditions, the Owner
acknowledges, agrees, confirms and warrants, that they are responsible for all costs and attorney's fees incwred
by the Builder, ~
Respectfully submitted ~ ~
Per John L. Smith Co~ction
This proposal may be withdrawn by us if not accepted within 10 days
Acceptance of Proposal
We, the undersigned have read this proposal and do agree to the terms and conditions as listed above and to any
attachments, if included. We authorize you to do the work as specified. Payment will be made as outlined in this
proposal. n 0
Date JUN e \ 0 -n-I ZOO/ AI) CUll pj tv: Al t". ~
[)~N\a.. '-Vi DA\}\D - ?A$ThR.
City of Zephyr bills
BUILDING PLAN REVIEW COMMENTS
Date Received:
. ,
,
~(n i. Sm/f'~ GM~c
(; -27-07
3 10 1 2- ~ C 14v'~
OlJ' j e tech--,' G 0 J{JIJc{
. Contractor/Homeowner:
Site:
Permit Type:
Approved w/rro comments:~ Approved withe below comments: D Denied withe below comments: 0
This comment heet shall be kept with the permit and/or plans.
Kal.
~7
Date
Contractor and/or Homeowner
(Required when comments are present)