HomeMy WebLinkAbout07-6413
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6413
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:
6413
FIRE PROTECTION
FIRE ALARM SYSTEM
COMMERCIAL
Address: 37411 EILAN BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-05300-0000
61,000.00
Name: GaL E L SERVICE
125.00 Address: 2424 CURLEW RD
125.00 PALM HARBOUR, FL 34683
2/22/2007 Phone: 727 781-5885
FIRE ALARM SYSTEM WITH OFF-SITE MONITORING
FIRE PERMIT FEES
15.00
~ nol.cz f)
\2.f2d07
~
FIRE DEPT. FINAL
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.
, ~~
OR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED .
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6413
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:
6413
FIRE PROTECTION
FIRE ALARM SYSTEM
COMMERCIAL
Address: 37411 EILAND BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-05300-0000
61,000.00
Name: GOLDEN HEALTH SERVICES INC
125.00 Address: 2424 CURLEW RD
PALM HARBOUR, FL 34683
Phone: 727781-5885
FIRE ALARM SYSTEM WITH OFF-SITE MONITORING
FIRE PERMIT FEES
15.00
~c- LD~ \\ .t:x-In:; cOt'~ ~.
I~C~ ~~c
--C{) inC\uctllc:.), - 3(.. ~
U0JJJl. ~') ~
FIRE DEPT. FINAL
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.
~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Dato Received
Owner's Name
I
I
I
a'-vb. I LOT # I I
PARCELlD#1 0'3- z.~ - 21- O()IO -05 500-00~
(OBTAINED FROM PROPERTY TAX NOTICE)
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Address
Fee Simple Titleholder Name I
JOB ADDRESS
Fee Simple Titleholder Address I
1374J )
I
E1.LA-~~
I
B
o
D
DESCRIPTION OF WORK b:1V STPrL.L r I e.E:-
II
BUILDING SIZE SQ FOOTAGE
~'IM.'1Il!lI!IIl!Kll!!l!l!:l!l!Illl!l!I!IlIlI:~~___III_i1~ ......__ --~=~-"""_~I:I'!IIB!'I!I!II!ilIIiIi--_IlII!IIII'______
SUBDIVISION
WORK PROPOSED
~
D
D
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/AL T
REPAIR
COMM
FRAME
D
D
D
OTHER
STEEL
I
o
SIGN
D
MOVE 0
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
I
I
0':'':' ~ In:. I
(kLJN.7tI/lJw~
ALJ'r.zM S'"'S~
I HEIGHT I
VJ,n+
D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C.
D PLUMBING 1$ I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION f$~ IJ 000. ~
0 GAS D ROOFING D SPECIALTY [J2(' OTHER F,12.f:. ALA-Il.,^,.
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO
"\ crl\
--
~~
BUILDER
SIGNATURE
COMPANY
REGISTERED
FEE CURRENT
Address
ELECTRICIAN I
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
I
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
MECHANICAL I
SIGNATURE .
Add_s ~
~,:i.~RE .... .. ..,.. :.... s:::: :rn':.":.: Y N "" cu"", '-I
Address 115 c) 'N I L5tllltC. @LV)). C45Sft.B~'t R-License # - 1=000 l 07
ll'!illffiGun:r~~~m~;J;I~n~~:R\.'\:MIIJ.l.uMlllll~"0IIiIl!IIl0'lUlllBlEl!llllllDm!IMKI=--llRa~~99i11111i1!1.1lmiRlltll!!lllllllillr.llll~lllF~oM~~.mrG:l_.~9D1!1lfi1i1!1L!!
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date_ Required onsile, 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 onslte, 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.
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
COMMERCIAL
SIGN PERMIT
ifti1i!1HFiHiIlHf:_mrrJ,'F.fII!RlIH'DIIiRlMI'FJlnU~gRiHMIRlW;I:m!ifiIiAl&1l!Fl!illiM~!J!~~Mi!1IP.rd!1i1l1i1U~lmH~~!il(~_I!II!liIimi~~II!III,~ll/lU!~M!IIiiiilimR8I~~II!ii~Ufilll'-l~~[~.~
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 Attomey (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 (PloVSurveylFootage)
. .~
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 pelTflitting 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 builClings: or e.xpansion. 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 J~een provided with a copy of .the "Florida Construction . Lien Law-Homeowner's
Protectiotl 'Guide" prepared by the Ftorida Department ot Agriculture arid Gonsume(j~.ffairs. .lfthe 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, WaterlWastewater Treatment.
Southwest Florida Water Management I;).i~ttipt-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. .
Army Corps o(Eng.ine'ers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US EnvirQnmental 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 (or a period of six (6) months after the time the work is commenced. An extension
may ~e teque~t~, in writing, from tile Buildlng Official for a period not. to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
. '
WARNING Tbow~5R: 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 A TIORNEY BEFORE RECORDING YOUR F 0 NCEMENT.
FLORIDA JURAT (F.S.117.03)
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.
CONTRACTOR
Subscribed a~.. m to~ affinne~) befoR! me this . ~;:>-,--
~.CV7\ ?u by h, II, pH - Lure S-
o is/are personally known to me or haslhave produced
as Identification.
Notary Public
C> ~)~
r.:.-e- a.....t.~ ry Pu ic
Comm;"~" No. NOL\l'l.... - . - .-
. ~ ELAINE DIETZ
IiWH!iI9N ff 002427.
Name of Notary typed, printed IRIS: SEP. 3D, 2007
.. lid T11n A.t.l.az.t\I: P.oo diJii Co.. !All.
Commission No.
Name of Notary typed, printed or stamped
LIMITED POWER OF ATTORNEY
Date: 01/22/07
I hereby name and appoint Steve Musante attorney in fact to act for me and
apply and pick-up permits in the jurisdiction of the City of Zephyrhills . This person is an
employee of Alert Security Inc. dba Signature Systems of Florida.
EF-0001077
Westwinds ALF
374711 Eiland Blvd. Zephvrhills. FL
Project Name(s) and Address
03-26-21-0010-05300-000
Parcel ID#
Acknowledged before me this
22th
Day of
January
A.D. 2007
By Phillip A. Lutes
ID
Personallv Known
Presented Identification
Notary Public, State of Florida
CC-ea~--7L~ tD~ (Seal)
Signature ~ )
--
NOr C UC-Sl'"m (J'F nDlmA
My commission Expires: ~ EWNE DIETl
co"ru.JSSIO.\' '" DD2427.
D:Pr.RES: ~':n 3D, 2007
lto.adad Thn .t.:.:.....x, ~lini eo.. IJI,.
Fire Chief Robert Hartwig
IIeuc/ W"J,-
,.
....-
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
Occupancy No.:
Plan No.: ~-~
Business Name: / /V/} ~- .
BusinessAddress: - .;;; II &/tf[ #4LJ
Business Phone No.:
Business Fax No.:
Contact:
FIRE SERVICE u~gs lie . . v. .
Billing Address:~~tl~~~k7d7
(o7-t,9t1.~o
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
B Sit, PI" N/C Annual N/C
..
Building Plans .04 sf 1st Re-inspection $25
RevIsion .06 sf 2nd Re-inspection $50
3rd Re-inspection $125
STANDPIPE SYSTEM 4th Re-inspection $250
[J Per Riser $25 5th Re-Inspection $500
Construction $15
Commercial $25
SPRINKLER SYSTEMS
[I 0 - 25 Heads $30
C 26 plus Heads $60
FIRE PUMP
o Per Pump $100
FIRE ALARM SYSTEM
fo - 25 Devices $30
:26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
GREASENENTILATlON
o HoodlDucts $35
~
PILANS TOTAL ~
Comments:
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
System Acceptance $50
Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall $15
LP Gas $25
Natural Gas $25
Fuel Tanks $25
Tent $15
--.h~
INSPECTION TOTALl5E]
GRAND TOTAL
Billing Phone No.:
Billing Fax No.:
Contact:
SPRINKLER SYSTEMS
o Automatic $15
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"
FIRE PUMP
o Fire Pump $15
00' FIRE ALARM SYSTEM
r Detection $15
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
$25
$45
GREASENENTILATION
B Hood/Ducts $15
Kitchen Suppression $15 'OU
PERMIT TOTALq.5j
I /;LfDl
{
FALSE ALARM r
TOTAL
Date:
Inspector:
~
Jan. 10. 2007 5:06PM
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CORE Canst ruet ion - Sarasota Off
No. 8944 f'. 1
peRMIT NUMBER.:
..-........-...___ ,'-'J._.....______ __...'__",~"",_"."
1111m IglllllllUllllWllIIl1 JlllIl/IllllIIl Hili 11111111
2006025206
TAX FOUO NUMBeR;
NonceoFcoMMENCEMENX
........"... \. ,,-- ........ -....--.-. ....--.-.......--... ._,.. .--......., ..-
STATE OF FLORIDA
COUNTY OF _PASCO
~c:pt: 967361 Rea: 10.00
OS: 0.00 IT' 0 00
02/07/06 . .
" . h. .._.. Dpty Cleric
THE UNDeRSIGNeD hereby give$ no&e that improvement will be made to certain real property, and
in accor~Elnce with Chapter 713. AorJda Stafute$ the foDowirlg information 1$ provJded In this Notice of
Commeooemef'lt
Oescrlptlon of property: PARCEL Q3.26-21..oo1 0-05300..0000
Address I>f property; EILAND Sl.VO.
,,'..'-,..........'...--...........-..-...............
JeE2DJ PITll'f'l~.t PASCO COUNTy'-CLUK
07/06 w:44~m 1 Of 1
OR Bt( 6831 PG 484
General desaiptfon cf 101p~vements: NEN ASSISTED LMNG FACIU1Y
OWner Information:
Name and Address; SUSAN O'KEEFE 2424 CURLEW ROAD, PALM HARBOR, FL ~
.~::
Interest in property:
FlM Simple OWner.
Name and address of fee simple tiUeholder (if o1her tMn Owner): Owner.
Contractor name and address: COR!; CONST'R.UCTlON 3307 CLARK ROAD, SARASOTA, FI.. 34231
Contracklr's Phone Number. 941-552-0240
&nty (Name and address): - NOT AP?UCASLE-
Phone Number -
Amount of Bond: None.
Lender. Name and addre$$: - NOT APPLICABLE -
Lender's Phone Number:- NOT APPUCABLE ~
A. Persons withln the State of Rorlda desigmm:d by Owner upon whom notices or other documents
may be served l!lS provided by Section 713.13(1)(a)(7}, Florida Statutes:
.
B. Phone Numbers ofdesigha~ persons: 727-781-5885
11. A. In addition to hlrmclf. Owner designates DEN"IIS O'KEEFE
to receive a copy of'the Uenor'$ Notice as- provided in Section 713.13( a){b), Florida Statutes.
B. Phone Number of person or entity designated by owner: 727-781-5885
12.
expiration date of Notice of Commencement
recording, unless :a d"Jfferent date is specified)
(one year from the date of
('4~~t '-P/;! /fdo Re
SUSan . O'Keefe t I I I
SWORN TO AND SUBSCRIBED before me by Susan K. otK&efe, who Is personally known to me or
Wflo produced a Florida Driver's Ucense as idemmccmon, thIs \'l;!:: day o~ 2006.
~~l i ~\.ti~~
Notary. blic
NOTARY PlIBUC-8TAT8 OF FLORI~Y commission expires: ~<J"\ ~)~\ ~\~
~ KeUi J. Suiters .
~CommIssfon -IJ DDSI0446
:a-~ J;p::~ JAN. 24, 2010
1k1nding Cq., me.