HomeMy WebLinkAbout08-7229
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7229
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:
7229
COMMERCIAL
ADD/ALT COMMERCIAL
SINGLE FAMILY RESIDENTIAL
Address: 384305T AVE HIS ORIC
ZEPHYRHILLS, FL.
Township: Range:Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-001 0-16700-021 0
32,912.93
1/24/2008 Name: SAND M LLC
Address: 38430 5TH AVE - HISTORIC
~ ZEPHYRHILLS, FL. 33542
./ Phone:
NEW STOREFRONT FASCADE 38424,38426,38428,38430
rhYlJ ,D6
, 1;'-'00,6
F ME
ROUGH ELECTRIC INSULATION WALL
PRE-SLAB. MISC.
CONSTRUCTION POLE MISC.
LINTEL ELECTRICAL FINAL
PRE-METER BUILDING FINAL
SHEATHING SILT FENCE
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."
~
CONTRAC IGNAT RE PERMIT OFF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
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
Date Received.
1\-20-6
Owner's Name 5 ~ct, '(Y\ L.."-~
Owner's Address I {,.3. l.s ~t' ~- e.r- Dr.
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address I
138 'f~tl
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I PARCELlD#II(-..2k -:"t/ -~!>(O - fG? 700 -O.:J..t D
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
JOB ADDRESS
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
~ ADD/ALT
D REPAIR
D COMM
D FRAME
WORK PROPOSED
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I SQ FOOTAGE I
DESCRIPTION OF WORK
BUILDING SIZE
1$ .3/, q /,--13
1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS D
FINISHED FLOOR ELEVATIONS I
LOT #
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DEMOLISH
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OTHER
STEEL
OTHER I
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HEIGHT I
VALUATION OF TOTAL CONSTRUCTION
BUILDING
~ ELECTRICAL
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PROGRESS ENERGY
W.R.E.C,
VALUATION OF MECHANICAL INSTALLATION
License #
1111111111111I111111111111I1111I11111I11111111II1111111I111111I111111111I111I1111111111111111111I1I11111I11II111111111111111111I11
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 w/ 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.
D
I
SPECIALTY D
FLOOD ZONE AREA
ROOFING
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
OTHER
DYES
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W=c.oy..~c~ 4";;]~1-.J?~
I' 'm" N I FEE CURRENT I Y~ I
License # Ic..~ e I ;"c0915P I
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License # 1~C-/50DI3tf3 I
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Y / N
Y/N
FEE CURRENT
License #
Y/ N
Y/N
FEE CURRENT
License #
Y/N
Y/N
FEE CURRENT
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Fill out application completely.
Ownelf & 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 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 "<teed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliancES 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 ~hat a s.eparate perm~t may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons 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 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 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 Officia~ 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 INYOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORN ~ BEFORE RECORDING YOU OTICE OF COMME CEMENT.
FLORIDA JURAT (F.S. 11 3)
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Notary Public
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Notary Public
'(ijJj Anna Marie lvnch- Teny
Name of No P~~Q~~~3'
. V. or,..:; Expires April 04 2008
Commission No. L ,.;I Tl;n1
GJ;j,--" .
r .. . . MY CommIlSiOn 0030843'
Name of Not ~~!lf.e,flICIIII
Commission No.
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
ContractorlHomeowner:
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Date Received:
Site:
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Permit Type: ~~ S+U~~ ~
Approved wino comments: D Approved withe below comments: r Denied withe below comments: D
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NOTICE OF.COMMENCEMENT.
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2007190!567
. Permit No.
R~p~:11432!59 Rec: 10.00
DS: 0.00 IT: 0.00
11/19/07 __Dpty Clerk
Property Identificati~n No. II - 2' - 2'. 00 I 0 - , (, Job v 01.' 0
3. Owner Information I \ . . .
a) Name and address: $' d"'~ M Ltc.. . LOr. rd; J. '3.'S' F',......+j'.e,,-. 1>,.,) ~r~1I5IflJJj"'O
. b) Name and address offee simple titleholder (if other than owner)
R. cJ Interest in property . . ,.
4~Contractor Infolmation, . . . . . ..
a)NameandaddrelI:.Jk'IhCU'\ ~""S...,.,..U,"':O~I:r,,~. l'~HJ a ~'f . ~11''';1'.s ,P~
b) Telephone No.: <JUIJ- 7Bt. - oBz;..s- .. ... . Fax No. (Opt.){J!IJ"1'~", 7 '7 . .
5.Surety Information '. . .
. a) Name and address: F ID~; J $D"d f c. , 2.oW . .; S l.4.M 2Ao).
b) AzD.ountofBond: 2. -z..' /VI . L17.-J>]
c) Telephone No.: (407) 7fH." ""77 0 Fax No. (OjJt.) ? ,
6.Lender
a) Name and address:.
. . Phone No.
7. Identity of person within the State of Florida designated by own,er upon whom notices or otherdocumenis may be served:
a) Name and addiess:
. b) Telephone No.: Fax No. (Opt.)
. 8.In addition to hiinself, owner desigmrtesthe following person to receive a copy of the :4ienor'sNotice as provided in Section
713.13(l)(b), Florida Statutes:
a) Name and adch-ess:
b) Telephone No.: .FaxNo. (Opt.) _
9.Expiration date of Notice of Commencement (the expirationdate is one year frQI!J. the date of recording. unless a different date is
srecified): .
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WARNING TO OWNER: A.NYPAYMENTS MADE BY THE OWNERAFrER THE EXPmATION.OF THE NOTICE OF ~ ~
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDERCHAPTER 713, PART I, SECTION 713.13,. S~-<
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ~p
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST . ~
INSPEC~ION. IF YOU INTEND. TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE '"
COMMENCING WO~ OR RECORDING yOuR NOTICE OF COMMENUNT. . .
STATE OF ..".... BEVERLY A JONES ~ ' / r-It
COUNTY~ . CommissionDD6?1878 '" ~,1I h J ('7
~ . ~ Expires December 22, 2010 Signature of Owner or 0 orizcd Officc:rlDirc:ctorlPartnerlManagc:r
· lIonlIIill1NTn1tPIln~""''/Q1' D. C :<; _ '
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Print Name .'
The foregoing instrument was a6k:nowl~d.ged before me 1:l1fu ~ ~y of Nt" I.' r' 111/\ ; i' . 20...cl.. bY 13 5.' 13,' r\ ,
as (') W h e:..i' . (type of authority, e.g. officer, trustee, attorney
(name of party on -behalf of whom instrument was executed).
/ \ i . J
.( t ~V' ) u,.:J-/
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fu. fact) for .
T)'Pe of Identification Produced
Name (print)
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Personally Known L OR Produced Identification ~ .
. Notary Signature
Verification pursuant to Section .92.525. Florida Statu.ies. Under penalties of peIjury, I declare that I have read the foregomg and that
the factS stated in it are true to the best afmy knowledge and belief
Signature: of Natural Penon Signing Above
;::ORMSlNOC,tvad2007
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W, CLIFF McDUFFIE
Mayor
CITY COUNCIL
KENNETH V. COMPTON
Council President
CELIA M. GRAHAM
Vice President
CLYDE C. BRACKNELL
DANIEL W. BURGESS. JR,
LUIS M. LOPEZ
STEVEN E SPINA
City Manager
LINDA D. BOAN
City Clerk
JOSEPH A. PO BLICK
City Attorney
City of Zephyrhills
~~jD~7Q~
5335 Eighth Street . Zephyrhil/s, Florida 33542-431 2
(81 3) 780-0000 . FAX (81 3) 780-0005
NOTICE TO PROCEED
TO:
RYMAN CONSTRUCTION OF FLORIDA, INC.
36413 State Road 54 West
Zephyrhills, FL 33541-2275
FROM:
CITY OF ZEPHYRHILLS
DATE:
November 15,2007
PROJECT: C.D.B.G. #05DB-2Q-08-61-02-C06 - Storefront Renovations
Ryman Construction of Florida, Inc., herein called the Contractor, is authorized to
begin work on Monday, November 26,2007 at Dr. Bedi's Building, located at 38424,
38426 and 38430 Fifth Avenue.
All work will be done as specified in Contract C.D.B.G. #05DB-2Q-08-61-02-C06.
Work will proceed on this job within 10 days from the date of this notification as
provided in Section 0010 of said Contract, unless otherwise specified. Work on this
job is scheduled for completion no later than on February 26,2007.
Prior to beginning construction, all permits and licenses required by Local, State, and
Federal law shall be obtained by the Contractor, unless otherwise specified.
The method of assessing liquidated damages for noncompliance with the project of
said Contract is contained in Section 0010 of said Contract.
0!Llf!lp
~irector of Development
t\- 17-07
Date
/ I .- J '>"{,. 7
Date
('(~r.L to
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"._._--_-:._-,.__......;--_._---._~-:--.~-_._-,._--
NOTICE OF-COMMENCEMENT' 1111111111111111I1111I111I/111111111I11111111111111I11111111
2007190567
Permit No.
Rcpl:1143259 Rec: 10.00
DS: 0.00 IT: 0.00
11/19/07 ~_______~__Dpty Clerk
Property Identification No. II - :2(,. - 2' - 0010- It. 7 DO~' '02.' 0
3.0wner Information ()
a) Name and address: S ~ LL L " O. , .. ' 'J/S' F",...... +I'.e,r . >>,.
. b) Name and address of fee. simple titleholder (if other than owner)
R, c} Interest in property
. 4~ContraCtor Infozlnation . .
a) Name and addre~: (t nttu'\ (0" -l-
b) Tele~hone No.: ~ - 0 (,F
5.Surety Information '. . ."
. a) Name and address: F 10"'; J~ . .sw.~ JD"d f ( ~ C.' , 2.opJ
b) Amount of Bond: .. 3'2.J!f.1, .,~, .
c) Telephone No.: ('107) 7tH.... ,770
6.Lender
a) Name and address:
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WARNING TO OWNER: ANY'PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF ~ ::!i
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDERCHAPTER 713, PART I, SECTION 713.13, , (S....-<
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWlCE.FOR IMPROVEMENTS TO YOUR PROPERTY. ~p
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST , ~
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE ~
COMMENCING WO~ OR RECORD. ING YOUR NOTICE OF COMME NC(ZNT., ' . .
STATEOFS'"'''' BEVERLY A. JONES ~ ' /, ~ '
COUNTY ~ . : Con)mission DD 621878 .' '" ''Vr:J ' . It If': C7
~. . ~ Expires December, 22,2010 ' Signature or Owner or O~UthOrizcd OfficcrtDireetorlParmcrlManagcr
' , II IIoncIIlI TIlru T~ PaIn 1nIurInoI1IflHII.701. !3 <:' ::;, " . , ,
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Print Name ,
, . , Phone No.
7. Identityofperson within the State of Florida designated by owner upon whom notices or otherdocumenis may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
, 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and addi-ess:
b) Telephone No.: ,Fax No. (Opt.) ,
9.Expiration date of Notice ofCoIIlIIlencement (the expiration date is one year from the date of recording. unless a different date is
specified): .
ii1 fact) for
The foregoing instrument was acknowledged before me this ~ day of
as t:) 47 n ej'
Nf'\/'nnll/l' .20-LL'bi /3 5 /~,"d,
(type of authority, e.g. officer, trustee, attorney
(name of party on hehalfofwhom instrument was execut~d).
\ ) .
;-C )IF) ~
\~G_~,
Notary Signature
") .
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BI"H("'/Y Ii
Personally Known L OR Produced Identification--,....
T:ype ofIdentification Produced
Name (print)
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the factS stated in it are true to the best of my knowledge and belief
FORMSlNOC,rwd2007
Signature of Natural Person Signing Above