HomeMy WebLinkAbout07-6929
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6929
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:
6929
COMMERCIAL
NEW CONST/COMM
COMMERCIAL
Address: 6834/ 6836 M DICAL VIEW LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0290-00000-0020
296,946.00
Name: RYMAN CONSTRUCTION INC.
Address: 36413 SR 54 WEST
ZEPHYRHILLS, FL. 33542
3,448.93
3,448.93
10/29/2007 Phone:
COMMERCIAL OFFICE SLDG 5499 sa FT SHELL ONLY
MARTIN ELECTRIC
WILLIAMS DENNIS (INDIVIDUAL)
E
PLUMBING FEE
POLICE IMPACT FEE
PUBLIC SAFETY 5%
35.00 RADON
896.34 FIRE IMPACT FEE
92.93 FIRE PLAN REVIEW FEES
54.99
962.33
219.92
~f\~ ()~
s-,1/
FOOTER BOND DUCTS INSULATED MISC.
ROUGH ELECTRIC LINTEL MISC.
1 ST ROUGH PLUMB PRE-METER MISC.
DUCTS INSTALLED WATER DRIVEWAY
PRE-SLAB SHEATHING MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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."
R SIG TURE PERMIT OFFI
IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Ryman Const-683416836 Medical View Ln-Shell Only
SQ, FEET PRICE
MAIN OR LIVING: 5,499 $ 54.00
OTHER AREA UNDER ROOF: - $ 91.00
OTHER: - $ -
VALUATION $ 296.946.00
FEE SHEET $ 1.071.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 1.152.42
ELECTRICAL: $ 35.00
PLUMBING: $ 35.00
MECHANICAL: $ -
SUB-TOTAL $ 1.222.42
RADON: $ 54.99
TOTAL $ 1 ,277.41
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
Applicable @ Build Out
Applicable @ Build Out
Applicable @ Build Out
Applicable @ Build Out
WATER METER: I $
IRRIGATION METER $
I Applicable @ Build Out
Applicable @ Build Out
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 219.92
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ 219.92
PUBLIC SAFETY IMPACT FEES
POLICE $ 896.34
FIRE $ 962.33
5% $ 92.93
TOTAL: $ 1,951.60
SUB-TOTAL $
3,448.93 I
PARK IMPACT FEESI$
I Not Applicable
SIF'S: $ -
100.0% $ -
1.0% $ -
TOTAL: $ -
Not Applicable
Not Applicable
TI F 'S:I $
99% $
1% $
I Applicable @ Build Out
Applicable @ Build Out
Applicable @ Build Out
TOTAL: $
3,448.93 I
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-7111-711111
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CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
/ /- !(P.{J7
,
DATE
OWNER/ J
RENTER Ai( 1?1 ~/l
3~ 9-/ 8> sl 01 w
2epyr-It//(s {j-L 335<(7-
SERVICE ADDRESS r;, $3 '/ / t 83 b #ed~ tieu2. f;;z.
o W~R
~
(I /!M;S~ttci}y, 12
~ndz ~G-
,
MAIUNG
SHUT OFF SERVICE
TURN ON SERVICE
o SEWER
INSTALL METER
o GARBAGE
~CITY
READ METER
o
o
o
o
o OUT CITY
~ No. OF UNITS
CHECK METER
OTHER
3/4 I "2 w~<1eIC.~~
3f'l' .J.. jrY'J<'L/'Jr.. "",ek-
~Jf~ 692ft
~ w (cJd=t' ~ l<f6
ND 3~ ()v\.
WORK COMPLETED BY
& DATE COMPLETED
- DEPOSIT AMOUNT
- AMOUNT lAST BILL
_ DATE
- MISC. CHARGE
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept.
Water Service Depl. to sign yellow form & return to office.
11/19/2007 11:48
8137886773
RYMAN CONSTRUCTION
PAGE 02/02
/
PERMIT APPUCATION
DRIVEWAY PERMIT APPLICATION.
CONSTRUCTION WITHIN PUBLIC RIGHT-OFaoWAY
All information l!lU!t be filled-in completely
City of ZephyrhiJIs
5335 8th Street, Zephyrhllls, FL 33542
Telephone 813.780,0000 Fax 813.780.0005
Date of application: Processed By:
(gl'lV .... tor ,1I1l" use onlv)
DCopy to Bul/dlng Department
Permit #:
DCopy to Public WOrks
Address: c.. $ V: fl..) L-.'\.
UnIt #:
Parcel IdentIfication Number:
01-2<:.- .tl- 02. c). ~DOo _ 0 -z,c
Vo-f~:e
CONTRACTOR:
"I~,.
" 0:
E-Mail: ~"Of Ibe~ r fy.... "." ~'" r.frw "":{t...,. ''''''
Fax: '7 F1 ~ G7 ..,
ARCHITECT I ENGINEER:
Name;
Address:
State LIcense #:
Firm Name:
City;
Phone:
State:
Cell:
Zip:
Fax:
~escrlDtion of Project
I'
~ LENGTH OF DRJvEWAY
'~WIOTl1 OF DRIVEWAY
&Q..W. EXCAVATION
_DEPTH _UNEAR FEET
CURB CUT RE~IED
_YES NO
CULVERTS NEEDED
( ) ~eINFOR.Ceo CONCRETE
( ) CORRUGATED MATERIAL
( ) SOl< CULVERT
( ) OTHER (exPLAIN)
TYPE OF DRIVEWAY
~RESIDENTIAL DRIVEWAY
-K....COMMEItCIAL DRIVEWAY
_PU8UC ACCESS DRIVEwAY
CONSTRUCTION MATERIAL
_ASPHALT
~CONCRm:
HEADWALL REOUIRED? _YES _NO
NOTICE TO APPUCANT: If actual work exceeds scope of this desCription, additional permits or draWings
will be required. .
UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
11/19/2007 11:48 8137886773
RYMAN CONSTRUCTION
PAGE 01/02
.......
~;~
-
~~ ~ 01 ~~, 11'tC1
License # CBC12S0914
OF
FLORIDA
INC.
FAX COVER SHEET
A'ITN:
DATE: --1L/- ] f lD 7
FROM: ,6f4..A~~Il.J
COMPANY: Uj ;f~
tic4 ~ Goet-.
PAGES (INCLUDING COVERSREET):
..
FAX: 7 rc> - o-o.;y
RE:
PHONE:
COpy:
COMMENTS / INSTRUCTIONS: 0 URGENT
~.-=?~,*-~~q
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36413 SR 54 . Zephyrhills. Florida 33541-2275 . Telephone 8131782.0825 . Fax: 8131788-6773
PERMIT APPLICATION
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DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-Of-WAY
All information must be filled-in completely
City of Zephyrhills
5335 8th Street, Zephyrhills, FL 33542
Telephone 813,780.0000 Fax 813.780.0005
Date of application: f \-'1 -t) 1
py to Building Department
Processed By:
(gray area ror staff use only)
Permit #:
l!Ic:opy to Public Works
1-"1-07
Address: ~ S V: t u '-1'"1.
Unit #:
Parcel Identification Number:
Ol'-~(:,-~\- OA 0 -00000- oo2..-a
r vo4-r ((
'-f Unit: ..
Ft rr->1/
78 g - ftJ77S
CONTRACTOR:
ARCHITECT /ENGINEER:
Name:
Address:
State License #:
Firm Name:
City:
Phone:
State:
Cell:
Zip:
Fax:
DescriDtion of PrQiect
~ LENGTH OF DRN'eNAY
~WIDTH OF DRIV'eNAY
~ EXCAVATION
_DEPTH _UNEAR FEET
CURB CUT REOUIRED
_YES 4NO
CULVERTS NEEDED
( ) REINFORCED CONCRETE
( ) CORRUGATED MATERIAL
( ) BOX CULVERT
( ) OTHER (EXPLAIN)
TYPE OF DRIVEWAY
RESIDENTIAL DRIVEWAY
x: COMMEROAL DRIVEWAY
_PUBUC ACCESS DRIV'eNA Y
CONSTRUCTION MATERIAL
ASPHALT
X CONCRETE
HEADWALL REOUIRED? _YES _NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
. PERMIT APPLICATION
UTILmES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
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AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all
approved construction documents, and issuance of this permit is verification that I will notify the property owner of Florida Lien Law
req" F,S, 713,
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FOOT Design
Standards (if applicable). (Public Works Design Manual online link: www.ci.zephyrhills.f).us/public_works.asp)
APPUCATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBUC.
NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter /
interfere with existing stormwater treatment and / or conveyance,
PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure
U~~:~J a, :I~'ease inical) Q {{ /9/07
Applicant Print Nam~ Date f I
~ciJt //-P-tf7
Per Technician Sign (or) Notary Signature. Date
Applicant is~rSOnallY known to me or produced as identification,
(type of identification)
Page 2 of 3
PERMIT APPLICATION
OFFICE USE ONLY
PUBUC WORKS USE ONLY
Concrete (min. 6") y N
Asphalt Base (min, 6") y N
Asphalt (min, 11/2") y N
Length (min, 19') y N
Width (10' min - 20' max) y N
..
Existing sidewalk, y N
New sidewalk, y N
ADA compliant. y N
Expansion material required. Y N
Contiguous parking pad, y N
Triangular flare (3'W x 7'L) y N
Visibility triangle o.k.? y N
Side set back (3' min. R.O.W.) Y N
Plan Review Fee
Additional descriDtion of work as defined bv Public Works Director and or desianee:
Permit application approved by:
Date:
Page 3 of 3
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PERMIT APpLICATION
OFFICE USE ONLY
PUBLIC WORKS USE ONLY
-
Concrete (min. 6") (y) N
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Asphalt Base (min, 6") y N)
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Asphalt (min. 1'/2") Y N )
Length (min. 19') y N
Width (la' min - 20' max) Y N
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Existing sidewalk. Y (N )
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New sidewalk. ( Y ) N
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ADA compliant. ( Y) N
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Visibility triangle o.k,? (Y ) N
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Side set back (3' min, R.Q,W.) ( Y ) N
Plan Review Fee
Additional description of work as defined by Public Works Director and or designee:
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Permit application approved by: '-... \.. I .At ,( x ..x.& I':X Date: \ l /l1: /117
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Page 3 of 3
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SCALE: 1" = 20'
JOB NUMBER
SHEET
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11111111111111111111111111111111111/111I111111111111111I1111
2007190!566
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 Statues, the following information is provided in
this Notice of Commencement:
1, Description of Property: Parcel No. 02-26-21-0290-00000-0020
6834/6836 Medical View Lane. Zephyrhills. Florida
Lot I DRPC III. accordiruz to map or plat thereof as recorded in Plat Book 53. Pages 24 & 25. public records of Pasco COWItv. Fl.
2. General Description ofImprovement: New Professional Building: ( Shell Only)
3.
Rcpl: 1143259 Rec: 10.00
DS: 0.00 IT: 0.00
11/19/07 --________ Dpty Clerk
Owner Information: Name: Kevin Rvman
Address: 36413 S.R. 54. Zephyrhills. Florida 33541
City State
Interest in Property:
Name of Fee Simple Tittleholder:
If other than owner: Address:
City
Zip code
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Zip Code
Contractor:
Address:
Ryman Construction of Florida. Inc. (813-782-0825)
36413 S.R. 54. Zephvrhills. FL 33541
5.
Surety: Name
Address
City
N/A
State
Zip Code
Amt. of Bond: $
6.
Lender: Name
Address
City
N/A
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 N/A
Address
City 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,
Expiration date of Notice of Commencement (the expiration date is one (1) year from the
date of recording unless a different date is specified.)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE
EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING ~~ NOTICE OF COMMENCEMENT.
Signature ofOwner:~q _ Printed Name~ "i~1 ""'......
Sworn to an~s scribd befor~ehi 1 tho Day of November, 2007.
Notary Publi _ _ ------"~~ ~ My Commission Expires: N.
Slale of "'/orid
,; Bobbie J Knight a
.~ 0; tcO~O ':'Y Commission DD416222
---- _, t:~elres 03/31/2008
Building Oepartment
Dale Received
FL If/'f(
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Tllleholder Name
Fee Simple Titleholder Address I
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PROPOSED USE D SFR ~
TYPE OF CONSTRUCTION !Xl BLOCK D
DESCRIPTION OF WORK I S ke" \ \ f)" ~V
BUILDING SIZE I ~Q FOOTAGE I S<-f q 3" <.:. HEIGHT I
TII'IIIIIIIIIIII'II'IIIIIIIII'I'IIIIIIIIIIII'IIIII'III'11'11"111111'111'1111111111'111111111111'1111111111111111111111111111111111111111111111111
JOB ADDRESS
lOT #
SUBDIVISION
PARCELlD# I 0 l-}.fo ' :<> I ~ D) 90 {} 0('>(,)0. ,)0 L 0
(OBTAINED FROM PROPERTY TAX NOnCE)
SIGN D MOVE 0
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
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D
DEMOLISH
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D
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D BUILDING
D ELECTRICAL
D PLUMBING
D MECHANICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
J:Kl
PROGRESS ENERGY
D
W.R.E.C.
Address
COMPANY
REGISTERED
~n rll'S L0\ I \ lZ\\6Y-'l
I Y / N I FEE CURRENT
License # I
Y/N
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Fences (Plot/Survey/Footage)
Driveways-Nol over Counter if on public roadways..needs ROW
JV
~ ~~\\~~ ~~
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 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 for a period of six (6) months after the time the wor~ 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 ATTORNEY BEFORE RECORDING YOUR N TICE OF C_QMMENCEMENT.
FLORIDA JURAT (F.S. 117 3
OWNER OR AGENT
Subscribed and sworn to
,., ..:.'l by
Who-1slare personall
CONTRACTOR
SUb~rlbed and swo'l' to (OJ afflnn before me this .:s ~
. ~ by POOl
Wh iS/a't personally known ~o me or haslhave produced
- as Identification.
jY/ U '/~ Notary Public
. yncn."'I" en"1
CommIssion No. ^r"" M8fiEl L !l~11
~''''--'''
.. '\1\4 2008
Name of Notary type, 01/ -J ~t18
h//';?4'/ ~~ Notary PlJblic
Commission No.
Name of Notary typed. printed
Anna MarIe Lynch-Terry
Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE US~B IJ;~
Occupancy No.: ~
Pla~ No.: ~ rht~7~07~~~ Billing Address:
Business Name: .t (/~ _ _ ----./~ /
BusinessAddress: . ~~
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES
~Jti (~~~;~:nplans ;4CSf
,) 7 I P RevIsion 06 sf
STANDPIPE SYSTEM
o Per Riser $25
SPRINKLER SYSTEMS
o 0 - 25 Heads $30
D 26 plus Heads $60
FIRE PUMP
D Per Pump $100
FIRE ALARM SYSTEM
D 0 - 25 Devices $30
lJ 26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
~
:?'/~ ~~~
INSPECTION FEES PERMIT FEE
n 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 SPRINKLER SYSTEMS
r, Hydro Undergrounds $45 0 Automatic $15
Hydrostatic System $45
H Wet Acceptance $30
H Dry Acceptance $45
W Hydrant Flow $25
I I Hood / Booth $30
Ii Grease Duct $15 FIRE PUMP
LJ
D Fire Pump $15
FIRE ALARM SYSTEM FIRE ALARM SYSTEM
B System Acceptance $50 D Detection $15
Recall Acceptance $50
OTHER OTHER
Fire Wall/Smoke Wall $15 WPG" $45
LP Gas $25 Natural Gas $45
Natural Gas $25 Fire Works $25
Fuel Tanks $25 Fuel Tanks $45
Tent $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"
GREASENENTILATION
D Hood/Ducts $35
PLANS TOTAL (}:jjJ?J=- INSPECTION TOTAt.c=J
Comments:
GREASENENTILATION
[l Hood/Ducts $15
D Kitchen Suppression $15
FALSE ALARM I
PERMIT TOTAL! TOTAL.
GRAND TOTAL
:21~. 721
~ ~/r?'l
~rYL-/ 6:r/Vl-/l--rA-
f I
Date:
Inspector:
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Q'i \'"Y) ll- \-l Q. crtY~-\- '
Date Received:
,
,
~-3007
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(c.g3~.... (r\.edlCaJL \J \,~ LaYl.42
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Site:
Permit Type:
Approved wino commentsJ8t Approved withe below comments: 0 Denied withe below comments: 0
t with the pennit and/or plans.
r/-~
Date Contractor and/or Homeowner
(Required when comments are present)
Jul 30 07 04:31p
JUL/JU/lUUII.U~ UI:j~ ra lernJKnl~ ~ILU1NU
fA! "D. Ulj-l~U-UUll
p,1
r, UUIIUUI
City of Zephyrhills - Building Dept '
Phone: (813)-780-0020
FAX: (813}-780-0021
1.._,
FAX#:
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IcmIII+i.ZfDhvrhills fl.us
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MESSAGE: H~ your day is gomg ~T,. We biwc a project whi~ ~ DIled an
a.cldIas fOr. Listod below, is the .iafom18tion .-nft"""'"',"'i it. . If you have ~ questions,
please contact me. "IbImk you.
Parcel: ' 'Q2-~21-0290-00000-OO20
Type: 0 Reddeati81 x Coiaaerdal 0 Other
Lot Number: Lot 2
Stmlt FaciDg: Medical View Lane . .
THANK YOUlI!
'~~~~
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