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HomeMy WebLinkAbout08-7511 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7511 Permit umber: 7511 Permit Type: COMMERCIAL Class of Work: SITE WORK Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 200,000.00 Date Issued: 2/18/2008 Total Fees: 250.00 Amount Paid: 250.00 Date Paid: 2/18/2008 Work Desc: SITE WORK - ZEPHYR PLACE Address: 6834 GALL BLVD BLDG A ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): .Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0010-02400-0010 Name: ZEPHYR PLACE LLC Address: 1135 S. PASADENA AVE STE 327 S. PASADENA, FL 33707 Phone: 727 504-0256 iY /()B 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 i vements to y r property. If you intend to obtain financing, consult with your lender or an attorney befo recording ou n of commencement." leT PERMIT OFF I IN 6 MONTHS WITHOUT APPROVED INSPECTION INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 I/;;S~ ~.._.__/ Owner's Address Fee Simple Titleholder Namel I I Fee Simple Titleholder Address I I :l83~&<tl~lJci(jPfh'lr:n~!\.2 K- 31~ J LOT' I I . _ PARCELlD#I02-..2(,"'J.J-W1Q-Q;l.l/W-~oro I (OBTAINED FROM PROPERTY TAX NOTICE) ~ ADD/ALT D SIGN D MOVE D D REPAIR o COMM D o FRAME D W ()--( K.' Owner Phone Number Date Received o '1 'Owner ~Number m( ;)..,~ Owner Phone Number I Owner's Name JOB ADDRESS SUBDIVISION WORK PROPOSED B PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I S ~\-G BUILDING SIZE I I SQ FOOTAGE I HEIGHT I 111111111"'1111'1111111'1111"1111"'111111"'1111111"11111'1111111111"'111111111111111'11111111111111111I'IIIIIIIII"II"IIIIII"IIIIIIII'IITT NEW CONSTR INSTALL SFR BLOCK DEMOLISH OTHER STEEL I D OTHER I D 1$ I ;;7. (50 I \500 . D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING 0 SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111II111111111111111111111111111111111I11111111I1111I1111111111111111111111111111111111111 :~~~~RE ~~:~,::::~ 5?&'~f"~,~JloL-H7'.r~ Address FLJ3S'lf ( License # C ~ AMP SERVICE o PROGRESS ENERGY D WR.E.C, BUILDING VALUATION OF TOTAL CONSTRUCTION VALUATION OF MECHANICAL INSTALLATION FEE CURRENT License # Y/N FEE CURRENT License # Y/ N FEE CURRENT License # Y/N FEE CURRENT ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE Address I OTHER I SIGNATURE I COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMMERCIAL SIGN PERMIT Di~~~ii~~~': ' , . . . , , , . . , , , . , , , , , , , , , . , , , . , , , , . . , , , , , , , , . . , . . . . , , . . , , , , . . , . , . . , . , . . . . . , , , . , , . , . . , , , , . . , , , , . . . , . . . , , , , , , , , , . . , , . . , , , , , , , , , , , , , . . , , , , . , 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 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 "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 properti~s, the.ow.ner 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 Installatrons not speCIfically 1n~luded. In the appllcatron. A permit issued shall be construed to be a license to proceed 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. Eve'!' ~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 th~ work is commenced: An extension may be requested, in writing, from the Building Official for a period not t~ exceed n1n~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 LENDER OR AN ATTORNEY BEFORE RECORDING Y UR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRA Subscribed a OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or haslhave produced as identification. Notary Public Notary Public Co Commission No. Name of Notary typed, printed or stamped Feb 18708 02;47p Southern Site Works '~g -~3 ~~ 1._- !.~'-. 813-788-6156 p.2 ~ g -'63 . . -. - ", - .: ", " . '_:~'" .-." ~~;-. ..~'-~'L___:t:c"........._-......_~..;..-.......-~,._..: ....:..;..~ ...'-_...........:..:..... _........'-'. . ~...o:.". ':.......... .~_.,~--.. . .---. _.._'-..o.o...:........~.'-.~;__'.-::-_:-:_ ;~5~1~.:;f, '.::,..~i.:;~~~$;;;~:.~,:~:~:f:.;:~~~,~~ <.:~~:~~j:,.i~4~.?~~~{~h ',~"'~.!..',':'..r.;',;.I,,I.:.:.-~, ..::,..;.::.J.,....".:.;....".,.;..t:i.:~.~~~~ ~ ~.. . __ ~r _ r _ '. ..."'~." .~ ~.~ 1~~~::./':;(~~~tWq,,{~~;' !:':~~J(l(~J,1 . .~... '" ':'..- ~,~, l" .. ".:, ","':.. . :~ __... :;",'''' .':',." '~,.::.::;;,.;:...1; >::;:..~~!:~/;~~,G;,:'!::;;:.:;~!~;c: ....".,,,. ...''1:'}\;''.~i.~,.'... '~oi<I,., ..'iol~'-"::)~'~--""-' '''i::~ tlRlR' "cmvmNOR-- DTSP1:AYIJiI'-A"'CON5PlcuaUs PLACe' ......~~~.~~.7--:-.:. 1/lii/'--"~' '.~'.i_~ "--', _.... 1.0'. 'SECmAKY~~.i:P~. T - ~ ..:' ...,...~ 't..--. 'C Irg~ ~'\3 ~ IS (15 \ /j g7 ~D . (50 ~ (0 ~t PASCO CO'lTNTY BLTSINESS T.AX RECEIPT 2007-08 Issued pursuant and subJect 10 Florida Statutes and Pasco County Ordinances. Issuance does not certify compliance with zoning or other laws, This receipt must be posted c::msplCuousl~' in place of business_ Expires September 30. ACCOUNT NO: SIC CODE: 011 092 1623 Mike Olson TAX COLLECTO~ PASCO COUNTY FLORIDA TYPE OF BUSINESS: EXCAVATING & UNDERGROUND UTILITY CONTR SOUTHERN SITENDRKS INC 4639 BDUGH RD ZEPHYRHIlLS FL 33541-4609 LOCATION ADDRESS: 4639 BOUGH RD ZEPHYRHILlS DATE RECEIPT AMOUNT 1..1I1II1I..I.llIl..I.IIII. 1111.11., 1111I1.111I.1 1 .1.1'11.11.1 09/27/(]7 535843 65.00 fl-.~Eeb'1B-D8 02:47p Southern Site Works - 0 -.Fee '1 p.~ i.: . 813-788-6156 p,3 - .:-;-F:e15- ACORD... CERTIFICATE OF LIABILITV'INSURANCE CSR SF I OA'tE rNMIOO/YNVYI.. . SOUSI-l 0"5130jD7 PRODUCER , ~- , THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION_ . .Wallace Welch &; Willingham Inc ; 'p~' .ONlYANDCONFERS NO RIGHTS UPON THE CERTIFICATE -~ 300 "First Avenue South, 5th Fl ' - HOLDER, 'THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 33020 . - ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, St. Petersburg FL 33733 Phone: 727-522-7777 Fax:727-52~-2902 INSURERS AFFORDING COVERAGE NAIC# - , ..-_._..~... ,. ,- INSURED INSURER A: Bitum:inous 02075 INSURER B: Federal Insurance Company 20281 -, Southern Site Works Inc INSURER C: ..-. 4639 Bouyh Rd INSURER D: Zephryhi Is FL 33541 INSURER E: $1,000,000 OS/25/08 $100, oq,~ MED EXP IAny cn9 person) ,$ 5/_.000 PERSONA~ & AOV INJURY I $ 1 , 000.,000 .G.!~RALAGGREG"TE , $ 2,000,000 PRl?DUCTS - COI/P/OP AGG i $2 , 000 , 0 Q~ Em Ben. ! 1 000,000 COVERAGES THE FOLlCIES OF INSURANCE LISTED eELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR n-,E POLICY PERIOD INDICATED. NOTWITHSTANOII\G ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAT: MAY BE ISSUED OR MAY PERTAIN, THE INSIJRANCE AFFORDED BY THE POL~CIES DESCRIB:C HEREIN IS SUa:ECT TO ALL THE TERMS, EXClUSIONS AND CONDITIONS OF Sl:CH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POUCY NUMBER GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILI1Y CLP3242326 CLAIMS MADE X OCCUR X Contr Blk t Addl I POLICY Loe A X ANY A"TO CAl?3513128 ALL OWNED AUTOS SCHEDUlED AUTOS HIRED AUTOS NON-OWNED AUlDS GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY A X OCCUR C CLAIMS MADE CUP25752,8 DEDUCTIBLE .X RETENTION $10,000 OS/25/07 OS/25/07 COMBINEO SINGLE LIMIT OS/25/08 (El; accidento BODIL Y INJURY (Per person J BODIL Y INJURY (Per acclden:; PROPERTY DAMI\GE (Per accidenl; AUTO ONLY - EA ACC ICENT ,$ EAACC ; $ OTHER T~AN AUTO ONLY: OS/25/07 EACH OCCURRENCE OS/25/08 AGGREGATE WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY / A ANYPRCPRIETORtPARTNERlEXECUTIVE WC3513127 OS/25/07 OS/25 08 OFFICERlME....BER EXClUDED? U~~~r~R~.)l~m~S telow i OTHER B ! Equipm.ent F~oater 06639832 OS/25/07 OS/25/08 ! Leased/Rented DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ITQ8-'LlIMITS i ER E,L, EACH ACCIDENT E.L. DISEASE. Ell EMPLOYEE. E.L. DISEASE - POLICY LIMIT Per item Deduct CERTIFICATE HOLDER CANCELLATION LIMITS ~~_l, 000,000. ____ '$ i 1$ $ AGG, $ : $l,OOO,-O.o~ _ l$l,OOO,Oqo .$ $ $ $ 1000000 $ 1000000 $1000000 $250,000 $2500 City of Zephryhills Licensing Division 5335 8th St Zephyrhills FL 33540 SHOULD ANY OF THE ABOVE DESCRIBED POl.ICIES BE CANCELLED BEFORE THE ElCPlRATIO DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER ItAMED TO THE ~EFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UP'ON THE INSURER, ITS AGENTS OR CITYZEP ACORD 25 (2001/08) lYE @ACORD CORPORATION 19S Feb"1B"08 04:08p Southern Site Works :,:"10:'02 --.... 813-788-6156 p.2 =. '~'::l3~0? ..OUTHERN 8tTE.ORKS ..-. ~ Complete Site Development , 4639 Bough Road. Zeph)'Thills FL 33541 . (800) 973-1178 . PH (813) 788-6087 ' FX (813) 788-6156 . February 18, 2008 City of Zephyrhills Building Department Attn: Karen Miller RE: Zephyr Place 6834 Gall Blvd Zephyrhills FL 33542 To \Vhom It May Concern: Please accept this as our authorization for Randy Hall of Design It - Build It to pick up the Site Preparation Permit for the above named Project. Any clarification or question maybe directed to me. -....-, ~/' State of Florida County of Pasco On this 18th day of February, 2008, before me appeared JC Northrop Jr_ known to me to be the Administrator for Southern Site Works, Inc., and that he executed the within and foregoing instrument for the use and purpose therein mentioned of behalf of Southern Site Works, Inc. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the date first written above. ...~~y.!!~~, sanJf~t!.! Crawford if!"J:r....r.-: Commission # 00344679 ~"J!.~~ Expires AugLlst e, 2008 ",1,ir.'~., ._r-~f;II. 11I_- 800-365-70\8 ~~~l'~Ll}fcJ) Notary Public WWW.SOVTHERNSITEWORK8.COM Feb 18 08 04:08p Southern Site Works ".1'._---..... :0::- !~_iC:;:::'. 813-788-6156 p.1 PH: 813788 6087 FX: 8137886156 jcnorttuop@sswll.com www.southemsileworks.com Southern Site Works Admin i strator 4639 Bough Road Zephyrhills FL 33541-4609 Fax Karen Miller - City of Zephyrhills From: JC Northrop Jr, Ta: Fax: 780-0021 Pages: 2 DIlle: 211812008 He: Authorization to Pick Up Permit "'~Zephyr Place . Comments: Please find our authorization for Randy Hall to pick up the permit for the above mention project. If we can assist further let us know. ~.:=-- ".~ " f. ( " ("=-Y' .....