HomeMy WebLinkAbout10-10398 , 1 .
CITY OF ZEPHYRHILLS
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5335 - 8T1-1 STREET
(813)780 -0020 -' ' 10398
BUILDING PERMIT 5 5- , /�
Permit Number: 10398 Address: 4 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD /ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 05700 -0257
Improv. Cost: 42,000.00 w7 " " „
: 7
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Date Issued: 4/26/2010 Name: CCDUSTRIES INC
Total Fees: 360.00 Address: 13010 US HIGHWAY 301
Amount Paid: 360.00 DADE CITY FL 33525 -5419
Date Paid: 4/26/2010 Phone: (352)567 -9494
Work Desc: POUR CONCRETE SLAB OVER RETENTION AREA ON S. SIDE OF BLDGING
_
R AN • R I•N I :UILDI FEE 360.00
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE -SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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.”
CONTRACTOR SIGNATURE PERMIT OFFI FR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
_ \- v i I , >f ,
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
/Homeowner: PL/ il)�1 C°&54"-48\()
Contractor
Date Received: 4-1)-/ C
Site:
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/ -r' r e � n �
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Permit Type:
Approved w /no comments:0 Approved w /the below comments: ❑ Denied w /the below comments: ❑
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This comment sh t all kept with the permit and/or plans.
4 2- -/e) /,/e6( dr
Kalvin witzer — s Examiner Date Contractor and/ - omeowner
(Required when comments are present)
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10398
BUILDING PERMIT
;,
Permit Number: 10398 Address: 55 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD /ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 05700 -0257
Improv. Cost: 42, 000.00
Date Issued: Name: CCA INDUSTRIES INC
Total Fees: 360.00 Address: 13010 US HIGHWAY 301
Amount Paid: DADE CITY FL 33525 -5419
Date Paid: Phone: (352)567 -9494
Work Desc: POUR CONCRETE SLAB OVER RETENTION AREA ON S. SIDE OF BLDGING
• B L.IN 360.00
1/ ‘ 0 e:1/
• • R 2ND R• I H • MB IN ULA I•N (LING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE -SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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."
CONTRACTOR SIGNATURE PERMIT OFFI trR
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 Fax- 813- 780 -0021
Building Department V
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Date Received Phone Contact for Permitting gl 1 (4 7 -- `� 6
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Owner's Name C A l rl a" 3 -V.4 e S i -I- C Owner Phone Number Owner's Address 113 010 u S 1-ki y!. W&.// To(
1 Owner Phone Number
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Fee Simple Titleholder Address £ I p
JOB ADDRESS 15 ?i Ott ( i tid I LOT #
SUBDIVISION PARCEL ID# t i - L ( - 2. (- QO(o - 0890o- O L s0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR I ADD /ALT 1—I SIGN 1 MOVE 1 DEMOLISH
INSTALL REPAIR �,
PROPOSED USE n SFR 1 1 COMM �yp I OTHER I 1
TYPE OF CONSTRUCTION y —
1 BLOCK ! w
1I FRAME n I STEEL I OTHER I I i , 1
DESCRIPTION OF WORK 7'O.L. CnC -Ye-Fe J' out, (es�'U" C.t C' On sOw c 44, $. Q ,( bu-rl"
BUILDING SIZE I SQ FOOTAGE I HEIGHT I J
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BUILDING $ L/ l � 00 0 VALUATION OF TOTAL CONSTRUCTION r
r ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 N0
n PLUMBING $
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C1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION AI C ~ -ta--
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1 GAS 1 ROOFING 1 SPECIALTY I I OTHER 7 j\p " Pei i) ! e' - -t. +-
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 11YES [NO - i /03b C./
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BUILDER �s; �t! /'/ ,;(004 COMPANY I1'4 » £r�.j4v.
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SIGNATURE 7WU` 1� �/ REGISTERED / 1 Y / N 1 FEE CURRENT 1 Y / N 1
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Address 136 ( 4 ( 3 J 1 2eil. tic License# I C. (s C 1517/7 Z.
ELECTRICIAN COMPANY I
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address I 1 License # I
PLUMBER COMPANY I
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I
Address I 1 License # I
MECHANICAL COMPANY I
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address I 1 License # I
OTHER COMPANY 1
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address I I License # 1 I
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -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
COMMERCIAL Attach (3) complete sets of Budding Plans plus a Life Safety Page; (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
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
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Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C 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 (PIot/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 — Homeowners
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 work is commenced. An extension
may be requested, in writing, from the Building 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 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.
FLORIDA JURAT (F.S 1
OWNER OR AGE CONTRACTOR
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ri ed and sworn to (or affir ed) before.n this Supscnged and s wo to or alined) ' efor me this
1 4 I 17L010 by 1iA0�l..y Lai 0. \I e. �It by Nora
Who is /are personally known to the or has/have produced Who is /are personally known to me or have produced
as identification as identification
��t _ Notary Public NIL
Notary Public
Commission NO Commission No.
FEFw'T..Tfi TT
Na e 01 e•_ dj ,g e• Name ofNota ,ty 6¢ or d 9
rOtl pr. At8w J Kni ht
•
Q My Commission DD764225 „ , a My Commission DD764225
9 i F 'o es 03/31'2012
Ex,;,�ss 03/31/2012 o or+ c" F
Dec( Af (,on. S wly bock S5 Cai 0 1 t y �1,,l�f
44, 3 J 111111011111110111111111101111111111111111111
2010054267
Rept:1300558 Rec: 10.00
DS: 0.00 IT: 0.00
0 4/20/10 C. Cook, Dpty Clerk
NOTICE OF COMMENCEMENT
Permit No. PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER
04/20/10 09:33am 1 of 1
Property Identification No. (1 - L(, - 'j,1 - 0010- 08100 - 02,5-0 OR BK 8313 PG 1630
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property (legal descrlptian:) ) o 1 I. L; t t P g ,1 PG I '44.4 e., 4 e 144444 £ i2 1
a) Street Address: S'S 4 t 44,11 $ v c1, , Z j r k; fjl S Ft- 3 3 541.
2.General description of improvements: ?out: n 5 Go11 CAP e P S L eh over a sr i S f A a., 4r4 A
3.Owner Information
a) Name and address: cc. A TA Jug It: es , 13010 U.S. A kwa. 3o g 144e Ci4 , �C
b) Name and address of fee simple titleholder (if other than owner) / 335 a
c) Interest in property
$ 4.Contractor Information
a) Name and address: " . _ . f `/ .. n c. 3 • 5 F S 1%3( F..
b) Telephone No.: it - 0 : LS Fax No. (Opt.) m, , . G 7 33 S`t
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents 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 address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one 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 14UST 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 WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA 1111111111 1111 COUNTY OF PASCO i_�
Signature of' wner or Owner's Auth. . -. Officer/Director/Partner/Manager
. T:oh 0 y L;,, ✓.ile
Print Name
The foregoing instrument was acknowledged before me this lit' day of ` ee: I , 20 (p , by
(t as (type of authority, e.g. officer, trustee, attorney
in fact) for CC A 1A d u s iM: e S , T t• • (name of party on behalf of whom instrument was exec ,, ted).
Personally Known ►/‘ OR Produced Identification Notary Signature I 1 i'gr
miwiPluogrviw
Type of Identification Produced Name (print) r °.►�Y p�' 4� obb e J Knight State of Florida
' y ommission 1 • •
of it C Q Expires 03/31/2012
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I • eclare that I ave read e foregoing an that
the facts stated in it are true to the best of my knowledge and belief.
k !' TE OF FLORIDA, COUNTY OF PASCO
•= • ISO
FORMS/NOC.rvad2007
eof Natural ' erso ' r eeORRECT COPY OF 1`yE DOCUMENT
ON FIIcF OR OF PUBLIC RFCOFFD IN THIS OFFICE
fdITNES S MY HAND,,,ND.QFFICIAL SEAL THIS
YJ . DAY 2 Gid
PAT S. O'NEIL,RK & COMPTROLLER
BY . 1),(1 ( _ CrEPL: CLERK