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HomeMy WebLinkAbout10-10794 • • CITY OF ZEPHYRHILLS 5335 - 811H STREET (813)780 -0020 10794 BUILDING PERMIT 5 3ifiNCIV !.A L. c ; 72: Permit Number: 10794 Address: 6943 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: 03- 26 -21- 0010 - 00100 -0011 Improv. Cost: 38 250.00 Date Issued: 8/10/2010 Name: PHILLIP MICHAEL INC Total Fees: 483.90 Address: 6951 GALL BLVD Amount Paid: 483.90 ZEPHYRHILLS, FL. 33542 Date Paid: 8/10/2010 Phone: (813)780 -6101 Work Desc: REMODEL INTERIOR SPACE 1440 SQ FT MA- 1 - :UI DIN E 292.50 L - 35.00 SONNY'S DISCOUNT APPLIANCE, INC. PLUMBING FEE 35.00 MECHANICAL FEE 35.00 WILLIAMS DENNIS (INDIVIDUAL) FIRE PLAN REVIEW FEES 86.40 ( lvv Li C e s-"c40/'Th 6 2. :•. - 2 • -.1 - UM: M 1" LA •' 1 FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE - METER, 9 "` /p l(5 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 • • rding your notice of commencement." 2r 44 /tP - ATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Date CERTIFICATE'OF LIABILITY INSURANCE I 2/24/2010 • Producer: Lion Insurance Company This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend, extend g y or alter the coverage afforded by the policies below. Holiday, FL 34691 Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc. Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer e: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Limits LTR INSRD Type of Insurance Policy Number Date Date (MM /DD/YY) (MM /DD/YY) GENERAL LIABILITY Each Occurrence $ Commercial General Liability Damage to rented premises (EA Claims Made 0 Occur occurrence) $ Med Exp $ Personal Adv Injury $ General aggregate limit applies per: General Aggregate $ . D Policy ❑ Project ❑ LOC Products - Comp /Op Agg $ AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) $ Any Auto Bodily Injury All Owned Autos ■ (Per Person) $ Scheduled Autos Hired Autos Bodily Injury Non -Owned Autos (Per Accident) $ Property Damage (Per Accident) $ EXCESS /UMBRELLA LIABILITY Each Occurrence Occur ❑ Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2010 01/01/2011 X I WC Statu I 1OTH- Employers' Liability ton/ Limits ER Any proprietor /partner /executive officer/member E.L. Each Accident $1,000,000 excluded? E.L. Disease - Ea Employee $1,000,000 If Yes, describe under special provisions below. E.L. Disease - Policy Limits $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations /LocationsNehicles /Exclusions added by Endorsement/Special Provisions: Client ID: 83 60 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. that are leased to the following "Client Company ": Ryman Construction of Florida, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. active employee(s) , while working in Florida. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Name: FAX: 813 - 788 -6773 & 813 - 780 -0021 / ISSUE 02 -26 -10 (TD) Begin Date: 3/3/2010 CERTIFICATE HOLDER CANCELLATION CITY OF ZEPHYRHILLS Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to t . do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. 5335 8TH STREET ZEPHYRHILLS, FL 33540 • ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID PS DATE IOM DD YYYY) RYMACO2 01/28/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Greg Roe Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 9851 State Road 54 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. New Port Richey FL 34655 Phone: 727- 376 -0030 Fax: 727- 376 -2262 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A Naxos Avondale Speciality INSURERS: Southern Genera Insurance Co. 10190 Ryman Construction of F1. Inc Bobby /Commercial Div INSURER C: 36413 SR 54 INSURERD: Zephyrhills FL 33541 INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO AU. THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PART CLAIMS. INSR ADM POLICY EFFECTIVE POLICY EXPMTION LTR IMO TYPE OF INSURANCE POLICY NUMBER DATE DDIYY) DATE (NWpDryY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED S SO, OOO A X X COMMERCIAL GENERAL LIABILITY NAXO00034 /1000 01 /30/10 01/30/11 PREMISES (Ea oxuran* CLAIMS MADE X OCCUR MW EXP (My one parson) f EXCLUDED PERSONAL S ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG f 2,000,000 - PRO- - 7 POLICY EC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY f NON -OWNED AUTOS (Per accident/ PROPERTY DAMAGE (PM accident) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S ANY AUTO EA ACC f OTHER THAN AUTO ONLY: AGG f EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE f OCCUR CLAIMS MADE AGGREGATE f DEDUCTIBLE f RETENTION S f WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT f ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE f If yes, describe under SPECIAL PROVISIONS bebx E.L. DISEASE - POLICY LIMIT S OTHER B Equipment Floater 20711951 08/22/09 08/22/10 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *30 DAYS NOTICE OF CANCELLATION EXCEPT 10 DAYS NOTICE OF CANCELLATION FOR NON - PAYMENT OF PREMIUM. CERTIFICATE HOLDER CANCELLATION CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN CITY OF ZEPHYRHILLS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL FAX #813- 780 -0021 5335 8TH STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR ZEPHYRHILLS FL 33540 REPRESENTATIVES. AWN EPRESENT vE V ACORD 25 (2001/08) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 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Giard, Dpty Clerk S TATE 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. 03- 26 -21- 0010- 00100 -0011 6943 Gall Blvd. Legal attached (legal description of the property and street address) PAULA 5.0' NEI L, Ph. O. PASCO CLERK 6 COMPTROLLER /10 08/10 3 4 a 1 of 2 2. General Description of Improvement: Interior remodeling 3. Owner Information: Name: Phillip Michael, Inc. Address: 6951 Gall Blvd. City Zephvrhills State _ Fl. Zip code 33542 Interest in Property: Name of Fee Simple Tittleholder: If other than owner: Address: City State Zip Code R Contractor: Roman Construction of Florida, Inc. ( 813- 782 -082 Address: 36413 S.R. 54. Zephvrhills, FL 33541 5. Surety: Name N/A Phone # Address City State Zip Code Amount of Bond: $ 6. Lender: Name N/A Phone # Address City 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 Phone # Address City State Zip Code 8. In addition to himself, Owner designates: N/A of Phone # to receive a copy of the Lienor's Notice as provided in section 713.13(1) (b), Florida Statutes. 9. 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 YOUR NOTICE OF COMMENCEMENT. 'I � nature of Owner: Printed Name 7k I pid. S V 4 v1 �' ` p 'r STATE OF FLORIDA COUNTY OF PASCO The foregoing instrument was acknowledged before me this jday of A 6, TO'� 2007, by as for Notary Public: W � 9 ANNA MARIE LYNCH -TERRY 9�• I , `° gig• , Notary Public - Stale of Florida My Commission Expires: ` _s , I _ • - - • isston Expires Apr 4, 2012 ; ;�. -7:4 Commission 6 DD 740169 ". .?1 " ,, Bonded Thrrwrgh National Notary Ass Under penalties of perjury, I declare that I have read the foregoing Notice of Commencement and that the facts stated in it are true to the best of my knowledge and belief. �ature of Owner Signing Above) - _ ___._- ^. __ - :, OR BK 8394 z 844 ,, . _. Legal Description 03 -2 6 - 21 -0010- 00100 -0011 Assessed in Section 03 , Township 26 South, Range 21 East of Pasco County, Florida ZEPHYRHILLS COLONY COMPANY LANDS PB 2 PG 6 POR OF TRACT 1 LYING WEST OF R/W FOR US HWY 301 LESS SOUTH 100 FT & NORTH 15 FT THEREOF & LESS NORTH 125 FT OF SOUTH 225 FT OF WEST 341.84 FT & LESS WEST 351.84 FT OF SAID TR 1 LESS SOUTH 225 FT THEREOF RESERVING ESMT FOR UTILITIES OVER & ACROSS SOUTH 10 FT OF EAST 70 FT THEREOF & SOUTH 3 FT OF WEST 100 FT OF EAST 170 FT THEREOF & SOUTH 10 FT OF WEST 80 FT THEREOF & RESERVING ESMT FOR DRAINAGE OVER & ACROSS WEST 15 FT OF SOUTH 125 FT THEREOF TOGETHER WITH ESMT FOR DRAINAGE OVER & ACROSS SOUTH 70 FT OF • EAST 311.84 FT OF WEST 341.84 FT OF TR 1 LESS SOUTH 100 FT THEREOF SUBJECT TO ESMT PER OR 6142 PG 795 OR 5851 PG 1285 OR 6010 PG 848 COUNTY OF P ASCO THIS IS TO CERTIFY THAT TH FOREG OING !S A TRUE AND CORRECT COPY OF THE D OCUMENT STATE OF FLORIDA, ON FILE OR OF PUBLIC R CORD IN THIS OFFICE WITN €SS MY HAND AN I /IFFICIAL EALTHIS DAY OF ' ! . AV ' 2 .S21 - L - PAU , ° NEIL, CL ER ( COM LLER BY / -- ` ..�! TY CLERK 1 813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department Ai 0 /9 Date Received -1,2, 9 .- / Phone � s%3 is a -- 0� a_.s one Contact for Permitting /7 Owner's Name l© M \INA -EA Owner Phone Number 813 (p 1©, Owner's Address I 403 . 5 CsA 1-f` LO . ) 2- . 4 , I Owner Phone Number Fee Simple Titleholder Namel ..‘14.,1.4 1 r . ∎cok1„ , 'Z'^(� . I Owner Phone Number Fee Simple Titleholder Address SA S- + (o. 5 1 C'1:‘ 14- 3" D. ■ 2E9 t{\1 "-I -S 1. 'L • 3. t.f Z JOB ADDRESS (09J-1 -5 Ca-. - 1.Z,yo, UU F {' LAS LOT # SUBDIVISION I I PARCEL ID# 03 `210-2-% - oot0 - 0°lao - 001 I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I 1 NEW CONSTR ADD /ALT I I SIGN I I MOVE 1 I DEMOLISH I INSTALL REPAIR PROPOSED USE I I SFR IcI COMM I I OTHER I TYPE OF CONSTRUCTION 1X1 BLOCK 1 1 FRAME I><l STEEL I 1 OTHER 1 I DESCRIPTION OF WORK .bco - EY ri I'C(. C ,p, �e4 q V. FOC I - TE-NK-ItT BUILDING SIZE ( 1 ilt X 60 1 SO FOOTAGE 1 4-40 HEIGHT i 2 ® BUILDING $ , elec.. OHO VALUATION OF TOTAL CONSTRUCTION IX' ELECTRICAL $ a ` Soo . 00 AMP SERVICE >I PROGRESS ENERGY ( I W.R.E.C. K PLUMBING $ z / / J 2 MECHANICAL $ t 2T� .. VALUATION OF MECHANICAL INSTALLATION ON . 4" i .m E 1 1 GAS I 1 ROOFING 1 SPECIALTY I I OTHER __-/ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES L INO wr BUILDER 4� VT COMPANY �y1 1 �Jr1 Zl�^� a4 r Se- SIGNATUR REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I Address 3(0413 54' 4 Z�PtiyQ44tt -i- 33s C 1 S . ,� �' 1 l License # CC C� .S 1'T�1"Z 1 SIG LE IAN T O TR� COM MN:till EI- E.t . I ZI�JZ. REGISTERED 1 Y / N j FEE CURRENT 1 Y/ N 1 Address t42 1 1Olik STR T C...1y 521‘. ,1,l, r�Li�entzt ) wco 138 `1. PLUMBER P `( v-+� l{ l SIGNATURE COMPANY - ■` - :. o'1' " " I REGISTERED l Y/ N J FE CURRENT i Y/ N Address 510 :. , ; j -t, ZtR ylL111u-,5 e\ 3 License # CC. i 42 5 (o.02. MECHANICAL 1 4 , S ( COMPANY �aN 4 S A J h SIGNATURE REGISTERED ■ ,+. ( Y / N � FEE CURRENT 1 Y 1 N I Address 1 x(051 US {ausy 3e1 , (A..6.1 . 33525 1 License # ' RM oo1$4o4 OTHER v 1 /j� COMPANY N //. SIGNATURE t ` �'1 REGISTERED 1 Y / N I FEE CURRENT I Y/ N 1 Address License # — RESIDENTIAL 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 COMMERCIAL Attach (3) complete sets of Building 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. 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 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 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 u ndertake 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 govemment 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. 117.03 • OWNER '- ' AGENT _` CONTRACTOR ���1 Subscribe • •r'1f �,affirme. be ore me this Subscribed a • swor to (or : ffirmed)'• a ore me this by ` • Who is /are personally known to me or has/have produced Who is /are personally kno - o me or : s /have produced as identification. as identification. Notary Public /�� /C/' Notary Public Commission No. _ Commission No. ANNA MARIE LYN '- � . Ar1jtgF, ''''a . . Public - State of Florida '.." " " "• ANNA MARIE LYNCH -TERRY Name of N' p ' PU 0.-ft.' fires Apr Name of Notary ty • cfi • , ' ublic - State of Florida .`" Q ; Commission # DD 740169 My ommission Expires Apr 4, 2012 ry fi a' Bonded Through National Notan. .± ��c • Commission # DD 740169 ,.,,,,,Aor Bonded Thr Through National _,..,. .. , oug Notary Assn. Pasco County Parcel: 03 -26 -21 -0010- 00100 -0011 001 Page 1 -of 1 Data'Current as Of: I) Weekly Archive - Saturday, July 24, .2010 Parcel ID 0 03- 26 -21- 0010 - 00100 -0011 (Card: 001 of 001) Classification 1 11 - Retail Stores, One Story, All Types Mailing Address Property Value PHILLIP MICHAEL INC Ag Land $0 6951 GALL BLVD Land $265,840 ZEPHYRHILLS FL 33542 -2586 Physical Address Extra Features All 6 addresses (First ra Building eatt ures $17,828 $666,294 Shown) 6943 GALL BLVD Market Value $949,962 ZEPHYRHILLS FL 33542 -2586 Assessed (Non - School Amendment 1) $949,962 Legal Description (First 4 Lines) ZEPHYRHILLS COLONY COMPANY Taxable Value $949,962 LANDS PB 2 PG 6 POR OF TRACT 1 LYING WEST OF R/W FOR US HWY 301 LESS SOUTH 100 FT & NORTH Land Detail (Card: 001 of 001) Line lI Use IlDescriptionll Zoning II Units 11 Type II Price 11 Condition II Value 1 II 1100 IISTORE 1FLRII 00C2 II 11,000.00 II SF II $6.50 II 1.00 II $71,500 2 I 1100 IISTORE 1FLRII 00C2 II 38,868.00 ll SI II $5.00 II 1.00 II $194,340 Additional Land Information Show Mineral Rights - 1 Acres lI 1.14 0 Tax Area II 30ZH II FEMA Code II X Ilcommerical Codell CMAJ2AG Building Information - Use 11 - Retail Stores (One Story) (Card: 001 of 001) Year Built 2005 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall.2 Concrete Block Stucco Roof Structure Rigid Frame w /Bar Joist Roof Cover Built -Up Tar and Gravel Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Packaged Roof Top Baths 10.0 Line II Description I1 Sq. Feet 1 Repl. Cost New 1 II BAS ll 12,000 I I $844,800 Extra Features (Card: 001 of 001) Line I Description Year I Units 11 Value 1 II PAV ASP 1 2005 II 21,960 I1 $14,082 2 II PAV CON 1 2005 I I 1,812 II $2,605 3 II CLFENCE 1 2009 I1 684 11 $1,141 Sales History Previous Owner I HENRY DAVID Year II Month I Book /Page 11 Type II Amount 2004 (1 08 I 6010 / 0848 11 WD 11 $0 2004 11 05 1 5851 / 1285 11 WD 11 $315,000 2001 11 10 1 4745 / 0104 11 PR 11 $0 http: / /www. appraiser. pascogov. com / search /parcel.aspx ?sec= 03 &twn= 26 &rng=21 &sbb =0... 7/29/2010 i ZE-PFZERHYRH FIRE .DEPARTMENT =tz h- :" E -- -: - ; - 6907.Dairy - Road,,Zephyrhills, FL 33542 ■ -' .-' "' Fire Chief Keith Williams _ : - _Btts-(81=3)78i):004 Fax (81 -0044 'FIRESERVIC FEES Occupancy No.: _ _ Plan No.: AP ��` Contractor. y Business Name: Billing Address: Business Address: ®4 ( 7J *LI!T° r ,:< / Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: I Contact: Contact: 1 PLAN REVIEW FEES INSPECTION FEES PERMIT FEE • I _ FALSE ALARM FEE Site Plan N/C = Annual N/C _ Sprinkler . $50 _ ' 1st Alarm N/C pieR Multi - Family /Commercial .06 s 1st Re- inspection N/C _ Standpipes $50: _ 2nd Alarm N/C (Minimum Charge $25.00 _ 2nd Re- inspection $100 _Fire Pump $50 : 3rd Alarm N/C 0 Plan Revisions DBL _ 3rd Re- inspection $250 _ Hoods $50 4th Alarm $100 _ 4th Re- Inspection $500 _ Fire Alarm $50 `_ .5th Alarm $150 SPRINKLER SYSTEMS (Business closed until _ LP Gas $501 r-- 6th Alarm 5200 0 - 25 Heads $50 violations corrected) ' Natural Gas $50 — NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER•SYSTEMS Fuel Tanks- per tank $501 s $ Sparklers STANDPIPE SYSTEM . Hydro Undergrounds Sparkl $100 0 Per Riser 550 Hydrostatic Test $65 persyatem Fire Works $500 FIRE PUM ^ Acceptance Test .$45 per system r Camp C Fire $25� 0 Per Pump $100 Hydrant Flow $75 - _ Controlled Bum $100 FIRE ALARM SYSTEM _ Hood/Duct $50� . 0 - 25 Devices $50 FIRE ALARM SYSTEM ' — Place of Assembly $501 Annual — — _ 26 plus Devices $100 System Acceptance ' $50 _ Fire Protection • $251 SUPPRESSION SYSTEMS — Recall Acceptance $50 _ Flammable Application $501 Annual Wet ' - $50 . OTHER Waste Tire Storage. 550 Annual — — Dry $50 r Fire WaIUSmoke Wall $15 per wan Generator < KW $10 CO2 $50 - _ LP Gas $25 per tank ` _ Generator >30 KW 150 Other $50 Natural Gas $25 persystem _ Bio-Hazard Waste $10 Annual KITCHEN EXHAUST _ Fumigation Tenting $501 i 0 Hood/Ducts $50 _ Tent 10'x10' or greater $15 per tent _ Torch Pot/Applied . $50 OTHER Fire Pump $45 _ Haz Materials $100 Annual — LP Installation per tank $50 4. Fire Suppression $30 _ Fuel Tank Installation $50 _ System Acceptance (Per Tank) $50 _ Exhaust Hood/Duct $30' 0 Natural Gas Installation $50 _ Re - inspection DBL 1 (Per System) (other than annual) _ ❑ Spray Booth $50 0 Inspection scheduled DBL _ I and cancelled Tess than. _ 24 hours I ' Construction Insp. N/C Emergency Vehicle Act • $50 • i FALSE ALARM PLANS TOTAL` I, 1L 1 , .) INSPECTION TOTAL PERMIT TOTAL I( TOTAL I I // GRAND TOTAL �� Comments: 1 ��j/ I'' %� ii i i Date: ii Insfi ctor: � • Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E- mail: kbarnett @fire.zephyrhills.fl.us Plan Review #: 10 -091 Project: Interior Remodel Number of Pages: 3 August 4, 2010 I have received and reviewed the plans for the interior remodel located at 6943 Gall Blvd and will allow the plans to move forward. By paying for permit contractor acknowledges to comply with the items below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Fire rated wall between the occupancies is a 1 hour rated wall. As the plans are submitted that is all the wall needs to be because the adjacent occupancy will be vacant because it is moving to this remodeled space. However, when that vacant space becomes occupied, pending on the occupancy classification the walls in that space may need to be upgraded to a two hour rated wall. It is the recommendation of this office to create a two hour rated wall on the interior of the remodel space because this wall has no partition walls tied into it, whereas, the opposite side of the wall does making it much more costly and complicated. If this is decided to be done submit a change showing the new design of the rated wall. It is also noted that back during the original plan review dated 5/24/04 similar language is noted on plan by this office that pending build -outs or remodels that greater fire separation may be required. NFPA 101, Table 6.1.14.4.1(b) provides the requirements for separation among occupancies. 2. Install certified fire extinguishers, one in front and one in the rear. 3. The dryer that is installed, ensure that the dryer ventilation duct is rigid smooth pipe. 4. Install emergency light in restroom. Inspection Required: 1. Firewall s ,ew inspect (each layer) and final, if changed. 2. Fi f n. KERRY :A '' TT, FIRE MARSHAL ** *Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes. This review is not intended to be a final approval of the submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances. In the event that further examination or site inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. • ti City of Zephyrhills BUILDING PLAN REVIEW COMMENTS K ontract omeowner: � /� ( L� Date Received: Site: Permit Type: G � i� S �' <11 // Approved wino comments: r Approved w /the below comments: ❑ Denied w /the below comments: ❑ This comment sh- - s A v e kept with the permit and/or plans. Kal • . Swi er - ' s Examiner Date Contractor and/or Homeowner (Required when comments are present) IL I Rmi u � II II it II 6 , ill 3 4 �3 mo o SPACE HAS EXISTING DROP CEILING THAT WILL REMAIN, ALL NEW INTERIOR WALLS WILL BE BUILT TO BOTTOM OF DROP CEILING. Cn 9 11 Il 6" r OII 2 1 tt EXISTING GLASS STORE FRONT EXISTING GLASS STORE FRONT 8 1DE WALK EDGE I 1 1 I 1 1 1 I I 1 I I I 1 I 1 I I I 1 I 1 1 1 I 1 I I I I 1 I I 1 I I I 1 1 EXI9TING GLASS STORE FRONT E'X;5TING GLASS STORE FRONT I 61DE WALK EDGE AS E3UILT ELECTRICAL PLAN 1/4 ll _ 1 1011 A5 5UILT FLOOR P LAN 1/4 11 _ 1 1011 EXISTING 3'0" DOOR 1 I I I 1 1 I I 1 �o � yyQ 3� F II �a II II II I 1 I 1 I I I 1 I 1 I 1 EXISTING &" ONE I HOUR FIRE WALL I I I 1 1 I 1 1 j11j6M'f 11EL% ALAN(S) RAVE BEEN Al" I11,;Wak >jY ZEPHYRH }���RE MARSHAUS OFFICE Dall ® II II II EXISTING GLASS MRS FRONT I 1 I 1 I I 1 1 I F I . I I (� I {���'� � °� p r �t`ik t `� I ��� Pb %S t . I 1 1 I EXISTING GLASS STORE FRONT 81DE WALK EDGE LOCA TION OF ELECTRICA 1 6 APPROXIMATE AS eUILT LIGHTING 1-'LAN 1/411 = 1 011 O h N O Z N s Z N N O W Q M N 0 V� (D ). M M Q N ma E5 G cr G Q) Li. W re O C N h r' O Q O cq V Z N a cc ONO Q M Z m O M W W G V N W O � p O z r � 0 3 a O cn � O � z ' A co Z Q a. M 0 00 J I.L. ) 0 W I.L .. 0 W i Z ` 7 Z 0- Q W N J m Q 1 480 SQ, FT, PG 1 or- 3 0 0 EXISTING' 3'O" DOOR O \ (' er�}�v 1l i i H I II � ------ - - - - -- -- N ------------ - - - - -- DEMO DASH WALL6 AND HATCH AREAS, CAP OFF PLUMBING AND REPAIR DROP CEILING AS NEEDED EXISTING GLASS STORE FRONT SIDE WALK EDGE EXISTING GLASS STORE FRONT i I ( I I ( I EXISTING 6" ONE HOUR FIRE WALL I ( I I I I I I I I I I I I I I I ( I I DEMO PLAN 1/4" = 1 0 0 NEW FLOO ''LAN 1/4" 1'O" _11 ri-- 4 Q z r � O a T ,, 0 o h N Z V o 1` O Z N Lf) N w W N Q 0. N M N M O J g >. M M Q v,ma Q C W W G rZ W O N —j LL. h h O n O 3 N _j v Q Z 00 Q LNA H 4 c M W W O O 4 Q z r � O a T ,, V) Z Q J 0.. i-- M ® Q a 0 _J _ co 0 w U. 0 (!1 J �W J_ 2 Z D � Z s a . Q W �-. N J !a ?4m 1 480 800 FT.- FG 2OF3 � o 4 o o z Q Q V) Z Q J 0.. i-- M ® Q a 0 _J _ co 0 w U. 0 (!1 J �W J_ 2 Z D � Z s a . Q W �-. N J !a ?4m 1 480 800 FT.- FG 2OF3 M 1 SPLIT HEIGHT TRANSACTION COUNTER AT WAITING ROOM FINISH: PL -2 See Finish Schedule for speciflCedon / sliding glass window: AREA 1. Clear, tempered glass 5 I 2. opening size: 48'h x 60' w / 1 3. glass slides easily N both directions LA I 4. glass slides BEHIND raised portion of II I transaction counter LAJ 00 CZ total depth of transaction counter. 18" work counter Lit. W overhan into waiting room: 12' / II h N O N 18' 2 11 / 6� t>A_ 1 I / ADA required dimensions- 2 1 / barn finished floor: 8 ' end panel 27' clear to bottom of counter gypsum 27 . counter 34' to top of 10AW counter- 2 38" minimum clear wklth of lower counter R 4 REFER TO FLOOR PLAN FOR PLACEMENT OF ADA 34" \ PORTION OF TTiANS.4CTION COUNTER Waiting Room Notes: 1. Back of transaction counter to be finished with laminate PL -2. 2. AM exposed comers to be rounded. 3. All ADA dlmensWa to be exact 4. Brackets may be used to support overhang- but they must not bs exposed. a Leminate to be PL -2: See Finish Schedule for specification. M-2 RECEPTION WORK COUNTER M-3 RECEPI" WALL CA81NM WITH BANDER SHELF FWISH: PL -2 See Fkdah Schelde f.l kr spedk4bba WALL CABINETS: W 1.8. I \ cJ� I II \ RECEPTION I h \ y WORK COUNTER' M2 / \ Y counters // \ S 3V Deep x31 - AFF I \ \ bebwoounter ro � tl r . mop8s pec -alS 1 by rerwt 2r deep x 18 ide x 2r high 31• oofwwmter Work Counter I , All counters 30" deep x 31" to top surface from finished floor. 2. Benchmark will provide mobile pedestals - pedestal dimensions: 27" high x 16" wise x 22" deep. 3. Provide 3" grommets to correspond to all electrical / phone outlets below counter. 4. Contractor to determine support bracket locations - provide 60" wide clear space at window. 5. Cantilever brackets to have curved style to clear for knee space below counter. Wall Cabinets I . Use prefabricated size cabinets when possible to reduce cost. 2. Wall cabinets with doors: 30" high x 14" deep x standard width 36" - interiors may be white melamine -use ADA compliant wire -pull handles. 3. Open shelf below cabinet: interior dimension to clear 13" high, interior may be white. 4. Task light below open shelf 5. Clear minimum 20" from work counter to underside of open shelf. this is a conceptual drawing. I I \ I I II \ \ I \ \ \ ROOF DECK DROP CEILING GIRD SYSTEM 3 5/8 TOP TRACK RECEPTION AREA h O z / Z LA N Q C U) PL -2 30' deep LAJ 00 CZ Z work counter Lit. W a h N O N 6� t>A_ 2' 7' laminate / painted 2'10' end panel gypsum counter drywall support 4 \ 2 Q 0 M -4 RECEPTION CHECK -OUT TRANSACTION COUNTER This is a conceptual drawing to describe the millwork standard at the check -out area. Actual configuration will differ based on Boor plan. Finish: PL -2 per Finish Schedule 12' deep transaction counter centered on low walls stagger height per specification on Boor plan Round outside comers of I transaction counters 3 CHECK- OUTAREA IN HALL 1/2" GYPSUM WALLBOARD AT EACH SIDE OF WALL 3 54 NON LOAD BEARNG STEEL STUD WALL$ SPACED AT 16" OC CONCRETE FLOOR ATTACH TRACK TO BOTTOM OF DROP GRID SYSTEM E [e] n o e---- 3 5/8" TOP TRACK INTERIOR 6TEEL STUD WALL NOT TO SCALE H,Y.A.0 NOTES: SPACE HAS EXISTING H1/AC SYSTEM, MECHANICAL CONTRACTOR TO RELOCATE OR ADD NEW 2 AIR SUPPLY GRILLS AS NEEDED, IT WILL BE THE RESPONSIBILITY OF BUILDING AND MECHANICAL CONTRACTOR TO VERIFY HVAC SYSTEM 18 ADEQUATE FOR USE OF SPACE r — — , i 1 / I 1 I ♦ 1 — – 1 I 1 1 1 I 1 / I L —j r I 1 I 1 1 I 1 I I � \ I 1 I / I F----- I / I 1 / I / f I 1 1 I I 1 I I L ----------- 1 \ r DARN FIXTURES DENOTES EXISTING \ SOLID FIXTURES ARE EXISTING BUT HAVE TO BE RELOCATED AS KNOWN \ NEW FIXTURES ARE NOTED r — — , r — — , L J /' L J It r I / / r 1 , r , 1 \ I i / 1 I _ � 1 r 1 / 1 I 1 r I r ' t NEW 1 I I 1 1 I I I t t I I 1 I I I 1 EXISTING GLASS STORE FRONT EXISTING GLASS STORE FRONT SIDE W ALK EDGE I 1 1 1 I 1 I I I I I 1 I I I 1 I EXISTI b' ONE HOUR FIRE WALL 1 I 1 I 1 I I 1 I 1 I 1 1 I 1 I 1 I 1 I 1 I 1 1 1 I I I 1 I 1 1 I 1 I I 1 NEW LIGHTING PLAN 1/4 11011 G---- - - -- Cs -- M 1 1 I 1 1 1 I 1 I 1 I 1 1 I I I I 1 I -- - - - - - - - - - t 1 � t I I i L— — — — — — — — — — — CLOUDED ELECTRICAL DENOTES EXISTING M I I 1 I I I I 1 I I I 1 I I 1 1 1 1 1 1 1 I 1 1 1 1 I SIDE WALK EDGE EXISTING GLA66 STORE FRONT I 1 I 1 1 i i 1 I 1 I I I 1 I I 1 I 1 I 1 I I I NEW ELECTRICAL PLAN 1 /411 = 1 1011 EXISTING GLASS STORE FRONT h O z Z LA N Q C U) � 0 LAJ 00 CZ Z 0 CZ 0 Lit. W a h N O N 6� t>A_ LN e O M W V O 4 Q 0 Y r_ to 0 4 a to W Q v/ Z CL Da 0� J ce. E; 0 Ln �i 0 .J J W MEMO S Z I•e1 a. Z W QN J m Q 1480 SO, FT* PG 30r- 3