HomeMy WebLinkAbout11-11618 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
�sis��so-oo20 11618
' BUILDING PERMIT
Permit Number: 11618 Address: 5045 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-19100-0060
Improv. Cost: 1,000.00
Date Issued: 3/10/2011 Name: REEVES ROBERT & WALLACE, MARY
Total Fees: 205.00 Address: 5045 GALL BLVD
Amount Paid: 205.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/10/2011 Phone: (813)312-1634
Work Desc: CLOSE IN WALUINSTALL PLUMB NEW SINK ADD GREASE TRAP & EXIT SIGN
OWNER PLUMBING FEE 60.00 FIRE PLAN REVIEW FEES �15.00
OWNER
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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."
vJ�(� l-
CONTRACT SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City ot Lephyrhills rermit Applicat�on rax
Building Department _ ---- _ .-- R--=----.__� _.
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Date Received 1 � l �, _ 3 0� � - �
Phone Contact for Permittin
Owners Name � Owner Phone Number � t��(� 3
Owner's Address � Owner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
Fee 5imple Titleholder Address
JOB ADDRESS v� I � C LOT # �
SUBDIVISION , PARCEL ID# � � � �� ��� 1 � �� � � l � ��v ���
(OBTAINED FROM PROPERTY TAX NOTICEj
WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q
, ,\n` � -�^
DESCRIPTION OF WORK W��-�' n JKX) I �m�1�1 I�s inS�"4 �( ��<'-r-�T�'u
1 n$'f`Q � � ° C �C /� S 9��
BUILDING SIZE —� SQ FOOTAGE � HEIGHT
[�]BUILDING $ � VALUATION OF TOTAL CONSTRUCTION
� ��-�C/, �
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
.,.,,,
LUMBING $ r�ti� °t� JACQU L!NF P;)G
=*e • io; � # � E �1�;;': �+.:
e cxu:��t'� s.' 2f'�14
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION „�;ti...�e .�,��-•:. ��-:, .���
O r s c:�GVµ'""i .
QGAS Q ROOFING Q SPECIALTY � OTHER ��Z� _�,,e< 7��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �A��
BUILDER ,� COMPANY
SIGNATURE ��/ v REGISTERED Y/ N FEE CURREP Y/ N
Address ' License #
E CTRICIAN Y COMPANY
NATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address �' License #
c
LUMBER COMPANY
NATURE REGISTERED Y/ N FEE CURRE� Y/ N �
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address Ucense #
OTHER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
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 onslte, Constructlon Plans, Stormwater Plans w/ Sflt Fence Installed,
Sanitary Facilitfes 8 1 dumpster; Slte Wo�ic 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 wnstruction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Ptans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8 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 8� Contractor sign back of application, notarized
If over 52500, a Notice of Commencement Is required. (A/C upgrades over 57500)
" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIITING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C 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 Counry 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 regutations. If the
contractor is not licensed as requfred 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 contracto� or contracto�s, 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
Counry.
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 pertormed 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, WateNWastewater 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 �II 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
ucompensating 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, 1 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 IMPROVEM�NTS 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.
OWNER OR AGEN7'�� ' '�� CONTRACTOR
Subsdibed and swom q me Subscribed and swom to (or afflrmed) before me this
�-3-1I by � .�tU�rl i�'1, �e�'r� br
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
( , ��,�� as identlficatlon. as identificatlon.
� //�Q '' NOtary PUbIiC NOtary PUbIiC
���:�:n JACQ _ INE BOGES Commission No.
Co SSfOp � � '�'.<' �����-
:� :�� �,` Expires December 12, 2014
Name of N` Name of Notary typed, printed or stamped
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DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS —.BUILDING DEPARTMENT
�, + ve read and fuliy understand and agree to the
provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the following
conditions:
1. That the owner and he or she alone shall act as the builder for all phases of construction.
2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will engage only
properly licensed subcontractors and will personally supervise such work.
4. That in the event the Building Inspector shall require corrections to be made, the owner will
assume full responsibility to insure they are made, and upon completion will call for a
reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will not expect
supervision of his work from the City of Zephyrhills Building Department.
6. That prior to final inspection any additional fees, including reinspection fees, must be paid in
full. A written request from this office shall constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to social security,
workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida Industrial
Commission.
9. State law requires construction to be done by licensed contractors. You have applied for a
permit under an exemption to that law. The exemption allows you, as the owner of your
property, to act as your own contractor with certain restrictions even though you do not have
a license. You must provide direct onsite supervision of the construction yourself. You may
build or improve a one-family or two-family residence or a farm outbuilding. You may also
build or improve a commercial building, provided your costs do not exceed $75,000. The
building or residence must be for your own use or occupancy. It may not be built or
substantially improved if for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person to act as your contractor or to supervise people working on your
building. It is your responsibility to make sure that people employed by you have licenses
required by state law and by county or municipal licensing ordinances. You may not delegate
the responsibility for supervising work to a licensed contractor who is not licensed to perfortri
the work being done. Any person working on your building who is not licensed must work
under your direct supervision and must be employed by you, which means that you must
deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all
as prescribed by law. Your construction must comply with all applicable laws, ordinances,
building codes, and zoning regulations.
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OWNER'S NAT �� �� . DATE � ! �
ADDRESS �) ' 3jl t/
PHONE -
WITNESS PERMIT
UMasterforms/OwneisAffidavit/Nov07
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: (� � � 1��� 1� '�
Date Received: �' � — � �
Site: �� � J� � � �' � � V �
� ��cm b �`✓�s��`� �� � _ �� J 5��� `�-`�°
Permit Type: �k._ i �(l C;iJ � � �
Approved w/no comments: ❑ Approved w/the below comments: Denied w/the below comments: ❑
�C y !/tC h C� � r z��t c� `�'T, ( Cv �`�
�NN� O�.r n`r �i n ��
This comment ee shall b kept with the permit and/or plans.
� _._ _�� �� � � '
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Kalvin itze s Examiner Date Contractor or Homeowner
(Required en comments are present)
Zephyrhills Fire Rescue
C,907 Dair�- R.oad, "Lephyrhills, FL 335�2
I°ice Macshal E3us (813) 78U-0041
Kerry Barnetl I�ax (81;) 780-UO��I
E-mail: kbarnett(�r;lire.zephyrhilis.fl.us
Plan Review #: 11-020 � � �
Project: Tnterior Modification
Number of Pages: 1
March 7, 2011
I have received and reviewed the plans for the modification to the interior located at 5045 Gall
Blvd and will allow it 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. Close in opening (door) with minimum 5/8" drywa(t on both sides. Tape and mud
all joints.
2. Exit sign should be a combination exit/emergency light.
Inspection Required:
1. Final
,
KERRY BARNETT, E 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 approvai of the
submitted plans. 1t is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances. Tn the event that further examination or site
inspection reveals areas of non-compliance, it shall be the contractor's sole responsibility, at tlieir 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.
Z���°�YRHfL�.S FIRE DEPARTIIAEI�T
' 6907 Dairy Road, Zephyrhills, FL 33542
6=�re Chief Kei�h Wiitiarns Bus (813)7�0-0041 Fax (�13}I�()-i)�4�
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: � Contractor: / _.i� �_
Business Name: ,�-1' Billing Address: �' �'
Business Address: y _ Z � �.S'" �.� � ,� � .
Business Phone No.� Billmg Phone No.:
Business Fax No.: Billing Fax No.:
Contact Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
Site Plan N/C Annual N/C Sprinkler $50 1 st Alarm N/C
MuHi a`�O6 sf 1 st Re-inspection N/C Standpipes 350 2nd Alarm N/C
50
(Minimum C 5.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
� Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $�pp
4th Re-Inspection $500 Fire Alarm $50 5th Alarm $�Sp
SPRINKLER SYSTEMS (Business closed until LP Gas a50 6th Alarm $2pp
8 0- 25 Heads $50 violations corrected) Natural Gas �SO NON COMPIIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- �, r�nk �p
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparlclers $�pp
� Per Riser $50 Hydrostatic Test $65 per system Fire Works $5pp
FIRE PUMP Acceptance Test $4S persystem Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Burn $100
FIRE ALARM SYSTEM Hood/Duct $5p
0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual
26 plus Devices $100 System Acceptance a50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $SO Annual
Wet $50 OTHER Waste Tire Storage $SO Annual
��Y $50 Fire Wall/Smoke Wall $15 per wan Generato� < KW $100
CO2 $50 LP Gas $25 �. c�„k Generator >30 KW 15p
Other $50 Natural Gas 325 par system BiaHazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $5p
� Hood/Ducts $50 Tent 10'x10' or greater $75 perie„� Torch PoUApplied $50
OTHER Fire Pump $45 Haz. Materials $100 Annual
LP Installation per tank �550 Fire SuppfES5i011 $3Q
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 8 Exhaust Hood/Duct $3p
� Natural Gas Installation $50 RE�inSpeCtiOn DBL
(Per System) (other than annual)
� Spray Booth $50 � Inspection scheduled DBL 8
and cancelled less than
24 hours
Construction Insp. N!C
Emergency Vehicle Ac� $50 FALSE ALARM
PLANS TOTAL r L� INSPECTION TOTAL U PERMIT TOTAL �� TOTA� (_ I
GRANDTOTAL p"�� D�
Comments.
Date: 3�7 � (
Insg�ctor•
Pasco County Parcel: 11-26-21-0010-19100-0060 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, March 05, 2011
Parcel ID 11-26-21-0010-19100-0060 (Card: 001 of 001)
Classification 11 - Retail Stores, One Story, All Types
Mailing Address Property Value
REEVES ROBERT M& Ag Land �p
REEVES WALLACE D& MARY ALICE Land $44,450
5045 GALL BLVD Building $31,973
ZEPHYRHILLS FL 33542-4920
Physical Address Extra Features $830
5045 GALL BLVD Market Value ;77,253
ZEPHYRHILLS FL 33542-4962 Assessed (Non-School Amendment 1) $77 253
,
Leaal Descrintion (First 4 Lines)
Taxable Value $77,253
See Plat for this Subdivision �'"
CITY OF ZEPHYRHILLSPB 1 PG 54
LOTS6&7&86LK191
OR 4152 PG 1217
Land Detail (Card: 001 of 001)
Line Use Description 2oning Units Type Price Condition Value
� 1100 STORE 1FLR OOC2 7,000.00 SF $5.60 1.00 $39,200
� 1100 STORE 1FLR OOC2 3,500.00 SF $1.50 1.00 $5,250
Additional Land Information
Acres 0.24 Tax Area 30ZH FEMA Code � Commerical Code M 012AS
Buildina Information - Use 80 - Metal Buildings (Card: 001 of 001)
Year Built 1973 Stories 1.0
Exterior Wall 1 Modular Metal Exterior Wall 2 None
Roof Structure Steel Frame or Truss Roof Cover Min Roof(Corr. or Sh M)
Interior Wall i Masonary or Minimum Interior Wall 2 None
Flooring i Finished Concrete Flooring 2 None
Fuel None Heat None
A/C None Baths 4.0
� Line —,�— Description Sq. Feet Repl. Cost New
1 BAS 1,449 $30,241
2 � SDA 2, 691 $95,480
�— 3 CAN � 345 �� $2,170 �
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 PAV ASP 1973 � 4,100 � $830
Sales History
Previous Owner REEVES WALLACE D& MARY ALICE
Year Month Book/Page Type Amount �
� 1999 04 4152 / 1217 C�C $p
1984 � � 1320 / 0424 W D $120,000
1977 12 0919 / 1329 � $56,800
http://appraiser.pascogov.com/search/parcel.aspx?sec=11 &twn=26&rng=21 &sbb=0010&bl... 3/9/2011