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Home My WebLink About11-11709 . CITY OF ZEPHYRHILLS � 5335 - 8TH STREET , (si3)�so-oo20 11709 � BUILDING PERMIT Permit Number: 11709 Address: 38105 MARKET SQUARE 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: 02-26-21-0010-03900-0020 Improv. Cost: 56,300.00 Date Issued: 3/30/2011 Name: FMC MARKET SQUARE INC Total Fees: 606.84 Address: 38103 MARKET SQUARE DR Amount Paid: 606.84 ZEPHYRHILLS, FL. 33542 Date Paid: 3/30/2011 Phone: (813)780-8774 Work Desc: INTERIOR REMODEL 1920 SQ FT I I UIL 3. L 70.4 POWERHOUSE ELEC.,INC PLUMBING FEE 46.95 MECHANICAL FEE 40.00 ASSOCIATED PLUMBING INC FIRE INSPECTION FEES 15.00 FIRE PLAN REVIEW FEES 115.20 SOUTHERN COMFORT ENT. INC. V '� `f � C' ,� , , �� ,,,,`�� -� ` �� _ � -� �� N U LA ILI 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 � 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 improv ents to your pro . If y u intend to obtain financing, consult with your lender or an attorney ore recording r of co mencement." � TO SIGNATURE PERMIT OFFI R ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City ��t Lephyrhiu: Nermit Application Fax-S73-I8U-UUZ1 Building Department Date Received _ � � ' � � Phone Contact for Permittin � � � / 7 — � Owner's Name l� R Pif �� Owner Phone Number lJ� o d��7 Owner's Address 3 8/ l� �-l�F- Q�� 2 h l�l/�IS� ��-��ner Phone Number � Fee Simple Titleholder Name Owner Phone Number Fee Simpie Titleholder Address JOB ADDRESS � IO / �/ A' �- /� LOT # � SUBDIVISION � PARCEL ID# ��' - - O" OO (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM [� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK ��J � e2i p�2 �q BUILDING SIZE SQ FOOTAGE ��I.Z C� HEIGHT QBUILDING $ L�/� � UU� VALUATION OF TOTAL CONSTRUCTION � I I�I Q� � QELECTRICAL $�� A P SERVICE Q PROGRESS ENERGY Q W.R.E.C. ��'` � QPLUMBING $ � �� S.Q�'� 3-IS QMECHANICAL $ O � VALUATION OF MECHANICAL INSTALLATION `" `/� ,�y f t � � ,� �� 5 QGAS Q ROOFING Q SPECIALTY Q OTHER /� , J�) � l�G!� �v FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � BUILDER / COMPANY / Cv F/C� N.r R tj C i '�-r't/ SIGNATURE FiEGISTERED Y/ N FE rtitEn Y/ N Addr s � ' "'� License # (� ELECTRICIAN � COMPANY �l uS F" £Z-�yCL L�C • SIGNATURE REGISTERED Y/ N FEE CURRE� Y N Address (�{ 2 7 $�' � � 3 2 3 3S�'Z3 License #� d( S'�( �/ PWMBER '�-�- �� COMPANY � � �C l � � � LL ►'1� '"' �y�,C SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � Address v�7� � Vt 0i�s� n-� 3X License# ��C'�� 1 MECHANICAL COMPANY a��{� e a� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address � Q � �� c UCense # �JtL' �8/3,s 7 �_ 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 wnstruction,. Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence instalted, Sanitary Facilities 8 1 dumpster; Site Worlc Permit for subdlvisionsllarge projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Llfe Safety Page; (1) set of Energy Forms. R-O-W Permit for new construcaon. 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 requlred for all NEW construction. IIITIIII71111�IITIr 1�.raa 1 1 iai�l li 1 1 i 1 1 � {J11 11 I Directions. Fill out application completely. Owner & Confractor sign back of applfcatlon, notarized If over;2500, a Notice of Commencement Is required. (A/C upgrades over s7500) '* Agent (for the contractor) or Power of Attomey (for the owner) would be someone with n OVER THE COUNTER PERMITTING Front of ?''`• ''''"' '�� ;:- ( APPIIcation Only) b�,nN -, 4tc;.' ,+au� Y;rym�^ , y�t., Reroofs if shingles Sewers Servlce Upgrades A/C Fences (Plot/Survey/Foota � �f4S ,r' •0!1 7�t>�,.� : ,tt��.? �s'N' : �� Driveways-Not over Counter if on public roadways..needs ROW �'�t;'E 3'� �''="z'•""F" i '"?,�, �;` rtaa# q�s1oY! �notk.,t ,',;,, � � ` ��+ aA ',,;,".d9,.�' 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 Iocal regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation unde� 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 Counry. . TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE R�COVERY 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 spec�ed 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 idenfified 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 Cot�nty 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 ail 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 7"anks. - 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 �II 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 flll, 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 speci�cally 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 ff 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 YO UR LEN R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE COM ENCEMENT. FLORIDA JURAT (F.S. 1 � e Q� � l� y OWNER OR AGENT \ �' CONTRACTO '- - Subscribed and swom to a rmed) befor me this Subscribed and m to ,�ned) befor r �th�is by .� - /�1 / y JF�S�:..�/,� � Who is/are personallv known to me or haslhave produced Who is/are personally known to me or�iaslhave produced as identlficatlon. �,� L- as identification. >�.�.! � � / � � � {,� `K:�✓ Notary Public Notary Pubtic .r"" RITA D�KES Com ssion No. Commission . 'y y - an a �orw. , � _ . . � Canm. I�r S 1 ........................ Name of Nota or IUII�iNbe ! EE s01�3 Name of Nota typed, nt d r stamped C14R l011dId Th�0110A NMi011tl �. y. � COrllllri# DD0737596 = �y�p�es '1219/2011 ' �r..��.�� cxra+iaFlaRarYAss^.. .•• .,.aAe.�.seau�enae � 38501 Market Sq SQ. FEET PRICE MAIN OR LIVING: OTHER AREA UNDER ROOF: - OTHER: - $ - VALUATION $ 56,300.00 FEE SHEET $ 313.00 ADDRESS DRIVEWAY BUILDING: $ 319.26 ELECTRICAL: $ 70 43 PLUMBING: $ 46.95 MECHANICAL: $ 40.00 SUB-TOTAL $ 476.64 buildin surchar e $ - TOTAL S 476.64 SEW ER: WATER: IRRIGATION: $ - TOTAL: � - WATER METER: IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: 5 - PUBLIC SAFETY IMPACT FEES POLICE FIRE 5% TOTAL: S - SUB-TOTAL $ 476.64 PARK IMPACT FEES 5 - SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: b - TIF'S: 99% $ - 1% $ - r TOTAL: $ 476.64 Zephyrhills Fire Rescue (907 Dairy Road, "Lephyrhills, PL 33542 I�ir� Marshal I3us (8l3) 780-0041 Keri•y 13arnett f�ax (813) 780-0044 F-maii: kbaritett(r;(ire.zephyrhills.fl.us Plan Review #: I 1-024 �� Project: Interior Renovation Number of Pages: 3 March 18, 20 ] 1 1 have received and reviewed the plans for the interior bui ld-out located at 38105 Market Square Drive and will allow the project 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. Plans along with spec sheets, details, and calculations will be required to be submitted from both the fire alarm and fire sprinkler companies to obtain a permit to complete the work within the build-out space. 1f no fire alarm is installed in this space, devices will have to be added. Contact this authority. 2. Install emergency light in ALL restrooms. 3. Ensure all penetrations are sealed in fire wall in accordance to the UL listing to maintain fire rating. 4. Locate fire extinguisher in front and rear. 5. Key for knox box required. 1f no knox box in front of immediate area, one shall be installed. An application can be obtained from this authority. Inspections Required: L Final (after fire sprinkle�and fire alarm inspe�j � ,-, � q ._----- ; KERRY B T, 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. ln 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. / '_ � �� City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ��-�-- � �t�C7� ��1-, ��x -� Date Received: �' � � ` � l Site: 3� �D 5/L(l�.-1rC� S�u c��2.� ,---� Permit Type: f� 2c� s� ,� [��nD�- ��o Approved w/no comments. Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be k with the permit and/or plans. � �,J� Kalvin 't e s Examiner Date Contractor and/or Homeowner (Required when comments are present) I STAT�OFF��RIDA,CaU�TXn�PA�� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII THIS IS T:, CEfiTIrY'THAT THE FQRE�aQ�NG la � 2011047571 TRUEAN{.7'L��RE�T�COPY OF TME D�1CUM��T ON FIL� OR OF PUBLI.0 RECORD IN THIS OFFICE WITNESS MY I�AN� AI�Il9 OFF'I�.IF�L S�AL THIS 1`�� r �;�) S �.o ( c �� C�- p+� �✓ � .�D1 �` D,AY �Fj . • � "� �� ^ Y n c O -� �R A c'�,�` PAULA S O' EIL,�£� RK & COMPTR LLER � U � $ �j !� � �- �S � „,..,,, .,, y a �-� yL ��s c� s c_a �, a+ �,� '�� DEPUTY CLERK � � �'^ , � , • ' � �1 �o r' �OT IJ �/�� y o -F �t� C '� , �� , , , . '�'i,�" ' � NOTICE OF COMMENCEMENT � Re :1359171 * R T ee : 10 . 00 r i• • pJ: 0.00 il: 0.00 � �`,�`�. 03/30/il K. Garcia, Dpty Clerk Permit No. • Pau�a S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLE� 03/30/il 10:49am 1 of 1 Property IdentificationNo. OR BK g531 P � 3�� TT� iTNDERSIGNED hereby give informs you that the improvement will be mad� ta certain real property, and in accordance with Section 713.13 of the Florida Stat�tes, the ollowing information:is provided in this NOT�eE OF COMMENCEMENT. � �,r_ - ra b s ./GJ � . . 1.Description ofproperty (legal descrtptio :) L-"L ' Z O -- a '� Zd a) Street Address: � O K S" s 2.aeneral description of improvements: �_�� -�o� � � n � P..� 6 �i 0 S 3.Owner Informatton a)'Name and address: � 1 Q,l' Ce�' a.,�'e. .�a 13S" /!l ar �Ke � Z l-� �'1 � r� �L j�S�fL b) Name and address of fee simple titleholder (if o r than o er) � c) Interest in property 4.Contractor Information / / • a) Name and address: J-��GT P,l� �1St('CC �']�'L ,(,� - - ,37 `1�Z a �'a 6 � � J� . �n D � �" � � �' b) Telephone No.: �FaxNo. (Opt.) 33s�� S.Surety Information � • ' a) Name and address: � b) Amount of BQnd: c) Telephone No.: Fax No. (Opt.) 6.Lender � a) Name and address: , Phone No. 7. Identiry 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 �To. (Opt.) 8.In addition to himself, ovyner designates the following person to receive a copy af the Lienar's Notice as provided in Secrion 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: �-- Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expirarion date is one year from the date of recording unless a diffe'rent date is specified) WAItNING 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 PAYII�G TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMElyT MUST 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 QR RECORDING YOUR NpTICE OF CO MENT. . STATE OF FLORIDA � � COUNTY OF PASCO Signature of r or . er's Authorized O cer/DirectadParfiedManager �0 +� �� C2!'f"D�ft . C�O Print Name ' The fore oing instrumettt was aclmowledged before me this � day of / � I�� 20� by �0� G�t7rl'�e as � .� � (type of authority, e,g. of6cer, trustee, attorney in fact) for f t (name of party on behalf of whom " trument was executed . Personall Known (� OR Produced Identi c' e ��C�� y fi ahon Notary Signatur � l� ��h� RITA DYKES .. �S NotxY Pubtic • St�e of FlonAa� Type of Identification Produced Nazne (print) . .� � • Commlasion # EE 30193 � �o Bond�d iMouph N�tlonN Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I e az e R� �� t the facts stated in it are true to the best of my lrnowledge and belief. Signature ofNaturel Person Si�ing Above FORMSlNOC,rvad2007 /� 813-780-0020 City of Zephyrhills Permit Application � ( `��,ZZ�� 3 x -813-780-0021 • Building Department �� Date Received �� _ � � Phone Contact for Permittin Owner's Name /d � �' �� I�'`'�� r 'v � Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titlehoider Name Owner Phone Number �_ Fee Simple Titleholder Address JOB ADDRESS ��( ��/ U`� � S CC(� LOT # � SUBDIVISION , PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER � _ TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK � � �/ �' � ,. BUILDING SIZE SQ FOOTAGE � HEIGHT V QBUILDING $ VALUATION OF TOTAL CONSTRUCTION � DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERG .... QPLUMBING $ , F QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/ ��/ �� --,�_._-__...__, ...,,.�___.. ...,. i OGAS Q ROOFING Q SPECIALTY � OTHER ��---- � :� A -� /� ( V I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO s/'j J / �, � BUILDER COMPANY ��C/.C/ �` � 0 U,S �� c/� O rt� � �— SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N ^ Address ' License # � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # —� MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # 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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Woric 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 construc6on. 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 ail NEW construction. Directions: Fill out application completely. Owner 8 Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgradas 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 PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/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 vvith any applicabie 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 Iocal 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 appiy 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. cer#ificate 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 appiicable 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'SIOWNER'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, 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 8 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 fitl 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 a�davit 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 extensivn. 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 OR AGENT CONTRACTOR Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affinned) before me this by bY Who islare personally known to me or has/have produced Who (slare personally known to me or has/have produced as IdentlflcaHon. as identification. Notary Public Notary Public Commfssfon No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped � � (.-►'�'� � � �q , � z�- . 5,2?, � Zephyrhills F`ire Rescue h�)07 t)airl' I:c. Z.ephyrhills, I'I� i35��'. I irr '��irshal I;uti (813) 78()-U04! Kcrc� Iiarnett F��x (� I;) 78U-00�1� I;-mail: kbari�ett(u;tire.iephyrhiil�.fl.us Plan Review #: 1 1-055 Project: [nterior Modification Number of Pages: 3 May 19, 201 1 I have received and reviewed the plans for the interior modification located at 38105 Market Square Drive and will allow the project to move forward. Paying for permit, contractor acknowledges complying with the co►nments listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marsl�al's office. l. Plans, cut sheets, specs, details, etc... will be required for the modification to the fire sprinkler system in order to obtain a permit to conduct that scope of work. FDC for this sprinkler system shall be changed out to a 5" 30 degree turn down Storz connection. A sign shall be positioned above the FDC stating as such. 6" red reflective letters on white background. 2. Plans, cut sheets, specs, details, etc... wi(I be required for the modification to the fire alarm system in order to obtain a permit to conduct that scope of work. Duct detector shall be installed on AHU for this space, if not already there, and tied into the fire alarm. Ensure zoned properly. Provide occupant notification in this space if not already provided �. Knox box will be required. An application can be obtained from this authority. Box shall be mounted out front at a height of 6 feet. 4. If roof trusses are bar joist, a lightweight truss sign shall be installed in accordance to the statute to the left of the main door at a height between 4-6 feet. S Ensure there is an emergency light in the break room, if not install one. 6. Ensure address is located on front door. 7[nstall two certified fire extinguishers in accordance to NFPA 10. 8. Ensure all penetrations in rated walls are properly sealed to maintain fire rating. 9. Maintain rating of wall in area "B" where door is to be removed. 10. Exit into egress corridor from break room cannot be obstructed. 2 Inspections Required: l. Penetration Inspection 2. Final '.=,�� .;� , ..,�.- ' KER�RY �ARNETT, 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. Tt 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 brmg those areas m compliance. The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. � ZE��iY`�HILL� FIR� DEPAl�T�A�N°T 6907 Dairy Road, Zephyrhills, FL 33542 �ere Chief KeiYh iNilliams Bus (813)780-0041 Fax (813)'780-0044 FIRE SERVICE USER FEES Occupancy No.: Plan No.: — i� Contractor: � �'�� Business Name: ��5 � �l � Billing Address: �7N1c� Business Address: �L Business Phone No.• Billing Phone No.: '? /'1' _. �f Business Fax No. Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan Annual N/C Sprinkler S50 1 st Alarm N/C � Multi-Family/Commerci i .O6 tst Re-inspection N/C Standpipes $50 2nd Alarm N!C a (Minimum Charge $25. 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N!C �� Plan Revisions OBL 3rd Re-inspection 3250 Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 0- 25 Heads $50 violations corrected) Natural Gas a50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pe� rank $50 STANDPIPE SYSTEM Hydro Undergrounds 345 Sparklers $100 � Per Riser $50 Hydrostatic Test 365 per system Fire Works $500 FIRE PUMP Acceptance Test a45 �.symm Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Burn a100 FIRE ALARM SYSTEM Hood/Duct $50 0- 25 Devices S50 FIRE ALARM SYSTEM Place of Assembly aSO An�ual 26 plus Devices $100 System Acceptance S50 Fire Protection a25 SUPPRESSION SYSTEMS Recall AcCeptanCe 350 Flammable Application �50 nnnuai Wet $50 OTHER Waste Tire Storage $SO Annual Dry $50 ire WalUSmoke Wall a15 Perwau Generator < KW $100 CO2 a50 LP Gas $25 pertank Generator >30 K1N 150 Other $50 Natural Gas a25 �� SySc�m Bio-Hazard Waste a100 Annual KITCHEN EXHAUST Fumigation TeMing $50 � Hood/Ducts �50 Tent 10'x10' or greater $15 per tent Torch PotlApplied a50 OTHER Fire Pump a45 Haz. Materials a�OO Annual 8 LP Installation per tank S50 Fire Suppression a30 Fuel Tank Installation a50 System Acceptance (Per Tank} $50 E�Q�aust Hood/Duct $30 � Natural Gas Installation 35U Re-inSpCCtIOn DBL ( Per System ) (other than annual) � Spray Booth $50 � lnspection scheduled DBL B and cancelled less than 24 hours Construction Insp. N/C � Emergency Vehicle Ac� 350 FALSE ALARM PLANS TOTAL �tr� � INSPECTION TOTAL �� PERMIT TOTAL �� TOTAL l_._ __ __.I � ��,� GRAND TOTAL r/ „iZ ��d Comments: Date. � �� E��:� Ins��ctor� t' /�/ ✓ Rpr 15 2011 2:19PM TEDDER-CONSTRUCTION-IhC 35Z5210096 p.2 .. __. � QI�i7�ZV1� �EFF ATWATER S'r'ATE �F FLOAIDA CMIEf FINANGUIL�ClR DIVpS10N�OF W�.7RKEFiS' +� �+ CERTIFICATE OF ELECTIpN TO BE EXEMPT FROM FLORIDA WOAK�RS' COMPENSATION LAW *�* CON$TIiUCTIQN tNOUSTRY EXEMPYION This certifiea thet the indivlduaf listed below has eiected to be exempt f�om Ftorida Workers' Compensrtian law. �FFEC711/E DATE: 03/2812011 EXPIRATION DATE: 03/Z8/�013 P�RSQN: 7EDDER JOSEPH A � FEtN: 2aza�827� �� BtJ31NES3 NAME AND AQDRESS: � YlpOER CONSTRUCTIbMI tNC �74�Q MoORE QR pADE CITY FL 3�515 $COP�S OF BUSINHSS OR TRADE: � - co��►c'raa � IMPaI1TANT; �v�frut b CMP�a ��o • O�U41, i.s., a dllo�r �I � e�rpo�Mlln wAa �I�eH e��Ptlon Iron� �Ah cla0ki hy Illing � certlllc�h N elallos r�lq 1hu usll�n n�Y �o� neova b�Mltt� er cowpN/Mi�n wi�r 11111 el�'hr. P�r1�Mt te CM�t�� •�O.OS1121, f.8.. C�rlifi<Ilet el d�e110n to ba �M�1R01-. ■p/ly OAIy �rIU1A th� at�pe ef t6� bu�inNS er In1� itN�l e� t�� wtlo� el �I�a11o� to b� et�nyl. PrNu�m tn CYiotK 410�06117), F.l., Nalia�� 0� �I�et�w Ie e� �r�Mt �M C�hlllat�� af et�all�n to e� sre�n�t �Mdl �� rbl�el 1� r�r�eNia lf, K��Y IfAS �1ta M� IINnp of 11� �Nie� �r tb� i��na at IAt e�rtillan�, 11u �erw� wMN e� tM Ntk� �r c�Mi{e1N �e laOK IMNS u� ��WIraA�nl� �f IAI� uttlM fv I�wua• 01 � c�rtlfltlt�• TMa bP�fl�enl ih�U ri�o�� c�rtlUe�le tl�ny tIAN lar hllun � t1� psnoe ns�l ee Ih� o�nNleN� �a ��M 111r Itqdre�eab ol tMs �en�oM QUESTiDN57 (850) 419-160! awc CERTIFICATE OF ELECTIQN TO BE ExEMPT AEYISEO �t PLEASE CUT Ot1T TME CARD BEICW ANO RETAIN fiQR FUTURE REFERENCE 6TATi OF �LORIOA I MP�iTANT DEPAIITM�IT OF RNANCUILlERVIGei o�vliloNO�w'o11KlR!'COi1rAPCNS+►YION PursuwA te Ch�pter ,4G051t41, F.S„ an aftieer of � carpo►„�on wha CON�'iwlCTiON �NOU6TRY � eleets exsmption from �is ehapter by titinp � eenifiute of el�etien ClR1�ICATEo'ELECT10N1'06EExB�APTrROMFLQRIDA L undef this aectian rt+�y rwc recove b�nefits or compaeledvn under ehie VYORKlIW' GOhU�i�MAT10N I.AW p Ch�pte►. EFFECTIIlE: OS/ZY/7�o11 !XPlMTION OATl: �9/se/Z015 Pur�uant to Cheptar �4QQ5ft21. f.S.. C�rtl�iest�a ef elaetion to b� pEqgpN; �qSePM A TEOD�R H exemrt... ap�M oniy wiehin the scope ef ths businss� er tr.de lissed on �� s03�Z�sTS E ehe netiee af eleetlon eo be exampti BUS�IESS NANIE AND ADDRESS: R E Purswnt to Ch�t�r ,4Q06tt81, F.S., Ne��cea of �ke�ion ee b� e�empt T�ppE� CONSTRYCTipN �MC and G�rtifiates af .feet+on ta be exempl ah.11 be S11b10Ct to reveC�tion �1�70 NOORE DR I�, at any time aite� ths tlllnp of the notiw or tl+e Itsu�nee ef the D�pe uTr, F� s9sae Ceni�icate, the p�rton Mmed on the 11otIC� or cehtfie�ee na lon0er meess tl►s r�quirementa of lhis lOCtfan lor leiu�ncs ot a certiflsne. Thb dep�rtmenl sh�ll nvoka e c�rtificete Iq �ny time tIr tsilure of the SCOPE OF BUSIN@SS OR TRADE psr:an Ilem�d on the CertifiC�te to meet the roquir�ment! ot thii 1 - CONTH4CT011 aectioa QIIESTI0NS7 1650) 413 -16D8 CUT HERE • C�rry bottom portion on th� job, k�op upp� partlon for your r�aorde. GWC-262 CERTIFlCATE OF EIECTiON TO BE ExEAAPT 11EVISEO 01-11 Rpr 15 2011 2:18PM TEDDER-COMSTRUCTIOh-INC 3525210096 p.l M�� ?r•;� .:h.;r �'� ��1�,1 ��f �}F }r Y ..+ . ,* i '. �i �) ��i��l . ��Aii � . . � � TEDDER ��NSTRUCTION, INC. 37420 MOORE DRIVE pADE CITY, FL. 33525, Phone Number: 352-5b7�6064 Fax Number: 352-521-0096 ��4X `C'R� tV SM ('iT�4 L. �dR.M To:�� G'�dL^� Uu�� + t.�'X/ C�7n . /� _ /� From: - - �� Name: C:f T ,� /�� Date Sent; l� fJ CC; Phone: Fax; �`� " ��C� "' L�o+�f # of Pages (Including cover�: � Me�sa��: . �- �a��'s � � J�t F`�r�?� � � r � �� .� F � CITY OF • / / / / BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION �• • - • ADDRE55 DATE PERMIT �, 3 k� c� � -� � U� THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shcll be made before the job will be accepted. �' �'D3. ,1 -tti� S ,.c� h� v�.� .r .2 9 0 �. / ./�' .�' 1��-�,L �,�� -�q ,� t� F�-� ,� r �� I �L �t is unlaw(ul tor any Carpenter, Contractor, aui�der, or other persons, to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the wo�lc with flooring, lath, earth 780-002� FO RE-INSP CT N or other material, until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. INSPECTOR