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HomeMy WebLinkAbout11-11874 CITY OF ZEPHYRHILLS � 5335 - 8TH STREET '�-'"° (si3)�so-oozo 11874 r � BUILDING PERMIT Permit Number: 11874 Address: 6848 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: 02-26-21-0010-00900-0020 Improv. Cost: 10,000.00 Date Issued: 5/31/2011 Name: ZEPHYRHILLS CINEMA 10 Total Fees: 127.50 Address: 6848 GALL BLVD Amount Paid: 127.50 ZEPHYRHILLS, FL. 33542 Date Paid: 5/31 /2011 Phone: (813)782-2222 Work Desc: REMODEL CANVAS WITH COMPOSITE AND REMOVE OLD CANVAS 1 7. ./��, �� �,(-�I , �. 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 cailed e) permit not posted on job site t) 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." - , .. - ">�-.�--_-� _ �.....,.: �''y� TOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department �pa.,.►_ �.L s�3 ��`1 c�� Date Raceived • c� - Phone Contact for Permittin U � 3 � _� �j� � Owner's Name �) +3 � Ytia,Q � � ti' Owner Phone Number �: ' Owner's Address J D�r � � h s� Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number �— Fee Simple Titleholder Address JOB ADDRESS `�� � LOT # �� SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � 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 Y'Y1�V�Q �j �.=�� DS � BUILDING SIZE 1��D SQ FOOTAGEC] HEIGHT � �O BUILDING $��� c� VALUATION OF TOTAL CONSTRUCTION ,\ DELECTRICAL $ AMP SERVICE Q OGRESS ENERGY Q W.R.E.C. QPLUMBING $ ��/(�� � �� �MECHANICAL $ VALUATION OF MECHANICAL INS ��"� QGAS Q ROOFING SPECIALTY OTHER ��� � � � I� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � BUILDER ° _------ � > _- -� `J�� �i�16 —"� COMPANY 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 PeRnit for new construction, Minimum ten (10) working days after submittal date. Requi�ed onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit fo� subdivislons/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 consUuction. Minimum ten (10) working days after submlttal date. Required onsite, ConstrucUon Plans, 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. Dlrections: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is requfred. (A/C upgrades over;7500) '* 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 complianGe with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. if the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the °contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not p�operly 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 invoive a. certi�cate of vccupancy 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. Appiication is hereby made to obtain a permit to do work and instailation 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 �and 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 ServiceslEnvironmental Heatth 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 filf 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 prope�ties, 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 A.. .O ORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.031 . „'..` -' ` _ _ �, • „� __�-� �. � _ �„_�..-. --- - :::::��.->>..__..:...�..,.� OWNER OR AGENT ...---"""' Y � CONTRACT �,""� Subscribed and " fo e me thfs Subscribed � before me this t � ,/� `� b � _ l . .. .__ , / / –� Who is/ar er ally cnown t4 Fne as/have produced Who Is/ar nally nown to ` as ave produced �------� � as identlficatlon. ��' as identlfication. , � - � C —__` ) ,' �---� � ° 2G�1� � ti - otary Public � "" " , �" ;�, BOBBIE S. SWETLAN� �' :;� Commission OD 734406 Com i Commission F . y` _'�� � Q 2012 Jontletl lhti trov Fain msurance 80038570/9 = Ex ires February ?2� ' �, �. Nam Name of Notary typed, printed or stamped - �����} � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS ' � - �� ontractor meowner: .�vl� �.__. Date Received: — v — Site: �_ Permit Type: , v� � ..� 7' _�.�� � ��� � 5 �� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet sha11 be kept with the permit and/or plans. �� ' S' ans Examiner D te Contractor and/or Homeowner (Required when comments are present) �t��' �'` l �tlll ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 EAST 300.00 FT OF SOUTH 282.00 FT OF TR 9& SUBJ TO AN ESMT OVER SOUTH 10 FT TO � � �� gEFIV�C'� SUBURBAN PROPANE PER OR 1822 pG 577 & TOG WITH ESMT F ��PER��4 ING/EGR OVER & ACROSS SOUTH 60 FT OF THAT POR OF TR 9 LY NG �g131 4 „�� EAST OF US 301 LESS EAST 300 FT THEREOF SUBJ TO FLORIDA POWER ���.$�' ESMT PER OR 3135 PG 1003 & WEST 140 FT OF TR 10 SUBJ TO ING/EG ESMT OVER SOUTH 15 FT THEREOF & TOG WITH AN ING/EGR ESMT FOR UTILITIES OVER SOUTH 22.00 FT OF NORTH 212.0 FT OF TR 10 LESS WEST 140 FT THEREOF & TRACT 10 LESS NORTH 200 00 FT OF EAST 325.00 FT THEREOF & LESS WEST 140 FT THEREOF SUBJ TO R/W & UTILITIE OVER EAST 15 00 FT THEREOF PER OR 1838 PG 430 & TOG WITH ING/ EGR ESMT Permit No PER NORTH 212 FT ESS WE T 0 FT THEREOFOVER SOUTH 22 FT OF OR 3078 PG 1617 Property Identificat�on No U e7 — oZ.�s—o2,/_ DO/0- OOydp Q�� THE iINllERSIGNED hereby gives notice that improvements will be made to certain real property, and m accordance w�th Section 713 13 of the Florida Statutes, the followmg mformation is provided m this NOTICE OF COMMENCEMENT 1 Description of property (legal description :) �� Q� 11e a) Street Address (p � y� G!'cf �! r 2 General description of improvements G�� /o 3 Owner Information a) Name and address /7!1 �i�Q�i.�/� � Z,S,p���f �C � �/�• �� �/�/ � / r / �/� �/ b) Name and address of fee simple trtleholder (if other than owner) /�f/ �t.[l�C/ c) Interest m property 3�� 4 Contractor Information �/ / a) Name and address �lt.�t cj�-�G �,.� , �(� . �^, �S` �/ ��.r f ��/�� � � � ;� �/'�� /� �/ b) Telephone No • � � 5 Surety Information Fax No (Opt.) �� � -�!/,�-- a) Name and address I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIIII IIII b) Amount of Bond c) Telephone No � Fax No (Opt.) 2011080737 6 Lender a) Name and address 7 Ident�ty of person within the State of Flor�da designated by owner upon whom not� es or other documents may be served a) Name and address � ii v � b) Telephone No Fax No (Opt.) N�� � 8 In addrtion to himself, owner designates the followmg person to rece�ve a copy of the Lienor's Notice as provided in Sechon N � 713 13(1) (b), Flor�da Statutes• �mw �mm a) Name and address � W b) Telephone No Fax No (Opt.) � � 9 Expiration date of Notice of Commencement (the expiration date is one year from the date of recordmg unless a different date is ° Specified) i , o �� ... . � o+ � e . �.. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF � m m COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, `C m 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 YOUR LENDER OR AN ATTORNEY BEFORE � COMMENCING WORK OR RECORDING YOUR NOTICE OF CO ME CE NT. STATE OF FLORIDA � COUNTY OF PASCO , Si u ofOwner or Owner's Aut orized Officer/Director/Partner/Manager (�yi � D � QJ'YYJ /Q o � � D Pnnt Name � N v� � � ��.o The foregom instrument was acknowledged before me this � da of /�l..0 ~ Z r Y N , 20 �� , m �-�'� as a![�dt /' bY �m � �n f ct) for —� JC (type of authority, e.g. officer, trustee, attorney �N � (name of party on behalf of whom instrument was executed) N o Personally Known � OR Produced Identification Notary Signature ��`�—'✓" �-- ��/j � D � aa � �~� Tyne of Identificat:on Produced - r /� ��� ' r Name (print) C� (`.l e i!5�-u-' i�J�9 �y+ � t, � � � � Verification pursuant to Section 92 525, Florida Statutes Under penalties of perjury, dec t I have read the foregomg and that �� the facts stated in it are true to the best of my knowledge and belief. o r / r T/`" z, FORMSiNOC rvsd2oo7 Si a Natural Person Signing Above ,• � NOTARy p[ �I , I�-STATE OF �,p� Jt�r ;,� � Commis:;ion #,� 926164 soxD� �" ��: ��T.16 2013 THRU ATLtL\'17C BOh'DLYG CO., INC, � t , '" , -, , a ` � STATE OF FLdRI[�4; COUN�Y t7F ��� THIS IS TO CERTIFY THAT THE FOR�L��i @ M� � TRUE AND�ORRECT,CUPY Q� TH� �?��I�MENT ON FILE C�E2 OF PUBIIC Ft�CORfl IN THIS OFFICE WITNESSMYHAN� D FFICI��EALTHIS �� DAY OF ` �� ' 2�- PAULA�,S �EIL, C E 'CO ,P RrJLLER gY f!EPl I?Y CLERk, � 1 , �� Q � tt / Page No. of Pages 1 �+�� ,�.�� ��� ?� �� ���. �:� �4 � � �in� �tC. ;`Ct.a�-�Y��� :,� �i. c ��:��VG� I �1�� � '= +���7jSI� PROPOSAL SUBM}ITED TO , PHONE DATE "� ' A} � , i t � �� -�.fti� : j � STREET � f � JOB NAME t,� � �{... �. � ,� -�� �j�, � CITY STATE and ZIP�DE JOB LOCATION ---� � --��-�--�� ; ARCHITECT �- DATE OF PLANS JOB PHONE We hereby submit speciTi�ations and estimates for ^' ..� 1 �.�1`( "Y\ i: t —�< t^� ( - �-- � > ` .,,,�.... f _ � � ...� �;�, �] u„"'1 � C _..; � ! i��� �<.�t L-- �. i i� a.� � s f 'v�'+� _ ;. t � �e ;,,;; �`,� -�--- , _ _--�.._ f ., �� �� c�.� ��; � ��:� ;�:_ � �.�. � �., �, � .�-. C �-�-�`�',�' '�1 � � :,°`� r �`-~�_ � �1 P`�3 ° : �.....� !"�21 � , te�`�... �...�.1+ �� �' c., ....�----�--� . ` ,�t-� f�:� C? (j �!. � i � � .� ---- -- -- - --- - - - - ,�._..a,..,,_�.__��..._.__._._.... �_ ��� �P�'D'S�'p-`her by f ur�ish material and labor — complete in accordance with above specifications, for the sum of� � - ' �, '`` �;`°-�-� --- ,- � Payment to be made as follows. \� dollers (�y����� C..) -�.� � , '� �� �±s �=�?i - �� �� � �.`r--�'-r� � i �� � _. _ _ 1 l All material is guaranteed to be as specified All work to be completed in a workmanlike �"� � � "� �' ---- manner according to standarc practices. Any alteration or deviation from above specifications AUthorized ..� `�%%:_ -=��''�- - " involving extra costs will be �xecuted only upon written orders, and wdl become an extra Signature ' ---"'"� °"'� ! charge over and above the estimate. All agreemenis contingent upon strikes, acadents r ' or delays beyond our control, Owner to carry fire, tornado and other necessa insurance t, �. ^ �� r � ry : - �: This proposal may be Our workers are fully covereci by Workman's Compensation Insurance. withdrawn by us if not aCCepted within days. v z �.. ._..._ �►rre�t�nrP of �ro�os�l — , .� = ; �' . �-� The above pnces, specrfications ', �� , i;��.. and conditions are satisfactory and are hereby accepted. You are authorized Signature � " to do the work as specified. Payment will be made as outhned above. ' � Date of Acceptance: _ Signature � >>�-o' a3N�w� S � d ; -- --, IIIHLi�IHd�Z �� �lll� ' �— — — — �_ �__ ' ' ' 1 31bp M31/13a ° � ' �n�z � � r*ippm ��? 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