HomeMy WebLinkAbout11-12033 CITY OF ZEPHYRHILLS L �
5335 - 8TH STREET
(si3)�so-oo20 < ,, � � 12033
` � BUILDING PERMIT � ` `
Permit Number: 12033 Ad ss:89�1 t� L BLVD
Permit Type: COMMERCIAL ' ZEP HILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Tow . Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0010-00100-0011
Improv. Cost: 1,000.00
Date Issued: 6/22/2011 Name: PHILLIP MICHAEL INC
Total Fees: 852.00 Address: 6951 GALL BLVD
Amount Paid: 852.00 ��C,S ZEPHYRHILLS, FL. 33542
Date Paid: 6/22/2011 �� Phone: (813)300-7120
Work Desc: REMOVE PARTITION WALL & RELOCATE ONE WALL-DOUBLE PRMT FEE WRK NO PRI
' .5
FIRE INSPECTION FEES 15.00 FIRE PERMIT FEES 675.00
�
I
� �"l G
I(-.���-��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 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
improvements to your property. If you intend to�obtain financing, wnsult with your lender or an attorney
before recording your notice of commencement.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Zephyrhills Fire Rescue
6907 D airy rzoad, iephy rl�ills, I� I, 3 i��?
I'ire Marshal L�us (813) 7b0-UU41
Keri•y 13arnetl Faa (81;) 780-0()��
L;-mail: kbarnett(�i;.fire.ze�hyrhills.(l.us
Plan Review #: 11-084 `._,_.�.__._._____...___...._,.._.�...__.._.._._.w....__ .�.__
Project: Renovation
Number of Pages: 4
J une 20, 2011
I have received and reviewed the plans for the building addition located at 6947 Gall Blvd and
will allow it to move forward. Paying for permit contractor acknowledges complying with the
items listed below. Should anyone have any questions, please do not hesitate to contact the Fire
Marshal's office.
1. Address rear door and electric meter to this space.
2. Install certified fire extinguishers at front and rear door.
3. Install lightweight truss sign is one not on building and within 100 feet of main
door.
4. Install sign on interior of rear door stating "Door shall remain unlocked while
office is occupied".
Inspection Required:
l. Penetration Inspection (firewall)
2. Final
KERRY NETT, 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 �s 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-comp(iance, 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.
���-�uu-uuzu City of Zephyrhills Fermit Application Fax-813-780-0021
Building Department
Date Received �� -,�•- ��
Phone Contact for Permittin /,j �f 7 _ p,S��s
Owner'sName � �\ �\� �L�,��lb-�� �����a0�7 I l �
Owner Phone Number
Owner's Address ��� � �-G �� 1� L v' � 2��� l� �pWner Phone Number � �� � 7�U -(p / C7 1
Fee Simple Tltleholder Name Owner Phone Number
Fee Slmple Titleholder Address
JOB ADDRESS lf ���� `"L( 1� �/ � V �� b�, h I l� ( ,� j� � I� LOT # ��
SUBDIVISION PARCEL ID# `� �"� � -� (� . � Q Q �� I t
(OBTAIN D FR�OM pROPERTY T ncel DEMOLISH
WORK PROPOSED B NEW CONSTR ADD/ALT � SIGN
INSTALL e REPAIR
PROPOSED USE Q SFR � COMM C� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � �� ( '� ` '� \ U � w@ � � S Q(� � l� �'t� 6 n � �
BUILDING S12E � � SQ FOOTAGE � HEIGHT G(0 � 1
G�BUILDING $ �,,�
L I j�� � i VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIaN �
l �
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER r�� Z �� � �^ � COMPANY �� r 4-J i�cyl.� C.c �S� . -�N C
SIGNATURE �� l/D «� REGISTERED Y/ N FEE CURRE� Y/ N
Address �jGj�}a o�JS ,Q �fPtii �,1 � License # C�O � 77 0 S
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 I 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 Pertnit 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 PeRnit for subdivisionsflarge 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.
Mfnimum ten (10) working days after submittal date. Required onsite, Conshuction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8 1 dumpster. Site Work Pennit 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.
���r���r����r���'rr����
Dtrections. "i'+ a'-"l"1'-u'u
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 oumer) 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 compiiance.with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTlUTILITIES 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. c�rtificate of occupancy or
final power release, the fees must be paid prio� to permit issuance. Furthermore, if Pasco County WateNSewer 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 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, Navigabfe 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 wilf 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 a�e 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:11��. .. �-._�. _���"'—� //� —
OWNLR OR AGENT _,�•-� CONTRACTOR
ubs rib and swof�.,�o (or affirm� ) befor,g me this Subscribed and sworryt� r afFinned) bpfpre '
�' . .
by l/Yl tn�� �i nn t�Pf /�l �/�bY_
o is/are pe sonally k o�me or has/have produced o Islare ,pe j rear5ally nown to� has ave prod c d
�Z as identlficatlon. as identification.
_ ----� . -� , -- �`
/ ��
� -�. � , � 1 .
c�'�' ��� � � ' . � p yP,��E�ary Public
i otary Public �. � ��� � , z--`
Commission No. ��d t�OI.L� Commission No
,,��"'hy�,, BOBBIE S. SWETLAND
�.4lu.rten '
Name of Notary type 5 � ���� Name of Notary �' ��j� �ruary 22, 2012
�� � �� p � � � 3 , Fbndetl Thru Troy Fain h�surence 800-385�7019
n � 001�MMPn
RIl IWUAANCE
�� � � �
, -�,s z
t ds,� ^ r 3
Lt�' � �� R�
�w
- t
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contracto omeowner: ' � �
C
��� .
Date Received: � — �� /`
site:
� �.� / ;�'��� "
Permit Type: � yrit�v �����rrl .l,v�� i�v�
� ��,
Approved w/no comments;,� Approved w/the below comments: O Denied w/the below comments: ❑
l"
This comme t sheet shall be kept with the permit and/or plans.
�
� �`Jl
'� � /
!
Kalvin Swi — Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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 �'T 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 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
NOTICE OF COMMENCEMENT 2011091411
Rept:1372836 Ree: 10.00
DS: 0.00 IT: 0.00
PermitNo. 06/14/11 A. Giard, Dpty Clerk
Property Identification No.
THE IJNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTIeE OF COMMENCEMENT.
�
�1.Description ofproperty (legal description:�' �3 ' 2 - � � `0�� � ^C'u I c�= — (�'�"%� l
a) Street Address: s �y r-f '7 �,,.,o l l 1.r,'� 7�, p�Y,,, ��. �' 111 ,� �p S��
2.C3eneral description of improvements: � —T
PRULR S 0 NEIL Ph D PASCO CLERK & COMPTROLLER
' 3.Owner Information �,�\ t n � C ,�. �� � 06/ 14/ 11 � 5 � 1 1 of � 15
� a) Name and address: . � ���� � � OR BK PG
b) Name and address of fee simple titleholder (if other than owner) r(,t, l �S'c / C___
c) Interest in property
� '�.Conh�actor Informarion f n �� Z� � � � ( S ��rs��
a) Name and address: - � �� �"�or� �j�1� �{o� �'�(�S I���er� ,
b) Telephone No.: I- g� US l`S Fax No. (Opt.)
5. Surety Information
a} Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom norices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Norice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: � Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPII2ATION 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK QR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA �
COUNTY OF PASCO �
d<" Signature of Owner or Owner's Authoriud Officer/Dittctor/PaAner ger
r- __T1�.6 I�� tl ����.--e.s
Prmt Name ?
, � Y�.1._ y �,�, 1' l�i�
The foregoing instrument was aclrnowledged before me this _; �/ day of e ) (�� j7� , 2p �� , by � �
$S (type of authority, e.g. o er, t�e, attomey
in fact) for (name of party on behalf of whom instrument was e cuted). `
, r. .�
Personally Known ��OR Produced Identification Notary Signature !' �,(,
;�� i --
J -,. . ,, ..
Type of Identification Produced Name (print) � �
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declaze that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
' �MONTG ��
Signeture ofNatural Person Signing Abovc
FORMS/NOC � Comm# DD0824014 :
_ 'J � ,� - Expires 9/17/2012
�.;�aFF��`�+` Fbrida Notary Assn., Inc "
nnu���
A .............o�..m.:d...........�...........: