HomeMy WebLinkAbout11-12421 ` . CITY OF ZEPHYRHILLS
� 5335 - 8TH SIREET
(si3)�so-oozo 12421
BUILDING PERMIT
Permit Number: 12421 Address: 5002 AIRPORT RD
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: 12-26-21-0000-04900-0010
Improv. Cost: 2,000.00 . #, �,;:;;�;.�;_� �. � ..
Date Issued: 10/12/2011 Name: CITY OF ZEPHYRHILLS
Total Fees: 255.00 Address: 5002 AIRPORT RD
Amount Paid: 255.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/12/2011 Phone:
Work Desc: REPAIR 2000 FT OF FIRE WALL & ELECTRICAL
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DOUBLE M ELECTRIC FIRE PLAN REVIEW FEES 120.00 FIRE INSPECTION FEES 15.00
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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 � 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.
"Warning to owner: Your failure to reoord 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."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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� �_ CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Jacqueline Boges
From: Jacqueline Boges
Sent: Wednesday, October 05, 2011 4:37 PM
To: Kerry Barnett; Keith Williams
Subject: plans for 5002 airport
Importance: High
I received plans for 5002 airport Rd from Sunstate and they are repairing a Fire wall . Want to know how long before can
get second party to review?
Need review to start job.
Jaclde Boges
Code Support Specialist
ext. 35
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s�s-�ao-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received � Phone Contact for Permittin __
Owner's Name Z—u � L-L. 1�� V� �--LL Owner Phone Number
Owner'sAddress �� �" -��— �r--��5� 2���k pWnerPhoneNumber �1� ��� ao3
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS �d �. �� Q- P� �� ^Z-`� LOT # ��
SUBDIVISION —� PARCEL ID# � 2 �-� �-� ���_O C� ��'jp0 � G
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR �' ADD/ALT � SIGN Q Q DEMOLISH
INSTALL B REPAIR
PROPOSED USE Q SFR COMM 0 OTHER ,p
TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL �
DESCRIPTION OF WORK ��P�� 2 ' 2� WA L.l ��•�� ��. E�.Q_L-
BUILDING SIZE 2 -�OO SQ FOOTAGE �Ul� HEIGHT IC{- �
QBUILDING $ ,�� �_, VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ � O �� , AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
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QMECHANICAL $ VALUATtON OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUILDER ------ L COMPANY G ��� �� —�+ �Q� S
SIGNATU REGISTERED Y/ N FEE CURRE� Y/ N
�—
Address �o�s�- 't�� y'� License#
ELECTRICIAN ` COMPANY �G�L�L /� ��� f G ��
SIGNATURE REGISTERED N FEE CURREA Y/ N �f���iJ�
Address (d �Ul� � �/. �/� ' G/ 1 � �`L License # :—1 d�� C�
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 i�stalled,
Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""*'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of applicatlon, 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 notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers S�Nic�`Upgrades A/C Fences (PIoUSurvey/Footage)
Driveways-Not over Counter if on pubiic roadways..needs FtC�W
9
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 local regulations. If the
contractor is not licensed as �equired 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECo he on EES{' n of new 9d ngsnchange of
that Transportation Impact Fees and Recourse Recovery Fees may app y
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 appiicant 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
ce�tify 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, Wetiand Areas and Environmentaily Sensitive
Lands, Water/Wastewater Treatment.
- Southwesl Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental 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 fill the area within the stem wall.
If fili material is to be used in any area, I certify that use of such fili 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 fo� a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, f�om the Building Official for a period not to exceed ninety (90) days and will demonstrate
the ob is considered abandoned.
justifiable cause for the extension. If work ceases for ninety (90) consecutive days,
1
WARNING TO OWNER: YOUR EN�TS TO OUR PROPERTY. YOU INT ND TO OBTAIN FI�NANC NG CONSULT
PAYING TWICE FOR IMPROVEM � nF c����N�FMENT.
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC ��
FLORIDA JURAT (F.S,117 �� � —�—
� ---- CON�T
OWNER v� � e ore me this Subs afflrmed) before me this
Subsdib by
bY Who Is/are ersonallv known to me or has/have produced
Who lslare personally known to m as id ntl qtlo�roduced � as identification.
! � �{'i'�� ,
� � — � �,��� Notary Public
Notary Pubtic
Co sion
Commission No. ;�c::'1 ^'�UEUNE BOGES
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Name of Nota g �P.,, ,�;R�� •. 12, 2014
Name of Notary typed� printed or stamped '•.��p;;�cti� ,� i TroyFahlrrurance800�385-7079
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(ieoryia-Pacitic Carp., Gypaum Div.—Type DGG, GPF&8 or GPFS-C.
Nstion�l Gypsum Co.. Chartatb. NC—Typas FSW, FSWG.
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.� Arn�►1'� STATE OF FLORIOA
c►� �wcw. o�e O�PARTMENT OF �INAMCIAI. S'ERViC�S
DIVISION OP WiQR1�RS' COMPENSA7'ION
�* CERTIFICA'I'� QF EL�TION TO �6 �XEM� FR�IYI FtOMDA M/0111(ERS' I�ENSAT'IQN U1W *+�
CONSTAI/�"TION II�DUSTRY EXENAP'7'ION
This certifies tluit ths indiv�dw! lialed hslow h�a efected to be exen�pt fron+ Fiarid� Wakers' GomPe��tio� law.
H'FECTiVE DAIE: 09/2�/�011 EXPIRATION DA7E: Q9/241�013
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10410 RIYER RD
D�ADE CIl'� f� 8901d
SCOP�S OF BUSIPESS OR TliA[�E:
1- REOYt'1�E0 ELECTRICAL OOI�RIWCT
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ���(,�.�S �� �a(G�.�-P'S
Date Received: _ f � _ � _ ( �
Site: .� G�(� Z /�-1`r ,��" �d
Permit Type: � o � �
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
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Kalvin Swi zer lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
Page No. of Pages '
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PROPOSA �S TO PHONE D'Al'E�
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STREET �. _ ,� JOB NAME
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CITY, STATE and ZIP CODE —�" JOB LOCATION
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ARCHITECT �\ DATE OF PLANS JOB PHONE
We hereby submd specifications and estimates for
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, �P �TQ�JO� hereby,to furni�J�i-wnateTiat`"an�labor'� cor�irplete in: accordance with above specifications, for tt3e,.sum of:
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`� `" � '� i _ _ \ +.
� . � `'� `�- _—_' = � dollars ($ �l � a�' `- �' �% � T ).
PayrriArrt-fo'be made as follows: .
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All material is guaranteed !o be as specified. All work to be completed in a workmanlike ^� �--- �.�:.F-O --
Authorized, r-�""` -- -' -
manner according to standard practices. Any alTeration or deviation from above speafications ��-.--° �.��= " _ --
involving extra costs will be executed only upon written orders, and will become an extra Signatur� � �-- -----
charge over and above the estimate All agreements contingent upon strikes, accidents
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or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note: This proposai may be
Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not aCCepted within - ddyS.
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�rrP�J��IYTtP 0� �rQ�TQ��II —The above pnces, specifications ��%.�'"'"£�"„^ �� __ _. _ _ -_
and conditions are satisfactory and are hereby accepted. You are authorized Signature -� �� +--, "-�="' -±
to do the work as specified. Payment wdl be made as outlined above. �= - -
Date of Acceptance: — Signature
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