HomeMy WebLinkAbout11-12464 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(sis��so-oozo 12464
BUILDING PERMIT
Permit Number: 12464 Address: 7800 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: SITE WORK Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR COMMONS
Est. Value: Parcel Number: 35-25-21-0130-00000-0050
Improv. Cost: 85,000.00
Date Issued: 10/18/2011 Name: SF ZEPHYR COMMONS LP
Total Fees: 425.00 Address: 2851 JOHN ST STE 1
Amount Paid: 425.00 MARKHAM ON CANADA L3R 5R7
Date Paid: 10/18/2011 Phone:
Work Desc: SITE WORK FOR CONSTRUCT CHASE BANK
KEENE SERVICES INC
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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."
Complete Plans, Specifications Must Acxompany Application. All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATUR PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Departrnent
Date Received Pho�s Contact for Psrtnittln
Owner's Name r �(f �'bJ Owner Phone Number
Owner's Addrsas Owner Phone Number
Fes Stmpla Titleholder Name Owner Phone Number
Fee Simple Tkleholder Addresa
JOB ADDRESS � v �� �! � LOT k �
SUBDMSION � PARCEL ION
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NSTALL�� 8 REPAIR � SIGN Q Q DEMOLISH
LJ
PROPOSED USE Q SFR COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME Q STEEL Q
DESCRIPTION OF WORK �� U �
BUILDING SIZE SQ FOOTAGE � HEIGHT
QBUILDING S DOO VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL y AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING �
QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION �� C�
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FIOOD 20NE AREA QYES NO
BUILDER � COMPANY Qr �'�e
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
ELECTRICIAN COMPANY
SIGNATURE RECisrenEO Y/ N FEE curu�n Y/ N
Addreas License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Addreas Ucense A
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N �e cutrtEn Y/ N
Addresa Llcense #
OTHER �.�,�� � Ji ��� COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N
Address License #
RESIDENTIAL Altach (2) Pbt Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-0-W Pertnit for new consfructlon,
Minimum ten (10) working days after submittal date. Requlred onsHe, Constructlon Plans, Stortnwater Plans w! Silt Fence installed,
Sanitary FadllGes 8 1 dumpsler; Site Work Pertnit for subdfWsions/large projects
COMMERCIAL Atlach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-0.W Pertnit for new construcHon.
Minimum ten (10) working days after submitfal date. Required onsite, Constructlon Pians, Stortnwater Plans w/ Silt Fence installed,
Sanitary Fadlitles 8 1 dumpster Site Work Pertnit for all new projects. All commerGal requiremenLs must meet compliance
SIGN PERMIT Attach f21 sets of Enaineered Plans.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersignetl understanas
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of �ew buildings, change of
use in exisling 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 identified at the time of
permitting. It is further understood that Transportatfon Impact Fees and Resource Recovery Fees must be paid priar 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 prfor to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact
fees are due, they must be pafd prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutea, as amended): If valuatfon of work is $2,500.00 or more, I
certify that I, the appflcant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protectfon Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certiry that t 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 applicatlon 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 fnstallation as indicated. 1 certify that no work or installation has
commenced prior to issuance of a permit and that atl work will be performed to meet standards of all laws regulating
construclion, County and City codes, zoning regulations, and land development regu�atfons in the jurisdiction. I also
certify that 1 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 InGude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Wateroourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Rehabflitative ServiceslEnvironmental Health Unit-Welis, 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 Till is not allowed in Flood Zone 'V" unless expressly permitted.
- If the fill mater(al 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 certiry that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cfted for violating
lhe conditions of the building permit issued under the attached permit application, for Iots less than one (1)
acre which are elevated by flll, an engineered drainage plan is required.
If i am the AGENT FOR THE OWNER, 1 promise in good faith to inform lhe awner 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
permil 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 Buildirig Offictal nom thereafter
requiring a coRection of errors in plans, construction or viotations 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 aulhorized by
the permit is suspended or abandoned for a period of six (8) months after the time the work is commenced. M extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
just�able 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. 117.03)
OVYNER OR AGENT CONTRACT v
SubsalDed and swom to (or aflirtned) before me this Subsaibed and swan or aftirmed) before me this �
b �O —/f3^�l by ��i�� � S�L_
Who islare personally known to me or has/have produced VYho is/are personaly known lo me or hasRiave produced
as Identlflptlon. (,� [�P S2r as identlNcaBon.
Notary Pubiic No Public
?.: :.= COfI1R11SS1011 # 040520
Commissbn No. Com Is n N =.
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�� , 8oidld lTw Troy Fain Irersice 806385�7019
Name of Notary lyped, printed or stamped Name of Noha ,
�� �IOlVrORS CONTRACTORS, INC.
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4015 Crestwood Boulevard, New Port Richey, Florida 34653 ' FL: CGC013859
Office (727) 264-8889 Fax (727) 264-8893 � NC: 70079
www.honorsgc.com � SC: 6116404
CITY OF ZEPHYRHILLS
5335 8 Street
Zephyrhills, FL 33542
October 14, 2011
RE: BUILDING PERMITS
Benjamin Isel and Harry M Stamey have my permission to pull permits in the
City of Zephyrhills for Honors Contractors, Inc.
Donald W. Bowen, President
Honors Contractors Inc
STATE OF: FLORIDA
COUNTY OF: PASCO
The foregoing instrument was acknowledged before me this 14th day of October, 2011
by: DONALD W. BOWEN. He is personally known to me.
My commission expires: 2/14/12 NOTAR PUBLIC�
LL�L
usan Lewis
NOTARY PU)3LIGSTATE OF FLORIDA
✓e�� �'US�dP. T.8W38
' ` Comcnission # DD727091
,..•�`� r'�cpires: �8.14, 2012
:;r.?�v'nr„ , 1�Iiltu a7'LANTIC BoNDINO C(7., INQ
�� _ STATE OF FLORIDA
=_ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
F
- �'�A$ CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
', y 1940 NORTH MONROE STREET
"� �� TALLAHASSEE FL 32399-0783
BOWEN, DONALD W JR
HONORS CONTRACTORS INC
4015 CRESTWOOD BLVD
NEW PORT RICHEY FL 34653
^' "` STATE O� FLO�tDA �� � � ° � � � �
Congratulations! With this license you become one of the nearly one million �� DEpARZ'MENT �g Bl��ai1�S�-ANT7
Floridians licensed by the Department of Business and Professional Regulation. �- �,
,�.� PROFESS I�Q��F, ; R�GUI,ATItSN
Our professionals and businesses range from architects to yacht brokers, from -;,� ;, -- __
boxers to barbeque restaurants, and they keep Florida's economy strong �� -:,��_ "
CGCa13659:"� ,. w Q6{-21�'3:� 090479742
Every day we work to improve the way we do business in order to serve you better -"' �� a , - �'
For information about our services, please log onto www.myfloridalicense.com CERTIFyE�;rGEN�RA� `CONTRACTCIR
T h e r e y o u c a n f i n d m o r e inf ormation about our divisions and the re gulations that RGpWEN� = D Q�7ALD �Y�T=JR.
impact you, subscribe to department newsletters and learn more about the HONORS CC�NTRAG'TORS �.IN�
Department's initiatives " a �-'� ��°�'� �� .
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Our mission at the Department is� License Efficiently, Regulate Fairly We "�' f�; ''._ "
constantly strive to serve you better so that you can serve your customers Is CERTZFIED ,�nir.r rh. �rovisions � c.�,.489 �s
Thank you for doing business in Florida, and congratulations on your new license!
sxy3satioa eatea-AUG 32, -2.Q12 L10.6bY].U0739
DETACH HERE
a�� A� �� G��� STATE OF FLOaIDA
DEPAR�.'ME3J'� �� BIISINES� AND F�tC�FE��IONAL REQ�ILATTON
Ct3I�1STRUETION INDUSTRY ' LTCENSII�IG BdAxD
• $�Q#.L100�1100?39
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0 � `T�. 2 D10 - t19 � 4? 9 7 4 2 GGC:4_7:3.8 5 �_, , ° '_. --�:.' : . . ° ,
The GEN�SRAL C�RPiCTQR � - 7 _ _ , - . .
Named below IS �CERT2F�ED � r . - �
Unde�C �he provi.sions of Chapteir �85 "FS.._ .
Expiration date: AIIG 31, 2012 �-. ___. "
BOWEN, b4NALD W JR �`
FiONORS- ��NTRAC�'ORS INC . _ , ' �
40].5 CRESTWOOD BOIILE�TARD
NEW PORT RICHEY FL 34653
CHARLIE,CRIST CHARLIE LIEM 1
GQVEl71�TbR INTERIM SECRETARY I
DISPLAY AS REQUIRE� BY LAW
� 7 � DATE (MMIDDIYYYY)
A� ° CERTIFICATE OF LIABILITY INSURANCE 8,z4,2o11
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
'iELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
tEPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certi£cate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
ceRificate holder in lieu of such endorsement(s).
PRODUCER NAME:
Bouchard Insurance PHONE AX _ _
P O BOX 6090 A N Ex • - - A/C No:
E-MAIL
Clearwater FL 33758 no�Ress: cicertsc�bouchardinsurance.com
PR DU ER
USTOMER ID #: HONOR- 2
INSURE 5) APFORDING COVERACaE NAIC k
INSURED INSURERA:W@Stfl@ZCI Insurance CO[tt an 24112
Honors Contractors, Inc. iNSUReRe:Brid efield Em lo ers Ins Co 10701
4015 Crestwood Boulevard
New Port Richey FL 34653-5900 INSURERC:
INSURER D :
INSURER E :
INSURER F .
COVERAGES CERTIFICATE NUMBER:1262543359 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT
TO ALL THE TERMS. EXCLUSIONS AND CONDI7IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFF POLICY EXP
�LTR TYPE OF INSURANCE POLICY NUMBER MMIDOM(YY MM/DDMlYY LIMITS
A GENERAL LIABILITY
Y Y TRA4731763 4/1/2011 4/1/2012 EqCHOCCURRENCE y1,000,000
% COMMERCL4LGENERALLIA8ILITY PREMISE Eaxcurrence 5150,000
CLAIMS-MADE a OCCUR MED EXP My one person) 570, 000
PERSONALSADVINJURY 51,000,000
GENERALAGGREGATE $2,000,000
GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2,000,000
pRp_ S
POLICY X LOC
AUTOMOBILELIABILITY Y Y TRA4731763 4/1/2011 4/1/2012 COM8INEDSINGLELIMIT $1,000,000
(Ea accident)
X ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS BODILY INJURY (Per accident) $
SCHEDULED AUTOS PROPERTY DAMAGE $
X HIRED AUTOS (Per accident)
$
X NONAWNED AUTOS
S
A X UMBRELLALIAB X OCCUR Y Y TRA4731763 4/1/2011 4/1/2012 EpCHOCCURRENCE 55,000,000
EXCESSLIAB CLAIMS•MADE AGGREGATE 55,000,000
DEDUCTIBLE S
s
X RETENTION 0 WC STATU- OTH-
B WORKERSCOMPENSATION 083041425 4/1/2011 4/1/2012 X
AND EMPLOYER5 LIABILITY Y 1 N
ANY PROPRIETOR/PARTNERIEXECUTIVE � E.L EACH ACCIDENT $1, 000, 000
OFFICER/MEMBER EXCLUDED? N I A
(Mandatory In NN) E.L DISEASE - EA EMPLOYE =1, 000, 000
Ifyes, desaibe under E.L. DISEASE - POLICY LIMIT Sl, 000, 000
DESCRIPTION OF OPERATIONS below
A Contractora Equipment TRA4731763 4/1/2011 4/1/2012 Leased/Rented 30,000
Deductible 500
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attech ACORD 107, Addltlonal Ramarks Schadula, Ii mors spac� is nquirsd)
RE: CGC013859
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
City of Zephyrhills
5335 8th Street
Zephyrhills FL 33542 AUTHORIZEDREPRESENTATIVE
�; t�
O 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
PA5C0 COUNTY BU5Il� �SS TAX R�C�IPT �011-1�
Issued pursuant and subject to,Florida Statutes and Pasco County Ordinances. Issuance does not certify compliance with
zoning or other laws. This receipt must be posted conspicuously in place of business. Expires September 30
Mike Olson
ACCOUN7 NO � 078972 TAX COLI,�CTOR TYPE OF BUSINESS �
SIC CODE � 1522 P�5C0 COL`NT�" P'LORID�i GEFtERAL CONTRACTOR
,r'���sq,A'•, LOCATION ADDRESS�
HONORS CONTRACTORS INC :'�'' °�• 4015 CRESTWOOD BLVD
4015 CRESTWOOD BLVD � NEW PRT RCHY
NEW PRT RCHY FL 34653-5900 ;� ,;:
�'•. ��„��`,.•� DATE RECEIPT AMOUNT
•••• 07/Olill 604701 31.25
�ilill��Ilrnl��I�u��lil���liPd���rh�I�Id111i�IhiPhni� .