HomeMy WebLinkAbout12-13274 CITY OF ZEPHYRHILLS �`
5335-8TH STREET
(si3)�so-oo20 13274
BUILDING PERMIT
Permit Number: 13274 Address: 7435 GALL BLVD
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: ZEPHYR COMMONS
Est. Value: Parcel Number: 34-25-21-0160-00000-0040
Improv. Cost: 50,000.00
Date Issued: 8/22/2012 Name: FIRST COMMUNITY BANK OF AMERICA
Total Fees: 487.50 Address: 13839 US HWY 98 BYPASS
Amount Paid: 487.50 DADE CITY FL 33525
Date Paid: 8/22/2012 Phone: (352 518-2061
Work Desc: INTERIOR RENOVATIONS OF FINISHES
BEESLEY ELECTRIC LLC �
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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 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 Aacompany Application.All work shall be performed in ac�cordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CON IGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
,,y Signatory'a T�Ie/Office
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The foregoing instrument wes acknowledged before me this�,day of� " !2p L,by ��
� e$ � (type of authority,e.g.,officer,t tee,attomey in fact)for
�I (name f parly on be alf a why I stru��s executed).
Personally Known L� P uced IdeMillcatlon❑ Notary Slgnature- ��l /
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Type of Iderrtificatlon Produced �/�'4"'" Name(Print) /��� . C
�— — — — - �
,,4`�,k"r"o"�a, TRISHA S.KRAGER
r� Notary Public-State of florld�
•: :•i My Comm.Explrea May 19,P411
'� t Commisslon�DD 993582
��4i���'�' Bonded Through National Notuy Aefn.
wpdata/bcs/noticecommencement,�c053048
STpTE �?� FLORIDA, COUNTY OF PASC4
THI� !S'fQ CERTIFY T!-I,��f THc FOREG�ifvG ISA
?RUF ANG CORRECT COPY O�THE ��C�CUMEN I
�fV FILE OR OF PUBLIC RECORD IN THlS OFFICr
WI1�"�VESS M'Y HAND AND FFiClAL SFAL THIS
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PAUL L, & C PTROLLE
�Y DEPUTY CLERK
813-780-0020 City of Zephyrhills Permit Application Far$13-780-0021
Building Department
Date Received � �—� ?/� phone Contact for Permittin �� Q
Owners Name I✓/ �r�/C Q � Owner Phone Number /(i7�y�8 9�3�/
Owner's Address � 7 / 'vN"I .s/,rClG L pNrner Phone Number ��
fee Simple Titleholder Name __ Owner Phone Number ��
Fee Simple Tftleholder Address �
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JOB ADDRESS 7 S (9ltw (� I�I�D ZE�1�YR�iKLS �G 3SS'f LOT# [�
SUBDIVISION PARCEL IDM �y��� � �� '�DI(R/�'�D•�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTft ADD/ALT O SIGN � Q DEMOLISH
B INSTALL REPAIR
PROPOSED USE � SFR Q COMM Q OTHER �
TYPE OF CONSTRUCTION Q BLOCK O FRAME Q STEEL Q �—�
DESCRIP110NOFWORK //I�I��,/O� ��,�pZ,�¢j/ONS OF 1'/Nd/�E3 �C'Kl�/�IN�d— —
BUILDING SIZE SQ FOOTAGE� HEIGHT �� l J`1�
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QBUILDING $ �"� �y� VALUATION OF TOTAL CONSTRUCTION
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QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. ��
QPLUMBING $ iq � �Q� IQ�„�
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QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� ���7'
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QGAS Q ROOFING � SPECIALN Q OTHER � •-- �S� ' p� ,o
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 1��`7t-/s�` � �`
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BUILDER � fy�/ %� �I�� IG f,�!I�� �� � "
, . COMPANY I �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
ewdress 212 �i/S P/IVE S b��G��?�bf V�nse# C!►'C /s/S2Zg �(,Qj�
ELECTRICIAN � �S �� .I` � � /' �� `�
� V y COMPANY
SIGNATURE REGIS7ERED Y/ N FEE CURREf. Y/N
Addreaa �
License#
PLUMBER COMPANY �
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Address License# �
MECHANICAL � COMPANY �
SIGNATURE REGIS7ERED Y! N FEE CURRE� Y/N
Address �
License#
O7HER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
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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,ConsWCtion Plans,Stortnwater Plans w/Silt Fence installed,
Sanilary Fadlities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new con:struction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faalities 8 1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construdion.
Diractions:
Fill out application completely
Owner 8 Contractor sign back of application,notarized
H ovar 52500,a Notice of Commencement is required. (MC upgrades 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 PERMIITING (Front of Application Only)
Reroofs if shingles Sewers Service Upgredes A/C Fences(Plot/Survey/Footage)
Drivewaya-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 CouMy regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictior�s.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPON3IBILITIES: 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. tt the
contractor is not licensed as required by law, both the oHmer 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 Divisior�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 omier 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 IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEE3: The undersigned understands
that Transportation Impact Fees and Recou�se Recovery Fees may appy to the construction of new buildings,change of
use in existing buildings,or expansion of existing buiidings,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
permittirx,�. 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
8nal power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact
fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,FloMda Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided wiih a copy of the "Florida Construction Lien Law—Homeowner's
Proteetion Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certiy that I have obtained a copy of the above described document and promisp in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'3IOWNER'S AFFIDAVIT• I certify that all the fnformation in this application is accurate and that all work
wiil 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 installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that al�work will be perfomied to meet standards of ali laws regulating
construction, County and City codes, zoning regulations, and land development regulatlons in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may appy to the iMended work,and that it is
my responsibility to identiiy 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 Environmr�ntally Sensiiive
Lands,Water/V1/astewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
- Department of Health & Rehabilitadve 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 fitl 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"wili 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 materiai 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 pertnit 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 f am the AGENT FOR THE OWNER.I promise in good faith to infortn the owner of the pertnitting 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 cond'Rioning, gas, or other installations not specificaly inGuded 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 shali issuance of a permit prevent the Building Official irom 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 pertnit is commenced within six months of permit issuance,or if worlk authorized by
the pertnit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An e�ctension
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 woMc ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC NT RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T NG,CONSULT
T Y R N R R N R EY EF R R C R IN Y CO NC T.
FLORIDA JURAT(F.S.177.03)
OWNER OR AGENT CONTRACTOR_ �.
Subscxibed and swbm to ore this Subscribed and swo or affi d) etore me t is
by
Who is/are persona o or haslhave produced knovm to me or haslhave produced
as identification. as identlficetbn.
•� Notary Public ����v —' `��`�`�%�-'�-'
p NWary Public
� � ' Commissien No. � �o��
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Na � � ,��g� Name of Notary typed,Printed or stamped
y r, � My Commiasion DD945581 "�
'+,�wo�' Expires 12/10/2013 j�""� LE18A ANN MIEL.KE
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EXPN�ES AprN 21.2018
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: 'W GC��\�l �<,77'T-CP���
Date Received: 7'"�— �Z
Site: �� �� ���� ���,�
Permit Type: LZ��!'�CN" �ca IIa.�F'?.�.
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Approved w/no comments: Approved w/the below comments: O Denied w/the below comments: ❑
This co nt sheet shall be kept with the permit and/or plans.
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Kal n Swi e lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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