HomeMy WebLinkAbout13-13840 CITY OF ZEPHYRHILLS
5335-8TH STREET
' (si3)�so-oo20 138'40
BUILDING PERMIT
Permit Number: 13840 Address: 7400 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: 35-25-21-0010-08800-0000
Improv. Cost: 30,000.00
Date Issued: 2/06/2013 Name: TOWNVIEW RETAIL LLC
Total Fees: 337.50 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 337.50 BALA CYNWYD, PA 190042102
Date Paid: 2/06/2013 Phone:
Work Desc: REMODEL INTERIOR 2223 SQ FT EYE DOCTOR OFFICE -- ' .m�,-
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MILLICAN 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 properly. 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 acxordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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C � URE PERMIT OFFI R
PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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2013016060
Rcp1:1492166 Ree: 10.00
Pertnit No. Parcel ID No DS: 0.00 I T: 0.00
01/28/13 D. Bonilla, Dpty Clerk
NOTICE OF COMMENCEMENT
State of ("'�C� CouMy ot 1+V��
THE UNDERSIGNED hereby gives notice that improvement wilf be madn to ceAain real property,and in accordance with Chapter 713,Florida Statutes,
the tollowing infortnaGon Is provided in this NoHce M CommencemeM:
1 DescripGon o(Property: Parcel Idenlification No. ��"' �_^Z�- �O)� � C)��Q°� � A An 0
SlreetAddress: �T� �0�� al✓p . z�NLYli��S �� ���
2. GenerelDesaiptionoilmprovemeM QtC'rNf/Lr//�f /NTikiolt (J/�«� � (i/1qATC
� ��i��o �X A,vc tQor�..� S Ji M n o�sA1 `7 l`�d ,F on .-'� tT i nl T A.N J Y�'l�.Q..�!T
3. Owner Information or Lessee information if tha Lessee contraded far the improvement:
_��- .rNac,s��s ,.rNc.
�/3z�t �'d�4s. �;,J sT� Pa�-Gc.sbu F�
Address City � State
�nterest in Property �cN�AfL - �LGdili/ OD1�fL��
Name of Fee Simple Titleholder. �I.J�✓I�G� ��A/L ���-
'� �• ,�x �.��' Qf different from Owner listed above) �
i��(.a�e.LL��iA
Address /j /J
Contredor. 151��Cf� P�L�ON'�T��uCTip� (�A.v��LL- Q��i o LLA Q)�f�'o� oF S�NC'r�✓cr,)r.�
� Name
?y�/ lJi�rS QoA n (($�A t S/�,.vt,� �,
Address ` �/ City r State
ConVactors Telephone No. 7L7"6 3�� J Z./ �
5. Surery
Name
Address City Stale Q � W Y
Amount of Bond: S Telephone No. Z U �
6. Lender Q � � LL- � W �
Name --- —' � � , � J Q �
Q �a -1 t�t ?
Address City State a. (� n � � � �
Lendefs Telephane No. O �W � � � � �
� z — --� �
7 Persons within the State of Ftorida designated by the owner upon whom no!ices or other doanncnis may be served as provided by �. � }- (� � � �
Sedion 713.13(1)(a)(7),Florida Stetutes: � � � � � �
Name Z = O O � �
---- Q � (1. � 0 X
Addre35 PfiULp S 0'NEIL,Ph D Pq5C0 CLERK 6 COMPTROLLER �
01/28/13 09:2 a 1 of 1 State U � O U Z
Telephone Number of Designated Person: OR BK $a�� P� 3246 a ~ -� Q
0 >- U f� p � C1
8. In addition to himself,the avmer designates of � � � a Z O
to receive a copy of Ihe Llenors Notice as pravided in Section�13.13(1)(b),Floride Statutes. � W � O � �
Telephone Number af Person or Entity Designated b y Owner U U �
W � � �
9. E�iration date of NoGce of Commencement(the e�iratfon dete may not be hefore the complellon af construction and final payment ta the � ��- Z
contrector,but will De one year from the date oi recording unless a diHerent date is spedfied): � �f� � -�..� ��� �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THH NOTICE OF COMMENCEMENT 1: `') =ij �� � _�
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES AND CAN 'r" ]= ti '' � Q 1-
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERIY. A NOTICE OF COMMENCEMEN�' MUST BE �•i r- '- l� :- �1. CO
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT �
WITH YpUR LENOER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I dedare lhal 1 have road the foregoing natice of commencement and that the fads stated Iherein are true to the best
of my knowledge aM beHef. ,.t � *
I STATE � �j � �• *
COUN �� �
� KEILY A.tl1A0Y ��
Nohry PupNe-Stat�ol Fk/rld� �B�ture of Owner or Le see,or Owners or lessee's Authorized 4 S'
'• My Canm.Fipkn Wr 17.20/6 �cer/DirectonPartnerlManager � ��� �
Commlubp I ff 161125 �����S N� �., � -.•„�" �
"' b�mro����r� Signatory's TRIelOffice � � �
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The foregoing inslnxnent was ecknowledged before me this�dey af ,20�,by �P�i°�% �-fS,.,n-�� ' �
^ as n/-P�`L�J1� (type of authority,e.g.,otficer,trust, ,attomey In fact)(or � '�� .��
— �`l�' �'�n��! (nam�rty on bef�tt .wtiom instrument was exewted). � • �
Personalty Known[�'�Produced IdeMillCetion❑ Notary Signature ��-' � ' • .
Type of Ideritification Produced Name(Print) YJ. �s * # *
wpd atalbcs/n oG cecom mencemenl.pc0536/8
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City of Zephyrhills
BUILDiNG PLAN REVIEW COMMENTS
Contractor/Horneowner: �y� �� ��,`�S�f�L,�
Date Received: _ �'_ � ��
Site: ���� ���/ ����(�
Permit Type: � C� ` -Pn�% 2 �Z�3 ���� ���
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O i C�
Approved w/no comments:❑ Approved w/the below comments: C�' Denied w/the below comments: ❑
t;�� �f �' J1 +�
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This comment sheet shall be kept with the permit and/or plans.
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Kalvi � �
Swrtzer— lans Exammer Date Con o d/ eowner
,�
�` (Required when mments are present)
813-780-002C� City of Zephyrhills Permit Applicatio Fax- -780-0021
Building Department
Date Received � i� �( ?, �Z G 2g - s�u ^
Phone Contact for Pe ittin 7 �
Owner's Name /C/�' � ner Phone Number
Ov�rner's Address � g �j T• , �...�G Owner Phone Number
Fee Simple Titleholder Name � d.,�,�,��,�,r, `���� l� pWner Pho�e Number
Fee Simple Titleholder Address (� • �x 1. p��
JOB ADDRESS / /� I. 3 LOT# C�
SUBDIVISION PARCEL ID# -` �m, e �Cj�r�f� ^��v
(OBTAINED FROM PROPERTY TAX NOTICE�
WORK PROPOSED NEW CoN57R ADD/ALT � SIGN [� � DEMOLISH
INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM C� OTHER
TYPE OF CONSTRUCTION Q BIOCK Q FRAME C� STEEL Q r—
DESCRIPTION OF WORK o�� L.L � � j�C�j� ��S CZC'�
BUILDING SIZE �— SQ FOOTAGE[��_?__J HEIGHT
��UILDING $ VALUATION OF TOTAL CON TRU 3vf d00•!��
QELECTRICAL $ AMP SERVICE � NERGY Q W.R.E.C.
QPLUMBING $ � I '��b
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /� ��G
<
OGAS Q ROOFING [� SPECIALTY � OTHER / Se�—�/Q�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER '�
SIGNATURE �� �I�OMPANY ��
REGISTERED / N FEE CURRE� Y/N
Address m,e.0 u �S f'C� License# CGG pG el� c1S'y
S GNATUREN �ii'/e'��1����f� �� �� COMPANY l �(?��� L�L
�L REGIST E R E D Y/ N F E E C U R R E� Y/N
Address � J� �� � ',3`l�rC License# �� , �6
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 wl Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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 Facitities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely
Ovmer&Contractor sign back of application,notarized
If over s2500,a Notice of Commencement is required. (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 PERMI7TING (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" rE�strictions"
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 unde�take 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 contr'actor 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 bs 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
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 "ce�tificate 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 applicant is someone
other than the"owner", I certify that I have obtained a copy of the abo�e described document and promise in good faith to
deliver it to the"ow�er" 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. 1 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/Wastewate�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 Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmenta!Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of filf 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 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 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 sepa�ate 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 the�eafter
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 Buitding Official for a period not to exceed ninety (90) days and will demonstrate
the ob is considered abandoned.
justi�able cause for the extension. If work ceases for ninety(90)consecutive days, \j
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 PINANCING, CONSULI"
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT CE F COMMEN EMENT.
FLORIDA JURAT(F.S. 117.03) . �,
OWNER OR AGENT CONTRACTOR
Subscrlbed and sworn to(or afflrmed)before me this Subscribed and s yto r a r�mj c ���5 ���!f�
b bY
y Who is%are personally known to me or has/have produce
Who is/are personally known to me or haslhave produced as identification.
as identlfication.
1 �Notary Public �.L� � ��----- Notary Public
CommiS'sion Nq i
Commission No.
ed, rinted or stamped Name of
Name of Notary typ P r�,�"•'�, '�` '� J L ��
_., �.,.;�r�missiort#E�040520
��.:,�: �xpire��ecember 12,2014
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