HomeMy WebLinkAbout13-14006 CITY OF ZEPHYRHILLS
. 5335-8TH STREET
� ' (si3)�so-oozo 14006
BUILDING PERMIT
Permit Number: 14006 Address: 6151 12TH ST
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: 02-26-21-0080-00200-0020
Improv. Cost: 1,000.00
Date Issued: 4/01/2013 Name: FIRST CHURCH OF NAZARENE
Total Fees: 125.00 � Address: 6151 12TH ST
Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/01/2013 Phone: (813)782-7032
Work Desc: ADD DIVIDING WALLS WHICH ARE NON BEARING
4 .00
FIRE PLAN REVIEW FEES 25.00 --�•
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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 necess�ry 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 Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Per��nit�Application Page_1 pdf http.//www ci.zephyrhills.fl us/files/Building_DepUPermit_Applica..
— 313-780-002� City of Zephyrhills Permit Application Fax-813-780-0021
Bwlding Department \1
Date Received �" ,l/
' Phone CorrtaM for Permitting � } -- � ,\�1�� "
� � iir � � � � ir � � ��� U�
Owner's Name ur�.1� �aZa��.(� l7(JLY �1�50r1 Owner Phone Number ��J' '1��
Owner's Address �p� 1 1��� �', � rhills Owner Phone Number $�'qy#_�-sa y �l
Fee Simple lltleholder Name � � Owner Phone Number C—
Fee Simple lltleholder Address
J08 ADDRESS T� h �� LOT N �
SUBDIVISION � PARCH.IDA � '�2ty'� Z��W �(�Q'�(
IOBTAMIED FROM PROPERIY TAX NOTICE!
WORKPROPOSED B '�ENlCONSTR� ADDlALT� Q SIGN Q � DEMOLISH
INSTALL
PROPOSED USE � SFR � COMM � OTHER
NPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPl10N OF WORK Ap ( • �� QU nD GLU
BUILDING SIZE �—� SO FOOTAGE� HEIGHT
�BUILDING $ /Gb D VALUATION OFTOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W R E C
�PLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �` ����
�GAS Q ROOFING [� SPECIALTY � OTHER
FINISHED FLOOR ELEVATIOPIS �� FLOODZONE AREA �YES NO
BUILDER � COMPANY �G�NFIQ 'y�
SIGNATURE REOISTERED Y I N FEE CURRE� Y 1 N � T
J Address License# �—
_...-.,.,.,. �
ELECTPoCIAN � ,(� ,(��('� COMPANY �— �`v �
SIGNATURE � ' �,1 IT�L�� '� � REGISTERED Y I N fEE CURREP Y J N
.�r y Address License# �— �
� ��1°t� PLUMBER COMPANY / ��
SIGNAIIJRE REOISTERED Y I N FEE CURREP Y 1 N / ����
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Address License#
'�t;�?'l�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
OTHER � � COMPANY �—
SIGNATURE REGISTERED Y J N FEE CURRE� Y 1 N
Addross License# �—��
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RESIDENTIAL At[ach{2)Plot Plans,(2)sets of Butld�ng Plans,(1)set of Energy Forms,R-O-W Permit for new construction,
Minimum ten(10}wor4�ng da�s after submittal date Required onsite,Construction Plans,Starmwater Plans w!Sdt Fence installed,
Sanitary FacdRies&1 dumpster,Site Work Permrt for subdiwsionsllarge pro�ects
COMMERCIAL A[tach(3}complete se[s of Building Plans plus a Life Safery Page,(1�set of Energy Forms R-O-W PermR for ne�r construction
Minimum ten(10)workfng da�rs after submittal date Required onsrte,Cons[ruction Plans Stormwater Plans w!Silt Fence installed,
Sanrtary Facdities&1 dumpster Srte Work PermR for all new pro�ects All commernal requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans
"**PROPERTY SURVEY required for all NEVY construchon
Direcdons: � � � � + � i � �a � �
Fill out applicaUOn completey
Owner&Contractor sign back of apph[ation,notar2ed
If over 52500,a Notice of Commencement is required. (AtC upgrades over 57500)
"" Agent�for the contrector)or Power of Attorney(for the owner)would be someone with notanzed letter from owner au[honzing same
OVER THE COUNIER PERMITfING (Front of Apphcation Only)
Reroofs rf shingles Sewers Service Upgrades A1C Fences(PIoUSurveylFootageJ
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From: � 04/01I2013 07:25 �241 P.001I001
Perm�ApDlication Page_1.pdf http:!/www.ci.zephyrhills,fl.us/files/Buiidirx,�_DepUPermft Applica...
$'��ea�� City ot Zephyrhilis Permit Applicadon F�137��
BuiWinq DepeRment , ' �
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Own�t's N� Ur Q2C�Cj� Wu 3a1 Owm►Pharn Numb�r O `hF`
Owmr's Addnss � ' �p � . 7� rh+tk Own�r PMon�Mxnp�r �'qy�����i���
fn SimpN Tltl�holda Nam � Owtw Phon�Numb�r I
F��Simph 11dMold�r Addnst
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SU6DIVISION PARC�D/ Z°`�'" Z ' a(�'
q6T11M[C i110Y PROPERtY TA)I NO11061
WORK pROP08� e NEW CovSIR� AODIALT Q SIGN Q Q OOdOIISH
IN5TALL
PRO►OSED t78E � SFR Q COMM Q OThER
r�e oF coHS�xuc�noN Q e�oa: Q Fw�a� Q srea p
nESCtarnon oF wowc A � 1
BtALDiNO SIZE �� 80 FOOTAOE r-� FIi3GHT �
OBULOING s �b�p y��UATION OF TOTAL OONSTRUCTION
QELECTRIGL �� AMPSERVICE Q PROGRESSENERGY Q W.REC. • •
o��G C.��
QNECHANICAL YALUATION OF MECHAMCAL iNSTALLATION �����
QGAS Q ROOFING Q SPECIALTY � OTIfR
FINISMEDFLOOREIEVATfONS �� FLOODIONEAREA QYES NO
BIAIDfiR � CaMPANY C/GvN� ^� ����
81GN4'►I�tE �� REOM7ERiD Y! N t�cuae� Y
� Adik��s Uoense N I w
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ELECTRIpAN COMPANY /�-�I�/.?f�i ��I��•� �'S���S.�n�'� = r
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SIGNA,I.M�E REOSTERE� , ��WRREP 1�,�JlJ,
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MECUiM11CA1. COIYIPANY
8IGNATU2E rt�orra�eo / N r�cuq�t� Y!
Addnss Lioenee*
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SIG1�411�2E rtfor��[o Y! N ��oua�d. Y
Addrqs Ucenss N t �
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RE810ENTIAL R1Est�(�PIOt Plms,(�)6�SS of Buil6np Pl�nc:(1►wl ot Ernr�t Forms.R-4W Parmit tor nwr constnittlon.
Minimum Nn f 7g warldn0 dMi aR�r wbmfGal Oate. Requked ansrts.Construcdrn Plens.Scmr�verer Plens wl S1t Fencs fnarolie4.
SeNtsy Fedl��e 6 t tlumpst�r,Sln Wbrk Pwmt ta euodvlsbnallarys prqocte
COMMERdAL AttecA(3'eanNlaa eeee ot Buidln9 Rms dus�Uf�Sde�y Pepe;(1)set d En�rg�Fams.R-O-W P�rmt tor nw+r conciruUbn.
Mnimum Un ft�warldnp tle/s dter suDmtG�i drpr. Roquirsd ons�te,Constructim PMns.Starmw�lar Plane rd Sd[F�nq inslelpd.
Senioery FadlRhs d 1 dunpc[�r Si[�Wak Pertnit for aq naw projects./Vl commerNal nquiromsnts mus[meot corrpMencs
SIGN PERMR Attath(2)sals a Enykiwed Plans.
•"'PROPERTY SURVEY requifld fp tll NHN CdfltrutGOn
1 k'.i:.�.l i ' ' i-iw3.i 1 ii/�1 1 1 1 1 � f 1 f i� i i..1 i i ii • •1 1 d id i i� • • 1.i i i 6.Ii�1�.:�
aIIC1�Ofll:
Ftll out applice0on com{Matay
UvriBr L ConV�etor 81p1 OeCk Of�PWiC�tial.n0t8fiietl
M owr f1600.�Naiu M Comm�nnm«�t fs nquk�d (IUC ippad��ov�r t7600)
° Apent(for tho conVSCto�a Pbwer ai Atlomey(la the aMtlsry woultl tw somYOne�dlh noTSrizea kttYr from onnar euthmzing i9rt�e
OVER T1�E COt�17ER PERi11TT1N0 (Front ot�pppcetlon OnN!
Rarpde II sMnylec Sw+NS SelviCe Upprades MC Fencae(PlatlSuroey�Foofnge)
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NO�ICE O� DEED RESTRICTIONS� The undersigned underst. http//www.ci.zephyrhills.fl.us/files/Buiiding_Dept/Permit_Applica.
NOTICE OF DEED RESTRICTIONS� The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than Counry regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions
UNLICENSED CQNTRACTORS AND CONTRACTQR 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 regula6ons 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 wark,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 perrnitting privileges in Pasco
County
TRANSPQRTATION IMPACT/UTILITIES 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 af
use in existing buildings, or expansion of existing buildings, as specified in Pasco Counry Ordinance number 89-Q7 and
90-07, as amended. The undersigned also understands, that such fees, as may be due,will be ident�ed at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certficate of occupancy" or final power release If the project does not involve a certficate of occupancy or
final power release.the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco Counry ordinances
CONSTRUCTION LIEN LAW{Chapter 713.Florida Statutes,as amended) If valuation of work is$2,500.00 or more, I
certiiy 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'SlOWNER'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 regula6ng 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 pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regula6ons, and land development regula6ons in the jurisdiction I also
certiiy that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take ta be in compliance Such agencies include but are not limited to
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterNVastewaterTreatment.
- Southwest Florida Water Manayement District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls.Docks,Navigable Waterways
- Department of Health & Rehabilitative Senrices/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks
- US Enviranmental 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 peimitted building using stem wall
construction,I certiiy 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 byfill.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 worlc,
plumbing, signs, wells, pools, air conditioning, gas, or ather installations not specifically included in the application. A
permit issued shall be constnaed to be a license to proceed with the work and not as authoriry 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 aRer 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
jusUfiable 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 PR�PERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH Y�UR LENDER OR AN ATTORNEY BEFORE RECORDING YOIJR NOTICE OF C MENCEMENT.
FLORIDA JURAT(F S 11T 0
OWNER OR AGENT • CONTRACTOR'\ �
Subsaibed and sw m[o i edJ o e e Ihis Subscribed and swom ro�a�ffv�ned)befy re��is
�-/�l-!3 bv ` oN 3-/Y-[3 by� Csfl�C�/ �-fr/�50/1/
V�Iho !ar@ personally known to me or haslhave produced Who islare personally known to me or haslha+re produced
pL J�r, �,c�.�.sa_ asiden6fication Ft �r G c¢ asidentificaLOn
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. ZEPHYRH(LLS FIRE aEPARTMENT
6907 Dairy Road, Zephyrhil�s, FL 33542
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: Contractor:
Business Name� Lt-l�'� � ��t lS����l.s-��� Billing Address:
Business Address: (u`i i i 2 r��i
Business Phone No t'L f7��iZ- Billing Phone No..
Business Fax No : Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
S�te Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C
uni-Family/Commerc'-�l.-.�,�06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C
(Minimum Charg $25.00� 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
� Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100
4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pertank $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
� Per Riser $50 HydrostaGc Test $65 per system Fire Works $500
FIRE PUMP Acceptance Test $45 persystem Camp Fire $25
� Per Pump $100 Hydrant Flow $75 ConVolled Bum $100
FIRE ALARM SYSTEM �..> HoodlDuct $50
0-25 Devices $50 / FIRE ALARM SYSTE Place of Assembly $50 Mnual
V
26 plus Devices 0 System Acceptance $50 ' Fire Protection $25
SUPPRESSION SYSTEMS �Recall Acceptance $50 Flammable Application $50 nnnuai
Wet $50 OTHER Waste Tire Storage $50 Mnual
pry $50 Fire walUSmoke Wall $15 per wan Generator<KW $100
CO2 $50 LP Gas $25 per tank Generator>30 KW 150
Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 nnnuai
KITCHEN EXHAUST Fumigation TenGng $50
� Hood/Ducts $50 Tent 10'x10'or greater $15 per�enc Torch PoUApplied $50
OTHER Fire Pump $45 Haz.Materials $100 nr,o�ai
LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 Exhaust Hood/Duct $30
�Natural Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
�Spray Booth $50 � Inspection scheduled DBL 8
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle A� $50 FALSE ALARM
PLANS TOTAI�� INSPECTION TOTAL��, f`��' PERMIT TOT�i '� � � TOTAL��
��.
f, GRAND TOTAL ��"
,i-. �.. �.�
Comments: '�} � � ;Z 1► � �``�— ` �
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^ -� v� C� � � C�t l `'uZG�S_.%
Date: � �����
Inspector: � �, �
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
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Date Received: --�� �y - � �
site: � ( �I � Z� v I
Permit Type: rJ�l�Gi ���J��G",�� � G L�t �� ��- ��r�
�
Approved w/no comments:❑ Approved w/the below comments: J� Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
7 �� � / � y� tl 'f /�
r-Plans Examiner ate Con ctor and/or Homeowner
� ( equired when comments are present)