HomeMy WebLinkAbout13-14652 CITY OF ZEPHYRHILLS
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, , � �813)780-Q�� 14652
BUIL NID G PERMIT -=
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Permit Number: 14652 Address: 6030 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0010-12800-0000
Improv. Cost: 23,000.00 <=�n.�;�,..�� �
Date Issued: 10/18/2013 Name: GALL BOULEVARD LAND TRUST
Total Fees: 280.00 Address: 350 HARBOR PASSAGE
Amount Paid: 280.00 CLEARWATER, FL 33767
Date Paid: 12/23/2013 Phone:
Work Desc: 320 X 8 FRONT FACADE OF CANOPY ADDITION-ADDED DUMPSTER PAD & ELECTRIC�
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TRI-CITY ELECTRICAL CONTRACTORS ELECTRICAL FEE ��t�LeO�- 40.00
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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 t� plans not at job site g)work not accessibie.
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
impro en to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording our notice of commencement."
C plete PI s,S ' cati s Must Accompany Application.All work shall be performed in ac.cordance with
Codes and Ordinances. NO OCCUPANCY BEFO C.O.
TRACT IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS
5335-8TH STREET
�si3)�so-oo20 14652
BUILDING PERMIT /
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Permit Number: 14652 Address: 6030 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0010-12800-0000
Improv. Cost: 15,000.00
Date Issued: 10/18/2013 Name: GALL BOULEVARD LAND TRUST
Total Fees: 165.00 Address: 350 HARBOR PASSAGE
Amount Paid: 165.00 CLEARWATER, FL 33767 �
Date Paid: 10/18/2013 Phone:
Work Desc: 320 X 8 FRONT�FACFACOF CANOPY ADDITION-NEED N N
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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 wmply 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 oommencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT CT R SIGNATURE 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 Department ,
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Date Received Phone Contact for Permittin � Z
�� TI Tl l r
/ ' n (( ��� Owner's Name Owner Phone Number ' �I 0��
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1 ,e.y� �.ls Owner's Address Owner Phone Number
S' �V�� ��r�� �
� u-��� �1�ree Simple Titleholder Name Owner Phone Number
`b�G� -�k-� ��p,��`j�
�dJ'� ��" � Fee Simple Titleholder Address
`3���(�T � JOB ADDRESS ��Q 4�u 3LU�D � ��l S T LOT q �
C 3�(p� SUBDIVISION PARCEL ID#
''� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR� ADDlALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK ���� Gs��O p�T(Q/J Z(�J�
5 �
BUILDING SIZE SQ FOOTAGE� HEIGHT �
o ' ���'v
'�BUILDING $ D Os VALUATION OF TOTAL CONSTRUCTION �
QELECTRICAL $ AMPSERVICE � PRO��ENER� � W.R.E.C. ���
QPLUMBING $ 141,y ��
«�y s
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �'7, ��/ , �
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QGAS Q ROOFING Q SPECIALN � OTHER C
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �U�
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BUILDER ��� COMPANY � � � 9...� Y�/
SIGNATURE REGISTERED Y I N FEE CURREI. Y/N
Address �icense# (./�(� � �C/ ��n
ELECTRICIAN COM PANY �
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI. Y I N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&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 Fortns.R-O-W Pertnit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 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.
DirecNOns:•
Fill out applicaGon completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized leKer from owner authorizing same
OVER THE COUNTER PERMITTING (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"restrictions"
which may be more resVictive than Counry 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 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 work,they are advised to contact the Pasco County Building Inspection Division—Licensing Sedion 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 properiy licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION 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 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 TranspoRation 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. Furthertnore, 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—Homeowners
Protection Guide"prepared by the Florida DepaRment of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I ceRify 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 ceRify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construdion,zoning and land development. Application is
hereby made to obtain a permit to do woric 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
certify 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 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/Wastewater 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 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 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 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 separate pertnit 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 for a period of six(6)months after 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
justifiable 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 TWI(sE`�OR IMP VEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR:LEN ER R ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 1 0 )
\�
OWNER OR AGEN� CONTRACTOR
sc bed and swom o or affirm ) ore me this Subscribed and swom to(or affirmed)before me this
3 by � /� by
h�s/are personally k wn to me or as/have produced Who is/are personally known to me or has/have produced
�_, as identification. as identification.
�in�,�, - r, -,r.��fi
�, `�'"� f/ , ,
h _ tary Pubhc Notary Public
Commission. qf Commission No.
1
N e p ry pe ,pn p�g�p Name of Nota t ed, rinted or stam ed
•M.g •, T A YLJ1 IER �Y YP P P
'� �` MY CAMMISSION Y EE 877280
;��a€ EXPIRES:May 24,2016
'�'.�,�,od��d:`' Bonded Thru Notary Public Unde�writers
. � ��� �
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: �`l�3
Site: �p D J�(� �/�r �YJ
Permit Type: �Qy1� �Il ,� /�«5 �"�A��
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.
,
�% % 3
Kal in S 'tz�r'- ans Examiner Date Contractor and/or Homeowner
%� (Required when comments are present)
1
� I lillll llill lllll lllll lllll lllli lllll lllll lllll lllll llll llll
• � 2013194098
Rcpl:ig63137 Rec: 10.00
/_ [ NOTICE OF COMMENCEMENT DS: 0.00 I T: 0.00
Permit No. �y v J� 11/14/13 B. MeBee, Dpl.y C 1 erk
Property Identification No. �� °" Z[� " Z� ���� �Z�j�� —�� -
TI�iJIJDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT
1. Description of property(!e a/descr' tion:)
a) Street Address: 'O G11 tv • h r h�11 , N L
2. General description of improvements 3 x F�r C'a � c�n0 d��tor.
3. Owner Information �+
a) Name and address: l�Gl� ���a �,A^� �YV��'
b) Name and address of fee simple titleholder(if other than owner) '�S[1 1�Gr bo� P�<(a��� C I Pr(w,�t.+ F�, �3`1(�'�
c) Interest in property )_o..� "(V�S�-
. Contractor Information n .
a) Name andaddress: �OP.��c�C'. �1vOS.a-o��OV COns-�YVC�IOn 27J'r �4'� ,S''�• L�J '��f ��,.�71�'
b) Telephone No.: 17.`I- �1 G�CI^U�Z -� Fax Nn,ln�r.� `1Z 1_ �Z 7_ �7 �Q�
. Surety Information
a) Name and address: N��
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt.)
6. Lender
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himseif,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes: •
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified): •
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER TaE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYIlVG TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCIIVG WORK OR RECORDING YOU NOTICE OR COMMENC MENT. ,
STATE OF FLORIDA �
COUNTY OF PASCO
Signature OF Owner or er's Authorized Officer/DirecwrlParmedManager
-�hvn�n .�aCa�q nU S
Prwt Name T
The foregoing instrument was acknowiedged before me this �gM day of V���2- .20 I 3,by �71�1NS�l�r.'�1�'�/�/d�
� ���A�'��- .(type of authority,e.g.oflicer,trustee,attorney in fact)for �
(� Cr�S�YGG�G�J (name of party on behalf of whom insVii t was executed).
Personally Known_OR Produced Identification_ Notary Signature ..��_ �
Type of Identification Produced Name(print)_c��i�f�i ���.. (.P.(J/�-
�� Verification pursuant to Section 92.525,Florida Statutes.Under penalties of peryury,I declaze that have read the foregoing and that the facts stated
� in it aze we to the best of my knowledge and belief. /�
FoaMSmroc.rv,azoo� /�`iti�
SignatureofNanualP Si�ingAbove
.;��"'"i�, STEPHANIE COOK " ,
'" MY COMMiSSiON/EE831398
EXPIRE3 Augvet 30,ZO1B � PRULH 5 0'NE I L�Ph D Pii5C0 CLERK & COMPTROLLEi
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