HomeMy WebLinkAbout13-14705 CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 14705
, . � BUILDING PERMIT
Permit Number: 14705 Address: 5540 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: 11-26-21-0010-05700-0250
Improv. Cost: 25,000.00
Date Issued: 11/13/2013 Name: WELLESLEY DEVE CORP C/O NYE COM
Total Fees: 436.38 Address: 34619 SR 54
Amount Paid: 436.38 ZEPHYRHILLS, FL. 33542
Date Paid: 11/13/2013 Phone:
Work Desc: INTERIOR REMODEL-ZEPHYRHILLS NAIL & SPA
MADIGAN ELECTRIC INC PLUMBING FEE 60.00 FIRE PLAN REVIEW FEES 76.38
DRB PLUMBING LLC
�� ,�
��
� . .,
�
- � �
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 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 shali be performed in acwrdance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
��f�`?.�---
� CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF / / � � BUILDINO
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
� • • - �
ADDRESS
�.��� � DATE PERMIT f
L( !_
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be occepted.
-� °l rQ p rr-� /' ! `,� '
- �^ � �,��* �t �
� �► '�- J�� ,
r O�'i �I^�p�
-- f�� � �"
�� � �,�
�►I r� c v � �.` r
�1 � t''C"°��°"1
It is unlawful for an Ca �� � � • � �'�(���
v ��c , o�t�ctor,Builder,or other persons,to AFTER CORRECTIONS ARE MAD ALL
cover or cause to be covered, ny part of the work with flooring,lath,earth ����
or other material,until the proper inspector has had ample time to approve 780-0020 FOR RE-INSPE TION
the installation. �����
OFFICE HOURS 7:30 AM-5 PM MON.-FRI INSPECTOR �
°"-'°""""`u C:itv ot Zephyr��iils Permit Application Fax-813-?80-0021
Builcling Department
Date Received � �' ��- " C
Phone Contact for Pennittin ��3 (� ��✓� __ �6 p �f' �
Owner's Nay�, l r7L�/ Tn��
Owner Phone Number cd'l3- So 2-56/3
Owner's Addresa �BY/ L e c..',5 �(� yr �15 �
�r a 3s�/�- Owner Phone Number
Fee Stmple Titleholder Name � Owner Phone Number C �
Fee Simple Titleholder Address
JOB ADDRESS ssy� GG� I I ,b�V�I �,e,�},y�h,��s � �Z 3%SYa ] LOT# ��
�J
SUBDNISION PARCEL ID# !1 a6a 1 bD 1�S 7
(OBTAINED FROM PROPER1fY TAX NOTICE)
WORK PROP03ED B NEW CONSTR 8 ADD/ALT �_] SIGN Q Q DEMOLISH
INSTALL REPAIF.
PROPOSED USE Q SFR Q COMM [—� OTHER �
TYPE OF CONSTRUCTIOId Q BLOCK Q FRAME C� STEEL Q
DESCRIPTION OF WORK �1-/If'c�.�^ �p���I �,,�,�II� P�I�.fj/�T_D`„�b;� .
� �,
BUILDING SIZE �— 3Q FOOTAGEC� HEIGHT ��
BUILDING $ -------,_
,,S UUV VALU�ItSN bF TOT7CC STRUCTION
ELE TRICAL r� /
a AMP SERVIC:E y PROGRESS ENERGY Q W.R.E.C.
PLUMBING $ ) h�/� � �
/ �/�
QMECHANICAL a VALUATION i M IC INSTALLATION /
�����..,�_____� � l �7�_�
QGAS Q ROOFING Q SPECIAI.TY � OTHER
FINISHED FLQOR ELEVATIONS FLOOD i!ONE AREA �YES Nq
l
BUILDER �J�� � COIWPANY P� ��S���Iu^ S v��B�t �<<",
SIGNATURE � REGI1iTERED Y/ N FEE CURREA Y!N
Address � License# �CP� 1 �S y�5�
; c.�l,,�,�,j gl�
ELECTRICIAN . //1 /� �� .��� r COMPANY I IAD���� �rGG��� �N C-_ '��G
SIGNATURE - � �� �y�" REGI;iTERED Y/ N FEE CURRE� Y/N
Address �
License# r-C (»d�"7 y�-{
PLUMBER """'— � �,� CONpPANY i� Z I� �'jG �. L ( �"'� �
SIGNATURE �----'�'"""""�� --"" REGI:;TERED Y/ N FEE URRE� Y/N
Address � License# �'--I-� � � ,�ss' J t/(„
AAECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address � License# �
OTHER COMPANY
SIGNATURE REGIS�TERED Y/ N FEE CURRE� Y/N
Address ] License# C
RESIDENTIAL Attach(2)Plot Plans;(2)sats of Building Plans;(1)set of Energy Fonns;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 Facilitles 8 1 dumpster,Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a LHe Safpty 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 Facilities 8�1 dumpster.S(te Work Permit for all new proJects.All commerclal requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required 1or all NEW constructi��n.
Directions:
Ftll out application completely.
Owner 8 Contractor sign back of appUcatlon,notarized
If over 52500,a Notice of Commencement fa required. (A/C 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 CQUNTER PERMITTING (Front of ApplicaUon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
�IOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be suk�ject to°deed" restrictions"
uvhich may be more restrictive than County regulations. The undersigned assumes responsibility for complia��ce H'th 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 misdem�an�oPYioiation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 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 permitting privileges in Pasco
County.
TRANSPORTATION IMPACTlUTILITIES 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 ce�tificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthe�more, if Pasco County Water/Sewer Impact
fees are due, they must be paid prio�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 above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'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. 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 government agencies may appty 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, pltering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- Department of Health & Rehabilitative 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 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 ce�tify 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 AGEN7 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 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not spec�cally 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 O�cial 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 1�I YOUi�
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING� CONSULT
V111TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT F CO N EM T. ,,,,,:,,,,,
FLORIDA JURAT(F S 117.03) '"'���' �J'
w �F�
OWNER OR AGENT ,,,,,,,, 6NTRACTO
Subsc�ibed and swom o or aHirmed�before me s ,��+�Y;,sos; ub cxl ed and swom to or a ed befole me this �� µ`"��;;�'`
by _° K: by `� •
o is! e ersonally known to me or haslhave produ , r; o Isl re erson�lly known to me or has/have produced .� o
r4�s�R,= �J 1.... as idenBficaGon. � " �� �
as identlficadon. '�.,;� , ' ° ° �
����„���'��` � � �
� 3 -a � r
`° ' s 2 � r1 _ � D
� � o. `� ° ��1t_�/X� � �, - c
a o � w � � n D
o ,� NO� �11�C�
NOta � - =' �
' a _. � c � _ .n m
�� ."', r
� _ �n c p _ � c � �
Commisslon No � _ � � � ommission o. � ° r^
�; �� �,
� f. ` c� � N a � �� � � � n' °
- '^ D `° = ame of Notary typed,pnnt or stamp ;; �
Name of Notary ryped,printed or stamped - �,� o r.,
� W � T
[T� .
'� tD ti O
N � O �
� d
� � �
Jacqueline Ba,ges -
. �
From: Verne Riggall
Sent: Thursday, November 07, 2013 8:40 AM
To: Jacqueline Boges
Subject: Re: Nail or Beauty Salon
Yes.
Sent from my Verizon Wireless 4G LTE DROID
Jacqueline Boges<�bo es(a�ci.ze�hyrhills.fl.us>wrote:
Okay ! so you are saying to give to contractor based on this email?
From: Verne Riggall
Sent: Thursday, November 07, 2013 8:04 AM
To: Jacqueline Boges
Subject: Re: Nail or Beauty Salon
Yep. Somewhere in my red notebook. However, not here in Chicago.
Sent from my Verizon Wireless 4G LTE DROID
Jacqueline Boges <jbo�es(c�ci.zephvrhills.fl us>wrote:
Great !
Do you still have the plans that were needed to be review?
From: Verne Riggall
Sent: Thursday, November 07, 2013 8:00 AM
To: Jacqueline Boges
Subject: Nail or Beauty Salon
The salon on Gall Blvd. Around the 5400 blk. is ready to go. Plans approved.
Chief
Sent from my Yerizon Wireless 4G LTE DROID
1
.
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contracto omeowner: � C� " , ��
Date Received: �� '� g .���
Site: �"�',yl� ���1��
Permit Type: �. iY/��g'L^�OGCe.F,'?������ ,
�
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.
/� � ��
Ka vin itzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
iiiiiiiiuiiuiiiiiiiioiiiiiiiioiiiiiiiiiiiiiiiiiiiiiiiiii
2013178768
, Rcpt:1357118 R�c: 10.00
DS: 0 00 IT: 0.00
10/17/13 C. Mln��, Dpty Clsrk
PHULR S 0'NEIL,Ph D PqSCO CLERK 1 COMPTROLLER
10/17/13�9�� P�°1691
OR BK
NOTICE OF COMMENCEMENT
Permit No.
Properry Identification No. ���h/�����af7�7�Qa�
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordancc with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT
I Description of property(le���r/ptlon:
a) Street Addrcss: S � • � � y
2. Gencral descri tion of�mprovements�Ln,l pii� 1'�;�.��� 'G'a( y�u l �ah
�I I �.�, " Q rec-}�I.d1,
3 Owner Infortna ion .
a) Name and address: rlJkl ?H/4 i �L.���� i' �Y �[�JI-�� I 11/ !� �� � �{-��
b) Name and address of fee simple Utleholder(if other than owner)
c) Interest in property
4 Contractor Infortnation L�,
a) Nameandaddress:�G� �[2 �/7�7 W,n� �� �2�e/ ��' �i'(� 33�fJ`1
b) Tdephone No.:�+3 IS"y3�� Fax No.(Oot.)
5 Surery Information
' a) Name and address:
b) Amount of Bond:
c) Telephone No. Fax No.(Opt.)
6. Lender
a) Name and address:
7 Identity of person within the State of Fiorida designated by owner upon whom notices or otha documents may be served;
a) Name and address:
b) Telephone No. Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713 13(1)(b),Florida Stamtes:
a) Name and address:
F �'
b) Telephone No. Fax No.(Opt.) '� Z V r'`
9 Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a difTerent date is C� � � � �} � �'
spectfied):
� i � �� � �
t� U= _, O
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF t�1� u � �� `� �� r
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, LL �' il� � �-
FLORIDA STATUTES AND CAN RE3ULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A � � �; Z � �
NOTICE OF COMMENCEMENT MU5T BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FiRST ti � � `.=� C)
INSPECT[ON.[F YOU INTEND TO OBTAIN FIIVANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE � u� � � � U
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT. '� Z Q � �
� �- ;�- t� ii
STATE OF FLORIDA CS �- � �E' � Y
COUNTY OF PASCO � C,J< <C C� � �
� C.✓ lJ Z � �
ner or er s nz cmr/parmer/Msnaga .q( - �- J .Q
�5 >- �? L? Ca ��U
Rwt Name �L=_ �'�`� � G O J
3- �= �- � �- W
j�� � ?l° Q'. u._ � Q
The foregoing instrument was acknowledged before me this�day of �1�e.1� ,ZO�by��� ��"\�� ` ��� � J .„ v z
��.
�--�� � (rype of authoriry,e.g.o�cer,trustee,attomey in fact)for � �' tY � �
� ��^� �'"u�� (name of party on behalf of whom inshu ent was executed). �'": `--� � i� � �
Personally Known_OR Produced Identification� No +-+� {» � J W Q �
tary Signaare
\IJ
Type of Idenhfication Produced '� ��� � � � 1� �
Name(print) � _ � Z Q j-
Gi? F- �- O �Ll. m
Verification pursuant to Section 92.525,Florida Stetutes.Undtt penalties of perjury,1 declare that 1 have read the foregoing and that the facts stated � * *
in it aro true to the best of my knowlodge and belief. `� ��
Po�.,��.r�ao, G�? � 6,Di
S�pr0aeo/NwfYPononApnKAbeve � \ �
V �
• ��,,� 1� � �
��;;��,,, SUE ELLA BROGDEN �; ��-- oo µ,
:i°. e�'? Nolory Public•State ol Flortda ?� �.�+ • �'
, . :M Comm.E: Ires Jun 15,2015 � u�
=?;�p.= YCommiasl n I EE 103741 �A `-R -,�^ �r.
Bonded Throup�Natlon�l Notary Assn. N^ • �
qs� ,
���� b� .� �!.
� .< ; i
: ;�
��
r•
ALL'���RI:SHALI.CO'�SP"Ll ��171I Al_L.
PRE�'AlL1�iJ C�)nF�.F1��1D�Bti11 DIT+G
CODE.`1AT](1'�r,L ELECTRIC CODE AhD
`7T}'nF i I PH`,'Rlil!1 c r�RT}l'',A'�CES
!ti-:4`It��F1kTL�����.� -
CiT?'<?F 7FPFi itT�tl,E,fs C
Qt 'I i2t'J(,fSFFpi.'41 ' �---
t
r
a.... . ........
lo,
7 7 7
7 77-7
NCI
uplu
O b Con s4(cuko-) ,S Q(-o',(6 Oc.
U P LqU-
SCAi E APPROVED DRAWN By
DATE 2DATE 13 REVISED
DI R A W 74. N G N L," A B EF R
. .........
. ...... ----------------
- ------ -8 . ..................
NCI
uplu
O b Con s4(cuko-) ,S Q(-o',(6 Oc.
U P LqU-
SCAi E APPROVED DRAWN By
DATE 2DATE 13 REVISED
DI R A W 74. N G N L," A B EF R