HomeMy WebLinkAbout14-15400 �'`e
� CITY OF ZEPHYRHILLS
` ssss-sri-�sraee'r
(813)780-0020 1 Q�
BUIL�ING PERMIT
Permit Numbgr= '15400 Addrgss= 38522-A AVE 3 O
PBrmit Typg- COMMERCIAL ZEPHYRHILLS, FL_
Class of Worlc: A��/ALT COMMERCIAL TownsF�ip: Rar�ge: Boo1c:
Proposed Us@: NOT APPLICABLE Lot(sj= BIocK= Section:
Square FB6t- Subdivision= CITY OF ZEPHYRHILLS
Est_Valug- Parcel Number: '14-26-2'1-00'10-0'1700-0060
Improv_ Cost: 25,000_0�0L.
�ate Issuad: �p-(`7-C-c Nam@c CROWN CASTLE GT COMPANY LLC
Total F@6s: 292_50 Address- 40'17 WASHINGTON R�
Amount Paid= 292_50 MC MURRAY PA '153'17-2520
Uate Paid: 6/'17/20'14 PhonB: (8'13 342-3853
Wor1c �sso= PRE-FAB BUIL�ING 8. FOUN�ATION FOR GENERATOR W/ ELECTRICAL CONNECT
WINGATE ELECTRIC INC
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FOOTER BONO �lJCTS INSULATE� SEWER MIS _
ROVGH ELECTRIC LINTEL MISC MISC
'IST ROUGH PLIJMB PRE-METER INSl.1LAT10N WALL MISC
OUCTS INSTALLE� WATER MISC �RIVEWAY
PRE-SLAB SHEATHING MISC_ MISC.
CONSTRUCTION POLE FRAME MISC MISC.
REINSPECTiON FEES: Reinspection fees wi11 comply with Fiorida Statute 553_SO(2�(c)when e�ctra inspection
trips are ne�essary due to any one of tF+e following reasons: aj wrong address b)oondemned worK resulting
from fau�ty�onstruction cj repairs or corrections not made wF�en inspections�a11ed d� worlc not ready for
inspect�o�when called e� permit not posted on job site� plans not at job site g� worK not aocessible_
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 otF�er governmental
entities sucF� as water management, state agencies or federal agencies.
°Warni�g to owner: Your failure to record a nolice of oommencement may resuli in your paying twi�e for
improvements W your prope�ty. If you intend to obtain fnancing�oonsult witF�your�ender or ar�altorney
before recording your notice of commencement."
Comp�ebe Pians�Spe�iti�ations Must A��ompany Application. All worK sFfa11 be perFormed in ac�ordar�ce with
City Codes and Ordinan�es. NO OCCUPANCY BEFO C.O. _
_ _ _�
hFT ` ATUF2E`��----- PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVE� INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRE�
PROTECT CAR� FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
��,�e�- ��������.a�e,
Date Received: �- q���"
s�te: ��c3 �zz �4- �9v�e�
Permit Type: �.�c.. r �i•���ar� nG���dY� �t�(arrg ��e-�� ���leG�,C
!
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.
� �� � � ���'�
Kalvin Switzer— 1 � Examiner Date Contractor and/or Homeowner
(Required when comments are present)
e�sasaaozo City of Zephyrhilis Permif Applicatian F�-���-�$���
Buikling Department
� Date itaeMvrd ^-�r Phone Contact for Permkdn 727 58$ -- 6176
�-rrrr'rT �
owner's�ame CfiOWN CABTLE GT COMPANY E�G 8wner Phane Number 877 486 9377
��,�ps,��� 4017 WASHINGTON RD McMurray,PA 1 531 7-2 5 20 pw�Q�phone Number 8�� 486 9377 �
Fee$imple Titlaholder Name � � Owner Phone Number �� �
Fee Slmpie Tltlehotder Address
�qg�qp�gg ,,38i2i A AYE ZEPHYRHItLS FL 33542 �qT� C�
suswv�s�oro �� � PARCELIDA� ��-z�z�-ooio-oy�oo-ooea
(OBTAINED FRIXi�OPERTY TAX NpTfCE}
WORK PROPOBED � NEW cONSTR� ADD/ALT �i����GN [� Q DEMOLISN
INSTALL REPAIR �
PROPpSEQ USE Q SFR Q COMM � OTHER
TYRE OF COMSTRUCTIQN Q BLOCK Q FRAME � STEEI. Q
oescrt�Frrarr oF wowc �enerator Faundation,fl�ildin�,t:aua�e�ion,Eiect�icai cannectian y �►j�
BUitbif+l�,S12E � � 34�04TAt#E� tiE1GHT
�BUILpING �20,000.00 T VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL �' 5,000.00� '�P SERVICE 20Q Q PROGRESS ENERGY Q W.R.E.C.
QPLUMB{NG $ �C?�_-,4�.rD lCLO`t�1��L'���� tI
� �� ,,,..� y•__j, 7�„ m�.�q,��I(jI�
Q►�GHANMCAi� $ VALUATtO1V OF MECHANICAL INSTAL�ATtON � � �¢�' ���W� Y�
QGAS �] ROOFING Q SPECIALTY [� OTHER ��UCi jJ„_ ��V �
�
FINISHED FlOt3R ELEVATtONS FIOOp Z�E AREA �YES X NO �"t�
BUNAER GpMpqNy 8uality Tawer Erec#ors and Service inc
81(iNATURE REC>ISTEREp � Y/ N PEE CIIRaEn Y/N
Address 22$01Qfh S#.S.E_Largo,FlO�ide 3771 �� ticense# CGC 00$527 �
� _
e�ct't�cuv� �COMPANY Wtngate Electrio
SiONATURE RE6tSTERED Y/ N �ee cut�n Y!N
,,�d,.,� 4715 Monterey Dr,Winter Naven,FL 33880 ucense# EC0000518 ��
PLUMBER � � COMPANY �^ �
SIGkA7URE r�r�sreReo Y i N F�cuw�n Y/N
Addreca License# � I
MECNJWFCAI � � COMPRNY �
SIONATURE REGISTERED Y I N FEE CUPoiE� Y/N
A+ddress �icense# � �
OTHER � � COMPANY �
SIGNATllRE ( t�{itsTEtxEp Y 1 N �EE CUm3EP Y 1!+1
Address License# I �
l / iitiliiitlt / 11 ( 1 ! il / 111 / ! / 1 / 111111111l11111111111111 / 111 / t1fl1111
RESIDEfiITtA1. Attach(2}Pbt plans;{2}sets oi Building Ptans;{;}set of Energy Fotms;R-O-W Rerrnik€w new consiruction,
Minimum ten(10}Harking days after submittal date. Required onsNe,Cunstructlon Plans.Stormwater Plans wl Sik Fence Installed,
Sanitary Facilities&�dumpster,8iie W ork Permit for subdivisionsAarge projects
GBMIItERCW. Attach{3}comptete sets o#Buiiding F'I�ns ptus a Life Safety Page;{1}set of Er�rgy Forms.R-0-W Permit for new constrt�ction.
Minimum ten(10)working days after suDmittal date. Required onsite,Canstruction Pians,Stormwater Pla�s wt Siit Fence instaited,
Sanitary Facilities 8 1 dumpster Site Work Partnft for all new prajeds.All commerciel requirements must meet compliance
SK3N PERMiT Attach{2}sela of Engineered Ptans.
""PRiJPER'tY SURVEY requised for aN NEW caistruction.
Directlons:
Fitl art appiicatbn campietely.
Oymer&Gontractpr eign beck of appiication,rwtarized
H over�2500,a NoBee of GanmaneemeM is required. (AIC upgrades over 57500)
" Agent{for khe ca�tracWr)a Power of Attorney{(dr the rnmer)would be someone with notarizsd letter from rnmer authorizing same
OVER THE CQUNTER PERMITTINti (Front of Appiicatipn Only)
Rerarfs if shinglss Sewers Sernce Upgrades A/C Fences(PlouSurvey/Foatage)
Omrtways-Not auer Coun#er if on pubiic rosdways..needs ROW
. NOTICE OF DEED RESTRIGTIONS. The undersigned understands that this permit may be subjed to°deed"restrictions"
• which may be more restrictive than County regulations. The undersigned assumes responsibiliiy far cx�mpliance witfi any
applicabls deed restrictlons.
UN�ICENSEd CONTRAGfiOR5 AND CONTRAGTOR RESPONSEBIL.ITtES: if the owne� has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and Iacal regulations. If the
contractar is not licensed as required by law, both the owner and conG`actor may be cited for a misdemeanor violation
under state iaw. If the owner or intended cantractor are uncertain as ta what licensing requirements may apply far the
, intended work,they are advised ta contact fhe Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. �urthermore, if the owner has hired a contractor or cantractars, he is advised to have the contractor(s) sign
paRians af the"co�tractor Block"of th�s appiication far which they witl be responsible. If you, as the awner sign as the
contractor,that may be an indication that he is not prope�ly licensed and is not entitied to permitting privileges in Paseo
County.
TRANSPORTATIQN tMPAGTN?1LITIES tMPAGT AND RESOURCE REC4VERY FEES: The undersigned understands
tfiat Transportation Impact Fees and Recaurse Recovery Fees may apply to#he canstrvc#ion af new buildings,change of
use in existing buildings, or expansion af existing buildings, as specified in Pasco Caunty ordinance numbee 89-07 and
�-07,as arrsended. The undersigned also u�derstands,that such fees,as may be due,wil{be identified at the time of
permitting. it is further understaod that TransportatiaFl Impact Fees and Resaurce Recovery Fees must be paid pria�ta
receiving a°certificate of occupancy°nr final power release. If the project does not involve a certificate of oacupancy or
flnal power release, the fees must 6e paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact
fees are ciue,they must be paid prior to pertnit issuance in accordance with applicable Pasco Coun#y ardinances.
CONSTRUCTIQN LIEN LAW(Cbapter 713,Florida Statutes,as amended): If valuatian of work is$2,500.Q0 or more, I
certity that !, the applicant, have been provided wittt a copy of the "Florida Construction Lien �aw—Homeovmer's
Protectian Guide"prepared by the F{orida Department af Agriculture and Consumer Affairs. If the applicant is someone
other than the"awne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'prior to cammencement.
CONTRACTOR'S/BWNER'S AFFI[}AV17: 1 cer#'rfy that aII tha{nformation in this appGcation is accurate and that alI wark
will be done in compliance with all applicable laws regulating canstruction,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 per►nit and that aI!work wiil be performed to meet standards af atI laws regufating
construcdon, Caunty and City codes, zoning regulatinns, and land developmeM regulations in the jurisdiction. I �Iso
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to iderrtify what actions 1 must take to be in compliance. Such agencies inctude but are nat Iimited to:
- Department of Enviranmental Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Flarida Water Management District-Ws11s, Cypress 8ayheads, We#land Areas, Attering
Watercourses.
- Army Corps af Englneers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironrnentai Health Unit-Walls, Wastewater Trsatment,
Septic Tanks.
- US Enviro�mental Protection Agency-Asbestos aba#ement.
- Federal Aviation Authority-Runways.
I understand that the fallowing restrictions apply to the use of Till:
- Use of fill is not allawed in Flood Zone"V"unless e�ressly permitted.
- It the fil1 material is ta be used in flood Zone "A°, it is understood that a drainage plan addressing a
°compensating volume°will be submitted at time of permitking which is prepared by a professional engineer
licensed by the State of Florida.
- If tfie filt material is ta be used in FIoa1 Zone "A" in connection with a permitted building using stem wall
constructian,I certify that fill will be used only to fili the area within#he stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
praperties. 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 permft application,for iots less than one (1)
acre whicn are elevated by fill,an engineered drainage plan is required.
If i am the AGENT FdR THE OWNER,I pramise in gaxi faith to infarm the owner of the permttting conciitions set forth in
thls affidavlt prior to commencing construction. I understand#hat a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in tfie application. A
permit issued shall be construed#o be a Iicense ta proceed with the wark and nat as authority ta 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 corcec6on of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work autt�or3zed by such permit is c�nmenced within six months of permii issuance,�it work autharized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extansion
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiabfe cause for#he extension. If work ceases for ninety{90}ca�secutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENGEMEN7 MAY RESUL7 IN YOUR
PAYlNG TWICE FOR iMPROVEMENT$T4 YpUR PROPERTY. IF YOU 1NTEND TO OBTAIN FIFIANGItiG,CONSU�T
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE�MENT.
FLORIDA JURAT(F.S.717.03)
� _ ..�,
OWNER OR AfaENT�G7LA�C�`L1, COt�fTRAC70R rY+
Sub ui an bswo to(o�alflrmednbefae m+t s Subs bed nd awom C�rm before me this
y �'o f�U / b / �i �f8de.f,t�
star persaia ly knoxm to me ar has/have praduced �s e personaiE��owri t tr�e or haslhave produced
?J as identification. as identifiration.
�.
—�— WI►nMn N/NN1/�I�IW
��' �ti��ERT F.DIAMOND ��'"R4BERT F.DIAMOND
.,rnr..rurccinN Notsry Public MY t;Ot�BSSION 0 EE1T9W2 Natary Public
G�cm No XPfRFS.Mercl�27.ZOIG FJ�[RfS:Marcb 27.2016
Co i
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
1111i1f IiNI Illli Ilfll illll liill ii111 Ilifl Ilill fllll Ifli illi
, 2014096449
� Repl:1610319 Rec: 10.00
hOTICfi QF C�MMEI4CE�lE1�T p5: 0.00 Ifi: 0.0@
PainitNo.,J��� 0611Tt14 T. Stins, tlpty Clsrk
Property idtntification No. /��i� .C/` ! — �d j� � l��� �����
TI�UNDERSIGNED herrb}r g'sves aotice that impxovcments witl be mmde to cettain real property,and'm accordance with Section
7}3.13 of the Florida Statutes,cht following 9nformation�is pravided in the P�IOTlCE O�CQM�?iENCEME!�fT.
MOORES FIRST ADDITION TO CITY OF ZEPHYRHILLS PB 7 PG 571.OTS 8 7&8
1. Dcscription of"prape cription:)INCLUSIVE BLOCK 17 OR 4639 PQ 280
a} Strtet,.Ad, . 38522 AVE ZEPHYRHitLS F� 33542
2, General descripa of„y�� v+r�ents Prefabricated buildin�,ioun at�on�nsta ation, a up enera or ns a a�on
and the Repair o existing site conditions
3. Uamer information
a} Nam�ana aaare�s: CRt?WN CASTI.E GT COMPANY L�C aof7 wasr��rtGTOr�t��n��n�ur�ay iPA 1531?-2s2o
b) Name and,address of.fee simple ti@ehaldcr{if ather tban owner) �
c) Interest in ptoperty
. Contractor Information
a; Namc and•addrcss: �ua�itv Tower Erectors and Service inc?28010#h st s.e.largo,florida 33771
b) Tctep�oue No.:327;,5$5-8176 Feat No.(Ct�.) ?27-5$1-327?
5. Surety Infozmalion
a) 'Name and,acWress:
h} Amount ofBand:
c} Telephane No.: Fa�c No.(Opt.}
6. I.ender
a) Name and address:
?. Identity o#pczson within.the Siate of.�'lorida desi�by ownar t�n wlwm noticxs or ther do�uments may be saved;
�} Name and addiress: Robert F Diamond 8 99 i 10th st n seminole florida 33T�/2
b) Tclephone IVo.i ?27-585-5414 Fa,c Dio,(ppt)
$. In addition to himsc2f,owna devgaatos the foliow;ng persan io rcr�sive a copy of the Liestor's No6ce a4 provided in Sxtion
?13.i3(!)@),Fioxida Statubes:
a} Name and�addrcss: Tony Darwin n2gp 10th st s.e.lar�o florida 33771
b) Ttlephnnc Na. �27-�$5-6232 Fax Nq.(Opt.)
�. Bxpiration data of Notice af Commmc:eanr.nt(the acpiration date is one year from khe iiate af reoording unicss a diffcrcnt date i�
spccified}:
WARNII�G TO OWNER:ANY PAYMENTS MApE BY TSE OWl�IER AFTER TIIE EXPIRATION(1R'�'HE�NOTICB�F
GOM1ViE,,iCEMENT ARE CONSIDgRED IMPltOP�R PAYMEIVI'S LTIJDER CSA1'TER 713,PAEtT 1,SECTTC►N 713,13,
I�LORIDA 3TAZtITBS AND CAN RESULT�t YClLiR PAYING TWiCE FOR IPROV$MCNT3 T+d YOUR.PROQERTY.A
NQTICS 4F C014�NCEMENT MtIST BE RE�URDED ANI}PO�STED QN TRE JOB SITI�BFFORE TH�F�RST
iNSPECTION.IF YOU IIKTEND TO OHTAIN 1�'II1iANCYNG,GONSULT YOUR LENDER OR AN ATTORNEY BE�FOR�
COMMENC1lYG WORK Olt RECORDIIVG YOL NUTIGE OF CONIIV�NCEM�NT.
STATE 4F FX.ORIDA ������
COUIVTY OF 1'wSCo
nn Si�wce OF f?`�Ckvaer'9 auahariud OiScctD'secwrlf'umedM�
�°"`"�ROBERT F.DIAMOND Dawson Huff �
�r unr cor�aass�ox rBe��
��� FaCPtRES;Mrch 27,ZoNS Prist Name
The g msuumcat was. ledged befora ma this 4th day af June �p 14.by DawSOn Huff
as A uis�it� no s PM ana e� (cype of a,uthority,e.g,o!1'icer,t�uatoe,aaorncy ia facc}fcu
r 1(�,_n ,�$,�.@. ComqanV (nune of p�rty on bchattafw�omi ins�umtnt wa¢ezee�uted).
Pe�rsamally Known X �OR Prodncod ldentification� Nbtary 5igaatutc�----�
Typc of Idcmiiiaation�'roduc,�d Narne(print) Robert F Diamond
Verificatian pursuant w Secpon 92.SZ5,Florida Statutea.Under peaalties ofperjury,l dec 1�e rcad t6e fner,�oing anrl that thc facts stated
in it are we to tiue best of my knawtedge and betitf.
r'tr��C.r�ax�r
sy�n.we ot�rantpases�sipar AtoW.
I PAULA &.0'NEIt,Fh D.AA.5C8 CLERK i COI7PTRpLLER
, 06/17/14 1:0 1 of',�1
OR BK ���' ` p�' '�7��1
' � w��.' � �t� f
� �
�������� �������
��.� "" ���I�`'�`� '�' !�� ��'1��'
2280 2Q`h St.S.E.Largo,FI 33771 Ph{72'7)585-6176 Faz{72'�581-3277
Email: sales@yualitytower.com Visit us on the web @ www.qualitytower.com
Compiete'TSimkey Systems,Tower inspecaons,Towcr Painting,Antenna tnstallation,Tower maintenance,Micrawave System
Professional Engineering services,Microwave Path Surveys,State Licensed and$onded and Insured
Certified Geaeral Contractor CGC#008527
TO: City of Zephyrhills Building Dept
From;�Tony D�rwin CGC 008527
Re; Usage af License
Please be advised,
That I TONY DARWIN of
QUALITY TOWER ERECTORS and SERVICE Inc.
With CGC-License # 04852'7, Authorization Quality Tower Erectors , David
Savage,William Yates and Robert Diamond II to secure and process the permitting
for the installatian of a structure located within the Pasco County for the Address
of 38522 A Ave Zephryhills Florida 33542.
__-----
si�r�a-ru��: G`�..
CONTRACTpR
������� y IDA j� TOl'� DA
The fotegoing instrument,v�as acknowledged before me this � 3 I 1..�7� VQO�2!
(date},by��,/�.�]
{name of person ac no edging),who is personally known to me or who
has produced—f�
(type of
identifica6an)as identificatian.
�
��' ROBE�,T F.DlAMOND �
�i:xr cu+w slox a���aa2 NOTARY_���
°� � EXPiFt�$.Merch 27,20
os
r
F �
PFS Corporation Assurance you can bui/d on�
An Emp/oyee-Owned Coinpany
May 21,2012
Headquarters
1507 Matt Pass
Cottage Grove,WI 53527 Ms. Ila Jones
Phone: 608.839.1013 State of Florida
Fax: 608.839.1014 Dept. of Community Affairs
2555 Shumard Oak Boulevard
website Tallahassee,FL 32399-2100
www.pfscorporation.com
James A.Rothman,PE j�; uFP,InC.
President Duffiel VA
jrothman�pfscorporation.com d,
Model: 204383
ReglonalOHlces Dear Ms.Jones:
N°rtr,ea�t Enclosed please find one set of documents for the above-noted model.
Bloomsburg,PA
570.784.8396
Southcentral PFS Corporation hereby certifies that it has examined the building plans and other documents
Plano,rx submitted by the manufacturer for certification and found them to be in compliance with the
972.424.2740 following codes and standards:
Western
Los Mgeles,ca 2010 Florida Buildin Code Buildin
310.559.7287 � g
MiaM,eSt
2010 Florida Building Code Residential
Cottage Grove,wi 2010 Florida Building Code Mechanical
608.839.1013 2010 Florida Building Code Plumbing
so�eneest 2010 Florida Building Code Fuel Gas
Wake Forest,Nc 2010 Florida Buildin Code Ener Conservation
919.217.7002 g �
sa�g on�a.
2010 Florida Fire Prevention Code
Mentone,a� 2012 Florida Accessibility Code
256.634.4071 2008 National Electrical Code
9N-3 FAC far Product Approval
�� If you have any questions concerning this submission,please feel free to contact this office at
�
.�„«,�,,,, any time.
�
Approved By:
�����.�..-
��� Mark Severson
Plan Reviewer—SMP-0000020
Enclosures: As Stated
cc: Tim Carico
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