HomeMy WebLinkAbout14-15470 � - --
CITY OF Z PHYRHILLS
. 5335-8 H STREET
Csi3�� o-oozo '15 O
BUIL�IN PERMIT
Permit Number: 15470 Address= 39506 SOUTH AVE
Permit Typ6: COMMERCIAL ZEPHYRHILLS. FL.
Class of Worlc: A��/ALT COMMERCIAL TownsF�ip: Ranga= Boolc:
Proposad Use: NOT APPLICABLE Lot(s): Blocic= Section=
Squara Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Valu6: Parcel Number: '13-26-2'1-0000-00'100-0000
Improv. Cost: 33,660.00
Uate Issu@d- 7/07/20'14 � Name: CITY OF ZEPHYRHILLS
Total Feas= � _'lr-s� Addrgss: 5335 8TH ST
Amount Paid: �+l�P � `� ZEPHYRHILLS FL 33542
Uate Paid: ���v PF�one: 8'1 3-780-0030
Worlc Uesc: BUIL� BATHROOM '152 SQ FT AT UNNER PAWPARK PO#24028 (FEE WAIVE�
� �
�,-1�oc. � � '� , � . ��-1
���� � � i�P
��> � ,
FOOTER BONO OUCTS INSULATEO EWER MISC.
ROIJGH ELECTRIC LINTEL ISC MISC_
'IST ROUGH PLUMB PRE-METER 1 SULATION WALL MISC_
�UCTS INSTALLE� WATEF2 ISC �RIVEWAV
PRE-SLAB SHEATHING ISC_ MISC.
CONSTRUCTION POLE FRAME ISC- MISC.
REINSPECTZON FEES: Reinspection fees wil�comply ith Florida Statute 553_SO (2)���when extra inspection
trips are necessary due to any one of the fo�lowing sons: a�wrong address b�oondemned worfc resu�tir�g
from faulty�onstruction c) repairs or corrections no made wtien ir�spections cailed d) worlc�ot ready for
inspection when�a11ed e� p�rmit not posted on jo site� p�ans not at job sGte g�woric not accessible_
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to tFiis property that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme , state agencies or federal agencies_
^Warning to owner: Your failure to record a notice f commen�ement may result in your paying twi�e for
improvements to your proper[y. Ii you intend to ob in fnancing�consu�t witF� your lender or an attorney
Iaefore recording your n tice of commencement_°
Comp�ete P�ans� Specifications Must Accompany Appl tation_ AI� wor�c sF�a�� be perFormed in ac�oe-dance witl�
___ —
Gily Codes and OMinances. NO OCCUPANCY BEFO C.O. _
- --� �� � - - - -
CON CTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVE� INSPECTION
CALL POR INSPECTION - HOUR NOTICE REQUIRE�
PROTECT CAR FROM WEATHER
i iiiiii iiiiiiiiii iiiii iiai iiiii iiiii iiiii iiiii iiiii iiii iiii
, 2014102592
' Rept:1612502 Ree: 10.00
. DS: 0.00 IT: 0:00
lm3 T� OIFC IVIENCEMENT 06/26/14 K. Garcia, Dpty Clerk
Permit No. _
Property Identification No. �a 6—�t( '-'o°�a� 0010 - peo e
'THE UNDERSICiNED hereby gives notice that improvements wil be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provid in the NOTICE OF COMMENCEMENT.
�,6 � OF E ly S all oF 6�K,e Z�hy2 Pj•ves c,�v�7 � P8 `�
1. Description of property(lega/descripdon:) � � A t� a F BI KS A�O � R i,�,cs U ti� a. K�•
a) Sveet Address: 0 6 5o�"T'h �e Tx, h H i 11s �i• 3 a� S'et A
2. General description of improvements i d h2�
3. Owncr Information
a) Name and address: Git o�F Z Ni115 335 Th S1'� ��, h, �►it ��• �3sya-y3(�
b) Name and address of fee simple titleholder(if other than wner)
c) Interestin property
R 4. Contractor Information .
a) Nameandaddress: g�� Hi �n,+ GoN3�Ruc ��ti . 3��ya C3T1s �Ir�+ Rd. Z f+yRhFiJ1S
b) Telephone No.: a- `1�, -O S 1 S Fax No.(Opt.) � 33S�°
5. Surety 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 Florida designated by o er u on whom notices or other documents may be served;
a) Name and address: i S _ti R� Z h i I�S F�. �5'�0
b) Telephone No.: - �► ► Fau No.(Opt.)
8. In addirion 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 Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration ate is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER:ANY PAYIV�NTS MADE BY T OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PA NTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES AND CAN�RESULT IN YOUR PA G TWICE FOR IPROVEMENI'S TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCIIVG,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COM1�1'iENCIIVG WORK OR RECORDIIVG YOU NOTICE F COMA�NCEMENT.
STATE OF FLORIDA ���y� � S ��,
COUNTY OF PASCO
Si ature OF Owner or Owner's A Officer/Ditector/PaAner/Manager
Ste �, � S ,►�a
' Name
The foro ing ins npnt was acknowledged before me this��day o ���"� ,20 Y,by
S T�0�__as ' (type of suthority,e.g.officer,trustee,attorney in fact)for
(name of p on behalf of who ' ent was executed}.
rson Ily Know OR Produced Idendfication_ No Signature �+2
Type of Identification Produced N e(print) ��l�^e
Verification pursuant to Section 92.525,Florida Statutes.Underpenaltie of perjury,I declare that I have read the foregoing and that the facts stated
in it are true to the best of my knowledge and belief. �, `_ ,� � `
FoxMSmoc.�azom (E.cJ4�C_
Si olNqml Pmon Sip�in�Above
a'����',r"+, JAC(�JEUNEBOGES
PqULR 5 0'NEiI�Ph D PASCO CLERK & COMP ROLLEh :� ; ��g�#EE 040520
06/26/14 1:25 � 1 ofg A� � Fxpires pe�nb��2,20�4
OR BK �0� PG o.�* '�%f. „,;� BwdW7AivAOyFrnMruaiwE0DJA6701Y
.
PURCHASE ORDER
�ity �f ��ph�rrhi#1s N�• 00o24o2s
VENDOR: SHIF TO: BILL TO:
Bobby Hilton Jr City Maintena ce Yar City af Zephyrhilis
dba/Bobby Hilton Construction 39421 South A e 5335 8th St.
39942 4tis Allen Rd
Zephyrhills,FL 33540- Zephyrhills,F 33542- Zephyrhills, FL 33542
VE1Vl?OR NU. VENDOR PH4NE NUMBER TERMS DATE REQTJIRED DELIVERY llATE
BHilton ( ) - 0 Q7/02/2014
SHIPPING INSTRtTCTIONS
(none)
ITEM QTY UJM DESCRIPTI4N i TASK P CODE ACCOUNT [11VIT PI2ICE AMQUNT
I 1.00 Gunner PawPark Restroorn Bid 010-4100-541-6202 33,660.0000 33,660.00
Form-il-14-45-Babby Hilton-
see scan for details
SUBTOTAL: 33,660.Oq
TAX. Q.Ot}
SHIPPING: 0.00
TdTAL: 33,6b0A4
TAXABLE: No
CONFIRMING: No
/�� � k�
i��— /.
AUTHORIZED SIGNATURE
SPECIAL INSTRUC'1'IONS•
IMPORTANT� OUR ORDER NUMBER MllST APPEAR ON EVERY INVOICE AND PACKAGE
This order is given upan the representation and guaranty of the manufacturer r seller that no breach of any State or Federal Law or Regulatian has ocourred in
conn�tion with the maoufacturing,processing,brending,labeling or hansgo tion af the rnerchandise herein mentioned. lf such breach cecurs or is charged by any
legally constituted State or Federal authority,the buyer shall be entitled to res ind the order and retum the unused merchandise and shall atso be held harmless by the
manufactwer or seller against any penalty incurced and/or the cast of defense f any proceeding designed ta penalize the buyer therefor
813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021
Building epartment
Date Received Phone Contact for ermittin -
Owner's Name r• � Owner Phone Number
Owner's Address 7J Owner Phone Number �—
Fee Sfmple Titleholder Name � v� � Owner Phone Number
Fee Simple Titleholder Address
JOB ADDEtESS J�S O G� SO� �V'Ci Z� � 1�'1 l I S,�` �J�S�i Z LOT� �
SUBDIVISION PARCEL 1 � 3" 2� - 2( ' (��OU� d� l00- C��vO
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED F-�I N TALLSTR 8 REPAIR � SI(3N Q Q DEMOLISH
U
PROPOSED USE, Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION [� BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK gu'�� r1�,u) ba`throovv� r. ���e�.- Q-L(�
BUILDING SIZE � �2����'��2�g� SQ FOOTAGE i 52�' HEIGHT 0�
QBUILDING $ 2� r �Q VALUATION OF TOTAL CONSTRUCTION
J to
QELECTRICAL $ AMP SERVICE �� � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING a I
ay}n
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� ��
�, � -�� ��
�- �-�
OGAS Q ROOFING Q SPECIAL OTHER � �
FINISHED FLOOR ELEVATIONS FLOOD E AREA QYES NO 3
K
SIGNATURE .<=�'"°' � �� '� R OMP RED �o�7b N H I �f dE u GOV�S^I'1��N'�I py�� 1 n c..
Address �`+Z U�`S ���,r �� � F� �icense# GB C�O`4'7�25
ELECTRICIAN � CO NY ' � � l � (/�G
SIGNATURE R IS RED Y/ FEE CURRE� Y/N
�
Address License#
PLUMBER '�"`����� ���� COMP NY ��-'n'��S ���1�Q-�Y�S � � rl C.
SIGNATURE REGIST RED N FEE CURRE� N
Address Sti� �� � S� �,"�t��S y��- 33sKa License# ����a5�P��
MECHANICAL COMP NY
SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMP NY
SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-O-W Permit for new construction,
Minimum te�(10)working days after submittat date. Requi ed onsite,Construation Plans,StoRnwater Plans w/Silt Fence instalied,
Sanitary Fadlities 81 dumpster;Site Work Permit for subdi IsionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construcdon.
Minimum ten(10)working days after submittal date. Requi d onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Facitlties&1 dumpster.Site Work Permit for all ne proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW constructlo
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (AIC upgrade over ST500)
"' Agent(for the contractor)or Pqwer of Attomey(for the owner)would be s eone with notarized tetter from owner authorizing same
OVER THE COUNTER PERMITTING (Frorrt of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage)
Driveways-Not over Counter if on pubtic roadways..needs ROW
NC1TiCE OF �EE� RESTRIGT�ONS: Tha undc3rsigned under ands tfiat th4s pe�mit may ba svbj�ct to°dead°rest�iotions°
wFiich may be more r�strictWa tF�an Cou�ty regulations. Thia u d�rsignad assume� responsibility Por compli�ance witti any
applicabl�dead restrictions.
UNLtCENSEU CONTI2AC'i'ORS ANU CONTRACTOR F2ES CiNSf61�1T�ESG: If #he owner has tiired a contractor or
contractors to u»dertatca work, tfieey may bg resqt�ired ta ba Ilc ns�d in accordance with state a»d iooat reguiations. if th�e
co�tractor is no� licensed as requirad by law, both #he owna a�d conk�actor may be cit�d for a miademc�eanor viotativn
undar state law. IT tF�a ownar or intendad co�trectar are unc rt�in as ko what licansing requiramenl:s may apply for th!e+
intaridad woric, tFtiey are advised to contact tha Pasco County uilding Inspection �ivision—Licensing Section at?27-84?-
80Q9_ FUrtha�mara, ff tt+a own�r fias trired � cont�actor or ca�tractors. i�� is advtsad to t�sve tfi� contracto�(s) sigrti
portFons of tFi� "contr�aotor BIocK" af t�is appiication For wh;ch thay wiN be rasporfsibte_ If you, as tfiti+e owner sign as tF��
contractar, that may be an indication that t-�e is not proparly li onsed a�d is not entitled ta pe�mitting privil�ages irti Pasco
Caunty.
TRANSpORTATION /MPACT/UT�LlTIES IMPACT ANO RES IJRCE RECdVERY FEE$: TF�a undersigned understands
tF�at Transportatio� 4mQact F�es and R�+course 12ecovery Fee may apply to the construction of r�ew buildings�cfiange of
uar� in axisti�g bulldi�gs, or sxpansion of existi�g bvildings, s spBCitiad in Pasca County O�dinanca number 89-07 and
90-07, a� amanded_ 'The undersigned aiso ur�dersta�ds, tha such f�as, as may be du+e�, will ba idantified at tli� time of
perrmittfng_ It i� fairtF��r und�srstoad tt�at Transportatfa� Impa F+�es and Rta�ourc�.a Recovery Faes must be� paid prior to
rsca7ving a "certificate of occvpancy° or fl�ai powar raleas�_ If the project does not involve a cer[ific�te af occupancy ar
finai powgr rafaase, tt�e faees must ba ¢aid prrtor to perm➢t iss ance_ Purtt�armo�o, if Pasco Covnty VliaterlSewgr impact
faeo-s are due, they must be paid{arior to permit issuar�ca in ac ordanca witFi appiicabte Pasco Qounty a�d3nances_.
CC►NSTRIJCTICiN LIEN LAW(CF»ptar 773, Florid�Statut@ , aa amonded): If valuation of worFc is $2,500.00 or mnra, 1
certify th�t 1, the applicank, hava baan provided witF� a c py of tFwee °Florida Construction Lien Law—liom�owner's
P�atection Guido^ propared by tha Ftorida Oopartmesr+t of Ag icvitura and Consumsr Affairs_ if ft�e applicar�t is someone
othar tt��n tFe'own�r°, I c�artify that S t-�ava obtained a copy of tF�a above described docume�t acZd promisa i�good faitfi to
deeliver it Ro tl��'owner^prior to commenaemant_
CCYNTRACTOR,'S/OWNER'S AFF�UAV�T: 1 certify that alt tF� information in this applic�tion is accurate ar�d that all work
will ba done in complianccx witF� all applicablo laws regulatin constn.�ction, zoning and Is.�nd dovelopment. Application is
he�r�by made to obtain a permit io do wor{c and i�sta�tati n as indicatad. 1 c�ftiTy that »o worlc or instatiation tyas
comm�nced prior #a issuance of a p�rmit a�d that a4t wortc wHt be pt:rformed to meat star+dards of ai! Iaws �agu/ating
construction, County and City codes, zoning regulatio�s, a d tand davelopment regulations in tFi� jurisdiction. 1 aiso
cortify tF�at 1 understand th�t tF.a regulations of otF�ear gov�rn ant agancies may apply to tF�e intende,d wo�k, and tF�at i2 is
my responsibiiity to identify what F�ctio�s 1 must talco to bB in ompliance_ SucF�ager�cies includ� but are not limiteed to:
- Oapartm�nt of Enviranm8ntal Pratectian-Cypre Bayt��ads, Wetland A�eas and Envi�onmantaliy Sensitive
Lands. WaterlWast�water 7'�eatmant_
- SoutF�w�st Florida Wateer Managem�nt dist ict-Wells, Cyprass Bayh+sads, Wetland Areas, Altering
Watercourses.
- A�my Corps of Ee-�ginaers-Seawetis, Oocics, Navi abla Waterways.
- C)spartm�nt of Healfh 8 F2at�abi/itativ� Service J�nvironm�r�ta� Ftealtfi U�it-Wetis, Wastewater Tr�atma�t.
Sr�ptic l"antcs.
- 11S Environmantal Protection Agre�ncy-Asbestos batement.
- Fe�cleral Aviation Autl�ority-Runways_
1�.ends��ta�d that tt'�e�fotlowing r�stric#ions apprly to the us�a o flli:
- Use of fl1i is not a�iowed in Flood Zona"V"unl+es exprsssly parmitt8d.
- If tF�a till mata�ial is to bQ �sad i� Fiood Zo e ^A^, it is u�derstood tlia! a drainage ptan addr4sssi�g a
'comp�nsating volume^ will be submf#tad at tfm of permitting wF�icF� is pr�pared by a professional +enginaer
1ice�sed by tha Stater of Florida_
- if tt+a fiii matariat is to ba t�sed in Rood Zcsne °A° in co�r+ection wlth a p�erm"sttad buiiding using stem walt
constructioei, i certify thai ftIi wiN ba us+�d anly to dt tt�e arr3a witttin tt�e stem wa�E_
- if fill ma�eNal is ta be a�s+ed in a�y area. 1 c rtify tF�at usa of such fill wilt no� advr3rseiy afFect adjacant
propertias_ If use of fill is found to adv�rsely a act adjacent properties, ttrei ownar may be cited far violating
tt�� condit€ons of th� building parmit fssuad un e� tF�e attach�d permit application, for lots I�ss tY�an one� (1)
acre w!'�icfii ar�a e}evated by fl1i.an engin6er�d d inaga piar+is resc}ceirc-td_
if! am the A.i"`.+ENT FOR THE OWNER, i Promise in good i th to inform the owne�r oT tt�a perrnittiezg conditions s�t forttt in
this aRidavit prior to commencing conatrucHon_ 1 understa d tt�at a sepa�ate parmit may b� requirod for�lectricai warK,
plumbing, signs, w!alls. pools, air conditioning, gas. or oth r installyations not s{ac:ciFceilly included in tF�t�a application, A
p�rmft issued st�aii be co»struett to b�ar a lic�ansa to procr3� with tt+o worlc and nat as autF�or4ky to violata, oanc�l, alter, or
sot aside a�y provisions of tfie#e:chnicat cod�s, nar sfiatl is uance af a permit prevant#hg Buiiding G7ffc�ai from tiiereafter
raquiring a aorrection of�arrors in pia�s, consRruction or viot tions of any codes_ �very permit €ssur3d shat► become inva4id
unless the wor{c auithorizeed by sucF� pryrmit Is commencad i�hin six montF�s of permit issuance, or iT wark authorized by
tFie pgrmit is susperinded ar abandonad for a period of stx(6 montFis after the timr�tl�e worlc is commenced_ A�v exte�sio�
may bee requasted, in writt�g. from ttia SuFtding dtiiciai for s period not to exce�rd nin[�ty (9pj days and will damonstrate
justifiabis cause for tF+e r3xtension_ Sf wor#c aoases for ning {94)consecut4ve day�,the job is considEZ�ed abandaned_
WARNING TO OWNERx YOIJR FAILURE TO RECC1rFt� A NOTICE OF COMMENGEMENT MAY RE'SULT IN YOUR
pAYfNG TW�CE Ft}R�MPROVEMENTS TO YOIJR PRClP RTY- IF YOU INTENO TS}061'AIN FINANCING, CONStJLT
VKlTH YO1lR� FNOER L}R AN ATTORhEY BEF t G UR NO�'#CE O�COMMENCEME.NT
FLOR7pA JtIRAT(F_S. 117.03j �"':�����/� �+^^
OWNE.R OR AK3ENT C NTitACTOFt /�=�°"°��-"r^^�"' �"l��
$aibscrlb�ad and swom to(or afHrmad)befora m�ti.is S s ribad I�d swo to o rm�d ¢orerYr�e this
by _ _ ' ....
sN1so;slare parspna�iy K�owr+to ms or tsasfha�+�Produ<:ed i�la a�'socsaity K Yo m6 OT haslhav6 prvduGed
as IdeenHficaqan_ as Idantlfication_
Notary Pubilc ,_Notary Public
Oommiaslon No. C iif sion o _-- -
— Commis�ion#EE 04052q
^_ : '
Nama of NotarY tyPed.Prinked or sTamPeO � N m+3...oT NoR�ry�tYP� .' ta� �--... auo-xs�-�ro�e