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Home My WebLink About91-1948 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Permit )I~ 1945A BUILDING DEPARTMENT -_ 1-813-788-6611 II - .1,) -7 ;2.J. - ~r-v. Date---L c7-. I o -'" "--",~ Uvv.. 9,s <P..s " PLUMBIN~/) MECHA~~ ~VYJ c16.2,~-o dj f- f!i~ propertyQWnerSNa,me:. - . ~~ . ~~1 Job Address: Y (./ c2 .-" -k ;' 9' J/~'u Type of 't Legal Description: Sub.Div. Lot Blk. (lriL1~ r;Jcf\_/~r/~ ~~A~ A" 0 ~J?a ;h,~ IT,). "l /I . ~. e.-~. Complete Plans, Specifications and Fee Must Accompany Applkatlon 1-1- </..lf2. Bt., ~J.1' 'I ~ Estimated Cost: / tJ tJ7j7J. c-D Fee: /S~ru j, y~ All work shal! be performe:in accordance SIGNATURE F v~ ~~, /-4 with the above and all City Codes and Ordinances. Zoning CI: Z'f / Description of Work t?.J...-.) -+ Qu/Y1 A;'" ~ Energy Code Readout: {. .J(Pj (" () Y 7y J J- ~ OCCUPATIONAL LICENSE # J/ () COMPANY ADDRESS TELEPHONE # Tp.Serv. Rough In 1- t. -? ') Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final D~wa.] ~ ~ .\".L.... '\IJ wq) Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of ten (SIO.OO) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Gordon Ten Brink ADDRESS 35512 Chester Dr. Zephvrhills, Fl. PHONE 782-9138 OWNER Skydive City Inc. JOB LOCATION Sl;R:ydi ve Ci ty Jump Si te LOT SIZE.1.Q..(LX 800 AREA SQ. FT. ~ ?nooo LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .1F See 18 , Two. 26 S. Rng- ?? F WORK PROPOSED:____New Construction XX Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign - i'love ____Demolish PROPOSED USE: _Single Family _M/F _# of Units ._i'l/H KX-Commercial _Indust. ____Swim. Pool Cold Food SeOther ____Restaurant & Health Department Approval BUILDING SIZE: 12 X--1.L , 192 Square Fee t, 8' 2 3/4" Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR..'1S , ** COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'lS. 'H *~'COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ~BUILDING $ 5,750.00 Valuation of Total Construction ~ELECTRICAL NONBECHANICAL AMP Service Florida Power Corp, _H.R.E,C. $ Valuation of Mechanical Installation -X-PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block -K--Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BUILDER Gordon Ten Brink Company f'" / ,] ., ,.. / State Cert. or Regist. !i Signa ture . .~'Cfi..c1..ct{ 6.8_ /( L--l Ci ty License Regis tra t ion ****************************************** C.G.C.043422 i! 110 ELECTRICIAN .~, ( ;. , . Si!!nature 1... J l/\.....^A....'" Company V -P.4.r~~'" ~2-Vlt.:?l p(,~(( ];;/'- ~ State Cert. or !{egist. :,f _~*******~~;~*~~~:~::,~~:~~~;,~~;~~~~ ;,! ~ VI ""1-- Company Challen State Cert. or Regist. # City License Registration ****************************************** Signature MECHANICAL NA Company State Cert. or Regist, r City License Regis tration ,! Signature **********************************~******* Company State Cert. or Regist. # City License Registration OTHER Signature APPLICATION APPROVED BY -2i...... ...... * * * *... *~* zr;'" * * * * J_ J_ * .'- ", J. J. J, J. ,'. J. J, .'. J_ ,'. ,'. .'. J. .'. ,', d 4'-''-'' d- ffy.> , >, > PER~llT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject t~ "deed restrictions" which may be ~ore restrictive than City regulations. The undersigned assules responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake wor~, 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 Ollner and contractor ~ay be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sectie,ns' of this application f{lr which they will be respe,nsible. If ye,uJ as the e,.mer sign as thl? ce,ntractor, you are indicating that you, rather than the contractor, are responsible for the worr.. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is nut entitled to permitting privileges iTI the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law - Homeowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is so~eone 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 cOI~ence~ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that. all work will be done in co~pliance 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 nu work Dr installation has com~enced prior to issuance of a per_it and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in t.he jurisdiction. I also certify that I understand that the regulations of other governffiental agencies may aODI, to the intended work, and that it is flY responsibility tCI identify what actions I lIiust t.ake to be in ([Iillpliance. Suc~! agencies include bill ~I e ilc,l li'lited to: I Department of Environmental ReoulatioD - Cypress Bayheads, Hetland Areas and Environmentally Sensitiv! L~nd5, Hater/Wastewater Treatment . Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses t Army Coros of EnQineers - Seawalls, Docks, Navigable Waterways I Departll?nt of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~f~~. Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Fle,od Zone "A" or "A,etc.', it is underste,(,d tk.t a d!ainage plan addressing a 'coMpensating volume" will be submitt.ed which is prepared by a professional engineer reqi5t~f2d in the State of Florida prior to permit issuance. A permit issu~d shall be construed to be a license to proceed with the worr. and not as authority to ,ioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffjci~J from thl?reaftel requiring a correction of errors in plans, construction, or violations of any code. Every perIDit issllud ~hall becole invalid unless the I'wrk authorized by such permit is c{'llillenced within six ..onths of issuance, e,r if \'I e, d: autl'i" ;;:21 bi the periflit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day e~t~~5JOII of ti~e, ~ay be allowed for the per~it with fee (harge of $15.00. The extensiDn shall be requested in writing to the Building Official. An approved inspection ~ust be logged during each six month period, Dr the project will be cDnsid~red db6i~Dned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND ;.:oDST A "1\iOT I CE OF COMI'IENCEMENT". SIGNATURE_~-g~-- CONTRACTOR DATE_________[L~2;!~L----------------- SIGNATURE__~-6~~~---~-~- DATE__________1L~-~~~------------------- ;;~:~~NT.i!~:};~~'t!~~- :M~~~ ON EXP I RESt r.:;:,l::~~! :;:;;:.....;;.;'.)...22 lllli$ ".,~i,;e:::'(',{ } ""rClff:ciT:IL::,L ,'is. "',", - '\,":::'." '14.,;t "f\, ...~~;, .' u~ " ,,!->( NOTARY AS TO/7 J.. j . '. CONTRA:,,:~*~;~~.~~z:f--- "'~.. t>-RY pUSJ2..... ~'JTf':~c~.,r:~.I,)..,,~c :.:,.,:.h.,.C.'.:-C r'.'.CifUDA MY ctJ ISSli!lN'.,.EXPIRE!:~ C.,,,,,:,,'.' ,; ", .".'" ')c'..J':n. * ''''''q{ -I< ";C,::-r7-TT-:;-."T-'''',--:~~~~''":--' .,",:,) $} /~... * UV"~'4_:.J 'I.') I," '.-: : ,.".: : ,"'," ~, {,J~::~:~/:; 1 . .. ,.<. V"U. :( r. .... *<~'~.'\ ;._ ': '~l.:;..~<.",:::~:~-\( " '{. :.~ ~~-;~ ,,-~ "OFFICU:. r:~Ti~;(Y S:::11!.." Cf\;'~DiS S~!E: YG!F~S MY co~.:rJ. EX? t:!;::..:'J5 "OFTICU.I~ ri;OTARY SEAl." CA~QIS SUE YOUNG MY COMM. EXP. 4/29/'63 :,t ':.1.:,1,'.. APPLICfATXON FOR PERNI:T CITY OF ZEPHYRHILLS BUILDING DEPARTHENT APPLICANT Gordon Ten Brink ;; 'I). . '~ ' "~~' ~:. . . ..:. ADDRESS 35512 Chester Dr'ive, Ze:i>:n:y;rhillSo' FL PH0NE 782-9138 OWNER Skydive City, IHc~ . '. ,:.t . :'~~':'l. j .... JOB LOCATION Skydi ve Ci tv Jump site , , LOT SIZE400 X ROO AREA SQ.FT. 1?0000 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.1i Sec. 18, Twp. 26S/,Rng. 22.E. WORK PROPOSED:_Nc\v Construction _Addition ~Alteration _Repair _Install _Sign/Temp. ----,:Sign - Nove _Demolish PROPOSED USE: ~Single Family ~/F ~fj of Units ,._H/H -="::':":':'Commercial ~Indust, _Swim. , Pool Canopy Other _Restaurant & Health. Department Approval BUILDING SIZE: x Square Fcc t I Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS.** COH2-1ERCIAL: ATTACH (3) SETS. OF BUILDING PLANS & (1) SET ENERGY FORNS. *j, **COPY OF CONTRACT REQUIRED. PF.RMITS REQUESTED ~BUILDING $ 200.00 . Valuation of Total Construction . ..... . ,. _ELECTRICAL AHP Service . Florida Power Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation ~ .' _PLUMBING GAS ROOFING SPECIALTY .. TYPE OF CONSTRUCTION: _Block _Frame _Steel x Other FINISHED FLOOR ELEVATIONS: FT.' ****************************************** . CONTRACTOR SF.CTION Company State Cert. or Rcgist. Ii e,.c, c.. City License Registration 0 ****************************************** o S<l Yz.-Z //0 ELECTRTCTAN Company State Cert. or Rccist. n City License Registration U ***~************************************** Si!?'nature 'PI.\JMBER Company . . State Cert. or Regist. il City License Registration 0 ****************************************** Signature HECHANTCAL Company State Cert. or Regist. ff City License Registration U ****************************************** Signature OTHER Company State Cert. or Regist. ff City License Registration Ii Signature ****************************************** APPLICATION APPROVED TIY PERl-lIT OFFICER. CO~DITIONS OF,PERMIT AFFID~VIT A. NOTICE OF DEED RESTRICTIONS Th,.undvrsign'd undRrstands that this per.lt .ay bl sublect ~o "deed restrictions' ~hlch ~ay be oor~ rlstrjctlv, than City regulations. Th, undersign,d assunes responslbllltf;for..colpllance with nny iPplicuble dIed restrictions. '. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIRILITI~S If the own~r has hired a contractor .~r contractors to undertake work, .they nay be required to be licensed in accordance with stat, and local r'gulations. . If the contractor is not licensed as required by law, both the ouncr and contractor nay be cited for a Disdeneanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents ~ay apply for the intended work, they are advised to contact the City of Zcphyrhills Building Department, 18131 7BIHbll. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Hork. If the contractor wishes you to sign as contractH that aay be an indicatic.n that he is not pre.perly licensed 'and is not entitled te. perilliltir,g privileges in tt,e City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORID~ ST~TUTES, AS AMENDED) I certify that I, the applicant, have been provi~ed with a copy of 'Florida's Construction Lien LaM - Ho~eoMner's Protection Guide' prepared by the Florida Depart_ent of Agriculture and Consumer Affairs. If the applicant is sOfe~ne other than the 'owner', I certify that 1 have obtained ~ c~py of. the above described document and promise in good faith to deliver it to the 'owner' prior to cOI~encelent. .. ~ 1. Of ~~;. ", j ; : . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all Mork Hill be done in coapliance with all applicable laws regulating construction, zoning, and land developm~nt. Application is hereby made to obtain a permit to"~o ~~rk and install~tion as indicated. I certify that no Mork or installation has cOI~enced prior to issuance of a per_it and that all work Hill be performed to roeet standards of all laws regulating construction, City codes, zoning regulatiDns, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended ~ork, and that it is ay responsibility te, identify Hhat actions I lIlust take to be in complianco. Such i\gerlcies ir,clude bllt ~1 e Ii(.t li~ited to: . ,,~.> I Department of Environmental Requlation - Cypress Bayheads, H~tland Rreas and Environmentally Sen5jtjv~ L~nd5, Water/Wastewater Treatlllent I Southwest Florida Hater' Manaqement District - Hells; Cypress Bayheads, Wetland nreas, Altering YatercDur5es I Armv Corps ~f Enqineers - Seawalls, DDcks, Navigable HaterNays t Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treal~en~. Septic Tanks t US Environoental Protection Aqenc~ - Asbestos abatement I also certify that, if fill material is to be used in He.od Ze.ne "R" or 'tl,etc.', it is undude.e.d lid! a drainage plan addressing a 'co~pensatlng voluno" will be sublitted which is prepared by a professional engineer regi5t~red in the State of Florida prior to permit issuance. A permit issued shall be construed to be a lice~se to proceed Nith the Hort 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 fro~ thereafter requiring a correction of errors in plans; construction, or violations of any cod~. [very per~it iS511~d ~hall beCOle Invalid unless the lle.rk autheorized by such permit is ce'lUenced within six ~onths e,f iS5\1i\nCe, (.r if 11(<1 f; aut"'" I.ed by t~,e perlit is suspended or abande.nen fe.r a period of Sill lonths after the tbo the \fork is c('Menc~d. Oile 9(; day c,'d~;.sioll of tile, /lay be allowed for the per~it with fee charge of $15.00. The extension shall be reque5t~d in Mriling to tho Building Official. An approved inspeclie.n r.oust be le.gged during each six lIIonth period, eor the prc.ject ui II be c(,nsiderEd ab.;lIde.ned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. IF YOU INTEND TO OBTAIN' FINANCING, CONSULT WITH YOUR LENDER OR AN Al'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMMENCEI'IENT". SIGNATURE___~~~-~~---------- SIGNATURE_ .~-~~~-- OWNER OR AGENT ~NTR.CTOR D AT E ____._ __ __j/..:J.-9..--CZ1-----;.-.~---.__._------ ~~~~:~~~SA~~NT~R~;~~~~?t;- MY",'t:~~ON EXPIREliY COlf,r.lISSlC;; r:;::'. l"<iR.29, 199~ ,: ',_ {, \. BtffieftJf!-if{ttt:Em::KH('"1N5":-ffim:- - *" .. "if * ~ .. " .. .'l .It- .. )(- :.:-: ....;{<. DATE___________LL:~q~-~~-------------- NOTARY AS TO/) . j CONTRAcTon__~~~~-- NOlf!iRY PU3UC STfit: (FtORI MY CO~~-wmH~N EX~YH~~r.N!S':,,';.1 ,::,!'. F,,:,.::';),199 .."~o~ ~<.;. EONDElT1r.,-:tn;cT,:":,,.r-f1'1s.-t1mr.-, 4: ** -te:*...;.- , : ~ I.. * .. .. ,. :,.:rf},l r,lY ,::.r~'~i' \2 't SE~L u .~; :_;l.:L '{GU!.iG ;:;;P. 4/29/95 [,:_ ',": rr:RY SEAL" ;:;\;~DI3 SlE YOUNG l'IY CO::;.;. EXP. 4/29/95 .I:G~:.~:j.C U) ( - ~ <) <;:) ~ ~ \ ~ ~ ~ <. Q-'l ~ ~ ~ <) '-J \.; ~ .... " ~ )00;. :--.. ~ ~.j ~~ ~? - ~ ~ ~ ~ -"i...,.. ........ \..; ~ ' , ~ .. \,!) ~ ... ....... ... \t' ~ ~ " , CJ. .~ ~ " ... ~ r-{ .... l.... '^ ~ - x ~ \: ....,.. - ~ v)- u-:s~ --..::::::::- ~ ~~ ~ o:n.. ~ ~ I::l""\ ~ ~ '!: ..) -&~ ~ ....../ ':' \... -" :I- ~ . , (\.. J .J ~ ~ i5 ~ "':' '2 C> Z ...~h ~J('~~ _ ~.lo{...... ~ - ~~~l<-S- : " , . ~~~ .. . ~ ~ SKY DIVE CITY COLD FOOD SERVICE 192 Sq.Ft. Living x $ 51.00 N/A Sq.Ft. Other x $ N/A VALUATION: $ 10,000.00 Bu i 1 ding: $ 97.50 Plumbing: 25.00 Elec. 27.50 Mech. N/A SUBTOTAL: $ 149.50 BUILDING PLANS REVEIW CREDIT: N/A TOTAL: $ 149.50 CONNECTION FEES: Sewer $ l~58 . 50 Water 1~62 . 50 Meter N/A TOTAL $ 1221.00 RADON GAS: $ 1.92 Sq.Ft. 192 TRANSPORTATION FEES: $ N/A x 99% x 01% $ N/A $ N/A GRAND TOTAL $ 1 , 372 .~2 .r' . _-1; /, ZEPHYRHILLS FIRE DEPARTMENT Zephyrhills, Florida 33540 38410 6th Avenue (813) 782-8184 t f i I I r Fire Chief r William T. Fenton i Assistant Chief t Robert Hartwig t i f f L t f I ( ,. / ~ . t i I f FINAL BUILDING INSPECTION OCCUPANCy:S'Aj ]),LlE (!~ ~ .r;:;')) ~~ Ii (' E DATE: /.;Z 7.' 92- ADDRESS: -4 OA -4 7 ~<!. K iE~ /,') BUSINESS PHONE: 763- ? 3 9CJ OWNERlMANAGER:-.::rr e,e Y' ~\ ILl> This huildin~ has heen inspected by the Zephyrhills Fire Department under the codes and regulations of the NFPA ~inimum Standards and other local fire safety codes. ~PPROVED NOT APPROVED 1. , r L r t COM~fENTS: :r/[,...-...S -I&J~ _~J;""~EC/,C~j j)tt-Is1.1 ;) AL.E. FSE fZ-l'j- (!o_p (1!:._./~~. / /'6.' ~h c1.cJ -f /l.~ --- -rIA--/-- -- L;:DF t-) \jt'~;,....)IZS. L?/' (( f5E. ALe o...z..::'~b . ? ~'b ("K~') ~t (2_ (l, c.~' . / -.z.q -q 2:. ..., C.:=:, .-'C E.~ 'SE ! I f ~. f I f' ~ f f r r l l~.., . /--M) .J / .-,..-,- ) / .~/ -1?-/ C/.,L_.t- INSPECTOR( -;::<i<- {lc........_/t'-u/(^-'\ C/ ' .- I :27-'~Z 14 / DATE: . . , '1._ TIME: I S- --4....-..L:> SIGNED: .1 I J . r I ; Ii ;1 V) f \./ ~J Iv .'~., ! ,1'1 (.11, .,.1' .' t i (/o't. d"....!~[ - .! /~-v I 7 /( /' / , t.l , , I TITLE: ./ 06/1 i /86 als ...........' -""&. I .......... J"J ----.;':' .' ~ .'"~.,. '....:..........~.:.,.. .,...... .;;.:..:;......jj......:. "k'"""'.:.i"~ " .....:: .......,;, 'I ,...:. ~ ~("'~ .i ~"....:..~'u':"--'-_..-':~"'- ....~ -, ""a' ~..A....~'.......:~---:.:'...~