HomeMy WebLinkAbout92-2153
BUILDING PERMIT
Permit
2153/1
;2~clY-7;2
3-.5 -: OD
CITY OF ZEPHYRHILLS
(813) 788-6611
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---3 p~
Pcope"> Own", rYr3J:#I3?&
Job Address: /' d... .2
Date
MEC~AL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Parcell.D. #
Zoning: Energy c02~
Description of Work\ ::;i../LL(! ..J.' /YI /j
(
Radon Gas:
~j~
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Sign
Company
Address
Telephone#
Valuation or
Contract Price
.3 ~--UZ; . crD
-'
City License Registration # ;$ ? l'
State Certified License#
G
ME
NICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
FRM,
Insul. CL
WL
Driveway
~,u~vt'\
O~.w( '-I7J'J'l
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICAN~D~~ -r~ ~f~~l''y ~
ADJ.1RESS ./ D q~ X- 01 . ~ PHONE~ rE~d-~3~
...OWNER ~ltx::lL.B\b~ lJ'l 'DEL>
JOB LOCATION --r;t.4?- aafJOl;?llb-O
LOT SIZE_X
AREA SQ.FT,
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. #
WORK PROPOSED:____New Construction ____Addition ____Alteration
____Sign/Temp. LSign
____Repair
LInstall
_Move
____Demolish
PROPOSED USE: ____Single Family
~ommercial
____M/F
____# of Units
.____M/ H
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BU,ILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COpy OF CONTRACT REQUIRED.
PERMITS REOUESTED
~DING
VELECTRICAL
____MECHANICAL
cP'>
$ ~I~'~ , Valuation of Total Construction
AMP Service
~ 3l~~f;fJ
Florida Power Corp,
_W.R.E.C.
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
,Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
BUILDER
ELECTRICIAN
Company
State Cert. or Regist. #
City License Registration 4~
******************************************
Signature
Company
State Cert, or Regist. #
City License Registration #
*********************~********************
PLUMBER
Signature
MECHANICAL
Signature
Company
State Cert. or Regist, #
City License Registration #
******************************************
Signature
Company
State Cert. or Regist, #
City License Registration #
OTHER
APPLICATION APPROVED BY
~~**********~*************************
. d - .//UJ);1}
PERMIT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject to .deed restrictions' which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliante with any applicable deed restrictions,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay 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 lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IB13r
7BB-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
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 - HOleowner's Protection
Guide. prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
.owner', I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
'owner' prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treatlent
I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I uS Environlental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone 'A' Dr 'A,etc.', it is understood that a drainage plan
addressing a 'colpensating volule. will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed tD 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, nDr shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO R~CORD AND POST A 'NOTICE OF COMMENCEMENT'.
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'~^lD(lIOg('J. ~ /,) r-A/lA,/
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
was acknowledged
, 19_ by
STATE OF FLOR1J.A II Il L
COUNTY OF --1J n ~ ,..Q :.>
. The foregoing instrument was acknowledged
befc,re me this ~"b. 7 4 ' 19 q L by
? l' ~"
o is ersonally known
produced
as identification and who did/did not
ta~e an oath. \f, ~ t.r1rA)
~~o.J'ldhfA... ~~_
(Signature) I 11 r
5AtJ D r-<.A h. 1"'1 U M r-O~
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befc.re me th i s
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
lName Typed, Printed or Stamped)
NOTARY PUBLIC
NOTARY PUBLIC StATE' OF FLORIDA
MY COMMISSION EXP JULY 24,1993
BONDED THRU GENERAL I"S. UNO.
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Concire, Jnc.
9<eal Estate q)evelopers
February 11, 1992
city of Zephyrhills
Building Department
5335 8th street
Zephyrhills, Florida 33540
RE: Blockbuster Video - Pylon Sign
Townview Square Shopping Center
Gentlemen:
I have been contacted by Mike Riggins with Thomas Sign &
Awning Co., Inc. regarding a free standing sign for Blockbuster
Video. Please be advised that Concire, Inc. has gi ven their
permission to Blockbuster Video to erect' ~anding
pylon sign containing not more than 0 sq. ft. of sign~ This
sign would be erected directly in front 0 e1r ore 1n Townview
Square along the u.S. Highway 301 rig~-way. Furthermore, the
pylon sign will be not less than(25~~ south of the existing
pylon entrance sign for Townview Square.
Please let me know should you have any additional information
from Concire, Inc. regarding the above referenced sign permit.
Sincerely,
JHB/th
2006 &uih 9l.ighway sOL
<]Jade City, 3loriJa. ss525
. 904-567-0089
3~ 904-567-0772
~B~
THOMAS SIGN & AWNING CO., INC.
Pinellas (813) 573-7757
HiRsborough (813) 932-4014
WATIS 800 526-3325
FAX (813) 573-0328
February 10, 1992
Mr. Jim Bingham
Concire, Inc.7252 Gall Blvd. "2
Zephyrhills, Florida 33541
Re; Blockbuster Video, Townview Square
Dear Jim,
Pursuant to our telephone conversation of earlier today, I
understand we will be permitted to install a fifty (50) square
foot, 15' tall, double faced, illuminated pylon sign at the
above referenced shopping center. I also understand we are to
install this sign as close to the center of Blockbuster Video's
store with the setback off the road per the City of Zephyrhills
requirements. As a reference, I have attached a copy of the
design of this sign (labeled BV50-DF).
Thank you once again for your assistance in this matter.
fhW:reD-_
Mik~l1~
Sales Representative
MR/rof
cc; Bruce Gay, Blockbuster Video
10990 . 49th Street North · Clearwater, FL 34622 .
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