HomeMy WebLinkAbout92-2256
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 225GB
1-6-1L
J::J .StJ - :;L1;: tTb :' J..l..!:o7) ,_
(fUILD'IN9) ELEC~
Date
PLUM~-
M~~ICAL
Sewer Conn
Water Conn:
Property Owner: '-;7;9c..o tilL
Job Address: '7313 ~l~ BLVu.
Parcell.D, #. ? Y ~ ~. {, .-,;). /
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
Energy Code: Radon Gas:
~IJ~S PrT '1Ac.a ~rL.L
NO OCCUPANCY BEFORE C.O.
FINAL
5"-20- .
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
tl
? /';,,~ 'D 0
.:> :.:>VV,
,
5q~
Inspector
P~rmit Fee A 7.50. - --.. '\ Ac-U-.
Signature ~ \ Y L.b...U-
Company
Address
Telephone#
City License Registration #
State Certified License#
~rrrr US J1
INt....
BUILDING
4 ., 00., q--. a &.0
Ftr. Q
Pre SLB
Lintel
FRM.
Insul. CL
WL
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~~1 L ~ 'fY\ o'T T
'3'3sg~
ADDRESS 9l0t ~X !-r39 :5:FF'~ R, PHdN~f3-bS4-'1'3I~
OWNER -=rAco ~L L.
LOT SIZE2oe~ AREA SQ.FT.
ge.c., ~/1LuP ~$:' __ ~'Z-,
BLOCK SUBDIVISION
JOB LOCATION
se 1/.4 of
LEGAL DESCRIPTION: LOT(S)
PARCEL 1. D. ~~
WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair _Install
_Sign/Temp. ~ign ____Move _Demolish
PROPOSED USE: _Single Family _M/F _~~ of Uni ts ~/H
~ommercial _Indust. _Swim. Pool Other
L _Restaurant & Health Department App~vaL
.:;:sfc;,.t-j5 f"1LO~~t X I~ +- 4 U>lPrl..~ ..g.~S ''-1 't' ~, :;'lG-\-..l
1S..IJ~1J I ~C ' gEl: l2.8 X , Square Fee t ,
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
VBUILDING
$
:3 , ScOt e.,S..
I
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
ll_ CONTRACTOR SECTION
BUILDER M.crr-r VCJPrf lWc.., Company
n _I",_.J/J ~ State Cert. or Regist. ~~
signature~~ ' . City License Registration #
***** ************************************
Silffiature
Company
State Cert. or Regist. #
City License Registration #
******************************************
ELECTRTCIAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY
****~~~~**********;'********************
~.i /\.A....'O ~ PERMIT OFFICER.
--
ow
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit .ay be subject to "deed restrictions" which lay be lore restrictive than Citr
regulations. The undersigned alsutes responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner hiS hired a contractor Dr contractors to undertake work, they lay be requ.ired to be licensld in accordance with
state and local regulations. If the contractor is Dot licensed as required by law, both .the own'rind'tontract~r .ay be
cited for a .isde~eanor 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, (BI3)
788-6611.
Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s} sign portions of the
"Contractor Sections" of this applicat\on for whic~ they Mill be responsible. If,you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the MOTk. 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 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 - HOleowner's Protection
Guide" prepared by the Florida Departtent of Agriculture and ConsUler Affairs. If the applicant is so.eone 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 ~bi5 application is accurate and that all wprk will be done in co~pliance with all
applicable laws regulating construction, zoning, and land developlent. '-,---.- '
Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cO'lenced 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 develop.ent 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 Ii.ited to:
. Departlent of Environtental ReQulation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands,
Mater/Wastewater Treatlent
. Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
. Depart.ent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
. US Environlental Protection AQency - Asbestos abate.ent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "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 pertit issuance.
A per.it 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 perlit prevent the Building Official frol thereafter
requiring a correction Df errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOltenced 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 tI5.00. The extension shall be requested in writing ~o t~e Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be consideredabandoned~ '
WARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COKItENCEKENT KAY RESULT IN YOUR PAYING TWICE -FOR IltPRDVEIlENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR ~OTICE OF
COItItEMCEltENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A -NOTICE OF CO""ENCEltENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
was acknowledged
, 19_ by
STATE OF FLORIDA Oc
COUNTY OF \ 'afI2t" -->>
The foregoing instrument
. F --t:/i;;---
before me th 1 s Co 0ArV
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknDwledged
, 19~ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
RD BE t<. T LOLA; j ff1611 _
whD is personally known to me or who has
produced Fh L #=- m36{j --r)'!id::_(!.l:-/I./V-6
;:~~~;r~ net
(S~~-r L, V'Y'PTT
(Name Typed, Printed or Stamped)
NOT~~U~/$~~~
U o-rA rz..J1U ~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
NC) r /:;1\'\" ,.' .",: - ~_.:-. \ '-'.
My commiSSIO;1 (?;. ;.::,:r;"$ J.C;I~; '-~1 J Ij','~.,~
Bonded thru Petterson - Bo2;~ht Agel-ICY
Q
TACO
'BELL@
PROPERTY OWNER'S COHSERT
(For Sign Application)
I, Scott Tarr, Owner's agent for the property located at
U.S. 301 & Pretty Pond. Oakhill Plaza. ZeDhvrhills. FL,
do hereby give Mott Siqns permission to erect a sign or
signs at the aforementioned location.
~M,
(Notary)
TACO BELL CORP.
(Property Owner)
~~~
(Property Owner's Agent)
5728 Maior Boulevard. Suite 200
Orlando. FL 32819
(Mailing Address)
(407) 363-3920
(Telephone Number)
\\i\~1.
(Date)
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~,IlNO 100 M1"\-I
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STe: e L TV\'3 e A <;'fM A t;'6D &12. 6
cove (( e'T e 13 OPt:) P'S \
_ GOI'- '25t>o fSi-
P4 97 Square Feet
12' -0" x 8'-1" OF C-P Logo Sign
at 35' OAH
Elecfrlcal SpecificatiON:
lamps: (2) F60T12 HID C.w.
(6) F64T12 HID c.w.
(8) F84T12 H/O C.w.
Ballast (2) Jefferson 25{r464
(2) Jefferson 25{r484-100
Conn. Load: 12.7 AMPS
Circuits: (1) 20 AMP
._ / ~_ /: J' ;2/ ~_./.
./''(1/1 7 .
t a "2-
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SJLCOX ENmNEERING, IN,C,:
CONSULTING .EN,GINHRS'
5409 N. ,NEBRASI(A AVE.
TAM,PA, nO.RWA 3.3,604
238.9755
Service sign by: Hinged Face
lifting Weight: 1205 Ibs.
Maximum Design
Wind Load: 30 PSF
.$/GrtJ (3'1' Plssti-Line, Inc.
"'/ ""
\. ,,'"
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,
"
JOB TAc..o l3c(.L
SHEET NO, )
SILCOX ENGINEERING, INC.
5409 N. Nebraska Avenue
TAMPA, FLORIDA 33604
(813) 238-9755
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