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Home My WebLink About92-2604 BUILDING P.ERMIT Permit 2604E f--:2.h --y;;L CITY OF ZEPHYRHILLS (813) 788-6611 N<'> Datil ~~ E~ ::::::'~:~.'2~i ~ Parcel 1.0, # P~ MEC~_ Sewer Conn Water Conn: y/ ;~:.:,M.t., ~ / ~ _))".11 ~~ _-A~~ ...d...L.?l'~ Zon;n9' En~Od. Description of Work ~ L.; Radon Gas: "'~"q +- 2;,... NO OCCUPANCY BEFORE C.O. FINAL 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 City License Registration # b' ;26 State Certified License# Permit Fee! ~.Q...~--V Sig'nature~ ~ Q e..~ (},.... Company Address Telephone# Valuation or Contract Price /rtitJ.o-o ./ PL 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 REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the fOIIt:)wing 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 p".I:.1aUT GI'IY OF ZItl"HIKH II.T,~ BlJJIIJ)llIG DEPAKIKEXl" OWNER'S RAKE ttI~A-RT 5TiJf<ES OWER'S ADDRESS r. 0, B>o X \ \ b - . JOB ADDRESS 71JtnGoJ\ BLVD mo./j>o I) - ~ '73- 4l.:i \ 6ENION n'AkL= . A~ 7[;H7/6- 06 7rfJ..... / 2e p>hI'R\l\ \Ls LEGAL DESCRIPl'IOI!I: UJI'(S) BlOCIC SUBDIVISION PARCEL I. D.I WRK PROPOSED:_5ev Construction .-JUIdition _Alteration _Repair. _Install Ksi.gD. _l!Iove _Deaolish PROPOSED USE: Single Faaily Lec-ercial _KIF _, of Units _K/H _Indust. _S~. Pool Ot:her _Restaurant &: Bea1t:h Depa.rtaent Approval BUILDDfG SIZE: x Square Feet. Height RESIDENTIAL: alItItERCIAL : A1TACII (2) PL.OI' PIAlJS &: (2) SEI'S OF BUlLDllIG PIAlJS &: 0.> SF:l' ENERGY FORKS."'''' ATI'AaI (3) SEI'S OF BUll.DDIG PLUlS &: (1) SKI" ERERGY FORKS."'''' ......COPY' OF CONTRACT Bl\QUIRED. PIr.RIITTS REOtJ&CiTED _BUlLDIIiG $ Valuation of Tot:al Construction F.T.F.CTRIGAL 20 A!IP Service Florida Power Corp. W.R.E.C. _K.EaWlIGAL $ Va.luation (.of l!fecbanica1' Installation _PLlJKBDfG GAS KOOFItt<<; V SPECIALTY V/ Ot:her ~ oltuckd L TYPE OF COIiSTRUCTIOII: _Block _Fra.e _._,Steel FIIIISHED FLOOR ELEVATIORS: FI' . IS PBO..1ECT Di FLOOD ZONE AREA? YES IiO ................................................................~..........................................*............ WlW'RACIOR SECTION CDIIPOY State Cert. or Regist.1 . City License Registration. I ...................*~~~~~........................................................................ BITTT.DER Signature ~~ LUlPAIIY~bOU-L~ ~~ Co . ~ -:te c:ert:. or R~gist:. .' r="T .' ~ t ~ S at:or L1cense Reg1strat1on. f b ;)-/.::7 . ...................................................................................................................... Signature aJ!IPMY State Cert. or Regist. I City License Registration. f ....................................*.........~*...........................**...*......**..................* PLtIIBER CilllP~Ji.J" ___ State CerL or Regist:. f City License Registration , .......................................................................................................................... KEalAllIGAL Signature OTIIF.R~'~' ,tJiP-."Pe'rof2- LUlPAIIY /YklbOUAI1e..- '!5/6'tJ. al1let1~Y , ___ State Cert. Oll:' Regist:.. If ~10o..00 103 --X Signa e _ City License Registration. I 00505" ..................*...........................................~......................................................... 6~ APPLICArIOR APl'ROVED BY ?1 .:I 411 .c-, J ~~-,.... PERKI.'! OFFICER. . . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~ und~rsign~d und~rstands that this perlit 'Iay b~ subj~ct to "d~~d r~strictions" which lay b~ lor~ r~strictive th~n City regulations. The undersign~d assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a c~ntractor 9r co~tractors to und~rtake Nork, they lay be ~equired to be licensed in accordance with state and local regulations. If the contractor is'not:1icensed as required by law, both the Clwner and contractor lay be cit~d for a li5d~l~anor violation und~r stat~ IaN. If th~ own~r or int~nded contractor are uncertain as to what licensing requirelents lay apply for the intended work, th~y are advised \0 contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the "Contractor Sections" of this application for which they will be responsible. If youI 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. I C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES. D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, hav~ been provided with a copy of "Florida's Construction Lien LaN - HOI~owner's Protection Guid~" pr~pared by th~ Florida Departl~nt of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of th~ above described doculent and prolise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR' S/OWNER' S AFFIDA'vIT 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 Nork or installation has cOllenced prior to issuance of a pErlit and that all Nork Nill 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 govern.ental agencies lay apply to the intended work, and that it is IY responsibility to identify Nhat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, U~tland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQine~rs - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I als~ certify th~t, if fi!! !~t~ri~l i~ t~ bp ~sed in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" Mill be suulitted ~hich is prepared by a professional engineer registered 1n the state of Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the Mork and not as, authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit 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 tonths after the tise 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. WARNINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS 10 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND PO "NOTI F COMMENCEMENT". STATE OF FLORIDA COUNTY OF The foregoing in~t7was aCk.nOWledged before me this ~ 193~ by Cl y S e.... '0 e:..(..'t who is p rsonally known to me cr who k~s produced Pb L- as identification and who ta a~ ~:L ( 1a.......-F>.' ~_ ---JOrl-Y1 ~ Name Typed ~ Pro i ~ted NOTARY PUBLIC d.id/d id not d ere STATE OF FLORIDA COUNTY OF BRpllAR~ The foregoing instr~lment was acknowledged befc,re me this J~ _191. A, 19~ by - \ 6l Vf'S-/-Zl Jo';7h (.v fl1euve1t- who is persdnally known to m9 Dr who has iJI-oduced PO'- as identification and who did/did not an ~a h. t'~A ( . g, Jature> ~ 1 I , _ ~/1 nl ' h~~'7C~ 'V(~4-'~L (Name Typed, Pd nted Dr ~mped) NOTARY PUBLIC (C (I S"PI1 A.TE OF FLORIDA. ~~T~~~~1~~~~N~~1~~~ ~~~i:~;v~'~RS. Il~NDED Tllf{U NO r" ~r0r,\!~y p 1" (LL'M VBLle, STATE Ii()Nu~W T~~SlON EXFJR."~!" FLORIDA NOTARY pUB{IC Jl'lle 5, J995 NDERIVIUTERs" AP:PLYWj.l'LOll FOR :,,-'~T CI'IY OF ZIn"III.IW..il.LS BUTI.DDiG DEPAKiIIEM'T _'8_ ':1).. ~ i:OAES . . ~~~~ry3-41~\ ,OWER'S ADDRESS ~ 0 ~ _ ___ 1 . BetJ\O{0 Vl J-,. ~ C ,_J;., ~ 7' b - () 6 17:J.- JOB ADDRESS l-Jq- f), ') G fI)..,h e,t..V I) - '2C'{'hYRW~S LEGAL DESCRIPl'ImJ: UJI'(S) BI..OCX SUBDIVISIOlli PARCEL I. D.# IiORK PROPOSED:_lIew Construction --i\ddition _Alteration _Repair. _Install ..x:-siw. _!love _Deaolish PROPOSED USE: Single Faaily ---,X.ec-erCial _KIF _, of Units _K/H _Indust. _Swt.. Pool Ot:her _R.esUUran.t &: Bea1t:b. ~t Approval BUILDING SIZE: x ~e Feet, Height RESIDENTIAL: COItItERCIAL : A'ITAGlI (2) PLOI' P.I..AliS &: (2) SEI'S OF BUII.DDlG PLUlS &: (1) SEt' ENERGY FORKS. ** A1TAaI (3) SErS OF BUII.DDiG PI.MS &: (1) SET El!mRGY FORKS. ** **mpy OF mMrRACT RIlQlBIRED. }'ERIPITTS REOUESTIID _BUILDING $ _Valuation of Tot:a1 Construction F.T.F.CTRICAL . CZO AID' Service _ .:Florida Power Corp. W.R.E.C. _KECllAlfICAL $ _Valuation of J!fecbanica1 Installation ...."""".,...,.-. - ~PECIAL' . TY .IlJUUI .LJl'lI'" "" _PLUKBING __~M: TYPE OF m:NSTR.UCTIOR: _Block __Fra.e _Ste~l t/ Ot:her ~ attacU --.L/ FIlIISHED FLOOR ELEVATIONS: FI' . IS PROJECT Di FLOOD ZORE AREA? YES NO .**..**.**************.****....**.******** CDlM'I'RACIOR :IECI'ION Signature CO!IPOY State Cert. or Regist. t City License Registration ,I *****6*********~************************** BITTT .DO =12~ IDJJPABYJ.fJe/b.~JJtAti St.~~ .' te c:erL or R<<:gist. .' . DO I o...:~ S IPII L1cense Reg1strat1on # - ..............~........__*-u.__ CO!IPARY State Cert. or Regist. f: City License Registration # ***'.iI:..*wf'ir**....._.-a-.i''*:*..'iri~.. .~~""....a..ktoZ; -oil i&....--ttt..'ir~1i:~ii'-... PL1IIBER Signature Signature COlfPAIMY_ State Cert. or Regist. # City License Registration # .*****************************..**.******* IUtalAllICAL IYIIIRII _ ~=~i.JRYJlJelhoul!.neS:;'6,J a __ . . . te Cert. or Regist. # C1D()() 0 J05. - f?;< ~0555 6.3 Signature '. _ ity :: _ense Registration f **********<J.-:.I:*-e,....~*....***..... .t*....-I, .1-*....*.***.****** APPLICATION APPROVED BY PERKlT OFFICER. ~ -. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'Iay be subject to "deed restrictions" which lay be lore restrictive th~~ City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contrGctor or cqptractors to undertake wor~1 they lay be required to be licensed in accordance Nith state and local regulations. If the contractor is not licensed a~ required by la~, bott the ONnEr and contractor lay be cited for a lisde.eanor violation under state IaN. If the owner Dr intended contractor' are uncertain as to Khat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IB13) 78B-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 bl!! 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 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 Departaent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docu.entand prolise in good faith to deliver it to the "owner" prior to cOlaencelent. E. CONTRACTOR_~l.Q1.JNER · S AFF I DAV I T I certify that all the infonatlon in this application is accurate and that all Kork will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby aade to obtain a perait 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 perfQrled 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 ot~er 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: f Departaent of Environaental Requlation - Cypress Bayheads, ~etland Areas and Environlentally Sensitive Lands, Water/WasteMater Treatlent f Southwest Florida Water Kanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enqineers - Seawalls, Docks, Navigablt Waterways f Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environaental Protection Aqency - Asbestcs abotelent I also certify that, if fill ..a;:.:rial is t~ '.' !,P~ in Floorl Z,.ne "A" or "A,ete.., it is understood that a drainage plan addressing a "colpensating volule" Mill be sutJ.1i;ted Mhich is prepilr.::li by a protEsS~)liai 2Hgii't:2r il:9i5terel! in the State of Florida prior to perait issuance. A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every' perli t issued shall becole invalid unless the work authorized by such permit is cOllenced within six lonths of issuance, or if Kork authorized by the permit is suspended or abandoned for a period of six aonths after the ti_~ the Mork is cos.enced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The exten5~o~ 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 IHPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY"BEFORE RECORDING YOUR NOTICE OF COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD IIND POST " MOlItf- ENCEHENT". CTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged befoT'2 me this 19_. .. bv ~~~~~yO~/LORIDA 61<. e Vft~ The foregoing instrument was acknowledged befri~-e me this , 19_ by .JY' A Q. ~S b- [..-0 Bf. tl (V who is persc'nally known to m?cr whc, ~.-,,5 produced f'1) L as idpnt~fication and who did/did not ta~Ji!'-~-' oath. /"]1 / ,- ";1 /;1 , \. VL., Li-/C.P'l ._--~. --- (Si rj.B.\ure) " -' r j ~r\rl (n. h~cc'rIL L (Name Typed, Pr i nted c,r tamped) NOT{~r~Y cUBI",I C cell -:;Y~(19 t-hf I~-h, yh-e V YY\ el)..f e.:11 ~ho is persunall~ known to me or who has produced ~ \) L- __ as identification and who d\d/did not ta~ .~~ ~hl.'; .~ .ttLeJL :f~';-;tV\ V/1 ~ F?li Qi.-tr /ci- (Name Typed, Printed or.sit~p~d) NOTARY PUBLIC, c.C ( L<;yll (/ ... WAL-MART STORES INC. SIGN SHOP P.O. BOX 116 BENTONVILLE, AR. 72716-0672 ~.)O 1-'-27:::=;--'<'+:1. Ci 1 " TO: _~IIY_QE_~ttUYBUILL~_EL _._ f'~ f:J Y _... f.~ I:) B H f:2 I Q \~; FROM: _Q~BRi_gBIRG~~ SUBJECT: PROPOSED SIGNAGE-FOR: YeL=MABI_~2Q0~_2~?~_0211_Qlyd~~ ~.~ j;.;~ [!. t.J y~ r. tJ. .t 1.1. i~~ ..... t.::. L.: .::.. DATE: _lYNt_1Q~_199? F::er' my te].e~)hor'le converMsatic)n with you 6/10/92, I am s~.lbmitting copj.es of ()lif- sigrls, site ~Jlarl 211d ~;t()refl-()~'lt elevatj.~)rl f()l- tl,e f}ermit~; to be i~;sued for OlIr flew stor'e located at 7425 Gal, 3. Blvc1u MelbolJrne Sign C()~ Wl.l! tJe tlandlillg all i~~ t~le sIgn j.flstallatioi'1 arlO (:;tJtairlil'lg pel'-fnlt~5 f(:!f- thi'~5 pr"ojr:;:.'c:t. 'r h E? ':~~~ q :'..1. .=~. 'C' (-:::: f Cl() t: .a. (.~J E: ':~;' .':.}1'-, ("I \,l ';::". .1. l.J .;;';1. 1; ], () '()'::::. I ,....! t h '= s i. q }-1':; \-3. r. ;;:.~ .:,. '~5 T 0 J. 1. 0 1,:.J:5 ~ ~3TC:)FFF'h:UNT : WAL*MAFT - 5' X sq' = 195 SQUARE FEET $2,400 t:~Jr:: t:)E~!_L.. F'I]F\~ L..r:::~;f:; .... 3C!!! X ::Jl+:< :-7:~~~! ::::: ~3r? ~~;G~tJ?4F~~E~ F'r.-:~E:..r :b~'~\ Jt.! SATISFAC1-ION GlJARANTEED- 3:)!1 X 4[3~59!~= 122 crl FT~ $80() F'r..!{.:\Ft1(.:ICY.... 1. F II X 11.' c? I! ::: 1 b. "7:5 EQUr:eE FEET ~):E::()O 1 l-i i:;~ F:: ~1 (J 'r [I - :I. ;~3 !! X 1. E~ I 1. 1 ! I :::: 1 C? ~3 () tJ f:'::! F~~ F.~ F.- i~~ 1::: 'r ~~ E::~ () () TWENTY FOOT VERTICAL WALL MOUNT FLAG Pijj F ?, . .........-. _.. AMERIC:AN FL.AG $340 F~C)t,I:)E; I C3!\1 ~ WAL..*MAR1', WE: SELl_ F=OR L.ESS - 61 X r:t.!. ..... 1L~U F:" "T' $1::'.<'+00 PHARMACY - 2' X S' = 16 SQ FT 1.'~j.ea~;e contact me if VOLA need more informatiof1, my ~Jhone ntlrnber L~ :.:.::.; () 1 .-- L~ '7 ~?3 .... ,~+ 1. c;;:i. :: ~l.ease (naIl 21'Y c()rr'esponderlc:e ~(:) .. .,..... I \"'! .~':i. .!. .-'I"'! .~':i. r. 'G Siqrl ~:)hDp t: f'} (:.':< abc)ve ad(:jre~:~~; anej my atterltj.(:)l'l~ c:; j"'(- -."....-'.1'. ~. ....,:d;j~, ~d .-, r'" ~ t.! E:: r- r- ~/ .::; r- ]. Ci (~i e :::; cc: nelcourne ~lgn Co.