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HomeMy WebLinkAbout92-2612 BUILDING PERMIT Permit 2612 A !?-3/-'7:L CITY OF ZEPHYRHlllS (813) 788-6611 N~ Date c~ E~ ~- _ W 1 P<ap,rty own,,_'Q11, <:r XI ~ ~ Job Address: ~ J _...) 7 - ~ __ ~- - Parcell.D. # MEC~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: I Description of Work Zoning: Energy Code: 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 InspectOlr Permit F:tec2.~.. ~v -- Signature. ~ <2 t' ft.,~ Com pan __ . Address Telephone# Valuation or Contract Price J~/f City License Registration # ~ '/1 State Certified License# Z!5,:,:j~1 r.,~. Ftr. Tp. Servo Pre SLB Rough In Lintel Meter Can FRM. Const. Pole Insul. CL Pool WL Pre-Meter Final ~-_. ME~CAL -------.. Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. .g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATrtOIllJ FOR PERft'IT CITY OF ZEPIU'KH I I.{,$ BUII.DIliG DEPAR'IIIENT OWNER' S RAKE l..l?cAj' OWNER' S ADDRESS 3c7.39 E b~r///?A// J/ .' / ,S/r1e~/ / s/ S-/~p'pr' maNE '7?-3 - 3L/&o JOB ADDRESS 1(} ~}~ . LEGAL DESCRIPTIOII: UJI'(S) BLOCK_ _SUBDIVISIOIti PARCEL LD.' 00 It! - /2. SL/[J .- 0 CI 9'C? 'WORK PROPOSED:_lIIev Construction ~ition _Alteration ---;-Repair _Install _Sign _I!tove _Deao1ish PROPOSED USE: Single Faai1y _KIF _, of Units _KID _~rcia1 _Indust. _Swi.-. Poo1 Other _Rest:aurant &: Hea1t:h ~t Approval BUILDIIlG SIZE: x ~e Feet. Height RESIDEIlTIAL : cottKERCIAL : A1TACII (2) PLOI' PLAIIS &: (2) SEI'S OF BUIIDDlG PLUS &: (1) SEt' ENERGY FORKS. ** A1TACB (3) SEI'S OF BUIIDIIiIG PLUlS &: (1) SEt' ElNERGY FORKS. ** **COPY' OF CON"l'RACf :RIlX!IllKED. PI11IIPITTS REQUESTED _BUILDIIlG $ Valuation of Tot:a1 Construction _ELECl'RICAL AMP Service F10rida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Kechani~a1 Installation _PLUKBIIlG GAS ROOFING SPECIALTY TYPE OF COIlSTRlJCTIOR: _B1ock _Pralle _Stee1 IS PKOJECf Di FLOOD ZONE AREA? ><.. YES Other FllfISBED FLOOR KLEVATIOIiS: FT. NO ****************************************** BlTTTJ}ER .-1<. Signature COlI'I'RACIOR SECTION ~ OO!IPAfi~/,/P~fl ./Vr.7d/iy- t'b LA.tC!. . ... St:ate Cert:. or Reg1st. I 0 I(~ d~ h 2 ~~ 0 f>. ~ City License Registration , ~ if h 00 *;*~~~********************************** ELECl'RICIAN COIIPMY St:ate Cert:. or Regist. I City License Registration t ****************************************** SiPllature COIIPARY St:ate Cert:. or Regist.I City License Registration I ***********+.*.+~++++~*******************. PLO!tBER Signatnre Signatnre OO!IPAJIY St:ate Cert:. or Regist:. f City License Registration f ****************************************** KECBAlITCAL <D'!fF'MiY State Cert:. or Regist. t City License Registration , ***********~****************************** 0 . O'I"IIF.R Signatnre APPLICATION APPROVED BY . PERKl:T OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penitlBY lJ':! subject to 'jeed restrictic.ns" which lay be lore restrictive than City regulations. The undersigned assules responsibilit, for cOlpl~~ncp. with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTR~[;OP RESPONSIBILITIES If the owner has hired a contrar.tor or cc,ntrac:tors to underta-k;';~:=k; they Ill~y-b~ req'Jired to be licensed in accordance with state and local regulations. If th!'ton1ractor is not licensed a5 .equireo by la;;, :Jvth the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended cOlitractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to co~tact the Ci~y of Zephyrhills Building Departlent, (8131 788-6611. Furtherlore, if the owner has hired a contractor or contrartors, he is advised to have the contractor!sl sign portions of the "Contractor Sections" of this application for whic~ they Mill ~~ 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 prcvided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent 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 doculent and promise in good faith to deliver it to the "owner' prior to cOI.encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is acrurate 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 cOltenced 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 governsental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I tust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypres3 Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterw~~s ' f Departlent of Health &: Rehabilitative Services! Environlental Health Unit - Wells, liastewater Treabent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to h~ used in Flood Z~ne 'A" or "A,etc.', it is understood that a drainage plan addressing a "colpensating volule" will be sublitted which is prepar2d by a professional engineer registered in the state of Florida prior to perlit issuance. A perlit 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 is~uance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Every perlit issued shall bee ole invalid unless the work authorized by such perlit is cOllenced within six tonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six tonths after the ti.~ the work is co.tenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logg~d during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORU A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C~" ~'O NOI NEE' TO RECORO AMO PO'I . "NOIICE '~O"KENCE"ENI"' .. SIGNATURE: OWNER OR AG NT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF P O..J) GO The foregoing instrument was acknowledged befol-e me this ~:31""6b1\({~_19~ by . -:-:) R."N,-Lu E. t\.") . ff4' /"\. who is perfionally knowl to me or who has ;:>n:,duced rl '~L -# 1\J' lJJO- ~Lj5-;:J(~- ~,<. \.p as identification and ~,o~id not take an oat~. . __~U"^ (' ff \ fu /L!v,.R~ \X (- gnatL\l-e), "..1. I, I ,^ ) It" I J...) I (Name Typed, Printed Stamped) NOTARY PUBLIC ~\\\IIIl"'11 "Or:'FICI" L SEAL- ~, .., PII ~~~ .,.... , tt' ~~,~'8".!~"J'~ E' \""inn Riegler Barto ,0 , ::... ~.':O 11"4"'~ . . evnlres 1()18195'. ~..,! t.;' :~; M'l CommisSlOll LJ\tI" '77 ~~}..'~ "f'itj CommisSion tce 1508,. .,,~~ c~ -v'~C(-$ . '/'};n~~"" Charles A. Black Chairman, Crystal River Roy G. Harrell. Jr. Vice Chairman, St. Petersburg Sally Thompson Secretary, Tampa Joe L. Davis. Jr. Treasurer, Wauchula Ramon F. Campo Brandon James L. Cox Lokeland John T. Hamner Bradenton Curtis L. Law Land 0' Lakes James E. Martin St, Petersburg Margaret W. Sistrunk Odessa Peter G. Hubbell Executive Director Mark D. Farrell Assistant Executive Director Edward B. Helvenston General Counsel Excellence Through Quality Service Southwest Florida Water Management District 2379 Broad Street (U,S, 41 South) Brooksville, Florida 34609-6899 Phone (904) 796-7211 or 1-800-423-1476 SUNCOM 628-4150 August 26, 1992 Leon Gordon 5039 First Street Zephyrhil1s, FL 33541 Subject: PROJECT EVALUATION - 0765.0 Maine-1y New England Restaurant - Asphalt Pavement at existing grade over existing limerock base; Sec/TWP/Rge: 10/26S/21E; Pasco County Latitude 28013'50"; Longitude 82011'24" Dear Mr. Gordon: The Southwest Florida Water Management District is responsible for protecting the water resource and its related envirorunent for the citizens of the District. The District Governing Board has adopted permitting requirements designed to conserve water resources, preserve water quality, protect wetlands and reduce flooding. We have received and reviewed your submittal for the project referenced above. Pursuant to Chapter 40D-4, Florida Administrative Code, (F.A.C.), a permit will not be required for the proposed asphalt pavement (for reference see Chapter 40D-4.021(7), F.A.C., and Chapter 40D-4.041(1), F.A.C.). Plans and information submitted will be kept on file and referenced in support of this opinion. Please be reminded that all practicable and necessary effort should be taken during construction to control and prevent erosion and transport of sediments downstream. . If I can be of further a~sistance, please contact me at extension 4329. Supervisor Department WMM:ca1 cc: Project Evaluation File Kenneth Barrett, P.E., Enforcement Supervisor Sharon Vance, Enforcement Field Technician Source: Letter B8:6/92 -~ -c. " '<.. .... \""- \ ~:-t \ ~ " \'/, ~ \ \ '. ~2 \- "') t...J " ~~ l~' ~. ....."'" ( ~. """"-. " ~, ~; .- /.! J _ '~';." 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