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
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