HomeMy WebLinkAbout92-2785
BUILDING PERMIT
Permit
2785 tJ
11-/J--9:J-
CITY OF ZEPHYRHILLS
(813) 788-6611
N<!
Date
~~iY EL~ PL~ M~
Pwp,rty OW"" y"""w 'tt~
Job Address: 7~l/ ~ _ __ _ _
Parcell.D, # .js----dS-- J-/ -- trtJ/O 0 crG-lJ () - 00 D 2>
Zoning: En,~y COdJ _ Radon Gas:
Oescription of Work 'Jt.) ,~ JP'..... ~ ,~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
DATE
Inspector
Permit Fee ,",? (') , o-U
Signature
Company
Address
Telephone#
Valuation or
Contract Price :2., / /..s -. p-c
City License Registration # J' /' -3
State Certified License#
~Lj~ (=:::~~~
ILDING. . EL. L . PL~
---.....:...,-
M~CAL
----
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
APM~ICATJ05 FOR~f' ,:lUtlT
CIty Of' Z,E.'PIIIJU11 .1~S
BUlLDl5G DKPAR ..NT
m."u's _ ~#k.egJ/1 OJi/8NJ j/j/# 'fiWC/;ii ..;; 7t1y-;z.r:-J4f~
oil, ,"_..._._____... .,' ." _~ '
o..."RIt'S ~nOR'SS_. _,.R''&Y /lJ/ , .4J!:/IJ/1:f ~G .~~, .' ",__"-
JOB .<I>1>R&.""-_ _, %A';V/ ~) /. ifl/p (/.01/)// 'i{lv 'tV/' ~r;,~tr.J'It>!!!::--~-
'iF. // ., . . -;/ ,
1.P.c..AL DYSc:RU't'ION: LOr(5) .:~ BJ~StJ8D1VlStON'
? -- S- '~~
PARCEL I .D.'_.._..___ .~j ,/ 2. - ~/ -- tJO / () - tf..: ~. (J.CJ - .(/OO~
,
'iORR PROroSf:[):....~~cw Const.t.'ucti.oo -------Additi.on t---A1tel"atioo. ~cpair _.._In:<;tall
_~Si&n ~lI'e --Pe.-oU.sh'"
fROPOSED USK:"'_"d _Single Faaily
_..I_Cc:1Mtc rc ia 1
----"IF ~'of Un~~s
--.Jndust. ~SW'J.. Pool"
..JII H
...._OI,he r:
_. . .._Rm.t.aurant & Bealth Depa-.:bleot: ;,ppt'oval
, ..
BUll.DING Sl7.f.: .~ ._x 'la' /i'iP;f!IJf ~ ~~~ua('e: f'~et,
RRSJDF.NTIA1.: ATTAC:II (2) PLOT PlANS. (2) s~ OF IBUTU>Itm PLA~S :.'(1) SET rNERGY
COKHERCTAT.: A'UACH (3) StTS OF BlJItDDlG Pf..ANS &::'(1) sr.r ~fl,'RGY FORKS."'.
uOOPY' OF CONTRACT RIl'QII1TRED. l
.
fl!'JMI'TS RW~HSTE1) .
_ T I
I .
Valu....tf.oo ~f Totll1. Construction
H~igbt
fORt1-c:;. ..
fit
----8url,DING
$
_MECHANIC.AI.
$-,~:'
,
AMP Service florid~ Pm~ct Cocp.
!
Valuat.ion ~f Hechanical InstalJaUon
GAS ROOF.t~ . .51'} AI_~~l'eaAI.1Y
W.R.f.e.
_m.F.ctRICAI.
_1'l.lJMRJNG
.Jlll.l!Jm!
TY'PE OF CONST)(UC-nON: ~BlocJt Fc.aae ----i..Stccl Other
- .
FINISJlRD FlOOR Y.U<;VATlONS: FT. IS P1t~cr 1M noOD ZONE ARPA?
. *......'*...'*t........*..~tt. f ~ ~.*t t~ttit:t" .... 6.. .:-.... )"RS
COtn'RACroR &f9'l~'N
COIKPA.~1
State ~r:t. or Rcgist. ..
City tj~ense Jcgistratio~ .
..~~...t....t............ttt.t~..~itt.t~.*.......
NO
Signature _~ _
~ i ana tlJ..(e.._______.,
cotfPAN!' '.
St:a.t:~ ~('t. or Rcgist.. ,
City Lf~en5e Registratidn t
***tt*....*.***.*...**it~*t..~**.*~ttt.....
~I.&crRT.<a^1t
PYIKBF.~
COKPAfl;
State Ccct. or Regist.. ,
City L~~ense B~gi5tration .
I .
.***tt*t.*.**t*.***~..~~~*tt.*..*.&..**A.*
. , ,
-".".~-
Signa tu re ______
.....-.
COPIPA~
S~8te ~('t. or Rcgist. #
Ci'ty I.{cense Regist.ration t _
......~t*A*.....t....**t~~~....*~**t**~.......
KF.QIAt((~L
Sigl\atut"e _
',- .
OmER ~ ~ COIIPAJ<t b~~ ~s~s\.~~ oC ~~-\..~
_ '. State ~I.'t. or Regist..' tSOOOOO_~1._~_
Signat.ure _ _ ~ff. City l.-(een.se Rr.gistt"at:ion '___..~_.~_
...tAt..*a.*A.***..A..*.t~*....*****.....~....
APPLlCAT10N ArNlOVf"D BY
._~ PERKIT Of'FJCI~R.
,
... ....~' ...-= ... ... ~ ... ... ~. ... ... ... ... ... ... ... ... _ _ _ ... ... ... _ :,: ... ... _ _ ... ... _ ... ... ... ... ... ... ... ... ... ... ... ... __ ::""':" -:";;,~'~'~";;i'!:" ~ ':'~"'_" _." ..._' ;-...'...',,;, ... --..."\i""o.;............. IliI .# ... _
-
_ ~,'IlIr:...i..-,~'... -...... - - - ~
'-11-~2 WED 12:44 GULF. COAST. SIGNS
NO 'v' ~ L.UI~U.l r .1 Ul'lb WI'- r-'~t-(M IT AFF I DAV I T
A. NOTJC~ OF DEED RESTRICTIONS! ,
ihlll Und-~~<;i~~f'd 'und'~~5hnd5-that this .~~i1r ~e subject t~.;'del1d :istridions" "hich uy be lare rfstric:tive th.n CHy
re9ulitloll~, Th~ undersigned a~sU'es rUiponslbl)lly for COlp[~~nte WIth any appli~able dred restrictions.
P.02
13. UN!_lC~N.SE:.Q_CONTR~CTOR~J:lNO G.QNTRAflQfLBE:~E~qNS.L@JJ...tr~lli.~
If the OMn~r h.~ hIred a contractor or tontractors tD undertake work, they lay be required to be licen5~d in acc~r~ancr wit
5tate and local regulations. If th! contractor is not lic~n5eJ as required by law, both the owner and tontratt~r .ay be
cite~ for i li!.dt'leanor violation under state IllM. If the olln~~ Dr intended contractor ne uncertain as \[1 "hat licensing
requlrel~nts .dY apply for the intended work, they are advised \0 contact the City ~f Zephyrhills 9uildlng O&p~rtlent (8131
7BB~6bll. '
Further.~f~, if the owner hiS hired a tontractor or contractors! he is advised to have the tontractor(sJ sign p~rtiDns of th
'Contr~ctor Se(ti~ns" of this application for Mhich they Mill bt responsible. If you, as the o~nef sign as the contractor,
you are indicating that you, rather than the contrictor, art re~ponSible for the Mork. If the tontractor Nishes you to siqn
as contractor thut lay be an indication that he is not properly'licensed and is not enfitled to pertittin~ privileges in the
City of Zephyrhills.
c. IRrlt~.9.F:QRJilT1.Q~l Il'1PACT ..FEES AND UT t.L I TV CONNF.J;.LI ON FEg,~
I ' .
D. COP.~~THl}~T I ON L I EN....kB}! (CHAPTER 7 ~ 3, FLOR I DA STATUTES, AS AMFNDED)
I certify that I, the applicant, have been prDvided with a copy 'of "Florida's Construction lien La" - HGle&wner's Protection
6uid." prrtpared by th,e Florida Deputaent of Agriculture and torlsu.er Affairs. if \h" a'ppliCill'l\ is sOIe-(\ne t.ther than the
'owner', I cl~rlify that I have obtained i copy of the abDve des~ribed docuDent and pro.ise in good faith to rteJ i~er it to th
'owner' prl~r to COII~nte.ent.
E:. CON'IF,(lCTOR'S/OL-JNER'S AFFIDAVIT ,
I certif'y 'th~t al'l the inforaati;;;'i;U;is 'application i;-acturate and that all ..c.rk will be dClne in co.pli~nce lIith all
appJicibl~ laws regulating construction, zoning, and land develDp.ent. .
ApplicatiDn Is htr~by lade to obtain a per.it to do work and ins\allation as indicated. I certify that no w~rk or
installation ha~ cal.enced prior to Issuance of a per.it and tha\ all Nork will be perforied to leet standards of all law5
r~gulating cc,n~lr1.lction, City C(ld(!!i, zoning reo"laHons, and 1an~ de\'elDpunt regulatiDns in the jurj"dictiCln, I also
certify that I understand that the re~ulations of Dther 9overn.Jhtal agencies .ay apply to the intended w(lrk, and that it is
'Y r1rsponsibility to identify what actions I lust takl to be in ~olplianc~. Such agencies includ, but are not lili\ed tOI
I ~~'p'art'r..n\.olJn..v.tr.~~~!'!1!U~l!l!!.!~ - Cypress Bayheads, lIet\~and Area$ .nd Environunhlly Sensitive L~nas,
Waler/Wastrwater Trea lent .
I
I S(luthw(>.~...F l~.~.i~a Ilat"r l'anaCllJll1nt Dhtrid - Wit} 15, Cypre!i5 8~yhllads, Wet land Are~~, Alter i nQ llaterCc.ur5~~
I ArlY CO[JlL~L.r,,!l.g.1netrli - SUMalts, Docks, Navig.blt WOlterwaY5 .
. ~l!~!.!!~.nt .r..f .H.I!.!.lJh L Rehabilitative Services, Environlll,t'l.t.aJJ~lB.!l...Y.n.ll - lIells, Wastfuter Treahent, Sp.ptic Tanks
t !!.t!'n.:dr:.Dn,l!lntal...frohdion Aqe_n.,U - Asbestos abituent : ,
I also certify tholl, if fill tilteriill is to be used in FI~od io~ "A" Dr -A.eh.', it i~ understcood that a drilioo9l! plan
addressin~ a "(I'lIpl!nsilting volule" will be sub.itted which is pr~pared by a prcofessional ,engineer registered in the State of
Florida prior to perlit issuancll. .
A per.it i~!oued ~h~ll bl! construed to b" a litens. to proceed wi\h the "Or~ and not as authDrity to violate, c~nr.fl alter, or
5"t aside iny prvvisioni of the t~chnital todes, nor shall i55ua~ce of ~ per.lt prevent the Building Offici.l frcl. thereafter
requiring i correction of error5 in pl~ns, construttion, Dr viDt~tion5 of any code. (very pli'rlit issued shall b~cc.le invalid
unless the Morl authorized by 5uch perlit is cO'lenced Nithin si~ lonths of issuancf, ot if wDrk iuthori~ed by the perlit i5
5uspend~d Dr ab.ndoned for a period of six .onths aft~r the ti.e'thl .orl is co..enced. One 90 day extensic,n of ti.e, lay be
alloll~d fDr the perlit with fee ch~rge of 115.00. The extension'shall b. reque~ted in writing to the Building Official. An
approved insppction .ust bt I09qed during each six lonth period,lor the prDject "ill be considered iband~ned.
WARHIHS TO OWNrnl YOUR FAILURE TO RECORD A NOTIC( OF CO"MENCE"E[! KAY RESULT IN YOUR PAYlNG TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR ENDER OR AN ATTORNEY BEfORE RECORDING YOUR HOTICE OF
COKK(NCEK[NT, JO&S UHDER f2,~OO IN YALlIE DO NOT NEED TO RECORD ND POST A .HOTICE OF COMMENCEMENT".
....A .~-,~
S16NATURF: OWNER OR AGEHT
stATE OF FLORI~A 't,
CbUHTY OF . ~'\~~ ___.___
t~e foregoing instrument W~5 ~ckn~wledged
b~fc're me this .._, 1~_ by
.
::-Ro..M.~o....~..._ \\l.J\'\.~ ____. __._-_
~~o is porson~lly known to m~ ~r whO h~~
produced ___.'
af identification c!\i"t~ wt'"iC' did@id r1B.>
~n ~~~rt ~. ~ \\lC'A .
oR ~S..,__~,_
($li\\a\;U~
; .01"\ tie. 3"". M~~ ____.______
(~ame Typed, P~inted pr Stamped)
~QHt8V PUBL_I~
SlATE 01= FlnRID,~
COUlHV OF _ ...._.., .....
The foregoing Instrument
bef<:.re mE' th i s
W~$ ~cknowledged
, 19_ by
who is pGl'" !;'ic.n", 11 y Imeown to me e'r who has
prc.dl1ced '.~'" .._____
~5 ident~fi~4tion and WhD did/did not
tahe an c.~d.h.
(S i g \,a t Ll r Ii! )
(Nc!\me TYPQd, Printed ~r St~mped)
tj.Q.,T.flRV FJI.F:LI..l.:'
.Notary Public. State of Florida At large
My Commission Expires 10.22.94
. "I'::
Or.
v.
gulf coast signs
of sarasota, inc.
1713 Northgate Blvd, · Sarasota, Florida 34234 · (813) 355-8B41
TO: Langtry
P. O. Box 851
Asheville, NC 28802
DATE: 1 0 / 2 0 / 9 2
Gentlemen:
Subject to the terms and conditions herein and those printed on the reverse side hereof, which are hereby referred to and made
a part of this contract, GULF COAST SIGNS OF SARASOTA, INC. (sometimes herein called the Seller) agrees to
SUWEcr: Signage - Langtry
Townview Square - Zepherhills, FL
Manufacture and Install (1) set 32" Tall Internally
Lighted Channel Letters on Raceway per Gulf Coast
Sign SIP #92-S-367
Installed Price.. ......... ...... ................. ... ....$2,7~5.00
.#11 ~ ,:J;J/yr
Plus sales tax, permit fee and engineering as required.
Electrical to sign area by others.
One full year guarantee on all parts and labor.
w~
Terms
50% down, balance upon completion
Payment in full shall be made to the Seller by the Buyer upon completion of the work, unless otherwise set forth on the face
of this contract.
All time clocks, disconnect switches, primary wiring and panels to be furnished by the Buyer, Adequate electric service to be
run to location of sign by Buyer unless otherwise specified in this contract.
This shall become a Contract of Sale wilen accepted by the Buyer and approved by an officer of the Seller in the spaces pro-
vided below.
GULF COAST SIGNS OF SARASOTA, ING.
Title
Account Executive
day of 19
Accepted by Buyer
This
day of
19~
By
w. O. VanTine,
Approved this
at Sarasota, Florida
(Buyer's Name)
By
As
ByX
of GULF COAST
SIGNS OF SARASOTA, INC.
Its
(Title)
"A^Vt=" ^I r rucr-vc D^V^Ql t: Tn ~111 r: r-nl'\C'T 01(""'~1("" ",.- t'^n^......T"\,^
C\
v.
-.'
gulf coast signs
of sarasota, inc.
1713 Northgate Blvd. · Sarasota, Florida 34234 · (813) 355-8841
TO: Langtry
P. O. Box 851
Asheville, NC 28802
DATE: 1 0 / 20 / 9 2
SUWEcr: Signage - Langtry
Townview Square - Zepherhills, FL
Gentlemen:
Subject to the terms and conditions herein and those printed on the reverse side hereof, which are hereby referred to and made
a part of this contract, GULF COAST SIGNS OF SARASOTA, INC. (sometimes herein called the Seller) agrees to
Manufacture and Install (1) set 32" Tall Internally
Lighted Channel Letters on Raceway per Gulf Coast
Sign B/P #92-8-367
Installed Price.. ...... ..... .... .................... ....$2,715.00
.#4 ~ IpJ/yy
Plus sales tax, permit fee and engineering as required.
Electrical to sign area by others.
One full year guarantee on all parts and labor.
&tJ)~
Terms
50% down, balance upon completion
Payment in full shall be made to the Seller by the Buyer upon completion of the work, unless otherwise set forth on the face
of this contract.
All time clocks, disconnect switches, primary wiring and panels to be furnished by the Buyer, Adequate electric service to be
run to location of sign by Buyer unless otherwise specified in this contract.
This shall become a Contract of Sale when accepted by the Buyer and approved by an officer of the Seller in the spaces pro-
vided below.
GULF COAST SIGNS OF SARASOTA, INC.
Accepted by Buyer
By
W. O. VanTine,
Approved this
at Sarasota, Florida
Title
Account Executive
day of _.19
This
day of
19
(Buyer's Name)
By
As
By X
of GULF COAST
SIGNS OF SARASOTA, INC
Its
(Title)
",,,^vt= ^I I ruc:rvc DAV^OI C Tn 0111 r '-"''''''''T ("'1"'-'''1(''' ......... ,....."r"\",.............,.-"
.-...........---.._~.......................
..-4'-:........-.. ....
1
, ,.. ''''''-'''''''"1"''''''''''''- .\
J~4lCL,,""'J....,.,..-tlIW ""~ ~ .
, "-'~~''''.''''''a''.''
"'~
g~lf bOs..~..ignjS . ..
of e.arasotJI 11'10.
Moln 011I.. . '713 Northgala 6lvd. . sarasota, I'1or~a :;42:>4 · (813) 355-8841 · FAX (813\351.3154
TalT>ra Olv\~lon . 0...15 M.~n.. St., 6"'10 109 . 111<\'pa F\.. 33609 · (813) 268-1845 · fAX (8!3) 268-1551
,~)('" "'nllll'
....."'l_._,_.,_..........""^'_...,..~"'II.."".'.,__,.."...' .._.
./_ ..'....'_.Lo .............--.~.
....-t-o-....._.,,;......._~
~et1;'r Qf\.~~~hori~lE.'l
Thl. LaUo, of AUih~11Qlion ji;oq\JV~ qrd;;- for -;;; 1;;'~~rQ ~'~+.;:if.l-1
10 Ins!nll slgnt Qt ony looo1ion. It should bl) slOf\lld by en ofl1cOl' or OW(lor
ofyollr oomplllW bnd notarlzod, P1~:SlG dUP~OMQ it on your leltorhCl'tlCI: ond
Tatum to us olono wlth ~:' \to~~~ ~t:;~_l~~~~~~:.o~h~~'9t.~ ~)=:"
'ro Who!"n tt May Concern:
I
,.hls lluthorlzos aulf COllet SlanG of, S.erosota, Ino., as Q\,lr IIcoil~ed ~ion
contrDctor (or tholr Dppo\ntoo /!:lQon " llnd subcontructors), to S~OU~lJ
Pem1tt}:1 Im..tall ~lnd RQn10vo SlgMI/ nd to Porlorm Mflintcrtonce on 'stgl"l'S .ot
our buslnOot3 proPQrty,
~EW SQUARE SHOPPING em
734SGall Blvd., zephyrhills, FL 33541
lAddre7"a;7' c i ty, Sta te )
-..---.....
I
- 9neqJ N~me L'.l~1,t:.'1e) J_
James h. 'Sl.n9' , CQNC!FE, I~., .(@tm.e:t;jof Towl\view Squ..tr~ Shopping CEln r
sacrGtar)' I
J~t~---':'-- NOI'ICE~l This is the o,.mer' 5 Autll.Orization to
Da t~ erect ~ sign on thei.r prs."C'li,s;;es. Payment for
labor ~ rMtedals for said siqn are the sole
respon~ibility of the Te~it, Vanderbilt Mfg., In
dba try~
/:P~
(NOTARY SEAL)
~
. No\.' - 1'(1'- 92 TU E
1'€I: 1 5
fIIIfIf('_....-~
8133513154
\
_-+.. .... .._.!~.J
NOTARY. PU C, ATE OF FLORIDA
,My Commission Expires Oct. 9~ 1995
P. (11
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CONCIRE CENT~RS INC. 31'3 Pla3 t-lI:lV 09 '~2 1t::.:S9......
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,REM TAXES AND NON..AD VAL<)ItEM ASSESSMl~NrS
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+-81378384S9
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AS~, E:S~e:l) TO CO ()
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~"-~-~::~ . ":,:, :~ , ,.~:,', Q gM1Ax~~, '1----' ~-===~~~:~=~w:;,:
TAxING AUTHORITY MILLAGE TAXES L~VIED [
~8b~" '2~a~~S~~~R2~~~aTING . 9:~1~8 ~~~~~:~~ I
~2~NTX S,H&OL CAPI'AL OUTLAY ~.s~~a ~7~2.~a '
, ~~ i~LXF WAft~V~~~~~' DIST 6:~~28 21a~q:~~ t
~~b~~~Oa~~~Hs~i~~~ Ba~~N :~~~~ ~~~:~~ !
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RATE/BASIS
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TOT~l AMOUNT DUE: ,IF PAID BV:
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PAVAaLE TO: 'MIKE
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