HomeMy WebLinkAbout92-2802
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
2802E
Date Ii -/9-9:J.
, ..
~Ol~ ~ PL~ M~
::~:::,~:~e:;l1i~22I4b~ - /~ ,,~
Parcell.D. # j - ,;l.G -..J../ -
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy ~ ~
Description of Work\,f.A (R - .. ('IV: J
Radon Gas:
.,
~At
..2
AA>-dLl'~~ ~.
FINAL Y-/b -~
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
P..m;t FeecE,~j1
Signature __ _Lt-l ~ ~
Company
Address
Telephone#
Valuation or
Contract Price
~~ <;.,.S -? ~-: tTtJ
,
City License Registration # 2(, Y
State Certified License#
Mtvl~.., ~(,.
G
M
NICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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.
Plans not at job site.
''\fork not accessible.
,>ayment of inspection fees shall be made before any further permits will be issued to the person owning
,e.
APPLICATI05 FOR PERKIT
CIn OF ZEPIIYRIIILLS
BtITI.DDiG DRPARDIEIIiT
OWER'S NAME 'V\c..-'G cQv.>\'c ~O~ ~eES)lrvC. PIlOn ~\~<.l1-3?>'l2
lNBER'S ADDRESS ~.0. ~o>-};~52 =rhrDrf<J * ~l>~3b
JOB ADDRHSS CoD ~ ~ ____
LEGAL DESCRIPTION: LOI'(S)
BI.OCK
SUBDIVISI05
PARCEL I. D. t
WORK PROPOSED:_5ev Construction ~ition _Alteration _Repair _Insta11
~ Sign
_I!tove
_Deao1ish
PROPOSED USE:
Sing1e F:HIi1y
_KIF
_, of Units
_KID
~ ~rcial
_Indust.
_Swill. Poo1
Other
_Restaurant &: Hea1t:h Depart:.ent Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDERTIAL :
COHKERCIAL :
ATl'AGH (2) PLOI' PLUS &: (2) SEI'S OF BUILDING PLUS &: (1) SET ENERGY FORKS.**
ATTACH (3) SEI'S OF B1JD.DDiG PLUS &: (1) SET mmRGY FORKS. **
**COPr OF CONTRACT KEQ1JJIRIID.
PERlllITS REOUESTED
_BUILDING
$
s- . s 'is. ~O
Valuation of Tot:a1 Construction
_ELECTRICAL
AIfP Service
F10rida Power Corp.
W.R.E.C.
_MECHANICAL
s
Valuation of Kechanical Installation
_PLUKBING GAS KOOFDiG
SPECIALTY
TYPE OF CONSTRUCTION: _Block _FraIIe _Steel
Other
FDfISHED FLOOR ELEVATIONS:
FI' .
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
Signature
CODn'KACIOR SECTION
COKPANYffiA~~~J Cof.)~dt~,0
State Cert:. or Regist:. # C J,gc'O 1 'l. ~7 z:.
City License Registration ,
******************************************
BUILDER
ELECTRICIAN
COKPANY
State Cert:. or Regist. ,
City License Registration I
******************************************
Silmature
PLDlBER
Signa.t:.u.re
COKPARY
State Cert. or Regist:. I
City License Registration t
******************************************
KEClIARICAL
Signa t:.u.re
COKPArIY
. State Cert:. or Regist:. t
City License Registration I
******************************************
OTHF.R
Signat:.u.re
COKPAIiY
State Cert. or Regist:. I
City License Registration I
******************************************
APPLICATIOB Al'PROVED BY ..'-.1-1dAA~:>f! OA~
PERKIT 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 than 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 contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the tGn'ractor is not licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor 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 a~vised to 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 contractorls} sign portions of the
"Contractor Sections" of this application for which they will be 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 provided 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 prolise 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 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 work Dr
installation has cOllenced 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 governl~ntal 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 Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Depar,tlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environlental Protection AQency - Asbestos abatelent
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" Mill be sublitted which is prepared 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, 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, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOllenced Mithin six lonths of issuance, Dr if work authorized by the perlit is
suspended Dr abandoned for a period of six lonths after the tile the Mork is cO.lenced. One 90 day extension of tile, lay be
allowed for the pertit with fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
approved inspection lust be logged during each six lonth period, Dr the project Mill be considered abandoned.
WARNING TO OWNER: YOUR' FAILURE TO RECORD A NOTICE OF: COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPRoYEMENTS TO YOUR
PROPERTY. IF YOU'INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CoNT~ACToR +- ~<o~"A--
SIGNATURE: OWNER DR AGENT
.
was acknowledged
, 19_ by
STATE OF FLORIDA ~_
COUNTY OF Lsi s: c ()
The foregc.in'g instrument \o'las acknc'\o'Jledged
befc,\-e me th i s /YclIem/:;er 17, 19 q -;;L by
L yn,., I9/~xenJer
who is personally known to me or who has
produced F/\Jr(d() d~" ve;-.J /1"ce n..t e,
as identification and who did/did not
tak~~~ ~Q--~J
(Sim-~ / W
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befc.re me this
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signatu\-e)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
.,~....~ DOf&N L WOOD
~~~;., MY COJ,USSION' CC 191671'"
ii.&f1' AprlI29. 1911ll
~;y .' IlQNDED THIlU TOOV FAIllINlUllMlCl. K.
'lIin
~~~~~ fnD.
RESIDENTIAL AND COMMERCIAL
1405 GRANDVIEW DRIVE
TARPON SPRINGS. FLORIDA 34689
(813) 937-2965
DATE: November
19, 1992
TO: City of Zephyrhills
5335 8th Street
Zephyrhills, FL
To Whom It May Concern:
This letter is to authorize . Lynn Alexander
to
act as agent for the following project:
Pick Qwik
6026 N. Gull Blvd.
Zephyrhills, FL
Sincerely,
~1f~
.
Constantinos Marston,
President
Subscribed to before me being personally known this 19th
day of October
, 19...2L-.
-gwjl~~
~
My commission expire~ :
CYNTHIA L. ALEXANDER
NotarY public-S~te of Florida
My Commission Expires JUN 14,1995
COMM#CC 113711
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GIll
SIGNS
INC.
NQ.V.sti.?t:.B- i 9 .
1992
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'UN 14.1995
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P.O. Box 1 014, TARpoN SpRiNGS, flORidA Hb88-1014
(81 }) Q}8.bb71
TO
':13862'37 P . 02
11-18-19'32 0f:4'3PM FROM
I111111111111111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
mIlll1]ji) PICK KWIK FOOO. STORES, INC.
November 17 t 1992
City of Zephyrhi11s
Building and Zoning Department
(Sign Permitting Di\lision)
Zephyrhillst FL
RE: pick Kwik Food Store #144
6026 N. Gall Boulevard
Zephyrhillst FL 34248
. To Whom It May Concern:
Please accept this letter as authorization for Atlas Sign CompanYt as our licensed sign
contractor, or their agents or subcontractors, to perfonn sign installatio1lSt remove
signage, or any sign maintenance necessary at our property referenced above, including
any and all pennit applications, permits, variances, etc., that may be required to perfonn
any of the above work.
~IY~~
Ed Boyette
Gasoline Manager
STATE OF FLORIDA
COUNlY OF HILLSBOROUGH
Before me personally appeared Ed Boyette to me well known and known to me to be the
person described in and who executed the foregoing instrument, and acknowledged to
and before me that he executed said instrUment for the purposes therein expressed.
J WITNESS my hand and official seal, this
~ k.. A.D., 1992.
/8'~
~ day of
My commission Expires:
Nota pu lie
Stat of Florida
IVJARY G. BRUDER. NOTARY PUBLIC
STATE OF FLORIDA
MY COMMISSION ~XP/RES 4/2/9J
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