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Home My WebLink About93-3000 BUILDING PERMIT , 1YR. (-/:::. (JD CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 30008 . '7~:J-iJ7) ~~~~.) .s~-' of) GEC;;;:D Date c:1-7- ~? PLUMBING MECHANICAL Sewer Conn Water Conn: '1 b P,"perty Own., _ 71f~.. ~ Job Address: 0;;L Parcell.D, # //-/;)/, -.;J.J- tJo/O -/~6LJ~" LJd--S~O Water Meter: T,I.F.'s: Zoning: Energy ::4 Description of Wor~ ,R~ .M....t"'j./" - 4;;"'.L1 Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL '3 - 5 - DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, c.o. City License Registration # State Certified License# J<f7 Permit Fee Sign Company Address Telephone# DATE Valuation or Contract Price ....5~ inn,] J o-cJ PLU~ --.:...-. MECHA~L Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL )(~wtJi ~.Z.lt>.,Jq33~ Driveway \{~\J~ :>;;\$-G3 ~6~ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a 'harge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: Wrong Address -',"demned work resulting from faulty construction. "lirs or corrections not made when inspection called. "'lot ready for inspection when called. '"It posted on job site. . job site. ,cessible. of inspection fees shall be made before any further permits will be issued to the person owning H & G STRUCTURESf INC. February 8f 1993 Pasco County Building Department TO WHOM IT MAY CONCERN: This letter authorizes George Hayesf Superintendentf for H & G Structuresf Inc'f Clearwaterf Floridaf and has authority to sign permit documents from the Pasco County Building Departmentf for work being performed at Village Innf Zephyrhillsf Florida. Thank you. INC. STATE OF FLORIDA COUNTY OF PINELLAS SWORN TO AND SUBSCRIBED BEFORE ME THIS ~~Y 992. My Commission lC ~~?V P,,8. OFFICIAL NOTARY SEAL : .. X.... KATHY M TRASK 'k ,.. COMMISSION HUMBER ~ ~ CC11.325 ~ # MY COMMIS8fON EXP. OF F\.O C, 18 1995 POST OFFICE BOX 10154/CLEARWATER, FLORIDA 34617 co It) Cli I 3 M ..... ~ w Z o ::J: Q.. W ...J W ...- ,-. ~~ J.J.. M_'~ _, _ _'N__", J , ;.1 -/ API'LIGA"llOdii r'Olti'. ~T CITY OF Zt\;l"t!IJ'KH II"T.~ BUII.DIlIG DEPAR'nfttl!iT OWNER'S IIAtIE VICORP Restaurants. Inc. OWNER'S ADDRESS 400 West 48th Avenue, Denver, CO 80216 PUOIIE 303-296-2121 JOB ADDRESS 5214 c'all Rl va., Zephyrhill s, FL LEGAL DESCRIPTIOlM: IDI'(S) "PI" ::Jtt::Jrnpn BJ..Oa{ SUBDIVISION PARCEL 1. D. t 11-7h-71-nnln-lhhnn-n7~n WORK PROPOSED:_lIev Construction --iWdition ..A...-Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: Single Faaily _KIF _, of Units _K/H _ec-ercial. _Indost. _S~. Pool Other ~Rest:aurant & Hea1th Deparment Approval. Square Feet. Height BUILDIHG SIZE: x RESIDENTIAL: COItKKRCIAL : A1TACII (2) PLOI' PIAlIIS & en SILTS OF BUllDDiG PLUS & (1) SET ENERGY FORKS. ** ATI'AaI (3) SEI'S OF BUllDlliI"-: PTAB'S & (1) SEI' ENERGY FORP.f.S'~l ,,]r:::JQ **oopy OF ooNTRACT IUlQIHlUlD. Jr~l':1L.::J I'IlJIIIITS l<EOlIESTIlIl ,rr FEB 0 1 1992 4 ~~-- - $ 5 .000.00 Va1uation of Total Construction CON~i "ueTION DEPT. -2LBUILDIlfG ~ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _tIECIIAIilCAL $ Val.uation of Hechani~ Ins~tion _PLUMBDlG GAS ....,...,....,T.............._ .D.II..ft.I.ia::.JL...IPiu SrEC"""...ALn TYPE OF mlfSTRUCTIOll: ~Block _~ __Steel Other FIlIISHED FLOOR KLEVATIOBS: FI' . IS PIro.JECT Df FLOOD ZONE AREA? YES NO ****************************************** COIlI'RACIOR SECTI08 CO!IP&ft' H & G Structures, Inc. Sta~$~ Cert. or Regist:. I COC .. 0 {)-~~ City i.i.cense Registration I 3 ~ ****************************************** ~~ COftPftRY Blackwelder Electric :=:::~rtf/~ ~~: L~~eo~e:~::~i:n f ~(~ ****************************************** ~~~/61 PLDIBER Signature aJ!IFOY State Cert:. or Regist:. I City License Registration t ~~-=-:':"~~~...:::~~~~~~~~~"'~"''''~~''.'''.*,******-J:'''***'''* KEmANICAL Signature CiOl!IPkdY State Cert:. or Regist:. # City' License Reg:is.tration , **********~"JH!:*"'****",********************** . - rrrIIKR Signature CO!Ir.gy Staleif' Cert:. or Regist:. I Cit::)) L:icense Registration I ********...***........*****... ..i******************** APPLICATlOR API'IlOYI!D BY 7/ 4 <>>If ~ PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait 'lay be subject to "deed restrictions' which lay be lore restrictive than City regulations. The undersigned assuaes 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 aay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by laM, both the owner and contractor lay be cited for a aisdeaeanor violation under state la.. If the o.ner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611. Furtherlore, if the OMner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the 'Contractor Sections' of this application for which they Mill be responsible. If you, as the OMner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Mork. 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 \CHAPTcR 7i3, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided Mith a copy of 'Florida's Construction lien law - HOleo.ner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is soaeone other than the 'oNner", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the "oNner' prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work .ill be done in coapliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no Mork or installation h~s cOI.encPrl pri~r to i~~uanre of ~ perl~t and that all work Mill 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 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 Iilited to: I Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, i . Water/Wastewater Treatlent I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Enqineers - SeaNalls, Docks, Navigablp WaterNays I Departlent of Health L Rehabilitative Services. Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection Aqency - Asbestos abatelent I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan addressing a 'colpensating volule- MIii be SUD.l."~d _niLo i. prepared by a professional engineer reyistered in thp State of Florida prior to pertit issuance. A perlit issued shall be construed to be a license to proceed Nith the Mork and not as authority to violate, cancel alter, or 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 Mork authorized by such perlit is cOllenced within six lonths of issuance, or if Nork authorized by the pertit is suspended or abandoned for a period of six lonths after the tiae the Mork is cOllenced. One 90 day extension of tile, lay be alloMed for the pertit Mith fee charge of SI5.0C. The extension shall be requested in Mriting to the Building Official. An approved inspection lust be logged during each six tonth period, or the project Mill be considered abandoned. WARNING IO~QWNER: YOU~ FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR PROPERTY. If YOU INTEND TO OBTAIN FINANC!NG, CONSULT WITH YilUR lENDER ATTORNE FORE, ECORDING YOUR NOTICE OF ~IOOEI<EOENI JOBS UNDER IZ,SOO IN VOllE 00 NOI NEED TO RECDRO D "NDIIC F C""N EKENI". ---3~A ~- NA E: WNER OR AGENT ~ STATE OF ~. ' COUNTY OF ~ The foregoing i~~t~~ment was acknowledged before me this ~' /, ,19.u.. by ~X?~ who is per c'nally ~mown to me &1 "1.1..., I"""" pi udul_ :c;d as identification and who ~/did not takean~~ (SignatU1;9') OJ L tj./tR e- IV [JQ F I xJ (-r- (Name Typed, Printed or Stamped) NOTARY PUBLIC /l . JjOO W. L/t~~ ~ &.> J>(JJ-Jl&:> SID E OF FL~~ CO NTV OF T foregc,ing il(e.trument \l'J8S acknc,wledged be ,,-e me th i s I!:.,d ~ ,1913.- by S~ lL qa/lan+ who is~SonallY k~ to me or whc, has pl-oduce as identification al who did/did not take I oa h. H & G STRUCTURESf INC. February 8f 1993 Pasco County Building Department TO WHOM IT MAY CONCERN: This letter authorizes Paul J. Glaunertf Project Managerf for H & G Structuresf Inc.f Clearwaterf Floridaf and has authority to sign permit documents from the Pasco County Building Departmentf for work being performed at village Innf Zephyrhills, Florida. Thank you. Very truly yours, STATE OF FLORIDA COUNTY OF PINELLAS SWORN TO AND SUBSCRIBED THIS ~. OF U ~~ Nary ub 1 BEFORE ME 1992. My Commission Expir ",\<.'1 p(; OFFICIAL W;i'fAFiV seAL i 0" .,}}", KATHY M TRASK . ~ :. () COMMISSION NUMSER i ~ ... cC18.325 . ~ ~ MY COMMISSION EXP. i:' OFf\.O [) C. 19 1995 POST OFFICE BOX 10154/CLEARWATER, FLORIDA 34617 co ~ I ~ M ~ ~ w Z o ::I: Q. W ..J W ~