HomeMy WebLinkAbout93-3017
BUILDING-PERMIT
?I? F~%rJ.lJ1J
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N c:
30178
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C;-(TIl~
Pmp."V Own., ~~~ k~
Job Address: 7Y t) - i
Parcell.D, # sL/ - Q!;- -:J.-/' ..3 ";;;::L
Date
dl.. -/d- -?S
~-; c/D
C<""E~CTRIC~
'J0> -: tnJ
Cfl-UMBIN~?)
..6::S ~ tl7.J
~CHAN~O
Sewer Conn / CJ.7 <f; 0lJ
,
Water Conn: ,?_\O' t1TZ1
Water Meter: ;16::,"': cJ7) JIt1YJ.f.J,.
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T.I.F.'s:
7I FZ":e.U;;~k' J3~1JJ..
Zoning: Ene, Code:
Description of Work i3r~ - ~.r
Radon Gas:
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,',:~ }5/..-~:g....pt.()f(( rfrr~tle; b
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NO OC PANCY BEFORE C.O. ~-,:z-'i--,
('~
Inspecto
FINAl~
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
Permit Fee
SigrYclture
Company
Address
Telephone#
;tC~) 17
Valuation or
Contract Price
30. tl7nJ. tTV
,
City License Registration # 3s--<J'
State Certified License# CbC IJ, q 74 7 7
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
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MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Breakers
Ducts Insl. 15- Jj-7'~ l?Cl~'
Water Compressor
Sewer Final
Final ?-(7'.q~?w,< \.1'VI)
I S'( tL.i) -<oJ r , {tS 5 fJ'-1 '{" '1/
tJ fr;~ 0/ 93
1.{-
WL ;- ~ire-Meter t
Wi:rti., 1- ~w"fJ I W Final 3~/~''13 ~ ~
Driveway 'Z-1 q-cr& V->~lv~ ~
f'~-\- U-'~ (p
"2.- -t'1r93 gllJ..-
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.
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APPLICATION FOR PERKlT
GI'IY OF ZEPHYRllIUS
BUfILDl1!iG DE',PARTKE1!iT
OWNER'S ADDRESS
1
\(e \ \0\<) 'f ~\~c:.l
2D55 ~ ~\-
s~ y- t:I.. 7c:> +"'-
PIIOI!ffi ~ 1 ~ '1 5' y D<=\ ~ 0
tl ~ ~LC2_ ~7
OWNER'S NAKE
JOB ADDRESS
LEGAL DESCRIPTION: UJI'(S)
BLOCK___SUBDIVISION
PARCEL 1. D.I
RORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign
_Move
_Deao~ish
PROPOSED USE:
Single Faaily
_KIF
_, of IJInits
_""H
_~rcial.
_Indust.
_SwUi. Pool
Other'
_Restaurant & Hea1.th Depar~t Approval.
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
GOHKERCIAL :
ATTACH (2) PLOT PI.ABS & (2) SEIS OF BUll.DING PLA1!iS & (1) SET EliERGY FORMS. **
ATTACH (3) SETS OF BUILDDilG PLAlIis &: (1) SET ENERGY FORKS. **
**COPV OF C01!iTRACT RIl'QUlTRIlD.
PElMITS REQUESTED
_BUILDING
$
Val.uation of Total. Cmlstruction
_ELECTRICAL
AIfP Service
Florida Power Corp.
W.R.E.G.
_KECfIM[[CAL
s
Val.uation of Mechanical. Installation
_PLllH.BING
GAS
ROOFING
SPECIALTY
"
TYPE OF CONSTRUCTION: _Block _Fralle _Steel
Other
FUfiSHED FLOOR ELEVATIONS:
FI' .
IS PROJECT DI FLOOD ZONE AREA?
YES NO
******************************************
GOURACIOR SECTION
Si
CD!IPANY
State Cert. or Regist. , ( Cl c {/ -.S 7 c2 7' 7
City License Registration I ,? <- 7'
..
****************************************
W!lPARY /,?Jt9-1~ r ~ pz~/
State Cert. 0 egist. I ~: coo CJ () 3' 2-4:J
City License Registration I .:( yy
******************************************
BUILDER
PWKBER . ./~ CD!IP~:........,-, ~/
_----7 ~ State Cert. or Regist. I 0
Signature ~( 07~ City License Registration I /s 0
, .*******.+*+***.**************************
=:rdkif2:&:~~f;;J
City License Registration I /~/~
.
*****************************************
CD!IPBY
State Cert. or Regist. ,
Si City License Registration I
**********...**********,,<********************
APPLICAnON APPROVED BY ?1o~~~ PEBtIlT OFFICER.
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS '
The und~rsigned understa~ds that this perlitlay be subject to .deed restrictions. which .ay be lore restrictive than City
regulations. The undersigned assules responsibility fOT cOloliance with any applicable deed restrictions.
~
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a tontractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor 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 advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
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Furtherlore, if the owner 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 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 FEES
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/DWNER'S AFFIDAVIT
I certify that all the inforlation in this applic~tion 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 or
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 govern.ental 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:
. Departtent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
. Southwest Florida Water ManaQetent District - Wells, Cypress Bayheads, Wetland Ar~as, Altering Watercourses
. Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Depart.ent of Health ~ Rehabilitative Services, Environ_ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
. US Environlental Protection AQency - Asbestos atJaT;eI\.:"t
I also certify that, if fill laterial is to be used in Flood Zone .A. Dr .~,etc.', it is understood that a drainage plan
addressing a .colpensating volule. Mill be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perli t issuance. ..
A per.it 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 issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
unless the Mork authorized by such perlit is cOI.enced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six tonths after the tite the work is co.tenced. One 90 day extension of tile, lay be
alloMed:for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT 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
COMHENCEMENT. JOBS 'UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this . 19 bv
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
befcq-e me this __..__' 19._ by
who is personally known to me Dr who has
pn:.duced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(SignatLll-e)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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.:r,e.SLF A .' WORKSHEET
CITY OF ZEPHYRHl~LS CONNECTION FEES
RESOLUTION if312 WATER $1.75/GALLON SEWER $6.39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131. 25 479.25
GOMMERCIAL (PER FIXTURE)
Sinks 87,50 319.50
Water closet 131,25 479.25
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1.278.00
Washing Machines-Domestic Size , 87,50 319.50
FOOD SERVICE - Dishwasher 100.00 2,556.00
Sinks (3 Gompartment) 175.00 639.00
Car Wash (Per Stall) 1~000.00 6,390.00
FIXTURE G.P.D. it WATER SEWER TOTAL PER FIXTURE
Sinks 50 "
Water Glosets 75 2- 1).(/L . 50 9s~, '''5 [) I,lL" 12..,~: ^~
Urinals 50
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Lavatories 25 Z- e7.SD 31~15O 407.
Tubs/Showers 50
Washing Machine 200
-
Washi~g Machine 50
Pishwasher 400
Sinks-3 Comprt 100
-
Car Wash-p/st. 1,000
, 350. to; L:.) I' -)c c_('" I 0 c~
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WATER M2TER
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GRAND TOTAL ____L 7 (j.3
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Zephyrhlllsf FL
1
EASEMENTS WITH COV'KNANTS AND
RESTRICTIONS AFFECTING LAND ( "ReR")
THIS
AGREEMENT
is made as of the 25th day of
FebruarYf 1992f
between
Highway 301, Dade City, Florida 33525 ("Developer").
Bentonvillef Arkansas 72716 ("Wal-Mart")f and CONCIRE, INC.f of 2006 South
WAL-MART STORES, INC., a Delaware corporationf of 702 S.W. Elghth Streetf
~ .
WIT N E SSE T B :
hereto as Exhibit A hereof, said tract being more particularly described in
WHEREAS, Wal-Mart is the owner of Tract 1 as shown on the plan attached
Exhibit B attached hereto;
\
WHEREAS, Developer is the owner of Tract 2 and the Outparcel(s) shown on the
described in Exhibit C hereof; and
plan attached hereto as Exhibit A hereoff the sarne being more particularly
conjunction with each other pursuant to a general plan of improvement to form a
WHEREASf Wal-Mart and Developer' desire that Tracts 1 and 2 be developed in
u
forth;
the easements and the covenants, conditions and restrictions hereinafter set
Center"), and further desire that said tracts and the Outparcel(s) be subject to
commercial ShOpping Center (sometimes hereinafter referred to as the "Shopping
NOW, THEREFORE, for and in consideration of the premisesf easementsf
covenantsf conditionsf restrictionsf and encumbrances contained hereinf the
sufficiency of which is hereby acknowledgedf Wal-Mart and Developer do hereby
agree as follows:
1. Building/Common Areas.
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a.
"Building Areas" as used herein shall mean that portion of Tract 1
and those portions of Tract 2 shown on Exhibit A as "Building
Area" (and "Future Building Area" and "Future Expansion Area").
Canopies may encroach from the Building Areas over the Common
\
Areas provided the canopies do not interfere with the use of the
Common Areas.
b.
"Common Areas" shall be all of Tracts 1 and 2 except the BUilding
Areas.
c.
Conversion to Common Areas:
Those portions of the Building Areas
"I, '
II
"f:!::ZEPHYR'ECR/DOCUMENT'RA
on each tract which are not from time to time used or cannot f
1
O.R. 2099 P^GE 0 025
7',
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a. Grant of Easements. Each partYf as grantor, hereby grants to tpe
1
other partYf as grantee, and to the agents, customers, inviteesf
licenseesf tenants and employees of grantee, a nonexclusive
easement overf through and around their respective tracts for
roadwaysf walkwaysf ingress and egressf parking of motor vehicles,
loading and unloading of commercial and other vehic les, and Ghe
use of facilities installed wr the comfort and convenience of
customers~ inviteesf licensees, tenants and employees of all
businesses and occupants of the buildings constructed on the
Building Areas defined above.
In addition to the foregoingf
\
Wal-Mart and Developer hereby grant for the benefit of those
certain Outparcel(s) now owned by Developer and identified on
Exhibit Cf nonexclusive easements for vehicular and pedestrian
access f ingress f and egress over and across Tract 1 and Tract 2;
provided, howeverf in no event shall the owner occupantf licensee
or invitee of any of the Outparcel(s) be permitted to use Tract 1
or Tract 2 for vehicular parking or for any other purpose other
than as described above.
b. Limitations on Use.
(1) Customers. Each party shall use reasonable efforts to ensure
that customers and invitees shall not be permitted to park on
the Common Areas except while shopping or transacting
business on Tracts 1 and 2.
(2) Employees. Each party shall use reasonable efforts to ensure
that employees shall not park on the Common Areasf except in
areas designated on Exhibit A as "employee parking areasf" if
any. The parties hereto may from time to time mutually
designate and approve "employee parking areas" not shown on
Exhibit A.
(3) General.
Any activity within the Common Areas other than
its primary purpose of the Common Areasf which is to provide
for parking for the customersf inviteEs and employees of
those businesses conducted with the Building Areas and for
the servicing and supplying of such businesses, shall be
permitted so long as such activity shall not unreasonably
ZEPHYR. ECR/DOCUMENT.RA
6
O.R. 20 9 ~1 PAGE 0 0 a 0
intarfara with auch prim.ry purpoaa. Paraona u.ing the crm-on
Areas in accordance with this Agreement shall not be charged
any fee for such use.
c. Utility and Service Basements. The parties shall cooperate in the
other proper services necessary for the orderly development and
repair and replacement of storm drainsf sewersf utilities and
granting of appropriate and proper easements for the installationf
operation of the Shopping Center and the Outparcel(s).
Both
Areas.
such utility and service lines prior to paving of the Common
parties shall use their best efforts to cause the installation of
ahaii be in.t.iied within the BUilding Are.a on the other p.rty'a
No such linesf sewersf utilities or services of one party
parce 1.
d.
Water Flow.
Any alteration in the natural water flow which may
occur as a natural consequence of normal construction activities
6. Developmentf Kaintenancef and Taxes.
building expansionf curbsf drives and paving) shall be permitted.
.hown on Exhibit A (including without limit.tion bUiiding .nd
and the existence of the party's improvements Substantially as
a. Development.
(1) Arr.ng.....nt.. Tha .rr.ngamant of tha Co",on Are.. ah.U not
be changed in a manner inconsistent with the provisions of
this Agreement.
(2) "Parking Area" Ratio.
times there shall be independently maintained on each tract
Each party hereto agrees that at all
parking area sufficient to accommodate not fewer than five
.nd one-h.lf (5.5) c.r .p.ce. for e.ch ana thou..nd (1,000)
(3) DevelolQent Timing-.
square feet of Building Area on such tract.
oWner of said tract (the "Developing Party") f the COlllmon
constructed within the Building Areas of either tract by the
Concurrent with any building being
Exhibit A at the expense of Such Developing Party.
Ara.a of th.t tr.ct ah.U ba daveloped in .ccord.nce with
event Such construction by the Developing Party shall Occur
In the
ZEPHYR.ECR/DOCUMENT.RA
Prior to the development of the other tr.ct, the Oeveloping
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7
O.R. 20 9 ~} P~GE 0 03 J
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Name '~iL ~ <; S
Address 740'7 GAfL-
<5'-fb E- S
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Classification !J1e/2(!R4/--! 6:-
Owner/Manager KJVI (\,I 9-I~A-&_-;
Business Phone
Emergency Contact Phone
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY 1"FINAL 0 ANNUAL
ORE-INSPECTION 0 OTHER
~APPROVED 0 NOT APPROVED
/
o COMMERCIAL CHECK
OBI-ANNUAL
Usted below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
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Inspect. Date .s- - Z-tf, ~ f 3.
Re-Inspect. Date
Owner/Manager Signature
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
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