HomeMy WebLinkAbout93-3054
BUILDING PERMIT
Permit
_3054t3'
3-/-73
CITY OF ZEPHYRHILLS
(813) 788-6611
N'!
Property Owner:
Job Address:
Parcell.D, #
----
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ECECTRICAL PLU~ MEC~~L Sewer Conn
~ ~ W,,.,Conn
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Date
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BUILDING
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
FINAL 3- 2-6 - '1..3
DATE
Zoning:
Description of Work
/
NO OCCUPANC BEFORE C.O.
DATE
Valuation or
Contract Price
11 )? 00'
9-V
-
Permit Fee
Signature V
Company
Address
Telephone#
Inspector
City License Registration #
State Certified License#
(Z) ~.#.h/
BUILDING
/ ~ (!~ ClfJu-b.
C~ECTR~
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l\l1r;;r'I.,~
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Canst. 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 ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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WELLESLEY DEVELOPMENT CORP.
C/O 622 Bypass Drive
Suite 101
Clearwater, pI 34624
February 21, 1993
Mr. Hartzell Selmon
c/o Cafe Lite
5518 Gall Blvd.
Zephryhills, FL 34248
Dear Mr. Selmon:
I received your drawings of the restaurant and yogurt facilities
last week.
I am in agreement for you to remove those portions
the red marker and agree to the installation of a
system with venting through the south (side) wall.
sure the vented area is securely closed to prevent
outside conditions.
identified by
range hood
Please be
damage from
In accordance with discussions last year, I affirm our agreement
for youto expand the openings between 5518 and 5520, as outlined
on your diagram in green marker.
Please be sure your construction conforms with local building
codes and completed in a workman-like manner. 1 trust the
expanded seating area and food preparation areas will enhance
your business and traffic flow.
It is understood the removal and construction costs will be the
responsibility of the tenant'and not that of the landlord. Should
it become necessary to make further modifications 'of the spaces,
please advise so we can review before work begins.
APPLICATION FOR PRRKIT
GI'IY OF ZEPIIYRIITLLS
BillIDlliG DEPA.RI1IIE:Nr
OWNER'S NAME
JIll f2 rZ$U, So F?-~ lid
;;->/1 if/lJt $/--1/,1>
-;; f1/~ S &- v /1 ~g A1' .IlL.L--
PIIOH
7 g.>- 6677'
OWNER'S ADDRESS
JOB ADDRESS
C /lP~
!./ /~
LEGAL DESCRIPTIOI!i: WI'(S)
BL.OCK
SUBDIVISION
PARCEL I. D. f
WORK PROPOSED :_lIew Construction
_Addition
VAlteration
_Repair
_Install
_Sign
_!!love
_Deaolish
PROPOSED USE: Single F3Blily
d~rCial
_KIF
_, of Units
_M/H
_Indust.
_Swia. Pool
Ot:her
_Rest:aurant & Health Deparblent Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
COMKERCIAL :
ATTACH (2) PLO!' PIJ\.NS & (2) SEIS OF BUILDING PLUS & (1) SET ENERGY FORKS. **
ATTACH (3) SEIS OF BUllDDlG PLUS & (1) SET ENERGY FORMS. **
'I:*COPY OF CONTRACT REQm:RED.
PElMITS REQUESTED
_BUILDING
$
Valuation of Tot:a1 Construct.ion
_ELECTRICAL
bClWilCAL
AKP Service
Florida Power COrp.
W.R.E.C.
s
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFTIiG
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Fr3liie _Steel
Ot:her
FIlfiSHED FLOOR ELEVATIONS:
FI' .
IS PROJECT IN' FLOOD ZONE AREA?
YES NO
*'1:*'1:'1:*'1:***'1:**'1:*****'1:*'1:****'1:'1:***'1:'1:*'1:***'1:*'1:*
COlln'RACTOR SECTION
BUILDER
Signature
COMPMUY
State Cert. or Regist. ~
City License Registration ~
***'1:*****'1:*'1:'1:'1:****'1:'1:****'1:*'1:'1:*'1:*'1:'1:*******'1:*
Si
OO1IPANY f"r ~..,I /'" ~~t) 6 -/~ c.: '-/
State Cert. or Regist. ~
City License Registration t /~'"2/
'1:'1:*'1:**********'1:'1:'1:*********'1:*'1:'1:'1:*****'1:**
ELE
PUlIKBER
Signature
COMPANY
State CerL or RegisL ~
City License Registration t
..*.*~~.*.*~~~~~+~~~~~~~~~~~.~~~sz~~x:~x**
KECllAliICAL COlfPANY
State Cert. or Regist. I
Signature City License Registration ,
'1:'1:'1:*****'1:************'1:'1:*****************'1:'1:
OTIIER. CO'!fPANY
State Cert. or Regist. t
Signature City License Registration ,
****************'I:*'I:****~***'I:***'I:**'I:*'I:*'I:'I:**
APPLICATION APPROVED BY PERKIT OFFICER.
it
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit.ay be subject to 'deed restrictions' which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlplian,e with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contrac~~rs t& 'oI1~rt1ke work, they may 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 aisdeaeanor violation under state IaN. If thp. o~ner or intended contractor are u~certain as to what licensing
requirelents lay apply for the intended work, they are advisee to contact the City of Zephyrhills Building Department, (B13!
7B8-6611.
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 ONner 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 1S not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTIONFEE~
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided Nith a copy of "Florida's Construction Lien LaN - HOleONner's Protection
Suide' prepared by the Florida Departaent of Agriculture and Con5u.~r Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a co~1 of the above described document and promise in good faith to deliver it tel the
"owner" prior to cOllenceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVI~
I certify that all the infertation in this application is ~ccurate and that all Nork Nill be done in compliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or
installation has coatenced prior to issuance of a pertit and that all Mork will be performed to meet standards of all laMS
regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies aay apply to the intended work, and that it is
ty responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not limited to:
f Departtent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/~asteNater Treatment
f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treattent, Septic Tanks
f US Environtental Protection AQency - Asbestos abate~ent
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 "compensating volute' Mill be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A perlit issued shall be construed to be a license to proceed Kith 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 perlit issued shall becote invalid
unless the work authorized by such pertit is cOllenced within six lonths of issuance, or if worK authorized by the permit is
suspended or abandoned for a period of six tonths ~fter thr. ti~e the MorK is comienced. One 90 day extension of time, lay be
allowed f~r the per.it with fee charge of $15.00. The exten~i~n shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth p~riQd, or the project will be considered abandoned.
WARNINS TO OWNER: YuUR FAILURE TO RECORD A NOTlr: OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCINS, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COM"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECOR~ AND POST A "NOTICE OF COMMENCEMENT".
SISNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
was acknowledged
19 by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befct}-e me th i s
STATE OF ~LORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
who is personally known to me or who has
produced
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.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC