HomeMy WebLinkAbout93-3090
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~ 3090
Date~ -(;2.. --9 ~
fU:ll\ilclNli ·
-f '1}IeIl~AL
Sewer Conn
. ~ Water Conn:
0,;1 5i3t if d, Water Meter:
T,I.F.'s:
Parcell.D, #
Zoning:
Description of Work
Enerrl " , Kon Gas:
~~ ((!pM ~~ r
Permit Fee
Signature
Company
Address
Telephone#
/ ~.
~~~ ~~ Q~
~/- 3
DATE
:.:1-
DAy:.
.A<,EX.~
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
Valuation or /' /t'J 2 CCl- ~
Contract Price F ~ r &.-J,
City License Registration # ~...Q e(-
State Certified License#
- ~ /
9't:, vd.
~
c p~-
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M~~
Ftr.
Pre SLB
Lintel
FRM. ?rIH ~ il.LL-
Insul. CL
WL
Tp. Servo ~
Rough In 3-h-Ct6 ~
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
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.
APPLICATIOINl FOR PERMIT
CI'IY OF ZEPJIYRlIILLS
BmLDllilG DEPARl'HE.1!IT
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OWNER'S MAKE Z e .~ "1 Y" V1 L f J... -, (ykcU( ~ Iv\. PHONE ~ (:s - 4 (41 ""I q~ 1
OWNER'S ADDRESS.z.o4D Ne. .eoa..ct..lrYl<3..V1. t<J.. . C(€aJVLUdt~ 1=\ :3~ z.s
,
JOB ADDRESS to b IS- 6-a..ll Bl V J...
LEGAL DESCRIPl'ION: WI'(S)
BI.oc:K
SUBDIVISION
PARCEL I. D . # D '3. - 2. '- - z.. I - 0<:9 to - 0 ea46<!) - a <::l ~o
/'!'~~ctl6^
KORK PROPOSED:_l!lrew Const.ruct.ion ~dit.ion _Alt.erat.ion _Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE:
Single F3IIIily
_KIF
_, of tlJnit.s
_K/H
_eo..ercial
_Indust. .
_Swim. Pool
e{J ui Il
Other
~es1:aurant. & Healt:h Deparblent Approval
BUILDING SIZE:
Llo X '70 .
'Z,CZ9csO
Square Fee t,
2-D'
Hei~t
RESIDENTIAL:
COHKERCIAL :
ATTACH (2) PLOT PI...l\NS & (2) SEI'S OF BUILDUIG PI~S & (1) SET ENERGY FORMS.**
ATTACH (3) SlITS OF BunnING PLANS & (1) SET ENERGY FORHS.*~
~~COPY OF CONTRACT RE'QiITRED.
PERKTTS REOlW_"iTED
--.L'BUILDING
$
/ L'7'
It'. ~()
Valuat.ion of Total Construction
_ELECTRICAL
MfP Service
Florida Power Cbrp.
W.R.E.C.
_MECHANICAL
$
Valuat.ion of Mechanical Installation
_PLUMBING
GAS
ROOFIlIiG
SPECIALTY -
TYPE OF CONSTRUCTION!: _Block _Pra.e _St.eel
Other
FINISHED FLOOR EL.EVATIO~S:
FT.
IS PRo..JEcr IN FLOOD ZONE AREA?
l~S NO
~~~~~~~***~*************~**~~~*~***~****~~
COJIIITRACTOR SECTION
RT.EC'TRICI~A~ [ ~ CO'IfPANY /<-' ,,/< Eb-cI}-~
State Ccrt.. or Rcgist. #
sismature'" Cit.y License Registration f .!t2o-"o -
~*******~~~******~**~********~~~**********
COHPMWC (' ~l)e{ elOf'MflAJ- C:rr i?
State Cert. or Regis t. f. C &c. .~ z.~<1 ~ l
City License Registration #: ~&-
**~**********~****************************
8UILDER
Signat.ure
PLlmRER COlfPANY
Stat.e Cert.. or Regist.~ f.
Signature City L,icense Regist.rat.ion it
~~*****~**********************************
HE.CHAHI GAL CO'IfPANY
State Cert.. or Regist. ,
Signature City License Registrat.ion I
~*****************************************
0'T1IY.R COMPANY
S~at.e Cert. or Regist. ~
Signature City License Registrat.ion ,
~***********.*****************************
APPLICATION APPROVE'D BY PE&'fiT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it 'lay be s~bject ~o "deed restrittions' which lay be .ore restrictive than Clty
regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTR~CTOR RESPONSIBILITIES
If the owner has hired a contracto~ Dr contracto~s to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If tlij;"c'bnhactor isnoti'licensed as required by law, both the ownef and contractor lay be
cited for a lisdeleanor violation under state IaN. 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 Depart.ent, [B131
7BB-bb 11.
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 r?sponsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication tha~ he is not properly licensed and is not entitled to per.itting 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 - Hoeeowner's Protection
Guide' prepared by the Florida Departlent of A9riculture and Consuler Affairs. if the applicant is sOleone other than the
'owner', I certify that r have obtained a copy of the above described document and promise in good failh)o 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 coepliance with ,~ll
applicable laws regulating construction, zoning, and land developlent.
Application is hereby made 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 permit and that all work will be performed 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 governmental agencies may apply to the intended "or~, and that it is
IY responsibility to identify what actions I lust take to be !n cOlpliance. Such agencies include but are not lilited to:
, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatment
f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - SeaMalls, Docks, Naviqable Waterways
f Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
, US Environmental Protection AQency - Asbestos abatelent
I also certify that, if fill material is to be used in Flood Zone 'A" or 'A,etc.', it is understood that a drainage plan
addressing a 'colpensating volule' Mill be submitted which is prepared by a professional engineer registered in the State of
Florida prior to permit issuance.
A permit issued shall be construed to be :i 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 is~uance of a perlit prevent the Building Official fro. 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 per.it is cOltenced within six Bonths of issuance, or if wor~ authorized by the permit is
suspended or abandoned for a period of six months after the tile the work is comaenced. One 90 day extension of tile, lay be
allowed f~r the per.it with fee charge of $15.00. The extension shall be reqoested 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 WNER: R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PR TV. IF YO TO OBTAIN FINANCING, CON ULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO'~CE NT. 'R "'500~i~ m TO RECOR":;;ND:~O;'EI:ENT"
SIGNATURE: OWNER OR AGENT ~ SI6NATURE( CONTRACTOR
fin') r~J<'; 5. J<Lc~ /~
whc. is per 5~'~a 11 y ~,:nD~m to me or who ha!f
produced ~Ef25l.rtJ fiLLI J<' /1)(: IL/ /L./
as identification and who did/di~ Re~
take,an oath '\._ . / l
1r '\ /"/1 2> /1 '-'/ II~
( j~~l)ftu_r:-e): ,__
fir-.Lt:. lit L::. rn
(Name Typed, Printed or
NOTARY PUBLIC
J<: /2 (,1 1ft
Stamped)
STATE OF FLORI~ ~ P ;_
COUNTY OF EJ- ~ .~ () / JL, L (. c A~
The foregoing instrument was acknowledged
befcll-e me th i sm R& II (1, 19~);3 by
--1l. !/.;l t-? '];> (j f!.J:5 ,
who is per~oral1y known to me or who ~as
pmduced (ti~tlvliLLI f( ,/1)&(,(.) /1..-'
as iAentification and who did/tHe! net
tak lan?',ath., hi
(Si natLrle)
I2L~/l/6 rn
(Name Typed, Printed or
NOTARY PUBLIC
STATE OF FLORIPft\
COUNTY O( , r' J It,! t::-LL IT :'>
The foregoing instrument was acknowledged
before me thisrYJl}(i!..: J1 9, 19rJ...:;L by
"
ARLENE M. KRUPA
Notlry P"b:;c, State of Florid.
My comm. expire. Feb. 20. 1995
Comm. No. CC 085678
Bonded through Notary Public Underwrltera
ARLENE M. KRUPA
Notary PUblic, State of FIOt'ld.
My comm. expires Feb. 20, 1995
Comm. No. CC 085678
Bonded through Notary Public Underwrltera
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.lII
RIST
EVELOPMENT
ORP.
REALTOR - BUILDING CONTRACTOR (CBC0289411 . REAL ESTATE INVESTMENTS
March 9, 1993
Mr. Mark Klein
Zephyr 19, Ltd.
20"0 N.E. Coachman Rd.
Clearwater, FI. 3"625
PROPOSAL
We propose to do the remodeling work on the former MidState Federal
Building located at 6515 Gall Blvd., Zephyrhills in accordance with
the drawing attached. Price to include demolition, new partitions,
three electrical outlets, new f1oOl-ing with an allowance of $2,500. and
redecoration with an allowance of $1,500. Any shelving or cabinetry
will be at the expense of the tenant.
The price for the above will be Ten Thousand Seven Hundred Eighty
and no/100 Dollars, ($10,780.00). Payment will be due upon completion.
If this is satisfactory, please indicate your acceptance of this proposal.
Respectfully submitted,
-~h" , /)
Sh,-,/ :~)2::-f.'/
/10hn P. D. Crist
President.
Accpeted this L day of March, 1993.
ze~~~fff; .
bY,~/,~,
General Partner
JPDC :ak
HUNTINGTON OFFICE PARK
SUITE 302, 701 ENTERPRISE RD. EAST, SAFETY' HARBOR, FL 34695
(813) 725-4323
..."...."_"..,..,.,.,'~..', ..M_" ,','_ ..,~_
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(1 3 1:2 ,.... 1 9 '? :. 1 2 : 1 '?
FROM 80UPLON / WOOLLEY PR
T 0 1 ::: 1 C' 7 :::::: 3": '? e,
;:' . '.~' 1
EVELOPMENT
ORP.
REALTOR ~ 6UlLDING COHTPACTOR (CSC0'289411 · REAL ESTATE INVE.STMEI'f~
March 10, 1993
Building Department
City of zephyrhills
5335 Eighth St.
Zephyrhills, Fl. 33540
To Whom 1t May Concern:
Please let this letter be authorization for the following to pull building
permits on my behalf,
Michael Plummer
John P.D. Crist II
Gerald J. Marier
Thank you for your assistance.
Sincerely,
r--7 /l
(A~/j.0 ~~~t~
~ohn P.O. Crist
President
CB C0289111
STATE OF FLORIDA
COUNTY OF PINELLAS
ARl.ENE M. KRUPA
M N"l<<ry "vb;k. SW't of Flo<id.
y ~<lfr1m. a"pir.., ~b. 20, 1995
Coml'h. No, CC 095673
~ fhrwgh Not.ry l'",bll~ Un4f1'Wrlllm
this 10th day of March, A.D., 1993.
o 1 \~'JV ..
J[th111f t! / 1--,--1 \!I.,,-./,4"<---'
W~ary ublic, State oPFlor,lda
Subscribed and sworn before me
HUNTINGTON OFfIC::E PARK
SUITE 302, 101 ENTERPRISt RD, EAST, SAfETT HARBOR, FL 34695
<613) 7254323
. . '''~.''Cccc", t,q'''4,Al
,
/.
CITY OF ZEPHYRHILLS
"
COMHERCIA~ CHECK APPLICATION
FEE $20.00
bATE: JlIfC1/('("j1.., q, let 1~
, =-7\ I I' /L /~ - -..b 11\01 V.P.("(I:;:.fo (,.
APPLI~ANT: efl~ ~efi<1p\'1~ COV...f PHONE It ~:"3'-72-S-- L. 3Z,3
NAME 8F OWNER: OF BUILDING: 2-e.rpk..,'1 11 LM
ADDRESS: G~/5" G~({ BIJJ.
ZONING CATEGORY & CONFIRMATION:
t! lAM -s7:J<- F ~~-...LL
PRESENT USE: v~~f b~A_L'2.-/ IF VACANT I HOW LONG? 0 Mo S
PROPOSED USE U!DETAIL: <3-loLa (tbl~1e.. tka.lC/~a'L'(Q.. - Dik~'e6
ARE THERE ANY FLOOR PLAN CHANGES? yes
IMPORTANT: SOMEONE MUST BE PRESENT AT TIME OF COMMERCIAL CHECK. '
..
******************************************~*************************
WI S SECTIOl:L]OR CITY USE' ONLY.
DATE: /0 IJjj1 ,-$ - iO "93-
COMMENTS ANb/OR REQUIREMENTS: Building, Electrical, plumbing & Mech.
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INSPECTOR ~;;ZIMJtm~~
SIGN E D -vL f) ~ <"~\At'V
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ZEPHYRHILLS FIRE DEPARTMENT
Zephyrhills Florida 33540
I
38410 6th Avenue
.-S813) 782-8184
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COMMERCIAL CHECK FOR PROPOSED BUSINESS
I7ire: C;l~C-~
'IlUrD T, ;.":ntnn
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OCCUpr.NCY: G~6m ( ,~~~CF ~"rr'/Z; 0rre-, DATE: 63 --/C:) -73
,'\DDRE',S: 00/..1 (?(f't'/ ;?fL pia! l- ,/ ,
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3'JSINr:SS PHONE: ~,;C,~ OWN!:fttMAAAGER: /(/kr--- JJ/~/~~lcr
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LISTEn BELOW ARE ITEMS WHICH
CAN BE APPROVED BY THE FIRE
As.'::J~tnnt Chief
n;'::::t EHl'iI.j
MUST BE COMPLIED WITH BEFORE
DEPARTMENT.
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THIS OCCUPANCY
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'/'-")<'/-/0 )~O/;YS ( .?~~~p--:J //,r<l;;f ) ,!,!/,~~){ (1:c:c:.;~~ c{j/('&- /1//Jl96
"
THIS BUILDING HAS BEENIl.CHECKEDBY THE ZEPHYRHILLS FIRE DEPARTMtNT UNDER THE
CODES AND REGULATIONS ~F THE NFPA MINIMUM STANDARDS AND OTHER LOCAL FIRE
SAFETY CODES.
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INSPECTOR: (/J. /, /':'~~S!.)()
10-70--86
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DATE: /'1,.3 ,//,-/ -;75 TIME: //0 '('C:/~
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S I G NED : ,1!J!c.../t:, ;.vi !-:-C{f.-.t7'.A..J-.
, , TITLE: (' (;lfhc "~ do'<" ,,(g <:p )
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