HomeMy WebLinkAbout93-3227
BUILDING PERMIT
Permit N~ _ 32276
Date 5- '/- 93
CITY OF ZEPHYRHILLS
/' (813) 788-6611
jQ~~ ~ ~
~.. q:lE~TRICA'l ~G) ~
::~:::,~;.ne' ClfrrJ!~~ ~~
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Parcell.D. #
Zoning:
/
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or . 4. ~ . '4> (.) -
Contract Price 'P c..< I 0 DO
Signatur
Company
Address
Telephone#
6
BUILDING
ELECTRICAL
MECH
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
SLB
Tub Set
Water
Breakers
Ducts Insl.
Compressor
Final
(;;1 ~/7.~ ~3 W
Driveway
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
frtbft- c..e.t t.-l,u<.s \~UiL-.
5' ~ 2 ~ -C;3 ISI!J
Sewer
Final f.t; --2-, 'I ? 6 d/
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.
APPLICA'TIOJl FOR :?ERKIT
CITY OF ZEPllYRHU.LS
B1JILDlliG DEPARDDJ'NT
OWNER'S ADDRESS
Co I\)Q. \ ('L
1133s
1~'-\~
.l r0~ mOIm ~6\) 1~3-gLj1 0
/
G~\\ ~\0d. ?-r:: fkj\ l; ll~ ) f=l~
~\uJ. 2~ p\:-y f ~\ \\ L / \= \0
OWNER I S HMtE
JOB ADDRESS
6-0.. \ \
LEGAL DESCRIPTION: UJI'(S)
BLOCK SUBDIVISIO~
/! ~ / ?OA~~ Svv
.--JWd,ition AlteratiL _Re~ir _Install
PARCEL LD.'
WORK PROPOSED :_Jlev Construction
_Sign.
_ftove
_De-.olish
PROPOSED USE:
~ingle Faaily
_ec:-ercial
_KIF
_, of 1JJnits
~K/H
_Indust.
_Swia. Pool
Other
_Restaurant &: Health Depart.ent Approval
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL :
COHHERCIAL :
ATTACH (2) PLOf l'L.OS &: (2) SETS OF Bm:LDING PLMlS &: (1) SET RHERGY FORKS. u
ATTACH (3) SETS OF BlITLDlllG PLANS &: (1) SET ENERGY FORRS.**
**COPY OF COIi1TRAGT REQmr:RED.
PERKITS REQUESTED
_BUILDING
~ -
$ -,?-?"')d?O
____ J C-/O'
, /
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLmtBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTIOJl: _Block _Pralle __Steel
Ot..her
FINISHED FLOOR ELEVATIOHS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************t****~******************
C01'iJTRACIOR SECTION
BUILDER
COI!fPMlY
Signature
ELECTRICIAN OOKPLUiY \Y\.::;o.." \.' \ \'\J
-x7 () . 21 "11A '-L 0 State Cert:. or RegisL #f:
Sif!ll3ture f'1~ / -I.-(;v./l--... t- City License Registration I
********* ********************************
E \tc.\.(, c...
f:KQO /(((0
Ifi'
COMPAlIiY l)c:...V'~
~ State Cert. or Regist. #f:
City License Registration #
* **************************************
, ,
PWKBER ~
Signature ~
I'~' c \ 1 <{ ''\.,--1-' '; 3~
"7 d- "( L.
KECHANICAL
Signature
L'1>>IPAlIiY
State Cert. or Regist. I
City License Registration j
********t********~***t********************
OTHER
Signature
CO'!IPMfi
State Cert. or Regist. #f:
City License Registration i
*************~~****.*~********************
APPLICATIOB APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay 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 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 eay be
cited for a lisdel~anor 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 Department, (813)
788-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to h2ve 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 yo~ 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 FEE2
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 - Heleewner's Protection
Guide" prepared by the Florida Departsent of Agriculture and"CG'1Sifl~r Affairs. If the appl icant is sOlleone other than the
'owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
"owner" prior to COtlencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVII
I certify that all the inforsation 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 made to obtain a persit 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 re~ulations, and land developllent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
sy responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not lilited to:
f Depart_ent of Environ_ental ReQulation - Cypress Fayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatment
t Southwest Florida Water ManaQelent District - Wells, Cypress Fayheads, Wetland Areas, Altering Watercourses
t Ar_y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Depart.ent of Health & Rehabilitative Services, EnvironMental Health Unit - Wells, Wastewater Treatment, Septic Tanks
f Illi. Environmental Protection AQency - Asbp.stos abatellent
I also certify that, if fill saterial is to be usetl in Flood Zone "AK or "A,etc,., it is understood that Q drainage plan
addressing a "collpensating volume" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perait 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 perlit issued shall becole invalid
unless the work authorized by such perlit is cOllenced within six months of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six sonths after the tile the work is cOlaenced. One 90 day extension of ti~e, lay be
allowed for the perlit with fee charge of $15.00. The extension shdll be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period: or the project wi:l be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OFTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORr O.DING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER 2,500 IN VALUE DO NOT NEED TO RECORD ND POST A .NOTICE OF COM HeEKE .
STATE OF FLORIDA ~ \ \ '
COUNTY OF f"'\c. \'~a.. w~o
The foregoing i~-~ment was a~~nowledged
before me this fl l , 19~ by
. \~,~la ~
kn In to or who has
STATE OF FLORIDA
COUNTY DE
The foreg
befcl\-e me
~'tj' \09- ~J.O
i ilKl-um,:nt I-Jas ackno\'II edged
5 ~~1" L , 199...3- by
pro
as identification
(Nam Typed, Prin,
NOTARY PUBLIC
(Signat r ) -S.
(Name Typed, Printed
NOTARY PUBLIC
........., '- 11m,\< if:Ao'TIPTON
~~\""'!'Si.;;'" .,'" I I . "U-~'
!*tlli.'\~" .,.". :OM;,~iSSlOH /I CC 233547
~;~a~i~! i.lVIRrs: 0ct00llr 6, 1996
""'I1f..r,.<r.' 6on'.lt4 IImJ I<<IlaIy I'lIIIlIc ~
",i&;.;r.\::~. BETTY JEAN 'TIPTON ~c!'I:1
E*: :*~ MY COMMISSION' CC 233547 I
~~ W EXPIRES: Oclober 6, 1996
"~P.f.~'t, 1Iondecl11lru NoIIIy NlIic ~
SDC
SANDY DEVELOPMENT COMPANY, INC.
Fax 567-5688
12303 U,S, 301, Dade City, FL 33525 . (904) 567-7992
May 28, 1993
City of Zephyrhills
Roy Burnside
5335 8th street
Zephyrhills, Fl. 33541
RE: Radio Shack
Dear Roy,
This letter is to notify you of a change of electrical
contractors from Martin Electric to Carlyse Electric on permit
#3227B/Radio Shack.
Should you have any questions or need any assistance please do
not hesitate to call.
incerely, r--~, '
/~ <<-lJ, \{;(jM~-
JWP/bjt
ltr\radio
8ETTY JEAN TIPTON
flY COMMISSION' cc 233547
$rtAEs: October 6. 1996
, ' . llII!lfejl Thru Nolary Public llndetwrtterl
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C\i--'~';1
....__ ___~___.__.... ,~,___F_'_'__ ....,,~~____W.
ZEPHYRHILLS }fIRE DEPT
Zephyrhills Florid~" ~35~O ,
.;. -. f ~
FIRE CODE' INSPECTION
Business Name fiqj;o -s t q c'r< ,,> Cla;isification
- .. .
Address ~? ~ () B.} ""3 ') 7-- / jJ ~ / / 6/0/ Owner/Manager
"
Business Phone
Emergency Contact Phone
Occupancy Load
o QUARTERLY
ORE-INSPECTION
o APPROVED
TYPE YF INSPECTION CONDUCTED
GYFINAL 0 ANNUAL 0 BI-ANNUAL
o OTHER
e1i'OT APPROVED
o COMMERCIAL CHECK
Listed 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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(p) F--II CI / I fJlJfJs i 11 5f'(Y ~'q /'0'" (,~Jc, / /<; ) hd /I. c~ I- rt- Mti-J '{HJm {:dh,L h ~/:
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10000ed.Daleh/J./ca Inspect. lime ;t5 _~~.ID# .~
Re-lnspect.Date ~ 'I~~~~' ,Z~ ~
~JManager Signature ~ t. ~ Title
c;,TtIis,puitding has been chec, irf_ Zephyrhilfs" Fire: Dept. under the codes,&: regulations of..the NFPA minimum
',~s. the state Fti'e..Matsha!rs;Ul'Iifortn Fire safetj "rules arid 'other focaffitEfSafetj'co<fes.