HomeMy WebLinkAbout93-3243
BUILDING PERMIT
~
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N C? 3243...8
Date ~---It:/-Y9
~~-
Property Owner:
Job Address:
Parcell.D. #
Zoning: ~l1ergy Code: r / Radon7s:".
Description of Work'\.. :;e../~ . -+~--A---' _ ~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
FINAL K- / tJ -~ '?
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
..577
;
Inspector
Permit Fee ~-:.- Ji;>
S;gnaMe ,:itA"; 1~
Company _~
Address
Telephone#
Valuation or ?? .......,
Contract Price -.::> ~~ ~ v-r-v
/'
-a..ulLDING
P~G
~
~~''1~~
~~AV ~~
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. 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 ($15.00) 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.
WIGINTON FIRE SPRINKLERS, INC.
6018 East Columbus Drive
TAMPA, FLORIDA 3361~
OJ~lJlJ~[R1 @[f lJOO~~~~OlJlJ~[L
DATE
JOB NO.
TO
berhyll1{I/~
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ATTENTIO..N . . I i
~ AI--l "Ze.\J IG\I..
RE:
(813) 623-2333 FAX (813) 620-0333
'c.6P'
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WE ARE SENDING YOU 0 Attached 0 Under separate cover via
the following items:
o Shop drawings
o Copy of letter
o Prints
o Change order
o Plans
o Samples
[J Specifications
o
COPIES DATE NO. DESCRIPTION
- ~LV~ ~ftJ~S
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THESE ARE TRANSMITTED as checked below:
o FOR BIDS DUE
19
o Resubmit_copies for approval
o Submit_copies for distribution
~eturn~corrected prints
Cotl ~f ~ 5D CAJ. UJ L.A." oJs
o PRINTS RETURNED AFTER LOAN TO US
>
o For approval
o For your use
o As requested
~or review and comment
o Approved as submitted
o Approved as noted
o Returned for corrections
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REMARKS
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COPY TO
@ "",~,,,,"",, .,,""~~~_""'"" SIGNED, ~ ~
PR00UCI240-3 /NeBS/IIN:., GIfioo, __ 0147\ It enclosures are not as noted. kindly notify us at once_ ..
._",f'~.~'''''-:-. .6,-:-.9~ . T.J-:t....J , 1.1.:3E~ ZEPH.....RHILL~. PI,..,.A,HT
P.01
Zepbyrhills Corporation
4330 20th Street" Zephyrhills, Ronda 33540. (813) 783-1959
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PURCHASE ORDER
N.<<? S 3720
SUPPLIER:
DESCRIPTION DEPf. QUANllTY UNrr PRICE 'I'^'I' JI,' ....,,...
A l...L III oNe.. ~- SL1I..1 (/II<I( 401 I / 1~~ ~"
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,ot..... ~A.lr Pd/? ,-~
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SALES TAX
SHIPPING -
TOTAL
SIGNATURE --:;zt;;.bIu/..:if=
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~~5ouQ:~)[Kr C?5[Y@ ~[J)[rBou[hD@[ill9 Dou@o
May 11, 1993
City of Zephyrhills
5335 Eighth Street
Zephyrhills, Florida 33540
Re: Letter of Authorization for
Permit Applications and Pickup
To Whom It May Concern:
Please accept this letter as my authorization for the following
persons to make applications and/or pickup permits in your
jurisdiction, under my State of Florida Competency #837958000191;
under my name, Michael J. Grabenhorst.
1. Crystal Pollard
2. Rich Jividen
3. Dave Kern
Adm. Asst.
Designer
Servo Mgr.
SS# 595-14-4470
SS# 111-60-1036
SS# 147-42-3680
Thank you for your cooperation in this matter.
Sincerely,
MJG/cp
Sworn to and personally known by me
subscribed before me this
Iff/- day of -111wr 1993
NCi;y~m(QJ
State of Florida
lIlo1ary Public. State of Bortda
CRYSTAL POLLARD
My Comm. Exp. Dec. 30. 1995
Comm. No. CC 172010
My commission expires:
6018 EAST COLUMBUS DRIVE 0 TAMPA, FLORIDA 33619 0 PHONE (813) 623-2333 0 FAX (813) 62()..0333
ADDITIONAL FULL SERVICE LOCATIONS:
JACKSONVILLE (904) 262-6107 0 MELBOURNE (407) 722'()376 0 MIAMI (305) 625-0004
ORLANDO (407) 831-3414 0 POMPANO BEACH (305) 960-0033 0 WEST PALM BEACH (407) 585-2244
APPLICATION FOR PERKlT
GIlY OF ZEPIIYRBILLS
B1ITLDIJiIG DEPA.RIIIEIIT
Zephyrhills Bottled Water
PUOB
813/783-1959
OWNER'S IiAttE
OWNER'S ADDRESS 4330 - 20th street, Zephyrhills, FL 33540
JOB ADDRESS 4330 - 20th street, Zephyrhills, FL 33540
LEGAL DESCIUPI'IOII: IDI'(S)
BLOCK
SOBDIVISIOII
PARCEL LD.t
WORK PROPOSED:_lIev Construction _Addition _Alteration xxx ;Repair _Install
_Sign
_Hove
_Deaolish
PROPOSED USE:
Single Faaily
_KIF
_' of Units
_"/B
~~rcial
_Indust.
_Swill. Pool
Other
_Restaurant & Health Depar-=-eIlt Approval
BUILDING SIZE:
x
~e Feet.
Height
RESIDENTIAL:
COItKERCIAL :
A1TAGII (2) PLOI' PI..UlS & (2) SETS OF BUII.DING PLUS & (1) SEt' ElIERGY FORMS. **
ATI'ACB (3) SETS OF B1ITLDDilG PLUS & (1) SEI' EHRGY FORKS.**
**OOP1' OF OONTRACl" REQIlIIRED.
PERKlTS REQUESTED
_BUILDIBG
$
3,785.00
Valuation of Tot:al Construction
_ELEC'fRICAL
AMP Service
Florida Power Corp.
V.R.E.C.
--.JIECHAIUCAL
$
Valuation of Mechanical Inst:allation
ROOFDIG
xx
SPECIALTY
_PLUKBIBG
GAS
TYPE OF OOBSTRUC'l'ION: ~Block _~ _Steel
Other
FDIISBED FLOOR ELEVATIONS:
PI' .
IS PROJECT IN FLOOD :mIlE AREA?
xx
YES BO
******************************************
COlII'RACIOR SECl'IOR
CO!IPAft'
State Cert. or Regist. I
City License Registration I
******************************************
BmT.DER
Signature
SiPII~ture
CD!IPMiY
State Cert. or Regist. I
City License Registration I
******************************************
ELEC'fRICIAB
CO!IPAIft
State Cen:. or Regist:. I
City License Registration I
******************************************
PLDKBER
Signature
CD!IPANY
State Cert:. or Regist. I
City License Registration I
******************************************
KEalAliICAL
Signature
Signature
~/2 CD!IPARY Wi' :d',E're rinklers In
.~ State Cert. ~.~.L~l',~; 837958000191
City Licens Registtation I 379
...... .**_.........**.**"*1~~...
OT'IIF.R
APPLICATIOB APPROVED BY
PERKIT OFFICER.
~c..fLe_L""'='" / -~-- /1- 9-3
-v 'J~ J)~~Jl ~~ 7
7J~y~"",_ ~~
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The und~rsigned understa~ds that this perlit ~ay be subject to "deed restrictions" IIhich lay be lore restrictive than City
regulations. The undersigned assules responsIbility for cOlpliance with any app~icable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake 1I0rk, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by lall, both the ollner and contractor lay be
cite~ for a lisdeleanor violati~n under state law. If the ONner or intended contractor are uncertain as to Ilhat licensing
requlrelents lay apply for the Intended 1I0rk, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the Dllner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
"Contractor Sections. of this application for Ilhich they Ilill be responsible. If you, as the ollner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the Ilork. If the contractor wishes YDU 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 Ilith a copy of "Florida's Construction lien lall - HOleowner's ProtectiDn
Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
.ollner", 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/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all 1I0rk Ilill be done in cOlpliance Ilith all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby lade to obtain a perlit to do Ilork and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work Ilill 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 gDvernlental agencies .ay apply to the intended Ilork, 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:
, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
Water/Wastellater Treatlent
t Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastellater Treatlent, Septic Tanks
t US Environlental Protection Agency - Asbestos abatelent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc,., it is understood that a drainage plan
addressing a "colpensating volule" Ilill be sublitted Ilhich is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A perlit issued shall be construed to be a license tD proceed lIith the Ilork 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, Dr violations of any code. Every perlit issued shall becole invalid
unless the Ilork authorized by such per.it is co..enced Ilithin six lonths of issuance, or if Ilork authorized by the perlit is
suspended or abandoned for a period of six lonths after the ti.e the work is cO.lented. One 90 day extension of tile, lay be
allowed for the per.it with fee charge of $15.00. The extension shall be requested in Ilriting to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project Ilill be considered abandoned.
WARNING TO OWNER: 'YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO"KENCEKENT. JO~ UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT".
/ ,/
~~~A--
SIGNATURE: OYNE R A NT
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument was acknowledged
before me this May 11 th, 19~ by
Sidney Haxwell
who is personally known to me or who has
produced
as identif' not
take an 0
(Name Typed, Printed
NOTARY PUBLIC
STATE OF FLORIDA
COUNTY OF Hi1lsborouqh
The foregoing instrument
befc,re me this May 11th
was acknowledged
, 19..23-- by
Michael J. Grabenhorst
who is personally known to me or who has
produced
as identification and who did/did not
take ~~~FjJ -{JO QJ ond
(Signatu..-
Crystal Pollard
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
"!o\ary Pl~blic. State of florida
(.R'iSTAL POLLARD
My c.",mm. Exp. Dec. 30. 1995
Climm. No. CC 172010