HomeMy WebLinkAbout93-3457
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ _ 34516
g-~'7-93
Date
~~_9~
Zoning:
Description of Work
E~L.' ~~ ~CAL Sewer Conn
(Q U. _ Water Conn:
3X'~/) ~ ~n a::::~P~ ~~;:,M',",
('~nergy &~Od:': '\ Radon Gas:
~~l4L ~ ~.PN rfl7;d~~...d. "F~6
I' u
Property Owner:
Job Address:
Parcell.D, #
NO OCCUPANCY BEFORE C.O.
FINALL".? -c:J-o -9-..3
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or
Contract Price
~ ~o
t~(){)' -
~~.t,-~7
,
Permit Fee
Signature
Company
Address
Telephone# V9~0 r(;).CJ7CO
City License Registration #
State Certified License#
'I)
Ftr. ~ r93 flJ
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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 ($15.001 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.
ABC SIGN CO.
lUKaK~~aC 1~002 N McIntosh Road
BtlRt~~~gA~.~ Thonotosassa, FL
Phone: Tampa 813/986-2276 33592
986-3297
DISPLAY SALES AGREEMENT
Tel. No,
Mlg. No.
Agreement No.
Soles Rep,
Roy C Nales
Dote 01 Agreement
ABC SIGN CO., Seller, and
April 22, 1993
Ruth Baldwin
Suncoast Medicare Supply Inc.
(address)
SALE:
(A) Seller sholl, to Buyer's special order and specilically lor Buyer's use, construct and install
on advertising display(s) described in the specilications and hereinafter called .Display. at (installation
656 Central Avenue
St. Petersburg
FL
, Buyer, agree:
lot and sell to Buyer
address)
~118 15th Ave
PRICE AND TERMS:
(B} Price of Display sholl
852.00
, City
Zephyrhills
, State
FL
be $
1.600.00
plus applicable soles tax of $
104.00
852.00
payable
$
installation, or $
{includes soles taxi when this Agreement is signed and the balance, $
NA NA
per month payable in advance lor
upon
consecutive months, commencing,
above address
on the dote 01 installation, Payment sholl be mode at the office 01 the Seller located at
SPECIFICA TIONS:
For manufacturing and installing (1) Pole sign as per approved
print. Top section to be a total of 4'9" x 6' wide, the bottom
section to be 3'x6' and divided into four sections. No lights.
The only copy included in the baove price is the address numbers in
the top 15" square section, the name of the center "COLONIAL BUILDING"
and the three lines of copy for Dr. Dave.
Price does not include other tenant copy or permit.
Price for tenant sections, l'6"x3', before sign is installed $75.00 + tax
The size of lelters referred to herein is the height of either the painted or metol lelter~. NOT the height of the tubing itself.
LETTERING AND SIZE OF TYPE OF COLOR COLOR ILLUMINATION
ORNAMENTATION LETTER LETTER FACE EDGE COLOR TYPE
,
I'
.
Gaseous <;onductor tubeschonge, in color ond light intensity proportionate to period of use, Mercury filled tubing of ~ny age
,is offected" by cold "weather, . These are inherent characteristics and not defects in manufacture or, maintenonce, Replacement
'of operative tubes' so aUected is not a part of this Agreement unless herein otherwise specifie~:' ~. '; .
OTHER SPECIFICATIONS:
DATE
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SILCOX ENGINEERING, INC.
5409 Nebraska Avenue
TAMPA, FLORIDA 33604
Phone (813) 238.9755
A t3 <::... .s l f(' f..J cJ.. () ,
SHEET NO,
CALCULATED BY E S .s
OF (
CHECKED BY
DATE
SCALE
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APPLICATION fUR PERllI.T
CITY OF ZIl1"III'KH Il.Le;
BUII.DDiG DEPAImIEII1'
5 \A tVCoc,st- medlcc,re 5"V1fply J.N C I
OWNER'S lWtE ~\A~ ~A-\d~i N ~ ~ Af'D\d 6rw(Jw\'" PIlDlIE g;;;/--) 0 / ~
_'S AOOIIIISS &5(.;, ~I'f-!-rc. ( Au e. Sf ?e ter-s b~/ ? no I
JOB ADDRESS JJv ~1I8 /S-~ A-ue 2er~yrh; Us
LEGAL DESCRIPl'IOIII: IDI'(S)
~SUBDIVISIOIII
PARCEL I.D.'
WORK PKOPOSIlD:....l,_Jev Construction _Addition _Alteration _.Repair _Install
2..Sip
_lIove
_De.olish
PROPOSED USE:
Single F-Uy
_II/F
_, of Units
_II/H
_~rcia1
_Indust. _Swt.. P001
Other
Rpsl:aurant &: Bea1t:h Depar~t Approva1
BUILDING SIZE:
x
Square Feet.
Height
RESIDER1'IAL:
GOHIIERCIAL :
A1TAaI (2) PIDI' PLUS i: (2) SEI'S OF BUII.DIRG PLUS i: (1) SET ENERGY FORKS...
A1TAaI (3) SEI'S OF BUII.DIRG PIAliS &: (1) SEt' ENERGY FORKS....
....00PY' OF OORTRAct .RIIQUIlUID.
PIlmITTS REOUESTED
-LBUlLDING
$
/&00. l) 0
Vuuation of To1:a1 Construction
_ELECl'RICAI..
AIIP Service
Florida. Power Corp.
W.R.E.C.
--..JIEmAIIICAI..
$.
Vuuation of lIecbanicaJ. Inst:a1lation
_PLUttBING GAS .ROOFIRG
SPECIALTY
TYPE OF ooNST.RIJCI'IOIII: _Bloclt _Fra.e _Steel
Ot:her
FIlII.SHED FLOOIl ELEVATIOIIS:
Fr.
IS PROJECI' IIi FLOOD ZOIIE AREA?
....................................................................................
YES NO
aJII'I'HA.CIUR SECTIOII
RIfT' .DO
CO!IPAIIIY
St:ate Cert. or Regist. I
City License Registration ,
..................................................................................
Signature
ItT.F..C1'RICIAN
CO!IPAIIY
State Cert. or Regist. ,
City License Registration ,
................................................................................
S1 Plu-ture
PI.DlRO
CDlPAJIY
State Cert. or Regist. ,
City License Registration ,
..................................................................................
Signature
IlEalAllICAI..
al!lPAIIY
State Cert. or Regist. ,
City License Registration ,
........................................................
lmII!II ~ // /1 lDIPAH ARC' S~
cJ. ./ Sure Cert. or JIegis . ·
Signature q ~QJ City License Registra ion ,
/ ~ ~....................................................
APPLICATION APPROVED BY
Signature
C~MpG~cf
/0 () 10
PERIIIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for co.pliante with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor 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.
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 FEE~
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/OWNER'S AFFIDAVIT
I certify that all the inforlation 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOIl!nced 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 governlental 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:
, Departlent of EnviroRlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
Water/Wastewater Treatlent
, Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
, ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
, Departlent of Health l Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
, US Environlental Protection AQency - Asbestos abatelent
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 "colpensating volul!" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit 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 lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of tI5.00. 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 COKKENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COftftENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKftENCE"ENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
was acknowledged
, 19 _ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
STATE OF FLORIDA
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 PUBLI C