HomeMy WebLinkAbout94-4067
BUILDING PERMIT
Permit N;~
CiTY OF ZEPHYRHILLS
(813) 788-6611
406711
3,~ d.-0. dl)
~ ELECTRICA"~ PLUMBING MECHANICAL Sewer Conn
~ Water Conn:
Pmperty Own", ?j ~*i .d.~ 7?~~ wate: M"W
Job Address: 13 ___;.~_~&-.~_ T.I.F. s.
Parcell.D. #J.s- -X--~- 0 tJ/ lJ - D~{) {).- 000 /
--. -9
~-' .-
Date ---:J ;) 7 Y
Zoning: 7J 2 Code:
Description of Work a. ~r
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAl_~
C'f/l \ DATE
C.O. ~ 'l
. \ " U DATE
Inspector
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarr:-e with City Codes and Ordinances.
Permit Fee -.5-S":. 01)
Signature ~~ ~
Company
Address
Telephone# 783-;5,;;J... '85
Valuation or
Contract Price
2 c:2 ;J7J., tro
"
City License Registration # '- ~t;'?
State Certified License#
O~~~r~c!~
a..l~;~ C!i~-L;'~
-=::::::::--.-.. .'
ELECTRICAL ,\ ~? /
PLUMBING
MECHANICAL
BUILDING
Ftr, Tp, Serv, SLB
Pre SLB Rough In Tub Set
Lintel Meter Can Water
FRM. Canst, Pole Sewer
Insul. CL Pool Final
WL Pre-Meter
Final
Driveway
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15,00) shall be made for each trip for each trade:
a, Wrong Address
b. Condemned work resulting from faulty construction.
c, Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
':Jrnpnsal
Page No,
of
Pages
If,
Phone (813) 677-0237
~+ "
P.o. Box 1601
8012 Gibsonton Drive
Gibsonton" Florida 33534-1601
rSIGN fRICtiON I t~ .~
.., ......;t-.... .'_r _~ ~ "
PROPOSAL SUBMlnED TO
STREET
rant
JOB NAME
Townview Square Shopping Center
CITY. STATE AND liP CODE
JOB LOCATION
ARCHITECT
DATE OF PLANS
JOB PHONE
We hereby submit specifica1ions and estimates for:
1,'0 build and install one set of channel letters. Letters to be lighted ~!t:_l!___
15 rom neon. Faces to be plastic with jewelite trim. Channel letters to be
mounted on raceway.
Copy:
BAO HAO'S
CHINESE RESTAURANT
-
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. . T' \'
.1
20 inch high
12 inch high
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Cost:
Tax:
Permit & engineering:
Tcta1:
2968.20
192.93
250.00
3411.13
i
Electrical from power source to sign
~f ~rto, f~"1~ 1'la', ( j~'
furnished by others.
Payment to be made as follows:
c n...... ...' in ~..' '"C.. with above <H*:. itf:' ...tif?"s., fori . .t~SlJm of:.
.U;l;.., ') '.' ...t. . ...-. t. . . 'f"1." ..
. I - r- - - -:', .t l.. - .'-'.' "-, ~ t . .;,----~; .~:..'~ l",'~ '.-. ~_ ;,., - ;:.;
.', . i aullar~ ($ "3411.'13 . )
-
One half down and balance
AU m.teria' II luarant.ed to be II speCIfied. All work to be completed in . workmanlike
manner Iccordin. to Itlndlrd prlctic... Any Ilt,r.t,on or devlltio,., from Ibove specifiCI'
tlon. ,"Vo'vin, ..trl COI" Wilt b, e.ecuted only upon writt.n ord.;,. .nd Will become In
I.tra char,1 ov.r and abovI thl I.tim.tl. All I,re.ments contln.ent upon .trlke., ICCICI.nt,
or dellys ~ond our controf. Own.r to carry fir.. torn.do and ot".r n.c....ry Inlur.nce.
Our work.r. .re fuUy cov.red by Workme,'" Compen..tion In.urlnc.
day~.
Atttptantt of IIroposal- The above prtces. speCIfIcatIons
and condItIons are sat,sfactory and are hereby accepted. You are authortzed
10 do the work IS spectJied. Payment w,lI be made as outlined above.
Silnature
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Date of Acceptance:
Silnatur.
H- A 0 1-] 1-\ 0\ S
JOB
SHEET NO. I
SILCOX ENGINEERING, INC.
5409 Nebraska Avenue
TAMPA, FLORIDA 33604
Phone (813) 238.9755
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APPLICATION FOR PERHIT
CITY OF ZEPIIYRIIII.I.S
BUILDING DEPAImtENT
L & /U C-I ~ E CL~<--/'t.--g /~C ,
OWNER'S lWtE I;~fg li~<J -ClftlUi~-'-~6~:T PHONE 78 3 - t5 'f. r ()
OWNER'SADDRESS 73 35" ~L 8/-'//0, -#-;2 2~Cff~t'frC.i.q, F,-<-, '3"SS"c/(
<
JOB ADDRESS '7 3<{ 9
&~:.-c._
L5 0 U L~//T?'L~
LEGAL DESCJUPl'I.OR: LOT(S) B~SUBDIVISION
PARCEL 1. D. t 3 =:: ~ 2.5 - :2 I - 0 0/ 0 ~ (/ 15 ~ 00- () C> 0 I
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
V Sign
_Hove
_De-.olish
PROPOSED USE:
Single Fa.ily
Vec-ercial
_H/F
_' of Units
____H/H
_Indust.
____Swt.. Pool
Other
_Restaurant & Health Depar~t Approval
BUILDING SIZE:
x
~uare Feet,
Height
RESIDENTIAL:
cotIKERCIAL :
A'ITACH (2) PLOT PLAliS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
A'ITACII (3) SETS OF BUlLDlliG PLANS & (1) SET ENERGY FORtIS.
PROPERTY SURVEY REQUIRED FOR ALL 5I1W CONSTRUcnON.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECI1UGAL
AIIP Service
Florida Power Corp.
V.R.E.C.
_ltECIIAIO.GAL
$
Valuation of lIechanica1 Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CORS'IKUCI'lON: _Block _Fr~ _Steel
Other
FItUSBED FlOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
Signature
F.T.F.CI1UCIAli
SiQD~Lure c-ifc~
;C/) ~~
COMPARY /l5S0Cfl'/7'?;;:O ~G.(-ct'-n,C/f-<.. S'L-l:l:'VCCcS'" zp..,.c,
StaLe Cert. or Regist. t ESo ".)(}) IrU
CiLl' License Registration ,
******************************************
PLUMBER
cotIPAIlY
State Cert. or Regist. ,
City License Registration t
******************************************
SignaLure
IfECIIARlGAL
cottPANY
StaLe Cert. or Regist. t
City License RegisLration ,
******************************************
SignaLure
OTRF.R
COMPANY /t!SCJcorl?:Z) t::::Z~?k/c~ g~t/ICcYrJ:;r...e.
r: ~ ,/J./ State Cert. or Regist. t c::-5 0000 /10
{fl~- P".---e-<A/f. City License RegistraUon ,
*****************************-************
Signature
APPLICATION APPKOVED BY
PERllI.T OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that this perait lilY be subject to 'deed restrictions" which lilY be lOre restrictive than City
regulations. !be undersigned assUIeB responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they illY 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 lilY be
cited for a .isdeJeallor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireleDts illY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611.
FurtheIlOre, if the owner bas bired 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 wisbes you to sign
as contractor that lilY be an indication that be is not properly licensed and is not entitled to peIlitting privil. in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of 'Plorida's construction Lien Law - lIoIeowner's Protection
Guidell prepared by the Plorida Departlent of Agriculture and Consuer Affairs. If the applicant is SOI8OJ1e other than the
'owner', I certify that I have obtained a copy of the above described docuent and prmlise in good faith to deliver it to the
"owner. prior to C~Cl!leDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, laning, and land developent.
Application is hereby Iilde to obtain a perait to do work and installation as indicated. I certify that no work or
installation bas CDleDced prior to issuance of a perait and that all work will be perfOIll!d to I8et standards of all laws
regulating construction, City codes, loning regulations, and land develO(lll!llt regulations in the jurisdiction. I also
certify that I understand that the regulations of other gOYeIDlleDtal agencies lilY apply to the intended work, and that it is
If responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and Bnvirouentally Sensitive Lands,
Water/Wastewater !reatlent
I Southwest Plorida Water ManaqeleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
I Aray Corps of Enqineers - Seawalls, Docks, lavigable Waterways
I Deparbent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater !reablent, Septic lants
I US EnviIODleDtal Protection Aqency - Asbestos abat8lleDt
I also certify that, if fill .aterial is to be used in Plood ZOne 'A' or "A,etc.', it is understood that a drainage plan
addressing a 'CCJIIleD8ating volute' will be sw.ittedwbich is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A peIlit issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
6et aside any provisions of the technical codes, nor sball issuance of a peIlit prevent the Building Official frml thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued shall beco.e invalid
unless the work authorized by 6uch perait is COllllJlced within sillODths of issuance, or if work authoriled by the perait is
suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day 81tension of tile, lilY be
allowed for the perait with fee charge of $15.00. Ibe extension shall be requested in writing to the Building Official. An
approved inspec on be logged during each sil IODth period, or the project will be considered abaDdoned.
WARIIIlfG to PAIL 0 RECORD A IOIICE OP CfIlMDCEMDf MAY RESUL! II YOOR PAYIIG nICE FOR IIIPROVIIIDtS 10 YOUR
PROPERlY. 0 UI PIIIBCIIG, COISOLI Ium YOOR LlMDER OR D A'l'fORDY BIFORB RBCORDIIG YOUR IIOfICE OP
COOtER 2,500 II VALUE DO 101 lfEED to RECORD AND POSI A 'IOIICE OF aJIMEIfCEllEHf'.
81
d~~~
SIGlAIURB: COftRAC'lOR
(Siq.qatur .
Rf'tl.( if. {r,qITHE/2
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
...-:..~v";;;";"" RAY G. GAITHER
.~,. ~T(,.
hA~fCOMMISSION I CC 335104
"?f,,:!.~~..,., EXPIRES OEC8. 1997
SIAIE OF ~
coom OF
The foregoing instI'Ull8llt was acknowledged
before me this vrn~ .2 f.o , 19 q'f- by
U~vn,~ -
who is pers9Bally Jm~r JhC? has
produced j-i~ . ~
as identification and who did/did not
t~;~~W~
~ature) ~ ' ,} I
~o I Vl Ai ...v H ~ ~ e.1
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
S!A!E OP RIDA 1/ j,
coum OP h'>dJ ?Jr=
The foregoing inst ent was acknowledged
before me this /37'?I'o/19.2.t. by
/la.o !/c~f I/t)
who is personaI:J,y known to me or who has
produced r/PN~'" tlrv'ycrJ ?/~#4.r,,~
as identification and who ~did not
take an oa . L
. .";:'\
NOTARY PURLIC, s1'A'tti: OF FI.,ORUU.
MY C(l''ilMiS:.;lON FXFH:ES: No.. 20, 199!l.,
BONDED Tci':;; NOTAR- "l'{,UC Ulm<:RwRITf>qll: