HomeMy WebLinkAbout94-4373
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
Permit ~
_437313
I t7 -/,1,,-7 V
Date
(BUILDI~ ELECTRICAL PLUMBING
pmp.rtyowo.,'1?~ ~
Job Address: -..5'CJ ~ _' . 71LJl,
Parcell.D. # 1/ ~;Lb -.9-/
MECHANICAL
Sewer Conn
Water Conn:
Water M~ter:
T.I.F.'s:
Zoning: Energy Code: ..Radon Gas:
Description of Work~ 1 ~ .J "l!"-~ L..t~ () _ rI-L-r
NO OCCUPANCY BEFORE C.O.
FINAl-'2_,-IG::, -~'\
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarce with City Codes and Ordinances.
c.o.
Inspector
Pe,m;t F.. .S-~
Sign-ature;tb~ ,~.Lc~
Company
Address
Telephone# 7 Be> .-807 B
Valuation or
Contract Price
d. c2.. 0-0 . ()-f)
.
City License Registration # ~-- 9....s-
State Certified License#
".e
JJl~ J(~a h
BUILDING
Ftr. 11-/7 --ti t.-f g I tt...
Pre SLB
Lintel \/
FRM. r ~(>< it'"
Insul. CL , \ ~ ... \ \.?~
WL \ x>,\Y'
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Ins!.
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.
Itf _ ..." "y.
SKYWATCH SIGNS
9144 Gall Blvd.
ZEPHYRHILLS, FL 33541
~g~. ~VQll~(?rJer 02:7-1--
3r ~ ~~ 31 ~ ifuv\')(JC'{"
JOB NAME I NO
(813) 780-8078
BillTo c.1JQTLC.., MATHES
GAL ( C':;L'J' D
':2- .. H , LL S j r= L
PHONE
,..
:/
/-G2?
DATE PROMISED
-.,
o INSTALL 0 MOUNT
DELIVER TO
SIGN TYPE
o Aluminum
o Air Brush
> 0 Banner
o Carved
o Changeable Copy
o Glass I Plexiglas
o Hand Lettered
o Magnetic
o Masonite
o Metal
o Neon
o Paper I Card
o Plastic I Vinyl
o Plywood
o Sandblasted
o Screen Print
o Vehicle
o
GENERAL INFORMATION COLORS
Qty. Background: ~ 7 _/~' - r;"L{
Inse [:me:
Dimensions: H W D_ Copy: Outlinl3:
0 SS 0 Indoor 0 Framed Logo(s):
0 DS 0 Outdoor 0 Unframed Border:
COpy
o Prespaced
o Mask I Cut
o Lettered
o Screen Print
o Plastic
o
o Vinyl
Type Size:
Type Style:
o CAPS
o U Ilc
SCREEN PRINT PAINT
o Water Cut
o Direct Emulsion
FILM TYPE:
o Indirect
o Lacquer Cut
o
o Enamel
o Latex
o Vinyl
o Varnish I Stain
o Poster
o
o PDQ
o MP
o Plastivac
r<'~i~~r~(uf :f/r')!I;ri:rrt'~!I)S: O}CUSTQ(Y\ ..9r' r-=J?EEnl~.SE~ ...ERt::E.- S//\NDJN(:.
\ f'\..n'--Ek-tJ/\LL1y'.... .. JLLwr'()\I'JAIED .:jiG::>t0AS ee:R.. SC-AL~ C-QLt..JIZ-
> h "'j\Ir;.EJSIU~ c=. '7 3; ZOQ. Op~:t ~6X
--lilt; () 0
SCAj".E ./
COST
INSTALLATION
PERMIT COST
I
;3 200:
I
"""
1/
SUB-TOTAL 2
-'
SALES TAX
TOTAL
~_E:~~ _DEPOSIT..
BALANCE
APPLICATION FOR PEBltIT
CITY OF ZEPIIYlUIILLS
BUILDING DEPARTMENT
OWNER'S NAME R on Gr~n v\ '3
OIlIIER'S ADIIIUlSS :: 02-& @-c, \1 ~ ~
JOB ADDRESS -5 D 2.(P aer II fb I v .
PHONE
'I' 'i? 2-
~zA1
LEGAL DESClUPTI.ON: LOT(S)
....
BLOcx2n<2? SUBDIVISION
PARCEL LD.'
II
Z&
Vl
(OBTAIN FROM. PROPERTY TAX NOTICE)
WORK PROPOSED:-2C...New Construction ---..Addition --^lteration ______epair____Install
-.::LSign
--1Iove
-Peaolish
PROPOSED USE: ~ing1e F_Uy
~ec-erCial
---.Jf/F _' of Units ---.Jf/H
_Indust. _Swia. Pool _Other
______estaurant Ii Health Departaent Approval
DESCRIPTION OF WORK:
rn~C?1'1
r (p ..s.lt'"
BUILDING SIZE:
x
Square Feet,
Height
.'
RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS.
COHHERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~UILDING
$
Valuation of Total Construction
RT.RC'l'RICAL
AIIP Service
Florida Power Corp.
W.R.E.C.
-.JIECllANICAL
$
Valuation of lIechanica1 InStallation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF coRsnucnoN: -..:slock _Fralle _Steel
Other
FIRISBED FLOOR ELEVAnOBS:
Fl.
IS PROJECT IN FLOOD ZONE AREA.,
YES NO
..........................................
CONTRACTOR SECTION
BUTIJUm
cotIPARY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
,
'~ ,".. "'....
NlCu;.;, ""::" :\.~
COMPANY
State Cert. or Regist. .
City License Registration .
...................................
COMPANY
State Cert. or Regist. .
City License .Registration .
.............................~........***.
Signature
IlECBARICAL
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
OTRRR
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this penlt lilY be subject to Ideed restrictions I wbieb lily be lOre restrictive than City
regulaUems. !be undersigned as81lleS responsibility for COIpliance with any applicable deed restrictiODS.
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, they lily be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the OlDer and contractor lilY be
cited for a lisdeleanOr violation under state law. If the OIRler or intended contractor are uncertain as to what licensing
requirelellts lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building llepartlent, (813)
788-6611.
Furthenore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
'Cemtractor Secti0081 of this applicatiem for wbieb they will be respcmsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the col)tractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lily be an indication that he is not properly licensed and is not entiUed to P8I1itting pdvileges in the
City of Zephyrhills. -
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMEHDED)
I certify that I, the applicant, have been provided with a copy of IPlorida's Constructiem Lien Law - lkIIeoImer's Protection
Guide' prepared by the Plorida DepartJent of Agriculture and ConsUlll!1' Affairs. If the applicaQt is SOI8OIle other than the
'OWDerl, I certify that I have obtained a copy of the above describea c10cUIent andtpIOlise in good faith to deliver it to the
.owner' prior to co.enCl!l8Jlt.
~
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforliltion in this application is accurate and that all work will be done in COIpliance with all
applicable laws regulating construction, loning, and land developl8llt.
Application is hereby lade to obtain a perlit to do WOrk and installation as indicated. I certify that no work or
installation has ~ced prior to issuance of a pmit and that all work will be perfOlled to leet staDclards of all laws
regulating construction, City codes, loning regulations, and ~~ developleDt regulations in the jurisdictiem. I also
certify that I understand that the regulations of other gDVeIllleDtal agencies lilY apply to the intended wort, and that it is
Ii responsibility to identify wbat actions I lust tue to be in COIpliance. Sueb agencies include but are not Iilited to:
t Departlent of InvirODl8l1tal Regulation. Cypress Bayheads, lIetland Areas and InvirODl8l1ta11y Sensitive Lands,
lIater/llastewater.TreatJent
t Soutbwest Florida lIater Hanag8l8llt District - lIells, Cypress Barbea4s, lIetland Areas{ Altering lIatercourses
t ArlY ColliS of Ing'ineers - Seawalls, Docks, Ifavigable lIatenays -
t Departlent of Health i Rebabilitative Services, InvirODleDtaJ Health Unit - lIells, lIastewater rreallent, Septic ranb
t US EnviIODlelltal Protectiem Agency - Asbestos abatl!ll!llt
I also certify that, if fill aaterial is to be used in Flood ZOne IAI or IA,etc.l, it is understood that a drainage plan
addressing a lCOIpeDSating 1010181 will be saitted whieb is prepared by a professiemal engineer registered in the State of
Florida prior to perlit issuance.
A penit issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
Bet aside any provisions of the technical codes, nor sball issuance of a penit prevent the Building Official fIOl thereafter
requiring a correctiem of errors in plans, construction, or violations of any code. Ivery pemit iBBued shall becme invalid
unless the work authoriled by sueb penit is COIIeDced within sillODtbs of iss.ee, or if work authoriled by the perlit is
suspended or abandoned for a period of sil IODtbs after the tile the work is ~ced. One 90 day utension of tile, lily be
allowed for the penit with fee charge of tI5.00. fhe 81tension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during eaeb sil IODth period, or the project will be CODIidered abandoned.
WARMING TO OWNER: YOUR FAILURlIO RECORD A NOTICE OF COIIIBRCBIIItff HAY RlSULI II YOUR PAYIIG DICE POR IIIPROVIIIIIIS 10 YOUR
PROPERTY. IF YOU IIIIIID 10 0871111 FIIfAllCIIfG, COIISULr IIIrB YOOR LIIDD OR III AftORDY BlPORI RICORDIIG YOUR JOrICE OF
aJIIIlfCIHBRI. JOBS OlDER t2,500 III VALUE 00 lOT IfIBD TO RECORD AID POSr A IIOTIC! OF aJIIDCIIIIlIrl.
wbo is personally known to me or wbo bas
produced
as identification and wbo did/did not
take an oath.
STAR OF
ccum OF
Tbe foregoing i:Jst~~t was ac
before me this 0 , 19~
Q
wbo is persona ly own to me or wbo bas
produced ~
as idBOt~ BOd who did/did DOt
take an ~. J~1J1r
(Signatu) j I · \ ff::;--4/
... Uhh. m LJ.ot"":: cY
(Name Typed, Printed or Stuped)
NOTARY PUBLIC
SIGIIA'IUIII: 0IfIfIR OR AGIJII
SlATE OF FLORIDA
coum OF
Tbe foregoing instrument was acknowledged
before me this , 19____ by
(Signature)
(Namp. Typed, Printed or Stamped)
NOTARY PUBLIC
'!,--,....
.,~ ~
t:. j~~:
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Ronald P. Anderson, P.E.
P.o. Box 270633
Tampa, FL 336-
CivU a Structural Engineering
(813) 961-3742
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Ronald P. Anderson, P.E.
P.o. Box :170633
Tampa, FL 33688
CivO e Structural Engineering
(813) 961-3742
7. 0+-1.
9 -19 - 94-
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A SURVEV Of:
THAT POrrrJON OF .THE VACATEfJ SEA80ARO COAST LINE RAILROAfJ
RIGHT-Of-tlAV ANt) THAT PORTION OF A PORTION Of A PARCEL OF
lANf) LYING fAST Of 8LOCK 201. OF THE MAP Of Tiff TOfIIN Of
ZEPHYRHI LLS AS RECOIWEfJ IN PLAT BOOK 1. PAGE 54. BEHIG
FURTHER OESCRlBEfJ AS fOLLOWS: COMlENCING AT THE INTERSECTION
OF THE ~STfRLY RIGHT-Of~Y LINE OF 7TH STREET ANV Tiff
NORTHERLY RIGHT -Of ~Y LINE OF SOUTH AVENUE AS SHOfIIN ON THE
MAP Of Tf/[ TOfIIN OF ZEPHVRHILLS AS RECOfW[fJ IN PLAT BOOK '.
P~ 54. OF THE PU8LIC RECOlWS Of PASCO COUNTY. FLORIfJA.
RUN THENCE N 24857'45" W, 162.1S' ALONG THE ~STERLY
RIGHT -OF -wAY LINE Of 7TH STREET fOR A POING OF BEGINNING;
THENCE RUN S 65002'15" fII. 212.84' TO THE EASTERLY RIGHT-
Of~AY LINe OF U.S. 301; THENCE RUN 140.18' ALONG THE
ARC OF A CURVE TO TH[ LEfT HAVING A RAfJIUS Of 169.30',
SAIfJ CURVE BEING ON THE EASTERLY RIGHT-Of-WAY LINE Of
U.S. 301. A CHORO OF N 19843'14" W, 140.59', THENCE RUN
N 65002'15" E, 200.00' TO THE WESTrRLY RIGHT-OF-lIIAY LINE
OF 7TH STREET. THENce RUN S 24857'45" r, 140.00' ALONG
THE IIIfSTERLY RIGHT -OF -lIIAY LINE OF SAIfJ 7TH STRlTT TO THE
P.0.8,
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