HomeMy WebLinkAbout94-4400
BUILDING PERM~e!N.~ 4400. L1
CITY OF ZEPHYRHILLS ~
(813) 788-6611 Date II)" ,~;J) ...-C;(
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;Q; Water Conn:
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Parcell.D. # 1/-..:2~ - c:< I -
Energy Code: ~ Radon Ga~" _
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II " '1 FINAL
10/
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarce with City Codes and Ordinances.
Description of Work
Zoning:
;(J~ Y//P5=.
/
NO OCCUPANCY BEFORE C.O.
DATE
C,Q.
DATE
,
Inspector
Permit Fee ~
Signature~>
Company .
Address
Telephone#
Valuation or L ~ ,/) ,6'C>
Contract Price-,r-- '7 ~ 0 -
City License Registration #
State Certified License#
ELEc.:mtCAL
---
PL~~-
~
---
~i.
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
FRM.
Insul. CL
WL
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.
,,-,,-,\,:.,,-,\:;..:..
GULF COAST
L':,. I J ':':'1,1 i ,-'.....,..,
S I Gt.l~3
94912:1825
P,~31
\
GUJJF COASt SIONS
25224 S.it. 54
LOTZ. FL 33549
Y'l'l- JbU&
4'xS' DEL. stD~D, LIOHT
UASB OF pOl.a. copy TO
LINES Of CRANGJA&L' COP
o~fl (1) aOX oP 8" LE1'Ttt
{PERMITI WIl,l, BB APDll.'l
, V'U"~~ .b. f.II_.lno ..^~u.t. and ,crvtc. to,
ILE HOME SERVICE tNC. D^TEI SE9~EMBER 19. 1994
oasU ,BU'1"1'l'.R1'11',J.D. 786-H~Q. 783~2 194. ft." .t8>~6588
~EPHYRtHLl.S. ~L
.....................................................
Pe~otiption of Sign
CONTRAct
ItlLf eOAST S lUNl:Io e.grcU~15
~USTOMBR\ BUtT~~FIJLP M
:'lW~" NUM!!,!t & COUT....OT I
Ann~E8S~ 1531 GALL BLVD
.****.*******.**~*****.
........,..........~... ....*ttt**....*.~~....................................
~ NOTICB
All produ~t m~nufAetur And tnstalled by OULF COAst aloNS are guarante.d for
one year. Title on.1 (sl does not v~.. \6 buyer until eeller hi. ~O.. paid
In full. Selle. r..er . the rl_hl to remo~e any sign frO~ tho buyer'. looa-
t luu. if tll..t .Illn to t paid for Po. I'~r the urm. of this ...reement, In
conslder.tlon of this ree,~nt, the BUY8~ doe' her.by 8sr.e. jointly .nd
.eve..lly. to pay for 1 100d8, ware.. ..erohendlse end .ervlc.e supplied to
en, of us nnJ/.r the ed busln.... In oVont It beoo..e. n.o....r, to 1'100.
the aocount with an a rne, or 88enoy for ooll.ctlon. l/we. the underet.nod,
a.re. to pa, all oost colleotlon. Inoludlng r8asonable attorne,s fee. Un-
Ie.. otherwise speolf e , final p^YMBNT on work I. C,o.D. pleaSs be prepared
t" ...k~ I...".,\.nl al II." uf !ndtall..tlon or dtllvefY of yOur alan.
". .................. . ......................................................
. 'jIIIITIl pAil FACEll alllN. COS\'OM8R TO 6UPPI.Y l'Q'IIIlt>. 10
EAll "BllTfERJ'IELD'S" III DAIt\(. aLUB VIII'lL, tlll\llll 13)
A~~A, ~ S 2,600.00
s. . ,$ 180.00
NAl. cMA&O! iF REQUIRED.)
S~\\lng prioel $ 2, 8 .00
tax 6~~ $ 166.80
combined Tot~\' $ 2 94 .80
Le$& n.positt S 1.5 o. 0
D~e o~ completion: \ 446.80
~~am..' and'\' 1'" (Pi~*-f/r~ii.J~".""
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_. ._...'~..._..'....".. _. .,'''' .".._..."....._~ .~~___ ~,,~..............."'.....,,_._...... .._._.r_'.-...'.
Aooept~d ny Se~ler (own f, .
APPLICATION FOR PBRKIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTMENT
<?..L~ fJ / a -/0 :.y Y
/,':? t)-PH
~rf,d~
.~ /3l C-a II--AJ uJ2
5/ ~ ~ (}q Ii Y; /u cJ.
LEGAL DESCRI.Pr1ON: LOT(S) 3 - {p
PARCEL I.D.' ~,.. l' - 2& -,.;ll
WORK PROPOSED:.1...ew Const.ruct.ion ----..Addit.ion ---...Alt.erat.ion
OWNER'S ~~
PHONE
1''8D
7?fD7
OWNER'S ADDRESS
JOB ADDRESS
B~SU8DIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
~pair_Install
~Sign
---1Iove
-Deaolish
PROPOSED~E: ___S~eF_i~
~eo-ercia1
---1I/F _' of Unit.s ---1I/H
___Indust.. ___Swia. Pool _Other
---..Restaurant. Ai: Health Departaent. Approval
DESCRIPTIOR OF NORK: X n ~ II ;:>1"1 Ie ~; B ~.
BUlLDIRG SIZE:
x
Square Feet.,
Height
RESIDEIITIAL:
COMMERCIAL :
ATTACII (2) PLOT PLARS Ai: (2) SETS OF BUlLDIRG PLANS Ai: (1) SET ERERGY FORHS.
ATTACII (3) SETS OP BUlLDIRG PLANS Ai: (1) SET ERERGY PORHS.
PROPERTY SURVEY REQUIRED POR ALL NEW CORSTRUCTION.
PERKITS REOUESTED
~UlLDIRG
$
Valuat.ion of Tot.al Const.ruction
RT.RCI'RI.CAL
AIIP Service
Florida Power Corp.
N.R.E.C.
---1IECllAlfICAL
$
Valuat.ion of tlechanical Installat.ion
.-PLUtlBIRG GAS RooPING
SPECIALTY
TYPE OP CORSTRUCTIOR: ---.-Block ___Pr_e ___Steel
Other
FIIIISBED FLOOIl ELEVAITOIiS:
FT.
IS PROJECT IIi FLOOD ZONE AREA!
YES NO
..........................................
CORTBACTOR SECTION
BUlI.DER
COKPARY
State Cert. or Regist. ,
Cit.y License Registration .
..........................................
Signature
COMPANY
Stat.e Cert.. or Regist. .
City License Registration .
.....................................
COMPANY
State Cert.. or Regist. ,
City License Registration .
..........................................
Signature
IlECllAliICAL
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
OTRRR ~ Q L COHPARL- VY\c':5TT Us A-j I tJ (' I
'. Stat.e Cert. or Regist. ,
Signature OA', m Cit.y License Registration' 'iq t;
..........................................
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this perlit JaY be subject to 'deed restrictions' wbich Jaf be lOre restricUve than City
regulations. 'he undersigned asSUles responsibility for COIpliance with any applicable deed restrictioos.
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake IIOrt, they JaY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the OIIIler and contractor JaY be
cited for a liscleJleanor violation under state law. If the ower or intended contractor are uncertain as to wbat licensing
requiruenta JaY apply for the intendedllOrt, they are advised to contact the City of ZepbyrbUls BuilcUng Departlent, (813)
788-6611.
FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
'Contractor Sections~ of this application for which they will be responsible. If you, as the OIIJler sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the wrt. If the contractor wishes you to sign
as contractor that Jaf be an indication that be is not properly licensed and is not entiUed to perait.ting privUeges 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 'Florida's COnstruction Lien Law - &.emmer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Cons~ Affairs. If the applicant is SOlH!Ol1e other than the
'01fI1er", I certify that I bave obtained a COpf of the above described dOCUleDt and prOlise in good faith to deliver it to the
.owner' prior to COIIeDCel8Dt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all wrt will be done in COIpliance with all
applicable laws regulating construction, loning, and land developunt.
Application is herebf Jade to obtain a perlit to do wort and installation as indicated. I certify that DO IIOrt or
installation bas CDlenced prior to issuance of a perlit and that all IIOrt will be perfOIJed to _t standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understancl that the regulations of other goveruental agencies laY apply to the intenc1ed IIOrt, and that it is
.Y responsibility to identify what actions I lust tate to be in COIpliance. Such agencies include but are not lilited to:
I Deparuent of EnvirolllleDtal Regulation - Cypress Baybeads, Vetland Areas and EnviroDlentally Sensitive Lands,
Vater/Vastewater IreatleDt
I Soutbwest Florida Vater Managuent District - lIells, Cypress Baybeads, Vetland Areas, Altering Watercourses
I Arlf Corps of Engineers - Seawalls, Docb, lavigable Vaterways
I Departlent of Health i Rehabilitative Services, InvirODlental Health Unit - Vells, Vastewater Ireatlent, Septic ,_
I US EnviIODleDtal Protection Agency - Asbestos abatl!leDt
I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'I,etc.', it is understood that a drainage plan
addressing a 'COIpeDSating volUle' will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued &ball 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 shall issuance of a perlit prevent the Building Official frell thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becme invalid
unless the wrt authoriled by such perlit is COIIeDced within sillOntbs of issuance, or if wrt autboriled by the perlit is
suspended or abandoned for a period of sil IODtbs after the tile the wort is co.enced. One 90 daf atensioo of tile, laY be
allowed for the perlit with fee charge of '15.00. fbe atension shall be requested in writing to the BuilcUng Official. An
approved inspection lUSt be logged during each sillODth period, or the project will be considered abanc1ooed.
IIWING YO 0WlfIR: YOUR FAILURB fO RlCORD A 10fICH OF aJIIIDCIIIDf lilY RlSULf IN YOUR PlYING filCH FOR DIPROVIIIIIIS fO YOUR
PROPERfY. IF YOU IIIIll'D YO OBlIII FIIWICING, CONSULf vim YOUR LDDIR OR II IftORIIY BIFORB RICORDIIG YOUR JOIIC! OF
COMMElCEIIBft. JOBS (00)0 '2,500 IN VILUE DO Nar IUD YO RICORD lID POSf I 'NarIC! OF ClJOIDCIIIDf'.
SIGNA!UIII: (MIIR OR AGm
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
~ ..... M. WEEKS.. .
-. NIo. .... cI FIarIdI
.., OUIII million e..-.
! ..... 18. ,.
SIAIE OF FLO ~ \! e,m' '; 'CC-"~
coum OF ~ ~~td;V- .. --
The foregoing instrument was ~C~~ledged
before me this (() }r), 19..:L.f- by
Q~);;~/'f 1J1~
who is personan~ kn to me or who has
produced fJ L-
as identification and who did/did not
take an ltll7/ I ~
(Signatur ) L Jt -jJj.
.....( "" 1- P1 U3€~ '\
(Na.e Typed, Printed or Stamped)
NOTARY PUBLIC
l-
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
(Signature)
(Nut!. Typed, Printed or Stamped)
NOTARY PUBLIC
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~. ffi.ij-- PRE5I~
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4 S JOHN t.4, WEEKS. UI
'\ Notary Public. Stale 01 F1adlIa
\ My Commission EJpIrM
! Juno 16. 19M
~. CocnmisSiOn' co__
.........
~~t
Letter or Authorization
PROJEGr:
ADDRESS:
-{ Ie S
5" , 0 \ (b-C\ I L..6JI~J.
2- I l.:lJ \-s. P'. 3~54- \
e
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TYPE OF SIGN:
~o~ Sj'S~
Permission is hereby given to GULF COAST SIGN to erect the above sign.
~~~M
NOTARY:
JOB NEEDS:
Site Plana
Legal Description
Folio Number
: .'-,::"',' --. ~~
~
Gr u I ~ Co qst Sl jfl"s
25224 5+e. Rd .54
LU-t!;,1=L 33549
97 2. - 3 (; 8s
~ =- ~ =- L : Cf. ~ ,.2.
U.Je fac+or :- o.S (~-l-ItflJ)
WInd /odd:: JS p.sl r/lo "'Ph'
P ': 35(0.9) ,. Z. :- J!3 pst ~ 0,038 klS+
Pipe. - ASTM ASo/, Fj ~ 361<$1
~b ' 1d. kSI ~ ::- /4.,SI<41
/-'0+ I
Ronald P. Anderson, PeE.
P.o. Box Z706U
Tampa, PI. U688
Civil a Stractural ~..........
(813) 961-3742
10-S-94
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