HomeMy WebLinkAbout94-4487
Job Address:
BUIL~~~~HY~L~RM!! N'~ _448~
____ (813) 788-6611 Date /1- tZ 3 -9~
3 ~__---, If 5 ~
~~lrAY" <--~IlliV' ~L Sewer Conn /, 917; ~
S tfl5.
Property Owner: QLA1.At/~ '7J?7n1~
~ <;? -St!J '7 l\ C!.., II () ~Ld
Parcell.D. # /1/- ~(.,-~ / - DO/~ -IJ :'33 DO - D / D D
Zoning: f woA;Energy COde.: Radon Gas: I
De,e,;.';o" o"t~~1;JTt e :t:J~~~fl;::l-P
Water Conn:
5'-9
91'
~
Water Meter: - -'
T.I.F.'s: ~~o/'!J.-~\
IS: /7..L
Valuation or ...../..
Contract Price r / OJ 000.
a'3?-
Permit Fee
Signature
Company
Address
Telephone# V--
QAJ71'1
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordarce with City Codes and Ordinances.
City License Registration #
State Certified License#
~
~
CO tun~l)
64Yn~
BUILDING
ELECTRICAL
PLUMBING
-ffi
Ftr. j;J ,
Pre SLB 7t~{ . ~
Tp. Serv.
Rough In}- 2~s i'JJ
Meter Can
Const. Pole
Pool
Pre-Meter
Final ....'-.-lD.e;-r- :if.b
SLB I Breakers
Tub Set k)..- '2.?J-1 '1 ~ Ducts Insl.
Water Compressor
Sewer Final
FinaI3-/d-C;...r ~u.-
~~ id--~\4~~L:Lp
Lintel
FRM. I~ Z 5-'1' giLL
Insul. CL
WL
~ 3-IO.~S- htl-'-
Driveway
~~- F~ IL -36.CZ'f
. S~.fItJ 151.-"<-
REINSPECTIO[li 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.
Dennis Monaco
38427 "c" Ave.
- Restaurant -
Valuation:
$ 10,000.00
Building:
97.50
35.00
45.00
N/A
$ 177.50
N/A
Connection fees:
Electrical:
Water: 525.00
Plumbing:
Sewer: 1,917.00
Mechanical:
Meter: N/A
$2,242.99
;J. Y r;J. o-u
J
Radon gas:
Transportation Impact Fees:
Fast food take out is $ 8,585.00 per each 1,000 sq.ft.
Retail sales credit is $ 1,691.00 per each 1,000 sq. ft.
8,585.00 x .22 = 1,888.70
1,691.00 x .22 = 372.02
$ 1,516.68
"
Permit fees: 177.50
Connection fees: . 2,242.00
TIF's: 1,516.68
Total: $ -3, ~ 3 6 . 1 8'
J. If '-/ J.. 07J
/
Lj /3b, / f/
"
Prices do not include mechanical equipment installation for kitchen.
APPLICATION FOR PERKIT
CITY OF ZEPllYIUlILLS
BUILDING DEPARTMENT
OWNER'S NAHE ..))E J.-J AJ ( c~ A. M nA) J+CC PHONE (")/ 8) ,')~ '} -S5-;~8'
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OWNER'S ADDKFSS (/7,~ ,R f1AJJ..! F L1 !<. D At?, DD LE t;..J<0 VC }J')I' 1,2~'So
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JOB ADDRESS ' ~ <;? 4'). 7 J-J- ~I r- (! 2 f P If V /\ H ILLS') FLA-/
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LEGAL DESCRIPTION: LOT(S) /0 B~SUBDIVISION
PARCEL I. D. f /!j - ~:{ Ie - J~ / - () 0 / l'J - ("';..33 r; (J - C I CJ 0 (OBTAIN FROM PROPERTY TAX NOTICE)
/'
WORK PROPOSED:_New Construction .2::j.ddition L...A1teration ~epair _Install
_Sign
-.JIove
_DeIIOlish
PROPOSED USE: _Single Faaily ---1t/F _' of Units ---1t/H
~ ec-ercial _Indust. _Swill. Pool _Other
-6estaurant Ii: Health Departaent Approval
DESCRIPTION OF WORK: /lZJD jj/)7F~1{!cN c';lf)JJ6--f Sllau.Jf(MH /AJP (itJl-!.LI[J.Y//j-/ K!Tc!f~JL.1
J
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
---LBUILDING
$ / ~, ;;/(', .. 00
Valuation of Total Construction
_ELECl'RICAL
AIIP Service
Florida Power Corp.
W.R.E.C.
---1tECllANICAL
$
Valuation of tlechanical Installation
_PLUKBING GAS ROOFING
TYPE OF COIISTRUcnON: _Block ..I:::::-Fraae _Steel
SPECIALTY
Other
FIlIISBED FLOOR ELEVATIOIIS:
FT.
IS PROJEel IN FLOOD ZONE AREA? f,//
YES NO
..........********************************
CONTRAelOR SEelION
BIITT.DER
/,
, /
Signature /.':. '
,.. ,,-<'::,.ltC4z-.:,---z.--;..I
COKPARY .--c1-VV')-~ "-...
<< State Cert. or Regist. .
;j -:;;?-zz.>zvv'?/'-- City License Registration .
************************************......
RT.~CTRICIAII COKPARY tJ.---&1~1.. ,,"----.
/,) <7 State Cert. or Regist. f
SianAtur~~~ /7' ~hr~ ~ City License Registration'
...........*.............*................
~
PLtDlBER COKPARY 0-1/v,.---v
/) ,/7 .. State Cert. or Regist. f
Signatur~ ~/"'~ tll /~l?iVC>~ City License Registration'
.....*........*...........................
tlECBANICAL COMPARY
State Cert. or Regist. f
Signature City License Registration f
..........................................
OfRRR COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
APPLICATION APPROVED BY PERMIT OFFICER.
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this perait lay be subject to "deed restrictions" wbich laY be lOre restrictive than City
regulations. the undersigned asSUl88 responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake wort, 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 lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
reguirelents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
Furtheraore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
DContractor Sections I of this application for which they will be responsible. If fOU, as the owner sign as the contractor,
you are indicating that fOU, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting privileges 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 IPlorida's Construction Lien Law - lIoIeowner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUlleI' Affairs. If the applicant is sOftOne other than the
lowner", I certify that I bave obtained a copy of the above described docuaent and prOtise in good faith to deliver it to the
"owner" prior to cOlleDceaent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cDlpliance with all
applicable laws regulating construction, loning, and land developlent.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas CDIIeDced prior to issuance of a pertit and that all work will be perfoIled to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemaental agencies uy apply to the intended work, and that it is
If responsibility to identify wbat actions I lUSt take to be in coapliance. Such agencies include but are not lilited to:
* Departlent of Environaental Regulation - Cypress Baybeads, IIetland Areas and Invironaentally Sensitive Lands,
IIater /IIastewater Treablent
* Southwest Florida Water Manageaent District - IIells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* Aray Corps of Engineers - Seawalls, Docks, Mavigable Waterways
* Departlent of Health , Rebabilitative Services, EnvirODleDtal Health Unit - IIells, IIastewater Treatlent, Septic Tanks
* US EnviI'ODlll!Dtal Protection Agency - Asbestos abatl!lent
I also certify that, if fill laterial is to be used in Flood ZOne "AI or DA,etc.", it is understood that a drainage plan
addressing a uCOIpeDsating voluteD will be subtitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A pertit issued sball 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
reguiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOle invalid
unless the work authorized by such perait is COll8llced within sillOntbs of issuance, or if wort authoriled by the perlit is
suspended or abandoned for a period of six IOntbs after the tile the wort is ~ced. One 90 day extension of tile, uy be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
WARMIHG TO OWNER: YOUR FAILURE TO RECORD A MOTICE OF COMMEMCEIlIIft' MAY RESULT 1M YOUR PAYIMG 'NICE FOR IMPROVEMEIft'S TO YOUR
PHOPKRn. IF YOU IIIJEHD TO OBrAIK FIIWCIMG, COISULT 111m YOUR LINDER OR All AnORm BEFORE RECORDIIG YOUR HorlCE OF
COMHBMCBMBIft'. JOBS UMDER $2,500 1M VALUE DO Mor MEED TO RECORD AIID POST A "MOTICE OF COMMEKCEMEIft'".
~..:. ~~ ~ ~ tf~~ ~
SIGlAfURE: OIIJIR AS " SIGNATURE: COlifRACrOR
STATE OF FLORIDA
coum OF .
The foregoing instrument was aCknowledged
before me this , 19____ by
STArK OF FLORIDA
COUIft'Y OF
The foregoing instrument was acknowledged
before me this , 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)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Namt! Typed, Printed or Stamped)
NOTARY PUBLIC
..-----.'......,.----.----. ... ... p ......' "...~
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f.~{(' 7
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
// './.), /l
C'A!'/"d'>~T'~ .>/1.1,) I. E(I ('
Classification
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I
/5,(., '? ' ""." l'" -:? $'
Address "3 9 7'..2 7
C. /./11&'
Occupancy Load
Alann Monitoring Co.
Owner/Manager /)~A:.,~""-"'~' ///~,c.~ c.~'
Emergency Contact Phore .
Phone #
Business Phone
'7 ,'1 ~:~ - "'.' '8~~Z ..-:,
TYPE OF INSPECTION CONDUCTED
il;
o QUARTERLY
ORE-INSPECTION:
o APPROVED
o FINAL 0 ANNUAL
MOTHER t.~.c/i,.. < ;i/-' I('C r;ff'n
1-1 v
o NOT APPROVED
;-,
':-1
OBI-ANNUAL.. ,.
',' ,,' _.;'?: t~"
~'/V~/ '. .',0',.;
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire ;
Department. . . f."i,. i
o CODE VIOLATIONS
',. 'I'
."i.
This inspection report specifies code violation(s) which if not corrected could cause a fire, conJribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction .of these
violations shall b~ required, as failure to do so is a violation of the city of Zephyrhills,' Firei.Preventio.rf Code.
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Inspect. Time