HomeMy WebLinkAbout95-4773
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 788-6611
4773-S
Date .3-/6 -?..s
~DI~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
PmpertyOwne, ?:t~';!dfr ~~4
Job Address: ~ tJ b '
Water Me!er:
T,I.F.'s:
Parcel I. D. 1/
Zoning: Energy Co~:
Description of work.-A..j...n /""/{~rJ" ~ .-J
Radon Gas:
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FINAl___
NO OCCUPANCY BEFORE C.O.
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
Permit Fee
Signature
Company
Address
Telephone#
~;J#~
Valuation or
Contract Price -.::?'~-. &-D , p--o
City License Registration # <: :s> ? ~
State Certified License#
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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EXISflNG.30' x 60'CANOPV WITH "441)
,SMOOTH VERflCAL FASCIA'.
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.3 1/4" WHITE TAPE
FURN. & INSTALLED
BY SMI
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OWNER fO PAINT E'XISTING -.
fASCIA. EXXON GREY
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'(2) 1~~-1 1/2" EXXON FASCIA SIGNS --\
fURNISHED & WIRED BY OWNERS, \ '
HUNG 8Y5M!
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BLACK COLUMN SH~qUOS
FURNISHEQ& INSTAllED
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(4) lLLUM. CANTILEVER SIGN
& END CAPS FURNISHED &
WIRED BY OWNERS, HUNG
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1 . OWN~.S TO REMOVE EXISTINGS\GNAGL.
2, O~~E~$. TO PAINT' f'ASel;\ EXXON G~AY
.3. STEELf€C TO FURNISH & INSTALL 3 1/4"
WHITE TAPE.
4, sfnlrEC TO HANG ({~ RECESSED IlLUMINAfED
1S-1,1/t X 44" EXXON FASCIA SIGNS,
FURNISHED & WIRED BY OWNERS.
5. STEELTEC fO FURNISH' & INSTALL (4)"
15" X 29 1/2" BLACK COLUMN SHROUDS.
6, SfEElfEC TO HANG (4) ILLUMINATED EXXON
CANTILEVER SIGNS & END CAPS, FURNISHED
& WIRED BY OWNERS,
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I3UIlQ\NG
STEElIEC ASSU~~ES NO .l!A8/U1Y FOR THE
STRUCTURAL !NTEGRI1Y OF lliE EXISTING
SIRUcruRE.COLU,.NS. AND FOOTINGS 8EfORE
OR AfTER NfW PAATER!Al IS INSTAlLED.
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1l1f..SE F't.N;S ARE SlJ8J[CT TO
. f ttJf:P.N.. 'OPYROO !),~ .
AI(( LISE CE SAME I\IDlOVT M
8<PRESS 1'lffi1't}4 PU\MlSSiON ~
SltllTtc. MrG. INC.
. is PRCHtOOro
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APPROVER NOTE:
15'1 SH~OUD $1 ZE WilL
BE VERIt=1 ED BY FIELD
MEA5URE BY 5MI.
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.
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PERMIT DRAWINGS ONLY
A
ISSUE
ESG q;g ~ -~.<:b
BY CHK. DATE'
FOR APPROVAL & PERMITS
DESCRIPTION
--
REVISIONS:
S.1'EEL11EC
/~ ~IAN{J~'AC1'URING
&j'INC. .
1800 SANDY PlAlNS PK\4((,. SUITE 222
MARIErTA. GEORGIA :m66 (404)-427-0956
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.JOB ADDRESS: PICK KwlK STORE i 144
. 6026 NORTH GALL 'llLVD.
. ZEPHYR HIllS, FL
DATU/J/9~_, ~ALE: 1/~: DR. BY:
FOR: PICK KWIK FOOD STORES
EXXON. IMAGE
SHEET TlTLr:
PLAN &.,ELEVATIONS
, <
CH, BY:
JOB NO.
8155
CRAW1NG NUMBER:'
E 1 OF1_
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APPLIC..A"1:....Viil POI PERHIT
CITY OF' ZEl'if'i'.kHILLS
BlITLDI.BG DEPAR'l'IfE'Rr
OWNER · S
NAHEJI6l( 1< u.Jl (L
Po tSO>c 3D3e>""3'
;V 0 f2--rH
F'ooD
510 i?65 mmffl
( -rn m PA \ F"L-. :.33&>30
~A-LL- ffLJb
8 i 3- E:>75" - C\~ 2.13
OWNER · S ADDRESS
JOB ADDRESS
~D20
LEGAL DESCRIPTION: LOT(S)
B.L.Oc:K
SIDBDIVISIOINI
PARCEL LD.#
h"ORK PROPOSED :_lNIew Construction
~
_Addition
--:;: -
_ft.Lterat1on
_Repair
_Install
_Hove
_DatOlish
PROPOSED USE: Single Faaily
~rcial
_H/F
_, of Units
_M/H
_Indust.
_SwI.. Pool
Other
_Restaurant &: Hea1t:h Depan::.en\t Approval
BUILDING SIZE: ~l0 X toD ,
1-;770
Square Feet.
l'El
Height
RESIDENTIAL:
COHKERCIAL :
A'ITACB (2) PLOT PLMiIS &: (2) SEIS OF BUILDING PL.OS &: (1) SET ENERGY FORMS. u
ATTACH (3) SETS OF BUILDDlG PLUS &: (1) SET ENERGY FORKS. *'"
**COPY OF CONTRACT REQummo.
~ING
$
PERKITS REQUESTED
SS:-OO. CO Valuation of Tot:a1 Construction
I
_ELECTRICAL
AKP Service
Florida Power COrp.
W.R.E.C.
_KECHAlfiCAL
s
Valuation of Hechanical Installation
_PLUMBING GAS
TYPE OF CONSTRUCTION: _Block
ROOFDiG
_Fr:me ~el
SPECIALTY
..
Other
/'
FINISHED FLOOR ELEVATIONS: FT .
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
DJlfn'RACIUR SECTION
BUILDER
\ OO'!IPAW 5fE'€t-Ie:e- f7lF&'. 1/l,J~.
State Cert:. or Regist:. 4# CG-O bS' 410,
City License Registration !If 316:;;
***************~**************************
Signature
ELECTRICIAH
CO!IPANI'Y
State Cert:. or Regist:. ,
City License Registration ,
**********************~*******************
SiPn:lture
PUllKBER
COIfPMY
St~te Cert. or Regist. ,
City License Registration I
Signature
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MECHANICAL CO!tPAlifi
State Cert. or Regist. I
Signature City License Registration I
******************************************
0'l1IER CO'lWANI'Y
State Cert. or Regist. ,
Signature City Liceuse Registration ,
******************~~**********************
APPLICATION APPROVED BY PERKTT OFFICER.
"="""
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this p~rlit lay be subje:t to "deed restrictions. which may be lore restrictive than City
regulations. The undersigned assules responsibility for cn.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the &wner has hired a contractor or contrar.tur~. to un1ertake worf., they lay be required to be iicensed 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 lisde.eancr Ylolation under ;,~ate lawe If thE ONner or ~ntended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (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 t~an the [Qntr~rtcr, are re5pun~ible for the wvrk. 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 Departaent 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
"oNner" prior to COlaenceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation 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 aade to obtain a perait to do work and installation as indicated. I certify that no work or
installation has coaaenced pri~r to issuance of. a perait and that all work will be perforaed to leet standards of all laws
regulating construction, City codes, zoning reg~lations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies aay apply to the intended work, and that it is
IY responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not Ii.ited to:
f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands,
Water/Wastewater Treatment
f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environaental Protection AQency - Asbestos abatelent
I also certify that, if fill aaterial is to be used in Flood Zone "A" Dr "A,ete.", it is understood that a drainage plan
addressing a "coapensating volu.e" will be subaitted which is prepared by a professional engineer registered in the state of
Florida prior to per.it issuance.
A perait issued shall be construed to be a license to proceed Mith the work and not as authority to violate, cancel alter, Dr
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 Mork authorized by such perait is co.tenced within six lonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six aonths after the tile the work is cO&ienced. One 90 day extension of ti&e, lay 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 eJch six month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this _____, 19___ !:y
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
befclj-e me this , 19_ by
who is personally known to me Dr who has
produced
as identification and who did/did not
take an oath.
who is personally known to me Dr who has
produced
as identification and who did/did not
take an oath.
(Signatlll-e)
(Signature)
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC