HomeMy WebLinkAbout95-4870
BUILDING PERMIT
Permit N.'
CITY OF ZEPHYRHILLS
(813) 788-6611
487013
Date
9-.2fJ ~7~-
~ ELECTRICAL PLUMBING
Pmp,rty Ow",,, f!-m
Job Address: .f, ~-- . 'df A~ c
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Description of wo;;:-5tl ~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL .~- //- 9S
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee tf6 - o-u
S;gnaM' ~.~
Company ~_
Address
Telephone#
Valuation or
Contract Price
) :2 ~-tJ. Cr-v
,
City License Registration # 99
State Certified License#
7!4:t:~J 4~ ~7~
BUILDING ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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.
tAl .......,..-~. -......,
APPLJ,ClfiOI POll PIIKlT
ern o. zBPllDB'1LL8
auu.oUG DUAt'lh.df
OllIIa' 5' ..
QWIII.' s ADDIISS,
Wendy's International
PIIOIIR
R11-7<;Q-l<;nn
W. Baker Street
.JOI ADPlIOA
5658 Gall Blvd.
LBCML DISCRIPl'J.OJs toTeS)
PARCEL 'l.D.'
BLOCIL.--StJBDIVIS'lOIl
lOBTA.1111 Jrllmr PROPI!R'I'I' 'I'n .OTl.CE)
WOK DOPOSID1---llew OoDatwctioD. ~ltioo. ~terat:loll
~u
"~lc
'I~u11
---'IF
~V.
~li.h
~co-rc1a1
-l-t/r _' of tlniu ---Jf/B
_lDduat. ...-Swia. Pool _0tI;ae~
nol'OSBD USB; ~iaa1e '.ib'
lteablUlIlt I Bwth DepartaeDt Approval
DISCRIPTIOI 0' -..K.l Reroof
IUILDDG IUI. 29 I
8~
Square Feet, r 15' aei8ht
Bl81DBII'tlAL; A'I"IACIl (2) PLO'l' PLAIlS I: (2) SETS or BU1LUlIG PLAItS' (1) au aaar roNIS.
OCJIIII8CIAL; AftACII (3) 8BTS 0" BUlLDDG PLANS a (1) SBT BJIIItGY POlIHS.
PIOPIIlTY SURva UQUIJlBD roa ALL nw COISUUCTIOH.
\
pDMlTS lIRnllM'I'RD
--JUlLDlIG
S $12.250.00
ValuatlaD. of total COD8tructlOll
m.acno.C&L
-ANP Service
~lol:ida Pow!:' CoQ.
W.I.B.C.
~
---PIJMBIIIG
..
Valuation of lt8cb8nicallDltallatioo
~ ..
~
GAS
llOOPllG
SPlClALn
Other
nil OF CXJISDIJQTI.OlCz ____lock ---1nae -8t.eel
I'T.
IS no.JB(1f U fLOOI) ZOII AlIA'
ruIS8ID n.aoa ILBYAUOJS:
111
-
10
..........................................
_nlB_
Sl_~ ~frJ
mNTJIA,moR SRC'J'Tn.
. \
OC*PAIIY National Skyway Roofing Corp.
~ Sute Cart. or "Siat.' c.c. C04~~ I ,
City Llcease l.e.iatratlOCl . -"'
....... .... ............................ '
S4--.htrA
cottlAft
State tel't. or ..,let. .
City Lic~e ...iatratioo"'
..........................................
'R .wt!I'II'ft!T All
~
T
OOIIPAIfY.
state cart. or Realat. t
1 City Lic.... ...latration .
..........................................
lit.......
SiaaabKe
,
.~
'j
,
COIIPAIIY
State cert. or "silt. .
City Llcenae aeaiat-catioa .
..........................................
119'000r..Atf
SlaDatun
OOIIPUY
state Cert. or Ileal.t. .
City Llceue bautratiOD. . --.
..........................................
rrt1ID
SiaUtute
AFrL1CATlOII AJnOYBO II
PDIIl't ornoa.
_ -.-- _ .- _ .- -.- --- ~--- -- _. _ --- -- ..-
AF-'R-l':;l-' ':35 TUE 10: 1:::: I D:
TEL tl[':
tf045 F'02
.....~.. _..~.....~ ,.......... ....
CONDITIONS or PERMIT AFPIDAVIT
A. NOTICE~ DIED RJSTRICTIONS
. tIDI1Irilplll1 tub tlaat ~II putlt MY be .ubJect to ~411d rutrlctions" ,bleb ., be lOre r..trleU" tbua Cltr
ngaJ.aUa. D1111G1nlf*1... reapalbl11tJ for lDIPl1l1lCI .ltb IDY applicable aeea reatr1cUOII.
B. UNLICEHSBD CORTRACTORS AND CONTRACTOR,RBSPONSIBILITIBS
If tlIe IJIIJ8t bu bind . _tractor or contractor. to undertab work, the, II' be regulnd to lle UCtDlIG II actOr41Dc:8 with
ltlte eacJ local ngultUClftI. If thl CODtraetor i. not Hewed 18 rlQUirtd br In, both Ule __ ID4 CGIltrlCtOr ., be
cite4 for a .lad__r ,1ol.UOD ua4er .tate law. If the owner or Intll1c1td contractor are uncertdD u to ....t Ucatlag
rlllir_ta .f IpplJ for tJae iDbmded .or", tber lIa Idvltell to contact tbe City of lapbJrbi1l1ldl41DV nepm..t, (813)
'.1611.
httbenore, if tb8 OIQU baa bind a contractor or contractors, be i. advised to baY8 tbe coDtractor(.) l1ga portlOll8 of the
"CoDtrKtor BecU.' of WI tpp1icaUoo for Ibicll tbey will be rllpOnllblB. If JOU, .. t.be GlIDer lip.. tile _tractor,
J'IIO ue 1D4lcatlog that JOU, r.tbIr than the contractor, are respooaible for the IIOrk. If the COIltrlctor .1_ JW to lip
. CUDtractor tbat III be III iDticaUOD tllat he 11 Dot pmperlr UctDIll1u4 18 DOt entitled to pmlttlDg ptl,nlpl ill the
cltr of IepbrdUla.
c. TRANSPORTATION IMPACT FEES AND UTILITY, CONlfBCTIOH FEES
D. COHSTRUC'1'IOlf LID LAW. (CHAPTER 713, FLORIDA STATUTES, AS AllBHDBD)
I c:ertlfJ tIIIt I, tIIe.eppllClllt, II1Ye beeD provlc11d .iUl a cop, of -Florida'. CODItrucUOft Lien Law . ......r'. ProtecUClIl
Gu.l"- prepare4 br till llorill DeputllDt of Igdc1.l1ture and CoRlUJer Affairs. If tbe appUcut 18 .... ok tbID the
'1MIIl'-, I cetUfy that I 11Ift obtlIDed . CClPJ of the Ibm 4ucdbed c10cIIIent and pflalae iD good faltll to aa1111r it to the
....' prior to ~~t.
B. OONTRACTOR'SlONNER'S AVFlqAVIT
I Clrtif, thit III tIaI .tnfOl'lltloa in till. application ia accurate and that all IOrl will be done ID _IHCI wlUld1
."Ucable 111II replaUllg IDIItncUGl, ItGIDg, an4 110(1 ae,elopllllt.
Application i. berebJ .. to obtallll perlit to do work ID4 installation u iD4icated. lemUr tJlit DO IOrk or
iDlta11atioa baa ~ prior to 1l1aaac. of . penlt ID4 that 111lOr1 ,,111 be pufODld to _t ltu41r4t of 11111n
tegulat1D9 CODItrucUCIl, cn, codu, .Oft~ regulations, 11\4 IPC1 de,elOpMDt ngulaUo. In the ,urlldlct1C11. I &110
c:erUfJ tIIIt I UD4entaac1 tbat ...... regulatlODl of other fOyeruenW aglDCill .y appl, to the lDt~ ..1, IDI1 tIIIt It I.
I! r.paiblUt, to 14IDtifJ wllat tOUODl I IUIt tab to be ill COIpllancl. Buell ageDclll lnclucla but art DOt 1111t14 to:
tf!llrtl-eDt of IIlflnMltnta1l~at''!! - Cypr... Barhuda, W.UIU1c1lttu and lawlrOlll8lltallJ I_lUte LaD4s,
Watu/Wlltnlter fr.._t
t IoutJltelt Flori.. lltar lIiIDIa_t Di.trlct - "IUI, CJprua Barb.ads, Wetland II..., lltering later~
t - of liiIrI .. 181II111, Docb, la,lgable ..tInsfI
t t of lItlUle 8micu IDdtoDllDtal Realtb Unit - lIe118, IIutlllter Ir...t, Septic I.
a 1I1DY1r.-tIl ... ,IQtlICJ .. llbutoe IbIt_t I
I a1Io certlfJ that, if flll llterl,lll to be \I8ec11n Plood IoDI -.- or 'I,ate.', it il uD4eratood that . drllDage pllD
"'119 . .~t1Dg toJ_, will hi ..Itttel which is prepared by . profeaaioul eaglul. fl9l1tertd ID till State of
Floda prior to ptII1 t 11IIIIlCe.
I penit i..~ Iball be cautrue4 to be a license to procled with the IIOr1 and not 88 authority to dolata, CIIICIl liter, or
lit aside DJ prod.lou of till tdDlcal COlla, DOl' lball iS8uance of a penit pr"lnt tb8 Bul1d1Dg Offlclll frcll tllenaftu
~ naur1ng I cometiCl1 of errorl in pIa, CODIUuCtioa, or YlolatlODf of aD, coc1e. .YII'J penlt l..ueG ..1 ... walld .
111I1.. the .or. autllorllll1 br auch pmlt 11 ~ t11tbin .flatu of llll1aDce, or If IOrk autbodle4 br tba palt I.
IUpI!ll1Id or IbInl1aDtl1 fot . peri04 of Iii IDIlthl .(tar tile till the wrt 1. ~cea. ODe '0 &if ataSaa Of u., ., be
allORd for the pemt ,itb '" charve of '15.00. file eat_Ion shall be rlQUllted in .IUng to tile 8u11411lg Offlclll. In
, IPPI00ed lD8pect.iCII at be loggect clUing ucb IlIlODtII perloc1, or the project will he cou14erec1 ......
_J.G fO (MJJI: _ rur.ua ro IICOID AIOI'ICI 0' alllDCIIlBtff JIlY DIUL' III lOOR PIIlIIG BleB fOR ~8 to YCIJI
ram,. I' 100 IIIIID to (11m 'IUlCIIS, COII8DLr VIlli _ _II OR IJIlft(IDY 11M RICORDllfG IOUIIOfIQ 01
cmat'DIIIrI'. Jt18 tIDIItZ,5GO U 'ILUI DO JOt IUD to RICORD lID POSt I lJOrIC! or ~'.
~I?~
11&11I_: MIl II ~ 81;0_: CCIDICrOI '
IIItI 01 PLCIlDl
caam or
!be foregoing ID.t~t .ae acknowledged
before .. tbi. , 19_ by
S'IH 0' MlOA
COUIrY or Hi 11 sborouqh
The foregoiDg iDat.t'Ull8llt ... aClUlowleclge4
before .. this Aorj 1 12 , 19 95 by
Louis R. Colangione
who i8 per.onally mOlll1 to _ )ti*,Oiiti~~
-~
as identificatiOD and .bo :am/did not "" T
t.k~ ~ "-
(Signat .) -J v ';1 ~
Mary T. Hugbes
(Nue TJped, Printed Lor 'StMPed)
ROTARY PUBLIC
,
~~r;::.,,,
1~1:""~"
i:.€ ~:i
~'... .t1j
-..~~
MARY T. HUGHES
MY COMMISSION. CC 401834
EXPiRES: January 27, 19ta
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