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Home My WebLink About95-4921 BUILDING PERMIT Permit ~ CITY OF ZEPHYRHILLS (813) 788-6611 4921 ;1 Date 0--;1- 9-5- BUILDING ELECTRICAL PLUMBING GCHA~~ Sewer Conn Pcop'rtyOwne" ~~ Job Address: --S~ _ _ ~ _ Parcell.D. # Water Conn: Water Me!er: T.I.F.'s: Zoning: Energy Code: Description of Work\.j'~ A~.A~A./ ./ ~ Radon Gas: ~~~ /' 11/1> I f} / Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O, FINAl_.___ C.O. _. DATE DATE Inspector Permit Fee ~ Signature' cE: ~~ Company Address Valuation or Contract Price 9...5 '?J . C7() City License Registration # )1,// State Certified License# Te,lephone# ?' / g lJ'..? 1 ~;J I.J J.j '-~~ 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. ,~..' w,_., ~..,.,.",---..- ....,.~ '~'~~'-",--.,-.~-~". .~",........,~.._--_._.~-,---.........---~~"'lll' .... ~- .----- ~.... .- _ '_.~~. .-p.- .,-_.... .t.' ,;'", ';'- ..~j ~ \ f' , r FlreMasfer Master Protection Corporation 12495-0 34th Street North St. Petersburg, FL 33Z16 (813) 839-0~44 (813)573.3377 (813) 376~a522 (813) 665.4706 FAX: (813) 573-9798 AGREEMENT KATHY'S GOURMET'REST. 53Z7 GALL BLVD. ZEPHYRHILLS! FL. 33541 ;,;1""~"'l1't'''''J .1~-i~, , ..;c.~ ;'tj.~, ti '~ttkt~(~ ~ /,f '.,; . ',..... DATE, L,V' "ltx ;''-1'< ht1 .\tJ';';'Y14A"IM'.: ) MAY,:05,o'19951<)~t'9t~N'hri p" CRr8~)i '" - PII011ECllON ~TKlH. .!; ,;)';;" .::) ,'~ 2;;--:, ,/" i', ~:}f':,'''-"I ". $ (..' ~ ! . , '"'...... '- We herewith agree to perform the following work and service for you and to furnish materials and labor necessary theret~ (1) 23"' X 26" Gas Radiant Charbroiler ~, ~ ; ( 1 ) ( 1 ) ~,ange Combo, 6-burner/24" griddle w/ under broiler' '" j' \ ~ ~'lv'r" d' ., 18.5A X 19" Deep Fat Fryer ;"J)", t.;;!i,,::~f~ i'-'; 'C::<l "H,q :.1 ,.,i! .'; Any neccessary and missing parts to be pYI:;Q;':'1Chel,ll:\"'!'1')f."1th', 'listed parts. 1">,"',('\' '/:~~bor, (non~union)<:, .'::: ;;:S~:~::: 'X:"C3/4" 'or 1.") Mechanical 'Gas Valve',for t,uel.\'sh'u1{,o~t::ii:~;!;';" \,(; ,;upon,. system actuation. TO BE INSTALLED,BnO",IJ'~~'~I:J' h~'l';r' <," /.Any.,.and all neccessary dr.awings ,and "P'f:!,Fm,~~,~";r;; r;;:'~:~~::~~i:','r" . NOT ,TO EXCEED $50. "'! ; "'..", '''rl1 h' ,"6';' v\.,.,.. 'i1':'<i.' ~'one trip'to install complete system, ~~~:; tr.tr;~l'rm;,:?~,~:~.;;~!:;tJ,: to test/certify. '" .'; ;..,J '{") +I\'~~ ~',~If, if' , .. (,' TOTAL PRICE: $950.00 plus applicable tax l.l- "id TERMS: 50% :upon completion, 50% upon testin~ O~fi.cial,~"., ,.:' " to, . . ~ ~}iin!~H<l;'!;O iu! ';"'1.' :~:~ ~; i ;' i"";.~!'ln t ~; pc ,.;,,'~'~';. j,~t~.~b'j1;~<)~f'l"~ , ,:-:0\ HI{' ~,;f'!'~i ~'e,,'f~: ~,~,.....(. '~,::,'l";L~'J'~; ~ i,\ 'it:, ....n~ilr.,,:';.""i ;i~Z:;r,j,"n' "", ,....; "'! :; ,,' ,"", ~ '". ~~, ;.Z;;';~;'Vf.~tjJ :ij')'~")I~~~,","'€>F t:' ~,\ j r J' ,~ ; .. i' '~"'-f~,l_':' ~)<''-'\~) L ;PfN-Ir.Jl"\~'ht~:'83'~~~? {;~~~~1(~'~'~;'" ~ y~ This agreement shall be for an.;nitial term of one year and shall automatically be renewed for one (1 ) year andlfrornyear.to vear:thereaher, unless No either,pa~notifi~~ the other i~ writing. of its intention to terminate this" agreement, not 'Iess.than sixtY (60, days prior Wthe,xpiration of the twC original term' pi any renewal term thereof." '. ' '.:,), 'il!''IOll{', .' "'?., .$fl:~~'Ou:;i!?YI(!.l~lV(l~~YW ' , J ..' ~ '')'''1 h/.'~ .',...,.,"" ..~.ll"". r).r,~"""..1{'"'l.I"'''''~,<>4"...t\~~~.....",, ";.." 1., Receipt of COpy; C"s~er a~nowl~g~~ receipt of COPY. and that he understands all Qf thi~ ~r~flffnc!~Ier' 3, 4 and 5 .whl~:se~lfPf!h:'~V;A'~m"'lJI h!lb,lIty. ,'; ",..,:~uf;1l')OM;Tyt~~1331'W~\tmtJ.:1:l \!!'ii I r .:' 2;" Limit~ ".varTanty~' AI" fTU!terial and replacement components installed are warranted to be as specified ill a~1lClIJ lIYtJij"'1Mffl.II~urer's 'speci~i~ti~s'a~'~II:i~IU~ ma.,ufactur~r's warranty, All work in the se"?ce'and maintenance oflt~'syst~m'Il~'b!'~~",il\a work- manlike manner aCCQfdlO9 lostandard practices. Customer shall assume all risk for loss or damage to hIS premlses~tsCQJ!~nd ~t as expressly set forth herein; c.:ompany makes no express or implied warranties as to any matter whatsoever, . includitJg."WitI:I9ut:'imi~tipn..the'con- dition of the equipment its merchantability or its fitness for any particular use. Customer ac:lulo"l"ewes t~t there ~111 ~ ..eP.!'~!IJ<!tions or warranties, express or jlllpli.... wflich extend beyond those on the face of the agreement her . " ' . ,,'. ?' ,.' " .~7" ' f?,,/f'O h..-L P1082 5IlI2 IEXPIRATlON DATE ~-3-9S" ,";', "'''',,''- ""'~-7 APPLICAnON FOR PERHIT CITY OF ZEPBYRBILLs BUILDING DEPAR'DIENT , I~ f _'S - ~~ ~et OWlIER'S ADD~ 7 ~/rJl JOB ADDRESS ~ & '- PHONE a=t 3 - 7 rz - 5d-t 3 LEGAL DESCRIPTIOIf: LOT(S) PARCEL I. D.' BLOClL..-SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction --..Addition --Alteration ---.Jlepair ~Insta1l _Sign --Jove --Peaolish PROPOSED USE: _Siogle Faaily ---.Jf./F _' of Units ---.Jf./H .J:Leo..ercial _Indust. _Swia. Pool _Other ___estaurant & Health Departaent Approval DBSCIlIPITOII OF -~~/I 1&~:,,~.,t1 h~e .1jA ~M ~ {J BUILDING SIZE: X ~uare Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLAIIS & (2) SETS OF BUILDIIIG PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~UILDING $ Valuation of Total Construction RJ.RcrJlICAL AIIP Service Florida Power Corp. W.R.E.C. __lEClWlICAL $ Valuation of Hechanical Installation --PLUHBIIIG GAS ROOFING SPECIALTY TYPE 9F COIISTIlucnOIf: _B1ock _Fraae _Steel Other PDIISIIED FLOOll ELEVAnOIlS: FT. IS PROJECT IIi FLOOD ZOO AREA? ****************************************** YES NO CONTRACTOR SECTION BIIl:J.Da COHPAIIY State Cert. or Regist. , City License Registration . ****************************************** Signature RJ.RCTRICIO COHPARY State Cert. or Regist. , City License Registration , ****************************************** SiDnAture PLUMBER COMPANY State Cert. or Regist. . City License Registration , ****************************************** Signature IlECllMlICAL COMPANY State Cert. or Regist. . City License Registration f ****************************************** Signature OTRRR k COMPANY ~~~A.... ~t~~ )KA P/~A-4 I /.. t7 State Cert. or:Regist. . Signature /d~ City License Registration t '7 f? / ~ ****************************************** APPLICAnON APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'I'be undersigned understands that tbis penit JaY be subject to ldeed restrictions" "bich lilY be lOre restrictive than City regulations. '!'be undersigned aasUIeB responsibility for cmpliance "ith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIIIler bas bired a contractor or contractors to undertake work, tbey JaY be required to be licensed in accordance with state and local regu1atiOD,B. If the contractor is not licensed as required by lil1f, botb the 0IIIlBr and contractor lilY be cited for a lisdelleaDor violation under state lil1f. If the owner or intended contractor are uncertain as to wbat licensing requirelents lilY apply for the intended work, they are advised to CQJltact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheDlOre, if the 0IIJleI has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the IContractor Sectionsl of tbis application for "hich they will be responsible. If you, as tbe OImer sign as the contractor, you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor "ishes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to pertitting pdvileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided "ith a copy of IPlorida's construction Lien LaI - lIcIIeoImer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is SOEOIla otber than the lOImerl, I certify that I bave obtained a copy of the above described docUIent and prcmse in good faith to deliver it to the "OIlIer" prior to co.enCl!lll!llt. E. CONTRACTOR' SlOWER'S AFFIDAVIT I certify that all tbe inforlation in tbis application is accurate and that all work "ill be done in CCJlpliance "itb all applicable 1_ regulating construction, loning, and land develo~t. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas ~ced prior to issuance of a penit and that all work "ill be perforJed to .et standards of all 1_ regulating construction, City codes, loning regulations, and land develOpll!llt regulations in tbe jurisdiction. I also certify that I understand that the regulations of other gOYerDlleDtal agencies lilY apply to the intended 10ft, and that it is ay responsibility to identify "hat actions I lUSt take to be in COIPliance. Such agencies include but are not lilited to: t Depart:lent of EnviIOlllBlltal Regulation - Cypress Baybeads, Wetland Areas and InvirolllH!Dtally Sensitive LaDds, Water/Vastelater 'I'reat:lent I Soutbwest Florida Water Manaql!lll!llt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses t ArIJ Corps of lnqineeIS - Sea"alls, Docks, lIavigable Waterways I Depart:lent of Healtb , Rehabilitative Services, InvirODl8lltal Healtb Unit - Wells, Wastelater 'I'reatlent, Septic 'I_ I US Envirouental Protection Aqency - Asbestos abatell!Jlt I also certify that, if fill aaterial is to be used in Flood ZOne "A" or "A,etc.l, it is understood that a drainage plan ~ addressing a ICQlP8DSating vol_I "ill be sublitted "bich is prepared by a professional engineer registered in the State of Florida prior to penit issuance. A ~it issued shall be construed to be a license to proceed "itb tbe IOrk 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 fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becme iDvalid unless the IOrk authorized by such penit is COIIBIlced "itbin sillODtbs of issuance, or if IOrk authorized by the perait is suspended or abandoned for a period of sil IODtbs after the u.e tbe IOfk is COIIBIlced. One 90 day utension of tile, lilY be . allowed for tbe penit "itb fee charge of $15.00. '!'he utension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IOIltb period, or the project "ill be considered abandoned. WIIIIIG '1'0 (MIlt: YOOR FAILURE ro RECORD A 1I0000ICE OF CCJIM8IICIIIBJf MAY RlSUL'I' III YOOR PAYDIG NICE FOR DIPROVIIIIIIS '1'0 YOUR PROPD'I'Y. IF YOU IIIIIID ro OB'I'W PIlWICIIG, COISUL'I' WI'I'H YOOR DEI OR 111 A!'I'OIIDY BlPORI RICOJIDIIIG YOUR JO'I'ICE OP COMMEIfCBMBR!. JOBS UlDIR '2,500 III VALUI DO 110'1' IIEED '1'0 RICORD 1110 POS'I' A "IIO'1'ICB OF COMMEIfCllllll'l'I. SIGIIA'I'URI: COM'I'IIAC'I'OR SIGlIA!U1lI: OOER OR Am! S'I'I'I'I OF FLORIDA COUII'I'Y OF The foregoing instrument was acknowledged before me this , 19_ by 8'1'A'I'1 OF FLORIDA coom OP 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 Dot take an o~th. (Signature) (liame Typed, Printed or St~) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC I~ ~ rl ~j ...t I <f' Ii :1:'0 0 IJ1 . ~= l-oM .. (') ('"j . =M i I ('"j ~&t ffi C4 i~~ coO .~ l~ != olJ1 t;~Jz.. CI'I C) . ..: .M "'(') 5~ ......<<Q ~ hl lE: ~ .. (') l-o-Z^..:lQ 1; C4 e" M l:t:J:QUI 'D Q...:I<<~..:lZ =1 ::a: 0 ~ N a.D. <<= " ;:i~ ~~ CI ~ ~ (') QD. '<<1 U1~= I ......<<= ~ra ~ "'C4L1'l Z"'" N i~ -~::. (')=' )0 - C> 0: (l) C4UCC-..:lU !>> ~M <J:Q >- >- r-- 56,- ....<<z !;. Q I-l ...t II: . :x: r-- :x: I => :::><< ~ I ~CD ou ~ N P" (') Q=l-o~iC4~Q LC ~D. ::It'>1Zl Ti IJ1 N co l;~~g.,<<<<g.,o .... IJ1 ~ :E..:l=..:lCa.O N l-o 0'1 ~ ~C4<< <<: ...tC4 kil IL !tJ ~~ ~ I :i <f' 25- ~ l.l III .... 1 III t! 0 II) ~ :z; ..::I Cl .... ~ :; .. v ~- ~ In .... t ~I;J a! ~ Cllll ~- . ..;1 cr.,"" ~ :i !i e roo \0 " '""~ ~ ,~ ~ ~r=1 Cl'\ ~! " :z; .. III 1II~ '""i] ~I ' I Is; i~:; 81~ . u~~ I~ ;v= 8~~ - ~ Iii ... ~ I"'! III ..e I"'! etl~ ti; I j~= ~ ~lo,Dt; I :; ::a:l i V) j --..... I- Z cnw -J-> -1..... - }-,- 1J:a; j, I j APPLICAnON FOR PERHIT CITY OF ZEPIIYRBILLs BUILDING DEPAR'DIENT ~f;;;;,;~ -5=2 -7'5- . '~ --7 _'S IWII\ 1'f"~5 ~e.t OWRER' S ADD1l:SS . "c;L 7 - /S~/ JI JOB ADDRESS ~ & '- -.. PHONErT73 -7,f"Z -5Jt3 LEGAL DESCRIPTIOIi: LOT(S) BLOCK SUBDIVISION PARCEL LD.' (OBTAIIi FROM PROPERTY TAX NOTICE) WORK PROPOSED:-Hew Construction --..Addition ---..Alteration Repair .&Install _Sign --Jove ---Peaolish PROPOSED USE: _Siogle PaaUy ---.Jf./F _' of Units ---.Jf./H -dLeo..ercial _Indust. _Swia. Pool _O~er ---..Restaurant Ii: Health Departaent Approval DBSClIIPTXOJI OF -~/I ~~;Ge~ ;t://ce ~~ tf-M ~ BUILDING SIZE: X Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLAIIS & (2) SETS OF BUILDING PLANS & (1) SET DERGY FORMS. COItKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET DERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOlJR.c;TED ---..BUILDING $ Valuation of Total Construction RI.RcrJlICAL AIIP Service Florida Power Corp. W.R.E.C. __lEClWlICAL $. Valuation of Hecbanical Installation --PLUHBIIIG GAS ROOFING SPECIALTY TYPE 9P COEDUCTION: ---..Block _Fraae _Steel Other FIIIISBED PI.OOlt ELEVAnOIlS: FT. IS PBOJECT III FLOOD ZOIiE AREA? ********************-********************* YES NO CONTRACTOR SECTION Blm.DRR COHPANY State Cert. or Regist. . City License Registration , ****************************************** .Signature RJ~CTRICIO COHPARY State Cert. or Regist. . City License Registration , ************************************-***-* SiDnAture PLUHBRR COMPARY State Cert. or Regist. . City License Registration , ****************************************** Signature IlECllARTCAL COMPANY State Cert. or Regist. . City License Registration f ****************************************** Signature OTRRR COMPANY ~~.IL ~t~~ )KA..P;~~4 State Cert. or"Regist. . City License Registration' '7 y / ****************************************** Signature APPLICAnON APPJIOVED BY PERHIT OFFICER. ..... ~ r~ , I 1oO!l ~ ':'= III I =~ == :::to 1 a" 91 ~I ~~8 =,. III i i =n~ ~;a ::;:11 a!s ~I~ ~;! III 2: It ~~ ... I~ ~.. ;.... ~~ is n-- ~ n == ij III .l> ~ ~~ Ch"i CI:l.... ~ If!' IoofN \0 .... tn o.o~ 0) Ntn~ ~T f ~ PI~o-l !""li =Iooft:t (.,) 'tl ...J /Xl wr:gw t I ~ -< tlI:( Ii ...J Oz 'CI:l,. co ~~~ ~~ CIl1 '"' . N ~ = ~ I 1-1.. ~~~# Ht""Q ~ ':x:ICI:l (.,) ~ 0 ~.P~ 11 N lQtlI~ el__ Ch ~n (.,) .. t-' PI w~ ~~! '-lt3o-l 0111I ~~ [ql t-' . ?~ W:x:l w,", w w.. ""'= w 0 tn I .... .l> 0"\ ~ ... ~8 =n l1~ .. = I ! ~ I:" a d" IT! ;;I n -t -i !: ~