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Home My WebLink About95-5158 0'" )!2..,,-) ~ BUILDING PERMIT It -- . '.. CITY OF ZEPHYRHILLS ",,,m.N. 515~ (813) 788-6611 Date 1- # 9/>- ,,;' - ~~ ""~ (~ Property Owner: Job Address: Parcell.D. # Water Meter: Sewer Conn Water Conn: T,I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL 3..'. 2c, 7'" DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Permit Fee Signature Company Address Telephone# Valuation or ..) ~ Contract Price /6 J 7 ~ / . - City License Registration # / f 7 ~ State Certified License# ~~~~~ (iI,S - . -;IL~J~ ,/ _ meTAl . " . G-_ Ftr. JJ/I-9S-15a5 Mffl..l ^.~JICAt.--'.. Breakers Ducts Ins!. Compressor Final Pre SLB Lintel FRM. Insul. CL WL 1- Pf)-J Driveway SLB Tub Set Water Sewer Final gL~ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final 4; 7.P -'j 5 ~ 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT /1-1cv11 ~ :5(c:;-N +-A-GuN //'1 (?- Qo, I tY c ,/ pI< IS Cf"uA Q, '7ffM14u / 7::.tt, 3 ~':(.2.. ( ) ADDRESS &/070 I g A-i/E NORrT-f (!/.Mfi--Wt9-7~ PHONE(8'/~ 573 ---7707 OWNER...f'4.s COU'f-.(f /HJro P~7~ lIVe. J Ro. BDX ??o'K'o, LA-I<EjA-N/LAA-33 '8>W" DfS c.oUN7 A-u7<!> 'r9-I?-7S STo~'t.E. 0b-37 4~ r JOB LOCATION ~ ,LU. c.of2..1Ve12- OS3ot;! 12'Tfffit/€. LOT SIZE_X AREA SQ. FT. -::::z~ fllu-S, LEGAL DESCRIPTION: LOT(S) /:23~:"'~b BLOCK ,-~SUBDIVISIONC../7Y OF ;ze;~fI'I~/-I/2G.s;, LoTS ~~r3 ~ Ij-::2b-':::<(-oCJ/o -S6>oO -- 00 ~ PARCEL I. D .l~ Lo'r..s .3/ 4/ r <>-;7 II ,- d (:. -.,;:) 1- 00 /0 - oS'i?'oa .- 0 0 ~o -t WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~ ____Sign/Temp. _Move ____Demolish PR6fa3EV USE: ____Single Family aomme~ ____M/F ____# of Units _____M / H ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval .' ~ t)~, $~~ ~i ,~J.S. S/~~ v ~ BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.H **COPY OF CONTRACT REQUIRED. L SIMS ____BUILDING $ PERMITS REOUESTED / {, .'7.2/, ~ Valuation of Total ( , AMP Service Construction ____ELECTRICAL ____MtCHANICAL ______Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY FINISHED FLOOR ELEVATIONS: FT. --- ~ Other -:ST~/ /fL-VPJIA(VI'Y1 f- :pUE-)< I G-L/i.S , TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Signature ****************************************** . --rt-le)/J1.A-.r Jib Ir: CONTRACTOR SECTION pt<, (S C/ t....LA &- ~ ' ~ cn /4 Company ~mM S(G/'I 7 ~:UIVtW'G=! CO- (fie.. State Cert. or Regist. # ~'c;;: cocC)o~ City License Registration # j"" /~? 6 ****************************************** ~ " Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ET.ECTRICIAN Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMRER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State'Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. I.. 'I 'J ~~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to .deed restrictions. which lay be lore restrictive than" City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay 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,lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departlent, 18131 78B-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl 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 than the contractor, are responsible for the work. 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 FEES 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 Departlent 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 .owner. prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlV Corps of Enqineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection Aqencv - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone .A. Dr .A,etc.., it is understood that a drainage plan addressing a 'colpensating volule- Mill be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall 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 requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a period of six tonths after the tile the work is co..enced. One 90 day extension of tile, 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 each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKMENCEMENT "AV RESULT IN YOUR PAYING TWICE FOR I OVEKENTS TO YOUR PROPERTY. IF YOU IN T AIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YO NOTICE OF CO""EMCE"ENT. JOB UN $ 00 VALUE DO NOT NEED TO RECORD AND P -NOTICE OF COMMENCEMENT.. ~ SIGNATURE: OWNER OR AGENT .~ STATE OF FLORID~ Lf<:'. COUNTY OF (9 The foregoing instrument was ack~wledged befct}-e me this 0:;;7 O"cJLY, 19~ by keYiAJ L_ S(/l-LI tl/fAJ 1 k STATE OF FLORIDA r l~ '3 COUNTY OF ~ . The foregoing instru befc,re me th i 5 Y (Lt sc.l L-LA ~-'~ personally produced as 'fication - as aCf:p~ledged , 19~ by N. MaCIEL or Stamped) ,'-:r.~"t~., KATHERINE N. MERCIER /~iJ.""-"ii'" MY COMMISSION' CC 209050 EXPIRES ~~i. .i;i June 18. 1996 --.1>,;...... ';l IOHOEllTHRllTROY fAIN INSURANCE. IN!:, 'r"Rr.t~""'" MNDIlAL IiII.lWFORD MJI'ARY PUBUcRA1I OJI~ ~NO.~ ) ..l@~~ UP. !II,Ilr:r~ ~ ,i ~I..,..,......._...._"..;!~~~~~:=,'~~."'. ~~ THOMAS SIGN & AWNING CO., INC. Pinellas (813) 573-7757 - WATTS (800) 526-3325 - FAX (813) 573-0328 July 27, 1995 To: Building Department Zephyrhills, FL RE: Discount Auto Parts Dear Si rs: I, Priscilla G. Thomas, hereby authorize Paul A. Taylor to apply for and obtain any necessary permits for the signs/awnings at the above referenced location. vJ Sworn before me this July 27, 1995. Known to me personally ~~ MNDIlAL IlIIJII&OIl) NOrM\' PUlUCSI'ATI 01 aJMM!l8ION NO. <::x::a!tSl ~ EXP.l'!:!1.'Y.~ 4590 118th Avenue North · Clearwater, FL 34622 Discount Ruto Parts CORPORATE OFFICE: TELEPHONE (813) 687-9226 4900 FRONTAGE ROAD, SOUTH PO BOX 8080 LAKELAND, FLORIDA 33801 RE: store # Address 5637 Gall Blvd., Zephyrhills, FL 54-R BUILDING DEPARTMENT By this letter, Discount Auto Parts authorizes Thomas sign & Awning Company, Inc. to apply for and obtain permits for the above mentioned location. Kevin L. Sullivan subscribed and sworn before me this ~I day of -S'v\ vi ' 19~. Notary Public: ~~ '--VYI ~ My Commission Expires: (3l...) I ~ J cr 9 If:":':~..-..."'-.