HomeMy WebLinkAbout95-5162
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C:;:UILD'NG..-_'2
BUILDING PERMIT 0-
CITY OF ZEPHYRHILLS Permit N ·
(813) 788-6611
. I.
"7 -5162,t;
e,- /-9~-
Date
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I. D. #
Zoning:
Description
(j-fi/~~~ ~~
Water Meter:
T.I.F,'s:
"
NO OCCUPANCY BEFORE C.O. \.
Complete Plans, Specifications and Fee Must ACC~'t.~?PPlication.
All worl< shall be perfo,med;n acco,dance wkh C; '~~l1ances.
N~ Permit Fee
("~ ~ Signature
V Company
Address
Telephone#
FINAL _
C.O. _
DATE
DATE
Inspector
City License Registration #
State Certified License#
II/?~
,
Valuationo~ ~i. DO aL-
Contract Pnc 1';;
~J Of-~
BUILDING
4/L9;0~
ELE~-'
-
PLU.-M8ING
----
MECJ:lAMtAL/
Breakers
Ducts Ins!.
Compressor
Final
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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 ($15.001 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.
ZCCL PBl, PG55, POR TRS 73,88 & 89
& POR LOT 8
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTKERT
Concire, Inc.
OWNER I S RAKE
PHONE
Suite 2 , Zephyrhills, FL 33541
(813) 783-8490
7335 Gall Blvd.
OWIiER I S ADDRESS
JOB ADDRESS 7348 Gall Blvd, Zephyrhills, FI
33540
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.' 35-25-21-0010-08800-0000
BLOCIL...-SOBDIVISION
(OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Construction --Addition -lUteration ____epair _Install
_Sign
--lIove
-Deaolish
PROPOSED~E: _S~eF_i~
--.Jf./F
_' of Units _K/H
_~ercial
_Indust.
_Swia. Pool _Other
____estaurant &: Bea1th Departaent Approval
DESCRIPTION OF WORK:
BUILDING SIZE:
x
Square Feet.
Height
RESIDEIITIAL :
COMMERCIAL :
ATTACH (2) PLOT PLARS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKITS REOUESTED
~UILDING
_ELECTRICAL
$
Valuation of Total Construction
AIIP Service
Florida Power Corp.
_W.R.E.C.
----1IECla:AN1GAL
$
Valuation of Hechanical Installation
-PLUMBING GAS ROOFING
TYPE OF cONSTRUC'l'ION: _B1oclt _Fraae _Steel
SPECIALTY
Other
FUlSBBD FLOOR BLEVATIOBS:
FT.
IS PROJEct IN FLOOD ZONE AREA? .
.................................***.*****
YES NO
Blrrl.DER COHPAIiY
State Cert. or Regist. .
Signa City License Registration .
.*.***...**.*************...*.*.**********
CQNTRAClOR SECTION
COMPANY
State Cert. or Regist. .
SignAture City License Registration .
.******...**********~*********************
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration f
*...*.**..********..*.******.****.********
KECHARlGAL COMPANY
State Cert. or Regist. f
Signature City License Registration .
.*.*...**.********.*.***.*****************
OTRF.R COMPANY
State Cert. or Regist. .
Signature City License Registration # ____
.*.*.*.*...*.************....*...*****.*.*
APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this perJit lay be subject to Ideed restrictions" wbich laY be lOre restrictive than City
regulations. rbe undersigned assUles responsibility for 'COIpliaoce with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
regoireJents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart:Jent, (813)
788-6611.
FurtherJOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
IContractor Sections I of this application for whicb they will be responsible. If fou, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that laY be an indication that he is not properly licensed and Is not entitled to pemitting 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, have been provided with a copy of 1'lorida1s Construction Lien Law _ HOIeOWDer1s Protection
GuideR prepared by the Florida Departlent of Agriculture and Consl1ller Affairs. If the applicant is sOJeOne otber than the
.owner", I certify that I have obtained a copy of the above described docuIent and prOJise in good faith to deliver it to the
.ownerl prior to COlleDCeJeDt.
E. CONTRACTOR1S/OWNER1S AFFIDAVIT
I certify that all the infollation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developJeDt.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has COIIeDced prior to issuance of a perJit and that all work will be perfoIJed to aeet standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goVerDleDtal agencies JaY apply to the intended work, and that it is
IY responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Vater/Vastewater TreatJent
t Southwest Florida Vater HanageJent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, lIavigable Vaterways
t DepartJent of Health' Rebabilitative Services, EovirODJeDtal Health Unit - VeIls, Vastewater TreatJent, Septic ranks
t US EovirODJeDtal Protection Agency - Asbestos abatl!llellt
I also certify that, if fill laterial is to be used in Flood ZOne IAI or "A,etc.., it is understood that a drainage plan
addresSing a NcOlpensating volUle. will be subJitted wbich 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 sball issuance of a perJit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball becOle invalid
unless tbe work authorized by such perJit is COlleDced within sil IODthS of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of sil IOnths after the tille the work is CDllenced. One 90 day eJtension of tile, Jay be
allowed for the perJit with fee charge of '15.00. Tbe eJtension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during eacb sillODth period, or the project will be considered abandoned.
WAIDfING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIIIIBIICBNiIll' HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMIlIII'S TO YOUR
PROPERTY. IF YOU INTEIID TO OBTAIN FIIIAIICIIIG, COIISULT VITH YOUR LBIfDER OR 111 AftOHm' BEFORE RBCORDIIIG YOUR H'OTICE OF
COMMENCEMENT. JOBS UNDER '2,500 III VALUE DO HOT IfDD TO RECORD lIID POST A .. OF C CBHIIII'I.
STATE OF FLORIDA
coom OF
The foregOing instrument was acknowledged
before me this , 19____ by
srATE OF FLORIDA
coom 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 oc,.th.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~~
~
813-933-1871 OR 932-6690
,.,::roo: ~Bo-1871
- VACUUM /JtJ/- PAINTED SIGNS
MOLDED Y .SER~CE
~~~c SIGNS · SALES
9307 N. 14th STREET
TAMPA. FLORIDA 33612
~
CONTRACT SUBM.nED TO:
'MONt
OAT'
7/7/95
HAMf
BAYVt
JOI NAM!'
RANT
$IUff
Town View SC
Clllepbyrbil18
$1 '1i .
STun
STAff
lw' O. "AN'
We hereby lubmit IPecificationl and ..timat.. for,
labor and aaterial8 to furni8h and in8tall (1) set of aetal channel
letter8 at above locaton, a8 per our layout8. Letter8 to be constructed
using plastic faces, acricap tria, aetal returns and iuternal illusination
U8ing neon tubing.
Sign to be installed coaplete using raceway in8tallation,
read, for electrical connections ., others.
BAYWINDS (logo style) lAKILY RESTAURANT (24-)
".
$4889.00 plus tax; perait8;
sign in8tallation to be co:ordinated with landlord and
City of Zephyrhills;
(W. h.'.", ".,'.'. '. lu,..i.h I....' ...11 III...,i.l. - c....'I.,. ill .n.,lI."c. wi'h .h. ...... 1,.eille.Ii.".. I., .h. IU'" .t.
1I.II.flfS 85182.34
coapletion,
~
I ..i.~ ,.,......... ... ...11. .. 1.11.01"
iol it IUO,o"...d '0 Ii. o. .p.ciliod. ...." .. bo co",,'.'.d I" 0 "0'."'.'" 0 IftO"".' oece,di"1I .. Ifa"da.d p,actleo., A",
ol!..a';o" .' d..iatio" I,.", obo.. Ip.elfie,,'io"1 i"..lvi"1I 0"'0 c..It. will bo o..e:r..d o"'y UPO" ..,;!,." o,do,1, e"d will b.co",1' ." 0"'0 ct..'II.
ave' a"d .ba.. 'ho o.Ii.....o. AIf Oll'.."'."" c,,"'I"!lon' upon ."i.... oe eide"'1 0' d.'oy. b.y.nd.u CO "01. 0 "0' '0 '''''y 1100. 'o,na o"d
n :~. n.C.lla' .u,a"c.: floc',i",' hoab, by o'ho,.,
~ .....'h.'i.." Si'ft.'..,.
NOff, Tho. ........
d.,.,
l'ttrpbnu. Df Glcmtrad
The above prices. specifications and conditions are satisfacteryand are hereb~C te. f colle on is made by sui I or
otherwise, I agree 10 pay interesl until paid, also collection cosls. including a rea ~ bl ltor s fee. re authorized ~
. -'- "'A ...no. :II!: soecified. paymenl will be made as outlined above. i
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