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Home My WebLink About95-5284 ,). S -.!>- . (JlJ GLDIN~ PmpertyOwne, ~~ 'D Job Address: 73. - -" m Parcell.D. # <..3f-r2...<;--rJ/- O[)CJ 0 - l) I:l ?OO- OJ).;l.. D BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit II! (813) 788-6611 3. en) ~o/ Sewe' Conn 1-5284/J J/.llV ~R;:S; Date / /? -6 --9 ~ PLUMBING Water Conn: Water Meter: T.I.F.'s: Zoning: FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C;O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# /-J~ 9 Permit e Signatur Compan Address Telephone# Valuation or Contract Price -:? I. t)7J-v" c:r'D '" ()1 i'~ BUILDING &ff t'JAtA t~-r;,~ ~ -.l'C5f'i'~ ELECTRICAL/-.S b-3 ,PLUMBING S-61 MECHANICAL Ftr. Pre SLB Lintel FRM. ID~ /2-.l) 5' lUlL- Insul. CL Wl ~.~N. S~ Rough In If) .-1L.-4) jj{(L-- Tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter 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. CHOR CONSTRUCTION OF TAMPA, INC. 4501 WEST OHIO AVENUE . SUPERMARKET SERVICES OF TAMPA FIXTURE CRAFT TAMPA, FLORIDA 33614 · 813-879-8685 BAY AREA €lEGRIC & REFRIGERATION ALL TEMP OF OCALA October 4, 1995 City of Zephyrhill~ Building Department To Whom It May Concern: I, John More', hereby authorize Jack Benschoter act as my agent to obtain an electrical permit, for the location as follows: Kash n Karry Store #728 7325 Gall Blvd. Zephyrhills, Fl. Thank you for your consideration in this matter. Very truly yours, BAY & REFRIGERATION Jack Benschoter ~day No ",~y P(j OFFICIAL NOTARY SEAL 0" , 6'<..-- TRACY EDWARDS ~ \II ~ COMMISSION NUMBER ~ . "~.q: CC199681 "1-- ,:f MY COMMISSION EXP. OF F'-O M,A. V 10 H96 .L___..-............._~_...,_..._.........~~..,.,.,-.~:.....:~...'.'""''''_ 4501 WEST OHIO AVENUE Bag flrea Electric and Refrigeration, 'tt(!. COMMERCIAL · INDUSTRIAL TAMPA, FLORIDA 33614 (813) 879-8685 24 HOUR . BONDED SERVICE . LICENSED · INSURED Dc'to b(,?'(' ;3, :I. '3 ':~!.:'j City of Zephyrhills Building Department ~:.;aa~'.'.i Elth St'('e~:~t Zephyrhills, Florida RE: 1st. National Bank Build-outs Kash n' Karry >>725 71a:l. North US Hwy 441 Oc,:\ 1 ,;\ " F 10'1' i d ,:\ Attention: Permit Division To Whom It May Concern.". Please accept this Benschoter, Social agent on my behalf, permits and local referenced above" a P 1)'I'ee i <;yced . letter as my authorization for Jack Security Number 266-56-0344, to act as an as required to make application and secure a licensing for the projects and locations You cooperation in this matter is greatly F~~?~; p€-~ct fu 11 Y l~ ... "-;;.i:;:'....i{;~.;:~';;'~~i:;'-;;'t'~~~;:....,_...., .....,....."....,.......... I nc" ." S" 266-~:i6-0~s4't Swo'l'n knClwn rd day of October, 1 '3':35 , and .........--...............-...---.....-.-....-----.--.....--..-....-..----....-.--.-....-...-.--............... ,(I. I T y- _"h_ ~O\n~ (':~' TRACY !DWAR~:AL ; ~~J ~ COMMJI"ON NUMBER ~ ~ S ". IHH UC581 (':' 0,.: F\d~' My ~~tJ!M'~~ION UP, . MA '1.s. 3t\Nf\ iN'T&.rttcA.. ~~o\f /tTi e.rJ 17~1 ~i1)r4 3- Jt\PrJUC'1 , '73 Z 5 ~A' LL ?:L.\f il !: :V/lWf\ ll~N;: 3 \ t O() (j) III r'! &">lL\.'>ING- i.: 'I EL\iCT7L \C i'h)l~~c; I I I 'I ili nw.t:t\f\Nil(U....:, : , ' ,.. II! /- \ ,,')rr""'L f1\'l-' ~:SvO (,) , , , U{I~l, :.~ tJ/fr. --- I:' '{c.;o 77tL- " ill'!.. ,~ 1 () I'~ 0Ch; G. '"" : , , ilJAT j~(J" ! ! tt~ liTiLf, ! : : ~-,- ! I' lGlf\ L I,' ,,"" ...,'1'1 -oj" FE, 25'~"CO S/~ N/A 3D /~ (, Iii , . I:: CCNN~CTlW (~\Z..S N/rr I.i I'! !" ~A-\)t:f'\\ E.-,(\~ 1(; rJ/f1 I' I -~rJ6 PC$LTlrli ctJ Im't11LT rrJ.--<'~ I ~ ! 1:1 ~ /) t. r ~ "'tY i.1 i II! I" I!I 'i 'I " 'i 'i 6) l F1: t.-1I/1Al 6- .)1- Fi-. oTltli..IL APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME () \., D t-.\ c., \ :l2.. €' --S H t... . , PHONE OWNER'S ADDRESS 7 ~ ; .s- -- b Q L-L ~ (1 L) L.... "'9.......>:> c:S u '-r .w. "* 2-. JOB ADDRESS '1 3 ~$" - ~ z...-L ~ 0 v Leo \J '" ......~ ~$.~ .." ~~-'LJIL ~ $"" Il-Y'<'_ -.::>"... ". LEGAL DESCRIPTION: LOT(S) BLOCK- SUBDIVISION PARCEL I. D. f 3 't - L S - :2.) - DOC 0 - 0 0 ~ 0 (j - b 0 2. [/ (OBTAIN FROM PROPERTY TAX NOTICE) ~~d;:f rHorv:;ru; Goo.::; U !,1>.. i.. ion )i... c..l.tJB ~.... i ;.\!.catiou _Repair __Install _Sign Hove _I>eaolish PROPOSED USE: ____Single Family )( CoaIRercial _-"1/ F _tl: of Units _M/H _Ind.ust. _Swim. Pool _Other _Restaurant & Health J>epar:tJl'.Iellt Approval DESCRIPTION OF WORK: .:t H ra=.1'l-' ~ l2. tii'~ D.h~ 3' >b~ S ~O"'- ~t9..'t'--I~h ~~c:.'\.'''J. BUILDING SIZE: _~._.38_~SqtlaJ_e Feet. - Height RESIDENTIAL: COMMERCIAl. : ATTACH (2) PLO.l' PLANS &: (:!) St:TS OJ! nUH.1HNG I'I..ANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF .BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED "'OR ALL REW CONSTRUCTION. e~ mmD.:s....RWlU.~:rmI! -L-BUILDING ~ELECTRICAL ~HECIIAMlCAL $_:3 (;) /98 Valuation of Total COllstruction \ -ys.>-\...c....- ) OO~~~AKP Service __.Florida I'ower Corp. blJ -- $ 2-) 190 ~gW().....\l Valuation of Mechanical Installation Z~)>T}""l. W.R.E.C. _PLUMBING GAS ______ROOFING SPECIALTY TYPE OF CONSTRUCTION: ___Block _Frame __Steel l'\".c.~_ ~~~ '5..0ther FINISHED FLOOR EI.EVATIONS :--=:::::-...:......FT. IS PROJE{;r IN FLOOD ZONE AREA? YES NO .*******~****.**.*.*~**...*~****.******.*.* .~Q!ilJ1A..GI.OR S1:;c..:UQli L'OMPANY -:p,dSlJZ.~"'\ ~ . ~\J..l?2:l>>-I- t;...~ - tM '\. State Cert. orRegist. f_ C-he.- D)...3l3,e C Hy License Registcatiou . / S-r;) 9 .**.****~.*****.*****k**.***.********** =~~ COMP^NY~~:ldl.~. Slate Ce~t. r Regist. # 0 , u e City License Registra.tion # L.>:b ******."'**************A******************* BurWER . :hx( , PLUMBER GOUPMJY Slate Cert. or Regist. # City License Registration # *******************************~***~****** COHPANY~' - (L,^-~ ~ /2.6, !L-r Stat.e cert.~'~;~t. # . Gity I.i<:ensc Registration #- j S-G <I: ***.************************************** Signature Signature OTHF.R Signature COMPANY State Cert. or Regist. # 'h. .... -", City Li';ense Registrati,on, P. *'I,!'**.,~*~."** **... *il**** *....t****. "'******,,**** '. . .." APPLJ.CA'J;ION APPROVED BY '" t PERMIT OFFICER. ; I, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to Ideed restrictions" which lay be lOre restrictive than City regulations. rhe undersigned assutes 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 lay 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 188-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the "Contractor Sections. of this application for which they will be responsible. If you, as the mmer sign as the contractor, you are indicating that you, rather than tbe 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 pertitting privileges in tbe 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 with a copy of 'Florida's Construction Lien Law - HOIeowoer's Protection Guide" prepared by the Florida Departlent of Agriculture and Consl1ler Affairs. If the applicant is s0180ne otber tban the Immer", I certify that I have obtained a copy of the above described docutent and prOlise in good faith to deliver it to the "owner" prior to cOllencetent. 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 perforted to leet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies laY apply to the intended work, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater rreatlent t Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater rreallent, Septic ranks t US Environaental Protection Agency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone IA" or "A,etc.", it is understood tbat a drainage plan addressing a .cOlpensating volute" will 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 tbe 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 frOt tbereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOle invalid unless the work authorized by such pertit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tite the work is cOllenced. One 90 day extension of tite, laY be allowed for the per.it with fee charge of $15.00. The extension sball be request~.in writing to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project wi\lbe considered abandoned. WARMING '1'0 OWNER: YOUR FAILURE TO RECORD A NOrICE OF COMMENCElfEMT MAY RESUL 1M YOUR PAYING !WICE,FOR IMPROVEMEMTS TO YOUR PROPERTY.. IF YOU INTEND TO OB'l'AIN FINANCING, CONSULT WITH YOUR LENDER nORm BE HE- RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2 50 N VALUE DO Nor NEED TO RECORD AND S 'NorICE OF NCEJiKMTu.. STATE OF FLORID~ COUNTY OF 71-J C--O The foregoing instrument was acknowledged before me this .3,-F'- ~ , 19 9r by ~/J1 €-J }I... 12:> ~ IJ f! ~/11 who is p~oQ~llY known 0 me or who has produced as identification t~h. - J1L (Signature) and who did/dffct nn:t;.) ~~ STArE OF FLORIDA~ COumOF ~U The foregoing instrument was acknowledged before me this c Y4~ J" , 19 ~ by &rl'~ &iici, 1-011 who is pers nally own to me or who has produced D t- -if G0?-3 - 076 -t{:T, _OJ-da--- 0 as identification and who did/~~ take~ 10. ,L/ (Signature) ~~~ (Name Typed, Printed or Stamped) NOTARY PUBLIC ~""".~."'.;" .-.::..~.,~~,--,.."", (Name Typed, Printed or Stamped) NOTARY PUBLIC .._~.._ UNDA D. MATTiNGLY Notary I"ublic. State of Florida My Ccmm, Exp. Aug, 20. 1999 Comm. N.. CC 4!l!717 . .... ..... , . . .-."t. . ZEPHYRHILLS FIRE DEPT ~-:2J-'/ (3 . Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name Classification Address Owner/Manager Business Phone Emergency Contact Phone Occupancy Load Alann Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY 0 FINAL 0 ANNUAL ORE-INSPECTION 0 OTHER o APPROVED ~ NOT APPROVED o COMMERCIAL CHECK OBI-ANNUAL Listed below are items which must be complied with before this occupancy can be approved by the Fire Department. o CODE VIOLATIONS This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code. Inspect. Date Re-Inspect. Date Inspect. Time Inspectors Name Fire Dept. ID # OwnerlManager Signature Title This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes. White Copy - File Yellow Copy - Bid, Dept, Pink Copy - Business ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name Classification Address Owner/Manager Business Phone Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED o FINAL 0 ANNUAL o OTHER o NOT APPROVED OBI-ANNUAL o COMMERCIAL CHECK Listed below are items which must be complied with before this occupancy can be approved by the Fire Department. o CODE VIOLATIONS This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code. Inspect. Date Re-Inspect. Date Inspect. Time Fire Dept. 10 # Inspectors Name Owner/Manager Signature Title This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes. White Copy - File Yellow Copy - Bid, Dept. Pink Copy - Business u~~u~(~u ~u~,u CA_~ Q~~ ~~~ U~'U r '~'., ! r ! '.' ., II r..:> ! BARR yit: CRIGIITON GENERAL CONTRACTOR fJCUZJ.l.all.!I 2) 1999 Z€..phltflhi.L.L4. F L!I.€.. lJepa/l.-tJn.en.t A/IN: ln4.pecto~ !John4ton Zephlt!fhUL4.) FLofti.da 33540 SIlB!Jecr; BuJ.dLn.ff 'P~i..t # 5~8lr-B Fi..M.t tVati.onaL BCJ.rLk 01- Cen.tll.aJ. FLoll.i..da. 7325 .. (falL Bou1.evalld (KaAJz & Ka.n.II.!f 5upvuntlttke.t) Ze.phn.flhJL~J F1.ollLda lJea.1I. IM.pe.ctoll. !John-:.toTLj TAu iA. i.JI. ll.e/e.ll.enc.e to the a6o\le.. capti..onM pn.oject and OUll. t€..Le.phone. conlle.!I./.!a.ti.on 0/ thiA a.fte.J/..f'l.oon. (1/2/96). Pe.IL tAiA C.OIlVe..JVla.ti.on i..t w Arjf?[[j) ANlJ tJNlJf!RSfOOiJ tha.t the lo1.1.olJ}Ln.ff 1...<1. to be done wi.thi.n. ten. (10): I. Con.n.ecti.OM. to tAe. ui...4.tUt[f {i.Il.e. /Jpll.iJJ.h1e./I. 4.fI<1.te.m to c.ompLfI wi..th code. 2. The. i..n4taliati.on ot a SmOKE. !JamOR w the VauLt 9?oom. TAw. detectoll. J 15 TO Bf.. Tllj) INTO the. ex.iA.tiJl.;j_ al..alU'll .1.fAte.m /01( KCl4h & Kafl.ltfj-. It w. alAo unde.!l.4.tood that a I!tempol!.Qf/.jJ C.O. JI wi.ll be i.AA~Hu! 40 -t.ha.t -Ole Bank Can. open on Wed.neA.da.fjJ 1/3/96 a.nd. that tliiA C. O. L-!l. r;OOlJ FrYR ONLY T[JV !JAYS, The Fi.tc.4.t Nati..ona.l Ban.'~ ol! Cen:t:AaL FLo![i..da LA att~tI.J'!j to ffe..t an. Occupati.oTl.CLl L i.c.~e a.nd CAN;l'OT do tAL!! wi..th flO1LI1. apP!l.(l"aL I WQu.ld Li-ke to ""P'eAA m!l "pp.ecLatLon /0' if"u.~e... in th/ and 4.Ln.ce..n..el.ff a.puLu[1i..~e. /011. t.I,vJ. OI'eJt4.i.~t. p.O. box 3681 uminole, Oorida 34M