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Home My WebLink About95-5292 BUILDING ~ ~ tJ7J -.-. ~R'CA~ PLUMBING P<operty Owne' _ ..90~J;,,,,7,uvLJ Job Address: ~ ~ lJ.3 BUILDING PERMIT'- CITY OF ZEPHYRHILLS Permit N! (813) 788-6611 ...s --S~~ ~ Sewe, Conn {~529211 Date /0 -/0 -F~- Water Conn: Parcell.D. # Water Meter: T.I.F.'s: Zoning: Description of Work , Energ~e: /fIe!:J a~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL -1 C!J ",r Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector 7/ Permit Fee Signature Company Address Telephone# ~-.u-o ~A.L'~~ Valuation or Contract Price ('5 c9...<.S."(J. c:ro City License Registration # State Certified License# (~~~?;L ~d 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. APPLICATION fOR PERPUT CITY OF ZIl:PHJRRI US BUTIIJll NG DIf.PARlnmiT OWNER'S RA"E Drake's Restaurant PRONE 783- 7373 OWNER' S ADDRESS 5203 Gall Bl vd . JOB ADDR&~S 5203 Gall Blvd. 1.F.<".A.L DRSCRIPTION: wr(s) RI..ocK SURD IV IS ION PARCEL 1. D. t WORK PROPOSED:_lIev Construction _Addition ----X-Alteration _Repair L-Install _Sign _lPIove _DeIIOHsh PROPOSED USE: Single FMli1y _"'F _, of Ulnits _Kin _~rcial _Indust. _Swi.. Pool Other _Restaurant 5- Health Depar~t Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COHftHRCIAL : ATTACH (2) PLor PLANS 5- (2) SEIS OF BUILDING PUWS 5- (I) SEI' ENERGY FORtIS. U ATTACH (3) SETS OF BUILDUi/G PLANS 5- (I) SlIT Hfill'RGY FORKS....... ......COPT OF CONTRAct RE'QUlRED. PEmIlTS REQUESTED _BUILDING -LELECTRICAL L.JiEt.'1IANICAL $ Valuation of Total Construction MlP Service Florida Power Corp. W.R.E.G. $ 3d50 .00 Valuation of Hechanica.1 Installation _PLlJPtBING GAS ROOFING SPECIALTY TYPE OF GONSTRUcnON: _Block _Fr~ _Steel Other FINISHED FLOOR ELEVATIONS: FI' . IS PROJECT IN FLOOD ZONE AREA? .............................................................................................................................. YES NO C05I'RA(""IOR SE(..'T ION BUILDER COI!fPMY State Gert. or Regist. , City License Registration t .............................................................................................................................. Signature ELECTRlGIAB CUlPADIII',k;L:t44k'<? C/Z~'f-rc h'rcTA?/c ~.AJ7. =/1 /) /"1 Stat.e Gerl. or Regisl. , Silnlature ~ .~-X L. L ~ f City License Registration , 7.z ~ ' .............................................................................................................................. PLUltBER CQltPAJi'y Stale Gerl. or Regist. , City License Registration t .............................................................................................................................. Signature flEaJAlflGAtt ~-~.~. '. COItPANY Craddock's Air Condi tionina -~ ~==- .. ~~. /..b State Cert. or Regist. # RM0019937 Signatur~-t"': ~-<=- CUy License Registration # ...'5:q ............................................................................................................ {/ OTHKR COItPANY State Gert. or Regist. , Signature City License Registration , ............................................................................................ 7/ APPLICATION APPROVED BYPERKlT OFFIGER. CONDITIONS OF PERMIT AFFIDAVIT A. t.::!OT I CE OE.__DEEI:L.R~E.JR I CT ION!::> The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assu.es responsibility for COMpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CqNTRACTOR RE;.SPQNSIBILITIE!;i 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 misdemeanor violation under state IaN. If the ONner or intended contractor are uncertain as to what licensing reQuirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (913) 798-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor Sections" of this application for which they "ill be responsible. If you, as the ONner 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. {' TRANSPORTATION H1PACT FEE~L{")ND UTJ.!-Ir{J,:~.ON.t.::!.ECIJON FEE.~. D . CONSTRUCT I ON L I EN ,=-AW (CHAPTER 713, FLOR I Df't ST A TUTES, (is AI'1ENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien LaN - 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 dOCUMent and prOMise in good faith to deliver it to the 'owner" prior to cO'lencelent. E. CONTRACTOR I S/m'JNfR.~::;___0fF::J_P..f"!.."'.LL I certify that all the inforMation in this application is accurate and that. all work will be done in COMpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cO'lenced prior to issuance of a perlit and that all work will be perforMed 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 govern.ental agencies lay apply to the intended work, and that it is my responsibility to identify what actions I lust take to be in compliance, Such agencies include but are not lilited to: . Depart_ent of Environ_ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater TreatMent t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses f Ar_y Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Depart.ent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks . US EnvirDnlental Protection AQency - Asbestos abate.ent I also certify that, if fill .alerial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e" Mill be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the Mork and not as authDrity to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every per_it issued shall becole invalid unless the work authorized by such per.it is com.enced within six .onths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six months after the time the work is cO'lenced. One 90 day extension of ti,e, .ay be allowed for the permit 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 .onth period, or the project will be considered abandoned. HARNING TO OHNER: YOUR FAILURE TO RECORD A NOTICE OF connENCE"ENT nAY RESULT IN YOUR PAYING TWICE FOR InPROYEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", SIGNATURE: CONTRACTOR SIGNATURE: OHNER OR AGENT was acknowledged 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this .-Jas acknol-Jledged , 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 Dr who has produced as identification and who did/did not take an oath. (Si gnatLu-e) (SignatLli-e) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC