HomeMy WebLinkAbout95-5328
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'BUilDING PERMIT..
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
;-'5328. /J
I r9.- ~.-5 ~
Date / 0 - r;;J...!:,.'- -9-5::,,-
BUILDING
.s?-SiJ
ELECTRICAL
3.5 '.. OV
PLUMBING
;2.0. o-D
MECHANICAL
Sewer Conn
Water Conn:
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Property Owner: ~ .
Job Address: 3<f-/..3~, . !
Parcell.D. #
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
_E?frg,y Cod~;_ 1 ;::ras:
fitL~ 7{-'hP,,/ .
,
NO OCCUPANCY BEFORE C.O.
FINAL I J.-. 2
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee 2. d-O ' tfV
Signature CJ~' &.n.A ~'l~
Company
Address
Telephone#
Valuation or
Contract Price
)3 9'-s (J. iID
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City License Registration # ;Z 6 ,
State Certified License#
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BUILDING
ELECTRICAL
.- ~+~--Yb ~~Aa ~6(f1
PLUMBING MECHANICAL
-
SLB 10-2../0' f~ ~i.U-
.
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM. 10.31- Cj.!r ddL-
Insul. CL
Wl
Tp. Servo
Rough In l'b-Zb'~' ~ ",~
Meter Can
Const. Pole
Pool
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.
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3'3135 MAttjl~..,5fITY OF ZEPHYRHILLS CONNECtION FEES TABLE A - WORKSHEET
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j~to\L ~il-I)c.)L'(
ORD. ~395/RESOlUTIONS 312/372 WATER $1.75/GAllON SEWER $6.39/GAllON
RESIDENTIAL (Each lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131.25 479.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
Water Closet 131. 25 479.e~
Urinal 87.50 319.50
lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1,278.00
Washing Machines-Domestic Size 87.50 319.50
Dishwasher - limited Use 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (3 Compartment) 175.00 . 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
FIXTURE G.P.D. ~ WATER SEWER TOTAL PER FIXTURE
Sinks 50 t ~-7. S' c ~11~ , 5-0 ,+01. ~ 0
Water Closets 75
Urinals 50
Lavatories 25
Tubs/Showers 50
Wash. Mach.Com. 200
Wash. Mach.Dom. 50
Dishwasher-Comm 400
Dishw.Limt.Use 60
Sinks-3 Comprt 100
Car Wash-p/st. 1 ,000
~7. ~ D 31q.5O i.fo7,o ;:.
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WATER tETER
GRAND TOTAL
407;,CU
APPLICATION FOR PEIlliIT
CITY' OE" ZEPllYRlITLLS
llUJILDIRG DEPAR'IHENT
. OWER'S NAME Florida Medical Clinic
OWNER'S ADDRESS 38135 Market Square
B~sunDIVISION
PARCEL Ln.f
h"URK PROPOSED:_OOewr Construction ---1>ddition _Alteration _Repair _Install
I
_Sign
_Hove
_DeJllOlish
1 Tenant Finish
PROPOSED USE:
Single Fanily
_KIF
_, of Units .
_M/H
-X-Coamaercial
_Indus t.
_Swia. Pool
Other
~estaurant & nealt:h DepartJment Approval
BUILDING SIZE:
x
600 :t
Square Feet,
Height
RESIDENTIAL:
COHHERCIAL :
ATTACH (2) PLOT PLANS & (2) SlITS OF BUILDING PLANS & (I) SP:l" ENERGY FORMS. **
AITACH (3) SETS OF BUILDING ~S & (1) SET ENERGY FORtIS. **
**COPY OF COan-MCT REQUTRIlD.
PERHlTS REOUP-<)TEO
-L-BUILDING
$
Valuation of Total ConstD,lction
-L-ELECTRICAL
-LJiECIlANICAL
AHP Service
Florida Pow-er Corp.
W.R.E.C.
$
Valuation of Nechanical Installation
--1-PLUMBING G.\S ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _F'raJ&e _Steel
Other
FIHISHED FLOOR ELEVATIO~S:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
********~******************************~*.
CONTRACTOR SECTION
BUILDER Kevin T. Roberts ~)ANY General Home Development r.orp
. ~~ State Cert. or Regist. , CGC005695
Signature ~ T ~1t.JJu.l~ity License Registration I 267
* ************x**************************
COHPANY Martin Electric
State Cert. or Regist. ~ ER0013449
City License Registration I 97
********~x*******************************
PI.mIDER Ru~~ Aven.Yril
Signature ~~(
COllPANY Rusty's Plumb;n~
~~te.. ~ert. or R~gist. f# CFC05678lif
GJ..t:)r 1.1cense 1{eg1stratioa .jt: --/..15:!::.. .
**********************~~~~**
MECHANICALIi2 ~ COUPAMyC;uL;z- ToJ~) ntH SY5.kMS
, (2 State Cert. 0(' Regist. i1 . .
Signature ~ . City License Registration 'I~. /_ ,,"--Pi
*~***********~*******x**~*****************
01'lfER COll.P~'\NY
State ~.d:. or Regist. 4#--.
Signature Ci~~icense Registration'
******************~~****~*****************
APPLICATION APPROVED BY PERlfiT OFFICER.
. . . cor'lD I T IONS OF PERI'1I T (.\FF I Df'l',) 1 T ,
A. NOTICE OF DEED RESTRICTIONS ,
The undersigned understand~ that this p~rlit .ay be~ubject to "deed restrictions' which lay be lore restrictive than City
regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACT(~S AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or c~ntractors to undertake work, they may b~ required to be licensed in accordance with
state and local regulations. If the "contractor is not licensed as required by law, both the oliner and contractor uy be
cited for a .isde.eanor violation under state law. If tne OHner or intended contractor are uncertain as to what licensing
require.ents lay apply for the intended :Iork, they are advised to contact the City of Zephyrhills Building Departlent, 18131
788-6611.
Furtherlore, if the OHner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
'Contractor Sections" of this application for which they will be respohsible. If you, as the OHner 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 Gay be an indication that he is not pnperly licensed and is not entitled to per.itting 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 - Ho.eowner's Protection
6uide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"OHner", I certify that I have obtained a copy of the above described document and pro~ise in good faith to deliver it to the
"owner" prior to COI_encelent.
E. CONTRACTOR'S/OWNER'~ AFFIDAVIT
I certify that all the infor.ation 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 per.it 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 Hork 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 govern.ental agencies lay apply to the intended work, and that it is
IY responsibility to identify Hhat actie':is I lust take to be in cOlpliance. Such agencies include but are not nliled to:
, Departlent of Environlental ReQulati~n - Cypress Bayheads, Wetland Areas and Environzentally Sensitive Lands,
Hater/Wastewater Treatlent
, Southwest Florida Water ManaQeaent District - Hells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
t ArlY Corps of EnQineers - Seawalls, D~~ks, Navigable Waterliays
, Departlent of Health L Rehabilitative Services, Environlental Health Unit - Hells, WasteHater Treatlent, Septic Tanks
, US Environlental Protection AQency - A:bestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,', it is understood that a drainage plan
addressing a "coGpensating volule" Kill be subaitted 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 Hork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a per_it prevent the Building Official frol thereafter
requiring a correction of errors in plan~, construction, or violations of any code. ~very p~rlit issued shall becole invalid
unless the work authorized by such permit is cOIGenced Kithin six months of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of SIX lonths after the 'the the work is CO&llenced. . One 90 day extension of tile, aay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An
approved inspection lust be logged durin~ each six month period, or the project Hill be considered abandoned.
YARNIN6 TO OWNER: YOUR FAILURE TO RECORll A NOTICE OF COMMENCEMENT MAY RESULT III YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINAII,:IllS, CONSULT WITH YOUR LElIDER OR All ATTORNEY BEFORE .RECORPINS YOUR NOTICE OF
COMXENCEXENT. JOBS UNDER $2,500 HI VALUi: DO NOT HEED TO RECORD MID POST A "NOTICE OF COI1MEUCEIIEIH".
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I NATURE: COHTRACTGR
, ,
STATE OF FLORIDA P.
COUIlTY OF Q.. S c...o
The foregoing instrument
before me thisG?ctl '3 .
was acknowledged
r
, ll/li- by
j ~~t- .B 14...L.-1<.-~e..LL..
who is personally known to me or who has
produced
as identification and '-lhc. did/did not
take ~ c:2. ~.
(Signa ~e)
J~ (Lr bd.~t. {i. a tl ;-~~
,(Name Typed .
NOTARY PUBL
B...RB"'''''' A. ...LLIION
Not.ry PuIIIIG, It.t' o~:l;~d.
My Comm. bPc' '?\.~'40
Comm. No. CI ..
,,~. '"l
STATE OF FLORIDA ~
COUNTY OF ,- tl.S c... () _
The foregoing instrument was acknowledged
beTct\-e me th i s d>c-t- \. ~ , 19 U- by
~ G.-Y''L-T- aJ a... C-, k l JJ e- LL-
~ho is personally known to me Dr who has
produced
as identification and who did/did not
take an or'~~~ gL~
(Signature) ,
oB t1. riM. '^, r; _ Q / {,'-So Y\..-
(f\l-ame Typed, F'd nt
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CIC:T-25-"==-5
T H I_J
1::;:;: 54 c;Et--lERAL
HOt"lE
DEVELOPt"lEt--lT
F" _ ...::;:...:.2
Damel C. Bourassa
3111 Fielder
Tmnpa, !torida 33611
(813)-837-5575
October 25, 1995
:Mr. Roy Burosi~
City Building Official
ZepyrlllUs, Flot'ida
?~ft0~
Re: Zepyrhil1s M.edical Center
Dear Mr. BlJt"l1Sid.e
As requested, I am aufuorizing a change to the plumbing rock and vent on the above
mentioned projed to the fol1O'"~ving sysmn. The toutractc>t "".m insWl a 3" under the
counter island \vasU in tieu oftbe 2" vent through the Nofas snOVvn on the plans.
Please call ~ at the nurtlber listed above if this revision does not meet your
requireroemS.
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