HomeMy WebLinkAbout95-5330
,
BUILDING PERMIT~ ;-533013
CITY OF ZEPHYRHILLS Permit - - . .-
(813) 788-6611
Date
/ j -;LJ, - 7S-
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P,operty Owne" fu.:i?' _tt
Job Address: -.A ___
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
~/~~g~A
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: : _E~~Y Code'
Description of workA~.: f-<t" =- Zj4
Radon Gas:
FINAL 12 - / i'- 5' S-
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
Inspector
DATE
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Valuation or
Contract Price .....!;'o-z:;. t'rD
Permit Fee ,:;L/) . bV
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City License Registration # if
State Certified License#
Signature
Company
Address
Telephone#
[U41 -iOf/;
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
REINSPECTlON 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.
606-885-3390
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815 P03
OCT 24 '95 17:X2
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606-885-3390
ALL STATES
797 P03
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OCT 24 '95 14:02
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Cf)~CIIRE
CIE~TE~'c;)
I~CG~
Shopping Center Developers
Friday. October 20. 1995
Ms. Tricia Hammond
AlIstates Sign
P.O. Box 24242
Lexington. KY 40524
Dear Ms. Hammond:
Please consider this a formal authorization to allow Allen Displays to pull all necessary
sign pennits for Papa John's Pizza, which is to be located in Townview Square Shopping
Center at the following address: 7250 Gall BIv~ Zephyrhil1s. Florida 33541.
If you have any questions, then please give me a call.
a~
Leasing Manager
Merchants Square. 7335 Gall Blvd. ## 2 · Zephyrhllls, Florida 33541
813-783-8490. FAX 813-783-8489
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER' S NAME CmQi ((0 C.QJ1 fers I ()t!-.
)
OIlRER'S ADIlUSS f-1etChC1fl.tS q. - '1335
JOB ADDRESS ~~5{) &(1) I 8lLJd.
PHONE [g 13) 'l83- 8 <-A 0
Gail l3lud-Zepi7ljrhl//5
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:----New Construction ~ddition ~lteration ----JRepair ____Install
~ign
---..Kove
-Deaolish
PROPOSED USE: ____Single Faaily
~ec-ercial
---..KIF _' of Units ---1f/B
_Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval .
DESCRlPTIDR OF IiORI<.ffi"iblJ ( (i) (PI X Jo I if rum. ~
BUILDING SIZE: X Square Feet, Height 3(/ sg ~ ~
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
V:UILDING
PERMITS REOUESTED
$
ClJ) , ()()
Valuation of Total Construction
_ELECTRICAL
AHP Service
Florida Power Corp.
W.R.E.C.
----1fECHANICAL
$
Valuation of Hechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CORSTRUCTIOR: _Block _Fraae _Steel
Other
p:unSHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTION
BUILDER
COMPANY
State Cert. or Regist. ,
City License Registration'
*..**.*.*......*.**...***.***.*.**********
Signature
ELECTRICIAN
COMPANY
State Cert. or Regist. ,
City License Registration .
*************.****************************
SillmJllture
PLUMBER
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
Signature
Oma
COMPANY Ai J.en
F.:? -1 ;:;p/ "- / State Cert. or Regist. ,
D~cr-~~I...-..- City License Registration'
*****************..*******************.***
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands tbat this pertit lay be subject to 'deed restrictions. whicb lay be lOre restrictive tban City
regulations. tbe undersigned assUles responsibility for cOIpliance 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 with
state and local regulations. If the contractor is not licensed as required by law, both the cn,ner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or jntended contractor are uncertain as to wbat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
788-6611.
FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections' of this application for wbicb 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 tbe contractor wisbes you to sign
as contractor that laY be an indication that he is not properly licensed and is not entitled to perlitting privileges in tbe
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, bave been provided with a copy of 'Florida's Construction Lien Law - HoIeowner's Protection
Guide' prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other tban the
'owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"owner" prior to COIIenceJent.
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, loning, and land developJent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas COIIenced prior to issuence of a perlit and that all work will be perforted to leet 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 goveI1llental agencies laY apply to tbe intended work, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
A DepartJent of BnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
Water/Wastewater treatJent
A Soutbwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
A DepartJent of Health' Rebabilitative Services, BnvirODlental Health Unit - Wells, Wastewater freatlent, Septic tanks
t US BnvirODJeDtal Protection Agency - Asbestos abateJent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood tbat a drainage plan
addressing a 'cOlpensating volUle' will be subJitted wbicb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball be construed to be a license to proceed witb 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. Bvery pertit issued sball beCOle invalid
unless the work autborized by such perlit is cOlIBnced within sil IOntbs of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of sillOnths after the tile the work Is cOllellced. One 90 day f!ltension of tile, JaY be
allowed for the pertit with fee charge of $15.00. tbe f!ltension sball be requested in writing to the Building Official. An
approved inspection lust be logged during eacb sil IOntb period, or the project will be considered abandoned.
WAMING fO OWNER: YOUR FAILURE to RECORD A IOTICE OF COIIMIICIlIlIlII' MAY RlBULf II YOUR PAYING !VICE FOR IMPROVIlIIHII'S 10 YOUR
PROPER'fY. IF YOU IIlIBND fO OBrAIH PIIIAJICING, COHSULt WIIH YOUR LENDIR OR 11 AIIOMBY BEFORE RECORDING YOUR NO'rICE OF
COHMIlICllIIHlt. JOBS UNDBR $2,500 II VALUE 00 lOT NBBD fO RICORD AND POSf A "IOTICB OF COMMENCIlIIHNf'.
s~~~
SIGIAfURE: COII'RACfOR
SfAfB OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
SfAfE OF FLORIDA
COUN'fY 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 o(t.th.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name.Typed, Printed or Stamped)
NOTARY PUBLIC