HomeMy WebLinkAbout95-5331
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BUILDING
BUILDING PERMIT --.
C P .~
ITY OF ZEPHYRHILLS ermlt
(813) 788-6611
~!J. -.5 'lJ
PLUMBING
. .
7~5331L3
-
Date I /) '.1.?- y~
.s 8: tJtJ
ELECTRICAL
.;20. lJV
MECHANICAL
Sewer Conn ~ s" 9' >. ..!J7)
Water Conn: I''Y 7....sz;
Pwperty owne:;J:'l' ~~;f ;tU!_
Job Address: ;2
Parcell.D. #..35;. d..-S-;;:l/- 6 0/ 0 .. b <f-cf'Va"- ()DL)O
Water Meter:
T.I.F.'s:
-
Zoning: ... En:!l.Y Code:.
Description of Work /::J.A'.iJ.' ~ r
Radon Gas:
/U.l/~~
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
11-
DATE
Permit Fee
Signature
Company
Address
Telephone# 7 rf' ~ b /1 ,
Valuation or
Contract Price J ~ ~. o-u
City License Registration # /...!>--...J>y
State Certified License#
BUILDING
/J1 /.~ J"-d 8J~ :..'
ELECTRICAL 75 ~6/
/J;v k~/!
PLUMBING I.!J-(;,;;J,
4~ /kJ.
'bS-
MECHANICAL A
JJlk:l~ (/~ A1JLAt/-
Tp. Servo SLB Ii:)... !JO~qs &u-
Rought;yn~"- 3/-9S' fJdBTub Set
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
Ftr.
Pre SLB
Lintel
FRM. JOJ3/- qS B,Ll-.
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
-9-:3q~(Vl.
Driveway
.
~
~Udj
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:
Final
~ 1'-\5"....~j'"~
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 PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
PHONE
(813) 783-8490
OWNER'S NAME Cone ire Inc.
OWNER'S ADDRESS
7335 Gall Blvd #2
Zephyrhills, FL 33541
JOB ADDRESS
7:2SD
(;..4 II
-
~Lvd
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.' 35-25-21-0010-08800-0000
BLOCK
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install
_Sign
--"ove
_Deaolish
PROPOSED USE: _Single Faaily
oL. eo..ercial
_KIF
_' of Units _M/H
_Indust.
_Swim. Pool _Other
~Restaurant & Health Department Approval
DESCRIPTION OF WORK:
::z7..Jr~rol\... ~rct kU r;{'wptd~~{,i-J1J n",- /:2.Jlfl ~k4
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_KECllAlfICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
Signature
COMPANY m~~~( fJ. ~4~
/' State Cert. or Regist. t C-11 c- (J3 6' YSf!
( City License Registration t 1~3"1
******************************************
/
clBUILDER
i
('
SillmAture
L-
r COMPANY-P1 C. "" 14-'-" v---tf ~ ~ ~ L~rtl-~ C-
" State Cert. or Regist. . , t:;b I
~) I/~- City License Registration t .
, .
I ******************************************
COMPANY-1JJ -.I k Jk 4..~ Il.d
State Cert. or Regist. t
City License Registration' } ~'-" :t..
******************************************
\/
ELECTRICIAN
- ,
v-
PLUMBER
/- Signature
~
MECHANICAL
cJ-
Signature
COMPANY ~ .n~
Vl ff~v/v;J State Cert. or Regist. f '
{<:> City License Registration t / C-~S....
******************************************
wY
OTRRR
Signature
COMPANY
State Cert. or Regist. ,
, City License Registration"
-' -:-0;-i:':i~~A. t'*.**.************************************
I"""'_oV.....,.....
,
APPLICATION APPROVED iY
, .~
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perJit lay be subject to Ideed restrictions" wbicb lay be lOre restrictive than City
regulations. tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake wort, 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 lilY be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireJents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
788-6611. '
FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to bave tbe 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 the contractor wisbes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to perJitting 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, bave been provided with a copy of .Florida's Construction Lien Law - HOJeOWDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone otber tban the
lownerl, I certify tbat I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
"ownerl prior to couencelent.
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 developleDt.
Application is hereby IiIde to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas cOJJenced prior to issuance of a perJit and that all wort will be perfoIJed to teet 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 governJental agencies lilY apply to the intended wort, and that it is
If responsibility to identify wbat actions I lUst take to be in colpliance. Sucb agencies include but are not lilited to:
t Departlent of Environtental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands,
Water/Wastewater treatJent
t Southwest Florida Water ManaqeJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater treatlent, Septic tanks
t US EnvirODlental Protection Agency - Asbestos abateJent
I also certify that, if fill laterial is to be used in Flood Zone "A' or NA,etc.N, it is understood that a drainage plan
addressing a uCqlpensating volUJeu will be subtitted wbicb is prepared by a professional engineer registered in the State of
Florida prior to perJit issuance.
A perlit issued sball 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 frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery perJit issued sball beCOle invalid
unless the work authorized by such perlit is cOllellced within sfllOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tite the work is cOllenced. One 90 day extension of tile, lilY be
allowed for tbe perJit with fee charge of $15.00. 'l'be extension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during eacb six IODth period, or the project will be considered abandoned.
WARMING fO ONNBR: YOUR FAILURE to RECORD A NOIICH OF COMMBNCBMEHI MAY RESUL'I' IN YOUR PAYING IIfICB FOR IMPROVEMBNI'S TO YOUR
PROPERTY.. IF YOU IIft'BHD to OBTAIN FIKAlCING, CONSULt WI'I'H YOUR LBHDBR OR AM AnORRBY BBFORE RECORDIKG YOUR KOlICH OF
COMMENCBMBN'I' . JOBS UlmER $2,500 I VALUE DO NOI NEED 10 RECORD AND POSI A uNOIICE OF COMMBNCEMBNI'u.
STAfE OF FLORID~
COUNTY OF f/ AS c..D
The foregoing instrum~t was acknOWledged
before me this ,;1..1 tb. , 19 qs- by
S It-th ~~ ~ i!- / /'4 (; It III"-
who is ~ ~on 11 v kno.wn:)to me or who has
produced
as identification and who did~
~~ fJ- ~#
19na ure)
""'''--~''~..:.:'~4~
(Name T 0 '- '., intedioA>v. iMftJIIU!d)
NOTARY P \~ DI.otary Public, State of Aorida
10~ /: My Comm. Exp. Aug. 20, 1999
~#~.'o. Comm. No, CC 489717
StA'I'E OF FLORID~
COUNTY OF r I ;J Il:. LA../1'!5
The foregoing instrument was acknowledged
before me this ;2 <)"'7"r/ , 19~ by
(C./~
who is ers
produced
as identification d who did/did not
take~~//~C ~
(Signature) ~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~
~.I. CAUDELL
or FIorfd8
UyColCommmm. EllD. Dec. 8, 1998
. , Cc 424830
ot".l.-.:,""",__,. ....... 'I~
/, j ',.(y R ~H
TEL No.813-443-2280
Oct 3,95 18:45 No,015 P n?
APPLICATION POR PERKIT
CITY or ZEPRYRHILLS
BUILDING DEPARTKBNT
OWNBR's RAMI Concire Inc.
PHONE
(813) 783-8490
OWNBR'S ADDRR88 7335 Gall Blvd #2
Zephyrhil1s, FL 33541
.
JOB ADDUSS
7,:z~{j
r;..4 j/ 4L vcR
-
LBOAL DESCRIPTIONs LOT(S) BLOCI{ SUBDIVISION
PAleBL I.D.' 35-2S-21~OOlO-08BOO-OOOO (OBTAIN FROM PIQfERTY TAX ~QTJCB)
WORK PROPoSKD'----"ew OoDatruction ~ddltlon ~lter.tion ----Repair ____Install
----1i iRO-
---"ove
_De.olish
PROPOSED USEs ____SiORIe F..ily
~CoMerC:ial
_M/F _' of Units -.-Jf/R
_lndust. _Swim. Pool _Other
~.staurant & Health Depar~ent Approval
I>BSCRIPTION OP WORk, ~Tkro^- ~1' klJ . fr~Vi"...,rloJ1J riA. .,(:t1tA Mrt!!
BUILDING SiZBI
x
Square Feet.
Beiaht
RESIDENTIAL. ATTACH (2) PLOT PLANS' (2) SITS or BUllJ)lNG PLANS & (1) SET BNBRQY FORMS.
COMMERCIAL: ATTACH (3) SITS OF BUILDING P.t.AIIs . (1) 'SBT ENERGY FORMS. .
PROPERTY SURVEY RBQUlRlb FOR ALL NEW CONSTRUCTION.
PEQITS RBOUBSTRb
-BUILDING
$ Valuation of Total Construction
~\
_ELECTRICAL
AKP Service Florida Power Corp.
W.R.E.C.
---"BCHA"ICAL
_PLlMeINO
..
Valuation of Hechanlcal In8tallation
GAs
ROOFING
SPECIALn
TYPE OF CONSTRUCTION: .-8lock -'rue _Steel
Other
rlNISHED FLOOR ILlVATIOIISI
n.
18 PROJECT IN FLOOD ZONB AREA?
.......................**...........****..
U:s NO
qolTlACTOR SRCTl.QI
-/ BUIW&IS
Slanatu.re
.~
..J
OOIIPABY
/ State Cftrt. or Reabt. .
f City Lleen.. Regi8tratiOQ .
....*...*.*..*.......*...**..***.**.......
BLBCTRlCIAN
'W' .fIlll..df
COttl'ANY
State Ce~t. or aegist. ,
r City License Registration , ~,
....t.........**..***..........*..........
!
(ii....ture
~LQILUB
;. Sianature
COMPANY
State Cert. or Reaist. t
. City License Registration .
......t...t......*..**.****.*.......*.....,
NCHANlCAI.
) Sisnature ~ ~
OOHPAtfY J1t ~ ee. Q
~ State Cert. or Real.t. .
j . City Lie.oae Reaietration t
.......*..........*....*.........*........
Z-
v
OTURR
COlO'AWY ;
State Cert. or Reaist. .
City License Reat.tratiott"
...*..*.*...***......***.*.*.*.*....
. ......,.
Lr
~J ~
, .' .
APPLICATION ArPROVED IY ~
,
( . " ~
,., . .~.. - ~ ~ PERMIT OFFICER.
MI~CtlAEL N BRYANT
TEL No.813-443-2280
Oct 3,95 18:57 No.016 P,03
APPLICATION FOR PDKlT
CUT OF ZEfHYRIIlLLS
BUILDING DBPAR'11IBNT
OWNER'S NAKB Concire Inc.
PHOnE (813) 783-8490
OWIIEk'S ADDIlESS
7335 Gall Blvd 12
Zephyrhills, FL 33541
JOB ADDRESS
7PS' ()
G4iL ~lv~
LEGAL DISClUFllON: LOT(S) B~SUBDIVISIOti
PARCEL 1.0.' 35-25-21-0010-08800-0000 {OBTAIN FROM PROPEJII TAX HOTICE)
WORK PROPOSBD:_Bew conatnaction ----"<!dlUOQ ~lteraUon ----..Jepair _Iotal!
_Sian
~ve
~eaoliBh
PROPOSED USE: _Sioale F..ily
01. eo..erclal
----"IF ____I of Units ----"/B
_lndust. _Sw.... Pool _Other
~e.taur...t. II Health De~rtllet1t Approval
DESCRIPTION OF WOU: :I;.; r~r1JI\... ~~tf k /-.( ({~vt;~ f1oJ1J' n". ~l.1lA ~~
BUILDING SIZB:
x
Square Peet.,
Belpt
RESIDENTIAL: AnACH (2) PLOT PLAlS II (2) SETS 0' BUILDING PLANS, (1) SIT ENEKGY fOIUtS.
GOtUIERGUL: ATTACH (3) SETS OF BUILDING PLANS, (1) SET ENERGY fOlUtS.
PROPERTY SURV8Y RBQUlRD POR ALL MEW COBSTRUCTION.
PRRKIT~ llEQ'D1\:ir~
_BUILDING
$
Valuattoa of Total Construction
~ECTlUCAL
AMP service
Florida Power Corp.
_W.R.E.C.
-"ECIWIlCA.L
s
Valuation of Kechanical Ios~.llation
_PLUllBlNG
GAS
ROOFING
SPECIALTY
TJ1'8 OF CONSTRUCTI0ti: _Block --.Jreae ~t;eel
Other
'IRI5HED FLOOR BLHVAT10ft5:
I"T .
IS PRO.JECI' III FLOOD ZONB AREA' _
YES NO
..........*............................*..
Sipatul'e
CO~mk SECTIgJ
cotIPANY M /'r jl(k--eJ" &~ CUt:f CQ,,+ra..-c1OR.
/' 5tate Gert:. or Ilealat.. .
~__ City Liceose llea1stration .
*****...****....**..*.*............***....
I BJIILDIll '
P.I.RCTRIGIAII
COHPANYM
State Cert. or lIe.ist. ,
City Llceo&e Rea1atration .
*.*.....***..*.............*.*.*.*..**....
I
Si....t.ur.
P~A OOKPANY ~
I- ~ r"-. State Cert. or Ileaiet. ,
Signature \.l\U ~J...J'\.y-~ ~'" City LlceA8e Itegiatration .
\ ...... ...*.**.....*.......*.......*.*......,
.."
v
. ,MIP.tSU.N1CAi."'-
j SlllD8ture ~ ad.
COKPANY A h1. + Q <:.. fY\ L:-c..., h.. q" "'.' c.~':" \
/ / State Cerl:. or Reeist. · / S h;;"
~ City Liceose Reetstration' _ __
*...*.*.....*...*.......*..**.............
iWIfi&
COIIPANY
State Cert. Or Resist. .
Sian-lure City Liceose Reai.t~ation"
\' ':' ..':...-?7;,:~;':~~:.::!l\t. t,~..l*......................**....~..**... .:) ,
APPLICATIoN APPROVED.' ,~.' .. .. ,... .. PERMIT OFFICER.
,~ . .'
MICHAEL N. BRYANT CONTRACTOR
P.O. BOX 2305
DUNEDIN, FLORIDA 34697
.
[1~uu~w @[? u[FJ&~~[iYA]Duu&[1'
Zephyrhills, FL 33540
DATE I JOB NO.
10-11-95 9530
ATTENTION
Nancv
RE:
PaD a John's Pizza
7250 Gall Road
ZeDhvrhills. FL
OFFICE (813) 734-9515
FAX (813) 734-9666
City of Zephyrhills
TO
5335 8th st.
WE ARE SENDING YOU
>
Xl Attached
o Under separate cover via
ups
o Shop drawings
::tJ< Copy of letter
o Prints
o Plans
o Samples
the following items:
[J Specifications
o Change order
o
COPIES DATE NO. DESCRIPTION
1 10-10-9' Division Hotel & Restaurant aDDroval with Dlan review
spec sheet - Loa #395-530
THESE ARE TRANSMITTED as checked below:
o For approval
o Approved as submitted
o Approved as noted
o Resubmit
copies for approval
Xl For your use
o As requested
o Submit
_ copies for distribution
o Returned for corrections
o Return
corrected prints
>
o For review and comment 0
o FOR BIDS DUE
19
o PRINTS RETURNED AFTER LOAN TO US
REMARKS
Please attach to the plans we submitted on 10-10-95.
Thank you,
COPY TO
file
SIGNED: Michael N. Bryant
If enclosures are not as noted, kindly notify us at once.
.
,
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H\ PA ~'l'rhsS
CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
I .
ORD. D395/RESOlUTIONS 312/372 WATER $1.75/GAllON SEWER $6. 39/GAllON
RESIDENTIAL (Each lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131.25 479.25
COMMERCIAL (PER FIXTURE>
Sinks 87.50 319.50.
Water Closet 131. 25 479.2'
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1,278.0.0.
Washing Machines-Domestic Size 87.50 319.50
Dishwasher - limited Use 87.50 319.50.
FOOD SERVICE - Dishwasher 70.0..0.0. 2,556.0.0.
Sinks (3 Compartment) 175.00. . 639.0.0.
Car Wash (Per Stall) 1,0.0.0..0.0. 6,390..0.0.
FIXTURE G.P.D. ft WATER SEWER TOTAL PER FIXTURE
Sinks 50. 3 2bL,~o Q5'8.5D J 22.1 00
~ .
Water Closets 75 I 13L 2.~ t/7j l J-.$ b lO, ~o
Urinals 50
lavatories 25 , 43.75 /51, 7~ ZJ) 3 .';; D
Tubs/Showers 50
Wash. Mach.Com. 200
Wash. Mach.Dom. 50.
Dishwasher-Comm 40.0.
Dishw.limt.Use 60.
Sinks-3 Comprt 100
Car Wash-p/st. 1 ,000
L.l37 ..50 /f)f7,5"O 2ID3~.ct.
.
WATER nETER
GRAND TOTAL
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
,
. '
)>'ti/P'~ ,./.
Classification
Address
".' ~'
Owner/Manager
! "
-' 1/.:. ,
f7' ':
Business Phone
Emergency Contact Phone
",/ "
~ "i'
.,~,
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
Q APPROVED>);
{D, 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.
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Inspect. Date
Inspect. TIme
Fire Dept. ID #
Re-Inspect. Date i h'l~pectors Name. ,~ //1' ....,,, '
-~-</.,/-.. ,/~! f' .......jion'::- '\ 1r~' ,
OwnerlManager Signature j ';'k:, ,tq.-: vI,' 1-'. Y, . k .' " 'I ,i Title J) /," 1.' ,;, . l" "" (
This building has been check~d by-~e 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, Depl. Pink Copy - Buslness