HomeMy WebLinkAbout95-5405
BUILDING PERMIT-
CITY OF ZEPHYRHILLS Permit W!
-, -- (813) 7.!!8-6611
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Date
/1.-/20 --<t.s-
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Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Parcell.D, #
Zoning:
Description of Work
FINAL
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances,
Valuation or
Contract Price -
Permit Fee ~
Signature
Company
Address
City License Registration #
State Certified License# ~:t3 fI.[J::2 ~:J..:2 )
?~~~~~~1
Ftr. Tp. Servo SLB 1l-2-I-&i 5' &lu..- Breakers
Pre SLB Rough In Tub Set / ll- 2-1 ') B jU Ducts Insl.
Lintel Meter Can Water Compressor
FRM. Const. Pole Sewer Final
Insul. CL Pool Final 1/
WL Pre-Meter
Final
Telephone#
~~
-- -..-...
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.
~
~ MilBar Construction2 Inc.
15911 U.S. 301 . Dade City, Florida 33525 <:>c
904/567-6047 . 800/562-2393 · Fax: 904/567-4454
Date: 11/20/95
'Ib:City of Zephyrhills Building Department
From:Vance L. Milton
MilBar Construction, Inc.
License # 1604-CB C023221
Re:Florida steak House, Hwy 54 East, Zephyrhills, Florida
'Ib Whom It May Concern:
Please accept this letter as authorization for Gary L. Griffith
to act on behalf of myself'Vance L. Milton ' and MilBar Construction,
Inc. in the procurement of all legal penni ts and/or licenses as required
by the state of Florida and/or the various city and/or county goverrunents
located therein. Authorization is also granted to sign in my stead as
required in the acquisition of the aforementioned permits and/or licenses.
This authorization is valid for one job only as described above.
Z7;;;~
state of Florida
cOunty of Pasco
The foregoing instrument was acknowledged before me thisblufl1i day of bo-4At.a.v
19 qr, by VA~ L 11((' 11--- who is (~personally known to me, or who
has produced ' as identification.
Notary:
Seal:
AIL Y. GRINDLE
Notary Public, State of Florida
My comm, expires Mar. 25, 1998
Comm. Nil, CC 368560
Slate Certified
Builcl8r 1CBC023221
State Certified
. Roofer tICCC051562
Slate Registered
Roofer ,RC0055215
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APPLICAnON FOR PERHIT
CITY OF ZEPBYRBILLS
BUILDDtG DEPAR'l'HBliT
JOB ADDRESS
~lJdtZ " PfJr!n)
71552. N 21rd
3845' I E, (! J( ,S4
PHONE
H j 'J,j 7fi:j, ,'5(,,;"1 .~
I
OWNER' S IIAH.E
OWIER'S ADDBESS
,) ,
(. .. -h*'" y f I
,
2p/JhY'r/JlJ/< PI _ _~351-()
........
LEGAL DESCRIP'fiON: LOT(S)
~SUBDIVISION
PARCEL LD.'
(OBTAIN FROM PImPERTY TAX NOTICE)
won PROPOS.ED:~ew Construction ~ition ~teration -.Jlepair _Install
_Sign
--.JIove
-Peaolish
PROPOSED USE: _Siogle Faaily
----It/F
_' of Units ----It/H
_ec-ercia1 _IDdust. _Swia. Pool _O~er
)(' Restaurant &: Health Departaent Approval
DESCRIPTIOB OF WORK:
BUlLDDtG SIZE:
x
Square Feet.
Height
RUIDERTUL: ATTACH (2) PLOT PLAlfS &: (2) SETS OF BUlLDDtG PLAHS &: (1) SBT BURGY FORMS.
COHHERCIAL: ArlACH (3) SETS OF BUILDDtG PLAlfS &: (1) SET ENERGY FOlUtS.
,
PROPERTY SURVEY REQUIBED FOR ALL II.EW CONSTRUCTION.
PERMITS REQUESTED
~UILDDtG
$
Valuation of Total Construction
V' RT.RCTRICAL
AIIP Service
Florida Power Corp.
W.R.B.C.
~CAL
...L.PLUllBDG
$
Valuation of Kecbanica1 Installation
GAS
ROOFDtG
SPECIALTY
TYPE OF mJlSTRUCrIOB: ---.Block ---",raae _Steel
Other
PDIISII.ED FLOOK ELEVAnollS:
FT.
IS PROJEC'l IN FLOOD ZONE AREA!
YES NO
....**....................................
BIITT.DRR
. COliTRACTOR SECTION
vLAWiIA- COKPAIIY ,MIJ_I3~ (;WS7i~j/(B{)NJ INl
) State Cert. or Ile8iBt. . & ('11 ~~2~ I
City License Registration .
..........................................
Signature
. =-=: ~ COHPAIlY 8M" L. hr<.IP~J nf
State Cert. or Regist.' €E-O,Q l/Slf3
t ~ . City LicelUle Ile8iBtratioo. /,f. /'z:,
..........................................
PLIDlRRR ~~ COHPAIlY
/J. . State Cert. or Regist. .
Sigoature ~~ ~ City License Registration.'
, '..........................................
tI KEClWiICAL COHPAIlY
State Cert. or Regist. .
City License Registration .
..........................................
v?(
C:.3
OJ(~
Sigoature
OTRRR COHPAliY
State Cert. or Regist. .
Signature City License Registration .
..........................................
APPLICAnOB APPROVED BY PERMIT OFFICER.
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
the undersigned understands that this pemit JaY be subject to 'deed restrictions' whieb Jay be lOre restrictive than City
regulations. !he undersigned asSUle& responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors' to undertake work, they JaY be required to be licensed in accordance with
state and local 'regulations. If the contractor is not licensed as reguired by law, both the OlDer and contractor JaY be
cited for a lisc1f!1eaDOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelellts Jay apply for the intended work, they are advised to COIItact the City of Zepbyrhills Buildlng Departlent, (813)
788-6611.
FurtheIlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for wbieb 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 lliabes you to sign
as contractor that JaY be an indication that be is not properly licensed and is not entitled to peraitting 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 - lReoImer's Protection
Guide" prepared by the Floricla Departlent of Agriculture and ConsUIeI Affairs. If the applicant is 8OIl!OI18 other than the
'owner", I certify that I bave obtained a copy of the above described c10cUJent and prcmse in good faith to deliver it to the
'owner' prior to COII8IlceEnt.
E. CONTRACTOR' SlOWER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will-be done in COIpliance lith all
applicable laws regulating construction, soning, and land develoPElt.
Application is hereby tade to obtain a perJit to do work and installation as indicated. I certify that no work or
installation bas CDIenCec1 prior to issuance of a perait and that all work will be perfolled to I18et standards of all 1_
regulating construction, City cocles, loning regulations, and land develo(ll8llt regulations in the jurisc1ictilll. I also
certify that I understand that the regulations of other goveIlll8lltal agencies Jar apply to the intended work, and that it is
If responsibility to identify wbat actions I lUSt take to be in COIpliance. Sueb agencies include but are not lialted to:
I Departlent of BnvirODlental Regulation - Cypress Baybeads, Wetland Areas and Bnvirollll!lltallr Sensitive LaDds,
Water/Vastewater !reatlent
I Southwest Florida Water Hanagelellt District - llells, Cypress Baybeads, Wetland Areas, Altering Watercourses
I AIIY Corps of Engineers - Seawalls, Docks, lIavigable Watenars
I DepartJent of Health i Rehabilitative Services, BnvirODl8J1tal Health Unit - Wells, Wastewater !reatlent, Septic lanks
I US BnviroDllelltal Protection Agency - Asbestos abatelellt
I also certify that, if fill Jaterial is to be used in Flood Zone 'A' or "A, etc. ., it is understood that a drainage plan
addressing a 'COIP8D8ating VolUle' will be sublitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to petlit issuance.
A ~it 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 tecbnical codes, nor sball iaauance of a petlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any cocle. Ivery petlit iaaued sball becDe invalid
unless the work authoriled by sueb perlit is ~ced within sillODths of iaauance, or if work authoriled by the pemit is
suspended or abandoned for a period of sil IODtba after the tile the work is co.enced. One 90 day atension of tile, JaY be
allowed for the perlit with fee charge of $15.00. the atension shall be requested in writing to the Buil4ing Official. An
approved inspection lUSt be logged during eaeb sillOl1th period, or the project will be considered abandoned.
WARMUG !O lMfIR: YOUR FAILURE !O RECORD A IIOIICE OF COIIIDCBllUlIlAY RBSUL! III YOOI PAYIIle; fiICE FORDIPROVIIIIIIS !O YOUR
PROPERTY. IF YOU IJmD 10 OBIAII FlIlUCIIG, COISULI WID YOUR LBRDIR OR II AftOBDY BIFORB RBCORDIHG YOUR DICE OF
/ JlIlS UIIlIJI $2.500 II YILIlIl DO IIJr 11III !O _ lID POll! I 'lOll or _.
s~dd-J SI _:anJLU~~
SUfI OF FLORIDA
coum OF '~u,,)
The foregoing instrument was acknowledged
before me this 9rf::!14!tJv, 19~ by
(J.p~ J..iI:/J;.
who is personally known to lie or who has
produced
as iden fic ti
take oa ~
gn ture)
GAIL Y. GRINDLE
(N ""'"'ed p. turaar"fI!~of neFida
NOTa:y"PUBLIC r1n,..,y camm. exprrfiMir. 25, 1998
Oomm. No. CC 368560
S'lAR OF FLORIDA
coum OF .asc C/
The foregoing instl'Ullellt was acknowledged
before me thistf)l.l' 1 , 191,)" by
IhrAAR L J/t:/to-
who is personall known to lie or who has
pr.cMlu.eed 'P-
as identif. not
take an
(Signature) GAIL Y. GRINDLE
~tary Public State of Florida
(Nue Typed, Prin c6WmS~r. 25,1998
NOTARY PUBLIC Comm. No. CO 368560
Zephyrhills Florida 33540 (8
FIRE CODE INSPECl
Zephyrhills Fire Department
ZEPHYRHILLS FIl
~
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Asst. Fire Chief
Business Name
~ / '
1'1//,/,/_' ::',: :;~d 1/
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C~
38410 6th Ave,
Zephyrhills, Florida 33540
Bus (813) 782-8184
782-0085
Address
""'::./:, "
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I...
Owner/Manager
Business Phone
Emergency Contact Phone
Occupancy Load
Alann Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
(f) APPROVED
GYFINAL
o OTHER
o NOT APPROVED
\,
o ANNUAL
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 1//' / / /
Re-Inspect. Date
Inspect. Time
j ~' /',,/}
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Fire Dept. ID #I ..)
Inspectors Name
,T~ L... '> 7;, "-
Trtle
\ OwnerlManager Signature
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.
While Copy - File Yelow Copy - BId, DepI. PInk Copy . BU8lneas