Loading...
HomeMy WebLinkAbout95-5451 BUILDING PERMIT -.. CITY OF ZEPHYRHILLS Permit II! (813) 788-6611 ~-5451A .- Date J;2 - d' ~ 7' ~ ~ ELECTRICAL PLUMBING ::::,::~? ~:;i~ '-'ff:i; MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel I. D. # Zoning: ~ E.2P~Y Code:., Description of Work M_f{/ e.~Ai Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. 2-7,0 -1,-) DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# z;J3 Pe,m;tFee-tfrO . ;Jf Signature l g 0 _) Company Address Telephone# Valuation or Contract Price 9'73 ' o-'b f)f~ 2/~4 BUILDING ELECTRICAL PLUMBING - MECHANICAL Ftr. Pre SLB Lintel -c::- FRM. j-1' ~fr~~ ~ Insul. CL-, ?/,1Y WL \ ~ tl,.l:/ Driveway Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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 PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME CO n r \ \"Q Ce.h-h? W": ~ Th(,. PHONE 7~3 ~ c.f.qo OWNER'S ADDRESS 7 3:S c;- a-c I ( E? J u 01 ::r:::b- "2- JOB ADDRESS -; 2.. ~+ ~~ / ( g I vel LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition *-Alteration ~epair _Install ~Sign _Hove _Deaolish PROPOSED USE: _Single Faaily -X~erCial ~/F _' of Units _H/H _Indust. _Swia. Pool _Other _Restaurant Ii Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED ~UILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDITSBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BIITT.nm COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature RT.RCTRICIAN COMPANY State Cert. or Regist. # City License Registration # ****************************************** SilmAture PLUMBER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. # City License Registration . ****************************************** Signature OTRRR )Quil COMPANY IY\ o~ llS Jlr. State Cert. or Regist. , City License Registration , ****************************************** .2.:2 ? Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pemit tay be subject to "deed restrictions" which lay be lOre restrictive than City regulations, 'l'he undersigned assUles responsibility for COIIpIiance with any applicable'deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake wort, they tay 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 lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguirl!lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. 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 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.tay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrhills. 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 provideciwith a copy of "Florida's Construction Lien Law - HoIIemmer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleOne other than the "owner", I certify that I bave obtained a copy of the above described docUJent and protise in good faith to deliver it to the "owner" prior to COIleRCeleRt. 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 developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a petlit and that all work will be perfoIJed 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 goveIlllelltal agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not lillited to: * Departlent of EnviroRleRtal Regulation - Cypress Baybeads, Wetland Areas and EnviroRleRtally Sensitive Lands, WaterfWastewater 'l'reatlent * Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * AllY Corps of Engineers - Seawalls, Docks, Havigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic 'l'anks t US EnviIODlental Protection Agency - Asbestos abateleDt 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 "cQlpeDsating volDle" will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pemit 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 shall issuance of a pemit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued sball beCOle invalid unless the work authorized by such pemit is COIIeIlced within sillOnths of issuance, or if work authorized by the pemit is suspended or abandoned for a period of six IOnths after the tille the work is ~ced. One 90 day extension of tille, lily be allowed for the pemit with fee charge of $15.00. 'l'he extension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each sixlOnth period, or the project will be considered abandoned. WARHIHG TO OWHER: YOUR FAILURE TO RECORD A NOTICE OF COMHDCEIIBH'I' HAY RESULT IN YOUR PAYIHG TWICE FOR IHPROVEIIEII'I'S TO YOUR PROPER'I'Y. IF YOU III'I'EHD TO OB'I'AIH FIWCIRG, COlfSUL'I' WITH YOUR LlHDIR OR lIf AftORDY BEFORE RECORDIRG YOUR HO'I'ICK OF COMMEHCEMENT. JOBS UlfDER $2,500 IJf VALUE 00 ROT NEED TO RECORD lIfD POST A "ROTICK OF COHHIlRCEHENTII. SIGHAMI: OWIfER OR AGENT SIGRA'I'URE: CONTRAC'I'OR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S'I'ATE OF FLORIDA coum 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 oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC C()~C~I?IE CmE~TEWQ'C!l ~ Shopping Center Developers .. c. Friday, December 01, 1995 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33540 Dear Gentlemen: Please consider this a formal authorization to allow Gulf Coast Signs to pull necessary sign permits for Piccadilly Fish & Chip, which is to be located in Townview Square Shopping Center at the following address: 7254 Gall Blvd, Zephyrhills, Florida 33541. If you have any questions, then please give me a call. {2' CbadM~ Leasing Man ger Merchants Square · 7335 Gall Blvd. # 2 · Zephyrhills, Florida 33541 813-783-8490. FAX 813-783-8489 ~s( lese MemtM!'r SILCOX ENGINEERING, INC. 5409 Nebraska Avenue TAMPA, FLORIDA 33604 Phone (IU) 238.1755 CHECKED IV (;;';i..F GDA<r S\6 t-J 'S~\J(a ItAl.f , :'. I D,... I ' I' L1 I I . I 'I ' U~,",D i.'~-S:l .~;J~.l.~/'j ''1I~l~l:<~~~f..ferrePf.s. ~ ;_.\,~.. .~ JAAi'. ..LeiT~ tl.l ,.,n.i A: .....1 ~t1.......1 . ..J ) .-J. ....J.. +.. -1 .-+ .~ !. '..~. _.~. .... . . I . '. , . ... ' "' I ~. j:~';'1[-~t'f~ : ~rf~ l~ii1, -:- _ : t -~ ..>!. - - \ 1.~' - .. - T-~--!a:. '1\"'''~ .-. ~.~~~.I.',{.~_.......I ..i ...+---;......T--+-- I . .-tt~ ....:...- ._~.. .....: .--\-~- _L+-+:eJ4:1?,Lt-+ ++-+~j..~.!~.:I.._+......~......~ .."'+-.-. )-+-.~ ~ ..-. .- ..~. - ....i -~ -A..c 1# s: 1.._ ~~f M/~ I'. .n .. -4. .~--L....~ --1_.. .~_. ...!--.! .... _.L..... ..... -:. .-.... , 1 { . I ,""" 1::l'--: . I' ,. " , jj~Ol t I' j I ! I Ii!: :;: I' i .!' ---'~- "-- .-1.. ..-I ~..,.. ., .. ._. '1' ., --. . .._...l -.-.--- ...... ----- ., -., -- - -...-.-. .--...-- ... . i '.. 1 ~ . .' . 1; . f . Ii:' . .' I I . I ' . ! I . I . I ! I . I I' : ; ,,~-~;,;:- ~~ -'~.-l. -: -:---T'" ;'" .;"_.""'~ ...~. ~'"l''' ~"''''';-- .. --;--- ... r-':' . .;-!-...-..... "'P-~ .. IW"P~&~"'~~ ')(:-;~)t ~-,~.. ..; "-r' .~' ...~;..: .;'-'1 -; '1--'- ~ "I~ .r-'r .~. ~~ .-- -r.-~.-' -T-~' ~ . - . --::.~, ")IS' :Y~l"t~ --: ........ ._~ -.. ., '''--!.-.'- _.-1.. . r ....: . :'-' _..~ -,- -- . ~ iJ.;_-f;:sX{E'-?--+-+--". 'o'~~.;. 1."~ ""j'. -T~.~ .'; 7'- - .t.~.--. -I-.~ ~-;~.;...~: ......-.------. .7-T ~'..;;1 ..._-.....~~(}iP,. 1.'._-"-'1-...-1 -~ _.....~ ... ~.... -j' --4..-- .~~._-~...--.:- .0 ._~ .... -i -t+-r-++ 1-, -j. -j - +~- ++~-+l--- -H-, -~-" i....' --- -++t>>. I. : - 4 -t- -i1.1> ..l-j---(j-\-+-r-.o ~+-t+IT-;--h--- ,-r .._~.Iti-~M:J...l5'~{~... ~..-JA~ ~ 6~O 7 ~ '.m. -'...-+-.-... __._J ..-i-'-~.- --"--.--- \ 1 I ! j' i ~ ; I : . \ "I i ~i i': ! ! ~ I i 1 I '~T-: 1, :JI-~~~j-.~ ..'~":~ - ..~. ...;...._~.~._~-:.....~~ ..-.~ ...t-.-,~-'-'1"-" _r~~T=~~J~'~'" i' ..~ :.=:~:..: ...~ .:~~:_. ~:.. _ t. i i - -_..j. ..~._._...'" ... . .,~ I""L,lLlt.LJ~L ~~.. ':>>'::" 0' , . ~~ DATl_1-- 2.D -86 .10 e '-./ > ,,';:"" I"'-- ..- -..----J 'HEft NO C , CA~CVI.ATED IV eS5 DATE ~ ........... . . "._. ':_h"~ __.........,; ..' '. ..- -.. 4. ....,. ..: .. ~: o. /",,' / ./ ,/" .'c< . "/j#-) /. // /1../ / ;" ~' I( -? ,'.) .1 -{:.. ;:: ~ - \ .:::: .. l ' GULF COAST SIGNS 25224 S.R. 64 LUTZ, FL 88649 972-8685 PROPOSAL GULF COAST SIGNS agrees to provide the following products and service to: CUSTOMER: F/c c. q d I "//7 /..::;.;;.-< j eh J /J.3 PHONE NUMBER & CONTACT: . Fry Oc..- U Jd J '-1 71ft? 81 {.. 3 ADDRESS: 725"4 &//6/<./d 2. hJ-Ils DATE: ;1 2? q;;,- ....................................................... Description Of Sign cha/?/7e/ L..:.#&S 0'->1 ~:>/J rec:e vJo, Jrau),'5 (~'({' ccl,d /-=:~ <!...h'r~5 pGY' l2c..s A ~ t'l-~. ....................................................... NOTICE All product manufactured and installed by GULF COAST SIGNS are guaranteed for one year. Title on sign(s) does not pass to buyer until seller has been paid in full. SELLER reserves the right to remove any sign from the buyer's locations if that sign is no paid for as per the terms of this agreement. In consideration of this agreement, the BUYER does hereby agree, jointly and severally, to pay for all goods, wares, merchandise and services supplied to any of us and lor the named business. In event it becomes necessary to place the account with an attorney or agency for collection, IJwe, the undersigned, agree to pay all cost of collection, including reasonable attorneys fees. Unless other wise specified, fmal PAYMENT on work is C.O.D. Please be prepared to make payment at time of delivery or installation of your sign. ....................................................... 9c1J. 7'- () .:s1,60 ~<5L> I <~ ;.;>' .- Selling Price: Tax 6%: Less Deposit: Due On Completion: 6Ob. rJ"V Buyer's Name And Title (Please print) 4i= /0 I'i?' ~,of f~cJZ), ~AJ oJ A=P~BY;g(k hQ Accepted By S er (Owner)