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B'UILDING PERMITNo
CITY OF ZEPHYRHILLS Permit.
(813) 788.6611
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Date
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Sewer Conn '71
Water Conn: j..;/ /1
Water Meter:
AIR
NO OCCUPANCY BEFORE C.O.
FINAL
C.O. _
DATE
Property Owner:
Job Address:
Parcell.D. #
Zoning:
Description of Work
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or" dI . ,g..L.L
Contract Price")"'" I~ ODD
City License Registration # /0 J.!
State Certified License# e
Inspector
p~rrnitFee~~
Signature
Company
Address
elephone# (/352-~ 7-164-1
L
Tp. Servo
Rough In ~ ->> - 9~ /308
Meter Can
Const. Pole
Pool
Pre-Meter
l;inal~
Driveway ~ ']- '3 J - 'T ~ 6.08 /IiJ~
~~\'l-Urcll~~ rjj.J~j)1'-t/1'[j. ~~~{I-q,~~
REINSPECTION FEES, When extre inspection trips are n~ces..ry due to any .:=r~f@.-fio~a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip fo:1ach trade: l~T--' .-.
Ftr, ~!~
P,e SLB _~. . --
Lintel
FRM. ~~~-Q~ ~b1S
Insul. CL
WL 'f;..,f1,-C/h &6
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
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 ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAHIl rfM/.-d ~zW~
OWNER'S ADDRESS a/f3 ' iJJ/Jltlc- ~
6 ~,
LEGAL DESCRIPTION: LOT(S) & I 7,8 BLOCK 9 SUBDIVISION
PARCEL I.D.' /1-:2b e2j-OO/lJ "'00900 - Do8o
G~ fL~~f6
JOB ADDRESS
PHONE
IUW
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED: /New Construction vAddition _Alteration _Repair _Install
_Sign _Kove _Deaolish
PROPOSED USE: _Single Fa.ily _KIF _, of Units _K/H
,,/' _Indust. _Swia. Pool _Other
_eo..ercial
_Restaurant & Health DepartJllent Approval
DESCRIPTION OF WORK: A1)V177{)'(0 'lD ~~ f&L ~ breJ) s7lflleā¬""
. . 4- (
BUILDING SIZE: 13 X Ii-, 2- J Square Feet, (fj Height
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.
PERMITS REOUESTED
_BUILDING
$
10/[>>) ,
,
Valuation of Total Construction
~=:s
III PLUKBING
TYPE OF CONSTRUC'I'ION:
AMP Service
Florida Power Corp.
W.R.E.C.
Valuation of Kechanical Installation
GAS
ROOFING
.V Fra.e _Steel
SPECIALTY
_Block
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJEC'I' IN FLOOD ZONE AREA? ~
YES NO
........***********.*..********.******.***
Signature
~' COMPANY -:--iJJ,!ft0(
State Cert. or Regist. .
City License Registration .
*****************************.************
BUILDER
RT.RCTRTCIAN
SianAture ~,Q.,::r
COMPANY ~otU"R' ~tt.61J15
~ State Cert. or Regist. f
, City License Registration f "'f
.***. ********************.**************
Signature
)Ii;
I
COMPANY
State Cert. or Regist. .
City License Registration .
****.**.*.*******.*****.*.****************
PLUKBER
Signature
/;; COMPANY
1/1/J State Cert. or Regist. f
/v,0' City License Registration'
I
.********.*~**************.***************
MECHANICAL
COMPANY
State Cert. or Regist. t
City License Registration #
.***.*.*..****.******.*********.******.*.*
OTHRR
Signature
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to 'deed restrictions. which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OIner bas hired 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 owner and contractor .ay be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requiretents .ay 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 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 tbe IOrk. 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 perlitting 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, have been provided with a copy of 'Florida's Construction Lien Law _ Hoteow.oer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is SoteODe other than the
Uownerl', I certify that I have obtained a copy of the above described docUleDt and prOtise in good faith to deliver it to the
"owner" prior to COlleDcelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no IOrk or
installation bas cOlleDced prior to issuance of a perlit and that all work will be perfoIled 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 otber governtental agencies laY apply to the intended work, and that it is
IY responsi~ility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
* Departtent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater Treattent
* Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* ArtY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departtent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic rants
* US Environtental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "AU or "A,etc.., it is understood that a drainage plan
addressing a UcOlpeDsating volUle" will be subtitted wbicb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
STATE OF FLORI~
COIJJfY OF aA co
The foregoing instrument was acknowledged
before me this qr'!-:;:"" 19~ by
,
A perlit issued sball be construed to be a license to proceed with tbe 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 frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
unless the IOrk authorized by such perlit is cOllBnced within six IOntbs of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, .ay be
allowed for the pec,it with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
approved inspection nst be logged during each six IOnth period, or the project will be considered abandoned.
WAIUlING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHDCEIIBMt' HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKHENrS TO YOUR
PROPERTY. IF YOU INTEIfD TO OBYJlIlf FIIWlCING, CONSULT WITH YOUR LBlfDER OR All AffORREY BEFORE RECORDING YOUR NOTICE OF
COMMKNCEHENT. JOBS UNDER $2,500 Ilf VALUE DO NOT NEED TO RECORD AJID POST A "NOTICE OF COMHEBCEIIKNT".
*:~ ~
STATE OF FLORIDA /)
COUNTY OF ~__ r,
The foregoing instrument was acknowledged
before me this ~ cI.':J 11'__, 19~ by
~~i~on~i;known to me or who has
produced
as i tif. id/did not
ta 0
known to me qr who has
o did/did not
(Name Typed, Prin'ted or..S~..
NOTARY PUBLIC II~^ L.,.i,.>I,':-:'i"",
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DEPARTMENT OF TRANSPORTATION
BE" G. WATfS
SEC~TAR\'
IAWIOI'I CHILES
GO~MOR
36339 S. R. 52
Dade city, FL
(352) 521-1444
33525-8324
May 30, 1996
Fay Kasbour ~
c/o Hungry Howies Pizza. 5~ /8 frJAt2If.; ~~1~e
zephyrhills, Fl 3354'
RE: Time Extension for Access Permit
permit No. A-14-93-0026
Section: 14050
S. R. 35 (U.S.301)
Dear Mr. Kasbour:
This letter is to advise you that your request for a time extension
for the subject permit has been approved.
An addendum to the subject permit shall be added to allow sixty
( 30) days to begin construction from the date of this letter.
After commencement of construction, thirty (90) days will be
allowed for completion.
This letter will authorize you to proceed with your proposed plans
as submitted with the extension request, with all work to be
completed in accordance with the amended permit.
Sincerely,
~6_bf>O p
Larry G. Boone, P.E.
Assistant Maintenance Engineer
cc: Paul Lavely, District Permits Engineer
All L///(II Upper/IIIIIII' E/IIplci'cr
Joe L. Davis, Jr.
Chairman, Wouchula
Roy G. Horrell, Jr.
Vie:', Chairman, St. Petersburg
Sally Thompson
Secretary , Tampa
James E. Martin
Treasurer, St. Petersburg
James L. Allen
Bushnell
Ramon F. Compo
Brandon
James L. Cox
Lokeland
Rebecca M. Eger
Sarasota
John T. Hamner
Brodenton
Curtis L. law
Land 0' Lakes
Virginia S. Roo
Tampa
Peter G. Hubbell
Executive Director
Mark D. Farrell
I\ssistant Executive I)irector
Edward B. Helvenston
General Counsel
LXU'//Cl/lC
TIi rC/ll!,1i
Olld/~t\'
Sa\' ice
Southwest Florida
Water Management District
2379 Broad Street. Brooksville. Florida 34609-6899 . 1-800-423-1476 (Florida Only) or
(904) 796-7211 . SUNCOM 628-4150 . T.D.D. Number Only (Florida Only): 1-800-231-6103
7601 Highway 301 North 170 Century Boulevard
Tampa. Florida 33637-6759 Bartow, Florida 33830-7700
1-800-836-0797 or (813) 985-7481 1-800-492-7862 or (941) 534-1448
SUNCOM 578-2070 SUNCOM 572-6200
February 13, 1996
115 Corporation Way
Venice, Florid'J 34292-3524
1-800-320.3503 or (941) 483.5970
SUNCOM 549 5970
2303 Highwoy 44 West
Inverness. Florida 34453.3800
(904) 637"'360
Kha1eb Kazbour
Zephyrhi11s Properties, Inc.
5618 Marie Drive
Zephyrhi11s, FL 33541
Subject:
Notice of Final
Permit No:
Project Name:
County:
SecjTwpjRge:
Agency Action for Approval
4611709.01
Hungry Howie's
Pasco
14j26Sj21E
Dear Kha1eb Kazbour:
This letter constitutes notice of Final Agency Action for approval of the
permit application referenced above. Approval is contingent upon no
objection to the permit being received by the District within the ti~e
frames described below. '
The following statements describe procedures established b'y Florida law,
should you or any other person disagree with the District's decision
regarding this permit. State law and District rules provide that any
person who is substantially affected by this decision for approval may
petition for an administrative hearing in accordance with Section 120.57,
Florida Statutes (F.S.), and Part V of Chapter 40D-1, Florida
Administrative Code.
A request for hearing must be filed with (received by) the Agency Clerk of
the District within 14 days after the date of receipt of this notice.
Failure to file a request for hearing within the 14-day period constitute,S
a waiver of the right such person has to request a hearing under Section
120.57, F.S. When the actual date of receipt of this notice cannot be
determined, receipt is deemed to be the fifth day after the date on which
this letter is postmarked. . .
The enclosed approved construction plans are part of the permit, and
construction must be in accordance with these plans.
If you have questions concerning the permit, please contact Joseph A.
Bonanno, P.E. at the Brooksvi11e Service Office, extension 4327.
Sincerely, ~~ '_
~araiS' P.E., Director
Brooksvi11e Regulation Department
APD:JAB:m1m
Enc. 4:
cc:
1. Approved Permit wjConditions attached
2. Statement of Completion
3. Notice of Authorization to Commence Construction
4. Approved Construction Drawing(s)
File of Record
David G. Armstrong, P.E., C. Fred Deuel & Associates, Inc.
.1
SOUTHWEST FLORIDA
WATER MANAGEMENT DISTRICT
NOTICE OF
AUTHORIZATION
TO COMMENCE CONSTRUCTION
'I
, I
Hungry Howie's
PROJECT NAME
Commercial
PROJECT TYPE
Pasco
1
i
COUNTY
14/26S/21E
SEC/TIlP/RGE
Zephyrhi11s Properties, Inc.
PERMITTEE
Application No.: 4611709.01
DATE ISSUED: February 13, 1996
I'
I
THIS NOTICE SHOULD BE CONSPICUOUSLY
DISPLAYED AT THE SITE OF WORK
(10/92)