HomeMy WebLinkAbout97-6502
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
650215
Date
,;2 - :18'- 7' /
.
@ ELECTRICAL PLUMBING
p,"pertyown.'?~ ~~J1 ~
Job Address: {;, () d.-b 2l!l'"~/~
Parcell.D. #
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Radon Gas:
NO OCCUPANCY BEFORE C.O. ~C ;( raJY
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
DATE
Inspector
City License Registration #
State Certified License#
'I
Permit Fee
Signature
Company
Address
Telephone#
Qo. o-v
/V ~),.. A it#.
Valuation or
Contract Price
6CJ7J
cJ-i)
f1Ik ~~
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
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Signature
City License Registration .
..........................................
- ~_._- ----- -- ---D---. _
HECHANlCAI.
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
m:IID
Signature
COMPANY IJ [,too E IJ lJ / .f' ,P t...,IJ Y s" J J; IV C .
State Cert. or Regist.' 'E.r"lJtJPo /$""
City License Registration . ~
..........................................
v-
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this perlit lay be subject to 'deed restrictions' wbicb lay be lOre restrictive than City
regulations. Ibe 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 undertate 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 o~er and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents aay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtherlOre, 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, ratber tban the contractor, are responsible for the work. If tbe 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 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'a Protection
Guide' prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone other tban the
'owner', I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
'owner' prior to cOlIBDcelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in tbis application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land develop.lent.
Application is bereby aade to obtain a perlit to do wort and installation as indicated. I certify that no work or
installation baa COIIenced prior to issuance of a perlit and that all wort will be perforJed to leet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveDII8Dtal agencies JaY apply to tbe intended wort, and that it is
IY responsibility to identify wbat actions I lust tate to be in cOlpliance. Such agencies include but are not lilited to:
A Departient of EnviroDJental Regulation - Cypress Baybeads, Vetland Areas and EnviroDlentally Sensitive Lands,
Vater/Vastewater Ireatlent
t Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayhea4s, Vetland Areas, Altering Watercourses
t ArlY Corps of Bngineers - Seawalls, Docks, Navigable Vaterways
t Departlent of Health , Rebabilitative Services, Environtental Health Unit - Wells, Vastewater IreatJent, Septic lanks
A US BnvirODl8Dtal Protection Agency - Asbestos abateaent
I also certify that, if fill laterial is to be used in Flood ZODe 'A' or 'A,etc.', it is understood tbat a drainage plan
addressing a 'CQlpensating volute' will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
.s i-f. It'Tt ttUf 6tJ L71t tJ r /tit -rI(O/llUJ Y/ 0101
PM ~ f/ U{ I( wilt U /lfl.
SIGNA'fURI: OIftIIR OR IGINI
A pe~lit issued shall be construed to be a license to proceed with tbe wort 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 frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball beCOle invalid
unless the work authoriled by such perlit is cOllenced witbin sil IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of sillOnths after the tile the wort is cOllenced. One 90 day extension of tile, JaY be
allowed for the perJit with fee charge of $15.00. Ibe extension 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.
WARNING TO OWNER: YOUR FAILURE 10 RECORD I NOTICE OF C(IIMINCIIIBNI lilY RlSULT IN YOOR PAYING "'ICE FOR IHPROVIMINlS TO YOUR
PROPERlY. IF YOU IJIIEND 10 OBIAIN FINAJlCING, CONSULI VI'" YOUR LlNDIR OR AJI IIIORNEY BEFORE RECORDING YOUR NOTICB OF
COHHIlNCIHINI. JOBS UNDER $2,500 IN VALUE 00 NOI NEilD 10 RECORD AND POSI A 'NOIICIl OF COHHIlNCIHINT'.
,lJ ill V c./L
SIGNAlURI: CONlRACIOR
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
SIAIE OF FLOR~
COUNIY OF
The foregoing in~ent was acknowledged
before me thisd _ /7 ' 19-2Z.. by
7J1J 11/ I) LJ ;jLt,G ~
who is personally knoWn to me or who has
produced
as identification and who did/~~
.~ks an Oath~ (} 1
(Signature) tI '
(Rame Typed, Print. pecijFFICIAL SEAL
ROTARY PUBLIC . Wi Roberta J. Stockslager
My Commission Expires
\, May 29, 2000
): Comm. No. CC548153
SlATE OF FLORIDA
COUNIY OF
The foregoing instrument was acknowledged
before me this , 19____ by
(Signature)
(Name,Typed, Printed or Stamped)
ROTARY PUBLIC
December 30, 1996
Mr. Lance Oij
Allen Industries, Inc.
3310 WE5T MAIN 5T, 11351 49th Street North
TAMPA, FLORI DA Clearwater, Florida 34622
33607
P,O, BOX 30383
TAMPA, FLORIDA
33630-3383
813,875,9928
FAX 813,8715232
RE: AmSouth Bank - ATM Signage for Pick Kwik Food Stores
To Whom it May Concern:
This letter shall serve to authorize Allen Industries, Inc. as agent for The
Pick Kwik Corporation to apply for and secure such permits and approvals
as are necessary to construct identification signage for the AmSouth A TM's
recently installed in our stores.
Sincerely yours,
THE PICK KWIK CORPORATION
~ ~ Jlsz-
Stephen J. Brown
Director of Real Estate
STATE OF FLORIDA )
)
COUNTY OF HILLSBOROUGH )
The foregoing instrument was acknowledged before me this 30th day of December,
1996, by Stephen J. Brown, as Director of Real Estate of The Pick Kwik Corporation, a
Florida corporation, flk/a Pick Kwik Food Stores, Inc., on behalf of the corporation. Mr. Brown
is personally known to me.
(NotoriaJ,,~,~~I)
#"'" \lr...p~/f"f"",,:-
/o~'t:'''.,,~........\ KAREN K. ENGLE
,:(~)~} Notary Publ.e. Sta,e ot Florida
~~,'~"'j My Comm. Exp. June 19. 1998
"'of Df4'i;~~>'" Comm. No. CC 401094
O'IJ"'''"lt\''''
!!t0Aw-J ~l && "'
Karen . Engle
NOTARY PUBLIC
State of Florida at Large
My Commmission Expires: June 19, 1998
PIC K K W I K F 0 ODS TOR E SIN C.
AmSouth Bank A TM Sign Program
Facility Survey
Project Number: 212.0000
JI44
-12::t - 00- JJ,
Site Number:
Film Series:
Site Address:
00& rJ. Gall ~Ivct
2ef~\{dj.Jla.: ~L 34 'J4'6
V Overall View
Front Elevation
_ Right Elevation
Left Elevation
_ Pylon - Overall View
_ Pylon - Detail
Other
NOTES
Overall View
~ Front Elevation
_ Right Elevation
_ Left Elevation
_ Pylon - Overall View
_ Pylon - Detail
Other
NOTES
j
1
I::Wri ''"''';r.'
...'^--~ ,,'
, ..;,. ~
Elrod & Company Corporate Sign Program Management and Engineering
Page
4-
of
AmSouth Bank A TM Sign Program
Facility Survey
Project Number: 212.0000
Site Number:
Film Series:
J.14~
o4-oo-~J.
Overall View
Front Elevation
_ Right Elevation
V Left Elevation
_ Pylon - Overall View
_ Pylon - Detail
Other
NOTES
Overall View
_ Front Elevation
_ Right Elevation
_ Left Elevation
V Pylon - Overall View
_ Pylon - Detail
Other
NOTES
r' 3 II
'I" )t I).; iI
/
Iyr.$' '/l
Elrod & Company Corporate Sign Program Management and Engineering
Page
.;)
4
of
AmSouth Bank A TM Sign Program
Facility Survey
Project Number: 212.0000
Site Number:
Film Series:
~144
1L+ -OD-2J.
Site Address:
Overall View ~
Front Elevation
Right Elevation
Left Elevation
Pylon - Overall View
V Pylon - Detail
Other
NOTES
Overall View
Front Elevation
Right Elevation
Left Elevation
Pylon - Overall View
Pylon - Detail
Other
NOTES
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Elrod & Company Corporate Sign Program Management and Engineering
Page
3
4
of
AmSouth Bank ATM Sign Program Facility Survey
Survey Date: 0~/!Q ,CJ(t Survey BYC'( V) SITE NUMBER:
Film Counter Series: CYf- (1)' ~ U
212. 2144
6026 N. GaM Blvd.
Zephyrhilla, FL 34248
APPROACH:
Ai .(j;Q) I i&i/J-
,
Street:
ELEVATION FRONT! rYj ./
MEASUREMENTS: Ll::l.
LEFT: ) (PI ')c f!?i6RIGHT:
PYLON INFORMATION:
Center pole ~ pole
S_ descripllon :zJ!v /...11( ~ en
' 1/
Approximate distance between rports: '" J
Approximate clearance: a8
NOTES:
L . eJe)(J) i; e71
/
/ e() (i Of'./ Vi e.UJ) 0:1',/7'.:5
.Jy--p)e,.h+tu- 4-/:~/~(/el 1v S~~S
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Page
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Lt
ELROD & COMPANY CORPORATE SIGN PROGRAM MANAGEMENT AND ENGINEERING
NEW.ATM. CUSTOM
SIGNAGE
.-rJ
~
\
6
VI
8
,9
$
$
.$
.$
$
FRONT ELEVATION
SCALE: 3/16" = 1'.0.
3'-2.
t
o
I
N
WHITE COPY
...
BLACK RETAINER
WHITE COpy
...
-WHITE COpy
WHITE COPY
RED COpy
SIGN LAYOUT
SCALE: 3/.4"=1'-0.
./.'1~-~~~fr~~~~~?f~?tt~~~~~ .
FIELD SURVEY REQ'D. PRIOR TO FABRICATION
@ UNDERWRITERS
[ LABORATO~ES
LISTED @
ELECTRIC SIGN
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