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HomeMy WebLinkAbout97-6585 BUILDING PERMIT N! CITY OF ZEPHYRHILLS Permit (813) 788-6611 6585E Date a "02 'I-r'1 BUILDING ~CT~I~ PLUMBING Pmperty Owner 'J? ~J7ij;~L. $ Job Address: ...3 R- I - ~ V E MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel I. D, # Zoning: Energy Code: Description of Work '52:;-7/ .A-t.J?_ C> -~~- - Radon Gas: ~<-~_I--3D~ - 1-.2c;,~/tZ~ FINAL DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector t:t P~'mit F::J ~o ~ Slgnatur A_ Company Address Telephone# Valuation or Contract Price ~~>1 City License Registration # j..8 c ? ::L State Certified License# f)~~'j BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b, Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d, Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. Pro osal Dillie" c"".f,,,efi,,,, RG 0055787 13905 First Street Dade City, Florida 33525 352 521-3435 0............................................ fl.. To: Ray Mitchell Phone: (813) 780-7670/ Home (813) 782-9235 Street: 38451 County Road 54 Date: 03/25/97 City: Zephyrhills Job Location: 38451 County Road 54 State: Florida Zip: 33540 (formerly) The Florida Steak House Restaurant ER 0014280 .t tlropO~t hereby to furnish material and labor - complete in accordance with specifications below, for the sum of: Eight Hundred and Sixty-Seven and no cents Dollars ($ $867.00 All material is guaranteed to be as specified All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from specifications below involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon accidents or delays beyond or contr I. Owner to carry fire, tornado and other necessary insurance. Authorized Signature _ DateDY~o/9t> W h b e ere 'Y su mlt specl Icatlons an estimates or: Move an electric steam table from the kitchen and install it in the dining area next to the salad bar. Install new 30 amp single phase circuit in conduit pipe (EMT) for a receptacle to operate the steam table. Install a new 20 amp single phase circuit in conduit pipe (EMT) to the end of the steam table for a receptacle to operate the new Ice Cream Machine. Repair broken receptacle in kitchen, behind cooking equipment. Repair ceiling in liquor storage room (re-nail only, no taping or drywall joint compound applied) 20% Down the Balance Due upon completion of the work specified above. $173.40 Down $693.60 Balance Due Price Includes all Materials, Labor and Permits. $867. 00 Total b . 'fi d Ii ~ctptanct of 19topoll'lll- The above prices specifications and conditions are satisfactory and, are hereby accepted You !}':;thOrized to do the ~ specirrett _ Dafe of Acceptance < :1 c;: SignaJuFe ~ YHq-.b< / ~. / I ('ontractm' Copy v . APPLICATION FOR PERKlT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER' S NAKE ~)a..~ \6\\ {c1-e,ll 3l?'-ISI ~O~"'1 ?o,q,,{ 51{ ~ F1DV'~a. S e4k tku.se- PHONE(~i)) '1~).-723Y OWNER' S ADDRESS JOB ADDRESS 3 f6tj-S-/ Cu'-'\n-i J f?4. Sr LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration ~Repair _Install _Sign _Hove _DeIIOlish PROPOSED USE: _Single F8IIily ~eo..ercial _KIF _' of Units _K/H _Indust. _Swu.. Pool ___Other L..Restaurant & Health Departaent Approval DESCRIPTION OF WORK: -r \.oL.IO) N~ C-''''c....t.J..~-+ \ -3D A\.~ 1-,;)0 At"f\p ~.- .s~~ \C<.fo1e... BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction -X-,ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING TYPE OF CONSTRUCTION: -X.-Bloclt _Fralle _Steel SPECIALTY Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION Bun.nER COMPANY State Cert. or Regist. . City License Registration , ****************************************** Signature COMPANY '0 a ~c.CJ CD 11 s{ '" "c:.-~ :0 ^-. State Cert. or Regist. , E R 00/ <f';J... '(0 City License Registration' ':JD '3?- ****************************************** PLUKBER COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration f ************~***************************** OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERKlT 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 ONner has 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 lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Deparlient, (813) 188-6611. . FurtherlOre, if the ONner 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 Nill be responsible. If you, as the OlDer 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 he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES I~ D. CONSTRUCTION LIEN ~W (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOJeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleDne other than the .owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the "owner" prior to COBenCelent. E. CONTRACTOR'SjOWNER'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, loning, and land developlent. , , Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all Ials regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies laY apply to tbe intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to: * Deparllent of Hnvironlental Regulation - Cypress Bayheads, Vetland Areas and Bnvironaentally Sensitive Lands, Vater/Vastewater Trealient * Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses * ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways * Deparlient of Health & Rehabilitative Services, Bnvironaental Health Unit - VeIls, Vastewater !reallent, Septic !anls * US Hnvironaental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zooe "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volOle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued shall 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 is~u~nce of a per.it prevent the Building Official froa thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOll invalid unless the work authorized by such perlit is cOllenced Mithin sil IOnths of issuance, or if Mork authorized by the perait is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, laY be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. NARNING TO ONNHR: YOUR FAILURE TO RECORD A NOTICH OF COHMBMCBHEN'l HAY RESULT IN YOUR PAYING TWICE FOR IMPROVBIIBI!S TO YOUR PROPIlRTY. IF YOU IMTIlND TO OBTAIN FINANCING, CONSULT VITH YOUR LIlMDIlR OR AM AnORRI!Y BIlFORB RICORDING YOUR NOTICE OF COHHENCHHHNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICH OF COHHBNCIMIN'l". SIGNATURE: OIfMER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19 by STATH OF FLORIDA COUNTY 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 bas produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC