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