HomeMy WebLinkAbout97-7329
BUILDING PE,RMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
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Job Address: )3 ~
Parcell.D. # <- ~~--;lS - d1- 06)1 t) -
Date
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PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
o~'-/:J 00... 00 cr D
Zoning: Energy Code:
Description of wor;- ~ J?~f\;-n~~
Aadon Gas:
FINAL
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
Valuation or
Contract Price
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Inspector
City License Registration #
State Certified License#
..2.3S-
Signature
Company
Address
Telephone#
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BUILDING
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r-Ke /ftJO ~
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
u;\:~ 3l!jc,~ f?,', I
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.00) 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.
SDC
SANDY DEVELOPMENT COMPANY, INC.
Phone: (352) 567-7992 · Fax: (352) 567-5688
12303 U,S. 301 · Dade City, FL 33525. State Certified: CBC010923
December 11, 1997
Attachment for permit application
Job Address: 7348 Gall Blvd. (Townview Shopping Center)
1. Hood cleaning & re-work fire suppression system to existing code
2. Repair walk-in cooler and service Alc
3. Lower ceiling, lights and fire sprinklers
4. Remove mirrors
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ZEPHYRHILLS I
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_ FIRE DEPARTMENT!' .._-
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APPLICATION FOR PEBKIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTKENT
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OWNER'S RAHE Concire Centers rnc
PHONE (813) 783;1S490
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OWNER'S ADDRESS 7335-2 Gall Blvd., Zephyrhills, FL 33541
JOB ADDRESS 7348 Gall Blvd., Zephyrhills, FL
(Townview Shopping Center)
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.' 35-25-21-0010-05600-0000
BLOCIL-SUBDIVlSION
,~~
(OBTAIN FROM. PROPERTY TAX NOTICE)
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WORK PROPOSED:_New Construction -Addition ~teration ~epair _Install
_Sign
---1Iove
_Deaolish
r
PROPOSED USE: _Single Faaily
---1I/F
_' of Units
---1I/H
J:t'
_ec:-ercial
_Indust.
_Swia. Pool _Other
~estaurant & Health Departaent Approval
DESCRIPTION OF WORK: see attached
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS 1& (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.
PERKlTS REOUESTED
-LBUlLDING
~ELECTlUCAL '
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
W.R.E.C.
-1IECBAIIlCAL
$
Valuation of Mechanical Installation
---YLUKBDiG GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~lock _Fraae _Steel
Other
FD1ISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YRS"~
-~~:
NO
******************************************
BlrrlJlER
;.it,
CONTRACTOR SECTION ,'11
COKPARY Sandy Development Company"~~ rnc.
State Cert. or Regist. . CBC010923 '
City License Registration . 235
******************************************
COKPANY First Class Electric
-'
State Cert. or Regist. . /')0 /1 ~ /7
City License Registration' 14 "f
**************************************
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PLUKBER
COKPARY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
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KECRA:NICAL
COKPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
COKPARY
State Cert. or Regist. .
City License Registration .
******************************************
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O'I'IIRR
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Signature
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APPLICATION APPROVED BY
PEBKIT OFFICER.
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CONDITIONS OF PEI~IT 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 cUlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRAC'!'OHS AND CON'l'lmC'!'OH RESPONSIBILI'l'IES
If the owner 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 Cor 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 DepartJent, (813)
788-6611.
FurtheClore, if the owner has 'Iired a contractor or contractors, he is advised to have tile contractor(s) sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as tbe contractor,
you are indicating that you, rather than tile contractor, are responsible for the wod. 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 tbe
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES {{
D. CONS 'l'RUC'l' I ON LIEN L1\W (CHAPTER 7l3, FLORIDA STA'rUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOJeowner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and Consuler Affairs. If the applicant is sOleone other tban the
"owner", I certify that I have obtained a copy oC the above described doculent and pcolise in good Caith to deliver it to the
"owner" prior to co..encelent.
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.
I
Application is hereby lade to obtain a perlit to do work and installation as indicated. 1 certify that no worl or
installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to leet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other governlental agencies lay apply to tbe intended worl, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
· DepartJent of Environlental Regulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· DepartJent of Healtb & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater rreallent, Septic fanks
· US Environlental Protection Agency - Asbestos abatelent
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 "colpensating volUle" 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 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 frOl thereafter
requiring a correction of errors in-plans, construction, or vioiations of any code. Bvery perlit issued shall beCOle in,alid
unless the work authorized by such per.it is co..~nced within Sil IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of Sil IOnths after tbe tile the work is cOllenced. One 90 day eltension of tile, Jay 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 IOntb period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICR OF COKHRNCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVlMHrrS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FIHANCING, CONSULT WITH YOUR LENOIR OR AN ATTORNEY BEFORE RECORDING YOUR HOTICR OF
COKHENCRHRNT. JOBS UNDER $2,500 IN VALUR DO NOT NEED TO RECORD AND POST A "NOTICE OF COKHENCRHRHT".
SIGNATURE: OWNRRORAGRNT
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SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 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 ~ot
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC