HomeMy WebLinkAbout98-7451
BUIL~t~~HY~L~^RM!! 7451~
(813) 788-6611 Date ~ -If - 9
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Sewer Conn
Property Owner:
Job Address:
Parcell.D. #
CIz':;Jd:!Jt · q/~
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
NO OCCUPANCY BEFORE C,O,
Complete Plans, Specifications and Fee Must Accompany Application. C,Q,
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
2
DATE
DATE
Permit Fee
Signature .
Com pan
Address
Telephone#
Valuation or
Contract Price
-, ~
'F c:X?, OCJO'
City License Registration # ~ c:2 7 D
State Certified License#
cX~bO [J€h1'Z.. (2,0-:lAC!-'
~~ - ELECTRICAL
PLUM81W3
MEC'I-l.dI'\lIr.dI
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 ($~) shall be made for each trip for each trade:
~-:. V'V
Wrong Address
Condemned work resulting from faulty construction,
Repairs or corrections not made when inspection called,
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site,
Work not accessible,
a.
b.
c.
d,
e,
f,
g,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same,
APPLICATION FOR PERKlT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
9~ 93?-- g.s- /..s
;y}/
.-
OWNER'S NAKE CON C-;' it f:. I --eN C-
OWNER'S ADDRESS ,73 '1~ (tp1-1! 6/(/ J
JOB ADDRESS fr, tyhcJ V, 'f'1A J ~ 1,(')..4,. 7.3 r p
(J;ftyJ /t<c:;fifor(
'7%3-i'r9o
.
PHONE
&-rlll t6!IJd'& ;?~hlr;;~Vls 3.Ys 7'1
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1.D.' .55 ()5:1.// 00100$1 ?a?, co,- 0000
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install
.x..Sign _Move _Deaolish
PROPOSED USE: _Single Faaily _M/F _' of Units _M/H
_c.:-ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: W Iff- / /
~;" G N
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.
PERKlTS REOUESTED
_BUILDING
$ ,...;; OIJIJ # 11f'}
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECllARI.CAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FlIIISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA"I
YES NO
******************************************
Signature
CONTRACTOR SECTION
COMPANY Lt!mc..o Co,v.:>I~. :7~c.
State Cert. or Regist. Ie r:;, C fiIJ hi.;1...
City License Registration I ____ ~ _
******************************************
/'
BUILDER
F.l.RCTRICIAN COMPANY
State Cert. or Regist. t
Sionature City License Registration ,
******************************************
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************************************
MECHANICAL COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************************************
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration t
******************************************
APPLICATION APPROVED BY PERKlT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RES'fRICTIONS
rh. und"slgoed und.rst,nds tb,t this pe,slt lOr be .ubJ.ct to 'deed ,..t';ctlon.' .bleb lOr b. lOre ,..trlcli.. tban City
regulations. fhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'OR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they .ay 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 uJ be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-66II .
Further.ore, if the owner 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 will 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 .ay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in the
City of Zephyrhills,
C. TRANSPORTATION IMPAC'f FEES AND UTILI'fY CONNECTION FEES t ~
D. CONSTRUC'l'ION LIEN LftW (CHAPTER 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
GuideH prepared by the Florida DepartJent of Agriculture and ConSUler Affairs, If the applicant is sOleone other than the
Howner", I certify that I have obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the
Howner" prior to Co-.ence.ent.
E. CONTRACTOR' S/OWNER r S AFFIDAVI'f
I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regUlating construction, Joning, and land developlent.
I
Application is hereby .ade to obtain a per.it 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 perfolled to Jeet standards of all 18ls
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber goveCDIental agencies lay apply to tbe intended wort, and that it is
,y responSibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not liJited to:
t Departlent of EnvirODlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater rreatlent
t Southwest Florida Nater Hanage.ent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
t De rtlent of Health & Rehabilitative Services BnviroDlental Health Unit - NeIls, Wastewater 'reatJent, Septic 'anks
t US EnviroDlental Protection Agency - Asbestos abatetent
I also certify that, if fill .aterial is to be used in Plood Zone HAH or "A,ete.H, it is understood tbat a drainage plan
addressing a "co.pensating VolUleH will be sub.itted which is prepared by a professional engineer registered in the State of
PIorida prior to per.it. issuance.
. A per.it issued shall be construed to be a license to proceed with tbe work and not as authority to violate, caocel alter, or
set aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code, Bver, perlit issued shall becole invalid
unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if worl authoriled by the petlit is
suspended or abandoned for a period of six IOnths after tbe tile the worl is COllenced. One 90 day 81tension of tile, lay be
allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each six I9ntb period, or the project will be considered abandoned.
NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICB OF COHHBNCBHBN' HAY RBSULT IN YOUR PAYING RICH FOR IHPROVIIIDl'S TO YOUR
PROPIRn. IF YOU INTBND fO OBTAIN FINANCING, CONSULT VIrH YOUR LBNDIR OR AM AnORllY BBFORJl RJlCORDING YOUR JurICH OF
_. JOIIS UllDER 12,500 ." VllLIJIl 00 IIO'l "ERD TO RICOIDI MIl ~ '1IO'llCl OF COIIIlICBIlm'.
\ ~I J ~' ~ . I.
SIGNATURI: OWNBR OR AGINT SIGNAfURE: ONTRACfOR
STATI OF FLORIDA
COUNTY OF
The foregOing instrument
before me this
was acknowledged
, 19_ by
STATB 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
permit authorization,txt"txt
.f
Feb,3,1998
To Whom It May Concern:
I authorize Jerry Martin to pick up the sign
permit for 7348 Gall Rd"Zephryhills
Sincerely,
LeRoy E,McIver
CGC 020652
Lemco Construction
~ t::?J1~
Co,Inc,
(i?c )f /)~
....., ~ GAITHER
~,rt& ... y. Notary Public . State of Rorida
~A..6 COMMISSION # CC 687350
~OF~- EXPIRES DEe 8, 2001
Page 1
NT
January 27, 1998
Bay Area Signs
P.O. Box 1601
8012 Gibsonton Drive
Gibsonton, FL 33534-1601
To Whom It May Concern,
This letter authorizes Lemco Construciion Company to pull the necessary
permits to install a sign at TownView Plaza. This is located at 7348 Gall Blvd.
Zephyrhills, FL 33541.
If you have any questions concerning this matter, p1erse call 684-0622
Sincerely,
<;"' ~
Tom Kazbour, President
Kazbour Bar & Grille
TK/jab
(i?~}J Jj~
':&~~ P"cf.. RAY O. GAITHER
'6 NotaIy PUIIIic . State 01 Roride
~ ib..l COMMISSION # CC 687350
OF ~- EXPIRes DEe 8, 2001
2503 Hwy 60 E. . Valrico, FL 33594. (813) 684-0622 . FAX (813) 661-5184
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