HomeMy WebLinkAbout98-7896
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BUILDING PERMIT
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
AFTER HOURS PHONE NUMBER
(813) 788-5262
PLUMBING
Permit
7896/3
2~'..-di>
BUILDING
Date
~ - ).2~9f-
MECHANICAL
Sewer Conn
:::,~s:~.'t f! i f7;:{~ /J.W
Parcel I. D. #
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code: .
Description of Work B.~ (t~~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
lo-Z-9?
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
/I..S If
~J...U
7J
p~'mit~-p~.
Slgnatur
Company
Address
Inspector
Valuation or
Contract Price
7-6--: rJ-h;. v-D
,
Telephone#
J)~&4
BUILDING
Ftr. ~) 1 /; I~ 1 P: II
Pre SLB
Lintel
FRM. 1/Jdq~ ~ ob
Insul. CL I
WL 9h,la,i Gab
. ,
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
r+r. (1) 'I (J I~i I~: II
F+r . ') In /~ i i. \l
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($-'I e.ool shall be made for each trip for each trade:
~rPD
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.
.:bb 3501
.
. 11111111111111111111111111I11111111111111111111111
98097417
Rcpt: 2&0921 Rec: 10.50
OS: 0.00 IT: 0.00
08/13/98 ___ Opt y Clerlt
JEO PITTMAN, PASCO COUNTY CLERK
08/13/98 09:09am 1 of 2
OR BK 3987 PG 1 185
This Instrument Prepared by: Kim 0::rli:)e/VENnJRE CI:NS:IlUJ.rICN ~/~ DIVISICN
Address: 105 N:>rth Falken1:::m:g R::lad, Slite A
'Il:Inpi, FL 33619
_SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR PROCESSING DATA-
NOTICE OF COMMENCEMENT
Permit No.
State of Florida
County of B:1soo
The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with
section 713.13 of the Florida Statutes, the following information is provided in this NpTICE OF COMMENCEMENT.
Legal description of property (Include Street Address, if available)
6042 N. Gall B:lu1evard. zepwmil1s. FL
S:!e "Exhil:nt A" 1eqal descri.otia1 attached
General description of Improvements Ierode1 M::n:nald' s Restaurant
Owner M::I:lClW])' 5 ~ (Att.enti.a1 : R:lb I.arx:aster)
Address 1 Ur1::an Centre, Slite395, 4830 test Kemedv B:lu1evard, 'Ialrp!. FL 33609
Owner's Interest in site of the Improvement OI.ner/Q:erator
Fee Simple Title Holder (If other than owner) WA
Name
14 Address
Contractor VEN'Itm: ~ ~
Address 105 N:>rth Fa1kenrorg R::lad, Slite A, 'nmp:l, FL 33619
Surety N/A
Address . Amount of bond $
Any person making a loan for the construction of the Improvements:
Name N/A
Address
Person within the State of Florida designated by owner upon whom notices of other documents may be served as
provided by Section 713.12(I)(a)7., Florida Statutes.
Name
Address
In addition to himself, owner designates Jim KUrtz
Of VEN'Itm: ~CN ~, 105 Nx1:h Falkerlh1rQ" R::lad, Slite A, 'nm:a, FL 33619
to receive a copy ofthe Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a
diff~
H'4~tJ g. 57A,o~1
Signature of Owner Printed Signature of Owner
NOTARY RUBBER STAMP SEAL I have relied upon the following identification of the
'" Affiant ~"o\~ ~ ~~.seU..
. ~~oeno.~ ~ lZ..
Sworn to and subscrib d before me thIS
I>,"""'~ CHRISTINE MEYER WESTON day of ~ ,19 9'l? .
"V MY COMMISSION # CC6948S6
~.,. Of r.,.' EXPIRES: November 6. 2001 "- b.:'J.~....... 'fV\~ WD.~
I-<<lO-3-NOTARV FJa. ~ ServIce" BondInQ Co. Notary Signature
j Q.'t-o.v'~i-I~e ()\~~ W<.~~
Printed Notary Signature
08/11/98
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McDONALDS CORP
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.l:lb 3501
Exhi.bi.t A
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OR BK 3987 PG 1 1 86
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lTATE OF FtORIDA
COUNTY OF PASCO
THIS IS TO CE~''''IF'
~~UE_ AND ?,OrtRfC r ~OP~ b~'i~;H~ ~~,,?~~O!~.'G IS A
,Or.. L,e RECORD I~I i!;,~ ';, r~~J~,,"r:'-fn "N}I!..I
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- " -- '.'ill' OF
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BY , - ~nl
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APPLICATION FOR PERMIT
CITY OF ZEPHYRRILLS
BUILDING DEPARTMENT
DATE RECEIVED 7- tll- ~
PLANS REVIEW FEE";/5' 'E!E
OWNER'S NAME
roft/ /} /Lc; (o/(
60C/:2- 6--#-11
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
(OBTAIN FROM PROPERTY TAX NOTICEl
~RATION 0 REPAIR 0 INSTALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
~MMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
br;rf/ Cj/d2/ ;~7
/ ~
BUILDING SIZE
SQUARE FOOTAGE
.
; ~ '..~
'HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
$
..7~ ooiJ
,/
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
***************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** * * * * * * * ** * **
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A: NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, 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 owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating constru~t~on; zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit 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 issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the tirne the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
/=~~o IN VALUE DO NOT NEED TO RECORD AND POS~.COMMENCEMENT'"
a) . ~~ {(41/t-~
~NATURE: OWNER OR AGENT SIGNATURE: CONTRACi: .
acknowledged
, 19_
~ .t75<? U
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
of identification)
take an oath.
(name of person acknowledged)
[1ho is personally known to me, or
~. has produced ~.5 ~'5-----
, (type of identification)
a~. w 0 ~d ~~~ t;<.ke an oath
~. :~ ~~I~aI
Signature of person takin acknowledgment
(name of person acknowledged)
Dwho is personally known to me, or
Dwho has produced
(type
and whoD did Ddid not
Signature of person taking acknowledgement
Name typed, printed or stamped
Name
of I,C ~FVl-/;'
tYBll1"'~ rinterl.~r stamped
~.,~.J. . \ IfOIlbIe S. SwedIrid
~ ; :~ MV COMMISSION , CC534927 EXPIRE"
~ ~ u
..'1.'*......,;;,./ February 22. 2000
',.n,\'lI'" llONOEo THAU TFIDY F.\JN IHSUIlAHCf.INC
@
McDonald's Corporation
One Urban Centre, Suite 395
4830 West Kennedy Boulevard
Tampa, Florida 33609-2594
(813) 287-5559
Fax: (813) 281-4310
McDonald"S
July 23, 1998
To Whom It May Concern:
Please be advised that Venture Construction Company, its Agents, and Representatives, is
authorized to sign on behalf of McDonald's Corporation in any zoning issues, variances and
general building, highway, drainage, landscaping and sign permits in connection with the
remodeling of the McDonald's restaurant located 6042 N. Gall Boulevard, Zephyrhills, Florida.
The contract amount for this job is $80,000.
/?,jt P
Robert Lancaster
Project Manager
McDonald's Corporation
Tampa Bay Region
~VlEIDi
. "" 27 t99A
STATE: FLORIDA
COUNTY: HILLSBOROUGH
The foregoing instrument wa~ acknowledged
before me this "'t( day of
a~ ' J ~'1 g by Robert Lancaster, of
cD nald's Corporation, on behalf of the
Corporation. He is personally known to me and
did not take an oath.
c ':::12 (I
~dV:J.... U'\. ~~
Sandra L. Beagle/ Nota ublic
_:;ao.-
~J CC888843
", ..... 0cI0ber f8. 2001
*..tI* Co~r-;
~..~ Expire<..
'ENTURE CONSTRUC i j,-.
TI\MPA OIVlSlOlll
(EtIL:IRestdevlCoordinIPermanen lAuthet. Doc)