HomeMy WebLinkAbout98-7720
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7720 IJ
~o.vv
BUILDING
Date
~ 1- 9g-
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
::::;,~:~e~3~~i n/'~ .
Parcell.D. #
Zoning: JE9frgy Code: Radon Gas:
Desc';otlon0' wo.[" .;:~ ~<'i- " _A.,;J->c E'/ ~
Water Conn:
Water Meter:
T,I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
6
Valuation or
Contract Price ~. _ ,:?, <; -V. o-D
./
City License Registration # ) ~ J>~ --
State Certified License#
Permit Fee ~
Signature
Company ~<;'~7 CC:;:...J~ L Si <.rJS
Address 7770 (,).$...301,.J --J71~., '" flJ~ ,_
Telephone# 8'13 7"g-o ~/6/ '
~~A/ ~4'~?
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
" 13/1~
l?cb
Tp. Servo
Rough In
Meter Can
Con st. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 1-&:66) shall be made for each trip for each trade:
:2..-..5-;c.Tl:J
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.
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APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
q~v;L f~rl
OWNER'S NAME lIiJ.-J'h'\l6 Ita,.) ~A_ ,J.::.
OWNER'S ADDRESS 7 3 ~<1 64 Lt. B/l/cf
7 .3 i.( 'I C~ ~I.., ~, v J
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ----Alteration --.-Repair _Install
~ Sign _Move _Deaolish
PROP9SED USE: _Single Faaily
~eo..ercia1
--.Jf.1 F
_' of Units _M/H
_Indust.
_Swim. Pool _Other
_Restaurant &: Health Departlllent Approval ~
DESCRIPTION OP WORK: Er<ec:.t-751Zf ,'<IE. ~tON ) 6~d' w.tJH~'c~}io )(.-:3
BUILDING SIZB: 55 7x .s&:' Square Feet, I ~eight
RESIDENTIAL :
COMMERCIAL :
ATTACH (2) .JI,.OT PLANS &: (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3Y'SETS OP BUILDING PLANS &: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
/" BUILDING $
- t€1.ts-t",.:IlC
L-ELECI'lUCAL
~
2. 3 SO Valuation of Total Construction
PERMITS REOUESTED
AMP Service Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel
Other
FINISHED FLOOR ELEVATIONS:
PT.
IS PROJECT IN FLOOD ZONB AREA?
Signature
(~:%1b"
CONTRACTOR SECTION ~4f q q 0
./7 ~ COMPANY 0Es--7' C-E.,...., 'T~,f) ~ SIC...) 5
~ State Gert. or Regist.' ~ 5"0""06 ~:1. _
City License Registration , / '7 _'::J
.............................
..........................................
BUILDER
RI.RCTRICIAR ~
Silmature
COMPANY r-JE.S7 C~,..ff~L S/~
State Cert. or Regist. # .s- 6 dr::'Oc::J
City License Registration #
..........................................
f-t'-;/
PLUMBER COMPANY
State Cert. or Regist. f
Signature City License Registration f
..........................................
MECHANICAL COMPANY
State Cert. or Regist. #
Signature City License Registration t
..........................................
OTHF.R COMPANY
State Cert. or Regist. t
Signature City License Registration t
..........................................
APPLICATION ,APPROVED BY PERKIT OFFICER.
. CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
rhe W>iorolgo.d ood.rataods tbat tbl. pec.lt .ay be .ub)..t to 'd.ed c..tcl.tlon.' _hieb IO, be IOC, cestrl.tl" lIoo City
regulations. rbe undersigned assUles responsibility for co.pliance witb any applicable deed restrictions.
B. UNLICENSED CONTRAC'I'ORS AND CON'I'RAC'I'OU RESPONSIBILIT~ES.
If th8 ....c has hlc.d a contcactoc DC .ontca.toc. to onderta" lOci, th.,.., be cequlced to be llcooseI io aooordance _lib
.tat. and local c.golatlons. If th. conlea.tor I. not li.....d as c.golced h, I.., loth the ..... aod controctor .., 10
.Ited foc a .I.d......c violation ond.c .tat. I... if the ownec DC Intended contcactoc ac. oocertaio a. to oIot II....ing
cegoic....t. ..y apply foc th. Int.od.d NOcl, the, ac. advl..d to conta.t th. City of lepb,chill. Buildlog Deporlaeot, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
'Coolea.toc S..tloo.' of thl. appli.ation foc abieb tb., will be c"pon.ibl.. If you, a. the OlDer aigo as the contractor,
fUD .c. indi.atlng that you, catbec lIoo tb, contca.toc, ac, cesponsibl. foc the lOCI. If the contractor wisbes fUD to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to pellitting priVileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPAC'r FEES AND U1'ILl'rY CONNECTION FEES ' '
D. CONS'I'RUC'l'ION LIEN L1\W (CHAPTER 713, FLOIUDA STATUTES, AS AMENDED)
I "ctlfy that I, the appll...t, ha" beeo pco,lded with a copy of 'Floclda'. Coostru.tlou Lieu Lao _ Booeoooer'. Prote.tiou
Guide" prepared by the Florida DepartJent of Agriculture and ConsWler Affairs. If the applicant is sOllOne other than the
.owner", I certify that I have obtained a copy of the above described docu.ent and prOlise in good faith to deliver it to the
"owner" prior to COalenCelent.
E. CONTRACTOR r S/OWNER r S AFFIDAVl'l'
I certify that all the inforlation in this application is accurate and that all wort 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 wort 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 perf oIled to Jeet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governJental agencies JaY apply to the intended worl, and that it is
IY responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not lilited to:
I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Netland Areas and Environaentally Sensitive Lands,
, Nater/Wastewater Treallent
I Southwest Florida Nater HanageJent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Natercourses
I Arl' Corps of Engineers - Seawalls, Docts, Navigable Naterways
I De arllent of Health & Rehabilitative Services EnviroDlental Health Unit - NeIls, Nastewater TreatJent, Septic ranks
t US EnviroDleDtal Protection Agency - Asbestos abateJent
I also certify that, if fill .aterial is to be used in Flood Zone "An or "A,etc.., it is understood that a drainage plan
addressing a "cu.pensating volUle" will be subJitted 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 frUl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it iSBUed shall beCOle invalid
unless the work authoriled by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension 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 IOnth period, or the project will be considered abandoned.
NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHEICEHENr HAY RBSULT IN YOUR PAYING 'fIUCH FOR IMPROVlllDrS TO YOUR
PROPERTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT NUH YOUR LENDER OR All AnORIEY BEFORK RKCORDIHG YOUR lforICB OF
COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COHHKNCKHENT".
SIGHArURB: OWHBR OR AGKNT
----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 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 oatb.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
To whom it may concern:
Barnett Bank in Zephyrhills, FL is changing to Huntington Bank. As authorized
officer of the Huntington Banks, I hereby certify my approval for sign
manufacturing and installation work to commence upon receipt of necessary
permits.
This authority extends to Plasti-Line, Inc. as manufacturer and West Central
Sign, a licensed specialty sign contractor as installer and their assigns, subject to
the local governing building codes.
Site specific to this authority:
Zephyrhills Branch
7344 Gall Blvd.
Zephyrhills, FL 33541
Given by my hand,
Notary
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SILCOX ENGINEERING, INC.
Post Office Box 8574
TAMPA, FLORIDA 33674.8574
(813) 238.9755
WEST CEt-JTPAL 5lGtJS
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SILCOX ENGINEERING, INC.
Post Office Box 8574
TAMPA, FLORIDA 33674-8574
(813) 238-9755
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40 Sq, Ft. Linear Wall Sign
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Property of Ptutl-Une, Inc, Not ro be dupllcal8Cl
Site # FL50
Zephyrhflls
Loc;;,t1oniAddf'/186 7344 Gall Boulevard
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SiU # FL50
Zephyrhills
LDcIItion/~ 7344 Gail Boulevard
Zephyrhills, FI
"H.mc ,.~ 1'1.5112