HomeMy WebLinkAbout01-0061
BUILDING PERMITN~
0061
Permit
CITY OF ZEPHYRHILLS
(813) 788~6611
'J. $" d!:-
BU1iO;NG ELEC~AL PLU~G
Property Owner: 1" hJZ ~ .'"..,. -! G....o u.p
Job Address: b <"" I L 6 c,. 1I (71 voL
Parcell.D. # O') -2' - 2 "'00 , A. - 00000- 00'0
I /2'1 /0 I
Date
MEC~NICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Radon Gas:
(e.""Wf f) ^ ~ ..hue.,(ra ~ +
Zoning: Energy Code:
DescriPtion of Work "J:...., ~ k l ( G~ a. '" " -€
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.
~.
:::::,ee . fu,vufli10
Compan ~
Address
-. Telephone# 2> I?r :P'i <g .. ;t..53 C
Valuation or
Contract Price
'21 OO.~
f
City License Registration #
State Certified License#
BUILDING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
DATE
Inspector
MECH NICAL
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from fallllty 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.
APIlLXCATIOR I"Ol\ 1?E1Ua'l
CITY: or DHIYlUI1:LLIJ
JlUXLDDIG D.PARDGDl'r
DA'.l'E UCKXVRD
PLAll8 RBVID I'D
OWNER'S NAME --r1I\ 'f l4:Jd i Q y\ 1- b-fOU. P PHONE .
JOB ADDRBBS c"SI ~ 6-CI U ?:>bid, I ::lorpk1yf_nilIS, If~h~J:i~; ~(Culi""-
LEGAL DESClUPT10N: LOT IS)..1- BLOCK SUBDIVISION ~ vIC...
PARCEL 1D # OJ,-:J-&,-J.,l-C()I/t-OOOOC>-OO/C) IOBTAIN FROM PROPF.RTY TAX NOTICEl
-
WORK t'ROPSED: CNEW CONSTRUCTION
o ADDITION
o ALTERAT ION
o REPAIR
~INSTALL
"SIGN
o MOVE
o DEMOLISH
, PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
~LT1-FAMILY
o INDUSTRIAL
Oft OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK -:rv'Y~~ \, ~~)V)e \ Ie ftev-s 0("\ sb(e{'rorSt.
f-' c:.' '7-.. il
BUILDING SIZE --J. rC -vr! SQUARE FOOTAGE HEIGHT
RESIDENTIAL:
COMMERCIAl.:
ATTACH (2) PLOT PLANS & 12} SETS OF BUILDING PLANS & II} SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (l) S~ ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
o ELECT'RICA!.
o PLUMBING
o MECHANICAL
o
/) 1.r) 0 0...-.
$ cJ.l~-'
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
J.\MP SERVICE
o FLORIDA POWER
o W.R.E.C.
DGM
o ROOFtN&
o Sl'ECIALTY
VALUATION OF MECHJ\NCIAL INSTALLATION
Jl~~
$
TYPE OF CONSTRUCTION l a BLOCK
[J FlWfE
o STEEL
o OTHER
FINISHED FLOOR ELEVArIONS
IS PROJECT IN FLOOO ZONE AREA.O YES 0 NO
~'---'-;;:---"';:';;li;:-",-.;;-_.-".;o;; :";7:";,~,,;;;"';;''''''~:-~';'= ~~:wt_~~
t.,.~-...~~.#:"~~"",::,.E;j~ Ml..i\,~H ~rtf~~ ~
~~I._~~_...........~~,;"__Jo.;_......itW";"',.,_",j_,u~... m::nm:.. .~m;,~.:.I~ 1
COMPANY
STATE CERT OR REGIST .
CITY PROCESSING #
BUU.DJ:R
SIGNATURE
***********************************-******************************
SIGNATURE
COMP~Y
STATE CERT OR REGIST I
CITY PROCESSING #
KLJr.Cm1C:uJiI
*.*...**************..*****.****...***.******...*.*........*..*.*.
SIGNATURE
COMPANY
STATE CERT OR REGIST *
CITY PROCESSING #
PLUMBD.
**.*.**.*.*~...**..*.*.*.**.*.***.***.****************************
COMPANY
STATE CERT OR REGI3T #
CITY PROCESSING ft
IlECBAJaCAL
SIGNATURE
**.w...*.w**....w~....**..*....w*.***ww_.**.**..w.~..............
<mID r"?~?A~~ -nr~ .
SIGNATURE
COHPANY=:f/i f"\C NP(JY)~c
STATE CERT OR REGIST # 65 , I g
CITY PROCESSING >>
.*.***......*******...**.*...*.*........*******...**********.****
CONDITIQNS OF PERMIT AFFIDAVIT
A. NOT.ICE OF DEED RESTRICTIONS
The undersigned understands that this permit may b. subject to ~deed restrictionsU which
may b. more restrictive than City requlat~ons. The undersign@d assumes responsibility for
compliance with any app1icable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTMCTOR 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
lieenaed .. required by law, bo~h the owner and contractor may be cited for a misdemeanor
violatlon under state law. rr 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 Deparbaeut, 813-788-6611.
Furthermore, it the owner has hired a contractor or contractors, he is advised to have the
contractor(s) s1gn 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 contrac~or, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not proper~y ~leensed and ls
not entitled to pecmitting privileqe. in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNISCTION FEES
,D. CONS'rRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMEND~D)
I certify that I, the app~icant, have been provided with a copy of ~Florida'8 construction
lien Law - Homeowner'. Protection Guide. prepared by the Florida D8partment of Agriculture
and Cons~r A~fair8. 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 ~ownerH prior to commencement.
E. CONTRACTOR' SlOWER' S Al'rXDAVIT
I certify that all the information in this application 1s accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
developaeut.
Application 1s hereby made to obtain a pe~t 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 perfoDned to meet B~ndards of all laws regUlating construction, city
code~, zoning regulations, and land development regulations in the jurisdiction. I also
certify that' I understand that the regulations of other governmental Aqencies may apply to
the ~ntended work, and that it is my ~espon.lbillty to identify what a~tions I must take to
be ~n compliance. Such agencte. include but are not limited to: .Department of
Environmental Regulatio~-Cyp~ess Bayheads. Wetland Areas and Environmentally Sensitive
LandRr Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cyp~.ss Bayheads, Wetland Areas,
AlterinqWatercour..s
*~y Corps of Engineers-Beawalls, Docks, Navigable Waterways
*Department of Health . Rehabilitat1ve Se~vlce6, Enviro~ental Health Unit-Wells,
Waste~ater Treatment, Septic i Tanks
*U.S. Env1r~tal protectifn Agency-Asbestos abatement
I also ~rt1fy2thatr if fillrmaterial is to be used in Flood Zone "AN or "A,ate.H, ~t is
underst.ood that a drainage plan addre..ing a ~cOlQpen&atlng volume" will be submitted which
is prepare4by a prote8s~onal engineer ~e9~stered in the State of Florida prior to permit
iSBuance.
A perai.tissued shall be confiltrued to be A license to proceed with the work and not as
autho~lty;t~ violate, cancel~ alter, or set aside any provisions of the technical codes,
nor .shall'i.ssuanceof a peonit prevent the Building Official from thereafter requiring a
correction of errors in plan" eonstJ:Uction, or violations of any code. Every permit
issued shall'become invalid unless the work authorized by such permit is commenced within
six lUOnths, ot.<lsaiu.anoer orl~ work autbor1;i;ed by the peQ1lit is suspended or abandoned for a
period of sj,x months after. t4e time the twrk i8 cODIll\enced. One 90 day e~tension of time
IIlAY beaUc:l~~\:o~tb. p~~ w.t.th f.e charge of $15.00. The extension shall be requested
:1.11 writ,.1.....nSJ~.t~_;~~.......... B....\\1. .ldi.. n9.0~ficial.. }\h approved inspect10n m\Ullt be logged during each six
D1Qntll p~u:i.~' Qr\the projee1:! will be considered abandoned.
WARNING,rtTO"'o,IHERt"'YOUR FJULqRE TO 'RECORD A NOTICE OF COHHENCI?MENT MAY.. RESULT IN YOUR
PAnNG"~C&4;!'ORiI:MPP.OVEMZNT$TO YOVR PROPERTY. IE' YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN An'OIUfEY BEFORE RECORDING YOUR NOTICE OF COMMEHCJi;MENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED 'to RlSCORD AND POST A "NOTICE OF COMMENCEMENT",
~~~}D ~~
STATE OF FLOIp;DA b STATE OF FLORI DA . / I
COUNTY OF f1 : .Il r, () ,- 0 U .J II COUNTY OF h;;/s b {I frY u 5' h
The ~oregoing in.trument w.. acknowledged The foregoing instrument wa8~cknowledged
Before me thi.s~ daY' of~/<1dl . ~?/ Before me this .D.IAk! day of f c.L./"l , .:!9-hOC' (
by LOrro...;nt". (1~c~rr~ by /;:~p~//:J;e.- lI~\i",_ 7TL
(nllllle of person .ckno"'l~dged) (name ot person acknowledged)
~ who is personally known t~ me.. or #hO is pereonally known to me, or
o who has produced
(type
and Who[]<U.d O<U.d not
A
of irentifi~!tion)
take an oath.
r
I
I
and who Odid
o who has produced
(type of identification)
~id not take an oath
Signature o~ per.on
...nt
OFFICW: NoTARY
80NDRA HAMM
NUllaEA N
CC840880
M\' COMMlS8lOIf EXPRES
MAY 4,2001
,\ cr}vZt/~ :;.~/~
S~qn.~re o~ person takin acknowled nt
OfFICIAL NOTARY SEAL
SONDRA HAMM
EA
CC840890
M\' <::or_.1OM EXPIlES
MAY 4.2001
typed, printed
Nama typed, printed Qr ee
LEITER OF AUTHORIZATION
December 28, 2000
Re: 6512 Gall Blvd.
Zephryhills, FL 33541
Folio #02-26-21-001A-00000-00I0
TO WHOM IT MAY CONCERN:
Please be advised by this correspondence that The Radiant Group, LLC, being the Owner or Lessee
of the above-referenced property, hereby gives authorization to Dixie Neon Company. Inc. to erect
a sign or signs at the above-named property as per drawings and specifications submitted for permit
approval on its behalf
THE RADIANT GROUP, LLC
7t,Rrv.cf::-
Frank D. Capitano, Managing Member
P. O. Box 5238
Address
Tampa
City
FL
State
33675
Zip
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
On this OJ.... day of ':Tq v\VQ.( '1 . 200 J personally appeared before me Frank
D. Capitano, to me personally known and who acknowledged before me that he executed the
foregoing authorization.
My Co
~",YP".s!
~~\f.STEPHAN1E A. CASTELLANA
'$.".,.. r# MY COMM1SSION # CC 840754
OFf\.~ EXPIRES: Oct 19 2001
I 1-8()O.3-NOT!\AY F1a No"", Servl .
- y ce & Bonding Co.
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N ARY PUBLIC
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