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Home My WebLink About01-0239 BUILDING PERMIT~~ 0239 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date Jj-/I-of Property Owner: Job Address: Parcel 1.0. # Zoning: Oescription of Work :-;';::",.., ~L .. ~I"'I'-J-\L Sewer Conn Water Conn: BUILDING Water Meter: T.I.F.'s: Energy Code: c:2 ~ c~ r;} FT ) Radon Gas: ~ it ~ (=1~. J NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Valuation or Contract Price ..-. 9 {)iJ -J Ftr. Pre SLB Lintel City License Registration # c::< ~ /1 State Certified License# O~ 1ik~N(~ ~f~~ ELE~'--"-"'" ---- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final A~. 0IePhone~~- 5'lLl.;J()76' ~ -:;...- -- 1l4iCIIA,',jICAL SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection tripl> 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. b. c. d. e. f. g. Wrong Address Condemned work resulting from fa~ty construction. Repairs or corrections not made wh n inspection called. Work not ready for inspection when called. Permit not posted on job site. . Plans not at job site. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~ CITY OF ZEPHYRHILLS PERMIT APPLICATION fiL~ f>>A ' BUILDING DEPART.MENT 813-788-6611 FAX:813-788-1516 ~~- IJ;~~OI DATE RECEIVE~ PLANS REVIBlf FEE - 11 OWNER'S NAME JOB ADDRESS PARCEL In 4+ WORK PROPSED: ONEW CONSTRUCTION ~IGN o ADDITION o MOVE DALTERATION o REPAIR o INSTALL o DEMOLISH PROPOSED USE:OSGL ~ILY DWELLING "=OMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER CJ RESTAURANT DESCRIPTION OF WORK .tnsiZlRL- .., ^I ~ ~, BUILDING SIZE ~ ~ ~ & HEALTH DEPARTMENT APPROVAL 01~j1J UJO-U Sl~ SQUARE FOOTAGE ---1.DOO.M. HEIGHT LtJ' 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. )l8UILDING o ELECTRICAL o PLUM8ING o MECHANICAL $~ce, PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION 1\MP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHP.NCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER 'TYPE OF CONSTRUCTION: 0 BLOCK .Jl' FRAME FINISHED FLOOR ELEvATIONS --1- o STEEL o OTHER IS PROJECT IN FLOOD ZONE AREAO YES )ttNO :<':~::.\,::,<:::::':~ ;':~));:;n:\/ ,.,.( ~ '" ( :""::":. :.'.::..;~:':'!' .. . ....~~~..~.;: :;~.~ '.',~:~~/,,~.:~: ~"~- ~,~ -...... - ,. "'~ .~.. .-.~_.....~ . . - .. ". . -"~-'-~-'- -- .- ..... ,.. - '--- ~!::f~N;:,:*~;;il.:;:">~;.~/.j/;: ;;~~?;:~;}c)i.> ::;~: . \:':'.~ '.':: ":; ':;.., BUILDER SIGNATURE COMPANY STATE CERT OR REGIST * CITY PRDCESSING # ......********.**.**.*****.*...*******************.*******.**.**** ELECTRICIAN COMPANY: STATE CERT OR REGIST H CITY PROCESSING * SIGNATURE **************************************************************..*** PLUMBER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # **********************************************************..******* NECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE * ** *. *** ********.. ...i* * * * ** *........ * * ** ** ** *****.. ** *..... * * ** ** ** .-Ie**. *<< onER SlCf\ & SIGNATURE · ~~_ ****.*.*.**********~**********.*******..*********************..** ., ,I """1'1'1'111 0llIU\JIU;:J7.J1I 111'\ ~lrlrl'7 Inn? 'Q 'oa~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit ~y be subject to ~deed res~ric~1onsN which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance w1~h 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 accordanoe with sta~e and local regulations. If the contractor is no~ licensed as requiredeby 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 contrac~or or contractors, he is advised to have the contractor(s) sign por~ions of the "Contractor SectionsH of this application for which they will be responsible. If you, as the owner signs as the contrac~or, 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 Ci~y of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AJ5 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 applican~ 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 ~ownerN prior to commencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify tha~ all the information in this application is accurat~ and that all work will be done in compliance with all applicable laws regulating construction, 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, Ci~y 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 no~ limi~ed 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 *A~y 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 permdt issuance. A permit issued ,~hall 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 errore in plans, construction, or violations of any code. Every pe~t issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if w~rk au~horlzed by the permit is suspended or abandoned for a period of six months after the time 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 ~2,500 IN V1\LUE 00 NOT NEED TO ECORD lIND POST A 'NOTI~ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by (name of person acknowledged) Owho is personally known to me, or o who has produced (type of idedtification) and whoO did Odid not take ani oath. STATE OF FLORID~p LM.u COUNTY OF ~..f}J:) The foregoing instrument was aCkn~wledged Before me this --i..2-day of 4~/~.[ , ~()(.)l by _ V~ V I f) \A )---A L.Ll~.A; 7 ~ (name of person ackno~ledged) ?fno is personally known to me, or o who has produced ~(type of identification) and who 0 did ~id not take an oat:h Q;ILd{~ (1 / ,rf~)ll.l,/)a s~gnature of person~taking acknowledgment acknowledged , 1L- Signature of person t:aking aoknwledgement {)UJ(lV ^JJj;lk~ ~)Vf)I/H (1, 'TlJ~~ Name typed, prin~~ ' 3faFrl~ 11tJrlUy ru, orlda My eomm. expo Dee, 6, 2002 ^-'-""III"'-''' 11'\ III" IlIS~~r:n;Noi~(F!9~~71'n::lJ Name typed, printed or stamped ALLEN INDUSTRIES, INC. 11351 49TH STREET NORTH CLEARWATER, FLORIDA 33762 ALLEN INDUSTRIES OF NORTH CAROLINA, INC. 6434 BURNT POPLAR ROAD GREENSBORO, NC 27409 ALLEN INDUSTRIES, INC. 2003 RUTLAND DRIVE AUSTIN, TX 78758 To Whom It May Concern, I, the undersigned, authorize the following person to purchase sign permits for Allen Industries, Inc., Clearwater, Florida from the City of County Governmental Agency to whom this letter is presented. Edwards Jones, Zephyrhills, PI NAME SIGNED: SIGNATURE /:;)~i;:f!;2~____ -~U~______ Gerald Kloss DAVID W. ALLEN State of Florida: County of Pine lIas: Before me personally appeared David W. Allen, to me well known and known to me as the person described in and who executed the foregoing instrument, and acknowledged to and before me that he executed said instrument for the purpose herein expressed. Witness my hand and Official seal this R ( day of J~ ('Jev , AD 200'. JUDITH C, JOHNSON Notary Public, sltate of Florida My comm, expo Dee, 6, 2002 Comm. No. CC795071 (hu/J..i4.JG (l/ N6tary Public State of Florida At Large (1 ,flilUl-/) 1M) J I Memo ttJ (p- \ 010 \ ~I (J -vJ ~9~ -0\ ~.o 1~ /1111 ~ To: City of ZeDhyrhills-Buildina DeDartment From: Cindy Cumminas-Wile Date: ADril 6. 2001 Re: Edward Jones CC: D Urgent D For Review 0 Please Comment D Please Reply D Please Recycle . Comments: Attached you'll find a permit application for a sign for the Edward Jones @ 5541 Gall Blvd. Please process this and let me know when these are ready to pick up or if you have any additional questions @ 800-677-3076 ext. 3449. Thank you in advance for your assistance on this location! .. /> 4)~!:Fl:! Florida Division ALLEN INDUSTRIES, INC. 11351 - 49th Street North, Clearwater; FL 33762 (727) 573-3076 Fax (727) 572-4815 1-800-677-3076 Apr OS 01 03:19p C21 B~ll N~e Realt~, Inc. 813-783-2724 p.5 i. April 6, 2001 To Whom It May Concern: I Michael Prilliman as Agent for the owner of the property listed at 5541 Gall Blvd. Zephyrhill, Florida 33541 authorizes Allen Industries, Inc. to secure aU necessary permits and install signs at this property. .:i Michael A. Prilliman, Property Manager Century-21 Bill Nye Realty, Inc. d/b/a Nye Commerciall\lanagement, Inc. as Agent for the Owner Wellesley Development Corp. Notarized Statement The foregoing instrument was acknowledged before me on this day, April 6, 2001 by Michael Prilliman as Agent for the owner who is personally known to me and who produced Florida Driver's License and who did not take an oath. Notary Public Signature Seal 62. / ,,,-- ! /" .:' ; :',. "_:J~-fi?-;;J;;:;-- ~,- - Paula M. Pre.to~ - .. ,NCO III)' ~blic, State of Plot/de lDIm_/nq No. CC "'.......... y 'ADlllJiIIlca _"".3 'III. Nolrr: IM1!1.Wol . 'Co, L-: I T I I I ! I Q Po> ~ ......... - ~.......-~-- ..... to -\'::.. ......... t;J <: P- I I \ "d '-< ........ 0 :::l l;I) ..... ~ i J- ,--- I 38'J-f'J )J \) " T i I . ~ "- \ . \ ._-"-_._~-- -...... .--.----. t wAL.!<. .> ~ I .." .7' t / .J' / / I\:) ... / / ~,' /.. I " 50' ~ _.__~... f\ ..___ .._ ___.___' \J ~l .. _0- e~& / -----=; - l.- r . - - ... Vl ~ tT1 >-0 ~ .~ Vl 3 (') ~ T I i J I j t Vl i \ VI ~ ....... 00 0 I ~ ~ VI VI .p.. ~ \) 0 .' 0 (/). a ~ ......... to ~ <' CD 0.. d,O ' 4.' · . 1___ ..._ '\ .,...... _n ,,JII Apr 06 01 03:18p C21 Bill N~e Realt~, Inc. 813-783-2724 p.4 i.- I Ontu~ _ .--r- ...21. Bill Nye Realty, Inc 494~' Coats Rd. Zepl1yrhiils. Florida 33541 Fax (813) 783-2724 Business (813) 782-5506 April 6, 2001 Cindy Cummings-Wile Allen Industries, Inc. Florida Division 11351 - 49th Street North Clearwater, FL 33762 ,.:;. Re: Edward Jones Signage Pem-tits 5541 Gall Blvd.. Zephyrhill!' Florida Dear Cindy: Pursuant to your request you will find additional infonnation on the above referenced property as follows: Property owner name & address: Wellesley Development Cozp. (10 Mike Prilliman. Property Manager (entury-21 Bill Nye Realty, Inc. 4947 Coats Rd. Zephyrhills, Fl 33541 (pasco County) ll-26-21~010-OO5700'{)250 Parcel ill #; Legal Description: 1 hat portion of the vacated railroad right of way Described as, commence at the Southwest comer of Block 89 thence ~,outh 63deg. 28' 30" West. ()O Fl., thence North 26 deg. 25' 00" \Vest 150 Ft., for Point of Beginning, thence continue North 26 deg. 25' UO", West 290.80 Ff" thence South 63deg. 28' 30" West 200 Ft., tilence North 26 deg. 25' 00" East 290.80 Ft, thence North 63 deg. 28' 30" East 200 Ft to Point of Beginning, City of Zephyrhills, recorded in Plal book 1 Pg. 54, public records of Pasco County Florida. If you have any oilier questions plca:;e do not hesitate to call me. Sincerely; /H~~~ Michael Prilliman, Property Manage r Nye Commercial Management., Inc. Each ()ffice Is Independently Owned And Operated '" ~ ~:p e...o ~ ::l ~~ U1~ < III .... ..... o ::l () )> m ::0::0::0"(")(")(") 00 (")- ~ a. Q. 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