HomeMy WebLinkAbout03-2091
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2091
Permit Number: 2091
Permit Type: MECHANICAL
Class of Work: NC CHANGEOUT
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: .2,195.00
Date Issued: 5/22/2003
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 5/22/2003
Work Desc: NC CHANGE OUT
Address: 38160 MEDICAL CENTER AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0070-00000-0041
Name: PAGIDIPATI SRIJANI
Address: 38160 MEDICAL CENTER AVE
ZEPHYRHILLS, FL. 33542
Phone:
I
I n I
RfINSPECTION FEES: wL extra inspection hips are necessary due ID any oj of the following reasons, a
charge of Thirty-Five Dollars ($35,00) shall be made for each trip for each trade:
(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
"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,"
-- Complete Plans, Specifications and Fee Must Accompany Application.
~_________~I~orkshall be performed in accordance with City Codes and Ordinances___________
NO OCCUPANCY BEFORE C.O.
~-~ ~--------- ---- ----
~TDRE-- - r~;~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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J aek' s Shore Breeze, Ine
9604 State Road 52
Hudson, FL 34669
727-862-5953
City of Zephyrhills-Building Dept
5335 8th Street
Zephyrhills, FL
To Whom It May Concern:
This letter is to inform the City of Zephyrhills-Building Dept that the
following people are authorized on behalf of Jack's Shore Breeze, Inc to pick up permits:
1) Danny Fry
2) Brenda Eskew
3) Alice Bellas
4) Eileen Gerlowin
5) Brian Schrader
Thank you and if you have any questions or concerns, please feel free to give us a call.
Sincerely,
---r!-\6""~S ~ \ CC ~\ K.AU...0/'-
I ^ ~'j 0~~ CJv--. :5 \2."Z. \0~
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5-.~' pU"G. ALICE L BELLAS
~~: MY COMMISSION # CC 885490
~~.<:i.f EXPIRFS: Nov 5, 2003
1 Of'" OTARY Fla. I~otary Service & Bonding Co.
~'V"'~~r~
~ p. A--3
II- ~ - 63.
bOO Youman.s
/00-:'U.OL.
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~ . ...
AWLICUI,* I'CIR 1UIII'1'
CIn 1# IUlCDBlLU
MJILDx.I o.>>UIIalIl'l'
DAD DC:I:IWD
PUUU UVUII n:a
OlQ/ER'll NNO: S, f?-I .J f+ AJ" Pit 6 i I) I PitT I
JOB ADDRESS ~ ~ I fR 0 rn E 0 I <! fI L.. f! [;;; v7 E (2.
~EGAL DESCRIPTION I LOT (B)
BLOCI(
PHONE ~;I 3 . .., gO- (p &' tv 8'
/1 Vi:? J.. H
SU8DIVISION fit '5 t! 0 rn (i- D , t h L ljR.rs
( c j.//et-
PARCEL 10 . 3!)-' ~5-,).1 -CO 70.-() ()OOO- ()O#f-f IORUTN rAnM PRllPRR'I'Y TllX lfO"J'I CP. I
lfORX PROPSED: DHEW CONSTRUCTION 0 ADDITIO)I ~TEI\A'1'ION D REPAIR D INSTALL
DSIGtf 0 HaV!: 0 DD(OLISH
PROrOSED U9E:)I6SCL rNULY DWBLLING DMVLTl-rNULY 01 or UIlITS 0 K08ILE KOMS
o COMMERCIAL 0 INDUSTRIAL 09WIl+IING POOL 0 OTHIl
DESCRIPTION or WORK
Cl RI!:STA1JIWlT , H~TH llErAJITf10rr Al'PROVJU.
It / @.., ~.J./ If /1/ 6-- c..":'- () aT
,
BUILDING SIZZ
SQ1J.MI: rooTAGE
HIIIGHT
RESIDENTIAL: ATTACH 12) PLOT PLANS , 12) nTS OF B1JILDING PLANS , (11 SaT BNBRGV FOflHl.
COMMERCIAL: ATTACH (3) SETS or BUILDING PLANS , (1) SET INIRGY FORKS. .
?ROPER'l'Y llURVBY RIQUIIU!:D FOR ALL NIW CONSTRUCTION.
PJ:~I~S R&QUES'lED
o IIUI1.DING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMI' SERVICE
o FLORIDA POWER
o 1I.ft.B.C.
o I'LUH8ING
~CIWlI CAL $ 3--./ (( S-
O c;.a.s 0 ROOrING 0 SnCIl\.LTY
VALUATION OJ' HECfIA)/CIAL INSTALLATION
o OTHER
TYPE or CONSTRUCTION: 0 stoCK
o J'AAKE
o STEEL
o OTHER
rlHISHBD FLOOR ELEVA710NS
IS PROJECT IN FLOOD ZONE ARl"AD YES 0 NO
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SIGNATVRE
COMPo'\N'(
STATE CERT OR REGIST ,
CITY PROC&SSING I
....~....6.........+~.........~................................***
Il~C1M
COHl'ANY
STATE CIRT 011 IUlGIST II
CITY PROCESSING ,
SI<iHATURB
..................................................................
COHPAN""
STATI C&RT OR RBGIST .
CITY PROCESSING .
~
SIGNArURS
.,.."......................IJ-....................~if.............~.~.~ a 0 - - - ,,0
COMI'ANY (I K.' 5 .s rlO p p W-.t:t=' ze (.to. "-
STAT! CER'l OR UGIIT . ," fl<!... () .). '? 3 {() /
CITY I'AOCE3.ING f
O'IDK
COMPANY
STATE CERT OR RE<iIST I
CITY pROCESSING ,
SIGNATURE
.......................Al'...&&&A..*t*t*.ttt..........~*.....**.*
or
CONDITIONS OF PERMIT AFFIOAvIT
A. NOTICE or DtBD RESTRI<;TIONS
The unde~II0ned under.tan'~ that this pe~t may be .ubject to ~d.ed ~eat~ictlonl" which
may be mo~e.re..tdctive tluln City regulations. The Unde~.igned auum... r.sponlibility for
compliance with any applinabl.e deed ~..trictlon..
B. IltfLIC&HSID CONl'RACTONf AND CONTAAc'rOR REBPONSIIlILITIBS
If the ownsr has hired a (~ntractor or contractors to undertake work, they may be reqUired
to be licensad in accordal,ce with state and local regulations. If the cOntractor i. not
licensed aa requ;!.red by I.,,,, both the owner and contractor may be cited tor " miademeanor
violation under atllte lllw. If the owner or intended contractor are uncsrtain al to what
lic.n.ing requirementa mil]' apply far the intended work, they are advi.ed to Contaot the
City of Zephyrhilh BUildlng Ile:putment, 813-7B8-6611.
Furthermore, if the awne~ has hir.d a contraotor or contractorl, h.. is adviS"d ~o have th~
contractor!s) sign par tim,s of the ~Contractor Seetianl" of this applioation far whioh th~y
..ill be r""pon.ible. If l'QU, III thl! owner signa a. the contractor, you arl! indicating thllt
you, rather than th.. oontJ:.cto~, are re.ponsible for the work. If th.. contractor wish...
you to s1gn .. oontr.."tor thst IllaY be an indiaation that h. is not properly licensed and h
not entitled to pe~ttin\f Privilege. in the City of tephyrhilla.
C. TIWlSI10RTATION IMPAOT FEES AND UTILITY CONNBCTIOlI PUS
D. CONSTRUCTUION LIBN LAt1 (CIlAPTI!:R 713, fl.olUOA STATUTL'I, AS AHENDI:D)
r oertify that I, the applicant, hllve been provided with a oopy 01: ftFlorida'. Conltruction
lien Law - HOIlUIowne~' s Protection Guids" pupa rid by the 1'1""i<la Department of AlJricultuu.
and Consumer Aftairl. If the applicant i. som.one other that th.. ftownl!r", I cerify that r
have obhined a copy of the above c1elcdba<l do01llllent .nd promia. in good faith to deliver
it to the "owner" prJ.ortc. commeno_nt.
R. CONTRACTOR' '/OWNER' S J.rrUIAVIT
I certify that all the intotll\llt1on in thil application 11 accurate and that Illl ..ark w111
be done in oompliance with all applicable laws regulating con.truction, zoning, and land
d.evelopment.
AppliQatlon h hereby madll to obtain a pemrlt to do work and inltallation al indicated. J:
oertify that no lfolOk or inltallation haa oaJm\enc:ed prior to 1811uanoe ot a pU111it and that
all work wl1l be performed to meet atandard. of all laws regulating oonstruotion, C1ty
code.., 'tonin" reoulationa, and land development regulations in the jurildiction. I aleo
certity that I understand. that the regulation. at other qovern~ntal agenci.1 may apply to
the lnteude<l work, and thllt it 1a my .responsibility to identify what "ctions I nru.t take 1:0
be in compliance. Sueh allenci.. include but ara not limited tal "Depertment of
t:nvlrolUllental Regulation-c:ypre." Bayheacla, Wetland Are.. and Envirol1lll811tally Sensitive
Landa, "at"r/Wastewater T".atment
*southwest rlorida Water tlanagement Di.triol:-"ell., Cypre.. Bayh."da, .stland Area.,
Altering Watercourse.
*A.rmy Corps of ISnqin....u-II.....ll., Dock., Navigable W.te.r....y.
*Depertment ot aealth , Rf,hebil..1tal:ive service., Environmental Health Unit-Well.,
Wastewater Treatment, '.pHc Tank"
*U. S. Knvlronmental 'rote<:tion Agenoy-Asb.ltoa abatement
I aha certify th.t, if fal material 18 to be u.ed in Flood Zone ftA" or "A,etc.", it i.t
undautood that a dralnagll plan addressing a "COIIIp.nlatinq volume" Ifill be eubmitted. which
18 pr..pared by a professional engineu r..ghte.re<l in the Btats of floride prior to permit
issuance.
A permit iSlued Ihall be nonat:rued to be Il 110ense to proce..d with' the "'Ol:k and not a.
authority to violat.., oanuel, alter, or sat a.id. Iny proviaionl of th.. technical oodes,
nor .hall ia.auan08 of a p<l~t prevent the Building Ol:l:io1&l from thenathr requiring a
oorrectiOh of erron in pl.alll, construction, or violations of any code. Every P4rrn1t
issued "hall become inva!i_d unlels the work Iluthorized by lIuoh pe.rlllit h COIIIIIenc.d wtthin
..ill months of issuanoe, 01: if work authorized by the permit il ,uIPlnded or abllnd:onecl tor a
pariod ot aill month. sItel: th. time the work ill COllll1\llnaed. On.. 90 day elltenuon of time
may be allowed far the peJ~t with fee charge of $15.00. The extenlion IIhall be r..que.ted
in lfdting to the Buildinu Official. An app.roved inspeotion Il\\lllt: be logg..d durin.g eaoh aill
month period, or the proj'l<lt ",111 b.. ool1l1idel:ed abandoned.
WARNING TO OWNltltl YOUR I'JULURE TO RECORD A HOTIC! or COMHDlCEM1lNT MAY RBSULT IN 'lOUR
PAYING TWICE fOR IMPROVEMI!:NTS TO YOUR PROPIlRTY. II' YOU INTEHD TO OBTAIH FIN)>JICI~'G, CONSUJiT
"ITIl YOUR LBKDI!lR OR AN AT'i~Ol\tlllY IlI!:IOR! I'leCORDING YOUR NOTIC! 01' COMMI!:NCOfBIfT. Jc,es UNDER
$2,500 IN VALUE DO NO Elm TO RECORD AND POST A ~NOTICE OF COMMJl:NCDlENT".
Er?~
"~ATI!: or FLORIDA '\""l <...,
COUNTY OF \\I.. ~... (.;)
The foregoinq in~t.r~nt we. e n(,wledq"d
!letor:a me this ~y of , ~
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CEho i. per.onally known to me, or
STAT! OF !'LORIDA
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