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HomeMy WebLinkAbout03-2525 '.1 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2525 Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 2525 SPECIAL EVENT SPECIAL EVENT NOT APPLICABLE Address: GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11/21/2003 26.00 26.00 11/21/2003 . Phone: TEMPERARY TENT SALE DEC.10,2003 THRU JAN.1 ,2004 Name: ZEPHYR PLAZA Address: GALL BLVD ZEPHYRHILLS, FL. 33542 -r~~' 9'0 fa l< "\ e.v\:( I --~~- j _I ___ __ m~ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: I (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 Jh~~Y.!TIent ~f inspection fees shall be made before any further ,permits will be issued to the person owning sa~~ . "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 _nlJefore~orcl_ing your notice,of commencement." Complete Plans, Specifications and Fee Must Accompany Application. .. ____' All w.~k shal!be performed in accordance with City.<::odes and Ordin.ances_________ NO OCCUPANCY BEFORE C.O. "._-.-- rC~ ~ CONT~RE --- PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , 7' " Ii . S l'A'RKIWG 'PA'RIUWG 'PA1tWIWG 'PA1tNIWG EJ 'DIW roLD STATE 01-' FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE, FLORIDA CERTIFICA TE OF REGISTRA nON SEASONAL RETAILER . THIS CERTIFIES THAT: UNIVERSE NOVEL TV &. FIREWORKS CO., INC. 5935 GALL 9t VD ZEPHYRHlLLS, FL 33599. HAS REGISTEREDl'O THE PROVISIONS OF fLORIDA STATUTES TO ENGAGE IN THE BUSINESS OF SELLING SPARKLERS AT RETAIL, FROM JUNE 20 THROUGH JULY 5 AND DECEMBER 10 THROUGH JANUARY 2 AT THE fOLLOWING LoeA TION. LOCATION: 5935 Gall Blvd. ZephyrhilJs, fL 33599 PascoG Cl'-.r; ~w Chid Financial Offltcr 63 83999800062002 2428310001 200.00 Issue Dale Type Class County LicenseIPennit Number Application Ii Taxes & Fccs Expire Date TEMPORARY SALES CHECKLIS': City of Zeph~hill~ 5335 - 8~ Street ZQphyrhills, FL 33542 Phone: 813-780~0020 ~ax: 813-180-0021 Plot ?lan showi~g setup of location Notarized ~etter from property o~er stat~ng their .;"pproval If ~Qnc is in~olved a flame r~tardant c@rtiticate is requir~d. !nspec~ion requirea once tent is erected. If fireworks aTe invol~ed the following i3 required: - Pr(:Jof of s"C.olta l.."l.cense Proof or liability insu~ance City registration fee of ~20.QO The fo~lowing fees a~e applicable: Temporary eaJ.ee perm.j,t: $5.00 .for the 1"t. two days and. $1.00 per day for each eonaecgtive day thereafter, not to e~ceed duration of .' 30 consecui:ivQ da1s and no more than one occurrence per calendar year per Ordinance *408. --- Tent permit (i~ applieable): $25.00 Electrical ~t (i~ applicable): $25.00 Propeny .::>wner: .;;[~jl.J:J..J12A.~-'1 ENrUPfl./SE-S,. t-/~~_ Applicant: JLi1JJJfli!iJ::. N~ (FI/tE.wOU-$ C,?, ;t:tf.C,. phone '=8ntac::: ..BJ.12.. fo? 7 - I B1t.f Address site: _5'qJ~__r;.Il'-(., 'B l V/) ~a:e3 of sale: DE.CE.(Y}"/je.1e Ib)~Dl>5"" 3Itt)/J~!5::f..IJ:J..ffl>II I, /lIJ1 R. '/ 'Joe /i~ f /2-0 Date /oA;J;-s GIVE PERMISSION TO: OWEN YOUNG & UNIVERSE NOVELTY & FIREWORKS COMPANY, INC. POST OFFICE BOX 1862 RIVERVIEW, FLORIDA 33568 (813) 677-1874 TO SET UP AND OPERATE A TEMPORARY STAND ON MY PROPERTY LOCA TED AT: 59/j~ ~N 7/t'r/itv, ,i~ LOT# BLOCK # SUBDIVISION # ~~ j ~- WEllS S GNATURE Sworn to and subscribed before me this~( day of Dd. 20~. ~a...4-e ( OT ARY PUBLIC ~ a\. PalTfda Ann Schopke \.~; My CommJUion 0OO16Be5 ......'- EXDlres Apli110, 2005 '~L. :i.tl} .SPEGli-\LTY INSURANCE, INC. . nit:)' (;'ULf BCULEV/"RU. TREASURE rSLANO.~ FL 33'7"06 A\:t 1: 1 'f"i"P.,:? ,i.--800-2:n'-3355 N.lb: una 1 t"8GO-":2S~~--6T76 FIIH' i d...J \:;2 f' 't l f j ~: a t '.~ 1'1 t I In t, (~ ~. Cff~Tl'j::':H:ATr:: OF INSUf~ANCE , ~ ~ .i. <.'. 'r", ,.' .c.: ~'! ;: ,to ;.' ~li ,:, ~~;~ :." r1; C ~. ~,~:.' :,; \ ~i ;;~ '-; ').' l; (; ~: :~; ;l ~ .L (:; ~~\ re" ;'; ~ ;., j;' ~ ;;"; ~; ;,;~; :,; I. ; . . I ,':; J ~ '.' l~..~~-" ~. !4' (~ 1"' r~ n .-J '!. 'J. (1 h t Ii ;.:! ~l'n t f} (.:~ 1"1 () J d (::.' ('. . I ~> l. ".;. \, :J :! :;t ,; !' 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"-"" .'-.,......._..'........~._...-...~........- ....-,", ....-.- E f.. c: ...~ c.; ".. (: .~. ,~;o ~~:;~:~~..~~.:~:~:....~~ .',~~:.:':: ._'. .u ,.... :, ! '.' ; jr. , ~ ., ( .'. -. ;I'~. () /. Cf(] / (It~ ,y) I()()/OO ~ - COMEINED SINGLE o e., ,/ DO ./ OCI 00.1 {)(j / C'::, 1.11"1.1: 'I ./.... '-' ,r ,':.-:. . ,J " -: ,'~ .1': "" , : ~'.. I .l. ~..' t ~,:, t :-; ~::- ~: f: ',:. t t. nl ~~. ~: C: h I;: .\::f !.i 1 tX 0 ~'_( r J D T' ~~~"I1J (,~ .;.\ '~. I J" -:1 '.I ; ; . \) ~-~~ "!- .:; ~- r~ fi'~ 'r: I f ~ .,".a 't" E~ ~ ;~. :' .-:: r:~ n ~. u l,S ~.~ I.~'~, 1}';:~ t ,i, :'b' ~ .'~ .:.~ i'~ '7'" .i:~'~ ,). <1' ,Hd\?'S~~ en I:H'iq'jnil:ll signatu-reappears 1l0?1t1\J.I' I; :,:n'l::' ... ')j;~' ;":)~~ ~1:;': 7< t-'j:":~'~:.h~ :SSOAr.1'C:"; .. ~L~~~JP'-' A AI I It:n cot:f'" ^ I TV "dCI 10 ^ t-1f"C It-II" CERTIFICATE OF FLAME RESISTItPlCE ISSU8DBY MAIN A WNINO.t: TBNT CO. INC. 309 FINDlAY ST. CJNaNNA11. OIUO 45214 (513)611-6947 nus IS TO CllRTIFY 1HATTHB 1BNTDBiauBBD BBlDW HAS BBBN PLAMB RBTARDBD, OR IS INIIBRINILYNONFLAWWAJILE. TBNTSIZE: L e. . lM'nt1lWaUlUPAC1QRE: , . ~ ~l COLOR. .t WHITE · 1_ TBNTPRmtIC2!b FOR , MATEIUAL USBD: nG-11!CH BY JOHIlI BOYLE tJNIVBUBNOVEL1Y.t RR8WORICS RM!RVJI!W~ FUIODA lHS TBNTDJiIC3tI8ID ABOVB ........ UADII FIOM AILMIIiUIIITAMTPABIUC OIl MA'IDlAL IIGII'I'IDD AND AIIIIMID BY1RI srA1lOf CALII'Ca1GA FlllIIAltSIIAL FOR. SUCH USE. TRADE ~ OF PLANE ItEIIS1'ANT'ABIOC~IIATMlAL USBO PAV UQ. NO.GA~17 FABRIC Oll NIt 1ERIAL UIID UIBI'S em IXCRI!OIlIFPA-'701 THE PlAMB RBTARDANT PIIOCe" W.L NOT BE DMOVBD BY 'flASHING CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PLANS REVIEW FEE :::E::~::.:z~1J:dJ9wfj,~~t-i~N" fJ1d-07J-fcf>7-'/- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE HEIGHT 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. PERMITS REQUESTED 0 BUILDING 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL 0 GAS o ROOFING $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL INSTALL1\TION o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN 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 OTHE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" \.lhich may be more restrictive than City regulations. The undersigned assumes responsibiliLy for compliance with any applicable deed restrictions. B. UNLICENSED COt~TRACTORS AND CONTRACTOR RESPONSIBILITIES If the ol'mer has hired a contractor or contractors to undertake I'lOrk, they may be required to be licensed in accordance \'iith state and local regulations. If the contractor is not licensed as required by law, both the owner and contrac~or 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, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to llave 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 indica~ion that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION lMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION I,IEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Constr\lction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other Lhat the "owner", T cerify that I have obtained a copy of the above described documerlt and promise in good faith to deliver it to the "o,.lI1er" prior to corrunencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the informatiorl in this application is accurate and that aJ.l 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 I'JOrk 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 jurisdicticm. [also certify that I understand that the regulations of other governmental agencies may apply tCl the intended work, and that it is my responsibility to identify what actiorlS ] must take to be in compliance. Such agencies include but are not limited to: *Department uf Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Serlsitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlarld Areas, Altering Watercourses *Army Corps of Engineers-Sea\'ialls, Docks, Navigable Waterways *Department of Health & Retlabilitative 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" I'Jill be submitted I'lhich is prepared by a professional engineer registered in the State of Florida prior to pernlit issuance. A permit issued shall be construed to be a license to proceed with the work arid 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 ttlereafter requiring a correction of errors in pJans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is crnrunenced within six months of issuance, or if work authorized 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 allo\'led for the permit vlith 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. lrJARtlING TO OWNER: YOUR FAILURE TO RECORD A tlOTICE OF Cm1lVJENCEMENT 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 {INDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COut~TY CJF The foregoing instrument was Before me this _ day ot by acknol'iledged 2lL_ STATE OF FLORIDA COUI~TY OF The foregoing instrument was Before me this _day of by dcknOl^ll edged ., 20 (name of person acknowledged) Dwho is personally known to me, or (name ot person acknowledged) C1ho is personally known to me, or of identification) take an oath. o who has produced______________ (type of idenl.ificatiun) and vlho Ddid ekEd not take all oat~h Signature of person taking acknowledgement Signature of person taking acknOllledglllent: Name typed, printed or stamped Ilame typed, printed OL stamped