HomeMy WebLinkAbout04-2836
I
I .
I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2836
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
'Improv. Cost: 22,527.00
- Date Issued: 3/17/2004
Total Fees: 145.00
- Amount Paid: 145.00 I
Date Paid: 3/17/2004 ..---l Phone:
- Work Desc:INSTALLlNG NEW FIRE SPRINKLER SYSTEM
2836
MECHANICAL
FIRE SPRINKLER
COMMERCIAL
Address: 7839 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
MICROTEUJAMM HOTELS,LLC
7839 GALL BLVD
ZEPHYRHILLS, FL. 33542
~___ I L -
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:
(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 failLl-re -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.--------
_._____ .__ ________!\ll wqrk ~h~llbe perfqrm~ in accordance with City Codes and Ordinanc~~__________
{~R SI:NATURE~~ OCCUPANCY BEFORE C.O. f~;MITOF~ .--
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
~Vv9:OI -g 'H~ aW!l
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPAR~N~ 5335 8~ St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
pa^!a~aH
DATi: ImCEIWD
g ~ /O-tJ1
paONE comAC~ FOR PERMITTING
OWNER'S NAME J(\mm ~\ ~ ltC-
JOB ADDRESS M;;l~~\ ~~ *' Jute~
LEGAL DESCRIPTION: LOT(S)
BLOCK
PHONE
~(:)()1\ ~\\icl ~ 7~h1~'1\\~ U3W
SUBDIVISION
PARCEL ID *
WORK PROPSED: ~W CONSTRUCTION
o SIGN
(OBTAIN FRpM PROPF.RTY TAX NOTICE)
o ADDITION
o MOVE
o ALTERATION
o DEMOLISH
o REPAIR
o INSTALL
PROPOSED USEl (JSGL FAMILY DWELLING
~MMERCIAL
(JMULTI-FAMILY
o INDUSTRIAL
0* OF UNITS
o SWIMMING POOL
(J MOBILE HOME
o OTHER
c:J RESTAURANT & H~TH DEPARTMENT APPROVAL
""SCRIonON or woaK -=fu~I1~10f1ly\\re- S~(I~~JY\yu J\)r~
BUILDING SIZE ~ <\nr~ SQUARE FOOTAGEJl.Q) {cjlt;st(.t't HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
(J BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
[] Progress Energy 0
W.R.E.C.
o PLUMBING
~ECHANICAL
o GAS
o ROOFING
o SPECIALTY
VALUATION
o OTHER
~RAME
tlre '5V( l(\~e.r . 1..-
OF MECHANtIAL INSTALLATION 501
~PD?""
(::::r~ -1 ')
o OTHeR
$ Qd. {::/~ I
TYPE OF CONSTRUCTION: [] BLOCK
o STEEL
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
COMPANY
SIGNATURE
STATE CeRT OR REGIST *
******************************************************************
ELEC!'RICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER.
COMPANY
SIGNATURE.
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMJ?ANY
SIGNATURE
STATE CERT OR REGIST *
*****************************************************************
COMPANY :!f\kJ~O()Q \ tlfQ... \t~On
STATE CERT OR REGIST tlJ.l5', D l oc::o II <1~
r\JQ.. rU~()n
O'1!JZR
SIGNATURE
l~
066v'ON
SllIH~AHd3Z :10 Al/J.____...V1Vy9:6 .,.VOOl -g 'HVI
.
.
.
.
.
I - d
~VvS:Ul 'S 'Hri tlW!l ptl^!tl~tl~
A., NOTICE OF DEED RESTRICTIONS
Th~ undersigned understands that this per~it may be subject to "deed restrictions" which
may be more restrictive than City regulations. The unde!signed assumes responsibility for
c~mpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contraotors to undertake work, they may be required
to be licensed in accordance with state. and local regulat1ons. If the oontractor is not
lioensed as required by law, both the owner and contractor may be cited tor a misdemeanor
violation under state law. If tho 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 adv1sed to have the
contraotor(s) sign po;tions 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, ~ather than the contractor, are responsible for the work. If the contractor wishes
you to sign as oontractor that may be an indioa~ion that he is not properly licensed and is
not entitled to permitting privileges ~n the City of Zephyrhills,
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of uFlorida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is SOmeone other that the "owner", I cerity that I
have obtained a copy of the above described dooument and promise in good faith to deliver
it: to the "owner" prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is accurate and that all wor~ will
be aone in compli,ance with all applicable laws regUlating construction, zonin9, and land
development.
Appliqation 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 construotion, City
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. Suoh agencies include but are not limited 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
~Army 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 _ba~ement
I also certify that, if fill material is to be used in Flood Zone "A" or uA,etc.rl, 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 permit
issuance.
A permit 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 issuance of a permit prevent the Building official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued Shall beoome invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned forla
period of six months after the time the work 1s 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 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _____ day of , 2lL...
by
(name of PQrson acknowledged)
Owho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this day of
by
aCknowledged
, 20~
of identification)
take an oat.h.
(name of person acknOWledged)
CHho is personally known to mo, or
Dwho has produced
(type of identification)
and who Odid O::i.1d not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
l 'd
066v'ON
SlllHHAHd3Z jO AIIJ
~VY9:6 YOOl 'g 'Je~