HomeMy WebLinkAbout04-3142
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
3142
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38361 CR 54 EAST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
I Subdivision: CITY OF ZEPHYRHILLS
2,200.00 .
6/08/2004 i' ' Name: JOHN'S STEAK & SEAFOOD
45.00 I Address: 38361 CR 54 EAST
45.00 I ZEPHYRHILLS, FL. 33542
6/08/2004 i Phone: ____
UPGRADE EXISTING- ANSlJLFIRE SUPPRESSION SYSTEM
3142
COMMERCIAL
FIRE SUPPRESION SYS
COMMERCIAL
U I I T
PRE-SLAB CONSTRUCTION POLE i 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER I WATER FINAL MECHANICAL
FRAME MISC I SEWER MISC
INSULATION WALL MISC I MISC, MISC,
INSULATION CEILING MISC. MISC, MISC,
DRIVEWAY MISC. , MISC, i FIRE DEPT, FINAL
I
REINSPECTION FEES: When extrainsPeCt:ion trips arenecessary due to anyone of the fo'lIowing 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
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NTRAC
The payment of inspection fees shall, be made before any further permits will be issued to the person owning same
"Warning to owner: Your failureto record a notice of commencement may-result in your payirigtwice for--
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
-. ~~----------CompletePlans, Specifications andFeeMUst Accompany AppIICation.----- ----.-----------
- - - - __~II~()"'_~sha!'__~.performed in accordance with City Code~and Ordinanc~ ___________~
NO OCCUPANCY BEFORE C.O.
-----.---....---.-..-~-..-.--..----.-.-.--..---.--------~--..-----,---.-_..------ --..-...---_.____.u___
~
S NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
,p- 7-0'-(
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
- I. I
JOvv IJ S
3 ~ 36 /
s futti ~5e(A E50 (~
[1/2 -S-e( ~
PHONE 9/j-7i3-/62-s
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: ONEW CONSTRUCTION
OSIGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o MOVE
(OBTAIN FROM PROPERTY TAX NOTICE)
OALTERATION ~PAIR 0 INSTALL
o DEMOLISH
OMULT I - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK tpo/lft-/\C- C)L/ 51-igJ~ A-vS~C;7,4{ 5;P/~~!;{FJ/U ~,1sf-11
BUILDING SIZE SQUARE FOOTAGE 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
o BUILDING
o ELECTRICAL
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
~CHANICAL
$
;L J- <!J i)
/
VALUATION OF MECHANCIAL INSTALLATION 4--' 1t(:J
o OTHER .3
o GAS
o ROOFING
o SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
CQNTRAqT();RSECTION
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
COMPANY
SIGNATURE
STATE CERT OR REGIST #
OTHER ;;4 ~o/ ~~!e/2
SIGNATURE ~-=:-tr~// B-"'CJ -
*****************************************************************
COMPANY /U;1/ltNdo .J7A- ~t+F~ z:.-OC!dJl-t.
STATE CERT OR REGIST # tjj?S?J,57:JOtJl J9i!~
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with 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 accordance with state and local regulations. If the contractor is not
licensed as required by 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, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(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, 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 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 "Florida'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 cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to conunencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Appli~ation 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, 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. Such 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 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 whicll
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 perrrrit
issued shall become 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 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 witll 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 YOyR LEND~, OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,59"0/IN VA DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
I \
STATE
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
The
Bef
by
acknowledged
, 20_
acknow dged)
Owho is personally known to me, or
~hO has produced r,L /JL. Ft:J;J. -7f3~'-/lI/01
(type of identification)
and WhoDdIa) ~id ,not t"i;'~ an oa th . k and who 0 di d
__~ ~l!~__f{,1,~~tJvn
Signature of person taklng acknowledgement
(name of person acknowledged)
Ovho is personally known to me, or
Owho has produced
(type of identification)
DUd not take an oath
Signature of person taking acknowledgment
Name
Bobbie Swetland
i t ~4f~&XItRES
bruary 22, 2008
BONDED THRU TROY FAIN INSURANCE 'NC
Name typed, printed or stamped
___"....,~.,"....,,_.._.,"_._~<._,___.__....H