HomeMy WebLinkAbout04-3559
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3559
Permit Number: 3559
Permit Type: GAS/FUEL
Class of Work: GAS TANK REMOVAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 300.00
Date Issued: 11/04/2004
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 11/04/2004
Work Desc: INSTALLING PROPANE TANKS
Address: 37911 SR 54 WEST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: CEASARS SUBS & PIZZA
Address: 37911 SR 54 WEST
ZEPHYRHILLS, FL. 33542
Phone:
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35000) 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 propertyo If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencemento"
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~!~~- ~.
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERNIT
CITY OF 7.EI'IIYHIIJJ.LS
BUILDING DEPARTMENT
APPLICANT (} EA sA,es SU{1' S --i- IZZ/4
ADDRESS 3 TCJ / J 17t..J( Sit W PHONE 013,.. ?3;Z -6/ell(
OWNER CEA S/J,e f1L3~j)
JOB LOCATION
LOT SIZE_L- AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D . l~
/0 -.,z~ ,-- c:< I
603 6 - 00\':\0 - 66.5'0
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign/Temp.
_Sign
_1'1ov(>
_Demolish
PROPOSED USE: _Single Family
_M/F
_IF of Units
_~I/ H
lRofJA,vc. T~ Other
{ N S'l'ff'-<-.
_Commercial
_Indust.
_Swim, Pool
_Restaurant & Health Department Approval
BUILDING SIZE:
L-.
Square Feet.
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.**
ATTACII (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
Jj <-"3'5' (? CJ
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
~ECHANICAL
AMP Service
Florida Power Corp.
_IV,R.E.C.
$
Valuation of Mechanical Instr1l1ntion
_PLUMBING
3(}{) ,o-VGAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
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il~QR s.RG.llQN
Company
State Cert. or Rcgist. #
City License Registration it
*******************************.**********
BUILDER
Signature
ELECTRICIAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
Signature
PLUMBER
Company
State Cert. or Regist. #
City License Registration #
*****************************************~
Signature
MECHANICAL
Company
State Cert. or Regist. #
City License Registration #
******************************************
Signature
OTHER
vAN -5L!rI>>1 tT2.
J2~~
Company SJ8tJR-8AAJ
State Cert. or Regist. #
City License Registration #
!&-oJJApJE
01(0 '7 S
0/075
Signature
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APPLICATION APPROVED BY
PERMIT OFFICER.
i"t~
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,-- "":L~"
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CONDI1IONS OF PEnMIl AFFIDAVII
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions' which may br f0re restrictive than City
regulations. The undersigned assu~es responsibility for compliance with any applicable deed restrictions.
B. UNL I CENSED CONTRACTORS AND CONTRA~TQH RESPONS I B I L J_Il,E:J2.
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 OHner and contractor ~ay be
cited for a misdeleanor violation under state law. If the owner or intended contractor arf Ilncertain as to what licensing
require.ents Itay apply ft'l the intenderl Hcork, they are advise,' to rr,nti1rt the r:ity 1.( ZerhYlhill'- guilding Ilrpi11 tment, (AI3\
788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the wDrk. If the contractor wishes you to sign
as contractor that may be an indication that he is not properly licensed and is not entitlrd to permitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTIOIi__FEE~
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORID() STATUTE~}, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's CDnstruction lien law - Homeowner's Protection
Guide" prepared by the Florida Department of Agriculture and Con5u~pr Affairs. If Ihe ~ppli[~nt is SD~eDne other than the
"owner", 1 certify that I have obtained a copy of the above described documEut and promiSE in good faith to deliver it to the
"owner" prior to cOfimence~ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVI~
I certify that all the information in this application is accurate and that all work will b~ done in co~pliance 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 Dr
installation has comMenred prior to issuance of a perMit and that all work will bp. performed to meet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdicticln. I also
certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
flY responsibili ty te, identify what actions I must I,ake to be in ([Imp I iance. Such agencies include bill :<1 p. II[ll J imi led to:
I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive i "nds,
Water/Wastewater Treatment
f. Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering ~atercOUISp.5
I Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
I Department of Health ~ Rehabilitative Services, Environmental Health Unit - Hells, WastE~ater l:eBtrnen~. Septic Tanks
f US Environmental Protection AQency - Asbestos abatement
I also certify that, if fill material is to be used in Flclod Zone "A" Dr "A,p.tr.", it is uHdr-rstc,cld lI"d a d1ainage plan
addressing a "compensating vc,Jullie" \lill be submitted which is prepared by a profesc:iclnal rnginr,cr reqic:thi'lj in the State clf
Florida prior to permit issuance.
A per~it issued shall be construed to be a license to proceed with the work and not as autt,ority to 1iDj~tr, cancpl alter, 01
set aside any provisie.ns cof the technical [(.des, nor shall issuance eof a pl?rmit pTl'vf'nt the Building tlff\ci,,} fl [1m thereaftpl
requiring a cClrrectic.n elf ernrs in plans, cClnstructicon, clr vicllatiHls of any cCldl'. Eyeri perillit iss\l..d ,J,oll beecl.e invalid
unless the work authorized by such permit is cc'lIIllenced within six months nf issudnce, clr ,f llCllk alltllllj "et! hi the permit is
suspended Dr abandoned for a period of six months after the time the Hork is cClmmenced. One 90 day r~le~5)nli of time, may be
allclwed for the permit with fee charge c.f $15.00. The extensicln shidl be reque::tcd in '!fiting to ti,l.' Bllildillq Ufficial. I\n
approved inspectiCln must be logged during each six month period, or the project Hill be considrred dbdl~on[d.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENI:EMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERI-Y. IF VOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AllORNEV
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A II NOT I CE OF COMMENCEMEN r ,. .
SIGNATURE____.A~---~-~---- SIGNATURE,..d.,~~--..-
OWNER OR AGENT CONTRACTOR
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