HomeMy WebLinkAbout04-3633
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3633
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:
3633
TEMPORARY SALES
SPECIAL EVENT
NOT APPLICABLE
Address: 5935 ALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
11/30/2004
61.00
61.00
12/01/2004
TENT SALE DEC. 10TH THRU JAN 1 ST
Name: ZEPHYR PLAZA
Address: 5935 GALL BLVD
ZEPHYRHILLS, FL 3542
Phone:
REINSPEcnON 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 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.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
. ~-~
OR SIGNATURE PERMIT OFF I
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
11-23 -0'1'
PHONE CONTACT FOR PERMITTING
~ U J pl{EPJtJl'/>-5. ,.-'
OWNER'S NAMEOLOEI0 DUO&- n)tVJ?R5E. rV,VtJ/i) (/-1- PHONE c?B-677/'cPj/,;JC..
JOB ADDRESS . 693~ GI7/1. 8J.pb, 2 h, /1.5
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
o ALTERATION
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
:Del. i t1 {tv",- ~,",IS'!CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK --r~fl}r SE/1.5oIVt9/ hRf?tUf)/!l5 5/J-/E.s
BUILDING SIZE iftnTf ~D X~O 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
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION . J 3
o OTHER Jt~le
$
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
OTHER t
SIGNATURE
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VY\\ veASe N Dvel+J (j- rlrew81ltp
COMPANY
STATE CERT OR REGIST #
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 ownet 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 commencement.
E. CONTRACTOR'S/OWNERrS 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
codesr 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 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 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 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 periodr 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 D NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
Jrku1~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before l\le-J:his --L- day of
by
acknowledged
,20_
(name of person acknowledged)
Owho is personally known to me, or
o who has produced
(type
and whoO did 0 did not
of identification)
take an oath.
Signature of person taking acknowledgement
Name typed, printed or stamped
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
, 20
(name of person acknowledged)
[1ho is personally known to me, or
Owho has produced
(type of identification)
and who 0 did [}:iid not take an oath
Signature of person taking acknowledgment
Name typed, printed or stamped
POWER OF ATTORNEY
OWEN YOUNG OF UNIVERSE NOVELTY & FIREWORKS CO., INC., the "principal,"
of 8820 US HWY 301 SOUTH, RIVERVIEW, FLORIDA 33569, herewith appoints
LAURA SMITH OF RIVERVIEW, FLORIDA, as their attorney in fact, to act in
the place and stead and with the same authority as Principal would have
to do the following acts:
To act for me in the regard to the following:
TO COURIER, DELIVER, OBTAIN AND COMPLETE ANY NECESSARY PERMITTING FOR
TEMPORARY SALES LOCATIONS WITH THE CITY OF ZEPHYRHILLS, FLORIDA
of attorney shall be in effect from NOVEMBER 1, 2004 UNTIL
RSE NOVELTY & FIREWORKS CO., INC., As Principal
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
OWEN YOUNG, PRESIDENT OF UNIVERSE NOVELTY & FIREWORKS CO., INC.
personally appeared before me and acknowledged the execution of this
power of attorney for the purposes set forth therein.
Dated:
~/L-(~ ~~' ;J{Jz}t/
~~jJ~
.NO ary Public
~ ~ Patricia A. Sellers
, ,~j My Commission 00257285
'\ ~,..-.I Expires November 01, 2007
I, ::JohN C-te.e.L>
Date /oj~t/o'l-
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
LOCATED AT:
0935- CI1LL- 13u/D
UJJII</ IZ IllLLfJ J fGolZIlJ,tq
,
LOT #
BLOCK #
SUBDIVISION #
tlJL ~
OWNERS SIGNATURE
Sworn to and subscribed before me this <R6 ti day Of~:L. 20 01- .
~~/l--t#~
NOTARY PUBLIC
~1\ Patricia A Sellers
\~) My Commisaion 00257286
or", Expires November 01, 2007
TEMPORARY SALES CHECKLIS~
Ci ty of zaphyrhills
5335 - 8~ S~aet
Zephyrh~lls, FL 33542
Phone: 613-780~0020
Fax: 813-780-0021
Plot Plan snowing 3etup of locatj.on
Notarized ~etter from property ow~er atat~ng their
approval
If ~en,- is i~volved a flame re~ardant certificate ig
requir~d, Inspection requirea once tent i3 erected.
If fireworks a.re imrol ~ed th~ iollowing is requi:ced:
Proof of s~at~ l~cense
Proof of liability insurance
City registration fee or $20.00
The fo:lowing tees a~e applicable:
T@!Ilporaxy sales PQ:rm.i t: $5,00 for the 1!1t. two days and $1.00 per
day for each eonsQcutive day thereafter, not to exceed duration of
. 30 consecu~ive da~s and no nlore than wne occurrence per calendar
ygar per Ordin~nca *408.
Tent permit (if appl~cable): ~5.00
Electrical permit (1f app~icable): $15,00
Proper.':y owne.r: ~_::r~~.l!:,EI!fl
Pnonl<l conti;..C:::
fJ..tJll/~5g NoOE-LfY / ~/ftw/)f)::S ec.? ._:UvC,
, . T
BI?r&71"' /B7tf
_5!J.3.fi (}.';LL 13LiJ D
D6(!~I'1I3~R. ;0, cX&7YI - J/J/Vi/.1/<.V /; d(JZ)S-
T
P~pplican'::
Address si te:
0<:i=e3 ot sale:
CERTIPICATK OF FLAME RESISTANCE
ISSUJI)BY
MAIN A WNINO.t TBNT CO. INC.
309 FINDI.A y ST.
CJNaNNA1t OJUO 45214
(513) 621-6947
nus IS TO CIIlTIPY 11IAT11IB'IBNTDBicmBm BBLOW HAS BBBN
FLAMBRBTARD8D.01lISINBERIN1LY~
TBNT SIZE: , ~. DAft tJIIlMWPAC1UI\E:
COLOR ~ 4 WHI'tE APR1L 1. 1998
,
UNTPItlDtJ(2D FOR
MA. TIWAL USED:'
PRO-TECH BY JOHN BOYLE
UNIYERSB NOVEL1Y a FDmWORKS
RIVERVJI!W. JlLaUDA
lHB TENl"D5SCIUBBD ABOVB 1nr111qP. UAnI FIOM A PLAMEIBIIITANT PABRIC OIl
MA'IDlAL UOIS11IIlBD AltID AfIIIIW8)BY1RB If..... Of CALIfODGA 'FII& KAItSIL\L FOR
suaI USE.
TRADS}.lAMg OF FLAME REllSTAM1'PABU: (II. MA11IlIAL USBO pa.v REG. No.GA-211
FABRIC OR MA lERIAL USBD UBB'I'S OIl BXC!BD8l1f'PA-'701
nIB FLAMB RBTAJU)ANT I'ItfrDGI WIlL NOT BE RP.MOVED BY WASHING
~''"-~~' r~ "~~"~~~.. .' .........,.,
" 'id,,.,~,<~7 .......~'fil
f' :c;;,' .:~~,:,) ~,\: > .. ,f'.
& :M T ,'I' hK't"
BAt-:
44,'
BILL TO
NAME '''__j:' ~
1;1 tfj "
STREET
~.,~^
CITY
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P;;;4 - J:J S~
TECHNICIAN
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WORK TO BE PERFORMED
QTY.
'.on,
REFRIGERANT R-
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"
> FILTERS x
BELTS
HRS.
MATERIALS & LABOR MAY BE
CONTINUED ON OTHER SIDE
TERMS
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C A.M.
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AMOUNT
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I have authority to order the work outlined abJve which has been satisfactorily completed. I agree that
Seller retains title to equipment/materials furnt,hed until final payment is made. If payment is n?t made
as agreed, seller can remove said eqUlpmerlVmaterials a1 Seller's expense, Any damage resulting from
said removal shall not be the responsibility of Seller.
CUSTOMER SIGNATURE
fJ,.~~& A,
INC.
HVAC
SERVICE ORDER
INVOICE
~ oo'o,,~o,^'''
0-"-1 RECOVERED LEVELED ~~T~~~~IN
-= RECYCLED CLEANED COIL ~~ml~~~IN
CHECKED CLEANED
CHARGE PAN DRAIN
REPAIRED REPAIRED
LEAK IN COIL PAN DRAIN
REPAIRED
LEAK IN COPPER
",..,-d"
/'
f.. \. !
!~,,- ~-)
/
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THIS WORK IS TO BE
C.O.D.
MAKE
MODEL
SERIAL NUMBER
DATE
1/- IC", _ (l ii
PROM(sE6
CALL BEFORE
AUTHORIZED BY
LBS,
UN'! t'M'vl::
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TOTAL MATERIALS
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TOTAL LABOR
DATE
o RECLAIMED
[J RETURNED
__ DISPOSAL
_ DISMANTLED
L~~ED
TOTAL $
.vnr
JII~.r S:; h 1/.,
[7./2. i.I'..~'..
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LIMITED WARRANTY: All materials, parts
and equipment are warranted by the
manufacturers' or suppliers' written warranty
only. All labor performed by the above named
company is warranted for 30 days or as
otherwise indicated in writing, The above named
company makes no other warranties, express
or implied, and its agents or technicians are
not authorized to make any such warranties
on behalf of above named company.
C REGULAR lJ WARRANTY
= SERVICE CONTRACT
czru CJJw
CHARGE
C NO CHARGE
MAKE
MODEL
SERIAL NUMBER
./
FURN, OR FAN COIL
# REF
REPLACED BELT
.....
CHECKED
MOTOR
CHANGED
MOTOR
REPLACED
BELT
ADJUSTED
BELT
REPLACED
CONTACTOR
REPL. START
RELAY
.. REPL. START
CAPACITOR
REPLACED RUN
CAPACITOR
CLEANED OR
ADJ_ CONTACTOR
REPAIRED
WIRING
REPLACED FUSE
REPLACED
COMPRESSOR
OILED BEARINGS
CLEANED
HEAT EXCH
REPLACED
HEAT EXCH
CLEANED OR
ADJ PILOT
REPLACED
THERMOCOUPLE
REPAIRED
VALVE
REPLACED
VALVE
CLEANED
BURNERS
ADJUSTED BELT
REPLACED
PULLEY
ADJUSTED
PULLEY
CLEANED
BLOWER
REPLACED
BEARINGS
OILED MOTOR
EVAPORATOR COIL
REPLACED
EXP. VALVE
ADJUSTED
EXP VALVE
.... REPLACED
CAP TUBE
CLEARED
CAP. TUBE
REPAIRED
COIL LEAK
REPAIRED
COPPER CONN
CLEANED COIL
DUCT
REPAIRED
ADJUSTED
THERMOSTAT
REPLACED
ADJUSTED
LEVELED COIL
ELECT HTR.
CLG TOWER
REPLACED LINK
CLEANED
REPLACED KLlX
REPAIRED WIRE
PUMP(S)
REPLACED CONT.
GREASED
REPAIRED
FILTERS I ,_
CLEANED
- REPLACED
TOTAL I
MATERIALS I
TOTAL I
LABOR I
:
TRAVEL I
CHARGE I
TAX >, :
TOTAL " I
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