HomeMy WebLinkAbout05-3767
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3767
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:
3767
SIGN
WALL SIGN
COMMERCIAL
Address: 38135 MARKET SQUAR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
1/19/2005
60.00
60.00
1/19/2005
WALL SIGN
FL RIDA MEDICAL UNI
38135 MARKET SQUARE
ZEPHYRHILLS, FL. 33540
Phone: 813 780-8440
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.
~ (~T~R~~~ ~M.
l/ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
J
/) I L ''6'1
APPLICANT 1\('7C,H' :;)''1,J La, /<,-
ADDRESS -==J-&-r s, I- (? ,rvt J --;;; /J V' (: .
OWNER t..4 ./fj,{ (; 7 ~' v/1 {, 6
JOB LOCATION 5'gJ3 5' IJ~J/l-kef' S9u{//z~
I
/ /2;'5
.
PHONE S ';)' z.. .- 71 ~ - I 9 Z 3
/Ji C~;>~{,ol (l{I;';/'(
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL 1.D.# 02. - 2(, --,2/ -t1u/J ()3'J(}J.- tJ..J3()
WORK PROPOSED:__.__New Construction __.__Addition __.__Alteration __.__Repair ___._Install
___._Sign/Temp. ~ign ____Move __.__Demolish
PROPOSED USE: ___._Single Family
/Commercial
___._M/F
___._t~ of Units
._M/H
_Indust.
___._Swim. Pool
Other
___._Restaurant & Health Department Approval
BUILDING SIZE: .Ljj.... {/to r:; ;:(;(;{ Square Fee t,
/
/7
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
& (1) SE1JNERGY FORMS.**
FORMS.**
, CO
(a 0 .'~ j2.JJX
___._BUILDING
$
/,6 c.1D.
,
Valuation of Total Construction
_ELECTRICAL
Z tJ AMP Service
Florida Power Corp.
_W.R.E.C.
__.__MECHANICAL
$
Valuation of Mechanical Installation
Other
r1
"JA,'u
___._PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ___._Block ___._Frame ___._Steel
~
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
BUILDER
Signature
ELECTRTCIAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
Si&mature
PLUMBER
Company
State Cert. or Regist. #
City License Registration #
******************************************
Signature
MECHANICAL Company
Signature ~~~___~_.L_~;J~- ~~~~e L~~:~~e o~e:~;~:~~i:n 4~
S. '... ..' *****************************~,**,~*******,~*
I "1 ,-J C~. /' /~
OTHER /r-'O J C/C Y ~ (t) 0-' fo ,< ?? Company ~ 0/ e ( r S'011" ~ (J) ~
I State Cert. or Regist. # c: 5 O.()iJ{) ~ I 7
Signature City License Registration #
!/elf. t::.; ~.v..:JipDI9r7'77
******************************************
APPLICATION APPRQVED BY
PERMIT OFFICER.
...
, 'to
.-
'wi
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
lhe undersigned understands that this pertit may be subject to "deed restrictions. which aay be lore restrictive than City
regulations. lhe undersigned assutes responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If lb. ,.n.r b.s bir.d . "nlr.,I,r ,r "nlr.,I,rs I, ,nd.rl... .,rk, Ib'y "y b. r'n,ir.d I, b. li,.ns.d in .",rd.n" .ilb
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
r'n,ir...nls "y .pply f,r lb. inl.nd.d ..r', Ib.y .r. .d,is.d I' "nl.,t lb. Cily ,f Z.pbyrbills 9,ilding nip.rt..nt, 19131
79B-bbll.
F'rIb.r..r., if lb. ,.n.r b.s bir.d . "nlr.,t,r ,r ,.nlr.,I,rs, b. is .d,ised I, b.,. tb. "ntr.,I,rlsl sign p,rli,ns ,f tb.
"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
y" .r. indi,.ling tb.1 y", r.tb.r Ib.n lb. "nlr.,I,r, .r. r.sp,nsibl. f,r lb. .'r', If lb. "nlr.,I,r .isb.s y" I. sig.
.s "nlr.,I,r Ib.1 "y b. .n indi,.li,n Ib.1 b. is n,1 pr,p.rly li,.ns.d .nd is ,,' .n'ill.d ,. p.r.itting pri'il.g.s in 'b.
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I ,.rlify Ib.t I, lb. .ppli,..t, b.,. b..n pr"id.d .ilb . "py ,f 'FI.rid.'s C.nslr"linn li.n l.. - H,..'.n.r's Pr,I.,li"
G,id.' pr.p.r.d by lb. FI,rid. n.p.rt..nl ,f Agri"II,r. .nd C.ns,..r Aff.irs. If tb. .ppli,.nl is s,..,ne .Ib.r Ib.n lb.
',.ner', 1 ,.rlify Ib.1 1 b.,. ,bl.ined . "py ,f lb. .b". d.s,rib.d d",..nl .nd pr,.is. in g"d f.ilb I, d.li,.r il I. lb.
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
1 certify that all the inforlation in this application is accurate and that all work will be done in coapliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOltenced prior to issuance of a perlit and that all work will be performed to .eet standards of all laws
reg,l.ling "ns'r,,'i,n, Cily "d's, ,.ning r.g,I.II.ns, .nd i.nd d.,.l'p..nl r.g,I.li,ns in lb. i,risdi,li,n, 1 .Is.
,.rlify Ib.1 1 ,nd.rsl.nd Ib.1 lb. r.g,I.li..s .f ,Ib.r g".r".nl.1 .g.n'i.s "y .pply I' lb. inl.nd.d .,r', ..d Ib.1 il is
'y r.sp.nsibilily I' id.nlify ~.I .,Ii'.s 1 ",sl I... I' b. in ".pli.n'.. ~,b .g.n,i.s i.,I,d. b,l .. .,t li.il.d t.,
I Departlent of Environ.ental Reaulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Ldnds,
Water/Wastewater lreattent
f Southwest Florida Water Manaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Arlv Corps of Enaineers - Seawalls, Docks, Navigable Waterways
. n.,.rl..nl .f H..llb I R.b.bilil.li,. S.r,i,.s. En,ir.n..nl.1 H..llb U,il - H.lls, '.sl...I.r Tr..I..nl. S.pti, T.n's
I US Environtental Protection Aaency - Asbestos abate.ent
I also certify that, if fill lat~rial is to be used in Flood Zone "A" or "A,etc.", it is understood th~l a drainage plan
.ddr.ssing . '".p.ns.ling "I"" .ill b. s,b.ill.d .bi,b is pr.p.r.d by . pr'f.ssi,n.1 .ngin..r r.,i,I"" in tb. SI.I. ,f
Florida prior to pertit issuance.
A p.r.il iss,.d sb.11 b. "nstr,.d I' b. . li,.ns' I' pr"..d .ilb lb. .,r' .nd n,1 .s .,Ib,rity I, ,i,i,I., ,.n,.1 .It.r, "
s.1 .sid. .ny p",isi,ns ,f lb. 1.,bni,.1 "d.s, n" sb.ll iss"'" .f . p.,.il pr.,.nt lb. 9,ilding Hffi,i.1 fr" Ib.r..fl.,
r'n,iring . "".,Ii.n ,f .,r,'s i' pl.,s, "..I",li.n, " ,i.l.li,ns ,f .ny ,.d., E,.,y p.r.il iss",d .b.11 b.".. in,.iid
..1m lb. .or' "Iborized by ",b p.nit is "...."d .itbin si' "nibs ,f i,,''''', or if ",k "th" "" b, lb. p."il is
s,sp.nd.d .r .b.nd,n.d f,r . p.ri,d ,f si, .,nlbs .fl., lb. Ii.. lb. .". is "...n,.d. 'n. '0 d.y ,.I,n.i." .f Ii.., "y b.
.11'''' f,' lb. p"'il .itb f.. ,b.rg. .f .\5,00, Tb. .,I.nsi,n sb.11 b. r'n,.sl.d in .rilin, t, lb. '"ildi', nffi,i.l, An
approved i nspec tion lust be logged dur i ng each si ~ lonth per iod, or the pre' ject wi 11 be cClosidered ilb.sIJdoned.
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 II NOT I CE OF COMMENCEMENT II .
SIGNATURE~~ ~=f~'-'t-d
~-----OWN~~~----------:
DATE____~!~ ~ --------------------
SIGNATURE
MY COMMISSION
'1 /"
_ ~_2___________________
, [). i.^
- - -~-~~-~----
XPIRES_~,J~~-----------
MY COMMISSION
\. j).tJ ,
S___~~~--:~---
~ Russeij S Muli
~ ~ My Commission ooo.384i
01,..',/ Expires July 22. 2005
!~, Russell S Muli
\. c:y:.,) My CommWion 0004364
01,.. Expires July 22, 2005 i
NOTARY AS
OWNER OR AGE
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SlLCQ~ENGINEE~ING, INC.
Post otfic:e BOx 8574'
Tampa, Florida 33674-8574
. en ~ 9Z0 '.91~
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&nest S. Silcox, PE0008161
Silcox Engineering, Inc.
Ovil Engineering
Post Office Box 8574
Taut", Florida 33674-8574
(813) ~9"2.
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