HomeMy WebLinkAbout05-4173
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4173
Permit Number: 4173
Permit Type: GAS/FUEL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5130 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
1,500.00
5/04/2005
~.
:00
5/04/2005 Phone:
GAS PIPING TO FRYER, RANGE, 2 GRIDDLES, ETC
Name: LUMPTON, CHIP
Address: 5130 GALL BLVD
ZEPHYRHILLS, FL
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.
, ~.
CONTRACTOR IGNAT RE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APR/28/2005/THU 02: 14 PM ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
p, 001
JOB 'ADDRESS
LEGAL DESCRIPTIONi
PARCEL ID It
/OBTil.IN FRoM
.oSIG~
o ADDITION '~~TERATION" ' '
o MOVE 0 DEMOLISH
'woRk PROPSED I DNEW CONSTRUE:TIO~':
o BUILinNG
'. t:i ELECTRICAL
o PLUMBING
, 0 MECHANICl\L' $
fI~ '. 0 ROOrIN!?, ,0 SPECW.TY,
. TYPE or ~ONSTRUCTIObl ~i.OCK
FINISRED FLOOR ELEVATIONp
RESIDENTIAL.: ATTACH (2) PLOT PLANS & (2) SETS OF BuiLDING PLANS
COMMERCIAL; ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
'IF SIGN pERMIT ONLY, (2) SETS OF ENGINEERED PLANS REQUIRED.
P.lWPERTY SlJllVEY REQUIRED FOR ALL NEw, CONSTRUCTI
"\,
\
":$
\SbD
J?ERNJ:TS REQUESTED'
----
AMP SERVICE
o ProgresB ,~,- - .. ,..
n
o OTHER
b FRAME
o STEEL
, 6J t./6), t i. ~cfltyrh"'IJ.
.f(. US
, @() 10 ~.
, ~tl"IT f\f'f1I-IC.,
o · ~LbG r~'
VALlJATION OF MECHANCr.l\
_...___ .._ ._.M_.,.-._._.....,...
IS PROJECT IN FLOOD ZONE AREAO YES 0 N
BUILDn
COMPANY
SIGNATURE
STATE CERT OR REGIST t
. ,
. . .
************************.*********~******~*************...*.~.*~*.
Iil;LilC~CWf
SIGNATURE
COMPANY
STATE CERT OR REGIST # ':
******************~***********************************************
PL~
SIGNATORE
, COMJ?ANY
STATE CERT OR REGIST #
HllCaANXCAL
**********.*********.**~***************************.**************
: COMPANY
~?~ //~
'. . , *******~*****'********************************.**..*****~***~*_":* Jzft.~ v'
OTID:S\'~~ '\0.) ))tJD . , , . COMPAN~ ~ \~ ~ (f)
SIGNATU~~ ',"" () \>..-~ _, . ' S~~TE ~ERT. OR REGIST . . \ '\ \ ~ <::)
SIGNATURE
STATE CERT OR REGIST *
APR/28/2005/THU 02: 14 PM ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
p, 002
A. NO~ICE OF DEED RESTRICTIONS
The undersigned understands that this permit may' be lluhjeot to "deed restriotions" whioh
may be more restrictive than City regulations. The unde~signed assumes. responsibility for
compliance with any applicable deed restriotions.
B. UN4ICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
, If the owner has hired a contractor or contractors to undertake work, they may be required,
to be licensed in accord~nc. with ~ta~e' and local r.~lations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited tor a misdemeanor
violation under state law. If the owner or intended contractor are, uncertain as to what
licensing requirements msy 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" at this application tor which they
will be responsible. IT you, 8S the owner signs as the contractor, 'you are indicaiing'that
you, ~athe~ than the contractor, are,~esponsible for the work. If the contracto~ wishes
you to sign as contractor t~at may be an indica~lon that he is not properly licensed and is
not entitled to perm~tting privileges ~n the City of Zephyrhills;
C, TRANSPORTATION IMPACT FEES AND UTILlTY CONNECTION FEES
D.' CONSTRUCTOION LIEN LAW (CHAPTEa 713, FLOaIDA STATOTES, AS AMENDED)
I certify that X, the, applicant, have been provided with a copy of "Florida's Construction
lien Law -'Homeowner's Proteotion Guide" prepared by the Florida Department of Ag~ioulture
and Conllumer Affairs. If the applicant is someone other that the "owner", I cerify that 'I
have obtained a copy of the above described document and,p~omise 1n gpoo faith to delive~
it to the "owner" prior to commencement.
E. CONTRACTOR'B!OWNER'S AFFIDAVIT'
I certify that all the information in this application is
be tione in compliance with all applicable laws ~egulating
developlUlmt.
Appliqation is hereby made to obtain 8 permit to do ,work and installation as indicated. I
oertify that no work or installation haa commenced prior to issuance of a permit and that
811 work will be performed to meet stan~ards of all laws re~lating construction, City
codes, zon~ng regUlations, and land'development regulations in the jurisdiotion. I also
oertify that I understand that the regulations of other governmental ,agencies ,may apply ,to
the intended wprk, and that it is my ~esponsiDility to identify what actions I must' take:to
be in compliano~. 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 Manag~ent Di$trict-Wells, Cypress Bayheads, Wetlapd Areas,
Altering Watercourses ,.
*Army Corps of Engineers-Bea~alls, Docks, Navigable waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanka
*U.5. Env1ropmental Protection Agency-Asbestos abatement
I aleo certify that, if fill material is to be used in Flood Zone "An or "A, etc.", it is
understood that a drainli\qe pl~m addressing a "compenBating volume" will be submitted which
is prepared by a professional engine~r reqiste~ed in the State'of rlo~ida prior to permit
issuanoe,' .
A permit issued shall be construed to be a license to proceed with the work and not as
a~thority.to violate, cancel, alter, or sst aside any provisions of the technical codes,
nor shall issuanoe 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
pe~iod of six months after the time the wor~ 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 d~ring each six
month pariod, 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 YOQ I~TEND T.O OBTAIN rINANCING, CON~ULT
WITH ~OUR'LENDER OR ~ ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOgS UNDER
$2,500'IN VALOE'OO NOT NEED TO RECORD AND POST' A "NOTICE OF COMMENCEMENT".
'~4
SIGNAT : OWNER OR AGENT
accurate and that~all work will
construction, zoning, and land
'~ ~'
~. 7t
SIGNAT E: CONTRAC~
~
QWho has prOduced
(type of identification)
a~no, did Dd~ ,not takQ a~atty ~
~4~~~~.
Signa ure of person taking acknowledgement
,'''\'''/ Madeline M. Hunt
Name typed, .:-~'fi1t~,~O€o~ #DD207940
~~,~,::J Expires: May 23, 2007
~,...:;i-;OFf\.O~:: Bonded.Thm
'.....," Atlantic Bondmg Co" Inc
Name typed,
\\\11"'1 . H
' " . unt
Printe~> ,'. ~eeommission #DD207940
7:;.'" ",,~~2 Expires: May 23, 2007
"~OF f\.O~,,' Bonded Thru
'.."" AtlanticBonrlin~r^ J__
INSPECTION(S) REQUIRED
BY Z~HYRHILLS RD.
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Building shall comply with
the applicable codes of
Florida Fire Prevention Handbook
NFPA & the City of ZephyrhiUs
APPROVED
by Fire Marshal of Zephyrhills
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