HomeMy WebLinkAbout05-4900
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4900
Permit Number: 4900
Permit Type: MECHANICAL
Class of Work: GAS CHANGEOUT
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5830 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
635.00
9/09/2005
105.00
105.00
9/09/2005
INSTALL PROPAN
~
Name: FRIENDLY TAXI
Address: 5830 GALL BLVD.
ZEPHYRHILLS, FL. 33542
Phone:
TANK AND PIPING TO RANGE
FIRE PERMIT FEES
45.00
REINSPECTlON 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.
. ~~
R SIGNATURE PERMIT OFF I
CALL FOR I~SPECTlON - 8 HOUR NOnCE REQUIRED -
PROTECT CARD FROM WEATHER
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APPROVED €
by Fire Marshal of Zephyrhills f\} ~
with comments provided w' (s) ~
Building shall comply with
the applicable codes of
Florida Fire Prevention Handbook
NFPA & the City of Zephyrhills
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INSPECTION(S) RE D
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4600 Paul Buchman Hwy. - Plant City, FL 33565 - Tel. (813) 752-4188
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 DJ J
DATE RECE IVED () 0 S-
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~ -----...
PHONE CONTACT FOR PERMIt:-ING (5/.1 7J';J. -1!.l!-.../
OWNER'S NAME >'h t:::-I'" r V ......r...... J' X
.
JOB ADDRESS S-R S 0 C if L L !l Lv/)
PHONE 'f /] ?:? 3 ;;J 044
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,
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
WORK PROPSED: [JNEW CONSTRUCTION
[JSIGN
[JADDITION
[JALTERATION
[J REPAIR
INSTALL
[J MOVE
[J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING
~MERCIAL
[JMULTI-FAMILY
[J INDUSTRIAL
0# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
BUILDING SIZE
~r() ~A-""e- TJ4-,.Jk ft~d
I ,
SQUARE FOOTAGE
7" A~~e-
DESCRIPTION OF WORK r~ ( J"A-L L.
-
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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
[J BUILDING
$
~
12 #~-5" ,
ty~~~ '10. v'" ~
PERMITS REQUESTED r..w- ~f)~O') :
~( -4 I /
VALUATION OF TOTAL CONSTRUCTION -rO r /1
[J Progress Energy 0 "'-.'--w:-ri~.
& (1) SET ENERGY FORMS.
FORMS.
[J ELECTRICAL
AMP SERVICE
[J PLUMBING
[J MECHANICAL
$
o J S- .!252-
VALUATION OF MECHANCIAL INSTALLATION
[J OTHER
~ GAS [J ROOFING [J SPECIALTY
TYPE OF CONSTRUCTION: ~OCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
/
IS PROJECT IN FLOOD ZONE AREA[J YES [] NO
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 G-4~r~~
SIGNATURE . ..t1 ~
COMPAN
STATE CERT OR REGIST # ().5~J
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 requlred
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 uncertaln 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(~) sign po~tions of the "Contractor Sections" of this application,fo~ wh~ch they
will be responsible. If you, as the owner signs as the contractor, you are lndlcatlng that
you, rather than the contractor, are responsible for the work. If the contra~tor wishes .
you to sign as contractor that may be an indica~ion that he is not properly llcensed and lS
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/OWNER' S AFFIDAVIT
I certify that all the information in this application is accurate and thai~all work will
be Hone in compliance with all applicable laws regulating construction, zoning, and land
development.
Appliqation 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 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 Shrll issuance of a permit prevent the Building Official from thereafter requiring a
correc ion 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 la
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 period, or the project will be considered abandoned.
WARNING TO OWNER: YOU~ 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 "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this __day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 20
(name of person acknowledged)
Owho is personally known to me, or
of identification)
take an oath.
(name of person acknowledged)
[1ho is personally known to me, or
owho has produced
(type of identification)
and who Odid Odid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped