HomeMy WebLinkAbout92-2042
BUILDING PERMIT
Permit
2042/3
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1:20, tro ,;La ~ 07J
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CITY OF ZEPHYRHILLS
(813) 788-6611
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Datl3
Property Owner:
Job Address: - 0 0
Parcell.D. # 1-1 .... 01-6
.:Lb - 07:J
~~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
- b 6/ /!!) - O1tJ.rtJ 0 - ut9& t:J
Zoning: ~
Description of Work 0 ~ ~
~ Radon Gas: ~
~ _A Y.A-<./I.
;VA
<Jt(}-!~
,
NO OCCUPANCY BEFORE C.O,
FINAL
C,Q,
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Valuation or
Contract Price
13...~.
, ". t _->.
ern
P~rmit Fei:Z-:j t!), ~ ~~
Signature ~_
.:":",: ;Comp~
Address
Telephone#
City License Registration # ~0-
State Certified License# '7? /1 d? 3;1/
CAL
Ftr. Tp. Servi;:)
Pre SLB Rough In,o-;J4J i -~I..c(l-JJr
Lintel Meter Can
FRM. Const. Pole /-,,/-12-
Insul. CL Pool
WL Pre-Meter Z" ''I .. Q1- 4,?
~~~ 1..31..q~nal
Driveway
SLB J ~Z7- th- 6~JI
Tub Set '-31 4L6t:..b-
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) 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.
~'
~
I~J ST^TE OF FLOAID^
DEPARTMENT OF HEALTH AND REHABIUTATIVE SERVICES
PASCO COUNTY HEALTH DEPARTMENT ~ 410 East Meridian Avenue -- Oade City, Florida 33525
1-800-226-4274 extension 4229 or (904) 521-4229
FOOD SERVICE PLAN REVIE\J CHECKLIST Page 1 of
roO. ~~L Ch..~. (locln"
ADDRESS I 5009 ~ (-6 LuLt
AS PER APPLICATION DATED: 1 d. - ) 0 '-<=1 I
L~-h.llL3654~
We have reviewed the submitted plana as requested. Items ~1rked io. Column 1 do not
apply to the proposed operation. Items marked in Column 2 ~re aatiafactory on the
plana aa aubmitted. Items marked in Column J sre not 8psci~ically designated on
plans, but mu.t be included. Items msrked in Column 4 are 1n conflict with code
requirements and must be chnn~ed prior to beginning construr.tlon. ,Plense submit
written plan of corrective action to this department prior to beginning construc-
tion, Any items marked with an asterisk (.) have additiona~ comments listed on
attached page(s).
FOOD PROTECTION
Adequate refriaeration prOVided for storage oC food supplies
Adequate freezere provided
Adequate cooking equipment
,
Adequate equipment for holding cold prepered foods
Adequate equipment for holding hot prepared foods
-ecJ- )--C\l11~
hot-holding
Thermometers provided for all coolers, freezers and
equipment
Storage facilitie. provided for Coods and dry goods
Sneezeguards provided in all area. where customers epproach food.
Automatic ice dispensera provided if customers serve themaelves
Running water dipper well' provided f-
EQUIPMENT AND UTENSILS
Equipment;and work areas con.tructed of'smooth and easily cleanable
materials -
Equipment.sealed to wallar easily movable
Fixturu and equipment lIeale'd to floor or at leut 6" off floor
Food prep sink required
I
2
3
4
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Adequate work lIrtlCl for type of. mc~~~ropo_n_~_~J7(~~c1.' ___.___)t;a .~~..
Page .2 of
/
/
. Three compartment sink provided for dishwasing
1
3
2
Dra1nboards or racks provided at sink \ \ f\( <"'1...1 '\ /J ,_
NuT' 0 iD\lJ ~ .L::...JS.
:")(
Commercial-type automatic dishwasher with sanitizing cycle provided
Type
x
Storage area provided for clean equipment and utensils, separate from
dirty items
x
WATER, WASTEWATER AND PLUMBING
Water supply from approved source
Name: ": (I \\'-:{ 0 F '- I.:\ILL c::
Sewage disposal by:
Hot and cold water supplied to all sinks in lood prep and dishwashing
areas, including all employee handwash sinks
x
C, \ T~(-O.E 1/ \-h L l ':;
Mop sink or
.X
Grease trap may be required, sLze to be determined by:
Air gaps required for drain lines at ice machine, all lood
preparation sinks, dishwaaing sinks (hub drain)
No cross-connections with non-pQtable water supplies, vacuum breskers
or backflow preventers are required where air gap cannot be provided
RESTROOMS AND I~DWASHING FACILITIES
Restroom fixtures as required by FAC lOD~9
Self-closing devices provided in
Reatrooma must not open into 'food prep areas
Open-front toilet seats provided on all toilets
Handwashlng facilitied provided in all food prep areas
BUILDiNG CONSTRUCTION
Bu11dinga verm1n~proof, outer openings sealed or protected
Floors in all food prep and storaga areas covered with easily
cleanab1ematerlal
Floor drain. prOVided, floor. graded to drain
Wall/floor junctures covered and sealed
It
.. ---, '\ (!
R v ,. ) j (1 j, ~S" e ~ f' ~ ~,.r /' ?~ "/'r' / / 1 2 3 ~
No exposed \Itility lines on walls, lloors, or ceilings >{'
Walls and ceilings smooth and easi~y cleanable )(
Adeq\lste lighting provided in all work areas I~ ,
Lights shielded in all sreas where lood is exposed )(
Ventilation provided in cooking area )(
.
Ventilation provided in restrooms 5(
,Dressing rooms and lockers provided X
No opening into living quarters IX
Engineered ventilation system required if 11 ve bird s are to be kept ~
Walking snd driving areas designed to minimize dust )(
, Laundry facilities separated from food prep and dishwashing areas ><
ADDITIONAL REQUIREMENTS
"
Owner or operator must apply for Health Department Food Service Permit IY
prior to requesting opening inspection, Current fee is;
Inspection req~ired by this department prior to opening -- call above' r
number at least two (2) working days in advance,
A DBR - Hotel & Restaurant Food Service License must be obtained after X
inspection, prior to opening
A County Occupationsl License must be obtained prior to opening )(
,
. IX
A City Occupational License must be obtained prior to opening
Contsct /. -- I.-~; \ \ '\ / Fire Department for ftre '~ IX
equipment requirements ( Ii L Q r-:~Y11J \) J:1ll<\PR' T{:;:{~
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COMMENTS:
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req {~ive rho/l'1,+
The plans submitted have been
subj ec t to the
..1Jff~.. JYJ . .~ 12
. , ' 4r- 1.A tC
...; Title
/;;"-1 J ~'1 !
Date .
, ','
"
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT D ~ J .' d ?- j/VI ,'C t c'//e
1~"7 ~/~ -/,,',. r S
ADDRESS / '7 S I 'r~ Ie ')> d ~r(} d ..LIe I- i l<..J e ~ ~ </ C (~PI'!I PHONE ~ 7.j- Cl 9' 7' 9
, , I' ( ,
OWNER ~ ~ ,2--1 e ~)" . ~ b tJ u c;---
JOB LOCATION --5-0 0 5' _z!f:,-t/ &-/
See IT -rh ct.. NY"
LOT SIZE_____X AREA SQ,FT,
LEGAL DESCRIPTION: LOT(S)6 f-h/7
BLOCKd~? SUBDIVISION
PARCEL I.D.# tJ /-.;)~ -.j./
c1 t!'J / 0 - .;). d [>& 6~ ~ (!J d 6 0
WORK PROPOSED:____New Construction ----Addition ~Alteration ~Repair _Install
_Sign/Temp,
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
_M/F
_4~ of Uni ts
._M / H
-+-commercial
+Restaurant
_Indust,
_Swim. Pool
Other
& Health Department Approval
BUILDING SIZE: I?, .,( X ~ CJ, J J> Y
Square Feet, / S' ItJ.R '/ C /A--t 1./ Height
/
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT. PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.*'~
**COPY OF CONTRACT REQUIRED,
PERMITS REOUESTED
4BUILDING $ /~ d -5 / i!.Y--
~ELECTRICAL AMP Service
_MECHANICAL $
~PLUMBING GAS
Valuation of Total Construction
Florida Power Corp.
_____W.R.E.C.
Valuation of Mechanical Installation
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT,
******************************************
CONTRACTOR SECTION .
BUILDER Jd A j<( L - ~ ,,""t-7 ;'-r k Company J"d 4/,-( I., ~~........ , '~c? C tf (OJ..i' ~
~ :> ---/" ~~ State Cert. or Regist. IF R8 ,5 7-.$.:L.-L
Signature L -A. - ( City License Registration 4F ~ S
******************************************
::::::::'0 Company Q,~" i \~~ <f- ( J:,c <
. State Cert. or Regist. 4F ~R(JtJ() :??
: --- ~~ J~.......*..*~~;~*;;~~:~~:.~::~:;~:;~~~ ;; pt;
/ IIi' 3d' '/ (J' . j L' b
PL\J}l~ER {.Z-~ 2 ~L, ~~:~:n~er~< or ~e~is~< ;(1;- 1<}:off1r;/t!
Signature _ ':L ~ v?-r . City License Regis tration 4F ,')$1 ~
******************************************
MECHANICP
Company
State Cert. or Regist. #
City License Registration #
******************************************
Signature
Signature
Company
State Cert, or Regist. #
City License Registration 4F
OTHER
APPLICATION APPROVED BY
)1****************************************
~AAA' ~ .>!!f ~ /}A1L-J
PERMIT OFFICER.
..
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands ~pat this per.it .ay be subject to "deed restrictions" which may be more restrictive than City
regulations. The undersigned assulesresponsibility for cOlpliance with any applicable deed restrictions,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay 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 aay be
cited for a .isdeleanor violation under state law. If the owner or intended contractvr are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (B13l
788-6611,
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sl~n 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 work, If the contractor wishes you to sign
as contractor that lay be an indication 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.
CONSTRUCTION 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 Depart.ent of,Agriculture and Consumer Affairs, If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has co.tenced prior to issuance of a perlit 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
.y responsibility to identify what actions I lust take to be in cL1mpliance. Such agencies include bllt ~Ie iiol limited to:
I Deparhent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldiids,
Water/Wastewater Treat.ent
I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks
I US Environ.ental Protection AQency - Asbestos abate.ent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer reqistel~d in the State of
Florida prior to per.it issuance.
A permit issued shall be construed to be a license to proceed with the work and not as authority to yioi~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici~l from thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall becoie invalid
unless the liork authorized by such penH is cOllenced within six lIonths [,f issuance, Llr if WLI] k aut!.fq lZed by the peTll\it is
suspended or abandoned for a period of six lonths after the tile the work is co~menced. One 90 day e;t~~sJOII of time, may be
allowed for the permit with fee [harge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection must be logged during ea[h six lonth period, or the project will be considered dbriildoned.
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 A1TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD ~l'm POST A II !"IJT:: C::: OF CO!"!ME!'lCEMC::NT II .
DATE
---------------------------------------
[")L~ ~ /)~~
SIGNATUr":---c6NTRACTOR~
DATE / - ~ - )7' .L
----------------------------7-' ---.,
NOTARY AS TO 1%.. J ! I.. j
CONTRACTOR___ :z~~ ' . .1t!
. .
" Notary Public of Florida
MY COMMI.SSION EXPIRE ___...,~~ ,-_~~!l.'1.199'5
SIGNATURE__________________________________
OWNER OR AGENT
NOTARY AS TO
OWNER OR AGENT_____________________________
MY COMMISSION E~PIRES______________________
FROM
JOHN L. SMITH CON ST.
37326 Rutledge Or.
Zephyrhills, FL 33541
7$>~ ~~~70
Proposal
Proposal No,
Sheet No.
Date / - 7" - 7' ~
Proposal Submitted To
Work To Be Performed At
Name
Street
City
State
Telephone Number
Street {; tC Ie> ,,( / / /C
City ;Z t' ,P It '7 It
Date of Plans
Architect
v.s, .:sCJ/cf S&. l7t.fe
.< . ./~ State F /,
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of
p P- l----t tI c/~ /,~ ~/~ CJ P tfJ / d /) ~ / Ii> v / ~ A/ 0/ (;> SOP I;:>
. / / I
D / ~ ~ / S ~ hi c7 ~ /- ~ ~ r h c' / S.l:> e c, .<:' ~ to E' ;/...r
I ' /
All material is guaranteed to be as specified, and the above work to be performed in acc:ordance with the drawings
and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Dollars ($ /~~.31 dO),
with payments to be made as follows:
~?e e~. !;?;; :/~,/L/ /-
J:~ C- k / ~ /'"
d9 /--1
Pe4'e
, /
:z
ti -,L-
Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will
become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our
control. Owner to carry fire, tornado and other necessary insurance up.on above work. Workmen's Compensation and Public
liability Insurance on above work to be taken out by .R (/ /' / / " /~
Respectfully submitted ~ --7
Per J'c, I. A- c;- ,,{. S' 1/'-1 " r ~
~
-
{IJ /~r.r '/,
Note - This proposal may be withdrawn by us if not accepted within S-- days
ACCEPTANCE OF PROPOSAL
The above, prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. Payment will be made as outlined above.
Accepted
Signature
&dbt-
A ,- ltituS
Date
TOPS .FORM 3450 C
V
LITHO IN U. S. A.
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SEe. / / , rwe 2 65., RNG. 2/ E.,
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A SURVEY OF: Lots 6 and 6-A, Block 208, CITY OF ZEPHYRHILLS, as
recorded in Plat Book 1, Page 54, Public Records of Pasco County,
Florida.
FOR: John Nesselhauf
DATE: June 10,1985
ORDER 41622l-ZH
CERTIFIED TO: Sun Bank of Pasco County
I HEREBY CEUIFf 'l'IIAT THE SURVEY
IEPUSDTED BE'" MEETS OR EXCEEDS
'DIE HIBIMIDI STAR'DODS ESTABLISHED
PUBStWIf 'l'O CIIAP'lq.21 HH-6. FLORIDA-
AlllDISTlAnV& CO~
C. ~Jfed q)egd and ..A1$(JCi't~,I"t;.
SI. ~f.~bu" -Z.pby,bill$
CllrlHled in It) Survey.
;/:.
no . s.:;;:~ ~. ",. :N2
FItJ,lda EIIgi"... Rtlgs,.~. /
Dw.!Jr.: J./. J. M.
Ckd.lJy: .
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()f F r G ( LJ tJ l:!f
tu I~C: &~c~
.2- p7; 1 -9 -72-
_ED,PRl~.T REOUIRE~
. ONrJOB;;SITE ,0< ._....".....
KEEP FLOOR ELEVATION
8" ABOVE R01~D
CltOWN
....~" .. ~ .. --~,. -. .. .-. .. ....-.. _....~. .~......-..-..,.'\
ALL"'WORK SHALL-COMPLY WITH
PREVAILING CODES. STANDARD
BUILDING. PLUMBING. MECHANICAL
AND N. E, C.
CONTRACTORS'OR OWNERS
All OF YOUR SUB-CONTRAOTORS
MUST BE REGISTERED WITH CITY.
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PLANS REVIEWED
DATE - ~ - 2-
BUILDING DEPT. APPROVE
2IlI "Ill'
FRONT ELEVATION
"FmURE TO COMPI. Y WITH THE
~]ECHiUllCS' LIEN LAW CAN RE-
SUL T IN THE PROPERTY ow~ ~ :.]1
PAYING TWICE FOB EUIL~:~l~
IMPROVEMENTS."
SJVlOKE DETECTORS SHAll BE ELECTRIC
POWERED (AC) IN All NEW CONSTRUCTION
NFPA-l01 & NFPA-74 LIFE SAFETY CODE.
.
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~~CE
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LEFT ELEV^TION
~ W'h'i~
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3 'Ill'
iBlAo
211'1'
RIGHT ELEVATION
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~V.EO PRINT REQUIRED
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~ T~I~~d'.81U[Rfl'ENTS,
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1_ - - - -. - - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _ _ _ J
FLOOR PLAN
scn.E: 1/4'.1"
aJJfEO ALL EXTERIm
W /tl.-L..!:1 AN i) fL.oofl... 0 P
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ELECTRICAL PLAN
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.f^o.L.dC~pr ~tl ~1J.l '~.~9YEOtPR\NT REQU\RE.O
Au !f"(FY: ~ 1- r {/ ~ ON.JOB SITE
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1___________ ----
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REFLECT1VE CE1U~G----._-____--1
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ZEPHYRHILLS FIRE DEPARTMENT
Zephyrhills, Florida 33540
38410 6th Avenue
(813) 782-8184
FINAL BUILDING INSPECTION
Fire Chief
William T. Fenton
Assistant Chief
Robert Hartwig
OCCUPANCY: 7ile Oi'E GPDE ~
ADDRESS: S(l()9 UA-l L 8~ u ..0
DATE:
,-. .., S- . 9' '1 '
,,/~,<., -..r-
BUSINESS PHONE:
OWNER/MANAGER:. ,
This huilding has het'n inspected by the Zephyrhills
Fire Department under the'~odes and regulations of the
NFPA Minimum Standards and other local fire safety codes.
~ APPROVED
NOT APPROVED
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INSPECTOR: '-'</~--<-'-_' (j'l~CL--<->
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DATE: r ,'" -> (..-~ TIME: I~
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SIGNED: ;{:.::.----~-/(-..-
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06/17/86 als
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ZEPHYRHILLS FIRE DEPARTMENT
Zephyrhills Florida 33540
38410 6th Avenue
(813) 782-8184
COMMERCIAL CHECK FOR PROPOSED BUSINESS
Fire Chief
William T. Fenton
Assistant Chief
Robert Hartwig
/' ,/' /,'!~ j/" ,/ ('. "\
OCCUPANCY: ( /J Pt.C C:'J{7<~ / ;:? /C? ! ;/.-:;/:/1 ~'1/L.j
j-~C;l &/1//,4;;':;
BUSINESS PHONE: '/ y~ - b 9'5](/ OWNER/MANAGER: V'};/t./,vy /1'/.)I/27;/<.--'5
DATE:
,2-//9/92-
ADDRESS:
LISTED BELOW ARE ITEMS WHICH MUST BE COMPLIED WITH BEFORE THIS OCCUPANCY
CAN BE APPROVED BY THE FIRE DEPARTMENT.
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THIS BUILDING HAS BEEN CHECKED BY THE ZEPHYRHILLS FIRE DEPARTMENT UNDER THE
CODES AND REGULATIONS
SAFETY CODES,
OF THE NFPA MINIMUM STANDARDS AN~ D;::,~l
INSPECTOR: Jk'< /(.'
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DATE: .1.//;// q 2. TIME:
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SIGNED: l~ ,i' ,,P
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TITLE: .<, " j,.-[ \ ! I' r, :' I, i' i
FIRE
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10-20-86 mjp