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Home My WebLink About92-2641 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 264111 i 9-/Y-92 . Date BUILDING ELECTRICAL PLUMBING ~~-NI~ Sewer Conn .~ ~., Property Owner:.A-1.. ,'J Job Address: '1'91 :tJ:A ? ~~ Water Conn: Water Meter: T.J.F.'s: Parcell.D. # Zoning:.__ Energy Code:, ~adon Gas: _ De,c';p';ono' ~ o~ J~ ./__"... ~ -<l/(1-(// - _~--t'/.. --_' -< , , AL~_ / NO OCCUPANCY BEFORE C.O. FINAL 2.- Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector Fo City License Registration # b .17 State Certified License# Permit Fee Sign'ature Company Address Telephone# 1~~~ { Valuation or Contract Price ;2 ~. LJ-TJ-b . " t,."r-Q BUILDING ELECTRICAL PLUMBING Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor I;:inal Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the folliowing reasons, a charge of Fifteen and 00/100 Dollars ($15.001 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. ."r~(o;.:~r..-. .,. I ''.;'''y'''~"- - .. Adtutc6 T ~ & ~l .--- r I I r I 1 ! I I I i,'"'flIt ~" ... ,/ , AffILIATE ~PEI~ qfUM ElIJI'IIlNT ~ DONALD W. ADAMS, SA. 8440 - 43rd. STREET NORTH PINELLAS PARK, FLORIDA 34665 PHONE: (813) 546-0558 PROPOSAL " AUGUST 28, 1992 t i i \ ;' SPARTAN OIL COMPANY 2815 LONG STREET TAMPA, FL 33605 ~ ATTENTION: SAM LAZZARA RE: TASIN'S FINA 4946 GALL BOULEVARD ZEPHYRHILLS, FL We propose to replace old product lines this location 1) Saw cut con/~ete around fills and piping trench I " 2) Excavate t~ top of tank and to old product lines ~. '\ 3) Install new piping sumps on tanks at submersible pump locations and containment sumpsvdispensers ~'N..I " 4) Install new product lines of Ameron double wall fiberglass pipe in sand bed ""''''., 5) Concrete over excavated area with 3,000 PSI reinforced w~th steel ~~ 6) Adams Tank & Lift, Inc. to conform to local codes plus meetingDER requirements -4 11 ,....'\,._~:~...... ., ,.,.-li-, -...--.. - 7) Cost not to exceed proposal price ;:( ,) 000 ~ C-( '" I~-' c.ru '~. ~~~1-:). JL82893 'J /( . . ~ h#/I- IIf;'/' tY~/1 'oJ/d. (fll;";/I'/~J)} ~61 E;.u/ 1 Tow~ Z..{l,I'J/,fl;J/lb/ F / - , f~' B '.... ,0 ' ' hOli f'pf./~re o .........-'0 ~) 3{)/)O"1-' VN ~fJ 1- " ,U ~ rJ-P ?~ V ~\J~ , o )~'f- ~t ~t-~~~ ~tJ .1,.- .......l'1P .,~ I i-T -rl ,I I /I f/ It.pJ .t . APPLICATION! FOR PEmnT CI'IY OF ZEPllYRHILLS BUILDllilG DEPARIt'IE'NT OWNER'S RAIfE ;[1' /hLI'A-Ar to r I @ z> OWNER'S AyD~S 51- YJ s- ~.od/~-I ---~/YLO;-, ~ 8 A JOB ADDRESS rr~~ " ,/) I V _ mONE 6):;:) P~?-3~ 17 !A;1r/J/r' I i:: / - 3 jbos / / ' ~~ /h)/.rL HI 1(<;,) r ( LEGAl. DESCRIPl'I01!i: UJI'(S) BJ..OCI{ SUBDIVISION PARCEL I. D. t WORK PROPOSED :_New Construction _Addition X-Alterill:ion _Repair _Install _Sign _Move _Deaolish PROPOSED USE: Single Faaily _KIF _, of Units _HID _~rcial _Indust. _S~. Pool Other _Rest:aurant &: Hea1t:h Depart:aent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOI' PI.ANS &: (2) SEIS OF BUILDING PIJ\I!iS &: (1) SET ENERGY FORKS. ** ATI'ACII (3) SIlTS OF BUllDlRG PI.ANS &: (1) SET ENERGY 'FORKS. ** **COPY OF CONTRACT ~m:RIlD. PERKITS REOUESTED _BUILDING $ Valuation of Tot:a1 ConstrhcUon _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ ;;(,;~, l) C () Valuation of Mechanical Inst:allaUon _PLUKBING GAS ROOFlliG . SPECIALTY TYPE OF CONSTRUCTION: _Block _FraIIe _Steel Other FIBISHED FLOOR ELEVATIONS: FI' . IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** COlD'RACIOR SECTION BUILDER COKPANY State Cert. or Regist~ If City License Registration If ****************************************** Signature ELECTRICIAN COKPMlY State Cert. or Regist. If City License Registration I ****************************************** Sifmature PLmlBER COKPANY St:ate CerL or RegisL If City Licea~e Registration I ****************************************** Signature Signa1:ure COKPAn /lr1oAs UAJ/( cd-- if /1, II./C St:ate CerL or RegisL 1= Pc CP"f-b '76 '7 City License Registration I G;? 'f ****************************************** KECHAlUCAL OTHER COKPMlY St:ate Cert. or Regist. If City License Registration I ****************************************** . Signature APPLICATION APPROVED BY An. -")/' "- il a>~J _ ;>:j k'/\A').-ir PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitiaf be subject to "deed restricti~ns" which I~y be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake NorK, they may be required to be licensed in accordance with state and local regulations. If the;Oi'ontractor 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 requirelents lay apply for the intended work, they are ~dvised to con\act the City of Zephyrhills Building Departlent, (8131 7BB-bb11. Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the .contractor(sl sign 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 c~ntractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in "the City of ZephyrhilIs. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~ 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 - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. if the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent 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 cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do Nork and installation as indicated~ I certify that no work or installation has COllenced prior to issuance of a perlit and that all work will be performed to leet standards of all laNs regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay applY' to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to: I Departlent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Waterc~urses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQency - Asbestos abatelent I also certify that, 'if fill laterial is to be used in Flood Zone "A" or "A,etc,., it is understood that a drainage plan addressing a "compensating volule" Mill be sublitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A per.it 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 issuar.ce of a perlit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every permit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six lonths after the tile the work is cO&ienced. One 90 day e~tension of tile, lay be alloNed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, 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 RECORnING YOUR NOTICE OF COM"ENCEMENT. JOBS UNnER $2,500 IN VALUE DO NOT NEED TO RECOrtD AND POST A "NOTICE OF COMMENCEMENT". STATE OF FLORIDA COUNTY OF P A.$~ 0 The foregoing instrument before me thi~r0 'f:~ was acknowledged , i9Q]'-i:Jy /} .i:p- // .... ~/~/ ~--L SIGNAT : CONTRACTOR ' ~ft~ 'lv y~ 3' STATE OF FLORlnA COUNTY OF P A- S- <! D The foregoing_ i1lstl-umli'nt \folaS ackno\'lledged , ""r, ,_ - me -l-'- ;~PI , t .r t-/<. , 19 Q:L btv, wt= 1 \-: I '= l....l i.l. J _ r. ~ - -L..:::::-- ~t?~ SIGNATURE: OWNER OR AGENT A N I C ~TO p, Sum I J..- I; AHI<!.-ETO ? SUM 'hE ~-1N L 'fJ-..F<:; who is personally known to me or who has who is personally known to me or who has producedm4.<."YL.oNb DR. L 1t'/:A6C S-6~ -o,? -l'lo!!.- produced'-=:, Ae'({Ii:Il~ LI' J-..L{...;J.o -y.I,{, -2-0-;2//-1 () as identification and whc. did/did nClt :3').$-G as identification and who did/did not take an oath. '\ -' take an oath. \ I' ,1_ ~~etJ.~ ~~~,tA~~ (Signa woe) --.... (Signa .Llre) ,. EI-/ :LA&:r1Jf W, vl1 J ~ SA oc..U r;;;..t-.I z..fle~TI-I}\). WI N:;t..tOCAJ (Name Typed, Printed Dr Stamped) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC NOTARY PUBLIC t:n~--- " '~,\. :c c:,:,;, >l. LO;~Ui;;) T~-;.E.~lJ :"U-:-.''.~..i. <__..:..~...: L. ...~A~.,~~1'11:.n.s. ~ L~ . ,~~,\. ,,' ' . _ _ '_' r.;, ',_ ',_ '):)4, nO;\C:::D T~;'..~L~ :..SL!.._~':.' fL":L1C l:~;:;';':'~'.~mJEJiI.& I 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:~I II ADDRESS: L.j 1'9 ~ hlf A S~/l~t</ (;A'2 L gz~ DATE: r---;2O'-9'2 BUSINESS PHONE: OWN ERJMAN AGER: This huildin~ has heen inspe(:ted by the Zephyrhills Fire Department under the codes and regulations of the NFPA Minimum Standards and other local fire safety codes. X APPROVED NOT APPROVED CO~f~fENTS: cJCJ/S/iJ~ fhC)./)6c7' !//cft'- JJA9.J))~~ d~ AT S~.s.z INSPECTOR: W~ ClJuLC DATE: /~$-? A TIME: 4 tAt SIGNED: TITLE: 06/17/86 als