HomeMy WebLinkAbout92-2825
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
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Pmp,ny own"i~ ~J!
Job Address: ~ .
Parcell.D. # ,;;. - :L~ . J-I- (J 0/ D ~ 6 u9 iJ 0
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Permit
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2825/J 'j
Zoning: ' Energy Cod~,
Description of Work '-;//..e-LA) .~~/l...--
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~HAN~ Sewer Conn -5 ;/J ,J, ED.
Water Conn: I j/07J. t/l)
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Radon Gas: ,/ ~ 1\ J"7
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Date 1/-30 - ?~
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NO OCCUPANCY BEFORE C.O.
FINAL
~p c:':o...l,f1>j21-v?
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee
Si'gnature
Company
Address
Telephone#
Valuation or
Contract Price S- 9'~ ~ - tJV
City License Registration # ...3 {, <;
State Certified License#
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Ftr. . Tp, Servo
Pre SLB ~ Rough In
Lintel /7--10 42-~1 _Meter Can
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FRM, Const, Pole
Insul. CL Pool
WL Pre-Meter
Final
Breakers
Ducts Insl. .J.;4f;-93 SeJ..
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
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REINSPECTION'F~ES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and oo~oo Dollars ($15.00) shall be made for each trip for each trade:
;...~ '..,,-~5 'roiU
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. .. /'2 . , L2
g. Work not accessible. .k.-... .."J.:2 II ~...J
The payment of insP&;~611 r~t:s shall be made before any further permits will be issued to the person owning
same.
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Regulation ,
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API"LTCATIOiNl FOR PERMIT
CITY OF ZE:PiI'fiml LLS
lR[]lU..DI~G DJE:PAR1l'm:T.lNJT
OWER'S "AKR !/fl1c $eIrT/lc t'r;2/1 /,ifC , !'HONE
OWER'S ADDRESS Jt'J:;2/-..s-"'# #1//5 ~#I(.'-J
,ftYf/f ?~t:'- lit 1/'0 ;2-!lLU./
LEGAl. DESCRIPTION: 1.01'(5) BLOCK SUBDIVISION
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7d;,?- J2r-7
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5 3ry /
Jon ADDRESS
PARCEL LD.#
h1QRK PRoPOsED:L~e~ Oo>nstruct~ Oill
_Addit.ion _Alteration _Repair
_Install
_Sign
_Hove
_Demolish
PROPOSED USE: Single F3JlJlily
VC.ollmerCial
_KIF
_~ .of Units
_M/H
_Indust.
-,Swin. Pool
Other
_Restaurant & ! '~alth DepartJment Appr.oval
BUILDING SIZE: //1/ X /tl-~ ~ /.$ 6 fJ Square Feet.
16)
Height
RESIDENTIAL:
COMKERCIAL :
ATTACH (2) PLOT Pf 1~.lNlS &: (2) SEIS OF BlllII.DIlNlG PL.&\.OOS & (1) SET ENERGY FORMS. U
ATTACH (3) SETS 0: RlITIlHlNlG PLANS .& 0) SET ENERGY FORHS.H
*:e:COPY OF GOINlTRAC' mrQlIlJTIUlD.
PEllmI.TS REQTlfRSTEO
_ELECTRICAL
$
.---:
j, ()::) q
Valuation .of T.otal r~nst.nlctian
_BUILDING
Flarida Pa\>:el[ Corp.
W.R.E.C.
AHP Service
_MECHANICAL
$
Valu.ation .of Hechanical Installatian
_PUJMBING
GAS
~oc::
ROOFIOOG
_Fr<me ~eel
SPECIALTY
TYPE OF CONSTRUCTION:
Other
JPT .
IS PRo.nJ:C'T IN FLOOD ZONE AREA?
1/
FINISHED FLOOR ELEVA'ITOlNlS:
YES NO
*:e:*=*~ *****:e:******:e:*:e::e:**:e::e::e::e::e::e:*:e:********:e:
BUILDER Q()I!fpAlNrY
State Cer~. .or Regist. #
Signature City License Registration
.~~t~~ ~*~*~~~~~*~~~~~~~~~~~~~*~~~~~~~~*~~
ET.ECTRICIAN aJm>MW ~~rt~ Et5Cl7l/~
d ~ ~ S<a'e CerL or RegisL #
SiJmature ~~ ..- ... ~ Cit-:}" License Registration ~ 1l-:3
** ." .-a:*'Ii:":e:****-f::e::e::e:-:e:*:e::e:**:e:*il::e::e:*****i1.,:e:****:e:
PLUKBER cmtPAm" CI/;(j(j fAJtl( ~/j
~ ~~2. ~ St:a~e Cert. .or RegisL 4ft f/... .
Sign.at:nre ~ .. . tCit:\" Licens~ Rpgistration :Ilt Lr;-r
:e:***:e:'i::. : ",**'~-f:**:e:**:e:*:e:*:e:c.**:e:****:e::e::e::e::e::e:*:e:***:e:
Signatur
COMPANY b.P#Y.R Ih/Z.e
St:ate Cert. or Regist. _ #F /If #~" ~,,~Z n
Cit.y License Registration t~ Bit
MECHANICAL
0'T1IER
Signat:ure
OOOIPM""Y
State Cert. .or Regist. #
Ci~ License Registrati.on ~
~~t~~~ :~*~*~~~~~~~~~~~~~*~~~t**~t~~~~*~~~~
APPI.ICATION APPROVE'!) BY
~~ s(jJl~"'^>-
PEmHT OFFICER_
c;( :JD!TIo~rs OF ~'E'~'"
PI'- :'-
"I(
A . NOT I CE OF DEED F:E_~J,1
The undersigned understands that this
regulations. The undersigned aSSU2CS
-.:~; _ ~J7J-..2~~lj~~~
'r~it 12Y be subject to 'deed restrictiDns' which may be ~ore restrictive than City
'5~Dnsibility fDr cD~pliance Mith any applicable deed restrictions,
B. UNL I CENSED CONTRf~C-i ')1:;:8 .l':J::112-~Qi\IT8-"CjCTOF~ F:;:f=:_.2LPLi_~_.II-U LXLI E~~!.
If the owner has hired a contractor or:Dntractors to undertake 140rk, fhe'llll,ly be ,required to be licensed ,in accc,rdance with
state ilnd Joral regulatiDns. If the crntrador is not licens.l'd as r.equirrd-.by ]a\ll;- bo'th',thktl'wner~'nd cD.ntrador lIay be
cited for a ..isdeleanM violation unde, state law. 1J the otmer. or intended contoctor are uncertain as to what licensino
requiresents lIay apply for the intended lmrk, they are adviSEd tn c-{lntact the Citv of ZephyrhillsBuilding Department, (813)
788-6611. ,
FurthermorE, if thE owner has hired a 0ntractor or contractors, he is advised to have the cDntractor(s) sign portions of the
'Contractor Sections' of this applicat 3n for which they will be responsible. If you, as the Drlner sign as the contractor,
you are indicating that YIlU, rather th.;) the contractor I are responsibl~ for the ,jork. If the. contractor wishes you to sign
as contractor that may be an indicatiD' that he is nt<t properly licensed and is not entitled to permitting privileges in the
City of Zephyrhills.
C. TPANSPORTATION HiP( ;~_T FEE? AND UTI_~UY Cm~F\IEJ"~_T_U:;~tLEEE;.2.
D. CONSTPUCTION LIEN I
I certify that I, the applicant, have
Guide" prEpared by the Florida Depart&'
BONner', I certify that I have obtainc
'ownerB prior to cOlftencement.
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
Den provided with a copy of BFlorida's Construct.ion Lien Law - Ho,eowner's Protection
nt of Agriculture and Consumer Affairs. If the applicant is someone other than the
a copy of the above described document and promise In good faith to deliver it to the
E. CONTPACTOR'S/OWNE~3 AFFIDAVII
I certify that all the, information in his application is accurate and
applicable laws regulatinq constructic, 1 zoning, and land develop~ent.
th.t all work will be done in compliance with all
~
Application 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 is uance of a permit and that all work will be performed to meet standards of all laws
regulating construction, City codes, ,'ning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the re9 lations of other governmental agencies may apply to the intended work, and that it is
IY responsibility to identify what act DOS I ~ust take to be in co~pliance. Such ageocies include but are not liIDited to:
I Department of Environ~enta] Requlati 2 - Cypress Bayheads, Wetland Areas and Enyironmentally Sensitive Lands,
Water/Wastewater Treatment
t Southwest Florida Water Manaqement D strict - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
t ArlY Corps of Enqineers - SeaHalls, 'GLKS, Navigable Waterways
f Department of Health L Rehabilitati~ Services, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks
t US Environmental Protection Aqency - D=bestos abatement
I also certify that, if fill material 5 to be used in Flood Zone BA" or "A,etc.", it is understood that a drainage plan
addressing a Bcompensating volume' ftil be submitted which is prepared by a professional engineer registered in the state of
Florida prior to per~it issuance.
A permit is~ued shall be construed to ,;e a license to proceed with the Hork and not as authority to violate, cancel alter, or
set aside any provisions of the technj~al codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in pI "liS, construction, or violations of any code. Every per~it issued shall become invalid
unless the work authorized by such per,it is commenced within six months of issuance, or if work authorized by the permit is
suspended or abandoned for a period 01 six ~onths after the time the work is cOffimenced. One 90 day Extension of time, aay be
allowed for the permit with fee charge of $15.00. The extension shall be reqUEsted in writing tD the Building Official, An
approved inspection Ju~t be logged dur\ng each six IDnth period, Of the project will be considered abandoned.
WARNINS TO OWNER: YOURFI\ILURE TO REC'1RD A'NOnCE OF .COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF 'loll iNTENIJ.'l"P OBTAIN FI!!NCINS, CONSULT WITH YOUR LENDER OR i\N ATTORNEY BEFORE R.CORDING YOUR NOTICE OF
CmUIENCEl'IENT. '. ~OBS UtlDt:R $2,500 IN V, .UE DO NOT NEED TO RECORD ANi} POST A 'N:lTlCE OF CO;1I'1ENWIENT".
m~~pl4.. dr~~-
ST'TE DF FlD~ ST,TE OF F~o'ID~
COUNTY OF ~C 0 COUNTY OF ~Q.. D
The foregoing instrument w:= acknowledged The foreqoinq instrument was acknowledged
bcfo~-c me this I D-~d .' I CiS ~\/ Iwfnno' m; i ,-,; s _ _10.. -:~~ ' lq~~ by
_~~~~:TP)~ ') _ J~ Q:(A~____
who). s persoiJc,ll \/ '.l>nl>'l'i",,, to me.."'o'.-. ~hD h~s \o'lho i 5 ~na 11 Y; fd,own to me Dr ,'Iho has
pi-o-dlJc~d ____::...'-c...::.~ produced
as id~nt}ficatiof.i. and vlho [ ld/did.~2~ ,;5 identificE\
take: an C~$~"" . t kE' an [I
..J.s-fgn"\tuZ1;-') : <:::::::.. . ____
--- __ ~JAAJ..... ~~~811
(Name T~ped, Printed or Stmped)
NOTAF:Y PUBLIC
(Name Typed, Printed
r~g:D:lF:'LEL.J_)::l.~I~
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FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 500-A-91 SECTION 5 · BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH
Non.Resldentlal Buildings ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS
Residential Buildings over 3 stories
8-26-92.
PROJECT NAME:
ADDRESS:
CITY. ZIP CODE:
BUILDER:
OWNER:
ALL CLIMATE ZONES
ZONE:
BUILDING CLASSIFICATION S:
. BUILDING PERMIT NO.: ..2.
PERMITTING OFFICE: Z
JURISDICTION NO.: cO I
BUILDING INFORMATION
WALLS ROOF/CEILING I FLOORS DOORS GLASS
TYPE U AREA TYPE U AREA I TYPE U AREA TYPE U AREA TYPE U AREA
Concrete (CBS).O ~ Under attic a ~ Slab-oOilrade /' Wood Single, wall ( >"~I I~
Wood frame Slhgle Assembly Aalsed Wood Metal Double, wall
Metal frame Other: .. Aalsed concrete Insulated .~ , '2.D Single, roof
Insulation A-value R,= R.OD Insulation A-value R= : 1 <o:rZI Insulation A-value N/A Other Double, roof
SYSTEMS INFORMATION
AIR CONDITIONER HEATING SYSTEM HOT WATER
lYPE EFFICIENCY TONS TYPE EFFICIENCY BTU I H TYPE
Unitary & Heat Pump ~ Central & Heat Pump Electric
<65,000 Btulh 10. \ SEER < 65,000 Btu 1 h _ HSPF - Resistance R
~,OOO Btulh IO,OeER IPLY ~ 65,000 Btu/h _COP - Dedicated Heat Pump 0
- , Water cooled _COP Gas
-
Water Cool,ed - EER - IPLY - Evaporatively cooled COP Natural 0
Evaporatlvely Cooled - EER - Electric resistance ]Q COP .%~2. LPG 0
PTAC - EER. - Gas/OIl (circle one) 011 0
Chillers COP IPLY < 225,000/300,000 Btu/h _AFUE ~ HRU 0
- - -
Other: > 225,000/300,000 Btu/h Et Other:
LIGHTING '7 I (OS ,3(095 Lighting Budget (from Table 5-13): I .,
Total Lighting Wattage : Total Conditioned Floor Area , ' = Watts/sq. ft: ,z.~
PRESCRIPTIVE MEASURES (Must be met or exceeded by all buildings.)
COMPONENTS SECTION REQUIREMENTS CHECK
Windows 502.4 Maximum of .37 elm per linear foot of operable sash crack. V,
Doors 502.4 Maximum of 1 .25 cfm per square foot of door area. II
Joints/Cracks 502.4 To be caulked, gasketed, weatherstripped or otherwise sealed, II,
Reheat 503.3 Supply air restricted to set coldlhot deck temperature to meet load of worst case zone. Resistance reheat prohibited. \!
Ventilation 503.4 Supplied with readily accessible switch for shut-off and/or volume reduction when ventilation is not required. " .
HV AC Efficiency 503.4 Minimum efficiencies-Heating: Tables 5-4, 5-5 & 5-6. Cooling: Tables 5-7A, 5-7B, 5-8 & 5-9, ..
Transport Energy 503.5 Minimum of 8.0.
Balancina .503/6 Provide means for balancing HV AC air svstem & water distribution svstem. .
HV AC Controls 503.7 Seoarate readilv accessible manual or automatic thermostat for each svstem,
HV AC Ducts 503.8 Air ducts. fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, V
503.9 Insulated and installed In accordance with the criteria of sections 503.8, 503.9 and .503,1 0,
503.1 0 ,
Piping Insulation 503.11 In accordance with Table 5-10, V
Water Heaters 504.2 Automatic electric storage water heaters sl20 gallons and gas & oil-fired storage water heaters ../
s 75,000 BtuJh shall meet performance mlnlf'!lums In Table 5-11. Larger sized water heaters shall
meet minimums In Table 11-1 of Standard RS-9 after 111/92,
Swimming Pools 504.2 Spas & heated pools must have covers. Non-commercial pools must have pump timer. N/A
& Spas Gas spa & pool healers must have minimum thermal efficiency of 78%.
Hot Water Pipe 504.4 Piping heat loss is limited to 17.5 Btulh linear foot of pipe for recirCUlating systems (see Table 5-12). V
Insulation
Water Fixtures 504.5 Water flow restricted to maximum of 3 gpm at. 80 psig; toilets maximum 3.5 gallon flush. V
Public lavatory fixture maximum flow of .5 gpm or ,5 gallon If has self-closing valve,
Ughting 505.1 Ughtlng power budgets are listed In Table 5-13. Minimum Ballast Effieacy Factors are listed In Table 5-14. V
Uo wall Allowable
Uo roof 1 ceiling Allowable
Uo lloor Allowable
OTTV wall Allowable
OTTV roof 1 ceiling Allowable
Uo wall Actual
Uo roof 1 ceiling Actual,
Uo 1I00r Actual
If complying under the provisions of S. 502.1, enter the combined Uo values for the entire envelope
In this section.
Uo envelope Allowable Uo envelope Actual
OTTV wall Actual
OTTV roof 1 celli Actual
Compliance with Section 5 was demonstrated by a Prescriptive Measures methodology: .
D 508,0 (a) Detached commercial buildings D 508.0 (b) Skyboxes or sports staaium buildings
less than 100 square feet." that are used only seasonally. '
I hereby certify thet the plans and speclficati,o[lS covered by the calculation are In compliance
with the Florida E~Code . ' - ~
PREPAREO BY: . ~41' ~tV/~ DATE: <-
I hereby certify that th~::, 1'i!~tIl ~ J:I~~ergy Code. -
OWNER/AGENT: <- . . -. DATE: $. ~~
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ZEPHYRHILLS FIRE DEPT~~~~;~;
'~HW~!
Zephyrhills Florida 33540
FIRE CODE INSPECTION
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BuslnessName/'~ 6~~ C. CIaSSification,~~6L7
Address ~?~ F ~ #d OwnerlMa..ag6r.,PA;,.'7" /2/..,/. ~_
Business Phone ? ~.2 -,;2;Z.l- 2-- Emergency Contact Pholl~ "(j- /;i) Y f8 -'f/ ~~..3
Occupancy Load ~~~~ ~ df'~~
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
o FINAL 0 ANNUAL 0 BI-ANNUAL
~ OTHER fr~/~ Y9/~6~~-Cl ~
o NOT APPROVED
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could caus~;Jta:~fe,contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention tothe:i~ffeC::tion of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhill~Fire Prevention Code.
- };~;~ - ~.t ..:.~..
Inspect. Date
Re-Inspect. Date
Inspect. Time
In
Owner/Manager Signature
" -
This building has been chec d the Zephyrhills Rre Dept. under the codes & )l:">'~h$'o1 the N~PA minimum
standards. the State Fire Marsha s Uniform Fire Safety rules and other local fire.' .:~,''-..es. ".
;'. ~~~~~)!;;J?~(>
Zephyrhills Florida 33540
FIRE CODE INSPECTION
.~
ZEPHYRHILLS FIRE DEPT
Business Name (! I IU ~ p.- <;; l }C
Address ~~48 GA-L( g{(j 1>
Business Phone 78tSJ - I BC90
Classification I1ss~--.~( y
Owner/Manager l~,L.""1 fJl.L J..c.c.1't/
I
Emergency Contact Phone
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY ~INAL 0 ANNUAL 0 BI-ANNUAL
ORE-INSPECTION 0 OTHER
1< APPROVED 0 NOT APPROVED
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
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I~e--~ +~~<;~tc.+t.c4/ "t>~.::.b 4-22-C;~
8t3F-1./ (It' # G..C!_-I.~- ~. y1J? ~ /!ov 7:C b ~y?PD ~ {!, V,
, , /
Inspect. Date 4 - z '3 -93-
Re-Inspect. Date
Inspect. limo I~p/J~ ~ s-s-/
Title
Owner/Manager Signature
This building has been check y the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
Zephyrhills Florida 33540
FIRE CODE INSPECTION
:
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..
..
ZEPHYRHILLS FIRE DEPT
Business Name (2lIV ~ A 51.K"
Address IPB4f3 0ACC ~Lu~
Business Phone 780 -/eoo
Classification 4., s ~~
Owner/Manager /"14-/!'€' f u... ~
Emergency Contact Phone
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY }(,FINAL 0 ANNUAL 0 ai-ANNUAL
ORE-INSPECTION 0 OTHER
o APPROVED ~OT APPROVED
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
(j) Sip J?4e/ 1/.,#// ",J;/R/L/1Y /11/ ;;',v;;;;~5 e~,,-e/ h-~'<?n'j'e.. f_
, ./ ~ J',J ~
h.--L", D C-P A-'C~ S S / "'~ (:. u.,f &--/, -}, rJ<--k, ~~ ysh--) 'q...p >0)".1 Mr. "l
@ [/1/~J!-rJA-/c.V L/~h/ j7,IfJ/rC 5 X..z. /A/ ?R~-r~rJ:,~ (J,.,7Z(j-)
(j rt)jJ1I~/e: ?/.tw5 & 1;1;1) 12.9 IP8:C".JJ O//j "'~8:r_
k,J;/ I1l1u-7 ?J"uI11~,v1 "k~ R~/J? /5' /lM--U./ sJ,;~A'?-e ExePl// Ope z;-
.~/71f1. (i2 T"hJtI!j ];~o./!..- f/H";l/ ~e R~~NRJIi2 # .kM ///9-;;:; _)
(V C:hAA...- -,-lvd:-- T~e.n-s <<.- 'b~L 15~ ~I(./ ~1Ui:/~.<--Io"-.
(fJ:c....~ &.la/",-) A~Il~5
~l~ MtllV~((JE)> 13,/ S~{;::X" -t9~~If/'bo 1-8"PO-~~~'
Inspect.Date 4-~;;C;~ Inspect.Timea~ODepl.ID# ~sl
Re-lnspect.Date _
Owner/Manager Signature Title
This building has been check y the Zephyrhills Rre Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.