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HomeMy WebLinkAbout93-2910 BUILDING PERMIT Permit N~ ~ G--.......,._~ RtlILDJNY ./ ~O........ .~.......... .....,,, C~~~~~TRICAV ::::::,~,:~e~4~i!;c~,re./%:~ 1 ,/ ~o './ CITY OF ZEPHYRHILLS (813) 788-6611 2910 /-7-76 Date P~'" M~~er Conn ~. Wale' Conn ~ L 1~ater Meter: T.I.F.'s: Parcell.D. # Zoning: Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee Signature ~ Company Address Telephone# Valuation or Contract Price c:;/ 5'OD' eSL-. City License Registration # ~ 7'-<1 State Certified License# eG-e() /9S'6 ~~~. ~~ G-B~'LD' .~2; PLU~".." - MECH~"-" - Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following 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. APPLICATIOJtt"~QR l'ERKIT CI'IY OF ZEPf' fRIIILLS BUII.DIRG DEPAR'IIIE'Rr OWNER' S RAItE $0, J +h. oS [l-e.. Chu \(' c....k c> 'f- ChrC' 5 +- PBORE OWNER' S ADDRESS :::s /j ?.3 7 C /?-Ve,., 7.A?~h L.( r-h / ( ('), ~, ? cY 3 -- ;)..3 oS J>3S<1 I JOB ADDRESS c: 1'1 p2. -e LEGAL DESCRIPTION: I.DI'(S) B.J.OCI{ SUBDIVISION PARCEL I. D.:f: /5 -~ ,-:2/- C>O_~D ~-C)31c90 - 0000 WORK PROPOSED :_Nev Construction --.J\ddition ..01teration _Repair _Install _Sign _!!love _Deao1ish PROPOSED USE: Sing1e Faai1y ~eo-ercial. _KIF _, o.f Units _K/H _Indust. _Swt.. Poo1 Ot:her _Restaurant &: Hea1th ~t Approval. BUILDING SIZE: x Square Feet. Height RESIDENTIAL : cotmERCIAL : ATrAGII (2) PLOT PI..UlS &: (2) SEI'S OF BUILDIBG PLANS &: (1) SEl" ENERGY FORKS. ** ATTACH (3) SEI'S OF BUllDIRG PLWS &: (1) SEl" El!iERGY FORKS. ** **COPY OF COI!iTRACT lUJQm:JUID. PERKITS REQUESTED Y~UILDING $ .;2. S 6) O. 0 C) Val.uation o.f Tot:a1 Construction _ELECTRICAL MIP Service F10rida Power COrp. W.R.E.C. _HECllAlfi.CAL $ Val.uation o.f Kechanica1 Installation _PLUKBING GAS ROOFDiG SPECIALTY TYPE OF CONSTRUCl'ION: _B1ock _Pralle _Stee1 .. Other FTIiISHED FLOOR ELEVATIONS: FI' . IS PROJECT IN FLOOD ZONE AREA? YES NO **..*....*...*.......*~.....***...*..**.** CONTRACIOR SECTION BUILDEIJ COHPANY r:-~ /1 {' -L/n>r; ~~Cr State Cert. or Regist. , CGC- O/8'SCS City License Registration' 39<1- .....***.************************* Signature S' DmPMY State Cert. or Regist. , City License Registration t ************************* /~7 PLOttBER COIIPARY State Cert. or Regist. , Signature C~~f L~LCUSC ~tgi5LL~LiUfi f *************.***.*****.***************.** KECHABICAL COHPANY State Ce,rt. or Regist. t Signature City License Registration t ******************~*****.***************** OTHER DmPAlfi State Cert. or Regist. :f# Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. ~' CONDITIONS OF PERMIT AFFIDAVIT A. NOTicE OF DEED RESTRICTIONS The undersigned understands that this perlitaay be subject t;) "deed restrictions' IIhich laY be lore restrictive than City regulations. The undersigned assules responsibility for cOI~liance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ollner has hired a contractor or contrac~or5 to undert~ke 1I0rk, they lay be required to be licensed in accordance lIith state and local regulations. If the contractor is not licen~ed as required by lall, both the ollner and contractor lay be cited for a lisdeleanor violation under state lall. If the oNner or intended contractor are uncertain as to IIhat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (BI3J 78B-6611. Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractor(sJ sign portions of the 'Contractor Sections' of this application for IIhich they lIill be responsible. If you, as the ollner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the lIork. If the contractor IIi shes 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 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 lIith a copy of 'Florida's Construction Lien Lall - HOleollner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the 'ollner", 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 cO'lencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all lIork will be done in cOlpliance lIith all applicable lalls regulating construction, zoning, 'and land developlent. Application is hereby lade to obtain a perlit to do Mork and ~nstallation as indicated. I certify that no lIork or installation has cOllenced prior to issuance of a perlit and th~t all 1I0rk will be perforled to leet standards of all lalls regulating construction, City codes, zoning regulations, and ~al\d developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governL~ntal agencies .ay apply to the intended lIork, and that it is IY responsibility to identify IIhat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - CYrress Bayh~ads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southllest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seallalls, Docks, Navigablp Waterways O' f Departlent of Health ~ Rehabilitative Services, Envitonlental Health Unit - Wells, Wastellater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc,', it is understood that a drainage plan addressing a 'colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. .. A perlit issued shall be construed to be a license to proceed lIith the lIork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the Mork authorized by such pertit is cOI.enced within six lonths of issuance, or if lIork authorized by the permit is suspended or abandoned for a period of six .onths after the tile the 1I0rk is co..enced. One 90 day extension of tile, lay be allowed.for the perlit with fee charge of $15.00. The extension shall be requested in IIriting to the Building Official. An approved inspection lust be logged during each six lonth period, or the project lIill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCeMENT KAY 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 RECCRD AND POST A "NOTICE OF COMMENCEMENT'. flJ)A,~/ ~~ SIGNATURE: OllNER OR AGENT . IGNATURE: CONTRA TOR STATE OF FLORIDA COUNTY OF VC...~O The foregoing instrument before me this~Ck~~~ was acknDwledged 1 f;q'd- by , - STATE OF FLORIDA COUNTY OF \t--:~0 The foregoing instrument -, DefCtI-e me~i,is'~-~ was acknowledged 1:;' C\', ..... , .~ uy "\r"-'-l\.c\ \Z'--I..~,\o,-'~ who is personally known to me or who has produced as identification and who did/did not take an oath. ~_ (I (r... "';:::"'- <-....c..-~--'''' --~-----",\.\"-,,,,~\. " . - (SAgnature) l 0\ \-ee() ~{c--~\ (Name Typed, Printed or Stamped) NOTARY .E'lJBLIC ...... .... ;-*r ~~~.. OFFICIAL SEAL E _ \ COLLEEN STROTT , : My Commission Expires ... .t... "..4/ JaIl. 20. 1996 ..;~.~OPf~:'" C')mm, Nu, CC 174750 ......... _ ~..,"\x:- <-....... C>=x:-'\.YC'(" who is personally known to me or who has produced ~,=o{',-<\-o.. Cll.",~\\l"-c'-,,, \...\.c <..1\'<' _ as identification and who did/did not t~e ~n ,oath. ~ '\.._ --' ~"'-1\::..C'!CO XJ ~~ (Signature) C' c",\\-C<,'(l S,\("\c>\-\- (Name Typed, Printed or Stamped) NOTARY PUBLIC .,~.~~. OFFICIAL SEAL '<1" ... .* ~... COLLEEN STROTT : : My Commission Expires \ i Jan. 20, 1996 ".~r~OPf~. C:>mm. No. CC 174750 .......... ~c, ~ ~_A j U/rv/ '1 <: ;[i c4 II (iJ CDC)~2 tC b~ / '[/ f.. ;0 flu f Holt rrj '(0 rr; !{ 5' If /0 L/J fief( f 2' .t1f?;fJ 'f- / ( ,v r;; . 2 f-ltftj{(1- It!5' ;()r4 (L ! 2 ~- 0!1 !{,f'~ / T rO!( 1- 377)7 rt ? J I}cr/ ,)0 ,- 12.- f)UIJij/J( 1/ {[ C~ /f V, ON 77-1/ S ~ OT{)~ ~\c.s< ~\ ~\Q"~~C C t'\~(\ \ "- '" c-.'\ '\(-( c,\. , ~....... \~~_ '\~\'CC:IC,n-1 \() ~+ rLc\Y'efl\- '--L~"J O:,<<;::flC-'lo0 \:-~\~d b<::,\cx.~~ \('<'. '\."-\~ \:x-'C., -:::0, \q(~~ \0.-, ~~ome <s ('L'C~(' \..0\'YD Qf cc\u.c<? d C,-- \<=-'<('\c\'~_ c\.{ \. J<2 ~S ~,(c "~(--J - c: - D~~x) .-~l;=0l... \.. C.c \ \(" (' '\\ ~".>\~'1:::) \-' \- ........ ..~v ~.. I ~ \ OFFICIAL SEAL : : COLLEEN STROTT ~ : My Commission E I _.: xp res .:::1'tOFf~!.' Jan. 20, 1996 ....... Comm. No CC 17 . 4750 tre U"!kl(OJU"le';;:V;UlQJlNlf^\ll> 1f>>1t:::;.;>U~1N1 HUaWM TOW~ON-ROGER~ ENGINEERING INC. ENGINEER/NG. PUNNING, ENVIRONMENTAL PERMmlNG January 4, 1993 Mr. David Rushlow, Pastor Souths ide Church of Christ 37737 "c" Avenue Zephyrhills, Florida 33541 RE: Renovation of Medical Building for new church Dear Pastor Rushlow; I have inspected the existing roof trusses in the building you are renovating for a new church. Several trusses have been altered by the previous building owner in order to provide a storage room in the attic of the building. Alteration of these trusses was accom- lished by removing the center two diagonal web members. Approxi- mately 12 to 15 inches ot the ends of the diagonal web members together with the metal gusset plates are still in place. An acceptable method of repair would be to remove all sheetrock from the modified room area. Reconstruct the diagonal web members by replacing them with 2 x 4 members overlapping the remaining ends ot the original members. The new members are to be connected to the remaining ends by installing (2) 5/16" bolts with flat washers at each overlap. All existing horizontal and vertical framing from which sheetrock has been removed, can remain in place. It you have any questions or encounter any difficulties during repair ot the trusses, please call me. Thank you. Ver~ Truly Yours, ..2ft;-=? -~~ G~a...!d~. Towson, P.E. 'TQWson-Rogers Engineering, Inc. GET/tg cc: Mr. Roy Burnside misc\southsid 5514 7TH STREET. ZEPHYRHILLS. FLORIDA 33540 813-788-0400 ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 FIRE CODE INSPECTION Business Name ,,<;C,a~/~ ~~ ~~~ification /~rc~e{4 - ~( Address ..3 9 ? d ? (:! ./ ~ ~ Owner/Me:hager ~)c/ AJ UtStf',:;d.c<) Business Phone ./ 0' a .....-< a ~ Emergency Contact Phone 0::69" -/9:?}::; Occupancy Load 7d ..5,,"- 7~ e. &,d TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED o FINAL 0 ANNUAL 0 BI-ANNUAL ~OTHER ~ .A7~/~/~r=*,?H-.r; hv-c E~~4 o NOT APPROVED ,$'d;/ k~LeJ 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. G ;;;;,-y;./ /~--::....c ~~/~ S ~*~ Cft~'dc;;~ ~ ~~ S~~-r :7' 3J==y ~__.,ePA )ku~ &4C ~ci. . ~ ca: ::;../c -~ d/yhr ,/~~ ~ . C-- ' . -;; '" '''_''''7-< L!cY ~~ /~ c2! /0'-''1'' dc6~/.cr?/_~d/cb- 'Y ~~c. if~r40FCY~ @ ,-)~~-;7)-*?~:J ,Pc?7' /&cP4 X 7~ r:-. _ ~ ~c/~~ ~/~ ?d7~L; /ZC/~~4 ~ ~ " Inspect.Date /-IT-9-7? Inspect.Time ./c),A5'~ FireDept.ID# ~oO ---~ -- ~ Re-lnspect.Dat~ spectorsName ~/~~ /. /?::?~ ?J OwnerlManager Signature :-__ ~ -)Z~ Tdl. PI r,v ( 5',t f(! , This building has been checked by 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. tre Ii"rFil(('j)IF~~~U(QIrNJt'\1L [QI~~UcGlrNJ IFUrFilW~ TOW)ON-ROGER) ENGINEERING INC. ENGINEERING. PLANNING, ENVIRONMENTAL PERMITTING January 4, 1993 Mr. David Rushlow, Pastor Souths ide Church of Christ 37737 "c" Avenue Zephyrhills, Florida 33541 RE: Renovation of Medical Building for new church Dear Pasto~ Rushlow; I have inspected the existing roof trusses in the building you are renovating for a new church. Several trusses have been altered by the previous building owner in order to provide a storage room in the attic of the building. Alteration of these trusses was accom- lished by removing the center two diagonal web members. Approxi- mately 12 to 15 inches of the ends of the diagonal web members together with the metal gusset plates are still in place. An acceptable method of repair would be to remove all sheetrock from the modified room area. Reconstruct the diagonal web members by replacing them with 2 x 4 members overlapping the remaining ends of the original members. The new members are to be connected to the remaining ends by installing (2) 5/16" bolts with flat washers at each overlap. All existing horizontal and vertical framing from which sheetrock has been removed, can remain in place. If you have any questions or encounter any difficulties during repair of the trusses, please call me. Thank you. Very Truly Yours, d-'~~ Gerald E. Towson, P.E. Towson-Rogers Engineering, Inc. GET/tg cc: Mr. Roy Burnside misc\southsid 5514 7TH STREET · ZEPHYRHILLS, FLORIDA 33540 813.788-0400 "'""H~"_I rJITiII iiiillfll r!~,~ - " ZEPHYRHII.lLS FIRE DEPT Zephyrhills Florida 33540 FIRE CODE INSPECTION r' I" '.. f1 J.' J f {"(Ij 1- (-Jlc. I 'f" /7/'" c.. f':) 1/ BusinessName :'OI.,l-'r,SI).J('~ ~_'f,,-dl(l,- ;7 \..~-Yi, aSSllcatlon '".,<- r;-l..-)/) Address .3 7 737 C HU,S Owner/Manage, }'>/"7V' [, A~ SJ< (cuj Business Phone 7 !/:; - '^ :5 c/..S-' Emergency Contact Phone (? 3-~; , /7 '9 (~, (~f:- ( ", ~,>,) Occupancy Load (c.' f2.., F -0, l, (? rr=- t::, o QUARTERLY ORE-INSPECTION RAPPROVED ,/ o COMMERCIAL CHECK TYPE OF INSPECTION CONDUCTED ~FINAL I o OTHER o NOT APPROVED o ANNUAL OBI-ANNUAL 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. Ate I -/. 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( ( , <-<' c( /te ',/..r- C ~'-t:' ,\: I(Z;/ (.<..I,~IL_ rl--~' r-Y1 v coO / /~',r::: (le.1' If .-L'I-c-_b '=1.-~:~I\'-(~ ( ,11 '1 Inspect. Date ;Z-;:.....1-93 Inspect. Time ,I 4 4 5- , //.~) ( , (" Inspectors Name I f'C'if-'-(c, :x (j .. FirE;l Dept. 10 # 5:5-/ ..,./;;.) , L / (~::"=:.J. ~ . ;0---- t. 7 /t', _J..__.t~-'('.~1-~1.J': ,... . I ',_j ;) .. Title\',..'i i" ( ." . ( / I . . "'--.--- Re-Inspect. Date Owner/Manager Signature This builrling has been checked by 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. . ~ ~ , '1 )( '/- l )( , '{-- X \x 'I'.~ I I -: Xi ,)( ~: X.I )z ~~ XX"JI K. )c :l- ~~-r " 1:1.- f ' \' :g ~. ~. CJ \ \ _,nt ~ ~. ..:........ .." .. ~ ff o/~~~~ 1 u__ .\ " .---- ~~..,..., , f-- 'I ~ 'A i., ^ I' 1 i. un_=;, X. J~ " '^' I '( ;>( ! ~ >< . 'J., '( ~ . --! 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