HomeMy WebLinkAbout93-2925
BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611
,,20. h
GE~-~ANIC~
Permit
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292SLSi
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Pmperty Owne' f1-~ ~
Job Address: ~ /..s--- /.- I2ve
Parcell.D, # /0 ---.;2 h - ;;L/ - ~ U
Date /-/J./-7.~
.
P~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: ~ Energy Code:
Description of Work 'k2 / ~J ~ A "L7..A-1
Radon Ga..:t-_ L .
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NO OCCUPANCY BEFORE C.O.
FINAL 2 ~
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Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
6?401'1fJ0~
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Valuation or
Contract Price ~ I r 7. It7J
DATE
Inspect
City License Registration #
State Certified License#
.2.~...1-
Pe'm;' Fee~
Sig~ature ~.J1
Company
Address
Telephone#
.~#~
~CHAN~ 0S-
Breakers
Ducts Ins\. 1_7, S' ... 9 :?4&-
,
Compressor
Final
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Ftr.
Pre SLB
Lintel
FAM. J'~ ~
InSUI.~~ -,.~. u..
.- -r.JZz ~
~ ElliTRIC~ s-'I
P~ING
-----
Tp. Servo
Rough In 1- ~~ .,83 iJJ,-
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
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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.
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APPLX~ .. HRHI'I'
C'ITI' OF 6IIi&"IIZ...1I,J,S
.~ DRPAmbliIil
~'8 aum~Univer~~t~ Park Conval~scent Center
, .
PIIOIB
....8 ADD..!lUIl,li731 North" 1 t1+h Sf- - Tnmpa. ,F'L
JOB ADI)IIMA
37Rlt1 lS+h ~V~_ W~Rt
LBG\L DBSCIIftIOI: tm(S)
PARCIL t.n.' 10-26-21-60-
~lnsJOI
1IOH PROPOSBlU-.JIeIr CGMtructiOll ~ittan. --1QSA1teration ..i...--.1lepair
T"Aull
--Jjf.p.
--..Bove
~lish
PROlDt& .a.
SlD&J,e PaaiJT II.
IIlr
_' of Units
--If/B
xx ec-ere1al
-
Tdflnat. _Swill. Pool
Other
...t8UI:aIlt a 8M.1tb. ~t Approval.
BUIUJDG 8IZ11 J 1. 2 X 15 ,
Square Feet t
Heipt
.IU'..SIDatIALc AftACII (2) PLOI' rtAJIS II (2) sas OF Iut1DDIC PLAIIS " (1) 8ft IIIIR.CY POItIIS...
COIItIIlCI.AL I AnACR (3) SBI'S OF BUII.D1IIC PLAJIS " (1) SKI' ElIERCY fOItfS...
..COf1I' OF ~cr IIQUDIID.
I'IEIIIIft .mtlB'!1l:b
___UIIJ)I10
&7,187.16
Valaatioll of Total Const.rdrtion
Rl.RcrnCAL
AlII' service
1'1orida PoYer Corp.
II.R.K.C.
~c.u.
--J'UIIBDG
..
VabaatiGII of lIec:binlica1 IDsblllati.oa.
CAS
1Id01'llIC
SPRcl:At.'tY
.'I'IP! or Q).~I.1 ___.Jlodt ~-9t.ee1
OtMJr
I'D1.SIIED nooJl EUNAUOIS:.
Ft.
IS PIIOJECI' U noon IOn AREA'
"YJS
110
..........................................
JIIP'I'RAC'M SECftol.
Siaoat:ure
~AMY. Classic Homes & Development
State cert. or Re8i.8~. , CB CO 36549
City License Reaistratioa .
..........................................
PA\"leJ.rtLl~.tC CDlPARY. fl~ F~
I ----= state cert. or Registol..~C~O/2CeK
/. ~ __ Clqo Lictld8e Regist....Uoo. _:t
. ...................................
, I.J1l'tDD
JlJtC'l'RTCIAII
SilftUll:ure
CDd.-Aft
Stal:e Cert. or hgisl:. t
city Liceoae .e.i5tra~ion .
..........................................
'PfL1118~BC Tt{lC wmPAlIT D6ttz. ~
~. ~ State CUt. or Regist. . _ C u< r ?-.;.' '/- ?fir
City License Resistrat:ion' 55
~ .........................................
PUllBER.
Signature
1IItaIAIII,...~T
-
Signature
~=
mIfII'.It CGlPAJIY
sut.e (:@rl:. or Resist:. ,
Sipatare City Licemae lte81st.J:at.io... .
..........................................
. APPLlCAU. ArfI.OUiII BY PERll11' OPFICBB..
CONnITIONS OF PERMIT AFFIDAVIT
A. ,tiOI J CI!!: OF p~ED RESTR I CT IONS
Thl Undl~'I.nfd under...nd, thlt this per.lt 1', be ,uhJ.ct to -died rlltrlctlon," which I'Y bl ,or. r..trictivl thin City
t.,al.tl,n" T~. uftltrll,ntd ,.,a*,. responllblllty for ro.pll,ncl with Iny .ppllc.b], dlld rtltrl~ItDnI.
9. UNL~CEN$EQ ~QNTRACTORS AND CONTRACTOR ~E~PONSIBILITIES
If th. oWftlrh,1 hlrl' I contr.ttor or contrlctor. 10 und'rt,k, work, they .ay bl r!qulr.d to be ticlnsld In accord,nc. with
51.1. and IlcII rlgulatiDns. If Ih. eDfttrlcI'r II,not llcens.d 15 requir!d by I'M, both tht Olnlr .nd cDntrlctor .ay b,
cited for I Itld...IDOr ,iDlation In',r stitt IIN. If the OM",r or lnl!nd!d contractor .rr unc,rt.in II to "hit Ilclnst"v
rtquir,.rnt. I'Y Ipply for th. Intended lork. they Ire advisfd to tontact the City of 2.phyrhlll. Building Depart'lnt, rB13)
7BS-661 I ,
.
FurthlrlOr'r if lh, Olntr hi' blrld a contrlctDr or cpn'rlctof', hi II advised t& blVI the centrlctorfl) Ilgn 'Drtloftl af the
'Contrlclor It~llonl' ., 'his .ppllcltlDn for Which they Mill bt r.spon.ibll. II you, II th, o~ntr .Ion '1 thl tlntrlctlrr
you Ir. Indte.tl"f thlt you, r.ther than th. con'tactor. Ire relpDnlibl. fir the Mori. If tht tOntrlctDr ,ishll you te slVn
II cDntrlctor th.. lay be In ladlc.llDn that h. i. not properly licenled and is not 'ntitled to peralttlng prlylllges In the
City of Z.,hyrhllll.
c. J~eNSPDRTATION IMPACT ,~~~S AND UTILITV CONN~QtION FEES
D. CONSTRUCTION LIEN LA~ (CHAPlER 713, FLORIDA STAlUlES, AS AMENDED)
I ttrtify lhlt I. lhl applicant, havl blln prDyld.d .ith . copy of 'Florida'. Conltruttlon Llln La. . "olte.n.r'. Protection
Guidi- pr.,.,.. b, thl flDrida Dlp.,t.enl'Df Agriculture and Conlul.r Affairs. If thl .ppllclnt 1. I..ton. oth.r th,n the
"own,r', I elrtlfy Ihal I hlv, o"llned I copy If Ih. IbOYI dllcrlbld dotu.tnt '~d prollle In loed faith to dlll~lt It t. th,
'o.ntr' prior tl cDlllnerllnt.
, E. CONTRAC~081~(QW~ER"S AFFIDAVIT
r certlf, thlt .11 lhl llferlltt,n In thl1 .,pllt.tloa 1t accurate Ind thlt III Mlrk will le don. in to.plllnel .ith III
IppltClbl. 11.1 tltul.tl"9 construction, lonlng, and land dIYtlop~lftt.
AppllclIlln il htr,by ..d, to Dbt,in I plrllt tD do MOrk Ind Instlllllion a. indiratld. I certify thlt ftO 'Dr~ or
inlt.ll.tiIR hi. CDelented prior to lssulnce of I p.r.it and thlt 111 Mork Mill b! plrfGrlld tD I.et stand.tds 0' .,1 JIW'
r,vullting conltructlon, City COd'S, toning regulations, Ind land d,vllope.nt rlgullticns In lh. Jurisdiction. 1 .lso
errtif, thlt I undlrstlnd th.t 'hi regula'lon. of othlr govern..ntal 19!nell' I'y .pply to th, intendld lorkr Ind thlt it i,
IY r"pDnsibllity to identify Ihat IctiDnl t lust t.kl to bl In coeplilnc,. Such Agencies Include but Ite not llllted 101
f D'D.rt'lftt of ~,vlron.tntll ~laulltiDn - Cypress Blyhllds, Metllnd Ar'll Ind Environ.,nt.ll, S,nlitlYI llndl,
Ulllr/M.stIMlt,r Treat.lnt
f South~llt Florid. Ull" JI~t.efttjtl.ttJct - Wells, Cyprlss B.yhelds, M.tland Ar.a., Altlrlng UAtlreOur...
t ArlY CorDI of Enaln..rl - SlaMIIIS. Dotta, M.vl,.bll Nltlr"IYI .
· ~~Irtllnt DI "'llth , Rlhl'.lll.tlvl Itrvlcll. Envlron.,nt.1 "tilth Unit - N,III, Wllt,"at,r Tr.lt.lnt, S.ptlc Tanks
, US En,lrDn..ntl' Pr.tte'.on AG.nty - Asb,.,o. .b"'.'n'
t 11ID clrtlty Ih.I, If ftll .,',rl,l I. t. b, u..d 1ft FIDOd ZOnt 'A' Dr 'A,ltC.', tt II under.tood thlt . drllnlOI plln
Iddr'llinv I 'COlplnlltl", volulI' .ill b. lub.ltl.d which 1* pr.p.r.4 by I prof,ssionel engtnllr rlvlltered in thl Bt.tl of
Florid. prior te pere" l.Iuanc..
A ptrelt Ilsued sh.ll bl eOnstrued to bt a Iletn'I lD procltd lith thl Mork Ind not II authority to viol.", t.nc'l alt.r, or
Itt .Ild. Iny prDvlllonl of thl tlthnicll COd.l, nor sh.ll l'lolncl 01 I p.rllt pr,vent the lutldln, Offlelll "01 thlt,.ft"
requirinv I torrlctlon Df ,rrOf' in pl.n" construetlon, or ,lolatlonl of Iny code, Ev.ry p.rllt illu.d Ihlll b.coI. in'llid
unl.ls thl lor. luthori!,d by ,ueh perllt 11 cOI"neld .ithin Sil lon~h, of llsolnce, or if Nor' .uthorlaed by the p.r.tt Is
IUlp'ndld or .blndoned fDT I ,Iriod of si. Jonth. Ifter the Iltl th. .Drk i. COII.nc,d, One 90 day extension of tl.e, "y be
IlloWld lor 'h, plrllt "Ith f.. chlrtl of $151001 The tlttnslon Ihall b. rlquIsted in "riling ID the Building Olflclll, An
Ipprov.d In.p.~tIDn Iblt b. Jogg.d during tlch al. 'Dnth plrlod, Or 'hi proJ.cl "ill bl eonsid,red IblndDned. ,
UARNING TO OWNER. YOUR FAILURE to RECORD A NOTICe O~ COKft~NCEKE"T "AY RESUlT IN YOUR PAviNG TWICE FOR IMPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT NITH YOUR LENDER OR AN ATTORNEY BEfORE R'CDRDIN8 YOUR NOTICE OF
COMMENCEMENT, JO.9 UNDER .2,500 IN VAtUE DO NOT NEED TO RECORD AND POST A -NOnCE OF CO""ENCUEMT-,
Sf_TUREI MER 0" AGEIIT
.~
SIINATUREI CONTRACTOR
DtAtr OF FLORIDA
ClltnlTY .. Pasco l l
The foregoing In.tru..nt
blPf~r. lIIe thi_ .
wa. acknowledged
, 19 _ by
STATl OF FLORIDA
tOUIITY lW Pasco
The foregDing instrument
before me thll
wa. actcnowledged
, 19_ by
who i. perlonally known to me or who ha.
produced
.. ldentlflc.tlo~ and who did/did not
take an oath.
who 1s perlonally knQwn to me or 'who has
produced
as ldentification and who did/did not
take an OAth.
<Slgnature)
~I
(SlgnAturl!)
,
(Name Typed, Printed Dr Stamped)
NOJARV PUBLIC
-~
(N.me Typ.d, Pr~nt.d or Stamped)
fII0TARV PUBL.IC '
fr....r<".
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Name S i! 8 t:- <II r.....j {L/J:-..s /"
.~ ' /-Ir- ./
Address '..I 7 g IS- /5 /{t/
'")8' 2-6 'Ie 0
Classification
Owner/Manager
s: LuJA-/~O
Business Phone
Emergency Contact Phone
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
29 APPROVED
1!5. FINAL
~ OTHER
o NOT APPROVED
o ANNUAL
AI/?0 RCJo/Yl
OBI-ANNUAL
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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Inspect. Date J.-. -11- 9 3
Inspect. Time
/ I CJ C) Fire Dept. ID # :fl...-=-3
t//t-~ a-___ d~ __L/
This building has been chec d the ephyrhills 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.
Title /tfl'1' AJ I ~7/7 M /~~ f ('"
Re-Inspect. Date
Owner/Manager Signature
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