HomeMy WebLinkAbout93-3008
BUILDING PERMIT
n P c:l6tf:tlV
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N'!
3008~
3/.s'. iTb ~ cJ?)
0U'L~ ~~CTRI~ PL~
Pmp'~y OW"" ,,~~ ~ ~
Job Address: 7":;> y~- ~ ~
Parcell.D, # .....?"'/-~~-d-/- J- ~
Date .J. -/t) -~~
ME~L
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energ'i Code:
Description of Work A"'J'" "./JJ - c~
Radon Gas:
: t2 7$a Q-;l(( ~
CUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
.-
City License Registration # ..3 h
State Certified License# c:. t1 CO ..!:J-:.SCJ () /
Inspector
Permit Fe~~tJ7) -to 3S-; av
Signature ~ .~~
Company
Address
Telephone# qO,-\-<.;q\ - '2..'2..\2
Valuation or
Contract Price d ~({-t!JlJ . triJ
Ftr.
Pre SLB
Lintel
FRM. Z -/cfJ.~)
SLB
Tub Set
Water
Const. Pole Sewer
Pool Final
Pre-Meter IA...<;?...9.J'-IS;;&.-
Final
@ ~ n4-~ watt-&lz,.q',.~~
II\rtJ.,Li orl- W I"V- .
~\),.f- 2-- il}"$' 3 ~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
ch..go of F;l1oon and 00/1 00 00110" ~'[:~~I shall bo modo fo. oach tr;p fo. oach trado,
a. Wrong Address ~ y l<::l .I~S &e-
b. Condemned work resulting from faulty construction. ~~ ~ "-J () --1..s>
c. Repairs or corrections not made when inspection called. ,..L
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.
M
Breakers
Ducts Insl.
Compressor
Final
~tU
Insul. CL
WL
Driveway
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
M'PLICA'1IOIi FOR Pt!RKlT
CItY uF ~LLS
BmI..DIB'.i DEPAR'IKE:m'
OWNER'S
~~
_ __.8
~\.N""~
..., ADDRESS
IWIE~~\~~~
ADDRESS .~'-\C;; Gp.,\\ 'Y~~. ~~'-~ 4~~
4St:) W\~~ Wo,N'2.. ~~S~\.~"' ~~~ \ 9.~"2.Q
L
mONE "2.\S.... "2~S ,,~\~O
PARCEL 1. D. f
LEGAL DESCRIPl'ION: WI'(S) BI..OCK
'3>\.\-':2.5-~' - '"S --c
SUBDIVISION
WORK PROPOSED: ~ Construction _AdditiOlJl _Alteration _Repair _Install
_Sign
_lIIove
_Deaolish
PROPOSED USE: Single Faaily
v'" ~rcial.
_KIF
_' of 1Jlnits
_K/H
_Indust.
_Swia. Pool
Other
_Restaurant & Hea1.th Depar1:llent Approval.
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
GOttKERCIAL :
AITAGH (2) PLOI' PI.ANS & (2) SEIS OF BUILDDiG PI.ANS & (1) SEt' ENERGY FORKS. **
ATTACfI (3) SEI'S OF BUII.DDiG PI.ANS ,5; (1) SET mmRGY FORKS. **
**COPY' OF CONTRACT REQUJllUlD.
~.DING
PIJ:RitIo_l'S REOUESTED
.oc:.
$ ~<8S~,
I
Val.uatioo. of Total. Construction
_ELECTRICAL
AKP Service
Florida Power COrp.
W.R.E.C.
_KECllAlUCAL
$
Val.uation of Mechanica~ Installation
_PLUKBTNG
GAS
ROOFlliG
SPECIALTY
TYPE OF CONSTRUCTI01!i: _Block _Pralle __Steel
..
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT DI FLOOD ZONE AREA?
YES NO
******************************************
COiD'RACIO<< SECTION
CUfPMT'ij..~~~ ~ c:~~ I
State Cert. or Regist. #' <: '=> es,>OcC \
City l.icense Registration , 3 7.s-
**********************~~*****************~
S.
CD!IPAlMY NorG~" Bur1- F( q<:f
State Cere. or Regist. , CC (:) 60 iO:J ~ 0
.6. B I.l~, City License Registration:f 2 Y'-(
******************************************
PLUtlBER
CUfPMY
State C""rL or Regist. ,
City License Registration I
********~*******~*************************
Signature
KEC'lIANICAL
CO!IPAIMY
State Cert. 01::' Regist. I
City License Registration I
******************************************
Signature
onrF.R
CO'!fPMWY_ ,
St:ate Cert. or Regist. 4#
City i[,t.:ense Registration I
**********************~~******************
Signature
APPLICATION APPROVED BY
eft ~A t ~~ <ZA-tJL-,J
PRRKIT OFFIGER.
j
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit -lay be subject to "de~d restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicabl~ deed restrictions.
-~
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to unde~take work, they lay 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 lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 contractor 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 Zephyrhills.
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 prolise 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 work 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 perforaed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental 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 lilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treat.ent
I Southwest Florida Water "anaQelent District - Wells, Cypre~~ Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Water~ays 0'
I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental 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 that a drainage plan
addressing a "colpensating volule" will 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 with the Mork 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, constrUttitfi1 or violations of any code. Every perait issued shall becole invalid
unless the Mork authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be
allowed.for the perlit Kith 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 tonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCt"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT I
was ack,~wledgEd
19____. by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
STATE O~ FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
_._~_.-
;' ..J
"8iHil1
jI' \ I 'I l
'."
"~" "
'~~'''' ':'~
..1/..1 f)(IUlIllclll ..II ( J.'
Standard Form of Agreement Between
Owner and Contractor
~
\~ lbv!',l -:r~'\...J~"~'i ilIlheycarof
"J\~~.
~ ~i\~\N~ S"'~~ -LNC
\. 'S~ W\N~ \AN~ l
~'iLNS.~~ ~~. \9.~"2..a
I
\-\~\,(~~",\, CCl~". 1.....NC.
Y3~"'t ON~'1 ~
~~~~~~. V~. ~~~~
W\E~....~s. ~s;,.\~ ~~~
\JS ~()\ ,
2 ~~"-"R~\\" r "'Q\ f'?~ C'u...\
"\ ~ I \,. ~~TI
/I 'i', '/"(' Ihe 1}(lsis (~/ fiu)'II/, '1/1 is (I
STIIJUL.j TFlJ Sf . \!
1987 EDITION
TiffS f)( )(JiMf:NT /lA"; /l11/'()I\lANT rE(,'/lr (,'( ),V\I(~){iFNCES; C()N.)'{ J.
AN A TTCiI(\,/:'}' !S ENcnURACiFl) \r'!T/! !?F<';PI:'CT n) us CO/I.fprET/(),\' ( 'f
7 he I' J.'.: - hili WI/ "f .,1/,,1 f)()Uill1ell r .; _'Ii I, (;c1Icr(/1 (:()Ilclil i,,"s "! /1>,' n JIIlr(/C! .Ii 1/' (:""S: I
ill flu:, '/"'- Ull/{-'!!I I~)' "(~/L',.e!l<'(' I hi I:r ;',s(, lI'ilh (JIbe,. p.l'//erol (' .J:,lilifJlts II Illes."" tins t/(I\
Ii ,'> ,i, ),'III11e'lll ILlS h""11 "pr'r, '., ,Ind '.1), It lr~e'd Il\' Til,' \.,., , ;,Ii,., I (;l'l1L'ra) (:, >!lILI, I
AGREEMENT
made ::IS of I he
Nineteen Hundred and
BETWEEN the Chvner:
{,Yan,,' (llId "dd"
:lIld lhe' (; !( Ii
{,\.'ti1f!I' Il,',',.( ,{,,'/ il'.
The Project 1".
(,\"011](' and {PCtlll' d:
The Architecl IS.
('''anTe and culclt-( 'S' '
The Owner :lIlci Contractor Jgrel' ,h set forth below,
-------.-.-
C:llp)'r-i~;llr 11)1 Jl}IH, IQ2'1, /IH-', 11)(",[ i" '-', jl)(,l 11.1(J.~. 111(," 11)'.
IceL". 175'; .'\;C\\ YIJrh A\'l'lltlt', N,\\'; . \\,1'/1 1.1:(1/11 III .,)IIII(hll<l'jl,.tdl'
of ilS prO\'l"';!' "1:; \\"jtholll writtl'1l ref flli........Jl ,t ! h{' ;\ 1:\ ,'If d,lfl.'S 111~' ,', 11'\ .
legJI pr()~(.{ '( I I i, in.
------------
I ')H~ In' TIll' .\111' I I,
i! Illt'fll.ff{';i.lIIWft'ltl'
.1'.\'" (l! I Ill.: l'llil{'l! .'Lllt'
AlA DOCuMENT Al0l . {'I\NEIl UINTIlA' T'lli .\(,HII' ,,', I . I II III III 11'111' I,', .
TilE A~IER1C:\N I!';~.J II I' II 1)1' AIlUIIT1'I:T>. 1'1":'.1 \1 ',I. \\1 :.1 I', ,': II \\'1'/11."', I,
--'-----------~_._- --- --.
I'/H'
IIII(W.
I !I( J,V WITH
ifr In/FfeAT/ON
IS adopted
,,' 11/1 ,r!t/it'd.
\:: ll'rIl';l.
t, l.llll~' of An.:hi.
1I:II:iI </UlIl:llioll
;; "l' 'uhjn"11O
Al01-1987 1
.,., .,., ".... - '''---.. ... ..... ..... - . . .'.--
,.;.;,.'7'............'...,.,'%;.. ....'...:'...'..... ,:....,......-._....,_'.~:.' ,'.' .....:--. .",.....;...'. ._. ._.. ._.....,.,. "_.'~~__.~...:....._.---::...,._....... _.__
Tile (~( )fir r:i~ ';
Drawings, ''-,1 ,,',
,'1\.~ 1111l ,Hlllll" j-,
ll) tlli:-> ,\~rl.'l'lll'
supcrsl"llc:; 1'1'1' 1
<'lIb\'!' 111:111 ~!,..
ARTICLE!
1 fiE CONTRACT DOClHvHU IS
'I: '1; I.... l'( )[1:-.:,0..:.1 (1(' r III', \~',I-'
Ii 1\ ,Ii I' )11.... :\\ Il\('[ It 1,1 \"'llf'1.! 111:,
\ 1\ ,\ ,(I It 'I t' \(", tllll II I \ i/ 1111', \',"
~ I Ii 1 {'llt',lll'l! llel ("III ! '! H' j I
;:".~( 'ri:lll()!lS, rcprC;-..CI11J!)( l:;
1')1 '11'-, :'111"1(':l,., i: i\ 11 l' 1('
'I~I, (~,)fldi!j():1S l)( Ill:' { 'il:1 I
.( !" '"\('("111 j< III ()I [Ili, :\\.~I'"I \11' If
I' q III ! J 1(">(' 1\ II [I \ (11\' ~
1 il"] '! l"("lll.' lht' Cnll!(' ,I'
,1:,:I'('r'rl)~'111."', ,,'itl)!'!" \\'ri!~
I d'!\;,:: ,d, .....llJ 'i 1!:'::
,llwr dIll l\;llt'!I\
1111 l ,I' ,L I'l! I,
,,'in Conditions).
", '\grecment and
1 :1:; if ;1l1;IL'h~'d
1i:ICS hercto :md
:,1,'( Documents,
','.1 ,Ile\ I ,1.\.:ICC'!H
.fl \1) t': ll!f' 1"
ARTICLE 2
THE WORK OF THIS CONTRACT
The COnrr:1C("r ,,1u!ll'XC'ClItC Ilw l'flliI'<: \\',,,k '!",,'rihnlll1ll1l' <:()(Hr;\,'( I)", ,,,,,,'111', C(Cepll{, 111<','
the Contra,'1 1), "'''l\el1t.' (0 Ix Ill,' resl" )[1,,11'1111 \ 01 ()(Iwh, or :I,' loll()" ,',
,
3,1 ill,'
, ~ 1 :. \!:!
[" ';,\(
l,'k,> Il"
( 1 \\' r l : '~"
.l:l,j
3,2 i'"
.j': :/'1'
:ill'.- 1 '"
suhicl."r It) ,l\.,.lit:>>
1/':",,,,,: :""I:',!,
'1"" 'Ific:llly indicated in
\~\<tR~~
~,~.
u \ ~\q,-
~~\?\A~~ O~ S \)~~
~ ~~ ~~~~~C..S ~
~(SLQ -W '.hS 2.3
-
ARTICLE 3
-- "'-~,-"_.,,----_.
DATE OF COMMFNCEMENT AND SUBSTMlTlAL COMPLETIQrJ
;1:,11:
;!i:
Ii-
';1:.1\
rile' d:lIt' ,1/
11[1 ;1 III diCt"
,'I 'I
'" !Irll( ('f'(/ )
1;)/
i-'1
":!I llt)[ih, Ille
l~,l!lic '" 11t'11.";
2. \ 2""l..\ 93,
\\
"'::!'"('::'JI/(I{,"I""
~\\S\~~
I 1: : ~ ! 1-"
ill!' ];
':1
. : .... I . i ~ :. Ii] ) (
I ,I ~ r :
','./.1.',
"'/
~ 1,:' ''187
2
'. ,~:
------
"~:_._~_~t;;.'~l ciY,';;:' ,
ARTICLE 4
CONTRACT SUM
4.1
;~~~ ~~~~~~D
4.2 1 ht: C(\!ll" ~I,!.l J' h.l,cd IJI",'l lill I I II '" ,I:, I ,II" It ,IIJ\
herehy :ll...-\.'C~'\c', i he I )\\'11('["
l-hc ()\\'IlC';' '.,1,;111 ;l:lY the <:Il[lILll,'l(lr 1;
'j( l'lllHI.... l(l! I Ill.' Cul1tr:lt'
j)('lll lrJ1 1.111Cl' \ d 1111, (
",:\. .I'i,j Ii
'('....., Iil)t.'d w: li
I),' '/.' If/i'}' ri"
", ',"i.'t'I/"I,,'
'..1~"," '~'l::A'~"" ,A.. ~'iL.' -.iI!'!' :..':',:'it~.~'j~.:~.... ~ ....o.~ '. _.____0.. , _....."',!"i...._~_ """" .
111'1'
'., )
(,','(tJ/c' (hI' nll.n}>,....
(Ili.~ 0'11..;11 '{ ',on,"1t
i.,','!,'!lll,"."
i'I',.'I:/" .'i '.'/, J.
>.'/"i/',"
'L' l"1 "" I
w~
4,3 i ,,"
~~
AlA DOCUMENT ,.
" , '\ntract Sum of
Dollars
,[ III lile Con
"" ll'IltS and art:
" .'1'(' eXj.(tI/i(J1I uf
~101-1987 3
"~"
':,':.,t -""';._, :..v..";.
,,~B i'" ~'WA:<:~
i~)I'-\l\o'''. ,.'.'.r~
5~ 1 ILlst'd 111-'111: \: ': '!1' :ilH 11~', tIll 1',I\'lll('!I!
'\f\'l1ilt'\'l r~:, ,lull 11Ul',(' I'"~ ;~'
l't;-\.. ',', li( I( j" 11 I I, 'I. ',:1:1'
5.2 il"
1'<
i\\';"
~~\ \'l
~e
5.3 !In}\'!\~c, ;':1':dIII11
~~
th<:
:\rchili.'( l :dlr'; '1:, ,Lj ill! ,il!( ':1
! ~., I ! ( , ' I 1 1 ( ,
"hre 1-1:<(',1,1'1
\ hll! I ('\ 'i
5.4 1.,,11 \,'1'"
Iht' l.{)IlILlc'l I),,,
;lI1d he I'rc[':irl "I
1I1l!CS..... 1 d ')(', 1\ ': '
I: I, ~ ": I' ,I \' III ( 'r II ',11.11) I \I
,,:I 1<'111.' ['Il<' Sc'l1c,[ulc , d
I;: --"':h!! tl 11'111 :ll)tl ,'-.llJl['11 oil
; I \ III \ III '( 'I 'Il.l!
5.5 ."!)I,I,
CI \\'IT<:d 1)\
II" ,,'
::1\'11: "!:.jjj iJ
[I,
LI:" ,\
(io; i':J\'I:I(
5.6 "lhW'
5.6,1 1;11"
o;i,<"': ,( :hl'
1,;.1
)ll)l( ( lilli:
l"(i11i]'ll'IJ\),l ,.:
....; ( . I '" !',],. I ~ '
"''''\6
':1, ,I'
Ii I! I( \',
r:,'!,IJIl.l\:;
, ~ 1 :' ! I '
S.fJ.2 "
',I;:
'-1i:
5.!3.3
\0
5,13.4
:)
,'," !
5.l
IJil! .1.11'[,
5.7.1 \<!~
I' !.
~,\ If 1\. It' ,"".', .....[ II. II
! ! 1 ~ \ :, i,! I
5.7.2 \lid
r')r-III
:1,
;tJ1li Itllll:. II,i\
5.8 /'niue::"
F '!,:.tii\ l I.\.i "1:1:),
l( ,!~ "I i-Cl;lJ!ug,-' :1
,.//:: 1.\ ...:.rI"..I.... I
t'. il"', .::; ,1'!,:
AlA DOCUMENT A101
1'111, -\.\ll'f-:I;,:\,\: I'
i. ~', \ ; }~': i,: ,\ \ f'!;.
,:\. "/!!. ;..
ARTICLE 5
----------.--"
PROGRESS PAYMENTS
: \ l [! j( \ lllli I ('1'( IF \ I:
:r\! ,,( ft',.
o~ ~e
~G\~\~
; "I.: i \ " i ~ Jl ,\ 1 ( ! ) I i
: , I", I 1 1 . I 1l i ~ ) l ill--: t!
(,I Ill(
\ 'Ilr'j II ',I :,Ili l){' 11 :,Il::
\ I \! ,II; .1 i!( I!' I, 'I i .1
I j i 1 ~ ) I I I 11 ( ,''1,. 11 ( - ( II J I (' , I!
'ii.ill :i1["l,lI, 111(' ('lilli'
!,II.l [., "II!",1.111f!.J;
"i
,I;;
.ili.
,Ii.i'
,;:Ii
~.~
\\'\~~
-{"
"
"~'.)
;"llcd hy (hc
I I ",low :111<1
:11< )11111, I l)' ;L'
<::.,v-.
\.'{~~
r~~. ~
I !I
If,. '1:
Ii 1
1:.lr :;,Iil,
" ;. I [~ 1 J : ('
.;i1 Jll:1hC P;I~-[!ICI
! 1:111 :\1'1'/11.11', '"
I \ , ! j(' I J 1 \ Ii!. i! ( " r (~
11!)III!ll(',! !I', 1111 I
1'1 ,-";llJll .lfllllll~~ :11C
.1> rh( \r, llli'
';
.; ~
Ii
,,'I{)I' not later than
!. " rCl'<:i\'cd 11\' the
\~ '
,II t I )rd~II1<':t: \\'ith
'I' "1' ()f (he Work
Till.'''chnlulc,
'III
,I ',>I I h<: r<:riod
:,cd ;1-' follows:
" .! le: pcrl't'lltagc
\\'1 jrk in tIll'
!)lTCClll
':11' flU\ III
l\!ju....tcd 11\
, of ,d .11 I J I<
~ ' ' I ! I Jf I I 11l'
'-: J I ~ ; ,:'
, ~ ( ,l! ( ! \ \ . I I
':!w ((lnILlt.;
" 'I<ldlll< "1:11
,"-:('d ill \"ulJp<lra'
,- /UlI:.'O//(/I1.)
A 1 01-1987
4
I'
I') 11:\ ('I",
" I'"
,I', .J._ I,';:
,:r
", /'
'l; " ~L",. ~;,.!lb~&.lt~"""':....", , ,........ ._,._L._.., " '. '_..', "<. _' " . .
,!:; hi
! :1\)\\'-.
1,\, ,-{
1:/,
,,/."
i ,,'
(
(
.... .r78r
t,)tl1cr t!tJ\lIJllCI1L"';, it d.ny, tt)rllllJlg I)~lrt ,d !llt' l:(HHr:lct l)t)(,:lIIIlCIH.... .11(' ,I' tldl()\v.....
ti;'."i ,,~.l'
:;t1
i'
",' UdiJUllillrJ! d/Juof/('f/ts lJ'bicb are iT/t(,T/dl'd (, I ,'I/nn part (~I the COlltr(Jet OOCI''':('1I{~ ;'l!" ;,'111'1111 CrHlrlzUr In... /)1,
;'II'I,'(.IU)11 {u hid, Instructiun., III n'''''f''''. stlm/de lorms {llld /h(' COllt'-tl,':. f, h.l .LI' flllt 11tu.t of ,/II' ( ".':'
"('''1/'1,'( 'uEr! h' !is{I'd blTl' I Ifill' 1/ 111:1'1/:11'11 {II hi' /1(/7'/ 1'/1/1(' (:(HI/rot"! f), I( /.!,'/, 'f;:' !
T lll"':\:~r'-'l' :i1 ~'
\ if1l' L"; Ii) he l i,"
( ) \\"! 1<..'1'
\
().w41f--------
// ,/
$':;';;::
c'
r-'
/E:::J !' -. ,
,/ ---' i
/~lt, LnC'uMl~~;-
lY.:;'-,.__.,,_
i" r I!
I"~
Ill! !i ,1:1\)\
,i !:.
! 'Hi:'
1:
'i',1 >I'
'\'"
I<~'
;
//
/ /
~/:';'~
~~~l(
-S\J~ ~~eRS.D~
'<;')
./ Is?'
j/f
J! I ~-. .......7.
/"-' I ! ..~
r"~i-_
.. _,..J
r
t' ,
"'_-"M,_~,
-..-..
';, ~,jJ 'I,:': n'(lllrn,~mellts sU(.-h
',"/,''1:.' unless f!111unerated
'IC" "f which
,llIlclt:r t" the
" \ .....
.,..J~~
'J?
. '--'
.\"'
01-1987 8
yJ
,,}~l
~-
-'~-,
-
---.....
.1
"
,f
,
...... .'~"'.~':':~i~" ."",._,.,"
FLORIDA 8~~VNE:e
The Sunshine SUlte
---
" OHN /'IEL \lILLE: ANDEP50."I :3
PO 80X /90
ORRNGE' U1Kt . FL 3268/-0/90
'is
:;~~':.~~:'43 "H ~T7
'~~;'ff 05-26-89
Rm':..~'7f.!.r.r-"f~9'..,.o ,~" 95
OPERRTOR FO? 'tf(j:;"M-oo
SRFE' DR IllER 0"" "";,:;/;:'<:'
; ':~'):;~\\\\I~'~~~~.~';; ~fi~~ : : "~
':;,3
.,.",~
-
... ~
"
.'
DEe 31' S'2 [12: 15F'r'l rrF"=;~J~.fJ~:ltl:0~-g~rU~f~F~~L:~j~, A::.r- I DA',j I T
A . . NQT I CE OF: DEED RESTR r Ci~XJi'lli
The u71d~nigne-d lln;Jer~t.mc5 thilt lhi~ p~:aJt ii) ~(- 1utj~Ct tD 'jl'ed resl! Lt:,H;~' I1hlCh Jay ~e S('~ rt~tnctille th~n City
regul.tions, The undersigned assutes responsltllitv for cOlp!iance wi th d~Y Jrp\jcahl~ de~d re~l :li~ns,
B. UNLICENSED CONTRACTORS ~J"m CONTRACTOR hE3F'ONSIBILITIE.~ \
If th~ o~ner has hired a contractor or contractor5 t~ undertake "Drk, th!y .~y be r~quir~d t~ be l~rensed In accordance wIlh
Statf and local regulahons-. If thf contnctor is net licen5ed as required by lilli, both the Ollner .nd contractor lay be
cited for il .i5deaeanor violation under state law. If th! o~npr or inten~ed conlractor are uncert~ln as to "hat licensing
requirelents lay apply for the intende'J llork, they ~Te ~dV~1iEd b contact th~ City (,f Zephyrhills ?uiidinq Depart1lmt, (813)
788-6611.
Q .1
Furth~r.or~, if the owner has hired a contractor or contractors, he is ad,'ised to hav!! the contractor(s) sign portions of thl'
.Contractor Sections" of thi~ ~pplicatian fer .hieh they Nill be responsible. If you, as the Olln~r sign as the contractor,
you are indic.tinq that you, rather than the contri(t~r, are responsible fOT the Nork. If the contractor .ishes you to sign
as contractor that lay be an indication that he is n~t properly licensFd ~nd is not entitled to per.itting privileges in the
City of Zephyrhills.
C. IRANSPORTATION IMPACI,_EJ::~~,AND UTILITY CQJ:'itlEC-IIO~_Er=FS
D. ~ONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES. AS AMENDED)
I certify that I, the applicant, have been provided ~ith a cOP1 of 'FloTid~'s Construction lien la~ HD.eoNn~r's Prot@ction
Guide" prepared by the Florida Departlent of Agricultur~ and ConsulPr Aff~)rs_ If the applicant l~ s~le~n~ other than the
'o~ner., [ cerlify that I have cbtained a ~opy of the abDve descrihed dDCUlent and prolise in gD~d 'alth to deliver it to the
'o~ner' prior to cOllencelent.
E_ CONTRACTOR'S/OWNER'S AFF)D_AVtI,
I certify that all ;he inforaation in this applicatIon is accurate and t!i~\ oJI W!>rk: will bf :loGe
applicable laws reglll.;ting construction, zoning, 'and land o!!'lIdopa!'nL
r C Ip l i a lie e If it h a J J
Application is hereby lade to obtain a per.it to do Mort ind installation is indicated. I certify that nD wark or
installation has cOlilenced prior to issuance of <: per.it and that all liL,;1 .:i!l bE' perfc;'Ad (c: .:_ ,t~:,dii: c< (If .]] i.;,~
regul.iting construche,n, City codes, ~oning regulationsj and' land developlent regulatj(ln~ in Ire ;;,",,,,jj~tj0n, I .IH'
certify that I underst<1T1d that the regulations of other governaentijl agenr;"s lay apply to the l':\fJ?d j(,'ri, and that it is
Ir rfsponsibilit~ to Identify whilt actions I lust take to be in cOlpliance_ Such Agencies ~~c)ujt bc; ofe nDt li.ited to:
f De-jlarh",nl of EnviiJlnlr-ntal Reoulatiorl - CYFl::s Bayhl:'aos, Wetland A~ec," dnd Envircn.ent.ll" S"'C! l <" lands,
Water/wastewaier ireataent
I Southwest Florida Water ~AnaQelent District - Wells, Cypress BAyheads, Wptland Areas! AlterIng Wat~rcDcrses
t Arty Corns of EnQin~er5 - S~a"alls, Docks, NAvigAble WaterKays
.. Deparhe>nt of Health Ir Rehabilitative Services. EOIIlfonle_ntaI ~alth_I~nl!
t US Environlental Protettion AQency - AsbestDs abatelfnt
I also tertify that, if fill lateri~1 is tD be used in Flood Zone 'A" Dr 'A,etc,', it is understood that a drainage plan
addressing a "cDlpensatinq volul~" Mill be sublitt~d which is prepared by a professional engin~pr rfql~tered in the Statp of
Florida prior to peTlit issuance,
lIells, Wastewater [I,".<ttent, S!'fltlc Tanks
"
A per.it issued shall be construed to be a license t~ proceed with the wort And not as authority to violat~l cancel alter, or
s~t aside any provisions of the t~chnic~l codes, nor shall issuance of a p~rllt prPllent the Building Official frPI thereaft~r
requiring a corr~ctiDn of errors in plans, construction, or vi~latjons of any cDde. Ev~ry perlii; issued shall becole invalid
unless the work authorized by such per.it is cOllented within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths aftpr the tile the Mork is eOI.enced. One 90 day extensiOn of tilP, lay he
alloll!'d ,for the PUlit with fee charge I)f Sl5.00. Thl' extension shall be requ!?sbd in wrding It, the Bui lding Offici.l. An
approYe~ inspection lust be logged during each six lonth period, Dr the projPct will be con5ider~d abandDned.
WQRNING TO O~HER: YOUR FAILURE TO RECORD A NOlICE C~ COKKENCEMEHT HAY RESULT IN YOUR PAVING T~J(,E FOR IKPROYEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COHSUL T WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORi:IN6 YOUR NOTICE OF
COMKENCEMENT. JOBS UNDER $2,500 IN V~LUE DO NOT HEED TO RECORD AND POST A .NOTICE OF CO"HEHCE~EHT'.
'*
jc-rY\ C JlQ
516KATURE: OWHER OR~
.--
SI6NATURE: CONTRACTOR
~AI.N'H
STATE OF, Ri~
COUNTY OF but'.t;j ,~_______~
The fClrr=go i ng IJ:LStrum~ was ac:kn<.,wl pdT:JFd
bE:fD,e me th i s-lhl/JII- ,19 ~ by
r
, J; IV' ~i2eL21~fi.~___,__
l'ihcr is pi?rsc1na:.ly krlC>wn tel fftE'.: C' I",',r [-2).5
prc,duced _____ .~_~___. ____
as j dee, n ti" i '.,d. t >e' n e dOl'"
t~b~~:~ Q~/.?..i
(51.9__..!:..:~.e ).,....%"_
,,' ".., ,-. .
~'itl~f,it-YJi~~;"P'~',Et~d ;~~S mpt
;'" "bgh'''..P''':'~''~ "'.'.;";1:']1
- . ~":'f;:;;i; 'R~;. ~5 1094
STATE OF flORIDA
COUNTY OF _,~__
ThE forC'gc' i ng
b ef Ci r- S' w ~ t: h i. s
o
instrurn!?nt \'),::5 ,",Cknc'wledged
10 by
c'r~ t.o.1'roed)
~
'-<
Cr.
J~LIC
~~~~
H
CU H ~ N
"0 H lIi ~
'\:: ..;r e-<
0 z >< i'l Z
LL 0 Z 0J 0
CI:l :z; U
(fJ cr: 0.. C
(xl ::: ~ -<C Q
-;= Q 0 :>- z
z ' , H
,-. -' ~ " ~)'
A~'" _-=.__._.
~'~
-':'j
"
I ."~
,
,,~:~.., ~ ... " -: .'
r'''",..'
, . . .' ...._"'""".'I(l,W.I>,~
, "
ZEPHYRHILLS FIRE DEPT
j ,
Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Name -Cs 1/ Clf'./ 8 u. j
,Address 7.34- S- ~R cL IS ( (/..])
Business Phone teo ~ I3fP 7 5".
owner~ ~ II iA-/f A..lf..
Emergency Contact Phone
n16~(tA~(;r
Gvt z- rc.lf P-
Classification
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY XFINAL 0 ANNUAL 0 BI-ANNUAL
ORE-INSPECTION 0 OTHER
o APPROVED 0 NOT APPROVED
o COMMERCIAL CHECK
Usted 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.
fit.- L- .I j.E,..-- c; -r; ~ "'" ~ - Z 4 - 'i 2> J:,-c s\" ",,,1 · A.-- 1./'" ~.E- (?,'" li'1I.I
(\,) (t It ~t:E ~ 2. += ~ t-\-A S {1 p P 12"' vi ~ 'p -r:;1t- C. CJ .
Inspect. Date , - z.. S- - r 3
Re-Inspect. Date
# S-S I
This building has been checke by the ZephyrhillsFire Dept. u d the codes & regulations of the NFPA minimum
standards, the State Fire Mars all's Uniform Fire Safety rules other local fire safety codes.
ZEPHYRHILLS FIREDEPT
Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Name ~"ILI 8uJ3
Address '734S- GALL 8(v.1:>
Business Phone 78:!:> - ~ 7 3
o QUARTERLY
ORE-INSPECTION
o APPROVED
TYPE OF INSPECTION
)(FINAL
o OTHER
o NOT APPROVED
Classification /J1~ Avic Le
OwnerlManager ~/..v~ ~~
Emergency.Contact Phone s.bu:.;p... 7/!Je) -8~ 73
'rAAAAP.E ~ "Z.eJ:(~ '7f!33 -tol Co 7
R~ ~~Ac.L "1fPll. -f ,z...s-
CONDUCTED
Occupancy Load
o ANNUAL
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.
i6.~
~ --ME-
Z-P3:> i,UlL(
",
fE -~.-^- <'>f?"'" ~
OwnerlManager Signature
This building has been checked by the phyrhills 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.