HomeMy WebLinkAbout93-3702
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
_3702l?
Date l;l ~ ~- )?:. j'
/~t7V
BUILDING
d'~ . cr-v
c2CJ - CTV
PLUMBING
MECHANICAL
Sewer Conn
ELECTRICAL
Pmperty Owne. ~ ~
Job Add,.", ,~12-. . '7?.1 ("0001.)
Parcell.D. # /;;2. -;)6 -;)/ - t)CJOD- 0 yptJo~ ou/O
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
Description of wo;;- ~~~
Radon Gas:
~., IP b'A V .I ~"f.AItL
/ /
NO OCCUPANCY 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.
Inspector
Permit Fee fi.
Valuation or (~
Contract Price / ~ ::2?7--p ~ c'O Signature
Company
City License Registration # <..3.9 r Address
State Certified License# Telephone#
I3dJJf,/+ CJ 2::.~5~", d4l~
BUILDING ELECTRICAL ;J..(J6 PLUMBING /02..S-
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM. ()--21...~q3
.
Breakers
Ducts Insl.
Compressor
Final
M
Tp. Serv.
Rough In J2: 1-2~?
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
&)h Tub Set I 2 - 2-2-7~ 1?/5
Water
Sewer
Final
Insul. CL
WL
Driveway
Ii NT'll- I- 2/-1 '-{ {6ob
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
~
APPLICAnOll FOR PERllIT Y
CI1Y OF z.m'IIIRH H.Le;
,< BUlI.DIlIG DEPARIIIM"r
- ~ #iJ/Uf/2.- /)~tJlih/!lJf~~ H. 9Ff-3?57
_'S - t1fJIJ ~FREPJ: ;'&/J-rS€;i;.,.(j. 933- 8-$'73
OIftIER'S ADDKESS ()7 () / J1/. c-I- g/tllJ,. f ~/ n- Fft .
JOB ADDUSS 50.:/..8 /J(~j}O{t Rei
.
LEGAL DESCRIPl'Im: I.OI'(S)
~SOBDIYISIOII
PARCEL I.D.' /1. ~ (p ?-/ tOCJoo "4Q () 0 00 / 0
-
IiORK PROPOSED:_Tlev Construction --..Addition LAlt:eration _Repair _Install
S.
_ 180
_lIove
_De.o1ish
PROPOSED USE: Single F-ny
-i-~rcia1
_fl/F _' of Uoit:s
_fl/H
_IDdust. _Swill. P001
Other
Rpst:aurant &: Hea1th Depart:aent Approval.
BUILDIlIG SIZE:
x
~ Feet,
Height
RESIDENTIAL:
cotIfIERCIAL :
A1TAm (2) PLOI' PIAIIS &: (2) SEI'S OF BUllDIlIG PI.AI1S &: (I) SEI' ElERGY FOlUIS...
ATrAm (3) SEI'S OF BUII.DIlIG PIAIIS &: (I) SEI' EIIERGY FORIIS.....
..mpy OF mR'DACl REQUlIUID.
PllmlTTS RIlOIIR.e;nrn
----BUILDIIIG
$
Valuation of Tot:a1 Construction
RI.RCI'RIGAL
Aff.p Service
I
F10rida PoIier Corp.
V.R.E.C.
---..JIEaIAIfIGAL
$
Valuation of ff.echanica1 Installation
_PLlIIBIIIG GAS ROOFIIIG
SPECIALTY
TYPE OF mIlSTRUCTIOII: ----B1oclt _rr:-e _Stee1
Other
FIBISIIIID FLOOR ELEVAUOIIS:
fT.
IS PROJECI' III FLOOD ZOO AREAT
YES 110
........................................................
RIJTI.DRR ,
Signature -;::?: -/d/J~
(DIp, L
State Cert. or Regist. .
City License Registnltion .
................................................
~ ~ OOIIPAIIY ~/INt;~ ~~) +t2-~
' /U-' St:a.t:e Cert. or Regist. . nO /:L I t../ I
~e ; p~ City License Registnltion t
PI.BIRD ~
A /1/7 St:a.t:e Cert. or Regist. t
Signature I I . \...i1..-fJI tfOJ---. City License Registnltion t / C). ~
' ..................................................
~
flltalAllICAL
OOIIPAIIY
St:a.te Cert. or Regist. t
City License Registnltion .
................................................
Signature
OTHRR aBPAlIY
St:a.te Cert. or Regist. t
Signature City License Registration .
..................................................
APPLIc&TIOII.~ BY. J1~A'~ >$//1-"'--"- PIlIIIILlY OFFICER.
CONDlfIUNS OF PERMIT AFFIDAVIT
A. ~OTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assuees responsibility for co~pliance with any applicable deed restrictions.
B . UNLICENSED CONTRACTORS AND CONTRACTOR RE;.SF:_ONS I B I LIT I E!;i
If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by. lew, both the owner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 1813}
788-6611. .'\.
...... t. t ,
-.J -,""---.)\
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} sign portions of the
"Contractor Sections" of this application for which they "ill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
(' TRANSPORTATION H1PACT FEES AND UTILITY .cONNECT)ON FEE$..
D. CONSTRUCTION LIEN LA~ (CHAPTER 713. FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law - Ho.eowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is soteone other than the
'owner", I certify that I have obtained a copy of the above described docu~ent and pro.ise in good faith to deliver it to the
"owner" prior to cOI.encelent.
E. ~ONTRACTOR I S/OIrJNER 'S AFF I D~Y..l..I
I certify that all the infor.ation in this application is accurate and that all work "ill 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 cOI.enced prior to issuance of a per.it and that all work "ill be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is
'Y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
· Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
Water/Wastewater Treat.ent
t Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
· Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Departtent of Health & Rehabilitative Services, Environ.ental Health Unit - Hells, Wastewater Treattent, Septic Tanks
· US Environ.ental Protection AQency - Asbestos abate.ent
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 volute" will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
unless the work authorized by such perlit is cOI.enced within six tonths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, tay be
allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection .ust 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 TQ YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN UE DO NOT NEED TO RECORD AND POST "NOTI E OF COMMENCEMENT".
,
STATE OF FLORIDA.c-:J
COUNTY OF ~~
The foregoing instrument
before me this 12 - z..
was acknc,wledged
, 19~ by
STATE OF FLORIDA ~
COUNTY OF r'~()
The foregoing instrument
befc,,-e me this I~-&
was acknowledged
, 19~ by
;:: re d /....~ J./ e~
who is personally known to me or who has
produced FL. :JJ. L-
as identification and who did/did not
ta[fu~ . CklJw
(Signature) - J-- -
~. 12. Linch
who is personally known
produced F1- :D.L.
as identification and wh
tak ,ath.
to me Dr who has
did/did nc.t
-'--lm.~
( ignature)
'CC301855 ElCPIAES
July 14, 1997
IONIlEJ) THR\I TROY FAI" 1NSUlIANCE.1IlC.
(Name Typed, ~.f11" ~d Ctl- ~r:&tLA
NOT ARY PUBL I eM :..~ MY COMMISSION, CC301855 EXPIRES
!i' . . l~i July 14, 1997
"'~Rf.j\-~'" 8ONOEO THRU TROY FAIN INSUIWiCE, INC.
Baillie Roofing & Construction, Inc.
P.O.Box 187, Elfers, FL 34680
5916 Ridge Rd, Port Richey, FL 34668
(813) 849-2183 Fax (813) 842-9365
December 2, 1993
City of Zephyrhills Building Dept.
5335 Eighth street
Zephyrhills, FL 33540
To whom it may concern:
I, Kevin A. Watson of Baillie Roofing & Construction, Inc.
give Dick Lynch Permission to pull and pick up permits on my
behalf, for the Krusen job on Airport Rd, Zephyrhills.
~ddl-~
KeVln A. Watson
(.. ~ "''''''''
i, / lJA/1Lrn. $-$io!\"., DANA M. G1ELLA
\~"!!l:; _ _ _ _ _ _ _ _ _ _ _ _ _ ~"A~~ MYCOMMISSION'CC301855EXPlRES
\~.~~{>-:~ July 14, 1997
Not a r y P u i c "'.;P.f..r.-.~., 8ONDE0 THRU 'IllOY FAIN INSIJRANCE, I/C.
.e....a.e~de..=A..=~&=~;=~~...~=....a....55..............~a...5a.a.....~.........I....a....S..I.....I...............................
. C I I ! I ! I CAt! 0 l I ISO R ! i C I I !~~UI Dlfl (XX/DD/fl)
I I 89/15/93
.........a..............I.....~~I..a...a~.=.~~~e*=~s2==========c..:.~=:.c......=..~.....ac=.z.=.....a.......c.....................
PRonveB' tHIS CIRfI1ICAfl IS ISSUED 1S A KAfflR 01 IllOR.AfrOI OIL! liD COllliS
10 lIGBfS UPOI rBI CllfIrIClfl 10LDIR. rBIS CIRrIfIClfl DOIS lor AIIIDJ
lI,IALL i lSSOC. IISUR1ICBJIIC IlflRD OR ALrlR fHI COVIRAGE AFfORDED BY fHE POLICI!S BILOI
1455 Bovell Branch Road ..............................___..___.._....._................._.....__
liAter Plrk, lL 32789 COKPAMIIS IrrORDII' COiliAGI
--~..._MM__~..______4._._.._...~.._~..~_~__._.._~...w~.~M._.~__.........
(607) 644.9535 eONPABf
.........--.--------------------------------------------- L!fflR A ASSOCIA!lD BttSIllSS & COKKIRCI
IISU1ID COKP11Y
1!ff!R B !R!lSPORYlfIOI IISURIICI CO.
e fRlJSCOJfIIBlflL IISURllCl CO.
BAItLII 100l11G & COISfRUCfIOI IHC.
PO.BOI 187
ILrllS, rt 346a.
~~iilly
LlnlR 0
COKPAIY
tU'u I
· COflllGIS .........ac.=.............................................~...a.I...............c.....................................
fBIS IS fO CIRrIl! fllr fll rOLICIIS or IISURAICI LIStlD BILOI RAVI BBSI ISSUID fO tHB IRSURBD IAKID ABGVI fOR rBI POLICY PIRIOD
~1~litI~ltl.~I'IIISIt:~i!Gotlil~Biii'f'l.if+IIlfls~lli~IDIJj~ID~~ t~yfiiIJ~fIc~:&06:1~lj~i~lllilfiffsll~IJi~rr~0Iftflfil1'1115.
IICLUSIOIS liD COJDltIOIS 01 SUCH POLICI S. LIKI!S SHO.. IIY HAVI BIBR RIDUCID BY PlIO CLAIKS.
.........-..-..----....--.---..--....----------------..-----------.-------....-...-----..--.---.----.------------..-------------.-
co , I I POLICY I POLICY I
LfR UPI or I1SUWCB POLICY IUKBIl BllleTI\'! IIPIRlfIOI LIllI!!
DATI OAT!
--~t.--.----------------------------t----------------------t----------t------~---t---..~..__....._....__._._._._...........__.._..
GIIBRlL LIABILIty
(II C~KIIICIlL GIIIRIL LIABILIty
( CLAIKS HADI rII OCCUR.
[ I 0 ISR'S i COI'llct04's PROt.
I A II} 0111 penoll ,
..-t-....---...-.-.-.-.-..-..--..---t-....._...__._.....--.t---.--....---.-..___..._.__..._._.....__._..._..___._.+....__.._._.__~
lllTOKOBILB LIABILIty COUlun SIIGL! I
LI~Ir $ 38',.e8
lilY liro .......-..........-.............t..-.---.....--.
C I ALL OIIlD Auros 13626198 85/01/93 05/tl/H BODILY IJJUlY I
I SCBIDDLID lUrGS (Per persoll} $
I RIRED IUfOS ..........................-.....t...--..-...----
I 101-OVlID lUrOS BODILY IIURY I
GIllGI LIlBILlfY {Per accidelltl S
....-..-..........--..-.--------t---------------
PROPRRff D1KIGB Is
---t---------------~----------------t----------------------t----------t---..-----t------------__._.__.............t...............
I BJCISS LIABILIty 110 COilRAGI I 1.mLillWICI~
f IOlhreIla lorl ~. _
Other fhaD Dlbrella rorl .
.--t----.---------------------------t----------.______-----t--------- --------- t--------------.-.-.._._~_.__.~._+....-.--..-....
A rouu's ~:PIIS!!IO. nt-8elt7 01/811 81/81/94 ~tf=n:
IKPLOtIRS' LIABILIfY _ . . ~
- I ,
---t-.-------------------------.---.t--.......-...._._-.---t..........+-........-t---.-----~--____________________________________
OTBU
B
13626714
IS/11/93 05/91/94
C
13626198
e5/01/93 '5/91/94 AUf 0 PHYSICAL D1KAGI
COKPRIH!RSIVI -- $258 DID vcr
COLLISIOI -- $5e. DIDDer
-...~.-...-...W~_________________M__.___.~..........._......-.....--..-...-.__..~_._M..________________.____....___...............
DISCRIPfIOI 01 OPllAfIO.S/LOCl!IOKS/V!!IC~IS/sp!CIat If!!S
RBI llfII A. 11f501
LICI151 tCBc027e43
· CBlfllIClfl BOLDER ;;;;;;..::::.......:.......:.......... CAHCBLLAfION aa.........:.............................................
SHOULD AIY or faB 110f! DESCRIBID POLICIIS BI C1ICILLID Blr011 rll
IIPIRAfIOI DAfl fBIRlor fHI ISSVI.~ COKPAIY IILL IIDI1YOI to
KAIL Je OAtS VRI!fll iorICI fO fil CBRfI'ICAfl BOLDIR 11MID fO rll
LIPf BU! ,AILUR! fO KilL SUCR BOfICI SBALL II'OSI 10 OBLIGAtIOI OR
LIABiLIfY or Alt KIID DPOl fll COKPAIY, Irs AGllfS or lIPIISI.fAtIYIS.
P1SCO eODlfY LICIISIIG BOARD
PO BOI 276
DIDI CITY, rL 3&291.0216
.._-._-~_._--_.._-----_._.._.._..._-_..._---------------................
......................:......:.:.......................=..==~~~~~~~....................................
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51 :131 86. 51 d3S
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"F(lCPTPTION/PFPi"'IT 1)('1 T (:l
!"Ui-.ITh't1I."TUF;' ~;T /L.Uf:
['I F~ ./ C I~,'
t,l)
THIS AGREEMENT made the 9th tlavof Nov.
between David Johnson/ Builder
the Contractor and Zephyr Development
, 1993 by and
. hereinaHer called
. the Ovmer.
WITNESSETH, that the Contractor and the ()wner for the considerations
named agree a..~ follows:
ARTICLE 1. SCOPE OF TIlE WORK
The Contractor shall furnish all ofthe materials and perfonu all ofthe work
shown on the Drawings and/or described in the Specifications entitled Exhibit A, as
annexed hereto as it pertains to work to be perfonned at _HI 4- 3
~ p~ ~6 sf'ec;.s /1-,.,.,
Tennant finish office sp~ce 5~W w/ P.J.~ d.tt9J~: .H-
ARTICLE 2. TIME OF COMPLETION 7 r. 4"'r-'"J
The work to be perfonned under this Contract shall be commenced on or
before Dec. 1 st , 1993 and shall be substantially completed on or
before ,; ~ n. 1.. s t , 19 ~ 4 . Time is ofthe essence.
ARTICLE 3. TIlE CONTRACT PRICE
The Owner shall pay the Contractor f{lr the material and labor to be
perfotnled under the Contract the sum of Fourteen tho~sand two
hundred dollars
Dollars($ 14,200.00 ). sul~ject to additions and deductions pursuant to
authorized change orders.
ARTICLE 4. DRAW SCHEDULE
Payments ofthe Contract Price shall be paid in the manner following:
1/3 at start, 1/3 at sheet-rock, 1/3 at compleatton
...",.
-,.-
ARTICLE 5. GENERAL PIH)VISIONS
I. All work shall be complcated in a workmanshill like manner and in
compliance with all building codes and OHler applicable Jaws.
2. To the extent required by law all work shall be perfonned by individuals
duly licensed and authorized by law to penonned said work.
3. Contrac1or may al its discretion engagc subcontractors 10 perJonn work
hereunder, provided Contraclor shall fully pay said subcontractor and in all
instances remain responsible for the completion of this Conlrac1.
4. Contractor shall fumish Owner appropriate or wllivcrs of lien filr .1111
work penonned or mlllerials provided at lhe time the next periodic pllyment shall
be due.
5. All change orders shall be in writing and signed hoth by Owner IInd
Contractor.
G. Conlrac1or WatTants it is adequlltely insured till" i'\ilUy to its employees
and others incurring loss or i'\iUlY as a resnlt of the IIc1s of Co lit rll ctor or iI,
employees of subcontractors.
.....
.f
>#
7. COlltractor shall al ils OWII expense ohlaill all penllils lIeCessary for lhe
work to be perfi)l1Ued.
8. COlltractor agrees to remove all dehris MId leave the premises ill hroolll
clean condition.
9. III Ille evellt OW1ler shall/iIi/to pay any periodic or illstallmellt paymellt
dne herellllder, COlltracior may cease work wilhout hreach pending payment or
resolution of any disPute.
10. All disputes hereullder shall he resolved hy billding arbitrntioll ill
accordance with I1Iles of the American Arhilrntioll Ao;.'ocinlion.
I I. Contracior shall noj hc liahle 1(". any' delay due to circulllstances heYOlld
ils cOlllrol illCludillg strikes, casualty or general unavailahility of IIInlerinls.
12. COlltractOf\ValTallts all work I'>r a period oft wcl vc (12) 1lI0nths
tl)llowing completion.
~
ARTICLE 6. OTHER TEIUdS
Signed under seal1.his 9th
Signed in the presence or:
day or Nav.
.19 93
By
--c;Q1I~----:~-II~~~if4~7t~
Owner' -- d
~,.-
.
REI!'. NO
(1)
( 2)
(3)
(4)
(5)
(6)
lV.I.).''''''',) ,- '"
"- SEA~ .~~
AUTHORIZED
TERMITE AND PEST OONTROL
3300 Benn," 8t. N.' 6t. Peteraburg. ,raL 33718. (8t3) "'-1088
ADDIiNDUMISPfXJ. SHBET FOR moFOl!P Ol'rICB LAYOUT
S~ARS 'l'ERHITB Ii l'tsT (X)N'mOL
ITEM
Teoh Worklltatlon.
~r.sauP'1'ION
2' Lam. pl..tic ~unt.r 30" h19h
v/penal1 ,d~aw.r 1.- width, d~.wtr.
on 3' 0" centel:" ~t.r .upport
8R91ed 4~t to vall
-Blect. ..C'Vlcl ell: ery other .tatlon
-Phone 8.r~lo.,.v ry other station-
8upp1I telephone outlet box v3/4" ,
con~ t to celli
Flx~ 91aa. Windows
In Of flee.
-Approx Size 3'x4'
I
-2' Lam pla.tic cOunter, base I
upper oabinets t~ 8' 1.nvth,ss
.ink, eleat ave rot Mlo~.v. ,
Reft1gefator. ~ '
,,24" (mln) eleot.,lxhaust ran
-saf.ty $hover:, td vater: only,
(no drain n.c... rt) u.. in case
of spill only. englo.ure
nee...ary. i '
-I'pprox 6'-8', dept.h by .ppllceblt
width '~Itl ~td~ac' wlr. ov.r
wood frame, cage built from
framln9 Vr:ad, l~r.
Shelve. 24" wide X applicable
gata98 width flr;t 25" helvht,
, .econd am' third, 24" height, .1eo,
,. 'OU______ ~~:l~~:l.~..v~~ l~r for
areak Are. Fixture.
Exhaust ran
.,
Showe.:
Materiol storage
Cage
-Drywall W 18te~ Semi 0108' (vaehable) .
-Suapended with 2'x4' or 2'x2' Acoustical tlle & ove~ head
tlour.acent liVhti"9 (recessed) ,
-Vinyl '1'U. In a:'e.tt'OOIM and break ace. OArp.t (top 9~ade
240z or corrm.) in all other area. exctpt Gar.9" StoraQ8
- thBtB 8Baled and painted conorete. '
-IntodOL" Walle
-Ce11ing
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AUTHORIZED .
TERMITE AND PEST OONTROL
3300 atnnett st. N.' St. ".tlrsburg, FL 33713. (8t3) Gp7.S088
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lltinued I 1)898 1
aS8 Moulding -to match OMi8tf~ or 4" wood or vinyl cove
oor8
-3' _(1' x 78"-0 x 1314 Solid or hollow core ofUe.., hollow
storag., steel exterior.
eneral
-All construction to comply with exieting code and standard
practices
ThIs li.t 18 not d8signOd to be all inclulive'. plAa.. add
neceS8a.:y CJOI1P)n.nta es required, ex, aleot. Conv.nl~o.
outlet., exit 819h8, hot water heater, Ale - Heating equip,
pI unbing etc..
Seare to approve all flnal drawin9B before le~.e proposal
1. aooepted.
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SEP 24 '93 11:SlAM ZEPHYRHILLS FLORIDA
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ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Address
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Classification l~/'5/I./.e:c' :;~:
Business Name
Owner/Manager
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Business Phone
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
o FINAL 0 ANNUAL 0 BI-ANNUAL
~ OTHER ?:;~/?~/;J Lr V 1'- O..#y.5 //~.yhCY - /P:::}/~"~~
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o NOT APPROVED F:<;; '//1,7 /..' f:, /.) /] /.A,/) -r: L ,,",,/'
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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. lime
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Re-Inspect. Date
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ZEPHYRHILLS FIRE DEPT
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Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
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Occupancy Load
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Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY .@ FINAL 0 ANNUAL
ORE-INSPECTION 0 OTHER
~ APPROVED 0 NOT APPROVED
o COMMERCIAL CHECK
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.
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Owner/Manager Signature- (, 1 ;.~ \. Title
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This building has been checked by the'tephyrhills 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.
White Copy - File Yellow Copy - Bid. Dept. Pink Copy - Business