HomeMy WebLinkAbout94-3957
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
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~'I~I~ ~ORI~ ~ MECHANICAL
P,"p,rty OW"" ~~4"J.';"'J-
Job Address: ~:2__ __ _
Parcel LD. # /C) --() 6 --~/- C)~ ~04 ~Och9D - 6JcxSO
Permit N ~
3957~
Date ~-/.;;J.. --?y
Sewer Conn
Water Conn:
6.3 7. 07J
/76-: 0-0
Water Meter:
T.I.F.'s:
Zoning: dergy,Code: Radon Gas:
Description of Work A'~ /U?~ ~-<J
City License Registration #
State Certified License#
/8'"
Inspector
permi~fe tC {J r ?J7)_
Signa ~ ~
Company
Address
Telephone#
&B
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price ? 7 ? c:r-iJ
BUILDING
/?.6
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) 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.
ZEPHYRHILLS FIRE DEPT
~
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Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Nama P J, ~ . .J. tie- Classification
Address ~"f71j''-.3 &// Blvt/,
Business Phone 751'- 70f 7
OwnerlManager
Emergency Contact Phone
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY 0 FINAL 0 ANNUAL
ORE-INSPECTION 0 OTHER
o APPROVED 0 NOT APPROVED
QYCOMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.,
OBI-ANNUAL
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
viol~k.>ns 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 3/'))/'1~'t . Inspect. Tme~ ~ Dept. 10 ## SJ~ :io.
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OwnerIManager Signature , ~~~ Tille
This. building has been checked by the ZephyrhUIs Fire Dept. under the codes & regulations of the NFPA ninimum
standards, the State Fire Marehal's Uniform Fire Safety NIes and other local fire safety codes.
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APPLICATION FOR PERlfIT
CITY OF ZEPBYRH.lLLS
BUILDING DHPARTKENT
"
1/;/YJE s- I? IIv E5" //I/!i
OWNER'S ADDRESS C,.AJC /,VA t/;. D II'
~9~~ c;,4AL BL/// ~~04;'/R~/ 1/<
OWNER'S RAIlE
PHONE .51'-? -~3;:; -;2 700
/t:/ :;35"///
JOB ADDRESS
LEGAL DHSCIUPI'ION: toTeS)
BLOCK
SUBDIVISION
PARCEL I.D.' /O-~h.-;l/-OO~()-OOOOCJ-oo-.;,a
WORK PROPOSED:_New ConstrucUon _AddiUon ...L.AlteraUon ---.Jrepair _Install
_Sign
_Hove
_DeJIOlish
PROPOSED USE:
Single F_lly
-Lec:-ercial
_"'F
_' of UnIts
---.Jl/B
_Indust.
_Swi.. Pool
Other
_Restaurant & Health Departllent Approval
BUIWING SIZE: ~() X ~.t),
16'00
Square Feet.
Height
RESIDENTIAL:
COtUtERCIAL :
ATrACH (2) PLOT PLARS , (2) .SEJ'S OF BUlLDIIiG PLARS & (1) SET ENERGY FORMS.
ATrAm (3) SItTS OF BUIWING PLANS & (1) SET ENERGY FOmts.
PROPERTY SURVEY REQUlRIID FOR ALL NEV CONSTRUCI'lON.
LBUlWING
--KELECIRICAL
.,tL.flECllARICAL
bLlJtlBING
$
~Cfq1 ~
PERfIITS lUtOUESTED
Valuation o~ Total Cons truction
AtIP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of tlechanica1 Inst:a1lation
GAS
ROOFING
SPECIALTY
TYPE OF CORsmucnoN: _Block _Fr_e _Steel
Other
nrflSHIID FLOOR ELEVATIONS:
Fr.
IS PROJEcr IN FLOOD ZONE AREA?
..........................................
YES NO
BUILDER
mRlll4CIOJl SJ!C1'ION xl!.-
aNlPANr ~~ . ~
State Gert. or Regist. . .
City License Registration t ~ I ~
..........................................
Signa
COttPAfO' ,S;:.y,-;mr M. cCt..e t" L. - r;,e/ '::"P171I
State Gert. or Regist. G)eC1~I/S'f-3
City License Registration t 0"'<7..:<..
.......................................... "
Signature
~~
GOtIPARY
~ . State Gert. or Regist.' c)o V-
City License Registration ,
..... ...................................~ -7 ~
COttPAIfY
State Gert. or Regist. t
City License Registration t
..........................................
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PLlJtIBER
~"L.
IIHCBANICAL
Signature
OTRF.R . COPIPAIIY
State Cert. or Regist. t
Signature City License Registration t
..........................................
APPLICATION APPRoVED BY PERKlT OFFICER.
:- . '~~-.'f'
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Ibe undersigned UDder.tands that this perlit lilY be subject to 'deed restrictions' wbieb laY be lOre restrictive than City
regulations. !be uildersigned asSUle& responsibility for cmpliance with any applicable deed restrictions.
B. UNLICENSED, CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bai hired a contractor or contractors to undertake IOrk, they lilY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the OlDer and contractor Iilr be
cited for a lisd8leallOr violation under state law. If the OID8r or intended contractor are uncertain as to "bat licensing
reguireIeDts lilY apply for the intendedllOrk, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
788-6611.
Furtberlore, if the OlDer bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for which they will be respoosible. If you, as the OlDer sign as the cootractor,
you are indicating that you, rather than the contractor, are Iesponsible for the IIOrl. If the contractor lisbes you to sign
as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlittiDg privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of 'Florida's construction Lien Law - lkIIeoImer's Protection
Guidel prepared by the Florida DepartJent of Agriculture and COOSUler Affairs. If the applicant is 8OI8OIlI other than the
'OIfDer', I certify that I bave obtained a copy of the above described dOCUl8Dt and pro.ise in good faith to deliver it to the
'mmeI' prior to a.enC8leDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIliltion in this application is accurate and that all IOrk will be done in COIPliance with all
applicable 1_ regulating construction, BODing, and land developleDt.
Application is beleby lade to obtain a petitt to do lork and installation as indicated. I certify that DO IIOIk or
installation bas CDl8Dced prior to issuance of a perlit and that all IQrk lill be perforJec1 to .et staDdard8 of all 1_
regulating construction, City codes, loning Iegulations, and land developElt regulations in the jurlsdicUm. I also
certify that I understand that the regulations of other goveruental agencies lilY apply to the intendedllOrl, and tbat it is
If responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are DOt liaited to:
t DepartJent of EnviIODleDtal Regulation - Cypress Ba,beads, Wetland Areas and BnYigJllleDtally Sensitive Lands,
Water/Wastewater !reatJent
t Southwest Florida Water Mana!lel8Dt District - lells, Cypress Bayheac1s, Wetland Areas, Altering latercouises
t ArIy Corps of Bngineers - Seawalls, Docks, lavigable Waterways
t DepartJent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wast8later !reablent, Septic !anks
t US BnvironleDtal Protection Agency - AsbestOB abateleDt
I also certify that, if fllluterial is to be used in Flood ZOne lA' or 'A, etc. " it is undeIstood that a drainage plan
addressing a '~ting ,olue' will be sulllitted wbich is prepared by a profesSional engineer registered in the State of
Florida prior to peIlit issuance. .
A pmit issued shall be construed to be a license to proceed with the IIOrk 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 fro. thereafter
requiring a correction of errors in plans, construction, or violations of an, code. Ivery perlit issued sball beCDe invalid
unless the IIOrk autborlled by sueb penit is ~cecl within sUlOIlths of iBSuance, or if IIOrk autboriJed bl the perlit is
suspended or abandoned for a period of slllODths after the tile the work is ~ced. One 90 clay atenslm of tile, ., be
allOlfed for the perlit lith fee cbarge of $15.00. !be atension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during eaeb slllODth period, or the project lill be considered abandoned.
"ARlUIG t'O (MIll: YOUR FAILURB !O RICORD A 10nCE OF C<IIID~ lilY RlSUL! II YOOI PAYIIG !IIICE POll DIPIIJOIIIIl'B !O fOOl
PROPBR'IY. IF YOU IDBlID 'fO OB!III FIWCIIG, COISUL! WID YOUR LIIIDIR OR All IftmIIIY BIPOIIB RICORDIIG YOOI IUIlCE OF
~. $2,5GG II ULIIl 00 ,Il/f 11III10 IIIllIID 10811 'IDrICIl fW '.
:/2
SIGlAfURI:R OR ~ ~
S!AIE OF FLORIDA SlA!E OF FLORIDA
coum OF PASCO
The foregoing instrwaent was acknowledged
before me thiS!\oril 8 , 19-2L by
(Signat e)
Robin lee Silvprp~t
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Ci)~ ROBIN LEE Sl.VBESI'
I> .. MY 0DMMIlI81lN , CC 3lIlI254
EllPII&: DIcelnIIlI' 14. 191J1
" IondId 11Iu NolIry PuIlIo IbIINdIII
Ct.t
Printed r Stamped)
c._~
.,-;.~~r.y:'f~t;:.. LINDA KAY HARRELSON
~"'A'''''-
N :.~ MY COMM. ~ION' CC 114005
~~..jfl EXPIA$l: JIJIl8 25. 1l1i5
';4.P.f;.i:i"'" l!onded Thill ~ PubIk: UncIstwI1In
?Holt-c
51 53 ~LL fbiijITY OF
TABLE A - WORKSHEET
ZEPHYRHlLLS CONNECTION FEES
ORD. ~t395 & RESOLUTION #312 WATER $1.75/GALLON SEWER $6. 39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131.25 479.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
Water Closet 131.25 479.25
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1,278.00
Washing Machines-Domestic Size 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (3 Compartment) 175.00 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE
Sinks 50 Z- 175~ DO fo3C [) 0 3/4-1 bO
h
Water Closets 75
Urinals 50
Lavatories 25
Tubs/Showers 50
Washing Machine 200
Washing Machine 50
Dishwasher 400
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
/75/:> 0 to 3q . 0 ~'j ~{ t> e
WATER METER
N/tr
.
1J14: L () 0
"
GJlAND TOTAL
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
-) I
f4d It' (
Classification
Address
,~-q,f 3
/: II
,vJ-q {I
/1 i~A;/
//
Owner/Manager L J. /- ,.,? c//c;
Emergency Contact Phone .':) j ;'. c;:t::./ J'
Business Phone 1/;; l3 .. l (I,' 7
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY Q---FfNAL 0 ANNUAL 0 BI-ANNUAL
ORE-INSPECTION 0 OTHER
o 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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Inspect. Date ~/~ ,/44 . . Inspect. Time / }'~~,!_ /' _~J=ire Dept., # ,~f:;- . -:/
Re-Inspect. Date ~,-'-'/' Insp. ecto...rs N~m 7 ~.~Cj{l~~,< A~
// " /;1 /' / ~/;7 //;/ -' /
OwnerlManager Signature . _~~~~/~/i _.:;: / /b..;1[ 'l:/ Title
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.
White Copy - File Yellow Copy - Bid. Depl. Pink Copy - Business