The URL can be used to link to this page

Home My WebLink About94-4049 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 U"O Permlit IT. 404913 BUILDING ELECTRICAL PLUMBING MECHANICAL Date ~-;LtJ.- 7 $I yjF ? /0<-5": 7-.5- Sewer Conn .J:. ~ ~ Il7 1" ~ Water Conn: 4.7173 Z- ffo.ov Water Meter: Zoning: Description of Work T,I F.'s: ..Jl ~~~ u/3 ~ Job Address: Parcell.D. # \ \/ NO OCCUPANCY BEFORE C.O. l t/ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordart:'e with City Codes and Ordinances. FINAL _ DATE ....- C.O. ~'-:J-/ -y~ DATE Inspector City License Registration # State Certified License# ~ If)'-/ Permit Fee Signature c? C? Company Address Telephone# ,~ ~ Q ./jo ~ Valuation or Contract Price ..5 ,<)--5-; CJ;LS -, trD J~ I)An'(h-J IJ rJ~ ;223 I~~ 9/ PLUMBING _J~~ BUILDING ELECTRICAL g pAI:b IJ,1}lit. Elt-L /tb)\llLLti:U.(~ q-7'~ ') tth F'L 1:'.-l"~<j aU- Tp. Servo SIJl,,1-~'t ~~~ Breakers Pre SLB "6-/5"- ~~ i?Ju... Rough In ~tellu~ q-67fG'bSe '1- . .;- .J;L\... Ducts Insl. ~-'f-C;'- & Lintel Meter Can Water Compressor FRM. itJ;ple-li!f:,':1;< fAlJ.- Canst. Pole S,2.."51'('-i &J, Sewer 1..1- 20" 'J5 &;i- Final Insul. CL Pool Final WL Pre-Meter #-/:1 4.) Bot ~, ).._ "S.q.,'&t..-t... Final Driv~~ \J~~~j':'~ ~fbk- 'I-Jk-4J4 W~~~il::-*S~ ~ ~ 1u~/O'2-$}.-'jLf~ 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: Gk ~~ 1~-c.l1l-q\.{~ a. Wrong Address , 4- ~ , ^ fI A f5 t.lfl b. Condemned work resulting from faulty construction. y~ ~ I \/a>q ,. /14 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. MECHANICAL The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ITY OF ZEPHYRHILLS UILDING DEPARTMENT 5335 8th Street Zephyrhills, Florida 33540 1-813-788-6611 Date mll)l /J-., ItJtJY ::.. ~7P~~1f1{frf~-a~~fjr legal Description Building Perm. , Plumbing Perm. , 90 Y r 'foLiC; '/ c:J 'I Y L/ cJ v9 , Fee UJIIIUf-D Fee WIJIU?1J Fee !All] IUf/J Fee W~) /) ef) ~ clIOS. 7S- . ~:2.J ~93. 7J'" K cr5tO. 00 CUll J Uti) Electrical Perm. , Mechnl.Perm. , No. of Sewer Conn. No. of Water Conn. No. of Water Meters I ;L II Transportation Impact Fee Zone ~/ Misc. /2/I/JtJn I6A-S - +1% ,y t?~. tot Totaf/~ '2h. II Memo: u,~ Ua11fifvc .tvjS ~ S~1-S~~ Signature ,. WHITE: Bldg. Oept. YELLDW: Utilities Dept. PIN K: Customer t' ""'I APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME G'r\ Of 2U~'1~\-+\\...L ~ PHONE 7 'R"L- 1 S-'1 ~ OWNER'S ADDRESS JOB ADDRESS ~ 1 ~ \ q L..., €..A ~ e...IL il's"" Ze.i'"'t'('r\-\'-L~ I k. 3 3.SL\ \ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION 00/0 16~()O OO}D (OBTAIN FROM PROPERTY TAX NOTICE) PARCEL 1.D.' 03 J-0 ).J WORK PROPOSED:XNew Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _, of Units _M/H -X-eo-ercial _Indust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: YMCA BUILDING SIZE: x Square Feet, Height RESIDENTIAL: . ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FINISHED FLOOR ELEVATIONS: FT . IS PROJECT IN FLOOD ZONE AREA! YES NO ****************************************** Signature CONTRACTOR SECTION COMPANY C ~\J~~ ~~,,-\E:-IL~ Co,^&TYLuLT\ 0 A) State Cert. or Regist. , R.C""l ("')004 b b 3 ~ ca.----.Q.. (\ )J... _ ~ City License Registration' 32- ****************************************** BUILDER ELECTRICIAB COMPANY State Cert. or Regist. t City License Registration , ****************************************** SiQOature PLUMBER COMPANY State Cert. or Regist. , City License Registration f ****************************************** Signature ~. MECHANICAL L COMPANY 5"' c? ~ P'T' 5 D (~'c;c C> (/V[ If. State Cert. or Regist. . 5 Signature ~~~ City License Registration , . * * ************************************* r /, dIU" J ,{' OTRRR COMPANY State Cert. or Regist. . Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'fbe undersigned understands that this perait JaY be subject to "deed restrictions" wbieb Jay be lOre restrictive than City regulations. the undersigned asSUle& responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OImer bas bired a contractor or contractors to undertake work, they JaY 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 JaY be cited for a lisdl!lH!anor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguirl!leDts lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Deparblent, (813) 788-6611. FurtheIlOre, if the OImer has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for whieb they will be responsible. If fOu, as the OIIDer sign as the contractor, you are indicating that fOU, rather than the contractor, are responsible for the worl. If the contractor wisbes you to sign as contractor that JaY be an indication that he is not properly licensed and is not entitled to pe1'Jitting privileges in the City of Zephyrbills. 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 with a copy of "Florida's Construction Lien Law - lICIIl!OIfJler's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If the applicant is SOlC!Ol1e other than the "OImerA, I certify that I have obtained a copy of the above described dOCUleDt and pIOlise in good faith to deliver it to the "owner" prior to COlleDCl!lleDt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the infoIlatlon in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, laning, and land develo.-ent. Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no IfOrk or installation has CDleDced prior to issuance of a perait and that alllfOrk will he perfoIled to leet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other govl!I1lleDtal agenCies JaY apply to the intencledlfOrk, and that it is If responsibility to identify what actions I lUSt take to be in COIpliance. Sueb agencies include but are not luited to: t Departlent of EnviIODlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/llastewater 'freatlent t Southwest Florida Water Hanagelellt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t AIIY COIPS of Engineers - Seawalls, Docks, Navigable Waterways t Depart:lent of Health i Rehabilitative Services, EnvirOJlleDtal Health Unit - Wells, Wastewater 'freatlent, Septic 'fants t US EnvirOllleDtal Protection Agency - Asbestos abatl!lellt I also certify that, if fill laterial is to be used in Flood ZOne "A" or AA,etc.", it is understood that a drainage plan addressing a "COIpeD8ating VOlUle" will be sublitted Ihieb is prepared by a professional engineer registered in the State of Florida prior to petlit issuance. A perlit issued shall be construed to be a license to proceed with the IfOrk and not as authority to violate, cancel alter, or set aside any provisions of the tecbnical codes, nor shall issuance of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beaIIe invalid unless the work authoriled by sueb peIlit is COllllllCed within slllOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of slllODths after the tile the IfOrk Is C08eDcec1. One 90 day eltension of tile, JaY be allowed for the perlit with fee charge of $15.00. !be eltension sball be reguested in writing to the Building Official. An approved inspection lUSt be logged during eaeb six IODth period, or the proj'ect will be considered abandonec1. WARIIIKG 'fa omR: YOUR FAILURE 'fa RECORD A NO'fICE OF a>>IMBICBIIBM'f MAY RBSUL'f IN YOUR PAYING DICE FOR DIPROVIIIBII'fS 'fa YOUR PROPmY. IF YOU III'fDD 'fa OB'fAIIf FIlIAIfCING, COBSOL'f WI'fH YOUR LBlfDIR OR U AftORDY BEFORE RECORDIIfG YOUR NO'fICB OF COMMBIfCBMIM'f. JOBS UliDBR $2,500 IN VALUE 00 NO'f DEn 'fa RECORD UD POS'f A "NO'fICB OF C<IIMDCBMBIf'fA. SIGJfAfURE: (MfBR OR AGm e~Q-~ -~__ SIGJfA'fURB: COJl!RAC'fOR S'fA'fE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by who is personally known to me or who has produced as identification and who did/did not take an oath. ~~O~F~~~)( ~~ The foregoing instrument was acknowledged before me this \\'\Cu-.,~ \ ~ , 19 q ~ by ('r ~' ~I \ '-LL(' ~, ~~f' who is ersonal y kn01lll to . or who has produced -~IA as~t,i,fication' ~4 Wh{J1id/did, not . :t1Ike o~tb. /) /-_. ? /' '\ ..,/ /L--"? (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ~t1'y PUI( ~~~~ .Ii" " " . . ...~ ~~ "'''FOF fl.()'I' TARA N ALFORD My Commission CC263392 Expires Mar 09. 1997 Huckleberry Associates Ino 800-422.1555 Y pl\ tt'i APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE PHONE OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install _Sign ____Move _Deaolish PROPOSED USE: _Single Family ____M/F ____' of Units _M/H ____<=<>-ercial ____Indust. ____Swim. Pool ___Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED BUILDING ~ ELECTRICAL $ &60 Valuation of Total Construction AMP Service v Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BUILDER Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... ;>E ~ - COIlPAIIY t:!8Nd~1\ fLee--\,iC State Cert. or Regist. # E. C, ObOOD3~ an ~ ~ ~ 1 -City License Registration t ~'13 ......................................*... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration t .......................................... MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration , ......................................*... OTRRR COMPANY State Cert. or Regist. , Signature City License Registration # .*..*................*.................... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS.OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'lbe undersigned understands that this pemit JaY be subject to 'deed restrictions' "bich laY be lOre restrictive than City regulations. !be undersigned assUIeB responsibility for co.pliance "ith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay be required to be licensed in accordance "ith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor JaY be cited for a aisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611. FurtheI1lOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the UContractor Sections' of this application for "hich 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 aay be an indication that he is not properly licensed and is not entitled to peraitting 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 with a copy of 'Plorida's Construction Lien La" - BOIeOIDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is SOROne other than the 'ownerl, I certify that I have obtained a copy of the above described dOCUllent and proaise in good faith to deliver it to the uowner' prior to COJllll!JlCelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cDIPliance "ith all applicable laws regulating construction, loning, and land developieDt. Application is hereby Jade to obtain a pemit to do work and installation as indicated. I certify that no work or installation has <DIenced prior to issuance of a pemit and that all work "ill be perfoIJed to leet standards of all laws regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governJental agencies JaY apply to the intended work, and that it is ay responsibility to identify "bat actions I lUst take to he in COIpliance. Such agencies include but are not lilited to: t DepartJent of EnvirODJelltal Regulation - Cypress Baybeads, Wetland Areas and InvirollJelltally Sensitive Lands, Water/Wastewater !reatlent t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArQ Corps of Engineers - Sea"alls, Docks, lavigable Waterways t DepartJent of Health & Rehabilitative Services, Bnvironaental Health Unit - Wells, Wastewater 'lreatJent, Septic tanks t US BnviIOJ1JeJltal Protection Agency - Asbestos abateaent I also certify that, if fill aaterial is to he used in Flood Zone IAI or UA,etc.', it is understood that a drainage plan addressing a lco.pensating volUleu "ill be subaitted "hich is prepared by a professional engineer registered in the State of Florida prior to pemit issuance. A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pemit prevent the Building Official froa thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid unless the "ork authoriled by such pemit is COIIeJlced "ithin sil IOIlthS of issuance, or if wort authorized by the perait is suspended or abandoned for a period of sil IOIltbs after the tile the wort is c~ced. One 90 day utension of tile, JaY be allowed for the perait "ith fee charge of $15.00. the utension shall be requested in "riting to the Building Official. An approved inspection lUst be logged during each sil IOnth period, or the profect "ill be considered abandoned. WARRING 'l0 (JfRIR: YOUR FAILURE 'f0 RECORD A IO'fICE OF aJlMDCIIIINl' MAY RESUL'f II YOUR PAYlIG 'fIIICE FOR llIPROVIIID'fS 'f0 YOUR PROPIRTY. IF YOU IIl'fIllD 'fO OBfAIJf PlIfllfCIIIG, COIISUL'lWI'fH YOUR LINDER OR D A'f'fORIBY BlFORE RICORDING YOUR IIO!ICB OF crJOIDCIMINl'. JOBS OlDER U,SOO II VALUE DO IO! RElO 'fO RECORD DO POS'f A 'NO!ICE OF C<IIIINCIIID'I". SIGlAfUHI: amR OR AGKIIT SIGlAfUHI: COImlACl'OR SIATB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by SfA!B OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 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 APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE PHONE OWNER · S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. , (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single F8Jlily _K/F _' of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Depar~ent Approval DESCRIPTION OF WORK: YJV1C A BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECT'RlCAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY 'l'VDP np ronuCTDlIIWI'Tnu. Dl~1. P........- c.._""",l n...h.... JI'Iand AUY.tON (padm2lS ~o paluI~d 'pa~ a8eN) (a~nleu6IS) JI'I&nd AHYJ.ON (pacfarelS ~o palUI~d 'pa~' aRN) (a~nleu6IS) oqleo ue a3(el lOU PIP/PIP oqa pue uOIle~JJJluaPJ se pa~npo~d seq oqa ~o au Ol UAOU]( Ktteuos~ad Sl oqa oqleo ue a3(el lOU PIP/PIP oqa pue uOlle~JJJluaPJ se pa:>npo~d seq oqa ~o au Ol UAOU]( Ktteuos~ad sl OqA KQ -fiT I SYU]. au a~o:raa Xn -~T I QTn.... ::llm ::llTnT""IY CONDITIONS'OF PERMIT AFFIDAVIT: A. NOTICE OF DEED RESTRICTIONS 'I'be undersigned understands that this perlit tay be subject to 'deed restrictions' wbieb tay be lOre restrictive than City regulations. !be undersigned asSUJeS responsibility for COIpliance "ith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance "ith state and local regulations. If the contractor is not licensed as required by 1il1f, both the mmer and contractor tay be cited for a lisdeaeanar violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents tay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the RContractor Sections' of this application for "bieb 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 wisbes you to sign as contractor that tay be an indication that be is not properly licensed and is not entitled to pertitting 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, have been provided with a copy of 'Florida's Construction Lien La" - BcIIeowner's Protection Guide' prepared by the Florida Departient of Agriculture and ConsUlet Affairs. If the applicant is lIOJH!One other than the 'owner., I certify that I bave obtained a copy of the above described docuaent and pIOlise in good faith to deliver it to the ImmerR prior to cOlll!Dceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work "ill be done in COIpliance with all applicable lil1fs regulating construction, loning, and land developaent. Application is hereby lade to obtain a perlit to do "ork and installation as indicated. I certify that no work or installation bas CDleDced prior to issuance of a perli t and that all work "ill be perfoIJed to leet standards of all laws regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIllleDtal agencies tay apply to the intended work, and that it is If responsibility to identify "hat actions I lust take to be in coapliance. Sueb agencies include but are not lilited to: · Departlent of BnvirODJental Requlation - Cypress Baybeads, Wetland Areas and BnviroDJentally Sensitive Lands, Water/Wastewater 'I'reatlent · Southwest Florida Water Hanagl!leDt District - Wells, Cypress Baybeads, lIetland Areas, Altering Watercourses · Arty Corps of Engineers - Seawalls, Docks, Ifavigable Watenays · DepartJent of Health & Rehabilitative Services, InvirODleDtal Health Unit - Wells, Wastewater 'I'reatJent, Septic 'I'anks t US InvirODJental Protection Agency - Asbestos abateaent I also certify that, if fill taterial is to be used in Flood ZOne RA' or RA,etc. I, it is understood that a drainage plan addressing a 'cOQeDSating volute' "ill be subtitted "hieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued sball be construed to be a license to proceed "ith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery pertit issued shall beCClle invalid unless the work authorized by sueb perlit is co.enced "ithin sil IODtbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of siz IODtbs after the tile the work is co.enced' One 90 day eztension of tile, tay be allowed for the perlit "ith fee ebarge of $15.00. 'l'be eztension sball be requested in "riting to the Building Official. An approved inspection lUSt be logged during eaeb sillODth period, or the profect "ill be considered abandoned. WARlfIIfG '1'0 l*JIR: YOUR FAILURE '1'0 RECORD A IfO'I'ICE OF C(JIM!IfCBllllff HAY RESOL'I' IIf YOUR PAYIIfG filCE FOR DIPROVIJID'I'S '1'0 YOUR PROPER'I'Y. IF YOU II'I'BIfD '1'0 OB'I'AIX FIllJlleIIfG, COISOL'I' 1I1'I'H YOUR LDDIR OR II A'I"I'OIIBY BBFORB RBCORDIIfG YOUR IfO'I'ICE OF C(JIJIKIfCElfBlf1' . JOBS UNDER $2,500 IN VALUB 00 IfO'I' IfDD '1'0 RECORD lID POS'I' A 'NO'I'ICE OF COIIMEIfCBllEl'l". SIGIfA'I'URB: CMlER OR AGEII'I' SIGIfA'I'URE: COlI'I'RAC'I'OR S'I'A'I'E OF FLORIDA COUIf'I'Y OF Tbe foregoing instrument was acknowledged L~JI:___ ____ ....L.. _ .. ft .. S'I'A'I'E OF FLORIDA COUIf'I'Y OF The foregoing instrument was acknowledged .. - ... .. ......~ <.,::-> . ,,) ~~ '... -=::" ~ ~ l." J ~ ::~ ~ ~\t f' ~ """ ........ ~",' " ~lI)f'- ~~"",\,~ I , \' ~ ,~ ~ \.l' ~ '(J S-.. \' ~'1-'~ , ~ ~ "N'\ "" ~ ':U -.. ~~N % ~ '--......... ~ ...... \ :" -l '" ';:) .... ',,-, \3 \~ \' '01~ ,. ,~ ~ \ --\...... '-J I..I~ ":"h- " ..: ~, ~ >~ ~ .. .. <' ). I- Z cnw ..J~ =1- J:a:: ~~ ::I:W c.c Ww Na:: u: ~ VI ~ ~~ ~~ ~~ 11 r{ '\:t v ~ >--- <::.. ~ ~~ 00 ".)....j ~ " '"- -Q .----- , ' ~ ~" ~~ , ~ " -~'\ --I ~ _ ,,~, '",'<) <::> " ~ .~ " "--$..) " ~W)'{ \ ~oS>~ 1,;.- .: \~ S'S'~ ~ -z. to \ \ --<:;> ~ ~ ~ /~ ~ :>\, -+-~~ \ J/:' ~, \~ .5,- ';- \ - \ \3-~ \ '\\ t ~ .. .) \ " " " '~, """ " ',- ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name .:\ / i Classification 11 , --\'1 Address ...::' 7.2. i:/ / ;' -) /C',:::'{/ ,.;...'; /'(, Owner/Manager'~, /~ / /-''',J. Business Phone / Emergency Contact Phone '/.' ,/ ~~ ':'-I<~'~< .::- Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED o COMMERCIAL CHECK o FINAL 0 ANNUAL o OTHER o NOT APPROVED OBI-ANNUAL Listed below are items which must be complied with before this occupancy can be approved by the Fire Department . <b 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. '/' /" ~/ .e'; ,// i '/ ~/ r ,~_ </" ,,' ,.-' ,-,(, / / ,f ~__, /' ,//' _ ./ I!ft.<" /<, .' '; -( ,i/ l " ".~ ,,,.Ii ......''? mid -~ /"\ '?' "J.. /-. /' / /( C(;" ) _,f-{_ ,- i";-:'I. , ,,~( "t. !-.l"v.... ",./ () r~.> ,;:. //7' j" 'c y/ (I. <-~ /!- ,,' .-/ 01 Ie ", <' "::/j . IV', !, /\ ' '1 . : (' ,: ~. '<'" 1/ i I 'l",if':) c./ .. .," f'f"", ,J ! () .I / -c"i/-/ (,<'~"'" i 1"7''''''. '- (! i~' (.:: r . ,J' .. "," t" ;/1. / y\ iF ,"'........ '\ ~ ~: -I,. ~. .( ~" ,'I""',,". ,-, : P \ ":;~'.~' ';-/'",4," ' f i , t.- . -r J:': ? /) :'~'/ \" h, ii, '1' " 'I .I C'/,;> ,//;,.,c,'" r/ " I /' ,. '. ;' ;" C,.r!.~.A /) 6,/ t/I.:-- f// ,j",.(',!.!.( ( ,,"'"7 1', I", '.... \: .-. f ('""', >,' I r ! I' -",,,- :~ ( (:~! /1./ J? I, ,r-/ / ","l(> }y(~';/ -!- / :"v. I.~"..~,:.t,.;" '1- _ .<~ /\.r L (~t,\, ~.t, , -,(~..." ..--c..--..,_ I .::'>i j,..:,>,:> at:: ,,1 fr:t~ 5. Z; ;s. IT -1/ \~-;;.-, .. c:/, I ,-,~1c,.<..: '." , Inspect. Date " Inspect. Time / ( Fire Dept ID # 4' "1 Re-Inspect. Date /' ....--..47X' S~#f)!~me , ~/' ..~//" '. ~ ' f . ;" ..,~c;'7" .. A,' /../.oJ // Owner/Manager Signature l ~:/ /:A?( (;,., 1)(' /Jrd " Title ttt'e?. f I(~ <: ,.(Y.. - 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 ~., " ;; '~-" ",~-- .. 'ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name > / ' c~' /'-.f' r r Classification [/; \ ( t' \ / \f' t Address .;? 7> I ()" /' L::/'/ ",-'; ~"[. to:'...('- Owner/Manager Business Phone Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY 0 FINAL 0 ANNUAL ORE-INSPECTION 0 OTHER k'J- 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. ;' !~), /' ;' __). "''-,.,.\ ( L <.~,\, /.~'" 1 i /I>/t' C' /-'\ ,,,,', 1<"",- C)/~ r II 'f (,,",1.. / ( ~" !'( " \ :" ,I .. [-. .' .., ) J, {;:- C I( -fc:.r \. r / ,.. !:'( /:' " ,[/ l<'t.{"(~C I r- ...<_ /' ..---,~,-. f'/ lv . '} 't:" " i ,~ t; ,'" '. ~'" 'C > , . ~. f1 \ [..~ 4i ., (;. i. .. ~ ' (- , /i '.; ~;' ~ i '" " J ' f :'; I' , r " , --r,f j," \' '>{ , /; ,/ /! I /1 ('- I: ;' 1'; // /", ( ( 1,,> , l/ f', t .- \c'", \ I t r (1-1-, f, \- ~; (( ..:' .. - '.,.. (!~ , ,/ "...,~ r'f" ,r" " Inspect. Date Inspect. Time Fire Dept. 10 # --~ ..., Re-Inspect. Date "/'+hp.~e~e Owner/Manager Signature /:/~;4/ ;1~~ 0'(.. oe &0-> Title t!~f ,I:; <: 'i~-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. While Copy - File Yellow Copy - Bid. Dept. Pink Copy - Business . .' '. ,. 'ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION :/ Business Name " /I'r .J /'[.1 ',,", /I Classification // 'c.; "~i.i // ,,;. ,>,. Address ._) /)'>;:~, / (> /,....-- L," /C,/? /(. ,/, ,;" .' Business Phone ....,; ,'" .,"" ~ ,/ ,<.2 Z /ETer~~nJY Contact Phone .~-- ~j'i.: ' '7/", ", Alarm Monitoring Co. ;if:.5Y7 I,\,;..i{/ 0, /~', ,,:-/ ~ Phone # 2 < A. J /'lj :7 ; I .' II Owner/Manager, .~;;.., (' {' / / //><v/, r-:"'.I ( l' <'4.:,/'~ /-l /',-/ /;/ ~'~'~'l~ ",. /'~.?-'--: 7 Occupancy Load ~,;:r '_~ ,." TYPE OF INSPECTION CONDUCTED o QUARl:ERL Y ORE-INSPECTION fj,' APPROVED (JJ/ FINAL 0 ANNUAL o OTHER o NOT APPROVED 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. "if'! ,// -,;' ,,,,' '.'.',' ,') ,',",' " " .r: ~ ,- ~..:;> ?-,' ....::::'j" ~~> ,;#'} ~ "<j '-- ,,:>,,, ,."" ,< '........,.. ,,~:,,- ,... ./' .< // ? /"i::~l 1',- I, />/1- ... ~ ' I ,-.. ,:; .,~ /.,:-, /' ' ",. 7/'" ,,/ ' --=:;;:~~==~, . r: / I ~/v/)ll / .;, - Inspect. Date ;i /..!i/' 1;1<;;" Inspect. Time I }' I E)- Fire Dept. 10 # -!' /' I -' ,," Re-Inspect Date Inspectors Name :;~/"il..;:;':"'/'" I OwnerlManager Signature l~Jf"..{).'I)");'tIL-L', !"C({ Title /,'j/{i',tI ".',J.( ( ./ 'I This building has been checked by th~ 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. While Copy - File Yellow Copy - Bid. Dept Pink Copy - Business