HomeMy WebLinkAbout94-4130
BUILDING PERMIT
Permit N~
CiTY OF ZEPHYRHILLS
(813) 788-6611
4130.&
~ -;If--7Y
Date
J;l?,so
BUILDING
0~~S
ELECTRICAL
~~....oo
PLUMBING
.3,5-: cJV
MECHANICAL
Sewer Conn I. 9/7 tTD.
,
Water Conn: 6---;2S', lJZJ
Water Meter: /6.J-' O?:J
TI.F.'s: ~ '77 t, /'7
pmp"tvown,,~;t~~ (lJA ~-<f1..~)
Job Address: b
Parcell.D. #-...3 -,26 -(il/... C;JO/CJ- o3J..o() ... 0010
Zoning: E~ Radon Gas:
.--.. -7
Description of Work j(' ~ --d.. rn.J lfJ OA. ~ /Jj J" t::I- d-<--/-
P' J;' ,
NO OCCUPANCY BEFORE C.O.
FINAl_i-
DATE
C.O. //-/r~9r
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarr:-e with City Codes and Ordinances.
Inspector t
.,.f!~ If J1p. le~
~~~~
Permit Fee
Signature
Company
Address
Telephone#
)/6 7. c2~'
C? ~ (~ .5:l... ~...s-.
--
Valuation or
Contract Price -3 -? --5-:30. e-o
City License Registration #
State Certified License#
~
BUILDING
ELECTRICAL ~-J....
(/ C j7//J
PLUMBING C2. 7
-~.
'-L
MECHANICAL
Const. Pole
Insul. CL Pool
wy; \ ~~':v.~\v\, Pre-Meter'
~ \ \~ 1^ \y Final It ,.i.,. (,'-1 ~
Driveway \.. 'GJ~ YAPJ
A&/iL c.M~I\JLr ~~~..30..q4 ~
&lI'-{tfJ I...- I' -'V(<{f/lLt.- ~ \0)-~1 -'\ '1 ~
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:
fJtLL
Tp. Serv. SLB
Rcl61~ <B'-I~"c('1 biLl- Tub Set S --tb-9v EllA...
Meter Can 6-:.JS-?Y: Water
Breakers _
(Ducts Insl. _
Compressor
Final /1.-19J .c' t.fc{ ~ l\-
>>f3c,..:tL qt..l t..t"" / 1- 2.L;'"
~
Ftr.
Pre SLB
Lintel
FRM. 1>-li--9t.(
Sewer
Final I (-f~ . c,q ~l.{..
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.
.. ~
Gude Bros. Construction
Dr. Delgado.
6747 Gall Blvd.
VALUATION: $37,530.00
SQ. FT. RENOVATIONS 1,668
COST/FT: $22.50(-!) NEW CONST.
SQ. FT. OTHER: 0
COST/FT: $0.00
VALUATION $37,530.00
DRIVEWAY $0.00
ADDRESS $20.00
FEE SHEET $205.00
SQ. FT. UNDER ROOF 0
RADON GAS $0.00
TRAFFIC IMPACT FEES $1,776.17
99% $1,758.41
1 % $17.76
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
SUB-TOTAL
CREDIT
TOTAL
327.50
45.00
59.75
35.00
$467.25
70.00
$397.25
1,917.00
525.00
165.00
$2,607.00
$612.50
$1,994.50
GRAND TOTAL: $4,167.92
Dr. Delgado
Old Henrys Office Supply
6747 Gall Blvd.
Traffic Impact Fees
Retail sales: $1,811 .00/m - Sq. Ft.
less 7%
Total
Medical office: $2,956.00/m Sq. Ft.
less 7%
Total
credit
Total Due
$ 1,811.00
x 1 .668
$ 3,020.75
211.45
$ 2,809.30
$ 2,956.00
x 1 .668
$ 4,930.61
345.14
$ 4,585.47
- 2,809.30
$ 1,776.17
i .
D{/... u~AiYD
w~sr UNIT
. ..
TABLE A - WORKSRF.F.T
CITY OF ZEPHIRBII.LCO CONRECTION FEES
ORB. '395 & 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. 1# WATER SEWER TOTAL PER FIXTURE
Sinks 50 1- 3.5"01;)D L 27'5.'~:O l/b,l-'b,GO
Water Closets 75 I ,'31 .;2.~ ,.- l~IO, 50
"r7Q:2J. 'j
Urinals 50
Lavatories I .- -
25 43.7::> J S1~-7~ 2o~ 5 c
~..... , ,
Tubs/Showers 50
Washing Machine 200
Washing Machine 50
Dishwasher 400
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
52~ DD 1/i/7.00 2/14-2. DU
It
WATER METER
GRANIJ TOTAL
t'lL '~EU;AOC ((-16Nii~). c>fl1ccjrAaLE A - WORKSRF.F.T
1) , S(.t'fl~
(J ~'i.(SrttJ &-. fbrz.y) CITY OF ZEPHYRBII.I.5 CORRECT10R FF.F_~
~tLh i T
ORB. 0395 & 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 ''L 175, {I C.) --. 175.~)O
, .
Water Closets 75 2- Zh'"L, ~o 1 2(021 S'O
Urinals 50 { '?71Sv ~-l. .:; (,
Lavatories 25 2 ~7 5 (j ~-1.5-D
Tubs/Showers 50
Washing Machine 200
Washing Machine 50
Dishwasher 400
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
&/2.. , ~() fr.)/ 2 I 5:v
"
WATER METER
GRANU TOTAL
~/2.6"[)
~&t)(T
SENT BY.~XeroxTelecopier 7020 6-23-84 15:58
8138478084'"
:# 2 :
PASCO COUNTY, FLORIDA
DADE CITY (904) 521-4274
NEW PORT RICHEY (813).847-8140
ENGINEERING SERVICES DEPT.
PASCO COUNTY GOVT. COMPLEX
7432 LITTLE ROAD
NEW PORT RICHEY, FL 34654
June 23. 1994
Towson Rogers Engineering
5514 7th Street
Zephyrhills, FL 33540
Attn: Joe Youmans
Dear Mr. Youmans:
Pursuant to our telephone ,e.onVM.eat1on' this afternoon. the following addresses
have been assigned to new office space at 6755 Gall Blvd.
6755 Gall Blvd i8 assigned to the section closest to Gall Blvd.
6751 Gall Blvd is assigned to the next western section.
6747 Gall Blvd 18 .seianed to the western most section.
.
Should you have any questions, please do not hesitate to contact this office.
Sincerely,
PASCO COUNTY
Df1;~:~
projec~ ~V1sor
DEM/m/SL94-274
SENT BY FAX 813-782-4978
APPLICATION FOR PERl-lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
1;1/0 ~?i?I~
/~1/1Jf ~
ADDRESS
Gv 1/'-: 8R6 ~
r', O. 185)< /7"00
rc> M t'1 5 () e 1.. G-. A '0 ()
~ '7 -- - 07./;1'7 ~
JOB LOCATION -c- / ~ 0"/1 L.. L tv L... (/ j).
Gry~rC;;
~N Jlrvr.s:/'YIo.
_ -::2'2>-7~
~; 'lP~
L 4... PHONE ~- l? ~-
.;l ?c6- a
APPLICANT
OWNER
LOT SIZE/'..:)' x.s73 AREA SQ.FT.;9~.(?....s-
~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.#
0'0. .:1(;. ~ ;1./.
66/0 -
WORK PROPOSED:____New Construction
____Addition
6~.;J. d 0 - a 0 I 6
~teration ~~air
____Install
____Sign/Temp.
____Sign
____Move
____Demolish
PROPOSED USE: ____Single Family
~mmercial
_M/F
_tt of Units
,_M/H
_Indust.
_Swim. Pool
Other
Restaurant & Health Department Approval
'1~ X (~O
BlULDING SIZE: I g X ~3 ~ ?~~ Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~UILDING
~LECTRICAL
~l~HANICAL
~UMBING
$ &5;0 a<;s
.
C:S(:l
Valuation of Total Construction
AMP Service
~~
$ 3~06 -
Florida Power Corp.
_W.R.E.C.
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block _Frame _Steel
.Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
~TRACTOR SECTION ~
BUILDER c;. (.) j;) I!€' tf3.<) 6 ~ (;!.I';4r . Company G- V t;) ~ t6 V<. c? \.., l::!. N ,. T C c:a
~ }4. State Cert. or Regist. tt j( ~c:!>e. 6 ~,~~
Signature ~ ~ City License Registration # ~ ~
****************************************** _ J? J'
ET.ECTRTCTAN~ ~ Company ~ X ~.---~
()J. ~ J j State Cert. or Regist. 4t, tJ61StJ 7//
Si2I1ature c;777~ ~ /) ~ ----' City License Registration # ~ ~
*********************************** *****
Signature
Signature
~Company
State Cert. or Regist. #
City License Registration #
*********************~********************
c.
5()A//l/v~
rs
Company
State Cert. or Regist. #
, City License Registration
*******************************
# rf 'J-
OTHER
Signature
Company
State Cert. or Regist. #
City License Registration #
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAViT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit .ay be subject to .deed restrictions" which lay be lore restrictive tha~ City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If,thl contractor is not licensed as required by law,both'the owner' and contractor lay be
cihd fora ~isdl!leanor villIat~on under siate law. If the ONner or intended contractor are uncertain. as to Ilha~ licensing
requirelents aay apply for the'intended Ilork, they are advjsed to 'contatt' the City of tephyrhilts Building Departaent, (813)
788-6611 .
Fu~therlore, if the owner has hir~da contractor Dr contractors, be is advised to have the coritract~r(s} sign portions of the
"Contractor Sections. of this application for which they will 'be responsible. if you, as the owner sign as the contractDr,
you are indicating that you, rather than the contractor, are responsible for the worK. If the contractor Nishes you to sign
as contractor that aay 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 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 - Hoaeowner's Protection
Guide. prepared by the Florida Depart.ent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
.owner., I certify that I have obtained a copy of the above described docu.ent and protise in good faith to deliver it to the
.owner" prior to cotlencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all 1l0rK Nill be done in cotpliance with all
applicable laNS regulating construction, zoning, and land developaent.
Application is hereby lade to obtain a perlit to do Nork and installation as indicated. I certify that no work or
installation has coatenced prior to issuance of a perlit and that all Nork will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdic1ion. I also
certify that I understand that the regulations of other governlental agencies aay apply to the intended work, and that it is
ay responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not lilited to:
f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treat.ent
t Southwest Florida Water "anaQ~lent District - W~lls, Cypr~ss Bayheads, Wetland Areas, Altering' Watercourses
f ArlY Corps of EnQine~rs ~ Seawalls, Docks, Navigable Wat~rways
f D~partlent of Health & Rehabilitative S~rvic~s, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environtental Protection AQency - Asbestos abat~l~nt ,
I also certify that, if fill .aterial is to be used in Flood Zone .A. or "A,etc.', it is understood that a drainage plan
addressing a "colpensating volule. Mill be sublitted which is prepared by a professional engineer registered in the state of
Florida prior to per.it issuance.
A perlit issued shall b~ constru~d to b~ a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the t~chnical codes, nor shall issuance of a per.it prevent the Building Official froa thereafter
requiring a correction of errors in plans, construction, Dr violations of any code. Every pertit issued shall becole invalid
unless the Mork authorized by such p~r.it is COI.enced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths aft~r the tile the work is cO.lenc~d. One 90 day extension of tile, aay be
allowed for the pertit.'Hith fee charge "f$15.00. The extensiDn shall be requested in writing to the Building Official. An
approved inspection luSt be logged during each six lonth period, Dr the project wi 11 be considered abandoned.
WARNING TO OWNER: YOUR, FAILURE TO RECORD A NOTICE OF COK"ENCEKENT KAY RES~LT',IN YOUR PAYING TWICE FOR)KPROVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "NOTICE OF COMMENCE"ENT".
'<2~Q Jj~ ~ ~
SIGNATURE: OWNER OR AGENT
~- ~ GJJ~
SIGNATURE: CONTRACTOR
------
who i personally
produced
a de Itification
ake~
(Signature)
was acknowledged
, 19~ by
STATE. OF FLO~DA
COUNTY OF as C D
. The foregc.i ill] . i ns trumel1t
befcq-e me th i s ';b - v
has
STATE OF FlO~~
COUNTY OF ~'C)
The foregoing instrument
before me th i s ,\'1::- (\
or who has
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~.."y PUn,
+<:)~i'
"Ii"
. .
. .
<I'~ ~<:)~
I'c OF fl\l~
TARA N ALFORD
My Commission CC263392
Expires Mar 09.1997
Huokleberry Associates Inc
800-422-1555
, t."V PU,
+()~(i' TARA N ALFORD
"iI. My Commission CC263392
. . Expires Mar 09. 1997
. . Huckleberry A"social... Inc
<I' ~
~.... ~~ 800-422-1655
't OF f\.\l
,'..., o. :o.'!.~~i}';;-;~.l'~1:':
P_12l2
~ .Specifications for }.,ead Shieldi~g
A. Th.e shielding must extend from the floor to a height Of seven fe~t
cQntioU(lusly, with 'no holest gaps or omissions. Any perfQration$ in the
shielding (such as for electrical boxes, switches, view boxes, etc.) must he
covered or ba<.~ked by lead sheeting of thkkness not less than that which is
used itl adjacent walls in order to maintain shielding continuity. In t.be event
the seven foot level as' measured from the interior of the room being shield-
ed does not provide shielding to a height of seven feet to an occupieda'rea
on the other side of that wall, addjtjonal shielding may be required. This
si~uatjon has been observed when the floor of the room being ~hielding is
either SIigJltly below grade or during a renovation the new area is between
floor levels of the old area. !
B. .Eachshect of lead must overlap the next by at least one-quarter inch
(1/4") and it is not necessary that fasteners be of the lead-head va.riety. or be
covered with lead so long as no fastener is removed leaving a hole in the
shielding.
c. An doors and door frames installed into lead. lined walls in this room
must provide shielding the equivalence of the lead thickness which is re-
quired for the walJ into which the door is installed. This is most simply and
accurately assured by using doors and door frames lined with the appro-
priate thickness of lead; provisions must be made to assure that the hard-
ware used is suitable for the increased weight of this door.
D. The leaded acrylic or leaded glass window in the Control Barrier must
provide protection of lead equivalence not less than the Control Barrier wall
in which it is installed and must he framed in lead so designed as to assure
shielding continuity and integrity. There must also be an accomm<wation
for clear communication between the operator and the patjent. "'.':~
E. Additional shielding must be placed behind the wall mounted ca.ssette
bolder for chest radiography; a four feet by seven feet (4'X7') sheet of 1.0
mm of lead must be centered behind the wall nlountcd cassette for chest
radiog"raphy in order to accommodate this routine ptin1ary exposure. The
cbest Dack must not be placed on the same wall as the entrance to the opE;ra~
tor protected area behind the Control Barrier.
.._-_..~~~----~---.,.--~-~.~----~-~---~_.. -------
P.03
..-:' :-.~'-':0r1i~"::-\ir;:~~~~::~~;~~~2"'-.~,;;_.;
. --,.- .- .
;- f'-": ."' '.--~' ~.. ,1'.
":~""~.....
.~"'-...,.~...~~
.................~--
'~---
P_03
...---
.....- ...
.~.---
GF~NERAI.J COMMENTS
, In tbe event that, for reasons of simplicity of installation, desire for
additjonal shielding, or economics as determined by the cUent, shieldIng in
excess of the minimum thickness specified in this report may be used;
however, shielding installed as specified in this report win satisfy the con,
servative requirements of the Florida Control of Radiation Hazard Rogula.
tions and the NCRP. . . .. .'
l~HE L~:AD TAB QUESTION
There is a general instruction provided for the installation of lead
shielded gypsum board which causes unnecessary problems for the installers
and degrades the strength of the finished instalhltion.
On several previous jobs, I have seen instructions to install lead disks
of thickness equal to the lead shielding behind the gypsum board to cover
the screws used to secure the gypsum boards to the studs. In order to make
the disks fit flush with the surface of the board, it is necessary to indont the
area of the disk with a hammer or other instrument which often tears tbe
paper surface which I am told significantly adversely affects the strength of
the finished installation.
Since the steel or iron used in the man ufacturc of the screw used to
attach the gypsum board to the stud has only slightly less shielding capabili-
ty than the lead on the back of the gypsum board (it takes less then half
again as much thickness to achieved similar protection), the-:"3~rew itself,
being much more than ten times the length of the lead sheet it penetrates,
more than adequately shields the hole created by the screw.
The net result of this is, lead disks to cover the drywall screws are
NQI needed when steel or iron screws are used to attach the gypsum board
to studs.
~:~~j~)~.if("::'."''''
','-~:';
";-"-'~;~.~
:"~.' "'~.~~..",,'
'''''IfIO;.''I'Ir'''~~",,~...
.._...,~....~~-#~.----~_.,-~-~..._~----
2801 Harder Oaks AVornlf;~ ---~...~
""lrico7 f'lori~a 33594
R13.6~5..3796 'FAX 813-68S..~448
. ~... ":.'rf::~~>
P_04
"
'.;'(:Radiation Services, Inc.
~______-4' 'f t ~1"Il..~:"loo__~"'4I_~"~-'---- ~.,. ";I C-4~ ....... . . ~---
'DR'S MORAI~ES' OFFICE
EXAM 44:4
-~- -.~--..--'- ~- - -.~-=-~"'?"-
m. ~~
/j
U~flJOOR
X... RA'i
O~~Jce-
/)
. ~
(?
s 'fbtlA6e
l)A'RK k:OO{V1
~
This drawing is not to scale. but rather i5 for pl(lflOinS purpQses (01)'.
P.132
.~ ,~" ":."~.~~~f~,l:'~~5.t:':c ~~:
-~'.::-:;;r: "
22'1 F'fjl
P_0~
..,..... "".
.',.
". . '....
Radiation Services, Inc.
2801 Harder Oaks Avenue
Valrico, Florida 33594
813-68S-3796 FAX 813-685.2448
---------......-....--.....,... "........,...... -- --- -.~~7'- - ----~'~~r
i..
SIIIEI.lJ>ING SPECIFICATIONS
for
Dr, Morales
The following specifi.cations are referenced to the attached drawing of
the abov<; designation:
W(!ILS~n
A.B
B-C
C~D
D..A
Additional
l&.a.U~Quir~d
1.0 mm
LO.olm
1.5 mm
1. 0 rom
The above specified shielding must be installed in accordance with the
attached specificatjons A, B, C, D and E.
Since the operator's protective barrier is being designed intt) the door
and wall of the Dark Room, it would be appropriate to recall the require~
ment tbat the operator must be able to see and converse with the patient
during the,exposure.
This report prepared for:
Manfred Hirsch
C & S X..Ray Systems
Tampa~ Florida
~~~
, .",
23 July 1994
%g~-
cnneth A. oleman, M.E,
Radiological Physicist
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
" !
,/../ !.' ."1 ~.
/ _ '~T~,
/ __ ,":>;,' ..> l)' . '(~"-. t' .. .t'/\-~
Classification
), .-
/,/,i/ '7 .//1./t! ~ '/'
Address t ,:' c.:/ '7
/'.... I 1/
('0'.../.... I"
Owner/Manager
Business Phone
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
&. FINAL 0 ANNUAL
o OTHER
~ 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.
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Re-Inspect. Date
Inspect. Time
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Fire Oept. 10 #
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Inspectors Name
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Owner/Manager Signature
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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. Dep\. Pink Copy - Business
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name C-, (( I r C., J If).
'" (./ /
Address It' 1/,1 1 c- / II
/lr/o,;,.,/'
/
Classification
Owner/Manager
Business Phone
Emergency Contact Phone
Occupancy Load
Alann Monitoring Co.
Phone #
o QUARTERLY
ORE-INSPECTION
'"
o APPROVED
TYPE OF INSPECTION CONDUCTED
,/
0"'FINAL
o OTHER
o NOT APPROVED
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
,<Ii:
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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Re-Inspect. Date
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Inspectors Neme ---!r~~- ~,,~
C?- ;~U ~~ ~
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 Yelow Copy . BId. Dept. Pink Copy . Business
OwnerlManager Signature
C E N T R ALP E R M I T TIN G
PASCO COUNTY. FLORIDA
DATE: 11/18/94
PAGE: 1 OF 1
I ~=;::;UE OFF I CE: D
RECEIPT NUMBR: 00231147
OFFICE: DADE CITY
CONTRACTOR #: 007855
NAME: MICHAEL J GUDE
ADDR: 33101 ST JOE RD
C/::::;T: DADE CITY
FL 33525
FOR: CHECK # CASH
RESOURCE FEE ON PERMIT 4130B
CITY OF ZEPHYRHILLS FL
CONTRACTOR: 007855
AC:CI'.~T
114
TOTAL AMC)UNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - ~
14. 1~i
AMOUNT DESCRIPTION/PERMT DATA DRICR
14.15 ****** SOLID WASTE FEE 60
r'-
RECEIVED BY
PASCO COUNTY, FLORIDA
Classification/Type of Use
Builder Name/Owner Name J4 i2~~
County Parcel No. S~~h-.JJ.... t9eJ/(J ~ CJd~O- tJCJ/O
Location 6 7 '/ 7 ~a-/f AM Subd
t5lY>tAw~A_u~_-J/L ~
EXEMf i LJ
Permit No. '//3 CJ L3
Date Permitted t.... :L?-- :91
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone No.
Sq. Ft./U nit
'--.
Impact Fee Amount $
The above impact fee has been established rsuant to the Pasco County Transportation Imp~ce as adopted
by the Board of County Commissione . his amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority to utilize the perm' structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
No. Units
NONRESIDENTIAL
Gross Sq. Ft. (GSF) /66 Y
./5
ERU Assign No.
Rate/ERU - 50.00 x 0.96*/Year
or $0. 1315/Day
TOTAL FEE $
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
TOTAL FEE $ J~
Assessment - (No. Units) x ($0.1315)
x (No. Days)
*Discounted for Prepayment
The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197,
as commended.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF
OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
Date
Received By
--------------------------------------------------------------------------------------------------------------------.-------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. No.()3\ \ '-t J
DATE
DATE \ \
~
White
Applicant
Canary
T rans/Fi nance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name / .
Classification
Address ./
Owner/Manager
Business Phone
Emergency Contact Phone
Occupancy Load
Alann Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
0/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.
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Inspect. Date
Re-Inspect. Date
Inspect. Time
.. ~ <" #
"Fire DeptlD #
, I
Inspectors ~ame / ,.f
, .
OwnerlManager Signature.::...;, ".f ..,.." .Sl._..~ . It __ Title
This building has been checked by the Zephyrhills Fire Dept. under the code~-~gUlations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codos.
White Copy - File Yellow Copy - BId. Dep!. Pink Copy - Business