HomeMy WebLinkAbout94-4143
~..~~ .
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 788-6611
7- ~
Date
4143 J3
-t1
,
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
P,"perty Owne' ~fi:T ~:~:i/R!J4~
Job Address:J<f'..3_ - s:-__ ----= I/D
Parcell.D. #
Zoning: Energy Code: Radon Gas:
Description of Work ~t ~~ .7I::iA-L..!l)~~~~
Water Conn:
~.atE.~r MeJer:
~~& ' .1 F.'s:
Permit Fee
Signature
Compa
Address
Telephone#
FINAL
C.O.
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarce with City Codes and Ordinances.
Valuation or
Contract Price
City License Registration # h~
State Certified License#
~ huLi
BUI~DING
--- 7f? OMAt/~
02 YtJ
ELECTRICAL
IA~~ ~
PLUMBING 3;>
~""r ;L
MECHANICAL
Tp. Servo
Rough In q...~~~ Lr ~~
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set C\- .:)....G 4 8LO-Jl
Water
Sewer
Final
Breakers
Ducts Insl. lf~~-lt L..j M,...
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM. q ,~-'14 ~&1..-
Insul. CL
WL
Driveway
?r.:; 1116 fI~iF-?p ./tJ-/Y'9L1
REINSPECTION FEES: When extra inspection trips are necessarY' due to anyone of tjl{e following reasory6, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
/~. \ j / - -- I ~ - 1.).'!;J,.. ) ~
(-' A /1 J.'l""dL ($ v.i/
. ~ j~ . .
OWNER'S NAKE -J1~ +Jil~ 'gPff/sf Ci-iJ.cl
OWNER'S ADDRESS 3 8 '300 <;' -+- l A \J c Z.- II/II s
PHONE 7 ? z. - S-S- '7 c/
33 s-V I
JOB ADDRESS
/1~7..eo-OCJIO-I"'f#OC - 0170
t'- ,(.0 - €.,V'1:> - ; {,,(;, ('(..' - 0/::;'0
LEGAL DESCRIPTION: LOT(S) BLOCK I let:, SUBDIVISION
PARCEL LD.'
(OBTAIN FROM PROPERTY TAX NOTICE)
t~ration ____Repair ____Install
WORK PROPOSED:_New Construction ____Addition
____Sign
_Kove
_Deaolish
PROPOSED USE: _Single Family
~rcial
_KIF
_' of Units ____K/H
_Indust.
_Swia. Pool ___Other
_Restaurant &: Health Department Approval
DESCRIPTION OF WORK: L f'-f I t? It . -" rt
It ~t-% d ~ /'~t Q-
",
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
_ELECTRICAL
AttP Service
Florida Power Corp.
W.R.E.C.
_MECllAlfICAL
$
Valuation of Mechanical Installation
_PLUKBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block ____FrUle _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
BUlIJ)ER
7
COMPANY J ~ ~ /..-- L. S't--> .-f,{
State Cert. or Regist. . It> 8
City License Registration ,
..........................................
{} d r-(.c: 1--
..3 7J ~ /
h .!'-
ELECTRICIAR/7 I COMPANY A:1Ck./ttelJ C~If',A/lJUI .5keT/fCCA.L C"dtt/,7;
{/ / (,0 t'),/ State Cert. or Regist. .
SiRlUlture/~?7'-Zy-e-e . ~ L-cz.~ceq City License Registration t .,}'t..y'C;
, ..........................................
PLUKBER L; . , . ~ - COMPANY (jl//~:; ;5,.1/1(( J?jf/I~'{61:tl!
/' " ~. I ( <... / State Cert. or Regist.' 1< ~ C'() Y I 5 f f)
Signature ( -if :':Jv'jfjt,..- //, l./ J..i'fC 7 City License Registration' .0 7
,/ ......................*...................
Signature
~ COIlPARY 5' O~
~ ~ State Cer!:. or Regist. ,
~. .~ City License Registration ,
. ~. ... .... ....................*...........
(
-~
MECHANICAL
~~
OTHER COMPANY
State Cert. or Regist. ,
Signature City License Registration f
......*.............................*.....
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!he undersigned understands that tbis penit lily be subject to 'deed restrictions' wbieb lily be lOre restrictive than City
regulations. !he. undersigned assUIeB responsibility for cmpliance witb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe owner bas bired a contractor or contractors to undertake work, tbey lilY be required to be licensed in accordance witb
state and local regulations. If the contractor is not licensed as required by law, botb tbe 0IIIler and contractor lilY be
cited for a lisdell!aDOr violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
reguirl!leDts lily apply for tbe intended work, they are advised to contact tbe City of Zepbyrbills Building DepartJent, (813)
788-6611.
PurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
'Contractor Sections' of tbis application for wbieb they will be responsible. If you, as tbe owner Sign as tbe contractor,
you are indicating that you, ratber tban the contractor, are responsible for the work. If tbe contractor wisbes you to sign
as contractor tbat lilY be an indication that be is not properly licensed and is not entitled to perlitting 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 witb a copy of 'Florida's Construction Lien Law - HoIeoImer's Protection
Guide" prepared by the Florida Departlent of Agriculture and COnsUIBI Affairs. If tbe applicant is SOIeODe otber than tbe
'owner", I certify that I bave obtained a copy of tbe above described docIJIent and promse in good faith to deliver it to the
"owner" prior to COIIeIlCBlBllt.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all tbe infoIlation in tbis application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land devel~t.
Application is bereby tade to obtain a peIlit to do work and installation as indicated. I certify that no work or
installation baa COIIeIlced prior to issuance of a pemt and that all work will be perf OIled to _t standards of alllilllS
regulating construction, City codes, loning regulations, and land developent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber goveruental agencies lilY apply to the intended work, and that it is
If responsibility to identify wbat actions I lUSt take to be in COIpliance. Sueb agencies include but are not lilited to:
t Departlent of EnvirOlllBDtal Regulation - Cypress Baybeada, Wetland Areas and EnviroDIBDtally Sensitive Lands,
Water IWastewater '1reatlent
t Soutbwest Florida Water NanagelBDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
t Departlent of Health' Rehabilitative Services, Envirouental Health Unit - Wells, Wastewater '1reatlent, Septic '1anks
t US EnvirOllleDtal Protection Agency - Asbestos abatelBDt
I also certify that, if fill IIterial is to be used in Flood ZOne 'A' or "I,etc.', it is understood that a drainage plan
addressing a 'COIpeD8ating volute' will be sDitted wbieb is prepared by a professional engineer registered in tbe State of
Florida prior to penit issuance.
A pmit issued sball be construed to be a license to proceed witb tbe work and not as autbority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a penit prevent the Building Official frOl tbereafter
requiring a correction of errors in plans, construction, or violations of any code. !very perlit issued shall beCCE invalid
unless the work aut.borbed by sueb penit is COIIeIlced witbin sillODtbs of issuance, or if work aut.boriled by the penit is
suspended or abandoned for a period of sillODtbs after the tile tbe work is co.enced. One 90 day utension of tile, lilY be
allowed for tbe perlit with fee charge of $15.00. '1be utension sball be requested in writing to the Building Official. In
approved inspection lUSt be logged during eaeb sil IODth period, or the profect will be considered abandoned.
VARNUG !O OWIIR: YOUR FAILURE !O RECORD A lotICI OF C(JlMllCIIIIRf MAY RlSUL! II YOUR PAYIKG fllICI FOR DIPIIOVBIIBI!S !O YOUR
PROPBR'I'Y. IF YOU IIl'I'DD !O OB'I'W FIJlAlCIIG, COISOL'I 1fI'I'B YOOR LBIDIR OR II If'I'ORDY BIFORB RICORDIIG YOUR JOrICI OF
C(JtMDCBMm'. JOBS UlDIR '2,500 1M VALUE 00 10'1' mo !O RECORD AID POS'I A 'lotICI OF CCJIIIIICIIIIJI' ~
SIGNA!URE: OOBR OR AGBII'I'
SIGJlI'rtJRB: COJmlACTOR
S'l'Afl OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19_ by
S'l'Afl 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)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
-~-
~
~
..,
o
o
S
Ii ~ :Q ~V\ D. ~ ---~Elff
~ I "I, \1
{ ^ I. tf
':!\ ~\--
-" ~'~ l.J ~ .......
~ ~C;:E~'~~
~ ~ ~ } ~ ~~
N, "I ~"'!( "I~
~ ~'t; CI\ t ~'"
')0-- "'''!.' ~--...!-('tf
- l',' ~ c::. \ "
~. ~ v- - t'-- ~~.
~.... ~,- ~c..
'l f:,. <:'l "-l:\ . l>. "'-
"\ lr\ t ~ ~.:t
'^- ~
~
':'1
).,
~' ~
'\i\.
j U\
\ I...,;
~
D
~
o
~~
~
li
w
J~f
<< 0
~5B
~g
~
J..ux:n
~j
~.
o
/~~
~
~
~
.,
..,
~
o
=
~
~
~
=
~
~
Ro ri
en
S-
;J
~
n
-
o
6t
~
~ ~
-
o
~
a
~
n>
....
~
~
~
~
o
o
e=-
n
~
..,
n>
n
tD
==
~
n>
-c
(~. "-
\ T'.",,:; ".",
\'\ '\'
: rt<~
f",1
> ~,
>\ :--.
;... ::
--r I 't
~
'f..:..\~
~ f\.
~ "~".\ r
"--'''-
~y'~ -~
... (\ ~
f"".,', ~' "
>(
~. (." ~.
. \ \\ --~,
f'\,J ~
'" .,
,,~ ~
\...... ~"'\ / <
...... ~.. \
r;;
J f\
'.
.,j,' ~\
~
~
'" I"
\,
-~, '" ::t.
,l\ ~
.. i1'
S'- .
- , \ .J:...
"-,"r.
"
" ~~,.
\ I~
~'~ f'
~t
r.-:
'I,
"-
'\"
-~- ~
t'D =
fIj ~ ..,
q- =
_.
0 ~ e-
O ..,
e g. ~ ..,
t'D
-- c:> en
= ......
~ c:>
t'D ..,
~
1 (JQ
t'D
,
I
I
)
,
---.~---
)
I '0 r.~ \Ql
1
1- . 0 n
r--
.... -
" 0
~
~
~
0 (I)
0 n
Q., -
Q
~ (I.)
~ a
=
~
en n
0 0 ...... -
0 0
SI I 81 .., Eto
;
n "" -.
n (JQ =-
~ t'D t'D (JQ
~
7'
1"1 ~
~ <l.
~
- ,
L;>' >
~. "-
, f'la
..., I l\
~ ~
:;; "1-.
t ~
1.;,
r
~
n>
_.
(1Q
=r'
C-
O
~
o
Q
Q.
~
~
~
tD
~
tD
=
~
n>
,..,
~l"\
r)
~~
('t>
VJ
., U
~~
QI 'f-.--
~I
~
~ ""-.
!tl ""-.
~
~.~
"'" ""
~ ~
~ 1rI
t. ~\
~ "'
"' .,
~~
"-
v
1'"
~
-.......
<:.
n:.
[,
o
~
,
~ wI ~
" ~,
~ "J!
""'t--I;
I'tJ ~
'"
~"'Q
'-~~
(tI ~ ."-
'" ,,~
'b r- """"-
. Q.
~ ~
~ ".
~
~
....
~.,
"'v
~
;><:;:
"i-
-~
~--~
~ f1> If ~..,.-)
() ~ \.J\ ~)$
.., ..... "'.-
o \:j) T c-
O . I" S!
a v s:c
v. ..
~s.
-"'- rl ".
lteT, ",""" '1 ~
~~f
~J
"
"<
~
~
.,
f1>
=-
o
=
fI)
f1>
~
=
.,
=
_.
f"'t-
=
~ ~
en
f"'t-
o
.,
~
(JQ
f1>
~
~
~.
~
c=-
O-
o
~
c=-
O
o
~
(1
~
~
tD
(1
tD
=
~
~
~
Q..-t;:,
~ ~ ~
~ .... ....
~ n. (U.....
l-)
f ", IN
~ ~\~
~1 ~
~~"
-----_/1~
-
?v
~--
~
~
o
o
Q.,
~
~
=
~
1
..,
~
"-
"
~o
,~
....' t:1
~n
~. ~
'-q
~
o ~
~ ~
(" "
) ~ VJ
Lv i'> ~
Lv \'to ~
~~~
I [l
If( " ()"
~ '"
() ~ '"
1:-... 1) ""
"I '" .
V)
. '<:: ~
'). ~~-
lb l" ...v
, ' .
(j
-
o
f"'t-
=-
f1>
fI)
n
-
o
fI)
f1>
f"'t-
.....
-.......
~
tAt
\~ en (j
f"'t- -
o 0
., f"'t-
~ =-
(JQ -.
f1> =
(JQ
1')-, 0
~. ~
~. t:1
~~
;t' ...
~
fiRst BOp-JiSt: ChURCh
38300 FIFTH AVENUE. ZEPHYRHILLS. FLORIDA. 33541 . 813-782-5574 . FAX 788-9793
STEPI-lE:-; T OIX).\I, PASTOR
June 13, 1994
Building Department
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33540
Dear Sirs,
Thank you for all your assistance and guidance with the establishment of the
Neighborhood Care Center. We also appreciate the 90 day extension for the
demolition of the home located at 5140 Sixth Street. This demolition is
scheduled for the first week of September 1994.
Again, thank you for all your support and guidance. If you should have any
further questions, please feel free to call.
Sincerely,
.h-/ '10/
./~'~- (. G/u~
Stephen T. Odom
"Touchin8 Lives for Christ"
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
.-; /.
/.' .r.<"'~'/ ~:~.-, 1:.1
/-:<-/~ " .,:
/.....-
(. /.1';';;'('
C'1~2 Classification
/' "7-.
':. / ,~..>t/ /1'/."/1::;;
/
Address
T
i, . " / /.:.,,) ,/",', / "'
~'''~ "','f,' :'~;7 .".
Owner/Manager
}r
j
'>"""fi,.' :
/. -/
(/,// - /(.:c
Business Phone
--", ;'.....
/" . /
....)~ .-
c.' ~-- /..-"
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
9 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.
Z".,-,
1///' ;v; , /~~. '
, ~. ,,' 1'/ /
/
,~ ",;.. (' i
/
F'/'('~'''''/
./' "../ c.,/ .. .<,/~,:.~F~,
, /"
J.' -,- /f. /'?~. /.... /':/ /-.,,~
t~''1
/... .,A/.>,=
,.'j jd,
""".',/' .-,~-:fi:'..!.... :;/r"
...{~:, ." ,/'/: /.r: "
/'/
.r/-:F<-'''~::' ../7'
"" ./J.. <)
. ,.'~-'
, ,/.".,/<.' ,,' t. ~
</:,/ C /
Inspect. Date
//' . 1-"
/ ,/' / <:/ /(.... .::-/
.' ,.'. ; ,'>" ,'r
Inspect. Time
/./.l~. "
'.' '"
Fire Dept. 10 # ~:.; 'j.. /
.-r- ,. / --r
Insp~rs Name ".-/ ~ tL;1,'v '":7,.' A" , . L .
Owner/Manager Signature ,..j~b:i-lii k+",;.l. nVv1. Title(t Ru.;..,.., '.
(j : M-- c""',,.;;;'-
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NF 'A 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
Re-Inspect. Date