HomeMy WebLinkAbout94-4153
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 788-6611
4153 {3
7-1.;2 -yy
PRF ~1!1J
? )7, -so
BUILDING
Date
~o . ~--V
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Pmpe"v owne'&fr.s2. ~ fJ- J, J..~
Job Address: CJ 9-,
Parcell.D. # I....~ -.:l.h~1 -
Water Mj:ljer:
T.I.F.'s:
Zoning: _E:)er~ Code: Rad.on Gas~ / A ~.........,
Description of Work tJ ~~;-n. ~-~ _~J ~~
Inspector
NO OCCUPANCY BEFORE C.O.
FINAL t~ ~24
DA E
C.O. j"-
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordar':'e with City Codes and Ordinances.
Valuation or
Contract Price /D, f~' trZJ
./
p.'m~t~_~
Slgnat ."- ~ ~.
Company ....
City License Registration #
State Certified License#
33:)..
Address
Telephone#
f? / J' - ~~7 (; - 0 S-g- .2.-
~~~~.? t~
,fl7;~d- !}ge~~
ELECTRICAL ~ r PLUMBING
MECHANICAL
BUILDING
Ftr. Tp. Servo
Pre SLB Rough In
Lintel Meter Can
FRM. ~ -I'S .ct.., BiU- Const. Pole
Insul. CL Pool
WL ~-I'b.C,t/ 8i1L Pre-Meter
~pAt-,i.l2i4 ~lU. Final rfi"L .?Jr?2~-I {3bb
Driveway
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
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.
APi"W:CAIlOI fOil PRRtlIT
GITY OP ZKPIIfRIIlLLS
BUILDING DII:PAImI.INI
1) (2 f~ ffid.fIi./5 '5-rl
1 U & ,~D ,
OWNER'S IIMI Zi:PWYWP I ~ COlU? ,-,/'" PF,RRTFR
~RE R11- 7R1-19S9
OWIIR'S ADDIt.ISS
777Putman Ave., Greenwich, CT 06830
JOB ADDUSS
A2<{) ?Ot-};:l c::t-
7.~pbyrnill~. Florida 33540
LI~L DBSCI.JnIOR: LOT(S)
B~SUBDlVISIOII c:o,-,t-i r\Tl 1 ~ 'T'owl\lilhip
26 South. Range 21 East
Pasco CQ.untv COBTAI. FROM lJRnpBibv ~U -OTHIIn
PARCEL 1.D.'
--"..taunat . Health 'oepartaent Approval
D!SGlUPTlO. or tlOu:~d(J~ l sfu-L / sic. irE -&A.f):- I2Q(u.N4/1
, >
I I u ~I
BIIIUDG BUlr ~_ /t26 Square Feet, III RdRht
RESIDENTl.A.Lr ATTACH (2) PLOT PlANS Ii (2) SBrs OP BUILDINO PLANS , (1) 81T BlaG! FOlKS.
COIIMUGIAL I AnACII U) 811'8 OP BUILDING PLANS '" (1) sIr IRUQI '01U.
PROPIRtT SlJRvsr IlBQUlIllD poa ALL NIlf COIfS'l1tUCrION.
.J:JUILDIJlG
X P.'.RcnaCAL
PBRHIT& RROURSTKD
$. ,;2 ~/l101) Valuatioa. of Total CoDlltructlon
..16 -"f AHP Service florida Potn!r Corp.
_W.Il.B.C.
--.JIIQIMICAL
--1LUIII1JO
$.
'al_tion of Kecbaotc81 losta.11ation
GAS
_OOrING
SPlClAtIY
Other
TYPB or COQnucnOJl: __lock -'r.-e .4J;teeJ
FIIlSlIBIt rLGOR BLBVATIORS: "' . IS PROJEct IN fLOOD ~ONB AlBA, _ .15...
YB8 If 0
*........~tt..........................4rk; 0' u ( f f~ C 11 (I hiE
COliTtitfmR S.lcnOIl M 9 b~ - /.:..]' 6( r
6E!'ol'f f{k~ 6'~ (#~(p - os&>.2
-mullI /' - / / OOHPMY KALEMERIS CONSTRUCTION INC.
(j j' I I, State Cert. or .ea18l:. ':1 CQ37250 ,33~
Sianatur.. ,(.u,,<:~ ~ / '/L:"'<' \---^ ~ L.( City License ReslstraUoa 94oRRc;c; ('T';:!mp;:!, FL)
/' ! ,/ ..........................................
;'
Rl~l~... . OOHPAIIY INTi::RI..OCK i:I.i:C'T~~' ~~;].
~\ r ~I 0 (J~ . State Oert. or Reaht..' __ E) ~ _E C 'i 7
&bft.tur.-:::f--7~ _J( /~ __ Clty Llcenae RqlatraU.on' C:O?~ 'f 1
......... ...............................
pu....mr OOM.P~
State Cert. or ....i8t. .
Slanature City Liceaee Reai8t:ratiOQ f
..........................................
IIBmAIII~ COMPANY..
Sute Cert. or ....t.t. .
Slanah.re City LlceMf! ReslstraUoa f
***.......................................
tlI'DIB OOIIPMW:
SUte Cect. or a"lat. .
St8R8tur8 City LlceQAe aegistration .
.1........................................
APPLI_ -... )jI1Mf'J clf.IUIADar-- _r OFnca,
JU"!-23-'94 TI-U 12:07 ID:CITY CF ZEPKT'RHILLS TEL 1'-0:813 788 3293
1:1432 P02
~ITIOIfI or '.RMI'l AJ'I'IDAVIT
A. ..!!ICl OJ' DID _~CTIOHS
11II .... ....... OIt w. t .., be .Jtct to IdMd Dltrlc:t.laall tIblCl III III .. Ultrlctbt thu cnr
ngIlltI_. fte.............. dIIpCIII1IdUtr tOt ClJltUIIICI .lth -, .,11_' .,... DItrlct1011.
B. UHLICBNSBD COIft'RACTORS AND COMlULC'lOR RBSPOJIfSIBIL1T1BR .
If till ~ ... Una I _trll;tDr II[ _tnc:ton to ....tIke -k, tMJ., III nplrl!ll1 to III lCMMa.. 1(lClO" Ill"
llate _ lOI:d npIIUlIIU. If till cCJDtnl:tar 11 DOt liCllll8l1 u _11I1 br In, boll tilt 11IIIII' .. ~ ., be
ctte4 I. I _.11": ,1011UCllIIId8t .tate lill. If tM ClID8r or iateDdec! COItrectoC m -.rttla . to tUt 1lc:.a1Qg
regu1~ .,..11 lor tIMIlDtIIldII1lDR, t!IIJ an -Ilea to eaatact till cu, of ~11I1dl4bg~, (03)
7118-61J1.
FuEu..-n, If till... ... UnI I OOIltflCtor or eGIlUlCtoC., billa 14,111I1 to llad tile U11l:nctor(l) 11ga padJaGI of Ue
'ea.u1Ctor .... of WI 1PP11catlm for wblell tber.lll be ruPlllltule. If p, .. tM car dill . ~ ClIIItnctor,
rou an au~tlag tllIt JOIl, Clu.r tho Ue CllIIItRctar, In ':__11111 for tlllllU(k. 11 till CXlDtrIGtar ...... ... to dlPl
18 c:GItnctDr Uat..., bI. WlAtllII tblt 11I18 DOt pnpU1J UCIIII8d 11141..t lIltlt1l1l1 to pmlttbg prltlJ1gu III the
CUr of Ili*JrYIII.
c. 'l'IWItlPORTATIOH IMPACT FIrES AND ~ILI"1'Y COHNICTION pass
D. CO}f~'l'RVCTION LID LAW (CHAPTER 713, FLORIDA STA'l'UDS t AS AlllllDBD)
I IlICtilJ I, tJIe ",UDIIIt, bml _ pr.14111 willa a COI1 of -,llIrldl'l r.tnctlOll 1.1. ,.. . .....,,'. PratlCtiOG
Qal.,- papan4" till .lad.. ~ or IgrlCllltue UI1 ecm..r &fWn. If UlQPJlc:ut b _ ok tlIu *
10000er-, J ~f, tIIIt I .... abt:PQt . CGU of th IIlon t.dW eoa..t UO prall.. ID .... ...Ii to 4IlI. it to to
'0lIIIl" prior to lIC"ll1n~.
B. COJrlRAC'1'OR~ '8 AFFIDAVIT
I certifJ tIIit III till (It III W. IppUcatl. i. lCaInta ad tIlat d1 wrk ,111 lie .. 11 _-.. .It. 111
eppl1C1blI _ npl.t.bIg ~tnct1C111, 1CIIIag, ... 1_ 4nIlDpIIat.
Ippliatl. 11 ..., .. to aIltdD I pUI1t tD do tmrk lid inltlll.tloq .. lIIcUmtll1. I ",tUf, lilt lID _ It
lDItIJIIU. ... ~ ,rIOI' to "'.ce of . pen1t uc1 tllet d110rk ,111 III perforlll1 tI ... ..... of aU 1M
tegulatlog CGDItrucUOG, Citr l104a, IlIII1Dg ngu!itJOIII, 11I411IIII 4Pe1~t ngdaU_ .Ia tM jarJItietICII. I tho
cuUfJ tllat I ...tu4 tMt tJIe rep1aUCllII of utbIr pUllllita1 ,...ci. .., '11lr to tbI ia~ 110I'''' 11II1 tat it 11
.., QIJOnIlblUq to i_tiff _t actiCIIII J -t teb to be ill COIIpl1lnce. 8udIltlldlllad_ bot In lOt llIdtIA to:
t DeHfbI!llt of IIrlr:011111ltel M9\1laUon . CJprua ..,..., IIetlllllllwl d IDtI~I:I1IJ ...1U" LIllI,
htIr/lllltwltlr ftllblllt
t SoutMIt rlDr1da ..till' Dlltrlat . lilli, Cypnu 8IJIaeiI1a, IetlllH1ltW, UtlriDt IItIrcour..
. . .....11, Daeb, IIflg11111 VltUI.,.
t D i ....Ultati.. Benita Jqym-ntd IIMI ad . lIIll., vw-tIr 1r11_t, lIptla .....
t . IlblltaI .~t ,
J I Ir tIIIt. f f I .brl,llI to M .. In rllllld IOD8 III ar -.,etc.-, it b UIIdIntaoI tilt . ~ pl.
.aar.1Dt a '~tbg tal.' uJI. IDlllitbl1lUcIt II pnpl1'll1" I proflldlllllllllllUU: regiatnlll . Me of
Plori. prior to JUIlt iIIuIna. .
I palt illUlllklllle DIIIIItrue4 to .. . Ii... to pl'OClld wi~ tIII__ IIIC1l1Ot II IlIthgrltl to de11l1, c:IICIl dt.r. or
..t aU. ., Jl'G'bu. of tM tltJlalal1 aada, DOr aU IIIIIIIlCe of . ,..tt prmat tba 1u!WIg Dff1ch1 ,. tllenlfter
nvmlDlr I mr.nct1... Df errGQ ... p..., CllGJt:nat:iCII, or 'lo11t10G1 of II)' CDII. Imr plDdt iIa4 .U __ 1III1i.
lIllen tht .1 .tIlIrll'" br IUCb pmit iI ~ utUa 111 IIOGtM of iIIUIDcI, at if _ IlUarblcl If tile pean iI
IIIPID&d ar ,...., fOr 8 JIII.IaI1lf iii utili aftlt 01 tHe tIJe 110I'. II ~CI!Il. 1M" Gar .... " u., III JII
1111_ for t.M pall wltl f. d1erge of '15.00. 'tbI ulllqioa ..U lie ~tIl111lllrltllg to t!ll1UII4III Official. III
1ppronc11D1(11dllll 11III&: he 1'" 4udllg .. Ib: ... PIl'I05, or the pnflCt IIU be ..1t8r1ll1 1Ib1N111111lt.
__ to MIl: ... nu.- 10 ualII) . IOrICl or ~ III! IIIBILf II DI 'mill MCI POI ~. to YClUI
. I' 10 . 'IMIII, caM' DB IlIIII-.at (II JllftCIIIf IIBftJI ..... ... alCl 01
_ t2 D 1I01OI_IOImDJID~I'~IClor~l. .. .
,. ~I~~IW
II : U
:~~cs~ . :~ri'~e{~~ ~-tvi_(~<-~~~
Tbe foregoing 1118 t ... .cIU10111edged The foregolug ~1utraeat 11.. . -ow184984
before.. tbia.:IL\-.. ~., " 19.3i by before lie tbi.'J~,;}.-'f-Lt, , 19.1.t...- bf
Dav~d k. c:O"'.I~S'~~ Ct:-.L l: S71:: 'f-'. '/I-IL /")C L.-
vbo i. per....l~:r ~ to .e Qr -.bo. bill. "110 18 per.GasUy U10WD to H DE' wbQ ....
!,rnrtl1~ J3~r:\~' L\ \lee.I \ H~fUe. ;.~;:~ ..or- .
U idGt1:flcaticm 8Il. d - Jd .ot "" idlla.tificatlOll.8Ild do. d.14/d!d DOt
~ oatil. ~ n ~ oath. , .
. l~) fH,r-fJ i . ,: t"L C, ~L,(k, ~-k'-t
j~anI] L . ~. D (I ture)
..,- ~f'\ . lA.)\io .
(lfue , PriDted Ol" StflllJ)8d) (II.. 'I'ype4, PdDtedLW:~.~!~~ff-. .
JfO'lARt MLIC ftO'lARY PUBLIC Nt. p""'lr ,~",;... cl I-I(,n(i:l.
o.ar I ' c.~:. -', ~ l.'-' .~" " ,.. ,,".."fJ
M Gc.rn'1l E.(l~.f"~ tiur::-\. o. .".::''''
y .I~o. (::C~5'! i",i
....rt..~'ri:",... DOREEN L. WOOD
f:r'~~~ tt( COMMISSIGN , CC 191515 EXPIRES
?...~.lf.: Aprll29. 1996
'.~~"",W 80NIlED 1MIIJ TPm FAIN INSURANCE. INC.
1,llft.'ft,\
.~------- .~.. -.- BLow )V' oi-~ ~..
. - .. -'-- ....... ft-DVrtzcl'..\
...-.' T' ..,'
'!~"sii1> ON
~~23.. flU Stf F-I.
~ \ ~V~\~;\ 5: rl
VALUf-\-rlON ~ /0000
2'0/D ;(4;10 Sq. fa: L-l vu\l<o
.$q, PT. OTH~~
BulLDltJ&- C/71 5'D
iWtY\B11II6 - U!tr ~
ae.c.~, U\ L. - ;).. C!>
~AN lUlL....... N lit
SU~lOTf\L"
') tl
CRe.b\T - I~~
(dr(iL &~MIT :
CONNt:.("110N Fs.~
S,:.W~ -
W".M -
fV\E-~ -
-rotA L :
fl.I.\\)tlN GAS - /
Sf.F'r. Njl1
'lPj.NSportrAT/oi\l I ~pflc.:r Ft..E-
IOTltL:
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name Z B (...(..) - 13 l 0 l...< ~ ,-y) C' I J)
Address '133 [) ;de:;"'7::1f ~
Business Phone "7 3 3 -- J 9:5- 9
Classification
T^,J V 5JIt',' 19 L
OwnerlManager
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY % FINAL 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.
r
!-.:/ ,...C E ~[') -r-o ; N~A-' ( I
/) r.
( EI<.:-r~ C. t=D
'-/14
L(o e C-
o
h-r,$-N) 0 0/ Sf/ c.JC
-J'
Inspect. Date ~ /;,S /7~ Inspect. lime
Re-Inspect. Dale ",,:,( ,'V'ntItr A I~';'. ~~me
Owner /Manager Slgnatur~ ~ 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 . fie Yelow Copy - BId. Dept. PInk COpy - Business
ICcn
S~.~h
Fire Oept. 10 # s- s .s-
]:)~aJ b";; tAN