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Home My WebLink About94-4232 CrTY OF ZEPHYRHILLS (813) 788-6611 '0 - If!-.-~ d.O ~____ C~~ ~L ~~ :~~:::,~,:ne'~1:~~ ~;' ;~::~::t~, Parcell.D.# ~02.._ ~---./2~~ O-Ozy.ytJ Zoning: Energy Code: 2 Radon Gas: Description of Work c:>J,. 4-7 ~. -<~) ~./t;;x--;L{ ~ 'BUILDING PERMIT Permit N-~ _ 4232B ,?- //(-<11 ...... Date ~L Sewer Conn NO OCCUPANCY BEFORE C.O. FINAL~/j -- J 5 -. ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordart::'e with City Codes and Ordinances. DATE /f'l Inspector :~;:::,:~~ ~ companY~ Address Telephone# Valuation or ?- ~ Contract Price /7; ZJ 00 M Tp. Serv. Rough In (pp,u.,o~ Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Ins!. Compressor Final SLB ~2~%b Set Water Sewer Finalli\-)"'l.'11..J ~-L..ot Driveway f.? t5''5j LAN I ()It, q -2,~ -G'Lt t3 ILL q-=2. ~ -~ l.J f> b ~ ~53 L-AI'J1 ~-d.... 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. . .s cJ-\ A ?litL '{ ON ~l; .- .. --- ... ~5<O'?:> L-MI \JR. ~'''-;'O'I ;. ..' VALU",-rlON ~ 11,'000 .. ~ L~,J1tU\ c.. T 1i~"\)tfIT \ J Sq. fa: L-I v'I 1'-' G, Sq, FT. Crrnli-~ &.HLDIN&-. I (j).()() ilumBu\&6 - zo..vv aEt:ntl<.A L. - ZOt ~~ Ml:t:.UAl'llCr1L ........ SU~lO.mL". CRe.\)\T IdrfiL &~M IT : } '-I- (Ji- Dc) CONN t:.('l1otJ F,~f-S 5,:,wAA - WA.M - Mt:-~ - IO-tAL : RADoN bAS - SI' - · '~N5pott'-AT/o I fY1ptlc.:r Ft.E- I ..... ".\ \ ~ , : . IO~L: ItfD,v1> APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT /i\:\l~~\ Wo.\.I~S ADDRESS '1J.t)~ 3~ ~ ~~. +1 M.::\~-L\ We.. \', )lo~~l ~ JOB LOCATION (f) Slo ~ L-~ --:UJ\.u,}-(. M~ tJlMLt ~~ l~ - 3"3lcl~ PHONE (&\"0 liJ dol., ~SD~c, OWNER LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLDCK SUBDIVISION PARCEL I.D.~F O~-~lo~o.\. 00\1-\.. OOOf)O'" o04b WORK PROPOSED :_New Construction _Addition """--Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family ~ommercial _M/F _# of Units ._M/H _Indust. _Swim. Pool Other ., _Restaurant & Health Department Approval BuiLDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.*;; ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL ..' _MECHANICAL AMP Service Florida Power Corp. _H.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. Signature ****************************************** CONT~~;~:n~ECTION?a.ul ~ ~~t0 State Cert. or Regist. if ~. OD3~5a~ City License Registration # 1~ ************************************** ELECTRICIAN ~~~~J. ~ Company ~f /1q - .. .~J! . State Cert. or Regist. ~F Signature ~ Clty Llcense Reglstratlon PI.W8f.R~-' .J i. M~""''''':::::::'''''''''* ........ State C2rt. or Regist. 1 Signature City License Registration # 9' * *.*** ** ** ********* ****.*** *** *** * * * * ,,: 1: * * i: i: ,', Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City ~icense Registration ff OTHER Signature ****************************************** APPLICATIDN APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT . A .' NOT I CE OF DEED RESTR I CT IONS The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be .~re rest~ictive than 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 or contractors to undertake work, they aay be required to be licensed in accordance "lth state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the in~~nded work, they are advised to contact the. City of lephyrhills Building Departaent, (S13l 788-6611, . Furtherlore, if the owner has hired a contractor or contractors, he is advise& to have tbe contractor(s) sign portions of the "Contractor Sections" of this application for which they lIill be responsible. If you, as the owner sign as the contractu, you are indicating that you, rather than the contractor, are responsible for the worK. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of 2ephyrhills. 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 lIith a copy of "Florida's Construction Lien Law - HOleowner's ProtectIon Guide" prepared by the Florida Departlent of Agriculture and Consuler 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 promise in good faith to deliver it t" the "ollner" prior to cOI.encelent. ~~ E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all worK will be done in compliance with all applicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do 1I0rk and installation as indicated. I certify that no worK Dr installation has cOlaenced prior to issuance of a perlit and that all Ilork will be perforled to leet standards of all lafls regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of Dther governlental agencies lay apply to the intended Mork, and that it is ay responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited \0: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Aray Corps of EnQineers - Seallalls, Docks, Navigable Waterllays f De artlent of Health ~ Rehabilitative Services Environlental Health Unit - Wells, WasteMater Treatlent, Septic Tanks f Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,., it is understood that a drainage pIa;; addressing a "coapensating voluae" will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 verlit prevent the Building Official fro I thereafter requiring a correction of errors in plans, construction, or violations of any code,. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOI.enced within six tonths of issuance, or if work authorized by the permlt is suspended or abandoned for a period of six lonths after the tile the worK is cOlienced. One 90 day extension of tile, ~2V be allowed for the penit with,.fee charge of ,$15.00. The extension shall be requested in writ~n~ to the Dui Iding Official, An approved inspection ..ustbe logged during each six lonth period, or the project w1l1 be tClnsidered abandoned. . WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR ,PAYING TWICE FOP. IHPROVE~ENTS TO ',OUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEHENTs. S~t~ffLA ... ~~ STATE OF FLORIDA ~/,\ COUNTY OF ~ The foregoing instrument was aC~OWledged before me this fj.f~ , 19 q, by who '2~5~nal~~~me or--><ho I,.~ preduf:E:d as identification and who did/did not ta~; an oath. ~M 4L- fIt1 ( 1 gna tLll-e) STATE OF FLORIDA COUNTY OF . The foregoing insv-ument before me this J3 I f11sco vJas adVvJl edged , 19 t?c by who is pel-sona ~I L..dUL~J as identification and who did/did not tak~~ m Itl-r1y (Signature) ~ (Name Typed, Printed or Stamped) NOTARY PUBLIC /, . f"--;C;;N M. AlMY i .~. . ~ Nctorv Pu::;;;c. State of Florida ~ . i My Comn, EXi=>. Mar. 28. 1998 I No 359632 ...._....~..._- (Name Typed, Printed or Stamped) NOTARY PUBLIC I ~~t-.' I' SUSAN M. AlMY I f~". .'. Notary Public, State of Florida ~.\~ I (,;'1 (;omm Exp. Mar. 28. 1998 . ... 1 ~~o. ::9632 Permit No. NOTICE OF COMMENCEMENT State Of County of THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided In this Notice of Commencement: 02-26-21-001A-00000~0040 . 1. Description of Property: Parcel No. L ~ T 4 I -Z E PJ..! v /lJ.ltLLl Ex e"c:.(,)TI Vi? 1>> A~l(" AS 'peR PLI'lT -nfeRE:ot? )i:l!'!"GI!>R.bl:'~ //OJ PL.~1 ;goal: Jq. i>Ac,e 6t .",US}.;, P<:'C.OyJ <tf:' ~.,.s<..o (Legal description of the property and street address If available) c~u""""J PJ-OAI~A. 2. General Description of Improvement RENOVATIONS ANV EXPANSION OF OFFICE SPACES AS PROVIVEV BY ABC HOME HEALTH SERVICES , 'Iii" , I , I I; ~ ..', . 3. Owner Information: Name MI CHEAL HAlIKTAKL<\ Address 7'2.0'2 37NV AVF City ~AMPA State 1=/ I nterest in Property: OWNER Name of Fee Simple Titleholder: ( I f other than owner) Address City State 4. Contractor: Name PAUL SCHAPER CONSTRUCTION, INC Address 11250 SOUTH HWY 98 City VAVE CITY State FL 5. Surety: Name BOYETT INSURANCE 14114 7TH STREET City VAVE CITY FL I ' Address ~tate 5,000.00 ' .' Amount of Bond: $ 6. Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1 HaU7), ~Iorlda :;tatutes:. , ,,: ' .. '. .. " ': "1 Name .4", \, ., . Address 8. I n addition to himsel(: Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. City State '"I,,' 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified.) . Signature of Owner: Ul'.rjlUJ~ ~~j Sworn to and subscribed before me this Mday of '- J w Jy 193t!L. [)/({KJO ~ Expires: JDu-, I ~ 199 "I)TARV PlIllUC, STATE OF F'P1UDA."i'. "JY COMMISSION EXpmES: Dee 11, 1994. "~'. BONDED THRU NOTARY PUDLIC UNDERW~ ,'.; .il, ~ " 'j,',' I "! I ~ Notary Public: My Co.mmission PAUL SCHAPER CONSTRUCTION CO. RESIDENTIAL & COMMERCIAL Registered Building Contractor RB 0032524 Registered Roofing Contractor RC 0056763 11250 South Highway 98, Dade City, Florida 33525 Phone # (904) 567-8580 Bonded and Insured PROPOSAL FOR: Phone:813-626-5096 DATE: 6-28-94 NAME: MR. MICHEAL HALIKTAKIS JOB NAME: ABC HOME HEALTH SERVICES 6563 LANI DR. ZEPHRYHILLS, FL. We hereby submit specifications and estimates for: RENOVATIONS AND EXPANSION OF OFFICE SPACES AS PROVIDED BY ABC HOME HEALTH SERVICES, DATED 6-14-94 LABLED " FINAL " INCLUDING: - NEW WALLS WITH 2 X 4 FRAME ON 16" CTR. - INSTALLATION OF ELECTRIC AND TELEPHONE LINES AS SHOWN - DOOR OPENINGS AND ALTERATIONS AS SHOWN - DRYWALL FINSHED AND TEXTURED TO MATCH - CEILING REPAIRS WITH MATCHING TEXTURE FINISHES - REUSE AND ADD NEW HOLLOW CORE LUAN DOORS AS SHOWN - INSTALLATION OF FORMICA WORK SURFACE - ALTERATION OF EXISTING BATH AREA ( ACCD. TO PASCO BLDING DEPT.) HANDICAP COMODE HANDICAP GRAB BAR AT 33" HEIGHT 2/8 WIDE OUT SWING DOOR - INSTALL MATCHING BASE BOARDS - 1 X 12 SHELF SECTIONS AS SHOWN - PRIMING AND PAINTING OF DISTURBED, NEW WALLS AND TRIM - STAIN AND SEAL DOORS, TOTAL PAINT ALLOWANCE $ 1,110.00 SUPPLY GLUE AND INSTALL OWNERS APPROX 400 YDS CARPET - ESTIMATED COMPLETION TIME: 4 WEEKS ( 2 PHASES ) - ALL TRASH REMOVED - PERMIT INCLUDED STIl\II..T Au~" ''f"'+ TOTAL COST $ 16,990.00 PH ASE ENT PHASE 2 .00 AT COMPL $. t. 0 Cl ~. 00 f\" C. 0 n'\ ft l.i: T I 0"-3 f> HAS f' 1. 8^ 1. AI.) Co;: A"f 'a M PI.a!'T Co~ P#I AS E 2. SCHEDULE AT COMMENCEMENT OMP CONTRACTOR ACCEPTED: SIGNATURE DATE: i--Is:.CJ1- lS. ~ >> ,., ~ '" flIP - , ~ I '3.' f ~~~ ,. ,. lit- ~ - ,,0- / / ~ .. . " rc "', J -ti '3.' - ~ .. r it. ~ ._.._m ~ Y~1 ~~ cr-- r;J\ \ y . ~ C ~ r:-:: cr r- ,~{) c- ' :J::/ -s t- ~ ~ r----- -:r f- \ Q? r) - ~ ~ " \ ~~. .=::- - - - "':i~ !i:! ~ Co ~ .,. ~ ...,,.. - ~! ~ '" ~t "'l1" ~r "- p ,r~~ ft' ,. 9C. -~ - ..~ t. .s i t M , cs- t: . .. . i' ~ (::t " >0- r . ~ ~ " '^ . 5- ~.~ r,)' .l 1- ~ K , . '- 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 Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED o 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. " Inspect. Date Re-Inspect. Date ",', Inspect. Time Inspectors Name Fire Dept. I D # Owner/Manager Signature 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. Dept. Pink Copy - Business ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION I Business Name ;(I.5r/f f{Y1'" Address I.c S (. _~' / A-It/ I Business Phone Occupancy Load ../ .!/J.~ J .1 -- /. ..." . ~...,.- t"-!' __ -! V'\ /0 /*"-;. ,__.1 <:"' I ,r1 ,'- <" <; Classification I~~" c D/L. Owner/Manager'" ;1,1 u ". { " A 7t(:-' (~,. 4.<1 1 Emergency Contact Phone Alarm Monitoring Co. Phone # o QUARTERLY ORE-INSPECTION o APPROVED TYPE OF INSPECTION CONDUCTED o FINAL 0 ANNUAL o OTHER o NOT APPROVED OBI-ANNUAL ~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. 11! ( ! c:>" ~-: ,K /~ <:_'--- r A. ".-. 11' "': (/ y 7- \.'j / '-'.~~ / /1 ( / ( c,_ P I / /'--t/ ~ D' .1// . / ._.,~r'! G ,.-"''"'',..- i (':'{ <,,: I / . .,j ~ '" , .." . ,. ". ~_." ,-' , -, '.".. --f.r~~~,!.'P\~ f.. '-.._--t, ___,. t _/,.." " / I ) ': .../.-/-7 t~. ./' /. '~...fl...~ _,_ --........! ~f.- -- ,.... "'-"-- ~ C"'L/ o( , i ,,,t_....../ '" /' <__.1,-",' ..'1' '""""'-- (.,.( ?" 0" 'A /\ Y. r (:;r+-' /1 / l" /' ..;t"_. , C, 1 f'", ~I>... ........._./ , "0 ce.. .~ (,. C,1.... ..f of '-t\ ..! i ~"r~..; ( ," ...J "- S "- '/-::.- '. / cr -. 1;- '<: .~_' v .,,---, ~. "-_ /~.- I. .,If l:. Cr"' .~ PG"f(, I "i \ ~ I. ) I. I' 0 "~- , r::~/--. t 1"'\/\ (, /" "..c,!,:. ~/ r- ~~ S> r.'~.7...... c: , ~-- . . !1K' ,..f rZ. I '" I r'-. i ~.I ,,' " '. --. '>. zr::V "'" --- " 1--~"", " ( ~. /\ P ,/'. ,- (-- --, " .( P' i (,.. ../'0" , , .r .. ) I S j" c' r.~ '{/ I JOe (j ~p .\- c" /. ". -7 ~~ c.: S;;.:;.~\ :0. c. ',/ ~ 1,/ l____ c~... A ) Y ;:\, "+0, Inspect. Date sso ~~;/, j, ~ (0c~/./f~ , Re-Inspect. Date OwnerlManager Signature f t // /' I spect.1ime ./ 2 ~~~/i:;'~;:;',/ Fire~~#. . spectors Name " /. ~---<:' ,/c.-- ~ , \ ~ \/ Title This building has been checked ~y the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum standards, the State Fire Marsh~I's Uniform Fire Safety rules and other local fire safety codes. \ Whll~ Copy - File Yellow Copy - Bid, Dept. Pink Copy - Business . :15' ~ . - ~'C:.. \-\ :--..... > , 1 'r +- ~ @ ~@ ~ \1'\ ~ V\ ~ r , ~ 1 J ~ V } ~ ~ .... ~~ r - - ~ ~ 1 --<. '\ J' . ~~ 1i' .,., t L- I a..'':'--~ J~ 3 '~ 0 ~ == ~ .. C'" . f \. \ \ r :s:.. p ~.~ ~. K- I ~t ~- :It .. ~ ~~ ~l \ ~~ rs---- ~ " <=' c ~.~~.~~.-y J/lf-T ~ ,,~~; \ ~ " '\ ~ -<::; . .:::- 't .~~ ~ i':9:9 .. ~ ! . .,. ~ ..,.. ,. ~!'J ,. \.t "'~ ~p .. ~ .. ~-~ - ... n" ,. 'IC.. , - ..~ t. ~ ~ i (S' ca 1: . , ~ ~ ., ~ ~ " t- t. ~ A '" '^ . . .. ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION /I r;'>- /,1 (..,~, Busl'ness Name "/< I ,/ /,r --"',../.,). /1/1'. ',~.., Ii' Q ,~,",-..'-) .......- " ~.I'.' (, '," "-,....,. -,' ';. r~rI" ,_.... ./ ,.- . ~- /) Address (:;/ > (.1~5 ('/+/1/ lJ/? Business Phone ;'Y'f,u ' / (/ l / 7' Classification ~ 9~y.(-::<:j,3 Owner/Manager ~. I- /) (..) L"~ 70 <I ) J r> '0"; )CvV Emergency Contact Phone ! 'DW-'2$or- ' .:7 Occupancy Load ....AJarm..MeAit&FiRg-.Co. _. -'7'<? CONDUCTED Phone # o o o ,~-~ INSPECTION ( (d~.!J.:: QUARTERLY '-.'--~INAL 0 ANNUAL RE-INSPECTION 0 OTHER o NOT APPROVED OBI-ANNUAL 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. ," : "F _..-. /{..I ~-,->-'.<~ ,r ,.. " \ ~_;) ,/~;:;J'~ V./' ; :..::/ //" /.. .7 .'r '/~/,1//'/? .''')'/:,/ (J;: /y. 7" :..<.)l."?"'1' .- _":>../' l?:~~ .' ,/~/ ./ ,t /~~' /) ."~~) .'j~"/~:':-I~ ~~. /7., 7 r.' ".' '../ _, .:-' ,/,' N"-, J" ":' ,.......7i,.L-l J ~:.., <.> . I /' r / / / ,1.,,/ /1/'1) · ~ ,;"/V"l j .// /1)) .'// c'. , /' ",,"' 4 /1. , . -.' , '7 /;1 " \ ,,r:" \ . i ,'. ,I "II. Y ? t.. ,rvi:") {...> i.... ,/.7 .:"( /--- (, /'.. /f_.l .< ' . .' ~ -..' " . "'..... .. / .. !:.,'.'"' ,. .c"yo/'}' /~/ ;. /1' ) "',' j I, ~ /1".~ ,~v- l\ ,"-' , ;~":~.." :,...r :...1'..../, j . .<.:. I") ,- " ...) ./ , /.' '.1,.' r -< .u .'.(/1'-1 f" ( < ,?;'>A:.. , ! ~ '>,;) .'i I' ./~~~~~ 11-. ._ / ", ~ '4_{__A':,~.... /I t QNI::'/iAr<. I rlT- /1 /~';:"',lVl ./". i ,..... ,. ~- " .-' -" ~<,.s /'.'>:::~ ( /'~1'/I. / .',.......1< -. ,<:. ) . / ~ ,,"'V)/( /'\/ /..~r <) -,,',.N //,,:,9*( r .' ~l .'!:. /1/0/ /'''11';- Oli'. l,j, ,/ )1'" (C /'/.0 / '\ ~-) -'., .:; (/ ,//) (/('--- Inspect. Date ... -" / ~ Inspect. Time '.,. ~ d Firep'i('I 10 *, " Co Q Re-Inspect. Date Inspectors.Name . ?'::...J--.e...-L-Z'" {':':.: ~':.,____.~ : , , 1_.. J . I . 1'1 J. / ".' ". .... / ;' , . "..,-' , , I Owner~~ag=~lgnature /,1 .~"I ) f P"~~'" I c__ Titl~\.I/,-1 it' t' )( (,j,' 1/.1"'/-1 ~ ,-, . This building has been checked by the Zephyrhill~ Dept.~, der the codes & reg~lations of the NFPA minimum standards, the State Fire Marshall's Uniform Fire Safety'l'tl~~ d other local fire safety codes. White Copy . File Yellow Copy - Bid. Pink Copy - Business .. /. ( >J: I ,1.0'/ , /r / r; /~/'~~ /) ~ .,':::' <,," /' /J .F / fir r[: I '\ I / .k:).T '/ ,'i~/.:J,//" 1/. .' "'/ .~/ -.' - r" '1;</,' or' t< t <) l<'~>", /-1- l.;.o'<"; //'/f",A. I c.15.. ~ ~ "'-\ , I ~ ~ if }-- :Q@ ~~ f- r ~ l ~ ~tJ :'0 t ~ ~ -<" J' ~-t A:' t l J~ J . ~ ~ ~ e ~c ~ .,J , ~ ....,." ~ ~ ~ r <;'> ~ ~ "" r ~ ~~ ~~ ~~ i- ~.a.. .;' ~ r 1-. t . ~ :IS' - - ..1 . ~ ~ p ~ ~ I a' .~ C:. V' ~'t ~ :.., \\ r. .... ~ ~ f9~ ..Ii ':it.. ,. \.. .. '^:J- ~ I r .. il:i=-~ , - J i' t i I' 1: jt , ". r t'" A. ~ '^ - t{ . ~.~ -I' c:.. "?'i, ~ c.... .~~, ,..-76 ~~ ~