HomeMy WebLinkAbout94-4347
BUILDING PERMIT
Permit Nit?
CrTY OF ZEPHYRHILLS
(813) 788.6611
_ 43471]
9-;2Y-7'f
Date
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
::~:::,~,:ne~ ~~ ~ a
Water Conn:
Water Mj'!ter:
T.I,F.'s:
Parcell.D, #
Zoning: E2Y~: Radon Gas:
Description of Work'Y--u-, .A1A~ ~ .f
/q~
[0/\\
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordarr:-e with City Codes and Ordinances.
DATE
Inspector
~e;~~:;:e K~
Company
Address
Telephone#
Valuation or
Contract Price
~~
City License Registration # 6 ?3
State Certified License#
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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Florida Department of Environmental Regulation
Twin Towers Ot11cc: BidS, . 2600 Bl:.1.ir Scone ROlld . 'P.LlI:thas.see, Floriw ,\~,~"N,.!..()()
DlII F...",. 17. '/11.80Clllll
'''''' r ,.." S.". TMll f\eQoIIr.aon Form
: E..."... DO'. o.c...- 10,:990
I DEll """""'000 No
IF"1d '0 br DfIll
Storage Tank Registration Form
1, DER Facility ID Number:
3, New Registration 0
Pie... Print. or 1'fpe . Review Instructions Before Completing Form
~
!5IR03CO?J5
2, Facility Type:
Tank(s) Revision G:J'
I
: 5, Facility Name:
New Owner Data 0 Facility Revision 0
tasCQ 5 I
GT E - "%.€fh~rh;lls
Tank(s) Address: 'lo~ As..J't:?" A
Cily/State/Zip: "L.e f h \/ r h;l \ ~ T L-
Contact Person: J" Y\ ,,\~(\ l"Y\ en-\-cl, ~ f\ ; a r\. (l e
6, Financial Responsibility Type: St' \ {' - \ l'\ 8, \ ^ r-e C
4, County and Code of tank(s) location:
Telephone: ( 5/3) .::J.d...~ - i-f 74 ()
7a, Tank(s) Owner:
GTE
Owner Mailing Address: -p, 0, b 0 'I.. ll0 M C- 7 / !
~n:paJ 1=L ~3~)1 -c:I'~
t.: Y\ 'v \ Y" 0 Y) Y)H?f1 -\-u \ C.O ~ II 0, ()'.~~_
City/State/Zip:
Contact Person:
Telephone: (~) ~:i=-~ rz.~l_,,_
i 7b. New Owner Signature/Change Date:
_1_1-
8, Location (optional) Latitude: _0_' _" Longitude: _0_'_"
Section_ Township_ Range_
Complete On. Line For Each '1lInk At This Facility (Use Codes. See Instructions)
Complete 9 . 16 for tanlt$ In use; 9 . 19 for tanks out of use
9 10 11 12 13 14 15 16 17 18 19 1
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20,
DPR# ,_
Department of Professional Regulation License Number'
Certified Contractor.
.For nfIW tank installation (X tank remC1.'8l
To the be8t at my knowledge and belief all information submitted on this form is true. accurate and complete.
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Print name & title of owner or authorized person Signature Date
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