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Home My WebLink About94-4375 BUILDING PERMIT Permit N~ _ 4375r:- /[) -/~ -'1f CiTY OF ZEPHYRHILLS (813) 788-6611 Date ~.. 1~hh_~ C-~CTRI~ P~- M~' Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # r,:l-tN~~l1 (}~~ Water MJ!jer: T.I.F.'s: Zoning: Description of Work E~Y C?de: ~.~ Radon Ga~ ";;;:) a~~~4A- ~ ;,~'ta.!14b NO OCCUPANCY BEFORE C.O. FINAL /::.;).... Je; - fJ DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordarce with City Codes and Ordinances. DATE Valuation or d . tJ~ Contract Price'-7 ~ (;)OiJ City License Registration # .~ /9' State Certified License# Fe!. !}t}OO 4P6 Permit Fee Signature V Company Address Telephone# 5,'~ I( , -~:mO'O Inspector BU~' / /) l?~~hC;;~~~- · C_~_~_LEC~ ~U~G M~AL -- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Ins!. Compressor Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE F01~ M "'fl.t<~T SC:WRR.e 1:.Uc._ PHONE ~I-a -7 B 0 .. g~ OWNER'S ADDRESS 3 B \ 0 9 MA~ke'T 5Q\JAltE -z.E.f'Hy RlilL.LS I FL "'3~5+Q JOB ADDRESS S R ME LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~-:l.tD -? 1 PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PRoPOsED:bew Construction .-Jddition ----Alteration _:Repair _Install _Sign ---Hove _Deaolish PROPOSED USE: _Single Feaily /' ec-ercial ---1t/F _' of Units _M/H _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: F.22 e LlA it 1\'1 BUILDING SIZE: x 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED _BUILDING $ ~< ~~/.. Or') Valuation of Total Construction _ELEC1"RICAL AItP Service Florida Power Corp. W.R.E.C. ---1IECBAlilCAL $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other FINISHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION RUIIJ)ER Signature COHPANY State Cert. or Regist. . City License Registration . .......................................... RI.RCTIlI\;UR COIIPANY /l P (!,. Ed, E'{!~~ c gtj . Ci'ii. f ~ . State Cert. or Regist. . _~t') 2/..., SilmAture . .J ,1./#41 .i City License Registration . ,;;l/! ........ ................................. PLUHBER COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... MECHANICAL COKPANY State Cert. or Regist. . Signature City License Registration f .......................................... OTIIRR COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS , Tbe undersigned understands that this peI'lit tay be subject to -deed restrictions' wbieb aay be lOre restrictive than City regulations. Ihe undersigned assUleS responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they tay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor tay be cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to "bat licensing reguireIeDts aay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheI'lOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for wbieb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lay 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 with a copy of 'Florida's Construction Lien Law - HoIeoImer's Protection Guide" prepared by the Florida Departlent of Agriculture and COnsUlef Affairs. If the applicant is SQIeOne other than the IImmer", I certify that I bave obtained a copy of the above described docUlent and pro.ise in good faitb to deliver it to the "mmer" prior to COlleDCl!lellt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developllent. Application is hereby lade to obtain a peI'lit to do work and installation as indicated. I certify that no work or installation bas C08enced prior to issuance of a perlit and that all work will be perfoIJed to lIl!et standards of all laws regulating construction, City codes, zoning regulations, and land developllent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies laY apply to the intended wort, and that it is IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Sueb agencies include but are not lilited to: I Departlent of Envirolllll!Jltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllll!Jltally Sensitive Lands, Water/Wastewater Ireatlent i Southwest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses I Arl)' Corps of Engineers - Seawalls, Docks, Ifavigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Ireatlent, Septic lants t US EnvirODlll!Dtal Protection Agency - Asbestos abatl!lellt I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a 'cD.lpel1Sating volUlll!" will be sublitted "bieb is prepared by a professional engineer registered in the State of Florida prior to peI'lit issuance. A perlit issued sball 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 peI'lit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle invalid unless the work authorized by sueb peI'lit is COIIeIlced within six IODtbs of issuance, or if work authorized by the peI'lit is suspended or abandoned for a period of slllOlltbs after the tile the wort is cogenced. One 90 day l!Jtension of tile, lilY be allowed for the peI'lit with fee charge of $15.00. the l!Jtension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillOnth period, or the project will be considered abandoned. WARlfING TO (lIfER: YOUR FAILURE TO RECORD A 1f0000ICE OF C<IlMDClllBIII MAY RESULt IN YOUR PAYllfG !WICE FOR IMPROVIIIEIft'S 10 YOUR PROPERTY. IF YOU IJI!BID 10 OBIAIK FIIlAlfCING, COIfSULI WITH YOUR LBMDER OR AM AnomY BEFORE RECORDIIfG YOUR NO'I'ICE OF COHMEIfCEMm. JOBS UffDER $2,500 IIf VALUE 00 If 0'1' IfEED 10 RECORD AIfD POSt A "IfO'l'ICE OF COHMEIfCEHEIII". SIGllAlURE: omR OR AGEIf! SIGII1IURE: COIllIlAClOR S!A'rE OF FLORIDA COUIf'fY OF The foregoing instrument was acknowledged before me this , 19____ by SIAIE OF FLORIDA COUIf'fY 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) (Nam~ Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC .I.'Ji .L'" t1'l . .1.0;" I 10.12.84. U-j .L.j;j.j\.l\.ll,l-l;> 01 : 04:P1'.1 Alij ~LLCl"ll 1~l HINSON BLO CORP i(!J i)i)2 /1)O;} ;po 0 2, . .' . . .- "'.' ~..........:.-.._-".,'_....._...- , , CONDI'rIOHS OF PBRHIT APFIDAVIT > j:!,~uS;~ ":;~~t ':~~T"~~'1Ct to 'W rul:rlcila. UIa IIlf 110 .... ratrlCU.. IUa cnl ">W~"regwtlCIIII. De lIIIllerallllllll! -.. f88jICIIIIJbllltp for a.'ll.... dill ~ oppJJcabIa doIIIlIIbfot.faal. . . B. LI s c RAf;rORS Alf1) CO RA fOR RESPQJfS!'B%LITIBS If tlIo...or lu h1ritl · CIlIItraefDr or """u'C!Drlr to -tab -. till, .., 1lI ngWaa tii 11......11 ......v..w willi .tata omllooaJ regulatl.... If tlt CIlIItrilotor I. Illlt I.IcelIIId u ~ Ill' 111I, iIotll ta -1lIIl1lllllictar III 110 rlte4 for · .1t4"""1Mr vlol.a.. UDder .tota I... 11 tIl8 _ or IallDdad ....tmtar ila IIICtIIa IIlD Ual: 11C111tI~ nqglr_ .., 8jlJI11 for tlIe iDWl4114 1OIrt, they ar'drliod to Clllltll:t.U. Clll of kp/IJtUlIt IIIlldq 1IQutIat. (tiS) 7BS-56I1. hr!llorIon. If tlIe ..... hu llted I CIlIIlm:tor or cootroob!n. lit II Illrlalll to 11m tilt ClIItraclor(.) .Ip portI4If at th. 'CllIItrilotar tIct!aaa~ of W. OllPllCltlCll lor IIllilI tkr Ili!I H fIQIlllaW.. If".,.. th _ lira U IQ ....tnrIm:. JOU ... lOIHcatlog lllat JUU. ratbr IUa t/II eonl:racw. Ita ~, for IIla 1lIltI;. U t11ll111Dtractar tddq JlIIl III alllII If CllI1tmlm: that IIlfIlll aJlllIIIicatl.. tllat lit I. oot properJy U_lIlllIII IlIIt 811t1tJa4lD PIIIIlllig fP~ lll1la eft, of !epllp:blIIi. . . ' c. .TMHSPORTATIOH' IMPACT PEES AND trrILITY C~ION ~S D. PJNS'1'RlIaJ:ON LIEN LA!!! (CIIAP'l"EIl 713. FLORIDA ll'l'A'1'lITBs r AS AIIBIIDRD I 1 cert.tfJ ~, I, tilt IIppl1eut, .n been ~ 1f.ltll e4n ol"lmil2i'. Cmltnet1111 JdID La . ...,...r. Protactilll1 Guidi' 'dpared br the IJodda Departlent or 19r!lN1we and CoanIer lfflira. If tJie appUcut 11 JaIel:Iaa ok the f:ba 'mer', I eertJ.f1 that 1 baye obtained is COpI of the aboot dBlCl'ibed doCatoat an4 lImdJI 1a QIII4 fl1t1l to dl11'lr It to the 'lM1ar1 liner to ~CfIIIel1t4 B. C~C'l'oa I SJOWNER I S AFF1DAvtr . I CIrt1ty that III tbo 1DfOrMtioa i~ thill{lPl1eatloa 11 ICClll'ate and that all "Drk I11J be 40aa In ~lllDce 11th all appI1cabl. lawa regulatIng CQUtnzct1oo, Jan1ng, and IIlJd dlle.loPRDt.. .Ap~Hr.at.lon is bwbr lIIl!e m obtain a gmlt. to do NOellD4 .lcataUot!on II 1D41c.atelf. I cartifr t!lat dO vort, at JutallatiQl1 baa cc.encad prior to ia.Iuantt of II PtQit iUld that illlOrt r1Il be PBtlotled to lilt 1t.aDdarU oll11lawa tegu,lating conatrtJctJOft, CIty cod", aoa1ng regu1ationa, zmd Jal),t dar~ regula.tlGallA tba iudsticU.. I a1eo certify tblt t lWImtaM tJzat tk r~aUGDS DE ot!ler go~tll agec1q IalapplJ to tba iDtIDaed ~, aDd Uat: it II If RIlllOlllJbUit., to 14&oUfr ldIat acUQWJ I IUIt tUa to be 1a COIplWlca. Such 19lUdu Illd" bat In aot .lJt1t14 to: · ~attllmt ollnYiroll.llmtd BewleUOl1 - CiPreu Bafbads, ~ot1u<< Anas aacllDrirouatalb ,..iUn 1GdI, _tu/lastewatar fnablll~ · ~llt!Iwqt llodda w~= XanaqllJle.11t Diltrict ... Walla, tnna. 1II1beodl, IiltllD4 WI, Altering Watarccucaa t W ~rD8 of~lI1dn~~ . S.~alli, Docb, lafigabl. Watuo18 · DeDattleDt Df B.ea1th I Rehabilitati'e Buvicq, BufUva.ntil bll'tb [JnlJ. Willi. Wlltbatlr ~tllDt, SapUc r_ · 118 In'~tal PtatBct10n .CY - I8beatc. ahatBleDt . I I also CIrtlfJ that, if Ulllatertal1a to De used 1D. flood Igae 'II or 1.,Ite.', 1t 11 UDduttuad tblt I dtabaqa plan llddruttD9' a '~W91ol_' rill be sw.1tted tlticb 1& PI'BpUId bJ a proftldGDll eagbaar registend 11 tbI State of Florida prior to peni~ wmcs. A pmJt lomd IilaIl be -trued to IlIl . 11..... to Prar:ud IIIth tlie 110ft Illlllllt II i1Ithor!tJ to ,.IoJW, CIlIct1l1tor. or set aside lilY ptoriaiona of the tech.aJca1 codu, not 1ha11 iaauanct of a puait prevent the Bu.i1&g OffidallrGl thereafter requWng I cmrectian of error, m plw, conat:r:nctioa, or YiuJatJons of IDJ cede. .I'I1I7 puait JIIV8fJ aba11 ... .tDI.Ud unIe.. the trOd lutbcd.14 b1 8Uell pmlt is ~ced within sLr IGlthI of 1uuace, 01' Jf 1m'1"riled ., * PUI1t f. 'U8perJded or ibedOnll4 lot I period at a.tz alba altar the tile tile -=1 JJ =-aced. Gat 80 da1 lltau100 of tile, II, .bt allCli04 for tJlo ptCait with EM cbarga of t15.ao. flit atllUiOIS sha11 ba nquuta4 1lI11rltiGg to tile 1U!1a11g Off1c1&1. .In approved wpeat,{oc lUSt be 1~ !JgriIIi sad! siz atb Pit1olS, 0: tbe projlct will be Mfttlf"lrtd I~. VAIIIIrG to oms; TOOl FJILURB to .RICCRD ! lroUC! OF ctIIHDC!JIIR! lilY USULf II RXII 'IrlG Iller fOI ..~ 10 lOUR PJlWIDrr I IF YOU ImIfD 2'0 OBJm FI.IDCUG, alIBULf VIm YOUR LUIIBR 01111 IlallDDQ _ JUrICI 0' fDO!IIC!Ha!. JC18 UXDD *3,500 II YAWl 00 ~ BID 10 IICO<<D UD POSt lllJOrla or I. ~ - SIGU21JRl: IIID os AGD! BfllI ap FUIimI coom OF The foreg01Dg 1Detrument was acknowledged bofore 118 this , 19 by - ST.UI or PUIlDl axrnr or Pinellas The fcrogoiJlg iDstnent was acmaw18dged befoJ:.'8 se this 10-12 _, 19 ,94 by ',_::" ., ... ~.. "'- .. ',- ,. ~ -. John R. Kavula ' , . '" .....: who "'1s perSODally blOiii to IDe or ldio. ~ .. _::.:~':' produce4 na as 1deatif1cat1OA &ad who did/did Dot ~tate IQ 04th. ;.; ,~ ., I .~ . "".. "I " ~"'" I ';'~ '"' I ....-~. . . I ! who is peracmall,' inOWn to JaG oZ' who has ptoducec1 _ as idcu:ltificatioll zmd who did/did not tat4 an oath. - (Siguatura) (H.,. T1Ped; Printed or Stamped) HOfARY PUBLIC ,I,{ I I Me!.! SA TREM2:LAY State of Floric3 My Comm. Exp, Dec_ 23, 1994 L fJk u ZEPHYRHILLS FIRE DEPT ,-' /" 1'-/' 1\" , c.-.~. r(- , ./ /;' f ! t~~ Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION r / j" / / / / Business Name r I i/ /1/'''''1/'(( " ,,,;I ,~ ' 1/1" Ie Classification Q..; "C;' I;; V /IL'~ ':;)/ /h . :-r C' Address :' 'if! .;;;' ~ . / / /""~ A ;( -<:- !/'ff Business Phone ;'J .:) t/ A. Owner/Manager Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED o FINAL 0 ANNUAL \0 OTHER /)/cr;c.,,;,;t-,t;;/ d/I J?c'!/ .:5'/c ,0 OBI-ANNUAL o NOT APPROVED J ., - / ); /'{,~ --- /7'/ #/<?/.I/ ( s.J;;,v'1 \ ~ ~- ,/ / 'v ~ 1,2 /II .' 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. , . //. ::;- '\ (I",. /) </, /" <. .c; /!;!.) // '5 /'/ 7 -F' ') // fJ/fi" /v "';' v- " L / '" .' (_t.-.. __ r r (;: ~~. . " I~,I;?' /.... r -- /-" .-~,~- '-I '/ -;J. /.r r.' -f!):.' -:.;'] <;;' I.." ,-'1L- /:; " C /1.. C'?'''' '--..-" / 1-7/'/1-' 4.. .t;\ i)} / Ci/ ;f;ttPI(t....e. 1 / __. ;7 /) / .' ''.,./,iJ/..-:r /t / {( P,...!fI if'/" /lvr;'/'? /./ f- /'~/ ,',0, ,/ /~ -{ /lit:;. )2 /) ) '0 v .; J;.. .";' \ / f ; 'Xlr ~>V (~:.'//i> ,;;~t:~? {/c~-'7'-~-t:/ _ / -1---" Ie / {rldl,f)!...k. I ~. / Inspect. Date / (J If)- /)' t:'.L Re-Inspect. Date Inspect. lime / -:./) Inspectors Name ~!"~"i ,/ ", ('~ '?-: :-\l y l/ / ~" :.;.' I. ...../.'- Fire Dept 10 # 'J - / ./ 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. Depl. Pink Copy. Business ...:, ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION /' / " Business Name //"'/ //)le<% /(:,14 C-' ,;j".t.../ c: Address .3 F / 3 ~- / J/4A...' /:f' T ::'4h'//~<< c ,/- Classification ,;:-7// '1/ /VR'~ ,5' Owner/Manager );'/-;:. a&t;~Je Business Phone 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 ~ APPROVED o 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. //,// / 7;-/?l~ A~'4!'o//')c~/ //.//7/} /,;J//9'kj- C'irc////./.~/e/ k %"r..~LJT ( .. ~ lJl.JL (J/lclL' ;::/6"&0 /<;1.t/p r~ A~ /?r'c;""Lt!-~:;: .4-::, ~~ '/-h/ <7 /t:/A'/~.a/ I' , Inspect. Date I ?--/c;z.~/q~ ~ Inspect. Time 1,5 - 3;!J Fire Dept. ID # ~...> -/ Re-Inspect. Date Inspectors Name ;;;,4/1/7 & 'L- OwnerlManager Signature ~~ Tille $.., PT 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 .. FUe Yellow Copy .. BkI. Dept. Pink Copy .. Business