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Home My WebLink About95-4621 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788-6611 _4621,& / - /-3 -- 7~- Date j3s:tFD BUILDING Y'f. 7~- ELECTRICAL 0~.-.5 () PLUMBING MECHANICAL Sewer Conn ~:2....3 6 " -S~ Water Conn: 6/ J,., (TD propert~ow. ~ ~ Job Ad .",.3.5'--/ '--"- If! ~ -. -. ..tJ Parcell., ____ Zoning: Ener~y COd~. if Radon Gas: Description of Work ~/1AA..K _ d_- ~ Water Meter: T.I.F.'s: }t..: j I, n / tro (b.gJ;.. -? 2J.,LL- ~ 3 ~~:J.. -7-9S' NO OCCUPANCY BEFORE C.O. FINAL '-0 -2...D ~q ':::> Inspector Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordarce with City Codes and Ordinances, Permit Fee Signature Company Address Telephone# ~~.- I .~\J-0'~ Valuation or Contract Price " / ....s /J7f7..J. 00 ./ City License Registration # /? / State Certified License# BUILDING ~j~ ELECTRICALJ~ cr/~ PLUMBINcf3l' .~~Lti.u-Q &~ MECHANICAL Ftr. Pre SLB Lintel FRM.~ Insul. CL WL /"' ft,,*, ;j.-Le>-C(5 pLL-0 Driveway Breakers Ducts Insl. Compressor Final Tp. Serv, Rough In:J...\5-4'1.~ Meter Can Const. Pole Pool Pre-Meter Final 3.2.u.95 ifH; SLB Tub Set,.:)/ \~- g.") (~ILl Water Sewer Final :)-20'7> 81L>--- REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 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. APPLICAnOR FOR PERKIT CITY OF ZEPIIYRIIILLS BUILDDlG DEPAR'11IERT OWNER'S IWtB (;1om4J 'Fo..!:Tf:::IL PHONE OWNER'S ADDRESS .;5.ftl~ :3? // "7 H_--;:U--k#-~t::/ ~.J-4,G~ JOB ADDRESS ..32/1s- - 3J II 7 rJ<.4,e~f::/ <Sq u4/8<~ LEGAL DESCRIP'rIOR: LOT(S) BLOCIL.--.SUBDIVISION PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:---.Bew Construction ---.;\ddition .6.Iteration ~pair _Install _Sign ----1Iove ---Peaolish PROPOSED USE: ~iDg1e F_ily ..JL:eo-ercial --'I/F _' of Units --'I/H _Indust. _Swia. Pool _Other -.Jlestaurant Ii: Health Departaent Approval DESCRIP'rION OF WOH: II'lOVf: W/lI..-i..- S. I A.-J E K/STI AJG /3-u I.cA /J...) G BUILDIRG SIZB: x Square Feet, Height RESIDERTIAL: COMKERCIAL : ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDIRG PLANS Ii: (1) SET UERGY FORMS, ArlACII (3) SETS OF BUILDDlG PLANS Ii: (1) SET ENERGY FORtIS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. __UILDIRG v--' RT,RCTRICAL AIIP Service Florida Power Corp. W.R.E,C. ---lIEalAllICAL -0I.umIliG $. Valuation of lIecbanical Installation GAS ROOFING SPECIALTY . TYPE OF COIlSTRUcnOR: ~ocIt -"raae _Steel Other FIllISBED FLOOR ELEVAnORS: FT. IS PROJECT IIi FLOOD ZONE AREA? YES NO .......................................... Signature ..( CONTRACTOR SECTION .. cOtIPAIIY &;.L ,.s7dt.;; (lO;J.s7eOCTI"OIJ State Cert. or Regist. . City License Registration . / ff / .......................................... RIITIJlER PLUMBER COMPANY JOI2.IJ4.J bLEQ...ier ':!- State Cert. or Regist. . , ? X-- ty License Registration . .................................. Signature or JDr2IJ~ ~~-CTIC(C- te Cert. or Regist. . J '/ / City License Registration . ...................................... IlECllABIGAL COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature OTRRR COMPANY State Cert. or Regist. , City License Registration . .......................................... Signature APPLICATIllII APPIIllVBD BY ,);1 ~--C< it Jtl tr<F- ~ PERKIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Ihe undersigned understands that this penit lilY be subject to Ideed restrictiODSI ,bieb lilY be lOre restrictive tban City regulations. !be undersigned assU1e8 responsibility for capliance ,ith any applicable deed restrictiODS. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer bas bired a contractor or contractors to undertake work, they lilY be required to be licensed in accordance ,ith state and local regulations. If the contractor is not licensed as required by law, both the OlDer and contractor lilY be cited for a lisdeJeallor violation under state law. If the OIIl8r or intended contractor are uncertain as to ,bat liC8D8inq requireaents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Deparblent, (813) 788-6611, FurtberlOre, if tile OIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of tile IContractor SeCtiODSI of Ws application for ,bieb they ,ill be responsible. If you, as the OlDer sign as tile contractor, you are indicating that you, rather tban the contractor, are responsible for tile IOrk. If the contractor ,iabes you to sign as contractor that lilY be an indication that he is not properly licensed and is not entitled to penitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILI'tY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, tile applicant, bave been provided ,ith a copy of IFlorida's construction Lien La, - lIoIeoImer's Protection Guidel prepared by the Florida Deparblent of Agriculture and Consuaer Affairs. If the applicant is 8OIC!OIl8 other tban the lownerl, I certify that I have obtained a copy of the above described docllleDt and prOllise in good faith to deliver it to the lownerl prior to co.encuent, E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the infoIlition in this application is accurate and that all IOrk ,ill be done in COIPliance ,ith all applicable laws regulating construction, loning, and land developlBllt. Application is bereby Iilde to obtain a perlit to do ,ark and installation as indicated, I certify that no work or installation bas CDIeIlced prior to issuance of a penit and that all IOrt ,ill be perfoIl8d to leet stanc1ards of all laws regulating construction, City codes,. loning regulations, and land developlent regulations in tile jurisdiction. I also certify that I understand that the regulations of other gov8IllleDtal agencies laY apply to the intended wort, and that it is If responsibility to identify ,bat actions I lust take to be in cOlpliance. Such agencies include but are not Iulted to: t Departlent of Bnvironaental Regulation - Cypress Bayheads, Wetlandlreas and BnvironaenWly Sensitive Lands, lIater/Vastewater !reatlent t Southwest Florida lIater Managl!l8llt District - lIells, Cypress Baybea4s, Wetland Areas, Altering Watercourses t AI'IJ Corps of Engineers - Seawalls, Docks, Navigable lIatenays t Departlent of Health i Rebabilitative Services, Invironaental Health Unit - lIells, lIastewater Ireablent, Septic !ants t US Environaental Protection Agency - Asbestos abatuent I also certify that, if fill laterial is to be used in Flood Zone IAI or IA,etc, I, it is understood that a drainage plan addressing a lcoapensating vol.1 ,ill be saitted ,hieb is prepared by a professional engineer registered in the State of Florida prior to perait issuance, ' A perlit issued shall be construed to be a license to proceed ,ith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball becoIe invalid unless the IOrk autboriled by sueb perlit is co.enced within sillOntbs of issuance, or if IOrk autlloriled by tile penit is suspended or abandoned for a period of sil IODtbs after the tile the work is co.encec1. One 90 day utension of tile, laY be allowed for the perait ,ith fee charge of $15.00, fbe utension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sil IODth period, or the project lIill be considered abaDdoDed. 1IAR11ING 'f0 omR: YOUR FAILURI '10 RECORD A DICE OF WlMDCIIIII! lilY RESUL'f II YOUR PAYING !IIICE FOR DIPROVIIIIIIS 'f0 YOUR PROPIR!Y. IF YOU IIJIIID '10 OB'fI11 iUIAIICIIG, COISULI IfIIH YOOR LllDIR OR All AnoRIBY BI10RB RICORDIIG YOUR DICE OF COHMIIICIHIN'f. JOBS UNDIR $2,500 II VALUI DO 1I00NBBD 'f0 RBCORD AID POS'f A IDlCE OF COIIIIIICIIIII!I. . .... SIGIA'fURI: (IfJIIR OR AGDI SIGUIURI: COIIfRAC'fOB Sf All OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by S'fAfE 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 oct-th. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stuped) ROTARY PUBLIC ~~LC>IN&- aGLl1L\L..- ~ - 'J Vf\L.0trnDN: I 5"1 ODD ls5wC0 44~ 37 ;50 tv\PD\ANlLAL- N/A, bvBlO 1'it l- UlU> n-- "-15"::~0 .-.-- {c;TA-L- .sEw ~ WA-Tf--R. M~ TC,~ L -5J'~ LQ\.)~6:..qlcN f~ ' 2.t"23lo~ ,C toll., DC ~/A ~ I 'bt{CiG " U ~A-~W 6t6 tJ 1ft C;.L..s-n~"tL LVN<;I ( ~. fC<:;T\LL ~Uv\00LL) 3iliS -3'b\l7 MA@:f !;iI' t~6PDa:rm7t>(J lmmu fii.F--s ptU2.- v{ i>Y " ;j &{\ n: 1-\v'vJ'(s &t. f~ oTIt1i.JL i~,.r<.~ ,~~!(..rL IQi..'Vl Co I) it.. L " .. TABLE A - I<lOlmSllr.r.T '3 ~;"O) - 3'ill7 CITY OF ZEPHYRIIJLL.<; CONNr'~CTTON PEES ~~/LA u';...T 6;, , $1. 7S/GALLON S6.39/GALLON RESOLUTION IJ312 HATER SEWER RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $1,278.00 Travel Trailer Park 131. 25 I, 7 9 . 2 5 COMNERCIAL (PER FIXTURE) Sinks 87.50 319.50 \Vater Closet 131.25 I, 7 9 , 2 5 Urinal 87.50 319.50 Lavatory i,3.75 159.75 Tub/ Shov,'er 87.50 319.50 Hashing Nachines-Co~nercial Size 350.00 1,278.00 Washing Machines-Domestic Size 87,50 319,50 FOOD SERVICE - Dishwasher 700.00 2,556.00 Sinks (3 Compartment) . 175.00 639.-00 Car h"ash (Per St.all) 1,000.00 6.390,00 ~-.-- - FIXTURE G.P,D. f~ HATER SE\\ER TOTAL PER FIXTLlRE Sinks 50 7 (~/2 L cO 2., 2:31:0, :;0 2J 3+1. c)O Water Closets 75 Urinals 50 Lavatories 25 Tubs/Showers 50 Hashing Machine 200 H[lshing Machine 50 Dishw::lsher 1,00 Sillks-3 COl11prL 100 Car l<lash-p/ s I:. 1,000 ~JZ- oc 223b,5"0 2, <6'-1q, cO AJ/it- -- " h'ATER METER l~/1 '2, ~t.l1, I v GR!\Nr> TOT:\T. >"', <. ""'._-~ ~. v~....... -' ~""...._. '. .., ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name /},,(i /"" '.' 7t~. A;::' _..,.,...".".'''...__."'"-~ Add~//7"n. ',;'(/1/'/)- A';..'/"} r ss .,', - ~. [ . _.' , ,'_ . , . 702 /,",- ,~.. Business Phone /" ( ~ - _'. ;- "-f/t ClassifICation [j'/, -; //1._ C' ~5 Owner/Manager T),.,.-",.//?:: h-.~?j.., .,<(oJ ~ Emergency Contact .Phone" 9 2 Lj" t'''/ / /(-".; Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED' o QUARTERLY ORE-INSPECTION . <<:> APPROVED I ~ 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 car) 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 Zephyrhil,~Jir.~ P[~v;ention Code. hZ: /1 ", "f1/, ./ / /' -:r _/ U I"v'~,-{ ./ ~" .. ;r~' I~; /C (~ 1;.1;' .,', ...... ;,':. ' ':~,'~..:,';;:,...~ '.':;':,;d~' (<. "". ;/'- '.... , -. ''''~{i'., ,',~ ,:~;'(_~ ," . "~' '''.~A:, ,\',: '. ,:~",~:":;/ "'-f:,~.;-':::~' -.":' . 'q~~}'~',';:\/t1+~',:': .,-" : ,c. ,~;:~t::~fd~~~~(~ ;;.~:...';!?'t'~~>;\~:. .< :: ,':' .. . ...-. ; . . ~,' -,-'~-~' ,'f ~t ,.<~i~~,~~>~5/~' ,",;;)~-~\;~ " : ',... ',,:,' I'ti: ,-, 'r~. > --" ~ .' , ;',~ : >>~ .~< J :j:i.:., ':4:,J,;'f>'.t 'J" _.:,...., .' 1';\./,,', . ; .. :~::'~_J"~:' :.8;::.:,' :"~~,..' -.- ;~'-.";"j', :':'. Inspect,.Qate~./h:~ l~~i - , ".~'<':;'}~:,\'::,<:fi<C);)#~;i:;~,,~~..~'.", '. :;f~ ':- ",/,'1:>:__':-,-";- ,','. - ,t~;:~;_ ."L::t..~[~, ,:-C .,:: :~.'~7~ft:;'i~::' ;-\,~~~'~F . .....:' . F,rt)p~R~i!R,#,;~,!.;:~l"l~;t" . ,...-:--. :,/". .,;,.,,- ""'~ojtc"'"" . . i'q~'""'44", '.c; V'''--'i' . Re-Inspect. q~!~ d~)l?~ /#;:-<~~'C::,:"\:~; .i.....;... OwnerlMan~gefc Signature . ..X".i~i~.i~~;~~~H~~5~b' '.' ')""\:t< ...... '; <''.,\,/:'''.,. :':~~f,{;;;.~b:,~',i:;,~~,,;',.f,"'~;:':i'(':; " This building has been. checKed by the ZephyrhiIJ Ire Dept. under the codes &.. regulatioos"of:the NFPA'minimum standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes. '. , WhI1e Copy . Fie Vllow Copy . BId. Dept. Pink Copy . BUIIne8e Inspect. lime ///~ ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name .k' Classification Address " " //.". ,', Owner/Manager --7' " ., / /' ,.<r'.."',."....-"~7 '..... /' /'rr".5'~ ,(';, '" ,"l.::'.1 ,["" ..~ ,/ i ~ . .t- .J ( C" / J{ Business Phone , ~ Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION (() APPROVED %? 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. l'," // '. /"" ,/.</1;',_-.- / ,,"', .fr ./ --1" // / 'i'" <. " Ic~ /-<.~. . .r;'7:C/<//,/",;~ ! ~/T".....:,,~ /:.', // / ;. /:''fI,{::' (, c,P /'" /' /' Inspect. Date , ; . Inspect. Time Fire Dept. 10 # Re-Inspect. Date /) Inspe.ctoJ;s Name .... \ ;' /~..., \ ,,/ OwnerlManager Signature i f/'t, \, .'h/'v.)'.i!v"_'_ 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. While Copy" File Yellow Copy" BId'I Depl. Pink Copy - Business