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BUILDING
BUILDING PERMII---
CITY OF ZEPHYRHILLS permit]l'!
(813) 788-6611
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PLUMBING
. j~ 5271/3'
Date
./ t? ~d- -9 -5-
~-~'d~--
ELECTRICAL
02 tJ r CJ7)
MECHANICAL
Sewer Conn
..3/9. S~
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Water Conn:
::o;Ad~::~P3~LJJW Cy.
Parcel 1.0. #
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code: Radon Gas:
~CZ~ ~/LA~/-~
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
/ () -
DATE
Inspector
p~"m;tFee ~-_~
Slgnature~ ~
Company
Address
Telephone#
Valuation or
Contract Price :2.2, ~. cro
City License Registration # /-S'"'/ b
State Certified License#
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BUILDING
]/~q _/C;-~.j
ELECTRICAL
/57/htL/ :l9
PLUMBING
x:I~ .xtJ~
MECHANICAL
-
Tp. Serv.
Rough In IO~ Cf-CfS'€3of:J
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set }O ..S:9 SSaf3
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM. /o4-<y58ZJt3
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.
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CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
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ORD. 1395/RESOLUTIONS 312/372 WATER $1.75/GALLON SEWER $6. 39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131.25 479.25
COMMERCIAL (PER FIXTURE)
Sinks B7.50 319.50
Water Closet 131 .25 479.el5
Urinal B7.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1,278.00
Washing Machines-Domestic Size 87.50 319.50
Dishwasher - Limited Use 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 e,556.00
Sinks (3 Compartment) 175.00 . 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
FIXTURE G.P.D. I WATER SEWER TOTAL PER FIXTURE
Sinks 50 I ~7,5o ~11.~O J-fo 7. Z) 0
Water Closets 75
Urinals 50
Lavatories 25
Tubs/Showers 50
Wash. Mach.Com. 200
Wash. Mach.Dom. 50
Dishwasher-Comm 400
Di shw. Limt. Use 60
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
~7.1)C 3lQ, ';0 /{07.o'O
.
WATER rETER
GRAND TOTAL
.tj07.;:;O ,
APPLICATION POR pEBMI.T
CITY OF ZEPHYlWILLS
BUILDING DEPARTKERT
OWNER'S RAId Genera} tlqtrition Corp(rr:~H on
PHONE
412-288-8391
JOB ADDRESS
921 Penn Avenue, Pittsburgh, PA 15222
7300 Gall Boulevard? Zephvrhi11s. Florida
OWNER'S ADD.mS
LEGAL DBSClUPTION: LOT(S) BLOCK SUBDIVISION
PARCEL 1.0.' fOBTAUl FROM PiOPDTY TAX NOTICE)
WORK PROPOSBD:_New Construction -Addition .JL...,Alteration --Repair _Install
~iBD --1love ~.-olish
PROPOSED USE: ~iD.8le r_117 ----111 F _' of Units ---111 S.
-LCoMercial _lndust. ~wia. Pool _Other
-.-Re.taurant a Health Departaent Approval
DBSCRIPTION OF WORK:
Interior build ou~
BUILDING SIZI:
x
1400
Square Feet,
Height
R.P.SIDEMTIAL: ATTACH (2) PLOT PLANS Ii (2) SBTS OP BUILDING PLANS &. (1) SET ENERGY PORKS.
COHHERCl.AL: ATTACH (3) SETS OF BUILDING PLANS 6: (1) SBT ENlUtGY PORMS.
PROPERTY S1Jlt.VEY RBQUlRBD FOR ALL NEW CONSTJt,UCTJ.ON.
PIWtITS RBOUESTU
~UILDING
---.J.LBCl'Rl.cAL
---1IECIWfl.CAL
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
W.R.B.C.
s
Valuation of Kec:hantcal lnatallat.ion
---PLUKBIRG GAS ROOFtNG
SPECIALTY
TYPE OF OOIlSTRUC1'lON: ___Block _Fr_e ~teel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT 1M FLOOD ZONB ARIA?
YBS
-
NO
..........................................
~mMtl'OR ~ECTION
BUILDER. COKPANY Fitzgerald Construction Ccmpany
J/1 .-/ X State Cert. or Regilt.' CBC 051238
Signature ~ - ,. City License Registration' /~ '/ k
.............***...**..................**.
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PLUKBER ' COMPANY t..// L ""1'113,fo./(,.I
Stat- Cert. or Reai.t. .
City License Registration .
....*....................... ..********..
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Signature
KECHAHlCAL
Si8Dat~
~ ~
, State Cert, or eaist. f
Git~Llcenae R aietration .
.........................................
~,
COMPANY
S~te Cert. or Real.t. ,
City License Registration .
.................................-...-....
OTRRR
Signature
APPLICATI.ON APPROVID BY _
PERMXT OFFICER.
.........,......",.,... ,', -~... _..
A6 NOTICE.OF DEED RESTRICTIONS
The un~Qrslgned understands that this perlJt .ay be subject to "diad raltrictionl" ,hleb 'Sf be IOrt f.ltrlctiv. tb~ eitr
regulations. fbe undersigned 888U1es responsibility for cOlpllance 11th InY applicable deeG reatrictiona. .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RBSPO~~IBILITIBS
If the owner bas hired a contractor or contractors to undertake work, thty lay lit required to .be liewll! in acoordancI with
atate and local requlationa. If tbll contractor is not licenled II required by law, botb t.bt 0IIn8t and contractor., be
cited for a .lsd_anar violation under atate law. If the owner or intended contractor arl Wl.clrtain &I to "hat ltc.Ilng
requlr8l8nts "J apply for the intended work, tbey are advised to contact the City Of Zephyrhllll Building Departllftt, (813)
788-6611.
PurtheflOre, it the OkRer baa bired 8 contractor or contractors, he JI advised to ha', thl contractor(l} lign portiona of the
.COntractor Sectious" of this application for IbIeb they wll1 be rnpon.ibll. If you, as the 0III11t lion a. till CCI'IuactOl,
you are il1(1icatiog that fOU, ratber than the contractor, are responsible for tbe work. If the contractor 1I1lbu you to .1go
liS contnctor that la' be an indication that be is not properly licBll81d and II not entitled to ptoUting prldlegu in thl
CIty of ZephyrbillB.
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 prodded lith II copy of IFlodda'. eonltruCUon Lien La, - lIcIeower'l Protection
Guldel prepared by the Florida DepartJent of Agriculture and COnBUllr Affairs. If tbe applicant i. lOI8ODe otber than the
1u.n8r", 1 certify that I have obtained a copy of tbe IIbove described dOCUleDt and prOli.. in goad faith to deli,er it to the
"owner" prior to COIIeIIceaent.
E. CONTRACTOR'S/OWN!R'S AFFIDAVIT
I certif, that all the inforaat1on in tbil application Is accurate and that all .ork lill be done In eoapliance with all
applicable IIVI regulating construction, loning, and land developlent.
Application i8 bereby lade to obtain a perlit to do .ork and installation a. Indicated. I cartUr that no vork or
installation bas CDIIenCed prior to issuance of B perlit and tbat all vork vIII be perfotled to ..et 8tand1r48 of III 1811
regulating construction, City code., loning regulations, aod land developlent regulations In the jurl.dlctlon. I .110
certify that I understand that the regulations of otber govBruentl1 ilgenciu ., apply to th8 Intended 10ft, and tllat It is
If respon.iblllty to identify .bat actions I lust take to be in cOIpliance. Sucb agencies include but are not 11l1te4 to:
* Departlent of In,lroDleRtal Regulation - Cypreal Baybeadl, Wetland Irea, end InviroDllntally Sensitive Lao4a,
Water/Vllte.lter !reatlent
t SoutbMast Florida , Vater ManaQlllnt DIstrict - WelI8, Cypr888 Bayheadl, Wetland Areal, Altering Watercourses
· Ar~ CoIlll of lDqil18trs .. S....U., Pacta, Jl'av1gable Watervay.
· DepartleDt of Health' Rehabilitative Service8( EnvIrODlental Health Unit - Wells, Walte.ater tr8ltlant, Septic fants
t ua InJlrcllll8l1tal Protection Avency .. Asbestos abatuent )
t 0160 certify that, It till laterlal Is to be used in Flood Zone WA" or "A,etc.", it ia underltoad that a dr.inIgI plan
addresling B 'CQlP8D8sting volute- .ill be Buhlitted "hieb is prepared by a profelsional engineer regi8tered in the State of
Florida prior to petlit i.suanee.
A perwit 1..uld shall be con.trued to be . license to proceed lith the work and not .1 authority to ,lolita, eancel alter, or
.et asIde anr proviSIons of the technical codlS, nor sball issuance of a per.it prevent the Building OffIcial frel tbeteafter
requiring a correction of errorl in plana, constructIon, or violatlaaa of an, code, Iv8tf petlit illuld ,ball beCOle Invalid
unless the IOrt autborlled by euch peoit is ~nced within 811 IOntha of i..uanC8, or If work authorbld bJ tha pettit i8
suspended or abantJon8<1 fot B period of Iii IOnths after the tile the work il ~enced. ODe 90 Gay 81t.eDlion of U.., II' be
allowed for tbe pertlt .ith fee charge of ,15.00. The extBn810n sbill be reque.ttd In Iriting to the Building Official. An
approved iupection JUlIt be logged during each sillOntb perIod, or tile project "ill be cODaldlred abaDdolled.
WAaHIIfG ro OWIIR: YOUR FAlLURI YO RlCORD A HOTICE OF COMMBlfC!lfJlH'I' MAY WULf 1M lOUR PAYING DICK FOR IKPROVIMIftS fO YOOII
PROPBIfY.. IF YOU IIDHD 1'0 DUlIN 'IlfANCING, COWSUL'f "IrH YOUR LlllDIR OR A1f AnOmy BBFOII RICORDIIIG YOUR JfOtICB or
CfJIIDCIItIII!. JOBS UNDBR '2,500 111 VALUE DO Kerr HIID 10 RECORD AND posr A -IIO'l'ICB OF ClIOaClllln',
~~;=:~ ~ ~ Dean Blankenship
STATE OF FLORIDA
coom OF Orange
The foregoing instrument was BcknOMledged
before .e this Sept. 8, , 19~ by
known to me
who 1s personally known to me or who has
produced N/A
BS identification ho did/did not
take tho
(Signature)
Wanda Elsea
(Name Typedr Printed or Stamped)
NOTARY PUlLI WANlJA tLSLA
&Iv Comm Exp. 7-25-'J7
Bonded By SeMee !As
Jjt); CCJ01700
~-- lJ.,lD.
SfAfK OF FLORIDA
coum OF Orange
The foregoing inB~rument waB acknowledged
before me this Sept. 8. , 19~ by
known to' me
who is personally knOWD to me or who bas
produced
a8 identi i
take an 4
(Signature)
Wqnda El Rf",a
(Name Typed, Printed or Stamped)
NOTAlfl PUBLIC
WANM fOO
~uy ~Ext>. 7-2$--!f1
MOl , . Bclftded By-'~ Ins
M8UC "dIJ100
'.,i ~1rIIoIIII I tou.to.
. '..
F~l!g!!ald
CONSTRUCTION
COMPANY
October 5, 1995
City of Zephyrhills
Building Department
5335 Eight Street
Zephyrhills, Florida 33540
RE: General Nutrition Center
7300 Gall Boulevard
Zephyrhills, Florida
Gentlemen:
Please accept this letter as certification that the electrical
conduit placed under the slab does meet all applicable codes.
If you have any questions, please feel free to contact me.
Respectfully,
exuC!f d ,-1; /)If') ~ j! ot~
Bruce Fi tzg-;'r<il;~-"~
President
Subscribed and sworn to before me this 5th day of
Notary Public in and for Orange County, Florida.
?iJ;;;X,1995.
Wanda Elsea, Notary Public
October 1995.
My commission
e WANDA ELSEA
.. Uy Comm Exp. 7-2S-Il
:c Bonded By SeMce IRs
Jo. CC3l)1700
~.... ....u.
gnczephb.wps
~ "";JHj\i!0Wljll,MIl~!i~I.~~~
t 74 SEMORAN COMMERCE PLACE . ApOPKA, FLORIDA 32703 . (407) 889-9400
FAX: (407) 889-8328 . LICENSE # eBe 05 t 238
_.
ZEPHYRHILLS FIRE DEPT
Business Name
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
; / \ /:.. Classification
(t', . ..
1'1 '. .
/' , , .~.:' ,:~ ~:I
Address
I
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Owner/Manager '" \ Ii. ';, " . \
Business Phone
. 'j
"l~ ,",
Emergency Contact Phone
I
;- 1/ I)
I
Occupancy Load
. . I . \ Alarm Monitoring Co.
. J
~. .'.'
Phone #
TYPE OF INSPECTION CONDUCTED
0 QUARTERLY o FINAL o ANNUAL
0 RE-INSPECTION o OTHER . /' {,
0 APPROVED 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.
: "
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Inspect. Time
Inspectors Name ';.'
".
,r" ~ ,,' . ( !
Fire Dept. Ip #
'.
., ':t ~
Inspect. Date
Re-Inspect. Date
{., ,;..' ,j
,
Owner/Manager Sig"!ature .(
/
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 l<)Cal fire Safety codes.
't:>4\
While Copy - File Yellow Copy - Bid, Depl. Pink Copy - Business