HomeMy WebLinkAbout97-7038
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
7038
/'1
Permit
BUilDING
;)S ~ (7)
GECT'RI~
P,"perty Own." c.-~,,~ ~
Job Address: ~ tL ~ __.
Parcel 1.0. # 1/-,;l6-()J- O~IJCJ - C9 / ~ tl 0 - /-.5.(:; U
Date
JO~~-~')
PLUMBING
YI ~ v-p
~CHAN~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: E";]..Y Code: Radon Gas:
Descriotion of Work >>J" \.. ~ I tJ ...L/-;;7;/'h-- ~r-LL 11:/
FINAL
C.O.
;/- J f?-
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
...3 cP- CJiJ - o-v
./
City license Registration # ;;J.../ 9 /
State Certified license#
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BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Tp. Servo
Rough In-11/11/'17 I~B
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTJON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($1-.g1 shall be made for each trip for each trade:
:M7tJl?
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
'3 j 11
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PHONE ~/7'o::'.J2Si'- ~P#~
OWNER'S ADDRESS 777 j:}~A'ht u&r!'e-r. a~AY$,e; ##. P'..:?C1.#/
,,-
JOB ADDRESS fi1'~ G~~./ &rcl,. "z?-A)/~A/u.s/ n. ,J3~/
BLOCK SUBDIVISION
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAME
(J'am6e;e/A;4/d ~~a.r ,fA:.-e.
,
LEGAL DESCRIPTION: LOT(S)
PARCEL 1.0.' //;Zc,:Z/CJ00C20/~dCJ ~ /S-c;O
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ~teration -Repair _Install
_Sign
-----Hove
_Deaolish
PROPOSED USE: _Single FaIlily
_M/F _' of Units _M/H
_<=<-ercial
_Indust. _Swia. Pool _Other
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK:
j?~ /Ue? S'$o's/e.ev (/ ~~~A'd'Q .
, /
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 FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$ ~ cPtlcr. ~
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Gorp.
W.R.E.C.
-1IEGIIAIIlCAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fralle _Steel
Other
FDlISHED FLOOR ELEVAITONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
............................****.......*..
CONTRACTOR SECTION
'>. .~.:
RIITI.DER
COMPANY
State Cert. or Regist. ,
City License Registration t.
.**....**..*..............................
Signature
'.t.,
F.I.RGTRIGIAN COMPANY J::'t/ e ,/; 43e];;" d.
~~ ~ State Cert. or Regist. , .eC-C90eJ1?--30
SiDQAture . ~~.k! City License Registration' ..2 I. =i
.... ......*.............................
~
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration ,
.........*................................
Signature
KEGBANICAL
COMPANY (JLtJwli !/;/j,}/,fl)( /!/YtM/::JI.
~ ~ -r- State Cert. or kegist. . /'Oa-(k).47;.7c97
#9'.eU City License Registration' ..l/ 9/
...~..............................*.......
Signature
OTRRR
COMPANY
State Cert. or Regist. .
City License Registration f
...............................*_.........
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
. j
CONDITIONS OF PERMIT AFFIDAVIT
A: NO~ICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. Tbe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictiooa.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. -If the contractor is not licensed as rl!CJuired by law, both the OIII1er and contractor Ja' he
cited for a lisdeleanor violation under state law. If 'the owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for the intended work, tbey are advised to contact the Ci~y ~f Zephyrbills Building Departlent, (813)
788-6611.. .
FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portiooa of the
"Contractor Sections" of this application for which they wUJ he r!!~pcmsible. 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 wishes you to sign
as contractor that lay he an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND U'fILITY CONNECTION FEES
~
~
D. CONSTRUCTION LIEN L~W (ClrnPTER 713, FLORIDA STATUTES I AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeoIoer'l Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsOllr Affairs. If the applicant il sOl8ODe other than the
"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"owner" prior to COllenCelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all lark will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
I
Application is hereby lade to obtain a perlit to do lork and instailation as indicated. I certify that DO worl or
installation has cOllenced prior to issuance of a perlit and that all work will he perfoIled to leet staodards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that tbe regulations of otber goverRlental agencies laY apply to the intended wort, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
* Departlent of Envirofilental Regulation - Cypress Bayheads, Wetland Areas and Bnvirofilentally Sensitive Landa,
Water/Wastewater TreaLlent
* Southlest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & Rehabilitative Services, Envirofilental Health Unit - Wells, Vastewater Treatlent, Septic Ian}s
* US EnvirODleRtal Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "I,etc.", it is understood that a drainage plan
addressing a "colpensating volOll" lill be sublitted Ihicb is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
. A perlit issued sball be construed to be a license to proceed litb the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Jvery perJit issued shall beCDII invalid
unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if lork authorized bl the perlit Is
suspended or abandoned for a period of six IOnths after the tile the worl Is cOlleDced. One 90 day extension of tile, III he
allowed for tbe perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOntb period, or the project will he considered abandoned.
WARNING TO OWIER: YOUR FAILURE TO RECORD I NOTICK OF COMItENCKHBNT HAY RESULT IN YOUR PAYING IIIICI FOR IMPROVIIIIIrS TO YOOR
PROPIRTY. IF YOII INTEND TO OBTAIN FINANCING, COHSULT WITH YOOK LBNDER OR AN AnORIEY BIFORE RlCORDIHG YOUR MoriCi OF
COMItEHC T. JOBS UNDER $2,500 IN VALOI 00 NOT NEED TO RECORD AID POST A "NOTICI OF COHHIHCEllENT". .
( ~05c..7e-U
. I
STATI OF FLORIDA /'
COUNTY OF 0 P~~N be.
The foregoing instrument was acknowledged
before me this 2.. G- "'-Je> , 197J by
~e(D{ -
who i~llY ~o me or who has
produced . .
as identification and who did/did not<
take3!L~~~
(Signatur~. ,/.r ~
- /"J'?dma5 /77 c...U'/J
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
,/~.. -.'. THOMAS M. WILSON
.. My Comm Exp. 6118J98
< . 'L._
JlQLlC S Bonded By ServiDe _
011 ~ No. CC314945
.~... 11--1..
STATI OF FLORIDA d)~
COUNTY OF 1/ ;tlyc,o
The foregoirtg instrument was aCknowledged
before me this .-<JA2 ~ , 19~ by
M~/flk4 H 1?Lt7a/e d
(who is personally known tolme or who has
produced
as identification and who didl.did not
take an oath~
(Sig~/~d~c/
(Nam~ Typed, Printed or Stamped)
NOTARY PUBLIC
\) ROLAND l. THEROUX
No!arY Pubflc, State of Florida
My Comm. Expires April 7, 1998
Comm. No. CC362683
11111111111I 11111 11111 11111111111111111111 Nil I111
97106850
Rcpt: 183278 R@c:
DS: 0.00 IT.
09/23/97 .
6.00
0.00
Dpty Chrk
JED PITTMAN, PASCO COUNTY CLERK
09/23/97 09:02a. 1 of 1
OR BK 3808 PG 830
Permi t No.
NOTICE OF COMMENCEMENT
State of ~~.e'/dA
County of ~6eO
THE \mDERSIGNED 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:
1. Description of Property: Parcel No. //~~.2I()O(}OO/Y()O 9/.s?t1
,-50~ 6#,4" vel. 2e
(Legal descrlptlon f th
2.
Gt:::ll~l..al DC5Cl::lption of Irllpro,,"'cmcnt
~8 ~4 fv.s$.", C;;~A'/e..
3.
O\vner Information: Name (]VA'J6a~""'d ~A'.r~ZA:e.
,
Address 777 a&~41 Jhie>~ City a,~~
Interest in Property: ~,7;;// ~/~.c
State ~/J.
O-:2oa.;
Name of Fee Simple Titleholder:
(If other th~n owner)
p
Address
City
State
4.
Contractor: Name ~o",e..1 &~....~ ~ro4- z;z:
Address /#5ESSAI/ 60G1~ City A~q.t'/VcIA~e.-
/
Surety: Name 7,,4-
State h:
~3 8-;;:l.3
5.
Address
City
,~
Amount of Bond: $
6. Lender: Name
Address
City
e
.c.
Owner upon whom
provided by Section
7.
Persons within the State of Florida
notices or other documents may be
713.13(1)(a)(7), Florida Statutes:
Name ~ / ~L'~X
Address /7 a~dA/ ~A'. >
City Ji~(J &e4'L!... t
State /t.
.3::1 ~~ ~
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9.
19 9;j .
Notary PUblic':-~ ?1J'~
G~'?hg
l~}{pllt1LiOI1 UltLo ot NoLl.uo of <':uuulloucolllouL (Lhe expl.ratl.ou uate is 1
fr0m the date of recording unless a different date is specified.)
Signature of Owner: x~czf;!~ '
,
Sworn to and subscribed before me this 22 ~ day of ~ {) 1"
. .
/6' THOMAS M. WILSON
lICItP < My Comm Exp. 6118J98
.var.ac ~ Bonded By Service IDa
...-- ---'"'...--
,,~x- "__L..
year
,
"---...-
My Commission Expires:
FLORIDA DEPARTMINI' OF
James T. Howell, M.D., M.P.H.
Secretary
Lawton Chiles
Governor
HEAL T
Pasco County Health Department
Environmental Health Division
9930 Land O'Lakes Boulevard
Land O'Lakes, Florida 34639
Phone: (813) 996-2747
Fax: (813) 996-2698
September 16th, 1997
Ron Moore
Pasco County Building Department
7530 Little Road
New Port Richey, FL 34654
RE: Cumberland Fanus #1015
Fac. #518519840
Dear Mr. Moore:
We have reviewed plans for the above facility. We have no objections to the
upgrade work being done as shown on the submitted plans, which includes the
installation of Environ fiberglass STP sumps, Environ fiberglass dispenser
pans, OPW 61-50 overfill protection and new piping spliced into the existing
corrosion resistant piping. Storage tank systems, including the tank, integral
piping and release detection components (equipment) shall be constructed in
accordance with the applicable referenced standards, Rule 62-761.210, F.A.C.,
and be approved by the Florida Department of Environmental Protection.
~~~~e av::ti; ~:;ntact me
Sincerely, r
at the above stated telephone
Danny L. Harris
Environmental Specialist II
DLH:lb
Pasco County Health Department
Marc J. Yacht, M.D., M.P.H. - Director
10841 Little Road · New Port Richey, FL 34654-2533
(813) 869-3900' SunCom 552-7720
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.' SUMP~
EXI.STlNG PIPING
DOUBLE SEAL
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24" r
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FLEXIBLE ENTRY BOOT
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8" CONC SLAB W/
: #4 @ 12" O.C. EA. WAY
EXISTING STP
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ENVIRON SUMP~
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RED JACKET LEAK
DETECTOR 1118017 EX I ST I NG PIP I NG
FLEX HOSE /
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PIPING SUM~ OB:T
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BALL VALVE
3/4" GALV CONDUIT
TO ELECT PANEL
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6" CONCRETE SlAB WI
6x6 10/10 WW RoAD MESH
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OEPlli' MUST PERMIT
SLOPING OF PIPING
TO THE TANK AREA
NEW PIPING
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PEAROCK
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SAfElY SHEAR SEcnoo
~m ASSfl.IBlINo. AlWAYS
J.i>p\V ~ ~
~UR SEcnoo AND 1liRfAD
B[lOO 00Hr0iED
. ,{
Y-SEAL ~'.
ENVlR~NCONTAINMENT ~OX ~j""
1'x 1-1/2" FLEX HOSE
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3/4" ELECTRICAL CONDUIT ~
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2" ELBOW W/ADAPi~R
2" F.# PIPINq.. .
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. DIS~ENSER PIPING DETAIL
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EXISTING, PIPING
SEAL W/ CLAMP
.DISPENSE'R . BOX 'ENTRY DETAIL'
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81 CONG TANK SLAB VI 6x6 10/10 ~WM
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6' OFF TANK BOTTOM
EBW 705-BG
'\ caNT A I NMENT MANHOLE
\ OPW 634- TT CAP
OPW 633- T TOP SEAL ADAPTOR
4' GALVANIZED RISER ~
OPW 61-$0 OVERFILL DROP TUBE
VAPOR RECOVERY & OVERFILL PRO.TECTION
NOT TO SCALE
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PRE-FAB MTL ISL. CURB -
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TOOLED 8DGE
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/ 8' CONe SLAB W/ '#4@ 12~
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O. C. EA. WAY'
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COMPACTED FILL
6' CONe SLAB
6x6 10/10 WWM
CON;~R'E.TE DET A I L
t> SCALE 11/2'=1'
~
. I SLAND CURB DET A I L
NOT TO SCALE
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ZEPHYRHILlS \
FIRE DEPARTMENT
PJ!UEhW!0
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1. ALL WORK TO BE IN ACCORDANCE WITH ALL D.E.P. RULES1 LOCAL
CODES1 MANUFACTURER'S SPEQIFICATIONS1 AND REFERENCES
PEI/RP1001 ALL LATEST EDItIONS. RPI001 NFPA 30 AND 30A
TAKES PRECEDENT IN ALL ARr~S,
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2. ALL HARDWARE TO BE F.D,E.~, APPROVED,
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3. ALL ELECTRICAL TO BE IN ACCORDANCE WITH THE NATIONAL
ELECTRICAL CODE AND N,F.P~A. 70J N.F.P.A, 30/30A AND THE
UNIFORM FIRE CODE ARTICLE ,09 W,F,C,A, I ALL ELECTRICAL
CONDUIT AND WIRING TO BE ~ MINIMUM OF 24' UNDERGROUND,
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ALL STRUCTURAL STEEL SHALll BE A36 MATERIAL AND BE ERECTED
IN ACCORDANCE WITH THE LAtEST SPECIFICATIONS OF THE
A,C,I,C, j\
CONCRETE SHALL HAVE A MINtMUM COMPRESSIVE STRENGTH OF
3JOOO PSI AT 28 DAYS.d
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GENERAL NOTES
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REVlstON BY
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DRA'tIN
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JULY 3,1997
SCAl!:
AS NOTED
JCe NO.
97-6etJ
SfiT 1 OF 1
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