HomeMy WebLinkAbout02-1183
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N!
(813) 780-0020
1183
Date I-f- :;l. ~ - () GA..
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
P",perty Own., YMY ~ (J ~ ~ //rN-v;~
Job Address: 'f330 02o'f4 S7.
Water Conn:
Water Meter:
T,I.F.'s:
Parcel I. D, ,
Zoning: Energy Code' Radon Gas:
Descriotion of Work f~. ~ PDvvlof,a I ~ ~Ao1; -~~ (m AJLu/-r~
FINAL C, - - tJl tL
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
~Signature
Company
Address _
~e'lephone#(
11, ~J5t · eKJ
City License Registration # /4l..(
State Certified License#
Valuation or
Contract Price
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MECHANICAL ~
-ru W,'f{,~S
f!
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
BUILDING
if -.;l. ~-Q;J.
(),12l tr
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
PLUMBING
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 twenty-five and 00/100 Dollars ($25.00) 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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OWNBR'S NAMB Perrier Group or America
CITY OW ZBPnYRHZLLS PBRNXT APPLICATION
BU;[LDDfg U"Ail'r.llJnn. 83318 81:1< 8'rJUOlZ' .")[y"'XLL8~ n. 3315.0
.ho~.'.13-780_0020 .ax'.131-7.0_00~1' li_ If-~ ~
bAT_ iUIc_zv:.o, L
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LBGJU. D8'SCRIPTl:OH & LOT (S)
JOs SITB ADOR.SS 4330 - 20th Street, 20th Street, Zephyrhills, FL 33540
PHON. CONTACT
PARCBL ID #13-26-21-0070-07400~0000
"OJU:: PROPSBD. ONB" CONSTRUCTI:QN
BLOcK
StnlDl::VrsrON
OSJ:f:<1N
lXJ ADDITION
o MOVE
(OBTAIN FROM PROPBRTY TAX NOTICS)
PROPOSJiD OSB & DSGJL PAM:[LY DWBLLINQ
OAL'I"BRATroN
[] DBMOLrSIf
o RSPAl:R.
o INSTALL
OO~C~AL
OMtJLTI - FAM:rI:,Y
011 OF UNITS
OSIfl::MIlofING PbOL
o MOBIL&: HOMII
o OTJiBR
[] IJqnUSTRIAL
c:::J . RliBTAtJRANT . JiBALTH DBPAATMJINT APPROVAL.
~NScazPTION ON NORk Remove roof ~'nels , our conciete foundation for new tank furnished
SOILDZRQ SIZS J~srn~~d installed sePi~~.rt~!? S~of panels. HNIGHT 18'
.NSIDNNTIAL, !,TTACH 12. """" PLANs · ('). SliTs ON ""''''''IN<> p....... . l>l SRT ........GY PORMS.
COMMBRCIAL & AttAcH (3) aRTS OJ.l' BUl:LD:INQ PLANs Ie ( 1) SBT BNBRGY );"ORMS_
PROPBRTY BURVBY RBQUJ:RSD FOR. ALL lmW CONSTRUCTIOM.
m BUILD:r~GJ
o JlILBCTRI:CAL
(I 49.228.00
PBRMT~S RBOU.S~_D
o PLUMB.INQ
AMP. SRRv:rCB
VALUATION OV TOTAL CONSTRUC'I'ION
o PLORI:DA POWBR
o
".R.B_C.
o MBCHANICAL
$
-0-
'I'YPB oli' CONSTRUCTION I IAJ BLQcfC'
o FRAMB
o ST_SL
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I:NS'1"ALLATIOH
C ~/3) 71/- &5/(
o G~B
IXJ RQOPJNQ
[] SP!tCIALTY'
VALUATION OF MBCHANCIAL
o OTJUlR
FINISHBD FLQoR 8LBVATI:ORS
o OTH.BR.
IS PRQJBCT ~N PLOOD ZONB ARRAO Yas
o NO
BUILDHIt.
JIILRC-ra:t:CX.AJt
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C~AMY: R M Wi 1 (iams
STATB CBRT'OR RBOIST
CITY PROCBSSINQ #
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BrGJN~TURJ!l
SIGNATURE
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COMPANY
STATE caRT OR. RgGJl::ST #I-
CITY PRocaSSInGJ #
PLUIOJ..
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...*...*....*4.*...**.~..*.....*..*.*..*.*.*....*..*.......*...*..
COMPANY.
STAT. C~T OR,R~IST ##
crrVPROCJilBSUiG II' .
BIQNA't'UJ{e
MJilCJIAH:rCAL'
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COMPANY.
STATJI CHRT OR ~GJIST. ##
C~'rY PROCBSSINGJ ##
SIGNATURIiI
O'1'JUIR
Rn; X / COMPANY B & T Works. Inc.
. ~ (... ~"".:.-fit.'-z;r- - STATE C.BRT OR RJiIG:rST ., CC-C057974
SI"""TORs ~ C --=~ _ CITY PROcNsSINo . ~?rO
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_:-.J ',,: _[~ .::' i Ut.....:~i..K.D'....! i '__\:~ ___'-__......
'"hO u.derd"".d """.r.t"".... t""t _. po_to may b. .obj..t ,te 'd'ed' ..otr'ot,.=._ wkl.h
may b. -... r..tr....V8 tb.. c.tY'r.guLatio... Th. UUdor.'g.ad ....... r.,pO...b',ity fo.
comp1~snc& w~th any eppl~o~le d.ed restr~otion8.
B. UNLIC~SSO CONTRAcToRS AND CONTRAcToR R&s~OH8~BILZTZ.S
IL the oun.r h.. h'r.d · ...tr..ter or ca.tr...or. to undertake Work, th.y May he r'~r..
to be 'ice.'ad 1. ....rd..o. Hlth .t.t. end '0..' r&qui.t..... If th. ...tra.tor .. net
".....d .. required by lOW. b.th rho eun'r ond ...tra...r ..y b. ..ted f.r . od........r
v,."".. U.d.r ...t. '.w. ,. tho .un.r er '.t..d.d contr...er .r. u.OOr.... a. te what
'.....,.. requir....t. mOy .pply fer the '.t'nded MDrk. th.y .r. .dv1'ed t. ...t.e. th.
C~ty of Z.Phyrh~ll. Build~Dg Dep.r~nt. 813-788-6611.
Furthecaere. .f tbe .wner b.. hired · ...tr....r .r ...tr.".r.. h. .. .dvt..d .. b.v. 'h,
contrilctor (e') .1.gn Portions of the "'Contractor S.ct;j.on.... of th~. apP1J.cation for whic:h the
w'" b. r,.po..",.. If you. a. tho eNn.r """. .. tho aa.tr..tar. you ar. '.d'o.t'.. th,
you, rather than the contractor, are respon8ible ~or the work. If the contractor wishes
you to .ign a. oontractor that m.y be ~n ~nd1.ca~J.on that he i. not proper1y 1~cen.ed and j
not ent1.tled to pe,rmdtting pr~vil.g.8 in tho C~ty of Zephyrhi.llB.
c. TRAlfsPORTATION IMPACT J!'JI:E8 AND UT:IL:ITY CONHBC'J'ION nEB
D. CONSTRUCTUl:OH LIltN ~ (CIfAPTlIlR 713~ I"LORI:1lA S'l'ATU'PBS. AS .AtfDfDBD)
" .ert'fy th.t 1. the 'Ppl'o.ot. h.ve b... prov'ded w'th . oopy Of -.'or.d.'. CaO.truatla<
"'0 Low - H~.NU.r'. prot....o. Gold.- Ptoporod by the P'ar'd. nep.r....t .f Agrl.ultur.
o.d c.n.omer AfE.'r.. IE tho app"o..t ,. .....a. o'hor that .h. "ONDer-. 1 a.r'fy th.t I
h.v. obt....d · .opy af th. ebav. d".rlb.d a..u..ot ..d pr..... 1. ,aud Eolth to d."VOr
~t to th~ ~ownerh pr~or to aomm~nce~.nt.
E. CONTRAcTOR' S/OWNER' 9 AFFIDAVIT
1 aort'E. tb.t .." the .of....t.08 in tb.. oPP"e.t.o. 1. ..cur.t. ..d th.t ." w.rk w.,.
b. don. i. .omp',WO.. Nltb ," .'P;l'o.bl. '.No ..gutating cco.truatia.. '0.'.', ..d ',od
development.
Appl'o.t,o. .. b.reby mod. ra obt... . P.DOlt ta do Werk oad lo.t."."on e. 'ndl.ot.d. I
.ert'fy th.t .. Werk or '0.'.'1.t.o. h.. CGoMoo..d pr'or r. ".uo." af a peDOlt ..d that
a" Work w." b. p.rformed to ...t .t"derd. af ." '.we r..ul.t'ug COb.truat'a.. Clty
ccdo.. .0.... regul.t.o... .Ud '..d dovo'.....t r.gut.tiaa. in th. jur..dietio.. 1 01.0
..rtHy that " """.rat"d th.t th. regu'...... af ath.r ,0"'_.to1 ........ mey OPP'y to
tb. '.tann.d Work. .ad that 't .. ~ r.epa.."il.ty to <dent... wh.t oatiane 1 mo.t taka t.
be ~n compl~&no.. Suoh agencies ~nolud. but are not l~t.d to. *De~artment or
Env'r.nmenta' Regulatla.-Cppr... Bayh..da. W.t'end Ar... ..d Envlra....t.,'.y S...'t.ve
Landa. Hatecl.aet.w~ter Treatment
'S.uthw..t P'arid. V.tor Ho.......t n..trlat-V.".. Cppro.. B.yh"d.. W.Ol.od Ar....
Altering Watercour~.B
.Ar~y Corps o~ mn~ine.r.-Sq.W.als, Dock., Navigable Waterways
.n.p.r......t of H.alth 6 .....ebiHt.U.. S._a... "'vt~""'.to1 Ha.Hh U.'.e"."o.
Wa.tewater Treatment, Sept~c Tanks
*U.8. Environmental Protection AgencY-^-beetoB abatement
1 .1.0 o.,t'Ey rbat. 'E fill ""ori., i. t. be u.ed in .'oad Zo.. 'A- or "A.eto.-. .. 1.
u.d'ratOad that · dr.ina.. P'a. .ddr.'.in. . .aaop....t.og valWOo. w'" b. .Ubmdtted which
.. pr.p.r.d by a prof....cu., ..g'o..r r....t.r.d in tho St.t. .f .'ar'd. pr'.r to P.DOl.
ia.UaDce. .
A P'redt '..ued .b.'1 b. cco.trued ta b. . "000.. to praae.d w... th..v.'k ..d .ot .0
.uthorl.y ta vla'.t.. .....,. "t.r. or ..t "'d. woy prov'.,o.. a. the t'chnia., aud...
nor .h." ,....... oE · P.DOlt pr.v..t the BUllding of.'''al fro. th.....t.r r.qulr'oq .
correction o~ error. in plane, con.truct~on. o~ violation. of any code. EverYp.~t
'..u.d .boll b..... '.""d Un1... the NOrk .Uthori... by ,uch PO"'t i. a~a.ed w'thin
..x "uth. Of ......... or i.. Nark outhori'.d by th..P....t Ie .UepObd.d or ab.ndo..d Ear.
per'.d af ... --.tb. a.t.r tb. tLon .b. NOrk i. .ao.onced. One 00 day ..t.a..au oE t...
o-y b. ."aWed 'or the p....t Nlth f.. ".rg. of .,5.00. Th. ..t....o. .ho1' b. r.qu..ted
'u wr't'.. to the Bnildio. o'~"a'.An oPPro... '''P..''.. ...t b. '...ed durl.. ...h .,.
month P.~~od. or the p~oject wi~l b. con8ide~.d abandoned.' . .
-INa TO OWHaR. YOUR -IAnus TO RIlCORD A NO'uCK or ~ MAY Ras",,'P IN YOUR
PAVrNa TWICR ..". -_a '" PouR PBDPER'Py. ,. OU INT,""n TO on"", r1IWfcnra. CONS""T
"'TB PouR LH'u'aR OR "" ..., ORIlEY Bam"" RBCORDING Y N....XCB nr C<a4HaHc_. .roBS UNnRR
'2,500 IN VALUs DO NOT D TO RECORD AND POST A IC~.. CoMMacl!:HJ!:HT'....
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Sl:aNAT
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STATI!I 01" FLORIDA
COUNTY OJ!"
The for.go~ng ~nBt~nt walp.ir"owledg8d
B.ror. JIUil tht.- Iflolt: . day of! ,,' .. ~~
by :J:).Q I!!... A. I<i~~
'-M (name of peril on ac 0",1 edged)
~who ill p.rson~lly known to me, or .
o who
P 1i5lO
of identification)
take an oath.
STATE 01' FLORIDA .
COUNTY OF' .Hillshorou~h
The foregoing inat~~nt ~p aDknowledged
Berare - th~. ~h day or...tmr1l- .. -4-82.0.02
by R. M. Williams-
(n... of parson .cknow~edged)
~o .1.. ~.r.on.lly known to 1Ile, or
o who . ha. prod.uce~
, (typa o~ identification)
.1.d at take an oath.
Ruth L Gill
of parson taking aCknowlaqgement
PIRES
, . April 13, 2004
BONDED THlU noy fAIN INSU~HCE. IHe.
PatriC.ia G. Bass
Ha~ typed, printed or Bt~ed
My Commission # CC985125, Expires 12/12/04
P.O. BOX 18284, TAMPA, FLORIDA 33878-8284, (813) 251-8051, FAX (813) 251-1801
R M WILLIAMS CONTRACTORS, INC.
Aprill7, 2002
City of Zephyrhills Building Department
To Whom it May Concern:
This will authorize Patricia Bass, Randy Harris, and Terry Grigg to register
our General Contractors license, obtain building permits, and certificates of
occupancy for R M Williams Contractors, Inc.
RMW:pgb
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged before me this 1 ih day of
April, 2002, by R. M. Williams, who is personally known to me.
~\~" Philip W Gray
*if*Mv Commission CC887180
\;..",.' Expires November 11, 2003
OFFICES LOCATED AT 504 S. MOODY AVENUE, TAMPA, FL
NOTICE OF COMMENCEMENT
PERMIT NUMBER
STATE OF FlORIDA
PARCELl.D. NUMBER Be low
#13 26 21 0070 07400 0000
II11II1111111111111111111111111111111111111111111111111II11I
2002062411
The UNDERSIGNED 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.
LEGAL DESCRIPTION (Must include either lot. block. subdivision, or section township, range)
Rcpt: 583065
DS: 0.00
04/22/02
Rec: 6.00
IT: 0.00
_____ _ __ Dpty C le..k
JED PITTMAN PASCO COUNT~CLfRK
04/22/02 03: 3Jpm 1 5073
OR BK 492:) PG
OWNER INFORMATION
NAME
Dale Kibby
ADDRESS 4330 - 20th Street, Zephyrhills, FL 3354
INTEREST IN PROPERTY Project Manager/Plant Engineer
NAME & ADDRESS OF FEE SIMPLE TITLEHOLDER (if other than owner) Perrier Group of ,America
777 West Putnam Avenue, Greenwich, CT 06830
GENERAL DESCRIPTION OF IMPROVEMENT
Remove roof panels & replace and build concrete foundation for tank.
NAME R M Williams Contractors, Inc.
CONTRACTOR
ADDRESS 504 S. Moody, Tampa. FL 33609
NAME & ADDRESS OF SURETY
f~-
Ii r
SOND AMOUNTS
LENDING ORGANIZATION
(Name and Address)
?ersons within the State of Florida. designated by owner upon who notices or other documents may be servecias j!rovided by SECTION 713.13 (1) (a) (7),
FLORIDA STATUTES.
NAME Dale A. Kibby
ADDRESS 4330 - 20th Street, Zephyrhills, FL 33540
in addItion to himself, owner designates
of
(Name)
to receive a copy of Lienor's as provided in SECTION 713,13 (1) (b) FlORIDA STATUTES,
(Address)
(One year from date of recording. unless specified)
CeRTIFICATION
STATE OF FLORIDA COUNTY OF
The foregoing instrument was acknowledged before me this ~ ,;. day of --iJ:7,,; I
who is person;!l?"own to me or has~pr , cQd
~ X. ~./L Commission Numter
,
PASCO
.~bY
Dale A. Kihhy
as identification and who (did) (did not) taks an oath,
?<:RM 4 (8/98)
BONDED THRU TROY FAIN INSUIlANCl. 1Nt.
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"tRUCiURAL
iEEL
ERV,CES
FAX.: (8' 3) 572.-4045
DOM\N\C FRAGOMEN\, p.E.
April 10, 2002
pHONE (813) 573-7833
L
R.M. Williams Contractors
P.O, Box 18284
Tanipa, FL 33679
f.
f-;
(:)
AtL Mackey wiUiams
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Re', Tank Replacernent
zephyrhiUs Natural Spring Water
Dear Mackey,
Attached are 6 copies of sketch sheets SKI & SK2 showing the structural steel design for
the replaceUlent roof in the area where the neW tank will go in. The following General Notes
will apply to the neW steel.
I. StruC~ural steel design, fabrication & erOCtion shall be in accordance with AISC
"SPEC1FICATlON FOR THE DESIGN, F ,\BRiCA TION & ERECIlON Of
STRUCTURAL STEEl- BUILDINGS", ninlh addition.
2. All structural steel shapes and plate shall be !>,STM. 106.
3. All bolts shall be ASTM A325 ,
4. Welding electrodes shall have a roinillll1Ul yield strength oPO j;si
5. All welders shall be AlSC CertifIed.
6, Wind Velocity used is 120 rnph,
7, Live Load is 20 psf.
lfyonl1llve any questions, please call
t...
Y1r(f
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Dorni'
.
CL.EARWATER, t -
\.
P.O. 60X 17249
.
13095 49TH STREET NORTH
Jrt~v
TRUCTURAL
TEEL
ERVICES
./
PHONE (813) 573-7833
DOMINIC FRAGOMENI, P.E.
FAX: (813) 572-4045
April 10, 2002
R,M, Williams Contractors
P.O. Box 18284
Tampa, FL 33679
Att: Mackey Williams
Re: Tank Replacement
Zephyrhills Natural Spring Water
Dear Mackey,
Attached are 6 copies of sketch sheets SKI & SY~ showing the structural steel design for
the replacement roof in the area where the new tank will go in, The following General Notes
will apply to the new steel.
I, Structural steel design, fabrication & erection shall be in accordance with AISC
"SPECIFICATION FOR THE DESIGN, FABRICATION & ERECTION OF
STRUCTURAL STEEL BUILDINGS", ninth addition,
2. All structural steel shapes and plate shall be ASTM A36,
3, All bolts shall be ASTM A325,
4. Welding electrodes shall have a minimum yield strength of70 ksi.
5, All welders shall be AISC Certitled.
6. Wind Velocity used is 120 mph,
7, Live Load is 20 psf
If you have any questions, please call.
JrjJC1/
~~
Dominic Fragomeni, P.E.
P.O. BOX 17249
.
13095 49TH STREET NORTH
.
CLEARWATER, FLORIDA 33762
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PREvAlLlNoCODBs.Fl.OR.rnA~
CODE. NA nONAL El.Ec'mICCODBANo
CITy OF ZEPHYR1-rrLLS ORDINANces
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