HomeMy WebLinkAbout03-1805
BUILDING
Property Owner:
Job Address:
Parcell.D. ,
Zoning:
Descriotion of Work
BUILDING PERMIT
Permit N!
1805
CITY OF ZEPHYRHILLS
(813) 780-0020
/-df- 03
Date
ELECTRICAL
MECHANICAL
PLUMBING
Sewer Conn
GO ~ - N:i"1'r~
73 s-- G:, )j k> &..
Water Conn:
Water Meter:
T.I.F.'s:
Energy Code: Radon Gas:
~~ ~r cJ\DNh b,er E~'I PI4lu~uv~
e1Ji. .tn13-1?-O~
6Z..P~ FINAL .3 - ~
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
City License Registration #
State Certified License#
DATE
~M'~
d731
Permit Fee Jj',':)" d;C)
)-6lgnature OA.i/l..LxJQ --t () L{ i./'u I ~
Company
Address
"-."Felephone# ,P J ~~ - .;JJi? ,q.3!i 7
BUILDING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
J;J~JJJ
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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.
ZEPHYRHILLS FIRE DEPARTMENT
38410 SIXTH AVE
PH. 813-780-0035 ZEPHYRHILLS, FL. 33540 FAX 813-780-0036
Business Name
1<;4..-.
'. . ~ '.....,
Owner/Mgr
., /".. ,.,,.1 ,
~ .". /"f/<...,: J"'"
Address
-: - ? ..:;- ...'.<",J
" ,1.--. _ rr--
Occupancy Load
Bus. Phone
Emergency Phone
Date Posted
Contact Person
Alarm Company
Phone #
Type of Inspection Conducted
Annual
fl-:.:'W
Reinspect _ Quarterly _ Final JiL Commercial Check
APPROVED ~ NOT APPROVED_
Other
OK NOT OK
_Exit Signs
_ Emergency Lights
Heat Detectors
_ Sprinkler System
Exits
Window Size
Control Valves
_ Water Supply
Duct Detectors
_ Exposures
OK NOT OK
_ Fire Extinguishers
Smoke Detectors
Alarm Systems
~ -.-- --....
c __>~
_ Storage
Pressure Test
_ Fire Dampers
Fire Walls
_ Address posted
_ Hydrants
OK NOT OK
_ _ HV AC Shutdown
_ _ Smoke Doors
_ _ Elevators
_ _ Electrical
_ _ Tamper Switch
_ _ Inspectors Test
_ _ Smoke Separation
_ _ Extension Cords
_ _ Tenant Separation
Smoke Evac_
Code violations specified in this report, if not corrected could cause or 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, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code.
C ./ ... . ,)I,.-c, ./'. -'
omments: ;'-r c:..-_~,.,./ ,~>~'_ ~~/
_/'
..,/
Inspection Date
-. '
.... J: :"f
/"! ~~
Time of Inspection
.: .~ ~;:::/r;
..... ,.... "
.-,-
Inspectors Name ..,..,(/ ;-?/? '-;' ,l~
Owners / Mgr Name. ",~l'.'~M~k::':'
Re-Inspectlon Date
Fire Department 1 D. #
Title ~~
<, -----.-
., - ,.,
....-r. ..,...".,.",":t..... ,J.I
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This building bas been assessed by the Zephyrhills Fire Department. Utilizing the Codes and Standards of, NFPA Minimum
Standards, the State Fire Manhals Uniform Fire Safety Rules and other local fire safety codes. Revised 08-12-99
White Copy - Fill:
Yellow Copy - Business
OWNER'S NAME -K 0,-<; I) - (-I
,JOB SITE ADDRESS -/.);;) '-'5
I,-C:J.&~ ~7-CJ
CITY OF ZEPHYRHILLB PERMIT APPLICATION ,~
BUILDINQ DEPARTMENT 5335 8th STRBBT ZBPHYRHILLS, PL 335.0
Phone 1813 -780 -0020 J'axI813 -780 -OO.a! .. "2--
DATB RBCBIVIID -112- ~ -q__
PLANS RBVIBW PBB
k (LrrmL{
t:. ' .J:l. /J
C'K'111 to/ver/.
LEGAL DESCRIPTION: LOT(S)
PHONE CONTACT &t.3 'G:-1? ~, ' C:;-V J,,2
(~jlVf(7l~ { is' :3 '3 ~ll { ;I~~ I
BlJOCK
PARCEL ID # c"2H d
WORK PROPSED: ONEW CONSTRUCTION
SUBDIVISION
o ADDITION
(OBTAIN
~ALTERATION
o DEMOLISH
FROM PROPERTY TAX NOTICE)
DSIGN
o REPAIR
o INSTAl,L
DMOVE
PROPOSED USE: DSGL FAMILY DWELLING DMUL'I'I-FAMILY 0# OF UNITS
~OMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL.
o RESTAURANT & HEALTH DEPARTME~T APPROVAL
- Eq 'i L-1iJ /Y)[ /7L
DE.CRIPTION OF WORK . H()(JA' /1(1 H;nrmft /)141: t J PlelJl (,I/. On (1)9'
o MOBILE HOME
o OTHER
SQUARE FOOTAGE
., c/6 "nLsr,n
I
BUILDING SIZE
RESIDENTIAL:
COMMERCIAL:
HEIGHT
ATTACH (2) PLOT
ATTACH (3) SETS
PROPERTY SURVEY
D BUILDING
$
PLANS & ('2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
OF BUILDING PLANS & (1) SET ENERGY FORMS.
REQUIRED FOR ALL NEW CONSTRUCTION. _ .-1
Jt {}t uS
PERMITS REQUESTED cjJ tV"- rJJ.. :f"D .
VALUATION OF TOTAL CONS'l'RUCTION tp -
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
[] W.R.E.C.
D PI,UMBING
X MIlCIU\NICAL $~~ 'ii, ()(J
[] GAS 0 ROOFING [] SPECIALTY
VALUATION OF MECHANCIAL INSTALl,A'I'ION
[] OTHER
TYPE OF CONSTRUC'l'ION: [] BLOCK
o FRAME
[] STEEL.
o OTHER
FINISHED FLOOR ELEVATIONS
IS PRO,TECT IN FLOOD ZONE AREALJ YES 0 NO
BUILDBR
COMPANY
S'I'ATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
****.*************************************************************
BLBCTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*******************************************.************..*****..*
PLUMBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
· #< * · * · * · * · * * · · * * · * * * * * * * * * * * * * · · * * * · * * * * * * *.* * " * * " * ~ "1./." * *. * *.* "" *.* ~ U LP.
COMPANYI\.~IIYI{1II.( ~ )l7~L_~ ..' ...
. / p.., STATE CERT OR REGIS'!' #.'R,-/IJ/(t/fl/JO ..:)..t.U)O J...
u)j I J}) t.I/1.{J fA"" I, "N r7l) CITY PROCH.. INg # tY d -tI d. <{ 3<}
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qOMI?.ANY
SI~Tp:"CElRT OR REGIST #
:' C TY 'PRQ9~SSING ##
MBCHANICAL
SIGNATUREl
OTHBR
8IG~ATURE
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