HomeMy WebLinkAbout05-4038
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4038
Permit Number: 4038
Permit Type: GAS/FUEL
Class of Work: GAS TANK REMOVAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38499 COUNTY RD 54 EAST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
65,000.00
4/04/2005
340.00
340.00
4/04/2005 Phone:
GAS TANK REOVAL & RE-INSTALLATION
Name: SADRUDDIN BABUL
Address: 38499 COUNTY RD 54 EAST
ZEPHYRHILLS, FL. 33542
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
? &-~
CTOR SIG URE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
OCCUPANCY NO.:
CITY OF ZEPHYRHILLS
FIRE RESCUE
INSPECTION DEPARTMENT
6907 DAIRY ROAD
ZEPHYRHILLS, FL 33542
(813) 780-0035
Administration: (813) 780-0041
-- .,
/56tJ
*******************************************************************************************************************
Zip
Business Owner:
Business Name:
kl~ ~CL-\
Building Name:
Street Address:
Suite:
City: -t--1~~\l>
Manager:
Telephone: ~\'"3 - C1 \ I --'7 b 5
~<6~ q
CjL~,-\
15! '-1
uilding Owner:
elephone:
Emergency Contact # 1:
Telephone:
Emergency Contact #2:
Telephone:
Occupant Type:
*******************************************************************************************************************
TYPE OF INSPECTION CONDUCTED
Annual:
Reinspection:
Commercial:
Code Violation:
Sprinkler: _ ~s: V Suppression:
Approved: ~ Conditionally Approved:
Other:
Not Approved: _
*******************************************************************************************************************
Comments:
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******************************************************************************************************************
This building had been assessed by the Zephyrhills Fire Department. Utilizing the Codes ana :;~~!1dards of, NFPA Minimum Standards, the
State Fire Marshal Uniform Fire Safety Rules and other local fire safety codes.
Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during 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.
Inspection Date:
Inspector Name: (Print)
Inspector Signature:
Occupancy Representative
Signature:
Computer Entry:
*** ****************************************************************************************
Re-Inspection Date:
Inspector LD.#:
113
Title:
Page
of
Revised 04/04
CITY OF ZEPHYRHILLS
FIRE RESCUE
INSPECTION DEPARTMENT
6907 DAIRY ROAD
ZEPHYRHILLS, FL 33542
(813) 780-0035
Administration: (813) 780-0041 /. I
I if K-'~ <1# lf6 ~ '&
***********************************************************************************************'*******************
OCCUPANCY NO.:
FIRE SAFETY INSPECTION
Business Name:
v ACfJM
Business Owner:
Building Name:
Street Address:
Zip 33"Y4L
Telephone:
Building Owner:
Telephone:
Emergency Contact #1:
Telephone:
Emergency Contact #2:
Telephone:
3<64qtj
(Uls<{
Suite:
City: ~~~rt-~~ ~ls
Manager:
Telephone:
Occupant Type:
*******************************************************************************************************************
TYPE OF INSPECTION CONDUCTED
Annual:
Reinspection:
Gas:
Commercial:
Code Violation:
Sprinkler:
Suppression:
Other:
Approved: _
Conditionally Approved: _
Not Approved: _
Comments:
******************************************************************************************************************
This building had been assessed by the Zephyrhills Fire Department. Utilizing the Codes ana :;~:1!1dards of, NFPA Minimum Standards, the
State Fire Marshal Uniform Fire Safety Rules and other local fire safety codes.
Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during 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.
*****************~*** *~*************************************************************************************
Inspection Date: .:; J 0 t5~ Re-Inspection Date:
Inspector Name: (Print) Inspector LD.#: //""5
.
Inspector Signature:
Occupancy Representative
Signature:
't.
Title:
Computer Entry:
Pre-Fire Plan on File:
Page
of
Revised 04/04
OCCUPANCY NO.:
CITY OF ZEPHYRHILLS
FIRE RESCUE
INSPECTION DEPARTMENT
6907 DAIRY ROAD
ZEPHYRHILLS, FL 33542
(813) 780-0035
Administration: (813) 780-0041
*******************************************************************************************************************
Business Name:
~\~~
r fIRE SAFETY INSPECTION
,U Q....,.\ Business Owner:
Telephone:
Building Name:
Street Address:
~?\~
c..e~
Zip
~Scf-7-
Building Owner:
Telephone:
Emergency Contact #1:
Telephone:
Emergency Contact #2:
Telephone:
~:~'~llS
Manager:
Telephone:
Occupant Type:
*******************************************************************************************************************
TYPE OF INSPECTION CONDUCTED
Annual:
Sprinkler:
Reinspection: Commercial:
Gas: ~I Suppression:
Code Violation:
Other:
Approved: _
Conditionally Approved: _
Not Approved: _
*******~:;;***~~~*************
**************************************************************************
Comments:
~Gor-- ~o..-c
<:"
~
rf6t;'}
f/-I(P}<5
C01Ct~!-cJ
by
f;xo Ju~:!J 4-Jh
******************************************************************************************************************
This building had been assessed by the Zephyrhills Fire Department. Utilizing the Codes and .3t:::ndards of, NFPA Minimum Standards, the
State Fire Marshal Uniform Fire Safety Rules and other local fire safety codes.
Code violations specified in this report, ifnot corrected could cause or contribute to the spread of fire, or prevent safe egress during 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.
********************* *** *****************************************************************************************
Re-Inspection Date:
Inspector LD.#:
/1)
Inspection Date:
Inspector Name: (Print)
Inspector Signature:
Occupancy Representativ
Signature:
Computer Entry:
Title:
Pre-Fire Plan on File:
Page
of
Revised 04/04
CITY OF ZEPHYRHILLS PERMIT APPLICATIO~
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
3/,)1#5
I '
PHONE CONTACT FOR PERMITTING
OWNER'S NAME Sf1drLlrtd i 1)
JOB ADDRESS jgtj q 1
j-/.
. (//2..
Bn b ~ I
----
5"L(- bc,sf
PHONE 'l/~-:';w"l.{ 33,
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
-mnlL temD&J~ / 'M'MiY~1h
I ..
(Q St~)
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
& (1) SET ENERGY FORMS.
FORMS.
~/d~ F:d/:W.
~~L~ 13;(1)6/1'
i13--117--17tJJ
"Sf 6t:t '-'''
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
~..t -I
~'s'~$ i:,~ ~p p
o GAS 0 ROOFING 0 SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
I S PROJECT IN FLOOD ZONE AREA 0 YES
o NO :.
SIGNATURE
~J&f('
COMPANY
BUILDER
STATE CERT
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
SIGNATURE
_ *~******************************~*1*7****~**f*~
M ~ COMPANY la-v rue-I. t:'- ·
. STATE CERT OR REGIST # pi:, CtJr~Jj
*****************************************************************
MECHANICAL
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
.....
A. NOTIC.E OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
1;o,:be.+icanl\ed'J:n accordance with state sind local regulations. If the contractor is not
l~eans~d as 'required by law, both the own~r an~ contractor may be cited for a misdemeanor
vlolatlon under state law, If the owner '00: intentled 'contt;a'~toriare :upcertain as to what
licensing requirements may apply for the intended work, they are ~dvised to contact the
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs 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 may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's.protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
ll'~e~t.ity t-aat all the information.inthis application is accurate and that all work will
be do~e in compliance with'all ~ppllc~ble laws reg~latt6g cbn~t~~ction, zoning, and land
development.
Appliqation is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
~ll work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
~eftify.\t~a~~J understand that the regulations of other governmental agencies may apply to
the .inten?ed'work, and that it is my responsibility to identify what actions I must take to
'.b~'in compliance. Such agencies include but are not limited to: *Department of
. . SnvJ,ronme,ntal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
" Lands', Wat:er /Wastewater Treatment
"tSO'Ythwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
'Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protectiori Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensatin{J, :volum~" wi.oi.A..\lJe sUDfllitted. which
is prepared by a professional engineer registered in the State of 'Florida prior 'to' perinit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a
period of six months after the time the work is commenced. One 90 day extension of time
may be. allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to:t~e Buil9~ng pfficial. An approved inspection must be logged during each six
month period, or the project will be considered abandoned. .
WARNING TQQWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY ,RESULT IN YOUR
PAYING TWICE "FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INtEND'~O OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE. OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
. '. ,.
,
~,
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 20_
(name of person acknowledged)
C1ho is personally known to me, or
(name of person acknowledged)
O.who is pe~$~nally.~no~~ to me, or
.:. .- ... .
:9 who has produced
(type of identification)
and whoO did Odid not take an oath.
o who has' produced.
(type of identification)
and wh~. Odid O:iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped