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Home My WebLink About91-1571 STATE OF FLORIDA City of Zephyrhills ,; PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1571i? /~D Date ,~-7- 7,/ Type of Permit C~ ELECTRiCAL --- ~::P:::r::~ers Name !J?w::'&dL ~~ ~ ~'AL Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work Energy Code Readout: ~ Complete Plans, Specifications and Fee Must Accompany Application Estimated cost:~ c:::?O) IS "I.. .J[g.. ~ Fee /~ SIGNATURE j.L..-..1_~ L,~ COMPANY1/' ,z7/ ~ ..B.o La L/Y/ . ADDRESS ,2'S..;2/ 1A--< PUA.. ""'-n"'---.r 4. ~ TELEPHONE # l?-f?g- -//0 0 , All work shal! be performed in accordance with the above and all City Codes and Ordinances. (U~ OCCUPATIONAL LICENSE. ~- . . -, - U; VI~~S .C\:k , (-- ~lJILDI~~)' P~ ELEC~--' Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final . MECHANIr.AI Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge oft... ,l._.~il.) dollars shall be made for each"'. -rra- d e. (/o': t/o ) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. ~. (~ (' ..... ",-.., ( .~ ( ... . . . . . . _ ~ A ~ , ~ 1 !t'(fI1 (O~ '-J41~--'- Prt IC~ DIEBOLD, INCORPORATED REPORT PAGE 8 ORDER COPY ORDER PAGE 6 CHANGE ORDER - 8082 CUSTOMER SERVICE REGIONAL OFFICE 7501-72-01-1 ORDER NO 0548-03491-00 ,~ " REPORT DATE 05/17/91 SEND TO 8082 C184M8082 \J -------- IIM QTY PART NO I CODE SCHD DATE DESCRIPTION IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII***ITEM/DELETED***IIIII111111111/111111111111111 06011111117/00-022034-0-77-A/12/31/941ISU-28-SD/PEDESTAL/-/PLATINUMIIIIIIIIIIII 111111111111111-483-830-000111111111111 11111111 --------------- IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII***ITEM/DELETED***IIIII1IIIIIIIIllllllllllllllll 06111111111/00-051424-0-02-A/12/31/941IMODULARISECURITY/TERMINAL/-IIIIIIIIIIIII 111111111111110-424-868-00081111111111IBASICIIIIIIIIIIIIIIIIIIIIIG311Ql11111111 ------------- ----------------------- 062 1 00-013410-0-00-E 01/31/91 PASSIVE INFRARED DETECTOR-STAND 0-129-868-0008 ALONE-SURFACE MOUNTED G507Ql -------------- ------------------ 063 1 39-007541-0-00-A 01/81/91 AUXILIARY ALARM LAMP 0-134-868-0008 GI05R2 ----------- 064 2 89-002294-0-00-A 01/81/91 LOCK SET 0-184-868-0008 FI07Ql ---------------------------------- 065 1 00-084215-0-00-0 01/25/91 DESCRIPTION AS FOLLOWS: 0-424-851-0000 PROVIDE AND PULL ALARM WIRE VAULT VENT. QUOTE -'~ ---------------------------------------------------------- 066 1 00-090840-0-00-D 04/80/91 ATM ENCLOSURE - 10' X 8' 0-177-866-ACME DRIVE UP - AUTOMATE III NOTE: DO NOT. EXPOSE OVERHEAD TUBES PROVIDE TOTAL ENCLOSURE TO CEILING OF CA NOPY USE BARNETT AUTOMATE COLORS ENCLOSURE RECONFIGURED TO ACCEPTOVERHEAD PT TO PT THIS IS FROM A 1990 ORDER. TO BE ORDERED BY DICK SWALLEN --------- 067 1 00-090855-0-00-C 04/80/91 10 FT. FRONT PANEL - BACKLIT 0-177-866-ACME ----------- ~ .-------------------------- 068 2 00-090855-0-00-E 04/80/91 8 FT END PANEL - BACKLIT 0-177-866-ACME ------------ ---------- 069 1 00-090855-0-00-M 04/80/91 10 FT REAR PANEL - BACKLIT 0-177-866-ACME ---------------- 070 1 00-090865-0-00-D 04/30/91 SPECIAL EXTERIOR.COLOR - BASIC 0-177-866-ACME ENCLOSURE -------------------- 071 1 00-018465-0-00-0 02/18/91 PT TO PT SYSTEM MAIN STATION TER 0-165-866-MERC MINAL - 4X7 EDGE - UP SEND .,~ ------------------------------------------------------------------------------- 072 1 00-018466-0-00-0 02/18/91 PT TO PT SYSTEM END STATION TERM 0-165-866-MERC INAL - 4X7 EDGE - UP SEND ** CONTINUED ** I · (- ( r r- r ,...., . , ... ..... . -, .' .,. "'i' - , ... -_._----,.....- .--~ ...-- r' C' fo; r It (". (ftTPT ~ "., ""'" ., ."" ., ...., ..., .."" " , REPORT DATE DIEBOLD, INCORPORATED REPORT PAGE 80 04/13/91 ORDER COpy ORDER PAGE 21 SEND TO 8082 CHANGE ORDER - 8082 CUSTOMER SERVICE REGIONAL OFFICE ( C184M8082 7501-72-01-1 ORDER NO 0543-03491-00 .~ ------------------------------------------------------------------------------- F o R D E R DOL L A R S ------------------------------------------------------------------------------- IIM QTY PART/ACCOUNT SELLING PRICE LIST PRICE FREIGHT INSTALL 065 1 000842150000 1,500.00 1,500.00 .00 1,500.00 113 1 19021226000A .00 290.00 .00 16.00 114 1 39005755000E .00 100.00 .00 12.00 115 1 39005755000C .00 152.47 .00 .00 116 1 29005776000B .00 370.00 .00 12.00 117 1 49004420000A .00 300.00 .00 52.00 118 1 39002088000A .00 270.00 .00 52.00 119 1 49006386000A .00 205.85 .00 .00 120 1 49005447000A .00 425.00 .00 84.00 121 1 19024358000A .00 .00 .00 .00 122 1 00051424000S .00 1,840.00 9.00 88.00 123 1 39005672000A .00 260.59 .00 .00 124 1 00011664001J 1,848.32 2,025.00 4.00 180.00 127 1 39002088000A 189.80 270.00 .00 52.00 128 1 39002256000A .00 .00 .00 .00 133 3 00013410000E 502.20 983.00 .00 195.00 139 1 00051424001A 2,449.20 1,870.00 9.00 156.00 031 1 41014047001C 959.95 1,340.00 4.00 282.00 150 GROUP TOTALS 7, 172. 17 12,462.91 26.00 2,746.00 ==> START OF GROUP 200 093 1 00013332000F .00 .00 .00 .00 J 094 3 00013332000B .00 .00 .00 .00 095 1 38020856000A .00 .00 .00 .00 096 1 28000977000E .00 .00 .00 .00 097 1 18001559000A .00 .00 .00 .00 098 2 18001527000A .00 .00 .00 .00 099 2 00013375000B 9,465.09 13,967.00 220.00 1,600.00 100 4 49005926000K .00 .00 .00 .00 101 3 49005406000A .00 .00 .00 .00 102 3 18021023000B .00 .00 .00 .00 103 2 00013377000B .00 .00 .00 .00 104 1 000121790000 5,675.52 8,405.00 199.00 858.00 107 1 000121430000 2,765.19 4,295.00 53.00 200.00 108 1 000120520000 1,849.20 2,855.00 43.00 150.00 066 1 00090340000D ~.810.33 14,300.00 .00 .00 061 1 00090355000C 1,078.19 1,750.00 .00 .00 068 2 00090355000E 800.94 1,300.00 .00 .00 069 1 00090355000M 1,078.19 1,750.00 .00 .00 070 1 00090365000D 739.33 1,200.00 .00 .00 045 2 000133670000 1,232.21 2,000.00 .00 .00 052 3 12006533000A 544.45 925.00 4.00 20.00 053 3 12006540000B 690.70 1,065.00 12.00 60.00 148 1 32002095000M .00 .00 .00 .00 144 1 32002222000M .00 :0'0 .00 .00 2'00 GROUP TOTALS 84,729.34 53,812.00 531. 00 2,888.00 --> START OF GROUP 300 ., 131 9 39001988000A 952.56 1,692.00 .00 504.00 132 1 39002056000A 74.48 100.00 .00 33.00 ** CONTINUED ** ~ ,-. r ..-, ....) 'I .., .-' ,., ., ..., '. I , ,.. II' ..-.... ._,~ --~. . "......:.,',:.,""."'..-.H'I"i.."""':":><"~.....l,BI~!'l"'_ (" r- (' r r I"" r r ~ ....... .- '. "". "' .~...... fl tfl(l#\ [ 6nJ f,1.Y-K-r f~LC REPORT DATE DIEBOLD, INCORPORATED REPORT PAGE 82 04/13/91 ORDER COPY ORDER PAGE 23 SEND TO 8082 CHANGE ORDER - 8082 CUSTOMER SERVICE REGIONAL OFFICE C184M8082 7501-72-01-1 ORDER KO 0543-03491-00 \ o R D E R DOL L A R S IIM QTY PART/ACCOUNT SELLING PRICE LIST PRICE FREIGHT INSTALL 125 1 00011619000A 804.40 1,290.00 4.00 136.00 134 1 19013150000A 222.28 305.00 .00 93.00 135 1 28000121000E .00 .00 .00 .00 136 1 39007541000A 112.96 142.00 .00 60.00 137 2 29000303000A .00 .00 .00 .00 138 1 39003085000A .00 .00 .00 .00 126 1 00011619000B 217.20 325.00 4.00 60.00 063 1 39007541000A 115.00 142.00 .00 60.00 064 2 39002294000A .00 .00 .00 .00 129 3 39004537000A 183.60 135.00 .00 72.00 130 14 19012080000A 1,479.52 1,960.00 .00 700.00 300 GROUP TOTALS 4,162.00 6,091.00 8.00 1,718.00 ==> START OF GROUP 450 074 1 000890200000 805.00 805.00 .00 .00 087 1 000111250000 195.99 315.00 4.00 .00 046 1 000890200000 1,883.00 1,883.90 .00 .00 450 GROUP TOTALS 2,883.99 3,003.00 4.00 .00 *** DETAIL TOTAL 123,342.00 187,922.91 3,710.00 16,310.00 (. BOOK 2 ZONE 1 SELLING PRICE. LIST PRICE.... WHOLESALE. . . . . FREIGHT....... INSTALLATION. . FOB. . . . . . . . . . . ORIGINAL 125,524.00 175,147.00 131,126.16 3,689.00 13,909.00 108,431. 00 CURRENT 123,342.00 187,922.91 71,765.75 3,710.00 16,310.00 103,658.00 ********** - TAX OVERRIDE - *********** CODE AMOUNT BASE PCT ********* CODE 090-02-01 TOTAL. . . . i' ( l":HANGE 2,182.00- 12,775.91 59,360.41- 21.00 2,401.00 4,773.00- - TAX COMPUTED AMOUNT 7,400.52 130,742.52 - ********** BASE PCT 123,342.00 6.000 123,342.00 ~ *** END OF ORDER 05430349100 *** r ...., f' C" ,... ~ f" f.:'" r-fTLrt1~ ~ /''''1 .-"'1, .<, '. ""I '"' -\ REPORT DATE DIEBOLD, INCORPORATED REPORT PAGE 80 04/13/91 ORDER COPY ORDER PAGE 21 SEND TO 8082 CHANGE ORDER - 8082 CUSTOMER SERVICE REGIONAL OFFICE r C184M8082 7501-72-01-1 ORDER NO 0543-03491-00 ') ------------------------------------------------------------------------------- o R D E R DOL L A R S ------------------------------------------------------------------------------- IIM QIY PART/ACCOUNT SELLING PRICE LISI PRICE FREIGHT INSTALL 065 1 000842150000 1,500.00 1,500.00 .00 1,500.00 113 1 19021226000A .00 290.00 .00 16.00 114 1 39005755000H .00 100.00 .00 12.00 115 1 39005755000C .00 152.47 .00 .00 116 1 29005776000B .00 370.00 .00 12.00 117 1 49004420000A .00 300.00 .00 52.00 118 1 39002088000A .00 270.00 .00 52.00 119 1 49006386000A .00 205.85 .00 .00 120 1 49005447000A .00 425.00 .00 84.00 121 1 19024358000A .00 .00 .00 .00 122 1 00051424000S .00 1,840.00 9.00 88.00 123 1 39005672000A .00 260.59 .00 .00 124 1 00011664001J 1,348.32 2,025.00 4.00 180.00 127 1 39002088000A 189.80 270.00 .00 52.00 128 1 39002256000A .00 .00 .00 .00 133 3 00013410000E 502.20 933.00 .00 195.00 139 1 0005142400lA 2,449.20 1,870.00 9.00 156.00 031 1 41014047001C 959.95 1,340.00 4.00 282.00 150 GROUP TOTALS 7 , 172. 17 12,462.91 26.00 2,746.00 ==> START OF GROUP 200 r- 093 1 00013332000F .00 .00 .00 .00 "" , 094 3 00013332000B .00 .00 .00 .00 .' 095 1 38020856000A .00 .00 .00 .00 096 1 28000977000H .00 .00 .00 .00 097 1 18001559000A .00 .00 .00 .00 098 2 18001527000A .00 .00 .00 .00 099 2 00013375000B 9,465.09 13,967.00 220.00 1,600.00 100 4 49005926000K .00 .00 .00 .00 101 3 49005406000A .00 .00 .00 .00 102 3 18021023000B .00 .00 .00 .00 103 2 00013377000B .00 .00 .00 .00 104 1 000121790000 5,675.52 8,405.00 199.00 858.00 107 1 000121430000 2,765.19 4,295.00 53.00 200.00 108 1 000120520000 1,849.20 2,855.00 43.00 150.00 066 1 00090340000D ~.810.33 14,300.00 .00 .00 061 1 00090355000C 1,078.19 1,750.00 .00 .00 068 2 00090355000H 800.94 1,300.00 .00 .00 069 1 00090355000M 1,078.19 1,750.00 .00 .00 070 1 00090365000D 739.33 1,200.00 .00 .00 045 2 000133670000 1,232.21 2,000.00 .00 .00 052 3 12006533000A 544.45 925.00 4.00 20.00 053 3 12006540000B 690.70 1,065.00 12.00 60.00 143 1 32002095000M .00 .00 .00 .00 144 1 32002222000M .00 .00 .00 .00 200 GROUP TOTALS 34,729.34 53,812.00 531. 00 2,888.00 , ==> START OF GROUP 300 ) 131 9 39001988000A 952.56 1,692.00 .00 504.00 132 1 39002056000A 74.48 100.00 .00 33.00 ** CONIINUED ** - ~ ( " f I ,. .'~ r " -') " .'\ : . --,_....~----_.._- .--. _._-~----------~~.~--".__.- ,-' "'..~-~....... .,,<.-...., .-~- .,._-~--,,_.,-~-,- .-..- APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT APPLICANT n / e /~ 0 &:. ~ .::r./VC. ADDRESS o/S-,< / (lV/MA-Jq.-' C <- r<f.n...1 --- P/. / , -- PHONE B-8~ --//00 OWNER AdJ /Vol?// 'I JOB LOCATION '7$1/1 0~ LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I, D. 4F WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ~Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family _M/F _4F of Uni ts __M/H _Commercial _Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. U **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMB I N'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel A/A-...c..-.. _Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLUMRER Company State Cert. or Regist. # City License Registration # ****************************************** Signature MECHANICAL Company State Cert. or Regist. 0 City License Registration # ****************************************** Signatu,re OTHER Company State Cert. or Regist. # City License Registration # Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. :">:",,~~,~>;!:'_,.,.L_A_ Ll CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which may be lore res\rictive than City regulations, The undersigned assules responsibility for COMpliance with any applicable .deed restrictions. B. UNLICENSED ~ONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (B13) 7BB-l,l, 11. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s} sign portions of the 'Contractor Sections' of this application for which they will be responsible. 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 be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. 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 provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is somEone other than the 'owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the 'owner' prior to cO'Mencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cospliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has coslenced prior to issuance of a perlit and that all 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 certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I lust take to be in COlllpliance. Such agencies include bn\ ~i e not lillited to: I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Department of Health & Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treatment, Septic Tanks I US Environmental Protection AQencv - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,', it is understood tl.at a drainage plan addressing a 'colpensating volute' will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issu,ance. 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 ufficial from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~hall becole invalid unless the work authorized by such per.it is com.enced within six months of issuance, or if work authorIzed by the permit is suspended or abandoned for a period of six lonths after the time the work is commenced. One 90 day e~\eDsioll of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__________________________________ OWNER OR AGENT SIGNATUd~-~L~- CONTRACTOR DATE --------------------------------------- DATE___4~~~~~--------------------- MY COMMISSION EXPIRES______________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------ NOTARY AS TO OWNER OR AGENT_____________________________