HomeMy WebLinkAbout91-1664
STATE OF FLORIDA
City of Zephyrhills
.0
If
Type of Permit
$5 .
~MBI~
cP-D
(MECHANI~
PermitN~ 1664~
Date 7-c2:;l-C} /
+ 4t.7D - ,~~~
,---
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
.;-
Legal Description:
Blk.
Zoning CI:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
t4
Fee:4 /:j' <"2- ~
SIGNATURE ~)/ 4a', -I
vi
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
L.1U..
BUILDING
Ftr.
Pre SLB
Lintel
FRM,
Insul.CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp.Serv.
Rough In
Meter Can /J-.;4j2-c,) ~
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of I (~I 0 (0)
dollars shall be made for each toMf,t. /'r d de (; ..s-~cJtj )
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called,
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same,
PERMIT If / t:. &, '/ B
, ' DATE J"-~
APPLICANT / OWNE;~)?",AY i/;:;/i:;; ,c,,> , ~ 4' u" + ~ ) _ -L,
COUNTY PARCEL tI /~ - :2.~, -.;1/ - () / {; () - 0 c:)c.:'C C' - D S/O
LOCATION ,? () C/ / 7 'X~.:''v~-c-L~--.c-d J)/L I
USE / CODE DESCRIPTIO~/Jr? (/ .d A ('i/1/~:~~,-~l"
NoTICE
OF
RESOURCE RECOVERY ASSESSMENT FORM
RESIDENTIAL
NON-RESIDENTIAL
Ii UNITS
/
GROSS SQ. FT. (GSF)
RATE/ERU=$SO.OO X 0.96*/YEAR OR $0.1315/DAY ERU ASSIGN tI
ASSESSMENT = (tI UNITS)X($0.1315)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.1315)X(NO DAYS)
100
TOTAL FEE $
/} .r)
d ~}
TOTAL FEE = $
PREPARED BY
* DISCOUNTED
-------------------------------------------------------------------------------------
The above assessment has been established pursuant to the Pasco County Ordinance
No. 89-07 and Resolution No. 89-197 as commended.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE C/O. NO CERTIFICATE
OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE ASSESSMENT HAS BEEN PAID.
APPLICANT HEREBY ACKNOWLEDGES RECEIPT OF THIS NOTICE AND THE REQUIREMENT OF ASSESSMENT
FEE PAYMENT PRIOR TO C/O OR FINp~ RELEASE.
RECEIVED BY
DATE
--------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
BY
g, ,J3
C:"?;
,~ tkC/ <<f1
9/
12~~ii9-'$-L- ~
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RECEIPT II
/ / If tPfp b
DATE
APPI,rCATION FOR PER..'1.IT
CITY OFZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT {;ow !ccVS /J1$ SA-LES .
, f
ADDRESS 31'(4-0 I~'" s-t.fw Z:E.~Y^}/(LL5'PHONE ?R3-b'o?7
OWNER 3Etf,e.Y,t-J ~/I1E.S 'S/( "
(, ,
JOB LOCATION :38rP/~ ,lft'A/tJ//l5 PI( N/?I/RHt(/.. r LOT SIZE 6"3 x e=-ttJ AREA SQ.FT. ~.;2.~O
.
LEGAL DESCRIPTION: LOT(S) S / BLOCK SUBDIVISION WArWA~O tv/NO
PARCEL I.D.~t /'1 -;l..6-;;J...I-bl bO-OC>t!/PC> - &5'/0
WORK PROPOSED:~New Construction -Addition ~lteration _Repair _Install
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: _Single Family ~/F _~t of Units .-A-M/H
_Commercial ~Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE:
r:2b X 1-4,
I /tf-~
. ,
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 FORJIS,**
**COPY OF CONTRACT REQUIRED. '
PERMITS REOUESTED
_BUILDING
$ 45; 1J1JV. crt)
Valuation of Total Construction
_ELECTRICAL
/ S- 1./ AMP Service
~ Florida Power Corp,
_W.R.E.C.
_MECHANICAL
$ 12...()OOc oD
Valuation of Mechanical Installation
_PLUMBIN'G
GAS
SHIN G.L.E ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block ~Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
Company
State Cert. or Regist, lj
City License Registration #
****************************************
7''1 t\5/LJLf#<(,,'J-f!y
I
/
./
,;
: Company
! Stat~ Cert. or Regist. #
~ . ; CitYfLicense Registration
**********~*******************************
j
)
f~ ,a q'
Signature
Company
State Cert. or Regist. ff
City License Registration
******************************************
it . ::f7
MF. r<8AN I CAT. K tJ!/!NE elfS ~ 1/C-
S~gnature
Comparrj"
State Cert. or Regist, #
,City License Registration #
******************************************
7P
OTHER
Signature
it
APPLICATION APPROVED BY
PERMIT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
A~ NOTICE OF DEED RESTRICTIONS:
The undersigned understands that this perlit lay be subject to "deed restrictions' which ~ay be more restrictive than City
regulations. The undersigned asSUI!S responsibility for cOlpliance with any applicable deed restrictions.
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 required by law, both the owner and contractor ~ay be
cited for a lisdeleanor violation under state law. , If the owner or 'ntended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (913)
7BB-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 wor~. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled tc, permitting 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 - Homeowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is someone other than the
'owner", I certify that I have obtained a copy of the above described document and prc,mise in good faith to deliver it to the
"owner" prior to cO.lencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in c05pliance with all
applicable laMS regulating construction, zoning, and land development.
Application is hereby aade to obtain a perlit to do work and installation as indicated. 1 certify that no work or
installation has co..enced prior to issuance of a perlit and that all wor~ will be performed to meet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
IY responsibility to identify what actions I lDuSt take to be in compliance. Such agencies include bllt ~le liollii1iled to:
I Departlent of Envitonmental Renulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L~nds,
Water/Wastewater Treallent
I Southwest Florida Water Mananelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of Ennineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - H~lls, Wastewater Treat~ent. Septic Tanks
I US Environlental Protection AQency - Asbestos abatement
I also certify that, if fill laterial is to be used in Flood Zone "A" or "R,etc.', it is understood tl13t a drainage plan
addressing a "colpensating volume" will be subaitted which is prepared by a professional engineer registered in the State of
Florida prior to permit iss~ance.
A per.it issued shall be construed to be a license to proceed with the wor~ and not as authority to yiol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ 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 penit is cOlllenced within six months of issuance, c,r if lic.rk authOllZed by the perlit is
suspended or abandoned for a period of six lonths after the tile the "or~ is commenced. One 90 day e~t~~siol\ of tile, aay be
allowed for the permit with fee [harge of ~15.QO. The extension shall be requested in writing to the Building Official. An
approved inspectic.n t!lust be Ic.ggedduring each six 1Il0nth period, c,r the project \'Jill be cc,nsidered iibaiidc.ned.
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 NDT:CE OF COMMENCEMENT. JOBS UNDER $2,506 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
5IGNATURE_ ~_.tI._~L:.----
7f---c5- OWNER OR AGENT
DATE__~2~~~:E.J_L__----------------------
5IGNATURE_ ~~-.ec~~--
, ~-~~~~ACT~-~
DATE____~~~~-------------------
NOTARY AS TO~~ r\ NOTARY AS T~. ~~.
OWNEF. OR AGENT .e\..J-+ ---- CONTRACTOR_-\-U:t;.. . ~u.- a.d---=
.~\.. NOT MY PUBLIC ST OF Fl
MY COMM 1551 ON EX P IRE NOT A"V PlIlLlC 5 A MY COMM] 55] ON EX P E~v COMI1!"!i!QI'-EXP -=",,, D~
-M.,..e~~:'27.'T . CCJ!DtOTHRU GENERAL INS uNo
~OOOEO THRU GENERAL INS UNO .
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Lot 51, WAYWARD WIND MOBilE HOME SUBDIVISION, Cjty of
Zephyrhil Is, recorded in Plat Book 28, Pages 61 and 62, Public
Recor' u::. of Pasco Count y. F- lor i da,
NOTES:
1. No apparent surf ace encr'oachments except as shown her'eon.
2, Underground encroachments or uti lities (if any) not located
in conjunction with thjs survey.
3, Description and Bearings shown hereon taken from record plat.
4. This property surveyed without the benefit of a title search
for easements, additjonal Rights-of-Ways or other
encumbrances of record not shown hereon,
I hereby certify that the boundary survey
, represented hereon meets tt.e req(J kernents
of Chapter 21 HH-6, Florida Adminjstrative
Code, pursuant to Section 472,027, Florida
statutes.
BEALL 8 Co. LAND SURVEYING
3/6 PENNSYLVANIA AVENUE
P. 0. BOX 773
SAN ANTONIO. FLORIDA 33576
(904) 588. 4147
PREPARED
'l
BY: ~4L~~~/
MAl'U a;: W, BEAL l
Profess iona 1 LW'ld SI.irveyor
Florida Re9. No. 4281
9100751
[).All 01 :>UHV{ t ..~~/06/91
OAT/ 01 f'LAl _<!!~(7/.!!~._
JOB M.J
t<<>T VAL I&) lK.ESS I r-PR I NTED WITH RA I seD SEAl.
DRAWN BY _rJP.Y
f/E VISKJN
SHEET. I 01
PREPARED FOR
GOLD KEYS MOBILE I-KME SALES
Return to:
Name _ SUMNER & TYNER,,_~_.-A.
Address_--1>___D ~_Jlr..aw.er-1.OA1_
Dade C it Y --.El_3..152..fL-lDA.7
, , :' ".
l'roperty Appraiser's
Parcel Identification No,
This instrument was prepared by: ROBER'r D. SUMNER: sbs
Name SUMNER & TYNER, P.A.
OAdd P.O. D'8we,.1047
. D ress DADE CITY, FL 33526.1047
.au
\.OU
O"l::.
\ C\ \ ~.
\ '-\ ,~ntee 5.5. No.
~---:..(\
'\ ~~tih'antee 5,5. No.
Rl007965 V5007b09 04/19/91 09:36 AM
" COPlrtS 0 1. 00
~ \~NG/INDEXING 5,00
RECORDS MODERNIZATION FEE 1,00
ISp.H" .II'oVl" tillS line lor rec<OO~ MAMP INVENTORY STAjf-----tf7ttt.DD
WARRAN-TY DEED (STATUTORY FORM - SEcnON 6fle.W~LI:.s,) 1921. 00
This Indenture made this Ii It}_ day of ~Eril 19 91Between
1 ---L..-___ CHI:.Cf( #: 425 1921. 00
LEON S. WILSON, III cmd DELORES L ~Ot4Gtt13oN, ~isB w1t~r~ PAID: 1921. 00
N.me
Nd.f1\e
of the County of
Pasco
, State of
Florida
, grantor., and
JERRY H. MOATES, SR., and SHIRLEY N. MOATES, his
wife
R
3414 Hwy 54 lJ,
whose post office address is j{xixx.jfx.xxxxxxx-, Zephyrhills Fl 33543
of the County of Pasco , State of S'lor ida
, grantee.,
Witnesseth that said grantor, lor and in consideration of the sum ot
Ten and nolI 0 O----------------------------------------------lJollars,
and other good and valuable considerations to "aid grantor III hand paid by said grantel', the receipt whereof is hereby
acknowledged, has granted, bargained .lIld slilJ IU lhe ~.lId ~rante(., and ~rantee's heirs and assigns forever, the following
described \,md, situate, lying and being ill L'ctSCO County, Florida, to-wit:
Lots 1 through 5'), inclusive, and Lot 66 and Tract
"A", WAYWARD WIND MOBILE HOME SUBDIVISION, as per
plat thereof rt.:-~c()rdL'd in Plat Book 28, Page 62,
Public Records 01 Pdo)(~O County, Florida.
(This deed prepared without examination of title.
Title Harketability or description accuracy not
guaranteed.)
and said grantor does hereby fully warrant the titlt~ to said land, and will detend the same against the lawful claims of all
persons whomsoever,
. ."Grantor" and "grantee" art. used for singular llr plural. as context requires,
In Witness Whereof, grantor has ht'ft'unt,) set grantor's hand and seal the day and year first above written,
Si~ed, s-:,lt,1 and deliver~~ our prernce ~ . _ '-.
i..:,/i:':?n/.'1~/U'~-L...L.k-.' .~.) ~.-.- __:u:S.e....:1-~ (Seal)
D~/; . . L--a.~ . - 1.'. /. LEON .~.' WILSO.N, I!,~
(, /?~. ~. /2%P.(...L(_/ ,,~~~~t:--~L~-..-.----- (Seal)
STATE OF FLORIDA ,,'
,.,IlIl,,,COUNTYOF PASCO /", .'".,.,,'..,.
.:" 'ril~EBY CERTIFY that on this day bdore me, an officer duly qualified to take acknowledgments, persahally'~p."eai;d
.. '" '. ": - '/"
Or "'., '. LEON S. WILSON, ILL dnd DELORES L. WILSON, his wife . ". "'~,<'-' :
" -1.tp JIl;e kn'own to be the person(s) described III anJ who executed the tort'going instrument and acknowledged befor~ m~~t .....' ,
o ):- : .. ._,
'<>t_h!.Jlexecuted the same. II ";:"',", t
I... , cW'lNESS my hand and official seal in tflt' Z lIUllly ,IIIJ Stdtt' idSl .ftores.lId ttw. ~i!~! 01' April ,19 9r
. ~kl)~l\L \J ~\~,
) Notary Pub 1C\j ~
My commission expires:
NOTt'PY PUBLIC STATE Of FLORIDA
MY CO;1itSSICN E~:P OCT 17 . i 992
22:F-76t-OOl om:rm T1iPU Gr:Ntri',l It:3 Ulm
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