HomeMy WebLinkAbout91-1693
STATE OF FLORIDA
City of Zephyrhills
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Tvoe of Permit -). [I C-;-u
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BUILDING (/~ ELECTRICAL
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
PermitN~
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1693/:5
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SUb.Div.J%J!./CJ;y<';c.-O'.j~;t;~"'fjLot 34/
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Zoning CI: ...) -c,.L b -(;;""1 .,
Description of Work >.U~ ,44 . IrK It ~l!;-#,I, (J.o:.!.. -- -A ',~'J) ':;'
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Legal Description:
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Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application ()
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COMPANY
ADDRESS
TELEPHONE #
Estimated Cost: < S Cr~,. cJ-v
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
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OCCUPATIONAL LICENSE # 9 (/0/'1.,
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~ BUILDING" ~/
~~~'~~;'D~rret+~
Lintel
FRM. {--z-,-"11 (2#l
Insul.CL
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ING
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ELECTRICAL>;! 7 ...j
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M ANICAL
SLB
Tub Set
Water
Sewer
Final
Tp.Serv.
Rough In 'l-21'1/
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Reinspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of IL.. (~19.99)
dollars shall be made for each !I!i9r. -r--r-~ de. 0. -,)""; o-v)
(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.
,c. FRED DEUEL l ASSOCIA TES, INC,
1620 Isf Avenue Norlh
'St. PefersburQ, Florida 33713
(813) 822-4151
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SURVEYORS NOTES
1. No underground install ti -
except as shown. a ons or improvements have been located
2. :~di~~t~~~~ts of record reflecting easements. rights of way.
3 Thi ship were furnished this surveyor except as shown
.: Bea~i~gU;v:~OwashPreparebd without the benefit of a title search.
wn ereon ased on Plat of. Record.
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C. FRED DEUEL & ASSOCIATES, INC.
5151 GALL BOULEVARD
ZEPHYRHILLS, FLORIDA 33541
(813) 782-6717
", ~eDy If
cer I y fhot thtS survey was mode in occoraonce with . .
b Irl, FIOf/dO De (tmenl at Re "/0110/'11 BOOf'd of Land S':vem'n'';:Ch ":d021 ~~?~ r~Qr~'l~ r~dttitle survey' loint/}' established and pdopted
N~0666 or,,^, ",,"ntS I'tl,ve Code effectllo1! Ot'ober r. 1981.'
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SEC. /3 ,TWP. 2<d 5., RNG. 2/ E.
PASCO COUNTY, hOR/OA
ACCORDING TO FIRM PANEL #120230 0460 C,
DATED 3/15/84, THIS LOT LIES IN FLOOD
ZONE "C".
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LEGAL DESCRIPTION
Lot 34, MEADOWOOD ESTATES, as
Plat Book 15, Page 106, Public
Pasco County, Florida.
recorded
Records
in
of
FOR:
HELEN R. SHEEHAN
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DATE OF SURVEY:
MAY 2, 1991
BOUNDARY AND LOCATION SURVEY
~
ORDER #9459-ZH
CERTIFIED TO
INC.
INSURANCE
ASSOCIATED LAND TITLE GROUP,
COMMONWEALTH LAND TITLE
NCNB NATIONAL BANK
HELEN R. SHEEHAN
~ $aed ~euel and ./I4~oclate4.1 ~nc.
ST. PETERSBURG
ZEPHYRHIL-L-S
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Owll b)'I.RHII CItd. by'
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H.W. ALUMINUM,~
- Since 1973 -
CONTRACT NO 811-
- 602 South Avenue
Zephyrhills. Florida '34248
(813) 788-3044
Sold To J/.pk ~ S~ ~ jJJ. Phon. 7 ~ e- - ? (Xl z.. D.t. 7t:l.!J-c;l
str..t:;; 9~S:J. /Yl~J~~~DDI"-- I.ti_t.d In.t.ll.tion Dat. 8-9,..,/ / jJ,JA,Y.
C1tY~iJ""..tJl,;/~ ZiPa{/~ V Ii' Park County Pa.... r' c ~ /'
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Lot Block Unit_ Section~ Town.hip t?'h..s Ranae..J J z:.
IxtruaioM DBron.. [JAnoclill.d ~it.P:lor lickpl.te 20" 16" White Ivory Bronae ).
Scr.enrOOll ,Rai.ed Deck .;,....
IMul.t.d Doubl. RooflUPJJt'vl. 2-11 '~t'Ib ,fj;r:-~P6-00- -C-?/~ ~s/.:c-J"7~~::r.) vJ
::::: EZ= 7' :::";;;Mt~9yat..
"",""'. I' ~ &.' S ~o-I., (' (= - .' - .. /4"iJll. )
Sidina Vynl AIIJID BUI Shield L/r
7~
II.ctriC,"" ~ /:V ~....~ C~(.-. . /~:a. 6' /~
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= I-U. ~ -U1':':1:;l>', - ~ 19~_'fC~:
J,../u~~ t3~ 6-'V' a()~~c~':".. r.ctory Pric......... $ ~a lJl:J '
~ /750r trt/ I) Jr ~~t~~,=~:::::: ~~ ~t~..
c;;2 _ S..Il*!!!- t/~ Wl1"'i ~ hS Total Pric........... $ Ii' ~n,r;o..
p~ n/ _ CIJU-Z()dVV) Depoait.............. / 7s(), c:J~
-r . ~ ~ .;Jj '7 y-e>.or;
"c" Skirt Color . \ V
Block Skirt Color ... t.
....... Aw ()0.../o.u S'S..4- ~
.r;-:t~. 7 r --, //;Ha4A.
HorV -..=?)c SO D*>- ; rr r
Cle,u, Tint.~
IxtruaioM Oaron.. UAnodill.d ~it.
Awn.
Approv.d By
P.id Depodt "::l-'~..!LL Ch. No./S'3
Authori..d Siln.tu
NOTICE I Do not sian this h~ improvement contrscc in bl.nk. You ar. entitled to . copy of the contr.ct .t the
time you .ian. Thi. propo..l ..y b. withdrawn by ua if not .ccepted within thirty (30) days. W. h.r.by propo.e
to furnish l.bor and materi.ls - compl.t. in .c ordanc. with .bov. apecif c.tion, for s f
doll.rs, w~th p.~t to be ..d. .. follows: I'~
.7-~~-9
If p.id within ______ days .ft.r compl.tion, th.r. will be no int.re.t chari.. otherwi.e . char.e of 1i% p.r month
(annual lot.r..t r.t. of 18%) will be .dd.d.
All mat.rial i. auarent.ed to be .. .p.cified. All work to be compl.ted in . workmanlike manner .ccordinl to
.tandard practic... Any .It.r.tion or d.viation from the .bove specification., or price chen.es involvina extra
co.t, will be ex.C\ltacJ only upon written ord.rs. and will bec_ an extra charae over and .bove the ..timate. All
..r...-ot. contiDlent upon strikes. .ccident. or d.l.ys beyond our control end .cceptance by home office. Owner
to c.rry fir., tornado. and other nec....ry insur.nc.. Our work.r. .ra fully coveracJ by Workman'. Compen..tion
iM\lrenc..
PAYHIIft' 'l'O II HADB UPON COHPLBTIOH llHLISS O'l'IIDWISI SPBCIlIBD. IN TBB BVBNT 'l'1IAT AMOUNT IlEUIN SHOWN IS NOT PAID
WBDI DUB, ALL COSTS DICURIID IN COLLBCTIOH SHALL BE PAID BY TBB CUS'l'OIBR INCLUDING llBASONABLI A'1'TORNIY'S rD.
Licanaed, Bon4acJ end Insur.d. St.t. Certificat.' IX 0049667. 'lilUll1c. Licana., BR 0044182
P..co c-ty' 1269. 1270. Jlaman40 Comty' 0247604. Biluborouah CoIIDty' 7704, Bard.. County, 74
.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~.", 0-J"
ADDRESS 35Ll3C)
OWNER ~en1\o
JOB LOCATION ~ctLP~~
A\ Un) (On U-hJ (t
~L)~ M-e
~eh~
rf7er1dtJU-md L.!!-eT' SIZE_X
CJJheJre+e
PHONE 1 A6- 'CJ:J-/ Lf
AREA SQ.FT.
LEGAL DESCRIPTION: LOT (S) ~? 'I
/3-,;).6 -d.-I-
BLOCK
SUBDIVISION
PARCEL I,D.~~
WORK PROPOSED:____New Construction ~ddition -^lteration ____Repair ____Install
c
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: _Single Family _JI/F _4~ of Units .-M/H
_Commercial --'::"-Indust, _Swim. Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t ,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS'& (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SEJ ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED, '
PF.RMITS REQUESTED
, ./
",::::,-BUILDING
$
") )"', 2'" \'
.... ,:> ~,~;.. (, l. .
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Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R,E.C.
_MECHANICAL
$
valuation of Mechanical Installation
_PLUMBIN'G
...
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
BUILDER Company \r\. W
State Cert. or Regist. #
Signature City License Registration
******************************************
Rr.RCTBIC~AN.(l.A~j! ~~ ' Company
State Cert. or Regist. #
Si2nature City License Registration #
******************************************
/ /_~
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
.
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration # -
OTHER
Signature
APPLICATION APPROVED BY
******************************************
'"11 rP MA' ~~-1...>?/ .Q~')/l..J
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PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS:,
The undersigned understands that this per.it .ay bl subject to "deed restrictions' whicfi'lay be lore res~rictive than City
reguhtions. The undersigned assulllnlpOn5ibili\!..fo~ co.pliance lIith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ollner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance lIith
state and local regulations. If the contractor 11 not licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state lall. If the ollner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended 1I0rk, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813)
788-6611. .
Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of th~
'Contractor Sections' of this application for IIhich they lIill 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 lIith a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and protise in good faith to deliver it to the
"owner" prior to cOllencelent.
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 co.pliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby lade to obtain a perlit to do lIork and installation as indicated. I certify that no work Dr
installation has cOI.enced prior to issuance of a perlit and that all work will,be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other govern.ental agencies tay apply to the intended work, and that it is
.y responsibility to identify what actions I lust take to be in co.plianc!. Such agencies include bllt ~le not li.ited to:
I Depart.ent of Envitonlental Requlation - Cypress Bayheads, Wetl~nd Areas and Environ.entally Sensitive lands,
Water/Wastellater Treat.ent. .
I Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Ar.v CorDS of Enqineers - Seawalls, Docks, Navigable Waterways
I Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - W~lls, Wastewater Treat.ent. Septic Tanks
I US Environ.ental Protection Aqency - Asbestos abatelent
I also tertify that, if fill .aterial is to be used in Flood Zone "A' or ~A,etc.', it is understood that a drainage plan
addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer regist2ied in the State of
Florida prior to perlit issu~nce.
A per.it issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issllud ~hall becole invalid
unless the work authorized by such per.it is co..enced within six tonths of issuance, Dr if uork authDrl~ed by the perlit is
suspended or abandoned for a period of six .onths after the tile the work is COlmenced. One 90 day e~t~nsioll of tile, lay be
allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each six .onth period, or the project will be considered dballdoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
fNTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTIC,E DF CDMMENCEMENT. J,O" S, UND~~.$;;500 IN VALUE
DO NDT NEED TO RECORD AND PDST A "NDTICE OF CDMME; CEMEN~0
SIGNATUR~fi~----- SIGNATUR~ Ji..4q':;'J::'- ~--
OWNER OR AGENT CONTRACT~~------
DATE__~JL~_-~T-\~:L~-----------~--
NOTARY AS TO C'\ _ ~~
OWNER OR AGENT~____~----~----
MY COMMI 5SI ON EX~r~~~,.~:,~+~~~;~;~~g}----
IlOh~~" j "",' ",,'"'' Ih r ','" U"D
.... ~"'""_;'..;,s.. L.;;~.. '{~'.
DATE___~_~_la,-l~9Ll_____--------
NOTARY AS TO ~~~ . -
CONTRACTOR___~~_~hiw~-
tI<8'~ rlC. rc ST:.Tt cr- FLORIOi'
MY COMMISSION EXPI~1'r.Cf>~f'~;+~rE~~t\:-e-.l.199;'
BOILED 'II,,:') C.[[';ER,~.L rr:s. UNO.
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