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HomeMy WebLinkAbout91-1812 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Permit N~ 1812/3 .3 77,,5t) T BUILDING DEPARTMENT 1-813-788-6611 0 ~ 7 Date l' - 7 - I 3 tJ. UD ~ 41~ tiX ?,f--. e;"HJ ~AN~:Y~ ~ ...35?J- eri) .;0/ /,1 1J1~~ /6..5"'. Ji) ']21 ~ .~ Property Owners Name: ..:" ~~. ~ 7;:: Job Address: 0>9 t ~-5 ~ /71 Legal Description: Sub.Div. Lot Blk. ZoningCI: /3 - :lb - .;:L 1-0 120 - 0 "'''':06' - o..sr 0, Description of Work '7'1d..vJ. "t~~ ~ Va.t>><~ A&<,../~V ~~/~Lvt rt~/\.~ !-5'(j-,S-: tn;J '7?Lu4~ I'IJ~7// Energy Code Readout: 71.3-6 (}:/~ 1 _ ~1" 1..1,,/1 Complete Plans. Specifications and Fee Must Accompany Application ~ t./1- p..'" ~~7Uf. Estimated Cost: ~ tL 1}'7J7J. o--i) ./ Fee: ~ / / i."!' - SIGNATUR~ ,Jj~ COMPANY All work shall be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE #3:1-:2.. ADDRESS TELEPHONE # .~~ '/6 t:, Tp.Serv. Rough In VII ~g-,; Ifl Breakers Meter Can Ducts InsJ.}I-J9 /9/ Const. Pole /1)-'8-1/ ~ Compressor ' Pool' Final Pre-Meter rz.:../7- f I Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction W, CC, / ~ - /? --9/ (c) Repai!TS 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. ..,,'1:, F; O~ :: \1 ," C - ~., , ;.' ~/' f . -~ . ."I"..~, I --.'., ". .fl.- ..'.lI ? ,<~' ., .~ :,.~ 31V'::)s * ---- ~'" ~ " '<' . 1;;)) .z~ -J~<:.> -1 , ,~ - ..' ..~. -\) ~ / / 1/ 4- o { (} (} , tJ f z o H E-i 0. H 0::: U U) ~ Q U) ~ E-i -t . E-i !\3 U)'d ~.~ ~ o 0 Or-l O~ 3 o ~ 0>' ~+J ~C ~;j o ~u co MO U +J tI) o f1j ~o. '" '+-i o tI) 'd ~ o u ~ 0::: U ..-l r-l .0 =' 0. <.0 o ri ~ (Jl !\3 0. lJ') ri ~ o o o:l +J f1j ri p.. 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',.,Pjj ,.'~ 'W, .f1~ "';:.\:-'~ 1 , '...~ ;<.'~'i , ~;{".~ t.~r 1 - ";: ~O/ fl'" ,__ ..i:';_ > [~it '~.: ,-"., ,'" ~~, '.,'";'...,, ..",;.,..,..>'::.r.'J<,.., \ ",..:, .' :~.';' r".:-~",~ ;~;',~::i:',.. /,:..h::~.;" \. ,Y)'.:~i~i' ...,t,1l\;:.{,i;:"" 6,'~"':":~".tt!', i.t,~..,~&~j.--1:l-_ii, ..::'~~~\...., ."_~_:.\..\'.it:,,.\)st..:'.,'....:~.~t\l..~~~1~~<tr.i. APPLICATION FOR ,PEIDlIT CITY OF ZEPIIYRHJ;,LLS BUILDING DEPART~lENT . APPLICANT ;f.c:te h/~.L ,~;,~, . 2o? /:J1."U ~~' ~> A:-t,;;. df,/?r3~IloNE tpS) -2Ji3-1"{)3;? ---/'~de- JOB LOCATION Y9&~ ~$/fw(jtr/ L'~, , 3f ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK LOT SIZE 6".9'" X //0 AREA SQ. FT. ;70 yo /- SUBDIVISION de~ot~(",,/ ~~\ OWNER PARCEL 1. D. it 2/- 24- -r '5 - ()/e/6 l>D Door> 380 WORK PROPOSED:~ Construction ~Addition ____Alteration _Repair ____Install _Sign/Temp. PROPOSED USE: ~le Family _Sign _Hove ____Demolish ~M/F _it of lIni ts ,._M/H _Commercial _Indust. ____Swim., Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: t;/;( X 9Z I, /~c:2 ~ ' Square Fee t, / 6" 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 FORHS.** **COPY OF CONTRACT REQUIRED. pRRM1TS REOUESTED _BUILDING valuation of Total Construction _ELECTRICAL AMP Service' Florida power Corp. _H.R.E.C. _MECHANICAL $ / I Foo . CD Valuation of Mechanical Installation _PLUMBING GAS ~Ck ROOFING SPECIALTY ... . . , TYPE OF CONSTRUCTION: ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ***********~****************************** CONTRACTOR SECTIO~ ,/ d' II':: / ,Company ~/'/t>c... DC(,';~, -.::z;, c ,- State Cert. or R{gis t, if , City License Regi~tration ii J:ll. ************************************ l/ Signature Company CCJ/l~ ~,0~/L State Cert. or Regist, n City License Registration 0 ************************************** Signature Ca..~^- Company' ;#r C . /~/77~~'A.9 St C R'" r ate ert. or eglst. " City License RegistrCltion;) ~ 7 *~***~************************************ V' ,PLUMBER ~t MECHANICAL ~Q/~ .?e~~ Signature !/dt. ;t:b;i" Company E ct?/lt) ~!'u; { r State Cert. or Regist. 0 City License Registration II ***********************K~~**************** pL e,tJ~Y /Db S igna t~lre Company State Cert. or Regist. 0 City License Registration ff OTHER APPLICATION APPROVED BY *************************y*************~** 71 tlAA-<'-'1 ~ q A 4."'-J . . . . PERMIT OFFICER. cONDITIONS;OF,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The,und~rsigned under5ta~ds that this per.it lay be sub3ec~ io .deed restrictions" which ~ay be Dore restr1ctive regulations. The undersigned ao;sulles re5ponsib~lit,/;for"compHance with any applicable deed restrictions. \ - ,H" " than City 8. " UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the o~ner has hired a cDntractor or contractors to undertake work, 'they .ay be required to be licensed in accordance with s!ate and loc~l regulatio~s. ~f the contractor is not licensed as required by law, both the Ollner and contractor ~ay be clte~ for a Ilsdeaeanor Violation under state lall.. If the owner or intended contractor are uncErtain as to IIhat licensing requlrelents may apply for 'the intended work, they are advised to contact the City of Zephyrhills Building Departlent (BI3) 7BB-6611. ' , ' ' Furthermore, if the ollner 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 Ollner sign as the contractor, you are indicatjng that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed ~nd is not entitled te, per~itting 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 llith a copy of .Florida's Construction Lien Law - HOleowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is soteone other than the .ollner., I certify that I have obtained l c~py of the above described document and promi~e in good faith to deliver it to the .0Hner. prior to cO.lencelent. : 1, ': ::~. I" ' , .' E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor~ation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a per.it to'do work and install~tion as indicated. I certify that no lIor~ or installation has cOllllenced prior to issuance of a per.it 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 ~ay apply'to the intended wor~, and that it is .y responsibility te, identify what actions I !lust taKe to be in cCtlllpliance. Such agencies include bill :>1 e \'Ie,t liaited to: . ".tI>- I Depart.ent of EnvirCtnmental ReQulation - Cypress Bayheads, Hetland nreas ano Environmentally Sensi live Lrlnds, Water/Wastewater Treatment f Southwest Florida Hater'ManaQelent District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses f Ar.y Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environmental Health Unit - ~ells, Hastewater Treal~en~. Septic Tanks I US Envir~nDental Protecti~n AQencI - Asbestos abatement I also certify that, if fill latl?rial is to be used in F1CoDd Zelne "A. or "A,de.', it is underste,e,d t1lilt a drainage plan addressing a 'colpensating volulle. will be sub.itted which is prepared by a professional enqin~er feqist~led in the State of Florida prior to permit issuance. A per.it issued shall be construed to be a license to proceed with the w~rk 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 ,.,.",., . "",,\,.. .f ...." i. pl...; """,,'i.., .. vi.\.,i.., ., "y ,.... E..'. ,.,.il i.,.,j ,'.11 b.,... i.v.li. unless the worK auth~ri2ed by such perlllit is ce'lIIl1enced within six months (,f issuance, (,r if \'Ie,rt; alll!.e" ),ed by the perlit is ",p,"" ., .b,""" f.. . p"i.. ,. .i. .,.1" ."., ". Ii.. Ih. .." i. ,.....'.d. D.." dl' ,.1"".. .1 Ii.., "Y b. allowed for the per~it with fee charge of $15.00. The extension shall be requested in Hriling to the Building Official. An approved inspeclie,n I!1ust be le,gged during each six month period, Dr the prc,ject Hi II be C[.nsider!?d ilbollde,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 NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO ECORD 50 POST A "NOTICE OF COM:E~T'" SIGNATURE _____,_________:,_'~~,------------ SIGNATURE_~~----~~~----- OWNER OR A~ CONTRACTOR ~ ;;~;;~:;~~~~~tt=~c~j~ ;~;;;~i~~~~~~~~ ~pljlrY Public, State pf florid a r,t !_ilT~g MY COMM I SS ION ~~, !lta!e of florid:! lit fJl~" MY COMMISSION EXPI'Mj~::lllAiisio!-\-f.;4pir$S-~.2r:l.s.DJ.--- M C I __~""--J":'1'-<rr"7. . --- ,~ ,ornm SSlon !;;xplres tI~ '" .~J;, 1;./" III \) .) [) \ IJ& ( r,u: ~ )(' ') ]9 6 y~~ rl )-r(. 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(, 0/'\.10 (( 7 I ,'. t F cU E, ':) ____~______________~___ !i (i . \ 27<6 uv ---'----------n~---- -------------...,--- -, ------'-'----------------------- "____u_______,__,2J'L,~..)t, J~_..___L__ ,----...:.,-'-.. --, '________,____ _"______________ ~--lr---- /; /JJ1t1? I~. ~~~. :: -i.. >~l (Y(:';il'-, I~?' >"~_ iii r-- K ~~~--~-;.~~(i4ib-~i;--) - ---- /4. 2"-------- I: I Ii: Iii II: ~i -IIi ~i, ~7 " ,!..ii:'i,; 'I'! !l.-tJ I. ,r..~ '\~, ,~" 'f ,.t" Ll "'~ "d6toD ~B/o~ ~5J L .15': ___._... - '13.00 tj~,f>. 75 ~ _J <<11 t.,(S ,/tfQ,v; I r,....J ! l-l 1] 1'1 ( -r L ;, -'2'''' \1 'J t ,"" " __ ...." ,J;.;..._ -- ,(\ F!c i /sss, ()() (191c: Is,c,.JS' ----- - _......u__ - -- -- --_ ___ ________ _ _-t--2,~;-_- __ L5 $5' I : -7 1") --r/q L- .~~F 3't>b J. 0 \ _____ I. i ~ _.....~---_.._---- -.f, I; It' t, ~ i~"i 'I ;1'1 ---- I," tt , , ! , i i 1 I ! I , I I I i ! i , ; ! I . _.__._.<_____m_.~.~.___..~ ._,._. ..--~ -" ._,,_._._..~...._~_.,,- "_._..._-_.."",~---_.~,-"-""..., "-~-_......._...-._.,.. /7 /1 ,. f t,.I'I'.,"'-~' " '-I, (Y''- ! TbisVV arranty Deed /+;J I ~~,J;tr Made this by CHRIS wife 28th day of Augus t A.D. 19 91 E. MAGHIELSE and DOROTHY M. MAGHIELSE, his hereinafter called the grantor, to RIDGE BUILDERS, INC. whose post office address is: Grantees' BSN: heremaller called the grantee: (Whenever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) Witnesseth, that the grantor, for and in consideration of the sum of $10 . 00 and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and conftrms unto the grantee, all that certain land situate in Pasco County, Florida, viz: Lot 38 of MEADOWOOD ESTATES according to the map or plat thereof as recorded in Plat Book 15, Page 106, Public Records of Pasco county, Florida. SUBJECT TO covenants, restrictions, easements of record and taxes for the current year. ~arcel Identification Number:13-26-21-0140-00000-0380 Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing subsequent to December 31, 19 1990 In Witness Whereof, the said grantor has signed and sealed these presents the day and year fIrst above written. Signed, sealed and delivered in our presence: ~/!~ '~p ~Z-~<:--'-----' ~~7l?' ~ N.m.'" .....: CHRIS E. ~GHIELSE Nk~~y1:~ u:sJ Pnnt Name: [ill .~~ Pnnt ame: r ~~A..-.5l'. ., A~' 4. l ('f'",s.k.,,' Name II Address: u:sJ Pnnt Name: Name dt Address: [ill State of County of Florida Pasco I HEREBY CERTIFY that on this day, before me, an offIcer duly authorized in the State aforesaid and in the County aforesaid to take acknowledgments, personally appeared CHRIS E. MAGHIELSE and DOROTHY M. MAGHIELSE, his wife to me known to be the person(s) described in and who execuled lhe foregoing instrument and acknowledged before me that they execut~d the same. WITNESS my hand and offIcial seal in the County and State last aforesaid this day of August , A.D. 19 91 PREPARED BY: SUSAN KARPINSKI RECORD , RETURN TO: Suns tate Title Agency, Inc. 509 South 7th Street Dade City , Florida 33525 File No: S-11147 28th WD-l 7/91 /~L~_ ;4~. ~~ Print Name: S(--liC'" A, Ho fJl"I/I'~' ' Notary Public My Commission Expires: .'....;:.. Ci]\.jj:.,., .... 1: !!J..l:' ,";" '...'. ... !!..,' ... r-'; :):J (::! c:.: L~ h . '.,' r::, Ci C:i F' ,::'. i::\"T': :. r:;.' r (-Ii::;.' ....... ..-." ,.....,. ... i....j"\;.,'.....,.. H, L. i"" : ;...: (\ 'r L..' ._.. ,.J. j'.!,.,,' i" rOo! ("j i ... '::::. i" . '.. :) ""L! j :.f".. .Li'" ....._. . ..... .......... '....: 1,.j! !!:'.J:... h,' j"'n. (..', i ) ~..~; ;..: \: i"o; 'r"1 ~ i C'" .. '....'..](<5 ! .r CJj\i :'~ f"'. :--;; - C:C::i,: ';"r;: ()i ;.'j.::::'i..'i.. ,"'j i .f. 1...1 f"") 'm:! r (..l.T~::::; . ; ~. .' " I \)V' '....: i.. i' ., c..; l.....~ C.:'('!..J " 1 1,.1. ,':.:'('il:L c.) 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C' C'; .",':::,v' 1'- ,- ":;':' "-, -1. i !...~ (:)(1 >:-::.:1 " 1.. V" ~ i r" -j-' ., r"! ("i ..-:;j'''!C''[::;; ,,-,' , , ,i .... i I:',~ r::,i::.:' , ;;; i..... L:.: ii, ',r-' i""i \/ C' .. .... .. t. (i.1';:::. . ..-. , " CiLl.:.i.. J C; :.;..1 i'm' ..... .!..1 r'j;':::' ....'i.'-lr.., , ..... .:.':tC-':':'C::,l" "':.:'."1"',,-''',:::, '.'.";';:".1 " , Ji~d/ ",,~~;22-j;Z:='= '".'{"'....' f.::' \ " ...;....' " " r",. :,j"',;'::. C: 'r.C:':'D I L.i1' i':''!'! +: h ~::::; f:.::, c: t:. i -:: .. ;;;;:~;';J~;'r~;2~~~ NOTICE OF RESOURCE RECOVERY ASSESSMENT FORM PERMIT I~ / fY / J. /J ~ATE I,:} -j 5-.9 / APPLICANT/OWNE;j(~r ,I? JAY/. ~Z:~;AA-d - -~ COUNTY PARCEL II ) '-? ,- d- /.; ;;L/ - CJ J Y 0 - 0 000 0 - od Y U LOCATION d 9 {, 7<'<;- YJ1.~Al ~ /Jvl~ '- ~ USE/CODE DESCRIPTION?ry..1A ,,-~/~ ;r;-~tJ RESIDENTIAL NON-RESIDENTIAL Ii UNITS / GROSS SQ. FT. (GSF) RATE/ERU=$SO.OO X 0.96*/YEAR OR $0.131S/DAY ERU ASSIGN # ASSESSMENT = (# UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS) 100 TOTAL FEE $ .) , I j- TOTAL FEE = $ * DISCOUNTED f" /, , ,j I ) ; / / (/'<<"'j'J ( ",I7, i'X /j FOR PRriAYMENT .c=::: ,- PREPARED BY ------------------------------------------------------------------------------------- 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. DATE RECEIVED BY FOR OFFICE USE ONLY RECEIPT II /JG/l~1 DATE / J - / 7, 9/ BY ~. Ct~!f" dud/< {/ ,d '" :.',\:"--"1 ],. /. / j-! 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