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91-1861
STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Permit N~ 186t5 1(0 Type of Permit ~~~_~_9) ....- 3b- ~L -- BUILDING DEPARTMENT 1-813-788-6611;1-0 Date /7) ~~ 1- 9/ C~ C:::~ECHANI~ + t f{t~ ~~ ~. ? 1/ ~ /~j_. - f t...J /}4'U1J.-1} h !>-gS T IF' / Property Owners Name: Job Address: Legal Description: Sub.Div. r;J~"):"D ._ o Z:o~';"Y CI. tJ 3-.:2 t:. Description of Work Blk. C2y- ~ /&--~/jl Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: /1/# A 4' /~~.''''1 Fee~ /. .. ,,/ 7 SIGNA TUR , fi ,- f ~_-~ y v COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. BUILDING Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Da - /), t1 - /o~Li.f-11 p.cM IO-tlf~11 ftv, o.2f/~o;l /b-2-il--9I../6.J Relnspe lions: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.oo) dollars shall be made for each trip. (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. Ftr. Pre SLB lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final APPLICATION FOR PEIDlIT CITY OF ZEPHYRHILLS BUILDING DEPARTt-1ENT APPLICANT ,AI "/2 .;J;ZZ;4-~~}JLt1-4~~~d-z.a4- ~--~ ADDRESS vi.ffd 6 7 4.Lj-L.,/' 6 ~/ /)~k)'O~<'-;</I"7CL.J//; ~ PHONE ;7~2- - -;7.7-7-6 /. OWNER d4a~-(/{./ 1~i1~~W' , c7 () , JOB LOCATIO~/c1.5 1:~A/AA~#-/,/Jj .z;,vI~ld$ 71. LOT t/ ,,' /' LEGAL DESCRIPTION: LOT(S) 51 BLOCK SIZE 1.0- x/C2Q AREA SQ. FT. 657X:J SUBDIVISION .z;..~L)/~';:('..' /;:/62...- PARCEL I.D.~~ .:3. ,,;:;c.., c;J/ - ~,o/3 - OdC,o. 0" - OOY. 0 WORK PROPOSED: l~ew Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign _~Iove ____Demolish PROPOSED USE: ~ngle Family ~M/F ____~~ of Units ,.~~1/H ____Commercial _Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: d,{. X .yt.,f , phi )/;.tkl> Square Fee t I IdC/r Height RESIDENTIAL: COHNERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!-1S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!-IS.'H **COPY OF CONTRACT REQUIRED, ...JL.-BUILDING ~ELECTRICAL ~MECHANICAL $ ~F.RMTTS REOUESTED -tr'-/ .? ,/5/') .- Valuation of Total Construction /t7IJ AMP Service Florida Power Corp, _hi. R. E. c. /;It'J(? Valuation of Mechanical Installation .' $ ~PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other ,/)10. tWH-<1---- FINISHED FLOOR ELEVATIONS: FT. *********~******************************** CONTRACTOR SECTION nUTT.DER Company State Cert. or Regist, 0 Signature City License Rcr'.i~;Lrati.nn II ****************************************** El.ECTRTC1 AN Company State Cert. or Regist. 0 Signature City License Registration II ****************************************** PLUMBER Company State Cert. or Regist. II Signature City License Registration il ****************************************** MECHANICAl. Company State Cert. or Regist, II Signature City License Registration j~ ****************************************** PTHER Company State Cert. or Regist. II Signature City License Registration ~ I / APPLICATION APPROVED BY PEfJHT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - The ,undlrsigned understands that this perlit lay be subject to "deed restrictions' Hhich Nay be ~ore restr.ictive than ~ity regulations. The undersigned assules respon5lblIity~for, cOlpliance with any applicable deed restr!ctions. '. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S 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 laH, both the o"ner and contractor nay be cited for a lisdeaeanor violation under state law" If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, (813) 7BB-6611. Furtheraore, 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 thl!Y Hill be responsible. If y(.u, as the (.Hner sign as the ce,ntractor, you are indicating that you, rathl!r 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 propl!rly licensl!d ~nd is not entitled to 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 Hith a copy of 'Florida's Construction Lien Law - Ho~eowner's Protection Guide' prepared by the Florida Departsent of Agriculture and Consuler Affairs. If the applicant is soeeone other than the 'oHner", I certify that I have e,btained a, cDPy of the above described de,culllent "no prc,rr,ise in ge,od faith to deliver it to the 'owner' prior to cOllencelent. :1"'.:: E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all Mork will be done in coapliance with all applicable laws regulating construction, zoning, and land developcent. Application is hereby lade t~ ~btain a perait to. do Mork and installntion as indicated. I certify that no work or installation has COlmenced prior to issuance of a persit and that all work will be performed to roeet standards of all laws regulating construction, City codes, zoning regulatiDns, an~ land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is IY responsibility te. identify llhat actions I must take to be in cClmpliance. Such agencies include bllt ,ole ne,t li~ited to: . ".'*'" .> I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and EnvirDnmentally Sensi ti\ie L~nds, Hater/Wastewater Treatment I Southwest Florida Water ManaQe!ent District - Wells; Cypress Bayheads, Hetland Areas, Altering Haterc~ur5es I Arey Corps ~f EnQineers ~ Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks f US Environaental Protection AQency - Asbestos abatement I also certify that, if fill .aterial is to be used in H(,od Ze.ne "A" Clr 'I'\,etc,', it is underste.(.d tholt a drainage plan addressing a 'colpensating volule" Hill be sublitted llhich is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the work and not ,,5 authority to yiol~te, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a ce,rrection e,f errors in plans; c(,nstructie.n, (,r violations of any code. [very per~it iSSII\'j shall bec(,1[! invalid unless the w(,rk authe,ri1ed by such permit is ce'JIlI\enced within six months of issuancc:, (,r if H(') f; dutl,("I,ed bi the perlit is suspended or abandoned for a period of six lonths after the ti2e the Hork is commenced. One 90 day e=t~~5joll of tile, aay be allowed for the per~it Hith fee charge of $15,00, The extension shall be requested in "riling to the Building Official. An appro.~ed inspectie,n l'Just be logged during each six IlDnth period, e.r the projl:'ct Iii 11 be ce.nsiderted dbollde.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 Al.TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $21500 IN VALUE DO NOT NEED (TO RECORD A~~;lDST A "NOTICE OF COMMENCEMENT". ". SIGNATURE____ ~~~~~~~~<::-------- 5IGNATURE__~~~~~------ r~NER ~ _ Ii ... CONTRACtO'R-- DATE___!'!#A--------------~------------ DATE___(.u/:'!/fL------uu------------- NOTARY AS ~'_. NOTARY ~O OWNER OR AGE __ ~ _~ CONTRACTOR_ -- -- ~~- MY COMMISSION EXPI S_~~~\-_~:>_+)~~~---- MY COMMISSION E IRES~'~~~~~~~~ , . ' CIn OlP. ZEPHYlUIILLS, FLOR:tDA PLUMB:tNG'APPL:tC~TION C~~clfloace N~b,u. ,'. /1;1'........: .. " Job Add~... Plumblna Concf'actor /1.k/}t1,..) ';2~/;'1 ",Hr.J Owna~t. Na.a M -Il:l/~0 IJ.)d../'ftfr, nace /0 III" /e/l ' , , 61 (). (' ,Z'c-/-y~,(. k:~ 4L,})v ;Z Lc1Jt./'-f /C. L, II ( J; /.</ 3'3 s=/ / / / '. 'Application i8 her~by'made to make the following P.lumbing installation in accordance vithCity of Zephyrhil18 Plumbing,Ordinance. : .. .. , . MINIMUM PERMIT FEE . . . . . . . . . ~.. . . . . ... . . . . . . . . . . $10.00 - ,DESClUPTIOO OF l'l:>RK , , NO. @ FEE ,. For nobile heme" i?l~ing;::. ,.:.;.;~.::' . 15.00 . , ... . . . . For each plumbing fixture, floor drain or '0 '!.. .'_ trap ~including vat.er and drainage piping) : . 2.50 For each house 8 ewer. . . . . -. . · · · ~ · · . . · · . . . · . . . . . 5.00 For each house sewer having to be rep.laced or' repaired...................;.._.......~..... . , .5.00 I heater. and/or"'ve'nt... ;.J....... '. ' , 2.50 For each \la t~r '.. ,f , For ins talla tion ,. alteration or repair of 'Water piping and/or water treating equipment....... 5.00 alteration ,of' drainage .. For repair ,or or vent ., piping................................ .'....... .... 5.00 . , I .' For vacunm.breaKers or backO.O'W prote.ctive . ! devices 1nstalled subsequent. to the install- ation of the piping or equipment s !!rv<<!d . One. to F1 v e. . ! l' . . . . . . . · · · · · . · : · · · . · · · · . · · · . . '. ~ 1. 2.50 . eo "' , Over Five. ench. . . .' . . . . . .'. . . . .oe .". . . . . . . i . . · . · " . 1.50 . t TOTAL FEE Reinspections: When extra inspection trips are.necessary ~ue to anyone of the following reasons, a charge of ten ~10.00 ~oll~rs shall be ,made for each trip. (a) , Wrong address. ,. (b) Condemned work resulting fro. 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 ohall be made before . any..' fu7'J her pezm..i. . will be i.sued to the person owing some.. ! ~/I SXCNATUllZ OF;:APPLX~'; ;;tf-l,qJ ;I'''D<---- / oJ. '. ~ C:tTY 07 ZEPHYRH:tLLS. P'LOR:tDA ELECTRtCAL APPLXCATXON . C.~t1f1cat. Numbe~ Job Locat1on " /t1C; / ;Z'~?J/l7~ /; /lid: ,/k '/f6:;-P/-ri'L/i-/U,J'. "L2; /-f :3 3 (y/ " Elect~1cal Cont~acto~ .i2 </1, ..J{; 11 tJlJ;J ~Zi::l'/7t (L Owners Name /J fi 'at [{ J L Itl /tA <i/.....f-;' Date /t.)/11/91 _ Appl1cat1on 1. he~eby made to make the follow1nS 1nstal1at1on 1n acco~danc. with the City of Zephyrhills Elec~r1cal Codes. MINIMUM PERMIT FEE - $iO~OO Description of Work Number. @ Fee Minimum Permit-Standard 2 Bedroom, 2 Bath House $25.00 . Mobile Home Services 15.00 Fixtures or Outlets .- including switches 1l0V ..." t .25 Fixtures or Outlets including switches 220V .. 1.00 AIC Central Unit 5.00 . Electric Signs 15.00 0 through 100 amp service .5.00 Over 100 amp ~o'and'including ! '200 service "." 0;'., . . 1C. CO amp . . , ., 1 .. j Over 200 amp to and including I 400 amp service 2\).00 . Over 400 amp to 800 amp"service 30.00 ~ Over 800 amp service !3V.OO , '. TOTAL OF ALL ABOVE " Reinspections: When extra inspection trips are necessary due to anyone of the follow- ing reasons, a charge of ten dollars ($10.00) shall be made for each trip: (a) Wrong ,address. (b) Condemned work resulting from faulty construction. (c) Repairs or correc- . tions not made when inspection called~or. (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 owing same. 7 y~~_ ,.-, .vC~ ELECTRIC~~ CONTRACTO S SIGNATURE 1_,.' 1 . .' CITY OF ZEPHYRHILLS Permit Application HEATING, VENTILATING, Alc, REFRIGERATION SYSTEMS . .4/0~, . .ff Job Address~~.i7"'(.. h "71._...d~ /741'6 . Certificate Contractor Owner's Name A7z-/7't <f/~ Date /3// S /9/ .Check one: Air Conditioning V Ventilation-Ductwork Heating ,/" Refrigeration Repairs--Alterations Boiler Other CONTRACT PRICE OF INSTALLATION $ MINUruM PERMIT FEE .............$10.00 FEE Fee for Heating, Ventilating, Duct, AirConditioning and Refrigeration Systems shall be Ten ($10.00) Dollars for the first one thousand dollars ($1,000) of total valuation of installation PLUS two ($2.00) per each additional one thousand ($1.000) d~llars or fraction thereof $10.00 , ' i Repairs, alt~rations and additions to an existing system over $500.00 shall'be $2.00 per each $1,000 or fraction thereof in valuation plus five ($5.00) dollars. , 5.00 Temporary Operation Inspection Fee: For inspecting a Heating, Ventilation Refri~eration or Air Conditionin~ System. 5.00 In' all buildings except one and two family dwellings using self- contained Alc units less than two tons, the fee charged shall be based on the valuation of total tonnage of all units combined. Minimum fee shall be $10.00 10.00 Boilers based on BTU Input: . 33,000 BTU(1 BHP) to 165,000 (5 BHP) . .... . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . . . . 5.00 165,001 BTU (5 BHP) to 330,000 ( 10 BHP)................................ 10.00 330,001 BTU (10 BHP) to 1,165,000 (52 BHP)............................. 15.00 1,165,001 BTU (52 BHP) .to 3,300,000 BTU (98 BHP)....................... 25.00 Ov'er 3... 300 ... 000 B TU. . . . . . . . . . . . . . . . ~ ~ ... . ~:. ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.00 Re-Inspection Fee, each trip 10.00 . For nobile hare rrechanical 15.00 . TOTAL FEE . . . . . . . Re-Inspections: 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. (c) Repairs or corrections not made when inspection called for. (d) Work not r@Bdy for inop@otion whin CBllt!d. payment of reinspection fees shall be made before any further permits will be issued to person oWing same. . /Y' .-:... L .,(.1 --- SIG~ATURE OF APPLICANT /--;'/ t/ /~ The the i,~:-. . .' ~.-:-,,~~~..~~~.:.~;...~*....t"-"~~"~~0:-7'~T~;:~~.5:~~~,;~~~~~:.~.'~..~~~...:"".,: ~+"-~~:>~ ...,~ ._,...."~,,jJ,;> ." , ..~ 7'1 ,.~,~. ~~(~.', .., ::':S'I*E~IPLJfRr~r'r~,.~-~~-,y~- ,....-;.~Jl:..:.. .. . ',. ,::.; .~;:, ~ '.: (~. <:'.: :<..,. , :. ' ,;. # . .:. (RE'slb"Ei'r:nAL':'bsE' ONLY) ,'. ,'.~ '::" ;~':i-'.~..~;.:......-r..;~.,~~~.: ':.....~.~,...-~.;, ",::".' .... . ;'!;L:::~: ',.# . . .: ,;"j PRizi.E'L~..;Nu..m'OER.. \;....+.~. ; . .... 1.j::~:.;~~:~~;i:t.. ,.. ;';i ;.:~..::,:!>;;,.:,.. .~ ~ " ' < ~~t::h::~,. . . , __ .; ; '," J.~~~';;r~.':.Dl.I.,-:- 21/-4:," "~:'-4a:i. ifjd-~-4~9dJ ~ .~I. PHASE II UN!" 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W ;..1._ ..'...,.. ...J '-'1'."j -.l-, .-il. .t'. _l....!.~. $- T I .,. f:rl ; ..:.- - .... ~...- ~; ; ~.. r. r -,+:' ~T +l.' , .+, _..1. f. 'j !.j ~"j++ I . ..ql;.l' ! .. .'~HJIF:U -I., ..,I~.l ' ..f..-J';"l.+ ., , r ! 'L~;"': i- .t..; -.f7.'. -.1- t.~, j .l~., ...~ I' #~ ;:~~:~. .~: .... . ;14\,1;,;0: , I , ,i ...i . . '.;'~ '." IDOl.. i -- '7'.-1--. ~ I I , . , , I !' .! .. , .., ..; - i' ~-r .: :...~nr j ..L ;. "1 . ~ I f- . '~...'r::': ~. . 1'-' ':'~...L ~i 'l}TI fEU.. ;+ .. T. i- -j ~ -~,.-.~. I' ;l.i ,~ : t ., H & R INTERSTATE MOBILE HOMES, INC. Please accept this letter (affadavit) as our guarantee that after the installation of a new model Palm Harbor Double-Wide Home for our customers, Mr. & Mrs. Arthur Wright, on parcel I.D.#03-26-21-013.0-000.00-009.0, commonly known as Lot 9- 6105 Zephyr Ridge Dr., Zephyr Ridge Subdivision, H & R Interstate Mobile Homes, Inc. will install all required improvements including sidewalks as required in the Declaration of Easements, Covenents, Conditions and Restrictions of Zephyr Ridge Subdivision as declared on the 18th day of May, 1988. We further swear that these conditions will be met within 30 days after the issuance of permits for the placement of the mobile home itself and that all subsequent contractors used for improvements to the home shall be duly licensed by the City of Zephyrhills and that all work will be permitted and shall meet the standards as required by City of Zephyrhills. For II).trrate MObye.7es, ^ LL{~~7.-' /4- ~- ~>~ elson Ryman Inc. (813) 782-2276 35267 Highway 54 West, Zephyrhills, FL 33541 FAX (813) 782-1169 ~- -- - -- - - - -- - - --.- -.- ,-- -.-- -- --- -.--.-.-~c-_~-.--.- .--- ---I , .. E N T f~: i~ L F' E F r1 I PASCO COUNTY FLORIDA CONTR~~CTOF ~t: NAME: H & R INTERSfATE :NC f:\DDF: ~ j~.l CI:~ ::.. EF'H YF, F I [ICE DF ':/'3T: ZEf~~tYR~~lL.t..S) f~L,. FOR: RfSOURCE FEE C:f'iE.C.r::: i-t 7/~.:;~::~ TOTti:... t~I"IOUNT: :.:; '7 eo :=~? f.iccr.rr CUMF'i') ,( (.,Cf:OUi'! '! CD'iTEF AMOUNT 1. 1.Q B 4~:~(~ ::: /:: ~~: () (~ (\ -- :~,;"7 ~ ~37 F<c.:CE I V[1) , I t;3 v.___.~_= =~.l"'{_~~,J,,- :-, "._'::~~)...,~":::_:::;:~: ~~~':~ L. '._ .J T t i\i ( I) ?~~'l' E. : ~) :;:: / 1 ::3 / '::'1' ~~~ F'P~CjE. ~ .i C~F-- J. I ::;:SUL (iFF ICE: [i f;:ECE I F r NUI1ElFi ~ U(! 1::: (l.l~) 1 CIF'f- J CE: [if:.\DF C TlY m:::::C:F\IF'fION/PEFI'1T L1f.lf'A DFUCFi: ~~.. ~- * -H'.~ /',':i