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Home My WebLink About91-1880 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 188013 Date /0- c25-9 / ~ PL~ MEC~AL Properly Owners ~~: V ~ 0A1 flY Job Address: 0 :.s / 7 JJ ~/ Legal Description: Sub.Div. Lot Blk. Zoning CI: -;-;f- Description of WO';)r t'~~ ~_~ ~Lk ~. - Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: .--S ~ f- 7--~; 07) / All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # J,7~- ~.Pf";~-.L!; ADDRESS TELEPHONE # ING E[ ICAL M Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Canst. 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 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 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICAN:-~~/L tL 1~ ADDRESS / () () - I Y ~ ...- ~~ OWNER 'l/aLL- ",-I~ f)~ ~Jy PHONE JOB LOCATION ~-..s -I 7 LOT SIZE_____~ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .1F WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Move -v-: _Demolish PROPOSED USE: _Single Family _M/F _IF of Units __1'1/ H ~Commercial - _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: X_I Square Feet, Height RESIDENTIAL: COMMERCIAL : A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI-IS. * * ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'1S. H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED v--- _BUILDING $ ~-~ P' c:J S ctV Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _h'.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** r-7J ;J CJ /{ 17 CONTRACTOR SECTION BUILDEF/') il~ ~ _/C.uf~ ,--Y/Y>-<' Company '-'- / -;/(J ~. State Cert. or Regist. ii Signature ~_':, ~ City License Regi~trati()n iF ********* ****************************~*** ~:-7S ELECTRTCTAN Company State Cert. or Regist. # City License Registration # Signature ****************************************** PUJMRER Signature Company State Cert. or Regist. # City License Registration :i ****************************************** MECHANICAl Signature Company State Cert. or Regist. f City Lic~n~e Registration # ****************************************** OTHER Signature Company State Cert. or Regist. # City License Registration APPLICATION APPROVED BY * ..-..J....t....L J..J.. * *......~* ***",J.* **,J~ J.* ..l'~~Y..J~ J..,. "~~'_ J. oJ.. .... -'.. _'.. ~'. _'. -'.. _'.. _'. 7!;~.~~' . ,,~~, ... ............ PERmT OFFICER. CONDITIONS OF PERMIT AF~IDAVIT A. NOTICE OF DEED RESTRICTIONS T'. ..d.,.ig.,d ..d.,.I..d. I'" I.i. p~.il "V b' ~bl'" .. 'd..d ".."..i.... ..i.. "v b. ..,. ,..",.\i.. \... Ci\, regulations. Ihe undersigned assules responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If I" ...., ... .".d . ,..\",t., " ".\"..". t, ..,.,\.,. "", "'V "V b. ,.,."., \. b. Ii.,..., ,. ..,.".." .i\' .1.\. ,., 1.,.1 ,.g.l'\'.... If I" ,..t",.., ,. .., 1""'" ,. ,.,."., bV I.', ..,. "~. ...., .., ,.."".., ..y b. "..' f.' . .i."""" v'.I..". ..,., ..,t. I,.. If ,.. ...., ., ,.\..,., ,..\",.., '"~ ..,.,..,. ,. \. ..,\ l"...i.g ,.,."..,.t. "y .p,ly f.' t.. i.t..,., "", ",y '"~ .'vi..' t. ,..t.,t th. Ci', .f Z.ph".ill. '.'I'i., ",.,t...t, IBI31 7138-6611. f.,th.'."', if 'h. ...., h.. hi,., , ,..""t., " ,..t","", h. i. ".i..' ,. h... th. ,..".,..,1.1 .ig. ,.,ti... .t t.. 'C,'I,.,I,' ,.,ti'." .f 'hi. ,pp1i"ti'. f.' .hi,h th.y .ill b. ,..p...ibl.. If Y", .. I'. ...., .ig. .. t.. ".t,.,t.., Y" .,. i.'i,.'i.g lh., Y", ,.t... th.. I" ".t,.,t." .,. ,..,...ibl. f., 'h. .,.,. II Ih. ,..t..,i.. .i.... yo. t. .ig. .. ,.",.,1.. I'" "v b. .. i.'i,.ti.. th.t h. i. ", p,'p.,ly Ii'...., .., i. ,.t ..Iiil" t. ,.,.illi.g p,i.il,g.. i. t.. City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) 1 ,.,tify th.' 1, th. ."Ii,..l, b.v. b... p"vi'., .i'b . ,.py .f 'f1.,i'.', C.,."..ti.. li.. l.. . H..,....,'. P,.i,,'i.. 6.i'" p""", bV tb. fl.,i" '.p."...t ,f 'g,i"I'.,. .., C.."," ,'f.i... If t" .ppli...t i. ......, .l'" l'" l.. ,....,', 1 ,.,tify th.l I h.v, .b,.i.., . ,.py ,f th. .b'.' ,.."ib" ,......, ..d p,.,i'. i. .", f.il. ,. "Ii", it ,. ,.. 'owner' prior to cOIIDence~ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 ,.,tify th.t .11 th. i.f.,.,'i.. i. tbi. .,pli,.'i.. i. .".,.,. .., t..t .11 .... .ill b. d... i. "'pli..,. .il' .11 applicable laws regulating construction, zoning, and land development. 'ppli,.ti'. i. h.,.by ..,. ,. .bl.i. , p.,.il t. " .." ,., i..t.11.ti.. .. i.di..t.,. 1 ,.,tify 'h.t D' .." " i..t.II"i.. ... ,.....,., p,i., I' i.""" .f , p.,.il .., tb,t .11 ,." .ill b, p.,t."" ,. ..,t .i..,.,d. " .11 i... '.g.l.ti.g ,...t,.,li.., Ci'y ""', ,..i.g "9,I.ti,.., .., I..' ,...l.p.'" ..g,l.'i.., i. t', i.,i.di,ti... I ,I.. ",tify ,." 1 ..,.,.t.., I..l I" ..g,l.1i... ., .th., g.v.,....,.1 'g..,i.. "y .,.1. t. t.. i.i,.,.d ",k, ..d t..t il i. 'Y "'p". i b iii' Y t. ""Ii f Y .h,' "Ii '"~ 1 ..., 10" to b. i. '''' Ii..", ,... .,,,,,"" i ,," ,de b'" "" '" 1 Ii. il" t" . "~I""" .f E..i,.~..,.1 ,.,.I,ti.' . Cyp,... B.yh."., H.,I.., I,... .., E..i......t.ll' ....it,.. ,...., Yater/Wastewater Treatment I Southwest Florida Yater ManaQe~ent District - Wells, Cypress Bayheads, Wetland Areas, Altering ~atercDu,ses I Ar~V Corps of EnQineers - Seawalls, Ducks, Navigable Waterways . ,. ."...t .f H..llh I R~.bi1it,'iv, ",.i,.' '~i,..,..,.1 H..llb ..11 . ~.ll., H,.t".t" "........ "..Ii, I.." I US Envirunmental Protection AQenct - Asbestus abatement I .1.. '" Ii fy \h.t, if Ii 11 ..,.';,1 i. to b. .", i. n,,' z... 'I' " 'I, ,k.', it i. ,,,,,,,i.,,, \I" i.'" i ..g. pI" .",...,.g , ',..,....ti.g ,.1...' ,ill b. ..b.ltt., ,'i,b i. ".p".' by . ".,...i.".1 ,"gi.". ,.".t",' i" ... St.I, of Florida prior to permit issuance. , ,.,.il i..." ...11 b. "..1'..' I, b. . Ii"'" t. p""" .ilh 'b. ..r' .., ".t .. .",...ity t. ,i.i.l., ,....1 .It." .. "t .. id' . "y ,m i. i ". .f \h. I ..h.i.. I "'''' no, .b.11 i....... .1 . ,m it """ l th, ,. it di", Uf h. i ,I t,.. H,.'" fl" ..,"i,i.g . ,..,.,'i.. ., ..",. i. pi'.., ,...t,.,'i.., ., ,i.l.ti..' .f .., ,.... E..'. p.,.i' i..'" ,..11 b,"" i...1i' "' I... th. ",. ..th" i ,,' by ..,b ,."it i. ,,,....., . lib i. . i, ."th. ,f i ""''', .. if '" i '" \I",,,;od b, \h' ,N' it i. m, ",., " .. ..,,,.. f.. . per i.' .f . i, ...th. .lIer th. Ii.. th. ".k I. "..."",. GM ", d'j "I "',W" · t Ii", ..y b. .11...' f.. 'b. p.,.it .ilh f.. ,b.'g' .f 115.GO. Tb. .,I,..i.. ,h.ll b. ..,.,.t., i. "iti'l i. t.. ',ildi., Gffl,i.l. I. .pp m.' i "p" Ii.. m' b' I.".' ,,, I.g ",h . i, ...'b per i", " th. p" ;.d · i il b. "". "m' ,b ",'" "., . 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 AITORNEY BEFORE RECORDING yOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATUR~--~--------- SlGNA"UR:___~~-~---- OWNER OR AGENT CONTRACTOR ..-..-- DATE_L_~'::_k--6._-:-_1-l__----------------- DATE____~J-~-~-'-~-Sl-L-------------- NOTARY AS TO Ii -I. i '- . OWNER OR AGEN!/~~bLL-i~L",""i-_._:1..:.....L_a.Li~~1- MY COMMISSION EXPIRES Notary'ublic.StateofFlorida My"1:OffiiiliisloiitipifesS"ejif. '2l),I9U Bonded Thru Troy Fain - In$vronce Int. , NOTARY AS TO // 1/, ., ,~. ... . . ' ~ CONTRACTOR_.;~C.:;:L.'~~:J..Jl-.:.- __~ 6 _~LLd.J.Lj /( MY COMM 1 SS ION EXP I RES Notary Public. State of Florida My eummtmilirxpiies1ept.-:i6~19~ Bonded Thru Troy fain' Insurance Inc.. CiC T -2::::-' ':;' 1 !1CiI; 12: 2C1 I D: TEL t~Ci: :t::" "~ Pl71'::' .... - -' _.:..... ~- 2:0 l /;4 . REMEDIA TECH, INC. Ootobtr is, 1"1 Hr. Julio Aldt.ooe_ Ac~ec Inlurano. Co.pany .700 11.eayne Blvd. Mi'.i, rL 33137 ~EI Tank re.oval and elOBur~ ~ggegg~~nt at for.er ._It's fuel 011 5517 Gell 8lvd. Zephyrhl11., rL D.ar Mr. Aldt~oo.a, R.kIDIA TICH, INC. ia pleased to submit the followln9 propoaal to provide prof...ional ..rvioea for the ~bove referenced subj~ct. 'he purJo.. of th11 docu.ent is to establish the scope of w6rk as w. understand it and to provld@ 8 fe~ schedule for the projeot. All .ervloe. p.rfor..d by ~TI will be in .ccordance with local, Itlte .nd te4_rll code. and re~ulat1on$. Analytic.l ..rvic.. Will be perroraed by A L5tllt~ Certl f1~d .Laboratory wi th an approv~d Quality ....ut.nee Project Plan. All aa",plinQ ".,i11 be don~ 1n l"oor4tmo.- w1 th our DER approv.d COIlPrehenai ve Qual1 ty ^aourance Project tlah. . w. .ptr.ciate the opportuhi ty to present. thi It propoa.l. If it ...t. witb your approv<<l, pl.... .ion and r.turn a copy to us. If you hav~ any qu..t1on., pl.as@ CAll ae at our Ta.pa office at (813) 911-+161- S1noer-eiy, ~.KaDIA ~.CH,- IRe. ~ ~tUtCU:# p~ . rred Tol~r . . rv O.".ral Mena.AI:' I I -, I i i ! 1"'1'/.. Inolo.ur.. 7~ E. F"ktleMr ^V~. . SlJit~ 209 · Tt'tmpq, F!I"'~~ 31612 7!:r'~t':',!I If! l~~J !l71. 1: S 1 . Fax (-~ I ::n f;)71-:~-.) __-,__-,__QCT -2:3-' '31 "10ti 12: 20 r [I: TEL t~CI: !:ill'? P::1J ~,o ~coPt or WO~K ^ND fit SCHIPV~t "UK I p ~UK .IlHOY~L! rurn1.h all n~ee88.ry permits, (2) 10,000 gallon anc5 on~ (1) tank'. labor and mat@r1als to remove t~o 1,000 ga 11 on unde rqround .toraql .. Provide lolid Carbon dloxid@ for purQlng ~a6011ne tanka of rla.~Able vapors prior to removal 1n accordance with ^PI 1604. Baokfill ex~avated Area with existing till ~aterial and additional clean backfill.. required to restore site to Q.ig1nal grade. ~..& IJ. CL08Ukl At.I"NI.~, In.tall one teRporary wellpoint in the tank excavation and collec~ ont (1) oround~Ater sanple tor lab anAlysis bV EPA H~thod5 602/610. ~..plfl1 8011s removed frol\ the ~xcavatlon \fl th I\n organic vapor analyttr (OVA) to det~rmln~ the preftence or extent of -exc6Bs1vely cont..inae.d" lolls per Chapter 11-170 FAC. 8A~ple 5011s At th~ d1.,.n.~r and r..he p101n9 exoavation, lU well as the ..id.. and bottoa of the t,nk excavation as r~quired by eh~pter 17-761 FAC. Provide client wi th a Tank closure Report w1 thin 60 day. and co.plete all requited tor~8 to notify *tate and local agenc1es ot tank clo.ure. Co-ordinate all Bite activity with Govern..ntal .tene1.. .a rAqu1r.d. Our report will include reeOM.endl\tlon8 for furth.~ lotion .. .ay apply. , TOTA.L PRICE.................................. $5,828. AB a.O fiRMS A"D COHOITIO~S OUR PROPOSAL IS BAS~D ON THE ASSUN'TION THAT THE~E ARE NO u~rORSEEN UNO.RClOUND ORBTRUCTION8. EXCESSIVE ROCK. CONTAMINATED SOIL, G~OUMDWAT.R, COMCRBTE WITH &XctesIVt REBAR OR OVER &~ THICK, OR ANY O~Mt. O!8TACLiS, TH^T WILL HINDER THE REMOVAL AND THIS 5COP~ or WORK. ALL rE~S AftE e^5ED ON EASY ACCESS TO TANK SITt AND SIZE or TANk$ AS STATED. IF THESE CONDITIONS ARE NOT MET, TH~Y WILL 8E HAMDLZO OM ^ TIME AND MATERIAL BASIS. rAYKm'l TI~"~r A r.ta1n~r for SO\ of the tot~l eoftt or S2,914.44 .hall ba paid in .dvande. Upon co~pl~t1ol'\ ot this york th4'J ballltlCe wIll bt dU6 and payable 10 day. troM our Invoice ~at~. C6t\t,id~riU;lon tor ehanvitHl or .xtenrHng ttu tf1rl!lIr of. payment !!lht')llld b~ r.queuted In ~dv~nct by th~ cli~nt. , - -.-..- '_1'_1-':::=1-' '31 !':CXJ 12: :21 1D: TEL tlD: t::12.'~ Ct:]4 2.0 ~Eay. AND ~O"nI'toHs OU1\ PJ\OPOSAt. IS BASEO ON THE ASSUHPTION THAT THERE ARE NO UNFORSEEN UNDERGROUND OBSTRUCTIONS, EXCESSIVE ROCK, CONTAMINATED SOIL, GROUNDWATER, CONCRDTE WITH EXCESSIVE REaAR OR OVER 6H THICK, OR ANY O'HER OB5TACLBS, TH^' WILL K!NDER 'HE REMOVAL AND THIS SCOPE OF . WORK. ALL rtEs ARE ~ASED ON EASY ~CCESS TO TANK SITE AND SlZg OF TAN~S AS STATEO. IF THESE CONDITIONS ARE NOT MET, THEY WILL BE HANDLED OK A TIME AND MATERIAL BASIS. p~YKI.r TE~H;~ A retain@r for 5Q\ of th~ tot.l COlt or $2,914.44 ahall be paid in advance. U~on completion of thi~ work the balance will b. due and payable 10 d~y~ from our invoice dat~. Con.id.~ation tor chanqinq or .xt~nding the t~r~s of paYMent ~houlrt b. requ..ted in advQna~ by the client. AIOL? SCOPE or WORK AND QUOTATIONS ARE ACCEPTl:D AND AGREED TO THIS DAY or~CTOBIRI . BYI~ -.-~ - - .~ TIT-:;~~~. ", ~ COMPANY "A~tl J-1'~,,"r4)po': ~.~ Htj Co. '::'-',;,~':' '". . I ~~.::7~:~'~~-~-';,:_;,: -'--7'"!'" '''':,,~~~~~~''''--,r''~~v~~~~'":-r~:~~,;:~~::~.:'!P!I~~;:;'~~~''''#~,_,_~-~, "__ ZEPHYRHILLS FIRE DEPARTMENT Zephyrhills, Florida 33540 38410 6th A venue (813) 782-8184 FINAL BUILDING INSPECTION Assistant Chief Robert Hartwig /0,<z-~1 'I - OCCUPANCY: 6L~ ?<:-JaC'/u /~LtJ"LDATE: /cJ -..3/-9/ . ADDRESS: \..-h? /9 GJd'#'" 3L!A/ BUSINESS PHONE: ,A//# OWNER/MANAGER: ~bp-~'1 d/cJ{~ /?~;-t:C1va L. d~ ;%.r~e. 3. ?CR<t:';"7rou;t<ci F~c.. O/L /crt-~ This huilding has heen inspected by the ZephyrhilIs Fire Department under the codes and regulations of the NFPA Minimum Standards and other local fire safety codes. Fire Chief William T. Fenton APPROVED NOT APPROVED COM~IENTS: 4// ~,~;r oil Y3-vec-~ ~~9"'r /~~ePccO'{.~ --./' - " -- /' ../ ,/f!""c1"t / ~c . /&~:J /iCOO /Lj,/.700 Y C:;~ .';'CJ.r7(l .r-'j~}Lj{_. 2//'7'-:;:; c:: - do()~'y"'" c-~- ./~ /fdU yc~ :~~, ;/,.L)cJ /~ .J/--._- ,/ .. / .. _ .J .- ) /'7 /' ALe.. /t:l/:;JO 7~C/~ ' /U L"?,,,,/(i'/~ 76?Qr(y- ,/ ,/ ;2"~#/t"',-.;,,,; G- #, , Zc:vvc Q~~ ?'~; -~~%-;,./~ ,~"f'?L~/'~',7/ ..~. .~ /" ~"i>C/' ~ _. _-.::::~ -=y ~? _ '-- , , ,... ..--7 -~'-~ ~ INSPECTOR:. c::u /' , /' / ,.. ~ .;;>, ;' c:> . .~ 4S-t - DATE: /d -\,.I 1- 90:, TIME: / ; l' "" /'''"'-., , ,--:;!.-,~ ".'"_.___.,:...__..........~___~____.~~,.~"~..;..:,>.._..~,,,:c,; ~..;,.,"d';,.....t';i.-,~,l.." ...;,.. :-k-,.;.,...j-;.i" ';"'a ..... :.i.<)J '",,' '-'~':h;u.-:i:.:.;'t::_:.~. ,,- -~J..a.;.~;~~~~,;~_~~.~_;;..-"".".... : ,;..;.~.t. L----". .---~ /~.... ,.~.'~./ SIGNED: l~~~~ .... . J-c:li./ 0(0' /1 /'\ ~ TITLE: '/"' t1 c:o c<+- v;/l 1-f7"Vt~ (C';~ / . ~k- "'0 ~e-i'~. ('f~{/I ~a~rc~ cZ:'~rS.:-, ~CyC;" ~ ~~'c/' y 0"":0 /c.( 7h~ ~Q0~~ Oo/Ii/8o als 2J~Y:- ~4:(' ~./.- 6-e. @ s/h-,