HomeMy WebLinkAbout91-1887
STATE OF FLORIDA
City of ZephyrhiIIs
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
PermitN!> 1887-8
Date /()~ 2 9- 9 /
Type of Permit
BUILDING EL~CAL PLrNG ME~ICAL
Property Owners Name: ~ EI?) f\.J s 2> t\J
Job Address: S 33a.. t q 1:.t" ~J.
Legal Description:
Sub.Div.
Zoning CI:
Description of Work
Lot
Blk.
J 1/ 7-b- 2-1- 00/0- / 7.so0- 01380
/3/A' /S/ ~
~ /I-/J-o/
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
#700 b o~
r
OCCUPA T10NAL LICENSE # #-1" t?
rJ O~\ t:
Fee: $~
SIGNATURE .' ~
COMPANY _ _~
\
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Tp erv.
ugh In
eter Can
onst. Pole
Pool
Pre-Meter
Final
Brea rs
Duct 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.
5'(11 AVE.
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AN AS BUILT SURVEY OF:
The West 1/2 of Lots 8 and 9, Block 175, CITY OF ZEPHYRHILLS,
as recorded in Plat Book 1, Page 54, Public Records of Pasco
County, Florida.
FOR: Mr. & Mrs. Elliott Bronson
DATE: 28 January 1987
ORDER #7363-ZH
L A.reb~ o.rtifv $ha~ $hie eur~ev wae Made
in aooordanoa wi~h the Mini.uM e~andard detail
require.ente lor ~and ti~~e aur~eve Joint~~
.etab~iehed end edop~ed bV the '~orida Depart-
.ant 01 .a,u~atione. 'oard of Land Burp.vor'e
Chapter II ...1. '~orida AdMinietratiue Cod.
.ffaoti.e Dotober I. 1"1.
NO.E: THIS SURVEY .~S PREPAREO WIT~OUT THE 6ENEFIT OF A TITLE SEARCH.
c. ~Jted <lJe..d fl17d cA$$OCiltt$, I"c.
Sf. PtlftlfSburg - ZtJpbyrhills
CIIrlIfitld tIS to SUTI/tlY.
no .J;;:~f~~9/2
~(JilNl..Iftjg~.NR,
OWII. !Jy:
Ckd.lJy"
C. 'rad Daua~ . Aeeoair-tee, Inc.
fD' Borth ~.ll .l.d.
I.phrrhille, rL 142f.
'hone (Il') "'.'717
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APPLICATION FOR PEIDIIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT L C'ljy\~ ~Q.,,"~~
ADDRESS "5"?:,:::,!...- \~L 0\
OWNER -S-~\ (L,-~~ ~. "BrLc.Qr<\ <,. ~
JOB LOCATION "S3~ '"L \~ "'5'C'
PHONE
l~cg) 'ii L- ~
~~~~Y)
~0
G..L.\ ~
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.iF" 11- 21.- 2/- t'Jh/~}... J7.s-~{") - ooBi'J ~
WORK PROPOSED:____New Construction y"'" Addition _Alteration _Repair _Install
____Sign/Temp. _Sign _Nove _Demolish
PROPOSED USE: _____Single Family _M/F _iF 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) SET ENERGY FORNS. **
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
_BUILDING
$
jJ '1 ,,() q.p.
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
Signatur
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration n
**************************************
ET.ECTRTCIAN
Company
State Cert. or Regist. n
City License Registration n
******************************************
Siv:nature
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. ff
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY *~~~~~~~:;;*~************.
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
Tb,.,d".i."d .,d".'"d' 'b" Ihi. p".I' "y b. ..b\'" I. 'd"d ".',i,li.,,' .bi,h "y b. .", ",I",'i" 'h., C,t,
regulations. the undersigned .SSUles responslbllltf;for cOlpliance with any applicable d~ed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If 'h, ,.", h.' hi"d . "",.,.,r .r ",tr.e',r. .. .,d,rl.k. ..rk, Ib'y "y b' r.,.ir,d ., b, 1ie""d i' .""d.,e, ,"h
.to" "d 10,0\ n.' loU,,,. If th, ,,,'r"'" .. "t \I,,,,,d .. n,.ind by I.., b,th th, ,,'" "d ",.ml" "y b'
el.,d f,r . ."d,.,."r ,i,i.'i" .,d.r .t.l. I... If th. ""r ,r i,..,d,d e,,'r.el,r ." .".".i, ., I. ,h.1 lie,"'"
r".ir,."I, "y ."Iy f,r 'h, ".,",d "rk, tb,y .r. .d,i,.d t, e,,'.e' 'h, C'ly ,f z"hyrbill' ,.ildi,. D".r'."" "1'1
789-6611.
F.rth.r.,r., if 'h, ,.", h.' hir,d . ",'r.et.r " ",tr.et.r" h, I. .d,is,d I. h." 'h, ",'r.",r',) ,i., "r'i," ,f 'h.
'c"t"",r S,e'i.,,' .f Ihl, ."Ii,.ti" f,r .hl,h th,y ,ill b. "",,'111'. If y", ., 'h, ,.", ,i., " Ih, e"'r.e,,r,
y" .r' i,die.'i', Ih.. y", r,'h,r 'h', th, ",tr.,.,r, .r. """,ibl. f,r Ih, ",k. If 'h, ",tr.,',r ,i,h" y" " ,I.,
.s e.,'r.e',r Ih., "y b, ., i,di,.'i" .h., h' i, "t pr",rly lie"s,li" i, ,,' ,,'i'l,d " ,.r,i"i', ,ri,il"" i' 'h.
City Df Zephyrhi1ls.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
\ ,.r'ify .h., I, th. ."Iie.", h.v, b'" ,r,'id.d ,i'h . e"y ,f 'FI'rid.', C",'r,e';" l;.' l.' - H."""r" Pr,t,,'i"
'.id,' ,r".r,d by Ih' FI,rid. D".r"'" ,f A,rie.I'.r. .,d C",..,r Aff.i". If 'h' .,p1;"" i, ,..,;" ,'h,r Ih.' Ih'
. ""r', I cor \\ fy th.t 1 h." ,bI., "d . ,oPT ,f th, .b'" dm ri b,d dor ."" ", ''''''' ;, ." d "" h " d' \\ VIr " " th.
"Dwner" prior to cOI!encement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
1 [,rtify 'h.t .11 th, i,f,r..li,' i, 'hl, ."li[.ti" i, .e[.r.l. .,d th., .11 .,r' ,ill b, d'" i, e",li.,[, .,'h .11
applicable laws regulating construction, zoning, and land development.
A"lie.ti" i, h,r,by ..d. " .bt.i, . "r.i' t, d' "rk .,d i"t.ll,'i" ,s i,die,',d. I e,,'ify 'h., " "r' "
i"t.I\.t;., h.' [,..,,[,d ,ri,r " is,"'[' ,f . "r.it .,d th., .11 .,r' .,11 h, "rf""d " ."t ,t.,d.rd' of .11 1."
r".i.'i'l e.,,'r.['i,., Ci'y [,d'" ,.,i', r'I.lati"', .,d I.,d d",I".,.t "."1."." i, 'h, i"r,,"['i," 1 .1'0
e,r'ify .h.' I ..d,r".,d Ih., 'h, "I.I.ti," ,f o'h,r 1"",.",.1 .",ei,s .,y .p,ly" 'h' i.t"d,d "r', .,d 'h.t it is
'y """,ibil ily " id'" ify .h., oc.I'" I ",t Ia" " b' i. ""lior,,,. S"h .,,,dOl '"cl ." ,,,. '" ",l Ii.it,d ,,,
....
I .150 [,rtify 'h.t, if fili ..',ri.l is to b, ."d i, FI"d Z", 'A' .r 'A"t,.', it i' ..d",'o,d 'h.. · d,.i"I' ,I..
.ddr",i'l . 'e.."".li'l "I"'" ,ill b. ,.b.i.t,d .hi[h i, ,r".r,d by . ,r'f"si'.,\ "."", "I'S"'o' i. lh, st." ,f
Florida prior to permit issuance.
A "r.it i,s.,d ,h.11 b, [",'r.,d t, b, . li["" '0 ,ro[,'d .I'h 'h' ,.r' "d ..1 ., ..'hori'y " ,io\"" [.",1 .Il,r, ,r
5" .,i" "y ,r"i,i," ,f 'h' ',[h,;[.1 [od'S, "r 'h.ii i,""[' ,f . "r." ""',' lh' ,"'1"'1 Off,[i.l fr" lh.r,.fl,'
r".iri.. . [""[.,,. ,f ,rrors i' ,I."; [,.s'r.['i", " ,i,I,li." ,f .,y "". E"" p,r.'l ,,''',' sh.11 b'[o" i.,.li'
.,\", 'h' ,or' ..th,ri.,d by ,.[h "r.il i' [,.."e,d ,i'hi, ,i. ",'h' ,f """[', " 'f ..., ,.'h. .,., by 'h' ",.i' i'
,.",,',d ,r .b.,d,'" f,' . "ri" ,f ,i. ",'h, .ft,r 'h' 'I" th' .'rk i' ",.,.",. 0"" d., ..".."" ,f ';", "y b,
.11",d f'r 'h' "r.i' ,ilh f" eh.rl' ,f $15.00. Th' ,..",i" ,h.11 b' r.,""'" i. ";,,.. to 'h' ,.'ld", Dffi,;.l. A.
",r",d i",,['i" ,.,t b. 1,..,d d.ri'l ,.eh ,i. ."th "ri,d, ,r th' ,r'i,et ,'II b' ""id,r" ,b."d",d.
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. J08S UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT" )
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SIGNATURE_~~~~_~_i~~~----- SIGNATURE_
OWNER OR AGENT
',:', ' ',~ ;,- )", .:-u
MY COMMISSION EXP'tRES' .,,:'.;,' '::'-':'1'1'1:
f-li" r^"",,,.,.~J.:\'~re,.m~""J'T"'~"""-----
'it,,] ~'VP~~' ,.~",~ItJ';, ~-~"'r" C":
~Oi\c!CJ. TlJ(lJ Tr:::y r~i.1. ...ln~urante Inc;.
_ _ l!11~i----
Joyce H. Ma rvel
RES__________________
NOTI\RV PUBLIC. STI\TE OF FLORIDA.
MY COMMiSSION EXPIRES: JAN. 28. 1994.
\ilONDED THRU NOTARY PUBL.IC UNDJ1:RWRITJ1:RB.