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HomeMy WebLinkAbout92-2047 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit No . . 20476 Date J - /'3 - 9.? . ~. -,'-""~""'~""'-"-""'" ~ ~~-_... ::~:::,~,:~e' ~A~~~;"~ ~ ::):6 Parcell.D. # 11,- .210- ,.1/- 00//.)- /0900- () /~O ~~_. M.~::er Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work DATE NO OCCUPANCY BEFORE C,Q, Complete Plans, Specifications and Fee Must Accompany Application. C.O, All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price Inspector pe'mitFee~ Signature ._ _:- Company Address Telephone# ~/?-- City License Registration # ~ State Certified License# _~ (i) fA rn.LA/ BUILDING ELEC~- ~ PLUM~- - MECHAbUCAL - ...-- Breakers Ducts Insl. Compressor IFinal SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT j. /1' .' /i " ADDRESS L ! L/ _..;-t ; i"j PHONE ^/t?A/~ OWNER v/ 1..1 l " l-~ l/ ) I II i, ) JOB LOCATION LOT SIZE~X i i L/ - J ~ BLOCK 167 SUBDIVISION AREA SQ,FT. LEGAL DESCRIPTION: LOT(S) PARCEL 1. D. 4t _Sign/Temp. PROPOSED USE: ~Single Family _Addition _Alterfl;s-f;;eP4-~d f/n/:;)f/:VJ _Sign _Move _Demol1.sh WORK PROPOSED:_New Construction -H./F _# of Units __M/H _Commercial _Indust, _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. ~ PERMITS REOUESTED f ^,(J PIfI12) Ii e pit;' I . ~ v J,L'BUILDING $ G OO~ 00 Valuation of Total Construction I'f 41 e /l-/ 1/ V _ELECTRICAL AMP Service Florida Power Corp. _____W,R,E,C. _MECHANICAL $ tW'lt ----0"LUMBING I~e".... _Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block ~Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature C / ...J .' /" / - !--- (~: l ~t.;;! CONTRACTOR SECTION /"l . / j CompalJ.Y' bO ttHt..../^L/ / State Cert, or Regist. if YCII i:"f- City License Registration if ****************************~************* /' \ , Company G/:/WnJA/ State Cert~ or Regist. # City License Registration if ****************************************** BUILDER ELECTRICIAN SilZtlature Signature Company (~/) W-X' pJ State Cert, or Regist. if City License Registration if ************************************** Company State Cert, or Regist. if City License Registration iF ****************************************** MECHANICAL Signature Company State Cert, or Regist. if City License Registration if OTHER Signature ****************************************** . APPLICATION APPROVED BY PERMIT -DFHCER. ' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIO~S The undersigned understands ~hat this per.it lay be subject to "deed restrictions. which may be lore restrictive than City regulati,onl. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake wort, they .ay be required to be licensed in accordance with state and .loce1 regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, IBI3l 78B-bb 11. Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(sl sign portions of the .Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ra~her than the contr~ctor, 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 permitting 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 with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of, Agriculture and Consumer Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docuient and promise 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 ~ccurate and that all work will be done in cOipliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City cDdes', loning regulatIons, and land development regulations in the jurisdiction, I also certify that I understand that the regulations of Dther governmental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be 1n ct1lilpliance. Such agencies include bllt ~i P. iiC<L Jiliited to: * Departlent of Environ.ental ReQuhtion - Cypre!is Bayhearls, Wetland Areas and Envi rclnlllenta 11 y Sensi t i ve L llnds, Water/Wastewater Treatlent f Southwest Florida Water Manaqeaent District - Wells, Cypre~~ Bayheads, Wetland Areas, Altering Watercourses . Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatment. Septic Tanks * US Environlental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood th~t a drainage plan addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer reqistE;"ed in the State of Florida prior to per.it issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to yioj~te, cancel alter, or set aside any provisions of the technical c~des, nor shall issuance of a permit prevent the Building Uffici~l from thereaftel requiring a correction of errors in plans, construction, or violations of any code. Every periit issued ;hall becoie invalid unless the work authorized by such per.it is c~.aenced within six months of issuance, Dr if HOlk autll~l 12ed by the perlit is suspended or abandoned for a period of six lonths after the tile the work is commenced, One 90 day e~tE>>SlO" of tile, may be allowed for the permit 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 month period, or the project will be considered abaildoned. 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 !IITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEEDrECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__~N~ SIGNATURE------CONTRACTOR-------------- DATE _ i-! /f;'" DATE NOTA:~-.::-~~ - -f~. ---,-~;----- ~---- NOTA:~-::-~:--------------------------- OWNER OR ~GENT__: __~_~ ___________~___ CONTRACTOR_____________________________ Notary ublic. Stale of Florida MY COMMlSSION EX S_~!E~~"!!c~~!~~~~----- MY COMMISSION EXPIRES__________________ ,. Return to: 'enclose seK.addi..ed s!!'!toed envelope) . ... C 9 - 4 L .~ Name: WARRANTY DEED RAMeO FORM 01 tNDIVID. TO INDIVID. This Instrument Prepared by: Quardian Land Title, Inc. _r_: 7250 Gall Boulevard Zephyrhills, Florida 33541 ! ~ cf It ~ '" ! ..!l l! 11 8 Guardian Land Title, Inc. Acld,e".. 7250 Gall Boulevard Zephyrhills, Florida 33541 Propert'! Appraisers Parcel Identification IFolio) Numberls): 11-26-21-0010-10900-0140 Grantee(s) 5.5. 1(5): SPACE AW:NE THIS UNE FOR PROCESSING DATA SPACE AW:NE THIS UNE FOR RECORDING DATA OJhis Dlarrantu IIttb Made the 31 st day of December HkRBERT ~. MAL~ASS and LINDA L. MALTASS, his wife hereinafter called the grantor, to ARMANDO TORRES and NORMA TORRES, his wi f e A,D, 1991 by whose post office address is 5634 18TH STREET ZEPHYRHILLS, FLORIDA 33540 hereinafter called the grantee: (Whel'lvar uaed h.roIn tho tel"llll .grantor. and .grantee' Include all the partieo to Wo 11lIlrument and tho bein, legal repl'I..nI.aUve" &lid ...Ip or indlvldnal., and the IDcce..on and ...ign. or corporaUon") BitntSsdly: That the grantor, for and in consideration of the sum of $ $J.O . 00 and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee all that certain land situate in Pas c 0 County, State of Florida , viz: Lots 14 and 15 and the South 1/2 of Lot 16, Block 109, CITY OF ZEPHYRHILLS, as per plat thereof recorded in Plat Book 1, Paqe 54, Public Records of Pasco County, Florida. SUBJECT TO COVENANTS, RESTRICTIONS AND EASEMENTS OF RECORD. IDngdlytt. with all the tenements, hered'itaments and appurtenances thereto belonging or in anywise appertaining. IDn lIant anb tn lInlb. the same in fee simple forfnJer, .Anb 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, and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsofnJer; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 19 )n Bitntss Blytttnf. the said grantor has signed and sealed these presents the day and year first above writt n. ~r>~~ ignatul'l I!D Print.ed Signatul'l HERBERT A. MALTASS Print.ed Signatun Signatul'l 11140 TEMPLE AVENUE PM"rrt~m-T.T.S. FT.,ORIDA 33541 Print.ed Signature Print.ed Signatul'l ~'~D( (Y'\~ T...INDA r., MM.T~SS Print.ed Signature I!D Sipture Signature 37140 TEMPLE AVF.:NtJE ~~Rt~ft!LLS, FLORIDA 33541 Print.ed Signature STATE OF Flori.da COUNTY OF Pasco I HEREBY CERTIFY that on this day ...bJ:.furJ:.lII~ a1l..offict:J: dulY..i-Utho.r.ized in the 8tBt~ a.f2rell!lid and Ln t~ County af~r~said to take acknowledgments, personally appeared HEJ:<Br';J:('l' J\. MAI,'J:J\S:;; and IJINlJJ\ L. MALTASS, n1S W1 fe to me known to be the pel'SOrtl described in and who executed the foregoing instrument and t hey acknowledged be 0 me that th ey executed th<<;..sa;;n!.. WITNESS my hand and official seal in the County and State 188 oresaid this 3/ day of ~ . A.D. 19((1. SEAL Print.ed No\.ary Sill"ature My CommiNioll Expi 1"ftI.: