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Home My WebLink About94-4416 BUILDING PERMIT Permit N--? CiTY OF ZEPHYRHILLS (813) 788-6611 c26,tJc.) ~~IN0 4416 (3 Date. /tJ-;)' -7'7 BUILDING J-6 ~- oV _..~ crncTR~ P,op"tV own"tzm rf {5f' Job Address::J - ~ ...J2I-. MECHANICAL Sewer Conn Water Conn: Water M~jer: T.I.F.'s: Parcell.D. # UJ-~ Zoning: Description of Work DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must A All work shall be performed in accordarce<With c.o. DATE Inspector City License Registration State Certified License~ P~rmit Fee ~~. p-U rh</ /J SIg.natu~~ ._~~ Company Address Telephone# Valuation or Contract Price BUILDING MECHANICAL Const. Pole Pool Pre"Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL ~#~~ //-Lj-Yf' >1/11 ~ Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) 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 ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S HAHE 1tr€iJ,,( ~~A/.s OWNER'S ADDRESS L/i74 .c-4 S'I- ,{J c7/1(//(/fr //5 k- LEGAL DESCRIPTION: LOT(S) PHONE JOB ADDRESS B~SUBDIVISION PARCEL I. D. f (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ~ddition Hteration -.Jtepair _Install _Sign --lk>ve ->>eaolish PROPOSED USE: _Single Faaily ~/F _' of Units _K/H _ec-ercial _Indust. _Swia. Pool _Other -.Jtestaurant &: Health Departaent Approval DESCRIPTIOH OF WORK: BUILDIHG SIZE: x Square Feet, Height RESIDEIITIAL: COMMERCIAL : ArrACK (2) PLOT PLARS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ArrACK (3) SETS OF BUILDIHG PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW COHSTRUCTION. ~UILDIHG A-ELEcnuCAL $ PERMITS REOUESTED g 5(; t1'..::-- Valuation of Total Construction AIIP Service Florida Power Corp. W.R.E.C. ~ClWJICAL XnUMB~G $ Valuation of Kechanical Installation GAS ROOFING SPECIALTY TYPE OF COHSTRUCTIOH: _Block _Fraae _Steel Other FDnSHED FLOOR ELEVAnOBS: Fl. IS PROJEct IN FLOOD ZOHE AREA? YES NO .......................................... CONTRACTOR SECTION ,'. COMPAHY State Cert. or Regist. f . City License Registration f .......................................... KIITT.DER Signature . ~1;J COMPANY M~Y11~ tJ..ec:Jr"L/ 0/ ~ State Cert. or Regist. f t;,(z' OOI34~'1 . City License Registration f ' .......................................... PLUMBER Signature& , COMPANY 4-. C ~~ ?/n--7 ~ State Cert. or Regist. f t tr;:; tJD 378? 1 (' ./~--.I"-- City License Registration' ;),,7/ .......................................... HECHAHICAL COMPANY State Cert. or Regist. f City License Registration . .......................................... Signature OTRRR COMPAHY State Cert. or Regist. . City License Registration f .......................................... Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'he undersigned understands that this perait Jay be subject to .deed restrictions. which JaY be lOre restrictive than City regulations. the undersigned asSUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES 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 law, both the OIlIer and contractor JaY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguirl!lll!Dts JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. Furtheraore, if the OIfDer 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 owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that JaY be an indication that he is ilot properly licensed and is not entitled to perlitting 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 - HoIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOIIeOne other than the .owneru, I certify that I have obtained a copy of the above described dOCUJent and prOllise in good faith to deliver it to the "01f11erU prior to cOlleDcl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, loning, and land developllent. Application is hereby Jade to obtain a perait to do work and installation as indicated. I certify that no work or installation has cc.leDced prior to iSsuance of a perait and that all work will be perfoI'led to .et standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverD.leDtal agencies JaY apply to the intended wort, and that it is IY responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not luited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Envirol1lentally Sensitive Lands, Water/Vastewater 'l'reatlent I Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater 'l'reatlent, Septic tanks I US EnvironJental Protection Agency - Asbestos abateleDt I also certify that, if fill Jaterial is to be used in Flood Zone "A. or "A,etc. u, it is understood that a drainage plan addressing a .cOJpensating VOlUleR will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perait issued shall be construed to he a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beC<lle invalid unless the work authorized by such perait is COIIIeIlced within six IOnths of issuance, or if work authoriled by the pmit is suspended or abandoned for a period of six IOnths after the tile the wort is co.enced' One 90 day 81tension of tile, JaY be allowed for the perlit with fee charge of $15.00. 'l'he 81tension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each six IODtlJ period, or the project will be considered abandoned. WARHING '1'0 omR: YOUR FAILURE '1'0 .I~ECOJ.D A. NO'I'ICE OF COMMBI!CEMm HAY RESUL'I' IN YOUR PAYING DICE FOR DIPROVBIImS '1'0 YOUR PROPBRfY. IF YOU IJlfEMD '1'0 OB'l'lIH FIJIAHCING, COJfSUL'I' rum YOUR LBHDBR OR lH ~noRDY BEFORE RBCORDIJfG YOUR JfO'l'ICE OF COHHBNCEHBlft'. JOBS UNDBR $2,500 IN VALUE 00 NO'I' lfBED '1'0 RECORD AJfD POS'I' A 'NO'I'ICE OF aJtHBHCBJIEM'l". . . SIGJfA'IURIl: <MfBR OR AGBJI! SIGJfA'IURIl: CON'l'RAC'l'OR S'I'A'I'B OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S'I'A'I'E OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name. Typed, Printed or Stamped) NOTARY PUBLIC From J8'1-02 .'00 MON 21:25 ID: I-f:llJFF ~EFL TY TEL NlJ: PHONE No. : 813 7e2 1541 Rldltl r-~l - '-~ Aug. 25 1994 10: C0AM P01 <'" J_ - 7 (-- \..- 2) 1..::. - c--.,.~ '.:I' ) PROP08AL ~Aft "-~'Pal~ / ~ ~2-~ 7i!L 1'6..,.. . ,.,.. ~ ~~T1" ~; ).ri--I ~.f'.ut/l 4t/.., ~.e.~""'4' JJJl I S 6P i',:':":;::' ~.;:.'.'~"""';'I.tr"" ,'" ,'" .,' - . '..f,... .::';,' '''. '~~,;", ...... ~., . .. ".or ..r.. T ' . , 1~~~:~,~.:.:~.'..~";.~:~~'::' ::' . '.:\.. . .,'.. ..:. '~~:i'r ',',,\. :.;" ........':.. , ",.IIpec.a1 .u.....,"'. 'al ~flm" /LAU~ ;d;>>~ 0' St.r1tnt. . ~1_~ Ii'"'~ 4L c4I r~lty ~#)'b4-~ J;:t^t.A ,.... ~ ,4 "hono ~. " ,..-,--, ~'T WIII'k TD .. p...........d atl J '- Utroot.. ~J-, ~ s,L ~/ City .:2~~~/;.T'- - &t,tlI ~ Dot. of f'1.nu . Arohluot 'L.. ~ Wr:- h;;;;b"ip"npDM lO turnlRh the (TlIItOriBIS and per'ul'I"" the bibor' .,.ct...ry I~I: Lhe complntlon of /_ t'P/~- NJiH',-...t:' A'~JII&f~7I! r~ tf!!!'!D""T ~iJ_.J' ';'h'~"A"- Z :Tp~7AU- Ph~ ~ ~,~ d'~~ 1fi4IC~ v_""""."VllOO - :J t' ~ JnS~<<~r A"'H~ ~;'....- pl F,II'?!J'?(S" 4tJ. ~ d) 04' ~ +-- ;T~~ &'I-,z: ~",?~",*/.o'r~ -+ rPD.uH ....:1 o :;;:~~,.,,~ C'2.) //0 t.I :rA:l~' 'e?;Zr.:ft~ b- :"'//1.' . .~..J~" ~ 7- ~~ fNIuJ 110 Y p~~. ..:..~,. """" . ." All materle' " QUGI'''IILIId to be 08 BpocIfled. "nc:I the lbove work tQ be performed In eOQCll'duno4I wi"h thtt drewlngo end spAnl1h:..tlonti submlttHd '(II" .\love work and cDn'tplDtld In SI bubKl.llntlal worktnllnUkl monner for the "u'" of OoI'-re tS f~~' with PHymOllUl W be I1lIldtt .8 follow.-: ------. - : ...." .......1. f' "._.-.. .. -~_.........._.- ..,,-. ---" ou-: ~ ... ///# . N...-1bIo ~... ..._. ~, us . .... -- wit.hln d.yc, .: ""'" .1Wl1/Um l1l" fVv~' lrom eWV'/I IpllQifiwLivI" lnWIv,.,. ."ve. _t.fl. MIl &. elllllill'lUld only UfIM wrJ\wn VtfIlNI. 11I11.I will IIeoome Ill' tfll~,. Clhortlv ~. W ..._ ..he IiMl_Ui. All 1iIJr'ftIlIfttn" 1Of\\l"","~ UllIIft 11\11~ IIllOIlIIfMl ttf' doIoyu ~ __ _ro!. ".... too .....r 'tre. ,tornoIfo end ou.r NOIIiIlll'Y lI\tIUnIl"" UIll1" atM, WDI'lt, Wf1A'k' "*"" n..'"",-1N1lf PvbI/ft LIeblliCv .....lI"IIl1DII on .bIMI WCMk r.o bIl LlIk.... (IU\ by . . . -" ,.. ACCF.~T ANCI: OF PROpOSAL - ., h.. rohrlVI: ,JI'il m:. ':lJl!r.:i1t(lIt\.l(I\'in RlIl.I (oClfldit,iull& tWO or.t.i.lfMutorv find 81~ hU"lby f1ccelJ~d. YIIV ..,... uut.hurl,r,.... tn dt'l t.hft WQrk Ill; '1\fICllied. 1";:'YflIFmt will hn mtt(ln m- (IU1;lirnnJ OhOV8. ' HiUl\8t,U1'H r);.t ,. Higl\atl,ll'O ""'~ -, ..........\ PASCO COUNTY COMMUNITY DEVELOPMENT INSPECTION/SUMMARY SHEET Name: Address: Hauff Realty, Inc. 4514 5th Street Zephyrhills, FL Client # Contraotor: -- \. Purchase/Rehab r Date --~_..~ DesorlDtlon 8/9/94 On August 9, 1994, I made an inspection for a Purchase Rehab on the property - --- located at 4514 5th Street, Zephyrhllls, FL and the following items need to ----- be corrected: . --...-- 1. Water heater needs to be wired to code. -_. 2. Install a pan under water heater, drain to be run outside. -- 3. Pressure Relief Valve and Extension to Code. 4. Install GFI outlet in bathroom and kitchen and scree porch by water heater. --- '\ Install (two) 110 volt smoke detectors. 6. Termite insnection. conv to be mailed to Community Development. \ 7. Install new 110 volt outlet for the washinJ~ machine on screen porcl'!...____ ----. REHABILITATION WORK CONTRACT Pasco County Community Development Division 7220 Osteen Road New Port Richey, FL 34653 NAME OF PROPERTY OWNER: Fred A. Ellis JOB ADDRESS: 4514 - 5th Street Zephyrhills. FL 33541 CASE NUMBER: 94-544E THIS AGREEMENT, made this 20th day of October. 1994, between the OWner, Fred A. Ellis, and the Contractor, General Home Development. THIS AGREEMENT becomes effective and binding upon the Contractor and the Owner(s) when the Notice to Proceed is issued. GENERAL HOME DEVELOPMENT Name of Contractor ~/~~ Sign ure of Contractor FRED A. ELLIS Name of Owner(s) ~/A~~ Signature of Owner Project Mana$ter Title (if Officer of Corporation) Signature of Owner 13924 - 7th Street Dade City. FL 33525 Address of Contractor ~~~~ Signature of Pasco County Community Development Representative October 20. 1994 Date October 20. 1994 Date Acknowledgement Acknowledgement The Owner and Contractor Agree as Set Forth B~low: ARTICLE 1. - CONTRACT SUM: The Owner shall authorize payment to the Contractor for the performance of the rehabilitation work, subject to additions and deductions by approved Change Order, the -Oontract Sum of Eight Hundred Fifty and 00/100 Dollars ($850.00). ARTICLE 2. - Tmf WORK AND COMPLETION TIME: The Contractor agrees to furnish all labor, materials, equipment, permits, licenses, and services for the proper completion of -1- sIOI801/11:mo(Z) Lots Block ( ) Paving Assessment ( ) Other City of Zephyrhills Receipt N~ 78205 5335 Eighth Street. Zephyrhills, Florida 33540 /) u (813) 788-2313 Date/4 -..).." 19 "1 T Footage Rate Amount Due ?-MI1' --r /I l,IC/ I" t.5 /I yV1.6 P Name Street No. City, Sq.,te, Zip (j- II .0 NOTICE: All assessments are due and payable within (30) thirty days after date and will bear interest at the rate of 9% per annum thereafter. Please send postage for return receipt '. . . ',., '. '. '. . '- -.... 1.10. OJ ~. ou oU). (),} $40.00$1 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY DISBURSEMENT REQUEST - REFUNDS & MISCELLANEOUS PAYMENTS NOV. 4, 1994 DATE TO: ACCOUNTING FROM: BUILDING (Department) AMOUNT: $40.00 B" ~L '1'" ,.., Ge~ Av ATL":~ ,'(.:rJ?Ti'/N'.'.-r H/:;'." '" C c <) V'-',T PAYABLE TO: GENERAL HOME DEVELOPMENT 612 S. 7TH STREET DADE CITY, FL. 33525 ATTN: WAYNE WILLIAMS VENDOR#: REASON FOR PAYMENT: REFUND ON BUILDING PERMIT CHARGE TO ACCOUNT#: 01-321-000 REQUESTED BY: ~ g~~-~ ignature) , 5J-e ~ APPROVED BY: (Signature) ACCOUNTING USE ONLY: .' " " ' , . . ". ..,. Pa.:.d Date: - ...... ~ Check #