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'BUILDING PERMII-
CITY OF ZEPHYRHILLS Permit II!
(813) 788-6611
,.
.,
1-5252 6
Date
Cj-;L/- 9~-
~
t. ~ Wate, Conn
Property Owner: Water Meter:
Job Add,..., S?~!;t~/CJ ' . -t.. ~~'Y6-W'~-'fTH"
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Parcel 1.0. #
Zoning: Energy Code: Radon Gas:
DescriPtionofwork"-/l~A..' ~~.- ~r - C-4.A~4 </.J~ _A~ ~
;7 j7
City License Registration # d::2
State Certified License#
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must A
All work shall be performed in accordance with Cit
DATE
~~. Inspector
~iFee~~/
ign tureU .-L ~ /A/.?7~ ..
Company
Address
Telephone#
Valuation or
Contract Price I~ ~"O" tIV
"
'Q
-4 )/,A_
BUILDING
Ftr. 1/64? J?t..L-
Pre SLB J l "'~-.; 8 It)--
Lintel
FRM.
Insul. CL
WL
ELECTRICAL
PLUMBING
-
MECHANICAL
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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.
--.'--"--- 'l~4~1:.~
7 ~~ 3 'f:) ~ c?/#-
U//<1.y ~ ~
, OWNER'S NAME
.~U(,j 9--7/-9j.-
P/15tPt/~/E d&x/d/o PIIONE' 5'2:j-/4'cJ7
OWHER'SADDRESS JjJ%5'-3 6'u;ucdJ~~ 2)/9p~ b/rYL:tr~ 3352,5-
'iL + If' 1./ . I ~ -~..3 6 -S d... YO -. /" .
/ C d.. ..f- I '!A--it u -:? &-h Y.:t +- J 8-" Y b - ~' ~ .
LEGAL DESCRIPTION: LOT(S) II -:<.- b-rJ-/ -B~~~&rsf~YD
//-2.6 -.2/ -C~)/c-/~~--Cyg()
.c.
APPLICATIOIill FOR PERliiIT
CUY OP ZEPIlYRIIILLS
nIDLDIEG DHPARIHRm'
JOB ADDRESS
PARCEL I. D.#
WRK PROPOSED:_lMew Construction
~dition _AlterationXRepair
,
LInstall
_Sign
_Hove
_De-.olish
PROPOSED USE:
Single Faaily
_KIF
_, of Units ,
_M/H
_Co8aercial
_Indust.
_Swlli. Pool '
Other
_Restaurant: & nealt:h Depart:Jlent Approval
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL :
COHKERCIAL :
AlTACH (2) PLOT PLAHS &: (2) SEIS OF BUlJ..DING PLANS &: (1) SET ENERGY FORKS. **
ATl'ACII (3) SEIS OF BUILDING PLAHS &: (1) SET ENERGY FORtIS. **
**COPY OF CONThAGl' REQlBIRIlD.
PERKI1S REQUESTED
~UILDING
_ELECTRICAL
$
Valuation of Total Constrvction
AMP Service
Florida Power Corp.
W.R.E.C.
--1fECHAHlCAL
s
Valuation of Mechanical Installation
~UHBIHG GAS
TYPE OF CONSTRUCTION: ~Block.
X ROOFING ><
/
_Pralle _Steel.
SPECIALTY
Other
FIIIISHED FLOOR EI..EVATIOIWS:
FT.
IS PROJECT IN FLOOD ZONE AREA? -X-
YES NO
******************************************
PUIWER ~
Signature . ...
m1URAC1UR SECTION
~ G@J&'A! :/0#/; -l>~~61-'T
~ ~r ~te ~rt. or R~gist. .' C c;: ~ 00 ,~(D '1' S-
C1 l.cense Regl.st:ratl.on , ;)..)...
******************************************
ELECTRICIAN
CWlPANY
State Cert. or Regist. ,
City License Registration t
********~:*******************************
Silmature
PWKBER
-
"
c:mfPANY
S ta t:e Cert. or Regis t:. ,
City License Registration I
******************************************
Signature
MECHANICAL C01IPANY
State Cert. or Regist. I
Signature City License Registration I '
******************************************
0'T1IER C02fPARY
State Cert. or Regist. #
Signature Ci~ License Registra~ion ,
******************************************
APPLICATION APPROVED BY PERKIT OFFICER.
.~ COt.'11JITIOj'~S OF F'ERI"11T {~FFID{~'vIT I
A. NOTICE OF DEED RESTfICTION$ ,
The undersigned understands that this perli tuy be subject to 'deed restrictions' which aay be lore restrictive than City ·
regulations. The undersigned assules re5ponsibility for cOlpliance Kith any applicable deed restrictions.
B. UNLICENSED CONTRACT(~S AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or t~ntrattors to undertake work, they may be required to be licensed in accordance with
state and local regulations. If the.tontr~ctor is not licensed as required by law, both the owner and contractor lay be
cited for a lisdueanor violation under state lall. If the owner or intended contractor are uncertain as to "hat licensing
requirelents lay apply for the intended :lork, they are advised to contact the City of Zephyrhills Building Departlent, 1813J
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 lay be an indication that he is not pr,perly 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 - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
"owner" prior to cOI.encelent.
E. CONTRACTOR'S/OWNER'~ AFFIDAVIT
I certify that all the inforlation in thIS application is accurate and that all work Hill be done in cOlpliance with all
applicable laws regulating construction, ~oning, and land developlent.
Application is hereby lade to obtain a perlit 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 perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actio:is I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environ.ental Protection AQency - Asbestos abate.ent
I also certify that, if fill laterial i~ to be used in Flood Zone "A" or "A,etc,', it is understood that a drainage plan
addressing a 'coapensating volu.e" Mill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the Mork 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 plan~, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such permit is co..enced within six months of issuance, or if Mork authorized by the per.it is
suspended or abandoned for a period of SlX looths after the tile the work is cOllenced. . One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged durili) each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORil A NOTICE OF COHnENCEHENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FIHAlh:IllS, CONSULT \lITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUI: DO HOT HEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT".
~.' /?d....R ~." ff7~
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
. \
STATE OF FLORIDA. P .
COUNTY OF tJ _ CV. s. C'~.6'L.:.... ,
The foregoi 'instrument was acknowledged
before me this ~,;J,o, 19...z:.:s::-by
/<-(> () (L n T ((0})-9 \'" ]". '\
who 'S personally known to me or who has
produced
as identification and whc1 did/did ncd;
t~n oath. ----
k_.::r KB P"'j'~M~/
(Si ature> /
J Q.. VI e..i B fa.. c f:':U.J1!-- !/L
,(Name Typed, Printed (,r Stamped)
NOTARY PUBLIC
.
STATE OF FLORI~
COUNTY OF ~
The foregoing instrument
befc,re me this.J'fA'-li .
was acknowledged
19~ by
~ u,'-n. ]'. ,eH:Ju'iS..
~ho is personally known to me or who has
produced
as identification and who did/d~~not
take an oath. ,Q.O... _'-..'..110 (.
~~:tK.~
(S. at~}-e> '
~ a..n..::t 13 /tU...-K w -e- L
(Name Typed, Printed or Stamped)
NOTARY PUBLrC
~i'
'l...~
-ft.
s-
Notary Public. State of Florida
IA"n BLACKWELL
My Cum"', Exp, 9-18-96
Comm. No. Cf,; 228545
Notary Public, State of Florida
J.'.. E' I BLACKWELL
My C~mm, Exp, 9-18.96
Comm. NO, CC 228545
11111111111111111 1111111111 lilll 11111 11111 11111111'
. 95303296
Rcpt: 28270 Rec: 6.00
DS: 0.00 IT: 0.00 0
09/20/95 __________ Dpty Clerk
JED PITTMAN, PASCO COUNTY CLERK
09/20/95 01 :29p. 1 sof 11 L:.7~
OR BK 3475 P ~ ~
NOTICE Or- COMMENCEMENT
Penni t No.
Slate or r/, O~/j)~
County of
?ffSeo
TilE UNDERSIGNED hereby ~Jlves notice thill improvcment will be nmde ..to cerlain
re<<1 propcrly, emd in ilccordancc with. Chaptcr 713, Floridil St~tlltes, the followlllY
illformillion is provided in this Nolice of Commenccment:
1. Descl"iplion of Property: Parcel No. /1-~-:V-t::JCJI() -1S'/tJCJ-t!J/go
'( Legal description of the property and street address If available)
2 . Genera I Oescri p lion 0 f Imp rovemen t ,L/ I?ZcJ /'~O~ - P / A.J-/; .,cJv
~fl'~~4Y ~~ &5("'# ,
3. Owner Infornmlion: Name J . U
Address 3~ S ~ 3 6({JU L.IJ ~o City
Interest in Property: (1lc:Z4~~
-A/O
State /-L
Name of Fee Simple TI t1eholder: k/17-
(If other than owner)
Address City State
Name .6EAlC:::R/1 ~ HCW/e .bev. eo , I
II. Contractor: I
/ 3t/~ t/ zds ~ C.lty.,D/9~c- c:!~ I
Address State ,t;L:"L 3'35;)f)
,
5. Surety: Name 4~
Address City State
Amount of Bond: $
G. lender: Name ,((&-
Address City State
7. Persons within the State of Florida designated by Owner upon whom notices
or olher documents may be served as provided by Section 713.13(1 )(a)(7), Florida
Statutes:
Name
#/~
Address
City
/I/' rL-
Stale
8. In addllion to himself, Owner designates
of . to receive a copy of the Lienor's Nolice
as provided in Section 713.13(1)(b), Florida Slatules. .
9. Expiration dale of Notice of Commencement (the expiration dale Is 1 year from
lhe dale of recording u:lless a different dale Is specified.)
Notary Public:
~
Slgn=.or owner*, L1r~,.p~ tl~;:-.~
Sworn to and subscl'ibed before me this 1m dClY of
19 cr5' .
My Commission Expires:
1J0III11l
~
General Home
Development Corporation
PROPOSAL SUBMITTED TO:
I
I DATE: q - / If'lY
JOB NAME: .r;:;J
n G/\)/,,4cs
J 0 fG.. sf- J Jj-H euJ
_CIT)..6:-~ 1/ y ~IIII (5 J STATE: R-
STREET:
PHONE:
NAM:
rpr1T (tfro~1 Ado
:3 / [?:) 3 ;?!.ou (j) i1
dJf1-t?& (!, II pC
STREE :
CITY:
STAT:
)
We ereby submit specifications and estimates for: ;fE~tt/& 5/~AYk51 ;(E$cL"<:;::- ~A-'l~I""z/u=y~
m~fi//t/c:-3 if 917...5 //E/1~ ST/f-G.k'S. ;rL-?'u~e-- M~/F/l/ / ~s~/~ .5dl=i~E1f-
/1/v:tJ /JPtZ/(/,,'f./:; -tI~ /S A"A0U-W r'o ~r P/?~. ~&/~#&4.t!k$/;<t?/# ~t7.c
P6=---/U.J&-?i7J fbXe4f5 oAJ !)~,tJA6Y ~/J &714'4 vL/f'Af/rdX',5 $ AI~C2J 7'0
:5L( /~O"f. r /l!;-7J ~OQ'= j)E2;:" tll!(l.J Gl/eSOk.'lf' ..f- elf)(;;(:;-tlt=t/j 69,)0 "'C..
PI( &55 (dE' W /hif- / S E"4-L- -1-1/;/ A/i Z? ();/-,;( ?3?// V -"'j/ - /J1 /ho,v~1-' O,(J/ /
/ (J t!.1--f' () e P 6,( e#- ,.0 C C-/fS ~ P h/TAl77:--,r2. / ;(..56 ~
&;;-pe.c 4(~- C ~/'C's c7(J tL)OO,t:> / ..50~c.7T;- F-'1JC/ff -./- /) C=-/7' /[.,{ j
Cf} / /l).,.!-tIJ?/.(/k /''-'1/ L'Y',/{./!L
F0/1.'/./-1'514- Pb/(/!/ ("6 -I--J1dU.?- ftU'-t-/ /M-5/./-
;:::v~ &-<-t!1:61e- ~# E~ c../1~o~ r bJ;':; T^/ '/~?'.ey
/7//,.ft:Jx s..."?s ..:55 if, pw,u&"r( ~ ~tFMa~ A-~( '/?Y/Si:7r-Vj ?J/.~5
tJ;fi F6XJ#r
3456 <~-
7.5() ~
I
We hereby propose 10 furnish labor and malerials - complete in accordance with Ihe above specificalions, for Ihe sum of:
IWELuE 77!17//SA-/-h 71-{JUL, ~~~_dollars (S /:2; ~(b C;-2,-with payment 10 be made as follows:
34-00 ~,4T .s/,~,A//;J'9 ,,4 4-1 50 ~ /fr dO#Ft"'/-/ON h-::^t:70~. 4' .;2.::260 ~~ #T O"O#l&hoJ
~ . ( 1$ 'O'Sl O~ -# oc>
tJ;- ?rr/t'Ji/4q. /t:J'.. 0 >- HI C0/11/'A---ho/~ Or:::- /1~U41/N(.(/1..(" TSO __
Ail malerial is guaranleed 10 be as specified. All work 10 be completed in a workmanlike ma~ner according 10 standard praclices. Any alteralion or deviation
from above specifications involving extra cosls, will be executed only upon written orders. and will become an extra charge over and above Ihe eslimate. All
agreemenls conlingent upon slrikes, accidents or delays beyond our conlrol. This proposal subject 10 acceplance within #- .days and is void
therealter at Ihe option 01 the undersigned
ACCEPTANCE
Aulhorized Signature
The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be made
" ."'liood .bovo. /J P-. i /.--Ir .
ACCEPTED: Si9nalu~ fk~7~-rLAA/f;(L-_.__
Dale J\1ain Office: 1392~;"l,,~~r~treet Daae City, FL~3525 .. ..
Phone: (904) 567-6581
Fax: (904) 567-6742
..
~
%
General Home
Development Corporation
September 21, 1995
City Of Zephyrhills
Zephyrhills, Florida 33540
To Whom It May Concern:
This letter authorizes Wayne Williams to pick up a permit for Pat
Vittoriano. If you have any questions, please give me a call.
Thank you.
~F~~~
Kevin T. Roberts
GENERAL HOME DEVELOPMENT CORP.
KTR/jkb
Sworn and subscribed before me this 21st day of September, 1995.
~~ \<.~
ary-State of FlorIda
K- Personally known to me
Produced drivers license
as identification
Stamp or Seal
'j,""
Notary Public. State of Florida
;"""IET BLACKWELL
My (;Qmm. Exp, 9.18.96
Comm. {'o. CC 228545
Main Office: 13924 7th Street Dade City, FL 33525
Phone: (904) 567-6581
Fax: (904) 567-6742