HomeMy WebLinkAbout95-5453
BUILDING PERMIT-~
CITY OF ZEPHYRHILLS Permit lI! "7 -. 5453 B
(813) 788-6611 Date/:2 -/1- Y ~-
~'. o-v
BUILDING
..36-:t7D
ELECTRICAL
..2'!::'~. c.TD
PLUMBING
;Lo- tH)
MECHANICAL
Sewer Conn
Water Conn:
::::,~:.~e,~,s~1~~.
Parcell.D. # /'I-;;..t- ;;L/- 0;2.? 0_ LJ 19.D 0 0 .. /;390
zonin~: . ,~~rg~ CO~'l r---:J _ ..... ~a~on Gas:
Descnptlon of Work J1( ~LL ~~ ---.21~~
Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE;;::> ,
Inspector ~ -.fI1 '--L.
Valuation or
Contract Price
Permit Fee
Signature
Company
Address
Telephone#
P
City License Registration # :L ~ ~
State Certified License#
BUILDING
~j~ I?D
ELECTRICAL
- r7f'1~cPb
PLUMBING
~L~AA~//
9/4 f(Y;;:ZA~~'
MECHANICAL
-
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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 ($15.00) 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 PERl'lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARnlENT
APPLICANT ~ 'i....~ ~ER: s&f-=r..
ADDRESS 3 S Ltc 1 l-h.0 Y Situ [.0 g;ST Pll~N~ S' Z- - 7 7-110
OI{NER 6-iiil2ff'z S']/!. ,~I( A ..
117/,J 0/klZ,1[/Z 5-"... L.OT SIZE' ~/JX.' F!~- (y()/
Jon LOCATION. - _~.:U ~ AREA SQ.FT.
LEGAL DESCRIPTION: LOT (5) Ii? 9 {j BLOCKOt'i}110 SUBDIVISION (0';:: {j..iJ,;;rJ
PARCEL 1. D .11 it/- - ).0 -;2/ (;270 {J0006 (, ~?q(;
HORK PROPOSED:_Nelv Construct.ion _Addition _Alteration _Repair _Install
_Sign/Temp.
PROPOSED USE: ~SinGle Family
_Sign
_1'love
_Demolish
.-:.--M/F
_11 of Units
. ._~l/H
_commercial
_Indust.
_SI"im.. Poo 1
Other
nUILDING SIZE:
_Restaurant & Health Department Approval
gGf'
;~ t.j X 3 (-, ,
Square fcc t,
J )7dri7
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) Sf,T ENERGY FOR~lS.**
COmIERC1AL: ATTACH (3) SETS OF BUILDING rLANS & (1) SET ENE:RGY FORt-IS. H
**COPY OF CONTRAGT REQUIRED.
:EF.RMTTS REQUESTED
~ELECTRICAL
j
_~lECHANICAL
AMP Service
vhluation of Total Construction
--*-florida pOloicr Corp.
_h'.R.E.C.
~nUILDING
$
$
Valuation of Mechanical Installa~lon
_PLilllBING GAS ROOFING SPECIALTY
TYPE OF CONSTRUCTION' _Block _Frame _Steel III H- Other
FINISHED FLOOR ELEV An ONS ~* '**.,,::~......~:*~.~~:!:;,. ~~ ~ ",t,&.1S T I Ai6-
CONTRACTOR 0F.CIIQN
. Company -Ldt:Lf' :r: t\f-rFl'Z.~mTt
State Cert. or EcCist:. !i ~
Gity License j,cf'.i:; [..1";\ L inn'~ . ,2 9' 7
******************************************
Com pa ny C <::L-+-t .::ro d't.D A-N
State Cert. or Regist:, 0
City Liccnse RCGistr~tion 0
***********************************~***
e:Lf(. S~V.
~ 170 ~
Company jJ e1--Sa u JZ Y (Y) A-N
State Ccrt. or Rcgist. 0
City License Rcgistrntion 0
-K'J ~
d. v-b
~
Signature
Company t3A+\- e <s
State Cert. or Regis t. ('- ----"..~
City License Registration ~! ~
*~****************~***********************
121:LDP~rJE. cl-fY/ C-
Ii
.
Signature
Company
State Cert. or Rc~ist. u
City License Registration,
OTHER
APPLI CAnON ^ rPROV~O OY ~= ~ill(::.'J:j'H": *.c, '*" ,,,,,,.c. "
PER~lIT OFFICER.
\::Cjr',IDI-r:rOI'JS (Jr:- i::J21~r"1I-r j~I:::'FI[;("".'j-.;-
A . t:JO-;- I CE OF ~?r:TJ2___i.JI'J-,;Tr~ r C-r IONS
The undersigned undersbnds ~f,. t lI.i;; permH (Aay bl! subje~t to 'deed restricti(,ns' tlhi~h ~ay be ;)c,re re,tridivc than Cily
regulations. The undersi9nd ~:cSl::es rr.sponsibllitf.'for ~ol\plian~e Hith any aprli~"ble deed restrictions,
B.
UNL I Cr-:~'!S.f::_I? CQLiI.G.QCTORS AND CONTRACTOR RESPQf,IS I n I I I T I ~S
If the owner has hired a ~onlr~c\or or ~ontra~tors to undertakl! Hork, 'they n~y be required to be li~en5ed in a~cordan~e Hilh
,tate and local re9uliltic'n~.. If the t(,ntrador Is not licensed as required by 1;,lI, be,th the e'IIner and contracte,r nay be
cite~ for a ~isdeBeanor violaliDn under statl! la>>., If thl! Dlinl!r Dr intl!ndl!d contraclor are un~ertain as to Hhal licensing
requHe:ents lI"Y <Jpply fe,r ',he intended Hork, they ilre ildvised te. ce,ntact the City e,f Zephyrhills Building DepartHr,l, (813)
788-bbl! .
Further:ore, if the OHner h~s hirrd a cDntractor or contrilctors, he is advised to hil\'1! the contractor(s) sign portiDns of the
'Contractor Sections' of l~js ~~plicitiDn fDr "hich they Hill be responsibll!. If you, ~s the OHner sign as ~he conlrilclcr,
ye,u are indicating thilt I'll'., rai.kr U.,JIl the contractor, are 'respe,nsible for the He,rk. If th0 [(,ntrccte,r l1i"hes y,.u to sign
as cc,ntracle,r thil ~ay be ,,:1 iodiutioll that he is not propl!rly licensed ~nd is not entitled Ie, pu!::iltif,g privile~r:s h the
City (,f Zephyrhills.
C. TRAN~PC';.FnGJ:J~J10.l:1c.0CT FEES A!\ID UT I L I TY CONNECT I g.tLS:S:E~i
D.
CONSTRUS;::T J ClLL__.L-Jfl:LJ-AVl.
(CHAPTER 713~ FLORIDn STATUTES, AS AMENDED)
I crrtify t~lat I, lhe ,;ppliufll, ha'lc been provi'ded tJith a copy of 'Florida's C(,nstructie,n Lien L,,)! - H[,.~":,wner's piC,tection
Guide' prepared by the FlcriJ~ Drparl~ent of ngri~ulturl! and Con5u~er nffairs. If thr applicanl is so:c6ne other lhan the
'oHner', I certify Ir,;]! ] :,,"!" [,!;\;,i:lI!O a. celpy of the ilbove described de'CUrr,E:nt "ntl pr('~,i,C' in ~:,od faith to dcliyer it te, the
'oNner' prior to cDlnence~~~t,
~ I '.. .:; '.
E. CONTRACTOR'S l.illlJ'.l~_R 'S AFFIDAV I T
I certify that all the infsrDation in this application is ilccurate and that all Hork Hill be done in c05pliance wilh all
ilpplicable I~MS regul~linJ construction, zOlling, and land devl!lop~E:nL.
Application is hereby ~ade t" oblain a permit to'do Hork and installction as indicated. ! certify Ihal no wor~ or
installation has cO~lenc(d prior to issuance Df il per~it ano that all Hork Hill be perror~ed to ~ect standards of all !a~5
regulating construction, Cily codes, zoning rcgulati~nsf and land development regulations in Ihe jurisdiction, J also
certify that I undE:rsland thai the regulations of other govl!rn~ental agE:nciC's a"y apply. to the intended Hork, and that it is
r.y fespor,sibility Ie, identify \ihat adions I,~ust ta!:e to be in compliance. Suc!' ilg!:ncies include [,11\ ,,\e ne,l li~it(d 10:
. ~. ~...
I Depar\~ent e,f EnviroMental Reo\llation - Cypress Dayheads, Helland nrl:as and EiI'lire,n;;,cnl;'!ly Sensi lii~ L:lf:<1Sr
~ater/Hastewater Treatment
I SDuthwest Florida Hater Manaqelcnt District - Hells; Cypress Dayheads, Hetland nreas, Altefing Y2!crCDUCses
I nr~y CorDS ,of Enqineer~ - SeaMalls, Docks, Navigable Hateru"ys
f Dep"rIHr,1 e.f I\c"ltJ0-.E~::..~~.ilit"tiv[' Services. EnviroM,entallle;,l\h Unit - Iklls, \Ii,steliater TrE:it,~,,~.I, Septic
I US En'li~n\"l Pre1tE-,:tir,n !incocr - nsbestos abate~ent
Tanks
also certify Ihilt, if fill ~"\E:rial is to bl! used in ae.od Ze,ne 'n' e'f '1I,e1C.', it is unduste,[.d \l,.\( "dlainage plan
addressing a 'co~pensating YDlu~e' Hill be submitted Hhich is preparl!d by a profEssional engineer r0gj=l~r0J in thE st"te of
FIDrida prior to per~il icsuancE.
Ii perbi\ issued shall bE lConstrued to be a license to proceed with the Hork and not as J\llhorily to yioj~te, cancel alter, or
set aside any provisions Df the technical codes, nor shall issuancl! of a permit prevenl the Building 0fflciil fro~ thereafter
requiring a ce,rreclie,n e,f errors in plans; ce,nstruction, Dr violations of any er,de:. Every pl'f~it iSSIII'J oh,ll bEce.:e in'lalid
unless the )I(.rk aulh(,ri;d hy such pe:rf.Jit is ce'luencl!d Hithin six months Df issu.1nc!:, (,r if 1"'11: "llll"" );00 b)' the perlit is
suspended or "bar,oe,nd f(,r a peri('rl e,f six tJonths after thl! ti.ll! the Hod: is c(,[,mencul. Di,l:: ~I(; dat (..;1,,;,51(1\, of tiH. !lay be
all('Hed for the perillit Hilh fee chiir~e of ~15.00. Thl! extl!nsion shall be reqllested in Hri\in0 Ie, the 811jlJir.~ Official. (\n
approved ins[Jl::c1i(,n rous! be le,glJed during eilch six month periDd) (,r Uw pr(.il~d Hill be ctor,sit!,'red dbe,I,d,'ild,
WARN I f\IG TO m.n.IEf'l: YOUR FA I LURE TO RECORD A [\IOT I Cl:: or~ Cm1~\Er'ICEi"1ENT ['lAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER.:.Y. IF YOU
INT~ND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND~R OR AN Al.TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOGS UNDER $2,500 IN VALUE
:~ G:::R:_EE ~1~?~;:~~:)i~:Z_~~_~:~~T I cs: G::Tl:i:!i:~ '~~_________
J'~" ~f'&R&WJ/u.y j(tJ-WAi cmITR~~ONA<-<-Y j(/.NLJN
OAT E _ __ _'__ __1.2:.:: ~ = 9..:i ------;.~------.-------
DATE_________J~~~-~~ti--------------
NOTARY AS TO ~ J)
OWNER Oft r.GErH __ __ : '::iJ_-Qr75:D?.~
KA71-ILE. J.7$,,'OWAJ'
MY COMMISSION EXP!nES___________________~_~
~.t,..'f '~ KATHLEEN J BROWN
~ .6 1> MVCcJrnrnlNlOn ~
* ~ * e....... 02. t9llQ
"''''~A~. BondedbyNFNU
'#J'# o. ....... 800-224....
NOTARY AS TO ~f} L)
CONTRf'\CTOn____ ~ - -~ ~~~
K A TH u.= t= -..Ii:r..L:>R l> IN IV
"
MY COMMISSION EXrIRES__________________
~t1i''f ''''''
~.610
*W*
"~J'. _..#
.. Of ."",-
KATHLEEN J BROWN
My Cornn'IIlnIon C0449029
E.......02.1999
Bonded by NFNU
800-224-6368
SITE PLAN
(RESIDENTIAL USE ONLY)
PARCEL 1. D,
/1
).0 ~I
-
TWP RNG
/-;0 X I~ 5
6f~ SYIZAlfJ
0;110
SUBU
lJ(}vtJ~
BLOCK
C3YO
LOT
SEe
PROPEHTY HEASUHEMENT
IwrE
~I ~tll~S'
CUIUUJ-rl' OWNE.RS
"--;'. -.-J---
-. ---J
I
All drawings shall be drawn to scale for all parcels or lots five acres or less.
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Made lhis./
by
GEORGE R. TYLER and
Tins Warranty Ueeo.
C}. I ~ day of
November
A.D. 19 9 5
REGINA A. TYLER, his wife
\
hereinafter called the grantor, to
GEORGE B. STRAKA
whose post office address is:
604 Cherry Street
Waterford, PA 16441
Grantees' SSN:
hereinafter called the grantee:
(Whenever used herein the term "grantor" and "grantee" include all the parties to this instrument amI the
heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations)
Witnesseth, that the grantor, for and in consideration of the sum of $ 10. 00
and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, n:misl:.'.
releases, conveys and confirms unto the grantee, all that certain land situate in Pas co
County, Florida, viz:.
See Schedule "A" attached hereto and by this reference made a part
hereof.
SUBJECT TO covenants, restrictions, easements of record and taxes for
the current year.
Parcel Identification Number: 14 26 21 0270 00000 0390
Together ..'lith all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaininF
To Have and to Hold, the same in fee simple forever.
And 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; that the grantor herl:uy fully warrant.
the title to said land and will defend the same against the lawful claims of all persons whomsoever; iJlld that said bnd i
free of all encumbrances except taxes accruing subsequent to December 31, 19 94
In Witness Whereof, the said grantor has sihrned and sealed these presents the day and year first aboy.
written.
Signed, sealed and delivered in our presence:
S;~~~a4TV1~&;/J
p '^ ,
~M~ .
~Lq~. TYLER
e r{2~ &'.7- ~
N.",<: Nome & AUe}: REGINA A. ~YLER
s;,."<;;;;,;:-::A/H..~~ N_'""""=
/J' \
r W \ +'-'G.t:i
~
[ii
~
Name & Mute,,:
~
~amc: ,
'"I u.) u w rt-,^e...JS&r
............
State of ____
County of
.............
The foregoing instrument was acknowledged before me this day of November
by
GEORGE R. TYLER and REGINA A. TYLER, his wife
, 19 95
who is personally known to me or who has produced
and who DID NOT take an oath.
DRIVERS LICENSE
as idcntificatiol
J
.r~1
S\~-~~J
Print Name: ---
Notary Public __
My Commission Expires:
WD-I
l1/n
PREPARED BY: SUNS TATE
RECORD & RETURN TO.:
Sunstate Title Agency, Inc.
13937 7th Street
Dade City, Florida 33525
File No: 8-14559
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM
CONSTRUCTION PERMIT
Authority: Chapter 381, FS & Chapter 10D-6, FAC
PERMIT #
DATE PAID
FEE PAID
RECEIPT #
STREET
95-6777-EAST
/ /
$ 0.00
CHARTER ST
CONSTRUCTION PERMIT FOR:
[ ] New System [X] Existing System
[ ] Repair [ ] Abandonment
Holding Tank
Other(Specify)
[ ] Temporary/Experimental System
APPLICANT: GEORGE STRAKA
AGENT:
PROPERTY STREET ADDRESS: 4712 CHARTER ST
ZEPHYRHILLS
LOT: 0390
BLOCK:
SUBDIVISION: EDGEWOOD
PROPERTY ID #: 14-26-21-0270-00000-0390
[SECTION/TOWNSHIP/RANGE/PARCEL NO.]
[OR TAX ID NUMBER]
__:...a..___==___==_.=:=_=========:==========::====_==._==_.==_==_=====_==_=_=____......_:===___
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 100-6, FAC
REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS
EXPIRE 18 MONTHS FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY
PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A
BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH
MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
========-====-=====================================================_==:a========================
SYSTEM DESIGN AND SPECIFICATIONS
T
A
N
K
900
o
o
o
[ GPD ] AEROBIC UNIT CAPACITY
[GALLONS / GPD]
GALLONS GREASE INTERCEPTOR CAPACITY
GALLONS PER DOSE
MULTI-CHAMBERED/IN SERIES: [ ]
CAPACITY MULTI-CHAMBERED/IN SERIES: [ ]
[MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
DOSE RATE [0] PER 24 HRS NO. OF PUMPS: [0]
D
R
A
I
N
F
I
E
L
D
333 SQUARE FEET PRIMARY
[ 0 ] SQUARE FEET
TYPE SYSTEM:
CONFIGURATION:
STANDARD
TRENCH
DRAINFIELD SYSTEM
SYSTEM
[ ] FILLED
[ ] BED
MOUND
LOCATION OF BENCHMARK:
ELEVATION OF PROPOSED SYSTEM SITE IS
BOTTOM OF DRAINFIELD TO BE
0.0
0.0
INCHES
INCHES
BENCHMARK/REFERENCE POINT
BENCHMARK/REFERENCE POINT
FILL REQUIRED: [ 0.0 ] INCHES
EXCAVATION REQUIRED: [ 0.0 ] INCHES
o
T
H
E
R
SPECIFICATIONS BY: Ivan Rodriguez
TITLE: E.S. I
APPROVED BY: Ivan Rodriguez
TITLE: E . S . I
PASCO
CPHU
DATE ISSUED: 12/05/95
EXPIRATION DATE: 12/04/96
HRS-H Form 4016 March 1992 (Obsoletes Previous Editions Which May Not Be Used)
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