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Home My WebLink About96-5986 ,!p, crD BUILDING PERMIT 0 ~- -, " CITY OF ZEPHYRHILLS perlTlitN'. '- 598W3 (813) 788.6611 ,35: ~ Date 7-/6 -9b .J..s~(J7) BUILDING ELECTRICAL PLUMBING J-O . OV MECHANICAL Sewer Conn Water Conn: ""opertyOwne" ~ Job Address: J o. . . ~ Parcel 1.0. # / r - .;1.6 ~;;>.../ - 0/ 11 0 ~ {) i) 00 c/ - ,,/ tf- () Water Meter: T.I.F.'s: ~fY1J. dV .:l tT'Z). U1J "- / "....$, tJV ?~~, db Zoning: . E~rgy Code: Radon Gas: oescriPtionofWork~R .!~~ _~7 7 -.5-/ -j..J~ .6~ t' -do -96 <f-;.'/;- ?-J n J1t NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL '- ? DATE C.O. --1.-.30-- DATE Permit Fe Signature Company Address Telephone# Inspector ~A- City License Registration # ,3/ /' State Certified License# Valuation or Contract Price ~...J>./:'-g ~(J "'--R~,", IT'??' BUILDING ELECTRICAL ~~AI~ () f)~~ MECHANICAL /l<Y/ PLUMBING - Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter r Final SLB Tub Set Water Sewer Final ?-~~,. q(P 8H5 Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final 7-~hrq)~~ Driveway ~~ '1-~b-qftl BoB 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 Va.ti!; ~T~I 7-/6'/--' b. Condemned work resulting from faulty construction. (3\ -/) c,"/ c. Repairs or corrections not made when inspection called. ~ 1-J'-I'" I U d. Work not ready for inspection when called. . I ~ 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~_. ____ _.__.__._. _.,~.__ ~ ...-....-.. __.--...., j; , 25.aJ' SECTION /4, TW~ Lof 17 9186' S., RGE. 2/ E'. ~ ~ ~- .J l---~-, ---- I \ "" , II '" \ T 5 _ :->JJ_f.QJlkJt ~___ -" \ \f'; ~ <::\ ~ --- I I t:- ..; ~. ~ 8 to...: Il)~ -c::: ~~ ~~ ~ ..... CC-S! ~ ~ C) t:) tt) SCALE: 1"= 20' tJ) ~~ t,t ~J :or (,< :1 ". ,'(,0'" fJ ~ 1 ~ ,} ...' " I ~~e...1) ::t I ~C>\~ t: ,e ,01 ~ ~!"'v'O '" 'lO ..J. ~.... ~ r. ; . 1?J.6 \0,) j ...0'\ 01 q.J\ ,c 10' v, 0' c.\ - .. '. ,-- - - r-- TE 7e:caclr" .. -LI o ~c; I 'r-dJ 1>' <,~ ... X I "\<Or ~ . " 'r-v~ / E ~ ^~.., 0'< ~.. ",(~Vj - ';)I\,,; 'r- BEARING CHORD ---------.- ._- !),().J' N. 1900249" W 16,98' /3.23' N. 20036' 15'W 25'.12' c~nfuline; PC Pde"a ~s Pennan~nf Con f rol POInt 76,92 /,01 19 1/2 DEL. TA I / RADIUS I 'URVE NO ARC TANGENT ~ /9 c 5 I ' 27 " <..' 5 m ' I 7,~ 3' IRo/8' 02" 40 00' 25.55' TW F denotes Townsh/{', RGE denoMs Range; t-deno.t!os 18 L Fr.fNO DESCRIPTION: Lot 18, WAYWARD WIND MOBILE HOME SUBDIVISION, City of Zephyrhills, recorded in Plat Book 28, Pages 61 and 62, Public Records of Pasco County, Florida. NOTES: I 1. No apparent surface encroachment~ except as shown hereon. 2. Underground encroachments or utilities (if any) not located in conjunction with this survey. 3. Description and Bearings shown hereon taken from record plat, 4. This property surveyed without the benefit of a title search for easements, additional Rights-of-Ways or other encumbrances of record not 9hown hereon. , hereby cert i fy that the boundary survey repre~ented hereon meets the requirements of Chapter 21 HH-6, Florida Administrative Code, pursuant to Section 412.027, Florida statutes. PREPARED BY: ~ Z-u ~d-~ MAUR 1 a:: W. BEAlL Profe~,ional Land Surveyor Florida Reg. No. 4281 BEALL 8 Co. LAND SURVEYING 316 PENNSYLVANIA A VENUE PO, BOX 773 SAN ANTONIO. FLORIDA 33576 (904) 588 - 4147 DArE OF SURVEY. 01 /23/91 DATE OF PLAT.' 01/24/91 ..JOB NO , 9100l'. /8 DRAWN BY' G B V REVISION : .JHE~T , / of / ~o..t o,rl"'l r.')o"\D APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S N~~\-\u.rO\~ f4\o~\Q.'S> PHONE J7 '(3-6o!/ OWNER'S ADDRESS JOB ADDRESS LCdA..:H).(\dA Lon~ 3 J2 0 ~ y LEGAL DESCRIYfION: LOT(S) f <('" BLOCK SUBDIVISIONJAJA /"'.IALO uAAln , 0 (f'c) PARCEL I.D.' \ l.\ - cl.lo - d.. \ - O/{o - ~Q::).... (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair I Install _Sign _Move _Deaolish PROPOSED USE: .Lsingle Fuaily _M/F _' of Units LM/H _ec-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: .~ l\ x ~O ,--5loD Square Feet,~ Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ArrACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ \ <<1 \ () (;)C) \ 'S 0 \ -000 Valua~~f Total Construction AMP Service .' Florida Power Corp. W.R.E.C. _ELECTRICAL ----1tECBANlCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY .j Other TYPE OF CONSTRUCTION: _Block _Fraae _Steel FIliISBED FLOOR ELEVATIONS: F'f . IS PROJECT IN FLOOD ZONE AREA? L YES NO ****************************************** Signature CONTRACTOR SECTION CO~Mff S~N~rSe ~O~~l~ State Cert. or Regist. t '31.\ L.j City License Registration , J 17 ***************************************** v-- BUILDER RT.RCTRICIAN CO~ANY ~ I () 1\ 1\ State Cert. or egist. t SianAture ~ ~.l.J\J...<<A, City License Registration' ****************************************** PLUMBER ~/ L. Q CO~Mff S ~ N S State Cert. or Regist. Signature . ~ City License Registration . ****************************************** v ...-- . IlEl2lAlllCAI, N. COIIPAIIY () \ h ',,, 4; r -;JJ;~ ~ State Cert. or egist.' 0 Signature. /7 City License Registration . ***********~****************************** v-- OTIIRR CO~Mff State Cert. or Regist. t Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to Rdeed restrictionsH which lay 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 .ay be required to be licensed in accordance with state and local 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 reguirelents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the HContractor Sectionsu of this application for wbicb 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 be is not 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 RFlorida's Construction Lien Law - HOIl!OlfDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the uowner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the .0wnerH prior to cooencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developllent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a pertit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, Boning regulations, and land developllent regulations in the jurisdiction. I also certify that I understand that the regulations of other govl!IllleJltal agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lillited to: t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, WaterfWastewater TreatJent t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroDleDtal Protection Agency - Asbestos abateleDt I also certify that, if fill laterial is to be used in Flood Zone "AD or "A,etc.., it is understood that a drainage plan addressing a RCOlpensating voluteR will 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 work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOntha after the tile the work is coaenced. One 90 day l!Itension of tille, laY be allowed for the pe~it 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 IOnth period, or the project will be considered abandoned. WARNING TO ONHER: YOUR FAILURE TO RECORD A NOTICE OF COIIHDCEHEN1' MAY RESULT IN YOUR PAYING nllCE FOR IHPROVBIIEN1'S TO YOUR PROPERlY. IF YOU IN1'EHD TO OBTAIN FIIfANCING, COISULT WITH YOUR LEIfDER 0 no BEFO co YOUR NOTICE OF C UN $2,5 I VALUE DO lOT NEED TO RECORD AIID POST A "N F C STATE OF FLORIDA '~ coum OF ~ The foregoing ~~t was acknowledged before me this ~, 19~ by who is~son~l~ to me or who has produced as identification and who did/did not take an ~ a . J71 =Iv (Signaturel ~ A J{ j . /1 ;)." ~ v - "D ~ if (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE 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. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ~~~~:~ Nancy A. Moody :.(Ji.'1 :*~ MY COMMISSION # CC534806 EXPIRES ;~;..~.;,<(.i' FebnJary 21, 2000 "f.iif.:r..~" BONDED THII\I TROY MIH 1NSUIlANCE,INC, <: . ~ ~ ~ ~ tdt f! /i- 26 -~r-- I ~ ~oY 1 , ~ " 57.0iJ Of<A:N'A, Q.Q. 0_ '\) ~k,~ 11' /99b f tJ< C< twcoo , ( '1 ) L -...'.- -~_. I I " , I , ~\ ,~ \)1- " ~ \/i ~ ~ I , f ~ -;,,,; ~ ~ -----.-, ,------ ...--// ,.. ( '7 q~ 36' Jl ) .- f. /,..?,.. 6"y ') ~ cs- , -S:> ~- ~---_._---,-----,-----,.-~._-,---- ~ ,/ .,. .. C E N T R ALP E R M I T TIN G PASCO COUNTY, FLORIDA DATE: 07/24/96 PAGE: 1 OF 1 IS:SUE OFFICE: D RECEIPT NUMBR= 00290412 OFFICE: DADE CITY CONTRACTOR #: 008446 NAME: PAUL D GOLDSTEIN ADDR: 4316 ROBBIN LANE C/8T: TAMPA FL 3~'3609 FOR: CHECI< # CITY OF I-HILLS PERMIT 5986 CONTRACTOR: 008446 TOTAL. AMOUNT: ACCNT COMPNY ACCOUNT CENTER 114 8450 - 363000 - 2 22.72 AMOUNT DESCRIPTION/PERMT DATA DRICR 22.72 ****** SOLID WASTE FEE 60 \ "~' PE.l-:E I tVEI:1 B"{ "'. ,:4 . ,/ C\...c',"-- . ------------~----------------------