HomeMy WebLinkAbout02-1358
BUILDING PERMIT
Permit N~
~
CITY OF ZEPHYRHILLS
(813) 780-0020
35'
1358
/.;0
..--
:L5
Date
Zoning:
OescriDtion of Work
Water Meter:
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I. O. /I
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
r L '- c: ~
DATE
RL~ d- l-tJlJ
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
BUILDING
Company
c21/1 Address
J:;:;:!~R~L S~:/~~~;)I~~f~T~;n:
,::f#RJ .....) ~.J!f~ .
ELECTRICAL .;Z9W PLUMBING ~ 917 MECHANICAL tl917
Inspector
Valuation or
Contract Price
City License Registration #
State Certified License#
/-/LtJlflltJU: / B!fl
SLB Breakers
Tub Set Ducts Insl.
Water Compressor
Sewer Final i./)/~l.(AJ~
Finalt///-t/-02 RU1r
1.f,:J&'
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final ./
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
,/?Li/ ,j-
1,cJZ/
ii-lf-tJ2 !?LYdI3C]
.
Driveway
rCf J I rC;.- 0 d- 1;0 5 pL/~Je'1 U- .
REINSPECTION FEES: whet elxtra in~pec~n trips are necessary due to anyone of the following reasons, a' (;
charge of twenty-five and 00/100 Dollars ($25.00) shaH be made for ea~ ~ 65 ~
a. Wrong Address L ,/ ~6. n..R ~
b. Condemned work resulting from faulty construction. I'~ ') 0:7--
c. Repairs or corrections not made when inspection called. .' t. () rj,- I ~--
d. Work not ready for inspection when called. tJvVK
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.
i JUL-22-82
10:00 AM
PERMITS UNLIMITED-EAGLE
8634013822
P.01
PAs~d~o~'F'L6~7. Qst;:\:~
Permit N\!. _ /~ .5'~
Dale Pcrmiltcd. 7... L!i- l)~ __..
Bw_N___N~ ;!;~'::~~ V-Ld. &,~ ~
COUlltyParceIND,~t!/ ~~ __ OfJ~~O _ ~
4"""'","",,,,.. ..37'~~' S,bel
C1assificationJ"lype of Use .
-- -----.
How Delcnnincd
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Wh)'?
----~
Rite $ .--"
sq. PlIllnlt ~
Impact F" Amount $~
~
TM above impae! f~. hu bef!n eltllblishetl rllfllnanl to !he Pallen C-aunt.)' Transportation Impact Ordinance as adopted by Ulc
Board of Pasco County Commissioner" This amount is payable PRIOR. to the Issuance of a Cenificate of Occupancy or
utililClltion of the pcnnitted strUcture.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
No. Units
/
EXEMPT 0
NONRESIDENTIAL
OrOSI Sq. Pt. (OSP)__ .
ERll As~ign No.
Assessment -
(asp) x (ERU) x (0.148) x (No. Davs)
100 .
RateERU .
S4.OOIYear
or SO.14&IDay
ASlessmenl. (No. Units) x (SO.14lt)
:x (No. Days)
TOTAL FEE $
TOTAL FEE $ ____
NO CERn FICA TE OF OCCVPANCY OR FINAL POWER RELEASE WILl. BE ISSUED UNTIL THE AMOUNTS LISTED
II... \IE BEEN PAID AND RECEIPTED FOR BV A. CENTRAL PERMITTINC OFFICE OF PASCO COUNTV.
Acknowlotda:ement bel()w doeR 1I0! impl)' aceeptanee or conc:urrenc:., bul ~imply rlll1"ipl ,.r II copy of this form. plaelllg
the huildine permil owner on notice of thi& I&sesarnent and the rondition~ of pllymcnt for llIm~
.,
1 .
nail!
Re~eived By
oo....... ..... .. ..... ............_ ... ....... ............_ ______ ..___ __.... ___.... __.... __.. __.. ___ ____ ___ ____.._.. ______ _. _____ - - _... _________ ____... .......__. __................ .................
OFfiCE USE ONLY
T1V.NSPORTATION REC. NO. ~ DATE ~
RESOURCE ReCOVERY REC. NO. \ D"'TI!~
BY ~~______
BY ~-1.V=-......-
Willie
"'lllllie'''1
Coon.,y
TranI/Finane.
Cor".'T
"""'in,tIC.
Plllh
Ollie,
a..en
8lagl1nlll
. "
,",_1,_
PCQ31130941E '
JUL-22-02 10:00 AM PERMITS UNLIMITED-EAGLE
01239'7
E MORFi:IS,JR
LA~:E HI LLS LN
FL s;sel;S
PASCO COUNTY, FLORIDA
8634013822 P.02
Ur-\ I .... ""...." v. I.... '".... . ... ~ .."., ':
_-'4" I.,.' ,... I &..."..... . . ....,.....
;ONTRACTOR It =
"AME a CHARLES
~DDR =: 5702 SCOTT
:;.I0T:: L.AKELAND
PAGE, 1 OF 1
ISSUE OFFICE; D
RECEIF'T NUMBI~ a 005692Q9
OFFICE~ DADE CITY
:OOR;
CHECK fit 3027
;ONTRACTOR: 012397
TOTAL. AMOUNT.
~CCNT COMF'NY ACCOUNT CENTER
114 ft4:50 - 363000 .- ;2
SULID WASTE CITY OF ZHILLS
24 . ~.,.
AMOUNT DESCRIPTION/PERMT DATA
24.57 ****** S()L:t D WASTE: FE".E
DR/CR
60
<ECEIVED 9y-----dJf-~-__--------------.
P.03
AUTOMATIC COVER SHEET
DATE
: JUL-22-02 10:01 AM
TO
.
.
FAX
I: 18137800021
FROM : PERMITS UNLIMITED-EA
GLE
FAX I: 8634013822
3 PAGES WERE SENT
(INCLUDING THIS COVER SHEET)
l
995532
D
\)~-L{ l Cf ~
.~
PERFORMANCE BUSINESS PRODUCTS" INC. a13-719-8OO1t FAX a13-71IJ-791g
CITY OF ZEPHYRHILLS
ZEPFMUtIUS. Ff.ORtDA
WATER ACCT. NO.
DATE
7-19-o~
~.Jt~ {}~:J.j4
,s~ (\~.
tL
MAIUNG & 05V l PM",T2 l;(aL.
cY~ r?/ry, FL~35Z,3- 77:#
SERVICE ADDRESS ...s7 h:3 ~ ~~A1~~ {l..cVe ~ 1. i)'T 93
~ WATER
SHUT OFF SERVICE
o
TURN ON SERVICE ts(
INSl1\1..L METER 14
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
~INCITY
o OUT CITY
I
_ No. OF UNIlS
_ DEPOSIT AMOUNT
~ ~
~II
"7 V"7J1...e,
_ AMOUNT lAST BIll.
-
_ DATE
c
~
_ MlSC. CHARGE
\/YORK COMPLETED BY
& DATE COMPlETED
ORDER TAKEN BY
7- -o~
ORDER GIVEN BY
....~-.
~~~ -"-~
Retain while fann in oIffce at aD times. >",
Send pink &: yelIbw forms to Water Service Dept..'..... .
water Service Dept. to sign yellow form & return to office:---
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:::: 85413731
GABLE',,' 1':31:N
PAI.:;E J3J
OWNllR'S NAIG_--R :c.LCLr~~
;JOB SIT. AIloiYae.. ? '1 <.0 ~(." (~,c:;.
CITY or Z2PHYRRILLS P.~T APPLICATION
au:rLDJ:RCJ DDU'l'IIaT !lua.... InDT ZUIlftJULL'. rt 315.0
Pbaa..'13-1'O-0020 .aK"lJ-7'O-DO~T. -.c.I~ ~~-J'~-()~
PLUIII RIIV1:_ r..
!IRONS !."Om''-CT e b~ . 55 q - I h $- S
C. I ~\)'(
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1----------________ A~e(\.
QUIlD!"18I.OH Q,fPl~ ~~O(" ~ "Lt\f)S1 T""c
~\ I \-
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f\v~
LIIGAL DIfQCP.IP'l'ION I LONs,
..'-93
Bl..OCJ(
PARCI!IL ID II
o ADDITION
(OBTArN P'ROM PROPERTY TAX NOTICIl)
IroIUC PROP8RD, '}il.NIIIf t.'ONSTRVCTION
o 8IllN
OALTKRATION
o UPAIR
o !NS1"ALL
o I<<lVE
o DBM:lLISH
l'ROPOSBO 0811:, ~L P'AMILY OWRLLnm
OCO~RCIAL
DMOLTI-PAMl:LY
o I.NOOSTRIAL
O. OP' UlUTB
o MOIlILR HOMR
o OTHlR
081fII'I'IING POOL
D III1STAUllMT &. HlUU.m DIIPARTMRNT APPROVAL
DIIIlCRIl'TIOIII or WORlt !:iJ..'r 5~/ rY\A-tA~...~w~d i-\c.~ I
,'1,1 ...i C " l 1I ( ,
BtJILDIliIO B IZJ!i ,;,J<::J '" vC:l- 8QUARI!: rOOTAGR I n,,"'1'
HBIQHT \
Inco( vf ~ P IvI....Ia,'.. ~
~:to '1
l"QRl1S ,
A~ e.\ec
RBIJI:DDTIAL: ATrACH (2) PLOT 1>1.ANB & (2) ~Jn'S OJ' BOJ:Lb'uIG PLi\lIIS & (1) SilT BNl'l1l!n"
COIiIMKRCIAL, A'l"l'At'H III SlITS OJr Bl,JILPINO PLANS Ii (I) liST I!lN1!:IllJY POJtMS,
PROPSI'lT\' 8URV~ JtliOUIIUID J"OR ALL NEW COlfSTJ.UCTl.OlI.
6,ILDlMO
~L&cTRICJu.
~LUMBIMa
~CHAMlCAL
PJIRIlI'1'8 RJIoUBSTm
$-.
VALUATIOlf 01' ToTAL COHlilT1lJC'TION
AMP llRRvrCB
o FLORIDA POWBR
o ".R...C.
$
VAINATIOlf 01" MDCKANCLAL INSTALLATION
DIlM
o ROOrnm
o 85'SC:IlU.TY
o O'l'lUilK
1'1'1'. OF CoHBTRut'TIOIt. CJ BLoCK
P'IXISHab P'LQOR aLIIVATIONB
o P'RNU:
o 91:11.81.
~fIIIR v\"\o\o.'~ l~~<-
IS PROJRCT 11\1 n.ooO zoo ARDo ns s--
SlllNATURII
C-.Q(~~
COMPANl: 0. ~u v'Y\.; l'\'-A: (Y) t Cu.... ~
STATII CJlRT Oil RK<JIBT" ::T'"l-4- OClOO ~ 0
CUY PROCWJSING' z.. C, I '7
SIaKATUIUiI
.~........'*.......................~.......~.......**..*.*..~.....
COHPANY~~~~_~opJY / AJ(~+;c
S1'ATI!l C.RT OR Rar.UST f# t=SclOot;1) 8 I
~--- CUy PRQC_BING .~ 4 8
~""-fV'
.*...*......*.........**.A......*......*......~........~
REBAJlXCAL
PLUU.. ~~ J
SIIlN....TIJRB . .
--
*..... ........t1ltflt......................ll...............................................,.. ( I ~ I ~ I '.
COMPANY ~ A-c..~ -ff::t. ~~ -r- ~ I '-
STAT. CJlRT OR JUlQ:I8T It ' q~ '/
CITY PROCIISSlING' Z c;...., -Z
COMPANY fOr \ ~ 1.-Y\. i "" ~ T c <:.. ~
STAT!! CUT OR RJtGIST fI T l...t d (.) 00 lP C) '=
CITY Ii'lWC.SSING' 2_" j I
EI I llHATURJI
c:s ..... \..J.
onma
COMPANY
STAT. CJlRT OR UllIST It
CI.TY paOCWSSINQ t
StOllA'I1JJlIil
*....A~.......*.....*~...................*~.~.._*................
07/87 :082 e::5E 8:85418'31
"". HoneE 0" DaD RIUITRIC'J'laNS
The underaigned underat.nda that tb!. p.~t may be .ubjec~ to ~de.~ reatr1etlon.N wblch
~~ be more re.trlct~~ than City ~e~.tigna. The Uhdereiqned a..unea re.poaeibiitty fg~
c~liance with any .pplicable ~..d reatrlctiona.
B. tlHLICENSI:D COJlTJlIAcTORS Att'D CONTMC'I'OR U5PO>>.uBILr'lIe
If the OWDe~ he. bired a contractoz or contrac~oe~ to uuderteke WOrk, they may be ~.qulred
~o be licensed in acoordance with atate .ad 10c.l requl.tlon.. It the contractor i~ not
lia.n~ed ae r~quired by law. both the owner and cootractor ..y be oltad for . M1adame.QQr
vialation under atate law. If the owner or intended contractor are une.rtain .. to ~h.t
lic~n.ing requirement. ..y apply tor the lntanded work. they are advi..d to COntact the
City ot Zep~ycbilla BUilding nepartment, 8lS~788-66l1.
Pqrthe=more, it the O~er haa hired a contrectoT ox contractora, he 1. advi.ed to have the
contraetor(al .1gn portion. of tbe "Contractor SeetionaM of tni. applieatioh tor which they
will be reapon.ible. If you, a. the owner 8igne a. the oantractor, you ar. indicating that
you, rather than the contraotor, are r..ponaihl. ror the work. Xf the con~raotor wieh..
you to .1gn ~a contractor that ..y ba an indication that he 1. not properly licenaed and 1a
not entitled to pe~~tlng privilege. in the City ot Z~hyrhi1Ia.
C. TJWiSPoR'l'A'l'ION IMPACT I1!;ElI AND UTIl.ITt OOIOO!:CTlotl FEI!IB
D, COHS'I'RUCTUIQM LIEN LAlIt ICHAI'TG 113, rLOIUDA 9TATUT!B. AS ANl:NnI!lD)
1 certity tbat I. the applioant, have been pro~1ded with. copy of "Florida', Conatruotlon
lien Law - H~.owner'a Protectloo Guide# pr.paced by the rIor~aa DepAro..nt ot Agricultuee
and C~n.uqar Arrai~.. I~ ~ha applicant i. aomeO~e othar that the ~ownar., J o.r~fy thAt I
have obtained a Oupy ot the aPove aa.crlD.d doe~t and pr~.e in goo~ faith to deliver
it to tb. "owner' pr10r to c.......nc8lD&nt.
K. CONTRACTOR'S/OWHBR'8 AFFIDAVIT
I cert1~y that all the ~n~ona.tiQnin tbia appllcatlon la aC~U~ate and th~t a~l ~r~ wi~l
b. done in compliance with .11 applicable law. regulating conatructlon. sonin9. .nd land
davelOpment.
Application ia hereby -ct. to obtain a pa.rmtt to do work .n<t tn.tAIl.tion ... indicated. J
eectity that no work Or inatallatioD b.. oo-.enced prIor to ie.uence of a p.~t And that
all 'fOrk will be per1'oaa.d to meot .tllLru!ilrd. of ..11 lava ""quliltinq Qorllltruction, Cl.ty
code., ~oning regulation.. and land development reyulatione in the juri.~iotion. I alao
aertl~y thatr uDderatand that the regulAtion. ot other gO~rnaent.l agenciea may .pply to
the intende" work. eo4 that it ia m~ r..pon.~bility to identi~y whet Action. I muat take to
be in C~l!ance. Snch aq.nci.. inc~qde but aDD not ligited to: *Dep4rtment of
!nvlron.enta~ Regulet1on-Cyprea. Baybead.. ..tland A~ea. and EnvirOnMentally Seneltive
Landa, V.t.~/.A.t.water Treatment
~3o"thweet r~~rlda Water Hanag-..nt Diatcict~Wal15. ~ypre.e Bayb..da. WetlAnd Araaa,
Alte~in~ WaterOOur..a
.Acmy Corpa ot Bbvin..ra-S..WAlle. Docke. Haviqable Watecwa,a
.Oepartmant of ae.lth , Rehabilitative servioea. Envlronaent.l a.a1th Uni~-..lla.
w..t.w~t.r Tr..~nt, 3ept1c TADk.
.U.s. ~Dvlronment.l erotectlon AgenCY-A.be.to. &b.t~nt
I alao certi~y that, i~ t111 materi.l ie to b. ".ed in Wlood Zone ~^- or "A,_to.N. it i.
UDderatood that a draina~e plan .dare.ainq . ~oonpen..t1nq vol~. wlll be aubbdtted which
1. prepared by .. peofe.aional engineer regiat.red in the atate of Plarid.. prior to pe~t
i..u.n....
A pe~t la.UeQ ahall b. conatruad to be a Ileana. to proceed with the Hock and Dot ..
authority to Vlolate, ~.ncel. alter. or set .aide any provla1Dna of the technical oOd...
nor aball iaauanc. of a penmit prevent the BUilding Ofticial from thet.atter requiring M
correction of error. in plana, conatruction, or Violation. of any code_ ivory permJt
iaeuad eball ~.C~ ~nvalld unle.. tb. work authorized by euah pe~t i. oQmmcnc.d v!th!n
six ~ntha or ~.aqenoe. o~ if work authorlzed by ~he permit 1. .uapended Qr Abandoned roc a
period of a.:1.x montha altar tha ttae th_ work i. co_need.. One 50 da, exteneion ot tllllC
may be allo_d for the pel'1ll.1t wit.h :t.e chACI,,_ of Gill. 00. The _~_aion at.a.l.l be raqu.."t..d
in writing to the auildin~ Orficiel. An ap~roVBd inspeotien mo.t be 109Ved du~ing ....oh .1~
month pariod, or the project will ~. considered abandoned.
WARNING TO OWWall: YOtfR FlULUilI!: '1'0 RlWORn A NarIcE or COHMkNCI!:MDlT HAY RBSULT IN YOUR
PAYINa nllCI!: roll IMPJlOVKMD/"rS TO 'ioUR l'ROl'lR'l'Y. I r '(OU HfTBND TO OM'.\!H I'INMCING, CONBULT
WITH YOUR LI!lNDaR OR 1lH .\T'1'ONfSY BP;roR!; RSCORDIHG YOUR HOTre! Or COMMDICEMKIl'l'. J08S UIl'oEJI
'2.50 W ~UI!: Do HOT NEED TO RECORD AND P05T A ~NOTICE or CONMBNCaMEN'1'N.
~=b~~~~l"I~~i~llH\V l."J.'
F'AI:iE
e::
SI~! CoIfrRACTOR
actno",ledgedl
bo"", to ...., Or
"TATE or noRI:1lA
COUlftY or
The foregoing in.t~t Wa. aCknowiedged
aetora - t1\1. --.slav 0/:__, 19_
by
(n_ ot peJ:.OIl. acknowledged)
Clho ia peraonelly known to m.. o~
Owbo he. prodUced
(type of identific.tionl
and llQ)Q Dd.1d DUd not: taka a1) oath
ana 111I\00 did
tiJ..
o who ha. prgduced_
(type of i~~nt1flcation)
~id 1)ot take an o.t~.
~.n~~
of peraon t.t~nQ ~~nt
8lgnatllr.. Qf peraon taking ..c1moWl4OClgmall.t
Mama ~y.ped, pr~nted or .t~ed
Hama tYP.d, printed or .t.-pod
JAMES B. ALBURY
COMMISSION /I CC976666
EXPIRES NOV 03 2004
IlONOl!D lHROUGH
1oDI1Wf~ NOTARY
.....
ItcIt
SysIaIs,lnc.
605 S. Frontage Road
Plant City, FL 33563-9934
Phone: (813) 752-1368
(800) 729-4363
Fax: (813) 659-1224
CBC046682
IH0000606
IH0000607
POWER OF ATTORNEY
July 16, 2002
City of Zephyrhills Building Department
To Whom It May Concern:
I, Charles E. Morris, Jr., do hereby give my permission to Cindy Spain to sign for
and pick up a permit in my name for 7645 Green Slope Dr., Zephyrhills, FL. This
authorization is for this permit only.
Thank y ~
#1
Charles E. Morris Jf.
IH-0000606
bpc
State of Florida
County of Hills borough
Signed and- $koowledged- before me this / ~ day of ~ ' 20QJ by Charles E.
Morris, Jr., who is persona~ ~own to me and did not take an 0 .
NelaryPuhlid;~ rtf' ~
Notary ~k'" B. P. Carpenter
l~A~\ MY COMMISSION # CC925616 EXPIRES
~ :",E June 25, 2004
~;fit....;..:~~ BONDED THRU TROY FAIN INSURANCE, INC.
',Rf",\\
~~~tM~N
2820 Brook's Slroel' Lako/and, FL 33803
Phone: 813.e~5-3700' Wills: 800-800-5100
Fax: 813'806-1~25 or 80o-S5Q.3709
L Randall S. Meeks, of Kaufman Supply/Atlantic Services
LICENSE NUMBERS ELECTRICAL # ES0000081 CODE # 2948 &
MECHANICAL # CAC054737 CODE #2947.
DO HEREBY AUTHORIZE CINDY SPAIN AND/OR HER EMPLOYEE
SHANEL VASSEUR TO SIGN ON MY BEHALF TO OBTAIN PERMITS
IN CITY OF ZEPHYRHILLS, ST ATE OF FLORIDA
~ ~dJl-
CONTRACTORS SIGNATURE
JAMES . ALBURY
COMMISSION' CC976666
EXPIRES NOV 03 2004
BONDeD MlOUQH
ADVANTAGE NOTARY
SEAL
( 'Ii Is ( ) is not personally known to me
In~ntified by:
'your Compfers SO(J(CI of Suppfy'
Corpoma Offlc.a: p,O, Box 449~ I ~25 rU~OO Industrial 81'wU, 'AlJa.nta, OA 3033e ' ~~04) 699.6750
ATLANTA, QA' AUQUSTA, OA. SAVANNAH, QA I KNOXVILLE, iN, l:UUIOH, Ne
BEAUFORT, SC I N. CHARLESTON, SC 'I..IYRTL~ SEACH, SC' LAKELAHD, FI.' PANAMA CITY, Fl
, SCAlE 1" = 20'
GRAND HORIZONS M.HP.
7645 GREENSLOPE DR LOT 93
60'
I
128,
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9'
I
109'
MOBilE HOME
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52'
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