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HomeMy WebLinkAbout91-1497 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Permit N~ 1497 E All work shal! be performed in accordance with the above and all City Codes and Ordinances. BUILDING DEPARTMENT 1-813-788-6611 ..r- _ / _ o. /. -.. . ' Date '-' b I' /-5,.. 07J /~- OV,.~_ ~ ~?~ ' t9V PLUMBING; GCH~ ']);;T.bt." LA.,A-. ;J.'{/Z) - t1'V - - - }jd4.~~),% / / t-.S.... (J7) prOperIYOWnersName-:JJ~ JJ1d:!f ~ ~~ ~Lt.f_1fl5~M(YP,.P Job Address: :3 ~ 0 ~ yL .:L77:l3 ,~ cP ~3 Legal Description: Sub. Diy. Lo~ ~ h %' ~ '1 Blk~ L~ pi!;,tle ZoningCI: /'f~ ~~ -d-I-{)~~:::;.tJO- Q.25!ZJ ----dr-tlt-'13 Description of Work )11 ~ ~~r_ _ -__ :;Z;:~LAA-dtf-",~"7 d;vl ~ \i--LR- ~ ~. / A :rfJ ,,:I~, 7/ LIt? j Energy Code Readout: av:z ,()" ~-~t-7~ ']<.1. V Fee: 70. Ov /, SIGNATURE 1-')1-'. l' ~... //;;~?<~-~ /' ( COMPANY /S. trD ELECTRICAL . Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ADDRESS Ftr. SLB Pre SLB Tub Set Lintel VVater FRM. Sewer Insul.CL Final /1 - Z -c;2-l5~ () " ~ WL ~~~ l'~!JD"'6\()$*- Drrve..t.ay Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Jz. --1.,-411-- (JAg Breakers r ) _ Ducts InsI.lJ-.3b -fj'WI1"fI"'" Compressor Final Reinspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.OO) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. CITY OF ZEPHYRHILLS, FLORIDA ELECTRICAL APPLICATION Electrical Contractor Owners Name '. Job ...5"7 rf {/ 0 V ~730 -V Certificate Number ~cr- Date Application is hereby made to make the following installation in accordance with the City of Zephyrhills Electrical Codes. MINIMUM PERMIT FEE - $ 15.;:,00 Description of Work Number , @ Fee , Minimum Permit-Standard 2 Bedroom, 2 Bath House $25.00 Mobile Home Services 15.00 Fixtures or Outlets including switches. 110V .25 Fixtures or Outlets including switches 220V 1.00 Alc Central Unit 5.00 Electric Signs 15.00 o through 100 amp service 5.00 Over 100 amp to and including 200 amp service 10.00 Over 200 amp to and including 400 amp service 20.00 Over 400 amp to 800 amp service 30.00 Over 800 amp service 80.00 TOTAL OF ALL ABOVE Reinspections: When extra inspection trips are necessary due to anyone of the follow- ing reasons, a charge of ten dollars ($10.00) shall be made for each trip: (a) Wrong address, (b) Condemned work resulting from faulty construction. (c) Repairs or correc- tions not made when inspection called for. (d) Work not ready for inspection when called. The payment of reinspect ion fees shall be made before any further permits will be issued to the person owing same. ...~ C.rt:l.f:l.cat. Numb,er' Plumb:l.ng Contractor Owner' 8 Name Date .3'7 c:tTY Of ZEPllYlUt:tLLS, FLI;m:tDA PLUMD:tNG' 'APPL:tC'ATION, ". 3.bAdd.... )~~L,;"i 4LL 3 _#~ ~ ~~hL ;k-r ~3,O cf 16- -d '1 . /' Application is hereby made to make the following Plumbing inst~lJ.ation in accordance with ,City of Zephyrhills Plumbing,Ordinance. ' MINIMUM PERMIT FEE . . . . . . . . . ... . . . . ... . . . . . . . . . . $ loS. 00 DESCRIPTION OF lVORK . , NO. @ FEE t, , For lTObile he:X-re" i?lurt'il:)oing.~;- '" :,..,;.,:: . 15.00 .... . . For each plumbing fixture, floor drain or "'I" ", trap .(including water and drainage piping) .' . 2.50 For each house sewer. . . . . . . . . . ~ . . . . . . . . .. . . . . . '. 5.00 For each house sewer having to be replaced or repaired....................;..~.....~.~..... . ,5.00 each hea ter, and/or ve.n t . . . .' ..:~ . . . . . . r. ',' 2.50 For water " " For installation, alteration or repair of water piping and/or water treating equipment....... 5.00 " For repair or alteration of' drainage or vent piping. . . . . . . . . . . . . . . . . . ,_ . . ~ . . . . . . . . . . . . . . . . . . , 5.00 , , , , For vacurrm breakers or backflow protective devices installed subsequent' to the install- ation of the piping or equipment served One. to Five.. ~............... .".............._. , 2.50 .. Over Five. each. . . . . . . . . .". . . !' . . . . . . . . . . ; . . . . . " , 1.50 I , TOTAL FEE Reinspections: When extra inspection trips are'necessary 9ue to anyone of the following reasons, a charge of ten $10.00 doll~rs shall be.made for each trip. <a) (b) (c) (d) . ' 'Wrong address. , Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. for. Work not ready for inspection when called. ' The payment of reinspection to the personow~ng same.. fee:I:::::~e O:~:P:::::,..nr::t:e"~~e~m"2}1~ ""7 Cl:TY, OF ZEPH":{RHILLS Perm~t Appl~cat~on HEATING, VENTILATING, A/C, REFRIGERATION SYSTEMS 30b Addr~..~e t' 0 i ~~t ~ ,~~?o+~ ~:::::::::. Nltt ~ . Owner'. Name Date Air Conditioning Ventilation-Ductwork Heating Refrigeration Repairs--Alterations Boiler Other CONTRACT PRICE OF INSTALLATION $ , MINI}IDM PERMIT FEE . . . . . . . . . . . . . $ :1-5 -. 00 FEE Fee for Heating, Ventilating, Duet, AirConditioning and Refrigeration Systems shall be Ten ($10.00) Dollars for the'first one thousand dollars ($1,000) of total valuation of installation PLUS two ($2.00) per each additional one thousand ($1.000) dibllars or fraction thereof $10.00 Repairs, alt-erations aOnd addi dons to an existing system over $500 .00 shall"be $2.00 per each $1,000 or fraction thereof in valuation plus five ($5.00) dollars. 5.00 Temporary Operation Inspection Fee: For inspecting a Heating, Ventilation Refri~eration or Air Conditionin2 Svstem. 5.00 In all buildings except one and,two family dwellings using self- contained A/C units less than two tons, the fee charged shall be based on the valuation of total ,tonnage of all units comb i ned . Minimum fee shall be $10.00 10.00 Boilers based on BTU Input: 33,000 BTU(1 BHP) to 165,000 (5 BHP) . . . . . .' . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 165,001 BTU (5 BHP) to 330,000 ( 10 BHP)................................. 10.00 330,001 BTU (10 BHP) to 1,165,000 ( 5 2 B HP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15.00 1,165,001 BTU (52 BHP) to 3,300,000 BTV (98 BHP)....................... 25.00 Over 3.300.000 BTU................ ~ ~ . . ~ .0 ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.00 Re-Inspection Fee, each trip 10.00 For m:>bile hare mechanical 15.00 , TOTAL FEE Check one: Re-Inspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) dollars shall be made for each trip. (a) Wrong address. (b) Condemned work resulting from faulty construction. (c) Repairs or corrections not made when inspection, called for. (d) Work not ready for inspection when called. payment of reinspection fees shall be made before any'further permits will be issued to person owing .same. The the ,SIGNATURE OF APPLiCANT '~ , ...:r,.,13771A ~," I I L- 1 SECTION /4, TW~ 265., RGE. 2/ E. //2 Dtd 10 =44028'52" , Rod Ii./ 5 = 25, qo ARC =- 3882 ...,.i Tangent = 24. 55 .-..... Cllord = 35,03' I ~ Bea rn 9= N 4501825" , ~ :0 ~ ,l /-- _\ __ n~n_ 1____ --1- __. ~_,_ _ ........ ~ / LselDoa1 l() ~ (/e I 1 0\ :--;;~'" - n 11 : I L 3-- !f-~ ,[l= i \ C-"1. ~ 10' 1 I I I ~ -. -~ : 75' \'IJ . 'r ~' ,..; ; cc-y 0 9 _ '" I I ~ h) 1 LO T 30 ,~ West //2 'I Eo 51 //2 .~ ~ 1 - - I LO T 29 U) T 29 ~._ I -- ..1 t _ ---T-- ~lbo";1 -i - _un L__,';;'; - _ i ...."l ~ Ut'lit~J.~,_~raJnoge Eose1entj "I'~~I6\'> LAWANDA LOOP - - -n -- -----r----- - n___un t-- -- ,,'" ~I r-~9 ~ lr)i ~'(J e' ~ \0<) l\j' r-~~/()\'i "Sr~ .,\\0 ~ V , " I~ vS __ ~/prS.89047 /6 W. _.'J ~ 3J ? 2 - .'..;-25-5~T --;:> I ~ ~ .....J ~'r ~ tt. " r~ 25,00' ~ ,--'----- 21' ~ , ,t:: .......,. ~ ~ I 1 I I I SCALE /",:-20' ~._-. __ ___, _ ____...h__.___ ~_.__._-_. - ---.---------- ~ ~ ~ ~ ~ '- I I 'qi" i APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 11~, mJJ,J,. N~. -- qJ~ tL fY)m1..v~ ADDRESS .3 '1/'10 ~~ b l/ 2 It ,,0. - I~OL Ii. PHONE 783-loOg7 () v J.. ~ . 35'13 OWNER I...f SlAA^tf- Ii mno 1 D",-, ~^. JOB LOCATION 3)]614 ~ 4 LEGAL DESCRIPTION: LOT(S) LOT SIZE12LX 9.5 AREA SQ, FT , SDBD IVIS ION /,)ll "J~ ! l3JA d L.J...':d-.. PARCEL I.D,4F-1'1~ ~.,. ~J ---.allDe - OClDn() - O;J.5n BLOCK WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Install _Sign/Temp, _Sign _Move _Demolish PROPOSED USE: -Lsingle Family _M/F _4F of Units .-LM/ H _Commercial _Indust. _Swim, Pool Other :~ _Restaurant & Health Department Approval BuiLDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S, ,',,', ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED -1LBUILDING -XELECTRICAL \J ,,1 -A-.MECHANICAL -2lPLUMBING $ LIto pOO. OD AMP Service Valuation of Total Construction X' Florida Power Corp, _W,R,E,C, $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY m / l-t I Other TYPE OF CONSTRUCTION: _Block _Frame _Steel FINISHED FLOOR ELEVATIONS: FT, SECTION Company State Cert, or Regist, # Signature City License Registration 4F i ****************************************** ,:; ::::::~;:~_ _~/l(iA~L LOb-/. ~ Company -E H J?J/11l1J S'Is DoT rill "- .,n State Cert, or Reg1st, iF E. ~ 0000 t/9/ . M _ _ _ City License Registration IF ****************************************** *********************************** 1 ~Yo~~"rr.u Company bl1/~l1I~t~ OA&.!). ~ ~ State Cert. or Regist. {f <!. F~ E> :::. 7', , Signature City License Registration # ***********~********~******************* MF.CHANTCA~ "K..~~ ~~ !l. J Company ~V 1~~JAlE.&iTd:.J- - ~ tJL') State Cert. or Reg'ist, j,!~'(! Signature~ . \ r: .~ City License Registration IF ****************************************** PLL'MBER ~4' [&~ Company State Cert, or Regist, # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT~IDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to 'deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance Nith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OMner has hired a contractor or contractors to undertake Nork, 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 owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (B131 7BB-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl 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 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 - HOleoNner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is soteone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the "owner" prior to cottencetent. ! E. CONTRACTOR'S/DWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cotpliance with all I a~plicable laws regulating construction, zoning, and land developtent. 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 perforted 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 tay apply to the intended work, and that it is ty responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not litited to: f Departtent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De artlent of Health & Rehabilitative Services Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f S Environlental Protection AQency - Asbestos abatetent I also certify that, if fill .aterial is to be used in Flood Zone "A" Dr "A,etc.., it is understood that a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code., Every pertit issued shall becole invalid unless the work authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tite, tay be allowed for the pertit 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 lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM"ENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER .or .ft~T{::"b~~* SIGNATURE: tONTRACTOR , . (l STATE OF FLQRIDA /' COUNTY OF . ~ The forego'ng 'nstl~ment before me this 10 2~ \..'+,"'.' '41~~~\ ... .,.~ .... ~ was acknowledged 19 9 Ii!:- by STATE OF FLORIDA COUNTY OF The foreg6ing in~~rument befc'l-e me this was'~ck~o~ledged , 19_ by . - H 'lYle ~s. 'S~ who is p rsonally known to me or who has produced as identification and who did/did not take an oath. (SignatU'F"<t~QQ_ ~ (Name Typed, Printed or Stamped) NOTARY PUBLIC , : " .". . : I : who is personally known to me Dr who has produced as identification and who did/did not take an oath. (SignatLrre) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC Notary Public, State of Florida .Robert Charles Ehrman, Jr. 1My. pommission Expires April 27, 1996 ,Comm. No. CC 196771 ~ ' CITY OF ZEPH~~~LLS BUILDING DEPARTMENT OWNER llJ~ K ii~l.(U ,m~ )JClYY\JL ~~ , l crop n f ^-- _ JOB LOCATION 3g 0 J '-I ML JA ~ l.;-'.ULrT) PARCEL 1.0. # J1-~~ - DJln() - 00000 - O~50 SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. .5/ f l /61;. .' \ \ ....- - C3 .. <- "1;1.:1, . ,~::7'" ~ . UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- , MATION. -- - ~ - - , , I,t) .) -? x ~-G F,/..i::Erw,;)o() 7-i )b 9s: r20 , . f I , , -TJf ~ t) ..1.11" FRONT PROP~RTY LINE STREET _180/L/ fnJ.A~- ~#~5 (NOTE EXAMPLES 1 & 2) 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLIX 1 O' FRONT PROPERTY LINE ~ . CITY OF ZEPHY~~LLS BUILDING DEPARTMENT OWNER Ll)~ i\ R"(VJ m~ JJ~ 3,~ JOB LOCATION 3g 0 J i../ LL1A~ irn-p 7 PARCEL I.D. # I~ -~- ~i - OllnD - 00000 - O~~O SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 5/ /5' ~ ,l ..J -? )( ~-G F~~rTwooO /~J; ?i st 9s: c2.0 .' ( .- - - rr::J - ~ ,:l-;2.{. . ( UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- , MATI ON. --- - - , ;(1) _ _ _ _ J_, , -- -' -' I' I I , -rJi .,2. l') .1. Jf- FRONT PROP~RTY LINE , (NOTE EXAMPLES 1 & 2) STREET 380/L{ ~LA~J. ~- ~#~5 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' ...P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL rAM 30'OUPLBX 1 O' FRONT PROPERTY LINE FRONT PROPERTY LINE - - -'--','- _._._~ - -'--"-'~--~--'---- -- - --- - -- ---- ~ C E N T R ALP E R M I T T PASCO COUNTY, FLORIDA CONTRACTOR #: NAME: GOLD KEYS MH SALES ADDR: 38014 LAWANDA LOOP C/ST: ZEPHYRHILLS FL 33540 FOR: CHECK # 1040 RESOURCE FEE ON PERMIT 1497B CITY OF ZEPHYRHILLS ?-)CCNT 114 TOTAL AI'10UNT: COMPNY ACCOUNT CENTER B450 - 363000 - 2 :3:3. :3(:, ::::~;. :3t. At'IOUNT \__/"\ .........-:::~\ . . ,. ,- " .'-'\. RECE I VED BY ~-,-_;_~'::~:""~~~":'::':::;'\:..._}.__,__ \ \. I N c.~ DATE: 03/26/9:3 P{~GE: 1 ()F 1 I :::::3UE OFF I CE: D RECEIPT NUMBR: 00168410 OFFICE: DADE CITY DESCRIPTION/PERMT DATA DRICR ****** 60 ~ PASCO COUNTY, FLORIDA Permit # , , Date Name/Owner County Parcel # Location ClassifICation / Type of Use lRANSPORTATION IMPACT FEE CALCULATION Rate $ Zone # Sq, Ft.1 Unit Prepared by Impact Fee Amount $ The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted structure. RESOURCE RECOVERY ASSESSMENT RESIDENTIAL NONRESIDENTIAL # Units Gross Sq, Ft (GSF) Rate 1 ERU = 50,00 x 0,96'" 1 Year or $0,13151 Day ERU Assign # Assessment = (# Units) x ($0,1315) x (# Days) Assessment = !Q.Sfl x (ERU) x (0,1315) x (# Days) 100 TOTAL FEE $ TOTAL FEE $ "'Discounted for Prepayment The above assessment has been established pursuant to the Pasco County Ordinance No, 89-07 and Resolution No, 89-197, as commended. TIm ASSESSMENT WILL BE CALCULATED AT TIm TIME OF ISSUANCE OF TIm CERTIFICATE OF OCCUPANCY, NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and the conditions of payment for same, Date Received By ......--...--------...---------;..------------------------......-----------------------------------------------...-------------------------------------------------------------- OFFICE USE ONLY lRANSPORTATION REC, # RESOURCE RECOVERY REC, # DATE DATE BY BY White Applicant Canary Trans 1 Finance Canary RR 1 Finance Pink Office Green Bldg IInsp