HomeMy WebLinkAbout91-1789
/
ST A TE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
1789 B
Date 9 - / 7- ? /
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Permit N~
Type of Permit
(9) E~ ~ M~CAL
Property Owners Name: 1~ P/i::i
Job Address: Jc:f- 7;;L _ ~_~
SUb.DiV:?/J~",,_ ~Uv+>_ Lot
Zoning CI: ..:l -::Lh - J-/..... '- 0 - /
DeSCriPtionofwork)11~ )/~ ~T~
C/~~b/;;~ ~~ d~
Legal Description:
Blk.
Energy Code Readout:
, ~cf= --
LS ~<;-~H-L3-r
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
/...::. -- o-ihJ. o-a
, ,
Fee:
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE &1: ~":'h(j
SIGNATURE
COMPANY
ADDRESS
TELEPHONE #
ING
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
6~fl}O~ '" -/~-11 D;J
Drivew~y
SLB
Tub Set
Water
Sewer
Final
Tp.Serv.
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Relnspectlons: 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.
Thc paymcnt of reinspection fecs shall be made before any further permits will be issued to the person owning same.
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OWNER
APPLICATION FOR PEID1IT
CITY OF ZEPHYRHILLS
BUILDING DEPARTr-tENT
Oil' \j~' (:)1 ~ ~ '\~ \)~ ~ ') -rh c D 0A - R ~f\)
46 }. S G oJ \ b \ \) L~~" 2'L pk--,\ "h~115 ~P;IIClNE ~.\ ~ '" ~l~ J-.
~y I?- Y\ J (,,,- --S ~f\ VI Q.. <-:; " .J ~,
M CA \1-1-
~SS;0
APPLICANT
ADDRESS
JOB LOCATION
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. # :2 - c;) 0 - ;;).../- / ~) -- 0 - I
WORK PROPOSED:____New Construction ~Addition ____Alteration
_Eepair ____Install
____Sign/Temp. ____Sign
_~Iove ____Demolish
,.LM/H
PROPOSED USE: ____Single Family ~M/F _# of Units
_Commercial
____Indust.
____Swim. Pool
Other
BUILDING SIZE:
____Restaurant & Health Department Approval
N/A
,
x
Square Fee t,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF nUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.1d:'
**COPY OF CONTRACT REQUIRED.
../ BUILDING
$\C
$ J () ()'0
PERMTTS REOUESTED
Valuation of Total Construction
_ELECTRICAL
AMP Service'
Florida Power Corp,
_H.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
_Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
mJ1LDERk~ f \)
1"'\ (.". v +
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration n
******************************************
KLpO
1""\ (,\ l,- +
DH \ \ :}.. I J.-
Signature
Signature
Company
State Cert. or Regist. 0
City License Registration 0
******************************************
ELECTRTCTAN
Company
State Cert. or Regist. #
City License Registration 0
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. 1F
City License Registration #
******************************************
MECHANICA1,
Signature
Company
State Cert. or Regist. 0
City License Registration 0
OTHER
Signature
APPLICATION APPROVED ny
~***************************************
J~'<J4e~ .
PERNIT OFFICER.
CONDITIONS~O~.PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Th..,..."i,... ,...",..., 'h., Ihi' ,.,.1' "Y b. ,'bi"\ ;, '.,.. ,.",\"\,,,' ,h',h "y b' .". ,."""". 'h.. C"y
regulations. The undersigned nSUllll!S resJlonslb~1itf;for.,co'Jlliance with any applicable dQQd rQstrictioM.
. . :~II ~' , .
. '
B. UNLICENSED CONTRAC~ORS A~O CONTRACTOR RESPONSIBILITI~S
If \h. ".., h., h"" . ".'r.,I.' " "."."", " ".."." "",'h.y "y h. "g"'" " b. I""'" ,. .".,...,. ,i'h
state and local regulations. If the contractor Is not licensed as required by law, both the o>>ner and contractor ~ay be
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r."l,""" "y ."ly f.' 'h. ,.,..d.d "", 'h.y .,. .d,i..d " ".,." 'h' Ci'y ., ',phy,h'll. ,,"di.g "P"""', 1'\"
788-bb11. ' .',
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y" .,. i.di,.'i.g 'h., Y'" ,.'h., 'h" 'h. """"", .,. ,..,...ibl, f,' Ih. ,.", If 'h. ,.."""r ".h.. Y" ,. ""
.. ".".,',r 'h., "y b. .. i.d".'i" 'h.1 h. i. ." ""."y I"....d ..d i. ,., ..'il',d I. ,.,,'ii"9 ,,','1.,.. ,. 'h.
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
D.
I [.,'ify 'h., I, 'h. .ppli'.", h." b... p,.,ld.d .ilh . "py ,f 'FI"id.'. C"."""., L'" L.. - ".......,'. 'r""'i'.
"id.' p,.p.,.d by Ih. FI.,'d. '.p.""" ,f A,'i[,I'". ..d C,..,.., Aff."', If 'h, .ppli.,.. i. .,..,.. ,ih., 'h.. ih.
"...,', 1 ..,'ify 'h.' 1 h.v. .bl.i..d . "py " 'h. .b'" d..[,ih.d d'["'" "d p""" i. g"d f.ilh ., d.li'.' ii I' lh.
"owner" prior to cOI~encel~nt.
: t,' t ':~~.' ~. 1_ ; :
E. CONTRACTORtS/OWNER'S AFFIDAVIT
I [,,'ify lh., .11 Ih. i.f"..li" i. lhi. .ppli,.'i" i. .,[.,... ..d lh" .11 ",' ,ill b. d." ,. ,..pl'..,. ,"h .11
applicable laHs regulating cDnstructiDn, zoning, and land development.
Appli[.'i'. i. h".by ..d. 1, ,bl.i, . p.r.ll ".d' .", .,d 1..I.II,'i'. .. ,.d,[".d, 1 ..,i'fy .h.1 " ",' "
i..,.II.\i" h.. "...".d p,i,r " i....". ,f . p."" .,d 'h.. .11 "r' ,ill b. "".",d I. ...1 .,..d.,d. .f .11 I.,.
,."l.'i., ",..",li", Ci'y "d,', ".i., ,."I.'i"', ." I.,d d,v.l,p.'" ""I.li,.. i. 'h. ",i.di,'i,.. I .1.,
[.,'ify 'h.l 1 ..d".I.,d 'h.. 'h. ,."I.'i'.. ., .'h., ,.,."..".1 "."i,. .,y ."Iy." Ih, "".d,d "", ..d lh.1 il is
'y resp".ibi Ii'y I. id,,' ify .h., "Ii'" I m' hi. " b. i' "'pIi "". Soth .,.,,;,, "d ,d. ,,,I '" ".1 Ii. ii.d I"
....
1 .1.. "" ify th." if Ii II ..."i.I i. ,. h. .Sld i, Flood 'on' 'A' " 'A ,el" " ii i. "dOf' h"d .h, i · d..' ..,. pi"
.dd,...i.g . ",'p",,'i'g v,I..,' ,ill b. ..b.i'l.d ,hi,h i. ""."d by . .",.."...1 "".." "";.,,., i. 'h. 51.1. ,f
Florida prior to permit issuance.
A p.,.i' i.."d .h.II h, """,.d "h' . Ii,.... ,. p",..d ,ilh Ih. ",' ,.d ." .. .,Ih,riiy .. ",1,1" ,..r.1 ,11.r, "
so' .. ide "y ,,,, i.' ",. ,f th' 'eth.i" I "des, .or .h.1I i os"'". ,f . ,,,. ii ,r "" I th. ,. il di r,g tlf fi' i., "... thOf" n"
,."i,i,g . ["",Ii., ,f ."". i, pl.,.; [.,.".,'i,., " ,i.l.li," .f .., "d., 'v"y ""il ,.."" ,h.II b,"" i.v.lid
,,1m th. "ri "th.,; zod by ",h p",it i. "...,eed .I\hi' .i v ..,th. ,f i ,,'Of''', " if ",,' ",lI,,,,,ed by th. p'" il is
".".d.d " .b.,d,.,d f.' . p.,i,d ,f .iv ..,'h. .f'" Ih. 'I.. the ",' i. ..,.,."d, D., ,. d., .,i.."." ,f "", "y b.
.II.,.d f.' Ih. p.,.il .ilh f.. [h.,g' ,f ~\5,OO, Th. .vl.,.i'. ~.II b. ",."I,d i. "ii'" i, ih' ','Id'.g Offi.,.I. A.
.,,"'.. i "p" li on ,eo' b. I'qq.d d'';'9 mh . i v "" th p',; ,d, " Ih. p" i ,d ,," b. .... id".d ,b ",d",d,
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 OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A II NOT I CE OF COMMENCEMENT".. -k
SIGNATURE~~-jo~,' ~__________ SIGNATURE ~ ~___~----l~~~
OWNER~~T CONTRACTOR .
DA"E___~\..Q\3L-~--------------------- DATE_________ ---~-~~-~-=-~~---------
NOTARY AS. TO 9J"j'. p~
-OWNER OR AGENT ~~~'t'l'I.'-c.l'l.'O~,l'!)JIl,.,.~.T~ -
fAY COMt.\\f.S~vH E~;\'::;'~~ ,\,\fj.'t 27, lQ;oS I
~y SOMMISSION EXP,~~~~~~~~~J~~la~~~Q~~A~
NOTARY AS TO~' ~~~~?
CONTRACTOR...,....:;._- ,,", - ~ .,. ..
.'1 ' ; ~ fcr7; ..:~~1!.ml. .:'! ~~"~
"' r,~y COMMt~;~;cr~ 'eX?;;~~:Z ~~.1.l'.Y '2.t. r~ "i~5
MY COMM I SS ION EX P iaiSQ.IJi1l..!J.J&~":u;.u:.w::"lr:f_";::J~:V.'"
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...~.~_:~;.j~~:.L.....~~O:.~~...~.........~
NOTICE
OF
RESOURCE RECOVERY ASSESSMENT FORM
PERMIT II
--,? 1,> ,/
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DATE---'-.
//
APPLICANT/OWNER
.'$",
COUNTY PARCEL II
..) I
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LOCATION
-..r
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USE/CODE DESCRIPTION
(.,{~;.t
RESIDENTIAL
NON-RESIDENTIAL
II UNITS
f
GROSS SQ. FT. (GSF)
RATE/ERU=$SO.OO X 0.96*/YEAR OR $O.131S/DAY
ERU ASSIGN II
ASSESSMENT = (II UNITS)X($0.131S)X(NO OF DAYS)
TOTAL FEE = $
,/ ./..
r.........
I
,
,.---) /
c:~ ;
ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS)
100
TOTAL FEE = $
PREPARED BY
I,L:J~- .
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I ,.. r
;.,-/ 1/ ,)
.
* 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.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE C/O" NO CERTIFICATE
OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE ASSESSMENT HAS BEEN PAID.
APPLICANT HEREBY ACKNOWLEDGES RECEIPT OF THIS NOTICE AND THE REQUIREMENT OF ASSESSMENT
FEE PAYMENT PRIOR TO C/O OR FINp~ RELEASE.
DATE
RECEIVED BY
--------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
RECEIPT II
7
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DATE I
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BY
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,
'. .
CONI F~ACTOH #:
NAME: BRENDA JEFFRIES
ADDR: 38720 VULCAN CIRCLE
C/S'f: ZEPHYR~1ILLS, Fl
C E N T R ALP E R M I
F'W:.CCi COUNT'!', FLOP I D?i
T TIN G DATE: 10/23/9J
P(4(iE ~ 1 OF 1
I ~~.':.UE OFF T (:::I:: ~ D
RECEIPT NUMBR: 00121067
OFFICE: DADE C:ITY
F'OF: :
CHEC~:~ # 11~;
CIfY OF ZEPHYRHILLS/RESOURCE RECOVERY
FEE. PERMIT#1789B.
PARCEL ID#2-26-21-10-0-1
TOTAL AMOUNT: 9.21
COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/PERMf DATA
DlI.:;.(; _. :3i:..:~:{)()() ~..
.~. "
I;);,. 21
.IHt**-lHt.
DF.:ICF:
60
AceNT
.1.1.q
HEC:E I VEl) By'
d, ""
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