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HomeMy WebLinkAbout91-1945 STATE OF FLORIDA City of Zephyrhills , BUILDING DEPARTMENT 1-813-788-661. .1..4' () ,., .;;;5' - ...7- PLUMBING (_ MECHANIC.~ '-=':-:::-.-.-- ", Permit)J~ 1945~ Date_/I- ,;) iJ 'S'! -r ;; .-27&' - '~~ '3..50 . t.J( - ~ /&:;51'1 tJ,.~~' PASCO COUNTY - 'J. ':); 15;y ,,/.r ~pe of Permit!J .; I (B~..~~t;I_g; (,-_~.~~c;IRICAL ( ~:~::~r~:~j9ii.~:.971;<;~~3:f;;~ ' Loto.--:5i Legal Description: Sub.Div. Blk. Zoning CI: C#~J .~ Complete Plans, Specifications and Fee Must Accompany Application ,...~~ ~. 7~7~ Energy Code Readout: Estimated cost:4 .5 ~ (/R 2 I 19-<) - , -;;..s- ~. -4. .~ - ,/' 'l~~ ~ Fee: All work shal! be performed in accordance with the above and all City Codes and Ordinances. (. COMPANY ADDRESS TELEPHONE # CTRICAI,.~ ~ Tp.Serv. Rough In J2 -/~-9J Meter Can t' Const. Pole t41- ~ , Pool Pre-Meter / -Il>- if).. Final C~>>7f'9j "t 4/~ ~NI AJ:,(tJl.t, ------- Breakers '12-17" / Ducts Insl. f Compressor Final Ftr. Pre SLB Lintel FRM. Insul.C WL / .- ' , DriVeWay~ Relnspectlons: When extra inspection trips are necessary due to anyone Of. the following reasons.jl59ar~ ten ($10.00) dollars shall be made for each trip. LD. . "\ 11 -r-z:::- ~;~J'tCI _ .z. (j, (a) Wrong Address C!1" tUf16/ f:;- rL ~~I' , J"f (b) Condemned work resulting from faulty construction ,. _ ~ /j" 1 f).. 15 (c) Repairs or corrections not made when inspection called for <W (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. APPLICATION FOR PERl-lIT CITY OF ZEPIIYRHILLS DUILDING DEPARnlENT ADDRESS ~4c: &1/Y/ifJ ?CJ? JO/t~ ~ OHNER ;1/r, P( AI fl, Et-tsl-afjo/O JOB LOCATION .3 'T rl'S- ?/~C D~ .~. I :.~ APPLICANT , Z7'i~ /'Y"" .. ff;;>~.J ," C?7C ;;c / / :--:'//"'/' / tyo ;'.,9 ~1 , PHONE .7/22': -..? 2...f/() LEGAL DESCRIPTION: LOT(S) 3d( BLOCK ( LOT SIZE ?CX/2Q AREA SQ.FT. ?OOO SUBDIVISION '?/;" c d/11.. //e /Jitt6 .s lIh, PARCEL 1. D. t~ WORK PROPOSED:~construction -:--Addition _Alteration _Rep<1ir _Install _Sign/Temp. PROPOSED USE: ~e Family _Sign _~Iove _Demolish ~M/F _t~ of Units ,,_~l/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval If ( BUILDING SIZE:,2 7. r X s~ D, 133~ Square Fee t, g/ Height RESIDENTIAL: COHHERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOlU1S.1;'* **COPY OF CONTRACT REQUIRED. :rERMTTS REOUESTED _BUILDING $ ; ~)/ g-,.p- J--: JD / 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. ****************************************** .cONTRACTOR SF.CTIO~ ._/ /l ,/ / . . Company If::Yl-e p(.ulc-fe,1J. /A C. State Cert. or Rc~ist, 0 City License ECgi~tratinn ii ,3..l2- ****************************************** BUTLDER Signature :1 :=~ Compony . ~/e. E k-r?, 'C -~. . - ? .~ 'h ,~...........m~:;~;;;~::;;,;m~~~~;~ ~ ' "0 I 2- 1 .' PLUMBER lJ r C_ ,fJ(...,"-<..! ivV:; Company d- Cc... ~/{;4-n6r.~/{4f /J. /7 ( State Cert. or Eegist. !.f Signoture &<-y (~ City License Registration It ~ 7 ****************************************** MF.CllA~1CIl1, 1./clJ;. .t Hav.l.. Company f" e04& /%~"} y' ~/c . State Cert. or Regist. 0 / Signature Cro"./o CCIt"(.:~&- City License Ecp,istrqtion if /u........-G, ****~************************************* * Company State Cert. or Regist. 0 City License Registration U " j PTHER Signature PERl-lIT OFFICER. APPLICATION APPROVED BY ...-,- COND I T IONS.. OF PERly1 I T AFF I Dn\) I T fl. N,OTICE OF DEED RESTRICTIONS - The undersigned understands that this permit lay be subject to "dead restrictions' which may be ~ore restr1ctive than City regulations. The undersigned assu~es responsibil1tr~.~or.co!lpliance lIith any applicable deed restrictions. B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESPOtlf>1J1...lL._LIlj=:~- If the own~r has hired a cDntractor or contractors to undertake 1I0rk, they may ba required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by lall, both the ouner and contractor nay be cited for a misdemeanor violation under state lall., If the olfner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended Ifork, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-66 II. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the conlractor(s) sign portions of the 'Contractor Sections" of this application for IIhlch they lIill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the worr.. If the contractor lIishes you to sign as contractor that aay be an indication that he is not properly licensed ~nd is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORID~ STATUTES, AS AMENDED) I certify that I, the applicant, have been provi~ed with a copy of "Florida's Construction Lien Lalf - Ho~eollner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is soee6ne other than the "ollner", I certify that I have {.btained a. copy of the above described d[,cull1ent "nd pre,rr,l"e In ge.od fal tt. to del iver it to the 'owner" prior to cOI~encr~~nt. "1.';,:", ;, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all Hork Hill be done in co~pliance lIith all applicable lalls regulating construction, zoning, and land developm~nt. Application is hereby ~ade to obtain a permit to'dD work and install~tion as indicated. I certify that no wDrk or installation has commenced prior to issuance of a perlit and that all work Hill be performed to roeet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the r~gulations Df other governmental ag~ncies ~ay apply' to the intended 1I0rk, and that it is IY responsibility le, identify Ifhat actions I lust lake to b~ in compliance. Such agencies include bill "I e Iie,t li~lted to: . ,- I Department of Environmental ReQulatiDn - Cypress Bayheads, Hetland Areas and Environmentally Sensitiv! Ldnds, Water/Wastewater Treatment I Southwest Florida Water nananl!lIent District - Hells; Cypress Bayheads, Wetland Are"s, Altering Watercourses I ArlY CDrps ~f EnQinerrs - Seallalls, Docks, Navigable Waterways I Departeent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en:. Septic Tanks f US EnvironQental ProtectiDn AQency - nsbestos abatement also certify that, if fill material is to be used in H(lod Z(lne "n' (.r "I\,etc.', it is undersle.c,d ll,,,1 a drainage plan addressing a 'cofJpensating volume" lIill be sub.itted IIhich is prepared by a professional engineer reqisl2fed in the State of Florida prior to permit issuanc~, A perlit issti~d shall be constru~d to be a license to proceed with the Horr. and not as authority to viDlate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frD~ thereafter requiring a c[lrrl:ction [,f errors in plans; c[lnstruction, {Ir violations [If any c[,de. [ycry per~It IsslIed ::hall beec'le invalid unll:ss the w[,rk auth{.rizcd by such penit is c{luenced within six Illonths of issuance, c,r if l/{,rf; authe" I.ed by the per.it is suspended or abandoned fClr a period {,f six lonths after the ti;ae the Ilorr. is [{'Mrmed. Oile 90 day e~ttl,SiOIl of tiae, /JaY be allowed for the per~it with fee charge of $15,00. The extension shall be requested in Ilriting to the 8uilding Official. nn approved inspectir,n /!Just be l[,gged during each six month period, r,r the pre.ject Ili II he [{,nsider!:d dbdllde'i1ed. DATE --------------------------------.------- .' . RIDGE BUILDERS 39415 LINCOLN AVE. 1008 Sq.Ft. Living x $ 35.00 328 Sq.Ft. Other x $ 11.00 VALUATION: .. 38,888.00 Building: $ :355 . 00 Plumbing: 35.00 Elec. 55.25 Mech. 30.00 SUBTOTAL: .. 475.25 BUILDING PLANS REVEIW CREDIT: - 39.00 TOTAL: .. 436.25 CONNECTION FEES: Sewer $ 1 , en8 . 00 Water 350.00 Meter Jl65.00 TOTAL . $ 1793.00 . RADON GAS:" 13.36 Sq.Ft. 1336 TRANSPORTATION FEES:" 1,585.00 x 99% x 01% $ 1 ,569 . 15 .. 1 5 . 85 GRAND TOTAL :.. 3,827.61 N-B9059'30"-E 75.00' 7,50' EASEMENT-S-- ~ I r-- 0 0 to 0 0 0 0 ~ ~ 0 0 I Z ~ I o t o to o 0 ~ <> o I Z LOT - 34 SCALE 1"=20' ~ 75.00' N-B90 9'30"-E b o 1ri N 50.00' RIGHT-OF-WAY I:..fN€Ol=N-------- ---AV-ENl:JE------u-- DEseR IPTION Lot 3~ of LINCOLN HEIGHTS SUBDIVISION, as per map or plat thereof recorded in Plat Rook 13, Page 113, Public Records of Pasco County, Florida. NOTES: 1. Description as provided 2. Bearing reference from Record Plat PB. 13, PG 113 3. Pl at: prepared from legal description - NOT A CURRENT FIELD r;lJRVF.Y JOB NO. 8250 ~ G BOBBY W. SIMMONS I.AIIl SURYrnlIl P.O. BOX 1217, _mlln. DADE art, FlOlIlIlA 33S2I (M4I 517.... 0.11 01 Su""'Y: llr8wn by: F.FOOt<<) S.SET IR . IAOl ROO IP . IRON PIPE CM . CXJfCRETE lOIJtoENT N&D.NAUDISK RflS.RALAlWl SPtI(E POB-POINTOF BEGINNING END fl. FIElD []AT A (C1.CCM'I1TEDDATA lOI. DEEDOR DESCRIPTION lJolIalPIII: 7-8-91 ~by: TpolSlmy: SKETCH FOR SPECIAL PURPOSE slIIm CERTFIED TO: RIDGE BULDERS INC. !,::1':" i'..j:. i'..;!,. ':;:;. ;.:: :-:.:, (:: 3.. "(' .I. .'n .7..c:;n in, .; C:': l' :.';'" .,:;') f...; 1 i:::.1": 'C. V C. ':::'. r ~ ('.::, i_' i.u'; ~".:./ (..'; i.:.".i t::, 1....j '....i ~ ! ,.. ~ ;:-:.~ r """"'''''':..:.:'c; C:, t....,; ;..., .: ! i., (::, ; " ~ '.. ;''': [":1 .'... : . " '----+!"'1 f.:.:, -:::i ;--: ,'::, ,"'j V' ;.)'..J 11! ::;. , ',..; '...J r ...... .... .... :-..! :'~, r::;; IT i ! ";! '. '..:'C: ", i = . ... n I . :;~, :::; i...: !':. :', ~....; j-. i'" ; H H..,' j"" !..) r le,..!'r ~::~:; /i C:' ! .... ..........! , ,',t'. ........'....; l 'P' "C '. l;:.i j i. ,! " :' ~:J .,.. " .... -... \'l r..:; j::;.~ j ... j'''.: f"~' -' l i ,.. l -;.. ..' ..... ......'m..... "... ,......................................... ..... .." . "., ..... _.. ..... ._. 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''--'-'{l IT! "j' ........ V.h'-,'l : r::'r:;' : I" 'T' "j. '......, ,.. .,...,.... .,... .-. .. ... .~ ... .. .. .. .. -, ... ',. :r' -"j'_ "i' ..t. ". 'T': '''i'' ......! '...1: ;...;, '.). .. .J....... f)::) ... .i:'.!...,... '.'. J.-. .... ,-".:' '-1/'..'.. ..f....!. . . '..i, ".\.. ~ tJ ~ i 'i L.. !\;'T'>::::: ---- -.-",- -.- - -- - -'-- - - ~ ~ ~ - --" - --' ~ :.....---- - ---.... - ~.~ -,---...-'- --"'~~ ~\ E N T PAL F t P M J T PASCO COUNTY, ~LORIDA CONTR?;CrOF :It ~ r'JAi'1E: :f::LV:;TACU 1(\ V{.)F:U{',:;: ADDRr 39437 LINCOLN AV LT 34 C/~~;;T: Z /1-1 I LL.'::; FOP: HE::::OI.JCE FE: Ci.-jECY # CP,:;:;H L ~~:"".::"(" ~.,~? 1,-, 2:;:; ,~() .~'A::::4 .:'::.C.ChJl felT i4L {;MOUf\1 T : CCd'1f'N{ PiC.CCiUNT CErilEf;' Bi~':>:. ... ::t;;::'::CH)U - W:..?4 {-\/"iUUNT 45.::~1 1.14 F:('E.C'::::X\.JCL' BY ,', I i\: (1 [!(4TE: 01/2~~:/'<::: Fl'lGE =/. ,)~: 1 I ::.:;:::UE OFF ICE: ;: RECEiP1 NUMBR ~v1288A7 OFFICE DADE CITY DESCRIPTI8N/PERMl DATA DRieR .r.."1~'~!- 'k ** ':.'(! NOTICE OF RESOURCE RECOVERY ASSESSMENT FORM PERMIT if 11"."' i .- .-: / '1'/-//, ? I / ,,:? , IT DATE / '"/] 'j" - t;l . .- ..., .... . ("._~..... r~ ;,.J -+--' .- APPLICANT / OWNER (' -' .b:.6.-/.:/1f-.li.-U' /(;]/i if!!(,'.l S. /1 .J COUNTY PARCEL tI /.,:2 - ~ / {j ~/ - ~ ~- ;) - --31- LOCATION ~9;;f~ ~~>:1:m!.L (~.. , ~'. USE/CODE DESCRIPTION "*L,/~r/.A,.:;f;.~(:.' ) . -- -.:< 1- ,;(.r)l" ) . ~ ..,.1 '-_ RESIDENTIAL NON-RESIDENTIAL Ii UNITS / GROSS SQ. FT. (GSF) RATE/ERU=$SO.OO X 0.96*/YEAR OR $O.1315/DAY ERU ASSIGN tI ASSESSMENT = (tI UNITS)X($0.1315)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS) 100 TOTAL FEE = $ .,' ..' '! i >( i'l , TOTAL FEE = $ .f ( . / /' /.. / t , f / i C /J" ('; I of' I J / PREPARED BY .~r'"'''' ./ J:.''''- /' {,~_/ (/ ) / / * DISCOUNTED FOR PREPAYMENT --------------------------------------------------------------------.----------------- The above assessment has been established pursuant to the Pasco Coun.ty 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 il DATE BY