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Home My WebLink About91-2015 STATE OF FLORIDA ~ City of Zephyrhills I?' a. cTl:> Type of Permit PASCO COUNTY BUILDING DEPARTMENT 1-813- 788-6611 Permit :Nt.? 20158 .3s. trD Date/:1. -(1/- ~ / Job Address: ELECTRICAL ME~ /l<5fJ1J m . i/-~/-q~ Legal Description: Lot Blk. ~::1;~n;~ ~~~7}1 H~ dYu> .M- ~ -^ d2b / /--2P- /2~/ Energy Code Readout: ~ ~ ~ Complete Plans, Speclflcalions and Fee Must Accompany Appncalion ~ #11~ Estimated Cost: .~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # Fee: /1 ~lJ SIGNATURE ~!..t.J COMPANY ADDRESS TELEPHONE # ~~S~ MEC~CAL '- SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final D . ~77J1L ItJne~/Q(. J rgr - z. - "2-- ~einspe ions: 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. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PER}lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ,..} (){ : i I,. j': .... I "- /l _--+ r'; i1 t lln," ADDRESS 0);),b -p;~\'10r\ <;. -r' PHONE 1 tJ - !.J 01 7 OWNER '.. ....~ . \ ( I \ JOB LOCATION \. LEGAL DESCRIPTION: LOT(S)_~ ~tJ/1 JVd-"r",,;eT: A LOT SIZE~X 6 AREA sQ. FT. Y. 0 (j 0 BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:____New Construction _Addition ____Alteration ____Repair ____Install _Sign/Temp. _Sign ~Move _Demolish PROPOSED USE: ~ingle Family _M/F ____~~ of Uni ts ,_M/H _Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: l~t X 1./10 , /, ! t.i '1 Square Feet, Height , RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ",* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _\".R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block _Frame __Steel _Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ** *********************** /' PLllMRER/~ ~ Company (!t"I&.?~ P~i~ . . /1/J ~/p State Cert. or Regist. # Signature ~ ,/t~1 City License Registration iF Ie) ****************************************** Company State Cert. or Regist. # City License Registration # ********************************* /~ , -- Company State ~ert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company . State Cert. or.Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY 1?:;;;~':~';~~:';""""''''*'''' PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor }s not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state'law. If t~e owner or 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 Departlent, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 may be an indication that he is not properly licensed and 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, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law - HOleowner's Protection Guide" prepared by the Florida nepartlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cOllencelent. 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 cospliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or installation has comlenced prior to issuance of a perlit and that all work will be performed to meet 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 regulations of other governmental agencies lay apply to the intended work, and that it is IY responsibility tc. identify what actions I Itust take to be in ci:lllpliance. Such agencies include blit ~IP. iwl lilited to: . Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensilive L~nds, Water/Wastewater Treat.ent . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Department of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks . US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.', it is understDod that a drainage plan addressing a "compensating volute" will be submitted which is prepared by a professional engineer feqist~led in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as auth~rity t~ violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Off\ci~l frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~hall bee ole invalid unless the work authorized by such per.it is cOllenced within six lonths of issuance, Dr if work authorIzed by the permit is suspended or abandoned fClr a periced clf six months after the tile the work is cOllmenced. One 90 day i';:tHiSJOIl of tile, !lay be allowed for the permit 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 dbdlldoned. 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 ANn POST A "NOTICE OF COMMENCEMENT". SIGNATUR~~__~~--- SIGNATURE______________________________ OWNER OR AGENT CONTRACTOR DATE__~~_::___~_~~----~~-~~-------- DATE___________________________________ NOTARY AS TO . () ~ ~ ()~ __ NOTARY AS TO OWNER OR AGENT~_). Q.~...::' _~ CONTRACTOR________--------------------- Notary A(Jblic, State af Florid"!., ..-. ' . . . MY COMMISSION EXPIRES_~_~~~~~~5~~~~~~~~!:~_ MY COMMISSION EXPIRES__________________ OWNER r (/"0 u { (" E CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I ~~, Mar t Lv< ~ JOB LOCATION .4!e..rr;a- PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. , , ~ ~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~ I ~/. ~ > -1 FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 10' P E---- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' "FRONT PROPERTY LINE __-- >_____c. __ --_ -._____--.~- --- -- - - -- --.------ - - - --.- - - - -- - -- - ---- --., -'--- --'-j F Ii T F: (, L. F E fi r-'; t '" 1 J !', '-. F'!'4:;~;C.C CUUNTY, FLOF< I Di~ UA'TE,: i) L\,./:? 1 ." F'.-.),Ci[: 1. (d~ 1 :':ONTF((.;CTOI---; #: NAME: LOUIS MARTIN~ ADDR: 03-26-21-1-112-4-13-13-1~ GIST: 601~ HARRIET Sf Z/HILLS 1. ;:~;:::;IJE~ (iFT- i C::: ~ .U RECEIP NUM8R= 0013721 i"JFF I C[ ~ Df:tVE C I! \ (:'I::F(; F:E~:;;UUl (CE C IT 'f Z. H I U_ 20 J ":C,B CHc::Cl-: # 341 f; E~4.~jtt 'Ufff4L ACI,::,)UNT '"' -. .~. " .' "' .3{:- 3UUU f'-iMOUNT; CEJ,HEF ::<::. 4 U ~,\!"lOUNT 33.40 DESCRIPTION/PERMl ur:1A [,r,,, / ::.F,' {:::i(~:(}",;, T 1. 1. /! (:CWIF'f\j Y .~~ ,"* )~- .;:: ,r.: .;} ':-- .. r:':EC'E I \JELl L;V ,I ./,:- /" I .: , (' i / -. ..------.--.--- NOTICE OF RESOURCE RECOVERY ASSESSMENT FORM .? /J ~- IL-.J#( PERMIT it ~U / r.l" :J',..J DATE ~!/---.-:J/-~;-~~ APPLICANT/OWNER ~ , . '.,',,-,t! .J ,I ' '>""~'''''f:.' ' / /..' --r""; . L .L'J// oj J' i v.~/) U.?(J. ~ COUNTY PARCEL tf ~- ..,/- /7(- ~:...-;..j c:~ l;? .-y(. " I I .-- I / / {2 -'1-- // ;! ~,~ I / .J /~. -/ /'1 ~.~ . . / "j'" (7 ,/ l' USE/CODE DESCRIPTION I '---J /, < / ~t.___r , " Ii. /i.( I;;T' .' /1"t?Y ./ ,f ' _"'j "'1;;~ J. p' ,,/ ,/~ t __ . I --_,,"--J.r) . ,) J/ .,' ':'-_.,~/,/ ,;?' 'k" u I> ,,-j "'" /.. #'1'7,,1 ,t- ,/ ' 't I 1- ( LOCATION RESIDENTIAL NON-RESIDENTIAL ti UNITS / I GROSS SQ. FT. (GSF) RATE/ERU=$SO.OO X 0.96*/YEAR OR $0.1315/DAY ERU ASSIGN # ASSESSMENT = (# UNITS)X($O.1315)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS) 100 TOTAL FEE $ . -; "") :.~' .), );tC TOTAL FEE = $ PREPARED BY * 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 FIN~~ RELEASE. DATE RECEIVED BY -------------------------------------------------------------------------------------- FOR OFFICE USE ONLY " / ; DATE RECEIPT tf / I BY , t ('- ( ',/ i ,. .-.~ 'iI'-~. I ./ i " / (,I,' -"" ',' . {'.I' .f