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Home My WebLink About92-2052 BUILDING PERMIT Permit 2052 8, / - /6-- 9::2.... , ,/0. 0-0 .-~-- " <-- BU~Lc~INq/ CITY OF ZEPHYRHILLS (813) 788-6611 <:i:~~ (:~~:~~ Property Owner: ~ .JA1.~-A.~ Job Address: <3 x-i:S~ _::xt~ ~ Parcel 1.0. # .Q. - C). (, -:;L/ - -:z; h 0 - ~ 7' Zoning: Energy COde:~ Radon Gas: Description of work)11 ~ ~ e....../ ~ -<~ N'O . . J...5-" t7D ~~ OatH Sewer Conn I, ~ 7 K- t/7) ,1-IY-7.;. Water Conn: d..s.7J, /TO /-/~-'J.. Walter Meter:l-%'/ /t:o:tJ/) /-IO-~ TIJ~?: {..s JJ'~...., tJ7) /'-/Y-?iJ. NO OCCUPANCY BEFORE C,O, ~ FINAL I-I- DATE C,Q. '..> DATE Inspector /( Complete Plans, Specifications and Fee Must Accompany' All work shall be performed in accordance with Cit~Code, Valuation or I Contract Price :J , o--b'v. cr--o . ., Per~~ ~~G77)~ Signaittre- ~~~~~. '-... Company "- Address Telephone# City License Registration State Certified License# MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. b. c. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. ?/ a ;l-~-7~ The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICh nON FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Y;qivtJf' 'I jf?()()l~S _ ADDRESS .sf" ~ : \-~ (?e.fi dJd ',L /'I /.~ l;A'f-PHONE 7f:~ 2f..f3 OWNER ,/ tJ / AI A/7i 1 t'. (lOt l f1 < ~ JOB LOCATION La! ,71 (J,/~ t;;~Od LOT SIZ~X fQ AREA SQ.FT. 'liP LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I,D,# I WORK PROPOSED:____New Construction ____AdditioL ----Alteration ____Repair ____Install _Sign/Temp, PROPOSED USE: v/Single Family _Sign ____Move _Demolish _M/F _IF of Units .-L.M/H ____Commercial _Indust. _Swim. Pool Other . _Restaurant & Health Department Approval ~ 1'.2 I BUILDING SIZE: ::iiZi:.!:.x 1/0, 1c;2 x~g -=- ;:;<!;'YO;;uare Feet, 7lvJ Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT. PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,u ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ /:2,000. a) / r2 00 ANP Service .t/ GO ,eX> Valuation of Total Construction _ELECTRICAL \ /Florida Power Corp. - _W,R,E.C, ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY ~ \\, tt Other TYPE 'OF CONSTRUCTION: ____Block _Frame _Steel FINISHED FLOOR ELEVATIONS: FT, **********************~******************* \ -----::> .\ CONTRACTOR SEC,!,~ \ N\ n- ~ \.\ <::\ "~ BUILIt6 h~'LQ-.,^, ~~ Company ~i.~C'~ I' I~\h-.Q.. ~* ~-, ..../ \ L'7 j State Cert, or Regis . 4F Signature ~.-/AY ~ City License Registration # ..s- 79 / ****~.~*********************************** . EI.il~TR1"1 AN ifi fA! /Ii t: 7 d' ,,; ( 0 ",_.~ Company ?7 r~' LJ_.. , State Cert. or Regist. # Silffiature V -?t ~~ City License Registration ~F ****************************************** \,~ Signature Comp2.ny State Cert, or Regist. # ity License Registration # ************************************ .:37 ****., i-I ~ MECHANICAL 1// ~n / /lJ fV~7 'S Company V~" State Cert. or Regist. ~F Signature. %~..:.....~....~~~~.;~~:~~;.~;~~~~~~~~~~ iF Company State Cert, or Regist. # City License Registration l' OTHER Signature APPLICATION APPROVED BY **************~************************ 11 ~ A~ . n .4A .<f.-.r PERMIT OFFICER. ,. A. NOTICE OF DEED RESTRICTIONS CONDITIONS OF PERMIT AFFIDAVIT The undersigned understands ~hat this perlit lay be subject to "deed restrictions. which may be lore restrictive than City regulations. The undersigned assules responsibiljty fDr compliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a con~ractor or contractors to undertakr ~ork, 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 laM. If the OMner or intended contractor are uncertain as to what licensing requirelentslay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611. ' Furtherlore, if the owner has hired a contractDr 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 licensRd and is not entitled to per~itting 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 - Homeowner's Protection Guide. prepared by the Florida Departlent of, Agriculture and Consuler Affairs. If the applicant is someone 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 cOlmencelent. 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 cOipliance with all applicable laws regulating construction, 2oning, and land developlent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co~.enced prior to issuance of a per.it and that all work will be performed to meet standards of all laws regulating constructicln, City codes, 20ning regulations, and land development regulatic.ns in the jurisdictic.n. I also certify that I understand that the regulations of other govern.ental agencies may apply to the intended work, and that it is my responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~i i? not liaUed to: , I: Department of Env,~rolllental ReQulation - Cypress Bayheads, Wetland Areas and Envirc.nmentally Sen-5'itii'e L:iiids, 't Water/Wastewater Treatment . Southwest Florida ~a~er HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses ,\" I: ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat~ent, Septic Tanks" I US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be uset in Flood Zone "A" or "A,etr,', it is understood t~it a drainage plan addressing a "colpensating volume" will be ~ublitted which is prepared by a professional engineer fegist2r~d in the State of Florida prior to perlit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, ranrel alter, or set aside any provi~~ons of the technical codes, nor shall issuance of a permit prevent the Building Ufficiil from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit isslled ;hall beco.e invalid unless the work authori2ed by such penit is cOllented within six lonths of issuance, c,r if wor~ autllllllZed by the per/llit is suspended or abandoned for a period of six lonths after the tile the wor~ is cOlllmenced. One 90 day e~tE>>SIOII of tite, /IIay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectic.n lllust be logged during each six IClnth period, or the prclject will be cc,nsidf?red dbaildoiied. 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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". . SIGNATURE~~E~--- DA-TE___::J_~~~__"L~____\.C:-C<j_~________-" - NOTARY AS T(J--:', .--=~ \\ OWNER OR AG~~___~~~~~_~~~~ MY COMM I SS ION E' P mES .l\""::J.\~L~:1.,}.:::L_- SIGNATUR~~__- Co/'KACTOR DATE__~_~~~__~~_--J_:\~-~---- NOTARY A~~. ~ '\:'\ CONTRACTO ____..,;:-::~~-~~""^'- MY COMMISSION EXPIRES__fu~~\:\-r'>':1.]:J.. r ! , I -------:\----- o_ J . .....-.--) , \ r=---~ If &- r~'J';). ~ I 'Do r6 ~ -:;;1 ~I 1 1e-13Y" ----? I ~. I ; I ~I ::3> l. ~ o <1 l L,L-2 <1__"L____ .:J g r; s- () 6:.4-;9;\1) -Q/\ LA . ~ ,Q5 o H_. ._..__-., \ I i J r i I i - ~ -------"~ - ------ (\ ~ E- 7::;(( ~( -;> ~ ~f:{-7> ()O I ~ f ~I <::: ~Jj~ ,/ J t ~ ! 0 I LJ ~ \ \ d-.1 --_l 3 8to <so r;; fl-A tV) e IL LA. -1 / /~. ~ / /1 /. eM~...~ .. ........... NoTICE OF RESOURCE RECOVERY ASSESSMENT FORM PERMIT II ~oszg DATE ~'-:J..h ~ 9:2 APPLICANT/OWNER ~ ~ ,~ ~~ COUNTY PARCEL II ,;2 - 10 -.5<.j/-?i;;; - D - ;2'1 LOCATION ~~~~~ ::4~~ USE/CODE DESCRIPTION . . .. ~ RESIDENTIAL NON-RESIDENTIAL Ii UNITS / GROSS SQ. FT. (GSF) RATE/ERU=$SO.OO X O.96*/YEAR OR $0.131S/DAY ERU ASSIGN /I ASSESSMENT = (II UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(O.131S)X(NO DAYS) 100 TOTAL FEE $ AI!) ~ 2 dC), 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 FINft~ RELEASE. DATE RECEIVED BY --------------------------------------------------------------------------------------- FOR OFFICE USE ONLY RECEIPT II /:S2/j?~ DATE BY 2 -2-~;1 -92 fo /