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Home My WebLink About92-2061 ~ BUILDING PERMIT Permit 206113 J-J.o-9:1... '/ (). d"1J ~~I~ CITY OF ZEPHYRHILLS (813) 788-6611 Js, au .33>-: nJ ~CTRIC~ CPLUMB;9) PmpertyOwne, ;f;r-rJ2 t:.f:{j;z- Job Address: J i ~ Parcell.D, # :1.- ~ -':l-I -4 D - 0 - y 7 Radon Gas: ~"T--,o No \ . Date MECHANICAL Sewer Conn ~;LJtf"'; d7J /-(7..IJ{L Water Conn: J..5lJ. tJb /-/'J-?.:t /....J. " . ,0 Water Meter: -/7-/01. i-I /..,?~ T.I.F.'s: / Zoning: ~co~ Description of Work m . Inspector NO OCCUPANCY BEFORE C.O. FINAL /- C.O. ....l..... Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price ~ Pe,m;, F~~ ~ ~~:::u::. , ,'\ _ l:? .P<ddress Telephone# City License Registration # J- YO State Certified License# 2-D /I :3 Y::J.... PLUMBING Tp, Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade~ - a, Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. .,. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT .3"" 0\.obi\L \-k.... '1 q B t-..J OWNER G (..c,o.L W~L\.~(t 'N""\ ~ JOB LOCATION 5 '0 ~ ~ \ (=i o;>L>~s \-\lY0C\ L LkLh So.\~<- F\ PHONE L, ~ S . ~OO 'I ADDRESS Vu\~ <1"-1 t..~ '1L\lL LOT SIZE St> X ~O AREA SQ. FT. ~ C)()O LEGAL DESCRIPTION: LOT (S) 4- '\ BLOCK SUBDIVISION V'I t\ i.c.o..L ~\(\\.J....t ,) PARCEL 1. D. ~t Q . Q(,p - 'a l .' -.U~ - D - t\ '\ WORK PROPOSED:~New Construction ----Addition ----Alteration ____Repair ____Install ____Sign/Temp. _Sign ____Move ~emolish PROPOSED USE: _Single Family _M/F _4~ of Uni ts XM/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: ;;) L\ X'\ [) , Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ \ ~?-()O Valuation of Total Construction \ ~ D AMP Service ./ Florida Power Corp. _W.R.E.C. _ELECTRICAL ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel ('() ~-I Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** . CONTRACTOR SECTION BUILDER r-\~'" 'f'{'\ \-it "::> Company ~rt ~O State Cert. or Regist. 4; L-.D 1.-\ 38 ~ Signature ' \-\ ~ \J.~. City License Registration 4t ...1::)40 *** ************************************* ELF.CTRTCIAN \-\O'r""\.L Dw"-l e.. (' Company I ~-"" State Cert. or Regist. 4t SilZIlature ~C1"..P ~ ~ City License Registration 4t , ****************************************** PLlJMRF.R \\O'f"C'-\ L ()....) ~ ~ (" Company I ;/~ State Cert. or Regist. 4~ Signature/'I...l..b1.,..L- ~! ~~ City License Registration 4; ****************************************** MECHANICAL Nt A. Company State Cert. or Regist. 4t City License Registration # ****************************************** Signature Signature Company State Cert. or Regist. 4t City License Registration 4t OTHER .~************~************************ APPLICATION APPROVED BY -+L(...h..;(---1 ~ ~. ~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A7 NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'Iay be subject to "deed restrictions" which lay be lore restrictive tha~ City regulations. The undersigned assules 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 is not licensed as required by law, both the owner and contractor lay be cited for a lisdeaeanor violation under state law. If the 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, !8131 788-6611. Furtherlore, 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 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 - HOleowner's Protection Guide" prepared by the Florida Departaent 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 prolise 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 .ill be done in cOlpliance .ith all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: . Departlent of Environlental ReQulation - Cypress Baybeads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent . Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "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 perlit 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 frol thereafter requiring a correction Df errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit [lith fee charge of SI5.00. 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 CO"~NC8KENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR PROPERTY. IF YOU INTEN~ TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CDKftENCEftENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF CO""ENCE"ENT". /iz~,~~ ~~~ STATE OF FLORIDA J) /1/ STATE OF FLORIDA Y 11/ COUItTY OF . , n _T'---- COUNTY OF :J.C -~ The fc.regoing instrum nt was acknowledged The foregc.ing instrume was as.Jm~oWledged ,JIi C/ 2- '7/'tl;. {J before me this~H;' '- 'a:Y'-, 19~ by before me this(~ !/ Y'--, 19~ by not (Na e Typed, PrinteJ NOTARY PUBLIC ROTARY PUBliC; STAn OF 1'1 {H!111~ ~"f URGE MY COMMISSION EXPIRES NOV. 30, 19q? BONDED ,.HRU AGnn:s NOiAR' BROKERfd":E 1I0TARY PUBllC; STATE OF nOlllD~ n \.ARllE MY COMMISSION EXPIRES NOV, 30, 190? BONDED THRU AGE1HiS NOiflR' BROKERACE NoTICE OF RESOURCE RECOVERY ASSESSMENT FORM PERMIT If c:l. CJ 6 / If DATE-L- d- IT - 9.:1._ _ ti~ ~ / /J-+J! APPLICANT/OWNER >:7-<"~tiZ k.~ COUNTY PARCEL il .,;l - ;L - ;;2/ - J:. IJ..... 0- Y 7 LOCATION 3?- 7 7 / V~<A-\. ~Q._ USE/CODE DESCRIPTIO~/~~~'~ RESIDENTIAL NON-RESIDENTIAL ii UNITS / GROSS SQ. FT. (GSF) RATE/ERU=$SO.OO X 0.96*/YEAR OR $0.131S/DAY ERU ASSIGN # ASSESSMENT = (d UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS) 100 TOTAL FEE = $ .(./ L~. L\ 5 TOTAL FEE = $ . PREP!(RED) aY ~I\. ~5L \.. \ >v. * DISCOUNTED FOR PRE~AYMENT / ./ 3i -------------------------------------------------------------------------------------- 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 DATE RECEIPT II -:-- \~ BY ~~?, ~ ~. ~ " ,~. ;,;! 'v;:";15!'.: ~.. C)~~':~>_J~;~h.::~..I:"~.::' ", '~'i'~.",.:>p,,.:.:C,._ ,~(l1'\--'>'''~~~_~ . '-::\/ ......_,..."__"'~~_..,..~..'..,.M...."'..._..._._.....,.,.,...