HomeMy WebLinkAbout92-2145
BUILDIONG PERMIT
Permit
N~
214sg
3~';1JCJ
~ILDI~
--5--Y- 7~-
CELECTRIC~
.3 t!? (J'D
~~9 Sewer Conn 1175(-; OQ
Water Conn: 3.5C:9. ttTV
~ ~A4<.- ~ter Meter: / h--S: CJ'i)
~ ~/ ~ -
T,l F','s: ~.5 F-~ ' cro
Date d. -~O - 7(J
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL q.... z..
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price ,.5~ t!J7Jb. tJi)
City License Registration # , ~ ..:l :t.
State Certified License#
Lintel
Tp. Servo ~
Rough In ~- 2&4. ~1.
Meter Can
Const. Pole
~POOI
C Pre-Meter
.
SLB
Tub Set
Water
''{-1 ~ ? L Pi3 Sewer I-f-I-q l
Final
~-/r-9z.. }5~(
.
Breakers
Ducts Insl.
Compressor
Final
FRM.
Insul. CL
WL 3 <'24-1'2-
I.' . ~ Final
Driveway if/tJ.1rL. L
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.
~'
!r~/~
o
02/ v --5-- 8
6//600
l.
4,
(fERS.
'18.
/-~p-
de -~o1i &~i:L
APPLICATION FOR PERN'IT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~~e gU/~A' 1.;,::z:;;;C.
~ . ,/..'
ADDRESS 707 7Mc:r ~L. h{,.~;.;~'. tJy{./ ..../7?'..?-3~ifpI10NE
/ ~ r
OWNER (/a./.#1<"!' d p-e' .L/c?/& /0 Ve4' A-
I'
JOB LOCATION3.99'.r3/ '?:~~C{l/1? Atve
"
I" ( "
LOT SIZE '7 s'" X /20 AREA
LEGAL DESCRIPTION: LOT(S)
33
BLOCK
SUBDIVIS ION ~ /A C.O,~
SQ. FT . ?eft)(!)
,/4/"1; /ttI _(4~
/
PARCEL I.D.~t
WORK PROPOSED: ~w Construction ~Addition ____Alteration ____Repair ____Install
____Sign/Temp. ____Sign _Hove ____Demolish
PROPOSED USE: ~Single Family ~M/F _ft of Units . .____1'1 I H
____Commercial _Indust. ____Swim. Pool Other
____Restaurant & Health Department Approval
j.r" .r' /33~ i? /
BUILDING SIZE: ..2;7 ~ X 5?) , Square Fee t, 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 FORHS.H
**COPY OF CONTRACT REQUIRED.
:pERMTTS REOUESTED
____BUILDING
$
valuation of Total Construction
, ..'
____ELECTRICAL
AMP service'
....-Florida Power Corp,
_W,R.E,C.
____1'1ECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
v;;:,ck
ROOFING
SPECIALTY
0'"
TYPE OF CONSTRUCTION:
____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
~ONTRACTOR ::;ECTI~ ~ J / I"'/'
. Company / ct'~ e.. Lf V1 /;1 dRg ,;.LA C.
State Cert, or Regist. 0
. City License Regi~tration it ...3.2~
***************************************
, PLUMBER A, C
Signature (~
p/v... (.,,,; Company .. ~..C. ,,1- ./10/ '
,/~/) '--- State Cert. or Regist. !' .. RF'" "" J7&-'7'1
i~- City License Registration iF 1"27
******************************************
MECHANTCAlr(-,~. ~::I.- Company EC&fD ~7f>.. V' ~
/ State Cert. or Regist. U '
Signature City License Registration 11 / r; b
******************************************
Company' ~4k/ E~(c. (/n
State Cert. or Eet0.st, it-
City License Registration it :l:J...Lf
*********************************
Signature
Company
State Cert. or Regist. U
City License Registration 0
DTHER
APPLICATION APPROVED BY
**~~***********r**************************
l~dJtJ1'~'2l Ob'''^Y .
PERl-lIT OFFICER.
CONDITIONS;O~.PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
The .undersigned understands that this per.it lay be sublect to "deed restricti~ns' ~hich ~ay be ~ore restr.ictive than City
regulations. The undersigned aSSUII!S responsibilHf:for;,colpHance with any applicable deed restrictions.
\ ,.W' ' .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI8ILITI~S
If the owner has hired a contractor or contractors to undertake work, 'they aay be required to be licensed in accordance with
state Bnd local regulations. If the contractor is not licensed as required by la~, both the ~Hncr and contractor ~ay be
cited for a misdeaeanor violation under state law., If the ollner or intended contract~r are uncertain as to what licensing
require.ents lay apply f~r the intended work, they are advised to contact the City of Zcphyrhills Building Departlent, (813)
788-6611. . . '"i
Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the c~ntract~r{s) sign portions of the
"Contractor Sections" of this application for IIhich they Ifill be responsible, If y~u, as the ~lfner sign as the c~ntractor,
you are indicating that you, rather than the contractor, are responsible for the If~rk. If the contractor wishes y~u to sign
as contractor that aay be an indication that he is not properly licensed ~nd is not entitled t~ 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 provi'ded with a copy of "Florida's Constructi~n lien lall - H~leollner's Protection
Guide" prepared by the Florida Departaent of Agriculture and Consumer Affairs, If the applicant is s~te(.ne other than the
"ollner", I certify that I have [.btained a. copy of the above described de,cUillent and pf(,rr.ise in ge,od faith to deliver it to the
"owner" prior to co..ence.ent.
~,,'tt.. I" I ;:'.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all w~rK will be done in coarliance with all
applicable laws regulating c~nstruction, zoning, and land development,
Appli~ation is hereby .ade to obtain a per.it to'do work and install~tion as indicated, I certify that no work or
installation has cOlaenced prior to issuance of a per.it and that all work lIill be performed to roeet standards of all laws
regulating construction, City codes, zoning regulations, ana land development requlations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is
., "'P"" it iii', ,. id '"' if, ,h.' "ti '" I ,",I la" I' b' ;, mp Ii '"". Soo to .g ,,," '" i "cl ,de C., '" ",. Ii. it ,d ."
...
I Departle~t of Envir~nmenial ReQulation - cypr~ss Bayheads, Wetland Areas and Environmentally Sensi tiv~ l30rlsr
Water/Wastewater Treatment
I Southwest Florida Water' Manane.ent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
I Army Corps ~f Ennineers - Seawalls, Docks, Navigable Waterways
. 1"""'" of H"l'h , ',h.b;l;'.,;" S",;e,', ",i",."..1 H,.ll' ",it - "\\" "".,.t" ].,..."" S'p'ie T.,"
I US Environaental Protection Anency - Asbestos abatement
also certify that, if fill aatt'rial is to be used in He.od Ze.ne "A" [Ir "A,etc,', it is underste,od lI"t a drainage plan
.dd",,;'g . ',..p",.'i,g ,.1.." ,;tl b' ,.b.i't,' ,h;eh \, p,'p."d b, . 1",.,'i.,.1 ,.gi.'" ,.,i,'.,.. i. 'h' S..., .,
Florida prior to permit issuance,
. p".i' ;".., ,h.11 b, ,.""." t, b, I Ii,.", t, p"e,,' ,ith Ih' .." .,d ,.. ., ..'h,.i', " .i,I..., ,.",1 ,I"'. "
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Dfficial froft thereafter
"g,;,;,g . ,.",,'i., " ",." i, pl.,,; ""t,..tl." .r ,;.I,'i... ,f ,'. "d.. E.", .".i. i..... ,'.\1 b,,'" i,..lid
unless the work authe.rized by such permit is c[.lIlllenced within six 1Il0nths ~f issuance, e,r if tle,d: allt!.{'II~ed by the per.it is
"'p,,,.d " ....'."d f.' . p"i., ,f ,i. ."th. .ft" 'h, .,., tho .." ;, ".."",. D.. '0 d., .,t."i.. ., 'i.., .., b.
,\1..., f., '0, p.,.i' ,i', f" eh"9' ,f 115.00. Ih' """;" .h.ll b' "g.,,'" i. "i'i'9 t. '0' ',il'i'. Offi,i.I, .,
approved inspection ~ust be logged d~rinq each six month period, Dr the prDject will be cDnsidered dbdlldDoed.
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 "NOTICE OF COMMEw~ ENT".
.-1 J
SIGNATURE__________________________________ SIGNA-IURE__~ ------- ------
OWNER OR AGENT CONTRACTOR
DATE________~-~-~~:c-~---~----------
NOTARY AS TO 12 - . 0 <.7 ~
CONTRACTOR ~~ ~
____________________________VLOR~
NOTARY PUBLIC, S~'TIiE~~NOV. 2. I'
MY COMMISSION EXPIRE~~~~.xl'!!.1'~~..y~DERW!
DATE
--------------------------------.-------
NOTARY AS TO
OWNER OR AGENT_____________~_______________
MY COMMISSION EXPIRES
----------------------
OTARY PUBLlC, STATE~F FLORIDA.
~Y COMMISSION l<:XHRES:Nov. 2. 1994
BONDED TllRU NOTARY PUBLIC UNDERW,UT
Department of
Building
Regulation
RIDGE BUILDERS
CARJlELLO &: NELLY RIVERA
394:31 LDICOLH AVENUE
1,008 sq. Ft. Living x $ 35
328 Sq. Ft. Other x $ 11
VALUA"l"ION: $ 39,000.00
Building: $ 355.00
Plumbing: 35.00
Elec. 54.75
Mech. 30.00
SUB"I."O'I'AL : $ 4:74:.75
BUILDIRG PLAIIS REVEIW CREDI"l": 4:0.00
PERMI"l" "l"O"l'AL: $ 4:34.75
COIUIEC"l"ION FEES:
Sewer $ 1,278.00
Water 350.00
Meter 165.00
"l"O"l'AL : $ 1,793.00
RADON GAS: $ 13.36
Sq. Ft. 1,336
"I'RARSPOR"l"A"l"ION FEES: $ 1,585.00
x 99% $ 1,569.15
x 01% $ 15.85
GRAND "l"O"l'AL $ 3,826.11
t"
"Building Safety Is No Accident"
~
f-
J
i
V1
~
J.
r
~
\:-
"';:)
::.
~
r:!..
\-
'::::>
'"
~
,4\ ::/
~
~
--;
-.>0
. ,
N-89.59"30" -E
75.00'
7.50' EASEMENT ~
..R.
~
I
;....
o b
to 0
? 0
o ~
o
I
Z
~
I
;....
b 0
o to
o 0
~ 0
o
I
Z
LOT - 33
SCALE 1"=20'
34
75.00'
N-89.59'30"-E
b
o
.n
N
50.00' RIGHT-OF-WAY
-L1NCOL-N- ------u-u----AVENUE _u -- _u______,_
r)J:SCR IP'1'ION
Lot 13 of LINCOJ"N HEIGHTS SUBDIVISION, as per map or plat thereof reC'orded in Plat Book 11,
Paqe 113, Public Records of Pasco COl1nty, Florida.
NOTES:
1. Description as provided
2. Bearing reference from Record Plat PB. 13, PG. 113
,. Plat prepared from legal description - NOT A CURRENT FIELD SURVEY
REVISION
JOB NO.
8249
,
s
BOBBY W. SIMMONS
, I.AII) SURVEYllII
p.a. BOX 1217. .. HWY3I1S.
DADE em, FlOllllA 33S2I
(9M) SfI....
I<<lT VAl.D \KESS NPRNTED WI1H RAISED SEAl.
Dolto! SuMY:
Drawn by:
F - FOOl()
',SET
IR - IAal ROO
IP ' IAal PIPE
CM. CONCRETE t.D<<.IMEHT
NIO.NAUDISK
RRS-RALIOO SPlIKE
POB POINT Of IlEGI'*"HG
GEND
1FI.FIELDDATA
(C) - ca.lPUTEO DATA
lDl' oeeDOR oeSCRIPTION
DoItoll'lol: 7-8-91 /wMdby:
TjpeolSuMY SKETCH FOR SPECIAL PURPOSE
SURVEY CERTn:O TO:
RIDGE BUILDERS INC.
-- -- -- ~ -.-..--------.-- -- -:_- ,-.- - - ~ - -"-_.-..-.~--
\lTf~M ~iCT I \iE
SELECT ONLINE APPLICATION --/
".ITAI.., {~CT I ',IE
3EL.ECT fJNL I NF {.1F'F'L I Cf~ 1 I Ol'.~ - -.'
I Ei'~rf~
F'(-i::;;C'l.I
Cf)i'Hf~:{;CT OF; :!:l: ~
l\if~t'lE ~ CP.RI'1E:LU~ :i,:NELL Y I;: I \it R{~
HDDR~ LT ~3 39431 LINCOLN AV
C/:;l-: Cl1'{ ?/HILL,S
ALP E R M I T 1 1 N G DATE: 04/20/92
CUUNTY, FLORIDA PAGE: 1 OF 1
I ::;:'3 Ul:: on:' ICE: D
;:':ECE.IF'T N!.H'iBr~'; UUj 371):;;:
G~FICE: DADE CI Y
FUH, F\E~=;C'Ur':;:C:E r FE
CHECK tt CA::;h
(.:CCNT
l :1.4
Ten AL ,'-'MOU/,j T ~
COMPNY ACCOUNT CENTER
'-::::::l! ~;:-:::
t:\MClur'~T
[H::'~::,C.r~~ I F'T I !=)f\],'/ f'f:=Rt"1 T rH~ T [~ !:JF:./ c:~~
"84')(; --, ::.~;::.>:3()()() .--
-)
~
:~; .~:~ ,. 5 :>~:
'I"~H";j ,:}'jj,
.i")
flEeE I \)EDL::Y
;/
_ _ _.':>_/~_ .(_u _...:.. .~~,."_~ ._f~~__ C,~"( __ _. .._
'~~!i;':~;!::-t,'."'"
~~.; .j;l':i...._____
~;,.f".;..~, -,<~~~..~.::i,....)i,-t/Jo~ ;ii-"",..
.-.,.':-:l!"~""').;~~ ~'...~'
NotICE
OF
RESOURCE RECOVERY ASSESSMENT FORM
PERMIT II
DATE
n / / I .1""- i:.."'"
","" /7 ") ')
/-j <70 lj?
/., .. . --
APPLICANT/OWNER
/t.' /:
( ('..1t..........u.J a
'9'
.
, i Ii
Jl /, /I~
I ~/( /.
I ' , .
/1 I ,/r'D /,,1'"'
/\ ) lJ <' r c..(
~'
// tJ ('
COUNTY PARCEL II
,/1..1 -p "J
r-( , j ",J
LOCATION
~;' '/ /-1 ;; /
..
,A"'; j"
/
."..1 -
. I
!
",,;Y- ~. .~ it......
,
I ",1
h', Ii-./- i ('
. ,~. t../ \ ,
,/"--/
/ ,,'('
USE/CODE DESCRIPTION
RESIDENTIAL
NON-RESIDENTIAL
# UNITS GROSS SQ. FT. (GSF)
.'~
RATE/ERU=$50.00 X O.96*/YEAR OR $O.1315/DAY ERU ASSIGN II
ASSESSMENT = (II UNITS)X($O.1315)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(O.1315)X(NO DAYS)
100
$
") "-
~-- ;,..,_' l.".' ,-.../
TOTAL FEE = $
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 FINp~ RELEASE.
RECEIVED BY
DATE
FOR OFFICE USE ONLY
RECEIPT Ii
1.,' i !
DATE
BY ( .',/ . /",. I .