The URL can be used to link to this page

Home My WebLink About92-2255 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 225slJ Property Owner: Job Address: Parcell.D, # Zoning: _E'1.rg~ Code: Description of Work m H~ ,~ Date if - ~ - y .:L .3~ o-D &O~ cJ'b 0~M~ING-~cHA~ SewecConn I,a. ?J':t7V _ ~ Water Conn: 3so. O"P (j . to- CJZJ 3S: c.TP ~JE~EcT~ Radon Gas: ~ -r -(7' NO OCCUPANCY BEFORE C.O. tJ~T~ $~::~& FINAL J.j - /0-q DATE C.O. -/7- Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Pe,mlt F~ <2 - ~ Sig~ature 4.4-,../ .~. ......-'"' Company Address Telephone# Valuation or Contract Price ~ ,s-zro * o-t.) City License Registration # ..3 S b State Certified License# .;A{, '7Y Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PE~IIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 4e~.4.. _~~txn"f1;fl.I:A./ ADDRESS <?S(:;;b 7 /ry 6}~ OWNER A/$lJ1uL L}/A;/J1/v'/A,! JOB LOCATIONP~ 4-<G'/~LJ~,~~4/'#<<..[.AiJ11- SIZE dx?x /~<.:) AREA SQ.FT.~ LEGAL DESCRIPTION: LOT(S) if.y! BLOCK SUBDIVISION ~#~ A'?aI€- A~:.L.vJ R}/14 ~ ?/-) --ALf4TZ;f/Z?l-_k:,;/ I PHONE 83-76'2 -2276 PARCEL I.D.# Jl/-.;;?6 'C7'3--0/3-c_? _~~J o~-LB'/O WORK PROPOSED: ~ New Construction ----Addition ~Alteration ____Repair ____Install ____Sign/Temp. PROPOSED USE: ~Single Family ____Sign ____Move ____Demolish ____M/F ____# of Units' _~M/H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: ~~ X~~ //76 Square Feet, /~:s/Z'~ Height & (1) SET ENERGY FORMS.** FORMS.** RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED -LBUILDING ---=ts....ELECTRICAL X-ME'CHANICAL ~PLUMBING $ c.2t,6PD Valuation of Total Construction ~-z; AMP Service Florida Power Corp. ~ W.R.E.C. $ /d o--Z> Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel ~?J ~.z- Other -- A j/?f36~ ~~/E'-~ cy rZe-~jCl:;?j FINISHED FLOOR ELEVATIONS: FT. ****************************************** / /J CONTRACTOR SECTION BUTLDRR AlEJSI9,J .rr;::: Company ~' L .::dJ(J7~lZS77I1e:- ,,9:l:1A/CL; At:J4t6- ...72..K- ( -/ I _ ~ State Cert. or Regist. iF Signature ~ ~~ City License Registration 4F 3Sh ~ ****************************************** ::::~::~~~~~ ~ Company C/7: ~M,4;t1 ~ . . ,a~ ~. ~~~~e L~~:~~e o~e:~:~:~~i~n iF , i' R' -~......................................**. Company 4k&A,/~~/ State Cert. or Regist. iF Signature ~ City License Registration 1ft /olr t *********************~******************** , . MEeHANT CAI. ~,>>, Z"--';7 Company :/J,4rJ/5 ~/1it? ti!:'!S "'4C 7/(jC.. ~ /) _ / State Cert. or Regist. iF Signature~ ~-u-.. City License Registration IF 7Y- ****************************************** Signature Company State Cert. or Regist. # City License Registration iF OTHER APPLICATION APPROVED BY -.PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions' which lay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONStBILITIES 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 lisdeleanor 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 ZephyrhilJs Building Departlent, (Bl~) 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 Departlent 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 will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOI.enced 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 govern.ental 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: f Departlent of Environlental RequIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer registered 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 violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code.. Every perlit issued shall beeole invalid unless the work authorized by such permit is cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six months after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit 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 abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR 1I1PROVEI1ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COI1"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST}t "NOTICE OF COl'll'lENCEI1E ".- V' ",/ /., I .."' ~ "'~~,4--4-~_-" t6d1U.rA tJ~ SIGNATURE: OWNER OR AGENT (Signati~:r ___ ~/j ~1/V' J-. JIJ~~ (Name Typed, PrJntec:l elr Stalllped) NOTARY PUBL IC IotIry Pubic. Stile of RoricIa M, Conuniuion Expires April 21. 1992 .....cIed Thru TlO7 FBi. = 1_C4I Iec. STATE OF FLORIDA ~ COUNTY OF . -9..s (.. 0 . The foregoing instrument. was acknowledged Lefc.re me this t:;Y/J..i , 19 9J.- by /~!..J'c'-v l:1'i WI n.u who is ~ersonallY kftown to me or who has produced as iden~. .~did not take ~ _.' ~ -", (Signature) D. AN' J::" 1'9,(1V.S',..Jd.1 PI- (Name Typed, PJ-inted C'I- stamped) NOTARY PUBLIC -- Not., Pll!1&c, State of Roricla M, Commission Expires April 21, 1992 Ilond"d Ttu:u T (oy fain: Insur"nce Inc, STATE OF FLORIDA ~ COUNTY OF ~'s c.. n The",fc.regoingins1<rument was acknowledged before me this t ~J~.t, 19~ by '" i' t .' ,. fjrti1 ht.-1.. () R (' UfI4#.A/ who is ~sonally known to me or who has produced as identification tak Igb/o' '."SlT.E':"':',p'~';", N " '.' 1" Ll-'\ . . ~ (~E~18'~:~ri/At}:L'SE' ONLY) P f:utc.. E L N urlJ &::12.. II -~ ;:l/ --';:'; r;. - C) 3",. 0/3. c;J - 006.::::::>,;> - (?~<..", <.'::0 " ' SUBDIVISION OR. OTHER L~CATION DESCRIPTION:" n,' (.03/ 7~L ~t"77~ ))/L- PHASE If UNIT, -........_,._....~'.~ ":",;...,--,...-...-..- i I i \.,nn_._ I I I _ ._~_--C_,_-.-._ __1____._.___ . I I I I 1 I I I I ----I-----._.n. . I I I -r-U.-i ... -. .. . : ,. . _______J._~.__._. .... I I '1-- - .- .j.--.-- .--... -- . -- ..... 1'. I " I . 1f ~' I . 't. . ,/,"' , , - ,,_."h'___", j"_ .-"1 -,- ! i I . .----j)'2:~-.--.---f..- ! /j, tJ I J; li/t., &~. ; .i)~p') . _ 1t\~'ftJ~j '. 1" if' : (~ s -~-,---. f ! If 'IV I /'''=:;:. /Lr~ I N ..__._....__.......__.._ _________. .~~_____..'____._.._.4._ .__..,_.,._._._._. I I I \ \1 I i _. -...---.---..-... ....- ..-.-.----... .-..-.- --/.-... I ! ..--...-4 -.-.... --', -. .--.. .. ... ~ '. I IJ~ ""/ ( 'J'~ .. It) ] (" I .lt616 ':','SlTE:::.':'P'LA:" N' ' ... : . j' . . (~.Edl'b-~:NT;:AL::~:L'SE' ONLY) .- P j:'.M...L~ L N U(I) UP-.. SUBDIVISION OR OTHER LOCATION DESCRIPTION: ~L ~&~' fI PHASE JI UNIT, , / It':;:. /t)~ . . i r~m I I I --1---.--.. /}-tf/ I I I ------'--1 -..-.. .......... ! I J; ~( .. ----.-./)::-] I ',1>1. " {cJ '?(ji I __J i ~lttA : ~lffl,. ~ i'~~ ' If '. i. I '::J.1 i -.1----- I I I I .-tli! ! l~ N ijjJ fp.vit~.- D[- .. ! I N s ---' ... W'r-_~_ 'f' ~... " ," ,.,. NOTICE OF RESOURCE RECOVERY ASSESSMENT FORM ..' PERMIT If -, I " c:'''' (;I:) ,~}. , '} / ~~ i,J DATE 4' _ , //" r' j . ,,/ ;........,..""'- APPLICANT I OWNER , " / ,;' ~,. ; i', /_ , j.. } . " .-r .I/L_ I' , l) "l..X~' ,,'I. >1 /~1 COUNTY PARCEL tI -S' ,;'; (-. ,/ / --. I ,_5' ... ~:' s- LOCATION t, 0 .3 / / '~"f"( '-;,'- ";;)! / ;;/ / .L... .~' ,-~ , .' I ',. '~, _;':i:-~~~ /' ~' -. ~A l .'.' I' '0' ,t)"'(;", ( ./ USE/CODE DESCRIPTION '. ( /.: Iv! i / / / /i~..t . , 'j ,'. (' RESIDENTIAL NON-RESIDENTIAL Ii UNITS / I GROSS SQ. FT. (GSF) RATE/ERU=$50.00 X 0.96*/YEAR OR $0.~315/DAY ERU ASSIGN # ASSESSMENT = (# UNITS)X($0.1315)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.1315)X(NO DAYS) 100 TOTAL FEE $ ':::) .~.) ,\~;~,~> TOTAL FEE = $ , , PREPfiRED BY />:t,',.." ,j * 'DISCOUNTED tOR P1u:PAYMENT \,' , . if t' '!. '" --------------------------------------------------------------------.----------------- 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 TLME 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. ~ '..... ff.~ DATE t RECEIVED BY '~ FOR OFFICE USE ONLY RECEIPT II ) --'/;\../) I DATE "'- i '_,.Ij ,,~....- BY , (' \. \ \. /"".'\ 'f'" . '\ , ,", ('\~ --.. . (/ . .- .:. C E N T R ALP E ~ M I T F'ri';,C::' COUNTY, FL..e::;: T r'{'1 : :: C: :"": i' F\ (\ ~.:.~ -~. ~=!: ~: :F:' ~ (-:"U:~;~ " J ,'.! t' I ;--; t~_ 'co (.',F',','~', i ~_: ~H< ~~. I ~ ~_ ~ "', -,I I ("<ceNT .\ I " r,~~=c.:~:~ I \}~::Ll , ," .-', .( i_,l'._ ....' .', [':r:;,! ',.1-- , ':".: c~ ;_. T D ~..'; ,'":\ (: [ut ::: C: ~< :,.[ 'f' :Jf ('\L~ Pit"~CJiJr'.~T ~ .-.,-, :;:: .:"':';.: _..,1.,.' f-:'::,~..:.:.C:~:..J l'i .~.. C;:~I\1 TEF\ AI'10UNT '-.' .-',,':', ,::;":'. .-,..-,., _.' .... 2~__~1kD~-_........C ,. ....:.. r:: , -.l,... _ L...... " 1"'," DATE~ F'(~C;E : LJ :., );_.,~.;~e.r. ""1-~ ::' ?'~ T ~-) 04/20/92 1 CF 1 1,) () :~ ::?, -,.'I (~~'+ '3 [','; i"::~ / ~=: ::;~ 60