HomeMy WebLinkAbout92-2356
BUILDING PERMIT
PmpenyOwne' ~~~~ J
Job Address: If, '. 1 <
Parcell.D. # 3-;L. - -- /..s.--.~
CITY OF ZEPHYRHILLS
(813) 788.6611
a~-: ~ ~()
GLUMBING~ Sewer Conn /,J.7F-. cJzJ.
Water Conn: ~ ?..!:.I!J. IT'D
~"-4Jt..#~J Wate~ Meter:: ~ ~~ crv
r.I.F.s: /.> ~S . 0-0
Permit
N<!
235sE
8-0. 0-0
~. - ..5-5-: OV
BU~D1~VCEL~~
Date
--.1- - d-,CJ.- 7" ;;L
Zoning:
Descriptio!" of Work
Energy ~
lJ!~
Radon Gas:
.;If- -'7' ~ ~...~~ .+
j~
Permit Fe
Sign~ture
Compa
Address
Telephone#
c::l
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or IJ /J / 11 ~
ContractPrice .7~7J. o-v ~~~
Breakers
Ducts Insl.
Compressor ~
Final s::- ~f-
Ftr. Tp. Servo
Pre SLB Rough In
Lintel Meter Can
FRM. Const. Pole
Insul. CL Pool
WL Pre-Meter
.S~~:~r~ S-2,q-ct ~(J final 5'-LCI-I/L ~
Drlvewa,r _ ~-
SLB
Tub Set
Water
Sewer
Finall!JrZ9--tJ Z M-
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.
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.
-wa. &7-r-7d-.. r'
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 d/u;/J 4~~ '
ADDRESS &/'/1 Z~.-P/./'-(/C ,d./J}qZ
OWNER /-;e./lA/CCS ~/l4SS
JOB LOCATION t?~/ C/I 7c.7lI/;::t. ft/.LJf L LJ;{. - 2#/1 tj LOT SIZE :;5 X /00 AREA SQ. FT. 652:; 0
.0/1..... - 2'C;P/;;'-/&/iL-I /2.-)-; PHONE/%]-;?2 76
,
LEGAL DESCRIPTION: Lor(s)
./
I::>
BLOCK
SUBDIVISION
PARCEL I.D.lF
O:5.-<;;U..;;J/ -/3 - ~, ~ ,(,J/S. ,1
WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Ins tall
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: _Single Family _M/F _l~ of Units' _~M/H
_Commercial _Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
BuiLDING SIZE: .~6 X 2;?' ,
/S-6Y
Square Feet,
/.5 7!J"z 7
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.
~ 7S6.trO .. ~-
~BUILDING
~ELECTRICAL
.~. MEiCHANICAL
.*- PLUMBING
$
o?~.500
Valuation of Total Construction
$
/ 'J'(!J AMP Service
/dSQ
)./ /A- GAS
Florida Power Corp.
~W.R.E.C.
Valuation of Mechanical Installation
"tY A-
.
ROOFING
A///J-
.
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame _Steel
/l1.lv<
Other
FINISHED FLOOR ELEVATIONS: FT.
. ******************************************
/LJ2LSO."J ~7/M ~ CONTRACTOR SECTION
BlJILDER //,.d!. Z!//2.:J(!.5;717'Z:: /J1t),~?' Company /1,/[ VUl? ;!5l7J1~
~ /-7 State Cert. or Regist. iI
Signature ,......, ~~ City License Registration #
. ' C/*********************************'':****'''***
/)108/(.6': //M?ES Z/(.JG
3~s~
ELECTRICIAN tp~/1dL::.A/c..- .~/edA/J company.,iL IA ;r,.:/JVJ~\,,}717 (':i4fl/tiJr--1A..) i::C:cL("7Uc
iJ/ ~.. ~-,/ ~ State Cert. or Regist. #
SilffiatureU[ d/i.t~ u/'ut'~~ '-Fv <- ~City License Registration # 3R'
~ -** ***** ******************************
PPIMREB A/ELCi7J,v /2r Company A-:c-/;-,nJ /A<~
~ State Cert. or Regist. W
Signature ~ ~ City License Registration i~ /tJ F'
~ '_ **~*****~************r~*******************
~L:.. / A..) D-J!yJL- { , /J "
. /l.. 5 /. L//Jd ,/#-. Company ,(3.4 /; /L S ~/7/1;K/~' 6.4,5> 4rJ..G JLc........
State Cert. or Regist. #
City License Registration 4F _ 7 Y
**********************************
OTHER h/.?./:c;- .t3c~ Company fj "#" #1lJt?;t~
~ //_ State Cert. or Regist~ #
Signature)' ,'{Lu:r< City Lieense Registration" '1</
I r *~***.**.******~;*************************
APPLICATION APPROVED BY 4AA1~ ~~~.J- PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject to 'deed restrictions" which lay be lore restrictive than'" r,H
regulations. The undersigned assues responsibility for cOlpliance with any apR\~iicable deed restrictions. ' .. y
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS~BILITIES
If the owner has hired ~ contractor or contracto~s to un~ertake work, they lay be reqJ'red to be licensed in accordance with
s~ate and loc~l regulatIo~s. ~f the contractor IS not lIcensed as required by law, botft\the owner and contractor lay be
cIted for a Ilsdeleanor VIolatIon under state law. If the owner or intended contractor a~ ~ncertain as to "hat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
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 Departent 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 cOAlenCelent.
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 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
.Y 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 Bayheads, Yetland Areas and Environlentally Sensitive Lands,
Yater/Wastewater Treatlent
~ Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
~ ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & 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' 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, 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 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 cOltenced. 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 "AY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR
PROPERTY. IF YOU INTEND'TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
~. JOBS ONOE: 12,500 IN VAlUE DO HOT NEED TO REEORO 'H:':;;T~OTICE OF, COKHEHeEHE .
j/JfJA1(;u'</..( ~ ~ .~
SIGNATURE: OWNER OR AGENT / SI NATURE: CONTRACTORU
pri:'d' ,r~ui
STATE OF FLORIDA c:J
COUNTY OF rtfs Co
. The foregoing instrument was acknowledged
befclre me th i s ;}.(J /f;! tj:J ,19 ~;;L by
~~&?_ ~ ~4A/
who is persc1nal y known lu 11I<= u. IIh[' hae
p . J
i.~ :<L..ll. h::atilOln and who did/did not
t~h. . ~
(Si~~~( ::J-- ;::)~
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
Notary Publie, State At Large, Florida.
My Commission Expires April 2, 1995
STATE OF FLORIDA~
COUNTY OF 4 J C. 0
Th~,foregoing ins~ru~nt was acknowledged
before me this ~O ~, 19 rJ- by
~ IN LLS L.!tfil".ss
who is personally known t~ me 01 ~,~ ha5
es iden~ifi~ati~n and who~/did not
t~7 ~~o~th. ../J .
~.Mf~9,R21~
(Si9~ature) .' --:-:> \
--tS A-TH t..EE 0 ~, --D ~ ~\bJ
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Notary Public. State ~t larg~, Florida.
My Commission ExpIres Apn12. 1995
---
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(RESlbE'Nil'~L}{jSE' ONLY)
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SUBDIVISION OR OTHER LOCATION DES
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DATE: 06/15/92
PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR: 00141877
OFFICE: DADE CITY
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
CONTRACTOR #:
NAME: FRANCIS MAAS EUGENE O,KANE
ADDR: 6141 ZEPHYR RIDGE DR
C/ST: CITY Z/HILLS
FOR: RESOUCE FEE 03-26-21
CHECK # 3070
ACCNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - 2
26. 1 7
AMOUNT
26.17
RECEIVED BY ~~---~
DESCRIPTION/PERMT DATA DRICR
****** 60
NoTICE
OF
RESOURCE RECOVERY ASSESSMENT FORM
APPLICANT/OWNER ,,;(~
jyJ t:XaA.<1
PERMIT II. ;2..3.5b
DATE b- J....s - - 9 ::L..
/;'J-"-- ~~ Q
-o/~- _ ~
..to /l '
Ii
COUNTY PARCEL II J -~ . :2-/ -/3 - 0
~::~:::: D~S~:~TION ~~~Lt;
RESIDENTIAL
NON-RESIDENTIAL
Ii UNITS
J
GROSS SQ. FT. (GSF)
RATE/ERU=$SO.OO X O.96*/YEAR OR $0.131S/DAY ERU ASSIGN #
ASSESSMENT = (# UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS)
100
TOTAL FEE = $
TOTAL FEE = $
PREPARED BY
* DISCOUNTED
--------------------------------------------------------------------------------------
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 lit / f77
DATE
6 - 1:)- 9C
BY ~~~ ~7