HomeMy WebLinkAbout92-2407
BUILDING PERMIT
Permit
240713
~ - /0- 7:J-
CITY OF ZEPHYRHILLS
(813) 788-6611
N~
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~IL~
DatH
Property Owner:
Job Address:
Parcell.D. #
Zoning: -EJe~gJ Code:
Description of Work )11 ~ 4~
.2 ..5. ___ cr-v
CELE-CTRI~
, 1
;s s -: c.'/z)
.;z. 0.- crv
~CHA~ Sewer Conn I ~ 7? 0-0
Water Conn: -3 <..SO . 0-0
Water Meter: I b.S -. iJlJ
T.I.F."s: /~-~-: 0lJ
J
Radon Gas:
~r'-T ~ 4'/-L~
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or
Contract Price
~/A
City License Registration # 3-.s~
l!;.~~tiied License:. '-I
lkl:- rt::l/j;~4" M~j-
- 3~
C BUf[D~ CELECT-RIC~
Ftr. Tp. Servo
Pre SLB Rough In
Lintel Meter Can
Telephone#
Jt-~ ~ff~~
--- ~ 7/Dfr
C ~LU~,
SLB
Tub Set
Water
Sewer
Final
~~~.~~~
r~EC~~?Y
Breakers
Ducts Insl.
Compressor
Final
Const. Pole
Pool
Pre-Meter
Final
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 ($15.001 shall be made for each trip for each trade:
a.
b.
c.
d.
e.
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
/J'(;l. b - /1- 7'2-
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PER1Ifi.T
CIlT OF ZEPllYIMILLS
BUIIJlIliG DEPARDIENT
i2t~ /7t''''{0,t/ PHONE % 732 '
OIINER'S ADDRES~h: L}r7?~d of~/,.(/h,c$-,;J3rh
JOB ADDRESS L~ d~'V--L/'
Z2 7~~
OWNER I S RAKE
//'7
LEGAL DESCRIPl'ION: LOl'{S) Z>
BL.OCK
SUBDIVISION
PARCEL I. D. t 3-..:2 6~;J / - .tJ /3 0 - ",_,1(;> :;;)<'- t2'1'1. 0
WORK PROPOSED:~lIewr Construction _Addition _Alteration _Repair _Install
_Sign
_!!love
__Deaolish
PROPOSED USE:
Single F3Ilily
_KIF
_, of Units
..:rlS.K/H
_<=<-ercia1
_Indust.
_S.n... Pool
Ot:her
_Rest:aurant 5: Bea1t:h >>epan:.ent Approva1
BUILDING SIZE:
~l X 1t l ,
";11..-) I
Square Feet,
Height:
~
RESIDENTIAL :
COHKERCIAL :
A'ITACII (2) PLOI' PLARS 5: (2) SEIS OF BUTIJ)ING PI..OS &: (1) SET ENERGY FORKS. **
ATI'ACI (3) SEIS OF BUIIJ)IBG PLARS &: (1) SET ENERGY FORKS. **
**COPT OF CONTRACT RIlQtJJIRED.
PEIMlTS REQUESTED
LBUILDIllG
~ ELECTRICAL
*KECHAlUCAL
~PLUKBIllG
$
/'!,." , tl'
0..// ).:')0 ~
,
Va1uation of Tot:a1 Construction
It)(,1
MIP Service
Florida Power Corp.
~W.R.E.C.
$
/.J..~o
Va1uation of Kechanica.1 Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Pralle _Steel
Ot:her
FINISHED FLOOR ELEVATIONS:
FI' .
IS PR.O..JECT IN FLOOD ZONE AREA?
*
YES NO
******************************************
BUILDER
CO!D'RACI'OR SECTION
OOlIPANY ):l~ . .d;~Zi7Z/1/~<LL.~.;:;J
St:ate Cert. or Regist. ,
./ Ci1:y License Registration' 5..5f
j ******************************************
Signature
ELECTRICIAN CU!lPAfi {i ./1. Jt'Ic.'IJ/0/ /jt...-c 7/c/L IAt,'
St:ate Cert:. or Regist:. :j#
Si l2J<<:ity License Registration I ( ?y
*****************************
PLDtBER CU!lPANY ij:1s 1'/1/ i;! IM./
St:ate Cert. or R~t:. :j#
Signature City Licem:;e Registration I /tlJ
***********************~******************
/1 .
KECHANICAL / . , OOIIPANY f)/lI//tS d'/J1/i1i ~s 4. { _~
. iA ~ '11 j' St:ate CerL or Regist:. f
SignatureL1LtJt.. ~llit1- !f/~ltmJ. . UtJt.- City j,icense Registration I :7g'
I~ ***** ***************~*******************
OTHER
CU!lPMY 13 c'JI.. fttt14 IU<-< ';
State Cer~, . or Regist. ~
City License Registration ,
***~.'l-****************************
~;;~d,~
'/'!
Signature
APPLICATION APPIIO\IED BY ~~ .;1..", -,,-l
PERKIT OFFICER.
'.
CONDITIONS OF PER~IT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peraitaay be subjec~ to "deed restrictions" which say be lore restrictive Jhan Cit~
regulations. The undersigned assuaes 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 1I0rk, 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 lall. If the ollner or intended contractor, are uncertain as to what licensing
requireaents lay apply for the intended 1I0rk, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the Ollner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
"Contractor Sections" of this application for IIhich they lIill 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 lIishes you to sign
as contractor that aay 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 FEE2.
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED)
I certify that I, the applicant, have been provided lIith a copy of "Florida's Construction Lien Law - Hoaeowner'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 promise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable Ialls regulatir.~ construction, zoning, and land developaent.
Application is hereby lade to obtain a perlit to ~o work and installation as indicated. I certify that no work or
installation has cOlaenced 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 governtental agencies may apply to the intended work, and that it is
ty responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to:
f Departtent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
Water/Wastewater Treatment
f Southwest Florida Water ~anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Department of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US Environtental Protection AQency - Asbestos abatelent
I also certify that, if fill taterial is to be used in Flood Zone .A" or "A,etc,", it is understood that a drainage plan
addressing a "colpensating volume" Mill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance.
A pertit issued shall be construed to be a license to proceed with the MorK and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official from 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 cotlenced within six tonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six tonths after the tite the MorK is COiienced.' One 90 day extension of tile, aay be
allowed for the pertit 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"KENCEKENT ~AY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO"MENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
was acknowledged
19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befol-e me this
\>'las ackno\>'lledged
, 19_ by
who is personally known to me Dr who has
produced .
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed~ Printed Dr Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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CONTRACTOR #:
NAME: ALAN MILES
ADDR: 6036 RIDGEWAY
C/::::T: Z/HILLS FL
C E N T R ALP E R M I T TIN G DATE: 06/19/92
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR: 00142442
DR. OFFICE: DADE CITY
FOR: RESOURCE FEE CITY Z/HILLS
CHECK # 7829
ACCNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - 2
25. c.4
AMOUNT
25.64
DESCRIPTION/PERMT DATA DR/CR
****** 60
RECEIVED BY L~~__~~_ _______
NOTICE
OF
RESOURCE RECOVERY ASSESSMENT FORM
PERMIT If :L Y 0 7
~ DAJE. 6-/9 - 7:1..
~ Ylr';~
6
APPLICANT/OWNER -)19,";; LO I~YI
COUNTY PARCEL il 3- c:::L/., --;Jj ... 'CJ -
LOCATION 6' 0 ..3
USE/CODE DESCRIPTION
{)ooou- 0
If
RESIDENTIAL
NON-RESIDENTIAL
Ii UNITS
I
GROSS SQ. FT. (GSF)
RATE/ERU=$SO.OO X O.96*/YEAR OR $0.1315/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 FIN~~ RELEASE.
RECEIVED BY
DATE
--------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
RECEIPT II lit:) kit- ~ '
DATE t, - / q. 9 d.
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