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Home My WebLink About92-2645 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 If, crv 3~-~ {TV -, - FD (/9' ~ C~~~~~I~~) ~:~ ::~:::,~s:~"]jli!/'lz 2~*;: . Parcel 1.0. # /y - :26 - ;;lj- LVb () . 0 C') '-' CJ 0 '- '" of 0 Permit N~ Date 9 - / 7-,/,;2. 2645 J5 . ~{rz;,cv Water Conn: ,:) /rZJ ' t:?7J Water Meter: / 6 ~.' t7V IJJ~s: 1'-1 ~. Jri :a (i3-<E Sewer Conn Zoning: En~r~ Cod~-r---- Radon Gas: DescriPtionofwork/J!d.L/ ~ 4~/-~ NO OCCUPANCY BEFORE C.O. FINAL~ C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector Perm;' Fee ~ ~ < OV~X Signature -:J-I( ~ . 0" _ CompanyV' Address Telephone# Valuation or Contract Price ~/A " City License Registration # State Certified License# .~~ ./.~J;-..;J '-M-~~~~~~"ICAL '-I Breakers -- Ducts Insl. )6" l1>.,Q Z 8;.t.... SLB Tub Set Water Compressor Sewer -a. Final Final I ()~l..tJ /qL I) -r fl??f/'lT YJo wl!?lr- fl: :;-:r?/i3 Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Mete~ Final 1t:>;'U,-4z... 6n-E. Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway ~Uf (HN ~ U-- 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 PER!'lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT G/~a/ ;(e~ ~~ l~ / ADDRESS 3crlLfO /~ s-y ~ OWNER ~c5 // #~ A'r- JOB LOt:TION 3~/?J,L ~~ ij LOT SIZES! xlO-V AREA SQ.FT.S7~ LEGAL DESCRIPTION: LOT(S) OorO BLOCKCO~SUBDIVISION t-v/f.V2.(./.A-~O M/f/L:/ PARCEL I.D.# /'f-;2...6 ~~/-O/bO -0&000 ~. Oo?-D PHONE 7rS--6'Oc?7 WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign ____Move _Demolish PROPOSED USE: ~Single Family _M/F _# of Units ,..A..M / H _Commercial _Indust. _Swim. Pool Other :. _Restaurant & Health Department Approval BuiLDING SIZE: ~x .3''- .i /d-.XS?J Square Feet. / ~df' f Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.~'" ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ~BUILDING -hELECTRICAL V l'oi1 -L:::::::.-MECHANICAL kPLUMBING $ ;< 51 t9tnJ. cJ1) ./ I ::>-V AMP Service Valuation of Total Construction ':><-.Florida Power Corp. _H.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ~rame _Steel Other FINISHED FL~VA3rONS: FT. ~ I.f /.1~ ~ ****************************************** (;)~~'j _ CONTRACTOR BUILDER ~-Q. <\ \ o::tJ Company State Cert. Signature . -- City License Registration ****************************************** I ..P C- ::::::~ Company State Cert. or Regist. :,t It (!. OD<:::>C>rt-9 / _: 0 _n. .;;.... .. .....~;~~.;;~:~~:.~:;;:~~~~;~~ " / ~ / ~IJ -- Signature Ipany State Cert. or Regist. '.! OJ:U~ ~1171 City License Registration :fr 9'h ****************************** ./' MECHAN~ Company " ~ State Cert. or Regist. iF Signatur . . City License Registration -- ----- ....~....................**.**...*. v""" Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY * **1*,'[ *.* * * **** * * **. 7** ** *** ** * ** >~* * * * ** * * * * - " " .,,-. <>,..- /' LljJ;\.,.~A (~ ~'\...1.J I (J PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'Iay be subject to 'deed restrictions" which lay be lore restrictive than 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 aay 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 Zephyrhills Building Departlent, (8131 788-bbl1. 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 FEE~. 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 6uide' 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 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 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 ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treatlent f Southwest Florida Water HanaQelent 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 taterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan addressing a "colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed Mith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a ~erlit 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 Mork authorized by such pertit 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 Mork is cOlienced. One 90 day extension of tile, lay 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 COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR lENDER OR AN A V BEFOR RECORDIN OTICE OF COMMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT N D TO RECORD AND POST F C '< has : . ... STATE OF Flb~IOA /) . COUNTY OF YA,<:c..O The foregoingirlstrument was ackno~ledged befcl\-e me this q-Ih ,19~ by f?abCIt. t- RtJ-IIL'A who is personallY known to me Dr who has produced' as identification and who not take an oath STATE OF FlOR~ :, " COUNTY OF t\..~ .f) The foregoing instrum,nt was acknowledged beforem~ ,~r-'i~"T~ . (r> '. 19~ b,Y , . t ..."t": "..f '" ,. '. ..., . .. ... - ~ ,.. yped~ Printed Dr Stamped) . PUBLIC NOTARY P~JBLlC ST~,TF. OF FLORID. MY CG~'!>i:SSjGN [X~ OCT .:27, ~ 992 (Signature) :5e P-y 1-1 fY7lJA- ks It. (Name Typed, Printed Dr Stamped) NOTARY PUBLIC l\ f\ (" I q ~ 41'''''" Tmu 6"'''''1t 1::3 lJNll OWNER I.' /' btvi OF ZEPHYRHiLLS BUILDIN ~. ~ '-I~a-/ ~ ;z::f JOB LOCATION ..3tt/) 5 PARCEL I.D. # /if--.;2..l~-2/-0/"O -OOCJt/O- PCJrfD SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 51 3J ~1 " / 9J;.. .s-o 3b ~ :' 7t d~~f.~Rf 7~ .. ?" /tH) " UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ;).0 (NOTE EXAMPLES 1 & 2) FRONT PROPERTY LINE .s/ STREET ,3 80S ~ )../Jw/!A/(J/! /..vC? 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N 0 G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 O' ....~"'~ym. DDnDllD'1'V LINE FRONT PROPERTY LINE ,; ~ DEPAR~E~T ci~ ;~~ OWNER ~~ JOB LOCATION J&'I)S;L ~'-a,A I~ M -;+ r bv6;r~ ';;vJ~ PARCEL I.D. # /tf--:2-.;;-;t/-O/~O -00000 - tJ()~D SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. Sf ,.., ~, ..:;/ \,./' r71 /9~ .5'0 3" 1 / 7} d~~c~Rt 7~ 1tH) " UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ;2.0 (NOTE EXAMPLES 1 & 2) FRONT PROPERTY LINE .s/ STREET '18I?S.;l. JJJw/lAl~/I I.vcF 1. SETBACKS FOR R1, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE 2 . SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE _. ............-..',.__.'.~'.~. ....---..,~ __ -----:::-..._.-:_~. - .._.'_ .......--J.-.-..i---.~.,___. .>-..--__ - -,.."~ ---..-:.-..--.,---..:.-.--.;- C E N f R ALP E R M I T PASCO COUNTY, FLORIDA CONTRACTCIR #: NAME: JERRY H MOATES JR ADDR: 38052 LAWANOA LOOP C/ST: lHILU;:; FOR: RESOURCE 82645 CHEO::: # CA~3H 14-26-21-0160-00000-0080 (-,%i::::C:NT 114 TOTAL :~MOUNT: COMPNY ACCOUNT CENTER 8450 - 363000 - k :37 . :=::=~ :3'7. :3:::: AMOUNT HECE IVED BY ___~::.~__:""~~_~~",-__':"'..:.<j:..~~____________ TIN G DATE: 03/23/93 PAGE: 1 OF 1 I :;:;::;UE OFF I CE: D RECEIPT NUMBR: 00167870 OFFICE: DADE CITY I I 1 I I I I I j I j 1 I ! I I I I I ~', I DESCRIPTION/PERMT DATA DRieR ****** 60 ----- -,..~.....~v " .... ",-.;..:,jo.",._..~ ., ,,- .-~.,~....... PASCO COUNTY, FLORIDA Permit # .-''''' Date Name/Owner Comly Parcel # Location C1assifICation / Type of Use lRANSPORTATION IMPACT FEE CALCULATION Rate $ Zone# Sq. Ft./Unit Prepared by Impact Fee Amount $ The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted structure. RESOURCE RECOVERY ASSESSMENT RESIDENTIAL NONRESIDENTIAL I # Units I Gross Sq. Fl (GSF) Rate / ERU = 50.00 x 0.96'" / Year or$0.1315/Day ERU Assign # Assessment = (# Units) x ($0.1315) x (# Days) Assessment = (QSfl x (ERU) x (0.1315) x (# Days) 100 TOTAL FEE $ TOTAL FEE $ "'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 CERTIFICATE OF OCCUPANCY. NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building pennit owner on notice of this assessment and the conditions of payment for same. Date Received By OFFICE USE ONLY lRANSPORTATION REC. # RESOURCE RECOVERY REC. # DATE DATE BY BY White Applicant Canary Trans I Finance Canary RR / Finance Pink Office Green Bldg / Insp