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Home My WebLink About92-2653 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 S~- - ctzD G~-~~ ~HAN~ ::~:::,~s:~e' Y;A~f;t'.2 ~~~ ~ _ . Parcel 1.0, # 1'/-;1. ,~-,::l J - 0 I h O-.C; t:t::>1?() - 0.2. h ~ Zoning: Energy Code~ Radon pas;) Description of Work ~a-fLF..e., g~\"~ ~~- Permit N~ 26538 tfD-- ~ Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway Date 9:.:2/- 9 t1- ~~._--- ~C~L Sewer Conn ~l)O' ~o. /bS'" 9 f~.tl1J ..!J--1f--93 Water Conn: - Water Meter: T.I.F.'s: !f:L) NO OCCUPANCY BEFORE C.O. FINAL -1- DATE C.O. j- J..tO - Valuation or Contract Price ~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Permit Fee Signature Company Address Telephone# City License Registration # State Certified License# E~ E~ECTRIC' -, Breakers , J Ducts Insi. J I)' La - ~LJ'6{r 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. v 0,. ~--/cf-'-7! ;-1 ~---Ir -73 The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PE~lIT CITY OF ZEPHYRHILLS APPLICANT dd ~ ~I'Z:AR& ;(~,L-.4- Jl/JJ ADDRESS 3a~J5'? ~ CE/'~/lI??S I'U-.;~ 'f3 PHONE 7f3-,/oE 7 OWNER '1 - - A. / JOB LOCATION 3RtJ/e:z-. .Lllwd4/tJ/J ~~ lie:</;, LOT SIZE ,53 X 9s;/9AREA SQ.FT.50JS- LEGAL DESCRIPTION: LOT(S) PARCEL I.D.# Itf-cJ.6-~1 ~ 0/60 BLOCK SUBDIVISION wrlYw/l10 W/I'IO t?t? ~O& 0,;2.60 WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ~Single Family ____M/F ____# of Units ,~M/H ____Commercial ____Indust. ____Swim. Pool Other :. ____Restaurant & Health Department Approval BuiLDING SIZE: -4-x 3~ f,1J.X,.5?) Square Feet~~~ Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.*~' COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED, PERMITS REOUESTED ~BUILDING ~ELECTRICAL . ,,11 >Z. MECHANICAL ..LPLlTMBING $ 3~~- dV AMP Service Valuation of Total Construction ><: Florida Power Corp. _H.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel /0/$ ( Other FINISHED FLOO~T}1NS: FT. vitA/!. )/ ;frf,.P:$, *..*****....*.**.........*..*~.;;f.~$ /l111 ~aIlV 1- {l ~ CONTRACTOR '- kt_ -.:, ']J.r BUTLDF.R ~ Company 'J..o. 1,\PiM..'<.MJ.' e- State Cert. or Regist. # 0 0 Signature - -~.. --,. - - - -... Ci'y License Regi~tration " ~,** ** ** * ** ** * ***** * ** * ** *** * * * *** ,',~, ,,: of,~, ,', of, * * ::::~::N Company _~t\~6N ~'Y~ . State Cert. or Regis t. # otfq r . e-- -~. ~;..~*~~;~*;~~:~~:*~~;~~;~:;~~~ " ,I (. I PLUMBER Company 'EJU\J\~M~L Oe~\. m.~ ~ Sta'e Cert. or Regist.;;-- C!...o :::"110 Signature .. City License Registration;fr . 9h , **~~t****** **********~***********~******* MECHANICAL .', ., " ., ." . Company ErO , cro " . /, -=: '~ State Cert. or Regist. t' . Signature ~Q~' . . City License Registration 'F ********** ****************************** Company State Cert. or Regist. 4fr City License Registration # BY~~~~~"**' OTHER , ) Signature APPLICATION APPROVED PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it.ay be subject to "deed restricti~ns" which lay be lore restrictive than Citv 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 lay be required to be licensed in accordance _lth 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 c~ntractDr 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 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ sign portions (;f the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contracto,., you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed and is not entitled to peraitting 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 - Hoaeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soaeone other than t~e "owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it t" the "owner" prior to cOllenceaent. ~ 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 i a~plicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or installation has coaaenced prior to issuance of a perait and that all work will be perforled to leet standards of all lafls regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I als~ certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited te,: I Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways I De artaent of Health l Rehabilitative Services Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I Environaental Protection AQency - Asbestos abateaent I also certify that, if fill aaterial is to be used in Flood Zone "A" or "R,etc.", it is understood that a drainage pla;i addressing a "colpensating voluae" will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alte" ~r set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official froa thereafter requiring a correction of errors in plans, construction, or violations of any code.. Every perlit issued shall bee ole iDvalid unless the work authorized by such perlit is coaaenced within six aonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six lonths after the tiae the work is cOI.enced. One 90 day extension of tile, ~ay be allowed for the perait 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 aonth period, or the project will be considered abandoned. WARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TIlICE FOR IKPROVEKENTS TO ',OUR PROPERTY. IF YOU INTERD TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NO 0 ENT" ~./1ra/. SIG URE: OWNER OR AGENT (SignatUl-e) STATE OF FlORID~, COUNTY OF ~ a , The foregoi ngi nstrument "las. acknc,wledged befcl\-e meth i s~ f~ , 19~ by K~~ Ke~~ who is pel-sonall y kn()~m to me or who has produced as identification take an oa STATE OF FtORI~ ' . COUNTY OF ~ The foregoing instrument was acknowledged before me this~ Ir , 19~ by 1l4\~,) M~~~~ who is personally known to me or who has produced as identification take an oa (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC Notary Public, State of Florida Robert Charles Ehrman, Jr. My Commission Expires April 27, 1990 Comm. No. CC 196771 (Name Typed, Printed or Stamped) NOTARY PUBLIC Notary Public, State of Florida Robert Charles Ehrman, Jr, My Commission Expires April 27, 1996 Comm. No. CC 196771 ~ '. . CI:Y .~~ ZEPHYRHILLS B?~D~NG DEP~R.~~T /J :::E:o~:?;;~~~:;;= 0 ~7-~ PARCEL I.D. # /.11-..2.6-:::2./ -0/60 - Oc)OOO- ?7c2hO SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 53 ~c2s-:/f ;2 <-/- ....... I 7-!;:-+ 1 ,I I~ ~1'J;,- ,5, / f t- I UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. .20 FRONT PROPERTY LINE .53 STREET Lflw,'NIJA L//CP (NOTE EXAMPLES 1 & 2) 1. SETBACKS FOR Rl, 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 D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE ',It'<i .. em 0: ZIPHYIlHILLB ~IIG D~.t' OWNER~~~~= )/.- JOB LOCATION ~ M g J,;7: PARCEL 1.0. .. pf-..26-d2..J -C)16t? - O&J(?oO- &~O SHOW ALL EXISTING & PROPOSBD STRUCTURES GIVING DIMBNSIONS & SBTBACKS. 53 1t!' ~s:/ 1 ;;L<I' t ....... I ~~ . . f ( ( \ 1;1.; ~~ ., '! '5. / f UTILITY BUILDINGS MUST SHOW SIZB & F9UNDATION INFOR- MATION. !lo FRONT PROPERTY LINB L~o/"NIJA..5' ~f)P (NOTE EXAMPLES 1 & 2) STREIT 1. SBTBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P B- R X 0 I 10' P S 10' 0 T S I B N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL rAN 30'DUPLIX 1 O' FRONT PROPBRTY LINB FRONT PROPBRTY LINB OWNER CITY OF ZEPHYRHILLS A~~ 1 JOB LOCATION PARCEL I.D. # /I!--.26-~J -(//60,- CJ,!)oOC>,- &c2hO SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 53 ~,;2.5: / ~ ;;Lei I '- /9,f;: -+ ~ / rk-+ 'r l I~ ~1'Yy ,5. / f ~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. .2.-0 FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET Ll1wI/NIJA..5 2o~p 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 , E: ii f;' PI L I' C F f'i J T -r r ~'i (~ PASCO COUNTY. FLORIDA [I f~ T t~ : (} ~f./ 1 w:;:; ,_/ ':~l :~; F'f.iOE:: ~ 1. (iF .L CUi\ilF;;,c'::jCTOP :J:l ~ I ':<,! IE: OFF' I CE; D r:::E:~:E I Vi '\!U!'1PF;: no 1. 7~;71 (, OFFICE: DADF CITY r.U~)I'1E ~ ,,'EF:F.:'{ l"IO(:,IE:::: lcin[:::~:~~:::::(i12 U~~~I~NDf>i LOUP C i ':::T : Z " H I Lt.. :::' i';'!F~~ nE:.:::;(IUCE r::EE CJ. T';' Z/HIU..::= CHECt:: H 1.160 r\CCI'.)'r 114 TOT {;L (;!wtOUNT ~ COI1F'NV (il.:COUhlT CE!\JTLP Ei450.... 3,::.~:OOO- ::::(j OJ '~:,,(:; (;rICiUi'11 :3') a ':~:'.:-. DESCRIPTIONJPERM1 DATA DRieR ****** 60 f'U:::CE I VED [;.( . (._!.~: "_' ___ ..,_._ _.._ ._~ d~_ '" ':.,,~;l,,- 'r ,.. ~",.._{. ,~~ "/ .';.".:'.1::,'" ,,:~(., '"drl&: '>Jft.::fi:" ,,~,',iIdiIIli ~~-r:-"'j -...."'Z\.-.">:-~,.;~., <'i;~;;~'LW,',.' ,:~ .<i:~I~ \ '~~.'r: "-...,'f. i1 PASCO COUNTY, FLORIDA Permit # Date Name/Owner COWlty Parcel # Location Classification / Type of Use TRANSPORTATION IMPACT FEE CALCULATION Rate $ Zone # Sq. Ft. / Unit Prepared by Impact Fee AmOWlt $ The above impact fee has been established pursuant to the Pasco COWlty 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 # Units Gross Sq. Ft. (GSp) Rate / ERU = 50.00 x 0.96'" / Year or $0.1315 / Day ERU Assign # Assessment = (# Units) x ($0.1315) x (# Days) Assessment = !Q.Sfl 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 Wll..L 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 permit owner on notice of this assessment and the conditions of payment for same. Date Received By OFFICE USE ONLY ---------------------------------------------------------------------------------------------------------------------------------------...------------------------ TRANSPORTATION REC. # RESOURCE RECOVERY REC. # DATE DATE BY BY White Applicant Canary Trans / Finance Canary RR / Finance Pink Office Green Bldg / Insp