HomeMy WebLinkAbout92-2791
BUILDING PERMIT
Permit N<! 2791 g
Date 1/ -I b - 9 ;;L..
CITY OF ZEPHYRHILLS
(813) 788-6611
11"0. Ci1) s~-: cro J-S": Vb ,;,1L). crv
~LDIN~ ~CTRIC;Y GLUMBI~ ~~~
PwpertyOwne, ~.t ':ifL~~
Job Address: 3 o_\..~_~~~
Parcel 1.0, # Jy.....;t, ,-;;LI - 0/60 - OPo ... 0.).7 ()
Sewer Conn ~tJzJ~ i!?z!).
Water Conn: 2LJ--?J. tf7)
Water Meter: ~...S-: in)
T,I.F.'s: 9Y;Z tTlJ /.:l-J6'Y.J..
-l--
Zoning:
NO OCCUPANCY BEFORE C.O.
DATE
I.;)... -/ ~ - :J-
C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
pe.mit Fee ~ 3tJ c <TV 11
Signature Ik.-? "l- 1-1 d(~;t:z:;- A.-
Company I . .
Address
Telephone#
Valuation or
Contract Price
4A-
City License Registration #
State Certified License#
Breakers
Ducts Insl.ll ~ -~ M-
Compressor
Final
SLB
Tub Set
Water
Sewer
Final J;J-;J.. 9:J /3J!)(3
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
FinaI/Z-Z.~qz e"A
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
.u ~ v1-30 -to f>ot,..
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a.
b.
c.
d.
e.
f.
.g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
A/d 1;2-/b~7;L
t~.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PER!'lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~r' rnoOrJ. J.J Cl'ro.i/ SJ)..1.-
ADDRESS()3~ /,/0 Y..vt1r r:. 'i I~)Z ~pll1"~'" 7-!3;~(!t 78 ?-&J8 7
OWNER '1 Q AAT-. AI rn OnX 11 /..- ~ A.
JOB LOCATION 3 f>?o J () ~ J . ~ 4 LOT SIZE...5ILX qp) AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION 1.1 )t:l.A.J,LLm A-J W ~
PARCEL I. D. ~F~:l/ - 0/.10 o. - 00000 - 0 ~ 7(J
.
WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: ....$-Single Family _M/F _# of Units -X-M/H
_Commercial _Indust. _Swim, Pool Other
.t
_Restaurant & Health Department Approval
BuiLDING SIZE:
x
Square Fee t .
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
-A-BUILDING
\'
-LELECTRICAL
V ..,
-A-MECHANICAL
-x"PLUMBING
$ 3 ~,.::"t'(.;' ,-v
Valuation of Total Construction
AMP Service
x.
Florida Power Corp,
_\,.R.E,C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
Mill
,
Other
TYPE OF CONSTRUCTION:
_Block
_Frame
_Steel
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
Company
State Cert, or Regist, #
City License Registration #
******************************************
BUILDER
'~Company
State Cert, or Regist. #
City License Registration
*****************************
Company
State Cert. or Regist, 1ft G-F=Q 03717/
City License Registration # q ~
********~*******************
Signature
Signature
.L_
Company
State Cert. or R~gist,#
City License Registration
***************************
OTHER
Signature
Company
State Cert. or Regist, #
City License Registration #
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
C: E: !'4 T f;~ ,?~;_ F' E~ i:;~j'"1 I I r I :\j ::1
PASCO COUNTY, FLORIDA
[IA~rE: 12/ ll.:)/'~"~~
PAGE :', 1 OF 1
1,.::i::thITF(P,CTCF :H ~
NAME: GOLD KEYS MH SALES
ADDR: 38010 LAWANDA LOOP
C I :.:;1: Z -,H I LU::
I ~::;:::;ljC~ CJF'r-: I C:f': ~ [I
RECEIPT NUMBR: 00159081
OFFICE: DADE CITY
FOR: SOLID WASTE FEE PERMIT #2791 B
CHEC1< # 07:;::5
(:)::::CNT
114
TOT ?;,L Af10UNT ~
COMPNY ACCOUNT CENTER
2.01
B45() - 36300() - ~
2. ()1
DESCRIPTION/PERMT DATA DRieR
****** 60
At'IOUNT
F~---.
~(, "~~" ~\\
~~_,.~'i~~~
PASCO COUNTY, FLORIDA
Permit #
Date
Name/Owner
COWlty Parcel #
Location
I
$-'
Classification / Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft. / Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco COWlty Transportation Impac;t Ordinance as adopted by the Board of
COWlty 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 (GSF)
Rate / ERU = 50.00 x 0.96* / Year
or $0.1315 / Day
ERU Assign #
Assessment = (# Units) x ($0.1315)
x (# Days)
Assessment =
!QSflx (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 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