HomeMy WebLinkAbout92-2863
BUILDING PERMIT
'jJ. 1< E .. ~'/. (J(J
Permit
N~ 2863/1
Jd- -/f--7-:J-
CITY OF ZEPHYRHILLS
(813) 788.6611
7t-7/TD tf-9, b- 7;2,~'() s~ cJD
CSUILDIN~LECTRIC~ PLUM~ CMECHAN~
pmp'rtvow",,~ ~ Q ~)
Job Address: b..5J. '~ 4. A
Parcell.D. # .3 -;L{; - .;1/- 01,J.. 0 - 0 cD c.'JeJ 0 - 0-8-/ D
Zoning: Energy C de:.. 9~, ~ C'V
Description of Work
Date
Water Meter:
/P2.?~ (J~
3.S~. OV
/b~--:~
~
Sewer Conn
Water Conn:
T,I.F.'s:
-
FINAL~) -
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
// /, o-o-v . o-v
,
Inspector Q(fi
Valuation or
Contract Price
City License Registration # J 7.3
State Certified License#
Telephone#
Ftr. Tp. Servo
Pre SLB Rough In 'Z- -17>--'9; ~
Lintel -':: 15~3 " Meter Can
FRM. 2=-&, - ~? :~lJ,... Const. Pole . Z .. 30 .'ifJ 6J.- Sewer
Insul. CL Pool Final
w'-"~~ lfiU Pre-Mete, ,/.5-IL.q3 tl8
S-1tf-7~ ~ Final
Driveway 3 - '!tJ-'i'; Pd,l,,-
{Jlt:;~~
Breakers
Ducts Insl. ~\d.-q-3 fi.J,..-
Compressor
Final 7 -IC/ry 5 ~ ~
~
1-~'1-~3 ~~
REINSP TION 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.
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.iY~:rJ;Ji...i.Cl~JI:Tl[)uu E:j'l11R rr~R~rr.T
(.TJlY OF ZE:pID..''Imlf.L.I..s
llnlJIJLDTIlIG DJB:PARJrifJIE'BT
O~'S RMffi David & Dulcie Shute
1~10NE 9 0 4 - 5 6 7 - 6 7 2 0
OH'NER · S ADDRESS 8 4 Sun bur s t C i r c 1 e E a s t Dad e C i t y. F L 3 3 5 2 5
JOB ADDRESS 65~? North Lake Drive Zephyrhills, FL 33541
LEGAL DESCRIPTION: LOT(S) 81
BLOC:K
SUBDIVISION S il v e r 0 a k s
PARCEL I.D.~ 03-26-21-0120-00000-0810
h~RK PROPOSED:~~cw Construction ____Addition ____Alteration ~Repair ____Install
____Sign
_l!iove
_Demolish
PROPOSED USE: x
Single Paaily
____~/F
_:if; of Units
_MIll
____COllml:erci.a1
____Indtllst.
_Swrn. Pool
Other
____Rcs4:atllrant & llealt:h. Dep.art:Jment Approval
BUILDING SIZE:
x
Square Peet.
Height
RESIDENTIAL :
COIMHRRCIAL :
ATIACII (2) PLOT PI.ANS Ii: (2) SlITS OF BUILDHDG PLANS Ii: (1) SET ENERGY FORMS. **
ATTACll (3) SETS OF BUI:UllDilG PU1'!JS & (1) SET EIN!ERGY FORtIS. *:2:-
**COPY OF CONTRACT REQ[JJJ[]ffiJI).
.
fnnING
----":"""ZECTRICAL
tCHANICAL
_PLUMBING
PmmITS RF.QUESTED
$
Valtlla.tion of Total Construction
1-/)D
AlIP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of i/'lecbanical Installation
GAS
~10Ck
ROOFmG
SI)ECL\LTY
TYPE OF CONSTRUCTION:
____Fr3lDle
_Steel
,Other
YES
L
NO
FINISHED FLOOR RLEVATIO~S:
FT.
IS PROJECT IN FLOOD ZOlN"E AREA?
******************************************
OOlliJTR.t\croR SHCTrON
BUILDY.R
OOHPAOOY Pittway Homes
St:ate Cert. or Regist.,' 4# C GC 0 4 0 3 5 6 8 9
City License Registration ~
Signa tur?-;_,--n
S.
OOHP.<<\NY S & S E 1 e c t r i c a 1 Co. In c .
Sl:ate Cert. or Regis t... 4!; E ROO 0 2 0 4 5
City License Registration :f) ..J '/5
********~*****~*******************
..........-'
PLUKBY.R
r0J2 Pl---
OOOWANY R.J. Kielty
State Cert. or Regist. ~
City License Registration #
Ilf9
(.....r
Signature
**~~~~~*~~~~~~~~**~~~~~~*~*~~~~~~~~~~~~~~*
00lUPMff C. J . · s
State CerL 0(' RegisL 1~
City License Registration ~
CAC029433
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ME'.CIlANI CAl.
~~~~*~*~~~~~~~~~~~~~~~~*~*~~*~*~~~~~*~~**~
00liPMIT
State Cert. or Regist. ~
Ci~ License RegisLTa~ion ~
~~~*~~~~*~~~.~~~*~*~~~***
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BY
~MlJCI"'lII PERi1fiT OFFICER.
.....~ 10 oIIlId-oIId4,-; "',
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CONDITIONSO~ PERMIT AF~IDAVIT
A.. NOTICE O~ DE~p RESTRICTIONS
The undersigned understands that this per~it .2Y be subject to 'deed restrictions' ~hich may be more restrictive than City
regulations. The undersigned assu~es responsibility for compliance with any applicable deed restrictions.
B. UNL I CENSED CONTRACTORS I'~NJ:) CONTRACTOR F::ESC:J2H!2) ~U..._LT I E~L
If the OMner has hired a contractor or contractors to undertate nork, they may be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the onner and contractor ~ay be
cited for a eisde~eanDr violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents Day apply for the intended worl:, they are advised to contact the City of Zephyrhills Building Department, (813)
788-6611.
Furtheraore, 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 your 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 aay be an indication that he is not properly licensed and is not entitled to per~itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONi'-IECTION FEE,2
I
D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Homeowner's Protection
Guide' prepared by the Florida Depart~ent of Agriculture and Consumer Affairs. if the applicant is someone other than the
'oNner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
'oNner' prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVI~
I certify that all the information in this application is accurate and that all work will be done in compliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby made to obtain a permit to do work and installation as indicated.' I certify that no work or
installation has conenced prior to issuance of a penit and that all Hork 11111 be performed to ,1eet standards of all laws
regulating construction, City codes, zoning regulations! and land develop~ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
.y r'sponsibility to identify what aetic.ns I must take to be in compliance. Such agencies include but are not liDited tCI:
f Department of EnvironDentaI ReQulation - Cypress Dayheadsr Wetland Areas and Environmentally Sensitive Lands,
Hater/Wastewater Treatment
f Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering ~atercourses
f Arty Corps of Enoineers - Seawalls, DOCKS, Navigable Waterways ,
f Department of Health L Rehabilitative Services, Environmental Health Unit - Wellsr Wastewater Treataent, Septic Tanks
f US Environmental Protection AQencv - Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone 'A" or "A,etc.', it is understood that a drainage plan
addressing a 'compensating volume' will be submitted which is prepared by a professional engineer registered in the State of
Florida prior to permit issuance. "
A permit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction, or violations of any code, Every per~it issued shall become invalid
unless the work authorized by such permit is commenced ~Iithin six months of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six ~onths after the time the Nork is com~enced~ .One 90 day extension of ti&e, ~ay be
allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An
approved inspection must be logged during each six month period, or the project will be considered abandoned.
IlflRNIN6 TO OIHlER: YOUR FAILURE TO RECORD A NOTICE OF COlmENCEHENT~tAY RESULT IN YOUR PIWlN6 THICE FOR HIPROVEMErHS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCII16 , CONSULT HITH YOUR lENDER OR AN ~TTORNEY BEFORE RECORDING YOUR !lOTICE OF
CO",E;;"ENT. JODS "NOER l~; ~O NOT NEED TO RECORD MID POST A 'N~T1~~ O~!O""E~. . r
d~P'r~ ( t {~ ?!it~
SIGIIATURE: OWNER OR AGENT 8M URE: COlHRACTOR
t'f\ \~-~'l1..'S.'-~\C ~- \C-I-<\~
STATE OF FLORIDA rJ'>
COUIlTY OF TG:.&. c...::;
The. fc.regoi ng i 17r-ument I-Jas acknowledged
before me thisJ~() , 19~by
f/tk~- e- ,,~
who is personally ~nown to me Dr who has
produced
as identification and who did/did not
take;jn/oath. /1 J
fMadltrr ~
(SignatLll-e)
STATE OF FLORIDA
COUIITY OF ~~c..()
The foregoing instrument was acknowledged
befc,,-e me this ld...... (')0\1., 19~ by
~cJ
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
\
,
~HARU:Jm MIl UIlllM
No.,,... 11 . II....
My ComI' I... r........IUN ..-
OQMM.A1I1IITI
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CON9tRUCTION
gecllon 9 - Resldenllal Polnl 9yslem Method
Deparlmenl of Communlly Affairs
CllmBle Zone.
CENTR~~ 5 8
FORM 900.B.91
'ROJECT NAM!
AND ADDRESS:
o
OWNER: trY) VY'\ 6h uf ~
=" 40' 50 00
JURl9DlCllOtt ~
NO.1 ~
tf(W CONstRUCTION
AOOllON
MUlTifAMIlY A1111CtlEO
SIHGlHAMllY DE1AC1
DUClI
.1
ltICOttJIlmO
srN:E R.
DH.EJ
IN COflOllmo
SPACE R.
m.o
tEIlINI MEA "NO IN UlAnDN
R - SOL ASSEMBLY ..
LlIJIm'
HEAl,"' IlItEM
o ElECTRIC StRIP ~AT
o "^TOOAl GAS f'\U'
o OOOM UNII on 0 Oil In
rACMGE TERMINAl FUElS
II^T rtU' 0 NOtE
COI'IflSPF I Q n-d-
ArUE II L1I,~
HVAC CREDIt'
o ctllNO fANS
o COOSS VE"TR.ATION
o WInE I ruse fAN
o A"IC ~ANI
DAM'-'
o f.MTlZ(f1E
CDOlINUIUflM
~IMl
OOOOM
o rACMOE lERM"~^,-
AIR COf()IIIONER
Ot<<H
(SlwCTntC
[f NATmAl GAS
o 0I11R FUElS
Ot<<H
EF",~
I IE^, RECOVERY' ,,110I
OEO~EO 0
lIEAT PUMP:
EJ. . .
NUMBER a:
IlElRXlMS II
SEEMER ..
.B
INFtlTRATtoN ~ ~ CIIkJ,lZJ
PRACTICE USED + x 100 =
o 11'k12 0 '3 lOTAL AS-lULl POtH'S TOTAl lASE patH" CALCULAtED E.'.I.
CAlCULAtED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 pOlns.
, het"" c:er1lfr II.' th. pi
F~lIfI Enetor Code.
"M"^"EO BY:
.. -~.'-.'h7j~fl
. O^ tE/~ j)
II In cumplIlIf1C8 ..lilt lh. ttotlde "ne.or Cod",
O^''':
, "evtew 01 pili"' Il1d speelllclllonl t:O'Iet'" '" '", c:eltufllllott Indle.I" eomp1Ienc:t ~I\h
!h. Florid. ""If or Cod., 8.Ior. contttUc:lIon II eompIeted. fils tIuIIdIno will be Inspeded
1or~.nc'In_~Z"~
IlUllOIHO orl'ICI^l:
O^''': ---L I' / ~- '?-::l-- .
6-.5s3
Vt
.2 r6..? 8
6//600
~,~
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C: f::. r..! T (=~~ C:j L..
F'A~::;C:O COUNTY,;
CCIN TP?:iCTClj:~ *~:
NAME: DAVID DULCIE SHUTE PITTWAYHOME
ADDR: 6533 NORTH LAKE DR
c,' ~:n ~ Z dn !. U:: F' \.._
rOF\: = nE::;:OUCE rTT:
CITY L/HILl_:::
TUTPiL. ()MOUNT:
(i c: c: r,j T
J14
(:OMPNV ACCOUNT CENTER
134':.0 -- 3'::<::000--
H E C:::: I \/ E [i fj'(
F' [ r< 1'1 I I [ I i1 C, DATC 05/1::"/':';"::
FLORIDA PAGE: 1 OF 1
I ::':::-:;I.IF.:: UFF ( (E: D
RECEIP~ NUMBR: 00175644
UFr ICE = [!{.)DF .:: 1 rv
CHECI< .t* ;:::'7'::~
30.91:',
r-iMOt.iN r
DEscnIPTIONfPERMT DATA DRIeR
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PASCO COUNTY, FLORIDA
Pennit #
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Date
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Name/Owner
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County Parcel #
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Location
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Classification / Type of Use
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'IRANSPORTATION 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
# Units
/1
Gross Sq. Ft. (GSF)
Rate I 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 permit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
OFFICE USE ONLY
'IRANSPORTATION REC. #
RESOURCE RECOVERY REC. ,
DATE
DATE
BY
BY
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp