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Home My WebLink About92-2896 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 -.S :2 i ..!J'7J ~D~ ~V C!lUMBIN~ ~5> :~~:::,~:~e?f:;PJhlffJrL-~(rJ:.- J;!:. ~) Parcell.D. # 3'/ -cJ.s- - ,;u -..5 ~ ~ Permit N<! 289GA /-S-?~ Date I :LO. (TO b /. s7J -So. c7D Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~ Energy Code: Radon Gas: Description of Work _' Z~ ../1 h ~ P / - t'r?~ ~,"""~""~""~"",...,."..,'" . . .' '~"";"".:~' .. '," . 'iJ ~ . . - 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 Inspector Permit Fee Signature Company Address Telephone# ~::Sf) 1 '-i Valuation or Contract Price / ~I ~, o-D City License Registration # State Certified License# 3.5::.~ <J SLB :J~/7. - '1::3 dJ! Breakers Tub Set ~ ~q~ B ,ll Ducts Insl. '3,} 7-'i'3 &J,- Water Sewer Final ,'?rllt..?,'!:> 6tLL p"- ?",Ll>-d~ "" 4 ~~(Il-('fP I J If 'j(t- t ry Wf/15 Tp. Servo Rough In ~ ..\\~q~ Meter Can Const. Pole Pool Pre-Meter~..z..G- .q Final ~'21''7<1 ~ t"..>"'f\tJ-- C- o~ \l \.-\ z.-I~-tt3 ~& Ftr. Pre SLB Lintel FRM. ~\ -{f~ ~ tll Insul. CL WL IIfLL Ok 2-.,z.'f"',{J way ~J/ \.t.>ft.l, \~""'i~ BiLl.- Compressor Final .:S-~-93 ~ ':CTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: Address fled work resulting from faulty construction. . corrections not made when inspection called. 'ady for inspection when called. 'sted on job site. , site. \sible. . ,spection fees shall be made before any further permits will be issued to the person owning '=..::.c..;.'....~""" " APF1~ICAr-'nllil FOR PERHIT ':::I'lY OF ZEl'BYRIIILLS BUII.DlliG DEPARDIEXI' OWNER'S RAKE k-l-II ~,5 } k'nt ~~y OWNER. , S ADDRESS ~ 5' s """ OCl 1) ~ +. .JOB ADDRESS 7 t.J ("J I (, A \ l B f V J ~ PHONE C...\-~ l C".....l~ - G:~/IIA'i LEGAL DESCRIPl'IOI!f: UJI'(S) BI.OCK SUBDIVISIOR PARCEL LD.' WORK PROPOSED:_riev C'onstruction ~tion _Alteration ---..Repair _Install S' - 19I1 _Move _DeIIo1ish PROPOSED USE: Single Faaily _"IF _' of lITni.t:s _KID _~rcia1 _Indust. _Swia. Poo1 Other _Rest:au.rant 5: aea1th Depart:aent Approva1 BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COHKERCIAL : AtTACH (2) PUJI' PLARS 5: (2) SEIS OF BUILDING PLARS 5: (I) SEl' ENERGY FORKS. u ATI'ACB (3) SEIS OF BUILDlliG PLARS 5: (I) SEl' ENERGY FORMS. ** **COPT OF CONTRACT KIlQUIRED. PERlIIITS REQUESTED _BUILDING $ va1uation of Tot:a1 Construction _ELECTRICAL AItP Service F10rida Power COrp. W.R.E.C. _KEGHAlfICAL $ va1uatioa of l!fecbanica1 Inst:allation _PUJKBING GAS ROGi DiG SPECIALTY " TYPE OF CONSTRUCTION: _B1ock _F'raIIe _Stee1 Other F'IlIISHED FLOOR ELEVATIORS: FT. IS PROJECT Dl FLOOD ZOHE AREA? YES NO ****************************************** mJIiI'I'RACIOR SECTION Si CO!IPARY State Cert. or Regist. I ~ b L n..S 7 d. 77 City License Registration I s...s "1 ****************************************** <DIPADIY md7/;dp r ~1f. a'-J C Stat:.e Cert. or 4(egist. I ~(~- ~<->O(J -32--C City License Registration , _ ~ 'f ****************************************** K.ECBANI~ _. L /- <DIPAJJ'L~~i&f~~ State Cert. or Regist. , , ~--..-City Lken.se Registration. /7/J ~**~~~~~~++~~+~~++.++++++++.+*+***+++** <DIPAM M ,11~~ J</e- State Cert:. or Regist. I j 2 ? City License Registration' I ')... , ***********~~*****+*********************** PLlltlBER Sigoat:ure CGlfPARY State Cert. or Regist. f City License Registration , ********~*****~*************************** Sigoat:ure APPLICATION APPROVED BY 71~Ad ~~I)A) PERKIT OFFICER. CONDITIONS OF PER~TT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~ undersign~d und~rstands that this p~r.it.ay be subj~ct t,:. "d~~d r~5trictiollS" which aay be .ore restrictive than Ci'ty regulations. The undersigned assu.es responsibility for co.pliante with any applicabl~ deed restrictions. ' B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they .ay 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 .ay be cited for a .isde.eanor violation under state lall. If the ollner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, IB131 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the ollner 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 FEES 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 - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent 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 docu.ent and pro.ise in good faith to deliver it to the "owner" prior to cOI.encelent. 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 develop.ent. Application is hereby lade to obtain a per.it to d~ work and installation as indicated. I certify that no worK or installation has co..enced 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 develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended NorK, and that it is IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not lilited to: f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypres5 Bayheads, Wetland Areas, Altering Watercourses f Any Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' f Depart.ent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environlental Protection AQency - Asbest02 dU~'~.~nt I also certify that, if fill .aterial is to be used in Flood Lone "A" or "A,etc.', it is understood that a drainage plan addressing a "co.pensating volule" will be sub.itted which is ~(epared by a professional engineer registered in the State of Florida prior to per.it issuance. . A perlit issued shall be construed to be a license to proceed with the worK and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or y;olations of any code. Every per.it issued shall beco.e invalid unless the work authorized by such per.it is cOI.enced within six lonths of issuance, or if worK authorized by the perlit is suspended or abandoned for a period of six .onths after the tile the work is co..enced. One 90 day extension of ti.e, lay be allowed ,for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust 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 "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO"KENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEKENT". - SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRHCTOR was acknowledged . 19 bv STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF,FLORIDA COUNTY OF The foregoing instrument befc,re me th is was acknowledged , 19_ by - who is personally known to me or 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 or Stampe~) NOT ARY PUBLI C (Name Typed, Printed or Stamped) NOTARY PUBLIC . . ...........-.-- . ':1 ., -.-....-.-.....--. VAL\) An 'ON :______ . ~U\L-~\/"~ (,. ---- '.-. ----"--' _ pL~.~.~_~~,c,. .r .' \:.LECI~ 1(.1'1- l- .. ... . .-..--....---- . . ': ifY1~c.t\0..~.IQlL S ~g JD Tl'\ L- - .._ ....n _._ ;"~~v\\ ~1f1L- -..---.--- ._-- . _ _d ..A_ (y7:J., Cv~~. (Ou:.,t..S I I _ ~ ........ . $f"L~ 50.0 -- -.......--..-. . "', ":';... ,.-.. .1),ODO ..-----......... ...... ,........... I'" I . ......_- ...L~__~_. > ~___.~: _1Ps(i-~' J, ~ u~ L.5? .::.} L~:_ _:'. 120, L< " .St..5D ....... ....I~.. : . bl.50 __...._. .4.__...____.__:..-__. "J. .. .af)()~ 2~4.(:)6 N/A . ~Lel:1-. C> 0 ,,, --_._~~.._--_. . I '. ..._.n...._____,____.'.. -----..- ,. . sir ~J-'Pl!iJ~' ~:'.:,. " .... ;2.):2 35~' dJ2."'f!;f./::; -aA.eH . .. --.. n.' .' rtJ ?:~-~/-~.tL -o/~ .._ ,.. ....._. ...__...,.,u~._.._ , . ...........-.-.- ~~J(e~\).?~_CC~5 NJti j-};?(', / i' ," "., -'I . ._,' --- -_.!.-....--.....-----..-.-.--.---.. .--.-.....--- -- -.-----.. . --.- .- .. ~-;.----.- . I)-v' ~,- E~~/.j fEi ctreJ;r- ( __.n _h'._~~.. , ., ~7/J L_____._. L~ I LV~) LolD';"'':> . Sr~ 5'"00 TA~LE A - WORKSHEET CITY OF ZEPHYRHILLS CONNECTION FEES RESOLUTION #312 WATER $1.75/GALLON SEWER $6.39/GALLON RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $1. 278.00 Travel Trailer Park 131. 25 479.25 COMMERCIAL (PER FIXTURE) Sinks 87.50 319.50 Water Closet 131.25 479.25 Urinal 87.50 319.50 Lavatory 43.75 159.75 Tub/Shower 87.50 319.50 Washing Machines-Commercial Size 350.00 1.278.00 Washing Machines-Domestic Size , 87.50 319.50 FOOD SERVICE - Dishwasher 700.00 2,556.00 Sinks (3 Compartment) 175.00 639.00 Car Wash (Per Stall) 1,000.00 6.390.00 FIXTURE G.P.D. t~ WATER SEWER TOTAL PER FIXTURE Sinks 50 - 4~715 c ,-', \) 6 J. ,-".r 2O'?5 '."; /.? t '. :~ I . , Water Closets 75 I 13J.Z5' 4"1'1, 2.~ (, / () I"S () Urinals 50 J .. Lavatories 25 4'" '1 _~j /5'1, 75 '2.03. -5 ' "'. -' Tubs/Showers 50 Washing Machine 200 Washi~g Machine 50 pishwasher 'tOO Sinks-3 Comprt 100 Car Wash-p/st. 1,000 , fo/2,S ?7) 'J i " n lJ go/-q I DO .;;... I,:;.. :)1.0 ' ':J ,. fLJ " WATER METER /65, 00 GRAND TOTAL ;) :1/ L1 c c. __-,.I.' '~ --, I -,~..,.",--,- -- - _. _.- --.- - - - ,-,,--,_...---..,~\ -. CONTRACTOR #: NAME: CONCIRE. INC ADDR: MERCHANTS ~)UARE CI:::;T= C E N T R ALP E R M I T TIN G DATE: 04/01/93 PASCD COUNTY, FLORIDA PAGE: 1 OF 1 I ~:;~::;UE IJFF I CE: n RECEIP~ NUMBR: 00169145 SHOPPING OFFICE: DADE CITY FOR: CHEC~( # 616 SOLID WASTE ASSESSMENTS CUTS, CURLS. AND CCILOR ACCNT 114 TOTAL AMOUNT: COMPNY ACCOUNT CENTER 8450 - 363000 - _ 14::::" 0':;' AMOUNT lA::::.09 DESCRIPTION/PERMT DATA DRICR ****** 60 RECEIVED BY /'1 /1 V . / . /1 / / / /! /') /'~; -. ~(/ I ! I II I / " )/ I ~.... / i / i, .' t .r..,... r'" ! j - --.- - ,?,,--'- - -~ _t.._ - - -. -'-- - - -.~.;;r!{-~,..-- -- --- ',':fA.. t":.~:" ,-" ;" "I( ~):.: _.^-~-~-~ - -~,::;. ---- ~'-l"'l'F-..,.::o::: PASCO COUNTY, FLORIDA Permit # ....~:;;.. ; , Date Name/Owner ;.~~~ County Parcel # Location --- .,.......-,. Classification / Type of Use ~~l lRANSPORTATION IMPACT FEE CALCULATION Rate $ Zone # Sq. Ft./ Unit Prepared by Impact Fee Amount $ The above impact fee bas 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 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 = !Q.Sflx (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. TIlE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF TIlE CERTIFICATE OF OCCUPANCY. NO CERTIFICATE OF OCCUPANCY OR FlNAL 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 lRANSPORTATION REC. # RESOURCE RECOVERY REC. # DATE DATE BY BY White Applicant Canary Trans / Finance Canary RR / Finance Pink Office Green Bldg / Insp .' /. ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 FIRE CODE INSPECTION Business Name ~u I! (lu J!. it, 'I C!cL., It- Classification etA s, A./E-S" S Address '1401 (pA it &1 (./]) ~n~r/Ma~ "::tc-(,~~ G~ Business Phone ?e '3 . ~.34 0 Emergency Contact Phone 7&4 - 799 - 11&5 Occupancy Load TYPE OF INSPECTION CONDUCTED o QUARTERLY ~FINAL 0 ANNUAL 0 BI-ANNUAL ORE-INSPECTION 0 OTHER ~APPROVED 0 NOT APPROVED o COMMERCIAL CHECK Listed below are items which must be complied with before this occupancy can be approved by the Fire Department. o CODE VIOLATIONS This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code. 1I1P~#b ~ \'~,c~ ~J?~' A./i"n; ~t? v A,+ If/!: ) ~I R~d~ tEl> U/ttt ~- /A/d,cWD !ft11.-),l.y i03 Inspect. Date ? - 31 '7..3 Inspect. Time lip/:) Fire Dept.ID # 55" / ew::::~~::nature-K/ T2fAt~;:~~f , / , This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum stC!"dards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.