HomeMy WebLinkAbout93-2897
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
.6 0 . nJ ~s: cTV .--:!S; cJ1)
~ Ci~ CPLUM~ ~AN3Y
:::::,~:~e'?~&~7u',~'}~:~~
Parcell.D. # .3'/ -~- :;l/ -J-..:L
Permit
NC!
2897 B,
/ S7~7J
Date / -s- 9,-?
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code: Radon Gas:
G{.'c,; t.mofwo."';~~ ./J~I~
· ~'l~ -1
NO OCCUPANCY BEFORE C.O.
Inspector
FINAL
C.O.
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#
~9
_A.(C ~J) H
Valuation or
Contract Price
/ r rtf7J . cJV
,
City License Registration # ....? SI
State Certified License#
Q.~
1lSLB 2.. 7-~Cj 5
~Tub Set 2-{1, -9 fJtlJ
Water
Sewer
Final 3 -ICfA7 ") JS,tL-
/ ~ -r 15 VI"/)' vJf-
Breakers
Ducts Insl. 3 -I ).Jj.3 ~
Compressor
lFinal
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter 3",,~"9(> ~
Final
Driveway UAU- D=>".s~,J ,'" 2 -/~-c, 3 ~.
W~ () k Z-Z.lf-ffJ;JJ./
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
. /V/;(r--l'?P
tJlI,rF If,:r tJ~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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.
-
-.
. .. _- \ . t".. ....J( \ I . / H71 r-?.P '.. 11, 1
~rJ_,,\ p)~~,I",Ti ...)'... rr'-' v /,7r,~)"._~_r}k.'f.- t,'LI<t ~
'~I)''\C\~ 52.0 -
':'
.;
-..-.-..---..-...---.
VAL.V An\)N~.<g1 co:)
,.....,...-....-..
_..__+J.~~~.,. ....-._~K..'..._j5~.~:; ~" ._._' \t l' \"2.'.:. _ ~~'L._ '\')-[... -..
__________.~~~~J? ~~ ~
. pLlJt~.~.~~,c,.
. . ~WCTJ3-'~1'r 1::-
, ; i!Yi ~ 0\ 0.,~.10 L
.S~B1Qrl'\k
;':~~0D
~ ~-CI'1.~
I r~.1 .' 0 .
". . '(' .
4~. (,c.
. ...,f' ,
.____........_.. ..............1...._....
. 00
60.-
:'J ~;' ( to
~<""",
.--,--. -- -------
~ q 'I, 5 0 .
N/A
;J.C\~.50
_.__...!.-~_.---_.
.-----.--... -
,
I.
i-
COr-!~~(~\Q~_f.t;.-~s ...-..---.....' .. .... ......---.----.. ...---
Sf-.~_~_~ II~.:~':,:"} Idfl*~~~..~.=91cfJ~~ ".-
'. W,6.::LU _ -
t)
(,'. M
- '" I~J~TE::0-
L9_'CI!L.-
11,5. 0 0
, 7ef} .
I ' .'
. .
~~_ r( tt\).C:>~_~f>JS
; ~;"./ (11/'
}~/A.. . .
: ~ t:~ i;
,.
'1' .
. ----.---..-.-
,.
~fWJ.,,=.:r'rln ON IJv' f'1LT' . 'f~5-+Vf;q_.m~-.~.
.9. t4 # t:>~l!((:'~ Jf' r- __........n ..
'. .
.... ,........_..._, ....,....... /o~T/J L..___...__
. ....
.. 5~L).\{ t1t.AvT'f Sl,l rY'-'1
SP~\u:... 5ZD
TABLE A - WORKSHEET
CITY OF ZEPHYRHILLS CONNECTION FEES
RESOLUTION f~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 I 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. # WATER SEWER TOTAL PER FIXTURE
Sinks 50 .
Water Closets 75 Z. 202,50 c; 5'9>. -5 c 1.22,,\. c:..~:l
Urinals 50
"
Lavatories 25 2- <g-7, SO 3)'1.?O i,{6.'
Tubs/Showers 50
Washing Machine 200
WashiDg Machine 50
Pishwasher 400
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
, 350. DO:> t ,. 0 C......
,l ~<, , . 2. "')
i .c 'i:> .
.?" ,
.}/~I
"
WATER METER
/ fG5,
() ~
GRAND TOTAL
.J >) (fr ';;.. r. U
,.2....J(
'TI'V1 )c -e I \ Y
'1 c oflt
APPt;:iC...~.lI05 FUA PERKIT
CI'n OP ZEPIIYlUlILLS
BUIIJlUIG DEPM.."'DD!ln"
~
OWNER'S RAKE kello'/7 ~ f~IWl.s.PV
I
OWNER'S ADDRESS 2c:> 5 S u.J n.o ~ ~ +-
.JOB ADDRESS ,405 6A.l' ~ l"tC
LEGAL DESCRIPl'IOII: LOT(S)
~
PIlOSE
~~~"i" ~ CI~
'S,,-l' ~I I~~^~ ~ S'"'('pl~
SUBDIVISIOIi
BI..OCK
PARCEL LD.'
WRK PROPOSED:_lIev Construction ~tion _A1teration _Repair _Install
S.
- I.gIl
_Move
_ne.olish
PROPOSED USE:
Single Faaily
_a/F
_, of Units
_!l/H
_~rcial
_Indust.
_S,"-. Pool
Ot:her
_Kest:anrant &: Bea1t:h ~t Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
cotmERCIAL :
A'l'TACII (2) PLOI' PIARS &: (2) SEIS OF BUILDDiG PI..UlS &: (1) SEI' ENERGY FORKS. **
AtTACH (3) SEIS OF Bun.DDIG PI.MS &: (1) SEI' mmRGY FORKS.**
**COP'f' OF COINTRACT REQlDTRED.
PERl!lITS REQUESTED
_BUILDING
$
ValuatiOiil. of Tot:a1 Construction
_ELECTRICAL
Atf.P Service
Florida Power COrp.
W.R.E.C.
----1tECIIAIilCAL
$
Valuation of Kechanica1 Installat:ion
_PLUKBIIIG
GAS
~fj]iG
SPECIALTY
"
TYPE OF CONSTRUCTION: _Block _FraIIe _Steel
Ot:her
FTIiISHED FLOOR KLEVAITONS:
kIT .
IS PRO.JECT III FLOOD ZONE AREA"?
YES NO
CO!fPMIIY
State Cert. or Kegist. ,
Signa r City License Registration , ? s-q
.'-'-'--~~-*d1;::'::&ul-eu-
~J / //9.-t- State Cert. or~egist., e.C-O 0 0 '3 2 U
~ ~I . ~ City License Registration , 2 '! L{
******************************************
PLlIlBIlR ~. pJ~ =-:rr~~~-
Signat:ure~ -t _ City License Registration , I ~U
*****************************************
::n ~:?:;:;h~thj2.'
City License Registration' .' 7 - "
**********************.*******************
**********~*******************************
COlII'RACIOR SECTION
CO!IPAIrt
State Cert. or Regist. I
City License Registration ,
******************************************
Signature
APPLICATIOII APPIlOVI!J) BY >1 Q :zf! c..1..dl-J
PERKIT OFFICER.
('
_' CONDITIONS CF P~RMIT AFFIDAVIT
A. NOTIC~ OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay b~ subj~ct to "de~u r~strictions" which .ay be .ore restrictive than City
regulations. The undersigned issu.es responsibility ~or cD.plia~r.e with any applicable deed restrictions.
B. UNL I CENSED CONTRACTORS..~ND ';::ONTRACTOR RESPONS I B I LIT I ES
If the owner has hired a contractor or contracr"rs to undertake work, they .ay be required to be licensed in accordance with
state and local regulations. If the contractor :.. not licensed as required by law, both the owner and contractor .ay be
cited for a .isde.eanor violation under stat~ law. If the owner or intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended work, they are advise~ to contact the City of Zephyrhills Building Depart.ent, 18131
788-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
"Contractor Sections" of this application for which they will he 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 .ay 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 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 Consu.er Affairs. If the applicant is so.eone 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 co..ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet 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 .ay apply to the intended work, and that it is
.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
f Depart.ent of Environ.ental ReQulation - Cypress Bayh~ads, Wetland Areas and Environlentally Sensitive lands,
Water/Wastewat~r Treat.ent
f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of EnQineers - Seawalls, Docks, ~avlgable WateTllays ,-
f Depart.ent of Health & Rehabilitative Services. Environlen~~1-Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental Protection AQency - Asbestos aua.i:'il<,.t
I also certify that, if fill .aterial is to be used in FloGd ~~ne .A" :~ '~,2tC.', it is understood that a jrainaqE plin
addressing a 'co.pensating volu.e" will be sub.itted which i5.prepared by a pi'ofessional engineer registered in the State of
Florida prior to pertit issuance. ~
A per.it 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 sh~ll iS5uance of a per.it prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
unless the work authorized by such perlit is cOI.enced withill six tonths of issuance, or if work authorized by the per.it is
suspended Dr abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of ti.e, tay be
allowed for the per.it with fee charge of $15.00. The fxtension shall be requested in writing to the Building Officidl. An
approved inspection lust be logged during each six .onth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCE"ENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCEKENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: COMTRACTOR
was acknowiel:!ged
, 19 by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befc're me I;h i s
STATE OF~FLORIDA
COUNTY OF
The foregoing instrument
befclre me th i s
was acknowledged
, 19_ by
_.__-.!o.....
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
~ho is personally known to me Dr who has
prc.duced
as identification and who did/did not
take an clath.
(Signature)
-
(Signature)
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
-, ~:---.-~ ----
f'
. f
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Name <::;;".u 1 ~ & (l "J[ c;, f.v Classification
Address '74oS' GA-C( Uvb Owner/Manager ~.. 4I'r(tfA~
Business Phone
Emergency Contact Phone
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY ~FINAL 0 ANNUAL 0 BI-ANNUAL
ORE-INSPECTION 0 OTHER
<jC APPROVED 0 NOT APPROVED
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or- prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
4ff~Z :$~Z:~:? :i')
r' ~ _~",,;J. ~^ tp,(f J/~
"to
'...
~~r~~ ~."L'),AI rf3
"
,,' '. ,It,:' ':l<"~"'.
~';:;~~
Inspect. Date "? - 31 . 73 Inspect. lime ~ ~ Fire~ # S--S- f
Re-Inspect. Date ~ '7Zo Name / ~ "\ I 9,t~~
OwnerlManagerSignaturerJ~_ ;t v Tille 5'r~""~'.4.",L-
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
,
~ - .----- -,,--:;:- - - .:C;;- - ~ ---:-':''1r~~''';j>q ,-, - -- '" 4i.,~~';~-:,
t.'f" f j;'~
C E N T R ALP E R M I T TIN G
PASCO COUNTY. FLORIDA
DATE: 04/01/9::::
PAGE: 1 OF 1
I :;:;::;;UE OFF I CE: D
RECEIPT NUMBR: 00169144
OFFICE: DADE CITY
CONTRACTOF: #:
NAME: CONCIRE. INC.
ADDR: MERCHANTS SQUARE SHOPPING
(: I ::;T :
FOR:
CHECI< :>> 617
SOLID WASTE ASSESSMENT SALLY BEAUTY
:::;UPPL Y
ACCNT
1. :1.4
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - -
Et7 . 45
AMOUNT
1'?7. 45
DESCRIPTION/PERMT DATA DR/CR
****** 60
f '.~--.."~\,' C",,.' ~~.< ,'c>-. ,
, (~ ( ".. . "". I ({ !', :
RECE I VED BY _______________...:..::...:._~'!:....:..._,_L:.;,,____.1._.:.._____.....;
.....'"".J ~tI"iffl:"l/I:"",'~~,:, ,~......t 't', .!/4... ~; ');,~ :~~-~
. ~ .-W1t,9M,ft ~.......~~~.-~,
PASCO COUNTY, FLORIDA
Pennit #
..", .
l r/
/', .
Date
Name/Owner
~~~~~"~-...'"
~~-lt~..
County Parcel #
Location
.,-,--~...
-
Classification! 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
structwe.
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.SElx (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 fonn, 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
""T
BY
BY
~...;-
White
Applicant
Canary
Trans! Finance
Canary
RR ! Finance
Pink
Office
Green
Bldg / Insp