The URL can be used to link to this page

Home My WebLink About93-2972 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 ~o . vv .2..s: OV -3~ -: CJ7} (~ ~ ~MBIN9 P<aperty Owne' {:;!i &r~ ~ Job Address: 3~~ __ _ _ Parcell.D. # / Y -;) 6 -~ - 0/6 u- od7Jl - 0.30 C> Permit N<! 2972~1 Date / - c2 J'-- 5!....? Water Meter: T.I.F.'s: '7/tlZJ.crv ~,tFV /~0-:dV Sewer Conn Water Conn: Zoning: Energy Co.de' Radon Gas: Description of Work 111 ~ "JZ~ 4~ _ ./~ ~~;;#jl ~ -i.t ~(2 < 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. Inspector Permit Fee 13 tJ" tTV Signature () a;y..A. D r r~ Company Address Telephone# Valuation or Contract Price ,~A- Ftr. ? ~~~:,lB.~_ ~~ Insul. CL WL , Tp. Servo Rough In Meter Can Const. Pole ],. Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final WII~;/~ 1l15/nT 7},. d- -(J-9~ Driveway .{{ ~\N)k,- t MovaL ~ult.- L-t1lll2.- 'L...i-4'7 BJJ- 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. APPLICATION FOR PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT Gold Keys Mobile Home Sales APPLICANT Jerry H. Moates ADDRESS 34140 Highway 54 West ~ephyrhills PHONE (813) 783-6087 OWNER Gerald & JacQueline Lemieux JOB LOCATION 38004 Lawanda Loop Lot #30 LOT SIZE~X 95 AREA SQ. FT. 8,075 LEGAL DESCRIPTION: LOT(S) 0300 BLOCK OOOOOSUBDIVISION \\Taywurd Wind PARCEL I. D .IF l4-26-2l-0l6~-00000-0300 WORK PROPOSED: XX New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ~Single Family _M/F _IF of Uni ts XXX M/H _Commercial _Indust. _Swim. Pool Other f _Restaurant & Health Department Approval BuiLDING SIZE: 27 X 50 , 1.150 Square Feet, 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 XX BUILDING XX ELECTRICAL X 1:4' -LMECHANICAL $ Valuation of Total Construction AMP Service XXX Florida Power Corp. _H.R.E.C. $ Valuation of Mechanical Installation -X,LPLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Mobile Home Other FINISHED FLOOR ELEVATIONS: FT. Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** ::::::~:~N ~ Company E~~MJ ;s~t>~wt~ . 0 - <t;:;JJ. ~~;.. ..~...m~:~m~~~:;;;m::~~;~ " &J"- /f,/ PLUMBER Signaturect;:(), _1: Company -t=.oV l~I:lI.'}~b~"t-AL ~ ~ State Cert. or Regist. " . City License Registration IF .. *********** *********:k****i'*******'~"**t:*1i , Oo.d't~~~s.. ?h MECHANICA~ ;. COmpaiiy t;:J0 V I ~~ M t:..v'll'liL IDx ('(j[2 ~ . State Cert. or Regist. 41 Signature \ . . City License Registration !F ....... ......................****...*** (b.c) ~~M'rn e So ~'I Company State C~rt. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY 2Z~*~~~****;}1**~****~***~*~~~~**~~*~~~~~ . . ~~.~ . ~".;- ..w.. .... """" PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . . The undersigned understands that this per.it lay be subject to .deed restrictions. which .ay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance 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 with state and local regulations. If the contractor is not licensed as required by laN, both the ONner and contractor .ay be cited for a .isde.eanor violation under state IaN. If the owner 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, (813) 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 be 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 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 - 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 docutent and pro.ise in good faith to deliver it to the .owner. prior to co..ence.ent. J E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work Mill be done in co.pliance with all a~plicable laws regulating construction, zoning, and land develop.ent. J 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 perforted 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 govern.ental 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 Departtent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treataent f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De art.ent of Health & Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone .A. or .A,etc.., it is understood that a drainage plan addressing a .colpensating volu.e. will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to pertit 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 ~erlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perl it issued shall becole invalid unless the work authorized by such perlit is cOI.enced within six tonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six .onths after the ti.e the work is comtenced. One 90 day extension of tile, 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 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 COK"ENCEKENT HAY 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""ENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT.. " I ~.-7f' f j (;..~' ... ., 'l ~. ~ ,-' I s.~ STATE OF FLORIDA ~ COUNTY OF -r- A . The foregc, i ng i ns trumentJA~ befcq-e me this C::::>~~ ~19 - \)~_~ tl, t1{ttf(:TtS SF::- who l~lly known to me or who has produced' . as identification and who did/did not take an Datll.q::;;j).~~ ~~ "S) (SignatLrl-e) 7- who IS pel-sc, produced as identification take an oath (Si gna tLll-e) (Name Typed~ Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC N9tary public, State of Florida Jitebirt Charles Ehrman, Jr. My Commission Expires April 21. 1996 Comm. No. CC 196771 Notary Public, State of Florida Robert Charles Ehrman, Jr. MyCommission Expires April 27, 1996 Comm. No. CC 1967H OWNER CITY OF ZIPHYRHILLS BUILDING DEPARTMENT Gerald & Jacqueline Lemieux JOB LOCATION 38004 Lawanda Loop Lot i30 Wayward Wind PARCEL I.D. i 14-26-21-0160-00000-0300 SHOW ALL EXISTING & PROPOSBD STRUCTURES GIVING DIMENSIONS & SETBACKS. ,"- <. ~_... :..,. l' LII ~ _... -----1 1..J r-.- 1 I, ('I .,;:' \J C 0 Ci-.-V " -J L1--- ,t t I.-- I I I I q~ ..:.; ~ .~ ie, (/'- 15 CIS -t " UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. 1(\ ;;ll ~ FRONT PROPERTY LINE "",,',1,.: .. J ~ .. (NOTE EXAMPLES 1 & 2) STREET Lawanda ~oop 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'DUPLIX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE -----..'-.~-~-.- ____e.'._ .-----..;..,__._.__..____..__..___.._.._ _ ___,__~.._.._,..__..._ _ ________j C E N T R ALP E R M I T PASCO COUNTY, FLORIDA CONTRI~C:TOR #: NAME: GOLD KEY MOBILE HOME SALES ADDR: 34140 HWY 54 WEST C/ST: Z--HILLS FOR: SOLID WASTE PERMIT 2972-8 {4CCNT 114 TOTAL AMOUNT: COMPNY ACCOUNT CENTER 8450 - 363000 - _ CHEC!< *" ::<;::4 4.4 . 1:.(:- AMOUNT 44. 1:..::;. ~,.- c ' ~-- \ PI:::',-: .~ "l::: I..... ""_.,.___ '.. n _-:~ " \... \.. : '.. u..c::~:::... .. .... \.__ EI \ E[ ~ _~___.-.-___"'-_________.________._ _ "..-'- ------- ( ........- "-~----- -~~ l' I N G DATE: 02/08/93 PAGE: 1 OF 1. I:::;::;;UE OFF ICE: D RECEIPT NUMBR: 00163610 OFFICE: DADE CITY DESCRIPTION/PERMT DATA DRICR ****** 60 .:1'. :~;'~ '"";'1\. d:~t/ll.I'<"1li~ ,'!\<.':". "."~l":V'iIIl.'l:f:'i ll'::<rv",~ ", /~. .,,,.,::\if:~. ,. at:" .,,;i,;t;'; ~ ,.,..IL,i"~~!V. " ,.,.f:" . . M7>': .' '.~'V:~'-' ~ .4~_'-;.!.;~r:"';", PASCO COUNTY, FLORIDA .. Pennit # " .i Date "_..-1 Name/Owner ,"-'i .-.." i , C01Ulty Parcel # ,/ -- { /', ( Location .i . ,. / Classiftcation / Type of Use lRANSPORTATION IMPACT FEE CALCULATION Rate $ Zone # Sq. Ft./ Unit Prepared by Impact Fee Am01Ult $ The above impact fee has been established pursuant to the Pasco C01UltyTrimsportation Impact Ordinance as adopted by the Board. of C01Ulty Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permiaed structure. RESOURCE RECOVERY ASSESSMENT RESIDENTIAL NONRESIDENTIAL l # 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 = (QSfl x (ERU) x (0.1315) x (# Days) 100 TOTAL FEE $ I }I t ;""__ l._. , \" ; .,:, 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 BY BY ,r.,: C"", White Applicant Canary Trans / Finance Canary RR / Fmance Pink Office Green Bldg / Insp