HomeMy WebLinkAbout93-3066
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~ _ 30668
. . 1>-- (81 ~ ~8-6611 to"- Date ~ - ..s ,. <; -3
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{] ~ Water Conn: .4~1l.
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Water M~,I ~, 'r f!.AUI/Ll.;
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V' Tt> e~AkliAE opr''f.
7'J~~~.:1.00)
~don Gas:
--0
/C61' ?
G~
Property Owner:
Job Address:
Parcell.D. #
Zoning:
Description of Work
CUPANCY BEFORE C.O.
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
Valuation or 4- , ~
Contract Price ...2~ 000
,
ELECTRICA
Tp, Servo SLB /S~J-9~
Rough In "jr-lll (7 l3oftJ#l-rub Set /Irt' ,
Meter Can Water
Const, Pole Sewer
Pool Final
Pre-Meter 4'-<1 - '13 6at-
~
~ ~-ll-~3~
Breakers
Ducts Insl.
Compressor
Final
kJFt!J~ !1~~,.r-
1Jo. q-/F ./
Ftr.
Pre SLB 5...~) -G3 B tQL
Lintel
FRM, .11./(>' 1J;6JJ
Insul. CL
WL
Driveway
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. 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,
FEE 23 '93 i0:05AM KELL&KIMS'KASHtKARRYAAAAAAAAAAAA
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P.i
APPLtCAnOll FOR PERKIT
CI1T Of' ZEPlDKllu.LS
BUII.DIIIC DEPARnIFJIT
J(eltocr) f~ '''lVvt>< y
'5 ADDRESS "2.0 S $ Woo dL &-f
7341 &...,\ 8J",d,
.-- ~ ) ~ "1 5 \.( 0 ere, I,)
5CU""-%?4 A.... .(' I "3 4 ~ 3 7
DESCRIPTIOII: lDI(S)
BI:..OaL.-SUBD1VISIOII
___AddiUoo _A1~utlCJ1l _ltepa.lr _Install
_Sian
~e
_n..oJ.isIa.
Siagle F_ily-
_KIP _' of lhita
--",'ft
_ec:-e~ial
_Iadust.. _SWiJl. Pool
Other
_'Restaurant I; IIealtla nep.rt.ent Approval
x
~e Peet.
Heillbt
AnA-a! (2) PLOT PUlIS 6 (2) SEI'S OF BUD.DDIG PUlIS I; (1) SEI' ElIERGY FORKS. **
An.cu (3) SEI'S OF IlUIl.DlJIG PlANS . (1) SEt' mlroa(;Y JIOIItI$...
..0)" OF COII'I'.RAcr 19IQODIID.
PI!:RKITS RP.OtJPSTED
s
VaJual:ion of Total CoDsUuctioa.
AIJP Sentce
Plod.da PoMe-r Co'l'P.
".K.E.C.
CAL
s
Valuation of llecbani.cal Insta1.l.aUoa.
CAS KOOFDIG
SPECIALTY
_lIlodt _Fr&ae _St:eel
Other
FLOOR ELEVATIOIIS: " .
YES NO
..........
S~ Cert. or Regi.st. .
Cit:y Lieense RegistutioG ,
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TABLE A - WORKSHEET
CITY OF ZEPHYRHILLS CONNECTION FEES
RESOLUTION ~t312 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 \ ~/.5 0 6 \ '1 . 5 '0 Lfu-7 I ~) i)
Water Closets 75 \ \ /)\ ,~~S Y.-lC I . z'S b 1 b . ~.5c
Urinals 50
<-
Lavatories 25 \ Lr) .-r ," , 2'f;:/3 I 1) ()
i ,.,") -1 c!;;.
...), !) 1 _..-' l
Tubs/Showers 50
Washing Machine 200
WashiDg Machine 50
pishwasher 400
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
, Zla'? I :;; 0 C}5S/~D 1 '2....'2-\ . D 0
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WATER METER
) 66. ,\ ;p
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GRAND TOTAL
APPLICATION FOR PElffiIT
GI'IY OF ZEPBYRm:u..s
BUlLDDilG Dj'PARlTIfENT
L. (7 z: j !pavc!.!>
~ ito/';) S Ie
OWIIER' S lWIIl K d 1!!2!j) ~ I< I w\" e.y
OWNER' S ADDRESS '2 D :5:5 U> 00 c::f s ~ S ~ '(" 0... 5. u+"..,
.JOB ADDBESS 7 ~ Lf J (., A. \ , ~, IIcY
moNE
SI:5 95 l{ ~Cf D
~4 '2.. 3 7
0\0-
LEGAL DESCRIPTIOI!i: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D. f
WORK PROPOSlID:_lSIew Construction _Additicm _Alteration _Repair _Install
_Sign
_Move
_Deao1ish
PROPOSED USE:
Single Faai1y
_H/F
_" of lJTnits
_K/H
_~rcia1
Indus '/'
_Swa. 1'001
Other
_Restaurant &: Health Deparblent Approva1
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL :
cottKERCIAL :
ATTACH (2) PLOI' PIJUiS &: (2) SEr'i OF BUlLDlliG PUUilS &: (1) SEI' ENERGY FORKS. **
ATTACH (3) SEIS OF BUIlilIlWG puns ~ (1) SEI' ENERGY FORKS.**
**oopy OF oolNlTRACl' IUlXlUJ'I:RllD.
r~TS REQUESTED
_BUILDI'NG
$
VaJ.taaf:iCliU. of Total. Construction
_ELECTRICAL
MtP Service
___F1orida Power COrp.
W.R.E.C.
_KEGIIAIilCAL
$
_Val", d:io:>1.1. of Hechanica1 Installation
_PLUKBI'NG
GAS
_.__~ROOYIliG
SPECIALTY
TYPE OF oo'NSTRUCTION: _B1ock _F-LaBe ___Stee1
Other
FTIiISBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
*****************.****:************.******
.~
BUILDER ... .
S~ture~~~
ooll'l'R.:\C::::OR SECTION
OOltP1UJY~~/L,~
~ State Cert. or Regist. ,
--=...:__ City License Registration ,
**************************.**********..**.
CU!fPA~--.&t(')~/t'YI + Bu rf- b-lec. f-,
St:8::~ Cert. Regist. j: e: c- 00 Cl Q 3 a
Cit:y License Registration f
***************~~***.*******************~*
Si
Signature
PLOKBER L c:G}!:"~~
Stg,t:e Cert. or Regist. j:
S~ture ~ _ __ '"'i, X l:.iceDS<" Regis<ration # r.ffD
********""*****-J\o'fr.:.,,*,r :1:***"".***.**..**.*iI'*** f
=1''''''' !f!:tt- Ac:4-. ~ Ii- J./ Co
Sbte Cert~ or Regisa:.:. f c.lj.c.,o 2../ 2-.3
ity '~icE'nse Registration I IA-h:,
**~**..~~+****..******.******. (~yv
KECl:lA.HICAL
01HER ~JI~PJ.JliY
S~ate Ce~t. or Regist. j:
Signature City ~icense Registration I
**********,..101:';' '" !"...."'*i!--.lI-il:.., ****""*********..****
APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIlNS o~ P~PMIT AFFIDAVIT
A.' NOTICE OF DEED RESTR;ICIF:r..;:::)
The undersigned understands that this plri'~liY be ~ubject ,~ "1eed restrictions" which .ay be .ore restrictive than City
regulations. The undersigned assu.es re!;ponsibi!i~l fOT CII~f,"'i'[~ with any applicable deed restrictions.
B. UNL I CENSED CONTRACTORS ANI' CONTR_fir, YOR RESPONS I B I LIT I ES
If the owner has hired a contractor or contractors ~J underti:~~ ~ork, they aay be required to be licensed in accordance with
state and local regulations. If thl! contrachr ;~ no;; J icensed :i'i required by l~w, both the owner and contractor .ay be
cited for a .isde.eanor violation under 5ta~e lah. If the owner or intended contractor are uncertain as to whal licensing
require.ents .ay apply for the intended work, ~hel Jr~ 2dv~seu ~:, contact the City of 2ephyrhills Building Departtent, (913)
799-6611.
Further.ore, 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 Mill 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 lay'be an'indiLation that he is not properly iicensed and is not entitled to per.itting privileges in the
City of Zephyrhills.
C. TRANSPORT AT I ON I MPACT FEES A"iD_,!JT Y, L I TV CONNECT I ON FEE~.
D. CONSTRUCTION LIEN LA~ (~HAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien LaN - Ho.eowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Corsu.er Affairs. If the applicant is so.eone other than the
"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"owner" prior to cO'lence.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 Nith'all
applicable laws regulating construction, zoning,and land .1evelop.ent.
Application is hereby .ade to obtain a per.it t~ do Hork and installation as indicated. I certify that no work or
installation has co..enced prior to issuance of a perait lnd that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land Jevelop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies .ay apFly to the intended work, and that it is
'Y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not liaited to:
I Depart.ent of Environ.ental ReQulation - Gypres~ Bayheads, (etland Areas and Environ;entally Sensitive Lands,
Water /lIastellater 'i; ea tOlent
I Southwest Florida Wate~ "anaQe.ent District - Wells, Cypress Hayheads, Wetland Areas, Altering Watercourses
I Any Corps of EnQineers - Seawalls, Docks, Navigr:ble lIatu;;,v.ys '
t Deparlaent of Health I. Rehabilitative Servit:e~ElivirrH\t~ntal ~lth Unit - Wells, Wastewater Treataent, Septic Tanks
t US Environ.ental Protection AQen~ - ~sbe5tos ahatp.!ent
T ...., _'_ .,. _ to : .r:.. .' _, .:: r ,.. o. ,,1; . . J _. ~..' . _ ,. ~. . . . -, ~. ... . . ... . , _-"... '.' - ,.-
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addressing a "colpensating volule" will he sub.itted which is prepared by a professional engineer regi~tered in the State of
Florida prior to per.it issuance.
A per.it issued shall be construed to be a license to prDcerc w'th the work and not as authority to violate, cancel alter, or
set aside any provisions of the tecnnical c~li?s, nor shall i5~u,~~e of a per.it prevent the Building Official frot thereafter
requiring a correction of errors in plans, ,xm::Gruction! or VilJhtions of any code. Every peTtit issued shall becote invalid
unless the work authorized by such per.it ;5 cOI.enced withi;, 5j~ .ooths of issuance, or if work authorized by the permit is
suspended Dr abandoned for a period of six .onths after the t;. ;he work is cOI.enced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The ext~ns~Jr ~hall be requested in writing to the Building Official. An
approved inspection must be logged during e~(h 5i~ tonrh periodf or the project will be considered ahandoned.
WARNING TO OIlNER: YOUR FAILURE TO RECORD h NST1C~ OF CGMHENCEME.lf MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCiHH, ~Oh~ULT WITH YOUR ,ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMI'IENCE"ENT. JOBS UNDER $2 ,500 H~ VALUE DO NGI iiEED 'iO PECO:iDiND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF#FLORIDA
COUNTY OF
The foregoing instrument was a~knowledged
before me this ___, 19_.
~, "TE OF FLORIDA
\ iUNTY OF
1 ~ foregoing instrument
fL<re me th i s
was acknowledged
19_ by
whcI is personally known to lifl? OJ I^oho has
produced
as identification and who did/did not
take an oath.
~ ) 1S personally known to me Dr who has
produced _______
:-;,~ identification and who did/did not
'cake an oath.
(Signature)
(C.]nature)
(Name Typed, Printed or Stamped)
NOTARY PUBLTC
(t: '1me Typed, Pr i nted 0',- Stamped)
r.', JT ARY PUBL I C
---.------.---------
I. ""
CONTRACTOH *~:
NAME: JEROME PARKER
ADDR: 12303 US HWY 301
C:/~:;;T: DC
C E N T R ALP E R M I r I' I N G DATE: 04/14/93
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
I ::;:::;UE IJFF I CE: D
RECEIPT NUMBR: 00170706
OFFICE: DADE CITY
FOR: SOLID WASTE LG EDWARDS
CHECK # 630
l2\CCi'JT
114
TOTAL ?'~MOUNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - 2
245.77
245.7'7
AMOUNT
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DESCRIPTION/PERMT DATA DR/CR
****** 60
PASCO COUNTY, FLORIDA
Permit #
Date
Name/Owner
.",~~~~-::.;;..:~><; ~
County Parcel #
Location
Classification I Type of Use
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft. I 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
Gross Sq. Ft (GSF)
Rate I ERU = 50.00 x 0.96* I Year
or $0.13151 Day
ERU Assign #
Assessment = (# Units) x ($0.1315)
x (# Days)
Assessment =
!Q.Sflx (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
TOTAL FEE $
'to 7'7
*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 TIlE 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
lRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
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DATE
DATE
BY
BY
White
Applicant
Canary
Trans I Finance
Canary
RR I Finance
Pink
Office
Green
Bldg Ilnsp