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Home My WebLink About93-3096 BUILDING PERMIT BUILDING - (p~' -11; ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 1/5Q~ PLUMBING Permit N ~ _3096~ Date ~ -I&' -, 93 b'..J Iff)' Property Owner: Job Address: Parcel I. D. # Sewer Conn /5'9'l. SO -(,) ~ . ~ w"" CO", II:! 7- b - tV. ~" Water Meter:t.REP/TJ/J(,/'5/fJ) rr5LJz;~ './l~. l6P/leE ~DD )LLF.'S: e-U'INT ~,~.!: 5''1 .:31/--2.~-al- OODD - OO:gDO-DO~D cc;,;.Ld2~nVll "~"l'P.p.lr t>() ~5 MECHANICAL Zoning: Energy Code: Description of Work ~A'> ~) (l')i!{;J7 -/ 1(E~: Jl.1,!)-7..R> - NO OCCUPANCY BEFORE C.O. FINAL .1./...-, DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or A , fLu. Contract Price ~ I ~. () rO 0 , Signatur Company Address Telephone# L Tp. Servo Rough In .I..J" ').. 9~ ~.dr Meter Can..L~-J~7~ ,B~ Const. Pole Pool Pre-Meter 4-:)..:;).. -(l, '3 Sot-- Final SLBA'~Z...q3 ~r.U Tub Set Water Sewer Final ~. "G' /(1{ prUJofA ..."''1 6ff::'" Pre SLB ~ -2.cI- cJ<; Lintel Breakers Ducts Insl. Compressor Final FRM. 4-q-<1j ~~ W InsuL CL WL Driveway 2 ~iZv-?$k ~'-\,)---~ H-/-Cj3 ~ W, 1+. t6~.u.uL ~ -/ fl' c;3 ;z-j L/ - :If-- '73 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. .. ---.---..-......--. .' . . Co~K.\Y2-L c>Pf=IL\~S. ..-.... ,. 'S?t1C-E--. :2:...c::;..::) VA L.0 An "O~.( /6 J DCl) .oF ----......... ......-......--..-..-..... . ...- .-.......---. ,.....,;...~. 1i., L)(__Jj.:~'-c.:L.~..::{d.:..!NTi1i2.,O\"" ~V.!~P-~-IJJ:.-.... /~2.'5o '. .......__...._.... ......_....... P' _..._____.... ...._____. 45. t,c> ._.____........--...............,........... _..___.__......_____.._ . b;l, ?5" _.___..___~__~~~~~ ~~u? . pLlJt~.\5__\~~,0_ . . ~.'W:CTY3_I~1\.l:::- '; ir/lE;u\ 0_0.fQ)L .sl.)iS.:0r~k ;"~~0\T ~-c0.~ 35. c}o 2~5, 7-S- .' L%>Z-5' . . I. CO~~f(:T]~;~_f.f::...~> _.._____..._... ._..._ .. Sf-_vJ_~_~ 1,5'17.50 .... ......___.. '. W./'J.::ru '437, ~ 6'. _..__........:._.\.~_. . . ,./2')~.O:_rL ;j'~.~.--' -I{P~ (,) 0 c.fl~.~\+..~_..f.,...."._.__ 7f?_"CI!L.- .~ r" I~ ~70, 00 ..... .......'....:...... . , ....-........ ~~_ r( f1_D. ?0J_ ~ PJS ftL..~ttAD~ ,<fT"') DN . 6~~ '.' "l' . , _~~_~ ~ ~lrrn ON . s4\ ...-.-- . --f'T4.3~L...... - .' '. . creel'lf /. ....-----.-...---... ----.---..--.. I . /)\11 ~Ll F~~_____...._.._..__~_.._ ',' ~. .. ~ '. , .. . ..............__ ....__..... .. / o~77J L,..__._....__ . , [.ov<:. \ t2.E.. of HCii S ?Fli- 1~DO ,I,ABLE 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. f~ WATER SEWER TOTAL PER FIXTURE Sinks 50 \ ~7,5o ' - tfo7. DO 31CY I S'() Water Closets 75 2- 2-b2. t 50 qSt:;.5D I .7 -'2...1 01..) Urinals 50 'l " Lavatories 25 Z '7)7.5"0 3JC( ,5 D '-107/) 0 Tubs/Showers 50 Washing Machine 200 Washi~g Machine 50 pishwasher 400 Sinks-3 Comprt 100 Car Wash-p/st. 1,000 - . L_ 43~7. 50 1 /5ql ., D ZID3tJ. ;'1 ~ --r~'- " WATER METER GRAND TOTAL ~~- ~&... I APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT C.O\\.lQ.\('c. i 'r10 C- //$;~~ ADDRESS ~ ~ ":) S. G-o..\l ~ \ Ij rl . C. 0 Nc. \ ~t. ) l N C. ~ :) ') S G-o..U \:) \ 0 d. . B:~'l 0 - \? ~ 'i-..d OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT.J ~OO LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:~New Construction ____Addition ____Alteration _Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family Xcommercial ____M/F ____4F of Uni ts _____M / H ____Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: ~ \ X ~ (,) , \ (P 00 Square Feet, Height R,ESII:>ENTIf.:r.. : COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING LELECTRICAL --.:L..MECHANICAL ...:L-PLUMBING $ c;Q'3 ) 00 () AMP Service Valuation of Total Construction ~ Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SEC~~ Company ~ (j t. l) E \0 f ~ t 1,,)'1- c.o 0; r w c... . State Cert. or gist. IF c.:'D ~C\ ~-:s Ci ty License Regis tra tion IF -:l:t I <l ****************** *********************** Signat ELECTRTCTAN Company X\\ Jo..\I'-\~ ~\ t \t~'\ \r ~ 71 ~ L State Cert. or Regist. IF . eRoollllo Signature fO. . ',. j- Ci'ty License Registration IF IS! *******~********************************* PJ.llllAFR ~ Company ~a.~01o..l'- \ ?lu.",,~\.,~. ~ ~ State Cert. or Regist. # Crt... tl_ _ Signatur . ~-LA _ City License Registration ;F ********** ****************************** MFClIAliICAL~ Company .s;o I'-! I'-! '1' 'C State Cert. or Reg1.st. # ;)Ce,'1L. Signature ~ o/~ City License Registration iF ~ ****************************************** Company State Cert. or Regist. # City License Registration IF OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it.ay be subject to "deed restrictions" which .ay be .ore restrictive than Cit; 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 t~e contractor is not licensed as required by iaw, both the owner and contractor .ay be cited for a .isde.eanor violation under state law. 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 hav~ the contractor(s) 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 docu.ent and pro.ise in good faith to deliver it to the .owner" prior to cOI.ence.ent. E. CONTRACTOR'S/DWNER'S AFFIDAVIT I certify that all the infor.ation 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 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 perforled 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 Mork, 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: I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Metland Areas and Environ.entally ~ensitive Lands, Water/Mastewater Treat.ent I Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Metland Areas, Altering-Matercourses I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health l Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks I US Environ.ental 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 volule. will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it 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 shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beCD.e invalid unless the work authorized by such per.it is co..enced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six .onths after the tile the work is co..enced. One 90 day extension of tile, .ay be allowed for the perlit Mith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be lDgged during each six lonth period, or the project will be considered abandoned. MARKING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "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 RECORD N6 YOUR NOTICE OF CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE NOT NEED TO RECORD A D POST A "NOTICE OF COM EN NT STATE OF FLO~ COUNTY OF ~ The foregoing instrument befol-e me thi~/S was acknowledged , 1911 by STATE OF FLORIDA \). ,..., <:: f"\ " COUNTY OF 'X ~L) The foregoing instr~lt before me this ,\~ ,- - \o'las ac kno\o'll edged , 193~y JtJ.-me.5 H.8, h7),ah-1 who is personally known to me or who has produced .p~f-.soila....lly k no W 17 as identification and who did/did not ~ an oath. . ~ ~ f<l~ ~ (SignatUl-e) 'LSQ.r- /:;a.;-a.. /<a.. y S ha ve, r- (Name Typed, Printed or Stamped) NOT ARY PUBLI C who is ersonally known 0 me Dr who has produce as identification and who did/did not ta~ (~~ )~~~'S~ (S~~tur~ Q (\. \,'Q)S.J B~SF:a~'-\-\~~\ (Name Typed, Pril d or Stamped) NOTARY PUBLIC Notary Public, S!B~8 c' r::lc(:c<l a' !_~;r~ ) My Commission b,jif~!5 ,.1.::} a, : .1J.; BETTY JEAN TIPTON MY COMMISSION' CC 233547 EXPIRES: 0c1llber 8. 1998 IIondId ThIu NoIIry PublIc tJncIeIwdeIq ;. ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 FIRE CODE INSPECTION Business Name !5//JfrlfA-/YJ IJ.::,/'rL-- T'--J Classification Address 7.3 3s U,1-LL IJL L/i). / Owner/Manager .' Business Phone Emergency Contact Phone Occupancy Load TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED o FINAL 0 ANNUAL o OTHER ~ NOT APPROVED OBI-ANNUAL 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. ~o~;i:;ct;;YL 4r 7/1/J /lftl~ 4f;.JP#t>- &F,€ WE tve~E- ~T /7115 10 C-1-rl uN ;2 IMIJ-S /6p;1-V / ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 FIRE CODE INSPECTION f) f) Clyve/It/; .J;vc.- Business Name I)I;<ID#,+/11 rt.c/TL7 ~- Classification Address 73'.3 5 C:;./j L L .B l..._ L 0 Owner/Manager 723""S-- 2 75( ""- J. A/2K.df< Business Phone Emergency Contact Phone Occupancy Load TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION '€} APPROVED U) fr/r 1'.JorE o COMMERCIAL CHECK ~ FINAL o OTHER o NOT APPROVED o ANNUAL OBI-ANNUAL 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. 7" !il-c St11C'8E OEhC701l Olf/C. 8E~l /iN~ IS I UJILL ,6~ U/ve--v CI-.A-/l7~JffLJ /0 #-E- ~PO(/:C--U Ole /Oil.. C d, Inspect. Date L/-z Title Re-Inspect. Date Owner/Manager Signat This building has been check d by the Zephyrhills Rre 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. ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 FIRE CODE INSPECTION If) Q,/VCIItG ~ Business Name jJ/1I0IM/YJ. l!~h'-7~ Classification Address 7.3 .3 .s- C-A t- L- ./3 L- L 0 OwnerlManager J - A-/2. 'F:...B- /<.. Business Phone 7U- 2 75/ Emergency Contact Phone Occupancy Load TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION ~ FINAL o OTHER o NOT APPROVED o ANNUAL OBI-ANNUAL ~ APPROVED I"rN I'brE 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. 7' nt-C S #}CJ /{E .L?C-hc701l c/fi/c 1 8pA:n /iN~ IS W/l L- /2~ 61L/~#' Q.A-/t lv~.IJ 70 h~ ~/Jov~J Ole /Oil.. C t1,. Inspect. Date 7"- u, - 73 Title Re-Inspect. Date OwnerlManager Signat This building has been check 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. /LaL PASCO COUNTY, FLORIDA Permit # 627S7g :3 - ~ t1- -9..3. County Parcel # o t771(1-1J~ ~~. -~J./-.2~-jll- l'JoOt)- OO;SDO'- D() ::;"l) t> Date Name/Owner Location \.\ eO Classification / Type of Use TRANSPORTATION 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 Gross Sq. Ft (GSF) ~ L/ '-19 Rate! ERU = 50.00 x 0.96* / Year or$0.1315!Day ERU Assign # Assessment = (# Units) x ($0.1315) x (# Days) Assessment = {QSEl x (ERU) x (0.1315) x (# Days) 100 TOTAL FEE $ TOTAL FEE $ /'1'1 ~z. (.:- ~ (p1~ *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 TRANSPORTATIONREC. # RESOURCE RECOVERY REC. # I 721J 7S DATE DATE "/ ~.7 2-. 'i'--3 BY BY ,is ~ White Applicant Canary Trans! Finance Canary RR / Finance Pink Office Green Bldg /Insp