HomeMy WebLinkAbout93-3118
(L--"BUILDING PERMIT
./~orY- CITY OF ZEPHYRHILLS P.'mit N~ . 311~
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C~ ~ PL BI C ~ECHANI~ SewerConn 1?~q 7~
~ U Water Conn: /; :l6f. ~
Property Owner: t!1!J-WAL ~ Wate~ Meter: 7p 1.2~R--1j.,
Job Add.... ~ ::s" 7. "1.)1 0/ f. 8.t?~, 6]'AU' ,// It) TlF' 5; A ;:2;3. 74
ParceII.D.# 31-~.:l./~ t)OOO- t'Jo:3.0[)- DO;2rJ
Zoning: ~
Description of Work
l~
If~: :l'lS{P13
NO OCCUPANCY BEFORE C.O.
FINAL~ -2 ._~..$
DATE
. -;2'1-7
c.o.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
Signature
Company
Address
Telephone#
Valuation or tt -';;( J!:t2--
Contract Price cY 6/'-1 DOrY.
City License Registration # j 1
State Certified License# (! g (1/) /tJc; -:<3
V~~
BUILDING
G7~M- (~lJ/2lF
ELE~CM;t /1:l - ~MBIN flftJl
W~u...s t.t-~lo-q~ 5 '2'/ ...
Ftr. Tp. Servo SLB If--J/f] ~(7~
Pre SLB y....C)-" ~ ~\J..I Rough In Tub Set 4-l~- ~3 13eJ:r
~i~~h---: ' Meter Can Water
F~tllq-16-<t?'b~-~Const. Pole Sewer
Insul. CL Pool Final G
WL H-Ifrf(b ~ Pre-Meter ~...\~-,,~ ~ (Luv..-\;)t.Jbr
Final <:)oV~~"l<';ilJ& v>At.t-
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N~ ( L(-(~Z
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/1 00 DOllarS~$ 5.00) shall be mage for each trip for each trade:
~ '~...4.l1.3~J
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.
~c!~ I
~ MECa::.
Breakers
Ducts Insl. 5- L '8-'13 fJlS
Compressor
Final t-"J- 7 -r; B f2B
Driveway
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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TAnLE A - WORKSHEPT
CITY OF ZEPHYRfIILLS Cm-lNr'~CTTON PEES
RESOLUTION IF312 WATER .} 1. 75/ GALLON SEWER ~6.39/GALLON
RESIDENTIAL (Each Lot or Unit )
Residence $ 350.00 $1,278.00
Travel Trailer Pal'k 131. 25 /, 7 9 . 2.5
COMMERCIAL (PER FIXTURE )
Sinks 87.50 '319.50
Hater Closet 131.25 'I 79 . 25
-
Urinal 87.50 319.50
Lavatory '13.75 159.75
Tub / Shm..'e r 87.50 31').50
Hashing Machines-Commercial Size 350.00 1.278.00
Washing Machines-Domestic Size 87.50 3J9.50
FOOD SERVICE - Dish\"3sher 700.00 2.556.00
Sinks (3 Compartment) . 175.00 639.00
Car h'ash (Per Stall) 1,000.00 6.390.00
FIXTURE G.P.D. ii HATER SE\\'ER TOTAL PER FIXTURE
Sinks 50 3 2102-.50 Q5<g,5C 11'lL1. 0(\
Water Closets 75 3 3tt 3 .75 /. 4-J7. 7G' 1.83,.5D
Urinals 50 , 7>7. 'Sc 'J '1 ~o t..( 07 I 1) v
7\ .
Lavatories 25 4 1-75. .'" to iq. 0 D <:f../y, 0':')
Tubs/Showers 50
.. -,
Washing Hachine 200
Washing t-Iachine 50
Dishwasher /,00
SiIlks-3 ComprL 100 Z- 35D~o 0 ~'1 ~"\ I. toz..<i, ...., i:)
l. ll'b.
Car h'ash-p/st. 1,000
1 ,'Z..{g"6. 7~ 4.1o?:J'L. 75' 5Qo/. 56
3/~
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h'ATER ~IETER -' fflJi) -
,___. ("'"" aO /' I . S' 0
GRANfi TOTAL __ ~
. . .
APPLICATION FOR PERNIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
\h<- {- 0- %~~J~~~
~331 G-O-~ d
~ O~Q..\ rS J r t0C.. .
APPLICANT
ADDRESS
Z'N'\\\~ PHONEJ30~\J S~'\-~9'1?-
OWNER
JOB LOCATION
LOT S1-ZE_X
AREA SQ. FT.
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
~commercial
____M/F
____# of Units
____M/H
____Indust.
____Swim. Pool
Other
.,
u~Kestaurant & Health Department Approval
BuiLDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
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.
____BUILDING
~ELECTRICAL
..1
~MECHANICAL
~PLUMBING
$
PERMITS REOUESTED
l\~, 000. C)C) Valuation of Total Construction
AMP Service
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 SECTION
Company
State Cert. or Regist. #
, License Registration #
******************************************
Signat
Company
State Cert. or Regist. #
City License Registration # j 7 "?
**************************************
Company ~~ '> '^" \E...'i:t-' ~ \L.l\\.o\.~ ~
State Cert. Regist. # cr=~~ z..-.99 y
City License Registration #
********************************
Signature
Company 5 C cV A/ 'f s; 6 i 5 Cc u ;z.' --; Jt f' f /,J ~ J>t/
State Cert. or Regist. #
City License Registration ;~ ' 7f.::-.....
************************************
Company
State Cert. or Regist. #
City License Registration #
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 lore 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 may be required to be licensed in accordance Hith
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 law. If the owner or intended contractor are uncertain as to what licensino
requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions {,f the
"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contracto:",
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 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 Consuler Affairs. If the applicant is so.eone other than th~
"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it tc, the
"owner" prior to co..encelent.
oj.
.'
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 cOlp1iance with all
a~plicable laws regulating construction, zoning, and land develop.ent.
I
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced 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 developlent 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 lust take to be in cOlpliance. Such agencies include but are not lilited to:
I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treataent
I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I De artlent of Health L Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I Environ.ental Protection AQency - Asbestos abatelent
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 perlit issuance.
A pertit 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 ~ertit prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code.. Every pertit issued shall becole invalid
unless the work authorized by such perlit is (ol.enced within six tonths of issuance, Dr if work authorized by the permit is
suspended or abandoned for a period of six lonths after the tite the work is cOlienced. One 90 day extension of time, gay be
I allowed for the pertit 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 OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COIltIENCE"ENT I'lAV RESULT IN YOUR PAYING TIIICE FOR IMPROVEMENTS TO 'jOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LENDER OR AN ATtORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCE"ENT. JOBS UNDER $2 500 N VALUE DO NOT NEED TO RECORD AN POST A "NOTICE OF COMI'lENC
r----
STATE OF flORIDA (),.., <:;. f'\ 0
COUNTY OF X '-^-V \..:..
The foregoing instrument
before me this \S~
was acknc,wledged
, 19:Ll.. by
STATE OF FLORIDA "
COUNTY OF V 0. S ~ C:t
. The foregoing instrll~t \.-'1215 ackno\.J1edged
before me this \$ , 19~ by
(Ir who has
("
who is
produced
as identification and who
ta' a
has
:J
--------
and who di~did not~
take ~\~:\) ~itt C\. ~r-
(Sign~) ) () ~ (\;=~f4- . \
.-S. 0 't.:. \\ f J 0 't\....)
(Name ,ped, Printed ~amped)
NOTARY PUBLIC
,.- --...
I .:~~-:A~:tt:e:~~ BErrY JEAN l' ii lQN
lllj&"'t>"~ MY COMMISSION M .,. "'.?~ ."
:;.: ~.: ~ "'''-' :..~..~,
\~;;-~~i EXPIRES: OclDb8r 6. 19liJ
I ".f.oIl..~' Bonded l1lnJ.......... PubIc 1.lntlem.1'1"'
"If.i" I_I'
BETTY JEAN TIPTON
MY COMMISSION' CC 233547
;Ai EXPIRES: October 6. 1996
IIondId TJvu NoIIIy PubIc lbIIIIwdlIII
ZEPHYRHILLS':FIRE DEPT
Zephyrhills Florida...... 335~O ..;.
4~
FIRE CODE.. INSPECTION
Business Name [3 ee-r: 0 IIJJ--~-Jl)
Address 733 7 C-Ct 1/ Blue(
Business Phone '71'0"- 7 '71)
Classification
Owner/Manager !l.c.ioJ 4 H 'If/" -
Emergency Contact Phone
Occupancy Load
o QUARTERLY
ORE-INSPECTION
~PPROVED
TYPE OF INSPECTION CONDUCTED
~NAL
o OTHER
o NOT APPROVED
o ANNUAL
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.
. -
Mq(/" 0/ a/~ /~ v Lu.l .)/-1".)"."'</ S'/4~ ct.u.-"} 1'-111 "'1 f;<J.'?/J. /S
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C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
CONTRACTOR =It:
NAME: SANDY DEVELOPMENT CO, INC
ADDR: 1723 NORTH HWY 301
C/ST: DADE CITY, FL 33525
FOR:
CHECK =It 1557
RESOURCE FEE ON 27568
34-25-21-000-00300-0020
ACCNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - 2
329.27
AMOUNT
329.27
RECEIVED BY _____~~~--------
DATE: 06/23/93
PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUM8R: 00179750
OFFICE: DADE CITY
DESCRIPTION/PERMT DATA DRICR
****** 60
I
PASCO COUNTY, FLORIDA
Permit #
~7~/f
~ - cfl a - 9-:3
N_/Owner Un;tUJ;/ ~,J~_,
COlDlty Parcel # 1/ if -~s--~ /- /;)000 - 0031)0- t9bd2.,V
~-,!.~:7{!~~:l:i~~~f 53r{l(
,'- CEF'o BRIlI)lI!5/!
Date
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
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
Gross Sq. Ft (GSF)
I; ..3 ~D
Rate / ERU =
50.00 x O.96"'/Year
or $0.1315 / Day
ERU Assign #
Assessment =
(# Units) x ($0.1315)
x (#Days) (\ ~~
.~~I \::::J I
Assessment =
(QSEl x (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 form, placing the building permit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
----------------------------------------------------------------------------------------------------------------------------------------------------------------
OFFICE USE ONLY
lRANSPORTATIONREC.# ..---
RESOURCE RECOVERY REC. #~ 7S U
DATE
DATE
CD Ird~ )C)~
BY
BY ~J.~
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp