HomeMy WebLinkAbout93-3270
.. BUILDING PERMIT
, ~ -"'" CITY OF ZEPHYRHILLS
~~ ~:;. - (813) 788-6611
~~ ~~N$
::::::,~:~"' r;l;'{Jj(!/fygfa~~~"QL $10
Parcel I. D. # - - - 1- - :2.-
Permit
_3270t5
Date ~-~~-'7~3
r;:.C)
Sewer Conn ~ 9/7' .~
~"'r- -
Water Conn: r::>L (2!Cl
N~
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Water Meter: -
T.I.F.'s: tl, t ~ t 7P'
Valuation or --I
Contract Price /4. lOr] c"J
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FINAL_
Zoning:
~es pt;on of w~ .
/r.L:. ,~'7S0& 6/i'.dR-'~
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Permit Fee
Signatur
Company
Address
Telephone#
BUILDING
CTRIC~/7.3
PLUMBINd9J
~J~~
MECHANICAL+~
to - 7-t;"3 CB
lD - 4 . '1 3 ~~
b-\4-'l3~<<
6-28-93&1:,-
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Ftr.
Pre SLB
Lintel
Tp. Servo
Rough In
Meter Can :)"2 S--93
~ "'tl\vq~ ~\.V Const. Pole
Pool
Pre-Meter b-zg..qg tJd!r
Final
c..o~ r\ U~~L 7 \....A 13
.5-~2.5..'i3 aJ
W~ u-\~..~3 Bk
~..JD.!J ,.~.q38~
REINSPECTION FEES: When e"Xtraifii1pection 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:
FRM.
Insul. CL
WL
Driveway
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.
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TABLE A - WORKSHEPT
.Q.:!:.D.' OF ZEPHYRfIILLS CONNECTION FEES
RESOLUTION 1,312 I"ATER $1. 75/GALLON SEWER S6.39/GALLON
RESIDENTIAL (Each Lot or Unit.)
.-
Residence $ 350.00 $1, 278.00
Travel Trailer Park 131. 25 /,79.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
Water Closet 131.25 I! 7 9 . 2 5
Urinal 87.50 319.50
Lavatory 1.3.75 159.75
Tub/Shower .. 87.50 319.50
l-lashing Machines-Commercial Size 350.00 1.278.00 ---.-- ---
Washing Machines-Domestic Size 87.50 3J9.50
.'
FOOD SERVICE - D isluvasher 700.00 :!.556.00
Sinks (3 Compartment) . 175.00 639.00
Car h'ash (Per Stall) 1,000.00 6.390.00
FIXTURE G.P.D. 11 WATER SEt\'ER ~;AL PER FIXTURE
Sinks 50 tf 350.C~ I z-lfb. 00 lloz.c;;< 00
Water Closets 75 / IbL2-5 '-f 11, Z '3- hID. -SO
Urinals 50
Lavatories 25 I 43;)5 r ZO'{, ~o
15'1. '1::J
Tubs / ShO\vers 50
Washing i'lachine 200
Washing i'lachine 50
Dishwasher /.00
- -..
Sillks-3 ComprL 100
Car Wash-p/st. 1,000
525,ou IA17.00 Z Lftf 2, [) 0
flL.(Lf-fT~l'~. "
KATER i'IETER
tJ/4
2Lj~L< 00
GRAND TOTAL
APPLICATION FOR PER1'lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~c Cl:Ja Il.l \ <.\. ~
ADDRESS ~ 03.. Go.. \ \ ~ vd..
OWNER QO\\j('\ f't. Q ~ 'V-.r\~ \ ~ ) ':r 'f'JC .
10 I 510
JOB LOCATION '\~o ~ GG.. \ \ VI.) \ J 0'\ I.~,h- LOT
./
~,^\c\~'l c\ J f ,
PHONE
(ero\.) )sCa'l- fJCfcr::L
SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ~F
WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Ins tall
_Sign/Temp. _Sign ____Move _Demolish
PROPOSED USE: _Single Family _M/F _~F of Units ._M/H
X Commercial _Indust. _Swim. Pool Other
_Restaurant & 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.
;DBUILDING
_ELECTRICAL
$
PERMITS REOUESTED
~ ~ I DOQ . 0 () Valuation of Total Construction
,
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FLOOR ELEVATIONS:
Signature
*********************************
CONTRACTOI\ SECTION" ., I ~ C ~ 1
Company (:)0.. V\:i:::J\.. E ). (J Ie... .
State Cert. or RegiS~ IF ~6 \6q ~
City License Registration #
******************************************
::::::::~ Company eQ ('~,S ;> E \ t Q ~f\ G
. _:~~--- ~4' /*-d6::~~....m~:;;~;:;~::~;;~~~~:i~~~ j;. / '7 -'
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Signature 'ty License Registration #
************************
Signature
-11 ~ Company S; 6 'l0 v::, JA" '"
q #V1..A'... State Cert. or Regi5-t'!. I.!
" --7'7 City License Registration jf
******************************************
MECHANICAL
.:II?-
OTHER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
APPLICATION
AP,'PRO'VElr 'By.... '.-... --';"'1
~ ", , . . ", ' :/ '~"'t'- ~
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-.,'............... ''''....'~---, ""'--"" ,'..--..- .........-.;....,...--.:.....'.,.__J
..-- - ..... "'''-'-1''?~ OFFICER.
j I
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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 assules 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 .ay be required to be licensed in accordance with
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 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 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 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 - HOleowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone 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 leet standards of all laMS
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 Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environ.ental Protection AQency - Asbestos abate.ent
I also certify that, if fill .aterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan
addressing a "co.pensating volu.e" will be sub.itted 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, Dr
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, Dr violations of any code. Every per.it issued shall beco.e invalid
unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of tile, .ay be
allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCE"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 RECORDING YOUR NOTICE OF
CO""ENCEHENT. JOBS UNDER $2,500 IN VALUE NOT NEED TO RECORD D POST A "NOTICE OF COMMENCEMENT"
STATE OF FLORIDA
COUNTY OF P A 6C,. D
The foregoing instrument was acknowledged
before me this 5/ J K , 19~ by
:r eQo me W~ fueJ<e. f?
who is personally known to me or \~P h~5
p F BEl m: E: eI
as identification and -w+-ro- did/did not
take an clath.
l)..I.~
(Signature)
\J') V I tl.-N
(Name Typed,
NOTARY
STATE OF FLORIDA
COUNTY OF PAS ~ D
The foregoing instrument was acknowledged
befc.re me this 5/' X , 19~ by
""J A. ,,\'V~. s ~t. ~ I t\J 4 h 'l. In
who is personal I yknown to me 01" ..I,,, I,,~s
~r9'dy~tilEJ-
as identification and who ~did not
take an oath.
l)~
(SignatUl-e)
\)\\H 1+N ~.
(Name Typed, Pri
NOTARY PUBLIC
~
rr-.. .
~
m. RL/ sf/-
Printed or Stamped)
Notary Public. State of Florida
VIVIAN M. BU,H
My com",. Exp. 2.17.97
Comrn. No. CC 26029B
Notary Public, Stata ot Fl.rllll
,/lVIAN M. BUSH
My COII"n. bp. 2.1 t.,,,
Comm. No. CO alOU'
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':10".,_..",. "l~.';''';'.....\:-...~,.:...;..'......~..
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D
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0(( -. :~~D
DAVID JOHN OERTEL
ARCHITECT AND Pl..ANNER
3 ell
I-lUC80N
L '" N e: .
T A "" P A.
FLO~IOA
33S18-1lI811ll
ADDENDUM #1
Project Title: A Dental Office Facility for
Daniel B. Baldridge, D.D.S.
Commission Number: 9311
The Contract Documents for the above referenced project are to be
revised as follows to reflect the actual construction in place:
1. The main sanitary line within this space is to be changed from 4"
diameter to 3" diameter.
2. Vacuum lines from dental chair rough-in locations to vacuum unit
are to be schedule 49 pvc in lieu of copper tubing.
DAVlD JOHN OERTEL
ARCHITECT AND PLANNER
~------------------
Te:L.e:PMONE (813) Q31J.3vaa
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Name n. j]rt/r..l I. .c/y.r !l IJ. r
Address I 'Jc/~ ('y, II 13 !(/d
Classification
Owner/Manager
Business Phone
7 f,"O>(/j"j""
Emergency Contact Phone -
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY e'fINAL 0 ANNUAL 0 BI-ANNUAL
ORE-INSPECTION 0 OTHER
o 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.
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A )fJ I c' T!. p
I. /-' /) fu.
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,
A;/ t L.v'o ./1. "J f Au j
ow---I /) (j n. 10" /Jr; (\ ) /, t... f 1-' ~ /1. L. to,. I (,I,.v n
This building has been chec d 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.
~-~'r
Inspect. Date ~/J/6 s
Re-I nspect. Date
Owner/Manager Signat
Title
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C E N T R ALP E R M I T TIN G
PASCO COUNTY. FLORIDA
CONTRACTOR #:
NAME: SANDY DEVELOPMENT ~n
ADDR: 1723 NORTH HWY 301
C/::H: DADE CiTY FL :~::~:525
FOR:
ACCNT
114
F:E::a)URCE FEE
CONCIRE INC.
PERMIT 27508
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - 1
DATE: 0'':./2:::/93
PAOE:: 1 OF 1
I ::;~::;UE OFF I CE : D
RECEIPT NUMBR= 00180088
OFFICE: DADE CITY
CHECK :I:J: 15:;::2
ON 34-25-21-0000-00300-0020
:;:;PACE 510
77.26
AMOUNT
77.26
)Ld/,j .. /~, /
/' ._-/. "
"'" /).,.
': /! .-/ '---,( ,,_>,,1 . '
---:/-'''''''''-- ----------"'---1-------.----
RECEIVED BY
DESCRIPTION/PERMT DATA
-Il.***-ll'*
DF:/CR
60
PASCO COUNTY, FLORIDA
Pennit# rf<' 750 L5
~ Date ~-.:z:2-73
Of77JtW.;,,-~L~. '~h_ SJo
CountyParceI# e1 1/- r2~--~/21- ~OOLJ - 00:3.00- LJOdZO
Loca1ion 740!3 0~ ~;&, I rL- 3<q~~1
Classification/Type of Use_ _~ ~ .
Name/Owner
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 pennitted
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
Gross Sq. Ft (GSF)
t /)S~
Rate I ERU = 50.00 x 0.96* I Year
or $0.1315 / Day
ERU Assign #
Assessment = (# Units) x ($0.1315)
x (# Days)
TOTAL FEE $ l\ ~~lo
Assessment =
(QSfl x (ERU) x (0.1315) x (# Days)
100
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. #_, '(VtB~
DATE
DATE (0 ~~
BY
BY A.l~ --<JJ~.
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
II 7 7 ?:..!:- Green
Bldg / Insp
-c~