HomeMy WebLinkAbout93-3305
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
.y ~ J;7J ~-: cJ?)
C PLUMB~ ~CHANI~
3 ;}S', m
~DIV CELECTR0
pmoertvown",~ ~~
Job Address: 3? ..... , J7.A '7
Parcel 1.0, # L5-;;u, -.;2.../- / Y - () - //E-
Zoning' En",gvCod" ~nGao /:.'~
De.o<lotlon of Wo,k /1'JZAo '~---if.f2<.-,~' - A -" --.A (f-
s-3 ;)..5-
NO OCCUPANCY BEFORE C.O.
Permit
N9
3305 (j
Dati!
t -/8-73
Sewer Conn ~.;L 7 <f: tlV.
Water Conn: . ~(b'. ~
Water Meter: /6-.5--= cJ7J
/' L -0-,"; ~-..,
T.I.F.'s: ~Q a--..:>' C/ C/
FINAL
DATE
C.O. ~- (;lC/ - 0..3
D TE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
Tp. Servo SLB [:'2 -f3 (jg
Rough In q-\l\ ..q3 ~~ Tub Set ')# \l\-.. q?\ B&1-
Meter Can t -/ 0 '-93 Water
Const. Pole Ir'3~:q&Jy Sewer
Pool Final
P~e-Meter ~...J~''l:i ~
Final 1-/4,=-- _ ;;;;;;;
Valuation or
Contract Price
. :<3__ t/OV . cr1)
,
City License Registration # Je'). ~
State Certified License#
Driveway <::::;;? <'~03 pt;
~-l9~3 Z)K~
Permit Fee
Signature
Company
Address
Telephone#
Breakers
Ducts Insl. ~~ ~k-
Compressor
~ -1e;.5}8 ~ar<. -"
;J/~~43#-IFinal
0rrsT;= /!35mT PI9ID
9/1~/9~
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.
AJ.a. (;.- It:) ?3--
tf--//~U
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATIOIiI FOR PERKIT
CllY OF ZEPllYKllILlS
BUllDUG DEPAKIIIENT
OWRER · S RAKE
/( t4~,
r
g 0~~ /..2'7; C PIIOIIE cf8 -"7'2 Z r82 S/O
~/7e--1- 4ve" ~:.reJ' 1:><7' /' ~/'~?3grf/
#&~e<.Joch(J ~CJ~ ,,' ?0Ay~/?:f ,,~~ ,
SUBDIVISIOR /Z/er:::r.4-k:.l:-/ cr,c~
//%
BL.OCK
OWRER' S ADDRESS ? 07
JOB ADDRESS .....? <,7 S- ~%
LEGAL DESCIUPTIOlM: wr(S)
PARCEL I.D.' /3 -- ;;1 G -;:2/ -/~ - 0 -- JIg--
WRIt PROPOSED:~ C'oostruction ~t:ion _Alteration _Repair _Install
_Sign
_Hove
_ne.Dlish
PROPOSED USE: 1~1 e Faaily
_"'F
_' of Units
_K/B
_~rcia1
_Indust.
_Svia. Pool
Other
BUILDIIfG SIZE:
_Restaurant & Hea1th Depart:aent Approva1
I!( , (
Sa 2 x t/ Z . /2 &t) ~e Feet.
?/
Height
RESIDEIfTIAL: ATI'ACII (2) PI.OI' PIAI1S & (2) SEIS OF BUII.DIIIG PIAIIS & (1) SEI' EllERGY FORMS. **
cottKERCIAL: ATtACH (3) SEIS OF BUII.DllIG PLUlS & (1) SET EIIERGY FORIIS. **
**OOPY' OF OOIfTRACT REQUIRED.
_ELECTRICAL
PEHHITS RFOOESTED
$ ,~s:- ~ Jog Va1uation of Total Construction
(
2-&0 AKP Service ~orida Power Corp.
W.R.E.C.
_BUILDTIfG
~CAL
s
1/ .8'W, 6C)
Va1uation of Kecbanica1 Inst:allaUon
_PlJllBTlfG GAS ROOFDG
TYPE OF OOIfSTRUCTIOII: ~lock _Fraae _Steel
SPECIALTY
Other
FIllISHED FLOOR ELEVATIONS:
FI' .
IS PRO.JECT III FLOOD WIlE AREA!
YES NO
******************************************
aDlI'RACIOR SECTION
BUILDER m!lPMY / 0- ~e t1c#~.r ~c
.1\ / /J ' /7 I 7~ State Cert:. or 'Regist. . (" &C Qq-P9?.s--
Signature )~~ City License Registration' ......?c2.::L
~ * *************************************
=:;2: L2 m!lPAIIY (/D4/i; C ~C~('
. ~~ / -Z ~ S~t:e <<:ert. or egist. _, JL. T' ,CE/ZDO/o 73"2-
_ ----Y /~ LL C1t:y L1cense Registrat1on' 2Z4-
******* ******************************
PIDIBER ) OOIIPAriY /), Cc. ? / V-:rHb.l :j
./?_ /'" State Cert. or Regist. ,
Signature(' ~r {.ffil~ City License Registration f c2 7
******************************************
KECllANICAL
Signature Ult T J:1tM
OOIIPAllYECO.Jd Cot7LI'.Jy 1- /7'ec.';'/~{l /A./C
State Cert. or Regist. . R 19 110f. o9S'o
Ii City License Registration' lo!o
******************************************
CO!IPAIIY
St:ate Cert:. or Regist. ,
City License Registration .
******************************************
0T1IJI:R
Signature
APPLlCAnOIf APPROVED BY
114M.A",} p(f </) ./I-Ur.
PEBIIIT OFFICER.
COND I T IONS UF F'EH/'lI T (\F F I D{W IT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to 'deed restrictions' which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner hiS 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 law, both the owner and contractor lay be
cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBI3)
7B8-66JJ .
Furtherlore, 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 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 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
6uide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
'oNner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
'oNner' prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this aRplication is accurate and that all Mork Mill be done in cOlpliance with all
applicable laMS regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perli\ to do work and installation as indicated. I certify that no Mork or
installation has cOllenced prior to issuance of a perlit and that all Mork Mill 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 governlental agencies lay apply to the intended Mork, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f DePirtlent of Environlental Reaulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of Enqineers - Seawalls, Docks,:Navigable Waterways
f Departlent of Health L Rehabilitative Serv~ces. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental Protection Aaency - Asbestos abate.ent
I also certify that, if fill laterial 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 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 perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit i~ cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six aonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
alloNed for the perlit with fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU JNTEND TO OBTAIN FINANCINa, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCE"ENT. JOBS UNDER $2,500 IN VAlUE D~ NOT NEED TO RECORD AND POST A 'NO I E OF CO""ENCE ENT'.
STATE OF FLORIDA Il 0 n .
COUNTY OF f-11/'~
The foregccing i~trume}).t was ackno~lledged
before me this ~'t, , 199~ by
~.~'uJ, .x~
who is per~nally ~nown to me or who has
produced }{.el ~y; 'P:: D ~
as identification and who did/did not
ta~a(Utj~f~ ~ 0 ~.,~
(~nature) "--;J c -{ ~((
..J;;;2CF1'Qtt-<J'd-- ("'" D ~ D
(Name Typed, Printed or Stamped)
NOTARY PUBI,.IC
STATE OF FLORIDA, n. 0 J ._
COUNTY OF ~
The foregoing in~:u~ent was a~knowledged
before me this ~ q:. , 19r~ by
~.d (;} v~~ .
who is person, all Y,' _ k~~w~,j;~ JIIe or _~ho has
produced ~ ~W1r-
as identification and who 'dTd/~id not
ta~;A-~~~' {!~&
(~nature ) ..---,-,
. fSAP-rJ r't-f-v::\-- 1-(_ Cc>:, fe (( '=> ,
(Nam~ Typed, Printed or Stampe~)
NOTARY PUBLIC
"-;;;'*~~'\ OFFICIAL SEAL
.. ~ Barbara R. Costello
! . 1 My commIssIon Expires
\ : Nov. 2. 1994
...~,."OFf\.~.. Comm. No. CC 054525
..............
.......,. ""'f".
If" ".~Q.; Pue~.......
."p , .......
(~~i )
'. ;~G:;.";- ..dt..
..I;J,." Of f\.dt'';..
...........
OFFICIAL SEAL
Barbara R. Costello
My commission Expires
NoV. 2. 1994
Comm, No. CC 054525
~-,,:'
<
-----..... ------.-...-. -"';'-~-.-_. -'-'_..-_--~..,----,.---.-- --~. ...- --~
CONTRAC:TOR :Jot:
NAME: RUBY ROGERS
ADDR: 3244 BELLAMY BROTHERS BLVD
C/8T: DADE CITY. FL 33525
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
DATE: 08/12/93
PAGE: 1 OF 1
I S;:;UE OFF ICE = D
RECEIPT NUMBR: 00184173
OFFICE: DADE CITY
FOR:
CHECt:: # 1718
RESOURCE FEE ON 3::::05B
13-26-21-14-0-118
?'~CCNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - 1
1 'i . :32
AMOUNT
1';' . :~:2
DESCRIPTION/PERMT DATA DRICR
****** 60
,'-, , '~
REf.-.:E I 'JE[I B'y ..."-...,.,,:::;,) \ \ C' ,L r I' '''',:\'~.., ,~ It'
" -----,---=--~'-'~-_...."---~-~1.....-- ___ \.
-
';d,":~ ,: ,,," "{.~'.' ","",
, .
PASCO COUNTY, FLORIDA
Pennit #
Date
Name/Owner
COlDlty Parcel #
Location
,~
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 COlDlty Transportation Impact Ordinance as adopted by the Board of
COlDlty 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 / 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 $
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
------------------------------------------------------------------------------------------------------------------------------------------------------------------
TRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
,d_
DATE
DATE
(J'
/,f.::.:;.'
BY
BY~ ,/~
,
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg /Insp
rtH
::t
<P ::t
'1 ~
<P <P
.net
s::"<
~.
'1 0
<P (D
3 '1
(D rt
~ ~.
rtHl
oo~
o rt
Hl::t
O~
::t
Ol rt
'00
rt
(D rt
'1 ::t
(D
tv
~et
(D
::Coo
::Crt
I
0'10
Hl
l-xj
I-' 3 .
O~
'1
~, ",
o.~
Ol 0
;t>o~
0.1-'
3~
~'I.Q
~ (t'
~.
00 Ol
rt~
11 0.
Ol
rtct
~. (t'
< I-'
(t> ~.
(t>
OH1
o ~
0.
(t' rt
.::y
(t>
en
s::
ti
<
<P
~
'1
<P
'0
ti
(t'
en
<P
~
rt
(D
0.
::t
(t>
ti
(D
o
~
3
(t'
(t'
rt
en
en
s::
ti
<
(t'
~
wtv~
. . .
ill, ;iW;~i
~l;~~~a~ ~
I~ii m ; . .
~ ~ " ~'.
...... i il?t '
~n3 m ~ I
.. . ~ i ~ ,,!
M~~ ~ ,i"
n~ ~ ~f
a> ~
'UOJtJ
I-'(D(D
Ol Ol en
rtl10
~,ti
'0 ~ ~,
til.Q'U
<P rt
'0 ti ~.
Ol (D 0
'1Hl~
(D (t'
0.'10l
(D en
Hl~
tio'U
o <P '1
:3 0
~<
I-' (D ~,
(D 0 0.
I.Q 0 (t'
Ol ti 0.
1-'0.
ct
0.'U~
(t' I-'
enOl::I:
Ort(D
11 ti
1-" I1j ct
'0 to
rt. ~
1-" <P
o ~'<
~ U1
~
~
<
(ji
cs
:z
~
o >1j
rtO
.
Ol
~
00
CO'I
ti
ti
(t>
~
rt
Hl
~,
(t'
I-'
0.
I ~
~
J
()1
C 1" N I)
, ~ 4'
r
i o ~
r N
I ~ I f
~ ~ :0 ~
~ r gP CD
G ~~ CD
G j ~~i ~
~iil'
. ~
I~ ,3:
~ ~
z
o
8
tIj
en
11jt-<
Ol 0
tI) rt
o
o~
~
nO)
o ~
C
~ 2::
rttIj
"<~
~ tJ
o
l-xj~
1-'0
o 0
11 t1
~,
o.tIj
Ol U'l
. >-3
;t>o
>-3
tIj
1.fJ
~
PI
[fl
.~
(t'
11
'0
I-'
PI
rt
Ii
ro
o
o
ti
0.
ro
0.
r
~
t1
tIj
en
n
~
H
>1j
>-3
H
o
Z
j
~,
::;)
>1j
I-'
PI
rt
IJj
o
o
A'
I-'
U1
I1j
Ol
to
(])
~
o
0'1
1-
OJ :::
6' 0
o ...
\
o
l
l 0 \.~'
~
---- '
I1j
c
ct
I-'
~,
0
~
(t'
0
0
ti
0.
:n
0 i
!
Hl I
.
IJ.l
o
l'~;.i<'".< -O!" -...--:~.>
-
SC-AL~
r 'I:- -
r
\ "
-:. ZOo'
.
,,1- 4-o-W
-rO'
'r
\0
1
--
./
~
~Jj
-TO'
N _ L\- '"-' - w
;
---~------
""
10 (
~\~
......
- (J)
o ~
... <;:l
\
~\
_---.--~€:AD0W00e-----E>R\--J.b
Coo' f<lGHI' o~ \NA'I PAyc;::.D 'ReAD
...,
1-
r
o
-1
-J)
(;ekh,,-,~S
~
--
h
~
I
[;2
,,,-'
; .~.;~'
.-,,~ .~
. ,-~,~