HomeMy WebLinkAbout93-3329
BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611 Date 6 -02 >1-7..3
-s-7~7J 30. mJ
0LUMB~ 0ECHANIC0 Sewe, Cooo ,-:;L 7 tf; P7;
Wat,er Conn: 3 Sl}. t:fV
Water Meter: /60: tTlJ
Permit N 4?
332911
Pmpeny Owoe, )l~~~ g-
Job Address: 6.5 . -^-
Parcell.D. # d-d6 "d-/'" C7102..A- - 0 cJooo -~ 6/'70
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T,I.F.'s:
FINALj-
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
C.O. .-1.1-
./J DATE
~-'-
Inspector
pe'm;t.fee~~~ - ~
Signature ~ "I . ~ _,
Company
Address
Telephone#
Valuation or
Contract Price ~-Z t!J?V, d'D
City License Registration # r;;J'/Y
State Certified License#
BUILDING ELECTRIC PLUMBiNG
Ftr. /t ~ ~) -93 &. Tp. Servo SLB .. --t;3M
P,e SlB ~ ~ Rough In J D- } ~.q 3 U Tub Set L/)-/" - '1.3
Untel 1 ;/?- .q>; - ~ Me... C.n ~ ~ y - ~ Wate,
FRM. J 6 ,.,&-,I:J. ~ ~~ Const. Pole .. ,,/~ Sewer
Insul. CL Pool Final
WL JD - J ~-~3 ~re-Meter I-.?~ftf $Dh
Final
y
Breakers
Ducts Insl./O--j2-93 I!1J/t$IJ
Compressor
Final
Driveway \Cl"~-9 3 e~
~"_~t.~3 LU
~tf~~f)..\,q3 &lr-
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.
,)/ t1 / 6 ~cJCj-9 S
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The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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AP2LICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER
~ ~Km~ J....').' S,-\s.'\~ .N\'&
I Do.a I Hu.) '1 :30 \
E ~ E... I.u<i.:-
. ~ ~1Ui4
JOB LOCATION (oC;>.YO S-lL\JE.t. ~ftK.s ~ LOT SIZE~X /DC AREA SQ.FT.I~D+
LEGAL DESCRIPTION: LOT(S) It./. BLJcits- I A. SUBDIVISION S,L.IIE.~ OA '<'S
PARCEL 1. D. # 0 3 0<G:, ~, D I ~A OOOOD () I c/ ()
EJSn=.l=:.~ \<<:::..~.s.. ~ ~
DAbi..-C1\'\"l-PHONE .:S~ \ St ~
APPLICANT
ADDRESS
WORK PROPOSED:~New Construction ~ddition ~lteration _Repair _Install
_Sign/Temp. _Sign ____Move _Demolish
PROPOSED USE: ~Single Family _M/F _4~ of Uni ts __M/H
_Commercial _Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE: X .,'tSD TiT Square Feet, I~' Height
RESIDENTIAL: ATTACH (2) PLOT, PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~BUILDING
-LELECTRICAL
~MECHANICAL
-K-PLUMBING
$
~<)Ooc
Valuation of Total Construction
~()D AMP Service
>< Florida Power Corp.
_W.R.E.C.
$ c2 30C
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
[ED Company blF.lfIFtAJ S ~s.T~ ~
.r- a .t State Cert. or Regist. #
.. ~ . \;' ....... Ci ty License Registration # c>;l/9
******************************************
BUILDER
:::::: ~ Ct ~ (~, .
G~IC:MrlD ~4~lEMS
State Cert. or Regist. #
City License Registration # /~I
******************************************
Company
Signature
Company _EN\.lll?oNmufrAL OOA)[:
'- ~.1 Q5Q .. ~~~~e L~~:~~e O~e:~~~~~~i:n # 9eo
******************************************
PLUMBER
MECHANIC~L .,'_____ Company. [;,A) tl ,~~ NlE.IlYl1\-L OOAJl
~Oj~ V State Cert. or Regist. 4ft .
Signature ' City License Registration # ~~
, ,**********~******************************
Company
State Cert. or Regist. ff
City License Registration 4ft
OTHER
Signature
APPLICATION APPRDVED BY
* *** **** * ****::!r****** * *** * *** *** * * ** * * * 1< 1<
)1 ~(J . g./l~
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands ~hat this perlit aay be subject to "deed restrictions" which may be lore restrictive than City
regulations. The undersigned assu.es responsibility for C~.pli,89ce with any appq,cable cl-eed restrictions.
B. UNLICENSED:CONTRACTORS AND, CONTRACTOR RESPONSIBILJTIES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in actordance with
state and local regulations. If th' Fontractor is not licensed as required by law, both the own~r and contractor lay be
ci ted for a lisdeuanor violation under state ,law. If the owner or i}ltended, cClntracte.r are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to ,cClntact the City Clf Zephyrhills Building Depart.ent, (813)
788-bbll. '
Furtherlore, if the owner has hired a contractor or contrattbrs, De"is advised to have the contractor!s) sign portions Clf 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 permitting 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
Suide' prepared by the Florida Departlent 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 docule~t and promise in good faith to deliver it to the
'owner' prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cospliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that nCl work or
installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the- jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended worl:, and that it is
IY responsibility to identify what actions I lust take to be in compliance. Such agencies' include bill ~ie not liftlited to:
I Departtent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Envirc.nlllentally Sensi live Lands,
Water/Wastewater Treatment
I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercou.ses
I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks
I US Environlental Protection AQency - Asbestos abatelent
I also certify that, if, fill lateri,a,l is to be used in Flood Zone 'A' or 'A,etc.', it is underste,od thiit a drainage plan
addressing a 'colpensating volume" will b~'sub.itted which is prepared by a professional engineer regist~lud in the State of
Florida prior to permit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to yioi~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffici,;l from thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issu~d ;hall becole invalid
unless the work authClrized by such perlit is cO'lenced within six sonths of issuance, elr if work autl,{,! Ized by the permit is
suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~te~~IOil of tile, may be
allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved in6pllction lust be 109ged dlU"ing eac~six lonth period, or the prclject will be cC'f1sidered dbdilde,ned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
BEFORE RECORDING YOUR NOTICE QF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE_~_~_ Y
OWNER OR AGENT
SIGNATURE
DATE____G2:_J_:L~_~~____________________
DATE__~=_1_-:l_~_9_~____________-_--_-
NOTARY AS TO P.C"no rYY'Ylt'.{ NOTARY AS TO () P0norYYY1 rJ)
OWNER OR AGENT:rJ[j~_~.~..~- CONTRACTOR_~_~__~"~'"
MY COMMISSION EXPIRES_~4f~~~~__ __ MY COMMISSION EXPIRestJ-'~_l________
IM'R'nfr;'OOEMAN .... ~ MARY R EDGEMA
· jj( . My Commission CC287048 · Ii( · MYCom I' N
. " . m SSlOn CC2870
. . Expllos May 17 1997 .: Expires May 17 19"7 '
cI'~ ~~ Bonded by ANB d'~ !\" Bonded by ANB -
'if!" OF f\.t;)~ 800-852,5878 ..,~ OF f\.Q~~ 800,852,5878
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TN PINr nooK 30,
PI\GES 51-52,
~ESCRIPTION:
Lot: Jo1, SILVEIl
Public Records
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0'L.Vt~ Ot\K~ 'b~\ VE..
C E N 1 R A _ PER ~ I T T
PASCO COUNTY, FLORIDA
\1 ..:'
DA TE ::=: 1;' 1. ::::/ '~/4
PAGE 1 OF :l
CONTRACTOR #: 005760
NAME: ROBERT J EHRMAN
ADDR= 4843 S. HWY. 301
I :::;:::;UE CiFF I CE ~ D
RECEIP- NUMBR~ 00200397
OFFICE: DADE CITY
c: / ~::;'r : [l{~i[lE: C: IT Y
FL 3352::;
Cl~:::
1. Lj. '::'
114
C:HECI< .fj: 1140:;::
TRANS FEE AND RESOURCE FEE ON PERMIT
190348 10-26-21-0130-00000-0180
RED TAG ON PERMIT 198263
TOTAL AMOUNT: 2229.24
COMPNY ACCOUNT CENTER AMOUNT
8166 363000 _ 2166.71
B45~:) 3t,~:O()(:) _ 47~5?
8j_O~~ 342501~. 15u()O
() () ~=; 'll~' t)
;~:..- Cl F~ :
CONTF:i.7:JCTOR:
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-to 'h'..:..
DESCRIPTIONJPERMT DATA
1.';1(1:::::4:::: TRAFF I C I MF' ZNE: ~"
190348 SOLID WASTE FEE
198263 19~~630MHEL0196
DR/CR
60
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I'
PASCO COUNTY, FLORIDA
Pennit# 33 ~ 7 IJ
Date t -t2 $1- Y- '?
N_IOwnez !Jf,. Ax A Ao -ft.'" 1;::... ,
Cmmty Parcel# J - ~ ~ -:lJ ~ (j 'J ;:).. A - 0 tJ CJ c) () - t) / YO
Location 6;:1. YO _ -/~ &p L A ()~
Classif1c8tio~tyPeofUa,R~ cl~
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft.1 Unit
Prepared by
Impact Fee Amount $
The above impact fee has been es . ed pursuant to the Pasco County . on Impact Ordinance as adopted by the Board of
County Commissioners s amount is payable PRIOR to the issuance of a Certificate of Occup l!.!hority to utilize the pennitted
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
)
.
Gross Sq. Ft (GSp)
Rate 1 ERU =
50.00 x 0.96* 1 Year
or $0.13151 Day
ERU Assign #
Assessment =
(# Units) x ($0.1315)
x (# Days)
4/. s__~
Assessment =
IDSfl 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.
TIlE 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
lRANSPORTATION REC. #
RESOURCE RECOVERY REC. # 0.00 39 ~
DATE
DATE
Jlyk~Q...~
White
Applicant
Canary
Trans 1 Finance
Canary
RR 1 Finance
Pink
Office
Green
Bldg IInsp