HomeMy WebLinkAbout93-3339
BUILDING -PERMIT
Permit N ~
3339 L3
CITY OF ZEPHYRHILLS
(813) 788-6611
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<---BUILDIN~ ~ECTRI~ CPLU~) ~HAN'57
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Parcell.D. # J3-;l6-cJ/-/Y - () ... c2- b
Zoning: Energy C~e:_ R~7 Gasij J ~
Oe,cr;pt;on of Work '7fJ.bJ ~ A->. j..6 ,;t:. ~ if A/ ~ ,;.~ -(/~
Date h ~-:lt-73
Sewer Conn ~ ~ 7 tf: d1..J.
WaWr Conn: .:3' S 'ZJ - dtJ
Water Meter: /6,j,-. /lU
T.ll.'s: t 5"'"2f'.3 ': 0-0
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O. -.2")-
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Perm;tFee ~
Signature <:.:: ~. ,{..{,;{,f~
Company
Address
Telephone#
Valuation or
Contract Price d;; b/J7:J . #l.J
City License Registration # L?ol..::t.
State Certified License#
Ftr.
Pre SLB - Z.2- 2
~:~~I t'f(q3~~
Insul. CL. tJij
WL tfJ.GfrctJ
Tp. Servo l5;;{].. SLB . -
Rough In 4>-6~ct'j Tub Set
Meter Can t &2?-fl Water
Const. Pole "7-/'t ..f3 .6,f Sewer
Pool /' Final
Pre-Meter ~ ~ ~~~j ~
Final
Breakers
Ducts Ins!. :5-- 3.4 ~ ~
Compressor
Final
Driveway
~]J
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.
va -' t ;)/1-93
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The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERKIT
.
CIlY OF ZEPIIYRIIILLS
BmLDDiG DEPAImIEIiT
OWNER'S IWtE p?: cl/.e /fV' ~-&/I ~ C
OWIIER'S ADDRESS ?i!1 7.'ij /let' ~C' ,~/~'-'
./
JOB ADDuss376~r /t(e~~~.k)O/
PIIOIIE'<J'%J / '7<:? .2 -f 2 y0
PARCEL LD.t
/:l~_ 7"'--/.' -,_ ,/./
c/ i' 7,.. ,.c ;c., ......J::.JJf;:7
~o (J..o 2. ( '_/.) A.P' L./hh . /--/< ..:,'" YS-9'/
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BJ.OCK.6 SUBDIVISIOII _A/'ec.~~cJd G.r~~
I 3 ~~ rJ-/ -I f- {!) - /0/ ;L~
2C.
.
LEGAL DESCRIPI'IOlI: Wf(S)
WORK PROposFJ):~ Construction _Addition _Alteration _Repair _Install
_Sign
_Kove
_De801ish
PROPOSED USE: L- ~e Faai1y
_KIF
_' of Units
_K/H
_ec-ercia1
_Indust.
_Swia. .P001
Other
~t:aurant &- Hea1th ~t Approva1
'70;:0 ~/(I .. I
BUILDDiG SIZE: 5...> 'f X 4/:]. ,
/ 3S~-:3
~e Feet,
/'
?
Height
RESIDENTIAL:
COttItERCIAL :
ATTAaI (2) PlO1' PLAIIIS &- (2) SEI'S OF BUllDDIG PLAIIIS &- (1) SEt' EllERGY FORtIS. **
ATI'AaI (3) SEl'S OF BUII.DDiG PLUS &- (1) SET E!IER.GY FOK.IIS. **
**oopy OF oollI'RACf KIlQIDlUl'D.
PEmIITS REOUESTED
_BUTI.DIIIG
$ JS; GoD, DO
Va1uation of Tota1 Construction
_ELECTRICAL
.I s--D AtIP Service F10rida Power Corp.
S // e Of!). C50 Va1uation of llechanica1 Installation
W.R.E.C.
--1fEaIAIIICAL
_PUllBDIG
GAS
t~
:ROOFDiG
SPECIALTY
TYPE OF mliSTKUCl'IOIi:
_Fnme _Stee1
01:her
FDIISIIED FLOOR ELEVATIOIIS:
FI' .
IS PRO.JECT IIi FLOOD WIlE AREA!
YES liD
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RITTTDl:K. ...--/)j1/L?JI Li
S. ..... ./~v /-v
19Dature .-"'
,cornRACI'OK. SECI'ION
OO!tPAn ;e. fC~ E_.6' u,.-/ ~ .....;?;t c ,
State Cert. or Regist.' Cdc O~Ry7S-
City License Registration' . .:;a ;]
**************************************
~ ~);,~('-'.fl'LUlDlPAIIY [I{);J/.eI~ ['Ltc.., .fC'>
. ~: ./ , , /i'~ v -~ S?-te ~rt. or R-:gist..' r:;.~ a,;)o 73::L
S on e' ~ L-e,... Cd:y L1cense Reg1St:rat:1on' .:2 j tj
******************************************
PI.DIBER OO!tPMY
/1 / ~ State Cert. or Regist:. ,
Signat:ure tVV( ~~--- City License Registration' .;2 '7
******************************************
KECHAlfICAL c:DIPMlYErl7,v/7 rOdi,",J"p T 1I~~/,:.c..:~ /.vc
. d I /J-# Co" J -.p.../1L. S?-. te ~rt. or R-:gist. .' R rJ 00 r; 0 q So
S1goa.ture -~~k. c:C.. ~~ ri7 C1ty L1cense Reg1Strat1on' 10&
******.***********************************
O'I"IIF.R
5 igoat.ure
c:DIPARY
State Cert. or Regist. ,2/1 ()(}~CI
City License Registration ,
**************..**************************
APPLICAfiOli APPROVED BY
!1~ ,/j //I-<lMr
PERIII1' OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The und~rsigned understa~s that this perlitlay be ~ubje~t to .deed restrictions. Nhich lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance Nith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ONner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
s~ate and IOC~1 regulatio~s. ~f the contractor is not licensed as required by laN, both the ONner and contractor lay be
clte~ for a Ilsdeleanor Violation under state law. If the owner or intended contractor are uncertain as to what licensing
requlrelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent (813)
788-6611. '
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 Nishes 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 LaN - HOleowner's Protection
6uide. 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 doculent and prolise in good faith to deliver it to the
.0Nner. prior to cO.lencelent.
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 co.pliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do Nork and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work Nill be perforled to leet standards of all laNS
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 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 Environaental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environlental Protection Aqency - Asbestos abatelent
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 voluae. Mill 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 Mork and not as authority to violate, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the Mork authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
allowed for the perlit 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 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 PAYIN6 TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKftENCE"ENT~ OBS UNDER $2,500 ~N VA UE DO NOT NEED TO RECORD AND POST A' TICE OF CO""ENCEKENT'.
STATE OF FLORIDA ~
COUNTY OF r <3 c....lC
The foregoing instrument was acknowledged
befori.me this fo---),'f--' ,19f...i- by
~L(tcL1r- oJ ( K~
who is personal~y known t me or who has
produced AJo
as identification and who did/did not
~~~K,Q~
1:tgna~ur~) ~ cos.+€ no
~r-~blf a. ~-
(Name Typed, Printed or Stamped)
NOTAR~.~~~. OFFIC1A'_ SEl..L
l ~ \ Barbara R. Cost'.l'lo
: : My Commission Ex:i "as
. .
., ~: Nov. 2. 1994
.,.r?,;r!O~~d1;;... Comm. No. CC 054525
'. ..........
STATE OF FLORIDA ~
COUNTY OF V 0 J..-{\..
The foregoing ins~ru~~ was ac~nowledged
befc.re me this (p ~ ? , 19~ by
Wh~~l~~o~~jm. or who has
produced ~
as identification and who did/did not
~&~R~~~ K. Qc~
(.S..i.gnatyre) ~"-., ' ((
-1:::; tu t ~ hL ('-. , '--" $;+<::'- ~
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
..-;;~.~.\ OFFICIAL SEAL
{ ~. Barbara R. Costello
.. 1 My Commission Expi...,
\ ~l Nov. 2, 1994
....~~OFfu:t:... Comm. No. CC 054525
........
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PASCO COUNTY, FLORIDA
Permit # ~ .3..$9 A
Date 6 -02 9- 9'3
N_'o.mr),)?~O /L,~tU4A
County Parcel # IS>- t - d-/ - / y - tJ .- c::L ,
Location 37'L t"~~.f ~
Classification / Type ofU~
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone#
The above impact fee has been establis ursuant to the Pasco County tion Impact Ordinance as adopted by the Board of
County Commissioners. Thi unt is payable PRIOR to the issuance of a Certificate of c or authority to utilize the permitted
structure.
Prepared by
Sq. Ft. / Unit
Impact Fee Amount $
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
# Units /
NONRESIDENTIAL
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)
TOTAL FEE $ lit, ~ 6-
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.
TIIE ASSESSMENT WILL BE CALCULATED AT TIIE TIME OF ISSUANCE OF TIIE 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. # / 'j. 7 ~ >1!
RESOURCE RECOVERY REC. #
BY
BY
~
....-/
DATE 9 ~ IS-, 93
DATE
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
CONTRACTOR #:
NAME: RIDGE BUILDERS
ADDR: 39684 MEADOWOOD LOOP
c/::::-1': Z/HILU:;
FOR:
DATE: 09/15/9::::
PAGE: 1 OF 1.
I:3SUE OFFICE: D
RECEIPT NUMBR: 00187681
OFFICE: DADE CITY
CHECK # CA:3H
RESOURCE FEE FOR CITY OF Z/HILLS
ACCNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - 1.
14.65
AMOUNT
14.65
&'-~~ ----
DESCRIPTION/PERMT DATA DRICR
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