HomeMy WebLinkAbout93-3401
BU"ILDING PERMIT
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Parcell.D. #
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CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ _ 3401t3
r?- ~5-r;3
Date
M~L
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s: /II If
Zoning:
Description of Work
Jrgy Code: ,
~ZiA/~)
"rA/06at!-
~ Radon Gas:
(~' ~Dl)~~ j/1~ a~~~
,,'!Z ~ _ 00
Permit Fee I f5" -
Signature1~/' L
Company
Address
FINAL
C.O.
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.
Valuation or ~!i. 9 Ii->.-S,.
Contract Price 00 .
.' {- ;?-----
1-
City License Registration # 9 G
St.ate Certifi~d Licen~e# (!.J3 e 0 ~::J / /9
Telephone#
MECH
Tp. Servo / SLB
Rough InV~.. \:;). - q ~ t\,bTub Set
Meter Can Water
~. Dl Const. Pole Sewer
Pool Final
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM. V~~ \2..-q~
Insul. CL
WL
Driveway
Ci~-ca'dJ5..~~ ~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a.
b.
c.
d.
e.
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
-Vex F'/ ?~;J.6' y 5,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Jropo.sal Page No. of Pages
~...~ 'kJ. 'k/d!Jo"", eII~, /"'.
P.D.Box 1252
Zephyrhills. FL 33539
(813) 782-6224 Lie. # CBC 022119
PHONE
182.- 30 Iqq3
JOB NAME
JOB LOCATION
33"- () Flori 2-H
- - ')
JOB PHONE
We hereby submIt slll!clhcl!Ihons and estimates lor:
+0 COt'\s-huct I e><kr~o( wo...ll (\.S,pe-r plar\
~,n'\shed w(orQr\jE: peE:-l 5pVLL~te-~4u./-('
~-\'-\€rio, 1"'&1:7_" p.,+. CDK ~ S+u.C('(>
dcor::#'J 'is Q 3-0 ~I en+rn.tl(~do(')t~
0''\ I '( .
eta) rS ,;:ff 2.
To CCf):1{r-uc-t 2i",+eri'c,. un./ls C\.sperplo..Y1_ j,,'IO!C- W/~)(df'~u.u.l\ bothSkks
f"I'\\~j~-<\ uJ/omr\LY'- f'€€1 Sp'o..y feX-h..t('(:>. VI't\~\ ~-~F~ la..+\-i'ce. Cup.
I L: 1\ 0/ c. u./ % >< d rV l.V<.t If j' y"~~idE
lJ'i r\~ \ Cu.s(==- ~ let -U-i' C~ CQI).
Y'6 Ii t€S o~+Sw'-naf cbtdbol+ lock
, I
W/~(S5o.C~ la+-CJ'€$ Onlll
.J I
door ,:F\ --~ b\f CJWV'\~ ~- G..Y\~)'k-ll€-d h~ b\A\ \dev-)
Q..l1 ~'i n+ 109 ~ c(U..LI k i Yl1 b ~ ClUJ nE-,\"""'
e \e:.cJr l' c... ClS 1:€r p \cU'1
~rn'i+s ',nc\uJed
ClJ'\~ other ~q..u..'i~~6Y')+"5 by 'Z F D or bldg- dGp{. are:: e:kfrC-l.
o..re 3-0 5/wre (Q.\.(.(Lt'\ J..~) IS
mr JrDpDSr hereby to furnish material and labor - complete in accordance with above specifications. for the sum of:
4P, I ' ()v
'" (I dollars ($ ..., r C) 00 - ) .
Arr~ptanr~ pf Jrnpnllul- The above prices. specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
D.te of Acceptance: 91 ". ~ -\1
Authorized tL t
Signature ~/
Note: This proposa may be
withdrawn by us if not accept within
days.
All .........., is ..r.n.... to be .. 8CIMICified. All wora 10 be comptet... in . ......."'.nU....
....-, KCOI1IIII, to ItlInllan:l ,.,.ticn. Any ..t...tion CW _ion t.- ._ llleCiroca.
-I '-11I' .1It," COStl _ be ."acutecl _y u_ _in... _n. .nd will bec:_ .n
enr. Cha,.. ower and above the ............ AU ..,eements COII"",_'" UIlOft .Ui..... .cc....nls
or dela,. beyond our conl,ot. Owner to carry tire. tornado and other Menu,., ,,,au,anee.
~
APPLICATIOIi FOR PERllIT
CITY OF ZEPIIYRHII.LS
BUII.DIJIG DEPAKIIIItIII'
OWNER'S lIlAKE~(+ ~Tev'("'\l J-l i 1.r~.y~d'('111
PROBE 78 2 ~3ccfq
ONRER.' S ADDRIrSS
JOB ADDRIrSS $S:1C1 :)-1.hAul? ~h\{rhi \Is (olci t:la r(,ct bide])
I.EGAL DESGRIP1'IOII: I.OI(S) JU:.OCIt: SUBDIVISIOII
PARCEL LB.t
/
WORK PROPOSED:_IIev Construction ~tion ~Alteration _Repair _Install
S.
- J.gIl
_fIove
_De.olish
PROPOSED USE: Single F~ily
/' ec-ercia1
_fl/F
_, of Units _"/H
_Swia. Pool add 3c.(.t":.//<;. Other
_Indust.
-.Jlestaurant &: Hea1th Depart:.en.t Approva1
BUILDING SIZE:
x
~e Feet,
Height
RESIDENTIAL:
COfIlf.ERCIAL :
ATrACH (2) PI.OI' PLAIIS &: (2) SEI'S OF BUIIDDfG PLAIIS &: (1) SET ENERGY FORlf.S."''''
ATrAaI (3) SEI'S OF BUlLDIIIG PI.AIiS &: (1) SET EIIERGY FORlf.S.......
......Wpy OF WII'I'RACT lUlQUIRIlD.
PDDIl'lS REOUESTED
_BUILDING
$
s/ f tJ?} I ?in
/
Va1uation of Tota1 Construction
_ELECTIUCAL
AIIP Service
Florida Power Corp.
W.R.E.C.
_tlEGllAlU.CAL
$.
Va1uation of If.echanica1 Installation
_PLUtlBING GAS ROOFDiG
SPECIALTY
TYPE OF WNSTRI1GTIOII: ----..Block _F~ _Steel
Other
FIIIISHED FLOOR ELEVATIOIiS:
FT.
IS PRO.JECT III FLOOD ZOBE AREA. '!
YES NO
..............................................................................................................................
aJm'.RACIOR SECl'IOR
BlnT.DD
COIIPAliY W WI' f \ j'a.rv, f-t].,rLiC. J i'-
~ State C'ert. or Regis<. . c 6>'0'-2.1 (~
' ~------ City License Registration' Ci:-l
........................................................................................................................
'2 L\ .-. , "
1U.F.CTRTCIAI1 - aJ!IPAIlIY -\:"\\'-,-~ L\...-~<=-\, ,~~v.
~O. State Cer<. orRegis<.. uou~l"'''
Si __:lit '" '.' L) City License Registration t I 0
' ........................................................................................................................
I(
I
Signature (j/?-.
Pl.DIRRR aJ!IPAlIY
State Gert. or Regist. ,
Signature City License Registration t
..............................................................................................................................
IIECIIAlIICAL aJIIPAIIY
State Gert. or Regist. t
Signature City License Registration t
..............................................................................................................................
OT'IIF.R COIIPARY
State Gert. or Regist. ,
Signature City License Registration t
..............................................................................................................................
APPLICAn08 APPKOVED BY PERIIIT OFFICER..
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject to "deed restrictions" which lay 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 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 lisde.eanor violation under state IaN. 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, 1813J
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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
Guide" 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 pro.ise in good faith to deliver it to the
"owner" prior to cOllencelent.
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 cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
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 governlental agencies lay apply to the intended work, 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:
, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
, Southwest Florida Water nanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
, 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 "co.pensating 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 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 OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COnnENCE"ENT nAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY _ IF YOU INTEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
,
C CEKENT. JOBS UNDER $2,50 VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COI'InENCE"ENT".
,
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SII'1llAnw.y C IIl1lACToil - -
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STATE OF FLORIDA/)
COUNTY OF LttS C!.rJ
The fc,regoing i9Ftr~'men~ was acknowledged
before me this Lt~J L/ ,199~ by
wE~:Yper~' 6<~~i:;~ I~~or who has
produced
as identification and who did
~j( I 7?-ad;
(SiDnat~) / ,I J
J 'TllO J1. -e / ./Ua 5 I\. ~ e 056/$_.0
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
im,i!,RV PUtiUC STATE or FlO~~~~
~,\" r:G;~;,nSSlON EXP: OC!,~.15~. "'~
'.r~",\"~i~1 ";y;? ~_~r>~~~pJ i,~..~, uN\.'~
STATE OF FLORIDA /)
COUNTY OF ~es(! 0
The foregoing instrument was acknowledged
before me this ff~ L/ ,19~ by
!iJ. W''/ I, 0. m J-) A (< TuJ IS
who is personally k own to me or
produced
as identificat'on
take an oat .
(Signatur~A I '" /
Me!1, _ (!(! 0567/50
(Name Typed, Printed or Stamped)
NOTARY PUBLIC NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. OC1.15.1994
2'Ji';D,:O meW cr:NEr.l\l. INS. UNO.
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ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Name S'A IJ-A rJ. f!.,-t1'J'
J
Address 3.f6~3d1-/:!J Ac ,<j
Business Phone7,r~ - 70 t?
Classification
M ElL CA.v.l" ~
Owner/Manager
Emergency Contact Phone
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY e1INAL 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.
'1ft.+' h'H
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, , !
b-'i/-"/"i''i/~J.). L.'J.ll jF ~/..d (U~'f, jL'1 b,;/-( !LiJ. .'floc/
L.yJ. j 1 ';, /4..'" JI-~ ..:{wq (/#1 Ar~y' Otdol..-
/
C. t" Ie'!- (I. 0 ~
Inspect. Date 8/$ Jq~ Inspect. Time /.y..p() ZFir Dept.ID # ,'53'Y
Re-Inspect. Date Inspectors Name ,t; ~. /' b ~ ~ '
Own.rlManagersignol~~~ Till. "'>..~- '\f~'"
This building has been checked by the Zephyrhills Ire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other IocaJ fire safety codes.
PASCO COUNTY, FLORIDA
Pennit # ...? '/ D I jj
Date r--,) Cf - 9....~
N..../Owner Z-~ s:J?~ )j ~!l:A~~ J
CountyPan:el# '~If - 2-~ - U - 0010. J "fOD b 0 1 () ,
Location 3 ~ ~ 3 tJ - -..5--.z/ ~
Classif1cation/TypeofUse ~~;;/- , ~J,A
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone#
Sq. Ft.1 Unit
by
The above impact fee has established pursuant to the Pasco Co tion Impact Ordinance as adopted by the Board of
County Commi. rs. This amount is payable PRIOR to the issuance of a Certificate 0 ancy or authority to utilize the permitted
<..,
structure.
RESOURCE RECOVERY ASSESSMENT
# Units H
NONRESIDENTIAL
Gross Sq. Ft (GSF)!)D ~~ 0!~
RESIDENTIAL
Rate 1 ERU = 50.00 x 0.96* 1 Y
or $0.1315 108
ERU Assign #
*Discounted for Prepayment
N-
Assessment =
LQ.Sflx (ER()X (0.1315) x (#, P ~YS)t1
100 let' /~ VI ty I't~t~ _
TOTAL FEE $
Assessment = (# Units) x ($0.1315)
x (# Days)
TOTAL FEE $
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 TIlE 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 fonn, placing the building pennit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
------------------------------------------------------------------------------------------------------------------------------...----------------------------------..
OFFICE USE ONLY
lRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
DATE
DATE
BY
BY
White
Applicant
Canary
Trans 1 Finance
Canary
RR 1 Finance
Pink
Office
Green
Bldg IInsp