HomeMy WebLinkAbout93-3419
BUltDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
-3' 70-0
BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn "3?... (tV
~ Water Conn: /7.<": OV
P,opertyOwoe, 6~i~ Fr:p~~&-'r}."_,e,~,,Meter: -
Job Address: X_- _ ---'-----_ _. ~ _ T,J..J-, s: <3}6 00, .;1. Y
Parcel 1.0. # 3;1-~ - ;;LJ -0 ~cJO" Oa.:sO 0 - 00';;"'0
7> J? i~
-3 (;,(}7>
/ ~CJ. tTO
d;;{~-o
Zoning: E~code:
Description of Work ;(!L./n- - ~ .-
~as:
, (2 .
'e.
NO OCCUPANCY BEFORE C.O.
Date
3419 tJ
J>--13-73
Permit N ~
//0. era
FINAL - \e -q
DATE
C.O. 7- I t/_5
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
/3 J tffV . c:ro
,
City License Registration # I Y
State Certified License#
~A14 ~p>> .
~4k !~~r
ELECTRICAL /73
BUILDING
Signatur
Company
Address
Telephone#
~G 7r ? 9'12--
/{~Mo0~
PLUMBING 7/
~~
MECHANICAL 0-
Ftr.
Pre SLB
Lintel
FRM. <€"d.S~'1~ <&.,. u...
Insul. CL
WL
SLB L'{/~~~_
Tub Set~- ~ ~Q.
Water
Sewer
Final
Breakers
Ducts Insl. q.,\.Q3 ~
Compressor
Final
~/a Tp. Serv.
75~/7~9~ pcJ Rough In~..~~-q~ ~
Meter Can
Const. Pole
Pool
Pre-Meter ~-~ '3 ~
Final
~ '\-fl -~3 Botr..
Driveway
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.
'AI~ a~ JY-,t3-73
f-./ 9-.f' - 73
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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TARLr;: A - HORKSlIEET
OF ZEPHYRHII.LS CONNF.CTTON PEES
RESOLUTION iF 312 HATER $1. 7S/GALLON SE~!ER $6.39/GALLON
RESIDENTIAL (Each Lot or Unit.)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131. 25 /f 79 . 2.5
.,
COMMERCIAL (PER FIXTURE )
Sinks 87.50 '319,50
Hater Closet 131.25 if 7 9 . 25
Urinal 87.50 319.50
Lavatory il3 . 75 159.75
Tub / S howe 1" 87.50 319.50
\"ashing Machines-Commercial Size 350.00 1.278.00
Washing Machines-Domestic Size 87.50 319,50
FOOD SERVICE - Dish\\'asher 700.00 2.556.00
Sinks (3 Compartment) . 175.00 639,00
Car h'ush (PH Stall ) 1,000.00 6,J90.00
FIXTURE G.P.D. II WATER SEh'ER TOTAL PER FIXTURE
Sinks 50
Water Closets 75 J /3/, 2-S' '17Q, l-S foID,5O
Urinals 50
75 ,
Lavatories 25 J 43, /5cl 7-S- 203, 50
TubS/Showers 50 ~---- _.--
Washing Machine 200
Washing 1'Iach ine 50
Dishwasher /100
Sinks-3 Comprt 100.
Car Hash-p/st. 1,000
/75. t'O fo3f( Du ~/4,b 0
~'ATER l'lETER
ItL((~A\l~ ~t"U
~J4<DO
"
GRAND TOTAL
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
(, 0\0 C-\ fE. ) I \0 C
ADDRESS
OWNER ~O'tUQ..\ ,~..) T \-\JQ....
JOB LOCATION \'v0E{c...~.Ll-\: ~
\.
PHONE
( '1o~) Slo 'L:J Cf'l:L
U'tJ \ 1::-~36D LOT S IZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL I.D.# ~~- ~ 5 ~ ~\ - (Y)O(i - 0(:)30 0 -oo~ c)
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
~commercial
____Restaurant & Health Department Approval
____M/F
____# of Units
_____M I H
____Indust.
____Swim. Pool
Other
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.
PERMITS REOUESTED
____BUILDING
Y-ELECTRICAL
~MECHANICAL
"'::&-PLUMBING
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
_W.R.E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONT~~~~:n~ECTION 8o.\UJ~ ~U~ \o()~J1 ~. I~~
State Cert. or Regis IF C.:2>~d\Oq~3 ./
Signatu City License Registration # I fr
******************************************
:::::~:;f:~7;..~m:;~;:;~}:~ffi;~;~~~~~3
Company ~o ~ a ~ ~-\:. P\ \..1. 'k1 b; w~
State Cert. or Regist. # C..,c~ Y 78
Signatur City License Registration # 91
******************************************
MECHANICAL ' Company ~o \\h)~ S;
~ ~ State Cert. or Regi- . il~('I!J4;J.7'tK '1~/Jb
Signatu e ' , City License Registration # ;;L ,
~ *****************************************
Company
S~ate Cert. or Regist. IF
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY
**********~***************************
21d~~ dAAL.r
, '-, ",' . :. "
PERMIT OFFICER.
"
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject 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 Nork, they lay be required to be licensed in accordance Nith
state and local regulations. If the contractor is not licensed as required by laN, both the ONner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing
requirelents lay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Departlent, (8131
788-6611.
Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for Nhich 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 Nork. 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
.0Nner., 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 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 Nith all
applicable laNs 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 Nork or
installation has cOllenced prior to issuance of a perlit and that all worK will be perforled to .eet 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 governaental agencies lay apply to the intended Nork, 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 Depart.ent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
Water/Wastewater Treataent
I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docts, Navigable Waterways
I Departlent of Health l Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f 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" Nill be subaitted Nhich 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, or
set aside any provisions of the technical codes, nor shall issuance of a perait 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 cOlaenced 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 Nork is cOI.enced. One 90 day extension of tile, lay be
alloMedfor 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 COMMENCEMENT "AY RESULT IN YOVR PAYING TWICE FOR IKPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKE "
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
19_ by
~c....se6
The foregoing instrument
befol-e me th i s \ I
STATE OF FLORIDA
COUNTY OF
-
was acknowledged
, 19 '13 by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
o me Dr whcl has
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
BETTY JEAN TIPTON
MY COMMISSION II CC 233547
EXPIRES: October 6. 1996
Bonded Thill NolBIy Public Undelwrll8ns
ZEPHYRHILLS FIRE DEPT
Business Name II / v, I~ ':J
Address 7331 ~l(
Zephyrhills Florida 33540
FIRE CODE INSPECTION
f? ,1ft. 0 s L ,-( c Classification
13.( 5, ,(,f.oc-S S
A (vi:>
Owner/Manager
,.....r-~ A.(~\........ S
Business Phone
Emergency Contact Phone
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY fI. FINAL 0 ANNUAL 0 BI-ANNUAL
ORE-INSPECTION 0 OTHER
ji'f APPROVED t<~'l>cl <<alNOT 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.
(Jpr#?c.JVt"'l-;> -GII C^~ i-L .^r~ C C, C) .
^'-C,-....J Ie 'l)c,yc., ,\~,.1' 'f'V'~7CCC_._,.,r.) ('r"-~,"c~'s ...1" gt:" (\>--f'("f.+~b
V (s!i'/; ~_.~( ec hPY/l ,'>F:r pf:vv -
7) ':'-r .,!."':((: _, <;..c ~::; " (~ s:..",,- (c.. L.:7~ cl (~.",j),.....' --,-;fi, -I)
3) f?L c cc;.. <; ';) 0 ~'y". reu... h ~ c~')., ~ ~) p cR - D ~ ("- h."'"f' .),J
, r \- ~
Inspect. Date 9./ c
Re-Inspect. Date .,- z ~
Inspect. Time
ss/
Owner/Manager Signature
Title
This building has been checked 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.
PASCO COUNTY, FLORIDA
Permit # ..3 "1/ '1
.
Date ~-/J- 9~'?
Name/Owner ~-"'-~ {a~,. (~ 9~ -+ (}-<-(f~_.-J
C01Ulty Parcel # ;3 '1- ~ - ;1-1- 0 CJ tJ 0 -- <J 6...1 0 0 - o. a;L 0
Location 7339 4p// &J
,
Classification / Type of Use !,~......1A" .L'.-n .-f)
~
\
TRANSPORTATION IMPACf FEE CALCULATION
Rate $
Zone #
The above impact fee has established pursuant asco County Transportation Impact Ordinance as adopted by the Board of
. This amount is payable PRIOR to the issu of a Certificate of Occupancy or authority to utilize the permitted
Prepared b
Sq. Ft./ Unit
Impact Fee Amount $
",
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
Gross Sq. Ft (GSF) V / I ~ 0
Rate / ERU = 50.00 x 0.96* / Year
or$0.1315/Day
ERU Assign #
Assessment = (# Units) x ($0.1315)
x (# Days)
Assessment =
!QSElx (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
r:J9 ~?'-
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
TRANSPORTATIONREC. #
RESOURCE RECOVERY REC. # /? Co 9'0 7
r
DATE
DATE
<]-Y-0/2
:~:4u
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp
.,...........~~~
....',_._'N'I'lIi"..~. ~~,..~_., .,.......~-."">...- ,,,~
-. ~'i...'~ r- --. 7,:~ ....../....- . .....,.''''" ~~".-~ .""',;;.-~. :. \
--:~.~I-;,f:'>('''' .~
-,., "
..
PASCO COUNTY, FLORIDA
Pennit #
Date
Name/Owner
Comly Parcel #
Location
Classification / Type of Use
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft. / Unit
Prepared by
Impact Fee Amount $
The above impact fee hasJleenestablished pursuantto the Pasco County Transportation Impact Ordinance as adopted by the Board of
Comty 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 =
!QSflx (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 fonn, 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. #
DATE
DATE
BY
BY
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Name /tiKI __~ f?,cM.,v s-Lt!-E Classification 13L-l s. ~sS
Address 7 331 c;~ A (vb OwnerlManager I'V'r-s A-t<::.1."'- S
Business Phone
Emergency Contact Phone
Occupancy Load
TYPE OF INSPECTION CONDUCTED
o QUARTERLY %FINAL 0 ANNUAL 0 BI-ANNUAL
ORE-INSPECTION 0 OTHER
f{ APPROVED ~"'O~OT 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.
tJ-pp .€.c've.b -C4- C~~ J~~CLC. (2-- 0 .
AL(c-~ 'to 'ba.fS ~(t- ~r ~\.~ C^","""DJ~s. ~ gc ~4-~b
r) (ffM "",-'-A.~ BE- 11M- ~ p(avV
"2 ~~ h.'l.L ~ ~~ LcD~ ~...~
d r- """'f: '- "--+
Inspect. Date 9 -/ 0 - T .3
Re-Inspect. Date f-z.."q f .3
Inspect. Time
s:--s/
OwnerlManager Signature
Title
This building has been check 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.
" . , ..
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Name '/!/ f.. 1-1 S" P;'C( J1 0 'j'!Cro.("
Address '7:;;"3 9 {}...('i II )J/ui
Business Phone 7 fT'- :h3 OJ-
Classification
Eu~' /;,15")
Owner/Manager HI#"5 /:) jJ)~
.
Emergency Contact Phone 7r-i- .2 793'
Occupancy Load
o QUARTERLY
ORE-INSPECTION
d' APPROVED
TYPE OF INSPECTION CONDUCTED
~;NAL
o OTHER
o NOT APPROVED
o ANNUAL
OBI-ANNUAL
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,
Thl?:jj 14,,) 0#1 F,'''I4/
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LV.// b~ /'l.f },/4d (l )4~~7
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~(/ (J<,~/f CMM ;J1
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!,....yrl I'''' ~,(, I~~t
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Inspect. Date 0/ n!4:3
Re-Inspect. Date
OwnerJManager Signature
Inspect. Time
ZJQ F""!:.PI. 10 # ~j-y
.J64-,-'
Title ~ ..J
llUS':b~€fng:h8s.t#ncheckedbytti . ~ ,II '. I . , , . onder the<codes& reguk\1ions of. the NFPA minimum
standai'ds~the State'FIFeMarshaU's Ui orm Fire Safety rules and otherkiCalfire safety,codes.