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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. '.. "'"' ttT'j\ 'N0 tl fV00 0- C (iGA^"' ~-'---'-"---'- ... .---. ......... . ( N \Fr1L..r~ A,J r "SlJ --: (\ (Li.;. ) :, VA L \J A II Tl".l I ~ () 00 . ......,:....... \".)0' L \), 1'1 (;I" i m;O,L) pL U 1\'\ \S \ 1\1 G- i7,. 5'c >,.... , ~d--*' ," \:.Lf. Cff\ I (.1\' I_ .' , '/1D., 'C : : i f)~ [' C.l \ fl iJ I U) L D ' .\~3 10 n\ L-. " .../ ;';UZr:.0(\ ~/A -,:;- If" r_ ' , .f -.. ,- "::"-:'-r/2J:-i~'~A1li o;>f"'-3T/,Q' - I LC ~ -X' 1/95'5'1, f.f. ;5~..HLi> ,-o~T.__,__~ ,', I I. (orJI'\0,cno('o.\ fr:\:-<:., .w.:. ,Sr---vl,~ \,2_ (0 3Q, t'C, ", IJJA-'I- ,(, J75.Co"'~ '" '" IYir:.TE('~ ~r:!fALl~~\i) (D'I!~J- i14. DO , ~' ~ \) ()^-l C- r\ ~ .,~ pPl-l ~ ~. ,5tt6-LL-- ,I' . ,. " . , .~ . ~ ~(V~~J /):\ V-l-nn 01\) I "~~P1c..T 'r=f::.l~ ~ J /15. to 51 f*--.:t~ "50 Cj '-I ',. po . - r t ':113, ,I -:=:- ,DO 0 I 2-.... I ,3.~ 9:7 tJ..2 Y . I.c% 3o.O""D " , ,. ~,' /o-7/lL "li... .~,~ - A+ KIN:; p I A~ c: (j- brtGl\,-J {l\P'1L\-\A.JI 51 v~~TY 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/ -c-to;, ~/ - 404 @ OC(4tJa~IJ t.o./; {'1'J(1 I II1f(lpc:./'-or, o//o/Cl-J ~tJ ~ LV.// b~ /'l.f },/4d (l )4~~7 , I J Lv; {, i'J rL., 1 p h a v., J""..,..., l! or.r_~ ~(/ (J<,~/f CMM ;J1 , I !,....yrl I'''' ~,(, I~~t 7 T~ -f-/r'(. . (). t fc~ c o. 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.