HomeMy WebLinkAbout93-3429
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~
3429t
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Dalte
BUILDING
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ELECTRICAL
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PLUMBING
010-. th/
MECHANICAL
Sewer Conn
Water Conn:
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,{l tI~. PV
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Parcel 1.0, # /1(- (). (, -;;J/ - 0/ b L) .. /J c:.)(::;~D... /) 6 {;, (')
Zoning: Ene~gy ~de: ' [ladon Gas:
Description of Work .711 ~ .~ _ ./tT ~
Water Meter: j ~.s~ 1/1)
T,I.F.'s: 9~.;l. /TV
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
rtified License#
~
Pe'mit Fee '., ~ ~
S;goa,",~ t <. ~.__
Com pan
Address
Valuation or
Contract Price
Telephone#
'$/g
qfb -46? 2.
I~
MECHANICAL ~
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
t;-{~-72>
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final q r[ b - '1'3
SLB
Tub Set
Water
Sewer
Final q-(/-,. e;""};
Breakers
Ducts Insl. Q-Ib-<;:~
Compressor
Final .-9-,..2}" /~ < $rl?-
v ,-
Driveway
~"\dU.\) ~-'2--\)/')3 3fY{~
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.
A./(}_ <f--/7-9s
;u! 6--/7-7:..5
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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APPLICAnOli FOR PERllIT
CIlT OF 2.hn:tIKH IT.'-~
BUIl.DllIG DEPAKIIIRIIr
_'S_ k #' ~ K - 7~J>-3~S-6
_'S AOORe;s .~HYO a:1 4- *~
JOB ADDRESS ~K'&> ~..5-
LEGAL DESCIUPl'I08: U1I(S)..!!t:Jb
1/1. -,2b-~- Ol&'~- (){'}t)tl~ - t/pi 0
~SUBDIVISIOR
PARCEL I.D.'
tiORK PROPOSED:_lIev Construction ---J\ddition _Alteration _Repair _Install
S' _Move _ne.olish
- :LgD.
PROPOSED USE: Single F,.ily _ft/F _' of Unit:s Lft/H
_ec-ercia1 _Indust. _Swill. P001 Other
_Rest:aurant &: Hea1t:h Departaent Approval.
BUILDING SIZE: :i t X f" J
/ t>IICJ
~e Feet.
Height
RESIDENTIAL:
COftIIERCIAL :
ArlACII (2) PLOI' PLA1IS &: (2) SEtS OF BUIlJJDiG PLAIIIS &: (1) SET EllERGY FORtIS...
ATI'ACR (3) SETS OF BUIlJJIIIC PIAIIIS &: (1) SKI' EIIERGY FORKS.......
..OOPY OF OONTKAcr RIlQUIRIID.
_BUILDING
PII:RIIT'IS REOUESTED
$ :J tJ tJ (Jd · t:J () Va1uation of Total. Construction
)
1St:> Aft.P Service V Florida Power Corp.
W.R.E.C.
_ELECTIUGAL
--.-..JtEClL\lUGAL
$
Va1uation of ftechanica1 Inst:a1lation
_PLUimING GAS ROOFING SPECIALTY
TYPE OF OONSTRUCTIOII: _Bloc1t _FraIIe _Steel h;SJllF HOHlT Ot:her
FINISHED FLOOR ELEVAUOIIS:
FI' .
IS JIROJEcr IN FLOOD ZOO AREA?
~~,~..
..................................................................................................
RlJr~J)F.R
aJ!IP
State Cert:. Regist. I
City License Regist:.ration 'v
..................................................................................................................
.-
Signature
/RT.F.crRICIAR
S'
PUIMRER.
amPAIIY DR IIJ N {?. 6Nj.fF~ 7/o~
State Cert. or Regist. , E J? t)O 'fo ~ 2-
City License Regist:.ration', . S"
...........................................................................................................
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City License Regist:.ration , I ~ <:;
......................................................................
Signature
,IIECIIAIIIGAL OOIIPAIIY gff.~J.//I../I70~ /lr~ ~ .4/~
I . 1I:t r fl ~A4/ S~te ~rt. or R~gist. .'tf4-R~f1~75
S1gnature "/.I, C1f:y L1cense Reg1St:.rat1on ,
{/ .............................................................................--...............................
OIIIF.R OOIIPARY
State Cert. or Regist. ,
Signature City License Regist:.ration ,
..................................................................................................................
APPLICAnON APPROVED 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 cOlpliance 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 lisdeleanor violation under state law. 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, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 prolise 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 issuanee 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 coapliance. Such agencies include but are not lilited to:
f Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health l Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental 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 volule" will be sublitted which is prepared by a professional engineer registered in the state of
Florida prior to perlit issuance.
A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, caneel 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 cO.lenced within six lonths of issuance, Dr if work authorized by the perlit is
suspended or abandoned for a period of six .onths after the tile the work is co.aeneed. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of tI5.00. 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 KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
Co"IIENCE"ENT. JOBS UNDER t2,500 IN VAllIE DO NOT NEED RECORD AND POST A "NOTICE OF C NCE"ENT/-/ ~
~:;yO~/LORIDA ~ /J 5' ~ 0
The foregoing in~;rument was acknowledged
before me this ~7 , 19Q. by
,
,71 S
who is ersonally known
produced
as identification and who didLdid R&t
take an o~ {!,.S?rL _..
(S'~'fl~viT~ c ' S y~ u-r= 1
(Name"Type, . nted Dr Stamped >,.
NOTARY P SYSKJR."
cr.) 5-29-95
'_ ;;e.-vlce Ins. Co.
STATE OF flORIDA P 11
COUNTY OF S t:., D
The foregoing ins~;I)ent
before me this 5. 17
,
was acknowledged
, 19~ by
CONTRACTOR #:
NAME: VULCAN IND
ADDR: POBOX 209485
C/ST: TEMPLE TERRACE
C E N T R ALP E R M I T TIN G DATE: 08/17/93
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR: 00184585
OFFICE: DADE CITY
FL ~::3687
FOR:
CHECI< # 1872
SOLID WASTE FEE ON 3429B
14-26-21-0160-00000-0660
ACCNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - 1
1==:.63
AMOUNT
18. 6:3
DESCRIPTION/PERMT DATA DR/CR
****** 60
RECEIVED BY ___~~
v/:ijtj Y
PASCO COUNTY, FLORIDA
N_/Owncr g,~ 111ir?;~
~~_*7Y-~1f ~/~D
Location :1?J 6'S- \- ,"
Classification IType ofU"" ::2 ~ - ~
Permit # 3Y c29
Date g-- - /7-9- ?
LJ
- 066 D
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft. / Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established pursuant to
County Commissioners. This amount is lOR to the issua
structure.
ty Transportation Impact Ordinance as adopted by the Board of
Certificate of Occupancy or authority to utilize the permitted
",
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
I
.
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)
/t~
Assessment =
(QSfl 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.
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 J
lRANSPORTATIONREC.* N~ DATE ~#:
RESOURCE RECOVERY REC. #H ' DATE fi:1 '7 /25
:~ ~AJ-
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp