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93-3524
~- --._~- ',; ~ " BUILDING PERMIT ". YtJtJ .I trD BUILDING 6 :Jc~'?J ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 ~7. -.S-V PLUMBING Permit N~ _ 3524 13 9 - rJ-) -7..3 Date ..3 CJ. cJ"D MECHANICAL Sewer Conn ~;)..) f-, e:Ib. Water Conn: 3S(J. Q7) ..:S--::s- Zoning: Energze: Description of Work ~~AA)- ~ <::1'Lr ~on iZI:Ji. \ .M {} - 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 Permit Fee Signature Company Address Telephone# ~S7J - ,n) [Z1.;jV)).-'''' m. 'i3~ Valuation or Contract Price Iy' ~ tf7Z;J. tJl) , City License Registration # t2 tt3 State Certified License# .-- f( XA/)~f),,027"-3 Zf ~ /bY , ;(.rlflu)~!YJ /6 '/ , , ?-/i!lAN1 77 PLUMBING SLa q, 2~43~ Tub Set /, ~4 ] fi> Water 11 1 g 93 BIlL Sewer 11-1 R-q~ 'RTT.T. Final MECHANICAL BUILDING ELECTRICAL Ftr. dJ~ ~:~:'L}~t_~ ~ Insul. CL WL 12-01-93 RTf.T. Tp. Servo 'LI::'- Rough In /1-2Lf,ct3 -1LtJ Meter Can 1'-;)7-9'1 Const. Pole Pool Pre-Meter 01/1 0/94 BOB Final Breakers Ducts Insl.ll- 1-4--73 Compressor Final iJlh 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. va, JL;l7-zs j-tl6-C;Y /<1 The payment of inspection fees shall be made before any further permits will be issued to the person owning same. "Ku:;:,se / fV), '6 ~ot.U;1 4100 s;'/t/et' C/rc/e- ~.b:cfJ )( ((2-~: ~,q; J/~itr I f. ~ >< #"b .< .. ~/fer i..ol 55 J,LUIl7fON 19/cco,'-- But- fcf "'17 ?IUU1b'~r E" lee- f(' I de ( Al/ee~t1/~1 sob. 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" 1011, ~ ' .. ~~:~}IH ~"',' ~~~j5~;J 18~.,' ..~~ ,~ "'~N~' . wll/lllw f\IvlnI.Q/ PlDlIMl . ~ lrt~ ~ ~ ~ \Villi Itw FIlldllI iIWW QIlIJI. IlIlIQ ~ It~, t/l1a\l\lNng wi bo ~ lQr~IO~"" ~~.~. F.li. luu.ow<i PfFlClAI-: PATE: -1- . ': ,',' ....;":,:. CUMATUONeS 4 5 0 ~"." " :,., ftUIlIl":"":" SINCiE-PANE rig COUB1.E.PANE SUMMER AS-BUILT I. Icr, ........; RPOlNTMULT. ~ MU T. OVERHANG GLASS If It;~ ._;;~ ~ ~o;" "Ciiii"'""~ r FACTOR (M-1) iUM.PTS I:; .,~: ~~. ....... .b~ 'Gi (5 I~" '.\',; :~"7 ...., '..',LYt. kc'r;?;:: _,~. 1C7.1:".I""", II: ~, c.~'. iC.,,' ',';'" ~~;.:;::11 ",;. .". -.., .', '[~._. ';;' ~JTiU '~. ,;,m.AH. ,y(.:, ~r') ';; &~U ii .' J~' . T::'.' \i; ~:" UlL:'-y I'"",,. '~j 'o" ". .: .", . . ""~":""':,j"";~' . ..'" i.".""""."'.- 1'" R,?'/ri: coUPoNENT~', ii . 1 <'I' SUMMER ' hi '~~.,;:'..} &;;:' .c"!:"~"':r.rnWlTh 'J7r:;..', '.. \A:....,i.";..,; ~?..:'t...>',.,.,. ',-""') -,i{.~ of: :' ,,',' (" "V'''::':'''':-:',.'''-:-' -:-.'-" :'-. . - -',' ';;<'i"l;=~ '.".:'. I ,,"T ,.. . .r ., "'.""". ,;,.~~~ CWNG, AS-8UILT CfIUNG AReA'~ ACl\lAl. cetUNG SQUARE fOC>,TAGE.. . ..,,; ..3.... :;;I-boo 'b ~ .;.;.~r,'COI( . ..",:' ';;,' .' .' ",',.,,1"'1 ce.". L" p'f";," '. ",,' .'" LiNGTH AROUND COtIlITIONfD R..OOR. FOR RAISED FUXlRS USE AIWA OVER UNCONDfTIONEO SPACE, ~. Y ..... - y ~.:,..I~~~D~ACE.,I,' \^;~l \:..s.~o~ ':~~:_: 'i~J.;~:i~l>~":,\~..;t:~~ ::",' ,:;" ','.';': ;:.,'."~':JIIP~t,: joi ,.... y ,~ ..;):::1~q~'~rm:.::']~:~:'f~~ ~.~ u, . tAlI ......., 7TQr~_, '~. l,o"". ...... Aa-aUIL.T - 1 'AHUILT ,"r~~~:'I~:::;~I"'~"J',~::r~ ~~., i ~ ".;, '" ..... '.' T AtW""T'{ ttOT W& TJ:D'" .,VOT.:.r.:::... . .... 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".- v .,: ..1...... ~4' ..,..: f !'t,>~;' .,',..... j'f'<i.~,.,...'" -;re " ----'f.-," "., ". _ ,''''.'' '., ,~ i':(' oJ": ..... ',;,c"'I. ....'!..,.''',' " "':e,.,! 77.: ','n",: ::, .". '., " .. .,' C" '~'-"':"." .;.. ," ; ,J'-'.... \ "'" ',,' . r;. .-: '. .. .' "'.' " ., " r.'" .' ...,';' , .". ,. . ,'T'; . ,~. ',U, .,. ..., '..', . . .. ',y'= . ":"'~W;'''~' ':, " .... ., >ct. .- ~." '0, ",<; -T'.:~~ . "-r ,'.' " . , , . ":7 '.".. ': "" ,- ,~ -. ':'^' '. ..,.. ~ y As-eUI~ T GLASS SUBTOTAL "-;,,,-- ...."X'- ."'. y .I-'UILT ,=: ""11l.~ . ?_ oz.", ~ ;~;,r;,"~~~,3.~ I I~'T . r<. '';'\ ""'- 'L '" .~ \' \ "L/.'~ 'l- "".~ ~"'.',," .,,^ ,.", '. 'f ",' ""5' '7_ ~ '-f. '. I I . ,", ""BAlE" .~,tlOTWATift '~., .-ItOINTS" ..., 0 5" z:t; \ 'AHUILT l~~~' ~ ,.., 1 'I-BUILT ill HOT WATER POINTS \"1(')54 QF ..IUILT' :~.: I ~ :~<.', 'th; ''','' j.:",:~.., ..,,,,,,,,~:., ';';"~:""';" ..... ~lJl.lHT$.l. .. S WITH KNOWN SHADING COt:FFICIENT. SEE SECTION 1,1 OF APPaiDIX C. 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S 4- \ JII.fJCX &~O /" z C( f") ~ (~(= 'j? ~ WOKK. PROPOSED:~ew Construction _Addit.ion _Alt.eration _Repair _Inst:all _Sign _lIove _De.olish PROPOSED USE: ,/Single FaU1y _II/F _' of Units _II/H _~rcia1 _Indust. _Stria. Pool Other RpSt:aurant. 5: Bea1t::h ~t. Approval . ( J." <l J g 4-Cf- ,i1. BUILDING SIZE: 3 q X 1-1-<3 ~ '/YI h'D A .E:>~ LUTE ~e Feet, ( 4 II-. L- is 0 aX.- c AvE.s Height RESIDENTIAL: ATl'AaI (2) PUJI' PLAIIS 5: (2) SEI'S OF BUILDDIG PI..WS 5: (1) SET ElIERGY FOIUfS."'''' aJttItERCIAL: ATrAaI (3) SEI'S OF BUII.DIlIG PLAlfS 5: (1) SEI' ElIIERGY fORIIS."'''' "''''mpy OF OONDAcr lUlQUIlUID. (.,,/ BUILDING $. / 1./' v.J.F.CIRICAL /tJo AffP Service ~CllAtJICAL $. lIDO PllmfTTS RF.fiIIR.<;TF.D Valuation of Tot:a1 Construction ~ Florida Power Corp. W.R.E.C. Valuation of ffechanica1 Inst:allation L/PwtmUJG GAS ROOFIIIG TYPE OF OONSTRUCTIOII: ~lock _Fra.e _Steel FIlIISBED FLOOR ELEVATIOIIS: 1'/ FI' . SPECIALTY Other IS PIlOJEcr III FLOOD 7.OIIE AREA? ~ YES NO .............................................................................................................................. aJIIDACIOR SECl'ION _ (f(USSELL JYl,1fjz'12OlA/N St:ate Cert.. or Regist.' C -c_ 0.3. ~ ( l City License Registration' '24-3. .............................................................................................................................. WllPAIIY '~USScLC St:at:e Cert. or Regist.. . City License Registration . *...*.........****......******......***...****...*...*****...***...... WllPAIIY L) S -::: LL j'V) , b f St:at:e Cert. or Regist.' C () City License Registration' /0-) ......**............*...............*........................***.........*****...*.................. _ 9USSeXL ~1, 2iLOL<...-t0. St:ate Cert. or Regist.' .,(t en 4--( 7s 4- City License Registration '/~I ...............*...................................................*.............................................*** BI"T.DRR Q{L/),)d.{ fYl. ~YL"'-( ~ Signature v.J.F.CIRICIAIJ (') SiPlulture \./~}~t( /}1, ~ YlnA- PUWRRR (~ IY]. 3~L.-~ Signature IIECBAlIICAL/) Signature'-/~L/}JeLl y} 1 ,~IL~ OTRF.R Signature aJ!IPAIIY St:ate Cert. or Regist. . City License Registration , ...******........***......*...*.....................*...****............*...*...*... APPLIc.ttIOII Ar......,... BY 11 II- 4' -t ~ _~~~ PERIIIT OFFICER. , > CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait .ay 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, 1813) 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 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 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 coapliance. Such agencies include but are not lilited to: , Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent , Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses , ArlV Corps of EnQineers - Seawalls, Docks, Navigable Waterways , Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treataent, Septic Tanks , US Environlental Protection AQencv - 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 volute" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it 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 cOI.enced 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, aay be allowed for the perlit with fee charge of SI5.00. 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 I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCE"ENT. JOBS UNDER S2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCE"ENT". ij?">>2RJJ m, g2, -m-rAA- SIGNATURE: OWNER OR A6ENT ~~ 1 VV\ t ~ YO'-- SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument before me this 9-21- was acknowledged , 19 --.2.L by STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument(was acknowledged before me this 9-21, 19~ by Russell M Brown who is personally known to me or who has produced F1 Drivers License as identification and who did/did not ta~noath. ..~ ~ ()-o)tii) (Signatu e) Charlotte Miha1akis (Name Typed, Printed or Stamped) NOT ARY PUBL I C ,.~'.". ,....,.- ~... \., I , . ~ \ Cholo;.". . . '-, . : .1Il, \.;ommc \.s),,~ ... AI N... *.:!a: n.C";;.- Com 7'......... Russell M Brown who is personally known to me or who has produced Florida Drivers License as identification and who did/did not t.:~~~Ct~ ~(,~ (Signature Charlott~ MihR'Rki~ (Name Typed, pr~~r Stamped) NOTARY PUBLIr(~ OFFICiA\" ~iJi.:.. ~ Chlrlo\t@ MiRMt~ , My Commi!i~iQ" !;~~H!~ \~ rtr.#.! Nov, 19, Hl~e ...1to,f'S7':......... Comm. Nq, (JC 2~5863 ........ . - --"'~;-"'-"'~"-:-""'----.-~,.---,.---.,.-..-..,""-...-..:-".~ -.---,.. '-"--':"-,-~.:-' -. -, _.-.-.-----..,-----..,::.---:-:-~..:---.~.-..- -..'-- C E N 1 R ALP E R MIl T [ N G PASCO COUNTY, FLORIDA DATE~ dl/26/94 F'f~CiE:: :I. OF 1 I \ l I ! I I I I r [ 1 I ! [ I r I I I ( l I I ! CONTRACTOR :ff: NAME: RUSSELL BROWN ADDR: 4700 SILVER CIRCLE c/~;:;r~ lHILLS I :~;:=.UE IJFF r CE: D RECEIPT NUMBR: 00201332 OFFICE: DADE CITY F'OH: HC:::;C)UHCE E:::;::~, ::2 4 C:HECV 'H 1194 {.,ceNT 114 TOTAL AMOUNT: COMPNV ACCOUNT CENTER 8450 - 363000 - L 4,~.. 44 AMOUNT DESCRIPTION/PERMT DATA DRieR 46.44 ****** SOLID WASTE FEE 60 F:ECE I VED BY n__~_ "'._"__'''__ ......_~__.___ _._..___ __'__'~__~_ _~.~___._...._.____ PASCO COUNTY, FLORIDA Permit# 3S-~ $I >t5 Date 9-c27- 9...3 Name/Owner <')t{A -4 .I ~.# i1.JuJW,,", Ccunty Pa,,:.U Is - ~.3 f:. ~ - ..5'3- Location II"} C/D ~/TypeOfU~ - - 2~t~ lRANSPORTATION IMPACT FEE CALCULATION Rate $ Zone # Sq. Ft./ Unit Prepared by Impact Fee Amount $ The above impact fee has bee pursuant to the Pasco County tion Impact Ordinance as adopted by the Board of County Commisso . This amount is payable PRIOR to the issuance of a Certifica Occupancy or authority to utilize the permitted structure. RESOURCE RECOVERY ASSESSMENT RESIDENTIAL NONRESIDENTIAL # Units / Gross Sq. FL (GSF) Rate I ERU = 50.00 x 0.96* I 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 $ ~t. if 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 lRANSPORTATION REC. # RESOURCE RECOVERY REC. # c2 15/ .3 32- DATE DATE / - Z 6 "-'j.y BY BY A <:J, , White Applicant Canary Trans / Finance Canary RR / Finance Pink Office Green Bldg /Insp