Loading...
HomeMy WebLinkAbout94-3789 BUILDING PERMIT Permit N C? 3789 A CITY OF ZEPHYRHILLS (813) 788-6611 ~o. c7z:> BUILDING J.s-:cTD ELECTRICAL 0!,....' O?J PLUMBING P<opertyOwn" ~~ ~ rL Job Address: (?7 V ~'h ,y .A . Parcell.D. # S - d. /;1 -;)./ - 0 '/.3 (.) - I'J 6) C) t!J <:) /-,J-O ,- '7 ~ Date ~(). u--v MECHANICAL Sewer Conn /J. 7 y: dV Water Conn: '-26o,t1'f:f~ Water Meter: J bS'; trz} T.I.F.'s: {!>~/f':S; trv ~ 03(;) c::> Zoning: _~ne~y C~d,: Radon Gas: Description of Work m ~ 7Y-~ A dJ"" - "'-r NO OCCUPANCY BEFORE C.O. 01/J.8/94 FINAL C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, Valuation or Contract Price City License Registration # 3--.50 State Certified License# ~';-f...v;.I~ ~~ ~JS- BUILDING ELECTRICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 01/26/94 BOB Driveway DATE I R.L. YOUMANS nspector Pe,m;t Fee~ 4 ~ Signature _~ / Company Address Telephone# Yl/~1(~~ PLUMBING /tJ.G- ~fdr~ MECHANICAL ?Y SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 01/26/9,4 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. ))0.- /-70-9,/ {ld I - cJ.- '1- 9' L( The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATIOIil FOR PEmtIT CITY OF ZEPllYRllILI.S B1JJII.DDiG DEPA'RDIEIn' OWNER · S RAKE !Znctuw ~. t;,6~, moNE 6'/~ --7 B 2,.- 2:z.. 7'- OWNER' S ADDRESS ,3771 () AI~ /)I!., ~r4.A't"-s" h:./'J- ~E.- JOB ADDRESS LEGAL DESCRIPl'ImI: I.OI'(S) BLOCK SUBDIVISIOIil PARCEL I. D. f LJa - .;u. -dll- Pia,,, - Pi>Od:1D - Pi3t:'.O WORK PROPOSED: * lIev Construction .--..Addition _Alteration _Repair _Install _Sign _lItove _Deaolish PROPOSED USE: Single Faaily _KIF _' of Units _<=<-ercial _Indust. _Swill. Pool _Restaurant &: Hea1th nepan:.en.t Approval BUILDING SIZE: Z8 x39 /~9~ Square Feet, A-.K/H Other RESIDERTIAL : cottKKRCIAL : I .:s~7 Height An"ACII (2) PI.OI' PI.AlIS &: (2) SEI'S OF BUILDING PLARS &: (1) SET ERERGY FORKS. U ATI'ACII (3) SEI'S OF BUilDING PLARS &: (1) SET ENERGY FORHS.** **COPY' OF CONTRACT ~lDIRED. -* BUILDING -E ELECTRICAL *KECllARICAL ~ PLUKBIRG $ PF..RKfTS REOOESTED ). " g tJb - Valuation of Total Construction I So AfIP Service Florida Power Corp. ~ W.R.E.C. $ I loo -- Valuation of Mechanical. Installation GAS ROOFING - /1111. SPECIALTY TYPE OF CONSTRUCTION: _Block _Pralle _. _Steel Other FIIfISHED FLOOR ELEVATIONS: ,vAt- FI'. . IS PROJECT Df FLOOD ZOIiE AREA? YES NO ****************************************** COIO'RACIOR SECTION BUILDER Signature ~ ~ lDIPANY AI, te IAJ1ZJ1:Oi7lr /11o/!/tC _~ State Cert. or Regist. , U ..- City License Registration , ..35(;, ****************************************** ::tAJ'- ELECTRICIAN' OOIIPANY ~ · IJ-. ~""'-- t::f.~. : tF ~ 7J. if State Cert. 0 egist. I SiPn=- ure e ~ c4- ~r City License Registration I as: ** *************************************** PLOtIBER ~ OOIIPANY IJFisLJJJ '/?'Af.~ '-'l.. \ State Cert. or Re~t. I Signa<ure /~ ~"'--- Ccity u.c~<e Registration. /O[f , * **************************************** KECllAHICAL , OOIIPANY ~t)~ P 1J..4>P/tul.. Gc.M :./ n '~ y/J " State Cert. or Regist. I Signature~~ ~ ~ City License Registration I 7'75 ********* ******************************* ---A<- 0T1IF.R Signature OOIIPARY State Cert. or Regist. I City i.icense Registration , **********~****************************** APPLICATIOII APl'ROVI!D BY '7'!~ s.4"/Jdl7a.L. PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subjec~ t~ '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 Dr contractors to undertake work, they lay be required to be licensed in accordance with state and .local r:egiHations., -.If the contractor is not Iicens~d as required ~~ Jaw, botlt the owner and "contractor laY be cited for a lisdeleanor violation under state law. If the own~r Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work. the.y are a4vised ,tp co.ntact the CHy oJ Zell~yrl\ills Ouilding Departlent, 18131 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 prpperIy l\censed and is not entitled to perlHUng privileges in the City of Zephyrhills. . C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~ D. CONSTRUCTION LIEN LA~ (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' prepare4 by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is 50leone other than the 'owner', I cer~ify that I have obtained a copy of the above described docu.ent 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 regulatinq'Lon$truction, 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 Mork, 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: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Wa ~er IWas tewa ter T,' ~a tilen t f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses + ArlY Corps of Engineers - Seawalls, Docks, Navigable WaterKays , ' f Departlent of Heaith & Rehabilitative Services. Environlental 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 volule" will be sub~~,t~ed 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 proceeo with the Mork and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit preve~~.t~e Building Official frol thereafter requiring a correction of errors in plans, construction, or ,'!olations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit !S cOllenced withi~ six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lon~hs after the tile the work is cDltenced. 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 Month period, or the project will be considered abandoned. WaRHf.Hp TO. DWNER:. YOUR fAILURE_TO R~CORD A,NOTICE OF CO""EN~i~ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU' INTEND TO OBTAIN'FIHANCINGf CONSULT ~iTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT. JOBS U~DEa $e,500 IN VALUE DO wOT NEEU 'u RECORD AND POST A 'NOTICE OF eO""ENC,~T". ". . SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was. acknowledged befclj-e me this " 19,___ by STATE OF FLORIDA COUNTY OF _. The foregoing instrument was acknowledged before me this ., 19 by - and who did/did lmt who is personally known to me or who has produced as id~ntification and whq did/did not take an oath. who is per.sonally produced as identification take an oath. knowD to me or ~ho h~~ (Signature) <Signatur2) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ,T'---- ~l"1l\~,.'~:.~~.-......~,,- "~.,. ~,. ...'.' ~,:,;. ,': S I :TE?'~.PliA N . ". .' '..:.. .: ....~. ~:. '; ,'. :. (RE'SIDENT1AL: USE' ONLY) PFl~t.G~L>;NLLm'6ER.. \ # .. ~...--- ;.,~~Z~-,Z!~O/3.CJ ~30.0 tt)C;10. OP-4/IIII? SUBDIVISION OR OTHER LOCATION'DESCRIPTION: . ~P'#;e'.~~" ~" PHASE 1/ UNIT I ------- . -------,~ -~ ----'l- I i ,- ---:-'..,-_.._------ j ,- ------- : -:-~ :.--:--~~: '~1-:::Il ~ ~ ~ -~;...~ J , 'I~ i ~.~ i ...- T- .. -... , ~ , I ~1 ~..,1 , L.i "'~ii,; . ~~.l! f ji -.-t.....,... ~.' ~..;.~.;~: -+-~H FU,~~':l:~ ,-:- -'n' -f-j-++i ,.;. . ~- .......4.j : -f~';~" ~l:~p . . "" ,~~+ ..~ -ti'1 "7T! ~1,:rl I (I ; , I.~ ! L I'~ ~.. , ; I ;i , , -.-r.'-r./' ...... ~'- ., , "j "t. .' '". . .~.~ ... " .;,~, ' . . ~':S ITE;:;":~ P1JA N .. . . ~::' n' . .'":'. (. .: ,:, ':; . (RESlb'ENTIAE: USE: ONLY) # :... -, -- P R I?.t.. i~, -.:N um OEP... \ .-.6-- z~ -,2/~a/3.~ "dO. 0 ~t:7~'J~p -4IIIV. SUBDIVISION 08 OTHER LOCATIONDESCRIPTION: z.~#;e ;e;;;~ ~ PHASE It UNIT i .:-...--- -- 59. ~s"" , .:[-rrm ------]- , . . . ~1-J , ~~ -... - . , , ; . r ~ , . --, I --, i .. ;... . _L~ . 'l: - .H. iT::" _..,-_.,~- ~----- ----'---~rl+.:- I : .... k,.. . ! I ~ ;,w'~~l --:: .l.-~. I I I ---.- '---.-.--.-----1. -"- I i :, , ;.! .t~ it" ~ -"f . !. . :,;" I I I ----r--- I I I ! CONTRACTOR #: 001677 !\j~il'1E: NEU:::ON ADDR= 35267 HWY 54 W C / :::;T: z: EHYF~H I U_:::: C E N R ALP E R M ! TIN G DATE 01/20/94 PASCO COUNTY, FLORIDA PAGE: 1 JF 1 I :;::::;:;UF OFF I CE ~ D RYMAN RECEIpT NUMBR: 00200772 OFFICE~ DADE CITY Fi_:::::~::~541 0000 FOF:: CHECl # 10319 CONTRACTOR: 001677 {;CC:NT 114 TOTAL AMOUNT: COMPNY ACCOUNT CENTER B450 - 363000 - ~ AMOUNT DESCRIPTION/PERMT DATA DRieR 47.26 ****** SOLID ~ASTE cEE 60 il. 7 .. ~2 (':, ~. F;ECE I VED BY PASCO COUNTY, FLORIDA Permit# J'7 r7 13 Date J - Dl 0-9'1 Name/Owner 1J.At~~A.J 6-16 CountyParcel# ...s -~6 ~~/- 0/30 .... OOu CJ 0 - O....rO cJ Location,-?77 JD n~~ J}A- Classification /Type OfUS~~~..J 1RANSPORTATION IMPACT FEE CALCULATION Rate $ Zone # Sq. Ft. / Unit Prepared by Impact Fee Amount $ The above impact fee has been establi ursuant to the unty Transportation Impact Ordinance as adopted by the Board of County Commissioners. Th' ount is payable PRIOR to the issuance of a cate of Occupancy or authority to utilize the permitted structure. # Units / Gross Sq. Ft (GSF) jA~ v<r RESOURCE RECOVERY ASSESSMENT RESIDENTIAL NONRESIDENTIAL Rate/ERU= 50.00 x 0,96* / Year or $0.1315 / Day ERU Assign # Assessment = (# Units) x ($0.1315) x (# Days) 4, . ~\.....o Assessment = rom 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 1RANSPORTATIONREC. # RESOURCE RECOVERY REC. # OCXJ,( a.. DATE J l DATE~ ~O COJ't ~~D~\~ 'I' White Applicant Canary Trans I Finance Canary RR I Finance Pink Office Green Bldg / Insp