HomeMy WebLinkAbout94-3869
BUILDING PERMIT
'0
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
_3869t
9Y7J..S()
Date ~ -;l:L -9 $I
~< 7-.!>-
-..5::S ': gi)
PLUMBING
36, a-v
MECHANICAL
-7
BUILDING
ELECTRICAL
Sewer Conn ~ Ol/' ~ d"l:J,
Water Conn: 3~'CJ. u-o
:::::,~,:~j.& '1 ~~ ~ <I
Parcell.D. # r.f'-:;J.b-,;;./- ~/.;lO~ fJl!J t)c:JO .. ~ sr~'-
Zoning: Energy Co.9J: Radon Gan / Y. ~..5-
Oe"";pt;an at W",k '-/1..uJ .J/.-, r ~...... '-:tJ .141.':<'" ./?--fL
Water Meter:
/' 6-.S~ PV
T.I.F.'s:
,-
/b.J-:~ ~"
-.S -/ -7'Y"
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
6~cJ.1- Cil.f
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Permit Fee
Signature
Company
Address
Telephone#
~'-9' y; :2.5
~ \...}-. >'~
Valuation or
Contract Price ~'t 39'7" Pc)
City License Registration # / d
State Certified License#
,J..~f:~ ~~
~~'~~/rJ
ELECTRICAL
a~~ &~
BUILDING
Fl'. ~ ~
Pre SLB -ZS'.... '1 M-
Lintel J./ -4, qJ..f :~_
FRM. /S'..t5 -9 OL
Insul. CL
WL
Tp. Servo , " _
Rough In V'5_/~i;.Jl~
Meter Can,;l...J;t ~Y1
Const. Pole 02/25/94 BlB
Pool
Pre-Meter
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.
v (L _ ~ -:;2()" - 9 '7
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
VALUATION:
SQ. FT. LIVING:
COST/FT:
G.L. STEVE
37157 FOXRUN PLACE
$51,397.00
1,273
$35.00
SQ. FT. OTHER:
622
COST/FT:
$11.00
VALUATION
DRIVEWAY
$51,397.00
$20.00
ADDRESS
$20.00
FEE SHEET
$273.00
SQ. FT. UNDER ROOF
RADON GAS
1,895
$18.95
TRAFFIC IMPACT FEES
99%
1 %
$0.00
$0.00
$0.00
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
449.50
55.00
59.75
30.00
$594.25
60.00
$534.25
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $2,346.20
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
h 0 L., s -r~C 6:>~~ oJ.-(
GLADEs ~C5-
OWNER ~ATY'\ VeL t)CS~TO
JOB LOCATION Ze-?~(L (+iLLS ''fL.,
LEGAL DESCRIPTION: LOT(S)~~~
APPLICANT
ADDRESS
s-r7LJJo
PHONE 7!?2. - q.5::t \{ '2
(31/57 Fox (luJ .~
LOT SIZrl7.b' X I bB AREA SQ. FT. fD;~( A<?fI~
SUBDIVISION 51LvF:a o/l-V....S
BLOCK
PARCEL I.D.~~
WORK PROPOSED:~New Construction ----Addition ----Alteration ____Repair ____Install
____Sign/Temp.
PROPOSED USE: ~Single Family
____S ign
____Move
____Demolish
.-M/F
____t~ of Uni ts
.-M/H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BlJ,ILDING SIZE: 5J~i' X Ltf.o ,
/FPtC;-
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.
~BUILDING
l(..ELECTRICAL
~MECHANICAL
~PLUMBING
$
PERMITS REOUESTED
6~ OCO. c.c Valuation of Total Construction
ZOO AMP Service X. Florida Power Corp.
_W.R.E.C.
$
?rYXJ. Dt
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel
FINISHED FLOOR ELEVATIONS:~'~FT.
Other
******************************************
Signature
CONTRACTOR SECTION~ ~
Company . c. 'TEVe:.
State Cert. or Regist. #
City License Registration #
******************************************
Co!J5~1QJ
/xYJ
ELECTRICIAN
Signatur~~
Company 'Z-\..l\u...~ ~L~'\. ~a(\..v.
~~ State Cert. or Regist. # c..>o~.J...( ("'iP
City License Registration # tn
****************************************
PLUMBER
Company ,S
~~ .2 M State Cert. or Regist. #
C . City License Registration
*********************~********************
Signature
MECHANICAL Company gAfI~ ~ /A!e?~~.v t... 6~.s e'#A: J-;vfC.
-'J/ __ / ..# ../ State Cert. or Regis.t. # C-4C.CY.:7"/8
~ -=~ P ...........'--= City License Registration 4~ ~
~ ******************************************
APPLICATIO~. ~nVED BY
"
Company
Stat~ Cert. or Regist. #
City License Registration #
PERMIT OFFICER.
CONDITIONS OF PERMIT A~FIDAVIT
'A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it '.ay be subject to "deed restrictions" which .ay be .ore restrictive than City.
regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay 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 .ay be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
788-6611.
Further.ore, 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 per.itting 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 - Ho.eowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
"owner", I certify 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 co..ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby .ade to obtain a pertit to do Mork and installation as indicated. I certify that no work or
installation has co.tenced prior to issuance of a pertit and that all work will be perfor.ed to .eet standards of all laws
regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies tay apply to the intended work, and that it is
.y responsibility to identify what actions I tust take to be in co.pliance. Such agencies include but are not li.ited to:
f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
t US Environ.ental Protection AQency - Asbestos abate.ent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
addressing a "co.pensating volute. will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beeo.e invalid
unless the work authorized by such pertit is co..enced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of ti.e, .ay be
allowed for the per.it with fee charge of $15.00. The extension shall be requested in Nriting to the Building Official. An
approved inspection lust be logged during each six .onth period, or the project Nill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCE"ENT ~Y RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO"KENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCE"ENT".
b7 r:J~ #-
~--/~-,/ ~~ ~
SIGNATURE: OWNER OR AGENT
~ a . V. ~ r/-uJ.z, ) GL . S-rt:Y<- COyJ;7.
SIGNATURE: CONTRAC OR I
STATE OF FLORIDA ~1lC>'
COUNTY OF ~ ~~
The foregoing ipstr~ent was acknowledged
before'me this/~~ , 19:15t by
bESA1J/O
5A14U~L.
who is persona~l~ kno~n to me~ who has
produced FL j) '- ~ .1)253- -,3 2--2110-0
as ntification and' who ~/did not
t oat
STATE OF FLORID~
COUHTY OF A- ~ D
" The forege.ing instru~nt was ac~r4:,ledged
~ore me this ~, 19 by
(
.JL
ig~re) Jt/!CJ/#t11I/1V
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
who i personally knowl
produce
as identification and who ~/did
t~~~ (} ~ru,D
).SiJIna tu~) , Q
-ro 1"\ .+A- ~o ".0 ~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC ~ 7 S'<.{,-/IO
me or whel has
not
~4~~tfJJb.:, EM UNa._._
~ ':I' ''7;6''. '""'""lftIlI;D
~*i ;"} ~ COMMISSION , CC 218259 EXPIRES
~; ........~i July 28. 1996
'4.Rr.,f';~ IONOfD 'MU TIllY FAIN 1NSUIlANCI.INC.
Notary Public, State of Florlde
My Commission Expire. Feb. 28, 199"
--.-----.----.---- - -~--,--- --- -- -,- - ------ - -----l
CONTRACH)F: #:
NAME: G L STEVE CONST.
ADDR: 37157 FOXRUN PL
C:/~::;T: Z/I-fIL_L~:;
1_: E N T n A L F' E R 1"'1 r T T I !\I 0 DATE: 06/2:3/94
PASCO COUNTY. FLORIDA PAGE~ 1 OF 1
I ~3~;UE OFF ICE: [I
RECEIPT NUMBR: 00216452
OFFICE: DADE CITY
F--OR:
CHEO~ # 20<:;.2
{)CeNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - 2
25.49
AMOUNT DESCRIPTION/PERMT DATA DRieR
25.49 ****** SOLID WASTE FEE 60
HECEIVED BY
( ,,' . "."r
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PASCO COUNTY, FLORIDA
Permit #
Date
Name/Owner
COWlly Parcel #
Location
Classif'lCation / Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone#
Sq. Ft. / Unit
Prepared by
Impact Fee Amount $
'::::::..~...-.~:".:
The above impact fee has been es9Wlislfedpursuant to the Pasco COWlty Transportation Impact Ordinance as adopted by the Board of
COWlty Commission~~ .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. (GSp)
Rate / ERU = 50.00 x 0.96* / Year
or $0.1315 / Day
ERU Assign #
Assessment = (# Units) x ($0.1315)
x (# Days)
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
TRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
DATE
DATE
BY
BY
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg /Insp