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HomeMy WebLinkAbout94-4032 BUILDING PERMIT CaTV OF ZEPHYRHILLS (813) 788-6611 Permit N~ 4032 8 Date ...s ......-/ &7 - Y Y '7'010-0 BUILDING J.J.........c7i) ELECTRICAL ~'- Oi) PLUMBING c::z dJ. 0-0 MECHANICAL Sewer Conn 4'tJ7},trD, Water Conn: ;LtJ &I. tY7) Water Meter: 16.5': tJ7J T,LF.'s: 9 .y:2~ tlV' PmpertyOwne" ~ Job Address: <;;;.. ?~~ttJ.. , ' _ ....:; Parcell.D. # /"I.~ -C)/- 0/60. tJ 6u c:::>CJ -. /~6 +..~ ,.J 9 Zoning: ~y~ Radon Gas: Description of workJJ1. ' .47-_<-/ NO OCCUPANCY BEFORE C.O. FINAL (o-ll-7 DATE C.O. ~"-()J- -9'1 DATE Complete Plans. Specifications and Fee Must Accompany Application, All work shall be performed in accordar('e with City Codes and Ordinances. Inspector Pe'm;l Fee ~ de.) Signature ~ Company Address Telephone# (~l '> ) Valuation or Contract Price ~/* City License Registration # State Certified License# BUILDING ELECTRICAL PLUMBING 977- 77 '-If{ .4ifJl ,d,p ~ MECHANICAL / y-t -~~)11~ ~ .j) II /077-6 Ftr. Pre SLB Lintel FRM, Insul. CL ,-. WL t;rJltL (,')1 _COr-{ Tp, Serv, Rough In Meter Can Const, Pole Pool Pre-Meter Final ~.- 2 J -c; '-/ SLB Tub Set Water Sewer Final t:,' 2(-yLJ 8l-L Breakers Ducts Insl. Compressor Final 6-JJ.I- 94 Solr 8,4.. ,5oh Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15,00) shall be made for each trip for each trade: a, b. c, d, e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. Va j7/ 6-~d.-77' The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLIGAnON FOR PERKIT CITY OF ZEPIIYRBILLS BUILDING DEPARIIIENT OWNER' S lWtE Mf? R y ({OW ELL PHONE 917 .....7-1 'f r:- OWNER · S ADDRESS JOB ADDRESS 3'800?/ L.,fw4lUi)A J...ooP '2..Jf?{>/{j'IU-l/l-l-$, FL ~ ~5~o , ,. , , . LEGAL DESCRIPTION: LOT(S)e2lJ of ~ ~ ~ <<1. B~SUBDIVISION '.J,+Y(.(J~R~ Q)LJ.rb PARCEL I. D.' /if ).. C ^ ( ~ I ~ 0 O~~ t9 :;-'1-/'/1'- it;,. cM" e> -;..t:t 0 WORK PROPOSED: ~ev Construction _Addition _Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: VSingle FaJlily _"/F _' of Units _"/H _ec-ercia1 _Indust. _Swia. Pool Other _Restaurant & Health Departaent Approval BUILDING SIZE: rJ.~ x5 b . I, Ore 8' Square Feet. Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOT PINlIS & (2) SKI'S OF BUILDDlG PLAliS & (1) SET ENERGY FORMS. AnACH (3) Sf.TS OF BDILDING PLANS & (1) SET' ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NE.V CONSTRUCfION. PERKITS REOUESTED V BUILDING '/ELECl'RICAL v'HECllAliICAL ,/ PLUKBIRG $ 31.9, O~ {) . Valuation of Total Construction VFlorida Power Corp. W.R.E.C. ~,,;V AIIP Service $ 4" i,).,O{) . Valuation of Mechanical Installation GAS ROOFING ~FraJIe _Steel SPECIALTY TYPE OF CONSTRUCl'IOB: _Block Other FINISHED FLOOR ELEVAnONS: Fl. IS PROJECf IN FLOOD ZONE AREA? YES NO .......................................... CORTRACfOR SECTION BUILDER COKPANY 5TEwMQ.'! )J.OBtL6 ~ J.I ~ ~ pi J State Cert. or Regist. t P/-f /4'2 ~;h Signature ~ City License Registration t ... ...................................... ELECIRICIAB COKPAIiY S71=w./WT ~t1~/.; ~......,e;; =J/ (7/~ State Cert. or Regist. tibJf&J7 ? SiPD~ture~~'~~ ' C1ty L1cense Reg1strat1on t ...*...................................... PLUKBER ~ COIlPAn Qjew~ ~ {~ ~ /' // / , State Cert. or Regist. t . (/7 ~b Signature ' ." 0/ City License Registration t ~ ...................*..................*... Signature ~ ,-. cottPAIiY :d<~.~ ~H!:;;fJff~ ;J:;vi State Cert. or Regist. t . q39~r- City License Registration t ,~~ .........*.......*.......*......... IlECHARIGAL OTHF.R , COKPAIiY State Cert. or Regist. t City License Registration t .*........................................ Signature APPLICAnOR APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'be undersigned understands that this perlit laY be subject to 'deed restrictions' wbich lay be lOre restrictive than City regulations, 'l'he undersigned assU1e8 responsibility for cmpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner baS bired a contractor or contractors to undertake work, they JaY be required to he licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and coatractor laY be cited for a lisdeJeallor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requiruents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections' of this application for which they will be responsible. If JOU, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to perJitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - BoIeoImer's Protection Guide" prepared by the Florida Departlent of Agriculture and COnsUller Affairs. If the applicant is SOIeOIle other than the "owner", I certify that I bave obtained a copy of the above described dOCUleDt and pr,.ise in good faith to deliver it to the "owner" prior to OOIIenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlBllt. Application is bereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or installation bas c~ced prior to issuance of a petlit and that all work will he perfoIled to leet standards of all laws regulating construction, City codes, loning regulations, and land developll!llt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI1lllBlltal agencies JaY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include bot are not lilited to: t Departlent of EnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and Envirol1lelltally Sensitive Lands, Water /Wastewater 'l'reatlent t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Havigable Waterways t Departlent of Health i Rehabilitative ServiCes, EnvirODlental Health Unit - Wells, Wastewater 'l'reatlent, Septic 'Ianks t US EnvirODlll!lltal Protection Agency - Asbestos abatuent 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 'COIpeIISating vol_" will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A pmit 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 sball issuance of a petlit prevent the Building Official fr,. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sball heCClle invalid unless the work authorized by such perlit is COII8IlCed within sillOntbs of issuance, or if work authoriled by the petlit is suspended or abaIuloned for a period of sil IODtbs after the tile the work is COII8Ilced. One 90 day Bltension of tile, lay he allowed for the petlit with fee charge of $15.00. !be Bltension shall he requested in writing to the Building Official. An approved inspection lUSt be logged during each six IODth period, or the project will be considered abandoned. IIARXIIfG fO 0IfHIR: YOUR PAILORB to RECORD I IfOfICE OP allllBlCIIlD! MAY RlSOt'l IIf YOUR PIYIIIG flllCE FOR IMPROVIIIII'IS '10 YOUR PROPER'IY. IF YOU IJI'IDD to OBtlllf PIIIDCIIG, COHSOt'l WID YOOR LDDIR OR AI A!fORDY BIFORB RICORDIKG YOUR IIOl'ICE OF COMMEIfClMBK'l. JOBS UNDO $2,500 !If VALUE DO HO'IIfDD fO RlCORD AJID POS'I A 'HOIlCE OF C(JEfCllllll'l'. SI~~~ b~ S'I'ArE OF FLORI coum OF , J Is " i ~ () The foregoing inst t was acknowledged before me this' , 19~ by ~,-~CJJ~I)~ I (J'jtt..) ,J wh is peroona ly .:mown to me or who has produced ~ as id~if~~~tion and who di d~d not ~~~ (Name Typed, pri~ or Stamped) NOTARY PUBLIC gn u~e) '~ H(.Oc./( It!t l (Name Typed, Printed/or Stamped) NOTARY PUBLIC " , Notary Public. State of florlda ~ Comm, Exp. Oct. 30. 1995 Notary Public, State of f1or\dl My Comm, Exp, Oct. 30. 1995 AUTUMN PALM DRivE --~._----.._-- --..--- 5000/z'44"e 95./(( ~ t I ''l "--'-- C,' , _,'U"__ ----- -- ----, .. Sl!'ltock I-) ~ ~ I ....v, ~ f\j , l;:. \,() :--N , I\.; ~-- I <1 f---- ~ I (1~ ~ t <::: ~ -..; -- , '"' --l ~ ~ <., ~ ~ " J.__ _ ._ r-- ~ ~ \) ~ r' Itl' Cl " -,."- r --- .J \Q r.~ "s ~ '.j ..... ~ r -tc '..1) I', J -,. s,,~ l 00 , , '. 'l.. S. (X)o/2 44 E Eo,;1 6: UO' Lo I 'tJ ~_ 1-" ....' ~ -.. f ~ SJ , " 9-s )l... - E:. , f- cA... ~~ ~ ~ () ~ -f4 r ~ -Si ~ <j ~ t ---------- " \~'- ""', ..~ '" l\.i VI 25 ~:- ~ . , -,. , ~ il,',~,,"" ill' '~ ,J,,:) \ " oJ i \ ~", ,", '-p I'.. ~s- t. ~I I~' i}i' l',~ _._-.~ - w oa 8 ~ Z-t I -----~ I i':I'Jl, ~$ 'I' ,- ~~ t ;.:~ t, "r ~ ~ ~~ - 8"~J; I~ -'; ~s I:~ '":'...~.~.~ ,,~ '...... ""- VI ~~ ~ I ilQ ~ r-- I'l) - --.. ~ 'I I'\) ~ I~ ,,\ I::' Ir~ s 'b I', " (f) rrt o -I o Z ~ .. ~ (1)-1 (')0 o~ (f) OI 0-0 CN Zen ~(f) o C 1 il- I 0:::0 :::0)> -z CJG) )>fTl N fTl )> (f) -I Location PASCO COUNTY, FLORIDA .z' \10J0 Permit No. l\a ~ D \Y\~ pe\1~ 00000- 0 ~ SUbdW~U D~ Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No, Sq, Ft./Unit Prepared By Impact Fee Amount $ The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of County Commissioners, This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted structure, RESOURCE RECOVERY ASSESSMENT EXEMPT D RESIDENTIAL NONRESIDENTIAL No, Units Gross Sq, Ft. (GSF) Rate/ERU - 50,00 x O,96*/Year or $O,1315/Day ERU Assign No, Assessment - (No, Units) x ($0,1315) x (No, Days) ~'--o.6D Assessment - (GSF) x (ERU) X (0,1315) x (No, 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, NO, RESOURCE RECOVERY REC, NO, DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce CONTRACTOR #: NAME: STEWART MOBILE HOMES ADDR: 38008 LAWANDA LOOP C/ST: ZEPHYRHILLS FL C E N T R ALP E R M I T TIN G PASCO COUNTY~ FLORIDA DATE: 06/22/94 PAGE: 1 OF 1 ISSUE OFFICE: D RECEIPT NUMBR: 00215960 OFFICE: DADE CITY FOR: CHECK # 27472 REOOURCE FEE ON PERMIT 4032B CITY OF Z....HILLS ACCNT 114 TOTAL AMOUNT: COMPNY ACCOUNT CENTER B450 - 363000 - 2 26.30 AMOUNT DESCRIPTIONIPERMT DATA DRICR 26.30 ****** SOLID WASTE FEE 60 RECEIVED BY