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
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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