HomeMy WebLinkAbout94-4040
BUILDING PERMIT
Permit N-<<?
C~TY OF ZEPHYRHILLS
(813) 788-6611
4040 B
6-- /r-rL/
Date
.33;2 ,..sO
BUILDING
-.S:2.. tl.,~ -
ELECTRICAL
-Y'7. -5'2)
PLUMBING
:26"': C/O
MECHANICAL
Sewer Conn / cJ.. 7 f'; t/7:)
~ '
Water Conn: , :J.s'O . tJ7J
Water Meter: /6<.5', 07J
T,I.F:s: /.;-.5 -YS: d?J
P,"perty Own" ~ft~ ~~.:!::t
Job Address: <.. () .
P"cell.D.' lJ.;2/'.,;2/, ~y -O<JOOO~O
zcn;ng. r,~e:Zd~ ~'~4donr ~7i';
DeSCription of Work ~ ~ (f '\ ,A .LA
NO OCCUPANCY BEFORE C.O.
FINAL '~L5~~
DATE
C.O, ~-:J5 -9'1
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordar"<:"e with Llty Codes and Ordinances.
Inspector
~~~- ~
Permit Fee ,',f'
Signature <. .'1-; U~z-,~
Company
Address
Telephone#
Valuation or "-
Contract Priced~ 6 9b. tJ 0
City License Registration # .... ? ~:2..
State Certified License#
r I?-Jj<2 LJ/~J ~L/1
BUILDING
~".<1 M~-t;A:'AXlY
ELECTRICAL
(}tfJL~1JrJ7 )~./J7t2J JI{j+-tJ/()~
PLUMBING
MECHANICAL
Tp, Serv,
Rough In ']..-11 '" '14 ~a-tr-
Meter CanJ;--IY-7Y Water
Const. Pole b-d~-q4 BJ,. Sewer
Pool Final
P'e-Mete' '1I -Ib~ ti/-L--
Final 1-t.-f-f ~ ~
r~~ S-:5l.~14 ~
Breakers
Ducts Ins!. '1-/.3- 9~ &J"
Compre~or
Final ~ -Z-~.Lf-f g,L"'-
Ftr, to-~-~y %~
Pre SLB ta- 'Z--1~ '
Lintel 6-30- 9.1../ Bc.H.
FRM, '].... 1/" 'i 't IS ill
Insu!. CL
WL r')-,\~~ BJtQ
17f{~ ~-.P i ~lu.-.:
Driveway 1/-fr'H b/LJ...-
S}..Ut~tr'\l
-,-"6.C,L/ 61 U-
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,
- 1
Wrong Address ' ~
Condemned work resulting from faulty construction. ___ C
Repairs or corrections not made when inspection called, AI a.. ~ -I 7 -7Y~, ' I
Work not ready for inspection when called, / /) ~,/
Permit not posted on job site, . f)" (J\ .J
Plans not at job site. 0
Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same,
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nI AS~ DOOR~
o ry R DOOR';
'~ET WALL AREA -- SQ. FT.
~'R.\Mr;lAmTfiJ.s,[J1lfo Insul. on
, Si\f;,1i 1 WiR~Uff(jN
SAM 2N NSULATIO
-:-SAM~. INsULATION
-,-mSONAY - BLOCK or BRICK
, PLASrEREO or PLAIN
0URREO '- tiOiifSffiAfiOM
[~FURREO -11/.:' mSUtAfloN
; ~,O r illffWAtISSlEMARUA
CbUNO AREA - SQ._ n.
T;UN01.1f1JNCONO,i1lONED SPACE
~t . ffrnmutA flOW
;.1 :,'0: IN.5UUi101f
f;--- -1fil-r:~3UWION
'+ROQ'" ~ CiTCiNil'Coi.1iiiN,\TI0N
--;.:io INSULATlO
-- 2" INSULAtiON
--3;:-;f,iSULATlON
RErfROOr::cE1L1NG. SEElJANUAl J
fLODIl AREA
"()VE RllNeON Oi TlON"fifROOM
TOVEifOPIH ORVEim:o SPACE -
~, ISQ, n,) - HO INSULAJlON
'10t.cilnrsi:Ao - "0 I"SU Tlon
..----oiiitii'n,ooRs, SEE MAhUAl J
':\,(:-trftJiioH (NUMBER or BEDROOMS)
TROPU(tfUMjjffljfBEDiffiOMS)
c~pFJJ^Rerna:owto
2.
~
tlOfE ON PES'I:;fArH HEAT JOBS
00' Nor iNClUOE S% Duer
'ii, lOS';. ,usr torAl COlUMN
h, .)r Il TUIl.
l'~'~
,.",EQUIPI\ltNf s [TIG
J~ ,----
~_~ Tr~rl :;'PLI r ~")\)~)J F.lYl
,',(,
DATE 1/1 Iq4
I
-----_.- -,---. .. -. ----------
COOLING =OGLlt-lG
MUL TIPLIER I u^,)
] rU/IIR
75- 1I1~II';'E H t.IPE n.' i \J:.E
95' OESIGtl T HIPEnJ\' ': 'It:
_ll~I____ -- ------
t1ot!~ INS'-~ UI~~ ----..-.-
35 25 30
,,~_ _~E ~o _~ - -------
90 ~lL- 3!!-__ .7JdLd--
80 -29_ 30 LZL~
50 35 30
lI';f fAr.TrJR rR~\i A!!UVU__ 1 ~~'1:] ~
l~.?_____._
t~CT USED IN
COOLING
.
----".-.--- =-==~:I
'1,0. _.__
3D,_____,,__ ------
~ ,5_.__.. --------
--.3.~______ --"- --
.------------- ------
-- _.9...5__ _____ -_ ------
...-6. 5 - 37'18
3,5 ----
Il1\RK --- ---
-- -------
10,0 --
., c: ..- r7-{r
........o.i
- 2.0 ,--
----- ---
IJ1L--__.....___
f---. " 0 ---
f-- -- 3.lL__",,_ -"' -----
-- --
,
-------~--_.._- ----
.._J~L-".----,- --.--
---.------------- -----
__ _.,__5..D___...._____ ---"
__--'LU.-- -_.-- ---
._--- ----... ---.----. U'~~~=l
.__ ,!~LL.____.__..____
._____ ..5.;1L-_..__.__ _/ b;'.t}__
12V'
---- -- -1
SF.N'i19ll IIE.\I {;.';.'i (f(lI,\l lOl,S I II :Zk.l_j
Due rc^liI(5~i1 ;;3i IIi~ A it; ~i ;i"i "!1 CLLr,!J.L
f.jfM,'-;:t;' , i!JUt:fi;'t;:: :1'-- --' - .-----.-1
~l::_::~~~~~~~~i..(}~!!~ ~~.'~:~~i.~~~:::
HEATING ilEA TlNG
MULTIPLIER lOAD
BTU/HR
~---
:m-- ri"~"SlnN HMPERATURE
NOT
USE!)
IN
HEATI~O
'In' ,...<"no: 7';' IN<:.,no:
An' TO .d.'i'TO
-
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In~ l.1!i-__ --
"" .JiO-._.__
,'I"" '~4D--
Inn ll5-
qC; Iln
II 1':1
A ~
A A
'lI 'lI
Iq ..22..--_,
-l' 14
!i I:
'.'---
,___:14 ?7
:~ A
2 ,
-"
I? IA
A A
-' 3 :1 --
,
tel.. n \ 6 ,;,
1<:... P \ II _JL
A" 4<;
9.oL- J.'oOO'-I'" .
.---- --,
.. SUBTOTAL HE,\T 19S5_ --.---'
DUCr lOSS (.05 . SUBIOTALI ,-
TOTAL HEAr 1.0<;<; .-
=- ---
\ -- ---
U~H SHOULD 'WI [xC~EO
I ~S~j or IUIAl :IOq BE lESS
"'AN 100o~1 or 10' "l (--'
---, . .--
TOT~L ,~tr,T 1.'1'1
lJ'llr SlhJlJlil il0ft::-rrb 'b~o
or 101 ^" MHl 8t lL is 1llA'1 l}S'!l,
or lor~t i 0 /I(} /? i-v _
____...L1... _, ,_'_"__ u.
ill'!~~
Y.__11
u__ ______ ..----_.
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J
.fl
,.,...
:3
7
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-
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APPLICATIOIi FOR PERHIT
CIn OF ZEPBYImILLS
BUlLDUG DEPAR'IIIHII'f
OWER'S IWIE K~ g<<r'k-&/tf' /~C PIIOrnrf"~/3) VZ2-cP2yO
OWIfER'S ADDRESS ?CJ? 7d4~.s A50e " ~~~..r tJr;, ; ~ ,-~',pY;Y
JOB ADDRESS 376~~ /'#c?e'-(~u.)e>c)ok' tJ.r'I'oe -" Z~/'/:I/tf ~ /;':
LEGAL DFSCRIPl'IOlM: IJJt(S) /15:;> BLOCK SOBDIVlSIOR ~e/~~u.)Ltc/ Cq~.r
PARCEL I.D.' 1.1..- .J-b.~ I - a / ~ 0 .- 000-00.-' /03 0
WORK PROPOSED: ~Cons~ruc~ion .--J\ddition _A1~eration _Repair _Ins~all
_Sign
_lIove
_Deaolish
PROPOSED USE: b.~gle Faaily
_"IF
_' of Unit:s
---1f./H
_<=<-ercial
_Indus~.
_SwUI. Pool
Other
--3est:aoran~ & Hea1th Depart:aen~ Approval
BUlLDIRG SIZE: 0 r x3L/J.'( /.;z. 0(J ~e Feet.
3/
Height
RESIDENTIAL :
COItIIERCIAL :
Al'TAaI (2) PIDI' PL\IIS & (2) SEIS OF BUII.DIIIG PLiAIIS & (1) SEt EllERGY PORHS. u
ATI'AaI (3) SETS OF BUllDING PIAIiS & (1) SEt ErImKGY FORKS...
..OOPr OF OOR'I'BAGr KIlQUIRED.
PERKlTS REQUESTED
_BUILDIJlG
$ 31/.r-DfJ, DD
Va1ua~ion of Toml Coostruc~ion
_ELECTRICAL
;z 00 AtIP Service
Florida Power Corp.
W.R.E.C.
_--lfEalAllICAL
$
1/ 8rO. 00
Valua~ion of Kechanical Inst:alla~ion
_PLUKBDlG GAS ROOFDIG
TYPE OF OOJlSTKUCTIOJl: ~lock _Fraae _S~eel
SPECIALTY
Other
FIRISHED FLOOR ELEVATIONS:
FI' .
IS PHOJEGr DI FLOOD ZOIlE AREA?
YES
NO
..........................................
~O'UO
BUILDER
aHI'11L\CIOR SEC1'IOJl
m!lPAIiY R/4e- 6u//hs ..$Ac
S1:ate Cert. or/Regis~. f cAe 6Y/!T9:?r
City License Regist:ra~ion . ~ C 2
.................... ...........
Signature
::::AN:Z~ /1 m!lPAJIY -:S.
-;?~ S1:ate Cer~. or Kegi: t. f
S -In\ /11 City License Registra~ion .
/ I ........ ..............................
m!lPAIiY ft C. ;:J{vn.-t bll"
S1:a~e Cer~. or Regist. f '
City License Registration . d ?
..........................................
./ ~.F ~
~
PUltBER
Signature(2/' ~ ~~
tlEalANICAL
Signature 1/cJt ~ J.
m!lPAIIY ECtJA/o Ct7tJtiA/y f l/t'cl'N-;1' '-",d-
S1:a~e Cert. or Regist. .fYl9 oofuo 9..)'(J
City License Regis~ra~ion' /Ofo
.~...............*........................
0T1IFJl~
COlIPAIiY
State Cert. or Regist. f
City License Regis~ration .
......~................................
Signature
APPLICATION APPROVED BY
4 {JAAIkT
PERIIIT OFFICER.
COND I T IONS UF F'ERr.! If (.IF F 1. Drl',,' J T
"A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to 'deed restrictions' Nhich lay be lore rest~ictiv! th~n City
regulations. The undersigned assules responsibility for cOlpliance Nith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ONner has hired a contractor or contractors to undertake Nork, they .ay be required to be licensed in accordance Nith
state and local regulations. If the contractor is not licensed as required by laN, both the ONner and contractor lay be
cited for a lisdeleanor violation under state IaN. If the ONner 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, (813)
788-6611.
Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
"Contractor Sections" of this application for 'which they Nill be responsible. If you, as the ONner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the Nork. If the contractor Nishes 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 Nith a copy of "Florida's Construction Lien LaN - HOleoNner's Protection
Guide' prepared by the Florida Departlent of 'Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"oNner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
'oNner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this ap'plication is accurate and that all work Mill be done in cOlpliance Nith all
applicable laMS 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 Mill be perforled to leet standards of all laNS
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 cOlpliance. Such agencies include but are not lilited to:
I Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
Water/Wastewater Treat.ent
I South.est Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
, Depart,ent of Health l Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environlental Protection Aqency - Asbestos abatelent
I also certify that, if fill laterial is to ~e used in Flood lone "A" or "A,etc.', it is understood that a drainage plan
addressing a "colpensating volule" will be sublitted 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 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 bee ole invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if Mork authorized by the perlit is
suspended Of abandoned for a period of six lonths after the tile the work is cOllenced. 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 lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAV RESULT IN VOUR PAVING TWICE FOR IKPROVEKENTS TO YOUR
PROPERTY. IF VOU INTEND TO OBTAIN FINANCING, CONSULT WITH VOUR lENDER DR AN ATTORNEV BEFORE RECORDING VOUR NOTICE OF
COK"EMCE"E T JOBS UNDER $2,500 I VALUE DQ NOT NEED TO RECORD AND POST A. TIC OF COKKENC KEN ".
I
jJ~
STATE OF FLORIDA
COUNTY OF
The foregoing lnstrument was ackry0wledged
befclre fe th i s /fAu.y j<"t~ ' 19IT- by
~,.fJJ ~+ tJ ~~
who is perso lly known tome or who
produced 0
as identification and who /did
tafi!J~k_ C~
(Si~a,ture) K r- .-.r"_.
/H2-P.r-f,~/4 - '--..O~ ( C"~
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
~,~
...........
......~~I't.'6(t:'.\ OFFICIAL SEAL
{ ~ J. Barbara R, Costello
' " My Commission Expires
~ ' 4.. Nov. 2, 1994
....'!.~!r.;.. Comm. No. CC 054525
VALUATION:
SQ. FT. LIVING:
Ridge Builders
39608 Meadowood Loop
$34,596.00
864
COST/FT:
$35.00
SQ. FT. OTHER:
396
COST/FT:
$11.00
VALUATION
DRIVEWAY
$34,596.00
$20.00
ADDRESS
$20.00
FEE SHEET
$195.00
SQ. FT. UNDER ROOF
RADON GAS
1,260
$12.60
TRAFFIC IMPACT FEES
99%
1 %
$1,585.00
$1,569.15
$15.85
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
332.50
47.50
52.25
25.00
$457.25
40.00
$417.25
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $3,807.85
?O~ ("<u
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J-fo)f
CITY OF ZEPHYRHILLS
Building Department
603 8th Street
(813) 788-6611
, TO: Floiida Power Corporation ,or W.R.E.C.
Zephyrhills, Florida
NAME 9l~' G?\~b
ADDRESS~C~ ~ ce~
DATE 6 - do? ,,9Jf
Electrical work at above address has been Inspected.
This Is your authority to proceed.
MESSAGE CONFIRMATION
ST. TIME TOTAL TIME
14:50 00000'48
Zephyr . s Electrical Inspector
JUN-28-' 94 . TUE 14: 51
TERM ID: CITY OF ZEPHYRHILLS
TEL NO: 813 788 3293
ID
DEPT CODE
813
P-9999
--",-~..---:,.;-,,,"---o(-~'-,:.-" .....-i:;-..;:- "- ..-~";'-"'.--:--::,-----:- ----:--,,:- .~ ..-_~~'"_':. --; ~"t'-""----''' -__..~....._,.:--- .._. ".~._ _ ._ _.~
C:ONTR~\
N~lt1E : I r
(~[l[tH :
C ; ::;:: T : 1-: i . ,I i'
FOR:
CONTF:?~C'r'
l\ceNT
1:1.4
(.
0069::,'}
C E N T R ALP E R M ! T 'f I N G
PASCO COUNTY. FLORIDA
~',J I<EY
, S AVENUE
XlY
FL 3:3:::44
CHECK "* 2603
HE~=;O!JI~CE rEE ON PERMIT 40,lOB
ZEPHYRHILLS ~
'5'.}
renAL AMOUNT:
:::COUI\IT CENTER
DATE: 0:;::/23/':;'4
PAGE: 1 OF 1.
1:::;:::;UE OFFICE: D
RECEIPT NUMBR= 00221486
OFFICE: DADE CITY
1 7 . ::::1
AMOUNT DESCRIPTION/PERMT DAT~ DR/CR
17.81 ****** SOLID WASTE FEE 60
:-':(,:::;:000 -
...
__.--..-----. . I _ \ '
F-Ef"''-'[''i='[ EV: ,- '\ -, 'f"',\ -"'-""l~a j
'\ - _,c,.. ",- J {~--"';:;';:;').c..",.,i.=,~, '~l ) ....1-..... f.;:;..------ ------,-
, . .,'~ .;-.".;..,.....-..;;.;P."--,J___. ".-.
-:
, ,
'~.~' . ,~..
PASCO COUNTY, FLORIDA
Permit No,
Date Permitted
Builder Name/Owner Name
County Parcel No,
/ .,
Location
Subd,
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq, Ft./U nit
Prepared By
Impact Fee Amount $
....--'
,,~ '
" , '- "",>"" , , - .
The above impact fee has been establi~edI)Ursuaht1o.tbe,"p~asco County Transportation Impact Ordinance as adopted
by the Board of County Commi.1:isiohers, This amount is payabIe~lQ..the issuance of a Certificate of Occupancy
or authority to utilize thepeririitted structure,---' ,
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
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)
!
I
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
'r"
DATE t
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce