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Home My WebLink About94-4108 BUILDING PERMIT Permit N.C? Date _ 410B 8 ~ -;;..0 -9 ~ C~TY OF ZEPHYRHILLS (813) 788-6611 .I/o, em BUILDING 3~-' cTD ELECTRICAL J.s ': ov PLUMBING QL; - c/V MECHANICAL Sewer Conn /;2 7 g, ~ / Water Conn: 3,!:>~ ' u-o Water MilJer: I b.J.-: cJ1} T.I.F.'s: j Sf J ~r ttJ~- / P,"porty Own.' ~-:;14 ~4~ Job Address: (if Parcell.D. # ..3 -.:;l6 -.2/- 0/30 -t!)C)OeJO - tJk .5-0 Radon Gas: ~/~ ~J ,!fJJ!A~"".'i NO OCCUPANCY BEFORE C.O. Zoning: ~ Code: Description of Work J?1 " ~ FINAL '1 ,./ L/ ' I DATE C.O, ---1."'- Is;. . DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordarr:-e with City Codes and Ordinances. Valuation or Contract Price --- City License Registration # d ....sb" State Certified License# jJ;1(~~tj~/ (!) --l)~~{~ ALJ)-;1~ ~ od'" ELECTRICAL BUILDING Permit Fee Signature Company Address Telephone# 7!/~ jj~ PLUMBING!. J;. MECHANICAL ..<3..3 Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final '1- 1 3 . " ~ ~~ SLB Tub Set Water Sewer Final Driveway Breakers Ducts Insl. Compressor Final 1- 13. q....... 13* It): 5"3/7 6-~'l-7'1 ea&J. jJ~ ~~ ~ ZO ~~-uJJlC(.,. - ~ 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. jJ.a; 6-;2().-9'( The payment of inspection fees shall be made before any fUrth~r fJer'!lits will be issued to the person owning same. APPI.TCATION' POk i'EmlTT CITY OF ZEPBYmIILLS BUfUDIl'ilG IlEPAFlKRItilT OWNER'S NAME ".ff;:;/ bElt'.. ~c. .2~ mONE 913 -7R"2--J.-Z,7.( 3 3(Po 9 OWNER'S ADDRESS ...57>/2- ~ S~ 77/"1?1"IA. RA , JOB ADDRESS $7{g33 ~~ ,J:J~., ;Z6:,PhY-LlHUf/ Fu1 33jV, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDH"ISION PARCEL LD.# ~..s-,(6-~/ -~/.!I.?J -Pt:7o.eu::~ -~.s-: 0 WORK PROPOSED:~l!iJew ConstructilOn _Addition _Alteration _Repair _Install _Sign _Hove _De.80lish PROPOSED USE: ~ Single F3Dily _"IF _' lOf Units ...;( HIH _C0.8ercial _ _Indus t. _Swia. Pool Other _Restaurant & Health Depar~nt ApprlOval BUILDING SIZE: '2S X s;-~, /~ Square Feet. Height RESIDENTIAL: COHHERCIAL : ATTACH (2) PLOY' PI..MlS & (2) SEI'S OF' BUfILDING PLMS & (1) SET ENERGY FORK.<). U ATTACH (J) SETS OF' BlJfII.DlliIG PLMS & (1) SET ENERGY FORMS. H -u'COPli'" OF' COInRACT' REQmRllD. PERKITS REOUJESTED . '* BUILDING ~ELECTRICAL ~HECHANICAL ~PLUMBING $ :JJ ~ e>.O ValuatilOn lOf TlOtal Cons~ruct ilOn J 51) MIP Service FllOrida Power Corp. I~DtJ--- ~W.R.E.C. s ValuatilOn lOf Mechanical InstallatilOn GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION!: _BllOck. _FraJlJe _Steel /b.N'. ~ Other FT. IS PROJECT IN FLOOD ZONE ~~? *- FIJITSHED FLOOR EI..EVATIO~S: YES NO ~~~~~~~~~~~.*..**.**.*******.************* OONlTRACTOR SECT'ION 8UII.DY.R ~ COKPANY ;.I..1t. JPTl::}t.~77t7C mt).#-;. ..z;::J..,c-. ~J~ State Cert. lOr Regist. #I Signature ~ ~ City License RegistratilOn # ~G;;. / *********************************~******** Si mMPANY {}~"--' ~~ State Cert. lOr Regist. I ~ City License RegistratilOn I ~&~~ v****.****************~*.*~~*************** PLUMBER OO'I'IPANY A/~ /2Y....,.,,,.,J --/ State ~erL lOr Regist. #I: Signature ;tI~~ City License RegistratilOn jf **~********~*~**************************** IOJ' KECHAJITCA.I. ../ OO'!fPAn 8JJ AL(yJ;MJ //7? ,,/fC . ~~F'v'c; ^~ tJ-.if'~i:.j~ State C~rt. lOr Regist. , .. / Signature j . "~ Ci1:.)" License RegistratilOn I 61::2' ****~~~****.~*~*******~****************** 0'T1IER CD.'IfPMIIY State Cert. lOr Regist. , Ci~ ~icense Registration , ***************~~~****~*****************~* Signature APPLICATION. APPROVED BY .,... :~ PERKIT OFFICER. ~.d ' A, _.__~~~.."....,~.....,.,~~ """,,'~,"'."-"'- '_~"""""'4"""-li_.,...."..",~..._...",,_.... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject t~ "deed restrictions" which lay be lore restrictive than City regulations, The undersigned assules responsibility for cOIPI;ar.~e with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTF;riCTOR F:ESF~ONS.IBILITliti If the owner has hired a contractor or contractors to under tate work, they may 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 lay be cited for a lisdeleanor violation under state law. If th~ owner Dr 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 Department, (8131 788-6611. Furtherlore, if the owner 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 will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are respo,sible for the work. If the contractor wishes you to sign as contractor that aay 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 FEEti D. CONSTRUCTION LIEN LA~ (CHAF'TER 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" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner., I certify that I have obtained a copy of the above described document and promise in good faith to deliver it tc, the "owner" prior to cO'lencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVII I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent, Application is hereby lade to obtain a perait 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 reg~lations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental 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 limited to: . Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment . Southwest Florida Water ManaQelent District - Wells, Cypress Ba~.heads, Wetland Areas, Altering Watercourses . Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways . . Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US Environ.ental Protection AQencv - Asbestos abatement I also certify that, if fill aaterial is to be used in Flood Zone "A" or .A,etc.., it is understood that a drainage plan addressing a "colpensating volume" Mill be sublitted Nhich is prepared by a professional engineer registered in the State of Florida prior to permit 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, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official froD thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six .onths after the tile the work is cO&lenced. One 90 day extension of tile, lay be allowed ~or the permit 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI~YOUR NOTICE OF COHIIENCEHENT. l JOBS UNDER $2,500/1NJAlUE DO NOT NEED TO RECORD AND POSj} I"NOTIC~~F CllmIEUCEHfNT". ~/ ~/ / "\/1 (~i;7~ I..'~ Y"I~ SI~URE. OIlNER OR AGENT ' / SIGNATURE: CONTRACTORe STAE OF FLORIDA --71 ' :'Dl\~TV !IF ~L.o~__ The foregOin~g instnlment vJas acl~10VJledged befcq-e me th is ,. ?-cJ, 19 ~ by );",-6)' /!; /W rr~ who is personallY known to me or who has Pl-Dduced as identification and WhD did/did not take an oa STATE OF flORIDA V // ' COU~TY OF ~~~ The foregoing instrument was acknowledged before me this 2....--<< '20, 19.a by c:? who i ~~,n~~ ~wn to me or whD has prod~ed . as identification and who did/did not ta(e oath... ~ I L=- (Name Typed, Printed or Stamped) NOTARY PUBLIC I\,<-~,~b~;.. ...ti!~'. KA n,:i>: . "r)';\/!'>I My CJmm. ;':,p. {'V.' i ,~3 Col1lfll. II CC DS5; : 7 ";"{). !".~, l~ KATHLEEN J, (:'>-10WN State of florid;;. My Comm. Ella. April 2, 1995 Colla Ice 0956'7 ~~-,"~~~~_~~:-::",;,";;.",:":,,,,,,;,,:~.-,,:"'C:,,,:-;;:,._-~,-;;.,.. ~v:::::::::: . _'c. .....'-..."..'..-':.::::::....-.:.1:1::;.-... ':'S~ITE:;:.':"P'LA:' N. . ".. : . j'. . ' . .. . J (~E~I'fi'~:NT;~.J:LisE' ONLY) Pn/l..t'..I:L Nu..m U:J2. tJ:i-;(~...,;J/~ 1J13(J -,Pc)tt:'.P~ " ~p SUBDIVISION OR OTHER LOCATION 0 SCRIPTION: ~_f ~~~ /' ' , _._._~ - _.---- -- _.-- I -T. , 't- t -++ ,- +t. + '1+ I j r-l " I-[J . I .t. I-f ,.t +1--;-+ - I ~ I_--l+ l ~l:~~~.' . t'i- --for: i:i.~r - . :-fB.- +-+ j~tt-=b .1-+: [#l.-l-F 'l T ''=P + -..r Ib--I; r- T[ 11-+- i'.'iTrH !.: . j.. F-/-l-r- :.- -j-I--II- -+-l- fTl r-iT i mj--rH-- ;--j fl.! '-n--+-f +r~t .'i-+-L1 -i--H-I- , +H- I .. r -j-'-I ; :~-=~l+j- f-~~=q: II +-rj'::i- =t:,:h=rl= . H+++-f+' ,-j-t-Tn H-rn-Ii I 1=Ttt~ti I : ! ! 1 ! I J -C+T1--' tl+ r I, ,..'. .)(p.. ..~. t- 'J ' -T.~..._ .. [ : 1 _ICoI =1=1 # PHASE 1/ UNIT \ , . I __ __l_..I CONTRACTOR #: NAME: H & R INTERSTATE ADDR: 37633 PRADO PL C/ST: Z-HILLS C E N T R ALP E R M I T TIN G DATE: 08/18/94 PASCO COUNTY, FLORIDA PAGE: 1 OF 1 ISSUE OFFICE: D RECEIPT NUMBR: 00221057 OFFICE: DADE CITY FOR: CHECr< # CASH CITY OF Z-HILLS PERMIT #410:::: B ACCNT 114 TOTAL AMOUNT: COMPNY ACCOUNT CENTER B450 - 363000 - 2 18.50 AMOUNT DESCRIPTIONIPERMT DATA DRICR 18.50 ****** SOLID WASTE FEE 60 '~~o~~~, - ........--" - ..~ --;r---- __ _~v "\..4, 'v.~ {'., _ fY""'--'~r':j1,'1? ~"1I--"""'~""'''''---' . --- -.,. ... 'c., 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 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 0 RESIDENTIAL NONRESIDENTIAL No. Units j , Gross Sq. Ft. (GSF) Rate/ERU - 50.00 x 0.96*/Year or $0. 1315/Day ERU Assign No. Assessment - (No. Units) x ($0.1315) x (No. Days) Assessment - (GSF) x (ERU) X (0.1315) x (No. Days) 100 TOTAL FEE $ , \ .- 4......' ....:"""- 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 ) , .' DATE DATE ....'~_..~"" .-.". TRANSPORTATION REC. NO. .,...-------.. RESOURCE RECOVERY REC. NO. , , BY . BY , I \ \ , ~.; :;."c. White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce