HomeMy WebLinkAbout94-4144
.
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit ~ 414415
Date 7 ~ 6- 7" 'f
'Yo. tTt)
BUILDING
J.s "": VD
ELECTRICAL
35>--' d7;J
PLUMBING
d20 _ cTD
MECHANICAL
Sewer Conn t -2. ~ r, d7)
Water Conn: (~~'~
Water Meter: / 6~'. 07J
TI.F.'s: ~~' f tJ ~ 6~
;;; t) ~ ~ at (.() J ____
IlfrJh'4l~ ::d'-9'J
Pmperty Owne, 4;~ Q-
Job Address: fl fi,
Poce,' tD_ # ~ - - - -- -----'" - - .;, ~o - 00/ iJ
. ^DIIO
Zoning: '~ Code: Radon Gas:
Description of Work J11 ,~ .~.t: r
~f ~.a~ B~g~r(
NO OCCUPANCY BEFORE C.O.,#-
Complete Plans, Specifications and Fe! Must Accompany Application.
All work shall be performed in accordart::e with City Codes and Ordinances.
c.o,
DATE
Valuation or
Contract Price
1'/4-
City License Registration # LJ?Sb
State Certified License#
Telephone#
}J"li-'Jfl.n4~t-~
~""jL+o ~
ELECTRICAL
/Jd~Mr~-J-,yL
MECHANICAL /' JY
BUILDING
L[~(j~dA1
, ,
/~eY
PLUMBING
Ftr.
P,. SL~
Lintel ~ ~V
FRM. Yt~
Insul. CL 'h' " .
WL
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final 7~ J 3 - 94 Bet.
Breakers
Ducts Ins!.
Compressor
FinaI1-J3-q~ ~cb--
SLB
Tub Set
Water
Sewer
Final If~ 13- '1413tJl
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: ~ 1
a. Wrong Address 1)~ tv 1/ i
b. Condemned work resulting from faulty construction. IJ- ~ q /' I (I
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called. ,jj)
e. Permit not posted on job site. ,)
f. Plans not at job site. '
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLJ:~nOlSl }ltntPJrRKIT
CI'IY OF ZEPIIYRH1LLS
BUILDIRG DEPAR"II.MEm"
OWNER'S RAItE )1,,/2 ~ ~d....4J4-./ mmm f/:s -7,rZ-1-Z7~
OWNER'S ADDRESS 3~ 2-~ 7 ~ :;i" '/ W, ~~/ ~ . 33S-st<
.JOB ADDRESS ~/II ~'~.. (a,. ~ ~ ~'3S~1
~ ~'V '
LEGAL DESCRIPTI05: UJI'(S) BLOC.'K SUBDIVISIOIil
t /)3,,~.-.;;J4-013.o -ca:;>.oo J{)/)IO
PARCEL LD.
WRK PROPOSED:~lSlev Construction _Addition _A1teration _Repair _Inst:all
_Sign
_Move
_Deaolish
PROPOSED USE:
Single Faaily Ii, _KIF
_, of Dnit:s
~K/H
_~rcia1
_Indust.
_Swill. Pool
o.t:her
_Rest:aurant &: Hea1t:h Departaent Approval
BUILDDfG SIZE: 2..lf X 38'8:'
?/r ;/~
A'l'TAGH (2) PIDI' PLAIIS &: (2) SEI'S o.F BUILDDiG PLUlS &: (1) SET ENERGY FORKS. U
ATI'ACB (3) SEI'S OF BUllDllIG PIAlSlS &: (1) SET mmRGY FORKS.**
**ropy OF CONTRACT KIlQUIlUlD.
Square Feet,
Height
J RESIDENTIAL:
cotttIKRCIAL :
PERNT1"S REOOESTRD
...iL.BUILDDfG
~ F.J.F.C'I'RICAL
~CAL
. ~PLUftBDfG
$
.:23. ~
,
Valuation of Tot:al Construction
/:)/J
AIIP Service
Florida Power Corp.
-+/( W.R.E.C.
$ /;;~ ~
Va1uation of Mechanical Inst:allation
GAS
ROOFlliG
SPECIALTY
TYPE o.F COBSTRUCTIo.lSl: _Block. _~ _Steel
/)? ."fI .
o.ther
FIlIISJIED FLOOR ELEVATIOlSlS: - FI' .
IS PRO.JECT Di FLOOD ZONE AREA?
~
YES Bo.
******************************************
COlSlTKACIOR SECTIo.N
BUILDER . ~ OO!IPAlSlY /1.,12- ~ ~ ~
V ) >./~ St:ate Cert:. or Regist:. f
Signat::ure /~ ~.... Cit:y License Registration , .:35fo
/' . *****************************************
~~ .~~71 ~=~r~.::.~~DJ-;~.
L-a-/~~.t.... ~ "'>5---CU:Y License Registration t ~
******************aaaaaa******************
PLOIBIlR. / amPAlIY /~ ~
Sigoa--~/Yl-~<" _.J<7~'__-h_._ ~~';eL~~eo~e:~;~:~i:n I /tJlf'
~~ ******************************************
KEaJABI~ -7/~/ OO!IP~~ e~A '#<--.
. .::? ~~L St:ate Cert:. or Regist:. I
Signat::ure ~ ~ ~ City License Registration I 7f?
--- . n _ ..~~..................................
0T1IF.R
Signat::ure
OO!IPAlSlY
St:ate Cert. or Regist. . IF
City License Registration I
******************************************
.11'.., "
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APPLICATIo.N
VEl) BY
CONDITIONS OF PERMIT AFFIDAVIT
A~ NOTICE OF DEED RESTRICfIONS
The und~rsigned understands that this per2it lay be subject t~ 'de2d restrictions' which .ay'b~ lore -restrictive tha~ city
regulatIons. The undersigned assules responsibility for cOlpli~~ce Nith any apf;;~rlble deed restricti~ns. .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ONner has hir,ed a contractor Dr ct!ntradors to undertake Nork, they ~~be --;~quired ttl be licensed in accordance Nith
state and local regulations. If tIle centractor is no~, licen~~~ as required by laN, both the ONner and cDntradDr lay be
cited for a lisdeleanor violation under state IaN. It the ONner Dr intended cDntractor are uncertain as tD what licensing
requirelents lay apply for the intended Nork, they are advised to contact the City of 2ephyrhills Building Departlent, (8131
788-6611.
Furtherlore, if the ONner has hired a contractor or contracto..s, he is advised to h~ve the contractDrlsl sign portions of the
'Contractor Sections' of this application for Nhich 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 Consu.er Affairs. If the applicant is sOleone other than the
'owner', I certify that I have obtained a ~opy of the above described dDcu.ent and pro.ise in gDod faith to deliver it to the
'oNner' prior to cOllence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all NorK NiIl be done in co.pliance Nith all
applicable laNs regulating construction, zoning, and land develop.ent.
Application is hereby lade to obtain a perlit to do Nork and installation as indicated.' I certify that no Nork or
installation has cOI.enced prior to issuance of a perlit and .'hat all Nork Nill be perforled to leet standards of all laNs
regulating construction, City codes, zoning regulations, and land develDp.ent regulatiDns in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies .ay apply to the intended wDrk, and that it is
'Y responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not li.ited to:
f Departlent of Environ.ental ReQulatiDn - Cypress Bayheads, Wt~land Areas and Environlentally Sensitive Lands,
Water/WasteNater Treat.ent
f Southwest Florida Water "anaQelent District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses
f Arty Corps of EnQineers - SeaNalIs, Docks, Navigable Waterh~Ys
f Departtent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, WasteNater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestos abat~lent
I also certify that, if fill taterial is to be used in Flood Zone 'A' Dr 'A,etc.', it is understood that a drainage plan
addressing a 'colpensating volu.e' will be sublitted Nhich is prepared by a professional engineer registered in the State Df
Florida prior to pertit issuance.
A per.it issued shall be construed to be a license to proceed with the wDrk and nDt as authDrity to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the Nork authorized by such per.it is cOI.enced Nithin six tonths of issuance,!, Dr if work authorized by the per.it is
susp~nded or abandoned for a period of six lonths after the tite the Nork is co.teneed. One 90 day extensiDn of tile, lay be
alloNed for the per.it with fee charge of $15.00. The exten,ion shall be requested in writing tD the Building Official. An
approved inspection lust be logged during each six tonth period, or the project Nill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COH"ENCEHENT. JOBS UNDER $2,5 0 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COHHENCEHENT'.
. Sl~~~
who ~s personally known to me or who has
produced
as identification and who B+e/did not
take an oath .~/ _. _ . . /) )~. ;P _ .
.;4:Z:I:J:. J:.L /~ ~ .Jy~r~, fx...J
(Signature)
k flr 77-1 LE E: Ai .J. Mm .] AJ
(Name Typed, FYinted or Stamped)
NOTARY PUBLIC
STATE OF FLO
COUNTY OF
The for.. oing ~~~en7 was acknowledged
b,=ftH'= 1lI~ this , 19!i:.!:L by
-YELS, D IV R Y fI1 A";
who is personally known to ma or who has
produced
as identification and who ~/did not
take an oath.
(Signature)
/(11 TN L EEIJ J: 73P;wJ Ii.-
(Name Typed, 'Printed or Stamped)
NOTARY PUBLIC
~~~'.'. <
0.. '0
.~
KATHLEENJ.BA
SIal.. of Florida
MrComm. Exp._ApriI2, 19.
Comm. . CC 095611
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.,':S.lJE~.<:PLAN.
(RES1'8E'NT1~D:tisE' ONLY)
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SUBDIVISION OR OTHER LOCATION DESCRIPTION:
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CONTRACTOR #= 001677
1'-..IP"~1E: NE,_:=':.ON
ADDR: 35267 HWY 54 W
C/ST: Z~HYRHILLS
C E r.i T H PI L [-) E n M I T TIN i3 Dr) TE: co;, 16/94
PASCO COUNTY, FLURIDA PAGE: 1 OF \
I :3:;:;iJE OFF ICE: D
RYMAN RECEIPT NUMB~: 002~4224
OFFICE: DADE CITY
f L :3:3~54:i O(H)(!
FOR: RESOURCE 4144B
CHECK # 11 S::iq
03--26--21-(\ 130-00000--00 1 (>
CONTRACTOR: 001617 6111 ZEPHYR RIDGE DR
TOTAL AMOUNT: 14.53
~CCNT COMPNY ACCOUNT CEN1ER AMOUNT DESCRIPTION/PERMT DATA DR.CR
1 14 P4~50 ..- :::.,~.::.:UOO "', 14. ~i3 -lHHHHH~ ::;;.OL I D t^JA:::;TE FEE 60
F ECE T \lED BY (-....,.:::::-f-:/:-2..l.J..(.;:,.---H.::.:.-_:;.;'::.:~.'-.-t-_.:_:::_-:._---.--.---...-
__..... ..v ~
.. ~.~I ~~ .~~ """"'i ..,~;.i'" ~,~..:,;.,,..,~ ..:.,' ,~~4->M~tr~..- .;,"; 'I:l'c ','" ~._,-~. ",' ~':A::~'~;
;. 'W" .",~,"..'\IF;<'~,~~"""'---- '.
PASCO COUNTY, FLORIDA
Permit No.
, l/ / ' " !L: '
'f. ''/ 'i)
Date Permitted
)",-"" .re"
"
ILl
Builder Name/Owner Name
" / --,'
.~..
-" I ;. (.;..,...
County Parcel No.
.,) /-
" J
/ .-;J.~
- l
-
(.
," II /,)
Location
1/1
1....-'
'"
./(' ..:.~>_.,., ~
Subd.
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./U nit
PreparecrBy
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 0.96*/Year
or $0. 1315/Day
ERU Assign No.
TOTAL FEE $
/ if
.....,;
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
TOTAL FEE $
Assessment - (No. Units) x ($0.1315)
x (No. Days)
*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
BY
BY
DATE
DATE
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
..
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce