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Home My WebLink About94-4249 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788-6611 4249.8 J7-- 25--9 Y Date '/1). t7J BUILDING 3~-: du ELECTRICAL '--:;s--; 02J PLUMBING ~O. thJ MECHANICAL Sewer Conn-t02 7 J'; C/Z/ Water Conn: 30> CJ. d7J Water M~Jer: ) b6-;' tJ1) T.I.F.'s: ~ if YIJ, &0 Property Owner: Job Address: Parcell.D. # Zoning: , ::;--Y~er;:lY C?dr J Radon Gas: Description of Work JJI ~_1:1 M1t.u/, ..J;r-- ~/ ~e '/3/;;;../3 ~~ /1-3'-9Jf NO OCCUPANCY BEFORE C.O. FINAL C.O. 9- J~- DATE I / /- ;:1.'3 -7 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordar~e with City Codes and Ordinances. Inspector p~'m;t F~~~~C#' SlgnattJ(e ~/ Company Address Valuation or Contract Price City License Registration # /)'1-/ / J ~<3j If State Certified License# Telephone# 313- (pS3- ~7S- .-- }?~7Zuz-~k BUILDING ELECTRICAL ~'-Y PLUMBING /5 ~~'Jt 1fft ~ MECHANICAL /..u :?~.t~;8J~JfM~A ~i}}~ Breakers Ducts Insl. Compressor Final tJ ~ !)".:;::;12 11/:;~-7,! Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. 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. APPLICATION FOR PERMIT CITY OF ZEPIIYlUIILLS BUILDIRG DEPARTHERT owtiER's ADDBBSS P R (~J<~_ S-O /~ fL0.L'e YY7./-/ 2AL'k'S L err? o/'-' .5!;sI- PHONE 25/3" G:> S 3-- Y~7 S- ~/}-e- 3 3~O ,9 OWNER'S HAHK JOB ADDRESS LEGAL DESCRIPTION: LOT(S) 7-Y BLOCK SUBDIVISION 2es-"o~yA::.- ?)jJ ~ PARCEL I. D. f (OBTAIN FROM pROPERTY TAX NOTICE) WORK PROPOSED~ ~ew Construction ----.Addition ----.Alteration ~epair _Install _Sign -.JIove ~lish ~I of Units ~ PROPOSED USE: _SiDgle F_ily ~/F _ec-ercial _Indust. _Swia. Pool _Other ~estaurant Ii Health Departaent Approval DESCRIPTIOR OF WORK: "+1'?10i3/Lc /hp?c Se/U~ .... BUILDIRG SIZE: -:f R X ~%, /3V"V Square Feet, /0 r Height RESIDERTIAL: A'nACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. COMMERCIAL: A'nACH (3) SETS OF BUILDIRG PLANS Ii (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~ ~UILDIRG ~CAL MECllAllICAL ~.- --=:...PLUHBIRG PERMITS REOUESTED $ ~ () GO, ~ Valuation of Total Construction / I~O AIIP Service $ "900,~ Florida Power Corp. W.R.E.C. Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF coRsmucnoR: .-Block _Fraae _Steel '/r1 #- Other FIR1SHED PI.OOR ELEVATIOIIS: FT. IS PROJECT III FLOOD ZONE AREA? X YES NO .......................................... RIJTI.DD. CONTRACTOR SECTION' COIIPAIIY PRR.k PL(-\<-~ 'yY1 .1-1. g^Le.s ~ State Cert. or Regist. I v' City License Registration I .. ................................. Signature PLUMBER c__._ Signature COHPAIIY O\'? \(lW LUUAJ~~\ o~") State Cert. or Regist. .f City License Registration', ...:; ~-'-! ................................. COHPAIIY ~f=\R-k. fL(\c...~ ~-H. 2PtLe.-s State Cert. or Regist. f City License Registration . . ................................. L.... . Signature// COHPAIIY ~ Qf\ ~~ -t'OI0 ~ ef-\\\ ~ ~ ~~ R... aStete Cert. or Regist. f ;/ City License Registration f ............................... I~~ . nTRRR COHPAIIY State Cert. or Regist.' City License Registration I .......................................... /h~ '>>7 07<rL, PERMIT OFFICER. \j G Signature APPLlCATIOR APPBOVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fbe undersignecl understands that this perlit IlaY be subject to 'deed restrictions' wbich llay be lOre restrictive than City regulatiOllS. !be undersigned asSUle& responsibility for cmpliance with any applicable deed restrictiODS. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIII1er bas bired a contractor or contractors to undertake lfOrt, they IIilY be required to be licensecl in accordance with state and local regulatiODS. If the contractor is not licensecl as requirecl by law, both the owner and contractor IIilY be cited for a lisdeleaDOr violation under state law. If the owner or intendecl contractor are uncertain as to wbat licensing requirellellu IlaY apply for the intended IIOrt, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. . FurtberIore, if the OlOler bas birecl a contractor or contractoni, be is advisecl to bave the contractor(s) sign portions of the 'Contractor SectiOllS' of this application for wbich they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the IIOrk. If the contractor wisbes you to sign as contractor that IlaY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of lephyrbil18. ' . I 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 providecl ,ith a copy of "lorida's construction Lien Law - JbIeoImer's Protection Guide' prepared by the 'lorida Departlent of Agriculture and ConsUl8l' Affairs. If the applicant is SOIeOIl8 other than the 'OlOler', I certify that I have obtained a copy of the above described docuIent and p~ise in good faith to deliver it to the 'owner' prior to c:c.enct8lt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlation in this application is accurate and that all lfOrk will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlellt. Application is hereby IIilcle to obtain a peIlit to do work and installation as indicated. I certify that no IIOrt or installation bas CDlenCecl prior to issuance of a pmit and that allllOrt will be perfoIJecl to .et standards of all laws regulating construction, City codes, loning regulations, and lanel develOplellt regulations in the jurisdiction. I also certify that I understand that the regulations of other gDVeIDlental agencies IIilJ apply to the intended wort, and that it is If responsibility to identify what actions I lUSt tate to be in COIIpliance. Such agencies include but are not lilited to: t Departlent of 8nviIOlllll!l1tal Regulation - Cypress Baybeads, Wetland Areas and 8nvirolll8lltaUy Sensitive Lands, Water/lfastewater !reatlent t Soutbwest 'lorida Water llanagell8Dt District - llells, Cypress Baybea4s, Wetland Areas, Altering Watercourses t lIlY Co[llS of lnQineers - Seawalls, Docks, lavigable Waterways t Depu1:lent of Health i Rehabilitative Senices, 8nviIOJ1lental Health Unit - Wells, Wastewater !reatlent, Septic !ants t US 8nvirODlental Protection Agency - Asbestos abatBl8Jlt I also certify that, if fill llaterialis to be used in 'lood Zone lA' or 'A,etc.', it is understood that a drainage plan addressing a 'COIpen8ating vol_' will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issuecl sball be construed to be a license to proceed with the wort 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 f1'Ol thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issuecl shall becoIe invalid unless the wort autborilecl by such peIlit is ~ced within sillODtbs of issuance, or if wort autborilecl by the peIlit is suspended or abanc10necl for a perioc1 of sil IODtbs after the tile the wort is co.enced. One 90 day 81tension of tile, IlaY be allowed for the perlit with fee charge of $15.00. !be 81tension shall be requested in writing to the Building Official. An approved inspection lUSt be loggecl during each sil IOIlth perioc1, or the project ,ill be considerecl abancloned. ,WARlIIG !O~: YOOR '1ILUR1 !O RICORD AIO'I'ICI 0' C<>>fIlDCIIIBI! MAY RBSUL! II YOUR PAYIIG "'ICI FOR IMPROVIIIBI!S !O YOUR PROPIIm. I' YOU II!IIID !O OB!m FWlCIIG, COISOL! IIID YOUR LIIIDIR OR II AftORDY BBPORB RBCORDIIG YOUR IO!ICI OF COOIDCIIIII!. JOBS UJIDIR $2,500 II VALUI DO IO! lIED !O RBCORD lID POS! A 'IO!ICI OF COOIDCIIIBI!'. SIGIIA!URI: (lfllROI .IGIII! SIGIIA'fIJRI: CODRAC!OR SfAD 0' PLOIIDI COODY 0' The foregoing instrument was acknOWledged before me this , 19____ by SlAD OF PUlIDA cmm 0' The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an OiJth. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Rame Typed, Printed or Stuped) ROTARY PUBLIC (Signature) (Ra.e Typed, Printed or Stamped) ROTARY PUBLIC ~ /.,..,.- /- /" . /. / II I( '. \. ~ ~ o ~ . i i __._.. i - ( I i i I I ! f 0\- ~ f I ! i . I . . I rl ;; i I ~ j R I ~ . [I) .-L../\J'.-----.- 1 .~ ~ ,- \O'~ ~ It 0- ~ " .... ~ ~"'0r1" '9'.a lJ:' IN ~ "'" " ~ ~ 2 ,. --~_._--~_. -._.~-.._..._..:._..~.. -..-..--------.......:...--..-..- - ._. --~--.._.~-.,--.----_.~.~_._- -"'-j C E N 1 R ALP E R M I T TIN G PASCO COUNTY, FLORIDA DATE: 11. / 2::: 1'~!4 FACiE: 1 OF 1 I :3~=;UE OFF ICE: [I RECEIPT NUMBR: 00231515 OFFICE: DADE CITY CONTRl~CTOR #: NAME: PARK PLACE MOBILE HOME SALES ADDR: 5012 LEMON 8T C/ST: TAMPA FL 33609 FOR~ C~HECL *1 CA:::;H RESOURCE FEE ON PERMIT 42498 CITY OF ZEPHYRHILLS (,CeNT 114, TUTAL AMOUNT: COMPNY ACCOUNT CENTER 5.21 i34~30 -- ::::(:.3000 ,- ,,;.~ AMOUNT DESCRIPTION/PERMT DATA DR/CR 5.21 *~**** SOLID WASTE FEE 60 .,.f '. _._ ~ ~/\\'." /) "."-, f'..I...'-.E'..IVEU---l..:~-- .,,-. ,~-~~.._~-..~'f~- '\~ "1 .>. t - ..{ '-' . 1; ~ '''--" I""T'" . I'" . .._.~_. -. _._------~ - ~ ~---- -- ------- " ~~ ;/ ~___L.~. ___.~...... ",.-._ ~. I "t } ~~ ",-,,-,.,... I' ''i ..~, -,'.-' PASCO COUNTY, FLORIDA Permit No. Date Permitted Builder Name/Owner Name County Parcel No. ,I ..,.,. / Location l I ' Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./U nit .~ -". .....~ ........"". Prepared By .,x;; ~: Impact Fee Amount $ '~ ""'............ ---. ............ The above impact fee has been established pursuant to thel"~ty 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) r Assessment - (GSF) x (ERU) X (0.1315) x (No. Days) 100 TOTAL FEE $ '"'-"'- c,..( , 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 OmCE 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 \ I ,:c.,.c) h'- \ BY BY j -t'., l-t '-;. "" . . '-..,./ White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce