HomeMy WebLinkAbout94-4432
BUILDING PERMIT
Permit N'?
'111- jU
BUILDING
t6 _-.SCJ
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
6:2,~~ 'V
44328
'"Pi? F 611, dZ)
Date /J-/ -- 7 '/
PLUMBING
....3 0 . o-v
MECHANICAL
Sewer Conn I J-7g-; 0-0.
Water Conn: ..5.-52>" (TO
/ L .:: t:7l)
Water M.!lJer: e;:7<.J
P,"p,rty owo,,4~ ~~
Job Address: 6-500 l{
Parcell.D. # s-d6 cJI- 0030 ~bt:7-~ZJO - /LJ
ZOO;09' EO"9Y Cod" ~'10 G'~ '/ r
Description of Work ~.L..-<,u ~.A'L~ ~~ ~ H'. - (]
T.I.F.'s:
-
NO OCCUPANCY BEFORE C.O.
FINAL 3-d ~ ,qS
DATE
C.O. ~J --..-;ly - y-"
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarce with City Codes and Ordinances.
Inspector
4rf~&~
:1i'~
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price $~ 7 ~;2" dV
City License Registration #
State Certified License#
If'l
a~MJ:J'-1J
BUILDING
ELECTRICAL '1/
PLUMBING
!1~~~
MECHANICAfr
Tp. Servo SLB t:;)-<'llD ''14 S lA..O
Rough 1n::J ,/,.'15 Fbi..-- Tub Set d -1- 9.5 ~
Meter Can II-I-It( Water
Const. Pole \J..-a\o,q~M- Sewer M.
Pool Final 8- a ~- Gj 'S _
Pre-Meter j-/~- 95'" 6t.-lJ
Final
r~ II~ 14.-Q'-.( ~
Breakers
Ducts Insl./ -2}-C,C;- &b
Compressor
Final 3-,.:Yl-C,j ~~
FRM.
Insul. CL
WL 1-I-tff B1t.L-
Driveway '3rzz.~., f3tu...-
6}l6AtAl~ /-/()cC(, t?tt.r..-
"
f~ ~3~d. ') - CV:>'sf Q I
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.
AJ t1, / /- /-7 Y----
fL J 3 -;) ~r- y.~
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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VALUATION:
SQ. FT. LIVING:
COST/FT:
G. L. Steve Construction
6500 Brentwood Dr.
$58,792.00
1,511
$35.00
SQ. FT. OTHER:
537
COST/FT:
$11.00
VALUATION
DRIVEWAY
$58,792.00
$20.00
ADDRESS
$20.00
FEE SHEET
$301.00
SQ. FT. UNDER ROOF
RADON GAS
2,048
$20.48
TRAFFIC IMPACT FEES
99%
1 %
$0.00
$0.00
$0.00
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
491.50
62.50
66.50
30.00
$650.50
60.00
$590.50
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $2,403.98
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER
GAR-I.(
JOB LOCATION {Q~O t3R.GJJTt.000D '"'Df? ~
G . L. STEVe (!of-.).sTQ.UC:l{ 00
.377lf b Gt..A-D EC k.0 .
L. S.Tev~
PHONE (-XI 3) 78a. -&j~" L
APPLICANT
ADDRESS
LOT SIZE
X AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
JO
~4.C.-r
SLOCK D SUBDIVISION ""'B(2.FJ..)TuOooJ)
PARCEL I.D.# 3-,,;)(p-.,)1- 0030 - OODoo -I D
WORK PROPOSED:~ Construction ----Addition ----Alteration ----Repair ____Install
____Sign/Temp.
____S ign
_Move
~emolish
PROPOSED USE: ____Single Family
~
..w2::::.4~ of Units
.---H/H
____Commercial
____Indust.
_Swim. Pool
Other
----Restaurant & Health Department Approval
BUILDING SIZE:
..
x
~, O'-f--~
Square Feet.
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PFRMITS REOUESTED
V;UILDING
~LECTRICAL
~ECHANICAL
~UMBING
AMP Service
Valuation of Total Construction
~Florida Power Corp.
_W.R.E.C.
$
~OO
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTI~
Company -l. STaG:
State Cert. or Regist. #
City License Registration #
..........................~27~~
F.T.ECTRTCIANd ~ Company. - ~"l. ~L...'k.~. S.~t\.~.h
~ ~ State Cert. or Regist. # <..>u",,-,c.&.
Sillnatu~ . City License Registration f~ .aof") L.,I /
****************************************
Q.,o.DS,,-r .
Q.e> ~2-?A 3 9
IE 1
Signatu
PLUMBER
Company ~ .
~ 2 M State Cert. or Regist. #
C . City License Registration ~~
*********************~********************
Signature
MECHANICAl. Company gAHIf ~ /"1i&:>~A.v f- b~S l."R JiV~
~ J ~ f State Cert. or Regis"'t. f~ <<4'c~3''' VB
Signature N .~ P -"--- City License Registration ~~
~ ******************************************
OTHF.R eQ'AVI.D
Signature ' ~L ~A~
Company GAV').) K?OO~( 06
State Cert. or Regist. #
City License Registration 4~ .30
-
APPLICATION
~~******."""'~"""""""""""
"ROVED BY ~~ J?1p7~~ PERMIT OFFICER.
--.
CONDITIONS OF PERMIT AFFIDAVIT
A.. NOTICE OF DEED RESTRICTIONS .
The und~rsigned understa~ds that this perlit lay be subject to 'deed restrictions" whi:h lay be lore restrictive than City
regulatIons. The undersIgned assUles responsibility for cOlpliance with any appl icabh deed restric:lions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake Nork, they .ay be required to be licensed in accordance Nith
s~ate and local regulations. If the contractor is not licensed as required by IaN, bo.th the owner and contractor lay be
CIted for a lisdeleanor violation under .state laN. If the ONner Dr intended contractor are uncertain as to lIhat licensing
requirelents lay apply for the intended Nork, they are advised to contact the City of ;~ephyrhills Building Depart.ent (813)
788-6611. '
Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for which they .ill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes 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 with a copy of "Florida's Construct:ion Lien LaN - Ho.eoNner's Protection
6uide' prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
"owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
'owner' prior to cOllence.ent.
E. CONTRACTDR'S/DWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
applicable la.s regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no lIork or
installation has cOI.enced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended lIork, and that it is
IY responsibility to identify what actions I lUSt take to be in cOlpliance. Such agencies include but are not li.ited to:
I Deoartlent of Environ.ental ReQulation - Cypress Bayheads, Yetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
I Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Ar.y Coros of Enqineers - Sea.alls, DockS, Navigable Waterways
t Deoartlent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
t US Environ.ental Protection AQency - Asbestos abatelent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or 'A,etc.", it is understood that a drainage plan
addressing a 'colpensating volu.e' will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A per.it issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuante of a per.it prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
unless the Mork authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six .onths after the tile the work is co..enced. One 90 day extension of tile, I.y be
allowed for the per.it "itb fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each six lonth period, or the projett Mill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO""ENCE"ENT".
i1L ~^?L \..)f. 'irC/LuA-
SIGNATURE: OYNER OR AS NT
i:l~,"b-/LC(-Vj. VJV~_R--U-Z/ G- L 0 .rTc-{e. (!O~7.
SIGNATURE: CONTRACTOR
STATE OF- FLOR~ '
COUNTY OF . -{Me.{)
The foregoing instrument was acknowledged
before me this 10-:>, ,19:t:t.- by
~~RC:. \0 r S1JLO~
known to me or who has
STATE OF F~
COUNTY OF '\;---V A-SCV
. The foregoing instrument was aC~9wledged
befclre me this fO' ''"1 ,19...J.::L. by
,.....--",
.D ~ ~ r:F...A \\0 , ~ i (.\.Y'-
wh~ is oersonally known to me or who has
produced ~
as . en ification did/d d not
t ke a ath.
G
~
~fl6
or Stamped)
€'S
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~?,~. BONITA G. JONES
l.:i~;: MY COMMISSION' CC 358355
~ .~! EXPlII:S: March 22. 1998
"'~ f..~if.'~ Bonded TIvu ~ PubIC lln\lIlWIIteII
..~....
.~:,-:r.~'fi;k', BONITA G. JONES
~~.' ''t<o MY COMMISSION' CC 358355
.:;f EXPIRES: March 22. 1998
~, Bonded ThRl NoIIrY PubIC UndelWritllrS
PERMITTING APPROVAL FORM FOR SILVER OAKS
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
To Whom it May Concern:
Please be advised that the full set of Construction Plans
including site or plot plan has been submitted and approved
by the D.R.C. committee for:
~.I- $TelfE Co()STR(d{l.nO/<j
BUILDER
PHONE
STREET ADDRESS
CITY
STATE
ZIP
FOR:
q <4- 10
LOT I
I
PHASE
_tJ i lC-h€J2J
OWNER NAME
IO-d)-~-qL
DATE SUBMITTED
IO-JZ-9i
DATE APPROVED
APPROVED BY:
7: '--~ 0
7025 Fort King Rd. Zephyrhills. Florida 33541 (813) 788-0aks 782-6900
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PASCO COUNTY. FLORIDA
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RECEIPT NUMBR: 00243079
1::)Fr:'ICE: r:)AI:tE 1~::Il~Y
I::;E~:~~::!~I!~1-I()J~!~:~EI~!1T 1~IAl-A [i!~/cr~
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PASCO COUNTY, FLORIDA
Permit No.
~ ~3 ...2_
1)-/- y,/
A
Builder Name/Owner Name
Date Permitted
_Jf ~~ 4vJ-.
County Parcel No. J -:26 - ~/.... ao..s () ~ I) tJ CJ 0 0 -/0
Location;;.s-Ov Ai"uPAi.2~J Subd.
Classification/Type of U serJ? P.(f ../' L T ~ jl
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
Impact Fee Amount
The above impact fee has been esta . e pursuant to co County Transportation Impact Ordinance as adopted
by the Board of County Co . stoners. This amount is payable lOR to the issuance of a Certificate of Occupancy
permitted structure.
EXEMPT 0
RESOURCE RE
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
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 $
TOT AL 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. - DATE - ~
RESOURCE RECOVERY REC. NO. ~ DATE~ - - {LL~r-~_
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce