HomeMy WebLinkAbout95-4694
BUILDING PERMIT
uO.'
Permit IT
CITY OF ZEPHYRHILLS
(813) 788-6611
469413
Date
c2 -}3 -7~-
,....5''6 7e-S..()
d-/,~{)
60. tJ1.)
PLUMBING
-3 ~--. rJ"l)
MECHANICAL
Sewer Conn ~ J.. 78'; Ol)
Water Conn: 3S7:;. c/'D ";f--.
/. s: crtJ:P..cJ.n~
Water Milter: / ~5'c au -"7/
T,I.F.'s:
BUILDING
ELECTRICAL
Pmp'<tyOwn" IJf ~~ if;!
Job Address: b /,3 11 . A /\..-
Parcell. D. # _ ;> - :2..b -;:2';'.. 0 tJ3b - 0 c:J LJ c::J 0- "d ~ b
Zoning, En"2d" Rad;Q Ga" ~-!, -?
Description of Work '-fl ~ J A. ~~ ~~ ~ -1 'L1,H"A '~
FINAL S--Z L/-
DATE
C.O. -!:.>- -;2 --f::,
~AT~
~JFF~I~J!tAJII. b~ pnfomle~~n ~ctIIJ~a~le Wi~hCiUil30des and Ordinances, Inspector _ ~ je--
Q>nstructi~ pole-Flor, ida Power (Betty) Nancy 03/22/~M?r~~A. .~~.- tfZ)
Valuation or r-; ~ 1:7 0 .c;;;:~r
Contract Price j ~ ~ / T' tf7) Signatur' - -r-
Company
Address
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
City License Registration #
State Certified License#
3/?
Telephone#
I3L~ /~LA~;ZC
\.. 7f..vz.. -..s ()
~~-' ,~
a~kJvt EY
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breaker~
Ducts Insl. .I.I-d'1-9,5 000
Compressor
Final
Tp. Servo SLB d.-d.\", Gt5 B J..Q
Rough In v5-'j..-'1") B~~ Tub Set ,/sCf- 95 .J5ti.l
Meter Can ;)-L5 ~ f'~~ 0 \-:- Water
Const. Pole 2-1.2--'1'" o:v Sewer
Pool Final
Pre-Meter ,;)-.::>. 7 - Cj 6.15*
Final
Ftr. ;)-\')4QS i)~
Pre SLB ~3-GS ~~
Lintel ,1J,C;~ LL--
FRM. v.s;Q-tf5 B&
Insul. CL
WL ~"'If3.q~ B,u-
~ S-q _q 43" ~~
Driveway tJi1I06/95 BITL
Ok....~... Auv -li..-l '-5- q5" B'. iL.-
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~ ~J2JOL-ld.-9.5-
~ 5--J~~9b
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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R.C. Burnette/~ ~
bl.S 7 'f1 d~
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APPLICATION FOR PERlIUT
CITY OF ZEPIIYRIIILLS
BillLDUilG DEPARlHE'NT
OWNER'S MAMER ,~'" ~'\) ~ ~ ~~~ ~
OWNER'S ADDRESsS q 3 C) 8 \ \4.. S l
JOB ADDRESS toCC)3l ~\)~ \\, L ~ ~"E:.- S)~ \)~
lo
:3 -;~~-a ( -<@ b-r;-:~ =-~ oo3'd -000 e> 6) .. D~ ~O
.~
IroRK PROPOSED:~mreW' Construction ---P'Wdition _Alteration _Repair _Install
PlIO~ ~ 62 -- '-.0 C1 ~~
2 t=. ~ ~ y .f2- ~ ) \..\ ~
LEGAL DESCRlPTION: WY(S)
BLOCK
StmDIVISIOINJ SIP D~ /<:,1 .3
G u:::,~ LoT G
PARCEL LD.'
_Sign
_Hove
_De-.olish
PROPOSED USE:
~gle
Faaily
_KIF
_' of Units
_H/H
_CoImIercial
_Indust.
_Swi.. Pool
Other
BUILDING SIZE :'::J'g. \0 'r x.5 b J
_Restaurant & Health Departllllent Approval
\ \1 '13
Square Feet,
lC)
(
Height
RESIDENTIAL:
COKHERCIAL :
ATTACII (2) PLOT PLi\NS & (2) SEIS OF BUILDING PlANS &: (1) SET ENERGY FORMS. U
ATTACH (3) SlITS OF BUILDDlG PLANS & (1) SET ENERGY FORMS.-!:'-!:'
**COPr OF COIMTRACT REQ1JJIRED.
~
BUILDING
~=CAL
_MECHANICAL
~UHBING
PEmtITS REOUF_'iTED
$ 'l~)(j~~
\5b
~q~~
ValDa/Of Total Construction
AMP Service Florida Power COrp.
W.R.E.C.
$
Valuation of Hechanical Installation
GAS
TYPE OF CONSTRUCTION: V:IOCk
FINISHED FLOOR ELEVATImilS: q~--t" IT.
ROOFING
SPECIALTY
_Pralle _Steel
Other
/
IS PROJECT IN FLOOD ZONE ARE.."-?
YES NO
******************************************
COln'RACI'OR SF-cr'ION
BUILDER ~[~ _,.' COIHPAHY
~ St:ate Cert. or Regist. 4IF
Signature "~ City License Registration !It
***************************-!:'**************
ELECTRICIAN f- t:::. ~ _ OO'ltPANY t: EE, Sl_:~.. '---I ~ '-- ,-
: ~ ~ -.;!;!;:- St:ate Lert. or Reglst:. 'IF
Si ature ~ r ~.- City License Registration f 51:::.)
/ ******************************************
PLmffiER c.~ ~sr--,,--L ~ OO'!tPMllYCD ~ ~,Ll../~ D L'0 ~,\S~:> ' ~ <;;.,...
\t\""'--" n State CerL or RegisL 1#
Signature ~ JEJ-X .(Pz...,~ City License Registration I bK
********************************-!:'******-!:'*-!:'
OO!tPANY I\) ) 'k..., f?-o ~
State Cert. or Regist. f
City License Registration ~
************************-!:'*****-!:'*********-!:'-!:'
'~s.~
.....
Signa t:ure
OTHER
Signature
COMPANY
State Cert. or Regist. 1#
City License Registration *
************************************-!:'**-!:'**
APPLICATION APPROVED BY '11 i.Uh..cCj /l1~
PEIt..'lfIT OFFICER.
CONDITIONS.OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersi~ned understands that this per.it ~ay be subject to "deed restrictions' which lay be lore restrictive than City
re~ulations. The undersigned assu.es responsibility for cOllpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a tontracto~ or contractors to under~ake work, they aay be required to be licensed in accordance with
state and IDcal regulations. If t~!' cbh'fractor is nDt,,'licensed as required by law, both the owner and contractor lay be
cited for a .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to Hhat licensing
require.ents .ay apply for the intended wDrk, they are advised to contact the City of Zephyrhills Building Departlent, (8131
7BB-bb 11.
Further.ore, 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 responsible for the work. If the contractor wishes you to sign
as contractor that eay be an indication that he is not properly licensed and is not entitled to per.itting 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 Construction Lien LaH - Ho.eoNner's Protection
Guide" prepared by the Florida Departaent 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 doeulent and prolise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inferlation in this application is accurate and that all work Hill be done in cOlpliance with ,all
applicable laws regulating construction, zoning, and land developaent.
Application is hereby aade to obtain a per.it to do work and installation as indicated. I certify that no work Dr
installation has cOllenced prior to issuance of, a perlit and that all work will be perfor.ed to .eet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify tnat I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
I, responsibility to id~ntify what actions I lust take to be in coapliance. Such ag~ncies includ~ but are not lilited to:
f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitiv~ Lands,
Water/Wast~water Treataent
t Southwest Florida Wat~r ManaQelent District - Wells, Cypress Bayh~ads, W~tland Areas, Altering Watercourses
f ArlY Corps of EnQineers - S~awalls, Docks, Navigable Waterways '
f D~partlent of Health 1. R~habilitative S~rvic~s. Environaental Health Unit - Wells, Wastewater Treah~nt, S~ptic Ta~ks
f US Environaental Protection AQency - Asb~stos abatel~nt
I also certify that, if fill lat~rial is to be used in Flood Zon~ "A" or "A,etc.', it is understood that a drainage plan
addressing a "colpensating volule" will be sublitted which is prepar~d by a'prof~ssional engineer r~gistered in the ~State of
Florida prior to perlit issuance.
A perait iS5U~d shall be construed to be a license to proceed with the Hork and not as authority to violate, canc~l alter, Dr
s~t aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or Violations of any code. Every perlit issued shall beeole invalid
unless the work authorized by such pertit is coa.enced within six Bonths of issuance, or if Hark authorized by the permit is
suspended or abandoned for a period of six aonth~ after the tile the work is com6enced. One 90 day ext~nsion of tile, lay be
alloNed for the perait 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 COMMENCEMENT HAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,50 VALUE DO HOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
was acknowledged
l 19_ by
STATE OF FLORIDA ~
COUNTY OF ~~
The foregoing instrument
befcl\-e me th is -F( A. ?
"Jas acknc'''Jledged
~ 1 9.5!..:L: by
STATE OF FLORIDA
~
COUNTY OF
The foregoing instrument
befclre me this
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
R, t-, B {<< /I' n oR /I e
"Jho is pel-sona 11 y kno\'1ll to me 0+ \Iho has
prQauEcd
as identification and who did/did not
take loath.
(Signature)
NOTARV
(Name Typed, Printed or St~mped)
NOTARY PUBLIC
MARGARET PLUMMER
€)MY Comm Exp. ,10/20/98
JIOTAU Bonded By Service Ins
:rUBUC No. CC415218
( ] Ponon8IIy ~ ( ) <>>or I. D,
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11 /; '1 'f 13
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CONTRACTOR #:
NAME: BOB BURNETTE CONST.
ADDR= 6637 NORTHLAKE DR
C/ST: ZERPHILLS. FLA
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
DATE: 05/24/'7'6
PAGE: 1 OF 1.
ISSUE OFFICE: D
RECEIPT NUMBR: 00284592
OFFICE: DADE CITY
FOR:
CHECK # 1463
03-26-21-0030-00000-0060
ACC:NT
1.14
TOTAL Plt10UNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - 2
:31 . :::€.~
AMOUNT DESCRIPTION/PERMT DATA DRIeR
31.38 ****** SOLID WASTE FEE 60
/1 ~:,'~-
RF_CE I VEt' BY l " A~' !--"- /'-r/,-tt, ~ j
-- ,-~-l:""~_U___-,__"~__ -7---.---------
'~~//"
- --.----- .----- -- ------ -- .-- ~-_. ---- -_._-- .----
...,.....,.............. -...-~~..... .~ ...-....:.,~.,~r:-,'~!\~{:_'J7~_ r. ".-',~ -. . ".:l "~" .<.",.-. '-,~,~i-\.~",'", .:'0." ','" ~r,;.;.< "~ ... __~.~~._:-""'"~ ::---~'~.~
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.lUnit
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
I
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 $
'/
TOTAL FEE $
*Discounted for Prepayment
The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89- I 97,
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
--------------------------------------------------------------------------------------------------------------_______.a_____________________________
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RE~OURC;:E RECOVERY REC. NO.
"",.....,
'....
DATE
DATE
.,.,.'
BY
BY '-
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
-----'"--~--'~-'~'_._----------~-------~,-------~~------~-~---~----,----~--~_.._~._-----,-.~ - ---------'~--.------,-,----- ---------,-----,--