HomeMy WebLinkAbout95-4817
BUILDING PERMIT
Permit M!
CITY OF ZEPHYRHILLS
(813) 788-6611
48171]
if- J.( ~ 9~-
Date.
'10.0-2)
BUILDING
,-3~'. t/2:J
ELECTRICAL
,~-. t77J
PLUMBING
-20.lf?)
MECHANICAL
Sewelr Conn tJ- 7 f, c1U.
Water Conn: 3~, tr0
Water MeJer: /6 S': tJ7.J
T.lf.'s: JrJ1.iJV#//O~()-~
';:IF J:h P pi ;)A~ L' 0 .-
,
Pmp"tyOw,,, ~~~ g
Jab Add,.., r:..O --; '7 /f~;r~~~.~7=O- i.A-
Parcell.D. # .-3'-.-26 .;1/ - /3 - 0 ~CJ U - 0 M 0
Zoning: EnZ Ct
Description of Work )11('9~ )
Radon Gas:
1.1- ~r
~~-_.-
NO OCCUPANCY BEFORE C.O.
~~
FINAl_lO~L:::.~~
DATE
C.O. /0 -..3/-xs-'
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Mobile home REA (Machine) Nancy 10/31/95 10:13 A.M.
Inspector
Permit Fe~30~ ~'
Signaturv Jh A..D L 1. \..)O~
Company
Address
Telephone#
Valuation or
Contract Price
City License Registration # .3.s~.
State Certified License#
BUILDING
~6Air.0t _
ELECTRICAL~
~ <';fi7'",-"""Ai t.--
MECHANICAL f7fY'
HD ~A~o!p;;fr
J!>R r
PLUMBING) {) :;:--
Breakers
Ducts Insl.
Compressor
Final 5-\...q~ B~
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can $I ~-f..!:.-
Const. Pole
Pool
Pre-Meter
FinaI5-\-QS S~.
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:
~v:~Y-Y'-~-
. . ~ J --;J:: ~4<-7
Condemned work resulting from faulty construction. AJ~' .....-
Repai's 0' co"ections not made when inspection called. A'" It, _C S
Work not ready for inspection when called. f ~ /0';' r7-- I
Permit not posted on job site.
Plans not at job site. .
Work not accessible.
a.
b.
Wrong Address
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERHIT
CITY OF ZEPHYRHILLS
BUILDING DEPARnlENT
! ,:
APPLICANT H-~e.. L~~mE"t..
ADDRESS sC; Z-~ 1 H-wY S 4--u.Je-sT
OHNER H~ Ii? ..J:- tJtb~~Te:
JOB LOCATION /#/1 z.e;P.l/'(g. e(D~'" bel..t< LOT SIZEli., tOO' AREA SQ. FT. 10<; 0 c
LEGAL DESCRIPTION' LOT (S) (\50 DLOCK!:X'1OO0SUBDIVISION ;Z.ePl+'1'~ /'i:,1 t> CD €
PARCEL LD.li 3 -L.~ - Z-J ~~, SO - OOC60"e,C 3~
PHONE
)S-J"3 - --1~ 'Z.- - z-z-l..b
. .
WORK PROPOSED:~ Nc\v Construction ____Addition ____AlterQtion ____Repair ____Install
____Sign/Temp.
PROPOSED USE: ~ Single Family
____Sign
_I-love
____Demolish
~M/F
____ii of Units
,.~~I/Il
____commercial
_Indust,
____S\vim.. Pool
Other
____Res t~nlrant & Health Department Approval
Square Feett~C~~
.
Height
RESIDENTIAL: A TT ACIl (2) PLOT PLANS & (2) SETS OF BUILDING PLANS c( (1) SET ENERGY FORl-IS. **
COHHERCIAL: ATTACH (3) SETS OF BUILDING PUNS & (1) SET ENERGY FORt-IS. ~,*
**COpy OF COtlTP.ACT REQUIRED.
J'ERMTTS REOUESTED
lBUILDING
~ELECTRICAL
~~IECHANICAL
~PLilllBING
s 3~.~06
\Ci'\
---4~ \J AHP Service
S I &"0 C
.'
V~luation of Total Construction
Florida power Corp.
~H.R.E.C.
Valuation of Mechanical Installation
___GAS
ROOFING
SPEClt\LTY
TYPE OF CONSTRUCTION: ___Block
____Frame ____Steel
~. ~ .
Other
FINISHED FLOOR ELEVATIONS: FT.
*********~********************************
Signature
~ONTRACTOR ~ECTION ~ ~
_ Company H t::1..- rc.. ...L. """l ~~rnTe:
State Cert. or Rc~ist. U
~ City License FCf"i;,l'.c,t.i.n!1 ji abb
~ 1, * * * ;, * ;, 1c fc ,~ * * * *;, ;, * * ;, ;, ;, * fc -I, fc f: ;, fe ie fe ~e .:, -I, ,", .:: .:, -I, ,', ,", " ,', .;;
~~
~f.CIIANT CA~< P'/M J'tW> "AS · M.- Company ~12 jJ ~ A tJ'6 c:,j. A I c...
, S C i:,'"
tate ert. or l\.ei?,lst. "
Signature ~ 8t.L 6.; ~*f::..***.~~~~.;;~;;~:;.~;~~~~:~~:~~ ,! :1'4
Company - "\61-5t\~ e Y M-A-J
State Cert. or Regist. U
City License Regis tration!i Ie ex
******************************************
Company o.~ i1 ror<..onU ~c... SE~.-,Jl~~
State Cert. or Regist. 0
City License Registr;:ttion ;i: ~S
****************************~***
Signature
Signature
Company
State Cert. or Regist. 0
City License Registration ~
0THFR
******************************************
PER~IIT OFFICER.
APPLWf TION
I IL~
(:
t.~,,-.
APPROVED IW
",1<~;-;o,-:.~...:lD:,~ ~.~.~.,~~~.
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..........~......
CC;:"D~. '.' IONS OF '.~FH< I T (',FF' r L\',) ,: T
A. NOT I CE OF DEFI'-Rr:::S-r:,ZH CT IONS
The,undersigned understands that this permit may be subject to "deed restrictions' which ~ay be Dore re5t~ict!ve than City
regulations. The undersigned a5su~es responsibilit'lJorcor.pliance Hith any applicable de~j restrictions.
B. UNLICENSED CONTnACTORS AND CONTRACTOR RESPONSInILITI~S
If the owner has hired a contractor .or contractors to undertake Hork, 'they may bo required to be licensed in accordanc~ Nith
state and local regulatiDns. If the contractor is not licensed as required by law, both the ouner and contractDr nay be
cited for a nisdeneanor violation under state laH., If the OHner Dr intended contractor arc uncertain as to Hhat licensing
requirements aay apply for the intended Hork, they are advised 10 contact the City of ZephyrhilJs Building Departaent, 18131
788-6611,
Furtheraore, if the OHner has hired a contractor or contractors, he is advised tD have the contractor!s) sign portions of the
'Contractor Sections' of this application for Hhich thC''r' will be respe,nsible, If ye,u, as the e'Hnc'r sign as the ce,ntractor,
you are indicating that you, rather than the contractor, are responsible for the Hork. If the contractor Hi5h~s you to sign
as contractor that nay be an indication that he is not properly licensed ~nd is not entitled to per~itting privileges in the
City of Zephyrhills,
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
D.
CONSTRUCTION LIEN LAW
I certify that I, the applicant, have been provi~ed with a copy of 'Florida's Construction Lien Law - Ho~eowner'5 Protection
Guide' prepared by the Florida Oepart~ent of ngriculture and Consumer nffairs. If the ~pplicant is so:eCne other than the
'oHner', I certify that I have obtained ~ c~py of the above described document and promise in good faith to deliver it to the
"owner' prior to cOI~enceEent.
: 1 .{ .;~. '.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work Hill be done in co~pliance with all
applicable laHs regulating construction, zoning, and land developeent,
Application is hereby flade to ohlain a perlit to'~o i~rk and installetion as indicated. I certify that no work or
installation has co~~enced prior to issuance of a perDit and that all wDrk Hill be perfor~ed to roeet standards of all laws
regulating construction, City codes, zoning regulations, an~ land development regulations in the jurisdiction, I also
certify that I ~nderstand that the regulations of other governaental agencies may apply'to the intended Hork, and that it is
my responsibility tc, iden:,ifj' uhat actions I must take to be in compliance, Such ilgencles incllld~ 10111 ~Ie !'IC,t linited to:
. J _ .~
I Departeen\ e,f Envir(ln~[>nL~1 R{'[)\l]atio!l - Cypress Bayheads, lI~tland Areas ann [flvire1flffil'ntally Scnsi t j \'e L:lnds,
lIater/HasteHater Treatment
f: Se,uthwest Florida \ia\pr l'::_l!il.!le~l!nt District - Hells,' Cypress Bayheads, lIelland Areas, r,Hering Hatercoursr:s
I Arty Ce,rosof Eooirlecr_~ - ~,e"l1al]s, Docks, Navigable Ilatenlays
I Departeent e,f Heal t_b.J.Ji~~Sjhi I i t"live Services, Environrr,ental "e"lth Uni t - l.Jr.lls, lIi,ste\13ter Trc.,d~e",t. Septic Tanks
I US Envinnoent,'I Pr[,t[rtL,;'-,,-DQ(~nc'L - Asbestos abatement
also certify that, if fill ~3tc'riid is to be used in Flc.od 20ne "n" CoT "A,etc.', it is undc'rste,:,d \1,,11 a drainage plan
addressing a 'cD~pcnsalin~ volu~e" will be 5ublitted Hhich is prepared by a professional engineer registered in the Stale of
Florida prior to peroit issuance,
A perllit issued shall br, ([,nstrued to be a license to proceed Ilith the m,d: "od nr,t as illlthe,rity Ie, \'ie.]jte, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficii] fro~ thereafter
requiring a correction ~r errors in plans; constructiDn, Dr violations of any code. Every per~it issl,~j ~haJl becole invalid
unless the He,rk aull,e,ri=d by 5uch permit 'isc('llIl1enced within six months c,r issuanCE', e,r if lie"I. iiutl,e.. ],ed by the perAit is
suspended or abaTldonr,rj fl'], il perie,d e,f six ~onths after the h:lle the \lark is ((,,,:moneed. D'le 7(, cay e~\~,,5i(Oli of tiH, fHY be
alle,tjed fe,r the per",it riitl, floc' chiirge of $15.00. The extensic,n shall be rr~uesterJ in \lritill0 te, the 8l<iJding Official. An
approved inspection ~U5t be logged during each six month period, Dr the proj0ct Hill be considcr2d ~balldoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT I N YOUR PAY I NG TW I CE FOR I MPROVEMENTS TO YOUf:~ PROPERTY. I F YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al-TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A II NOT I CE OF Cm1MEf\ICEI1Ef\JT".
SIGNATURE__~kfri5;'~L.LT:f~I'ATun~~-A0;-;&~N
DATE ___~-::_l_-:::._Ci~_______..:_~___,__,_______ DATE _ __!:t=j_~_~~_--_ -- - - -- - - -- -- ----
NOTARY AS TO vt/ _..-;; . /)
OWNER OR AGENT_~~~ Q..._D.J.!tJ~:~~
KAT7-ILCe.AJ ,IT 13,&u-".J'
MY COMMISSION EXPInES______________________
NOTARY ~S TO ~f~ ~ fi /
CONTRrICTOn____~~ q.,--L:;;:r~~
~ ;f/lTHLEtD...j .;T.._~.et"L,j
MY COMMISSION EXPIRES__________________
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.
C E N T R ALP E R M I T r
PASCO COUNTY. FLORIDA
C:ONTHACTORt.j :
NAME: H t R INTERSTATE
ADDR= 6019 ZEPHYR RIDGE DR
(::/';::T: l./HIL.L::::
[In T E: 1 (I 1:":::':::,/ ?~~
r':'AGE ~ 1 OF j,
I :::<::;UE IJFF I CE~ ~ n
RECEIPT NUMBR= 00264171
OFFICE: DADE CITY
[ l',~ (,
FCH~
C::HEC:r::: # 1 :;::::::'-::;9
03-26-21'-0130-00000-0030
r~c.:C:NT
1 lit
TOTAL f~~t10UNT~
COMPNv ACCOUNT CENTER
8450 - 363000 - 2
':i t'3:~:
AMOUNT DESCRIPTION/PERMT DATA DRieR
9.38 ~***** SOLID WASTE FEE 60
RECE I Vr.-::D F\/
_, _..._, _ ,--_~~.L_(~_.'::.~. -~. _.!~-~=--.~~_.....
7~.~~~" ~.... ......' "". .\~.,~, -~-: \t, "i' "'\ '_~''-''~!;~'',~~''~/r'''~~l\-r~;/;~';~;:J~r.'~~,~~.."...:.{J)<~;::-,:~"'~S:+::?Ji:~-,;:;'~--':Z-- .-- .J-T;:w~~'-~;r:7.7.T";"~~.'>T\
PASCO COUNTY, FLORIDA
~'-l---------)_
!~ .>( / -,-
-
Date Permitted ,I
Builder Name/Owner Name
County Parcel No.
/ -
.;,
Location .'
/ i
',-
Subd.
Classification/Type of Use
..-......- /
:' (:. '" (
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./U nit
Prepared By
. -.
Impact Fee Amount $ ~..~ _
---"'";;..~
.--- "
The above impact fee has bee~;d pursua~tlo the Pasco County Transportation Impact Ordinance as adopted
by the Board of CountyJ;tmfmissioners. This amount is payable PRIOR to the issuance of a. Certificate of Occupancy
or authority to utiliu"fhe permitted structure.
----...-..
-..'-'
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
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 $
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 CERTIFlcA TE 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.
RESOURCE RECOVERY REC. NO.
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce