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Home My WebLink About95-4965 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788.6611 4965B Date ___S- -/1-7~- .yo- 07J BUILDING ....3..-S -- t/z) ELECTRICAL d~; CIV PLUMBING 0( 0 . cJ() MECHANICAL Sewer Conn 1.;2 ?B--'OQ Water Conn: 35.-0 ~ t:7O Water Meter: I ~-5--"" CT7J T!F'Tv h "ti ;;-C 0 -/.J.-9~- F ~ 'I RV. t7D li-U !ff ~ Property Owner: ....;. . \I Job Add'.,s :l _ Y'R ft/~,,- _ ~-e~ Parcell. D. # ,5 - c2 h --;)/- () /30- CJ cJ CJ CJ C) - os"--? C) Zoning: -n Cod.e: Radon Gas: Description of Work J1; 61 ~ U::Tnu:? .-/~-~Y 'Xe ,.s-{JO":':; (3 NO OCCUPANCY BEFORE C.O. FINAl~~1 -'1') DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # State Certified License# ?..!., f, Inspector ::~~;:.&~~: 14QiJt. Company Address Telephone# Valuation or Contract Price im-jJL. Jj"':A) fJ~~L;;Z;~ ~/"11u. ~--S ELECTRICAL ~rL4-j / cJ ~ PLUMBING ;/f;.L,4 /fk- MECHANICAL ?~ BUILDING Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can 7) "'/9 - y~ Const. Pole Pool Pre-Meter f?;;;jj Final fo -/ lf~{ SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compre~or Lf ~ Final &::> i <1''5" _ &r/4-' ~i5 ?N 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 fo.r each trade: /! '_ '/ /-+ IJ ., " '7 ~J2 {--S '"-IY-X-J a. Wrong Address AAl?<-~ ~~ ~ b. Condemned work resulting from faulty construction. ,A / . ~ ~ - c, Repairs or corrections not made when inspection called. (::1 -/0 - 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 PEm-IIT CITY OF ZEPHYRIIILLS BUILDING DEPARUlENT APPLICANT 3-\ c::l..- R. :c. ~l~rn 1-:t ADDRESs35 Z-~ l-l-\.llJy ,S- <+ L0 i-ST - PIl~Nl~ ~I' ~ '1 g- -z.., '2 "Z-I~ OHNER \lJ i LL[f\'~ ~ 'SHJ ~L6Y lNtf\c..Y H:C12 ~~~ SIe-. \ t-}t:L ~ . ' Jon LOCATION 1-0\ S-G ?R.A-DO P urQ LOT SIZE be xlOC I\REA SQ. fT. lo~ {\) <-..5 '?c!J yy - LEGAL DESCRIPTION: LOT (S) b q BLOCItJOOCOSurH>IVISION L.e"'P-I+~ l<-l PG g PARCEL I.D.!F $ -z.L,-z..( -0130 -000 a~ - OS-Cf~ WORK PROPOSED: ~ Ne\-J Construction _Addition _Altera.tion _Repair _Install _Sign/Temp. PROPOSED USE: ~Single Family _Sign _~Iove _Demolish ~M/F _iF of Units ~~l/ll _Commercial _Indust. _S\<lim., Pool Other _Restaurant & Health Department Approval nUILDING SIZE: r..l.'--l x~, 1i"'z:..6 I Square Fee t, Height RESIDENTIAL: comlERctAL ~ ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [< (1) SET E~ERGY fOR~lS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORrIS. ;,* **COPY Of CONTRACT REQUIRED. i- LBUILDING ~ELECTRICAL 1< ~lECHANICAL -*-pLmmING PERMITS REQUESTED s Lf6 00 () , J 5" 6 AMP Service $ J'cq Valuation of Total Construction ~ Florida Pm,er Corp. _h'.R.E.C. Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel j\t.H . Other fINISHED fLOOR ELEVATIONS: FT. *********~******************************** om!""R ~~ Slgnature . f CONTRACTOR SECT~ ~ . Company ~ State Cert. or gc:r.ist. !I J J City L~cense ~~;~~.~.:~~l.:;,t~ ~.(:l: ;! -ir 'I< idr*,~.r .,* *********** ***,ddr*idr ir".r ,. .. .. .. ,." .. .." .. :oJT~5rnlt; 3~,b :~:::::::A~ .. Company C\,l ~ ~N ~ LeG ~ Stnte Cert. or Recio t. Ii Sionat1\re ~ City License Rer.istr::ltion;! "'3 'S'" I.J oJ..' oJ .' .r l,. ~ ~'. J. to '. ~t. .1. ~'. .'. .t. ..). ~'. " .,,~ .. * " * * ., * * * * * * * * * * * * * * * ,~ * " * .r h i. .. .. ,. ,. .. .. " ,. n " .. PI.UMUf.R ~ i:: := . Compnny. M e:LSC..J r<'......r>->r+tJ , State Cert. or ReGis t. !,! Signature A City License Rec,istrCltion;1 1(\ i' ~ . *......*...................*************** Signature Company 'BAttR. s pe,.DPANe" ~ flJe.... State Cert. or Regist. n City License Registration 'I (~ ****************************************** Company State Cert. or ReGis t. iF City License Rccistrntion ~ OTHER Signature *****************************************~ PEmlIT OfFICER. APPLICATION APPROVED BY C:(..Ji\~D!l'~rcr',~s Of;"~ ,PEPS'1IT '-IFFI~",\ ~\ "IT A. NOT I CE or-- Dr::rLL2__f~<E~5.}F IS:T u:;L.~ the.undersigned understands that Ihis permit may be subject to "deed restrictions' Mhich ~ay b~ ~ore restrictive than Cily regulations. The undersigned ilSsu::es responslbilitffor compliance with any applicable deed restrictions. E. UNL! CENSED CQi'fTJ:7J-'\CTORS AND CONTRACTOR REsPOtlS I 1l I LIT I ~s If the ownEr has hired a cDntr~ctor or contractors to undertake work, .they may be r~quired t~ be licensed in accordance ~ith state and local regulations. lf the cDntractor \5 not licensed as required by laM, both the ouner and cDntraclDr ~ay be cited for a nisdeneanor viDI~tion under state law" If the OHner or intended contractor are uncertain as to ~hat licensing r~quirelents ~ay apply for the intended "ork, they are advised to cDntact the City of Zephyrhills 8uilding Departaenl, (8131 78'iH611. Furthermore, if the OMner has hired a cDntractor or contractors, he is advised to have the contractor Is) sign portions of the 'Contractor SectiDns' of this applicJtlon fDr which they Mill be respDnsible. If you, 25 ihe owner sign as the contractor, you ar~indicating that you, rather than the contractor, are responsible for th~ work. If the contractor ~ishes you \0 sign as contractor that ~ay be an indication that he is not properly licensed ~nd is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTAT I ON I MPACT FEES AJ'ID UT I L I TY COf\If\lECT I ON FEt::S D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORIDG STATUTES, AS AMENDED) I certify that I, the applicant, have been prov(ded with a copy of 'Florida's Construction Ll~n LaM - HoaeoHner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the ~pplicant is so=e6ne other than Ihe 'owner', I certify that I ha'le (,btained a. ccipy of the above described delcurnent "ntl prc'ITli~e in ge,od faith Ie ddiver it to the 'owner' prior to cOi~ence~ent. ~ 1. '. . ~ : " E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforiliation in this application is accurate and that all Mor~ Hill be done In co~pliance with all applicable laws regulating construction, zoning, and land developoDnt. Application is hereby ~ade to o~tain a permit to'do work and installation as indicated. ] certify that no Hork or installation has coe~enced prior to issuance of a permit and that all work Hill b~ perfor~ed to leet standards of all laMS regulating construction, City codes, zDning regulations, an~ land develGpm~nt regulations in the jurisdiction. I also certify that I understand thai the regulations of other governaental agencies may apply to the int~nded "~rk, and that it is my responsibility te, identify \1ha\ actions I must take to be in conlpliance. ;'Jcll 3ge:lcilos irlclude bill "Ie nd linited to: . J" -... I Depart~ent elf Environmpnlal Reo~ulati(ln - Cypress Bayheads, Hetland ~reas and Environrrlentally Sensi \i'ie L:li,ds, Hater/Wastewater Treatment f Seluthwest Florida Ilater l\ana~et';ent District - We\l~; Cypress Bayheads, Hetland ,\reas, rdteriq H2terc0ucses I Ar~y Coros .of Enqineers - SeaMalls, Docks, Navigable Waterways t Department (If H~alth !, r-:'J,~hili\"hve Services, Environment,,) Health Unit - \Idls, \hsteHater Treat,~e:tt, Septic Tanks t US Envinnnc,ntal PreotccJ\.i'!1 t:oenc1. - r,sbestos abatement also certify that, if fill m;!terial is to be used in Frc.od Ze,ne "A" or "A,de.', it is undc,rste,e,d til,l d drainage plan addressing a 'co~ponsating volume" Hill be sub~itted Hhich is prepared by a ~rofessional engineer regi51~r~J in the Stat~ Df Florida prior to p~roit is~uanc~. A perllit issued shall be ([,r.stn:ed to be a licensl! to proceed Ililh the H[.rk "ntl ne,t as aull-Mit)' t(1 \'ie.\"te, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter "',',',' ' "",,,\i,.,, ,., ,no" '0 pI,"'; "',',,'"'"' " "01,,,,", of '01 "d,. ''''I p,,,'1 imc.i ,,,,II ,,,"" i",lid unless the w[,rk authc'ri7~d by s\1ch permit is C(dllll\enced within six llionth5 [of issuance, c,r if \/e,d. au\1lcQ I;Qd by the per~it is suspended or abarldclnerl flor a peri['{\ (,f silt 1Il0nths after the t.i~e the \fDrk is [['~Imencr:d. l1l,0 9(; do)' c..;I""oi["1 of \i~e, ~ay be all(1Med fDr the per~i\ Hilh fee charge of 515.00. the extensi(1n shall be requested in \friting to the Building Official. An approved inspectie,n rJus\ lk lc.;rygd GUrifi1 each six mDnth period, c,r the pre,ject Hill be c(of,si(:crd dDoIIGC,rled. WARNING TO OWNeR: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. IF YOU I NTEND TO OBTrd \\[ F I f'!(\NC I NG, CONSULT ~JI TH YOUR LEf'lDCR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT- JOBS UNDER $2,500 IN VALUE :~ G:A~~R~'E~~_.r~~~7::~_~~:-~-:-~':~~ T I cs~ G:: T:',:Mt.~:'C~~t~~~~~. ---------zr---- /~~~ ?,}fJI'MD~d- ~,,<~ DATE ______S~!i ~_9_~--------------,------- DATE _________..:i'::=- !i~- ~~-- -- - ----- ---- ~~~~:y O~S A~~NT ___~d (jJ.1._~ ~~~~:~C~~R~~_A~e~d+Lt1fV~ ,K/lTJlLbrAJ :ti..BRo-uJA! ' j:AYHLG& AJ .d.[;J5",c~>J MY COMMISSION EXPIRES______________________ MY COMMISSION EXPIRES__________________ ..;,"~ Plio ...~(... ~'~'.' * "..;:~Y ., ~ .' 'Ff~'I>"~ KATHLEEN J BROWN My commlnion CC449029 Expires Apr. 02.1999 Bonded by NFNU 800-224-8368' ' ~..I\' PilI, ~:&"'... ~.: ~~ Of f~O~ KATHLEEN J BH':)W~ My Commission CC44902'. Expires Apr. 02. 1999 Bonded by NFNU 800-224-8368 SITE PLAN (RESIDENTlAL USE ONLY) PARCEL 1.0. ~ SEC z.~ TWi' PROPEHTY HEASUHEHI::NT , (00 Z-I RNG LOO I 613 0 SUlIU 0000 0 lILOCK os-qa LOT x curuu-J-tl' OWNE.HS .J:::l ~e .r tJ T eJtS'l+TE: IMTE ~"3 -q S' I' i" i ". (; ;- I' I - 'r ' i- .. ......- I ' ~ J __.. , ~ .".- ! --- , , i : i :.---+ . _ f-- ___ 1 .__ 1 , 'ii , ; i I I j I i : : rT---i--r-r"'i-i i in..-' f' .-~ ,.' i. --- ~-.--l---i- ---I---l-----f---. , I I ! i Ii' .- i -- ~'--r--- t -.- ['--j - - i --~ --+.- ~.- ; 1- --j - r-+-- -i-'--'f---I li- --i---+ n ,--- ., .... -. . i_.__i. ____._L__ -L L .. L .. __ I n_ _ L. .u L.. J. - j -.-l-- ---1- 1-- --mf"!L'tl___: 1 I Ii! : it: m i :- -- ~ ---t--- - ~l--- --. j. --i----~~--- :. -- ------ -i--i----l-'--I- ----r--t.--I.-~._r--!----r---r .---- ... -,---f--L-.-+---- -r--r-.r----L..--r---r-..---- I I L--l-~-. --~l---I-..l. - _~____ i.----l----- - - '---- L-- L--- __L_ L._ -- i--: -..1 __ '-- .. ~._ fl. I: I ' ! ! 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I t- -- ,--1:---' 1---- ~-.-..-- __.o.-....-__...___~.j.._ --- __ ___.."__ ---t--L----t.-----i-.-.--...._._ I I : I I ! : I I :: I , ' , f-I L' , z:C .--!-~-J=fT:1=tttf-=:j=~~F+ i- .-. . 1:! i ~ r-H-H--i-H--I-r-i- ~. : ; ~Oi' : ---!~--r--r-i-----j ~-PL-A-~e.. _I ! I Ii; ! _ 1. _1- , I I'\)- " ~ .V\ ...... (). c. ....... () C - ~. . i _.L_ - -......--.-..... - , . , - --'-. _... . , ._L-~.____.... I _ L___~._.... '-_ ----i---'- .-..1---- i -. i '_ L __ _ __ __ _ ._ ----." , I p":'" r -r . . IZADC I -.--.. r'---- 1--- , . r\Jl e ?f-tb~~o J ... " - PASCO COUNTY, FLORIDA Builder NamelOwner Name /)/-1- 'fi ~t;; VZ-~ Permit No. if 1(,.--.5>- /J Date Permitted r - J ;; - y -.S - County Parcel No. J -;Q (;,-:;)/- ()J...j~ 0 - & CJ dOc'? Location J ~ If y~ 74 ~~ r-pL~_'L Classification/Type of Use (~ ...J2~ :L~ - ~,-S--9 () Subd. TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. FLlU nit P~epared By The above impact fee has b stablished pursuant to t asco County Transportation Impact Ordinance as adopted by the Board of Cou ommissioners. This amount is paya Ie PRIOR to the issuance of a Certificate of Occupancy or authority to . lze the permitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units / Gross Sq. Ft. (GSF) RatelERU - 50.00 x 0.96*/Year or $0. 1315/Day ERU Assign No. Assessment - (No. Units) x ($0.1315) x (No. Days) TOTAL FEE $ r:),5: 50 Assessment - (GSF) x (ERU) X (0.1315) x (No. Days) 100 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 HA VE 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 2~9'i'g- DATE ~ -~~7S BY BY~ White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce