HomeMy WebLinkAbout95-5017
BUILDING PERMIT -
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
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BUILDING
3.s~. ClV
ELECTRICAL
Date 6 -/..3 -9-r-
d-S-. tJ{)
PLUMBING
;[0. u-v
MECHANICAL
Sewer Conn ~ c2- I)' <f; p'{)
Water Conn: 3~'t). diJ
~op,rty Own., ~. ~~ ~~
Job Address: J J7<
P."'e11.0. , $- . ~~:J...t - ~ ,.' </ <) 00 _
Zoning: ~y Code'
Description of Work YJi l. l:J~
, ,
Radon Gas:
~7- -'~
-. '/h)
Water Meter: /6-5, _ V'v
T.I.F.'s:/:' ~'/"' .:J- l':.t1..,
tY<fp.~ ~
/tJ -r2/. ~95-
C-i 7...2 cJ
NO OCCUPANCY BEFORE C.O.
FINAL 7' b-
DATE
CO 1'7-!l-7J-
. . -.t.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
- II wL ,_.. 1m r. .. U. _ HI. U.1I1 ~ t - U 11 _f'
p~rmitFe~~ c' ~
Slgnatur{;;}- '_ LA-_
Company
Address
Telephone#
Valuation or
Contract Price
~/A-
City License Registration # 2-.s- ;?'"
State Certified License#
f/..:- /rJr:: Y- ~ 4"'~
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ELECTRICAL
n~ Kr~/{)r
PLUMBING
~ /A-J A-/G
MECHANICAL /' r
BUILDING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can 6--/? - .Y ...s-
.
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
'--.
a.
b.
C.
d.
e.
f.
g.
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:
)}J ~~~JL/" -1-1-?-S-
~tiL4/)tr~&-7S
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.
--....
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERNIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT J-t~r<... .L kJTe-lL~ ffiTt;
ADDRESS ~.5" z- <.of '8 oJ Y 5 Lf 'w
OHNER ~e -CNTb~srnT€. ./ {)l~e
Jon LOCATIoN I--Dr 13 f2.tDGeLUA-Y' LOT SIZE~xl6C / M\EA SQ.FT. fDOb 15'
LEGAL DESCRIPTION: LOT (S) I :3 BLOCK SUBDIVISION Z€"PH-Ye. f< iD(f,E
PARCEL~.D.11 -3 -Z~-Zl -at 36 -00006 - a13lJ
PHONE {<is Z. ~Z-llo
& t2.A1<..D
WORK PROPOSED:~Ne\y Construction ____Addition ____Alteration ____Repair _Install
_Sign/Temp.
PROPOSED USE: ~Single Family
____Sign
____l'love
_Demolish
. L~l/ H
~M/F
_II of Units
_Commercial
_Indust.
_S\,im.. Pool
Other
_Restaurant & Health Department Approval
nUILDING SIZE: z.S .tf- x~L{
J z...5~.7~
Square Fee t,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS (< (1) SET ENERGY FOR!'IS.**
COMHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY l'OR~IS H
**C01'Y Of CONTRACT REQUIRED.
]2ERMTTS REOUESTED
~BUILDING
LELECTRICAL
~l'lECHANIC^L
LPLilllBING
$ 301000
1'56 AMP Service
$ _I '8" 0(:) .'
Valuation of Total Construction
Florida Power Corp.
-*=h' . R. E. C .
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block ____Frame ____Steel
M. +-( .
Other
FINISHED FLOOR ELEVATIONS: FT.
**********'********************************
f,ONTRACTOR ~
nJl1T.D ER II /,L ,-f&.~ . Company "'- ~ :r:tJ~ f\--P;:-
, .
4; ' State Cert. or Reg"'.. !I
Signature ~tuv.J' .' City License l'Cf',i;iCX;\tinn ii 3S-o
~* * 'i,;, '" * * ******** * *"""" ,', i, ir '" "' i, "' ,', ,'r" 'i: .:: ,'"", ,', ,r ,', .:,
Company .:Jl)fC..D A- tl.l
State Cert. or I~egis{:. ~
City License Rer,istr;:ltion i' 38'
****"'*****************""***************~***
PLlJ1jBER ~~ . Company ~e;L5olJ re.'irnArJ
State Cert. or Regist'.. !.' ~
Signature CJ.ty LJ.cense ReglstratH1l1 Ii , () d
... . ,-. - H" ** ................*' ** .** ** 'H'.' * <",* ,.h", ·
MECHAN1CAt ~~~. A Company f3 PrH-K-S Pe.oPA'rJ~'4-- A-G
I~ ~ /' State Cert. or Regist. l'
Signature 7' ~ . City License Regi~uation 'i ('3
.. ,', *""r.i,"''''***********''r** * **,'r ir 'It ,'<i,i, "' .:,,',*,~ 'i,';, 1: 'i, ,:;:
OTHER
Signature
Company
State Cert. or Rccist. t~
City License ReGistration ~
APPLICATION APPROVED BY
~i' *...... * * * * * '" * * * * J, i, * * * J. *.~ *,~ * .'. .'. ," ,'- J_ J. -'- J_ -', ,'- .', J. -'- -'.
. - A,~ ~ 211 ~. ..... ............... " .
PER~I1T OFfICER.
CONDITIONS o~.rCRMIT A~FID~VIT
A. NOT I CE OF DEr::T::-13s,'JTR I CT IONS
The.undersigned understands that this per~it ~ay b~ sublect to 'deed restrictions' Mhich ~ay be Dore restrictive than City
regulations. The undersigned aS5u~es rcspons\b\liti~for.compliancc Hilh any applicable deed restrictions.
E. UNL I CENSED CGfiIFH\CTORS AND CONTRACTOR RESPONS I II I \=.D I ES
If the o~nrr has hired a contractDr .or contractors to undertake HorK, they may be rCiulred to be licensed In accordance with
state and local regulatie,ns. If the contractor is not licensed as required by 1,1\1, both the ['\lncr and contractor ~.y be
cited for a ~isdc~eanor vlolatiDn under state IaN.. If the OHner or Intended contractor arc uncertain as to whal licensing
requirements ~ay apply for !he intended \Iork, they are advised to contact the City Df Zcphyrhills Building Depart1ent, IBI31
788-6611.
Furlhcrllore, if the e'ilner h"s hired a contractor Dr contrachors, h!? is advised to hav!? the u,ntrdcte,r(s) sign pe,dions of the
'Contractor Sections' of this application for which they will be responsible. If you, as the ~Mner sign as the c~ntractor,
you are indiCtiting that you, ,Jther than thll contractor, are rcspe,nsible for the lie,rk. If the ce,ntraete,r \1lshes ye,u to sign
as contractor that ~ay be ~n indication that he is not properly licens!?d ~nd is not !?ntitled to per~itting privileges in the
City of Zephyrhills.
C. TRANSPORT AT 1 Qi'I I MPACT FEES AND UT I L I TY COf\INECT I elf\! FFES
D.
CONSTRUCT I 01:1.__1:_1 Ef\~L-:i'~~l.
(CHAPTER 713, FLORID~ ST~TUTES, AS AMENDED)
I cedlfy that I, the applicult, haVE been provi'ded with a copy of .Florida's Ce,nstructie,n Lien La\! - He,~eo\!ner's prc,tection
Guide. prepared by the FIDri~1 Department of Agriculture and Consu~er Affairs. If tl,c applicant is S~fe6ne other than the
.owner., I certify that I ha\~ Dhtained ~ copy of the above described dDcument and promise in gDod faith to deliver it to the
'OHner' prior to CDi~cncei2nt.
~ I ': .': "
E. CONTRACTOR' S/Ot.-JNER 'S AFFIDAVI T
I certify that all the information In this application Is accurdte and that all \lork \1ill be done in coapliance with dll
applicable laws regulating cDnstructiDn, zoning, and land develop~ent.
Application is hereby ~adc to obtain a pereil to'do Mork and instal12tion as indicated. I certify that no Mork or
installation has co~~enccd prior to issuance of a perait and that all work Hili be perfor~ed to mcet standards of all la~s
regulating construction, City codes, zoning regulatlDns, and land development regulati~ns in the jurisdiction. I alsD
certify that I understand t~at the regulatiDns of other govern~ental agencies may apply'to the intended \1Drk, and that it is
&1' responsibility te. Identify \1hat actiDns I must take to be In cDmpliance. Suc), agencies ir,clude bllt "Ie nd li~ited te,:
. ,-
I Departsent of Environlental Reoulation - Cypress Dayheads, Hetland Areas and Enyironmen\ally Sensi \jve L3nds,
Water/Waste~a;er 1reatment
l S(,uthPles\ Florida \-later l\~.!1~I'~,ent Distr1ct - \Jells; Cypress P-ayheads, Hetli<nd Areas, (,l\Hir,g \latercDUfses
I Anv CHusof EnQine~i5_ - Sea\ialls, Ducks, Mavigable HaterlldYs
I Depdrtment e,f He~.l..~l:!.J:J::r.h"hilit"tivc Services, EnviroM!?ntdlllealth Unit - lie-lIs, \ldstc\Jalcr Trea\,~'::\:, Septic Tar,ks
I US Envirc,n~r:ntal Pre,tcc!iOf! tlqen~ - rlsbestos abatement
also certify that, if fill caterial is to be used in Flc.od Ze,ne 'A' e,r '{"etc.', it is undu5tc,[,d tk,l a drainage plan
addressing a 'cotpr:nsatlng vDlu~e' \1111 be submitted "hlch Is prepdred by a prDfessional engineer re0ist~rod in the state Df
FIDrida priDr \0 per=i\ issuance.
t, pertit issued shall be C[lnstru~[\ to be a license to proceed Ili\h th!? \ieork "nd n"t as al:tr,c'rit'i te, vie.lote, cancel dltr:r, or
set aside any provisions of the technical codes, nor shall issuance ef a per~it preyent the Building 0ff\ci~J fro~ thereafter
requiring a correction Df errors in plans; construction, or viDldtiDns of any code. [very per;it iSSI10d ~ha]l becDle invalid
unless the we,rk autr,[,rI2cll by slIch permit Is co~~enced within six months c,f iS511,111Ce, e,r if Ill,lI. dllll"O\ J ;cd hi the perAit is
suspended or abandoned feor a period e.f six ~onths after the ti;ae the Iflirk is cc,(:IT,encco. Oile 9(; day L.~\c"sio\l c,f tbe, !lay be
alle,wed for the perl.iit ~Iith fee charge of $15.00. The extension shall be requcsted in iiri\ini] te' the Stlilding Official. An
approved Inspectie,n r;lIs\ br, le,ggell during each six month period, c.r the pre,je'c\ ifill b!? cc,nsidercd "bollde,r'L'd.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUH PROPERT'f. IF YOU
INTEND TO 08T~IN 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 F~ECOFm AND POST A "NOT I CE OF C0t'1f"1ENCEi'iENT".
SIGNATURE /.... SIGNATUr L-/J / - ~ J~________
_____ _ ~~=---- p~-L ~~.
DA TE__----~L~L------------------------ DATE ___i:.Z6.A.t:.---- -------------------
~~~~~yD~SA~~NT-~cA':t~-Lb~~~
-~jffi;'L.EE N ffJ3~ t'-v-J N
MY COMMISSION EXPlnES
NOTARY (\S TO v.J-::J If ~ l;l" .
CONTR(\CTOR___#4fM-~~--,17'i?~,hd:rA,./
" f<,/fTJIL.J;:.------Z=;/'v ~ 01!..C'Z--<-/AJ
MY COMMISSION EXPIRES__________________
----------------------
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~~ :B ~'"
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.,~ OF f'o.O<+l''''>
KATHLEEN J BROWN
My CulI.......1on CC449029
Expires Apr. 02.1.999
Bonded by NFNU
800-224-8368
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. ('OF t'-O'l'
KATHLEEN J BROWN
My CommInIon CC449029
Expiree Apr. 02. 1999
Bonded by NFNU
800-224-6388
SITE PLAN
(RRSIDENTlAL USE ONLY)
PARCEL I.D.
I'ROI'EHTY HE/\SUHEMENT
2-1
RNG
(PO ( X 100
0/3 0
SUl3D
0000 6
l3LOCK
0736
LOT
3-
SEe
zf.p
T'l-il'
J
CUH1U-Xl' O\.lm:HS ~R- X ~~ JA.-ie /? Gl ((-A--f:j) DHE to -l-q;:
I
All drnwinRs ahall be drawn to Bcale for all parcels or lots five acres or le~s.
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CCINTRACTOR #:
NAME: H & R INTERSTATE
(-{[ltlRI 6141 RID(;Et.,{.~v
C/:;::T: Z/HILL
FOR:
~ --. - - ,;----- -- -~ -~ '-., -- ---..c - ._ .~___ __"_ __..0_"_
I E N T R ALP E R MIl TIN G DATE: 10/26/95
PASCO COUNTY, FLORIDA PAGE: I OF 1
I ';:;:::.UF OFF I CE: D
RECEIPT NUMBR= 00264176
OFFICE~ DADE CITY
CHEC:I<. :~ 13:35<)
ACC:J~T
1.14
08-26-21-0130-00000-0730
TOTAL AMOUNT: 9.38
COMPNY ACCCrUNT CENTEF~ At1C:Uf\lT DE:::.CRIPTIC1N/F'ERMT DATA DR/CF:
B450 - 363000 - - 9.38 .****** SOLID WASTE FEE 60
nECEIVED BY
i:
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PASCO COUNTY, FLORIDA
Permit No.
! '/
Date Permitted
Builder Name/Owner Name
County Parcel No.
/ 1
/
,
~l
Location
, --
Subd.
Classification/Type of Use
(
/
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./U nit
Prepared By
'_~:>O "..:;:
Impact Fee Amount $
/
The above impact fee has b~en- 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
/
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 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.
RESOURCE RECOVERY REC. NO.
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
~---.- --'-'~--~--- -~ --_..._-_._~--~---_._-,. .~_..~.._.,--~--_.-
.__.._-~-------_._--.~_._--.-----_.--._---_._._._---_._------..-