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HomeMy WebLinkAbout95-5017 BUILDING PERMIT - CITY OF ZEPHYRHILLS Permit N! (813) 788-6611 :~5011i3 lfo. o-v 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"'~ ~L,3~ 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__________________ ---------------------- ~..v.~ PI/Ii ~~ :B ~'" ~.~ .,~ OF f'o.O<+l''''> KATHLEEN J BROWN My CulI.......1on CC449029 Expires Apr. 02.1.999 Bonded by NFNU 800-224-8368 ~..I'~ PIlIi ~ fi <'", ~.: . ('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. !hQ , ! I I j i I I i i I I ~ 6C!.1o ! I ! I ! .......... c. .C>. ,- i ! ""- C> O. I "' ~ I -t:. ..t:l ~ i ;:,>{.t -j- 3<:'.9 -<: z:o ! i I ~O I (lD@)8tJ.YQ-Y k . , , :OTt,3; ... 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: , / .r ....-...._- .'- - -'. -.... -,....- '- -- - -"'- ---~ -~ -.. -..- _.'." ....".- - -. - - ~- -.:. -". -- ........ --.. . { I' / ;~"- - -...- / / ~"'^. - , - .. ~, - .I '-~Y'''-~':~..;,.,"",,,,~''~;L,tN''':~''''f,,,,,.~'''-':.~~;.,X-t~C,:;,,~~tiT',;.~:;:'llt~~,~~:,--:;~~'::....'~_:~_',._~~, 7:.'::": :'.;:-r~~"" -, .'O\~_ ~ ~";",_ ;:1t~!. _ n' ".q - . . . 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 ~---.- --'-'~--~--- -~ --_..._-_._~--~---_._-,. .~_..~.._.,--~--_.- .__.._-~-------_._--.~_._--.-----_.--._---_._._._---_._------..-