HomeMy WebLinkAbout95-5018
BUILDING PERMIT ~..
P . N.
CITY OF ZEPHYRHILLS ermlt
(813) 788-6611
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U, -i> '0
ELECTRICAL
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PLUMBING
c.3 O. crv
MECHANICAL
BUILDING
~ ~
Property Owner: ",
Job Address: l3 '
Pamell.D.'.! . f~?;' -~ 0 - .::J 6;;J. 0
:J-O&,(,
7-501~ 13,
Date
~ -/~- 7'.5'-
Sewer Conn ( ;[ 7 f?"; d1J
Water Conn: 3-.5'z;l. d7J
Water Meter: j /p 5-: t71J
T.I.F.'s:
Parmi' Fee k~ .!>'-t!
Signat~'- ---
Company
Address
Zoning:
Description of Work
FINAL
C.O.
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Calst.pole WREX:: (Tim) Nancy 06/20/95 11 :06 A.M.
Pre-meter REA (Machine) Bobbie 08/24/95 10:15 A.M.
Valuation or t: 57
Contract Price GJ) b 6 . ttV
Inspecto
City License Registration #
State Certified License#
tf3-
Telephone#
r- Xrd~ &~~
BUILDING
.J
~ Ft<. fs,-t"-f" $ILL
~ Pre SLB -z..~..t1., 16lLV
,;. Lintel
~ FRM. 7-l?.€f) b'O-
..J Insul. CL
~ WL -'7 -2<) lj 50 iil'--
-- "'
\\. Driveway 5 {I it":; () ,t L-
4~LL-
REINSPECTION FEES: When extra inspection trips are n~cessary due to anyone of the following reasons, a . / 9-g->~-
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: /I r. .
'1/ -;J- /il 7fl. ~. rJ -t-..6 -7 Y--?S
a. Wrong Address Mt~te ~ ."t'~ J'I"~O -? 6 - .
b. Con~emned work. resulting from faulty.constr~ction. (}/J~' a ~ Jq~(J..~ I-/t/- y-.s
c. Repairs or corrections not made when Inspection called.~~I~l>\. ~.. ~ _
d. Work not ready for inspection when called. 7>...Q...c.. j -/1 - ?-~
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
/l!W;~ML
ELECTRICAL ;L 71
f4~A
(j :::s-
PLUMBING /...!>
Tp. Servo SLB (0'1-1-15 61U-
Rough In ?-2--5~) B~ Tub Set ?-24t;S '6lL\.
Meter Can ~ -If -9..5. - Water
Const. Pole b~dO-qS&Q.. Sewer U-1< 6\..L
Pool Final~' 7 c, .... tj f /) I t-t...
Pre-Meter V"f..IL./-Ij{ G:b
Final
~j} '-17~(" pIlL
AA?~.~A/6
MECHANICAL 7~
Breakers ~
Ducts Insl. /- Ztf-S-S- -
Compressor
Final
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Ryman Construction
~
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......
APPLICATION FOR PERNIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
rp Jf\-rJ ~
0,0
t=:, \e-
APPLICANT '~N C~~Q~~ Lk! ::I-;rll.l <L
ADDRESS ~_~- '5.e _.W - ~hV~hJJS PHONE 7'(/;).-087-5"
OWNER K€UI r:J b --r ~Q\S6N ~ ~YMA~
'3,'43C;) -- .
JOB LOCATION~'" 6,'\06 C-f\f:>~\ebe~(Lr LOT SIZE~X 132 AREA SQ. FT.~
LEGAL DESCRIPTION: LOT(S) G,~ BLOCK SUBDIVISION W(;C~~se_lA)oon
PARCEL I, D . if lo - ~ ~ iJ- \ - 0 l'J- b . 00 060 - D <0 ~O
WORK PROPOSED: -)( New Construction ____Addition ____Alteration
_Repair
_Install
_Sign/Temp.
PROPOSED USE: )( Single Family
____Sign
_Move
_Demolis!:
____M/F
_I~ of Uni ts
__N/H
I
_Commercial
____Indust.
____Swim. Pool
Other
~
;
____Restaurant & Health Department Approval
BUILDING SIZE: 3b
x 5~, 20(q(P
Square Feet.
8/
Heigll r
RESIDENTIAL:' ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S."
COM.'1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS. u
**COPY OF CONTRACT REQUIRED.
P~RMTTS R~OUEST~D
~UILDING
~LECTRICAL
_ / ,,'"
~MECHANICAL
0Ll~BING
$ 16}OW
.
~l) AMP Service
$ ~ 40 0
Valuation of Total Construction
"
Florida Power Corp.
Lu
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ~rame _Steel
FINISHED FLOOR ELEVATIONS; ~ FT.
Other
******************************************
CONTRACTOR SECTIO~
EUILDER Company ~fv1/h:::) &lV;,...J-.:r AJ ~
~ State Cert. OIi Regist. iF CBe -035/2>4-
Signature - ~ City License Registration {I ~S-
- :~- -..........................................
ET ECTRTCT AN'~ Company MA-a.J.~,.J {; \ecf-tU E!.-._
\.L"") ,,~n State Cert. or Regist. iF efL. CX:>l~4'fq
Si!!natur~~ ~..... ~t'~ City License Registration IF @..il
****************************~*************
PLUMBER
Company Co \ 6 Y 'SA-YNe ~~ V\n-\ b~,u S
State Cert. or Regist. !,' f2'F- ooG..o'-tla3
City License Registration 'I \SS
*****************~*******************
Signature
i/
Signatur;;/
Company BA-~IL' S GA-$..-r Ac-/e.
State Cert. or Regist. ifr BA~-043P\~8
City License Registration II ~ -/~
******************************************
OTHER
Signatur~~
Company \<1' M ~ C()l\J S1
State Cert. or Regist. iF 12.E:' -DOlo/It, 4-8
City License Registration if 5y~
APPLICATION APPROVED BY
*******************
PERNIT OFFICER.
, ,
PASCO COUNTY, FLORIDA
Builder Name/Owner Name :;!r~ C~
County Parcel No. / tJ -c;;l - - .,;2 0 - t::J&CJ - L)Lf...L 0
Location 3'l'l<30use~,:!;t!_ "
Classification/Type of -~L
Permit No. SOl ~- 13
Date Permitted 6-1 Y - 9~-
Subd.
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./U nit
repared By
Impact Fee Amount $
The above impact fe een established pursuan the Pasco County Transportation Impact Ordinance as adopted
by the Board of County Commissioners. This amount is p ble 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 CERTIFlCATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL rHE 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. i)s:tJ 070
RESOURCE RECOVERY REC. N .
DATE l' - g- -9 ~-
DA TE B
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
(
ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LO~A or LOMR).
Instructions for completing this form can be found on the following pages,
I
I
.
O.M.B..Nr;: 3067-0077
EJepi'esMily3'. '993
SECTION A PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers. etc.)
/t -d.-h -;;2:/- 0/<20- CO tJ{)CJ- C) h ;2..0
CI~y+L~
'" )STATE
'T~
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
ZIP CODE
3'3S,......'I1
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION
A-E (in AO Zones. use depth)
) ;) tJ .?-3 S- O CJ 0 ...5- C- J.;)..- /7 - Y r f-~-/-r
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 0 NGVD '29 0 Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, Indicate
the community's BFE: I I I /215T.U feet NGVD (or other FIRM datum-see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level ----1- .
2(a). FIRM Zones A 1-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I I I ~ 1$'1. ~ feet NGVD (or other FIRM datum-see Section B, Item 7).
(b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of I I I I I I.U feet NGVD (or other FIRM datum-see Section B, item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W .LJ feet above 0 or
below 0 (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is W.U feet above 0 or below 0 (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated In accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: ~GVD '29 0 Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM (see Section B, /tem 7J. then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: 0 Yes ~-No (See Instructions on Page 4)
5. The reference level elevation is based on: ca-- actual construction 0 construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate
wilt be required once construction is complete.}
6. The elevation of the lowest grade immediately adjacent to the building is: I I I '8 J5 1.1f1 feet NGVD (or other FIRM datum-see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C. Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance Is: I I I I I I.U' feet NGVD (or other FIRM datum-see Section B, Item 7).
2. Date of the start of construction or substantial Improvement
FEMA Form 81-31,MAY 90
REPLACES All PREVIOUS EDITIONS
SEE REVERSE SIDE FOR CONTINUATION
.. .
.,/
(
SECTION E CERTIFICATION
" 'j ~~'" .
This certification Is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones A1-A30, AE, AH, A (with BFE),V1-V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management Information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community Issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certifier Is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must stili be entered.
I certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME
DAVID G. ARMSTRONG
TITLE
P.L.S.
ADDRESS
5151
SIGNATURE
LICENSE NUMBER (or AfllxSeaf)
,4970
COMPANY NAME
C. FRED DEUEL & ASSOCIATES INC.
CITY
ZEPHYRHILLS
STATE
ZIP
or: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
~T ~2
k/et! ft'tJOOcT
V
ON
SLAB
A V
ZONES ZONES
WITH
BASEMENT
ON PlLES,
PlERS, OR COLUMNS
1~llill
The diagrams above Illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
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