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Home My WebLink About95-5044 BUILDING PERMit 0- CITY OF ZEPHYRHILLS permitN. -;~504t /3 (813) 788-6611 Date t ---,J;) -Y.s YtJ.o-o BUILDING 2-5-: c.YD ELECTRICAL 3.5'.. C7V PLUMBING .;z () - en) MECHANICAL Sewer Conn Jj tJ-p . tJ-b Water Conn: ;J.(Jz) . t:lV Water Meter: J 6...1:)-. tJi) T.I.F.'s: 9Y.).(JV 1-;JY,'7~- P,"perty Own." ;Jfrj tf:=Z . JobAddress:~ -.5- ~ I::>. ~ ~~ Parcell.D. # I'/-.'J 6 - ~/ - .;;&.:f- ~? Zoning: ~ Code' Description of Work JJ1 . 'M.~ . Radon Gas: ~r-~ NO OCCUPANCY BEFORE C.O. FINAL 7-.:J- DATE C.O. ./'" - -; - 9}:.- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Permit Fee Signature Company Address Telephone# Valuation or Contract Price City License Registration # State Certified License# J.tu.AA'~ ~J _Pr;tJJA/~~_..c::AJ;"~:-J ~I'&'~ BUILDING ELECTRICAL Dlb b . PLUMBING P'JI:&' MECHANICAL /Y f:, - MI-u' Breakers Ducts Insl. Compressor Final ',r Li.~ S- ~ Tp. Servo Rough In _ Meter Can i ~ -9--S Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Co-z..~q) Ftr. Pre SLB Lintel FRM. Insul. CL WL h,J~ ~(~OIL~ Driveway 0 -it ':) r REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: - ..~ 7v~~J~~~1 ~-;l~ &J1-:J.if1j 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. a. b. 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. ,.._".-"...~- .-.- ..-,............."...."'...,,.... <~_'""'".',._.~~~._.-,-_.....~......""""f,...',..~~.. APPLICATIOR FOR PEBKlT CITY OP ZEPIIYRIIILLS BUI.LDIRG DEPARTHERT ClWHI;R · S )LUIR j f2 rut '/ II. Afto/\-~S s~ PHOBE ~,703-bOg? OWIIER' S ADDBESS Z~fj; y~ hI '(If / WA(W;<V<D IMPI() JOB ADDRESS 3 80S J LEGAL DESCUP'fiOR: LOT(S) PARCEL LD.' (OBTAIII FROII PROPERTY TAX NOTICE) . WORK PROPOSED: ~ew Coastruction .--.Addition ~teration --.Jlepair LInstall ---1!Jign ~ve --Peaolish PROPOSED USE: ~ing1e Faaily ----lt/P _' of Units ----lt/H _ec-ercial _Indust. _Swia. Pool _Other ---.Jlestaurant &: Health Departaellt Approval DESCRIPTIO.OP WRK: :r&,.>-4-//l1iHolf/ 6r ~b(~ - ~~ BUI.LDIRG SIZE: ~ '-I X 1y. Sq~re Peet,II~.z..Height RESIDEI1TIAL: ATrACR (2) PLOT PIAIIS &: (2) SETS OF BUI.LDIRG PLAHS &: (1) SET DERGY FOlUlS. COMKERCIAL: ATTAaI (3) SETS OP BUI.LDIRG PLAIIS &: (1) SET DERGY FOlUIS. PROPERTY SURVEY REQUIRED FOR ALL HEW COIISTRUCTIOR. PERKlTS REOUBSTED ~UILDIRG Ih.RCDICAL ~CAL ~~~G ;;2.~ '112J2 Va1uat~ Jf Total Construction f}...t;? 0 AIIP Service / Plorida Power Corp. $ I/OD~ C> c) H.R.E.C. $ Valuation of Kecbanica1 Installation GAS ROOFDfG SPECIAL? /" Other TYPE OP mBSTRucrIOR: Rloc1t _Praae _Steel FDIISIIED PLOOIl ELEVATIOIIS: F'l'. IS PBOJECl III FLOOD ZOBE A1lEAT YES NO .......................................... ~~ nTRRR COMPANY State Cert. or Regist. . Signature City License Registration' .**....................................... APPLICAnOR APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this perlit lay be subject to "deed restrictions I wbieb laY be lOre restrictive than City regulations. Ibe undersigned assUIeB responsibility for lDIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors ' to undertake wort, they laY be required to be licensed in accordance with state and local 'regulations. If the contractor is not licensed as required by law, both the owner and contractor uy be cited for a lisdBleanOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents laY apply for the intended work, they are advised to COIltact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurthertOre, if the owner bas bired a contractor or contractors, be is advised tobave the contractor(s) sign portions of the "Contractor Sections" of this application for wbieb they will be responsible. If you, as the owner sign as the contractor, you are indicating that JOU, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN'LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - ~er's Protection Guide" prepared by the Floricla DepartJent of Agriculture and ConsUlleI' Affairs. If the applicant is 8OJIl!ODe other than the "owner", I certify that I bave obtained a copy of the above described docUIent and praise in good faith to deliver it to the Howner" prior to COIIeDcetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIliltion in this application is accurate and that all work will-be done in COIIPliance with all applicable laws regulating construction, loning, and land developlent. Application is bereby lade to obtain a pertit to do work and installation as indicated~ I certify that no work or. installation bas cmlenCed prior to issuance ofa perIIit and that all wort will beperfoI'led to _t standards of all laws regulating construction, City codes, loning regulations, and landdeveloplBnt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies uy apply to the intended IOfl, and that it is If responsibility to identify uat actions I lUSt tate to be in COIpliance. Sueb agencies include but are not lillited to: I DepartJent of EnvirollleDtal Regulation - Cypress Baybeads, Wetland Areas and EnvirollleDtally Sensitive Lands, Water/Wastewater !reattent I Southwest Florida Water Hanaguent District - Wells, Cypress Baybeads, Wetland Areas,lltering Watercourses I Arty Corps of Engineers - Seawalls, Docks, Ifavigable Watenays I Departlent of Health i Rehabilitative Services, InvirODlBlltal Health Unit - Wells, Wastewater !reatJent, Septic !ants I US InviIOl1lental Protection Agency - Asbestos abatelent I also certify that, if fUllaterial is to be used in Flood ZOne "I" or "I, etc. ", it is understood that a drainage plan addressing a "COIpenSating volute" will be sublitted wbieb is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A p~it issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical cndes, nor sball issuance of a pertit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery, perUt issued shall becme invalid unless the wort authoriled by sueb perlit is COII8Ilced within sillODths of issuance, or if wort authoriled by the perlit is suspended or abandoned for a period of sillODthsafter the tile the 10ft is ~ced. One 90 day atension of tile, uy be allowed for the pertit with fee ebarge of $15.00. !be atension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandoned. WARllIlfG 'fO (JfIfER: YOOR FAILURE 'fO RECORD IIO!ICE OF CCJIIIDCIIIBIfI MAY RISUL! IIf YOUR PIYlIG !IIICE FORIIIPROVIIIBI!S 'fO YOUR PHOPIIm'. IF YOU II'fIID '10 0BI11If FIIBCIIG, COBSOL! WID YOOR LBIIDIR OR IIlftORDY BIFORI BICORDIIG YOUR JIOl'ICB OF ~ D . 0 II III 00 IllIIDO to IIICORD lID ~~ SI SIGlA!URI: R SUR OF FLORIDA L//,d Q A coum OF r Ir~() The foregoing i~trument was a~owledged before me this )/9 , 19~y , , S!A!E OF FLORID! ..."l coum OF ~/l-M. U The foregoing inst~ent was ac~owledged before me this ~ ,/y , 19 9 ~ by who is personally ~OWD to me or who has produced as identification and who did/did not tak~r~~ (~a ure U (Name Typed, Printed or Stamped) NOTARY PUBLIC 11 :"'~~ * Explres May. 24. 1999 * Bonded by HAl ~ ~ 800-422-1586 "''t OF ,... f)<Ii' who is p-ersonally known to me or who has produced as identification and who did/did not ~oatb.. ~ ~~~ , , (S. a ure)C~ . \ (Name Typed, print"~(lt~~ NOTARY PUBLIC .* ~May.24.1999 * Bonded by HAl ~ ~ 800-422-1586 't OF ,...~ It{- J-6 - ;)--{ - cJ /60 -OOOG10 ,- 0S~'''''o frtp,sr S1i--r&\c-~s ~t1 ALL S~- 20 I (Vt IN II> ~1Df-5fi-.Tf::soc\:..":> S r)A-LL. 'Bi.. 7,5' i M)~ \0 IN(~{L _ " I t/ ")iN 1"7f AI \r e..-~ t\ \) ., ,( , (!P#L <j)frr.,5~K Sr/tqL.L ~~ IOr<IAi. ftl-L j1A&ltStJrue..~T~ 5.ffiLLPL. mOi'1^- f~~'i l-/~LS ~ (, ~~f=-(L f'/lI'tfl.(tU-> .~ gf- I ~Alfl6.J:) r;;"t. lNSpfC17cW -~,9i , II,.. ~ 1 S"-t5Avl< ~ 5 nep * v ~ -f- ~ ~ ~ ~ t ~\4 u ~ ct D ~ ~ ~ -i ~Q.J 6L- ';1:<.. ,,,,ft eeL/'" . <f {J Q 3~,q6 i , ~ I.)" ~ - ~ ft- '~ X. . j'1.~io{ t\~ <-~' ,> ~ . ~ -If L €vubl,1S i f1 IJ/Q-- - -- -~-'- --.---- -'--'~ - - -'_._----~ -- --- --- .. ,. >(' i. .. C E N T R ALP E R M I T T PASCO COUNTY, FLORIDA DATE: 07/:::::4/':;":5 FAGE: 1 OF 1 I ::;::::;UE OFF I C:E: D RECEIPT NUMBR: 00254305 OFFICE: DADE CITY I !'~ 13 C:ONTRACTOFi N?~1'1E: PtcHJl. ADDR: 4316 ROBBIN C/:::;T~ T{)MPA :j;t-: 00:344(;. [l f";iOLD::::TF I !'J LANE FL :33/:.0':;; F()F< ~ CHEC.t< # 2::::Lj:3 SOLID WASTE FOR CITY OF Z-HILLS CONTRACTOR~ 008446 PERMIT #50448 TOTAL AMOUNT: 21.92 AceNT COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/PERMT DATA DRieR 114 B450 - 363000 - ~ 21.92 ****** SOLID WASTE FEE 60 ,/ ;' \ , /'. ('-' ".1 \ RECE T VE~!- f;'~ .',~~"-.~::::':.:"~_,_._:~~':::),,.__~,..~:...._Lh,=t~-Gl~ .........-._-~-- ....---- "~~....- .-...- , '" ~" , "~~",.,,. ~';~",-'''''''''''-''.~'J''''''''.''-''-..I'''''-''l '~~,_., ,.." PASCO COUNTY, FLORIDA .. . .. ~ '.., ~/, / ) Permit No. ~'--' Date Permitted f< ),~ /-~ Builder Name/Owner Name '. 1 .-- , "\. , . \.... , ,~- '-! ; , ,.' I! -;7"- .,""? ,/-(..',.. County Parcel No. / ~/) t"') / ,./;--1- S J - f/ '( j Location ...:.',' > (, "...) / .,.:. <( ......,.., 1-"" f., . '.J Subd. Classification/Type of Use /// "',,, t'r /fr-'- ,.1J.' "/ j rI.-{.~-~-~ ---" I TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. Impact Fee Amount $ -------- Pr~pared By ....-'~~-- ..--- Sq. Ft.lU nit ---.- -- The above impact fee has been establ" pursuant to 1he-E(l.~co County Transportation Impact Ordinance as adopted by the Board of County Co .' . ners. This amount is payabie-ilRjOR to the issuance of a Certificate of Occupancy or authority to utilize thyp6mitted structure. ",...,-_r............ RESOUR,Se-RECOVERY ASSESSMENT EXEMPT D RESIDENTIAL NONRESIDENTIAL No. Units J Gross Sq. Ft. (GSF) Rate/ERU - 50.00 x 0.96*/Year or $0. 1315/Day ERU Assign No. Assessment - (No. U nits) 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. :'1;< 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 limply receipt of a copy of this form, placing the building permit owner on notice of this assessment and the conditions of payment for same. i to., Date Received By ~ 1 1 OFFICE USE ONLY TRANSPORTATION REC. NO. - DATE RESOURCE RECOVERY REC. N~~:)~,)c~i5 DATE 7 I BY ,,,--",,J ',{ r. (-" i. I I _--:"/ 1_--, BY I ,. , '\ J ,--~." White Appl!cant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp 'I\" feecal:ce -'"