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Home My WebLink About95-5045 BUILDING PERMIIo- CITY OF ZEPHYRHILLS Permit N. (813) 788-6611 ~~50f~ J3 1/ t? tTD BUILDING .2~ ': tf-i) ELECTRICAL Date ;; -;);;l '-7 -i>- ~"':dV PLUMBING ;;2.0 - LTV MECHANICAL Sewer Conn fr 0'z:J- t:.1V Water Conn: c;l..b"zJ, LJ"'V Zoning: " ~gy ~ " Radon Gas: Description of Work ~ .fi/- ~~ - / NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee Signature Company Address Telephone# Valuation or Contract Price City License Registration # State Certified License# -.;.J!;L 40 /\1".<1 .q, '~~a BUILDING --L1~/~f~ ;26t ELECTRICAL ~jf-Aj~~ ~c~ - -4~~, o / PLUMBING MECHANICAL /9"~ Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can t .2J - 9'Z;- Const. Pole Pool Pre-Meter SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway F;~/~-'i.5(!a-&.JL~ ~ -tv 6?~~ U? cE"2J6Y:>nJ~!.tL N~ /~1 (/-c:ztS, 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: ..- a. Wrong Address V~ ~J ~ 6'~ -9~ b. Condemned work resulting from faulty construction. , L1 L .--- c. Repairs or corrections not made when inspection called. ~ ' () G" I f-/ J d. Work not ready for inspection when called. " 4K<JL tJ ,9 e. Permit not posted on job site. .' L... 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 PERKIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT OllIIER'S _ (~rr,/ V OWNER'S ADDRESS fI~ ~f?/ff~ . S/2... PHONE 71(.3 -bO j~ JOB ADDRESS 3~o ;;L6 ?~ 1'9'1'1/1;) t9 I? BLOCK ?OOfJ r 2</17/?jtl/~ ~/ SUBDIVISION WA'fk/~tJ M,Vf/ LEGAL DESCRIPTION: LOT(S) PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~W Construction -..Addition ---Alteration _Repair ~nstall _Sign ----'love _DeIIOlish PROPOSED USE: ~S~leF_ilY _M/F _' of Units _M/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: ):;vJiAl /A--f-tOA/ c;f' /Z#dbrle Nor14J./L. BUILDING SIZE: ~r X s6, Square Feet, Height RESIDENTIAL: COMKERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS, OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED POR ALL NEW CONSTRUCTION. ~~LDING ~LECl'RICAL ~GlWlICAL ~PLUMB~NG $ W.R.E.C. $ I 700, 0 iJ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF mRsTRucnoR: _Block _Fraae _Steel ~ Other FDJISBED FLOOR ELEVAnONS: Fr. IS PROJEct IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION mKPANY ~/1/IJ.IS~ A#o6{!e 1r:k/JHe..r State Cert. or Regist. . CO f:) F-lftr6 City License Registration . .......................................... RI.RCTIlICIAII . COIIPAIIY ~ -"'-V fljie 8~~~<o 'il:;vc.- -U _ ~ State Cert. or Regist. . 1..('396'5- Simulture ~ City License Registration . ::2 &. (:; . -- - . ... ...................................... PLUMBER 5dU ~ COIIPAIIY 5:'CAVr? ISe ~r/#c ~ State Cert. or Regist. . 00 criS' Signature City License Registration t .......................................... IlEGBANlCAL ~ COIIPAIIY ~~P(!i'.e S&e.,>"~4 b OJ . State Gert. or Regist. . ~:3 'hS Signature ~ City License Registration . / Jj t.. ~ .. ....................................... ' BIJII.DER ~~ Signature OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . ............*.....*.....**................ APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, 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 lay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents JaY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the "Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the City of Zephyrhills. 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 - HOII!OIIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is SoteOne other than the "owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner" prior to cOlleDceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land develo.-ent. Application is bereby lade to obtain a perait to do work and installation as indicated. I certify that no work or installation bas COJIenced prior to issuance of a perait and that all work will be perforted to teet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is If responsibility to identify what actions I lUSt take to be in coapliance. Such agencies include but are not lilited to: t Departlent of EnviroDJental Regulation - Cypress Bayheads, Wetland Areas and Rnvironaentally Sensitive Lands, Water/Wastewater freatlent t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Aray Corps of Engineers - Seawalls, Docks, lavigable Waterways t DepartJent of Health , Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater freatJent, Septic fanks t US Environaental Protection Agency - Asbestos abateaent I also certify that, if' fill taterial is to be used in Flood Zone "A' or "A,etc.", it is understood that a drainage plan addressing a "coapensating volute I will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid unless the work authoriled by such perait is COJJenced within six IOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sil IOnths after the tite the work is ~ced. One 90 day l!Itension of tite, tay be allowed for the perait with fee charge of $15.00. file l!Itension shall be requested in writing to the Building Official. An approved inspection lUst be logged during each Sil JODth period, or the project will be considered abandoned. WARMING fO OWNER: YOUR FAILURK fO RECORD A IO'I'ICE OF C(JIHIRCEIIBHf MAY RESULT II YOUR PAYIIG TWICE FOR IHPROVBHmS fO YOUR PROPERfY. IF YOU IIfEMD TO OB'l'AII FIWCIIG, COMSULf 111m YOUR LEMDER OR AM AnomY BEFORE RECORDIMG YOUR MO'flCE OF COMHDCEHKNf JOBS UNDER ,500 II VALUE DO MO'I' MEED TO RECORD AKD "IO'fICR OF Cmlf". SfAfE OF FLORIDA ~ coum OF . a t! tJ The foregoing ins~ent was acknowledged before me this f, 19-fr1iy SfAfE OF FLORIDA \ /J coum OF 'fi S ~ iJ The foregoing inst~t was a~9!!edged before me this ~ / f ,19 ~ by who is ~allY ~ to me or who has produce as identification and who did/did not U~~fY~~ (S1 u) (Name Typed, print-Ad., " or'ustllilfMft'l .C-':" MyC~'CC487311 NOTARY PUBLIC ,.{', * ExplreeMay.24.1. f(.' ' , Bonded by tW ~ ~ i ~,.~ OF f...!!j~~ 800-422.1_ ,) who i~rsonally kn~O me or who has producea- . as identification and who did/did not ta,~~ oat~ :;) / ~ y-- (~atu~ ~ (Name Typed, Prin~~tl or ~ NOTARY PUBLIC ~'\~'(~ MyCom'nlll8lonCC48'7382 *'fiiJf * ExpInIeMay.24.1889 ~W1. ~ Bonded by HAl 'fA ...~ 800-422-1_ .~D' ,..." ., .. 1'1- ;).6 -?- / - O/bO - 00000 - CJI'10 ~,sr 5'6:-l~~ cst\1lLL PL I 20 IV'tItU lit.( U;c.1 I SlbL S('T~ S1-\t~l.L &;:.. 7,;.5 1V1II11IHAU~i f<tifHL 61L:rB~ $~ALL B l I I D It/lll\/ I nA~ '::t- r'" . o . ~ 0 · ~ - - B i7'~ ~ ~-! ::u.. - Au- Il1f..4StJtl.Ji.f1A..61\JfS Pfl.OlV\ pfl.6e(ljt,'1 LJ,\J r;.. s . (0 ~ rut. tvt ArZJ<filL5 S1~'- .5 ~ I DMlTI tllii:) r;", lill~11 ~rJ ( -:; 6 0 ~ . , '?J't _ 0_1 - c:- c::: ~ AlA; !VJO PI Loof / ---..J ~~ S6l- ~~ Lo'f-f~ ~ II '- ----------------------~----_._----, c.ONn:;;{4C:TC)fi: # ~ NAr1E: ~;r?\NLEV .(UPIDLOSkI ADDR= 38026 LAWANDA LOOP C/ST: ZEPHYRHILLS FL C E N r R ALP E R MIl T PASCO COUNTv. FLORIDA I !\l (;i [I{4TE: 0:3/ t:3/9~~ PACiE: 1 OF 1 (~::~=:;UE OFF' I CE : D RECEIPT NUMBR= 00257101 OFFICE: DADE CITY F'Cli'~: :; CHECK :j:t 2502 RESOURCE FEE ON PERMIT 5045 8 CITY OF ZEPHYRHILLS Fl 114 TOTAL AMOUNT: COMPNY ACCOUNT CENTER 8450 - 363000 - 0 1:3.5() fiCCf\IT AMOUNT DESCRIPTION/PERMT DATA DRieR 18.50 ****** SOLID WASTE FEE 60 _\-<>s..:...~~---::.:'-i'~ /"'~\ /'" I::;'Ff'L:}" IE-'['l B"'vl" (, \ "':~'.:;"'i~ ~:>~rh__ ~i..-') .__...._"(....> Y.- ~ " '~""'~"'"'-"-'--~_,,;-.;).....~....:a...-.......~-~-.~_ .::0-_.__.......____ f'" . ,.. .~; .-:/' - 7'!ir - - - -......~''''~~''~..._~'J.........',1F.f>~.;:........''r.;;>4..__.~4-' 9'- .... . .,.. ,;~ r- ,-".f- -.c''r....;,-'' ,r .,- .,;-.,....,. ... .' fI PASCO COUNTY, FLORIDA ...-: "'"-i, -, I'"', Y j J ( l-- __,..J ,,-,>, l ~ \ I t-' '\'i'l-' I n 6..;;. J.-.l' Permit No. Date Permitted Builder Name/Owner Name County Parcel No. /.'.", ..-:--. '.. ~. / ;/ Location "'-'-"---...-.-... ,.-' Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./Unit -...'.--....,. Prepared By Impact Fee Amount $ ~--' --'- -~- ~' The above impact fee has been establis~.edl'(rfs~~nt to the Pasco County Transportation Impact Ordinance as adopted by the Board of County Commis~ione'fs. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the pennitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT 0 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 . 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 . g~/~-4~0'~Jlf) ~-p. ,;1' ~~(P P;o' '-/'fi.,,~ j,iL- t.o Office' ~ Bldg/lnsp White Applicant Canary Trans/Finance Canary RR/Finance feecal:ce -~-'---~-'-' ._-------------------._----~----~-----_. --'---