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Home My WebLink About95-5078 BUILDING PERMII- -;- . ~ CITY OF ZEPHYRHILLS permitN! ,~5078 (813) 788-6611 1-5 _oS- Date {- ~I- BUILDING ~ Sewer Conn ~I- Water Conn: ~.- Water Meter: / Co!:>-" - T.I.F.'s: 9{Z.,- Inspector Permit Fee ~() ....L~ Signature t/~/I~~~ L:~ l\~ !' Company Address Telephone# FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Itin1e heme FPC I-tal ~ 07/18/95 08:03 A.M. Valua..on 0' ~ · Contract Price '7- DATE City License Registration # State Certified License# ~d( fbL4" c,/ ~ff.-" l ELECTRICAL PLUMBING MECHANICAL ~v(~k.ti, BUILDING Ftr. Pre SLB Lintel FRM. Insul. CL D'iV.n~~~rt'i p.Lt Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Me~r ~ t:i .j /!-- Final t- J -1 WJ- SLB Tub Set Water Sewer Final 1-1'7 ""'/5 ~ L L C:)~r-j~<d Breakers Ducts Insl. Compressor FinaI7.-/~--Ci 5/~ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: ~~. ~~ ;?-/3.-7~- t<L / ~-- (3- y.J- a. b. c. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. , APPLICATION FOR PERMIT CITY OF ZEPllYRHILLS BUILDING DEPARTltERT .' OWNER'S RAHB f/$ fl () II? OWNER'S ADDRESS .3 Ii- CJ O~- /2IAo.de~ LA- W~IVOA I-ef?OLJ , PHONE tf(J. - ') 8"'3 "toy? f)~ Iv ~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) ~t f BLOClL--SUBDIVISION l~//9. VIL/ /J.I<.P ).I~/;? ... I PARCEL I.D.' /'1- ).6-,;).1- CJ(t 0 ."OC\:::tl:) - OslO (OBTAIN FROM PROPERTY TAX NOTICE) IiOJlK PROPOSBD',--.JIew CoostEuction -.Mdition --"lteration ---..RePair 0nstall _Si8n --...Hove _Deaolish norosw~E: ~~eF_i~ ! _KIF _' of Units 4~/H _ec:-ercial _Indust. _Swia. Pool _Other .-Restaurant & Health Departaent Approval DESCRIPTIOIi OF WORK: Jr,f/>flf//~o~ of:' ~t<1e Jk~.e. BUlLDIliG SIZE: J4Yl/ X 45' , I,) '])., Square Feet, Height RESIDEBTIAL: A1"lACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. CmtKERCIAL: A1"lACH (3) SETS OF BUlLDIliG PLANS & (1) SET ENERGY FORMS. nOPERTY SURVEY REQUIRED FOR ALL NEW COIiSTRUCTION. -6U1LDIliG ~ELEcnuCAL -.4mCIWIICAL -LPL~~G $. PERMITS REQUESTED '17 1<.'&1,,41(. 0" 1)0 {J Valuation of Total Construction / /.~'o AIIP Service Florida Power Corp. W.R.E.C. $. /'?:.xJ. , Valuation of Mechanical Installation GAS ROOFIliG SPECIALTY TYPE OF COIiSTRUCTION: ~loclt _Fraae _Steel / Other -L YES NO FlliI.SHED FLOOR ELEVAnOIiS: "'. IS PROJEct Iii FLOOD ZONE AREA? ......................................*... ::=\~y2~ }~-.Ii COKPANY V/<;( ~ ( . State Cert. or Regist. Signature liS ~ .) City License Registration' I IlECHAliICAL ~ ~...,..:.,.."~.~.~r;s::::..::[~~ ~~ . . I State Cert. or Regist..;o J9~.s Signature ~e ~ J" City License Registration . J l>.S .... ....*..................***.**........ COliTRActOR SEctION .mIDBR ~:PO~- . COMPANY is.\? , . State Cert. or Regist. . Signature . . ~ City License Registration . ..........*............. ............... b.. ",-Inv. \:.11 r-.. . t t d~COKPANY liCO(t I"Q ~ e(t./J 1:fi j, ~ State Cert. or Regist.' . , . "'-I? ~/) . ~. /' City License Registration . .~.......***.**.*.*..**.******.....*..*.*. ~ PLtDlBER OTRRR COKPANY State Cert. or Regist. . Signature City License Registration . ***********.********.******************... APPLICATIOIi APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit laY be subject to 'deed restrictions' wbich laY be lOre restrict~e than ~ity regulations. the undersigned asSUles responsibility for co.pliance with any applicable deed restrictions. ." B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired 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 .isdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the IContractor 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 wisbes 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 - HOIeOIDer's Protection Guide' prepared by the Florida DepartJent of Agriculture and COnsUlBf Affairs. If the applicant is sOlBOne other than the 'owner", I certify that I have obtained a copy of the above described docUlBDt and prOlise in good faith to deliver it to the "owner" prior to COllBDCelBDt. E. CONTRACTOR'SjOWNERrS AFFIDAVIT I certify that all the infoIlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, laning, and land developent. Application is bereby lade to obtain a perlit to do IIOrt and installation as indicated. I certify that no work or installation bas ~ced prior to issuance of a perlit and that all wort will be perforaed to leet standards of all laws regulating construction, City codes, loning regulations, and land developll!llt regulations in the jurisdiction. I also certify that I understand that the regulations of other governJelltal agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in colpIiance. Sucb agencies include but are not Ii.ited to: t Deparuent of EnvirolllleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater TreatleRt t Southwest Florida Water Managel8nt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Ravigable Waterways t DepartJent of Health & Rebabilitative Services, InvirODleDtal Health Unit - Wells, Vastewater Treatlent, Septic Tanks t US Envil'ODllental Protection Agency - Asbestos abatl!llent I also certify that, if fill .aterial is to be used in Flood Zone lA' or "A,etc.', it is understood that a drainage plan addressing a uCOIpBD8ating volUIB' will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle invalid unless the wort authoriled by such perlit is COIIeDCed within sillODths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sil IODtbs after the tile the work is ~ced. One 90 day Bltension of tile, laY be allowed for the perlit with fee charge of $15.00. Tbe Bltension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned. WARRUG T FAILURE 10 RECORD A RO'I'ICE OF COIMDCBMm MAY RESULT I PIYIRG twICE FOR IMPIlOVEIIEIfS TO YOUR PROPEJm IF OU I E1ID TO AIR FIIIAIICIIG, CONSULT WI'fH YOUR LE1IDER OR no FORE ORDIHG YOUR IO'IICB OF COMMER . J UNDER 2, 0 LOE 00 10'1 REED TO RECORD AHD POST I RO'IICE C STATE OF F~ .. ~'?'\ coum OF C\..SLQU. The foregoing ins~rument was Ac~ledged before me this::X: -1 ~ , 19~ by STilE OF FLORID~ COUNfY OF r 01 seD The foregoing instrument was a~~edged before me this ~, 19~ by who is person~lY known to me or who has produced ~ . as identification and who did/did no take an 0 who is p~ known to me or who has produced as identification and who did/did no take an oat (Si ed) ... ~-~-,. C 620.- 7yj"- C(r"- 22.0'- 0 ;:-v '. /'1- u - '}--( - o/fo- &c?cvo- OJ/a L Q t- 31 5.00 ~ 1 '.:!. , \J ... If~ € aD / 'V l':rO/~ - '7 ... d: Q ~ ~ I , ~ ,. ~ "1; I 1- r ~ ~ I ~"j \; t ~ -- ~ ).L {t I~ J a- S( +; - ~~ U \ ([ t) l' \ ~.(j , \\ L fl'tllAPDI1 !c)Of DRIV~ V 'If.... L/ ;:.~"}\,'f"~JIl-~ /,>:,~-::-~",.!"j:\ f <'" '::_: '-':;~~~j'''~ ''''1'' I ''''-' ,,_,~Y>". "",.,.1;"''--'' ---:-::-~~- ""1"~-t_________ .." ....,. ~ "4' ~ "'. ~} PASCO COUNTY. FLORIDA Builder Name/Owner Name Jl-J,f /J! /~ County Parcel No. /}/-;)6 - :J-/ - 0/ b 0- " CJ CJ c:) C' - CJS/ D :2 . ". -./) !fl Location ,-""cf (j () S - ..__ \/ ,t.A..<r:-~ 0' .::.~ \/-ry:;J Subd. Classification/Type of Use ~.e.<2-( .~.i.4''--l..'2 LJ Permit No. .-5-0? ~ 13 Date Permitted ./ - ~...... - y S - TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./Unit ~ P By / Impact Fee Amount $ , ,"/ or authority to utilize ( 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) TOTAL FEE $ ~6. ~ Assessment - (GSF)f'x (ERU) X (0.1315) x (No. Days) 100 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 THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OmCE 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 sanle. Date Received By ---------------------------------------------------------------------------------------------------------------------.------------------------------ I I E~ B :... , I! Bt1{J~ ~. I OFFICE USE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. No.~3YJ S DATE DATE-=rJ13 )~S White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce