HomeMy WebLinkAbout95-5366
BUILDING PERMIT';-
.....-1KfC CITY OF ZEPHYRHILLS Permit.
-fr:z'2::> ~ (813) 788-6611
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BUILDING ELECTRICAL PLUMBING ~
~:~~~~:;~.'2:l1J;~~w/ J~
-~668
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Date
Zoning:
Description of Work
se~~
oa.
Water Conn: J.:J~.
-~,";)~
Water Meter: :2.'/6, -,. <J.:../
T.I.I~
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's; "0
NO OCCUPANCY BEFORE C.O.
DATE
c.o. 1-/ -9-b
J,,~TE
Inspector /,U: f-l"5 (;U ~
Complete Plans, Specifications and Fee Must Accompany Application.
All wOrk shall be performed in accordance with City Codes and Ordinances.
Valuation or _A... I ") .II -- ~
Contract Price~ ~9~ ,~3,6 ,
Permit Fee
Signature
Company
Address
Telephone#V' ~ 28-. ~8//
City License Registration #
State Certified License#
Tp. Servo SLB
Rough In Tub Set
Meter Can V"//- 't{-qS- Water LuJ6- 1-/ b 'i ~ bLtL-
Const. Pole ~5J.Jlbt'tJ8t8wer l-\~Ii...
Pool Final
Pre-Meter ./-.../1'1'q;;c:: ~T -1f''1i>ftC T1>I:,J", 'i.~
Final
Driveway 8;L<- ~~- ~ ~ 3\11hb- f"~"^-' l~U
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5' - B (.16 ("\\;,tA-"::', 1.0JL.\-~ J---3/,(bpJp 'I.
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: . ^ _ \
(U /}-j ff 111" 51117 ~D,qf'-/
a. Wrong Address 1~5t)~/) /1- ~-7S-
b. Condemned work resulting from faulty construction. .,~ ..<
C. Repairs or corrections not made when inspection called. t-~. 'r1A~~..
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
BUILDING
<?
Ftr. 11...~~5 t5iL ~
Pre SLB J~ tf-t; 5' ~
.
Lintel
FRM. '#J;r,!~t\-L2'\\' 6'()'"
Insul. CL
WL
ELECTRICALt#t)~
PLUMBING:! II,;,
~
Breakers
Ducts Insl.
Compressor
Final
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
URD. tt395/RESOLUTIONS 312/372 WATER $1.75/GALLON SEWER $6. 39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131.25 479.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.60
Water Closet 131. 25 479.2~
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1,278.00
Washing Machines-Domestic Size 87.50 :319.50
Dishwasher - Limited Use 87.50 :319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (:3 Compartment) 175.00 . 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
FIXTURE G.P.D. ft WATER SEWER TOTAL PER FIXTURE
Sinks 50
Water Closets 75 I j6L 25"" 4 74',z-~ to 10 t 50
Uri na Is 50
Lavatories 25 I L.j 3. 7') /5Q. '75 2.03; 50
Tubs/Showers 50 I <6"7.5"0 3 fl. )"0 qo7( LjD
Wash. Mach.Com. 200
Wash. Mach.Dom. 50
Dishwasher-Comm 400
Di shw.Limt .Use 60
Sinks-3 Comprt 100
Car Wash-p/st. 1 ,000
2 02 ~50 Q5cg, ?,v I, 2..21 0C
.
i
WATER t1ETER
2'.1'- ,~
~~(,v
~ L/0b L L~ C
GRAND TOTAL
i,.C~~ &iLLl?):J\ sf
...,,.. -
() \-rll "z..
CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
DRD. #395/RESOLUTIONS 312/372 WATER $1.75/GAllON SEWER S6.39/GAllON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131.25 479.25
COMMERCIAL (PER FI XTURE)
Sinks 87.50 319.50
Water Closet 131 .25 479.2:5
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1,278.00
Washing Machines-Domestic Size 87.50 319.50
Dishwasher - Limited Use 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (3 Compartment) 175.00 . 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE
Sinks 50
Water Closets 75 J 131.25" Lf77. 2.~- (~/O. 50
Urinals 50
Lavatories 25 I '13. I) J 5'1. 1)" 2..03, S~
Tubs/Showers 50 i ~7 t)D 3ICj.;~ '~7. ':JC
Wash. Mach.Com. 200 '\.
Wash. Mach.Dom. 50 0)
Dishwasher-Comm 400 \ ~J /
Di shw.Limt .Use 60 ~f)Y:/ /
Sinks-3 Comprt 100 ., 'f-\:J N
Car Wash-p/st. 1 , 000 r /
262. 5'0 7'-'3 C;u J ~l2.liCC
:), ,
Ai/A
.
II
WATER tETER
AllY+:
r 22-/. vO
I
GRAND TOTAL
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
!>~..' uV
p'R F ct&
OWNER'S NAKE WHEELBLAST, INC.
OWNER'S ADDRESS 2102 ORIENT ROAD, TAMPA, FL 33619
-3 Y.5/
JOB ADDRESS COPELAND DRIVE. ZEPHYRHILLS. FL
LEGAL DESCRIPTION: LOT(S) SEE ATTACHED BLOCK
PARCELLD.' :2'!-;}I:,-,:L/ -.31-
PHONE (813)626-2952
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:-LNew Construction _Addition _Alteration _Repair _Install
_Sign
~ove
_Deaolish
PROPOSED USE: _Single Faaily
_M/F
_' of Units _M/H
_~ercial
-L,Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: SITE WORK. CONCRETE SLAB, PRE-ENGINEERED BUILDINGS, ELECTRICAL, PLUMBING
60 146 8,760 32
BUILDING SIZE: 17 X 20. 340 Square Feet. 11 Height
23 20 460 16
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
-1LBUILDING
$
218,000
Valuation of Total Construction
-LELECTRICAL
600 AMP Service
x Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
-LPLUHBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae ...,LSteel
Other
FINISHED FLOOR ELEVATIONS: 1. 4 FT .
IS PROJECT IN FLOOD ZONE AREA., X
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
OOKPANY CANCO GENERAL CONTRACTORS, INC.
J State Cert. or Regist. , CG C0034164
City License Registration , /..!:>'-6 Y
**********************************
\/
Signature
ELECTRICIAN
Sirmature cU)/~uJ
COMPANY ~~e:- lEu C/~I Z- LcJ .
.... .1 ~ State Cert. or Regist. ,t?./t?dLPL/~6#Cl
"W .. City License Registration t /~?h
******************************************
v
1
PLUMBER Ii COMPANY'
I"'ll _< -~. (J If/' State Cert. or Regist. f
Signature L ~ --(.0, ~ City License Registration t
******************************************
.~
MECHANICAL COMPANY
State Cert. or Regist. #
Signature City License Registration ,
******************************************
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration ,
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A." NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pellit lay be subject to "deed restrictions" wbich JaY be lOre restrictive than City
regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has bired a contractor or contractors to undertake work, they JaY 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 JaY be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirBlents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
788-6611.
FurtherlOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for wbich 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 Jay be an indication that be is not properly licensed and is not entitled to pellitting privileges in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIl!owner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOJeOne other than the
"owner", I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
"owner" prior to COllenCBlent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developllent.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has coaenced prior to issuance of a pellit and that all work will be perfolled to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveI1llleDtal agencies JaY apply to the intended work, and that it is
,y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
t DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DeparOOt of Health i Rehabilitative Services, EnvirOlllental Health Unit - Wells, Wastewater TreaOOt, Septic Tanks
t US EnvirODlental Protection Agency - Asbestos abatetent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a .cQlpensating VOIUlen will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball 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 sball issuance of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pellit issued sball becOle invalid
unless tbe work authorized by sucb pellit is coaenced within six IOnths of issuance, or if work authorized by the pellit is
suspended or abandoned for a period of six IOnths after the tile the work is couenced. One 90 day extension of tile, Jay be
allowed for the pellit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during each sixlOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEJICEJlEIft' MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEllElft'S TO YOUR
PROPERTY. IF YOU IIft'ElfD TO OBTAIN FIIWfCING, CONSULT WITH YOUR LODER OR AM AnORMBY BEFORE RECORDING YOUR NOTICE OF
COMKENCEHENT. JOBS UlfDER $2,500 IN VALUE 00 NOT lfEED TO RECORD AMD POST A "NOTICE OF COHMENCEJlEIft'".
~~rj
-;,~~~
SIGJf TU: R OR AGElfT
STATE OF FLORIDA
COUIft'Y OF Hillsborough
The foregoing instrument was acknowledged
before me this 10/9 , 19~ by
STATE OF FLORIDA
COUIft'Y OF Hillsborough
The foregoing instrument was acknowledged
before me this 10/9, 1~ by
Michael B. Lynch
who is personally known to me or who has
produced personally known
as i tification and who did/did not
tak n oath.
EXPIRES
(Name Typed,
NOTARY PUBLIC ~ . :
~.'tkt;.~
...-
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
5335 8th Street
Zephyrhills, Florida 33540
1-813-788-6611
Date //- /7- ?--s-
. ~ (U
Name 2!~: ~-ez ~~_W)
Address \.?7'-- L ~()~
legal Description .2Y- M6 ->>-39-
~?hk J1Fee
~3b.t, 17 Fee
,~3bb FFee
Building Perm. /I
~ 63;2..,57)
1> J7. ..5~
9:l. I lllJ
Plumbing Perm. /I
Electrical Perm. /I
Mechn!. Perm. /I
Fee
No. of Sewer Conn.
--
. /~I
No. of Water Meters / - _
S;ZS; tT2J
~ K5 -: tJ7J
~,?/3'?L
'I..?,<.-5J
9..s-= 60
-;lr...s:-1flJ
6~ 7--S(). /y
No. of Water Conn.
Transportation Impact Fee
Zone W + 1 %
~~~~1t21-
Total
Memo:
Iht<l!~
./ Signature
WHITE: Bldg. Dept.
YELLOW: Utilities Dept.
PINK: Customer
......
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
5335 8th Street
Zephyrhills, Florida 33540
1-813-788-6611
Date !J-~-95-
Name v;?!IJ -Ck~A1~~'~'
Address .3 _, I ~~..I4A1.f At '
Legal Description ;2. Y - .:J-b - ;l/ - .3 7' -
Building Perm. " S ;3 ~ G::, ;6 Fee ( 6 3 ~ 'L~Z,
Plumbing Perm. " ~ & &> r;; Fee f~, .j()
Electrical Perm. " ~ ,fJ b 0 E Fee r,; J.. ' tTV
Mechnl. Perm. " r-. Fee~
~~IU"il-- ~ Lad (. r / 7, tJ7J
..5 ~,!J--' ov ,
~ '/5-' dV
'(J/..?9'1
.
1(3.S7
.
. MiSC~,/fi1 4w 9,-Sh() -Lrl( 13'-; 60
r:t~/?~1XU~ <-.'t~ ~/-/tI ~ )..,Rs-: /J?).
Total ~1.1) 'V:
~ (pIP'l., ~
No. of Sewer Conn.
No. of Water Conn.
No. of Water Meters
/ - II'
Transportation Impact Fee
h/
+ 1%
Zone
Memo:
~~p..J
Signature /
WHITE: Bldg. Dept.
YELLOW: Utilities Dept.
PINK: Customer
5514 7th Street, Ze:>phyrhills, Florida 33540
INC.
(813) 788-0400
Fax (813) 782-4978
/Lfettre'lr rOlf 7nr,(JUfllSmtitt,a/!
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TO: 0 \'-L. b..;~~ Dale:'\)IJC,. ~LL~ <t ~
Job #: "" Cz Sll <.0
RE: Wtt~~
We are sendillg you:
WShop Drawings
I (] ~opy of Letter
o Plahs
o Change Order
o Specifications
o Permits
Oescri lion
G11l')
\
~ Col\.t-.i~ ~o~
These are Transmitted as c11eclced belo1v:
i"J'or Approval ~F{)r Your Use 0 As Requested
C} ;;or Signalure Oi ;{eVisc and Resubmit
~'or R~and c~mmenl 0 7; Bids due b; . 1995.
,Remarks: -;t: \- ~ \<;;. ~c.usp:p L~ - (\;:oo. tlb G f~ kvwy
, 0 uYl,8.1 L (0 IL \J\-\~ ~--,
Copy to:
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PASCO COUNTY, FLORIDA
Permit No.
.-......
-....-.,Jo
County Parcel No.
.
, I
',~J ~,~,)
Date PerIl}itted
/
'* ./
/
I
Builder NamelOwner Name
--~~
A.
Location. .
Subd.
r "':'-..-P
.....,--
ClassificationlType of Use
\, ~:,
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
. Impact Fee Amount $
The above impact fee has been 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 D
RESIDENTIAL
NONRESIDENTIAL
No. Units
Gross Sq. Ft. (GSF)
RatelERU - 50.00/Year
or $0. 137/Day
ERU Assign No.
I
,...l.~
.
Assessment - (No. Units) x ($0.137)
x (No. Days)
Assessment - .\ I.f ~ '. \ \
(GSF) x (ERU) X (~7) x (No. Days)
100
TOTAL FEE $
TOTAL FEE $
..-
. d "
- I
.://
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 mE 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
DATE
.IL. '..1
L" .
1'" .'_' DATE !.
-,,-~
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
!
!
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BY
BY
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.I
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC931130941 A
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PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
Builder NamelOwner Name
i
. I
County Parcel No.
~ ~
"~..
j
L . I
t', : .r.
Location
Subd.
ClassificationlType of Use
\....-...,,
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./U nit
Prepared By
Impact Fee Amount $
The above impact fee has been 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
Gross Sq. Ft. (GSF)
i.
No. Units
RatelER U - 50.00 IYear
or $0. 137/Day
ERU Assign No.
f
.' !
,
.,.,.,.w"U,/f
Assessment - (No. Units) x ($0.137)
x (No. Days)
Assessment - '"
(GSF) x (ERU) X (0'.139} x (No. Days)
100
TOTAL FEE $
,
TOTAL FEE $ -L
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
Receive? By
OFFICE USE ONLY
I /
}
I
I
,.~.. .-....,-
, BY
\ I ! / t('~: BY
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TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO. .,
DATE
J i L'
/'.-_ DATE
\
,~.
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/A