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HomeMy WebLinkAbout95-5378 BUILDING PERMIT- IV! -; -. 5378.1. y') , CITY OF ZEPHYRHILLS Permit. LU (813) 788-6611 Date i J -/3 -.7~- 1; O. t7V BUILDING 3S':. .:5D ELECTRICAL 3-J,.-. e/D PLUMBING 02-0, oV MECHANICAL Sewer Conn i.:L) <f; po Water Conn: .3.(1')., I.rv Job Address: ' Parcell.D. # Zoning: 7fn~rgy ~~de:_ Description of Work !J1 ~L ,Wrn-o T.I.F.'s: 11- o Radon Gas: ~/-~ J:~- 1/111 NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # 5-~~ State Certified License# Permit Fee Signature Company Address Telephone# Valuation or Contract Price 1/4 lI-./'7\,?;:;;J-~ BUILDING ~ffl L ELECTRICAL dS /' Jl f((j-&7A1 /o&-- . PLUMBING - /f~ Aje. MECHANICAL; 8' Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can //-11-7-.<./ Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final Driveway a. b. c. d. 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: 7J~_~--:!l'~/ JI-/S--Y~- ~/o-~-91 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. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERN1.T CITY OF ZEPHYIUIILLS BUILDING DEPARnlENT ~/' ;' , tJ~ " l / :: ~ ~ 'is PH~N~t3 ) l S" L- -7 ~ f b' APPLICANT ~ER sfAT-=t:. ADDRESS -3 ~ 2..(01 H uJ Y 5~" [.0 EST H ~ ~ IJ\lruls TATt Jon LOCATION 376'-15 PR..A/JO PLAli- . L01 '07 Db? 0 BwcJ<tft'Oa7sunDlvlsION 'Zt::.PI-t yf'l 3 - 26 - Z I - 6 J ~ () - {J {)tJ 00 - (')b 7 () O\\NER LOT SIZE~X I O{) !\REA SQ. FT. (; 0(/0 ex OG-E.- LEGAL DESCRIPTION: LOTes) PARCEL I. D. 1/ IWRK PROPOSED:~Nel~ Construction _Addition _Alteration _~ep:.1ir _Install _Sign/Temp. _Sign PROPOSED USE: JSinr,le Family ...:--M/F _t-love _Demolish _Commercial ~Indust. _Ii of Units l _SI.Jim.. Pool . .~rl/H Other IlUILDING SIZE: _Restaurant & Health Department Approval ;) ~~ L/ )~: 12'60 Square Fcc t , / .ST~f2V Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [, (1) SET ENERGY FOR:1S.** CNmERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS.~:* **COPY OF CONTRACT REQUIRED. PF.RMTTS REOUESTED LBUILDING LELECTRICAL $ 2<170fJ . l5 () AMP Service /600 .' Valuation of Total Construction Florida power Corp. -*-h'.R.E.C. _rlECIlANICAL LpL1Y:lf3IiiG $ Valuation of Mechonical Installat,i,on GAS ROOFING SPECli\LTY ;J;;fI Other TYPE OF CONSTRUCTION: _Block ____Frame ____Steel fINISHED FLOOR ELEVATIONS: FT. *********~******************************** ~ONTRACTOR SE~ . Company -H1::i-t' :c ~f~~mT€ State Cert. or Rccist. 0 3C1 City License gcr'..i~;t..I,;\t".inn il ~...;l JQ ********~****************~**************~* Company jJ el---Sa t-J rZ Y ('{) A-N State Cert. or Regist. 0 Signature City License Rcgistl'ClLion I,! { () X , . *************************************+.+.*** [lEClIANT"_A'. ~ ~ ". Company BA+H~ <s QrLDPA"NE. <Lrrj c. L4I1 A - State Cert. or Regist. Ii Signatur~ /~ ~ . City License Registration ;.' .-:J<6 I / , ,',",( * ie *ie ie * *1, *** **** *.!C ,~**,~ *"*"le"le"le ,'c ic i: i: .:: -:: +.,~ ,',,": ,', +. ,', ,', State Cert. or Rcgist. D City License Rcgistrotion **************************************~*** Signature Compony State Cert. or Rcgist. U City License RCGistl~ation ~~ OTHER ****************************************** PER~lIT OfFICER. APPLICATION APPROVED BY ~~~Lr-1D:rT:OJ'\IS C:i".:'" ,i::>Ef:-;;i'"1IT rl;=-FIDr'I'.JT-;- A. NOT I CE OF L~F:r::E)_!.J~:;Tr, I CT r ONS Theuncersign~d undersbnds \h;,t \hi" p~fllji~ lIlay hI! subject to "deed res\rictie,ns' ~Ihich r.ay be ~c're re5trictive than City r~9ulation~. Th~ undersi~n[d ,,~5tl~e5 r~5ponsibili~\r~'for. co~pliance llith any applicable deed re5\ridions. B. UNL r CF:HS[::O CC~tiI.o.E.LCTORS AND CONTRACTOR RESPOJ:IS I n I 1_ I T I ~S If the owner h~s hired a contractDr or conlractors to undertake Hork, .they ~~y be required 10 t~ Jic~n5ed in aCCDrdanc~ with slal~ and local regulatiDns. If the cDntractor is not licensed a5 required by I,,", boll. \h~ Duner and contractDr nay be ciled for a nisdeleanDr viol~liDn under 5tate laH. If the OHner Dr inlended conlraclor are tlnc~rtiin as \0 llhat licensing require:enls adY cpply fC<J" tk. int~nde;! liork, they are advised te, ce,nlact Ihe City e,f 2ephyrhilJs 8uilding Dfparb~rlt, (813) 788-6611. Further:ore, if the OHner h~s hired a cDntractor or contractors, he is advised 10 have the conlractor(s) sign porlions of the 'Contractor S~cliDns' of this ~pplicition fDr Hhich they will be respDnsible. If you, as the o"ner sign as the contractor, you are indicating that yo',;, r.1tlilT Ihan the contractor, arc ;respe,nsible for the lie,rk. If lh~ ((,ntri:cte,r ui5hes yc,u tD si~n as ce,ntractc,r Ihat J.ay be 0:1 iildicCl\ie,n thai he is not properly licensed ~r,d is r,Dt enli \ led Ie, per"i llirlg privi leges ir, the City e,f Zephyrhills. C. TRANSPQRT81:1iJ1LU':1f::.0CT FEES AND UT r L I TY CONNECT I gJ~'-E.f:E~?_ D. CONSTRU~T J OiJ._"L-.J EN l_A~l. (CHAPTER 713~ FLORIDA STnTUTES, AS AMENDED) I certify t~a\ I, Ihe appliur:\, l1ii'10 been provi'ded with a copy of 'Fle,rida's Ce,nstructie,n Lien Lil)1 - H[,.~ec'rme;'s Prc,leclion Guide' prepared by \he Flc.,iJ;) !!r.parl::;cr.\ of Agriculture and Consuller flffairs. If the "H,lieilnt i, 5c,:06,,0 ol~'Dr th"n the 'oHner', I certify Ihol I :,.-,'/2 e,b\:,ined a. ce.py of the above described dCoCumC'nl "fill pr(o~,jc[' in 0cc,ou f"ilh \0 deliver i\ tc, the 'oHner' prior \0 eD~~en:e~[nt. ;1,":;::,"" I:. E. CONTRACTOR'S/PWNER'S AFFIDAVIT I certify Ihat all the infsrcCltiDn in Ihis application is accurale and that all work Hill be done in co!p!ianc! "ilh all applicable laMS regulating e~nstruction, zonirig, and land developcent. '. . ApplicatiDn is h~r!by nad~ to oblain a perDit to"do ~ork and ins\all~tion as indicated. I cerllfy Ihal no work Dr installation has cD~~en[vd priDr to issuance of a permit and thai all Hork Hill he perfofQcd to ~~ct standards of all laws regulating c(onstructi(on, Cily cDdC's, z0ning rD9ulali~ns, and land development regulations in the jurisdiction. I also certify thai I undersland Ih~1 the regulatiDns of other governaenlal agC'ncies may apply. 1(0 t~e intended "ork, and !hal i~ is ny responsibility te, identify llhol actions I oust take to be in cDmpliance. Such ;)g[':leles include bit! ,'10: nc,! lir.ited to: .-. . ,. I ~Dar\~cnt (,f Environ~['nlal Reoulation - CyprDss Bayheads, 1I~lland nredS and EiI'Iirc'n'lcnLd]; Sensi ti'ie L3i:ds, UatDr/HasteHater Treatment t SouthMes\ FIDrida \later "an~Qe~cnt District - lIells; CyprDss Bayheads, Helland Areds, Altering "alcrcoufsfS i Arty CorDS ~f EnQineer~ - Seaualls, Docks, Navigable "aterHays f D['p"rt~erll (,f IJ.0:JJ~:f:hJ:.h-L!.H2UYe Services, Environment,,1 Ile,,]tl~ - 1,)[.115, lIi,steHatcr Trc'aL~.,:,t, Septic Tanks I US En'lir:,n;~nt"~LtiHI line~ - Asbestos abatel~ent als[; certify Ihdl, if fillllaterial is to be used in Flclod Ze,ne 'n' e,r '1I,e(C.', it is \JnGc.rs[e>[,J t:,.d d dujn~gc plan addressin~ a 'cD~pensaling volu~e' Hill be submitted Hhich is prepared by a prDfes5iDn~J cngin~cr fCGi5l~fCJ in lhe Slate of Florida prie,r te, per~it i;:suancc. A per~it issued shdll be construed to be a lirens~ 10 proceed .Iith the He,r!: "nll n(,l as cllth(,rity te, "i[,j"li', uncd "ltu, (or set aside any pr(ovisions of the lechnlcal codes, nor shall issuance of a permit prevent the DlIi Iding Ufficii! frD~ thereafter requiring a ce,rrce tic,n (,f errors in plans; constructie,n, or '1ieolations c,f any ([,dc. [veri p;'r_i l i 5SI!L'J shJ J 1 becc,1C in'!al id unlcss \he >lc,rk autl,[,r i~d by such perr.iit is C(,/uenced Hithin six r.ionlhs of issll.1ncc" c,r if IIC"1. :"rll,['1 i;d oJ" th~ pn1it is suspcnd~d Dr abandDned f(or " period of six months after the tlJe the HDrl. is eonmenccd. One 90 day c~lcnsi0li Df ti~~, ~JY be a11('Hed for the per;.;it ,,1\1, fee charge of $15.00. The extensie,n 5ha11 be reQur:slc.rj in IJrilin0 Ie, ~I,,' 8~lilJir.g Official. An approved insp~ctiDn ~tlst be logged during each six month period, or the project "ill be cDnsid~r[d dbiJld0ncd. \..JARNH1G TO Ol.-n.IErl: YOUR FAILURE TO RECORD A I\IOTICI:: or=- Cm1~lEr,ICE1'1ENT r'1AY RESUL TIN YOUI'I PAY I NG TW I CE FOR I MPROVEMENTS TO YOUI-~ PROPERTY. I F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al"TORNEY BEFORE RECORDII~G YOUR NOTICE OF COMMENCEMENT. JOOS UNDER $2,500 IN VALUE DO NOT NEED TO m::COFm AND POST A "NOTICE OF Cm'H"lENCr::i'l[:I'!T". SIGNATUnE___ L(l1:.J~ I".-_____~______ SIGNATUnE~__~_ ___n-n f~[R on AGENT P~'L'fJALL-Y I(;J/UJ,J cmlTn"~c~~At-LY K(JhJN DATE _ __ _.____ _ -1L=fi=--xS-----.;.--------.------- DATE______jl~_i_~~~___________________ NOTARY AS TO J/' z9B/~. OWNER Of( fiGErH__r~--1 -_.iL);tp~.' KII7l-ILEEN J" RD W,J . MY COMMISSION EXP!nES______________________ NOTARY AS TO / ~,- -i~, CONmACTOf(____-=-t:~4{_?_~ '_ _kdtdJ.-Gf">..-- ~ j( ;(,..;:;; i.-EE tJ J; _ c) WN MY COMMISSION EXrIf([S__________________ :\~I'y Pile +'> n ""<0 KATHLEEN J BROI/VN *.* My Commlssion CC449029 ElCpires~. 02.1999 ~". ~~ Bonded by NFNU ~ OF fl.G~ 800-224-6368 ",\~'io'i' ~IJIJ ""_.~~("<o *)"'11' ",' * e"::t. \ "~;> ~~ ,. OF fl.G~ KATHLEEN J BROWN My CommIssion CC449029 EIlpW" ~. 02. 1999 Bonded by NFNU 800-224.6368 SITE PLAN (RESIDENTIAL US! ONLY) rARCEL J.D. 2- ;;2(, J-I tJ/3d O{lO~{J () ~ 7() SEe TWl' RNG SUBU BLOCK LOT PROPEHTY HEASURE.HENT 6C X /~O CUlUlENT OWNIlHS ~~e I/II-rUlSTAT[, U^TE /1- 7- 9 )' All drawings shall be drawn to scale for all parcels or lots five acres or less. 's:.:J '~ c.......... ..! iii, i I i '(j)i I Ii':"!.. 1: 'i . ,-- i' : .. -tu-. 110 ~ -. ~l" . - [.... , I il"'1 '_1\\ -J-_.~ --r-- . -- -f.---). --t----~ _J ' -L- i -l , ,-~--~h~;--~---t---~---l- -~--+ --~.-.~--L- , ; I : I I' I ! 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':,;;"!,;:; lJi'_"'.'.'.,....N I, ,....~<e~,~,;,......... ~ ~..._..... ,. ...._... ~._. -'~~7'-~ ,~ PASCO COUNTY, FLORIDA Permit No. Date Permitted Builder Name/Owner Name County Parcel No. Location ....'}. .; / ' L Subd. Classification/Type 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 estftt5t1shed pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of County Comrilissioners. 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 No. Units I 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 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 same. Date Received By --------------------------------------------------------------------------------------------------------------------------------------------------- OFFICE USE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce j