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Home My WebLink About96-5524 II' t) ~ (fl) CBUlLDINcU BUILDING PERMIT'-' CITY OF ZEPHYRHILLS permitlV! t~552t-E (813) 788-6611 3-5---Ci2J ~'. cJD 0ecTR-;CAi) 0UMBINi) ~ Sew., Conn 2:':crv,oo. ~ b Water Conn: ;2Q7J. ro P'Operty Owne" _ ~ ~ ~ ~ Wete, Mete" / ~-!>': dV Job Address: 3~ ~~:=---- , T.I.F.'s: 9'r;;le tTD Parcel 1.0. # J'I",.Q 6 -c9./ -.v 0/6 cJ - () CJ e9 0 - LJ3 6 0 Date /-/6--96 Zoning: ~y C~ Description of Work ,J!!'. ~ Radon Gas: ~/-~ FINAL ~ ,~ <) \.. NO OCCUPANCY BEFORE C.O, Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. $R~ 6~ .:2~/-?6 ~:.5:J.*H J!~ , P~'m;t Fee~ e:rv P A- Signature _ ~ -_---- Company City License Registration # / b --S Z) Address State Certified License# Telephone# c.o. ~- DATE Inspector ~ Valuation or Contract Price BUILDING ELECTRICAL 9r6 -36'..5- ~L4~ ~fd!4 VL-ffLJ MECHANICAL ,4 y~ xt-~JJ!J;t~ JJ(t1-;k~ J6-S-/ PLUMBING Ftr. Pre SLB Lintel FRM. Insul. CL Wl Tp. Servo Rough In Meter Can /-/1, 7'..1::. Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Z-/Z-C}0./h.b- Driveway M-Uf 2-..~<t -C1~\.JoU 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: 7/J~~/-/t5~,6 f-J ~) -J- f- 9-' 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. APPLICATION FOR PERMIT CITY OF ZEPBYRBILLS BUILDING DEPARTHENT (1f~ ).~/:t-Cf6 '. OWNER'S RAKE j//t9R/V'~ -5~ L /T~/9/V}j ;"9- L vJ rJ-/V /~ PHONE Loor::-) L OtJ J~ /1//LL/-~ 3 2o/s- ~o/~ LEGAL DESCRIP'l'ION: LOT(S) ,,--:1'~ B~SUBDIVISION /1/4)/ tA/;<f R!J tv /}-..( / PARCEL I.D.f /~-c5?~ ~..2I-o Ibo-oOOOO - CJ3~o (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: . ~. Construction ----..Addition --..Alteration --.:Repair _Install OWIIER'S ADDRESS JOB ADDRESS _Sign ---1Iove _Deaolish PROPOSED USE: _Single Faaily ~ --Jt/F _' of Units .l:::...K/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: Q-eY t/~ //?Ob/L<,- ~ 0 JILl( ere 7 J1L BUILDING SIZE: ~ Y' x ~r, Square Feet, /t2 ( Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED -BUILDING $ ?-J t!JD ~ /': /J~ Valuation of Total Construction ./ / s-o AKP Service 9?Jc? ~ rt/OGAS Florida Power Corp. W.R.E.C. F.T.RCTRICAL ---1tEClWlICAL $ Valuation of Kechanica1 Installation -PLUMBING ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? X YES NO ****************************************** Signature CONTRACTOR SECTION COIIPARY G-OlJWIN ///b6'LC" ~~S State Cert. or Regist. . City License Registration . / ~ -.s. 'z::} *************************************~*~** ,~v~~ ~ ",r //}---t"......:::>........ . ~ ~ ,,_~ 'I( ~ COMPANYr Q4). ? <""",. , ~ J ~ State Cert. or Ilegi.t., S-"'~ S'f J> City License Registration' / ,,~=-- ****************************************** COMPARY ~cJ';JW/f,/ //@/!.f;/e /keS State Cert. or Regist. f ' City License Registration f /~,--~-zj ****************************************** ; COMPANY J"&~ q//-',~At4?Sr-' State Cert. or Regist. f C. -CO City License Registration f ****************************************** BIITI.DER F.T.RCTRICIAN SianAture PLUMBER Signature Signature OTRRR COMPANY State Cert. or Regist. . City License Registration f ****************************************** Signature APPLICAnON APPROVED BY PERMIT OFFICER. .' "" CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this petlit laY be subject to -deed restrictions" whieb IaJ be lOre restrictive than City regulations. the undersigned assUJeS responsibility for lDpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ClImer has hired a contractor or contractors to undertake work, they lilY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the 0IJler and contractor laY be cited for a lisdeJeanOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing reguireJents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813) , 788-6611. FurtherJOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the -Contractor Sections" of this application for Ihieb 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, have been provided with a copy of -Plorida's COnstruction Lien Law - JDeoImer's'Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Iffairs. If the applicant is SOJeODa other than the "owner", I certify that I have obtained a copy of the above described docUJent and prolise in good faith to deliver it to the "owner" prior to COIIeDCeJellt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, zoning, and land developleDt. Application is bereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas coaenced prior to issuance of a perlit and that all work will be perforJed to Met standards of, all laws regulating construction, City codes, zoning regulations, and land develOpleJlt regulations in the jurisdiction. lal80 certify that I understand that the regulations of other gDVeruental agencies laY apply to the intended wort, and that it is If responsibility to identify what actions I lUst take to be in COIpliance. Sueb agencies include but are not liJited to: I DepartJent of EnvirOlllel1tal Requlation - Cypress Baybea4a, Wetland Areas and EnviroDlentally Sensitive Lands, Water /Wastewater !reatJent I Southwest Florida Water JlanageJ8l1t District - Wells, Cypress Baybea4a, Wetland Areas, Iltering Watercourses I lIlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways I DepartJent of Health & Rebabilitative Services, EnvirODJelltal Health Unit - VeIls, Wastewater !reatJent, Septic rants I US EnvironJel1tal Protection Agency - Asbestos abateJent I also certify that, if fllllilterial is to be used in Flood ZOne "I- or "I,etc.', it is understood that a drainage plan addressing a -COJPllDSating volUJe- will be subJitted whieb is prepared by a professional engineer registered in the State of Florida prior to peflit issuance. I Perlit issued shall be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued sball bec;QIe invalid unless the work autborized by sueb perlit is co.enced within sillOnths of issuance, or if wort authoriled by the perait is suspended or abandoned for a period of sUlODtbs after the tile the wort is ~ced. ODe 90 day eltension of tile, lilY be allowed for the perlit with fee cbarge of $15.00. fhe eltensioo shall be requested in writing to the Building Official. In approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abaDdoned. VARlING !O lMfBR: YOUR FIILURE fO RlCORD I NO!ICE OF COIIIPCEIIII! MAY RBSULf III YOUR PAYING !VICE FOR IMPROVIIIII!S !O YOUR PROPmY. IF YOU IIIUID !O OB!11Jl PIlIlIfCIIG, COISULf WITH YOUR LIIDII OR 11 lftOJlDY BBPORI RICORDIJIG YOUR DICE OF COMMENCEMEH'l. JOBS OlDER $2,500 1M VALUE DO MO! IIDD !O RECORD AID POS! A -DICE OF C(JIMEIfCBIIDIII. SIGNATURE: OVIIIR OR lGEJIT SIGIIlTURl: COJI!RlC'fOR Sl'Afl OF FLORIDA coum OF Tbe foregoing instrument was acknowledged before me this , 19____ by STArl OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by wbo is personally known to me or who bas produced as identification and wbo did/did not take an oath. who is personally known to me or who has produced as identification and wbo didldid not take an o~th. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ~ ~ "'?'" "0 ~ 5~O x I'\.>CJ . ':" fil ;;jCOi en"'" bel .:0 o 8 <.J1 If) :J: 0 0' .1'\.>.....- ...,d"r-- ....:x:o \...l,..J . .... Vi ~J4 ....,.. ~f .- ~ -< ;~ ~~ ~ '" .., o~ ;8 ,,:X . ... ;:-~ :0= ",- =~~ ;8~ "'% .., , >> '" ;:~:r; - 0>> ':l1'" "':0;;; %:0 ~~ :on :It ~~ o _x "'- .x ,C'> c;~ ~ -0 -" ~~ N LOT PLAN MUST SHOW SIZE OF LOr: SIZE OF HOME, SETBACKS OF HOME FROM LOT LINES, PLACEMENT OF WELL. SEPTIC, POWER POLE, AIR, DRIVEWA'f. WELL & SEPTIC MUST BE 75 FEET APART, ~ S~, -----~_,~... .'__.-"h'......~....., . , 7,5,' . ~ I ~l ; ~II ' '\) !J ' , [ . '. ! ~ '.---- ! !,~ ' 1'1.:> ' ,f' . I . ;- ,. i - . ~11-~ € ._lt1iC.~ . - i-. . . .~.. - "". :.. .J .. . .;. .", ~ ".- .. - CONTRACTOR #: 007280 NAME: MARVIN E GODWINS ADDR: 9701 SKEW LEE RD THONOTOSSA C/ST: THONOTOSSA FL 33592 C E N T R ALP E R M I T TIN G PASCO COUNTY, FLORIDA DATE: 02/20/96 PAGE: 1 OF 1 ISSUE OFFICE: [t RECEIPT NUMBR: 00274683 OFFICE: DADE CITY FOR: CHECK # CASH RESOURCE Z/HILLS 5524,5525,5526 38015.38017 & 380119 LAWANDA LOOP {~CCNT H4 114 114 CONTRACTOR: 007280 renAL AMCIIJNT: COMPNY ACCOUNT CENTER 8450 363000 ~ B450 363000 ~ 8450 - 363000 - 2 L::4. 1 9 AMOUNT 44.73 44. T3 44.7:"'3 DESCRIPTION/PERMT DATA ****** SOLID WASTE FEE ****** SOLID WASTE FEE ****** SOLID WASTE FEE DRieR <:;.0 60 60 RECEIVED BvQ__ r (f' ,"F," ,-,-" _. ~'~~~~'f","- ,'- :',~..,. ....,..'ft.'...... ~,."k........./""~,~).~}o~~;...~, 7- ~.J<".f.~~,~r, ~~'~~.~'~.:-:-:-.~'''S..~~:-m~-:7r'~~:'^-'!''''''~,.......... "'oor---' '_"______~ . .. ~ '!!> PASCO COUNTY, FLORIDA Permit No. Date Permitted Builder Name/Owner Name County Parcel No. Location Subd. :;;{^,__lIJ'lll .~. 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 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 No. Units Gross Sq. Ft. (GSF) \ ''-..{ Rate/ERU - "A)O;~II' 52.00/Year or .A.1''''~ay fO.142/Day Assessment - (No. Units) x ~!!~) ($0.142) x (No. Days) TOTAL FEE $ ERU Assign No. Assessment - (0.142) (GSF) x (ERU) X~) x (No. Days) 100 TOTAL FEE $ 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. NQ.""'/ I L/I;' ~:t_j,. ,." , DATE DA TEc....~ .' f BY BY ff , . , \,. }' " White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC93113094/A