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Home My WebLink About96-5525 BU"ILDING PERMII- CITY OF ZEPHYRHILLS Permit II! (813) 788.6611 ~t7 - cTD ..?.s'c dn::> d-s.-" Vb ~~ ~RI~ ~~ ~ffANlCA~ Sewer Conn Water Conn: :::"",:,~,:~e'31:o i'r vl!~~ z'1 Parcell.D. # /'1-c;) 6-/;J-/'" tJ/ I:. 0 . () 0-0 tlo p "3]> 0 j~552~L3 Date /-/6 -76 026. VV '7' ~ . cJ2:> :J...bzJ - cJ'l) Water Meter: /6.f): cJ'V T.I.F.'s: 9,/;;l c- ~ Zoning: --;;I:l.gYL Description of Work m . Radon Gas: /T-__~ NO OCCUPANCY BEFORE C,O, FINAL ~ DATE -Yb ~?~ iJ4 a2~/-Y.b ~+ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. 6';!0-;J kH J1~ P~rmi~ Fee ~ SIgnature , _~ Company . c.o. DATE Inspector Valuation or Contract Price City License Registration # / b.s u State Certified License# Address Telephone# ~A~H~ )J(~1~ ,~ I b!J-/ ,~~/t.S() hl/~LJ/b vr BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Z...., z- ~ ~ 13M,- Tp. Servo Rough In Meter Can L-/I:, -f?..-h Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway ~-\.Lp ~~1.,q(pu)~ 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: jJJ~~ /-/6;9k. 1-" .;L -d-/ - 9k a. b. 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. 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. APPLICAnON FOR PERMIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT (J~1,1~ , 1/ () OWIIER'S ADDRESS -- t.V /NcN c ~,/L PHONE i r9t.AJ/f1l../ ~/t-- Loo J~ L/qw/'tr-l6A- LCJop LEGAL DESCRIPTION: LOT(S) 37 BLOCIL--SUBDIVISION ?<J~.vl9-re)) W/...,/j PARCEL I.D.' ;C/- C2?-;2/- 01& 0 -- t:)()OCJCJ - C5 5'7 (J (OBTAIN FROfI PROPERTY TAX NOTICE) WORK PROPOSED: .~ Construction ~ddition ~teration ~pair _Install !~// i L) '1l7rl :3g-0;7 3Rol7 OWNER'S RAKE JOB ADDRESS _Sign ---1fove _Deaolish PROPOSED USE: _Single Faaily ---1I/F _' of Units ~ _ec:-ercial _Indust. _Swia. Pool _Other ___estaurant & Health Departaent A~val . DESCRIPTION OF WORK: 7Jlc;7&L--<'- ~ce. ~~~ / ~ BUILDING SIZE: ~J' X P4--. Square Feet. lei ( Height RESIDERTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORIIS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. () JJ /-1( cy- F P rvJ -BUILDING PERMITS REQUESTED -- ~. $ J6f cJ't/C)' Valuation of Total Construction ,/ /SQ AKP Service a...2... $ 9ac , /vo Florida Power Corp. W.R.E.C. _ELEC'l'RICAL ---1IEClWlICAL Valuation of lIechanica1 Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIIIISBED FLOOR. ELEVAnONS: FT. IS PROJEC'I' IN FLOOD ZONE ABEA? X YES NO ****************************************** CONTRACTOR SECTION cotIPARY &oL),u.l//v md;~lC" ~~ State Cert. or Regist. t City License Registration' /6,~ ****************************************** $ BUTT .DER Signature , ------...-- COMPANY /?; State Cert. or Regist.' /e'aoo--S.~ City License Registration t ****************************************** COMPANY ~O~t-<./nv /?:&&~~ ~es State Cert. or Regist. . ' City License Registration' / /9 -S7J ************************** *************** ' COMPANY e'~ ItJ{~ #V/2~ State Cert. or Regist. . ~/'9C~~O::;O/ City License Registration . / b _8' ******************************** F.T.RCTRICIAN SianAture PLUMBER Signature tlECllANICAL Signature COMPANY State Cert. or Regist. f City License Registration . ****************************************** OTRRR Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this petlit laY be subject to Ideed restrictionsu whieb laY be lOre restrictive than City regulations. !be undersigned assUJes responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake IfOrk, they JaY be required to be licensed in accot'dance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor>IaY 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 Zephyrhills Building Departlent, (813) , 788-6611. Furthe1'lOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the uContractor Sectionsl of this application for whieb 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 IfOrk. 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 -Florida's Construction Lien Law - BoIeowDer'sProtection Guideu prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is 8OIl!OJIe otberthan the "owner", I certify that I have obtained a copy of the above described dOCUJent and prCJlise in good faith to deliver it to the "owner" prior to COIIenCeJeDt. 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 cOJpliance with all applicable laws regulating construction, zoning, and land developunt. Application is bereby Jade to obtain a perIIit to do work and installation as indicated. I certify that no work or installation has ~ced 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 develo(lleJlt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI1lIIeIltal agencies laY apply to the intended wort, and that it is If responsibility to identify wbat actions I lUSt take to be in COIpliance. Sueb agencies include but are not liJited to: t DepartJent of EnvirODleDtal Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArIy Corps of Engineers - Seawalls, Docks, Xavigable Waterways t Departlent of Health' Rebabilitative Services, InvirOJlll8Jltal Health Unit - Wells, Wastewater !reatJent, Septic tanks t US Envirouental Protection Agency - Asbestos abateJent I also certify that, if fill Jaterial is to be used in Flood ZOne -A- or "A,etc. I, it is understood that a drainage plan addressing a lCOJpenSating volUJe- will be subJitted wbieb is prepared by a professional engineer registered in. the State of Florida prior to petlit issuance. A PerJit issued shall be construed to be a license to proceed with the IfOrk and not as authority to violate, cancel alter, or set aside any proviSions of the technical codes, nor shall issuance of a perlit prevent the Building Official ffOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid unless the work authorized by sueb perlit is co.enced within sillOntbs of issuance, or if work authoriJed by the perJit is suspended or abandoned for a period of six IOOtbs after the tile the work is ~ced. One 90 day eJtension of tile, IaJ be allowed for the perlit with fee charge of $15.00. !be extension shall be reguested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillOOth period, or the project will be considered abaDc1onec1. W1RJfIIfG TO ODER: YOUR FAILURE TO RECORD A 1f0000ICI OF COIIBICIIlBIfI MAY RESULt 1M YOUR PAYIIfG DICI FOR ,IMPROVIIIBIItS TO YOOB PROPERtY. IF YOU IIlmD to OBfAIM FIWCIIG, COJISOLt WIrs YOUR LODER OR 11 AttORDY BBFORB RBCORDIMG YOUR IfO'I'ICI OF COIlMEIfClMm. JOBS lOOlER $2,500 II VALUE 00 110'1' IfIED to RECORD AID POSt A llfO'I'ICE OF C(JIlDCBIIIIf'lI. SIGIIA'fURB: OOIR OR AGm SIGU'fURB: COI!IIAC'fOR STATB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_. by STA!B OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification arid who did/did not take an oath. who is personally known to me or who has produced as identification and who didTdid not take an oath. (Signature) (Name Typed, Printed or Sta.mped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ()1 ....... fR ~ ~ (j) 0) .~!~ ~=~- . " o !:[' ~ o o ;;: :0 o C') .., ~~~~~ &fl(?~ ~ ~ ::s: ;g~o ~O'o . "" r'1 =cDi 0"" 0'0 . ;V 08(51 (f) :z: ....... 0'- :." I'}l (.N :-' ~ --J .... U\ ~ -0 rv", .0 '0 "'x " N ~~ ~ -< "?~ '" '''' o o x ... :: '" ,. z n ... '" ;:; ;;;~ .x '.... C:~ z z '" : I -- OPT! ONAL WINDOWS '" ;~ ";~ ... I l"'IPl < ill < '" <:~~ ;.~~ ...$2... ':f" I = ,; R ~~ -'0 ~= ~2 e ~ '" :! ~ '"' ;; LOT PLAN MUST SHOW SIZE OF LOT. SIZE OF HOME, SETBACKS OF HOME FROM LOT LINES, PLACEMENT OF WEll, SEPTIC, POWER POLE, AIR, DRIVEWAY. WELL & SEPTIC MUST BE 75 FEET APART, ~ 1\ S'~' ';""~I'.~' ...:.;"; : '_.~ : It. I CI4-/? Po/t.t ~-"'''-....;o..--- - '.. SkeV' {iVI pO~Ii ..... ".:41 . .~. './:'?,. ;.....2.. :. "'-4 ,.,,../ . ~ '0: .'-\J 3~/?/7 ,. ." ;,:'U'. . ji,r' ... .'. ""l'" .',' .' A' .. .I':~ .rWrJf..::!J., ,,'.\.' t~ ..l-Q ~,~rWu.--+.' Vi\.rL . i.. ;\ ~"---+--'-"'~"';--"--!-.'--:"-'_~'--'"""!"'"' . , " " 'p' , , l-b6. : ' .' j "~.- '('" -',. ;1>." . / sq ::: 3 I L- ;:n.,v~,v DA Loop) 2-c P ~^"v-1 k\ LL OS - ~~:~,~,~.~-~~~<"..l'r.~.... .,..:,.~,.."'~pr~~ --....",.'j~~f~.,."""--M'.'~':....~."IIf" '''Wi.->",,~'),<''-'<NT~.f'> ~"'''''''-"~~~a1t<~~~~~#~.--.~Pf!'V I... ~ ~ . . PASCO COUNTY, FLORIDA Permit No. , '. Date Permitted Builder Name/Owner Name County Parcel No. ~/ - Location Subd. Classification/Type 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) Rate/ERU - ~8~ ~wr 52.00/Year or $~~IMMJ fO.142/Day Assessment - (No. Units) x (~) (fO.142) x (No. Days) ERU Assign No. TOT AL FEE $ 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, 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 TRANSPORTATION REC. NO. . RESOURCE RECOVERY REC. NO~7-' J IJ it 1/ BY BY -'" DATE DATE ,. f I ~. White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC931130941 A