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HomeMy WebLinkAbout96-5526 Date I-I/' -90 .3.5.-.. d7J ;ld. tID CBUILDING ~ 0ECTRICAL' =.> QLUMBIN~ ~ECHANIC9 Sewer Conn '7 CJ7J. o-v Water Conn: t1-Lr7J - c.n PwpertyOwn." ~ :!!.5~ Wate<Met.". /&'.5-' dV Job Address: 3_ _ ~ ---~'Z? T.I.F.'s: 9,/;J~crD Parcell.D. # 1'/-r9b--d.-l- 016 f) ~ (9000 0- -o0d-"O Zoning: JJ1. E91r9>>Co~: I ~ ~ _ ~Gas: Description of Work _~ ~ ~-,- BUILDING PERMIT'. CITY OF ZEPHYRHILLS Permit JT! (813) 788-6611 -;~. 552613 'Yo. ()[) ..3.S-: 07J FINAL .;J.. \ V ~l" DATE C.O. .;J..- DATE All work shall be performed in accordance with City Codes and Ordinances. <"-::>'L -J/?~ -S..dfr 02 -:J...j - 91:, g';1 --l:.d.- ,+1'1 17 ~ Inspector ~()..D Perm;' Fee ~ Signature ~ .' r Company Address Telephone# NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. Valuation or Contract Price ~/ /t- City License Registration # State Certified License# /6~-V BUILDING ~J6S1 ELECTRICAL ~~/,6S7J JJ~/6 y;r- .~~ J!Jd~ IT . PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final z- (Z -~ ~ 8d,... SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can / - /6-7 b Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway M-~ l"'~~ ~~ wlLbf 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: Lf //' Cb / ~)J -7f ~'1 ~ /-;/6 r-'O a. Wrong Address A/~ ~ b. Condemned work resulting from faulty construction. IJ :;2 -/) J - 7' -'- C. Repairs or corrections not made when inspection called. /CK 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. 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 . . [Xp/'1I- rr'C;p OWNER'S RAKE ~~/C/+ t!A/~RNZ PHONE OWNER'S ADDRESS 38'0/9 it'9w~rV1.r- Loop 3 IS' cJ /9 I a rv/l/V~ /-ocJ~ LEGAL DESCRIPTION: LOT(S) c3 ~ BI.OClL--SUBDIVISION tJ,/-f)/w~Jj k.J1/v"1 . PARCEL I.D.' /tj- g;(P~..:lI- 8/00 -00000 '- 638'6 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: . ~ Construction -Jddition --Jlteration --.Jlepair _Install JOB ADDRESS _Sign ---1Iove ->>eaolish PROPOSED USE: _Single Faaily ---.JI/F _' of Units t-!iii' _ec:-ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: 7...?? 0 C" L e fO;r7;7 e . BUILDING SIZE:q/Y- X y;'~ Square Feet. /a ---.Jtestaurant & Health Departaent Approval <)7 c/ I' Height (~~ t?,ULicr ;;rfk-,- RESIDENTIAL: ATl'ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORHS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ ~jmc) ~ / s: 0 MIP Service $ 9c'o aC- ,A/(J GAS , PERMITS REOUESTED Valuation of Total Construction _ELECTRICAL Florida Power Corp. W.R.E.C. --1IEClWlICAL Valuation of lIecbanical Installation ---....PLUMBING ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIllISHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? K NO YES ****************************************** Signature COIlTllAC'JOR ~E~lIII f COIIPABY 'CJJ~~;V 7/706~Le ~~g State Cert. or Regist. , City License Registration , / U? .5 () ****************************************** COMPANY 7?;?~~ $~ State Cert. or Regist. ; f /20~-Sd? cY- S. City License Registration' /b..5../ ****************************************** COIIPANY G~/)t'..u/,)V P/t.1&LC' ~~ State Cert. or Regist. # / City License Registration' / b~ ****************************************** Birr' .DER F.T.RCTRICIAN SianJlture PLDllBER Signature CotIPANY ~&~ A.J:k ~~ST ~ State Cert. or Regist.' C/7GO~a/ ..... City License Registration * /6 *********************************** OTRRR COIIPANY State Cert. or Regist. # Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'he undersigned understands that this peralt laY be subject to -deed restrictions- 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 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 ower and contractor MY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguireJents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) , 788-6611. FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" 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 work. If the contractor wishes you to sign as contractor that MY be an indication that he is not properly licensed and is not entitled to peraltting 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 - lIcIIeoImer's Protection Guide- prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOIeOJle other than the "owner", I certify that I bave obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the uowner" prior to COIIIeIlCl!lH!llt. E. CONTRACTOR' S/OWER' S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all work will be done in COIIpliance with all applicable laws regulating construction, loning, and land developamt. Application is hereby Jade to obtain a perJit to do work and installation as indicated. I certify that no work or installation has COIIIeIlced prior to issuance of a perlit and that all work will be perf OIled to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisdiction. Ialso certify that I understand that the regulations of other goverDJental agencies laY apply to the intended work, 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: t DepartJent of EnvirOllleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJelltally Sensitive Lands, Water jIIastewater TreatJent t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t A[If Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, BnviIODl8Jltal Health Unit - Wells, Wastewater TreatJent, Septic'l'anb t US Envil'Ollll!lltal Protection Agency - Asbestos abateJent I also certify that, if fill Jaterial is to be used in Flood ZOne "A- or "A,etc.", it is understood that a drainage plan addressing a uCOJpenSating vol.- will be subJitted whieb is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A perJit 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 frOlthereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall bec;oIe invillid unless the work autboriled by sueb petlit is co.enced within six JOntbs of issuance, or if work authoriled by the petlit is suspended or abandoned for a period of six JOntbs after the tHe the work is coaenced. One 90 day extension of tille, MY be allowed for the perlit with fee charge of $15.00. 'l'be extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb six IODth period, or the project will be considered abandoned. IWUlIlfG TO 0IUfER: YOUR FAILURE TO RECORD A NotICE OP allllBlCEIIBI'I' lilY RESUL'I' IN YOUR PAYING fIIICE FOR DIPROVBIIBI!S TO YOUR PROPERtY. IF YOU IJI'I'BID TO OBtAIN PIJlAMCING, COISUL'I' WI'I'H YOUR LlllDBR OJ II AnoRDY BEFORE RECORDIIG YOUR DICE OP altHElfCEMEN'l'. JOBS UKDER $2,500 IN VALUE 00 Not MEED '1'0 RECORD lID POS'I' A "NotiCE OF aJIHEXCEIIEIII". SIGJIA'fURI: OIIHER OR AGENT SIGJIA'fURI: comIAC'I'OB SUTE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STAR OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_ by wbo is personally known to me or wbo bas produced as identification and who did/did not take an oath. wbo is personally known to me or who has produced as identification and who didldid not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC LOT PLAN MUST SHOW SIZE OF LO"T, SIZE OF HOME, SETBACKS OF HOME FROM LOT LINES, PLACEMENT OF WELL, SEPTIC, POWER POLE, AIR, DRIVEWAY. WELL & SEPTIC MUST BE 75 FEET APART. ~ ..s"~1 ; . , 7,~." /2Q,1-(.. .. , JJ /': S \\ili.: " }. I I ! ; . 'a~I' \ti~_ I I ,.'.t'; I~ . I . · ~, WiPe . . . .. I . .. Ct;~k"f".lT ;' ;:u,Z:lIl\!Jd- .... .... ... u.u,. . .....J-~ "J : . '3..@b,'1' r.... .;. . to tr HAltkiW l1:i . . . . ." is VP4;p~-r: : " ! ....:.... .:...... " "f . :;i ", D -" ';i ~S 'J'" . . .... '- . ' : ; ~.,...,.,.; ~.:..';'i.: "t- : I' . .. .j.: ~. . ! . . fto" ' ~.:~~.........l .. ~: 'U.. ..... r : /1. IVI;PE-l .. J ~ ,.(~:" .' -: .. .;.~..._.1....-~ "'-. ;-~.~_. . (); .....!..~u.... .... . .f.....". ..!.. . . . . . : . . , .. . "'. ... ..: . -. ..~. . ,-.. ... ...... . : ; : . ; . ~I . ..,. : ;~-!"! .;.. ~.. ;.......t' ....T : I ; ~ : ; . . - - . -_. A':' .:_ _ l _ _ _, .... . :..E 11- '5 it fl/l. c ;V/i . . , ... . A .~. ".', .;' -.-', ..-! _. . . ~ . . ~ ~ 'd(D~e'. ~ k~b<rt~!J !. ..j... : , -j .,~ "" . "'t" .. :::> "'0 ~ ::s:: ;g~o ~ruo , (,.J ,n r;:; CD r-- 0">"" I -",0 .:0 08LJl (f)3:O 0' . ru....- -"c,(f'"'\ ..... ::> '-J,...J . ..... Vi ~f -- r- -< ~~ ~~ ~ '" '"' o~ ~~ . ... ;~-~ <n- 1 fj~ '" CD:a~ ;8~ "''''.., . . <n =~% _0" '2S<n -;~~ o _z rv- .z , C> <:~ 1Il -0 -;0 ~i N 4~.". ,.... ~ ..... "-J~ ""''F''',-''T'~,'''-~.:,' .~~ " ~""i.. "",,~.!( -~"'-'-~'''''~'7.,:,~..'''~~;~.l'~~:,~-~:~'~t~...'~~':.:~'('!(,"r'~_~...:iJ...V~""..:.,.. ""V'i'.,f'O;-o.;~",,,~,~tJ~'~"J~...,.-.fii1iI1f,,,~;.i-';i'A,<.,""'~~,~,,, ~ ~,;r.,~{..sJ ~ , , PASCO COUNTY, FLORIDA Permit No. Date Permitted Builder Name/Owner Name County Parcel No. ,,' ,~ t Subd. Location 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 - >>n;1V.,. 52.00/Year or ~,~,,~r $O.142/>>ay Assessment - (No. Units) x ~"" (0.142) x (No. Days) ERU Assign No. Assessment - (0.142) (GSF) x (ERU) X ~~ x (No. Days) 100 TOTAL FEE $ 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 payroent for same. , ,~'T.. Date ( I Received By --------------------------------------------------------------------------------------------------------------------------------------------------- OFFICE USE ONLY TRANSPORTATION REC. NO. / J ' "fi , RESOURCE RECOVERY REC. NQ;,"': J I /{) , ,"" ---" DATE ....-\. DATE ,::;.) "Y, , BY BY ,....1 /1 fi " White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC93113094/A