HomeMy WebLinkAbout96-5685
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Property Owner:
Job Address:
Parcel I. D. #
Zoning:
Description of Work
~
NO OCCUPANCY BEFORE C.O.
BUILDING PERMIT ,--
CITY OF ZEPHYRHILLS permit~
(813) 7!!-6611 ~. 0 -
50
~MB~ ~
t1~#;1Ir1f!(M~
&7,50
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-;-568W
j -~ -q~
DatE!
DC)
Sewer Conn t.t! 7.~
,,;)00'
Water Conn: 8$0
I D ~J
Water Meter: t../!2..~
-
~/J1P I
~
//:61? )1111.
FINAL 5-----
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c.o. -...j
-z..51<-9-G.
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee4 ~ 10 s-: ~
Signature ~ ~
) Company
() ~i Address
.d Telephone'
'W~:t!!-~~.
ELECTRICAIt
Valuation or ~ g;w.L
Contract Price tb;() b 01 '
City License Registration #
. ?\ertified License#
(Y .L0UJ?
BUILDING
OA~
MECHANICAdI/0
PLUMBING
~/f
Tp. Servo . SLB 4,: <\. Pt
Rough In~- &> b. Tub Set ~
Meter Can ;$ -,.6t, fh ~ater
onst. Pole Sewer ~
Insul. C Pool./ Final
WL Pre-Meter 0- S I . 9~ 8013
~\\b~\'L. q\~~'f;\. ~ I hQ~inal
Driveway~.
:3~, ''k>N-~'W ~
Breakers~
Ducts Insl.
Compressor
Final
$06
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: . d
a. Wrong Address 4.J L6--t- a:55..~ L$5..
b. Condemned work resulting from faulty construction. :3 - ~- 7~
c. Repairs or corrections not made when inspection called. .... I! :5 -.5--77
d. Work not ready for inspection when called. F
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.
FEE SHEET
BUILDER: Zolton & Elizabeth Retey
ADDRESS: 6810 North Lake Dr.
OWNER: Same as above
SQ. FT. PRICE
LIVING OR MAIN AREA:I 1,'" l S ~.OO t
OTHER AREA UNDER ROOF:I 616 I S 11.00 ,
OTHER AREA:I ,
SQUARE FEET UNDER ROOF:I 2,211 I
VALUATION:J S 62,601.00 I
ADDRESS:~ S 20.00 I
DRIVEWAY:~ S 20.00 I
FEES:I S 317.00 I
BLDG. PLUMB. ELEC. MECH.
PERMIT FEES:~ S 515.~ I S SO.OO I s 69.SO ~ $30.00
314" 1" 1-112" 2"
WATER METER SIZE:I S X 165.00 f s 245.00 I S 610.00 rS 840.00 I
SEWER WATER METER
CONNECTION FEES:l S 1,278.00 I S ~.oo I S 165.00 ~
RADON GAS:I S
PERMIT FEES:I S
CONNECTION FEES:I S
TRANSPORTATION IMPACT FEES:I S
CREDIT:I S
22.11 I
665.00 I
1,628.00 f
- I
65.00 ~
TOTAL I $ 2,250.11 I
~-_...
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APPLICATION FOR PERHIT
CITY OF ZEPIIYRBILLS
BUILDIRG DEPAR'1"HEHT
t:lt. r<i!iit&6 .~q/
I / I ~/J-'/Y-"
OWNER'S NAHK 7cL-TAU I 61-(2(-lt3c/(-! / CAROL.-
OWNER'S ADDBESS
57L~J
(. ;,
I'
C~cdf
-t>lv}'
~ t:-'~IPHoNE 7 f' J - ( ;). /1 (/
.;z epL,'7 (i-.. I iI'l f:t"":'l ,'7 '~ F't /
JO~ ADDRESS
G <Y i .J tv' (5 r+l, '- c'\. t..' t. ~r .
LEGAL DESCRIP'l'ION: LDT(S)
PARCEL I.D.' r-'\C(~ !, cc{ 3/1
~G
BLOCIL...-SUBDIVISION
I '-0 ~ ,. ,i ,
pd.,;, ~ ...
(OBTAIN FROM. PROPERTY TAX NOTICE)
/
WORK PROPOSED :-!::::JIew Construction ----..Addi tion ---.ft].teration ____.Jtepair _Install
_Sign -.JIove ---.J)eaolish
PROPOSED USE: vS'iDgle Faaily ---14/F _' of Units ---14/B
_ec-ercial _Indust. _Swia. Pool _Other
____.Jtestaurant & Health Departllent Approval
DESCRIPTIOR OF WORK: VI e-Lv' ~ knd r.:>.o v... , .;L L,c~ +4.J s', .:A. <7 l <! I c~ ''--, {-, C,-o " 01-<-
I
BUILDIRG SIZE: 1-t,..L,tlX r-/-'-'(, ,)..,),,11 Square Feet, I r' Height
RESIDERTIAL: ATTACH (2) PLOT PLABS & (2) SETS OF BUILDIRG PLANS & (1) SET UERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDIRG PLANS & (1) SET ERERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION.
PERMITS REQUESTED
~ BUILDIliG
$.
5' ~J ,J- 7 r-
Valuation of Total Construction
{.,/ RT .RCI'lU.CAL
J- o:=:;. AIIP Service
J- f 17 -i- , 0 :::'..J
Florida Power Corp.
W.R.E.C.
~ClWJI.CAL
$.
Valuation of lIechanical Inst:allation
~1IIBIRG 11'\ ..:::; GAS ,..... .:::> ROOFI.IIG -\. ..::.l SPECIALTY
TYPE OF mRSmUCrIOII: ~loclt _Fraae _Steel ,).;('1 t,;.,.J\.J~l~ ,':.;,J~Other
FIBIS.IIED PLOOR. ELEVAnORS: 1- 2--rr. IS PROJECT III FLOOD ZOIlE AREA., /11 C>
YES NO
.......................*..................
Sisnature
~ ,..,.....'
.,L-=,Jt t < '- ""-
CONTRACTOR SECTION'
mHPAIIY ~C; L- F h ~~
I
(iJ-J, State Cert. or Regist. ..
7 City License Registration .
..........................................
D ".J 'oJ'....':: .~
DV
RUn.DRR
PLIDIBER \
COHPAIIY L -\.~lw...~ G.L...€.L't _ ~gr'-v I
State Cert. or Regist.' C)C:)O ~I ~ ~
City License Registration . q r;.,
.....................................
OI{V'
Signature
COMPANY 're.; i- M U /...L E IV?/.- U /''1 t3 i tv q
State Cert. or Regist.' R F .0052-,,:>-0 ~'>
City License Registration . / '1 :;J. ~
....~~~~..................................
IlECIL\III.CAL~ COMPANY A \ v4-~ 'IV 1 ~ c. v -
, , .' / State Cert. 1ir Reglsi. ...J'O\f,J 0_ 6 6 t 2 ~
SigDature I' _ 1# ,C City License Registration f 16"'!-~ . '0'.(/
. / ~. .... ...... .........................:;
DTIlIIl . fi2 O>>JPA1IY (j) u.nJ..v'
. '~ State Cert. or Regist. .
SigDature I /~ c-..!. '. City License Registration .
........... ..............................
APPLICATIOII APPIOVBD BY
PERHIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Ihe undersigned understancJa that this penit Jay be subject to Ideed restrictions I which JaY be lOre restrictive than City
regulations. !be undersigned asSUll!8 responsibility for 9pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner baa hired a contractor or contractors to undertake wort, 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 OlDer and contractor JaY be
cited for a liadeleanor violation under state law. If the OIOler or intended contractor are uncertain as to what licensing
requireJellU JaY apply for the intended work, they are advised to contact the City of Zepbyrbil1s Building Departlent, (813)
.788-6611.
FurtheIlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
IContractor Sectionsl of this applicatioo for which they will be responsible. If you, as the OlDer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the IfOrt. If the contractor Ifisbes you to sign
as contractor that JaY be an indication that he is not properly licensed and is not entitled to penitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMBlIDED)
I certify that I, the applicant, have been provided with a copy of IFlorida's COnstruction Lien Lalf - lkIIeolmer's Protection
Guidel prepared by the Florida Departlent of Agriculture and CODBUEr Affairs. If the applicant is 8CIII!OI1e other than the
lOIOlerl, I certify that I have obtained a copy of the above described dOCUll8Dt and prc.ise in good faith to deliver it to the
Immerl prior to co.eDCI!III!Ilt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infotliltion in this application is accurate and that all work Ifill be done in cOIpliance Ifith all
applicable laws regulating construction, loning, and land deve1oplellt.
Application is hereby Iilde to obtain a perlit ~ do IOrk and installation as indicated. I certify that no work or
installation baa cmIIDced prior to issuiJDce of a pemit and that all work Ifill be perfOrJed to .et standards of all laws
regulating construction, City codes, loning regulations, and land developl8Dt regulations in the jurisdiction. I also
certify that I understand that the regulations of other gOYl!IIIIeI1tal agencies JaY apply to the intem1ed 1IOlk, and that it is
Ii responsibility to identify what actions I lUst take to be in COJpliance. Such agencies include but are not liaited to:
t Deparl:lent of EnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDta11y Sensitive Landa,
Water/Wast_ter Ireatlent
t Soutblfeat Florida Water Nanagel8llt District - Wells, Cypress Baybeada, Wetland Areas, Iltering Watercourses
t lIlY COIPs of Engineers - Seawalls, Docks, Ravigable Watenays
t Departlent of Health & Rebabilitative Services, Invirouental Health Unit - WeUs, Wastl!1fater rreatlent, Septic ranb
t US InviIODleJltal ProtectiOn Agency - Asbestos abatl!leDt
I also certify that, if fill eterial is to be used in Flood Zone III or IA,etc. I, it is understood that a drainage plan
addressing a lCOIp8D8ating vol.1 will be saitted Ifbich is prepared by a professional engineer registered in the State of
Florida prior to penit issuance.
A pmit issued shall be construed to be a license to proceed with the wort and not as authority to violate, canceJ alter, or
set aside any provisions of the technical codes, nor shall i88uance of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plana, construction, or violations of any code. Ivery pemit issued shall beCCIIe invalid
unless the IOrk authoriled by such petlit is ~ced within sillODtbs of issuance, or if IOrt authoriled by the petlit is
suspended or abandoned for a period of sil IODtbs after the tile the wort is ~ced. One 90 day 81tenaion of tile, .y be
allowed for the petlit Ifith: fee charge of $15.00. Ihe 81tension shall be requested in writing to the Building Official. In
approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
WARHIRG 10 ODBR: YOUR FIILURB 10 RBCORD I JOIICH OF CCllllBlCBIlUf lilY RBSULr II YOUR PIYIIG DICH FOIl DIPROVBIIBIl'S 10 YOUR
PROPIRIY. IF YOU 1DDD 10 OBIIDI FIIIICIIG, COISULr WlrH YOUR LBIIDIR OR IllnoBDY BB10RI RICORDIIG YOUR IOIICH OF
OIIIDCBIlUf. JOBS UIDBR '2,500 II VILUE DO IOIIDD 10 RECORD AND posy I IROIICH OF aJIIIDCBIlUfI.
Z-~~
SIGlAfURI: (JIIIR OR IGDI
SIGllIURB: CONIIIIC!OR
SIIII OF FLORIDA
COUIIY OF Pasco
The foregoing instrument was acknowledged
before me this 15th March, 19~ by
Zoltah Retey
who is personally known to me or who has
produced
as identification and who did/did not
~ an~~ IInlJ\
((Si~Ur~)' 0........
Kay F. Myers.
(Nillle Typed, Printed or Stamped)
NOTARY PUBLIC
SIAII 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 and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or St~d)
NOTARY PUBLIC
- - ,
<)'\"~b<",., KAY F MYERS
~ ~-.-\ 7ff . My Cornmi"",on CC4802Zl
*/l.~;,:~~,~(1 '* E~~ires Jui. 12, 1999
.("";::&" ...
'" -!:(?.:lifM ~"< Bonded by ANB
~ ~
l"t OF f\.1\ 600-652-5878
RESIDENTIAL
CHECKLIST FOR NEW CONSTRUCTION PERMITTING
~P1ication comp1eted in its ENTIRETY.
Check if contractors and subs are current1y registered.
-~~ y::'7n~1'1f
-ziY'r~
_~Florida Energy Efficiency Fo~ completed.
~Plot P1an.
L~roperty Survey.
/TWO SETS of Engin.~ Building Prints with .'.C~. pl~ .
mechanical diagrams.
/ () V/~"''''
/' -- ~J~I1~ ~'7
~ Homeowner, check for proper "Homeowner's Affidavit" fo~. ~~/ll 1;:1
/' - "3--I,f-7~
~ Silver Oaks Subdivision - need compliance letter.
~ R-O-W Use Pe~it, if app1icab1e.
~ Give E1evation Certificate, if app1icab1e.
~ifY Water & Sewer Service.
l~.
Review Fee (~.03/sq. ft - ~15 min)_
AmolUlt Paid ~ 05~!F!-9- Date ~ -- is - C2; b
~~~ c:Y~~L
Received by:
PERMITTING APPROVAL FORM FOR SILVER OAKS
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
To whom it May Concern:
Please be advised that the full set of Construction Plans including site or plot plan has been
submitted and approved by the Design Review Committe for:
'20 (.;:rAN ~cref
Builder
57(0 0- (Jftl.L BUt).
Home address
7~~ - (d~~
Phone
C:;TcPtt. GlGV ~ LoT B~
Lot #
2-~ettaL~
City
-ZtJ4AtJ ~ctti
Owners Name
f""L-
FI
~j
Zip
,e~- \,"<~
Phone
~-~~- q~
Date Submitted
3"'"1 -q"
Date Approved
APPROVED BY: ~
~
~~~
DISCI.OSURE STATmElfl FOR. OWNER
CITY OF ZEPJIY1UIIU.S BUlLDDlG DEPARTMENT
~ 1-I-r1 '"
I,
to the provisions of this instrument."
R~f~'1
have read and fully understand and agree
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she actually
occupy, or will occupy by Cltr,' c+ "" .. S said domicile, and same is not for rent, lease or
sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases
of construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be
made, the owner will assume full responsibility to insure they are made, and
upon completion will call for a reinspection before proceeding with the
building.
5. That the owner shall assume full responsibility for the construction and
will not expect supervision of his work from the City of Zephyrhills
Building Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard
to social security, workman's compensation, lien laws, etc., where
applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You
have applied for a permit under an exemption to that law. The exemption
allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction
yourself. You may build or improve a one-family or two-family residence or
a farm outbuilding. You may also build or improve a commercial building at
a cost of $25,000 or less. The building must be for your own use and
occupancy. It may not be built for sale or lease. If you sell or lease
more than one building you have built yourself within 1 year after the
construction is complete, the law will presume that you built it for sale or
lease, which is a violation of this exemption. You may not hire an
unlicensed person as your contractor. Your construction must be done
according to building codes and zoning regulations. It is your
responsibility to make sure that people employed by you have licenses
required by state law and by county or municipal licensing ordinances.
DATE:
2- '4'~
t7:&-It
DATE:
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S7/0 ~~(f o/~J, :Zc'^7(~q('1 :r(~..
PH: 7.(' J- (~Cf ,
WITNESS:
OWNER:
WITNESS:
ADDRESS:
PERMIT 4~
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MA.P OF BOUNDARY S
VEY
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LE~"'AL OEseRIP T/ON:
Lot(s) 86 ,Block _, of the Plot ot STEPHEN'S GLEN A T ~} 'L VER OA S, PHASE TWO , os
recorded in Plot Book~, Page 150.-151, of tha Public", Reco 'ds of PASCO , County, Florida.
FCM. .,.-x.,.-
(TOP BRa<EN)
UNPLA TTEO
LAND
I 16.0' S8!J72'J6?: 77.51'
I 5' ~SCAPC 8t.IFFER
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fl'lJ. PCP NAIL tit DISK 60' R,IW.. 2.,.' ASPH. PANT ,I( I . NAIL tIt.'..'.lMSIr!..............'.'.j.
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NOTE:
IEAR1N(; BASE/J at THE I
NORTH R/W LINE OF sTlHIIN'$
PA TH /JtJN(J S1Jr12'.JIIT,
Pet PlAT fJF IIIR>>C '
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LOT 85
S.c./.R. 1/2-
16541
PARTY <;HIEF: RW
ORAtW BY': LEJ.I
CHECKEO; RHP
SMITH, CA TTLF & GROVE.: INC.
NO TES:
,>
-
>?.fPARED FOR:
LEGEND:
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'PASCO COUNTY, FLORIDA
-
Permit No.
(,;J
>-,
.. '''-
Date Permitted
.: ,/'
- ;t <c;'
Builder Name/Owner Name
'-.'
.,-- i
....., " _./.;,...j..i...",. ",-,",c.-, L,.....
+
'",""
( .:~ ,j )
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County Parcel No.
Location
I . '--"j'
/ (,,,.
7I
f......"'_'
'j . ,-
/ .
Subd.
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)
Rat~/ERU - 50.00/Year
or $0. 137/Day
ERU Assign No.
TOTAL FEE $
Assessment -
(GSF) x (ERU) X (0.137) x (No. Days)
100
TOTAL FEE $
Assessment - (No. Units) x ($0.137)
x (No. Days)
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.
.-~---_.-._---.--:_tr'i.'-..--..-..
DATE
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Gr~
Bldgllnsp
feecal:ce
PC93113094/A