HomeMy WebLinkAbout96-5709
BU"ILDING PERMIT -
CITY OF ZEPHYRHILLS Permit ]I!
(813) 788-6611
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Date
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41~
2// <)-
Walter Conn:
I" 5"fCC
Water Meter:
T.I.F.'s: ~~ 91"0.2 (J7)
Sewer Conn
Zoning: ~e.wy Code: Radon Gas:
Description of Work m ~ ~ ~ ~
..::u~ ~-P /-;1/-17 171~ 5-:..?0 11#1.
NO OCCUPANCY BEFORE C.O.
Valuation or
Contract Price
Permit Fee
FINAL
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
City License Registration #
State Certified License#
2-77
Telephone#
#~~~~.::'J::E
BUILDING
.Jo CDt:! 111
'71-1'10
ELECTRICAL
"J h"\ 4' IV
. 2.7~
PLUMBING
-
AA-Wtf 5
:1U /7
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
c.
d.
e.
f.
g.
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:
W~ ~~~/~Y-7b
1-1 ~_/1-9h
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PEmlIT
CITY OF ZEPHYRHILLS
BUILDING DEPARnlENT
APPLICANT
ADDRESS
/-lILL ~
'I G ).
PHONE r 1 I..>
-"
lk}..~)) 7G
O\-1NER
Jon LOCATION
LOT SIZE 60 x
BLOCK~{(}OO S'tJnDIVISION
() 0 000 - . OD 1 0
I!J& AREA SQ. PT. 0000
W4t{tAlMLO W-rtJt')s
____Addition ____Alter~tion
_.Repair _Install
PARCEL I.D.!I
\-IORK PROPOSED :XNC\.; Construction
____Sign/Temp.
PROPOSED USE: ~Sincle Family
____Commercial
~Sign
_!'love
____Demolish
...:..--M/F
~iI of Units
, .____~I/ H
_Indust.
____S\.Jim., Pool
Other
____Restaurant & Health Department Approval
SIZE: Lx 15/i: /J. 7 /
BUILDING
Square Fcc t I
I
~TO~ "
Height
RESIDENTIAL: ATTACII (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.**
COmlERCIAL: ATTACH (3) SETS OF IHnLDING rUNS & (1) SET ENERGY FOR~IS J*
**COpy OF CONTRACT REQUIRED.
LnUILDING
-L-ELECTRICAL
~~lECHANICAL
-LPLilllBING
37 It/a cc
,
~~AMP Service
lt100
s
$
. .""
GAS
TYPE OF CONSTRUCTION:
____Block
FINISHED FLOOR ELEVATIONS: FT.
~ERMTTS REOUESTED
V~luation of Total Construction
~ Florida Power Corp.
_H.R.E.C.
Valuation of Mechanical InstDllnt~Qn
ROOFING
SPECIALTY
fir #
Other
____Frame ____Steel
*****.************************~*~*****
.cONTRACTOR SECTION IJ \ '~ T - rlS-A-<
,Company L S & ~NI [Ie " I G.-
State Cert. or R~~ist. 0
City License gcr'.i~;Ll';\{',i(')n ;1
*************************************~~~~*
{~ ~I :JOiLDfr;J
Company
State Cert. or Rcgist. 0
City License RcC:i.str;1tion !I /10
*********************************;****~*** ~
,/ Company , ^ f- L (0 tv f~ If N1 A Ai
State Cert. or Regist. 0
City License Registration 0
******************************************
() \\
~ comp'any f){} J1tz'~ j)/lOP!tA'~ ~.
State Cert. or Regist. 0
City License Registration 0
~**********************************~*~**~*
OTHER
277
/ (' -
tUL _')[1( VI L[
210
Ale
,
11
Company
State Cert. or Regist:. i~
City License Registration 0
Signature
PER:HT OFFICER.
APPLICATION APPROVED BY
******************************************
CCi'lD :::.-1 r-"',i(:~ OF PC::,';!'; I T r,rcfo'.l
,\.' ,~ y
A. NOTICE OF D~En RES-rRICTIONS
The undersigned understands IhJt \hi~ perDit mJY b~ sublect to "deed restrictions" which ~ay be ~0re restrictive th~n Cily
regulali~ns. Th~ undersigned ,:5su~e5 re5ponsiblllt{;for,cor.pliance Hlth any appliC<lble !lec!] re,IricliCo:1s.
E. U~lL T CENSED Cl}NTRACTORS AND CONTRACTOR RESPQ!:!..f:1Jl~ I T I C::S
If the owner hJ5 hired a contractor or contrJctors to undertJke Hork, they may be requir~J t~ be ]iccns~d in acc~,jance Mi:h
state and IDcal regulatiDns. if the contractor 15 not licen5ed <IS required by IaN, both the ouncr and CDntr<lclor nay be
cited for a nisdr~eanor violation under 5tate laM., If the OHner or intended conlr<lclor are uncertain as 10 "hal li~~nsin9
require:ents ~ay apply fDr the intended Mork, they are Jdvised to cDntJct the Cily of Zephyrhills Building Dcrart~~nt, (5131
788-6611.
Furthercore, if the oxner has hired a contractor or contractors, he is advised to have the c~ntr~ct~r(s) sign p~rtiDns of the
'Contractor SectiDns' of this application for ~hich they Hill be responsible. If YDU, as the ~"n~r sign as Ihe C0nlr~clor,
you ~re indicatin~ that y~U, ralher than the contractor, are responsible for the H~r~. If the CGntract~r wishes y0u \D sign
as cDnlr2ct~r th2t ~ay b~ an indication that he is not prDperly licensed ~nd is not entitled to p0r~itting priyilEg~5 i~ t~~
Ci ty Df Zephyrhi lIs.
C. TRANSPORTATION HiPACT FEES AND UTILITY COf\I!,Ir=:CTIg~:1 FEl::5.
D.
I certify that I, the appllcant, h~Ye been provl~ed with a copy of 'FIDrlda's C~nstructi~n Lien Lax - HG~eown~r's Protection
CONSTRUCT I or:~I_Jo,lJ::rLL~\.ol
(CH~PTER 713. FLORID~ STnTUTES, ns AMENDED)
Guide' prepared by the F1Drlda
'oHner', I certify that I li;,'1e
'oNner' prior to co~~ence~r:nl.
D~parlgent of Agriculture and Consu~er Affairs. If the applican\ is sD:~6ne other Ihan the
~btained ~ c~py of the above described docuffient and prDmise in good faith to d~liycr it to the
f
~ ,":' .:~. ", ' : :
E. CONTRACTOR ' ,8~m:lNF"R 'S AFF IDAV I T
I certify that all the infDrl~\lon In this application is accurate and that all H~rk "ill be d0ne In c~~pliance wllh all
applicable laMS regulating cDnstructi~n, zoning, and land developD~nt.
ApplicatiDn is hereby ~a~c 10 obtain a per~it to'do Hork and InstallatiDn as indicated. I certify that no x~rk or
installati~n has [~!'Dnc~~ prior tD issuance of a perall and that JIl H~rk Hill be perror~ed t~ meet standards Df all laws
regulating c~n5tru[ti~nJ City c~de5, zoning regulatlDns, and land de'lelop~ent regulatiDns in the jurisdlctiDn. I alsD
certify that I understand !hat the regulations of other governmental agencies may apply' tD the in\endej ~Drk, and ~hat it is
ty responsibility te, inei/.iif ii~lat ;\[I;jons I t:I\lst tal:e to be in complianc!:. Such aser,cir:s irlc]ud~ t"d ~i e I,c,t lir.it~d \0:
. ,-
I Droart~Dnt e,f Envirnl~~:~jj;J Kr:~,l~tiDn - Cypress Bayheadsf Hetland Areas and Ef:'1if{'nr;,er:t2!ly SEn5jti','~ L:lil'j'f
Hater/HasteHater Treatment
I Se'\lthllest Flori,qa \I"~r-.-!:"i!.':.~g~_':.'!l.l~ - \Jells; Cypress !.\ayhearls, Hdland t.reas, r'\tc'rir,g ',i2!.crCDUrSDS
I tIny Ce,rosof r~gji'lJ',~:, - ~;e,'ilal15, Dods, Havigable Ilaterllays
I Departaent e,f l!c>"IJJd,_2U",hj)\tr:tivr Services, EnvinMlentallle;.!th linit - Ildls, \J,.s\e~Jtu Tre"t,:.::c~. S2ptic
f US En'li r~I1~S'.~'i!.:.L?L'~ts_cJ,!c~rl,~.'!..Q.. - nsbestos abatement
T ::nk s
also certify that, if fill r,Jtr,ri;;1 15 to be used in FIMd Ze,ne On" elr 'n,etc.', it is \JfIdc,ret[<[,j \:,~t a Jrair,::ge plan
addressing a 'coc?~nsatjng vDll1le' Nill be sub~itted which is prepared by a prof~5si~n~1 Dnglnn~r r0oi5l~(0J in the State of
Florida priDr 10 p2r~it issuance.
A pertit issued shall b~ construed to be a license to proc~ed "ilh the Hork and nDt ~5 authDrity t~ yi~i~t2, can~cl aller, or
set aside any prc,vi5ie,ns Df the technical ce,de5, nor shall Issuance c,f a pl!rmit prevent the [Iuiidir,g Ll;'i\ci:,J jrc'~, thereafter
requiring a ce,rreclie,n c,f urCJrs In plans; ce,nstructie,n, c,r vi~lations Df JII'! ((,de. Evc:\';, pc'r:iit iS5:1,',1 ,[,oJ1 b~CH,' invalid
unless the )Je,rk au\hl,ri:~d b'l such perr..lt is ce,mr.enced Mithin six month5 e,f iSSUM,CC, c,r If IIC,1\; "I.tl"" i;d C)' \~,e ru~it is
suspended or abar.GC'J)Dil fc,j" a perie,d (,f six ~onths aflH the tbe the IIDr~ is cc,r..rroenccd. l1i,e n,(1 d"y (';\':O,5\C'1I of tlH, aay be
alle,xed fe,r the per~,it flith fce charge of $15.00. The extensie,n shlill be r!:r,ucst~d in l<ri\inD Ic, the c'Jildin; Offi:ial. Il~
approved In5pec\ie,n Mist be le,gged during each six month period, e,r the pre,jl'ct lIill be cc,nsidcrc-d Cb"\ldc'i,~d.
I,.IARN I NG TO OI,.Jf\lER: YOUR FA I LURE TO RECORD A [\10"1" I CI:: OF COf"1f"1t.::I-ll:Ei'lENT r'iAY
RESULT IN YOUR P~YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al'TORNEY
BEFORE RECORD I f'lG YOUR N.DTI CE OF COMMENCEMENT. .10D~) ur'IDER '';.2,500 I N VALUE
DO NOT NEED(4/TO..RECOE' / AND POST .A "NOTICE OF COO1I'IGICEI1G"."'~-
SIGNATURE_c.t.------ ____________________ SIGNATURE_ ~~-~----~/ . ,
7-r-~ <O'.'tlE r. AGENT ~=,<u-y ",),..'" 7---\mrmACTUiV f'E~SNU ftu.Y ~,v"",^,
DATE ____________(t:.3:-qt2---.:.-c..-----,------- DATE _______t__~~_CZk- ------ - -- - - - -------
~~~~~YO~SA~~NT--~~ Q~_~~~
'J<lriiit.EE~ ~.BRtJ J1/AJ
MY COMMISSION EXrIn~S_________--_----------
NOTARY AS TO -f~,~# I?J
CONTRACTOn____~k~- Q:.. ~
k IrTll/..-ct=.)J J:t!B <'J VI'/!oJ
'\
MY Cm\~11 55 1 ON OP I RES __________________
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KATHLEEN J BROWN
My Commission CC449029
Expires Apr, 02,1999
Bonded by.Nr:N.U
800:224-6368 .
",~I'y PilI?
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. Of f\.\\
KATHLEEN J BROWN
My Commission CC449029
Expires Apr, 02. 1999
Bonded by NFNU
800-224-6368
oJ
SIT!' P IJJ.l
(I\..E.SIDENTIAL USE ONLY)
PARCEL I.D.
Jf- )0 )./ o { too ~)OOu(j IIO'C'
0-l
SEe '11-1l' RNG SUlllJ bLOCK LOT
I'ROrCHTY ~lE.ASUIUJ-\ENT (00 X 100
p~ ~ rZfl ~ 4/1 110
CU1UU.:Kl' o\mEJ\s Vb DHE
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All drawings aball be drawn to Bcale for nll parcels or lots five acres or less.
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(IU?S rm:NT l}J... USE ON L Y )
PARCEL I.D.
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I'ROrCH1'Y HE.^.SUHEJ-lE.NT
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All drll'olings shall be drawn to Bcale for all parcels or lots five acres or less.
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LAWAtV DA Loop
MAYOR
James A. Bailey
CITY COUNCil
Elizabeth A. Geiger
President
Alan l. Brenia
Vice President
Charles E, 'Chip' Atkins
Clyde C. Bracknell
Timothy J. Ippolito
Nick Nichols
City Manager
Linda D. Boan
City Clerk
Thomas p, McAlvanah
City Attorney
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
5335 Eighth Street Zephyrhills, Florida 33540
(813) 788-2313
April 10, 1996
Mr. Keith Ostermann
H & R Interstate Mobile Homes, Inc.
35267 Highway 54 West
Zephyrhills, Florida 33541
Re: Lot on Corner of Autumn Palm Drive and Lawanda Loop
Dear Mr. Ostermann:
Bill Burgess, the City Building Official, and I reviewed
your request for a 12-inch waiver on a setback of a mobile
home to save an oak tree on the above referenced lot.
We do not believe this waiver will be detrimental and
approve the waiver. Please don't hesitate to to contact
me if you have any further questions.
Sincerely,
Sid- 'r !Sr0- 0,-
Steven F. Spina
Interim City Manager
H & R INTERSTATE MOBILE HOMES,
ApriJ Jr 1996
::: t: 0 \1 ~ ") pl. rIa.
or Zephyrrll L.l..
11 :~tr!~el
--' ~-
1:'.1'"
,- r. ,;...
!lUmn ~alm Drive ~ l~ciwanda LUOP
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(813) 782-2276
35267 Highway 54 West, Zephyrhills, Fl 33541
FAX (813) 782-1169
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CONTRACTOR #:
NAME: H & R INTERSTATE
ADDR: S R ~)4
C/ST: ZEPHYRHILLS
C E N T R ALP E R M I T TIN G DATE: 04/11/96
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR= 00279939
OFFICE: DADE CITY
FOR:
ACC;NT
114
CHECK #
RESOURCE FEE ON PERMIT 5709
CITY OF ZEPHYRHILLS
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - ~
:37.49
AMOUNT DESCRIPTION/PERMT DATA DRieR
37.49 ****** SOLID WASTE FEE 60
-',
'.
~..-----~-...... ...._"
(---- ,), .,--,
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RECE I VED : ___ . -=::=- _______ ~_.__ ________
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--'-..._-~ _n_.._.__ ------- .---.--- -------- ---- ___,_ ____ __ __ ___ _________. ___' .____~ ..._.~_ __ -'_..___ _.~ '.__ _.n_' .____ __~ __..._
PASCO COUNTY, FLORIDA
Permit No. S J? 0 r
Date Permitted y- 1/- .7"6
Builder NamelOwner Name A...,.. ~ M~L;;---
County Parcel No. / '1- ;). b - ~/ ~ LJ / b 0 - /) D 6Je 0 ..,. 0 0/ 0
Location S J?J b (, , ~~~4 ~ Subd.
ClassificationlType of Use Kt2AL1 L..-z:J
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No,
Sq. Ft./U nit
Prepared By
Impact Fee Amount $
The above impact fee has s ablished pursuant to the Pasco County nsportation Impact Ordinance as adopted
by the Board of C Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority utilize the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
Gross Sq. Ft. (GSF)
Rate/ERU - 50.00/Year
or $0. 137/Day
ERU Assign No.
Assessment - (No. Units) x ($0.137)
x (No. Days)
'"2> ') ~ Llcz,
Assessment -
(GSF) x (ERU) X (0.137) 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 payment for same.
Date
Received By
--------------------------------------------------------------------------------------------------------------------.-------------------------------
OFFICE USE ONLY
..-..............
TRANSPOR 1 A 110I~ REC NQ.
RESOURCE RECOVERY REC. NO. dlq ~ ~ {)
DATE J f
DATE -!ti It ~ Le
~J.-uv.~
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/A