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Home My WebLink About96-5750 BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit II! (813) 788-6611 . . J -- 5750 f1 Date '1-/9 -Yb ~o. tJl) BUILDING 3-S. --. 07J ELECTRICAL J-!:. --, c.Jz; PLUMBING 02.-0- ai) MECHANICAL Sewer Conn Water Conn: L/ 79. .L"- ;...3/. c2~-- Water M~er: T.I.F.'s:' u.J. JC 0. Ai /o-J1-q, I -3;[ o. ,YD Zoning: Energy z,ode' Description of Wor; 'If V ~ r~ ]J}(BG /0 -:J..S""-?<" .d~ 9:30 NO OCCUPANCY BEFORE C.O, FINAL C.O. s nrn Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE /0 - .;1,.5-- DATE ~~ Inspector City License Registration # State Certified License# Valuation or Contract Price '#/A- / Telephone# BUILDING -$/4~i~J ELECTRICAL bl"Y,./Ylf:7 ~ ('/).... 'Y"\ O.A~ ~ PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway a. b. 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: 'V~ ~ ~-J /O-.;J-/-?~ fLI J 0 -c:J...S - ;; ~ 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. OWNER'S NAKE ~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT CjCl~N' ~~,c:Y d SUBDIVISION E me r eel W, to JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK "iT PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: VNew Construction _Addition _Alteration _Repair _Install _Sign --.Hove _DeJIOlish PROPOSED USE: V;ingle Faaily _M/F _, of Units _M/H _<=<-ercial _Indust. _Swia. Pool _Other _Res~urant & ~lth Departaent Approval . . DESCRIPTION OF WORK: 0e-c - t'kun b - ~ \ ec:t, \ c..., - A\ <2-. BUILDING SIZE: I' x'3.S: ~square Feet, Height o (\ ~V ~~ ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, 1\'( 3~ ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. RESIDENTIAL: COMMERCIAL : PERMITS REOUESTED V BUILDING Valuation of Total Construction ........... ELECl'RICAL AMP Service Florida Power Corp. V:.R.E.C. ,/" KECllAlfICAL $ ~i:ove c"'/'"\ (~ Valuation of Mechanical Installation v"PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIliISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... ELECl'RICIAN CONTRACTOR SECTION , / COMPANY hc>me fJwner J;/ /' ~ State Cert. or Regist. . t/'cdtl/r;;~l 'r7 City License Registration . ......, ................................ t- COMPANY mO ( -\::0 n t \ E:CTr ; Q., /1 -r lJ}'~ State Cert. or Regist. f L/' City License Registration f '~I .......................................... BlJn.nER Signaturex PLUMBER COMPANY hom P Ow ne:A State Cert. or Regist. . City License Registration f ..... .................................. COMPANY homp OuJner /d$ State Cert. or Regist. f ~/c:v--q City License Registration' ..... ,.................................. Signature MECHANICAL , SignatureX I~~ omRR COMPANY State Cert. or Regist. f City License Registration f .......................................... Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pemit lay be subject to Bdeed restrictions" wbicb laY be lOre restrictive than City regulations. Tbe undersigned assUles 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 owner and contractor laY be cited for a lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requir8lents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 188-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the .Contractor Sections. of this application for wbich 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 wisbes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of uFlorida's Construction Lien Law - HCIIeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and Consl1ler Affairs. If the applicant is sOIIeane other than the .owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to COIl81lC8lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a pemit and that all work will be perfoIJed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in COIpliance. Such agencies include but are not lilited to: i DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent i Southwest Florida Water Hanag8lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses i Amy Corps of Engineers - Seawalls, Docks, Navigable Waterways i DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks i US EnviroDlental Protection Agency - Asbestos abat8lent I also certify that, if fill laterial is to be used in Flood ZOne "AU or "A,etc.., it is understood that a drainage plan addressing a .cOfpensating VOlUleR will be sublitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pemit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perJit prevent the Building Official frOll thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becOle invalid unless the work authorized by sucb pemit is cODenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cllMenced. One 90 day extension of tile, laY be allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARMING TO OIUfER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEIft' MAY RESULf IN YOUR PAYING 'l'WICE FOR IHPROVEMEIft'S '1'0 YOUR PROPERTY. IF YOU IIft'BIfD TO OBfJUN FIIWICING, CONSULf WITH YOUR LBlfDER OR AM Anomy BEFORE RECORDING YOUR NOTICE OF COHHENCEHElfT. JOBS UffDER $2,500 IN VALUE 00 NOT NEED TO RECORD AKD POSf A uNOTICE OF COHHDCEMEIft'n. ) ~ /__ ~t-.I, ~ SIGKAfURE:' OIUfER OR AGE1ft' &~ SIGNAfURE: COIft'IlACTOR Sf ATE OF FLORIDA SfAfE OF FLORIDA COUN'l'Y OF The foregoing instrument was aCknowledged before me this , 19_____ by has who is personally known to me or who has produced as identification and who did/did not take an oath. / ( ignature) (Name Typed, Printed or Stamped) NOTARY PUBLIC \' 108 > "0 ~ "'- "'> ~t "- d.. >< <<l (j- " N), ~ - - ~ Q 3 .a \() ti ~ r<)t (() ~1 l~ ~ "- ..:.~ xc- t'- )( -:t ri~ ~t ~ \?5- - )1.':1" V5 ~ ~ r~ ~ ~ IfJ ~ ~ ii '" - )( ~ 0 )(~ ~:r d' - ~ t- ~t$' (!- ( . I (Q / ~ / / ,~ / < a,88 ~ lot ,Sl.o 2m ,Q.A a..tc{ ~ U,Th April 18, 1996 To: Building Dept. of City of Zephyrhills From: Burton Clapp I give my permission to Lurana Laney to pick up the permit on my behalf Burton Clapp. Thank You, ~~ CJf~ Burton Clapp Sworn to and Notary Publ' My Commissi day of ~1996. ires: t;oo~!t~ i~r ;;. ,,.. .I; (~OF ...fIF.J ~',"II~ l "OFFICIAL SEAL. Lurana Rae Laney My Commiulon Expires ~ CommIIalon ICCI4281l! ---, ---.-.~--- -'- -._-- -..-.-.--..-- -.-.,-_..--..-.- B'::/Ol CONTF:ACTOH #: N?-)ME: BURT CU:;PP ADDF:: L/::;T: C E N T R ALP E R M I T TIN G DATE: 10/23/96 PASCO COUNTY, FLORIDA PAGE: 1 OF 1 ISS:;UE OFFICE: D RECEIPT NUMBR: 00300463 OFFICE: DADE CITY FOR: CHECK # 2710 RE~;C: . 9. 5() CITY OF ZERPHILLS #57508 ?K:CNT 114 TOTAL AMCII.JNT: COMPNY ACCOUNT CENTER 8450 - 363000 - 2 r;.J _ 5() AMOUNT DESCRIPTION/PERMT DATA DRICR 9.50 ****** SOLID WASTE FEE 60 REeE I liED EW /' ...., / /; //, .----.....~ (' f _, /J!'--- . ~ . .' (.." '.. ,c //~. .?j' --'_". .- _. -- ,-___":;,a..::~l'Z ..!;"'_'- _ __. _~"",:. ~__.____ __._.____. p-,;~i;.~;'~~~~_~~~r;~~""~'l(fJ,.~.~-\.\.fp:~.;,~141}~~~,~}'M~"~,,_"'-t':i-~~,~t~~~.~,>,~-,~~~t,~.._~\t!~,?'.>''<.''"'''_~- '~;_-_'_'~"""'I i, ~ , , PASCO COUNTY, FLORIDA Permit No. ~ J, Y ~ ..' A, ,1 ..; - ~. / Date Permitted 'l // Builder Name/Owner Name., County Parcel No. (-' - ~. ., /< " Locatilln Subd. Classification/Type of Use , (,/' i ' , v ~~~- TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Sq. Ft./Unit Zone_.No: "'"""........ .. ....- .....~ .."......- ~~~ ~...- Prepared By ...-' """". Impact Fee Amount $ The above impact tee 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 RESTDENTIAL NONRESTDENTIAL No. Units Gross Sq. Ft. (GSF) Rate/ERU - 52.00/Year or $0. I 42/Day ERU Assign No. Assessment - (No. Units) x ($0.142) x (No. Days) Assessment - (GSF) x (ERU) x (0.142) 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 .-;_"-~,,,.,U,-'L, --------------------------------------------------------------------------------------------------------------------------------------------------- OFFICE USE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. DATE DATE r); BY BY ! ~,'( . White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:c.e PC93113094/A