The URL can be used to link to this page

Home My WebLink About96-5882 BUILDING PERMIT ^ , . CITY OF ZEPHYRHILLS Permit N9 (813) 788-6611 \:::i(.:rr''t:~ --59B2 ~~- cJ7) BUILDING Date S--;L 5' -5~ ,-.3s '. oV ELECTRICAL Js. ---. 00 PLUMBING ;It:? - V7J MECHANICAL Sewer Conn f/ ~ - t:rz;J Water Conn: ~ - C7> Water Meter: / " .s --.. ?TO T,I.F.'s: )>"/;:), tl'tJ Property Owner: - &/YD Zoning: ~ Code: Description of Work m ,~/ ...L~ \.::f.e-P;-w-eA. ft~ In ~ t - 6 -7'b 1,1,'';;0 fJ M NO OCCUPANCY BEFORE C.O. Radon Gas: }JM FINAL C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Permit Fee Signatur Company Address Telephone# Valuation or Contract Price / ~ e::rz:r--v, C7-iJ City License Registration # 3 J 7 State Certified License# PLUMBING g~ d.IN/ MECHANICAL (C~A\A~ -~V ----;?~4/7~Y' BUILDING ELECTRICAL -L~ 11,7 . 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 a. b, 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 ($15.001 shall be made for each trip for each trade: -, J -71- /:J.._ _ _ . -;r~/~--D29-.7L. Condemned work resulting from faulty construction. A/~ ~ ,,/ Repairs or corrections not made when inspection called. '"' J --!5-- <-?/-9-f::::? Work not ready for inspection when called. ~ Permit not posted on job site. Plans not at job site, Work not accessible. Wrong Address The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER' S NAKE J-JA(i t2/0 OWNER' S ADDRESS~ (!). JOB ADDRESS J ~3 r- ~t?d.Q!, PHONE go y 6:;' ( 2- 2sph t< /.,1 Is: J~T""Zl./l. J ~ ~(3'~6o~> J::"L "3 ~,~4- 0 LEGAL DESCRIPTION: LOT(S)---1 r~ I ~, BLOCK SUBOI ' PARCEL I.D.' LI-').6- 1- ~ (,) -0 ...::. ./ \ .---'/ WORK PROPOSED:~New Construction _Addition"------kli'eration _Repair _Install _Sign _Move _Deaolish /' PROPOSED USE: ~ingle Faaily _M/F _, of Units hlH _eo..ercial _Indust. _Swim. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: +;1/~i~1 JA-rhOv r1-F' ~t.>61 Ie ~...- ~ BUILDING SIZE: :2. 8- x Y ~. I:) 4 11 Square Feet. I Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~ILDING $ ;g,ooo Valuation of Total Construction _ELECTRICAL _MECHANICAl. :;:L 0 0 AMP Service Florida Power Corp. W.R.E.C. $ J ~OO Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel /YJ1H . Other YES ~ NO FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** BUlT.D1!R Q Signature C21,A j CONTRACTOR SECTION W t COItPAlIY Sf} A/r'Z \ ~ ~ 1../0 0:>' fA)~ '. 0 0 .,',,, State Cert. or Regist. t 1"')y-4I}' CV---t-il.\ t~City License Registration f ~-? /_ ****************************************** tv t.. =~~ COHPAlIY {)r?&4;" ("V"" (/.. tJ~ State Cert. or Regist. () C)~~~:/- 14 City License Registration . ~ ****************************************** PLUMBER 8' COMPANY :;;u v te I S r< 1...Lr~ U " IIV r "I..v c... State Cert. or Regist.' c'"? "" ~t Si......ture W f;;JJJ01/V! City Liceose Registration' -0'/ 7 ****************************************** MECHANICAL Signature /n~ -f~ COMPANY 0 IN State Cert. or Regist. f City License Registration , ***********~****************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to .deed restrictions. which lay be lOre restrictive than City regulations. the undersigned assuaes responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES 9 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparblent, (813) 788-6611. Furtheraore, 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 which 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 lay be an indication that he is not properly licensed and is not entitled to pertitting 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 - Hoaeowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is soaeone other than the .owner", I certify that I have obtained a copy of the above described docUIIeDt and prOllise in good faith to deliver it to the "owner" prior to coaenceaent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a pertit and that all work will be perfofled to aeet 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 governaental agencies aay apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to: * Departaent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater !reablent, Septic Tanks * US Bnvironaental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood ZOne "A" or "A,etc.., it is understood that a drainage plan addressing a .cOllpeDsating voluae" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 petlit prevent the Building Official frOll thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall beCOle invalid unless the work authorized by such perlit is cOllenced within six aonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six aonths after the tile the work is c08l!1lced. One 90 day extension of tile, aay be allowed for the pe~it with fee charge of $15.00. The extension shall 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. WARNING TO 0NlfBR: YOUR FAILURE TO RBCORD A NOTICE OF COMMBNCBMBNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEIIBN1'S TO YOUR PROPBRTY. IF YOU IIft'BIID TO OB'l'AIN FINANCING, COlfSULT WITH YOUR LBNDIR OR AN AnoRlfBY BBFORE RBCORDING YOUR NOfICE OF COMMElfCBMB . OBS NDBR $3j500 IN VALUB DO NOT NEBD TO RECORD AND POST A bNOTICB OF COMMBlfCBMBNT". ~ SIGl4f~ G'~ STATB OF FLORIDA n coum OF V tiSc:O The foregoing instrument was aCknowledged before me this ~~} M~ ' 19 lie... by ~ rsonally kD~to me Qr who has prod as identification and who did~ take ~ oat h.- ~~tUA, a. 19~ (Signo-ure) A /G ~ lcJofldr1 . ..,~ (Name Typed, Printed or ped) NOTARY PUBLIC STATB OF FLORIDA n COUNTY OF VASe 0 The foregoing instrument was aCknowledged before me this ~ Mj. ' 19~ by fA who personally pro as identification and who did~a ~ take ~htiu. a. r2 (Si!Jlli!1:ureJ r/::O- LJ~ rtL 11 . \::?~ (Name Typed, Printed or St ed) NOTARY PUBLIC ,"'. 'wit, DE9DfWfAMY .~ ~ My cvo.... I . 4'__ . * * Expn........... .,. ~... Bonded b1 HAl I 'I~( Of f\<1>~" 800-422-1556 i SS!H-Z~ \l'~ 10 IWH Aq.....,._ ~M~ ~'" --. . . -~-...", ... '" vvuJ R unr -.adlr3 .w ea!u~~4'v '? . ^WCWH\11K>e30 ~.-\ ~ fI>+ -'''d All"\: ILj - ;)".6 - ;)..1 - 0160 - 00000 - c.J \30 /611'V ./,0 -\S ,Lt ~ Y~f/ -- ..."",-,-~..;~., '-""-.. ~.., ......---.-....--.------....--- ~ . ~ (\ , " . \ ~ Cl..~ s L-t' I \",_5' \ I-t'~ I I( > < > I ! , }9 ~b F t~R..+WO()D ~ I ~ I <\ \ I I I 1 ; , i C.~RfOR 1- \'l... '1z... ~'S>~ I ' , , '. ' . ..;~"<', , ,,r' I . ...: _..,t. ',),.4' f!f-_J-_ _,,,. _; l'C..- , ~ <. 11.'/'/) iI!IIIf'!'II1'''''~,'_.''';'!7.~.; r.Q,o;r"-~,:,,'.~ ;;';''';;'''m'-:..' ~~~~;~- - .................-.......:-.''''~. ':" ,". ;0. '. ..- - '.' ." . If -- ~ -..., '.. ,.-.-.--.-...-".' ;...., ,.,~,. ",. *, ..~,,,' ,4,. ~' :;~~'" ~-, J~"-"'Y._'-~;-'--~' r--:"-::~ ::-~ " i. I -i...t. . 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.lU nit 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 Comtriissioners. 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 I I Gross Sq. Ft. (GSF) Rate/ER U - 50.00 /Year or $0. 137/Day ERU Assign No. Assessment - (No. Units) x ($0.137) x (No. Days) 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. ""-i.':';" 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 TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. DATE DATE BY BY t While Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC93113094/ A ;~.' j "j j i '., fl..... 'i._' 1.....) I '...'1 '.' .I. ~. ..\ i'. " ;...}..... .~,.,- :-.- .,. ). ,.....- ~_.. :.~' ,~. , 't Ii 1.1.._ "1' ;' "'_"m "";' Iw...;' ;.1. ,...., ::;"; -i. 1....:__ ... 1'_.' I \" i'-- ,"jj ;;....._': 'j! '_'1"1 1......T '_' '_' '-.' '_.' '-."'-' - ---'--=::5) ~~~~p ._;,...., "':' . . .- '~"r ;'.; ivl ~::.' r,...'. ,. ,,'i..:. r-'" "'-,-r- '."_ r-,1-1 '. 'j....'I... ',-t ...,;:....; \J ", .-.. '::-. :~ r-,', ,-; C - :l ...." /: "'.;::- :._\