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Home My WebLink About96-6184 BUILDING PERMIT N~ CITY OF ZEPHYRHILLS Permit (813) 788-6611 6184~ Date 'D- c2.3 -;9 b ~/). cro BUILDING --.?S. c-o ELECTRICAL J.s-:. ov PLUMBING 02f). UV MECHANICAL Sewer Conn ~;L!? r, i/1::! Water Conn: d~ 2:? cJV Water Meter: / 6..3.> ~ (Ji) T.I.F.'s: t 'fro. 0-0 P,"perty Owoe, tft~~~ Job Add,esso<3.'i - '.' .l.J ~ P J, b Parcell.D, # ,3Y-;;S--;L/- CJ % '- O/..5()C) - ..5 I::. Zoning: En..:&: Code: Description of Work JJ1 (~ ' ~T -7 Radon Gas: Inspector ~.R?~ J1/~~ /-,)./-97 I~.fll )tft1.. NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. ~ All work shall be performed in accordance with City Codes and Ordinances. City License Registration # State Certified License# iI'/ P~rmit Fee~' crL) Signature ~ Company Address Telephone# Valuation or Contract Price 73.~~~~ ,/ BUILDING a-p~j(~ /<f'7 ELECTRICAL ;j~~~p1/ a~r-K~tr V5- PLUMBING MECHANICAL Breakers Ducts Insl. 12-/1- 940 .8b8 Compressor Final J.- -:J- if? -? 4 f2 -' SLB Tub Set Water Sewer J--['?~ 7 t3tu- Final / ~ 7 - q 7 I:l ,/5 Tp. Servo Rough In Meter Can /b '-;E~f'-6 Const. Pole Pool Pre-Meter Final t...J ~ q 7 ..z, E5 Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway ~- Lvf l2r11 -'1 ~ bpJ3 REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made fO. r each trip for each trade: / ') ~. y '. .'"f ~~ /0 2;>LJ /-6 a. Wrong Address 'V~ ~..,,.J' b. Condemned work resulting from faulty construction. ~ ..30 ,- P' k c. Repairs or corrections not made when inspection called. / C7 d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT . '- OWNER'S ADDRESS G/LA.-N J (/.0 ~(~OA.JS (;). (j . ~<<- :J..:t'f~- ~A-tlfl C, ry G /Z.1$Ii'u.r tZ. I J(Z. . S(p PHONF..~S-d.-S.13- 17/( 3 3 ~- 2.-.' OWNER'S NAME JOB ADDRESS WORK PROPOSED:_New Construction _Addition -.-Alteration _Repair _Install _Sign ---Jtove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units ~/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF 1lORK. ,. -s:FT UO #1/ fI ({ ::J6 oj /3' )C .JRI4" ~ / BUILDING SIZE: ~ 8. _tit ._~~~Lsquare Feet. 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. PERKITS REOUESTED _BUILDING $.-ELECTRICAL pClWlICAL :f-PL~~NG TYPE OF CONSTRUCTION: Valuation of Total Construction AIIP Service ---p-FIOrida Power Corp. Valuation of lIechanical Installation W.R.E.C. $ GAS ROOFING SPECIALTY _Block _Fraae _Steel Other YES * FINISHED FLOOR ELEVATIONS: PT. IS PROJECT IN FLOOD ZONE AREA? .......................................... CONTRACTOR SECTION IImlBllR COIIPAIIY tl..~ M. H s ~ State Cert. or R ist.' v"Signature ~A..... ,. City License Registration' 0/</ ... ..................................... RT.RCTRICIAN COMPANY Ilc ~ /1 e-l2" '9 .e;..~-r-r({~f<),;:7'~ c. ,1:. h' I /1/7 State Cert. or Regist. " t..~s eooo 00 6,. SionAture C_/~ /J~t:7U'1... City License Registration' / .:Y 7 .......................................... MECHANICAL Signature ~ I) ~e4V1- COIIPAIIY fl ~ ~ /-r' 5 ~ State Cert. .or R ist. t L1 ~ City License Registration' ''$1 If . ....................................... COMPANY O-GrL /Ie fZJ-1 9121- 9-'7'6 'jt.) State Cert. or Regist. f C /1C CJ 37? .!1'r City License Registration . ~Jr .......................................... PLIDIBER V Signature UJa 7' OTHRR COMPANY State Cert. or Regist. t Signature City License Registration t .......................................... APPLICATION APPROVED BY PERKIT OFFICER. \ \ \ \, CONDITIONS OF PERMIT AFFIDAVIT . A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this perlit lay be subject to "deed restrictions" whieb la, be lOre restrictive than City regulations. !he undersigned assUles responsibility for cOlpliance 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 la' be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for tbe intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. FurtheI'lOre, if the owner bas hired a contractor or contractors, he is advised to bave 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 tban 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 peIlitting 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 - HOIIeOImer's Protection Guide" prepared by tbe Florida Depart:lent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the Rowner", 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 cOlleDcelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in c~liance with all applicable laws regulating construction, zoning, and land developlent. . , . Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governJental agenCies JaY apply to the intended work, and that it is Ii responsibility to identify what actions I lUst take to be in cOlpliance. Sueb agencies include but are not lilited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands, Water/Wastewater !reat:lent t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways - t Depart:lent of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater rreatJent, Septic !anks t US BnvirODlental Protection Agency - Asbestos abateJeDt 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 RcOlpeDsating volllle" will be sublitted whieb is prepared by a professional engineer registered in the State of Florida p'rior to perlit. i~suance. 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 perlit prevent the Building Official frOl thereafter reguiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball becOle invalid unless the work authorized by such perlit is cOlleDced 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 c~enced. One 90 da, extension of tile, lay be allowed for the perlit with fee charge of $15.00. rhe 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. WAMING TO OWHBR: YOUR FAILURE TO RECORD A NOt'ICE OF COMMENCEMENT MAY RESULr IN YOUR PAYING !liICE FOR IHPROVBJID!S ro YOUR PROPERTY. IF YOU INTEIm 'f0 OBIIIK FIIWICING, COHSUL'f WUB YOUR LEimER OR All A'f'fORIfEY BEFORE RECORDIHG YOUR HOt'ICE OF COMHENCEMENr. JOBS UlfDER $2,500 IN VALUE DO HOt' NEED 'f0 RECORD AIfD posr A "NOt'ICE OF COMMEIfCEHENTH. CJ~aP SIGlIA'lURE: OWJIER OR AGENT ~) ~ S AifA!~ CO~'lOR S!ArIl OF FLORIDA 9 coum OF ~ ~~Cr) The foregoing i~rument was acknowledged before me this ~~ ~ , 19~ by (\ [\,j.[ll~ \. Q ~~ who is pers~~ ~ to me or who has produced _ ~ ~ \J- as identification and who did/did not take an oath~~. (Signature) STATE OF FLORIDA Q COUNTY OF ~~ c c;) The foregoing i~rument was acknowledged before me this ~"" , 19"\.( by ~~~u\W~~~ who is per~y klwwn tt me or who has produced _~F-~ \c--- as identification and who did/did not take ~~/ (Signat e) (Name Typed, Print NOTARY ILUAM E. MCc,-e'on\11: eSTATE 'r rL n NOT ARY PUBLI EXP, FEB 8 199(' MY COMM. Cc 43-")C\~ ~?~~# --- _.'.:.-- - - - - - _.-.- ---.- ---. - ~,.~ -..,-~'- - - - - -- - - --.- -- -, ...--.- '-'\ CDNTHf~CTOH *,: NAME: GRAND HORIZON ()[lDR: C /:3'1: Z -,,+1J LL:::: C E N T R ALP E R M I T TIN G DATE: 10!29/9G F'A::~.C:O COUN TY, FLOR I D{"~ PI~C,E: .1 OF 1 J :::;~:::UE OFF I CE: D RECEIPT NUMBR= 00301037 OFFICE: DADE CITY F'JR: CHEe:l< tl 1091 F:;:E::~;C . C1 TY (:)F Z --H I LL /;CCNT 11/l. Ten fiL AMOUNT: COivlPNY P,C:[:OUNT CEN rEr:;; i::;. '~' ~:: BlI,50 '~:63COO -." ::~ ru10UNT DESCRIPTION/PERMT DATA DR/CR 8.95 ****** SOLID WASTE FEE 60 F~ECE 1 VED BY ;/ I /' , .J-- _~.. __,.,_l/a~,2t:, c(_':\.., ,.Ji_,~ P!f;.-. ___ __ _... _,.___ _, __ ,__._ '" t;.' / I PASCO COUNTY, FLORIDA Permit No. J--.L crY A Builder Name/Owner Name ~ aAo.' ))~ County Parcel No. J Y - ;2.5' -;2/, - CJ CJ / 0 - tJ /3 t?_?J - J>'- b Date Pcrmitl~d _~. .23 -;;-b Location ________ Suhd. Classification/Type of Use~?-<J-L~/,:t;:JJ TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone Nn, Sq. Ft./Unit Prepared By The above impact fee has been establi~hed pursuant to the Pasco County 'ransportation Impact Ordinance as ado[1ted 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 EXE!\1PT 0 RESIDENTIAL NONRESIDENTIAL No. Units J Gross Sq, Fe (GSF) Rate/ERU - 52,00/Year or $0, I 42/Oay 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 HA VE 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. ~? g; / " :>,.- /) ~, C/~-)_ DATE DATE BY /(/:~ ~'0/ rl BY \. ..~-i.."';..~ ~ ~~'" '- White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC93113094/A