HomeMy WebLinkAbout96-6185
BUILDING PERMIT 0
CITY OF ZEPHYRHILLS Permit N.
(813) 788-6611
61858
Date
i tJ -;23 '-7 '-'
J/{}, uP
BUILDING
.J.5 -= c/7)
ELECTRICAL
~':Uv
PLUMBING
.2 (). c/l)
MECHANICAL
Sewer Conn I ~ ;7 <y-,cJ2;J
,
Water Conn: 3S"Cl .tJ"V
, "
Water Meter: /66 ' cID
T.I.F.'s: J'ItlJlcJl)
,
P,"perty owne''Xf.v.... ~ ~ ~
Job Address: <3 7"6- J lJ ' U-/ .J:I- ~-7
Parcell.D, # 3$1-~-(;J/- 00/ -- t),L3t)tJ - -.5'7
Zoning: -t:;ergy Cod,=:~
. Description of Work YJJ~' g ~'~
. ~fP~~-f /-/~-f? .~ nm. fJ1~/-v/-?
./0 ;b-o /J n-, FINAL
NO OCCUPANCY BEFORE C.O.
Radon Gas:
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
I/r
P~rmit Fee ~~~-e-
Signature ~~_
Company
Address
Telephone#
Valuation or
Contract Price
BUILDING
a~;- fr'~ JrJ
ELECTRICAL
/3h7l:f:PtJ
PLUMBING
1lU!"7fA
<<J.
?3;;jj;~~f!~
MECHANICAL
Driveway
,tl~ up /J,/4-'10 8013
Tp. Servo
Rough In
Meter Can /1> -;)3-YL
Const. Pole
Pool
Pre-Meter
Final
~oY'I\A 11-1 Lj- Cfb BoB
SLB
Tub Set
Water
Sewer I-iS- 97 ~''-L
Final
j:\~ 11-\4 -qb &6
Breakers
Ducts Insl. /)- J4..tifltJ Bt!)B
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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:
/. .. ff ,;U -.9(,
a. Wrong Address ~ ~7 ~c.I' //J-
b. Condemned work resulting from faulty construction. J / 3 ZJ '- 9...{,
c. Repairs or corrections not made when inspection called. JfJ..-. 6(. C;; ,-
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.
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAME
'-
GJf!-A-AJ J. 4c/t-1 z..-a...J-5 PHONE 3S~ - S-~3 -/711
VJ. ~ ..~)4 ;:;'?-I./ ~ DAJ f1. cry
7 h ~.:>- G/ZarUIJSt..cfYL /::)tt,
LEGAL DESCRIPTION: LOT(S) S7 BLOCK SUBDIVISION &~J 1~f-z-cNS
PARCEL LD.t 3'f - .:) J - ~ I - 0 c I () - 0 13 fS>-{) (OBTAIN FROM PROPERTY TAX NOTICE)
"3 3 ::,-~
OWNER'S ADDRESS
JOB ADDRESS
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign _Move _Deaolish
PROPOSED USE: _Single Family _M/F _' of Units -pIH
_eo..ercial _Indust. _Swim. Pool _Other
____Restaurant " Beslth Depsrtaent APProva~ __ )
DESCRlPTlOR OF WORK: ~-'7? M/# GS 1)0 _
BUILDING SIZE: :;.. 7 x~..2,- ~ '-kJ aj ...-Square 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.
PERMITS REOUESTED
_BUILDING
$
~ELECTRICAL
~MECHANlCAL
-1:-PLUHBING
TYPE OF CONSTRUCTION:
) ~--O AIIP Service
/ 4' 5-0
,
Valuation of Total Construction
+Florida Power Corp.
Valuation of Mechanical Installation
W.R.E.C.
$
tlt~
GAS
ROOFING
SPECIALTY
_Block
_Fraae
_Steel
Other
YES
~
FINISHED FLOOR ELEVATIONS:
Fl' .
IS PROJECT IN FLOOD ZONE AREA?
............*.*.....*......*...*........*.
0LtJKBER
CONTRACTOR SECTION ,
COIIPAIIY /l, ~d H7-!5
~~ /? A State Cert. or ist. # i
U-J 0;;.- A ~ City License Registration t Ya"
.* ....*****.***......*.*..*.....*.......
ELECTRICIAN ~ COMPANY ce ~(rPI'; .e r;)Z- )'-/q-" :;:4' c~
f. /J.I) State Cert. or Regist. i..:::' S C~ Cl 00'6 I
SillflAture C/1 u.e~ (D...e,. oz.u-v City License Registration * ! 8"7 '
.**.**.****..*******.**.**.******.**.*****
COHPARY t8~ ;?y,/;/S
/ /I /J State Cert. or ist. t ' .
Signature CJa...r- ,6'~ ..1"# City License Registrstion t y Y
.. ........**..*.*..**.*...**..********.. .
COMPANY c.e ( (2.j!r; .R r
State Cert. or Regist.
City License Registration #
....*...***.~*..*.**...*.*....*..****..*.*
BUILDER
0ignature
MECHANICAL
Signature ~ fJdf ~
OTRRR COMPANY
State Cert. or Regist. t
Signature City License Registration t
....**.*.**..***.*..*.........***..****.*.
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
.A.' NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" whicb lay be lOre restrictive tban City
regulations. The undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILiTIES
Iftbe owner 'bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
state and. local regulations. If tbe contractor is not licensed as required by law, botb the owner and contractor lay be
cited for a lisdeJeanor violation under'state law~ If the owner or intended contractor are uncertain a~ to wbat licensing
requireJents lay apply for the intended work, ~y ar~ advised to' contact the City of Zephyrhills'Building DepartJent, (813)
788-6611. . : '. .
FurtberlOre, il the owner has hired a contractor or contractors, he is advised to&have tbe contractor(s),Sign portions of the
"Contractor Sections" of tbis application for whioh they will be respo~sible.. ,If you, as the owner sign as tbe 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 he is not properly licensed and is not entitled to perlitting 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 _ HOIeowner's Protection
Guide" prepared by tbe Florida DepartJent of Agriculture and ConSUler Affairs. If the applicant is sOleone otber tban the
"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
"owner" prior to CODenCeJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and that all woft will be done in cOlpliance 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 cODenced prior to issuance of a perlit and that all work will be perf oIled 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 goverRlental agencies Jay appl, to the intended worl, and that it is
IY responsi~ility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rehabilitative Services, EnviroRlental Health Unit - Wells, Wastewater rreatJent, Septic ranks
t US EnviroRlental Protection Agency - Asbestos abatement
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 ~colpensating volUle" 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 perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid
unless the work authorized by such perlit is cOllenced 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 cOllenced. One 90 day extension of tile, JaY be
allowed for the perljt 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVRMBNTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CORSULT WITH YOUR LBRDER OR AN ATTOIDIBY BEFORE RECORDING YOUR NOTICE OF
COHHENCEMENT. JOBS URDER $2,500 IN VALUB DO ROT NEED TO RECORD AND POST A "NOTICB OF COHKENCEMElfT".
.~~OR~
v-It:Jo- - ~
S RATURE:7CORTRAC R
STATE OF FLORIDA~
COUNTY OF ~co
The foregoing instrument was ac~owledged
before me this ~ ~ , 19~ by
\J. V'f\ c1I3 t>- ~ \(..
who' perS~lY~Wn to m~ or who has
pro uced ~ 'I-.....w=v \. \. C. ril'-\: 'eo
as identification and who did/did not
take an ~~
(Signatur
STATK OF FLORIDA r)
COUNTY OF \/ p..~ Co
The foregoing instrument was acknowledged
before me this (:)0; q " 19~ by
t ^h"~'1 ~ e ~ v-\--\-cv 4"?e \.~
who is per~l~known to me or who has
produced _~_~..'"'t/ \...\~("""'~-<-
as identification and who did/did not
take an o~~
(Signatur
(Name Ty ed;\tiWinAMlEo~, ed) f
NOTARY PUBUC, STATE OF F:"C;:;'- .
COMM. EXP. FEB, 8,1999
COMM. # CC 437695
(Name Typed, Printed or Stamped)
NOTARY Po
ILllAM E. McNA rr.-.... ,
NOTARY PUBUC, STATE OF FlOR:nr '
MY COMM. EXP. FEB, 8,1999
COMM. # CC 437695
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C>:iNn(~)c ror;: "* ~
NAME: ORAND HORIZON
nDDR:
C;' :;:;1: l-n~1 I L.L:~';
LEN T R ALP E R M I T TIN G
PASCO COUNTY. FLORIDA
I ::;;:::;UE OFT I CE: D
RECEIPT NUMBR= 00301035
OFFICE: DADE CITY
f.1{.;TE: 1 (1.1 2') j')b
P?iCiE: 1 OF 1
F: Cl h ;;
F~ t: :::, C~ II
C:HEC:K # .1 (l':.J 1.
CITY Ot:: Z"HILL':;:;
j::ICCN.r
114
TO r,c'IL (-)MOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - _
~~: . . ::~. ~:t
AMOUNT DESCRTPTION/PERMT DATA DRieR
8.95 ****** SOLID WASTE FEE 60
prCE J \/ED [,'I"
.'. . /.... ..-
r' I ,.' 1). / / ,y .......df
-_._~c~ W~~ l.a-j,...l:--::: __(~. ..:;00;;"2'2..__. _.._ _.00.. __,,_ ___._
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PASCO COUNTYlt FLORIDA
Permit No,
& / <f::s-
b
Date Permitted -LL- <2. ? ~ 9 b
Builde, Name/Owne, Name -~J'uM.l ,~O~"'^
County Parcel No. ...3JL-~--&./ - OLJ J {) '- ZJ /~? i) O.~ -r-7
Locatilm
ofuse~d~kXP
Subd,
.Classification/Type
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 Co Transportation Impact Ordinance as adopted
by the Board of County Commissioners. This amount is payable PRIOR to
or authority to utilize the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
RESIDENTIAL
I
NONRESIDENTIAL
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.
Acknowiedgement 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.3!.J/ c/o./'/
DATE
DATE
BY
/::0/>>;,f/
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BY L .;':'~>>-r....,;.,
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/A
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