The URL can be used to link to this page

Home My WebLink About96-6186 BUILDING PERMIT NO. Permit .. CITY OF ZEPHYRHILLS (813) 788-6611 -- 6186,6 Date 11)- ;2.2- ? b r IJ - rJiJ BUILDING J~-" c/zJ ELECTRICAL c3-.5 -; tl"Z; PLUMBING ,;L() - (/(j MECHANICAL cJ};1 . P<op.rty Own." ~ ~ ~ Job Address0 ' h IJ~"], - f3 U ~""'r P.".II.O.. Sy-.:J,'!"--:J./- o. ~/ -(;)/30" -H Sewer Conn I cL. 7 0'< cfl.? - Water Conn: ?-.!:. ;,. C1"Z:J Water Meter: /6!,'.. rfL) T.I.F.'s: / '/ ;V. Uz; '" Zoning: -5f~r~y Code: Description of Work PI ~ _ L-l' ../-A~ dJ A~ }'h~~ 1- d-/ -7'} IJ-~II )JIYI Radon Gas: ~ NO OCCUPANCY BEFORE C.O. FINAL 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# '/~ Pe,mit Fee ~. 02). Signaturr ~ ~O CompanL Address Telephone# !2- Valuation or Contract Price l[t/l)~jf/l aQ7?~ JK7 ELECTRICAL A;:$~' l/l PLUMBING (1)~f>~- Y'S-- 'if MECHANICAL BUILDING Ftr. Pre SLB _ Lintel Tp. Servo Rough In Meter Can 1t!.6J..? -Y-f::. Const. Pole Pool SLB Tub Set Water Sewer I-JJ;q'7~~LL Final 7 //(~ .") jJ tI ?:t /?nl.J 1/- J Lf ' 'fb $pO Breakers Ducts Insl. / / -Ilf'" ,,~Ii ~ Compress9r Final 7/1 ~.Ii 7 t,"1 FRM. Insul. CL WL Pre-Meter Final 7/11015 7 (; l { Driveway jd (J'ntA.. 1/-/1-1- 'fJb v5'Afi' ~_ v..p /1-/4 - c;l~f)()B REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: '"' / '--ff- /!7. . . 7/ ~./~, t!-/ /O-;;u-y ~ a. Wrong Address A/~ ~...a,-;n..~-~'t..r b. Condemned work resulting from faulty construction. ~ . 0 _ 37 _ Y.6 C. Repairs or corrections not made when inspection called. I~ ~ / C d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. '.... .,:, APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME G l'€A-iV ci I-!CJt!..1 ~ ONS p. 0 r~'f. ;)';}.'fS- (;;)AJ,z CTy 7 b if ~ GtG$S AJ$" t...o~ Ii. I:J tZ. S? PHONE 35;). -r~3-17Jt 33~2-.c OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION GIf;A-;V J 1/a~1 'UJ )~ PARCEL I. D.' 3 if . :J.S'" J. J - 6 0 I ~ - 0 I 30 C) - S"i' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --...Alteration _Repair _Install _Sign. _Move _Deaolish PROPOSED USE: _Single Feaily _M/F _' of Units ~/H _ec-ercial _Indust. _Swill. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: S-~/vp t> $'"di) ") BUILDING SIZE: d-.L{ xt..fD, 9~tJ Square Feet. Height RESIDENTIAL : COMMERCIAL ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ~ELECTRICAL I S() AIIP Service +FIOrida Power Corp. W.R.E.C. .LMECHANlCAL $ /,. .2. .::>-0 Valuation of Mechanical Installation ~PL~ING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other YES -if FINISHED FLOOR ELEVATIONS: F1' . IS PROJECT IN FLOOD ZONE AREA "I ....*........*..*.............*........... Bun .oER ~gnature CONTRACTOR SECTION COIIPAIIY ~.u A7. r/ .5 ~ State Cert. or egist.' GJo-r--l2 W City License R gistration f "$IX ... *....***..*..*.......**.*.....**.....* RT.Io:CTRICIAR COMPANY lie 12 /{ Q .p."j .e I- HT/fI:1J J,o '- ~ L) /7/"J State Cert. or Regist. Ese> 0000 ,( SilmAture ~ {P..e.er e:;1"f.;t,"- City License Registration . Ii,! ......*..*...................**........... rmulIII COIIPAIIY ~ /J-t, /i .5 /' . ~ State Cert. or egist. t V Signature W ~ City License Registration' 11./ ~ ..:-. ..~.................................. ' COMPANY /l-c e_ 1?(2fl}-tr9-e}-~7/o~ +~ C'_ State Cert. or Regist. '. <.:. /?Co.J7l-SS- City License Registration . s;- .*......*.*.*...**....*..*......*...*.*... MECHANICAL Signature C~ 114d't.Art-- 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 perJit lay be subject to "deed restrictions" whicb lay be lOre restrictive than City regulations. Tbe undersigned assutes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance with state and local regulations. If tbe 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 wbat licensing requiretents lay apply for tbe intended work, they are advised to contact tbe City of Zepbyrhills Building Departlent, (813) 788-6611. . FurtherlOre, 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 wbicb the, will be responsible. .If ,ou, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for tbe work. If tbe contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to perJitting privileges in the City of Zepbyrbills. 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 "Florida's Construction Lien Law - HOIeowner's Protection Guide" prepared by tbe Florida DepartJent of Agriculture and Consuter Affairs. If tbe applicant is soteone other than the "owner", I certify tbat I bave obtained a copy of the above described docutent and prolise in good faith to deliver it to the "owner" prior to cOlleDcetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all tbe inforaation in tbis application is accurate and that all work will be done in cOlpliance witb all applicable laws regulating construction, zoning, and land developlent. Application is bereby 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 perlit and that all work will be perforled 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 governtental agenCies aay apply to tbe intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDJentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t A[If Corps of Engineers - Seawalls, Docks, Mavigable Waterways t DepartJent of Health & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic 'fanks t US EnviroDlental Protection Agency - Asbestos abatetent 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 volute" will be subtitted wbicb is prepared by a professional engineer registered in the State of Florida p'rior to perlit. issuance. A perJit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official frot 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 cOllBnced within six IOnths of issuance, or if work authorized b, the perJit is suspended or abandoned for a period of six IOntbs after the tile the work is cDllenced. One 90 day I!ltension of tite, aa, be allowed for the perJit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during eacb six IOnth period, or the project will be considered abandoned. WARMIMG TO OWHER: YOUR FAILURE TO RECORD A MOTICE OF COMMEMCEHENT HAY RESULT 1M YOUR PAYIMG TIUCH FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEIfD TO OBTAIM FINAJlCIMG, COMSULT WITH YOUR LBIfDD OR AM AnORHKY BEFORE RECORDIMG YOUR MOTICH OF COMMEMCEHEMT. JOBS UlmER $2,500 1M VALUE DO MOT MEED TO RECORD AIfD POST A "MOTICE OF COMHEMCKHENT". O~ S~om:R OR AGENT c/ (J~.-/~ SIGHATURE: CONTRACTOR ... STATE OF FLORIDA) coum OF ~~..J The foregoing ~~rument was acknowledged before me this ~~ ~ , 19.:ti. by --3~J~~L~~~ who is pers~ ~wn to me or who has produced ~~~~ as identification and who did/did not take an o~~. (Signatur , STATE OF FLORIDA Q coum OF ',~ ~ ~c oj The foregoing i<:)rument was acknowledged before me this c1 ~ , 19..5...L by ~~~ ~.I~~\.) who is per~~~t:r;kQown t9!Be or who has produced L-t-u- \.\ CC\...- as identificati and who did/did not take an 0 (Name T ed,Wft..Jt.~RM!l!. ~~ea) NOTARY PUBUC, STATE OF FLORlOt MYCOMM.EXP.FEB,8,1999 COMM. 1# CC 437695 (Name T ., Pr,in\?~ or Stamped) NOTARY PUBL'tCLLlA". 1'::. lJi:, c PUBLIC, SlATE C:' ;-: , MY COMM, EXP, FEB 8. 199~' COMM, # CC 437695 ~, c......-- .. " \ WI; .... ,.... ~""" '""7" #- <g +-~ ~.. t', .~ , \ ~ I , ~. ~. .f ..- ; I - ,... /" ~ .J." .... .; 'I. '1 ~ f,i.: /. I '-"j . ~~ ~ ." ~,-" _M I .... ..", : ~~, cI '''. f. .~ .>"'" i 4 1 ~ ....,....- . ~ \. \ \/ (n oefF L 3 ",".'1 () Pt.lJ.M Ii AI. co~. Jp- -.........-..-.. .J" '1-' 4 ,..' ~.. , ,I., -. --~ ; ... '.. to. ~ '#~ ......... - ,.L. ..."..----.---- --.t - I'/< / LC/l./A/E' ---j,'-: " ,'._~ 1('/ .c .'~ .... .J. '.. ,.' ".. "_ , ' ,4.' , t l,((~; J) . .~ 'L.. , ;. :. '~....,'--_._} .... I rl l .t' 'i r:. ~ L.' t- I C,...., '. ,.l 11 . I \ !. '" ... , /- . , .71 ',_ ... _.',.. " . i...o S-2 ,# .. .-' J;;./ / J / -~ - - -.- - -- - - - - - -.-.--....-- - -- - -.- - -.- co~rn;;PJc-f OF: #: NAME: GRAND HORIlON l-IDDFi: C E N T R ALP E R M I T 1 I N G DATE: 10/29/96 PASCO COUNTY, FLORIDA PAGE~ 1 OF 1 I:::;'3UE OFFICE~ D RECEIPT NUMBR: 00301032 OFFICE~ DADE CITY c~ / ::::~.T :: FCJr;~ : f~: t::' :;:; c: . CHECK tt 1 (6'J CITY OF I-HILL #6186B '~):~:CN'I 114 lCn(~L r-lMOUNT: COMPNY ACCOUNT CENTER ;:~:" ';;i~::; B450-' 363000 -- . . .1:.:. AMOUNT DESCRIPTION/PERMT DATA DRieR 8.95 ****** SOLID WASTE FEE 60 HFC:E: J VED Fl'{ . / ~ ;: .' '.1/:1//-,,'':; ~_ ..../""J .' /:--.-. ~:/">-'..'- ..t.-__,~_,,_.__....Z_,~__ ~_ _.______._ .___._. </ ../ ~ '. ~ PASCO COUNTY, FLORIDA Permit No, ~ I JY b ~ Date Permitted -.LtL. . ~ - ,9 -b Builder Name/Owner Name ~A.tlM j ~ County Parcel No. J Y -;;:2s-- -:l/ - () /J / CJ ~ () /-30 0 -, ~--rf Location Classitication/Type of Us;- ..J( IP.J1 ~~...4. -z-:: ./ Subd, TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./Unit Prepared By The above impact fee been established pursuant t Pasco County Transportation Impact Ordinance as adopted by the Board unty Commissioners. This amount is paya PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units I Gross Sq. Ft. (GSF) Rate/ERU - 52,00/Year or $0,142/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 --------------------------------------------------------------------------------------------------------------------------------------------------- OFFICE USE ONLY TRANSPORTATION REC. NO. '.-?..(')'~J-" RESOURCE RECOVERY REC. NO. < DATE DATE /,/V:, '/ /Y/ /' ,/ BY BY /i ...~(/j!:-,;..,,-~-i-o.Y'........', " White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC9311 3094/ A