HomeMy WebLinkAbout96-6187
BUILDING PERMIT Nil
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
6187f.5
Date /~ -';<3 -7 ~
,yo. cro
BUILDING
3-.5---Jo
ELECTRICAL
~ ~ cJz;
PLUMBING
.:20 - J[)
MECHANICAL
Sewer Conn
/~J7YnJ
/ .
Y...s'tJ . rzY
Property Owner: xl! ~c1 #~/k
Job Address:.:s 7 e; ~ ~ it ~ ~ ~ Il.l../
Parcell.D, # ,-,?Y--;;S--;2/- (),1/O - j30() - ~::L.
Water Conn:
J:;t-~~
Water Meter: /6S'; dlJ
T_I.F.'s: ./ ,?"pV , cT"D
-'
Zoning: . _~~~gy Code:
Description of Work ~L ~.y
~jrp,,~ Ih~ 1- B-1-9:7
NO OCCUPANCY BEFORE C.O.
Radon Gas:
/:1.: /I J1 WI
FINAL
C.O.
DATE
9~3o -7
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
P~rmit Fee_ J.3 tJ~' '2.
Slgnatur~---- ~_
Company
Address
Telephone#
Valuation or
Contract Price
City License Registration # ~
State Certified License#
~j(y1;fJ /87
ELECTRICAL
a;f(;?~ f/~-
MECHANICAL
ahftJ~jl
BUILDING
13 ,JZ.:f://
PLUMBING
Tp. Servo SLB Breakers
Rough In Tub Set Ducts Insl. JI, Iz..-/j~ 13~
Meter Can }o -;2.] ~76 Water Compressor .
Const. Pole Sewer ';'!::>-'- 91 ~~LFinal 7!/{;('7} (.,:U
Pool Final _Ill. /'17 11 t
Pre-Meter ffl/'rYLt J..P-I~-4b $i)!:5
Final 7//",/91 /2:1(
, f
Driveway ~~ 11,,/7--'1f3 Cb6
~ Ilrlt/fIN$()f)
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 0011 00 Dollars ($15.00) shall be made for each trip for each trade:
AJ~ ~_T~/ /t)~'-.9-1:.
,P Ie? -::? 0 - 7-b
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.
a.
b.
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.
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
',I ...
6~,o,..N d Ho ~I ~d" ".}..->
9..<S)...~~ ~-;)..'fS- ~A~~ Ct1:,
,
76'15 G'~"~st..ofiJtE .B1f
.
LEGAL DESCRIFl'IOR: LOT(S) c: ~ BLOCIL--SUBDIVISION G""l'r1Vel ,*te.(~J
PARCEL I. D.' "3 'I' - *J-'::'-...r,J.{ -00 t iJ -<:> I '3 0- C,) (OBTAIN FROM PROPERTY TAX NOTICE)
OWNER'S NAME
PHONE 3S'""2 - .::>-,,"3 -/ 7"/
"33S-2..'
OWNER'S ADDRESS
J01l ADDRESS
WORK PROPOSED:__ew Construction ---..Addition ---..Alteration _Repair -)t-Install
_Sign -.JIove _Deaolish
PROPOSED USE: _Single Feaily ---Jt/F _' of Units XM/H
_ec-ercial _Indust. _Swill. Pool _Other
----Restaurant " Health Depar-..t App~l
DESCRIPTION OF won: S- rz. (VI) rn / II ~ 5(; 0)
...--- F- ,
BUILDING SIZE: ::).. 7 x'l:" / ;LIS- Square Feet, Height
RESIDENnAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION.
PERMITS REOUESTED
_BUILDING
...::6:-BLECTRICAL
~CllANlCAL
-+PLUKBIIIG
$ Valuation of Total Construction
/ 5D AIIP Service ~FIorida Power Corp. W .R. E. C.
$ 1:3 0 () Valuation of lIechanical InstallationA-IIC.-'
/
GAS ROOFING SPECIALTY
TYPE OF CONSTRUCTION: _Bloclt _Fraae _Steel
Other
YES
*
PlNISBED FLOOR ELEVAnONS:
FT.
IS PROJECT IN FLOOD ZONE AREA..,
......................................*...
CONTRACTOR SECTION
RUTT.DER COIIPANY ~.7.1. ~ $, //.J
~.-/ A /1 State cer~ist.' .
VSignature CJc:?- - /J...:z r-.&/ City License Registration , .i!./ 'Jf
... .......*....*................*........ '
RT.RCTRICIAII . COMPANY IJ-c e... r I ~ .e,.. ,,'-,/ co~.;:J:.dI C.
, / f).0< /J/J State Cert. or Regist. ES OGOOO I
Sianature C~ VU J2Q ~ City License Registration' I K7
....................................**....
~LlDlBER
Signature
COIIPAIIY ~..b' ~.r/ S
/' 1 ~ State Cert. or sist.'
c.A-/'~ -LL City License Registration t l....1 ~
. ... ........**...**...*..*.*.*...........* /
COMPANY /lee- flQ-f1i",'q ~r 19-7 /0 ~ ~c(j c.,
C. f .4 LJ AI! State Cert. or Regist/' ell Co 3~~..
_11A.M: VV.Q,t)' ~ City License Registration' _
........................*.................
IlECHANlCAL
Signature
OTRRR
COMPANY
State Cert. or Resist. .
City License Registration t
...............*.*................*..*....
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
'A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this penlit la' be subject to 'deed restrictions" wbich laY be lOre restrictive than Cit,
regulations. !he undersigned asSllleS responsibilit, for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRAC~OR RESPONSIBILITIES
If the' OIfIIer bas bired a contractor or contractors to undertake work, they.y be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the OIfIIer and contractor ., be
cited for a wisdl!leanorviolation under state law. ' If the owner or intended'contractor are uncertain as to wbat licensing
requireents .y apply for the intended work, they Fe advised to contact the City o( Zepbyrbills Building .Departlent, (813)
. 788-6611. ' .' , , .. . ,
Furthenore, if the owner bas'bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sectionsl of this application for wbich they will be responsible. .If, Y~P, as ,the mmer 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 lilY be an indication that be is not properly licensed and is not entitled to peraitting 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 - HOIeOIOler's Protection
Guide" prepared b, the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber than the
"mmer", I certify that I bave obtained a copy of the above described dOCUlH!llt and prOJlise in good faith to deliver it to the
"mmer" prior to COllenCl!Ient.
E. CONTRACTOR' SlOWER' S AFFIDAVIT . .
I certif, that all the inforution in this application is accarate and that all work'will be done in cOlpliance with all
applicable laws regulating construction, loning, and land develo~ent.
Application is bereb, _de to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas C08enced prior to issuance of a perlit and that all lfOrk will be perf01'lecl to Jeet standards of all laws
regulating construction, City codes, loning regulations, and land developlf!Jlt regulations in the jurisdiction. I also
certif, that I understand that the regulations of other goveIDIeDtal agencies laY apply to the intended lfOrt, and that it is
Ii responsibility to identif, wbat actions I lUst take to be in cOJlpliance. Sucb agencies include but are not lilited to:
t Departlent of EnviroDleDtal Regulation - Cypress Ba,beads, Wetland Areas and BnviroDlentally Sensitive Lands,
WaterjVastewater Treatlent
t Southwest Florida Water Hanaguent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArIy Corps of Engineers - Seawalls, Docks, Xavigable Watenays
t Departlent of Health , Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'freatlent, Septic Tanks
t US BnvirOJllental Protection Agency - Asbestos abatuent .
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 volllle" will be subllitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perait issued sball 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
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becoIe invalid
unless the work authoriled b, such perlit is COll8Jlced .ithin six IOnths of issuance, or if work authoriled by the perlit is
suspended or abandoned for a period of six IOnths after the tile the lfOrk is coaenced. One 90 day extension of tile, laY be
allowed for the perait .ith fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sixlODth period, or the project will be considered abandoned.
WARlfING TO 0WlfBR: YOUR FAILURE TO RECORD A NOTICE OF COJIHDCBIID! HAY RESULT IX YOUR PAYIXG !VICE FOR IHPROVEHD'fS TO YOUR
PROPEm'. IF YOO II'fIlD TO OBlAIM FlIfAIICING, COMSDL'f WI'fH YOUR LlMDIR OR AM AnORDY BEFORE RECORDIMG YOUR MOTICE OF
COOIEMCEHEN'f. JOBS UMDBR $2,500 IN VALUE 00 NOT NDD 'f0 RECORD AND POS'f A t'NOTICE OF ClJOIBNCEHENT".
~--~p
SI : OWNER OR AGm
e--tJ~~
SIGNATURE: 0111' 'fOR
S'fA'fE OF FLORIDA . .~
COUll1'Y OF \" ~ ~ 'So c u
The foregoing 1n trument was acknowledged
before me this , 19ct' by
dlJ '"" ~.......
who is pers~. ~wn tp me or who has
produced ~J"~ Ll'-C't'--').....
as identification and who did/did not
take an oat~h.. __ ......---.>
~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY iL:Li"AM- E. tict-JATT
NOTARY PUBLIC, STATE OF FU:'I:W)'
MY COMM. EXP. FEB 8. 199~'
COMM. # CC 437695
S'fAT! OF FLORIDAC,
coum OF Y ~~ CJ.:o
The foregoing instrument was acknowledged
before me this ('~ ~ , 19 <t, by
\-u~" L~'-' \:t-e
who is per.sona~known t-o me or who has
produced '\- L .,J \,... """ Uc <" ~ '--
as identification and who did/did not
take ~'
(Signature)
(Name T'oecr;-wlf~~jfc!-:qt('I~itamped)
NOTARY PUBLIC, STATE or: h
MYCOMM.EXP,FEB 8i9:"
COMM. # CC 437695
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CONTfo'ACTOF< #:
NAME: GRAND HORIZON
(HJLn:;: :
C/ ::,'1: Z '-H I Lt':,;
( E N T R ALP E R M I T TIN G DATE: 10/29/96
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
I :~;::::UE OFF J CE ~ [I
RECEIPT NUMBR: 00301031
OFFICE: DADE CITY
FOF:~
C:HECK H 1091
i~CCNT
11.1
RI::::;::C:.
CITY OF Z-HILLS #6187B
34-25-21-0010-01300-0590
TOT {.\iL ~iMOUNT: ::!. 9~:;
COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/FERMT DA1A DRIeR
E:4~:iO ... :363000 ,.. __ :;:-:.9'5 iHHH~'Hl ::::OLID ~.JA::::TE FEE 60
PECE livED l?l
..' . .--/--.---- .'-
. t / -' (
.... ,.. ..,..i.. -. !.J::~::!;::. :,:(~,;L -, --_!.~.~- .....i:-::J.~~'r6!f- ...', - -- _. _ -- _.-__
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V JO,ciI
PASCO COUNTY, FLORIDA
Builder Name/Owner Name _$~/ )I,yU..~
County Parcel No. 3 Y -.2.5--;;l/ - tJo/ l) -- () /-...5 q 0 '?
Permit No, -'- J ?' I' ~
Date Permitted _~ - <2~?- y-,,-
RESOURCE RE
62-
Location
Classification/Type of Use K i/.-:Ll ~tA. c...JJ
Subd,
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No,
Sq. Ft./Unit
y
Impact Fee Amount $
The above impact fee has been establi pursuant to the Pas unty Transportatio
by the Board of County Commi' rs. This amount is payable PRl
or authority to utilize the itted structure.
RESIDENTIAL
NONRESIDENTIAL
No. Units
I
,
Gross Sq. Ft. (GSF)
Rate/ERU - 52.00/Year
or $0. 1 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 paymellt for same.
Date
Received By
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
-?
-J~} / ClJ /
DATE
DATE
/(J h ~/)-/
, /,
BY
BY (/((1,';"" ......n
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/ A