HomeMy WebLinkAbout96-6251
BUILDING PERMIT N~
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
62518
Date 1/ -I Y - ;; b
:2datJZ)
BUILDING
S.!>--' :lS-
ELECTRICAL
~~~Pl)
PLUMBING
.3 D. O'D
MECHANICAL
Sewer Conn l;l P!-. tJ1::>
Water Conn: J~' VD
Property Owner: ~AA LA 110.--4;. Water Meter: L 6S '.. cJz:;
Job Addr..., ,iiFff? t!J:K~,.-., ~1.. HF.'t-20'/.U>> ~
P,<ceII.O.' ,qfl~~.:L/ - /fhdtPiP - ~a.10() - ()lJ~U
Zon;ng, - En'!!}!" COd." 'L. - R,don G"E ;y, ~
Description of Work ~~_~Jf.-~*r I_/<~
c2- ,J.1- 97 c?k - /J1$i.. e :,5:f:>/9 '11'1 6=?~~s ;:-?
NO OCCUPANCY BEFORE C.O. . c9
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
i1.. ,~
') ::> (--
City License Registration # ~--.J
State Certified License#
Perm;' Fee ;jiiJ. (J . ft-
Si g natu re lil 1(;2..-.....
Company
Address
Telephone#
Valuation or
Contract Price
;20 / tf;J(). tfU
"
-Jo~1 ~QtlA}
BUILDING
~ft~?g!~/nJtf3)7 ~~~1~r~YI
ELECTRICAL PLUMBING
~~ ~ /9;2/
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM, 12 -2?-19' ff,L L.
Insul. CL
WL J:J..,{;J,/-~ BJLL
Tp. Servo
Rough In /2-z-J-~tp3o~
Meter Can J/-R---P~
Const. Pole
Pool
Pre-Meter :;)... ..J.Lf, 'f~ ~
Final
SLB
Tub Set It-i!...3-~tp g, ~
-
Water
Sewer j)", 2//'9(, .co~
Final ")/17 /9'" KofJ
Breakers
Ducts Insl. I z.. -2-5...e;~.;J pi?
Compressor
Final ')(1) If 7 f'J.
Driveway
r:i\C..\ 2/11/C17 80lj
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:
))~~~.I //-/~-~
t-l- d- -~ 7- 7~
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 PERt-lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
INTERIOR COMPLETION
APPLICANT Sandy Developmen t.~ Company, Inc.
ADDRESS 12303 u.S. Hwy 301; Dade City, FL 33525
PHONE (352) 1)67-7qq2
r'
OWNER Oak Run Pro{>erties, Inc. 7335-2 Gall- Blvd., Zephyrhills, FL. 33541
JOB LOCATION 37744 Oak Run Cir (RT.D 6)
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ~t
34-25-21-0000-00300-0080
.7 WORK PROPOSED:-1l-New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
(
PROPOSED USE: ____Single Family
____M/F
____~~ of Uni ts
.____M / H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE: 2 7 . 33 IX 40 I .
973
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.**
**COPY OF CONTRACT REQUIRED.
PF.RMITS REOUESTED
-K-BUILDING
$
Valuation of Total Construction
-X-ELECTRICAL
-K-MECHANICAL
-K-PLUMBING
AMP Service
Florida Power Corp.
_W.R.E.C.
$
Valuation of MechanicaIlristallation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company Sandy Development com~any r Tne.
State Cert. or Regist. # CBC010 23
City License Regi~tration # 235
******************************************
Signatu
F.T.F:CTRICIAN Jerry Cavender Company Lake Re~ion Elee trie Co.
~ State Cert. or Regist. ~; ER0003755
Sismat 4/7-y<-r::?;~"""A*d~ City License Registration # 1837
******************************************
Russell Avene Company Rll1'l ty' 1'l Pl11mhi n~
State Cert. or Regist. ~~ C C056789
Signature City License Registration # 1541
************************************
Signature Wil
Company Lynn's. Hea tin.e: & Ale
State Cert. or Regist. # R0064314
City License Registration'~ 1921
******************************************
OTHF.R
Company
State Cert. or Regist. ff
City License Registration #
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PER~:T AFFIDAVIT
A. ~OTICE OF DEED RESTRICTIONS
The und~rligned understa~1 that this per.it '.ay be subject to "deed restrictions' which .ay b~ lore restrictive than City
regulatlonl. The underSigned al5Ule5 responsibility for co.pliance with any applicaoi& deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS~BILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with
state and local regulations. If the coB('ractor i~ not licensed as required by law, both the owner and contractor .ay be
cited for a .isde.eanor violation under state law'. If the owner or intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended work, the~ are advised to contact the City of Zephyrhills Building Depart.ent, (813)
788-6611.' i'
Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s} sign portions of the
"Contractor Sections. of this application for .hich they Mill 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrhills. '
- 7
_~C~ TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D~ CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I tertify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
60,de" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs.' If the applicant is so.eone other than the
.olner., I certify that I have obtained a copy of the above described docueent and pro.ise in good faith to deliver it to the
"olner" prior to co..ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work ~ill be done in co.pliance with all
applicable laMS regulating construction, zoning, and land develop.ent.
Application is bereby .ade tQ obtain a per.it to do work and installation as indicated. I certify that no work Dr
installation has cOllenced prior to issuance of a per.it and that all Mork Mill be perfor.ed to .eet standards of all laNS
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is
.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
f Ar.y Corps of EnQineers - Sealalls, Docks, Navigable WaterMays
f Depart.ent of Health & Rehabilitative Services. -Environ.ental Health Unit - Wells, WasteNater Treat.ent, Septic Tanks
f US Environaental Protection AQency - Asbestos abate.ent -. ,,','
I also certify that, if fill .aterial is to b~ used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volule. lill be sub.it~ed Mhich is prepared by a professional engineer registered in the State of
Florida prior to penit issuance. ;'
A per.it issued shall be construed to be a license to proceed lith the work and not,as authority to violate, cantel alter, or
set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official fro! thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
unless the lork authorized by such per.it is co..enced within six tonths of issuance or if Nork authorized by the per.it is
suspended or abandoned for a period of six .onths after the tiee the work is cOllenced. One 90 day extension of ti.e, .ay be
alloNed for the perlit lith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during eacbsix .onth period, or the project will be considered abandoned.
WARN INS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR FAYING TWICE FOR I"PROVE"ENTS TO YOUR
PRDPERTY. IF YOU INTEND TO DBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO"" CE"ENT. JOBS UNDER $2,500 ALUE DO NOT NEED TO RECORD A POST A "NOTICE OF COMMENCE"ENT".
STATE OF flORIDA
COUNTY OF PAS c.o
The foregoing instrument
before me this OGr 14
was acknowledged
, 19~ by
STATE OF FLORIDA
COUNTY OF P-Pt5@
The foregoing instrument was acknowledged
befclre me this Dr f-l ~, 19~ by
OM
who is personally has
produced
as identificatio~dAWh:_~/did not
take an oath. ~"2ivo.-,
(Signature)
J El2.c (Yl f:, v:> . (.1 AeUJL
~o-rs personally known to m~r who
produced
as identificatiJn
take an oath.
has
~
who ~/did not
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
NATALIE SWAN
Notary Public. State of Florida
My Comm. Exp. Oct. 12. 1999
Comm. No. CC 501333
NATALIE SWAN
Notary Public. State of Florida
My Comm. Exp. Oct 12. 1999
Comm. No. CC 501333
f ..,_
BUILDER: Sandy Development
ADDRESS: 37744 Oak Run Dr.
OWNER:
SQ. FT. PRICE
LIVING OR MAIN AREA: I 1,008 I $ 20.00 I
OTHER AREA UNDER ROOF:I 0 I $ 11.00 r
OTHER: I 0 I $ 11.00 l
SQUARE FEET UNDER ROOF:I 1,008 I
VALUATION:I $ 20,160.00 I
ADDRESS: I $ 20.00 I
DRIVEWAy:1 $ 20.00 I
FEES: l $ 120.00 I
BLDG. PLUMB. ELEC. MECH.
PERMIT FEESf$ 220.00 , $ 55.00 , $ 55.25 I $30.00
3/4" 1" 2"
WATER METER SIZEl $ X 165.00 I $ 245.00 I $ 610.00 I $ 840.00 I
SEWER WATER METER
CUNNECTION FEES:' $ 1,278.00 I $ 350.00 I $ 165.00 I
RADON GAS: l $
PERMIT FEES: , $
CONNECTION FEES:' $
WATER METER: l $
- I
360.25 I
1,628.00 I
165.00 I
TRANSPORTATION IMPACT FEES:
99%
1%
$ 1,204.00
$ 1,191.96
$ 12.04
CREDIT
CREDITt $
- I
2 193.25 1-'70. Ob _
, :l, 1-->"7.3. .l.!:.
165.00 I
SUB-TOTAL I $
IRRIGATION METERI $
TOTALJ $
2,358.25 I
C E N T R ALP E R M I T TIN G
PASCO COUNTY. FLORIDA
DAlE: 02/27/97
PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR: 00313164
OFFICE: DADE CITY
CONTRACTOR #: 004046
NAME: JEROME W PARKER
ADDR: 13050 HIGHLANDS COURT
C/ST: DADE CITY FL 33525
FOR:
CHECK # 478
SOLID WASTE FOR CITY OF Z-HILLS
PERMIT 62518
CONTRACTOR: 004046
TOTAL AMOUNT:
ACCNT COMPNY ACCOUNT CENTER
114 8450 - 363000 - 2
43.5'~
AMOUNT DESCRIPTION/PERMT DATA DRICR
43.59 ****** SOLID WASTE FEE 60
.
!I-Ji'-f'/. ;;
Date Permitted _ b :2 "-S-/ IJ
BuHder Name/Owner Name xl' ~ /l~&"j-
County Parcel No. 3-5~--"" -~ - t? t/ tJ cJ - LJ ad tJ 0 - t)o &-D
Location _0 !/ 7 Y'f & J K.~
ClassificationlType of Use X.../l~ ~d
PASCO COUNTY, FLORIDA
Permit No.
Subd.
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Sq. Ft./Unit
o.
Impact Fee Amount $
The above impact fee has be established pursuant to the Pasco Coun ansportation Impact Ordinance as adopted
by the Board of County mmissioners. This amount is payable PRIOR to the',. ,ance of a Certificate of Occupancy
or authority to utilize he permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
I
Gross Sq. Ft. (GSF)
RatelERU - 52.00/Year
or $0.142/Day
ERU Assign No.
Assessment - (No. Units) x ($0.142)
x L+~~J'
TOTAL FEE $ /'
Assessment -
(GSF) x (ERU) x (0. J 42) x (No. Days)
100
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.
DATE ~ tl BYF
.3 I :3/blJ-DATbl! 7 ? BY.
/ { ---
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/A