HomeMy WebLinkAbout96-6257
BUILDING PERMIT N!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
Date
J/-/~--,9--6
..6251A
\~
.J))O, rJV
BUILDING
-.!>3 -,;)-!:, -
ELECTRICAL
SJ>'-. dCJ
PLUMBING
..:.? 0 e UD
MECHANICAL
Sewer Conn J J.. 7 t': v'V
Water Conn:" ~'O" (IV
Water Meter: J b~-' tliJ
T.J.F.'s: 12(J'I.dtJ (}yjJ
",.p.rty Own., ~ J;,~ -82;- . .
Job Address: ,3 ~ ~..s ? .. K.,,4~ &A.J<~
Parcell.D. # l? ~-;l.S-.;2/ -0000- [) Q.3 CJ (.) - 0 ()~2J
Zoning: Energy Code: _ Radon GaSdf 4$
Description of Work ~LL1-z;,~--/ ~.J1 ~ J.A.
\:1'1 j-J~ jlM ~~-<l;tCAJ Y - )7-F:> Pt" /D )1111
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee
Signature
Company
Address
Telephone#
'~tf;l:~v-,
Valuation or
Contract Price
:2J) .J b (). OD
,
City License Registration # :J, r....s--
State Certified License#
.J~ i]~
BUILDING
~-.B); j? rrhf-,. IcK19
ELECTRICAL
'7?~r/S///
PLUMBING
~r~.L IPcJ-1
MECHANICAL
Tp. Servo
Rough In /- 7, 91.... jj(,(j
Meter Can 1/- If:- f!.t
Const. Pole
Pool
Pre-Meter vd-!-'7-9'l/2Lf1
Final
Ftr.
Pre SLB _
Lintel
FRM. 1-'7- q? RJ L...L
Insul. CL
WL 1-IIf-q1 ~/LL.
SLB
Tub Set /:J- '3/ -c;~ 811-<-
Water
Sewer / I ~ZCJ -"" ~J l.L
Final
Breakers
Ducts Insl. /:i -51" 9fL 8d3
Compressor
Final
Driveway
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:
7/ -- /J.. _ .. . ~ ,4 ./ /I - /f-- Yb
a. Wrong Address Af~- ~ ~ .; ~u'
b. Condemned work resulting from faulty construction. a1
c. Repairs or corrections not made when inspection called. rJ~ iJ....) I .... 7
d. Work not ready for inspection when called. . 7 .
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 PE~lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
INTERIOR COMPLETION
APPLICANT Sandy Develop~en~ Company, Inc.
ADDRESS 12303 u.S. Hwy 301; Dade City, FL 33525
PHONE (352) 567-7992
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OWNER Oak Run Prooerties, Inc. 7335-2 Gall Blvd., Zephyrhills, FL- 33541
JOB LOCATION 37757 Oak Run Cir (BLD 7)
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.#
34-25-21-0000-00300-0080
.7 WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
(
PROPOSED USE: ____Single Family
____M/F
____# of Units
.____M I H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE: 2 7.33 IX 40 I ,
973
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 FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~BUILDING
$
Valuation of Total Construction
-X.....-ELECTRICAL
~MECHANICAL
~PLUMBING
AMP Service
Florida Power Corp.
_\-l.R.E.C.
$
Valuation of MechanicaIlristallation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company Sandy Develooment Com~any, lnc.
State Cert. or Regist. # CBC010 23
City License Registration # 235
******************************************
ELECTRTCTAN Jerry Cavender Company Lake Region Electric Co.
9- State Cert. or Regist. II IlR0003755
Shmatur 'dd tZ:fl./4I"Jd~ City License Registration # 1837
~ ************************* ** ** ***.:* .:*** *** *
Signature
Company Rll!=: ty I!=: Plllmhi n~
State Cert. or Regist. 4; C C056789
City License Registration # 1541
* **********************************
Signature
Company Lynn's Heating & A/c
State Cert. or Regist. # R0064314
City License Registr~tion ~ 1921
******************************************
OTHER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDA~IT
A. ~OTICE OF DEED RESTRICTIONS
'The undersigned understands that this penH 'Iay be subject to adeed Tes'trictionsa which .ay~e,..re..re5trictive than Cit~
regulations. The undersigned allUIeS responsibility for co.pliance with any applicihle deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and IDcal regulations. If the confractor is not licensed as required by lall, both the owner and contractor lilY be
cited for a lisdeleanor violation under state lall~ If the ollner or intended contractJr are uncertain as to "hat licensing
requirelents lay apply for the intended work, they are advised to contact the City o~ Zephyrhills Building Departaept, 18131
788-6611. ;.
Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
aContractor Sectionsa of this application for which they lIill be responsible. If you, as the ollner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the 1I0rk. If the contractor IIi shes you to sign
as contractor 'that lay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the.
City of Zepbyrhills.
._C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
. 7
D~ CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I tertify that I, the applicant, bave been provided lIith a copy of aFlorida's Construction Lien Lall - HOleollner's Protection
&O\dea prepared by the Florida Departlent of Agriculture and ConsUler Affairs.' If the applicant is soaeone other than the
aOllnera, I certify that I have obtained a copy of the above described docu.ent and proaise in good faith to deliver it to the
aollnera prior to cOlaenceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and that all Nork Nill be done in cOlpliance lIith all
applicable lalls regulating construction, zoning, and land developaent.
Application is hereby lade t~ obtain a perlit to do work and installation as indicated. I certify that no 1I0rk or
installation has coalenced prior to issuance of a perlit and that all lIork will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations) and land developaent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended 1I0rk, and that it is
ay responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
f Departaent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
f Soutbwest Florida Water "anaqeaent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rebabilitative Services. .Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection Aqency - Asbestos abatelent
I also certify that, if fill laterial is to b~ used in Flood Zone "Aa or aA,etc.", it is understood that a drainage plan
addressing a acolpensating yolulea will be sublit~ed which is prepared by a professional engineer registered in the state of
Florida prior to perlit issuance. ,.
A perait issued shall be construed to be a license to proceed with the Nork and not. as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official froa thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the lork authDrized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perait is
suspended Dr abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
allowed for the perlit with fee cbarge of $15.00. Tbe extension shall be requested in lIriting to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNIN& TO OUNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOU~ PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
~ D'500 ~ IlEED TD REI:IIRD AND IlST A 'NOTICE OF CllIlllEllCEKE
ATURE: OIlMER OR AGENT
STATE OF FLORIDA
COUNTY OF 0 ~S '-D
The foregoing instrument
before me this Dc.:.t-lY:
was acknowledged
, 19~ by
STATE OF FLORIDA
COUNTY OF P ft:5 (.0
The foregoing instrument
befc.re me this oc...:f- ILl
was acknowledged
, 19 'i c,... by
nd who e+d/did not
..J EY2 dM e LP" P Al!!.JU.IL.
who is persc.nally known to me or: une- has
~.j\-t::d
as identificati
take an oath.
.J e'(2.(5).tG
who is personally
prGlEh:lced
as identification
take an oath.
v.). p~ElL
known to me O~ "1'10 ha~
(Signature)
crfa.1ti- ~
who EH-d/did not
-.~
(Signature)
(Name Typed, Pr~nted or Stamped)
NOTARY PUBLIC
NATALIE SWAN
Nota.ry Public, State of FlorId.
My Comm. Exp. Oct. 12, 1999
Comm. No. CC 501333
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
NATALIE SWAN
Notary Public, State of FlorIda
My Comm. Exp. Oct. 12, 1999
Comm. No. CC 501333
..,,,"'~
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BUILDER: Sandy Development
ADDRESS: 37757 Oak Run Dr.
OWNER:
sa. FT. PRICE
liVING OR MAIN AREA: I 1,008 I $ 20.00 f
OTHER AREA UNDER ROOF: [ 0 I $ 11.00 I
OTHERI 0 I $ 11.00 I
S-lUARE FEET UNDER ROOF: I 1,008 I
VALUATIONT $ 20,160.00 I
ADDRESS:I $ 20.00 I
DRIVEWAY: I $ 20.00 I
Fl Es:1 $ 120.00 I
BLDG. PLUMB. ELEC. MECH.
PERMIT FEES:( $ 220.00 I $ 55.00 I $ 55.251 $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
CONNECTION FEEs:l $ 1,278.00 I $ 350.00 ~ $ 165.00 I
RADON GAS: [ $
PeRMIT FEES: I $
CONNECTION FEES:I $
WATER METER:I $
- I
360.25 f
1,628.00 I
165.00 I
TRANSPORTATION IMPACT FEES:
99%
1%
$ 1,204.00
$ 1,191.96
$ 12.04
CREDIT
CREDIT:I $
SUB-TOTALf $
- I
2,193.25 f-- ~~.')~l-
~/~J''''''';;)
165.00 I
IRRIGATION METERI $
TOTAL I $
2,358.25 I
"~,'" ~'~'-"~'~~~-!':'ioP'.:r'-,;~q.~(U'! "~, -+~ill~Jtl!'I>>;',-"
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CONTRACTdR #: 004046
NAME: JEROME WPARKER
ADDR: 37050 HIGHLANDS COURT
C/ST: DADE CITY FL33523
CENTRAL PERMITTING
PASCO COUNTY, FLORIDA
DATE: 04/21/97 TIME: 12;
PAGE: ,I OF 1
ISSUE OFFICE: 0
RECEIPT NUMBR:
OFFICE: DADE CITY
FOR: CHECK # 00529
RES FEE FOR PER.IN Z/HILLS
37755 37757 37763 37765
CONTRACTOR: 004046 OAK RUN Z/HILLS
T01'AL AMOUNT: 108.68
ACCNT COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/PERMT~ATA
114 B450 - 363000 - ~ 108.68 ****** SOLID WASTE FEE
"1':
RECEIVED BY
PASCO COUNTY, FLORIDA
Permit No.
t. ~'-? i3
j 1- /~,- 96
Date Permitted _
Builder Name/Owner Nan:" -f~{ jJ.,,~
County Parcel No. ..3~ ~ -c2./- l) 0 CJ CJ- O~~t:!') ("J - 0 L) &-c::;
Location c..S ;7 7.5>- /'
g~ 'k~~
~~~
Subd.
ClassificationlType of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft.lU nit
Prepared By
Impact Fee Amount $
The above impact fee has been esta Ished pursuant to the sco County Transportation Impact Ordinance as adopted
by the Board of County Commis . ners. This amount is payable lOR to the issuance of a Certificate of Occupancy
or authority to utilize the per ltted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
J
Gross Sq. Ft. (GSF)
RatelERU - 52.00/Year
or $0.142/Day
ERU Assign No.
Assessment - (No. Units) x ($0.142)
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
Inn