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Home My WebLink About96-6330 BUILDING PERMIT N! Permit 6330, CITY OF ZEPHYRHILLS (813) 788-6611 Date )(2 -/~-9-b ;LO ~ OV ;1-0 ,ff2?--. BUILDING ~TRIC~ ~UMBIN~) MECHANICAL P<operty Owne' ~ f::~ ~ Job Address: 0 76 . :( .~ j ~ 7 ,/ Parcel I. D. # Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work ~v.code: t%u.~-v Radon Gas: r' ~,-L...:. ~ nfl1 7J}?E.A--- /-6--9? / I,'c)~ NO OCCUPANCY BEFORE C.O. FINAL 3-9'7 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# 'fCJ - o-v (). ~,~ Valuation or Contract Price City License Registration # /r7 State Certified License# o~o ()~ BUILDING ELECTRICAL //)"v~ -...... PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final J 2-:! /'" f 6 Bl'J8 Ftr. Pre SLB Lintel FRM. Insul. CL WL 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: a. b. c. d. e. f. g. 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. V tt ~j /- fr-77 The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER I S ADDRESS f("~nK S9f.:.32> \-\ =>n ~ ~ PHONE OWNER'S RAKE JOB ADDRESS ~\'"\\ €- AS C_ h l\ '" -C!:. e r A~L:>VlS tt.. 11. A~~J it- 1q LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition _Alteration ~epair _Install _Sign _Hove _Deaolish PROPOSED USE: _Single Family ---1'l1 F _, of Units _M/H _CODlercial _Indust. _Swim. Pool ___Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ~ELEC'l'RICAL I 00 AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Hechanical Installation - ~PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _Fra.e _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO **.********.**.*..*..****..*.**....*****.* CONTRACTOR SECTION COMPANY State Cert. or Regist. , City License Registration' ******.****************.****.**...*....**. BUILDER Signature ::::~~%~ 'COMPANY~~ r~ State Cert. or Regist. , €SOOOOOb I . City License Registration . /g 1 *****************.************************ rUftlBER 0 L..) ~ -e. COMPANY State Cert. or Regist. , Signature City License Registration t * ************************.*..**.**..****. MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration , ***********~*********.******************** OTHER COMPANY State Cert. or Regist. t Signature City License Registration # ****************************************** 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. which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections. of this application for which they will 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 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 - Hoaeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than 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 comnceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work 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 instailation as indicated. I certify that no work or installation has cOllenced 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 tq~ jurisdiction. I also certify that I understand that the regulations of other governtental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: ~ Department of Environtental Regulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater TreatJent ~ Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses ~ ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health << Rebabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abate.ent 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 is~uance 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, lay be allowed for the perlit 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 COHHENCEHEHf HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHEHrS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A gNOTICE OF COMMENCEMENT". xifiit~/~~ SIG~ URE: OIOfER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument was aCknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~~,;:"'~~~"""___'~1I.~,~c~,n,~"-l" ~J,JI~~?"'~~'~v." ~,~.y-r"~~' '.:' i" "." ~.""'r" ','~~'~~'~'F\"~""'"""'!f!",., V ;':'i ~ PASCO COUNTY, FLORIDA -' Z. J. /16 (. I~;/ Permit No. Date Permitted _ /,.) - 7 . f" e, Builder Name/Owner Name "..7/1 ,(J ;<1/. '_"<.."\. 'j;/\ ' ,'\ County Parcel No. s::L:L .2 t;. -;)1- / c_~' t':..~., II L j) (....;; "". 7Cj~ '}' . J r / I " Location ' j . ..' b, ,-3 fJ is D [' /1 fl, u' i,~/ ,:_ ~_ l', ,.J~ "'.<.......- .....-.... /" tV!..L<.?> ---\( ;/ ..~ Suhd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. -- Prepared By ~_..>..,..... Sq. Ft./Unit Impact Fee Amount $ The above impact fee has been est . ed pursuant to the Pa~-~~nsportation Impact Ordinance as adopted by the Board of County Co ssioners. This amount is payable PRIOR to the-'issuance of a Certificate of Occupancy or authority to utilize t permitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT D RESIDENTIAL NONRESIDENTIAL No. Units _ / 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 payment for same. Date Received By OFFICE USE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. . DATE '2 - "7 7~/ // DATE .- . ,. ---- BY BY '- ,,/-;;' ? 7 :~.,.. . White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC93113094/A ___ _ __~.._ _ _ ~ __ _~ _...,.......--.......---,.1.-._ _ _----"-';- ~ - ~ - - -- .-- -- - - - - --- .--_.-"1. ",. "'.. ~ I I i I ., GEI\lTF<~~iL PCF;:I"IX'r PASCO COUNTY, FLORIDA T I tl (i D?', TE: (! 1 / U:;: / "::'7 Pt\G[ ~ 1 CF 1 1.::;..::,UE Cll::'F:[ CE: L' RECEIPT NUMBR~ 00307740 OFFICE: DADE CITy CONTRACT on :If: NAME: FRANK HONEA ~R. ADDR: :;:'ib3(, CH(.:tNC:EY rm L"N"::,::::: C/ST: Z-+HLL::: FOR: (!.iEel::. tF ':;4.':;'0 :2:'J,'-<:6-':? 1-.0000.,0(; 1 OO.'O7'?O f~:E::C. ONLY C I TV' ACCNT 114 TOTAL ()l""lCI!.JI\!T: COMPNY ACCOUNT CENTER ::K{). ,::.t"~:" !).q.~:;i) .-. '3/:::::~.()()() _" .,.. {.;t10UNT DE>::.C:r;:IPTION/PEeMT U:4T{4 DI:';:/C.:r;: 50.69 ****** SOLID WASTE FEE GO RECEIVED F~ '.t.. _ ... '_ ...'.!.t:L::J:k.:.~ .2 _l~!.... J.. .... ___ _.. .'_'.0 '0_ ._ _._ __ _.._._._ _.._ .... __ __"*;..;i"',;4...;;..........~...,.J...',Jt!1!