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Home My WebLink About96-6332 . . BUILDING BUILDING PERMIT N! CITY OF ZEPHYRHILLS Permit (813) 788-6611 ;;LO - v-v .;LO < tJ?) @cTRlC9 ~v '3 ~1 ~~ Property Owner: -< ..t' Job Address:, ~ .' b30 ',' J ~;1J;- ? D Parcel I. D. # 63a2' Date 12 -Id. -j'6 MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code; Radon Gas: De.crip""" of Wori< C/lf;--;;;:; ~.~ -+ pC L --c--:... <1 JJ~ #"4- J - r--?'l // ,'0:;)., n YJ1. 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# IYf? , Permit Fee Signature Company Address Telephone# ~tJ. trV o ~AA-~ I ' Valuation or Contract Price {b/7 aj~j ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ~ gk l't...2P-Q" BILk SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. ))rL ~II-J-? ~ 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 ZEPBYRBILLS BUILDING DEPARTMENT OWNER'S NAKE R i (, h (.. r d K 0 e p P OWNER'S ADDRESS ~ C) ~ 3.0 Ch C\ Y"\ C -e y JOB ADDRESS s'A ", -e AS. f1 C3 u v C LEGAL DESCRIPTION: LOT(S) it q 0 BLOCK ~bq 01 PHONE -k-'lo SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -----.Alteration ~epair _Install _Sign ----.JIove _Demolish PROPOSED USE: _S ingle FaJDily _H/F _, of Units _H/H _COII8ercial _Indust. _Swim. Pool ___Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: Se:w -C- If"" l \ (, e.-. 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 ~ELECTRICAL I a D AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Hechanical Installation ~PLUHB~NG GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. # City License Registration . *****************************************. Signature :::CT:::~~ ~.~~ COMPANY tlov ~ r ~ State Cert. or Regist. # E:SQOooo61 City License Registration # tg1 ****************************************** COMPANY State Cert. or Regist. # Signature City License Registration # ******************************.*. MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration # ***********~****************************** OTHER COMPANY State Cert. or Regist. # 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" whieb lay be lOre restrictive than City regulations. fhe 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 .ay be cited for a .isdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the UContractor SectionsU 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 per.itting 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 - HOIeowoer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is so.eone other than the uowner", 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 couenceJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land develop.ent. 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 perforled to .eet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in ~e jurisdiction. I also certify that I understand that the regulations of other goverDIental agencies .ay apply to the intended work, and that it is IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to: · DepartJent of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks · US Environmental Protection Agency - Asbestos abatement I also certify that, if fill.aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "cOlpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. A per.it 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 per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six IOnths after the ti.e the work is cOllenced. One 90 day extension of tile, aay be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TlUCE FOR IHPROVEMENl'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICH OF COMMENCEMENT. JOBS UNDER $2,500 IN V LUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHENCEHENTII. SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC 1_. i .._. ~~.. """"'~~'~!""'~'.~~:"1..>,1""""''''''''''''i.''> "--i"""'71't.",.~."" ,,,,,,.,.,,,.....,.,., . .,--_'iII:lIO!'...... I , I 1 1 PASCO COUNTY, FLORIDA Permit No. -z. of) Ii; '.' l j Builder NamelOwner Name '~.(:~tL ,f ";'_'L l' j) _. - I / County Parcel No.) Y- d 1:; . (..) / - ':" (~) .c (/ - Cj, ) / U D Location .... /~I 9 c" .3 ? I" :;; u i'lL. ~~"i? l ~. . /- ClassificationlType of Use )"'I./,.;:~ ,i. ,/::' (?~~ Date Permitted J d Y Y b 9 ;) ___ Subd.__ TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./Unit --- Prepared By --~.- --=------- ~ -"-- .<..~ ~_... ~-- Impact Fee Amount $ The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of County COmmissioners. This amount is payable 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 J Gross Sq. Ft. (GSF) Rate/ERU - 52.00/Year or $0. I 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 TRANSPORT A TION REC. NO. RESOURCE RECOVERY REC. NO. 30 7 /~/~,,/ ~ . DATE DATE - ~// ",~ ./7 BY BY ( d ~..,.,/, White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC931130941 A - --- - ~ ----.-'- ~'- - _,_,~'..~',~.~~,..--.-,----.---' - - - - -- - - - - - '-.- . 'f.I.... ~ \, -... .~ II , \ , I , I I '1 j I I j I I I I 1 , [ I I I , I I I I I I r I I I I I I .-..,> C E N 1 R ALP E R M I PASCO COUNTY, FLORIDA T TIN G DATE: 01/08/97 F'~~GE ~ 1 OF" 1 I ::~;t;UE: or=-r.:." I CE ~ D RECEIPT NUM8R: 00307743 OFFICE: DADE CITY CONTRACTOF~: :j;f: NAME: RICHARD KOEPP ADDR: 39630 CHANCEY RD C/STI Z-+UI...U:: FOR: CHECK *r 19'59 24-26-21-0000-00100-0900 HE:3C. ON!... Y {~,() I I I I ) I ( ! , I ( I ( I I I ( I I i I I I I I I ( I I I ( 1 ( j \ I r I I I ACCNT 114 ru T fiL (::i!'10Ul.,n: COMPNY ACCOUNT CENTER B450 - 363000 - ~ ~:~ r) R /:. ~~) AMOUNT DESCRIPTION/PERMT DATA 50.69 ****** SOLID WASTE FEE DP/CFi ~ECEIVED ]3'( ...,.,........, .' - ---.-'..,-..-