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BU"ILDING PERMIT N~
CITY OF ZEPHYRHILLS Permit
(813) 788-6611
- 636411
Date /g. -2cJ~?6
if 'IT,S?;
BUILDING
Sewer Conn I :L? ~ cl'""p
,
!-d Water Conn: J~'C;J~crv~- //
/ ~.....vo ~
P"'perty Owne" <L3~ ?l "t:::l9 ~ V. Water Mete" / 6!7 - ~
Job Address: 6.ltJ L~ C!J. .A ~ T.I.F.'s:
Parcel J.D. # d <-;)6 -dl- o/~A ~t<) c) CJCJ 0 .. 0 od-U
Zoning: Energy ode: . Rad Gas:;LLJ --S~
t;o c crv
ELECTRICAL
67--50
PLUMBING
-..5 O. cTD
MECHANICAL
Description of Work
)O~ n;11
tJ.d "7 J7 I'M
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
g
City License Registration #
State Certified License#
It...!7 ;L
p~rmit ~..o.z" ~
Slgnatu.. ~
Company
Address
Telephone#
Valuation or
Contract Price
~ ~ 0 0.-5,"-a-v
-
(/1 ~)/Ar
lILD'NG
J..rJ...?CT"D
JY~~ff~~p
dj?(" r273
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In .~ Ie, 1 6e~
Meter Can It - () .. f .f,
Const. Pole /-~-91{jZif3
Insul. CL Pool
WL 2-lq Jf'? e"'-1- Pre-Meter _~..2,%...q'7 eLf(
l r Anal~
Driveway :2 I~ I~ 1 ao~ W I-~-q'l ~
S~~,,~ (trdq7 Lt
SlB I... 7- ~J () ILL.
Tub Set J. It 0 q 1 g~3
Water
Sewer 3 - 3- 'l7 I2I.l~
Final
;2 f,(J 14"" gO!
Breakers
Ducts Insl.
Compressor
Final
a.
b.
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/~~~/c;Jdo.,.96
t-' V-/O - 77
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.
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.
BUILDER: Bay ViUage Builders
ADDRESS: 6202 Silver Oaks Dr"
OWNER:
SQ" FT. PRICE
LIVING OR MAIN AREA: I 1,600 , $ 35"00 I
OTHER AREA UNDER ROOF:[ 455 I $ 11"00 I
OTHER:I 0 I $ 11"00 ~
SQUARE FEET UNDER ROOF:! 2,055 ~
VALUATION:[$ 61,005"00 l
ADDRESS: I $ 20"00 I
DRIVEWAY:! $ 20"00 f
f[ES:r$ 313.00 ,
BLDG. PLUMB" ELEC" MECH"
PERMIT FEESf $ 449"50 I $ 57"50 I $ 60"00 I $30"00
3/4" 1" 2"
WATER METER SIZE:~ $ X 165"00 I $ 245"00 I $ 610"O~ $ 840"00 I
SEWER WATER METER
CONNECTION FEES: , $ 1,278"00 I $ 350"00 l $ 165"00 I
RADON GAS:[ $
PERMIT FEES: I $
CONNECTION FEES:! $
WATER METER:I $
TRANSPORTATION IMPACT FEES:I $
99% $
1% $
20"55 ,
597"00 I
1,628"00 ,
165"00 ,
: I
CREDITl $
60.00 I
2,410.55 I
SUB-TOTALI $
IRRIGATION METERI $
165"00 ~
TOTALI $
2,575.55 I
OWNER'S IWUl Y "1,~ 8sug~~ PHONE
OWNERtS ADDRESS /7~5'"/ ~r<2 ~_ p~
BA~.
/1J J'r'S e
LEGAL DESCRIPTION: LOT(S) g- BLOCK:1.. SUBDIVISION
PARCEL 1. D.' :;>--01 (;, - :2. / - 0/ d- A - Oo::xJ CJ - 00 8 d (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~New Construction _Addition -A1teration ---Repair ____Install
JOB ADDRESS
'"
. ./t .
,~
\ '}~ ~ ,,,.J trl'
o;CjI- 756h
7?1mP/J
tJD
c0
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDIHG DEPARTMENT
_Sign
--1Iove
_Deaolish
PROPOSED USE: X Single Faaily
~M/F _' of Units _M/H
_<=<-ercial
_Indust. _Swia. Pool _Other
DESCRIPTION OF WORK:
_Restaurant & Health Departaent Approval
F'A/n/L.v #-A-
/
~/rJjL.e
BUILDING SIZE:
x
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 FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
____BUILDING
$ ?aOO 0
.
/5 C) AMP Service
$ d9aJ
Valuation of Total Construction
X Florida Power Corp.
W.R.E.C.
_ELECl'RlCAL
--.JfECHA:NICAL
_PLUMBING
GAS
Je'Bloclt
Valuation of Mechanical Installation
X 5I.1~fL€
_ ROOFING SPECIALTY
TYPE OF CONSTRUCTION:
_Fraae _Steel
Other
FDUSHED FLOOR ELEVATIONS:
FT.
IS PROJEcr IN FLOOD ZONE AREA?
YES NO
******************************************
BUILDER
CONTRACTOR SECTION
RT.RCl'RlCIAR COMPANY S ~ 5 e/~c- r LA .kt::.-
'J2.. fa ~ State Cert. or Regist.' e-<. ~ z~ (/S-
Siarulture /f..';' ~ City License Registration' 3 ~
~ ** **************************************
Signature
J<) ell
COMPANY A~Pvt..f ~
~ State Ceri.. or Regist.' /0 (;1 ~
l City License Registration' /?
****************************************** .
COMPANY --/J. e-C -J1 (C~ (~'t IN C .
State Cert. or Regist. f C-~Co .'32-~4J
City License Registration * a.S.3
******************************************
PLUMBER
Signature
OTRRR 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 JaY be subject to Ideed restrictions" wbieb lay be lOre restrictive than City
regulations. Tbe undersigned asSUles responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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 contractor is not licensed as required by law, both the owner and contractor laY be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirellents .ay apply for the intended work, they are advised to contact the City of ZephyrhillsBuilding Departlent, (813)
788-6611.
FurtheI'lOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections I of this application for wbieb they will be responsible. If you, as the orner 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 Zephyrbills.
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 IFlorida's Construction Lien Law - HOIeOWDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consl1ler Affairs. If the applicant is SOHOne other than the
Rowner", I certify that I have obtained a copy of the above described rJocUleDt and prOlise in good faith to deliver it to the
"owner" prior to couenCl!lellt.
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, loning, and land developlent.
Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOlleDced prior to issuance of a perlit and that all work will be perfoIled to leet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govl!I1llleDtal agencies laY apply to the intended wort, and that it is
IY responsibility to identify what actions I lust take to be in COIpliance. Sueb agencies include but are not luited to:
t Depart:lent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnvirollleDtally Sensitive Lands,
Water/Wastewater Treatlent
* Southwest Florida Water ManageIeDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tants
* US EnvirODleDtal Protection Agency - Asbestos abatellent .
I also certify that, if fill laterial is to be used in Flood ZOne IAR or RA,etc.R, it is understood that a drainage plan
addressing a Bco.pensating vollllel will be sublitted wbieb 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 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 &ball becoIe invalid
unless the work authorized by sueb perlit is COIIeJ1ced within sixlOnths 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 co.enced. One 90 day extension of tile, lay be
allowed for the peIlit with fee ebarge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during eaeb sixlOnth period, or the project will be considered abandoned.
WARJUNG TO ONHER: YOUR FAILURE TO RECORD A NOTICE OF C<llMBlCEIIBMT MAY RESUL! IH YOUR PAYING !WICE FOR DIPROVBIIDIS TO YOUR
PROPERrY. IF YOU IHrEHD TO OBTAIN FIMANCIHG, COBSULT WIrH YOUR LIJIDIR OR AN ArroRIIY BIFORE RlCORDING YOUR ICE OF
COMHENCEMEln'. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AHD POST A INOTICE OF COIIIDCEIlEMI'B.
_u~
SIGlfApJSII: OWIIIlR 0 .
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19 by
Sf ATE 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
"---
121'O~/_935 03:22
':, _ ..:: -7 ::: 2 .:; .:: 2 .:..
~=,IL\/EF::JAf<:::;
F'AGE ~)2
PERMITTING APPROVAL FORM FOR SILVER OAKS
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
To whom it May Concern:
Pleale be advised that tbe reln set of Construction Plans including .ite or plot plan bas been
lubmitted and approved by the Design Review Committe lor:
~:r)(J.-1J\f (..f -~(.cCt-ClQ; ~f3l.J~~tdwvJ
B~tr ()
~d< DdL ",~~L (1Pf{. {):;/('5 J)f0
Home addrc8ll
',"=E1Ju1",lL(;;, FL
City: Fa
'--
~~ /. . Jl
~~ {/ ~fJ~j
Owners Name I
9,9/- 730d1
Phone
.iLJT 8
LoU
3351-+ J
Zip
Phone
l;).--q-Cj\o
Date Submitted
1')...-. i-- "'1 I
\.....
Date Approl-"cd
I1JL '!J 9 b
APPROVED BY:
~~~~
State e)f
FLORIDA
County of
1111111111111111111111 11111 1111rI1111 1II11 11111111
96128519
PASCO
NOTICE OE COMMENCEMENT
TUB UNDeRSIGNED hereby gives notice that improve~ent will be made to c3rtBin
r~~l property, and in accordance with Chapter 713, Florida Sta.tutes, the
f'qllowing information is provided in this Notice of CommencOlncnt:
1. Desc): iption of Property: Parcel No.
LOT #8, SILVER OAKS PHASE I-A, PASCO COUNTY, FL
(Legal descr~pt~on of t e property an street a
2.
General Description of Improvement
e)
NEW RESIDENTIAL HOME
Rcpt: 118105 Rec:
DS: 0.00 IT:
12/09/96
6.00
0.00
Dpt Y Clerk
R
Owner Informa tion: I-fame
Address19651 BRUCE B. DOWNS
BAY VILLAGE BUILDERS, INC.
City
TAMPA
StateFL
33647
Interest in Pr.operty;
OWNER
Name of Fee SilTlple Ti tleholder:
(If other th~n owner)
Address
SAME
JED PITTMAN, PASCO COUNTY CLERK
12/09/96 11:02a. 1 of 1
OR OK 366B PG 422
City
State
4. Contractor: Name JOHN M. KELLY/BAY VILLAGE BUILDERS, 'INC.
Address
5. SurQty: Nc'JJne RLI INSURANCE: :CO.
Address 9025 N. LINDBERGH DR. City
City
State
PEORIA
State IL 61615
Amount of Bond: ~
6. Lender: Name N/A
5,000.00
Address
City
State
7.
Persona within the State of ~~lorida
notices or other documents may be
7l3.13(1)(a)(7), Plorida Statutes:
City
desi9nated by Owner upon whom
serv~FJ~T~F rP.~Q\1.itded by Section
CrJ11:,q\' ('n-~ ~'/;~;(.O A
"'-".' " ... .'......- '" 'C\.' -ct!,.!- T"r.l;: FOOEGOING IS
"II r-. I' 1" I 'l\ll. I If n "..
f ",.) ..), .', - "~ll"E'll- ('1,1 fII E
-",_., I" (...r.!~\' (.r: '11..I\n I '~A, .i'l"I T. )1 t...._
.....( :- t!'~r; (..''\l.:i::;,..... .-'......1 f ,q ,II.., _. , . (' ,
OFl or: FI.:[3! :,,' -':(,::1
Name
Address
8. In addi.tion to himself, Owner designates
of
'Lienor's Notice as provided in Section
9. e:xp.l.rl.lt.lon dn'lQ of Notlce or Commencement. (t.he expl.r"tlon date 1s 1 year
fr~m the date of recording unless a different date is specified.)
GE BUIUDE~, INC.
day of ~~b.e-t-
,
Signature of Owner:
ROB
Sworn to and 5ubscrib tl
19 til~
~t.~
d~~~ .
Notary Public:
My Commission Expires:
1'>>J~~a~
PC03063o.(
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i~Aj~E~ BAY VIL.LA(iE
AD[IR: LAI~~ Ci L_AI<E:~~;
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RECEIPT NUMBR: L 00307083
ISSUE OFFICE: LAND 0 LAKES
CHE::::i< 1'i::; C(i:::,H
'T"(JTf'lL.. {::j,",C<..HT:: . .,+~:;
l:i~l~l"R AlvlOi_iN'T DESCRIP'l-IOI~1 PERMI"TDAl-0
~ .~4 PERhIT ****** SOLID WASTE FEE
. Ilj.
r-=jE:F;,~i'":j I T'
~:;C!L I [i
"i~ .k -::t. .i:" .:~. 'k
(.-.J{\:::;';'I::
:.~:' r:: E~
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n14 PERIViIT **~"~*,~
:::; en_. I n iiJ (.:; :::; T t::: FE:: E
:p"r ,- NO"l- j:l"_!RREj~T DAY AC'1"IVI1-Y
F"LliW::T I or\! ~ nD
[i F~ / c: F~~
(~.()
(~ll..)
/-:i)
PASCO COUNTY, FLORIDA
Permit No.
'^ ?b 'I A
Builde, Name/Owne, ~ame <t3~ 7/.&114-,2
County Parcel No. 3.'d6~/- O);LA - 0 e>at3 0
Location !,:1tJ;:) . -Lk- &~ ~./L--
Classification/Type of Use X~dU k LtJ
Date Permitted J;;J. ~,2 c:J .-)? -&
- CJ CJcf- 0
Subd"
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq" Ft"/Unit
- Prepared By
Impact Fee Amount $
The above impact fee has b established pursuant to the Pasco County Transportation Impact Ordinance as adopted
by the Board of Coun ommissioners" This amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority to u " " e the permitted structure.
RESOU
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
I
Gross Sq. Ft. (GSF)
Rate/ERU - 52 "OO/Year
or $O"142/Day
ERU Assign No.
TOTAL FEE $
"JL/
Assessment -
(GSF) x (ERU) x (0.142) x (No" Days)
100
Assessment - (No" Units) x ($0"142)
x (No" Days)
TOT AL 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
TRANSPORT A TION REC. NO"
RESOURCE RECOVERY REC. NO.
DATE
.5 0701-3 DATE /2 -..?/-7~
BY
BY
Au
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC931130941 A
LOT 8
SILVER OAKS
PHASE ONE
(THE SUMMERSET III)
I~ 195=31.89'
25'-2" --
T168=124.86'
-__-=- C149=49.33' _
---- -- ----
'- ---
_~.=-__ CONCRETE WAL~ ___
---- --- - -----
- ------
--
----1
64"43' ----- -
47'-8"
25'-3- .-
1169= 126".38'
r
CONCRETE 209'
DRIVE
---
---
__ --ct
-- .
-- .
--
SILVER OAKS DRIVE
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