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BU"ILDING PERMIT N~
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
n 6373 1/3
1-3-77
f () ~...5 'tJ
BUilDING
o '-?00
ELECTRICAL
to~(JU
PLUMBING
J () (J1)
MECHANICAL
.
Sewer Conn ~ .2 7 (-; tT2? ~
Water Conn: ...3..5--0 . cTz? I). ..
/6~: (]"V ~
Water Meter: /' ...i--. cJ)J
Date
Property Owner:
T.I.F.'s:
-
6
Parcel I. D. # '--.:{ ~ tlb .~ - 0/ 0 - tJ (/0 () 6 - /J J'::L 0
Zoning: Energy S?de: Radon G,~f / JY:...~
DescriPtionofWor~eAA? <f../~ \~~~ )l.LAJeP~/l
~ tJ<.LA.4t..'-tr dHLuf uJ /- 2/ <17 /6i"- ~ \J
~9-~~~li~Adk~o/<' ,ti) ~m/.rD,~
NO OCCUPANCY BEFORE C.O. ~~ ~;z.P I I-C/317 FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
.:::!I.l7~ ,/-/6 -17 jJk~~ fl~/oJ'-5- YJ 111
",'
Valuation or <'/' <:) PS~lgrnmaittuFreee ~
Contract Price '-.J I, v J ~ . tTD ___ - -
Company
Address
TelePhone(, 8'~) Cfq I - 7 36 fn
Job Address:
DATE
Inspector
t,.'
City license Registration #
State Certified license#
/ <f -..S - :J-
f1>~~~
BUilDING
~L3t72 ,~~~+~~~lf-i'?~
t1?(... :.2?-3
ELECTRICAL PLUMBING
SlB j - CjJ, 9'7 & LL
Tub Set lJ'Jolql &a
Water
Sewer J holCi 1 8,?,
Final
MECHANICAL
Tp. Servo
Rough In.-J-.;) / ~q1 f21...~
Meter Can
Const. Pole -1/ J / 1'1 'l .~; U
Pool
Pre-Meter tf//b{Y7 ~g
Final
Driveway 3-f]. I t...L- j30"'D 1-10"'97 B \-L L
Sk~~",,) ~ I~ Ie, 7 66~
Breakers
Ducts Insl. J l)o/'l! ~'II
Compressor
Final
FRM.
Insul. CL
Wl J./~~'II''''
&j.
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.
y~
/-J-7)
fJ y-ID-'l7
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
RUILDER Bay Village Builders
ADDRESS: 6794 Stephens Path
OWNER
SQ. FT. PRICE
LIVING OR MAIN AREAl 1 ,400 I $ 35.00 I
OTHER AREA UNDER ROOFt 483 1 $ 11.00 I
OTHERI 0 I $ 11.00 I
SQUARE FEET UNDER ROOF:I 1,883 I
VALUATION:[ $ 54,313.00 I
ADDRESS: I $ 20.00 I
DRIVEWAY:I $ 20.00 I
FEES:I $ 285.00 I
BLDG. PLUMB. ElEC. MECH.
PERMIT FEES:I $ 407.50 t $ 60.00 1 $ 59.50 I $30.00
3/4" 1" 2"
WATER METER SIZE:I $ X 165.00 I $ 245.00 I $ 610.00 I $ 840.00 I
SEWER WATER METER
CONNECTION FEES:I $ 1,278.00 I $ 350.00 I $ 165.00 I
RADON GAS: r $
PI::RMIT FEES:I $
CONNECTION FEES:I $
WATER METER:I $
TRANSPORTATION IMPACT FEES:I $
99%. $
1% $
18.831
557.00 l
1,628.00 l
165.00 I
: I
CREDIT: r $
60.00 I
2,368.831
SUB-TOTAL I $
IRRIGATION METER 1 $
165.00 ~
lOTALI $
2,533.83 I.
APPLICAITON FOR PERKlT
CITY OF ZEPIIYRBILLS
BmLDIRG DEPARTMENT
- o'b
)d-.-l~ -I ,
/ 0" cf1J
r .
"YKY JO ,
PHON~l}) CJ1/:""/3bt.
....,/ " '
0IlIIBR' S IIWII\ BAy (/ / / ~ .e ~ _ ,
_'s_,= i;~ :Jj/
JOB ADDRESS - -..- 6?_ _
(
LEGAL DESCRIP'lION: LOT(S) gd-. BLOCK c9.. SUBDIVISION 5/L.Ve{2 O,z:;k!:;
PARCEL I.D.' _ '(OBTAIN FROM PROPERTY T~' NOTICE)
X 3-,;l6-f}I-oI6CJ"'~4:J..-CS'cJC) .
WORK PROPOSED:~ew Construction ---..Addition ----..Alteration ~pair _Install
_Sign
PROPOSED USE: ~Sin&1e Faaily
---IIove
--->>eaolish
----Yt/F _, of Units ----Yt/B
_ec-ercial
_Indust. _Swia. Pool _Other"
---.:Restaurant Ii: Health Departaeot Approval
DESCRIPTION OP WORK: 51#7l.e
'-'
~Aft1/LC/
/
Re'5
BUlLDIRG SIZE:
x
Square Feet,
Height
RESIDEIITIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OP BUlLDIRG PLANS Ii: (1) SET SNERG!'FORKS.
GOMKERCIAL: ATTACH (3) SETS OF BUlLDIRG PLANS Ii: (1) SET SNERG!' FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION.
RT.RCDlI.CAL
')0 ()CJO
$ ~(.~.,.~
/~
$. .3/00
PERKI.TS REOUESTED
--"UILDIRG
Valuation of Total Construction
A!IP Service X Florida Power Corp.
'I: .'
W.R.E.C.
----1IECIIA1IICAL
Valuation of tlechanica1 Installation
--..PLUMBING
GAS
X Block
,.
st;);II~tiOOFlllG
-
SPECIALTr
TYPE OF CORSTRUCTI.ON:
_Fraae _Steel,
Other
RIITT.DER.
._/1-
PI1IISBBD FLOOK ELBYAnOIfS: Fl. IS PROJECT IN FLOOD ZOIlE ABBA7 ':;X" . '.,
,,,,.,tis " . NO
.......................................... --, ~ '
'",'
:y-
'-.
CONTRACTOR SECTION' ''f:',
=~~2:!.~~c~~
City License Registration ,
..........................................
Signature
IU.RCTRICIAR
SionAture ~ a
- ~
, COMPANY <+ 5 kLec"{jfi --I'~, ':fff-c-
~ State Gert. or Regist.' , ~ '~
City License Registration', \)..,:
..........................................
P~UMBER
COMPANY ~ y ..f
/ -' / y:? ___/'I)-~ State Cert. or Regist. . D6~
C/[/ ~ ~';: City License Registration' /
"
..........................................
Signature
IlECBANICAL
OL'
, ~ COIIPABY,.
-' State Gert. or Regist. .
, A ,4 City Liceose 1legiatration .
.. .......................................
Signature
OTRRR
COMPANY
State Gert. or Regist. .
City License Registration ,
..........................................
Signature
APPLICAITON APPROVED BY
PEBHIT OFnCa.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS .
the undersigned understands that this pemit lay be subject to 'deed restrictions' which lay be .re restrictive than City
regulations. the 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 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 lisd_anor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirl!leDts lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Deparblent, (813)
788-6611.
FurtherJore, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for "hich they will be responsible. If you, as the owner sign as the COD~actor,
you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entiUed to pemitting privileges in the
City of Zepbyrbills.
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 - lIaIeoImer's Protection
Guide' prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOEHle other than the
'owner', I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
'owner' prior to COIIenCl!leDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoCliltion in this application is accurate and that all wort will be done in co.pliance with all
applicable laws regulating construction, loning, and land developlent.
Application is bereby lade to obtain a Perlit to do wort and installation as indicated. I certify that DO wort or
installation bas CDleDced prior to issuance of a perJit and that all wort Ifill be perfOllec1 to .et standarda of alllillfs
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other gOYeI1III8Dtal agencies laY apply to the intended IfOlt, and that it is
IY responsibility to identify what actions I lUSt take to be in co.pliance. Such agencies include but are not lillited to:
t DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
Water/lfastewater !reatlent
t Southwest Florida Water Hanagyent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I AllY Corps of Engineers - Seawalls, Docks, Kavigable Waterways
I Departlent of Health & Rehabilitative Senices, EnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic I_
I US EnviI'OllleDtal Protection Agency - Asbestos abatl!leDt
I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
addressing a 'COIpensating volUle' will be saitted wbich 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 frill thereafter
requiring a correction of errors in plans,' construction, or violations of any code. Ivery pmit luued aJIall becaIe invalid
unless the wort authorized by such pemit is co.enced Ifithin ail IOJlths of issuance, or if IIOrt autlloriJed by tile peoit is
suspended or abandoned for a periOd of sil IOJltbs after the tile the wort is C08eJ1ced. One 90 day atension of tile, lily be
allowed for the pemit with fee charge of $15.00. Tbe 8ltension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sil .nth period, or the project Ifill be considered abandoned.
WAllHIlfG TO OIIHER: YOUR FAILURE TO RECORD A KOIICK OF COHMEIfCBJlEM'l HAY RESULT III YOUR PAYIKG DICE FOR IHPROVIIIDIS 10 YOUR
PROPIR'lY. IF YOU umm fa OBlAIH FIlIAIICIIIG, CONSUL! WI!H YOUR LlJlDIR OR All AnoRIIBY BEFORE RICOJIDIKG YOUR IIOIICK OF
mDlDCBJIEM'l. JOBS UIIDIR $2,500 III VA B DO KOIIfEED TO RECORD AHD POST A 'KOIICE OF COHMEIfCBJlEM'l'.
SIGJIA
SIATI OF FLORIDA
coum OF
The foregOing instrument was acknowledged
before me this ___, 19__ by
STarE OF FLORIDA
coum 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 oCJth.
(Signature)
(Name 'J;yped, Printed or Stamped)
NOTARy'PUBLIC
(Signature)
(Name Typed, Printed or Stuped)
NOTARY PUBLIC
12/05/1995 03:22
:=;IL\/EF:I]A~S
l'n~;7b2:::321
PERMITTING APPROVAL FORM FOR SaVER OAKS
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
To whom it May Concern:
Pleaae be ad\'bed that tbe full set of Construction Plans including lite or plot plan bas been
submitted and IIpproyed by tbe DCllilD Review Committe for:
;j5Q~! (J~i2l/J.aP.., ~dew 99;--73&IL)
OUildcrfJ Phone
If) 794 STephen ~s <pfJ#, UJT 82
Home address Lot #
7 nfll'\, v.,k,ll~ 33SY I
City () FI Zip
D:~ l<iL&:tdL-' h~.J~,t,0
Own s Name c:? Phone
/ OJ 1/1
Date sObmiUed
I;) - ~-- "1lp
Date Approved
~~
/fld ot?{
~ e&:~
We .f 9;;
.r
APPROVED BY:
PAGE 04.
11111111111111111 11111 111111111111111 1111111111111
%128518
Rcpt: 118105 Rec:
DS: 0.00 IT:
12/09/96
6.00
0.00
Dpt Y Clerk
NOTICE OF COMMENCEMENT
State of
FLORIDA
County of
PASCO
THE trnoERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Descr iption of Property: Parcel No.
LOT #82 , STEPHEN'S GLEN AT SILVER OAKS PHA
(Legal descr1pt1on of the property and street
2.
General Description of Improvement
NEW RESIDENTIAL HOME
JED PITTMAN, PASCO COUNTY CLERK
12/09/96 11:02a. 1 of 1
OR BK 3&68 PG 421
......
{Il'
Owner Information: Name
BAY VILLAGE BUILDERS, INC.
Address19651 BRUCE B. DOWNS
City
TAMPA
StateFL
33647
Interest in Property:
OWNER
Name of Fee Simple Titleholder:
(If other th~n owner)
SAME
Address
City
State
Contractor: Name JOHN M. KELLY/ BAY VILLAGE BUILDERS, INC.
Address City
5. Surety: N<1rne RLI INSURANCE CO.
Address 9025 N. LINDBERGH DR. City PEORIA
Amount of Bond: $ 5,000.00
6. Lender: Name N/A
Address City
State
State IL 61615
State
7.
Persons within the State of Florida
notices or other documents may be
713.13(1)(a)(7), Florida Statutes:
Address
City
des~El~ r~RlgNner upon whom
serv~d)u~~( (plr9y:~d by Section
_ TI:;3 13 ltl emir/ Tfjl\T TIl[ FOREGOING IS A
mUL ,~.f\JI) COlmrcr COF'( (iF 1 HE DOCUMENT ON FILE
OR OF FUEl I" f [COLD liln;(; or
HAND MJf) \ IT , SEI'.I. TIllS
lY
/ lfRK OF C
Name
8.
In addition to himself, Owner designates
of Ef:Y py ofDJ-t.he
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Exp~rotlon dnte ot Notice or Commencement (the expiration date is 1 year
fr?m the date of recording unless a different date is specified.)
1 9 ~\o
VILLAGE BU ILDERS, INC. ~
5' day of ~~ r--
Signature of owner:i
RO ERT A. KE LY, B
Sworn to and subscri ed this
My Commission Expires:
~L~
1~IMy~a-1
Notary Public:
PASCO COUNTY, FLORIDA
Permit No. b ~ 7-.? 15
Date Permitted J -3 - ,?}l
Builde, Name/Owner Name L3 I&t<! 2:!.://'~(f 12"
County Parcel No. S - ~6 .-V - 0/ /:; (5 . 0 Z> l)~ c::> -- 0 <f-,;l.. D
Location b7~7i .-/~~
Classification/Type of Use' ~ ...
. Subd.
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
Impact Fee Amount $
The above impact een established pursuant to the Pasco County ortation Impact Ordinance as adopted
by the Boar County Commissioners. This amount is payable PRIOR to the issu of a Certificate of Occupancy
or authority to utilize the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
I
Gross Sq. Ft. (GSF)
Rate/ERU - 52.00/Year
or $0. 1 42/Day
31q/
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..?3 170 1 /
DATE
DATE ~-8'-9 7
BY
BY
~..
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/A
.I
I
i
I
LOT 82
SILVER OAKS
PHASE TWO
..
r
BAY
VILLAG E
BUILDERS
>
------
-------------
CONCRETE 20'
Df~IVE
---.
----
C 4=1713.89'
--
:::::-::-- ----
----- -- - - -
------
-----
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--
---- ,
-- -'-'
-- '
STEPHEN'S PATH
----
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---
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----
----
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----
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