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Home My WebLink About97-6437 BUILDING PERMIT Permit N! CITY OF ZEPHYRHILLS (813) 788-6611 Date ;Z 6437f3 -1./-97 BUILDI~ ELECTRICAL p,"pe~ owne:;;t * ~ ...... Job Address; _ ~ Parcell.D. # Zoning: Energy ~ Description of Work (~~A " --l: 1 ---' PLUMBING MECHANICAL Sewer Conn Water Conn; Water Meter; cEE . r, T.I.F.'s: Radon Gas; 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 Bog City License Registration # State Certified License# /7~tJ Permit Fee Signature Company Address Telephone# .J O. d"f) -:t)( Valuation or Contract Price :2-. i/ d7:;. c:r-O I j/~1 BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Driveway J {e; Ie, 1 jJ oU Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. Vo- {7-'~.s -IO'-/~ The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~ y, I , l .,,- ---~-' r'" .u~ ~ .". 1~ \l.j ~\ -1 ;\ ' / I , i I ! : ~~ \K: .~ . i \ ~ '...: o-{ ~ <e{ . -=".., - " '. ex )> ]&' I' /' , , / /1 / \\ \\ ,I r. b \\ ..--. ,~--'-_._--_._-._~.._- ---...-----.------..-- ~ r r\\] \., . \ "- , IJ) ~ , '. " ."" '-"'" :/V/ d ( .'~ ~} ?O~ ~1.J)i .) ~--,~ , - 10 - s~ ., '''.. ~ 4- l.o:J.. "'.'10. " '\\ ~"', \,p \ .., \ c:;,. -- s JOB ADDRESS L()! APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTKENT / /;Og/4J>O/( )S b2.# 6:2 #=- PHONE /-A OWNER'S NAIIE OWNER'S ADDRESS E/YJ~~ a;/~TE.. LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PRoPOsED:ANew Construction _Addition ----Alteration _Repair ____Install .. .", ____Sign ____Move _DeIIOlish . PROPOSED USE: _Single Fallily _H/F _, of Units >( MIH ~, _eo..ercial _Indust. _Swia. Pool ___Other ____Restaurant & Health Departaent Approval DESCRIPTION OF WORK: ('OAJCI<E~ D~/UL BUILDING SIZE: x Square Feet. Height RESlDENTIAL: COHKERCIAL : 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 $ l~qOO ~C7 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _KECIIARlCAL $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUGTION: ____Block ____Fralle ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... RIJII.DER )j/ COMPANY State Cert. or Regist. , City License Registration . .......................................... CONTRACTOR SECTION l/{)L,/) ('(1M> T /9 f'tJ Signature ELECTRICIAN COMPANY State Cert. or Regist. , SianAture City License Registration t .......................................... PLUHBER COMPANY State Cert. or Regist. . Signature City License Registration t .......................................... KECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration , .......................................... OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this peIlit .ay be subject to "deed restrictions. wbich Jay be lOre restrictive than City regulations. Ybe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas 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 JaY be cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requiretents aay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave 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 be is not properly licensed and is not entitled to perJitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOJIl!OIOler's Protection Guide" prepared by tbe Florida Departlent of Agriculture and ConsUll!r Affairs. If the applicant is sOJeOnf ather than the .owner", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the "owner" prior to cOllenCetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is bereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation bas cOIIenced prior to issuance of a perlit and that all work will be perforted to leet standards of all laws regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIental agencies laY apply to the intended work, and that it is If responsibility to identify wbat actions I .ust take to be in co.pliance. Sucb agencies include but are not lilited to: * Departtent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water {Wastewater Yreattent * Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departtent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater 'reattent, Septic Yanks * US Environtental Protection Agency - Asbestos abatetent I also certify that, if fill .aterial is to be used in Flood ZOne NA" or "A,etc.", it is understood that a drainage plan addressing a .cOlpensating volute" will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. .A peIlit issued sball 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 sball 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 sball beCOle invalid unless tbe Ifork authorized by sucb pertit is cOIIenced within six IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of six IOntbs after the tile the work is CQIIeDced. One 90 day extension of tile, lilY be allowed for the per.it with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned. WARlUHG YO 0IUfER: YOUR FAILURE TO RECORD A HO'l'ICE OF COIIMDCEMBD' MAY RESULT IN YOUR PAYING BICE FOR IMPROVEIlED'S '0 YOUR PROPERrY. IF YOU ID'EHD TO OBTAIH FIlWfCIHG, COHSULY WUII YOUR LEIDER OR AM AT'fORIEY BEFORB RECORDING YOUR HO'l'ICE OF COHMEHCEMBD' . JOBS UNDER $2,500 IN VALUE 00 NO'l' NEED TO RECORD AND POSY A "HO'l'ICE OF C ,2 SIGJlAYURB: OIftIER OR AGED' SIGHAYURB: SYATE OF FLORIDA COUD'Y OF The foregoing instrument before me this was acknowledged , 19_ by S'AYE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC -- - --- -<- -<<-<-- - - - --<- -.---- ~-<- - - - - -- - ----:.- --- - --I uJ I\!f h' 1;1.: T U :':!i ~ rMiI'iL< ;' I'HA~;1<'1fji4 f<U:~; I N':;;( Ij"<i (~Ut:.tF~ ~ :~'~,il;-'~'.::' E':E-~F:.:"/j.,._ 1..:/',:i~.lE: [ E N T R ALP E R M I T TIN G DA1E: 03/10/97 :.:',':',:;;,UJ CUU1<<JI '<(" I:' LUr-;: I U{.~\ j:'!il:ie.: 1. Ill:: '1 1 ':<::t,if::: UFr i. CE ~ U :::;~E:C:F~~ I F''"!'" f<!1.JI"'lfn~.,.~ ~ ;:~f():'::.t.q. '_r/-,) ClFF I C;:'..: U(iDE C I 'c' ',' !... ":;; I ~ I: J.':,! ~ CI!E:CI<. -rr C{,;~:::.H ~:'.:~ ~\.:,U!:~~;:~:~ Z ~:~:'~i y ;.~::\~ I :~;-_::~:j/l j~ (',C.C:r.~'T !ltT ({L i,I-IUI..H\!T: i...:i.:il'!I:'f.jY r\Ci:.!...f:.!!'.!T 1, U, 1FT' {!-~::;: ();3 (,;t"'lC)!Jh.JI CC':Ci.~ J PT I CN/f'LF,:rlT D!',f(; UF(/CFi I 14 U!~,U ... ....~.- .'-:/-..':i. it :i: ' ') j~~.~~(}::: *~~jf*i~ ~3!._11_11~! W:)S"I-E ~-l~~[: /:.U \ -'. ...... fiEl::E L ':.'ED .f~,y~~,::-::~:~:~::~-i;~~:iQ=~V':'::)_..... ~:~:'tlIff'~wPY'~,...,~..r""",..,..;'..- :/~_ ...__--l.IWl"""i-.~-~~,f':."... <,,-'If.,~,'T'I~>~'''''~' ~\,,""'- .."':' ~ :.:' k ,~'r:1. '~'!h"'j.l-S:~:"i.t"'~..$" ..1 .. "'".,-v;' "i~J"!:,,"~-' , ,",--,';-"'"." ,.~ PASCO COUNTY, FLORIDA Permit No. b l../ ~ ? i-~ Date Permitted _) - / D Y 7' Builder Name/Owner Name ,. '. , ., ~:f / l:: r ') i~.. {(,.k'\ "1)'; '" (," " ,:) /" I t County Parcel No. ~.;? ~j ;){'-'//-{i () C_.' Z",: ... <" (! / {. " .---.---'" /' <..)...J, ~"..J.- .,' C~.._._ ..' /' Location :3 I 'l 9' "t \ // ,}.. ,~ ,./'- r /..-.J f:....- i--(vF f'r /~' L'-_ /1 .I '-i{'/' .'.-" /'" ..,J,..,;j.J ' & "A ,( ... Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./Unit ~~..."..-- Prepared By Impact Fee Amount $ The above impact fe as been established pursuant to the Pasco County 'portation Impact Ordinance as adopted by the Board of . ounty 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 U' No. mts / Gross Sq. Ft. (GSF) Rate/ERU - 52.00/Year or $0.142/Day ERU Assign No. Assessment - (No. Units) x ($0.142) x (No. Days) ~~.O~ 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. 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 TRANSPORTATION REC. NO. DATE ~y ....---..,,;--... RESOURCE RECOVERY REC. NO.~\~ ~~ DAT~~'" White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC931130941A