HomeMy WebLinkAbout97-6417
BU"ILDING PERMIT
Permit Nt?
CITY OF ZEPHYRHILLS
(813) 788-6611
-. ... . tel. J1
641 fU
Date
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BUILDING
3s '.. CTzJ
ELECTRICAL
-3.s', OV
PLUMBING
;2t>.O"-D
MECHANICAL
Sewer Conn 'Y tJ7:;J t GTV
Water Conn: c:LtJ7J, d'V
Water Meter: / b 6"'. t:f7.)
T.I.F.'s: <;' fa. o-V
/J,~-7'O
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Parcell.D. # / 'I~dh-d-/- () J 60 - 00 CJO 0- /::J~Yo
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NO OCCUPANCY BEFORE C.O.
Zoning: -Z:de:
Description of Work m . ~
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
DATE
DATE
Inspector
,
Permit Fee J:3 t9 .. ?7-V
1-/.11 S;gnaMe \ L-=.-?"
Company ~
City License Registration # / J ~ 3 Address
State Certified License# ~ Telephone#
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;t;-u-rR-~J~ - ~ ~- ~~ .yh
BUILDING ELECTRICAL PLUMBING
Valuation or
Contract Price
!}7A/i:. /76.5-
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final6)-~<I-.~1 e~
Breakers
Ducts Insl.
Compressor
Final d-l~-~f\ fCL~
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
~ ~ d-\~-'11( Bll.,L-
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: ~ h
" J -# /7... '7f /cP-71
a. Wrong Address ...v ~ ~4J
b. Condemned work resulting from faulty construction. JJ' '18 _ 9 '7
c. Repairs or corrections not made when inspection called. p I -- ()I... / /
d. Work not ready for inspection when called. '
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
PHONE i -l ~ ~
/' P 0,,--4 S t II-r. h., )
L \) 1I I:) '2 - ~ ,', \ s
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LEGAL DESCRIPTION: LOT(S) () S ~ J- uS ('\ BLOCK D\)~\)~SUBDIVISION () I 6lJ - lIJ (,\ '-1 \vJ 0.."" c\ l'J I hd
\ A '\ , . (\ \ I' 1\" C) Q\:::l _. U':; '6 I
PARCEL I. D. f "1 - l 6 (j-. \ U t> \J ~ \J V J- D S v\ (OBTAIN FROM PROPERTY TAX NOTICE) .
WORK PROPOSED: ~ New Construction _Addition ~lteration _Repair _Install
'j; "' h " L I ,~\ \ " u.,
OWNER'S NAME L W
OWNER'S ADDRESS ~ L\ to I 2. c:\ ~ t \- C CA \; t. \ \
JOB ADDRESS ~ ~ 0 4 ('1 L (A \JJ C\ '" d Cr-
~S<)D
f"\ -
_Sign
~ove
_DeIIOlish
PROPOSED USE: V Single F8IIlllY
_M/F _' of Units _M/H
_~ercial
_Indust. _Swim. Pool _Other
DESCRIPTION OF WORK:
BUILDING SIZE: '} ~
Restaurant & Health Department Approval
1 h ~ * ~ \ t m \) b; \ '- \-, \) Iv-- (.
X l 6, 'd- 1 ~ ~
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 FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
_BUILDING
$
~o C1Gv
PERMITS REOUESTED
,.
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
-"ECIIAlifICAL
$
\.A.J
~Stl '
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING SPECIALTY
nPE OF CONSTRUCTION: Block _Fralle _Steel ~tJ~;I\~ Hut- <., Other
?,y
FIRISBED FLOOR ELEVATIONS: ~ FT. IS 'PROJECT IN FLOOD ZONE AREA? V
YES NO
******************************************
CONTRACTOR SECTION
COMPANY 1(;, \v- r v- ~ (A, '1 s\ J ~ \ -, u Vv- Q. S
State Cert. or Regist. f -p H - ,l a- 1 J-
City License Registration' / 9 ~..3
****************************************** ~ I
COMPANY ~ '1 O"^ \1\ ~ I..- - l~ (A v\'''1 ~v (J \ '" ~
State Cert. or Regist. t tv I A V-
City License Registration t
*************************~**************
.t.._ COMPANY 'fA "" '" ~ \l\
~ State Cert. or Regist. .
City License Registration f
************************~***********~*
MECHANICAL ." COMPANY . ~ s. A ~
.1 ..~ ).. State Cert. or R gist.' C.
Signature 'U1J1V\.DJt lU .' . City License Registration'
~~ ********~******************************
Signature
L
v
RUn.DER
~
PLUMBER
v--
Signature
OTRRR COMPANY
State Cert. or Regist. t
Signature City License Registration #
******************************************
APPLICATION APPROVED BY PERKlT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands tbat this perlit lay be subject to "deed restrictions" wbieb lay be lOre restrictive than City
regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired 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 JaY be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireJeDts lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
788-6611.
FurtherlOre, 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 whieb they will he 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 Zepbyrhills.
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 Deparblent of Agriculture and ConsUJer Affairs. If the applicant is SOftone other than the
"owner", I certify that I bave obtained a copy of the above described dOCUleDt and pco.ise in good faith to deliver it to the
"owner" prior to cOlleDceJIent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify tbat all the inforJation in this application is accurate and tbat all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developleDt.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govelIllelltal agencies lay apply to the .intended wort, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
* Deparblent of BnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and BnviroDleDtally Sensitive Lands,
Water/Wastewater Treablent
* Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Deparblent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
* US BnvirODlental Protection Agency - Asbestos abateJent
I also certify that, if fill laterial is to be used in Flood ZOne "A" or "A, etc. ", it is understood tbat a drainage plan
addressing a "cOlpensating volDle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
A perlit 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 teebnical 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. Bvery perlit issued sball beCOle invalid
unless the work authorized by sucb 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 couenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. tbe extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned.
WARNING TO OIINER: YOUR FAILURE TO RECORD A NOflCE OF COMMENCEMENt' HAY RBSULT IN YOUR PAYING DICE FOR IHPROVIMENfS TO YOUR
PROPBRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULt WUH YOUR LINDER OR AN AnORIIY BEFORE RECORDING YOUR MOflCE OF
COHHBNCBHENT. JOBS UNDER $2,500 IN VALUE DO HOf HEED TO RECORD AND POST t'HOfICE OF COIOlBHCEHBNt'''.
~iL
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- . AT: OIIHER OR AGBNt'
STATE OF FLORIDA "'0\ '5 c.. u
COUNt'Y OF v,
The foregOing infltrument was acknowledged
before me this -'j~~. J.. ~ , 19 "'., by
StATE OF Fl(IRJDJ
COUNt'Y OF ~,\~
The foregoing instrument was acknowledged
before me this --.J - 2. 3 , 19 ~ by
01
who is ersonally knoW9> to me or who has
produce
aSL~t~ication and who did/did Dot
ta~ c<)~<.:
(Signature)
OFFICIAL NOT ARYSEAL
(Name Typed, Pr nted T FLORID'"
NOTARY PUBLI n.
NOTARY PUBLIC COMMISSION NO. CC598818
MY COMMISSION EXP. NOV. 4.2000
who is personally, known to. me or who has
produced C. '^'" c.. .l, ~ v-.. P \,. t \J 11.." S 1.1 C-
as identificat'on and who did/did not
t~e an oath. .~.
(Signature) L SiLt \t~
(Name Typed, Pr
NOTARY PUBLIC
~'f Pt/. JIM L. STETLER '1
/)'l:(9<t, COMMISSION # CC 467847
~ EXPIRES MAY 27,1999
~~. 5:l BClNDEDTHRU
~OF ~~ ATLANTIC BONDING CO., INC.
SITE PLA.N
(RESIDENTiAL USE ONLY)
PARCEL I.D.
RNG SUllU
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llLOCK
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LOT
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SEe
TWl'
l'ROPEnTY MEASUREMENT
\ 1 '6
15t.Ir"i
CUIUlEN'l' OWNEHS
DATE
1 - ~~ - c-f,
All drawings sball be drawn to scale for nIl parcels or lots five acres or less.
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SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DI.11.ENSIONS AND SETBACKS. ALSO, INDICATE
ANY BOVIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO TilE PHOPEHTY. INDICATE
THE SIZE, YEAR, ~~D N~~E OF MOBILE; SUCH AS 12' x 60'. 1981. FLEETwOOD.
All "EASEMENTS", "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans.
DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE
UOUSE CONSTRUCTION
""\.1: '.'.0'
PROPOSED ADDITION
"Al.l: I.. .0'
MOBILE HOME SE TUP
IC.A\.C: .-. 10.
"..1601',1
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10 .
20' . .0'
32.~1' add.
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2 [",'In, 7 :I' 2
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20'
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ROAD NAMC
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ROAD NAME
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ROAD HUlC
PC95035 005
11111111111111111111111111111111111111111111111111
97008872
Rcpt: 12805& Rec:
DS: 0.00 IT:
01/28/97
&.00
0.00
Dpt Y CIer"
County of
.~
) C, S l 0
State of
t'~
NOTICE OF COMMENCEMENT
TUE tmnERSIGNED hereby gives notice that improvement will be made to certain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. _\ 4 ... ~ ~ - ~,- l) \ ~ \)
lJ l) b \.) 'V - 0 S ~ \J .. D 5 (~ ~
(Legal description of the property and street address if available)
General Description of Improvement T ~ s T '^ \ " ~ 'b b-, , ~ \~ b "'^ t
JED PITTMAN, PASCO COUNTY CLERk
01/28/97 10:5&a. 1 of 1
OR OK 3&89 PG 1 i2:i2:
2.
3.
Owner Information: Name
Address S t 0 4 ~
L o~ w c.... '" d Ii--.. L \) \) v:>
Interest in Property:
(f, \, \; 'I ~ 0-. \ ) C\ U.
City l~~v"'~'\ ~
LJ \A ""' ~ V
IN)~
I
State
r-, ..
Name of Fee Simple Titleholder:
(If other th~n owner)
J'.l) ~ City
~ <).
'4R' Contractor: Name . \ t', """ r (,- l~ c... '\ S \ d ~
, Address ~ ~ ~ 5 G u. \ '\ 'B '\J~" City 2- "'~,,~
5. Surety: Name b (y.. '" Ie. ~ \; ~ -"[ 'v\S .. C. u
Address f.l) - p'>~;l \ 5lui City C::>\,?t \-t
Amount of Bond: $ J--. S . ()W ,'\J'o'
Lender: Name~&' 'r\ ~ J ~h-. t v ~
1, C; S \:) 'j; '" c; (. \...., \.v lo "G L "'-
Address ~ u-\.H, O\. - City
Address
State
\-)
\) "'" ~ ":>
State
r\ ..
335'/1
r-)
State
6.
Co-.
/':'"
J Cr "" f c.....
State
~ , ..
7.
Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name 3(,., h..... f' (j.... 12.? c\ '1 S 1 d ( l~ 0 ~ t -S
~~S l,(., \\ '} \ \
Address -p,\v.' City L-' ~<,\l~
~)~
I
State
~) C"-.
8.
In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Explrllt.lon dnte of NotIce or Commencement. (the expiration date is 1 year
fr0m the date of recording unless a different date is specified.)
sigria~ure-:~ne~; ~~~/-? ~
Sworn to and subscribed before me this ~~ tL day of
~)~
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f \ '\\ \. \ \AJ....P
L~\...o.<l.:'-- \J
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19 ~.. .
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Notary Public:
My Commission Expires:
JIM L. STETLeR
PC93053048
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
DATE: 01/27/"~n
PAGE: 1 OF 1
I ::;;SUE OFF I CE: D
RECEIPT NUMBR: 00309655
OFFICE: DADE CITY
CONTRACTOR #: 007404
NAME: JIM STETLER
ADDR: 93 EASTWINDS CT
C/ST: PALM HARBOR
FL 34(:.8::::
FOR:
CHECK # 59~:04
14-26-21-0160-00000-0580-0590
CONTRACTOR: 007404
TOTAL. AMOUNT:
ACCNT COMPNY ACCOUNT CENTER
114 B450 - 363000 - 2
47. 9';:}
AMOUNT DESCRIPTION/PERMT DATA DRICR
47.99 ****** SOL.ID WASTE FEE 60
~
. -r' . ): I -.. ;
RE _E I \, E[ BY,/..._ __
l i2~d
m ~
.:J-..L.JL.:':.._ ~_ :L ~
PASCO COUNTY, FLORIDA
Builder Name/Owner Nwne ~p~ b~r:~
County Parcel No. I ~- b -. - 0/ b 0..... . CJOCJ
Location 3aO'-/<J '-t;:t:. 7
Classification/Type of Us~ ~ .z:
Permit No. 6 1 / ? 11
Date Permitted I ~ ~l'>- Y /'
.0 O~ - c.7...5,.--YlJ
. Subd.
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./Unit
Prepared y
Impact Fee Amo
The above impact fee has been e s ed pursuant asco County Transportation Impact Ordinance as adopted
by the Board of County C Issioners. This amount is payab e R to the issuance of a Certificate of Occupancy
e permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT
NONRESIDENTIAL
RESIDENTIAL
No. Units
/
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)
f 7 .. q 9~
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
.j /J 9/a s.-S--
DATE
DATE
j BY
) ) J'? / 9 7 B~
/ /
TRANSPORT A nON REC. NO.
RESOURCE RECOVERY REC. NO.
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/A