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HomeMy WebLinkAbout97-6609 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! - 6609E Date ~/-I-/'l '1o-t/lJ ~': (/D ELECTRICAL ..3-.!> ': ITD PLUMBING c2.. 0 . o-v MECHANICAL Sewer Conn ~:J.. P J"; d-o Water Conn: ~:~ "tJ.. crv t _ /~' -_ -.IT""'>) - ~ . Water Meter: d'""2? _ LI v T,I.F.'s: ~~ j-tJ ~ u-v BUILDING P<aperty Own." ~~~tJ::z Job Address: .3 'I 0 0 A .lu ~J I t:l. Parcel 1.0. # ~o/-...2r::;- -;21-" 0/0 '" 0 /.:fO 0- / '?- Zoning: _J!;eJPY Code' Radon Gas: Description of Work J1l ~~ ./':1~ ~T~ ~.I~~ ~e:4 JL~-~-----P-7'/ fj;Y::J- Jln, NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE City License Registration # State Certified License# Jfr Inspector ZlIc D P.,m;t Fe~ . ffV Signature C~"'- ~- Company Address Telephone# Valuation or Contract Price / ~ t2-- A,-utlt:/~JJ fJ BUILDING (}'" ~ tt;;... In AJ4I~J/Yr' . PLUMBING a~ I(i/~ '1--J- MECHANICAL ELECTRICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In :711"'1'17 ~o,~ Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 5/F /'1 7 foil Final Breakers Ducts Insl. Compressor Final .J./-:J 9- 971GL't Driveway U--Uf Ll-- d'( .q'1 eL~ 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. Wrong Address 7J~ ~..RAi7~ ~-/~Y'J b. Condemned work resulting from faulty construction. L/ Q h C. Repairs or corrections not made when inspection called. .4L J Y - / - / / d. Work not ready for inspection when called. r 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME . 6~;..) J !-to (t- (~, ;J s (). O. '!30r-- ;' ?ff-7 :7 6' 7' S- 6-/Z.-rz ~ /r./ 5: LO(?/E -/. ,v C PHONE "7c.F:z - / F' G? OWNER'S ADDRESS 2-H?~5 7JsJY-/rF7 JOB ADDRESS d~. 'Z - /-fc t't' > LEGAL DESCRIPTION: LOT(S) ./;4 BWCK PARCEL I.D.' :3 '1- 2S ~ ;;Lf -00 I () - 6/300.- / 2-- SUBDIVISION G- /t- .~..... d (.:to /t.- / UJ /V f (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~New Construction _Addition _Alteration _Repair' -x'Install _Sign .--Move _De.olish PROPOSED USE: _Single Family _M/F _' of Units ~/H _C~ercial _Indust. _Swim. Pool _Other _Restaurant &: Health Department Approval DESCRIPTION OF WORK: -:; E r U jP mt:IT .6~/e ~' /l7 E BUILDING SIZE: U4. /19 '2, Square Feet.. Height RESIDENTIAL: ATTACH (2) PWT 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. (;u /;~0 (S;~b~ ~ I / PERMITS REOUESTED _BUILDING .&ELECTRICAL hCHANICAL K... PLUMB~NG $ /;:)0 Valuation of Total Construction AMP Service r:. Florida Power Corp. W.R.E.C. $ ~2..c>=... Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FrUle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ....................**......*....*.......* YES ~ BUILDER CONTRACTOR SECTION COMPANY <Zu ~~ h r? / / ~ ~ State Cert. or Regist. , (iJc~LJJ,. City License Registration # . ..........................*****........ /H .1i.S. ~!? Signature ELECTRICIAN . ' " _ '/ 'i .,.'! / ( - LI .' I/!) J (, 1/,", I I SilUlature .-/ LrL.(.::.Y::- t- x ',> '" ",' ,- -1 ./} (I , A':/J C" COMPANY lie e IT (/-r~r'J9 -f- State Cert. or Reglst. 41 [;.j C-()c\ 00 City License Registration t / 6'~ - ..*..**..*****..****..~**.**..**.*...*..** .' . I.!...I " MECHANICAL ,j, '0-; i / .0 / / - /-:7 0), r,'" I/~! A /'v S gnature L-/ (",t... "'1C" C II j ~, )1 V v, PLUMBER '" COMPANY t%3 tJ ffF/C ;:;5 /c! iA-/ -r?""~~ State Cert. or Regist. f Signature ~~~ City License Registration f .* ..**...**..**...*...***.*.**.......*.* , '7 COMPANY Ie r;? / c,: State Cert. or Regist. f C City License Registration , **.*********~*..*.*.**.****.****.*.*...**. ~~, /(.S 46> ~:;:/--') c co') C; ", 5' ')- ~r OTHRR COMPANY State Cert. or Regist. f Signature City License Registration t *****.*********.**..*..****.****..****.*** 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" which lay be lOre restrictive than City regulations. The 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 lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Deparllent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have 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 he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPAC~ 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 - HOIeowner's Protection Guide" prepared by the Florida Departient of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the "owner", 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 couencelent. 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, zoning, and land developlent. Application is hereby 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 perf oIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in t~e jurisdiction. I also certify that I understand that the regulations of other governaental agencies lay apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treallent t Southwest Florida Water Kanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Deparllent of Health i Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treallent, Septic Tanks t US Environaental Protection Agency - Asbestos abateJent I also certify that, if fill tateria! is to be used ill Flood Zone "A" or !lA,elc.", it is understood that a drainage plan addressing a 'cotpensating volUle" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to pertit. 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 is~uance of a perlit prevent the Building Official frOJ 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 IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after tbe tite the work is cOllenced. One 90 day extension of tile, aay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IHTEND TO OBTAIN FINANCING, CONSULT WITH YOllR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICH OF COMKENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A IINOTICE OF COHKENCEKENT". C) ~ S~ATUR~R OR AGENT '( uJ~ SIGNATURE. CONT CTOR STATE OF FLORIDA COUtrfy OF The foregoing instrument was acknowledged before me this ~ - I -, 1912 by ;~Lo~~ STATE OF FLORIDA ! / COUNTY OF r (//(-' e(A The foregoing instrument was acknowledged before me this l' - [ -, 19.!Z- by known to me or who has (Name Ty NOTARY who has MY COMMI88lON , CC 646841 : ! EXPIRES: May 19. 2IXXl . . IIondId llInI NDlaIy PubIc lkId8IwIlIln CI'l'Y OF ZEPIIYRHILLS MOBILE HOME PLorI' PLAN APPLICATION OWNER G,,<-A# t;.( I:{o fl._I 'l... () "JS~ . JOB LOCATION ';"'; 'l\- (r~lf#-dAJ (I.'l~'.J/1l;: l~~"'1'f Z ./{,I/.1 . PARCEL I.D. # 31--2S:- ";!I-~ O()/()"~.iJl'3{j() -/;L SHOW ALL EXISTING & PllOPOSED S1~UCTURES GIVING DIMENSIONS & SETBACKS. '-l.g.- c:J::' _ 5""" 3 / ", '..."'. Gr II- ^ AI cd 1,1 CJ It-; 1-".J I :;"'";;; {5'. --- -- ---- - J I / / I I / ! / / / -< cJ7~ .r'" ~ ;' 1 .' 1',/ I I /l'~~' ! ~~/ / li/ // / , . );:5If' ' " I' ~~;"'-'\."l" ~, ',," y , ...:> ~: a". '. / / , / k ~ (t >~6' /_... ~ /J 't I ,{/, , /:/ /,/ r ~~' / -~ b? ,. ------~f ;-<-_. i. I / 'r-:,,.~ I //;1.~ O:~"t C;; , :J\ I I I I I , I I '~T /~ .~ r~ ~ .~ ~ ~ '\ (~ I~ .......~~ ~ /l-/{?- CON1RACTOR #: NAME: GRAND HORIZON ADDR: NEWWBORN AV C/ST: Z-HIlLS Fl C E N T R ALP E R M I Tf I N G DATE: 04/04/97 PASCO COUNTY. FLORIDA PAGE: 1 OF 1 ISSUE OFFICE: D RECEIPT NUMBR: 00317313 OFFICE: DADE CITY FOR: CHECK # 1141 SOLID WASTE FOR CITY IF Z-HlllS PERMIT 66098 114 TOTAL AMOUNT: COMPNY ACCOUNT CENTER 8450 - 363000 - _ 38.48 ACCNT AMOUNT DESCRIPTION/PERMT DATA DRieR 38.48 ****** SOLID WASTE FEE 60 ~. PASCO COUNTY, FLORIDA Permit No. t, bO 9 13 tj._/-:l' Date Permitted Builder Name/Owner Name ~4A<,tl }j~,,", County Parcel No. 3i- J-S---:L/.... t).tJ/ 0 ~ OISi> CJ -/:J-.. Location Y! ~ /Jp.e \/ -/ ~ubd .~,L~jl ~ Classification/Type of Use ~4./ ~':"'pl TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./Unit Prepared By 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 / . Gross Sq. Ft. (GSF) Rate/ERU - 52.00/Year or $0. 142/Day ERU Assign No. Assessment - (No. Units) x ($0.142) . ~~ TOTAL FEE $ .. Assessment - (GSF) x (ERU) x (0.142) x (No. Days) 100 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 TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO.:2:J 7. ~ I ~ DATE " DATELf IV; 'l7 BY ~A(8 White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC93113094/A