HomeMy WebLinkAbout97-6617
BUILDING PERMIT
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Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
- 6617 E
if-Y~9'1
Date
BUILDING ~c;~ PLUMBING
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MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel I. D. #
Zoning: ~nergy Code:
Description of Work t! ~ ~ ~ - fPA4
/
vl?EA- ~/1.A-uL ~/'7-911 //)~~~- /J IYl
NO OCCUPANCY BEFORE C.O.
Radon Gas:
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Permit Fee
Signature
Company
Address
Telephone#
20 . 0-0
(}..-Ji~ ~
Inspecto
Valuation or
Contract Price
~A=
City License Registration #
State Certified License#
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
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:
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a.
b.
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.
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APPLICATION FOR PRRHIT
CITY OF ZEPIlYlUllLLS
lHJ1LDl.NG DEPAIrfM.ENT
lOT
OWNER IS NAMB
8.c CVn .s....t:...<?~0..-___..___________..~__~_PHONE
LOT (p S-
~e.J'~ \ d
OWNER I S ADDRESS
....~..__.~.--_._--.---....~..--..--........-...
JOB ADDRESS
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LEGAL DESCRIPTION: LOT(5)
nLOC~___SUBDIV1SION
PARCEL 1.0.'
(OBTAIH-ERQ~~QP~~TY ~ ~QjICE)
WORK PROPOSED:_New Construction _~Addition _Alteration ~cpair _Install
_Sign
--1tove
_OemoHsh
..
.
PROPOSED USE: ____Single Family
--11/ F
_, of UnHs
MIa
_CQn'l1llaerda.l
_lndust.
_Swilll. Pool
_Oeller
_Rest3ut'ant &: Health Depart.ment Approval
DESCRIPTION OF WORK:~__~__
BUILDING SIZE: ~_~_'
_Square Feet,_______Height
RESiDENTIAL:
COMMERCIAL ;
ATTACH (2) Fl..OT l>LANS lie (2) SInS OF l:WILl>lNC Pl.ANS lie (1) S~1' ENERGY FORMS.
ATTACH (3) SETS OF a~ILDING PLANS & (1) SET ENERGY FO~~.
PROPt:RTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. .
f~Rtl.;;.t~LRe.Q.IJt~.r.f&
_BUILDING
~ELEC'TRlCAL
-HECHANICAL
$---.... .
. ..Valuation of Total Construction
__1 O~AtfP Service
~__....._Flodda Power Corp.
_W.R.E.C.
$
Valulltiou ()( Hec::ha.nical Installation
_PLUMBING
~~~GAS
+__.__ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Pralle _Steel
_Other
f'INISIiE.D FLOoR ELEVATIONS:
Ft.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
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CONTRACTOR SECTION
IWI~
COH...PANY
State Cert. or Regist. t
City License RegistratioQ t
....*****.......*.*.****............**..*-
Signature
~~ ~~ COMPANY'/.. tJa. CZVz/ r e-4f
. ., /' _/ (~,,) ~ I'" S~ate Cert. or Reglst. IJ....-J~ 0.. "0(>.6 Ii
SiJUlature X. .~,... J. ~?~ Cl.ty License Registration # ) ~ ']
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~1r~
COHPANY_
State Cert. or Regist. ,
City License Registration #
.......*........**...*....................
Signature
l'.l&~
Signature
COHPANY_~_~_~
State Cer.t. or Regist. ~____
~~-- City License Registration'
.****.*.***~*...****..*.*..**A.**..*..*.*.
Q.lJlER
COMPANY__
State Cert. or Regist. ~
City License Registration t
.***ttt..*...**...**,**.***.****,.......*.
Signature
APPLICATION APPROVED BY _~~
-,
PERMIT OFFICER.
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PASCO COUNTY, FLORIDA
Permit No. ~ I / 7
t.-/.
Date Permitted. /
t-
'I ? 'I
Builder Name/Owner Name
) J-
tJ . 1.~~ /'h
County Parcel No..,,J ~ - ..2. I - ,.,) j- / .;..'; c -
Location _' /---"'1' ~ S.
Classification/Type of Use -'''-,~-~, L ,-,
',/ /: 0
- G ~
Subd.
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TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
Impact Fee Amount $
------,.--
The above impact fee has been established pu 0 t e Pasco County Transportation Impact Ordinance as adopted
by the Board Of{;;. unty Commissio is amount is payable PRIOR to the issuance of a Certificate of Occupancy
. ed structure.
------......
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
Gross Sq. Ft. (GSF)
Rate/ERU - 52.00/Year
or $0. I 42/Day
ERU Assign No.
Assessment - (No. Units) x ($0.142)
x (No. Days)
TOTAL FEE $ 3(,. 0 ~
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
100
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.
AcknowJedgem(tnt below'does not imply acceptance .of concurrenctl, but simply ,receipt of a GOPy of thjs form, placing
the building pdt-mit 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:6\ ~ , 2J2:>
D::~~~J'11 :~
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC931130941A