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Home My WebLink About97-6654 B.UI-LDING PERMIT" Permit N.! CITY OF ZEPHYRHILLS (813) 788-6611 6654 ~ ,"- /S- - '1'1 . '/ tJ. (IlJ BUILDING 2;-S -: tl7J ELECTRICAL Date ...:.~"- t:7'o PLUMBING ;;l. o. ihJ MECHANICAL Sewer Conn ~ ~ J> t: dV Water Conn: 3--!:. ~. C/(:) Water Meter; i ro. tJ'l..;; T.I.F.'s: ~ J/ R-o . (.7?) Job Address: - ,!/ b , Parcel 1.0. # 3'/. J-~~-:J--J - 0 vI (J . Zoning: ~code: Description of Work '7J! . _ ~ f A--r Radon Gas: fr;;~ ~J n~-S--?-r7 ~'~.;()1111 NO OCCUPANCY BEFORE C,O. FINAL C,Q, DATE s-/-S.... Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector ,o~ City License Registration # State Certified License# ~r ~'m;tF~ Slgnatur _~ _ Company Address Telephone# v'77 ~ -~ ~ Valuation or Contract Price -- ~~L&0:J/ BUILDING a. Q' 1(A(fJ~ A~7&f;/!~'/~' ELECTRICAL PLUMBING o~. Jf5~Y~ MECHANICAL Ftr, Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ~/7Iq? ~~ {f SLB Tub Set Water Sewer 'Sl r-( 1'1'1 Final Breakers Ducts Insl. Compressor Final 5"1/ /9 7 11: 1/ Driveway 5~f- -~ 5/7/97 <<.'/1 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: _ ;/\ r-:>} -j- /:J, .j ~~ I Y-j--5 -7/ a. Wrong Address . A./iJ<.4.U ~~A- b. Condemned work resulting from faulty construction. J/' ~ r '7 C. Repairs or corrections not made when inspection called. ~ t:( Lj - j ~" . 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME ' G ~ /L/ c:! 1-(0 /C- { 2-0 ,A/ -5 ____* C~ PHONE ,/ (/,0, ~~ /'cYY7 ?~~c/& 4~ /(e; /b ( 24 A/.r (/3/1" c! Sf ~'/ fc?r- / c1,6~ 3' 35>" 31'- /E- Y 7 OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION r::.r/~~ d ~,r-ru~-",' PARCEL I.D.' 3L(-2S-~(-ao/c) -C>t''360 _ .>~ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ____Addition _Alteration ____Repair - ____Install _Sign ----..Move _Demolish PROPOSED USE: ____Single Family ____M/F ____, of Units ~/H ____Co...ercial ____Indus t. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: Rx 6 L/,' J 75 Z-Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL ATTACH (J) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ____BUILDING 0LECTRICAL V'MECHANICAL vriUHB~NG $ I S-d AMP Service Valuation of Total Construction X Florida Power Corp. W.R.E.C. $ /,2.. " <2) I , , Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FrlUle _Steel I1/l Ie 'J <-- ( Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA'? cV ...................................*...... YES NO Signature wc~ CONTRACTOR SECTION ~,~ c COMPANY ,6 u l/!?/Z. ;::;1/0 /' /' /Y) , H - S - ~ State Cert. or Regist. , ~lr _ L2 City License Registration' _____ .... ..............**********.**.******.*. BUlIJ)ER ELECTRICIAN COMPANY ;::; c ri: (<(;- Pn( ~ ~ I ~ State Cert', or Regist. 41 ( C-/UAA:-- City License Registration' .. ................************************** -::TN C- /8'7 .. SiRllature , COMP~ /~v~h~/'/ A f..f)/' ~ State Cert. or Regist. , . Signature [, )(1)''''----- City License Registration ## itr .*. .*....******...****.....*....*.****** MECHANICAL COMPANY ",/Ie € _ w"c~( 7' J AI /J j) n f)/'l State Cert. or Regist. #1 ~ q~ City License Registration' ..*.***...*.~**.**....**.*............*.** PLUMBER Signature 7/l/p ___....--.._.L---_~, *"'1 OTIIER COMPANY State Cert. or Regist. '__ Signature City License Registration ....****.**.**.********.***.*****....***~ 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 CONTIU\CTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb state and local regulations, If the contractor is not licensed as required by law, botb the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirements lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (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 ZephyrhilIs. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, have been provided witb a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent 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 CODenCl!lent. 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 per.it to do work and installation as indicated. I certify tbat no work or installation bas 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 develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governJental agencies lay apply to tbe intended work, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not lilited to: t Departlent of EnviroOlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Managl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan addressing a .cOlpensating volUle" will be sublitted which 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 tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~uance of a per. it prevent the Building Official frol tbereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOle invalid unless tbe work authorized by such perlit is cOllenced within six lonths 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 cOIIenced, One 90 day extension of tile, laY be allowed for the perlit with fee charge of $15.00, The extension shall be requested in writing to tbe Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEKENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POS't/A "NOTICE OF COMMENCEMENT", /,,~ ~~~:;;r~ SIG URB: 0 ER OR A NT SIGNATURE: CONTRACTOR STATE OF FLORIDA J) COUNTY OF ,C( S (!.. 0 The foregoing instrument was acknowledged before me thisJ../- J -S _, 1~t:L1_ by w C{ yV\, -e 6 u.i-f-t'~~ ~ l-e ( c{ who is ~sonally known to me or who has produced as identification and who did/did not tat~~ (Signature) STATE OF FLORIDA J) r1~ S rr ,0 COUNTY OF I '-( ~ The foregoing instrument was acknowledged before me this L{ - ( 5" 19cr 7 by l19 C..( Y /1 '-f ;5 ~l-I-c'/C ~ I e {d who is p~sonally known to me or who has produced as identification and who did/did not la~~~ (Signature) .~\AIIa(l' *,~.~* '4J't OF f1.1l't>~ KIMBERLEE SCHARLAU My Commission CC361278 Expires Apr, 04.1998 Bonded by ANB 800.852.5878 (Name Typed, Printed or Stamped) NOTARY PUBL3<; .~'A8(1' *,~.~* '4J'tOFf\.Il't>~ KIMBERLEE SCHARLAU My Commission CC361278 Expires Apr, 04,1998 Bonded by ANB 800.852-5878 (Name Typed, Printed or Stamped) NOTARY PUBLIC ( "~ ~ I I I I I I I I I I I f " I \) ~ I , ,/ ff)~ !l I II I J i g.- /, ~(jr ~b --- I ~~~I-;'~ h. ~cJ II J u L --: feY ., ~:-.:.::o.:::--:-::::::::::::::--- G8: ~ -".~.- I ~ .. --.:.. '_, "' I "#'~I,- ~ 10- j 2.. I 'iffx,L(.' I , RIUScD , SCA...I2,r:1\.I I '"PAt, 0 , , I "- -----...' . ~ :-., -. NA-p ~~~o~ ;;;;~?o- rev ~7 # s~ ~/ - --.;;; ----= ~ ---.:: ....... . c; (L ~IV d. ~'Oll.-r2-O~ f '- l \) "\) \ \.~ b I <<\\\ t,{o!/ / I ~~ L,~ \( ~ V / 43 - CRRpr, "-:r-- / I LI 1. --:...; I 8-r 2/ ( ~ - S~' ./. , I - /V#tv- /"/""/2/,1.</," 6/". / _ v J. {J r- J.11Vr.~ t- -_._--"----~-- " CENTRAL PERMITTING PASCO COUNTY. FLORIDA c:o!\rrh:nCTI]p tI: ~ NAME~ GRAND HORIZONS ADDR: Ll 54 l/HILLS c.'./ :=:r ~ F'C)F~ ~ (')CC:!'!f .1. .1.1.; i;:E::C:t, ,!, \lED By rv{ (( rnG'J ./ DATE: 04/15/97 TIME: 14:55 F'(:)CE: .1. UF :1 I ::::::::UE CWF I CEo ~ D PECEIPT NUMBR: 00318498 OFFICE: DADE CITY RESOURCE CITY OF l/HILLS CHEC~::: :J:i: 11 ~52 TOTPd_ {)f~J1.)UNT ~ COMPNV ACCOUNT CENTER B450 - 363000 - 2 ::.::t:.. I:;,,:: AMOUNT DESCRIPTION/PERMT DATA DRICR 36.92 ****** SOLID WASTE FEE 60 '~~V1 ~ ---------~-----_.._------------- PASCO COUNTY, FLORIDA Permit No. ~h-S''f A ~ - /...s"" - 7 '/ Date Permitted Buildec Name/Owner Name ~dA<f ),l~.4 County Parcel No, 3}l- .;:J...!:.--:J../ - b O/,:J '-- () /.,3 0 0 ~ -S........ Y Lncation~ .J;~~ (', 2/NJ4 Classification/Type of use~d..-<"cL,A.. TJ I TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./Unit Prepared By Impact Fee Amount $ The above impact fee has bee lished pursuant to the Pasco 0 Transportation Impact Ordinance as adopted by the Board of CountY.: missioners. This amount is payable PRIOR to issuance of a Certificate of Occupancy the permitted structure. RESOURC RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units I 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 $ 30" 9 ":2 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 HA VE 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. ~5; <:? it q sY DATE DATE BY ~ 4-- /J- - Q7BY /~ d~' White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC931130941 A