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Home My WebLink About97-6692 BUILDING PERMIT 1fo~ t71? BUILDING ...ls'- en:> ELECTRICAL J~"- clV PLUMBING ;;uy. cTV MECHANICAL N! '669213 Permit ~ D... f - :l ,f--? L t1I!l.1 'f"~'~ Sewer Conn I a... ~ ~ CD , Water Conn: .3..~ 0 - crv Water Meter: I <f7J ~ o-v T,I.F.'s: / ~ K-z; < o-i.J , CITY OF ZEPHYRHILLS (813) 788-6611 Property Owner: :2./~ AL.-" X(,J'"<'/c Job Address:0' ::> 0 1)1...('A...TJ a/"€.- Parcell.D. # ~3- ~6 <J.J.... 0...3/ tJ '- 0 0000 -- (J ? J-O Zoning: ~y Code: Description of Work ff1. ";, ~ T ~.A ....a . / V;r J::- * ~ ,~-- 2/ - Y 7 ....2:,/:l Y/ ~7 Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL . Complete Plans, Specifications and Fee Must Accompany Application. C.O. ' All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ~ City License Registration # State Certified License# ~ Perm!t Fee d.3 0 . Signature ~ Company Address Telephone# tJc.) ~M7 Valuation or Contract Price --- X~tlt(:;J1! BUILDING ~ 1..AAl / Zo ELECTRICAL 7J/~ i?~ PLUMBING a... ~.6 L3ak'~ ~~+~ MECHANICAL /7 Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final sit; It} ) SLB Tub Set Water Sewer S-/ l'i Ie, 1 Final Breakers Ducts Insl. compresji Final 51 h? . BI'IL- &i file Driveway (,' ~ l s1c;h1 b: II REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: -4 .. '" W~-77 a. Wrong Address 'J) /T" /J ,." '7 ~JI b. Condemned work resulting from faulty construction. N~ ~~ C. Repairs or corrections not made when inspection called. , n 3-_/ b -9 I d. Work not ready for inspection when called. fr- d( 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 ffiii', PElmIT CITY OF ZE:PIlYRllIU.5 BUILD] lNIG II)FPARl'KE:lNIT OWER'S NAME If/diu;"' s-2~~t C' (./ ADDRESS~.....'" mONE /'f2 /27& OWNER'S LEGAL DESCRIPTION: WI'(S) d::J- BI.OCK ..3 /70 ( 71,<.."" I . cD, c. 1/~ (6) '1 , / SUBDIVISIOlNl ,~/L /~./.j-' ~ JOB ADDRESS .1....-'7 #' ';;;J- . ~e.4A L .41./c PARCEL LD.# ~;J.;J 6 - ;;)1- ~ 3,0 -e:;~oc 0 -C) "2-/.-0 -. IroRK PROPOSED:~ew Construction _Addition _Alteration _Repair _Install _Sign _I!fove _Deaolish PROPOSED USE: Single F3lIIily _"IF _, of Units ~/H _CoBaercial _IndUlSt. _SW1... Pool Other _Restaurant & Health Depar1:llent Approval BUILDING SIZE: db'f X Y'f~" I~'? Square Feet, .IV/#- . Height RESIDENTIAL: COHHERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. U ATTACH (3) SETS OF Bm:UlUIG PLANS & (1) SEI' ENERGY FORKS. ** **COPr OF COI!ITRACT REQ[JJ1BED. PEmnTS RROUE..<iTED ~BUILDING ~ ELECTRICAL '* MECHANICAL ~PLmmING $ ....3 qJ, )ftH Valuation Df Total ConstructiDn /\11 AKP Service . / d:.5>'V __Flcrida Power Corp. ~W.R.E.C. s Valuation of Mechanical Installation - GAS - ROOFING SPECIALIT TYPE OF CONSTRUCTION: --Block. --='TaJIie ----.:...~t:eel Other FInSHED FLOOR ELEVATIOJNIS: YES ~ NO -- FI'. IS PROJECT IN FLOOD zmn: AREA? ****************************************** BUILDER OOlNJTRACTOR SECTION OOHPANY 13.~~Ltd h State Cert. or 'gist. # ity License Registration # *~**************************************** AtHr S~, ~' Jot:. ELECTRICIAN aMfPMY c',. 4. ~"^_ --aA.z;:..__ Si"""~fb.<t6I~.... 4J/~~~;\~:;'eO;e:~:~i:'" 3< 11 /10 *******************~********************** PLUKBER Q , L jJ _ 00 cmtPANY ~ /~~ ~ ~~ State CerL Dr RegisL #f Sigoatur~" ~ City License Regist.ration , ~_~ '7?o ~ *****t**~*~*~******t********************** KECHANICAL ." CO'!tPANY ~~/~,~ 'k, Signa";~L~JM-..~ :~;'L~~:~~eO;':~;~::~i:n I ~ tl **************t**:*********************** O.L J6'4 011IER cmIPMIfY S~ate Cert. or Regist. t Signature Ci~ uicense Regist.ration #f ****************************************** APPLICATION APPROVED BY PERHIT 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 cOlplia~ce 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 iicensed in accordance with state and local regulations. If the contractor i.'not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner o~ intended contractor are uncertain as to what licensing requirelents lay apply for the intended worK, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611. Further.ore, 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 aay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORT A T I ON I MPACT FEES AND UT I L I TV CONNECT I ON FEE.~. D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with 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 "oNner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cOllencelent. 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 cotpliance 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 Nill be perforled to leet standards of all laws regulating construction, City codes, zoning regtlations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies lay apply to the intended worK, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water ManaQelent District... Wells, Cypress Barheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers ... Seawalls, Docks, Navigable Waterways ' f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit... Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatement 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 voluae" Mill 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 the worK and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. 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 pertit is cOllenced within six tonths of issuance, or if worK authorized by the perlit is suspended or abandoned for a period of six tonths after the tite the work is cosaenced. One 90 day extension of tile, lay be allowed ~or 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 lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCE NT'. ~ SIGNAktrRE: OWNER OR AGENT ~ ~~.,. S'! . I6NATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF P A- ~..o The foregoing instrument was acknowledged before me this J},O~/L.. :25, 19.!l:L. by STATE OF FLORIDA COUNTY OF P A3co The foregoing instrument was acknowledged hpf1'"ll-p me this ...J1P~~, Fi'g...L by III EJ..... )/')N who is personally pn: sLlccd €<!!. iaE:nti f' I; ,,01 J?YIvfAtJ kno~m to me or \Iho ~ NeL.:X-JA I Ry /vI A A.J who is personally kno~Jll to me or ',JhE h.::t~ P,-I: E1u~!!:d ~s idE:ntific.::ttion and who ~did not take an oat~~" II 1 JJ.. , ~'........J 9' ;;J..J:Z~ (Signature) . ~ KATH Lt2EJJ J~vJN (Name Typed, Printed or Stamped) NOTARY PUBLIC and who ~/did not take an oa~h. ~t.Lap~8 ~~ (SIgnature} KATtH-e:~ J, :BRDWN (Name Typed, Printed or Stamped) NOTARY PUBLIC ,\~I'~ PI/o( ~n""t' ~fI; /'~ OF fl.\) KATHLEEN J BROWN My Commission CC449029 Expires Apr. 02.1999 ,\~I'~ PI/o( ~.. Ec. /t' ~fI: ~/'~ OF fl.\)<i:' KATHIoEEN J BROWN My Commission CC449029 Expires Apr. 02. 1999 ~ (,S '"7 tb\~. <:::'\fWOI.A ~ o..'f~4\.&( pM.~ HI\A.~ l' 'II A1t:\t- 'tC ~ ,9&. I , I I-- OPT "- SlRETCH I I I I MASTER BEDROOM 12'-10. X 12'-10' ~ ~ 7. t, ~ . I ..... -... . ....-.-..... . '(J v r . .. ?d J s. be. W}~\~ 1 1;- ~ '010'" &lPJer~ w ,ob ~Q.c. ~ ~ I I I I I I I I LIVING ROOM 1S'-0. x 16'-1. I I I , I I I I I-- OPT "" SfROCH DINING ROOM 9'-4' X 9'-7, I I I I ? I I I I I I BEDROOM "2 11'-4- X 10'-4- I I I I-- OPT ,.- IlftE'T01 I ll' ~ a ~ "n~ : ~~ ~T t t I -.............-- I" )C~ t>Q~ . .. -. ..... {J1Jk..l 1 ij- I!I~ ~ PASCO COUNTY, FLORIDA !'L1~ Builder Name/Owner Name V~ Permit No, & i, 7 ~ 13 Date Permitted '1- J. ;- - 9' ') County Parcel No. ...3 -;;16 ,-::J../ - 0..31 0 - 0 0 0 0 0 -- " .)... J-. C::> .. Location .3 ;:;1)0 I )f~, C2v-e-- snbd&-~Rn~2 Classification/Type of Use '~L...:U.....L~--*-.LJ TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. Sq. Ft.lU nit repared By Impact Fee Amount $ The above impact fee has bee stablished pursuant to the Pasco County Tr ortation Impact Ordinance as adopted by the Board of Count mmissioners. This amount is payable PRIOR to the iss nee of a Certificate of Occupancy or authority to uti' the permitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT D RESIDENTIAL NONRESIDENTIAL No, Units J , 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) TOTAL FEE $ 3'2) . / g 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, 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, ~ \ I ya DATE ~ DATE - . . -- I ~- ---- White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC931130941 A