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BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
-N! 6958LS
Date
:/-//-7'7
.;lJ:2 . _5"V
BUILDING
--5~-= ;:L-.S-
ELECTRICAL
~~:uv
PLUMBING
3 CJ . <.-r-V
MECHANICAL
Sewer Conn /:2 7 ~ r/iJ.
,
Water Conn: J.s.ZJ - OD
Water Meter: IC?Z;, (/()
T.LF.'s: ~d. 051." d() /./u2U
:::::::~:~~ ir R/J~ 6.';.f a
Parcel J.D. # JfI-;;tS-:JJ - OCJ() 0 - D 00t?O - CJ() cf-o
Zon;ng, ~En!YllJi Code, ~ Radon Ga~' ~. 2::3
Description of Work /j..l"~J/~' (t .I- / ...L~_~
~ ~~ 1/-/'-9'7 fbV~~ 1~;~~-/J111
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
p~rrn;tFe~
Signature _ _ ~
Company
Address
Telephone#
Valuation or
Contract Price / ~ -y 6 {J, clD
City License Registration # :.2.5.5--
State Certified License#
~,~i1~
BUILDING
iA a/J"w-CIAl J!ti,'I /r;~'l 'If,,+ 1-5'71
,.., ~
ELECTRICAL PLUMBING
~~~
MECHANICAL
~.~N. S~
Rough In Cf~ 1? /CLfJ. Tub Set t:jJ.. c.'5> CY713t L-L
Meter Can
Const. Pole
Pool
pre-Meter_Jt!i~ /1: -: ~~-r 1/ /t t.{ t..7 '?l
Final f7 !)0~
Ftr.
Pre SLB
Lintel
FRM. tj-~S-C;'7 ,t1<.L.
Insul. CL
WL lol~/crI rLlL
Breakers
Ducts Insl. o/l--z- ')....9'7~
Compressor
Final
Water
Sewer
Final
Driveway
~"o 'i l))of (n ~j
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of I . _. J 1.:1-- Ell liars ($ ~l shall be made for each trip for each trade: /._01"'7
dL0 tTI) -. / . /) .. ,oJ _ 7f-,. /? / .9-/1 7/
Wrong Address . 'N~ ~floUI~...F ~
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.
a.
b.
/-1// -;l~ --??
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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'.~ ... .,!
... ., ". ..t
PASCO COUNTY, FLORIDA
.......................
Permit No.
Date Permitted
Builder Name/Owner Name
County Parcel No.
Location
Subd.
Classification/Type of Use
._---_..~-~~-,--
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT
o
Rate $
Zone No.
Sq. Ft.!Unit
Prepared By
Impact Fee Amount $
The above impact tee 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. Fe (GSF)
Rate/ERU - 52.00iYear
or $0. I 42/Day
ERU Assign No. _
Assessment - (No. Units) x ($0.142)
x (No. Days)
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
100
TOT AL FEE $
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.
Acknmvkdgell1ent below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the huilding permit owner on notice of this assessment and the conditions of payment for same.
I
,
: .
Date
Received By
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC931130941 A
APPLICATION FOR PE~lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
9-;) -97
. " ...
INTERIOR COMPLETION
.. 7KF~~ J7J
APPLICANT Sandy Developinent.~ Company, Inc.
ADDRESS 12303 u.S. Hwy 301; Dade City, FL 33525
PHONE (352) l)67-7qq2
...
OWNER Oak Run Properties, Inc. 7335-2 Galt Blvd., Zephyrhills, FL. 33541
JOB LOCATION 37774 Oak Run Cir (BLD 10)
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.~~
34-25-21-0000-00300-0080
. 7 WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
____Move
____Demolish
\.
PROPOSED USE: ____Single Family
____M/F
____~~ of Uni ts
.____M / H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE: 2 7 . 33 'x 40 I ,
973
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.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
...L..BUILDING
-LELECTRICAL
...L..MECHANICAL
...L..PLUMBING
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
_W.R.E.C.
$
Valuation of Mechanicarrristallation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
SECTION
Company Sandy Development Com~any, Inc.
State Cert. or Regist. 4~ CBC010 23
'ty License Registration # 235
****************************** I /
:S Company ~cSif'~ MtdT/1/C ~
State Cert. or Regist. # ~ KIb. - QQ I 2"2.-1
City License Regis tration 4~ - _ J q ct
******************************************
Company R 11 !=l t Y '!=l P 111 m hi n ~
State Cert. or Regist. # C C056789
ity License Registration # 1541
**************************
MECHANICAL
~rd G. Maggard Company Son~y's
~ State Cert. or Regist. #
J '&-4 f/I~~ City License Registration
........~.................................
RM0018641
~F 206
Signature
OTHER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFI~AVIT
A. NOTICE OF DEED RESTRICTIONS
The#unders~gned understands that this perlit .ay be subject to "deed restrictions. ~hi,h lay be lore restrictive than City
regulations. The undersigned iSSUle1 responsibility for co'pliance with any applicah!e deed restrictions,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required tD be licensed in accDrdance 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 Dr intended contractor are uncertain as to Khat licensing
requirelents lay apply for the intended work, the~ are advised to contact the City of Zephyrhills Building Departle~t, (813)
788-6611. ' ,
Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which they Mill 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 per.itting privileges in the
City of Zephyrhills. '
C~ TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713. FLORIDA STATUTES. AS AMENDED)
I tertify that I, the applicant, have been provided with a copy of ~Florida's Construction lien L~w - Ho.eowner's Protection
G~\de" 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 docu.ent and protise 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 Kork will be done in cOlpliance with all
applicable laMS regulating construction, zoning, and land developlent.
Application is hereby lade tQ 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 Mill be perforled 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 governlental 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 lilited to:
f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water Kanaaelent District - Wells, Cypress Bayheads, Wetland Area5, ,Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AGency - Asbestos abatelent
I also certify that, if fill laterial is to b~ used in Flood 20ne .A" Dr "A,etc.., it is understood that a drainage plan
addressing a "colpensating volule" will be sublit~ed which is prepared by a professional engineer registered in the State of
Florida prior to per.it 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 frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. (very perlit issued shall becole invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended Dr abandoned for a period of six lonths after the tile the work is cOllenced. 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 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 COK~NCE"ENT KAY RESULT IN YO~: ~AYIN6 TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CD CEMENT. JOBS UNDER $2,500 I E NOT NEED TO RECORD AN POST A .NOTICE OF COMKENCEK
STATE OF flORIDA
COUNTY OF PAs CD
The foregoing instrument was acknowledged
before me this ~lilif3\ , 19 en by
.Je.ro f\'\ L 0J ' fhx le%-
who is personally known to me or uRe has
preaucad
as idRntifi~ati~n and who did~n~
take an oath. 1~ ~
(Signature)
STATE OF FLORIDA
COUNTY OF ()f\~{)
The foregoing ~nstrument was acknowledged
before me this ~3\ , 19~ by
~~ <.,0. PGVv"-6Y'
who is persc,nally known to me c,r--wlll.' 1,<:\$
prrodyt:ed
as-identlf\caLi~and who didZaid not:>
take an oath. ~afaLZL~
(Signature)
(Name Typed, PrJnted Dr Stamped)
NOTARY PUBLIC
NATALIE SWAN
Nolary Public, Slale of Florida
Mv Comm. Exp. Oct. 12, 1999
Comm. No. CC 501333
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
NATALIE SWAN
Nolary Public, Stale of Aorida
Mv Comm. Exp. Oct. 12, 1999
Comm. No. CC 501333