HomeMy WebLinkAbout97-6959
BUILDING PERMIT
IT!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
6959/3
Date
9- /1-97
~ /" ~ ,--StJ
BUILDING
-.:5Y._~ ()
ELECTRICAL
6:2-. --s 0
PLUMBING
3S'-- OV
MECHANICAL
Sewer Conn / ;L 7 f-; 07J
-'
Water Conn: 3.S.?.J. tTD
Water Meter: / ~ . ~ /1-L
T.I.F.'s: / J...O'7 /J7J _~d!;A
/
P<aperty Owne' ~r!. fJ~
Job Address;,--?::; :J /-Q{'['L~.If ....Gt'~ . 6..1l:"..i!r;
Parcell.D. # J~-;l.5-- QJ - () 000 - CJ 63 cJ 0 < C) (j <f-o
Zoning: _ErJfr~y Code: Radon Gas: !.....795
Description of Work L'3.-/----j/JI ~ (y /~)
..J/t-p~ )/-1'1-'77 ~~--t-if~ /tJ:~- JJft{
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
Permit Fee
Signature
Company
Address
Telephone#
fIi;/{J~
Valuation or 7 0
Contract Price l~ ~ 76ZJ. (]7J
-
City License Registration # /1 5_<;
State Certified License#
....L.: 11 ~aPA)
BUILDING
A~.ul'" /'h,]f-/YY'I X~ bY!
ELECTRICAL PLUMBING
~~ ;;uJb
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM. /O/:J../O,7 U:lL-
Insul. CL
WL 10/1 ('\ 1 ~nl
Tp. Servo
Rough In 101;../91 '"
Meter Can
Const. Pole
Pool
Pre-Meter , III '" I~ 7 (J..f
Final
SLB
Tub Set /o!J..!q 7 B: tf
Water
Sewer
Final
Compressor
Final
Breakers
Ducts Insl. It!Jh /41( U
.
Driveway
P~,('O ~/2..tf'n go~
a.
b.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of IIf . ii:1 ff. 1'-.6 ($ 'FW!WOl shall be made for each trip for each trade:
.;M-;tJt)/ / 7/ .-7'/- . /J . ./ 9-//- 9'1
Wrong Address A./~ ~~__...F ~<..J?
Condemned work resulting from faulty construction.. -- 'i""
Repairs or corrections not made when inspection called. p. j / / ..;;J --S - /
Work not ready for inspection when called. I
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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PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
Builder Name/Owner Name
County Parcel No.
Locatinn __
Subd.
Classification/Type of Use
, ,
.-.......-.--+
I-
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
S4. FLiU nit
Prepared By
Impact Fee Amount $
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 D
RESIDENTIAL
NONRESIDENTIAL
No. Units
~
Gross Sq. FL (GSF)
Rate/ERU - 52.00/Year
or SO. 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
HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below docs 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 p~yment for same.
I
f
Date
Received By
---------------------------------------------------------------------------------------------------------------------------------------------------
OFFICE USE ONLY
..-BY"-
BY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
DATE
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/A
APPLICATION FOR PE~lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
9-J - 77
INTERIOR COMPLETION
,rPJ? r Ji.-' JV
APPLICANT Sandy Developinen t, Com1?any. Inc.
ADDRESS 12303 U.S. Hwy 301. Dade City. FL 33525
PHONE (352) 567-7992
..
OWNER Oak Run Properties. Inc. 7335-2 Gall. Blvd.. Zephyrhills. FL 33541
JOB LOCATION 37772 Oak Run Gir (BLD 10)
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL LD.# 34-25-21-0000-00300-0080
, 7 WORK PROPOSED:-1l-New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
____Move
____Demolish
~,
PROPOSED USE: ____Single Family
____M/F
____~~ of Uni ts
,~/H
____Commercial
____Indust.
____Swim. Pool
Other
----Eestaurant & Health Department Approv~l
27 '33"X40'
. '>0' ,
BUILDING SIZE: 15. 3_~ 40 I
11qq
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
~BUILDING
..lL..ELECTRICAL
~MECHANICAL
..lL..PLUMBING
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
_\,.R'.E,C,
$
Valuation of Mechanicarrristallation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signat
CONTRACTOR SECTION
Company Sandy Developmen t Company, Inc.
State Cert. or Regist. 4~ CBC010923
ity License Registration # 235
****~********************************* , j,/
a ,....5 company-=Oe::sljvlU e-er-~ Co ,
State Cert. or Regist. #
City License Registration
******************************************
Signature
Company Rus ty' s Plumbinf
State Cert. or Regist. 4t C C056789
City License Registration # 1541
****************************
MECHANICAL
E]W. . rd G. Maggard . Company Sonny ',8
~ ~t. State Cert. or Regist. #
~ ~~ City License Registration ~t
*********~********************************
Signature
RM0018461
dU}b
OTHER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
APPLICATION APPROVED BY
PER.l'1IT OFFICER.
\
''--.
"
CONDITIONS OF PERMtT AFFIDAViT
A. NOTICE OF DEED RESTRICTIONS
Th~ uqderllgntd understands that this per.it '.ay be subject to "deed restrictions" wt~th .ay be lorl restrictive than City
regulations. The undersigned assulIs responsibility for co.pliante with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with
state and local regulations. If the con(ractor is not licensed as required by law,' both the owner and contractor .ay be
cited for a .isdeaeanor violation under state law~ If the ONneT or intended contractor are uncertain as to Khat licensing
requireaents lay apply for the intended Nork, the~ are advised to contact the City of Zephyrhills Building Departlept, 1813)
788-6611. ' ,
Further.ore, if the ONner 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 Nill be responsible. If you1 as the ONner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Nishes 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 IMPACT FEES AND UTILITY CONNECTION FEES
, 1
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 - HOleoNner's Protection
G~de" prepared by the Florida Departaent of Agriculture and Consu.er Affairs.' If the applicant is SOleone other than the
"owner", I certify that I bave obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"oNner" prior to co..encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all Hork will be done in cotpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade tQ obtain a perait to do work and installation as indicated. I certify that no work or
installation has co..enced prior to issuance of a perait and that all work will be perforled to leet standards of all laNs
regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other governlental agencies aay apply to the intended work, and that it is
ay responsibility to identify what actions I .ust take to be in coapliance. Such agencies include but are not lilited to:
I Deuartlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Enviro.\lentally Sensitive Lands,
Water/Wastewater Treatlent
I SouthNest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
f ArlY Corus of EnQineers - Seawalls, Docks, Navigable Waterways
t Degartaent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AGency - Asbestos abateaent
I also certify that, if fill aaterial is to be used in Flood 20ne "A" or "A,etc.', i~ is understood that a drainage plan
addressing a "coapensating volule" will be subait~ed which is prepared by a professional engineer registered in the State of
Florida prior to perait issuance. ,.
A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a perait prevlnt the Building Official frol 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 perait is coaaenced within six lonths of issuance, or if Nork authorized by the perlit is
suspended or abandoned for a period of six aonths after the tile the work is cotlenced. One 90 day extension of tile, lay be
allowed for the pertit 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 COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEHDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKKENCEKENT. JOBS UNDER $2,500 UE NOT NEED TO RECORD AN POST A "NOTICE OF COHMENCEM ·
STATE OF flORIDA
COUNTY OF ---PAs( 0
The foregoing instrument was acknowledged
before me this '- ~A..t~ 3l , 19C11 by
..Je~ u..). Po-...rLev
who is personally known to me or ~Iha has
pl"OCJllced
.. i"DAtifi<'~jf ~nd who did(ola no~
take an oath.~;;;C ~
(Signature)
STATE OF FLORIDA
COUNTY OF PAS CO
The foregoing irstrument
befcq-e me this 0Uiy 31
~las acknowledged
, 19.3.:1- by
0zyorn-.e. W - p~
who is persc1na 1.1 y known to me or ..,111-" hd~
pre6uced, ~
.. id.At,ifi<.t~ ",nd who did id not)
take an oath.~~
(SignatUl-e)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
NATALIE SWAN
Notary Public. State of Aorida
My Comm. Exp. Oct. 12. 1999
Comm. No. CC 501333
NATALIE SWAN
Notary Public, State of Florida
My Comm. Exp. Oct. 12. 1999
Comm. No. CC 501333