HomeMy WebLinkAbout97-6961
BUILDING PERMIT R!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
. . 6961!3
Date
9~1/-'17
.
,JI,1.31)
BUILDING
b~~ ;LS-
ELECTRICAL
~ --.s--. Zi?)
PLUMBING
:3 /). ~'V
MECHANICAL
Sewer Conn
j :L? h ()v
,/ .
0-.S--o. 0-rv
Property Owner: 1 ~ , ,0
Job Address: '- ? fjfJ 2 t-? Ji:1 R u~ ()~ ~
Parcell.D. # ...3f-:;2__:..5--- d-i.... f'6 (;) D ........ (') 03 0 0 .- b 0 fa
Zoning: E~e~y Code: Radon Gas: ;;: Z
Description of Work (] ~ dJ -(~ (t?aI / ~~t)
,~..rpd~ //-llf-'1'7 ~v-~~if~ It) :~-?1111
NO OCCUPANCY BEFORE C.O.
Water Conn:
Water Meter: 11fv. c::.-'Tf/
T.I.F.'s: f ~o 't~ tlVc./lk'L(
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 b
Permit Fee
Signature
Company
Address
Telephone#
1#~
Valuation or
Contract Price
/9'~6().cH)
./
City License Registration # 23.s-
State Certified License#
_dn-+> LJ J) "" 1
BUILDING
A,wr tWL 17'1/
ELECTRICAL
/I~7r b'-tf/
PLUMBING
4~J d..-o-6
MECHANICAL
SLB
Tub Set q,;J.:t- 91 R.t.. '::I
Water
Sewer
Final
Breakers
Ducts Insl. 9-2.Z:- 91 ,etf:J
Compressor
Final
Tp. Servo ,..
Rough In q/rJ}/97 5~
Meter Can
Const. Pole
Pool
Pre-Meter II If'{ /77 f}lJ ~
Final
Ftr.
Pre SLB
Lintel
FRM. 'fi.;J:J- 9? 12<.:t
Insul. CL
WL 9~--'f7 5,LL
Driveway
p,,\.: 0 9(J.il(1l ~ol
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of PH on . _..J _ _. . ..ll.n. r . s ($ ~l shall be made for each trip for each trade:
;L5-'()7J V~ ~~~~/ 9-//-C;Y
Condemned work resulting from faulty construction._ - ~
Repairs or corrections not made when inspection called. .,(1 / /1 -:J.::> - 7' /
Work not ready for inspection when called. I
Permit not posted on job site.
Plans not at job site.
Work not accessible.
Wrong Address
a.
b.
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 It FLORIDA
Permit No.
Date Permitted
Builder Name/Owner Name
County Parcel No.
Location
Subd.
Classification/Type of Use
~
~~r--~'----'-
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./Unit
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
EXEl\fPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
Gross Sq. Ft. (GSF)
Ratc/ERU - 52.00JYear
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 $
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 huilding permit owner on notice of this assessment and the conditions of paYI~lcnt for same.
Date
Received By
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
r j
. 'DATE
DATE
, ...I
~ f ~."'"'
.BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC931130941 A
APPLICATION FOR PERNIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
9 - ~-9"
INTERIOR COMPLETION ~
rRf ,)~ ,0
APPLICANT Sandy Deve lopinen ~~ Company, Ine.
ADDRESS 12303 u.S. Hwy 301; Dade City, FL 33525
PHONE (352) 567-7qq2
..
OWNER Oak Run Properties, Ine. 7335-2 Gall Blvd., Zephyrhills, FL. 33541
JOB LOCATION 37768 Oak Run Cir (BLD 10)
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ~t
34-25-21-0000-00300-0080
., WORK PROPOSED:-1l-New Construction ____Addition ____Alteration ____Repair ____Install
_Sign/Temp.
____Sign
_Move
____Demolish
\.
PROPOSED USE: _Single Family
____M/F
____~t of Units
.~/H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE: 2 7.33 IX 40 I 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
.lL-BUILDING
-X....ELECTRICAL
.lL-MECHANICAL
~PLUMBING
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
_W.R,E.C,
$
Valuation of Mechanica! ltlStallation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Si2nature
SECTION
Company Sandy DeveloDmen t Com~any, Ine.
State Cert. or Reoist. # CBC010 23
City License Regi;tration # 235
*********************************** \,
Company ~~ ~ G. 'tJ~ /::IT:- -pl..>' L..
State Cert. or Regist. 4t____.~~ "1'5 l421'+
City License Registration 4t ~. /qL.-l7
******************************************
Signature
Company RlIR tyl R Pll1mhi n~ .
State Cert. or Regist. 4t C C056789
City License Registration ~ 1541
******************************
MECHANICAl. ~rd G. Maggard Company Sonny's
;J 7A/J _ /J State Cert. or Regist. # RM0018461
Signature ~ IN ~o/~. City License Registration # 206
'******u***********************************
OTHF.R
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER,
CONDITIONS OF PERM!T AFFIDAVlT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that tbis peraitaay be subject to 'deed restrictions' which lay be lore restrictive than City
regulations. The undersigned aSlUIeS responsibility for co.pliance with any applicable deed restrictions,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the confractor is not licensed as required by law, both the owner and contractor .ay be
cited for a lisdeleanor violation under state law~ If the owner or 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 Departle~t, (813)
788-6611.'"
Furtherlore, 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 will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, ratber 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 Zephyrhills.
CA TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
, 7
D~ CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I tertify that I, the applicant, bave been provided with a copy of "Florida's Construction lien law - HOleowner's Protection
6~\de' prepared by the Florida Departlent of Agriculture and Consuler Affairs.' If the applicant is so.eone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
"owner" prior to cO.lencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all HorK will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade t~ 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 will 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 govern.ental agencies lay apply to the intended work, and that it is
.y responsibility to identify what actions I lust take to be in cOlpliance. Such a~encies include but are not lilited to:
f Departlent of Environlental Reaulation - Cypress Bayheads, Wetland Areas and Environaentally SeQsitive lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaaeaent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
f ArlY Corps of Enaineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health & Rehabilitative Services. 'Environ.ental Health Unit - Wells, Wastewater Treat_ent, Septic Tanks
f US Environ.ental Protection AGency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A' Dr "A,ete.", it is understood that a drainage plan
addressing a "colpensating voluae' will be sublit~ed whieb is prepared by a professional engineer registered in the State of
Florida prior to perait 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 per_it prevent 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 perlit is cOllenced within six lonths of issuance, Dr if Mork authorized by the perlit is
suspended or abandoned for a period of six tonths after the tile the work is coalenced. One 90 day extension of tile, .ay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested ~Il writing to the Building Official. An
approved inspection lust be logged during each six lonth period, Dr the project will ~e considered abandoned.
WARNING TO DWNER: YOUR FAILURE TO RECORD A NOTICE OF COM"ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FIHANCIN6, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CD"" CE"ENT. JOBS UNDER $2,500 I E NDT NEED TD RECORD AND POST A "NOTICE OF COKKENCE"E
~D(y\e. W. ~b,/Yle,y
who is personall y ~mown to me or wtlU hCl~
prnl"h Iced ' ' "
~ id."ti'icati~d who did(lfid n~
take an oath. ~~
(Signature)
STATE OF FLORIDA
COUNTY OF .p A:sco
The foregoing instrument was acknowledged
befc.re me this __--luJ'1 ..3l 19~ by
h6~~ V). .p~
who is persc.nall y known to me ()f"'- WilLI lld:l
pr.Qduced ~
~ isclotific:atioll and who dl did nCI '
take an oath. ~~
(Signature)
STATE DF flORIDA
COUNTY OF PASc..o
The foregoing instrument
before me this Jul'..j 3l
was acknowledged
, 19 Q'1 by
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
NATALIE SWAN
Notary Public, State of Florida
My Comm. Exp. Oct. 12, 1999
Comm. No. CC 501333
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
NATALIE SWAN
Notary Public, State of Florida
My Comm. Exp. Oct. 12, 1999
Comm. No. CC 501333