HomeMy WebLinkAbout97-6962
BUILDIN"G" PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N! - 696211
Date
9-1/- :lP
:2 / J.. ~5v
BUILDING
~~-, ~S-
ELECTRICAL
~:s:: OV
PLUMBING
.3 t) . c-D
MECHANICAL
Sewer Conn 1:L!1,f-. o-p
Water Conn: ,$'-SCJ. dlJ
Water Meter: / J'ZJ . (Ii)
T.I.F.'s: ~J-O~tJv 0IRL.t
"'op,rty Owne' ~ &.
Job Address:0 ~ ,&.;f -UA-t f2~'./-e,
Parcell.D. #<... ?o/'-rJ,S':..:}.-I. CJ lJ~O'- 0 ~30 ()- 00 ~
Zoning: Energy Code: Radon Gas: 9. 7..:5
Description of Work 13./~ -~ ~- ~ ( '147' / .L~ ;j
\5p~ 11-1'-/-?7r~~ IO:S;5-YJo/
NO OCCUPANCY BEFORE C.O.
FINAL
-
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
c23J -
Permit Fee
Signature
Company
Address
Telephone#
<~~
Valuation or / ~ ~J..
Contract Price ~ j/C/~. ()I.:>
~:., ,ft ~ '
BUILDING
A'-Uf" ;nd7~_ !Z'I~ --x:~ bY;:
ELECTRICAL PLUMBING
~ r") o~
. I~ c:7'-
MECHANICAL
Tp. Servo I
Rough In 'J/n, '11 &g
Meter Can
Const. Pole
Pool
Pre-Meter 1111'11 q 7 80 f?
Final
SLB
Tub Set Cj....,:)~ - c.y? R<..;:t
Water
Sewer
Final
Breakers
Ducts Ins\. 9-.:J:l ocr'] .R.-!-;:t
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM. 9.... ~ -(i''lI2L;t
Insu\. CL
WL r;~~s - 'f'l ~
Driveway
P",l: 0 cr fH I ~ l gD~
e.
f.
g.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of FIH _ _. I i - ii'~1 J II ($ teMOl shall be made for each trip for each trade:
~ -lJi> . -r1- ;/ /!
Wrong Address ' "I / '71 ~~..J2~/
Condemned work resulting from faulty construction. ~ j. ~- 9: f)
Repairs or corrections not made when inspection called. /.1. /I-.;L~ - /
Work not ready for inspection when called. / - .
Permit not posted on job site.
Plans not at job site.
Work not accessible.
y-//-?>
a.
b.
c.
d.
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.
Location __
Suhd.
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT
D
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
';."""L'
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. Ft. (GSF)
Rate/ER U - 52~()()/Y ear
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
:..rOT 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
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
AcknO\vkdgement 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 paymcnt for same.
Date
Received By
- ---- ------------------------------------------------------------------------------------------------------------
OFfICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
D A'f'E: -.-. .. "-.. ... . ,.-".~"--." .__._"...~" ..B~-.", -~....,"-,....~- "~'_'
'.
DATE
'~ --
~' :.
BY
t(. { I' ,
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/A
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
r- J. --7 '7
INTERIOR COMPLET!O~
<p"R e ~ -S .
APPLICANT Sandy Deve lopinen t.' Compan y, Ine.
ADDRESS 12303 u.S. Hwy 301; Dade City, FL 33525
PHONE (352) 567-7qq2
II'
OWNER Oak Run Pro?erties, Ine. 7335-2 Gall Blvd., Zephyrhi lIs, FL. 33541
JOB LOCATION 37766 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
. 7 WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
____Move
____Demolish
~,
PROPOSED USE: ____Single Family
____M/F
____# of Units
.____M/H
____Commercial
____Indust.
____Swim. Pool
Other
----Restaurant & Health Department Approval
BUILDING SIZE: 2 7 . 33 'x 40' ,
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
~BUILDING
--X....-ELECTRICAL
~MECHANICAL
~PLUMBING
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
_\i.R.E.C.
$
Valuation of MechanicaIlnstallation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Je orne W.
CONTRACTOR SECTION
Company Sandy Deve lo{)men t Com~any, rne.
State Cert. or Reoist. 4t CBC010 23
ity License Regi;tration # 235
***** ************************************
~rr-
. Cu.~ Company :J:).-e:: IsGt~G
State Cert. or Regist. 4~ Z2.L/
City License Registration #
******************************************
Signature
Company RlI~ty'~ Pll1mhin~
State Cert. or Regist. # C C056789
City License Registration 4t 1541
* ***************************
MECHANICAL
E~d G. Ma~ Company Sonny'.
State Cert. or Regist. IF RM0018461
~-q .'>/ City License Registration 'I 206
******************************************
Signature
OTHER
Company
State Cert. or Regist. #
City License Registration #
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF ~~RMIT AFFIDAV~T
A. ~uTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit 'lay be subject to'.deed r~strictions. Which lay be lore restrictive than City
regulations. The undersigned IISUle5 responsibility for cOlpliance with any applic~u~e deed restrictions,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they aay be r~quired to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, Jrth the owner and contractor lay be
cited for a lisdeleanor violation under state la~. If the owner or intended contrac"or are uncertain as to what licensing
requirelents lay apply for the intended work, the~ are advised to contact the City of Zephyrhills Building Departlept, (813)
788-6611. . ,
Furtherlore, if the ONner has hired a contractor Dr contractors, he is advised to hav~ 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 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 tertify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection
6i~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 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 cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby .ade tQ obtain a perlit to do work and installation as indicat~d. I certify that no work or
installation has cO.lenced prior to issuance of a per.it and that all work will be perfor.ed 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 aay apply to the intended work, and that it is
.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
f Depart.ent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treatlent
I Southwest Florida Water "anaqeleot District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, Docts, Navigable Waterways
f Departlent of Health & Rehabilitative Services. 'Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environlental Protection AGency - Asbestos abatelent
I also certify that, if fill laterial is to b~ used in Flood Zone .A. or .A,etc.', i~ is understood that a drainage plan
addressing a .colpensating volule. Mill be sublit~ed which is prepared by a professi~nal engineer registered in the State of
Florida prior to perai t 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, Dr if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOllellced. One 90 day extension of ti.e, 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 Je considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUh PAYING TWICE FOR IMPROYEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COK NCEKENT. JOBS UNDER $2,50 AL DO NOT NEED TO RECORD AND OST A .NOTICE OF COMMENCEMENT'
STATE OF FLORIDA
COUNTY OF P A-SLO
The foregoing instrument was acknowledged
before me this ~, 19q1 by
J.er-6VY\-e.. w. ~
who is personally known to me or wnp h.~
pr.o.dl:le:l!d . ' ,.
as ;rl~nUfi..t~na who di~
take an oath. OlZL~
(Signature)
STATE OF FLORIDA
COUNTY OF j>1Pt)(()
The foregoing i~strument was acknowledged
befc'l-e me this ,,~..::.~( , 19.:t:L- by
jQJ-0V\t'-'L. uJ- p~-W
who is personally known to me or who has
~ .
a. id.ntificati'~_~/"hO. di~
take an oath. .~~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(0' I NATALIE SWAN
........~A .~. I Notl[y Public, Stata of florida
'l... "~'i M~ Comm. Exp. Oct. 12, 1999
:',~'"'' Comm. No. CC 501333
",. "',
NATALIE SWAN
Notlrv Public, Stete of florida
My Comm. Exp, Oct. 12. 1999
tomm. Mo. CC 501333