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Home My WebLink About97-6964 BUILDING PERMIT N! Permit '. CITY OF ZEPHYRHILLS (813) 788-6611 6964& Date ~-11-77 BUILDING ~~ Pmperty Owne' -Ii. K~ Job Address: 3_3~__ Parcel I. D. # Zoning: ~rg~ Code: Description of Work No.;. f~ - A.4- / PLUMBING MECHANICAL Sewer Conn Water Conn: ~R3 Water Meter: T.I.F.'s: Radon Gas: .,* IJ)~Ee..; II/.:;.rl 9-/;1.-97 .s~ NO OCCUPANCY BEFORE C.~ Complete Plans, Specifications and ~ Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE Inspector Valuation or Contract Price .~/fr J~!? Permit Fee Signature Company Address Telephone# .2~......- (/-r-v ~. ':J ~ '~--.,f.~."., &~---~ City License Registration # State Certified License# flu tl: BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of 15':- 4 00:199 Iihllafs ($1:D*)1 shall be made for each trip for each trade: a. Wrong Address ~-.O() )j Ct. KJ-oI / V _;;20 -71J b. Condemned work resulting from faulty construction. ,- c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. 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. ))-.1' 32..1J '" APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT LO T f) OWNER · S NAME L C\ r< oC- '" ~ OWNER'S ADDRESS '~cl lp"3 D C ~ G{ V"\ (_-e r R {/ VI A JOB ADDRESS -<tr m : LEGAL DESC1UPTION: LOT(S)-~_~~ BLOCK PARCEL I.D.f PHONE ''lK&-~I'i~ ~~3 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign ____Hove ____Deaolish PROPOSED USE: ____Single Faaily ____KIF ____, of Units _K/H _COIIIBercial _Indust. ____Swim. Pool _Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ~ELECIRICAL 100 AMP Service Florida Power Corp. W.R.E.C. ____MECHANICAL $ Valuation of Kechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Fruae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************..**...*...**.....*.*..*** CONTRACTOR SECTION COMPANY State Cert. or Regist. # City License Registration f ****************************************** BUILDER Signature ::CTRI::zf!&;.%~ COMPANY")( ~ Ct~ r etlf State Cert. or Regist. # /::o-SO,",OCi:> 'I smatu . J 62/w City License Registration # ) g 7 ****************************************** PLUMBER COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration # ***********~****************************** OTHER COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. - , CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit lay be subject to Ideed restrictions I which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with. any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, 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 tbe 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 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 - Hoaeov.ner's Protection GuideN prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the Nownerll, I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the uowneru prior to COJJeDceJent. 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 developlent. Application is hereby lade to obtain a per.it to do work and instailation 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 tqe jurisdiction. I also certify that I understand that the regulations of other goveI11lental 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: * DepartJent of Bnvironaental Regulation - Cypress Bayheads, Netland Areas and Bnvironaentally Sensitive Lands, Nater/Nastewater Treatlent * Southwest Florida Nater HanageJent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable.Naterways * Departlent of Health & Rehabilitative Services, Environaental Health Unit - NeIls, Nastewater Treatlent, Septic Tanks * US Environaental Protection Agency - Asbestos abatement I also certify that, .if fill laterial is to be used in Flood Zone 'AU or IIA,etc.lI, it is understood that a drainage plan addressing a .colpensating volUlell will be sub.itted 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 is~uance of a perlit prevent the Building Official frCl 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 IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, Jay 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 IOnth period, or the project will be considered abandoned. NARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHBHf HAY RESULT IN YOUR PAYING !NICE FOR IHPROVEHBHTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIHG YOUR HOTlCE OF COHHENCEHBHT. JOBS UHDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A uHOTICE OF COHHENCEHBHTII. SIGNATURE: OWKER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC - - - - - - -- -. - -. - '-'-"- ......,..,......"","~,.~..~,....,.,......~- - - - --.- 4 :. ..l:~ I\j T I:: () L f' L F: 1'1 IT'I J l'~ Ci 1<0\::'::(,.1 C.ell.INT V. r~1.0F( [[I{\ DrilL:: lu./;:U,'::'7 11/"1:.. 1~':;:"::::: l'i'\C': 1 UF 1 C.l)ln (': (.';1.:.'( CIf:: it: i'Hii"iL; LJI :0'1::::,::., e:: CHi''''IF,C! ':'; Bl:::TI v (iUDf": 11.:.11 :::::: E:G('{I._ L(\ I ':,:::::1.11:.: OFF.: ':~E: [I F:I.::CL J F' r t'~'...iI"lBf;::: (1\ !:-: -:', . '''.'.,:. UFFICL: [t(iDE CJT\' I.: 0, . .:,' r : 2. F:: !,.,! ,.-J F.: 1,,11 L. L. :~, '> F L (:, OR: CHECV # CASH :F.::::,C 01<.11...'/ ZEFIJf,:tHL.L:::: CI fY 'H::Ci'~ I i.14 CU!VIF'I\I'~ 1(.1 T (iL i'd'10UNT: r)I~CI:.JI_.!j~f t:~E,~~-f'[~R 1'.).:/ (,i'!(!Ui'jj' r:~ (1 ~::i i,) .... :3 ~., :3(,1 '-)(~! ". (t ft ~~~ ~:_: DESCRIPTION/PLRMf DATA ~xxx.* SOLID WASTE FCE ;.)1;.: i 1_'::;: I F;.:E:C~C, I t./L.LI L~-'{ ".- ,:'::.,....~. '-(.", \ ,l; -. / ._c_ :~:.j..:~'~,r=-::.::'.._ _.... .._ -/.~ , / v' ~__J Jl. ~ .. ft( JGlI '~lllUl~JC,'BJ',l~-J.:'-~~..~1IUL-.,~"JD.~~~'~""" \...~-r"'"'_.~ t'........,. ...., "IlJ" rv~~'"""" _ IV ..~ .:",,~ yl~d~i> w'''r~~~ ~ ... PASCO COUNTY.. FLORIDA Permit No. /.~. Date Permitted _ l Builder Name/Owner Name County Parcel No. . <', Location - "-~ "-"'--'''' Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. Sq. Ft.!U 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 0 RESIDENTIAL NONRESIDENTIAL No. Units I Gross Sq. Ft. (GSF) Ratel ER U - 52. OO/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 TOTAL FEE $ . /0 , ) 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. Acknm>,ledgement 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. //1 (XO l/.-. . -7 ,...,/( .~. /./.J.(? ..... /7 I V ~ate h' 'lece;~~~~.K- OFFICE USE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. ~-_._--".- - 3 J j' 3r 2... DATE DATE /.0 ~(). -9 ? BY BY {I~...... White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC931130941 A