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Home My WebLink About97-7064 BUILDING PERMIT 7064 Permit CITY OF ZEPHYRHILLS (813) 788-6611 l Date /0 - /~- - ? / Jy(J, tJV BUILDING 3..s--'cJv ELECTRICAL ..3 ~ -: l'Jv PLUMBING ;L-.!:.. -t UV MECHANICAL Sewer Conn I..:L !/&-, thJ . , Water Conn: .3.!:.'7J . tl"v 18"ZJ. 07? ,Jv.. /0..1 r- Water Meter: j YO. (]"V 9> T.I.F.'s: 1'1 YO. (]V ./ ~~- Property Owner: _ . Job Addr8ss: 3' ,,~. .'. ~ .tl~ Parcel J.D. # .3r-~l;-J/- () t)/{J -lJ 130 D. &- g- Zoning: )l) ~~ Code: DescriPtion of Work II JI ~ Radon Gas: J-1?~/tJ--3/-9~ ,JJ~ fr.'~O NO OCCUPANCY BEFORE C.O. 11111 Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. Io-~ ~- 9 o -30~~ DATE Inspector Permit Fee -:!: 3 --.Sa.... - c-o . Signature ( ~ /l~ Company Address Telephone# Valuation or Contract Price City License Registration # Y r- State Certified License# /3,;t(;fJ/J BUILDING a~ j?~/rl fdp'#fP'tI'/a' ELECTRICAL PLUMBING (t/ ~ L/~ MECHANICAL Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final /1)/ J'J I q 1 f 0<< Breakers Ducts Insl. Compressor Final t-o/J1 If 7 Pdt SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway F. ',,~ I (oj? l/~ 1 f4t REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ ~I shall be made for each trip for each trade: a. Wrong Address :J...~-;n 'I? 7f" A .. .. -yo /. .. ,j / 0-/-..5,'- ~9:> b. Condemned work resulting from faulty construction. Nt:l4k ~ ~ I /'l C/:. 77 c. Repairs or corrections not made when inspection called. IJ" . / tJ - r:;t.D - d, Work not ready for inspection when called. b J/()_ 70 _ Q.,., ~ e. Permit not posted on job site. r-..c{ ;..:;. I / 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. OWNER'S NAME APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT C Je {II '" j Jk Fe,' 2 12. - <; 13C7 'f..- / q ~ 7 LI4~ d~.s ~e.- LEGAL DESCRIPTION: LOT(S) ? '?/ 2r ;Z3 BLOCK PHONE -;/5{)... - / ?' ~ C 2e-~ilf!yh<#II<; PI- SUBDIVISION C- I€ 14- j It!L..r-2 C7~ S OWNER'S ADDRESS /0 3 7& Lf3 JOB ADDRESS PARCEL LD.' 3//- ;2.. <) - 'J.-I- C5CJIO -0 / 3 6C:J - rf? (OBTAIN FROM PROPERTY TAX NOTICE) . WORK PROPOSED:~New Construction _Addition ~lteration _Repair _Install _Sign ---'love _Deaolish PROPOSED USE: _Single F8Ilily _M/F _' of Units -LM/H _ec-ercial _lndust. _Swilll. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: Se t- Uv? of ~J /I BUILDING SIZE: 2- S" X )"{, / e) &, f Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING L-ELECTRICAL ~CBAlUCAL -i.PLUMB~NG $ ?C9c7 $ AMP Service Valuation of Total Construction 'f..- Florida Power Corp. W.R.E.C. Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: Fr. IS PROJECT IN FLOOD ZONE AREA? YES ~ .......................................... CONTRACTOR SECTION Il1II-lIER OOIIPANY .17~~, /13 7fL2~'JiI State Cert. or gist.' Si ~~c~ d gnature -L. City License Registration t Y IJ . ........................................ F.T.R.CTRICIAN r) COMPANY fie e A f>...p}-{ OJ j:..... <, ___ L. I) /J It State Cert. or Regist. . " c,J .:? 0 0<"'>0 (0 ( Sbnature L/~t{ l.:JJ2t:Y C?t-c.n- City License Registration' (p 3 I 1('7 ..........*.****************..************ v'/ ~. Signature COMPANY .#Z. /~ ~;. $" .s ~ State Cett. or - egist., . LJ~ /2. City License Registration' y~ .........*.......................~....... COMPANY j).. c <- ~,~p. f-- ~ 7 ::t "'- ~ " State Cert. or Regist. # C /J-Co 3~ 'j :;),t< City License Registration' II~' ~~ ............~............................. /. PLUMBER MECHANICAL Signature Chucij 13 ~. (~L- ~ OTRR.R COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles respon8ibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRAC'I'On RESPONSIBILITIES If the owner has hired a contractor or contractors to undertale worl, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, botb the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. . FurtberlOre, 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 the contractor wisbes 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 I{ D. CONSTRUC'I'ION LIEN IJAW (CHAPTER, 713, FLORIDA STATUTES I AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is SOleORe other tban the .owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "owner" prior to coaencl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforlation in this application is accurate and that all work will be done in cOIpliance with all applicable laws regulating construction, laning, and land developlent. " Application is hereby lade to obtain a perlit to do worl and instailation as indicated. I certify that no worl or installation bas cOllenced prior to issuance of a perlit and that all worl will be perforled to aeet standards of all law. regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies lay apply to tbe intended worl, and that it is 'Y responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of HnviroDlental Regulation - Cypress 8ayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docls, Havigable Waterways t De arllent of Healtb & Rehabilitative Services EnviroDlental Healtb Unit - Wells, Wastewater Ireallent, Septic lants t US EnviroRlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.w, it is understood that a drainage plan addressing a .co.pensating volUle" will be sublitted 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 tbe 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 froa thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Every per.it issued shall becoae invalid unless the wort authorized by such perlit is cOllenced within six IOnths of issuance, or if wort authorized by the peClit is suspended or abandoned for a period of six IOnths after tbe tile the wort is CDllenced. One 90 day Bltension of tile, laY be allowed for tbe 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 IOntb period, or the project will be considered abandoned. WAMING TO OIIHER: YOUR FAILURE TO RECORD A HOTICE OF COHHEHCEHEHI HAY RESULT IH YOUR PAYIHG nICE FOR IHPROVBIIIIl'S 10 YOUR PROPERTY. IF YOU IJlTEND TO OBTAIH FlHAHCIHG, COHSULT WITH YOUR LEHDER OR AH ATTORNEY BEFORK RECORDIHG YOUR JOIICI OF COHHEHCEKENT. JOBS UNDER $2,500 IN VALUE DO HOT HEED TO RECORD ABD POST A wNOTICE OF COHMEHClHENJ". W~~~ SIGHATURIl: OWHIlR OR AG u~~~ SIGNATURE: COHTRACTOR . I STATE OF FLORIDA COUJlTY OF The foregOing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUHTY 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 bas produced as identification and wbo did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC -r ! -g l!! ~ ~ ~ ~I~ '1 . 1 A ,,-,_d VL~ m S..J~ ial.~ I , i t i I , -\ D~ " II c:. w~1 <-----1 g - ~/J.---k I CA~ f<"~ 1- I I i J "-_ .~8 ! '-!;) ~&-->j",L~, Ii t':l+l'~ L--..._,_ 'K. ~ I I ~. 2.'?r 1'1-\ l~ tf/At2.lrd'V" He:> W1. e. 1 I i t ~ ..w_ 1 t1v <=.. . '6~ v '( -8---r- T~ , I ~ I J -_____~--m_ ---'---_.__._~----~ -It' :> PASCO COUNTY, FLORIDA Permit No. 71J&'I3 /0 -9'-7',7 Date Permitted BuHder Name/Owner Name ~~ "",I ,N ~^' County Parcel No....37' - ~-. d.-/ - 0 tJ/O -- 0 /<3 CJ 0 . S-- Y Location >3 ~ b Y3 ~.A-t~ Classification/Type of Use ~ ~4---<' ~~ ~ Subd. TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. Sq. Ft./Unit Prepared By Impact Fee Amount $ The above impact fee een established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of nty Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority utilize the permitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT D RESIDENTIAL NONRESIDENTIAL No. Units J , Gross Sq. Ft. (GSF) Rate/ERU - 52.00IYear or $0, 1 42/Day ERU Assign No. Assessment - (No, Units) x ($0.142) x (No. Days) 9'~V' Assessment - (GSF) x (ERU) x (0.142) x (No. Days) 100 TOTAL 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. Acknowiedgement 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 payment for same. Date Received By OFFICE USE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO.3h f) " lttJ DATE BY t? DATE /0 .-:'~D' .,7 BX--: White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC93113094/A