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Home My WebLink About97-7108 BUIL~!~~HY~L~<RM!! 7108p (813) 788,-6611 Date /0- 2/- 97 ~ -~ ~ Property Owner: Job Address: Parcell.D. # . ELE.C.~~---- P~ ~4' ~45 7 - ?./YJ1~J~ M~erConn Water Conn: ~' Water Meter: ( / /~ J T.I.F.'s: Zoning: Description of Work Energy ;fg r; ~~ /ki Radon Gas: .-.,. NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector Permit Fee Signature Company Address Telephone# Valuation or J /. .Jk.2 Contract Price c:? 7'CJ/) ~ '. City License Registration # /17 State Certified License# ELECTRICAL PLUMBING MECHANICAL Ftr. ~ Pre SLB 1/- t,- C(? ~Lf;f r Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway /1 J 10. q'] ...€L d-- REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($~) shall be made for each trip for each trade: ~:()T) Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. 7JOpcl J/-3-7? 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. I I i , I I f I I I I I i I I i i ~ , . r 4.3 I 4/, / . I .:-/ j\.L~ 28/ r I i I \ ! I i ! I I i i ! I "~ I j I I i 1 I , I i I j ! ! , i I , , I )- / ./ ,/ 1 t I ......-.--.--1 i I i I I i I I I i i i I ! I , I ! I I 1 j i 1 ! I f..,-/ kJI l/-J b~ I 1 i I i I , . r I i i , . I I i i ! i ! 1 , I I i I I I j i I ! ! I ! ',- 1 "" -~-,-~ 31),4' Ross ,--or 2.2. 3000 PsI / ~ Zo S tit ,cr Zl YOs "2 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 1}7/<.. \ R DS5 'E/(/Ef{fl~ ro/~T ~oT:z.?- ADDRESS PHONE OWNER JOB LOCATION :K /he /? fl.L....i) t> 01 #'T 4127.. LOT SIZEti-.3?x6S AREA SQ. FT. /')0 0 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~t zgy't C .5 ~ fJg WORK PROPOSED:~New Construction ----Addition ----Alteration ____Repair ____Install c ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ~/F ____# of Units ..--M/H ____Commercial ____Indust. "____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t , 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.** **COPY OF CONTRACT REQUIRED. ' PF.RMITS REOUESTED _BUILDING $ 2$ov Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL _PLUMBIN"G $ Valuation of Mechanical Installation ... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. Signature ****************************************** ___ I __ CONTRACTOR SECTION - I - J+-J 5 C D A./ {; / Company lfV..5 c. f).n/S / /:>~ ~~ State Cert. or Regist. i~ CRco3342.) CL1 i/"" City License Registration # J~'} *******************************~********** Bll1LDER ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** SiQnature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature . Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. " CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay bl subject to "deed restrictions" whicfi lay be lore res~rictive than City regulations. The undersigned assuAI.r,aponsibili\y..for cOlpliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor il not licensed as required by law, both the owner and contractor lay 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 Departlent, IB13} 7BB-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} 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 cDntractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not pro~erly 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 - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs, If the applicant is SOleone 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 wor~ will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to 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 performed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other govern_ental agencies fiay 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 bllt <II e not lilited to: I DeDartlent of Envitonlental Reaulation - Cypress Bayheads, Wetl~nd Areas and Environlentally Sensitive Lands, Water/Wastewater Treataent' . I Southwest Florida Water Manaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Artv CorDS of Enaineers - Seawalls, Docks, Navigable Water Nays I DeDartlent of Health L Rehabilitative Services. Environaental Health Unit - W~lls, Wastewater Treatlent. Septic Tanks I US Environaental Protection Aaency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood tt.~t a drainage plan addressing a "colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the state of Florida prior to perlit issu~nce. A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, 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 violations of any code. Every permit iss\l~d ~hall becole invalid unless the work authorized by such peTtit is cOltenced within six _onths Df issuance, (Ir if liork authMlZed by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e~tEnsion of tile, lay be allowed for the permit 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 aonth period, or the project will be considered dballdoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU tNTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__________________________________ OWNER OR AGENT SIGNATURE______________________________ CONTRACTOR DATE_______________________________________ DATE___________________________________ MY COMMISSION EXPIRES______________________ NOTARY AS TO ' CONTRACTOR_____________________________ MY COMMISSION EXPIRES__________________ NOTARY AS TO OWNER OR AGENT_____________________________ ~iiflIol~":"'~~:iV~')~..~~~~,~It"..~l,l.l~...;;,il8,.~.f"'..'.~.~~~iJ1.l...,~"_,,.......r- -.......--...,.....- -" . ..........-,liI'*'.,~"''"W'"'...:'<':''':;'11!):~.:..,'r~ --'''''''''' PASCO CO'UNTY, FLORIDA Permit No. / Date Permitted :1 Builder Name/Owner Name j{ (~ounty Parcel No. l' , ,j .. C'" ",1.. Location i Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. Sq. Ft./Unit Prepared By 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 D RESIDENTIAL NONRESIDENTIAL No. Units I Gross Sq. Ft. (GSF) Ratc/ERU - 52.00/Year or $0. I 42/Day ERU Assign No. Asscssment - (No. Units) x ($0.142) x (No. Days) Assessment - (GSF) x (ERU) x (0.142) x (No. Days) 100 TOT AL FEE $ ..2. '7' 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 docs not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building pcrmit owner on notice of this assessment and the conditions of payment for same. Date Received By ----- --------------------------------------------------------------------------------------------------------------------------------------- t....,.,..,~"~.^" -. :.,~:,.~"~~.!;,;:"',",-,,.,.. OFFICE USE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. DATE DATE -'.'~,". ..,'~-~.-...'....~_.~.... .3~h; :3 ~ 1/- 3.-9/ BY BY ...~.",,- White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC9311 3094/ A $i