HomeMy WebLinkAbout97-7127
BUILDING PERMIT 7127
Permit
CITY OF ZEPHYRHILLS
(813) 788~6611
A
Date
/0 -b2.,3- 7/
Yo. tJ7J
-J-.5>':OV
ELECTRICAL
~'. OZJ
PLUMBING
~-:~
MECHANICAL
li" 07) trD
Sewer Conn 1
Water Conn: ~. d'V
Water Meter: ) KZJ r trV
T.I.F.'s: ?~;). c trD
BUILDING
:::::::.:~:~1~ ~!!7/7:-t-1;L
Parcel I. D. # J '1'-.;Ii:? ..;l./.... () / /; 0 - IJ L) () c> 0 -- () f::)~U
Zoning: En~~y cOdf:~ Radon Gas:
Description of Work fll ~.I' "N~ _ ...;: T y
~r'f.-!~ IV -30-77 ~~rJ /t/.~.s J1/1/{
NO OCCUPANCY BEFORE C.O.
FINAL /0 (10
ATE
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#
;J..;2~u
Permit Fee
Signature
Company
Address
Telephone#
~'c ro .
- - '2t~ #a;f:/tf
Valuation or
Contract Price
~? d7?? . a-'D
oJ
d~~L_'
m~~~
~ ~2xuJ
BUILDING
ELECTRICAL
PLUMBING
>2i~
MECHANICAL P)J../y
Ftr.
Pre SLB
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
F.'~t ,o{~., f'l1 Bog
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($1 S.a61 shall be made for each trip for each trade: I .
..25-. trD) / .-,r /} -L " . / CJ ~~ 7' >
a. Wrong Address ~~ ~~
b. Condemned work resulting from faulty construction. c: JJ. ~.
C. Repairs or corrections not made when inspection called. . jJ JO/;):r - 97
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.
PERMITTING AUTHORIZA TION
COUNTY Pasco
To whom it may concern;
Please be advised that --S\l'V\IJ). ~eF/EL{) has been
given the authority to sign for and pull any and all permits
necessary for our Manufactured Home.
Name(s)~\le)n, ~~cf\nofL
/
-
Signature(s) f45L YJ~
Date \o-a'd.-9'1
/
- .
Notary Wa1'lcRlA- ct. uJ.~
. WANDA L. WILLIS
Comm. No. CC 684937
· My Comm. Exp. Oot. 1, 2001
Bonded thru P1chard Ins, Agcy.
PERMITTING AUTHORIZA T'JftJ
COUNTY f~5C()
.
To whom it may concern;
Please be advised that J/!!,eMfJJ 1f;~F; fW has been
given the authority to sign or and pull any and all permits
necessary for our Manufactured Home.
Name(s)S h, e-(a '-~~~nolZ /
.
Signature(s) 12;;:; r''7;2~ /
/
Date t O-~d.-'f7
Notary WandtL- CJ), LU~
County
To whom it may concern;
Please be advised that Barbara Barfield has been
given the authority to obtain/ pull any and all permits
necessary to perform electrical installation and/or
hookups. Should any questions arise regarding this
letter of authorization, you may contact me at- - -
813-782-7237.
Morton Electric Company
Signature (~WL- 0 - /l(CL7-
/
Date I-Z(r 97 <8e~ //f
Notary:
JAJ~l1cetL- ~ I;JJ ;h~ Date /0 - ;?;;l -97
WANDA L. WILLIS
Comm. No. CC 684937.
My Comm. Exp. Dot. I, 2001
Bonded thru Pic hard Ins. Agcy.
I ??~~... ~f;'
. ~:<i;:. ";
NQTICE OF ~ROPOSED PROPERTY TAXES
DO NOT PAY ..THIS IS NOT A BILL
j
1997 PROPOSED AD VALOREM TAXES
ACCOUNT NUMBER: REAL -ESTATE 8-15-1997
14 26 21 0160 00000 0050
The taxing authorities which levy property taxes against your property will soon hold PUBLIC
HEARINGS to adopt budgets and tax rates for the next year. The purpose of these PUBLIC
HEARINGS Is to receive opinions from the general public and to answer questions on the
proposed tax change and budget PRIOR TO TAKING FINAL ACTION. Each taxing authority
may AMEND OR ALTER Its proposals at the hearing.
PARCEL IDENTIFICATION:
-----~.._----._-- -- _.._-----_._-~-------
,TAXING AUTHORITY
YOUR PROPERTY
TAXES LAST YEAR
YOUR TAXES THIS
YEAR IF PROPOSED
BUDGET CHANGE IS
MADE
A PUBLIC HEARING ON THE PROPOSED TAXES AND BUDGET WILL YOUR TAXES THIS
BE HELD: YEAR IF NO BUDGET
CHANGE IS MADE
___n_____________._ _._ ___.__._,._,__~_._~_
COUNTY
75.21
86.10 9/9/97 6:30PM BOARD ROOM DADE CITY
COURTHOUSE, DADE CITY 813-847-8129
75.60
PUBLIC SCHOOLS
BY STATE LAW
BY LOCAL BOARD
54.33
23.18
WATER MANAGEMENT
DISTRICT
5.93
54.63 SET BY STATE LAW
23.76 9/16/97 6:00 PM SCHOOL BD RM,7205
LO'LKS BLVD,LO'LAKES 813-996-3600
60.44 9/8/97 7:00PM CITY HALL,5335 8TH
STREET, ZEPHYRHILLS 813-788-2313
6.08 9/8/97 5:01 PM TAMPA SERV OFFICE
7601 HWY 301 TPA, FL 352-796-/211
54.62
23.31
ZEPHYRHILLS
53.93
54.40
5.86
VOTER APPROVED
DEBT PAYMENTS
TOTAL AD VALOREM
PROPERTY TAXES
11.21
7.88 SCHOOL BOND ISSUE SAME
TIME/LOCATION AS SCHOOL
7.88
223.79
238.89
221.67
COLUMN I COLUMN 2
SEE REVERSE SIDE FOR EXPLANATION
YOUR PROPERTY VALUE
AS OF JANUARY 1
For details on voter-approved debt conlactlhe Ta. Collector at:
(352) 521-4360: (813) 929-6020; (813) 847-8165
COLUMN 3
--- "-~'--'-
SEE REVEnSE SlOE
FOR EXPLANATION
LAST YEAR
THIS YEAR
Mil<e Wells
8,400 8,610
8,400 8,610
o 0
8,400 8,610
'NON-ADVALOREMASSES MENTS
PUBLIC HEARING INFORMATION
Pasco County Property Apprals.ei
If you feel your assessed value is inaccurate, contact our
office at: PO Box 401, Dade City, FL. 33526-0401. or
call (352) 521-4433; (813) 929-1280; (813) 847.8151.
MARKET VALUE:
ASSESSED VALUE:
EXEMPTIONS:
If tile Property Appraiser's Office is unable to resolve the
mailer as to assessed value, file a petition with the Value
Adjustment Board. Petition forms are available in our
office and must be filed on or before: 9/9/1997
TAXABLE VALUE:
UNITS
RATE
ASSESSMENT
TOTAL
MOATES JERRY A SR
PO BOX 6212
ZEPHYRHILLS FL 33539-6212
TAX DISTRICT: LAST-YEAR
30ZH
LEGAL DESCRIPTION:
THIS-YEAR
30ZH
WAYWARD WIND MOBILE HOME
SUBDIVISION
PB 28 PGS 61-62
lOT 5
PC474
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER' S NAttE
,,~f!J[lA IitVdP
,~~056 UtJP Ro
PHONE
ZEfll/1fJ!/ilS
i
7%;J - !f1() / (!t ?o )
r-/4. 3351/
OWNER' S ADDRESS
JOB ADDRESS (~rnE
LEGAL DESCRIPTION: LOT(S) ,5 BLOCK SUBDIVISION IA /lit/tUlle/) IA );NO
PARCEL LD..J1.-J,h-J'I-fJ/fI)- OOC(:t) -{Y)~f5 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration ~epair ~tall
_Sign -.JIove _Deaolish
PROPOSED USE: ~ingle Faaily _KIF L' of Units -1:::::Jii H
_~ercial _Indust. _Swia. Pool _Other {,
'I
_Restaurant & Health Departaent Approval
DEScRIPTION OF WORK: 1ih1l/1Jfi1( iui?LfJ l-!otkSJ1)6 :I;i~P1LIA71tJtJ
BUILDING SIZE: cl7 xlJ:1L, /6/d Square 'Feet, /6 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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKITS REOUESTED
~UILDING
~cnuCAL
~CHAlO:CAL
~~NG
Valuation of Kechanical Insta~~~on
wA(( €12 ~ ..:;> en C(
ROOFING OfWeR SPECIALTY
h'Y-W(}f~ 11C1J51IJ&
TYPE OF CONSTRUCTION: Block ~iaae _Steel . _. , ,_r~
I
FIllISBED FLOOR ELEVATIONS~-3 FT. IS PROJECT IN FLOOD ZONE AREA?
s4~ ~.v Valuation of Total Construction
CJJ() AKP Service v-;iorida Power Corp.
S cQ,lft)
W.R.E.C.
GAS'
YES
NO
******************************************
PLUMBER
CONTRACTOR SECTION
COMPANY P-~Cf; /kmE a/IJ1E~
State Cert. or Regist.' OJ!JJ%oS' .
City License Registration . .1 ;> ~ b
****************************************
COKPANY Ill) R1?)j\J E[[(1rJt .
\. / I ~ State Cert. or Regist. .
~. AJ7L ,- City License Registration'
* **************************~**********
COKPANY 111 d S L 0
State Cert. or Regist. .
City License Registration t cJ..J..~O
******************************************
~
BUTT .DEB.
Signature
F.T .RC'l'RICIAN
SilmAture
,2..:l. ~
~.
Signature
,,/
Signature
COKPANY
State Cert. or Regist. .
City License Registration .
******************************************
~
KECHANICAL
OTRRR
COKPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
.t",:;""
.f
APPLICATION APPROVED BY
PERMIT OFFI9ER.
\;.
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 tban City
regulations. The undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has 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 .ay be
cited for a lisde.eanor 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 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 Bign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work.' If the contractor wiahes 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 ii
D. CONSTRUC'fION LIEN L'.AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - BoIeO.ner's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOI8ODe other tban the
"owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver~t brthe
"owner" prior to co.enCelent. .
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be dODe in COIpliance with all
applicable laws regulating construction, laning, and land de~e~o~ent.
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO work or
installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all 1118
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber governlental agencies laY apply to tbe 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:
· Departlent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and BnviroRlentally Sensitive Lands,
Water/Wastewater Treatlent .
· Southwest Florida Water Hanagelent District - Wells, Cypress B~yheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawa}ls, Docks, Navigable Waterways .
· DepartJent of Healtb & Rehabilitative Services, EnvirORlentalHealth Unit - Wells, Wastewater 'reatJent, Septic !ants
· US EnviroRleRtal Protection Agency - Asbestos abatear.nt
I also certify that, if fill laterial is to be used in Flood Zone NA" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volUle" will be sublitted 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 tbe work and not as authority to ,Iolate, caocel alter, or
set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frUl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Everj.perlit issued shall beCDIB invalid
unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authoriled by the perlit is
suspended or abandoned for a period of Sil IOntha after the tile the work is cOllenced. One 90 day eatension of tile, IIJ be
allowed for the perlit with fee charge of $15.00. The eltension shall be requested in writing to the Building Official. In
approved inspection lUst be logged during each Sil IOnth period, or the project will be considered abandoned.
WAMING TO OIfNER: YOUR FAILURE TO RBCORD A NOTICE OF COtIItENCEllENT HAY RESULT IN YOUR PAYING 'DICE FOR IMPROVIlIIIIIS TO YOUR
PROPBRTY. IP YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR A ATTORNEY BEFORE RECORDING YOUR 1I0000ICE OF
COHHBNCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RBCORD AND POST NOTICE OF NCiIIINT"..
~ >.4~~
IGNATURE: OIIIIER OR AGBNT
. I
STATE OF FLORIDA ()/I/
COUNTY OF ft'l:K2c. 0
The foregoing ~strument was acknowledged
before ..e tbie \,)r A "J,~ ' 1~ by
S~~\e,\o 1\'c~n{)1C
who is personally known to me or who has
produced
as identification and who did/did not
take an oath. ~; I ). Il IJ ' _
~ 1) ') fVr)&-A. ...~.~' lA.../ ~~
(~j~nCJ() ~. .lA)'1 Lll~
~ame Typed, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA R C/) J I - (f;\}ifE P
COUNTY OF d6 i(J1Y7 t: t I cl(
The foregoin~ ins~~ent was aCknowledged
before me th1.s /0 -d.3 , 1932- by
:]i fY\. :6a e Fl ~ lJ
who is personally known to me or who bas
produced
as identification and who did/did not
m an oath. d. I. \A..~
. C4/y\ d 6.. ~ UJ
!KJ~~Cfa! L. fA),) ll:.s
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
WANDA L. WILLIS
CIlmm, No. CC 684937
My Comm, Exp. Oot. 1,2001
Bonded thru Pichard Ins. Agcy.
WANDA L. WILLIS
-lmm. No. CC 684937
'IY' Comm. Exp- Oot. I. 2001
Bo~ded thru pichard Ins. Agcy.
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CENTRAL PlRMITrING
p~SCO COUNTY, FLORIDA
U /1 r E ~ 1 (J /:>i/ ';-'7! H'1 E : L::? 5
C':::::i l'-j '1' f~~ (_\j c: r Cd-'< 'f1: ~
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f='nCi[':: :I OF 1
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RECEIPT NUMBR= (Ju3~002]
OFFICE: DADE CIry
F :)F::
CHFU::tt 1 .':::()
r::E::::; C!l\J F'F:r~:f~1 I wr 7 t >:'/ E~
CITY OF ZLPHYRHILLS
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t;J10UN T DE.::::C.F: 1: F'T j, C1N / \:'EFun DiY} i";
9.6~ ~****~ SOLID WASTE FEE
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__:.;.+,~..~__.~,rr'N".~~~"" 11_, f".....,.iiIt ~~. ~fr~'Ij~~~~~~j,J~~~~~"'~,'.-"~....~~.f"lIII[' .~"',. "'<'~':'"'V"''''''''''''lJ,.~,'.'<:R"'~'~.<l"'1!f!'llJV>.~'.~~om'l'!'IIl'.~~ .~
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PASCO COUNTY, FLORIDA
,.. ../
Builder Name/Owner Name ~LI:.. (1-,",'( '-
P~~o, _ / / J j7 jj')
--; c -=-;;.2 ' Ji;--'
Date Permitted _ ,.....
! ~ '
-. . I
; ~1:;!' ,/ lr J. 'L-
~'
\...J .
A >i~M_.t
-- -
County Parcel No. ..L....:L..,)I -d/ -- C I b 0 .. C c .-- c' J . 0 6's- <.J
-..:> F. - r:- /" ;- /.-
Location ...) (I C\s r-- \ / "'-,/I}.', /)~, ..' '" '''';.:.&-7<-''// Subd.
Classifica:n/Type of use-/;;;c~.-;/ [Ii, 1-::/ /
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
; "
Zone No.
Sq. Ft./Unit
----.--
.-.~-'
Prepared By
Impact Fee A:
The above impact fee has been es Ished pursuan ~~co County Transportation Impact Ordinance as adopted
by the Board of County Co . sioners. This amount is payabfe""PRIOR to the issuance of a Certificate of Occupancy
or authority to utilize th ermitted structure.
.',
',j..~
RESOURCE RE VERY ASSESSMENT
/"
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
'~ Gross Sq. Ft. (OSF)
Rate/ERU - 52.00/Year
or $0. I 42/Day
ERU Assign No.
.1
Assessment - (No. Units) x ($0.142)
x (No. );2ax,s) .
('->1 . Lo lo
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 CALCULA TED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF
OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL,BElSSl)ED UNTIL THE AMOUNTS LISTED
HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING'~ICE OF PASCO COUNTY.
Acknowledgement 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. ~-q..~ \
DATE ~ B~
DATE j(~ d Cj L B1.. . ..~
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/A
,1....
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