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Home My WebLink About97-7132 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788~6611 Permit 7132 &- Date / f.} - ;; tj~ 'T / BUILDING ~TRI~ PLUMBING Prop.rtyown~~'; ,1 ?.;..~ Job Address: ~- - Parcell.D. # Zoning: . ;rEnJrgy Cod~ DescriPtion of Work I~~~'.-' r -r~ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: 2.l/i pC .~~ /1- {).tf -91 r~ 1/.' J- ~ Jt 111 NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE DATE Inspector Permit Fee Signature Company Address Telephone# e2~ "-, c.ro O. ~~~~ Valuation or .1/ /.A_ Contract Price .n< / IT City license Registration # J K'" ') State Certified license# (h(l~ 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 Fifteen and 00/100 Dollars ($+5':'00) shall be made for each trip for each trade: ;J!>-:{h:) a. b. c. d. e. f. g. 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT M' / :~ \ r LEGAL DESCRIPTION: LOT(S) 8 l""n-c':y"a J d S~lc,0d- SA- [1)c.- (<-.0 p[);",f-c.. COIf!- PHONE ; 7 [ fr' - d-..t. 'f (- LOT OWNER'S NAME OWNER'S ADDRESS Am t::...-f- \f\ lJ' ~--r , L, ) c^- IE , JOB ADDRESS BLOCK SUBDIVISION PARCEL 1.D.t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:L-New Construction ~ddition -fUteration ~epair _Install _Sign ~ove _Deaolish PROPOSED USE: _Single Family ~/F _' of Units _M/H _Comaercial _Indust. _SwiIB. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x 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 $ Valuation of Total Construction ~ELECTRICAL ---1IECBAHICAL 100 AMP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block. _Fraae _Steel Other PlNISBED FLOOR ELEVATIONS: PT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION COMPANY State Cert. or Regist. . City License Registration f ****************************************** BUILDER Signature ~:::~;r$ . COMPANY~ t2a- ~ r ~ State Cert. or Regist. f /:o-SO~ODt) 'I City License Registration i ) € 7 ****************************************** PLUMBER COMPANY State Cert. or Regist. f Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration . ***********~****************************** OTHER COMPANY State Cert. or Regist. i Signature City License Registration i ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for cOlpliance with'any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake wort, 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirBlents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (013) 788-6611. FurthellOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbich 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 wort. 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 perlitting priVileges in the City of Zepbyrbills. c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ Hoteowner's Protection GuideR prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOleone otber tban the Rowner", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the uowner" prior to cOllenCetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or installation has cOllenced prior to issuance of a perJit and that all wort will be perfofl8d to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in ~e jurisdiction. I also certify that I understand that the regulations of other goveI'Dlental agencies laY apply to the intended wort, and that it is IY responsibility to identify wbat actions I lust tate to be in cOlpliance. Sucb agencies include but are not litited to: * Deparllent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDIBDtally Sensitive Lands, Water/Wastewater Treatlent A Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docts, Navigable,Waterways * Deparllent of Health' Rehabilitative Services, BnvirODlental Healtb Unit - NeIls, Wastewater Treattent, Septic Tants * US EnviroDlental Protection Agency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone UA" or "A,etc.", it is understood that a drainage plan addressing a uCOlpensating volUlell will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit, issuance. . A per.it issued shall be construed to be a license to proceed with the wort 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 frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid unless tbe work authorized by such perlit is cOllenced within six IOnths of issuance, or if wort authorized by the perlit is suspended or abandoned for a period of six 80nths after the tile the wort is cOIIenced. One 90 day extension of tite, laY be allowed for the peClit with fee charge of $15.00. The extension sball 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. NARHING '1'0 OIiNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCRHm' KAY RESULT IN YOUR PAYING TWICE FOR IHPROVRHm'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAllf FIIfAlfCING, CONSULT WITH YOUR LINDER OR AIf AnOWY BEFORE RECORDIIfG YOUR NOTICE OF COHHEIfCBHENl'. JOBS UIfDER $2,500 IN VALUE DO NOT NEED TO RECORD A1fD POST A uNOTICE OF COHHENCEHEJfT". SIGlfATURB: OWER OR AGENT SIGIfATURE: COif TRACTOR STATE OF FLORIDA COUN'lY 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC -- -- -- ---- ~. CONTF:AClOF 'Ii' NfIME: fHU,1 ;" ADDR: HEr,',;I.. i. J:, C/ST: Z .,.H r '. i.. F'OR= fJU " f.,FiC:'il::.F;: L-~ , .. I l...,j....1 --~--------,-"----' CEN1PAL PLRMITIING F' ('1 ::::; C. (J (~Ct tJ l\t +>,. ..j"1 F: !..~ :-J F :,~ J [~i:') i':': C<::. I..: .. U r'lI ..{ \.:,JTi (If Z HILL:: F EFWi I r 1.[ ? 1 (,' 'rCt"r r.IL (;,r'tl..'lt.\i\l'r: ACCNT 114 ~.~. (J i':~ F' i'-~ \' {'-, t. . JL.1 !\l 'I ~(.,~ :1 ~~':-.) -. REC:E II) E: L J::"', Uf',1 E :ji , ,,:'1. .;, 1 I r1L I. ,): ':,1 j F' ;~~:: i..~ E~ ~: l:if=- -I I :SUF.. u;::r'T (.F : U l-:LCI.:..I. F'T rrUI'IB~';: ~ .)iL,::L::.l:t'/ (II'! T I.:E,: U: d'!;': C T T\ CH[-lf '\1' C (.';::.,i-( !.. [::'1" E.i;: iil'jl,iUi'~ 1 UL: :::;/ h' J F' l J UrL FE FTl r Did ,', DH.'/ ': ;~: '..1... ,I:,. ~_:~; "' '.:::' ::.;:. k ';"'>; '1:- ,~;, ~: i:; ',::' c~ L, :r.D l..J ;:':i ~:::T E r' F::, E' <> iJ ~------ -~----_._-- I,;.#,>~ ;, ~ ..~~. ,...1l4~,~:, \1Il\..~)_r~,.",'~~nr. ""'.''';P:'of::;'!Ji'~:'::''Qi.~'II'>r;,~''''~~''7!",',...r_~JZ'\'''''' \... PASCO COUNTY, FLORIDA Permit No. ,/1 / Date Permitted ;' / " / Builder Name/Owner Name f /. '-. "-.,. County Parcel No. 'r) .. ,/ " Location. Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. S4. FLlU nit Prepared By Impact Fee Amount $ '---_...-.~ .::~~::"".~. ".-- The above impact fee has l?eewt:st~blished 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) Rate/ERU - 52.00/Year or $0. I 42/Day ERU Assign No. Assessment - (No. Units) x ($0.142) x (No. Days) Assessment - . (GSF) x (ERU) xW.142) x (No. Days) 100 TOT 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. 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. ...._.{-..,~-,,,... "Receiveo' 'By Date --------------------------------------------------------------------------------------------------------------------------------------------------- OFfICE USE ONLY ,. TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. "-~"--DATE .3 +' :J~/? DATE . .-.--'.------..-lJ'Y". "-'---'---'- //-;2~-".J!;,BY (!.~ White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC93113094/A