The URL can be used to link to this page

Home My WebLink About97-7193 , , - /.10 BUILDING BUILDl~~y~~RM!! 7193~ (813) 788-6611 _ Date /1-'/-'11 ~!J-- flu MECHANICAL ~6 ELECTRICAL PLUMBING Sewer Conn Water Conn: Property Owner: Job Address: Parcel 1.0. # Zoning: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances, I DATE Valuation or k, A Contract Price .4l ;.t I 0 () 0 - ~~~a BUILDING 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 REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ Hr.ee1 shall be made for each trip for each trade: ~~ ' ~':CTD ' ~ a, Wrong Address 5f::;" a~ b. Condemned work resulting from faulty construction. W~ 1 01 c. Repairs or corrections not made when inspection called. /1"' "( I') l-cr7 d. Work not ready for inspection when called. n II "cr e. Permit not posted on job site. f eX f. Plans not at job site. f! g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. THE PERMIT ZONE PHONE 813-988-0813 11718 FIFE AVENUE //_ 2- o~ 63-1368/631 TAMPA, FL 33617 /~ :__ ~__ _l<v-L 01 r~2~~ ?.(~-2tf~~_ f-~~~,......,j?"r~.J&~~~ , orthside Bank of Tampa 7'7"r ./ / ~~~~"-' "Your Neighborhood Bank" I1Z.BN.f7t1,-idaAI'f'tllIr . ~if l'ompa, Florida JJ6J 2 F~:"D~3 ~~ '-~IIIlI:''l72n C~DD-~ 7~~ ;'~ 7,.. ... :'~';;~~~~",\W-WR,""~"'I,~,~,~;~,,~;j~'~tIIWIJfl;~"":R~''''~~~~ ~)("l","t'^'-'''''''' 3972 !W", GtJWdllll'1e ~fflty Yel\(lw OFYE # 11~'?rJ ~ ~ )-O~ ,;7 :J- \ \ <t I 3 ~-3~ ~ 7 ~'~ L---v c:-'L' ~ cR GQ ,I 7 1 c:::>?o / ~ ~---~_._._... ---'-_.._._~-_._-_._-____" _~.r_ L A-L0AU \'::)& Loc> P ",7J I Cj ~ 0 () .,. ". ,. ~ I" v ..,. SCJ~-L'G I' / \ ~ ) 0 - APPLICATION FOR PERKIT CITY OF ZEPIIYRHILLS BUILDING DEPARTMENT OWNER' S NAKE --=c~~ ~ to SblA.JA~S PHONE OWHER' S ADDRESS JOB ADD1I&';S 3 ;~~1~ ,i::,~~j~ ~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION WA--YI.NR-rz~ Wir0'Jj 0;'(;.0 / PARCEL I.D.' /.L} -';;;0-,;( / - () /&0 - 00000 - O$4D (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction --^ddition -Alteration -ltepair ~tall _Sign PROPOSED USE: _Single Faaily _eo..ercial --'love _DeIIOlish _KIF ~ _' of Units _Indust. _Swia. Pool _Other _Restaurant 6: Health Departaent Approval /' DESCRIPTION OF WORK: Ly'-y) 0 uS / i- e / /:JCrr? e C::;;.) e '7- BUILDING SIZE: c;/ h X I~O. //'71'9 ~ Square Feet. / D I Height RESIDENTIAL: COMMERCIAL : up ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ PERMITS REOUESTED 3'.:2) 0 do eiC.. Valuation of Total Construction ,/ ) S-O AHP Service Florida Power Corp. q 0 u q...Q Valuation of Mechanical Installation _ELECTRICAL -lIECHAlUCAL $ _PLUKBING GAS W.R.E.C. ROOFING SPECIALTY /?/# FIIIISIIED FLOOR ELEVAnONS: TYPE OF CONSTRUCTION: _Block _Fraae _Steel FT. Other IS PROJECT IN FLOOD ZONE AREA? X YES NO .......................................... CONTRACTOR SECTION COMPANY P/9-,Sco JlCJr7e C~~ " State Cert. or Regist. .. bl-l /1 Ros- / City License Registration . .J.~ ';)..0 ................................*....... ,- Of) . J \ COMPANY &--e 0 ~ -e ..::yc e (-,--ne rc !j II---.JC State Cert. or Regist. . L Ie 00 0 tf S-('.,r' (,,/ V' City License Registration' /~-S~~ ..................................**.....* BIn-1J1RR Signature ~ \ /"ry "'.' COKPANY1- ,~\ S. c.. 0 j ~ dr,', e, ( 'e;:t-c.. v~ State Cert. or Regist. . u.'-"- J '.d'~J.- V' City License Registration . ~ ..2:1)..0 .......................................... COIlPAIIY /zeor"'~o e gv",,~, ,,: h~c State Cert. or Reg st. . CFlC 0"":'/";: ;i, ;',- V City License Registration f ':;J--I r ...................*...................... OTRRR COMPANY State Cert. or Regist. , Signature City License Registration . ...............*......**......*..*...*.*.* APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" 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 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 IiY 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 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 { " D. CONSTRUCTION LIEN LftW (ClmPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - BOIeOMDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsOler Affairs. If tbe applicant is sOleone other than the .owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to co..encelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' 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 develop.ent. I Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that no worl or installation bas cOIIenced prior to issuance of a per.it and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govelDlental agencies laY apply to tbe intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not Iilited to: · Deparllent of KnviroDl8Dtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treallent · Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater Treallent, Septic ranks · US KnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" 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 per.it 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 is~u~nce of a per.it prevent tbe Building Official frOl thereafter requiring a correction of errors in plans, construction, or violatioos of any code. Ivery pellit issued shall beOOle Invalid unless the work autborized by sucb per.it is cOllenced witbin six IOntbs of issuance, or if worl autborlled by the per.it is suspended or abandoned for a period of six IOnths after tbe tile the work is couenced. One 90 day utension of tile, liy 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 .ust be logged during each six IOnth period, or tbe project will be considered abandoned. WARNING TO OIliER: YOUR FAILURE TO RECORD A NOTICE OF COHHKNCHHHNT MAY RESULT IN YOUR PAYING NICE FOR IHPROVIIIIIlrS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDIR OR All ATTOIIBKY BIFORB RBCORDING YOUR NOTICE OF COHIfENCHHHNT. JOBS UNDIR $2,500 IN VALUE DO NOT NKED TO RECORD AND POST A MIOTICK OF COKHBNCBKINT". . I SIGNATURB: ONNBR OR AGENT SIGNATURB: CONTRACTOR STATI OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATI 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 PASCO COUNTY~ FLORIDA Permit No, 719:3'~ //-7-97' Date Permitted Builder Namc/Owner Name ,rtf;. ~ :::::nPareel;x>~~~-~~~O~~ J-~ Classificatinn/Type of Use _ .~ ' .~ .. _ .. TRANSPORTATION IMPACT FEE CALCULATION Zone No. EXEMPT D Rate $ ./"' Sq. Ft./Unit ~ Impact Fee ~ 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 D RESIDENTIAL NONRESIDENTIAL No. Units I Gross Sq. Ft. (GSF) Rate/ERU - 52,OO/Year or $0. I 42/Day ERU Assign No. Assessment - (No, Units) x ($0,142) x (N5ay~ cr; TOTAL FEE $ Assessment - (GSF) x (ERU) x (0.142) x (No. Days) 100 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. 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, DATE ~ RESOURCE RECOVERY REC. NO.'~~~~ DATE 1\ Q.\ tcn~'f White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC93113094/ A