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Home My WebLink About97-7278 BUILDING PERMIT 7278 CITY OF ZEPHYRHILLS (813) 788~6611 Permit (J Date /d--'-/-7/ ~~ PmpertyOwne, -Hy/r:p~~ Job Address: ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcel I. D. # Zoning: Description of Work Energy Code: (~A~~ 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 City License Registration # State Certified License# /~UJ P~'m;, FeJt:; ~ Signature Company Address Telephone# Valuation or Contract Price JS o-z;. d"D / 7/);' BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB /2 --tq",Q7 LL.p} 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 ($15.0el shall be made for each trip for each trade: d2.~ -.. t.:TO 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. 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. APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE E J1'ltrfi It! tJO /",1 PHONE JOB ADDRESS OWNER'S ADDRESS Lef hLf LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. f (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --.Alteration _Repair _Install _Sign ---.Hove _Deaolish PROPOSED USE: _Single F8IIily _M/F _' of Units ---.HIH _~ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Departaent Approval C&I1/'ffl-e Sid b 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. ~UlLDIRG PERMITS REOUESTED $ 1<; (JtJ6() Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. ---1IECllAlfIGAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other PIlIISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO COMPANY State Cert. or Regist. , City License Registration f ****************************************** CONTRACTOR SECTION LJo lei BUILDER Signature 19vo ELECTRICIAN COMPANY State Cert. or Regist. . SianAture City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** ttEGllANICAL COMPANY State Cert. or Regist. f Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. t 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 .ay be aure restrictive than City regulations. The undersigned ass08es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRAC'l'OU RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the OWDer and contractor lay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (8Il) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have 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 work. If the contractor wiShes you to sign as contractor that .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of ZephyrhiIls. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~ D. CONSTRUC'fION LIEN LftW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeoIner's Protection Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is S08eOne other than 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 co..enceaent. E. CONTRACTOR' SjOWNER I S AFFIDAVl'f I certify that all the infor.ation in tbis application is accurate and tbat all work will be done in cOlpliance witb all applicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and tbat all work will be perforaed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of otber govefDlental agencies lay apply to the intended wort, and that it is .y responSibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to: · DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent · Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercourBeB · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departaent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treataent, Septic lants t US EnviroDlental Protection Agency - Asbestos abateaent 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 "coapensating volO8e" will be sublitted whicb 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 autbority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery petlit issued shall beCOll invalid unlesB the work authorized by such perlit is cOllenced within Bil IOnths of issuance, or if work authorized by the per.it is sUBpended or abandoned for a period of Bil IOntbs after the tile the work is cOllenced. One 90 day eatension of tile, la' be allowed for the perlit with fee charge of $15.00. The extension shall be requeBted in writing to tbe Building Official. An approved inBpection lust be logged during eacb sil IOnth period, or the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHKNCEHKNT MAY RESULT IN YOUR PAYING I1IICE FOR IHPROVIIIIIl'S TO YOUR PROPERTY. IF YOU IIfTKND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORB RBCORDING YOUR MoriCE OF COMHENCEHENT. JOBS UNDER $2,500 IN VALUE 00 NOr NEED TO RECORD AND POST A "NOYlCE OF COtlMENCBMElft'". , I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUN'lY OF The foregOing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 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 who did/did not take an o~tb. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~ I ~15'.-7 t ~~ T Coil'') .- J l,~_...~ l' '- 'JO ~ ~k~ ~~ (\J v v.J ( 4-~' ;,>,l,,':f~-,J I r':J.'d" :.~IF: tt:: I :: I,: j:, ,,' ~{-'\I"'IL~.~ 1,.'L.l-,,;...."t. ;"\.~[~F:;. 1 'l'11 :':l.1:U\," ,~3E"r> \..-'1..., L; , , ", ,!. ',' ~ 'd.! ,:"t C~L::r~ 'I'F,~tiL ['EFt"! I "('1'1 l'lC, F\:i ~ ~/~ I) '_", :::.H ,l f',~ r \/ 't Fl..lJ F~ T [.1 (~I Li;':TL ~ i it ':::"..' i.., ."',,' "( I IVjC, (../ "I. ;' j'" (ICL~ J. :~;: ::::!.J t':: CH" F 1. i... E. ~~ 1'.1 F;:L<_.:F:. r F'-t j'Ji..l!'-jE~j." (!r" F- J (':E..: IJ{'il.1f C, J. r \f ,,'i-'~".! " C)!'JL.YC:T 1"-/ Ji' ~i~~-:lJl".J CHL:::,i 1i ;'i, j :;>, , f:.l ~,:;,i ~,':., :)r-u-:'l\~::'\(:,(~ Ci:.H'-; '!' T Ct"j-- ("~L. /.'lr,'!t.]i_I!\j r ~ ~L'!' i 'r'C:i~~ 'l~:,C,:..:. I ,.IL ,U ,,::..,;,,"~:',)!.;; /' ~ "1'/. 'li"IC!ilnl /T') , J .~~: ~ ~;:: "::' i. reo : '1_ ::: ~>. ". "~".:''';''')" '::,I.JL I L~ l..-.j{\<:;:-";' ~:::. r'I:::,,1::: 1..' I:: :,:.;~: F.], F' r I lj f"',j / F--:' E r..; r-;': 1..1 ;"'1 T {.\: C t h:./ (" ::.,,' .... ..........-............. l...J1l lTT ID"iri~~m. u .U.L- ilWJ~IJ.WWIJI.JjiKJl,,,,, J~~jr~r~~.y~4_ -- _...1.._,--... '__"'~ ,- - "-.....' _..~_. . . PASCO COUNTY, FLORIDA Permit No. 7 I A ,'- , Date Permitted 1- # >/ ./"./ Builder Name/Owner Name I (\ County Parcel No. '/ Location f'- Subd, Classification/Type of Use ,~,.,; ('" TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. Sq. Ft./Unit ,~....- ~."... .- .::~,~.r ~: __.... Prepared By Impact Fee Amount $ .~. ~--'''''' ".... -....-" 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 - 52.00/Year or $O,142/Day ERU Assign No. Assessment - (No, Units) x ($0.142) x (No. Days) Assessment - (GSF) x (ERU) x (0,142) 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. Date Received By -----..--------------------------------------------------------------------------------------------------------------------------------------------- OFFICE USE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. ." ,-,,-""0.-77,7"' . 'iiATE . ..$ ~B-? '77 DATE r ~----..--ttlf"---- /- /--.:'-' :...--, BY ",'"". White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC93113094/A -~~