HomeMy WebLinkAbout98-7358
BUILDING PERMIT 7358 A
- ,
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
J- ~ - 9?
.yr O. c-T"O
BUILDING
...3~ -., ~
ELECTRICAL
~~ --.. clV
PLUMBING
cJ0I":O-O
MECHANICAL
Sewer Conn I d- ~?; tTZ?
/
Water Conn: .3 ~ ~ . crv
Water Meter: / J-c;. Vi)
T.I.F.'s: 1'1 <fzJ. tJ-o
~o~~Owne, Jj +~~f
Job Address: ~ II ~
Parcell.D. # ....:?-dl~ ~ . -lJ-$.. dJ 0
-- t!J ~ ~ (.>
Zoning: ~ Code:
DescriPtion of Work>>!. .){/~
Radon Gas:
.-k7~
)1fJ1
All? P-A- I - a'l- 9,f- ~4 ".'/0
NO OCCUPANCY BEFORE C.O.
Valuation or '7
Contract Price I :L ~ ~ #?:J .
City License Registration # ~ r
State Certified License#
17t~
Permit Fee
Signature
Company
Address
Telephone#
DATE
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Il.~'d,t?
BUILDING
r}A/h 1'10
ELECTRICAL
~ r 7A-. A./h cJ-? g'
PLUMBING
13~~
1'7
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($+5-:-60) shall be made for each trip for each trade:
a. Wrong Address .;J.....>"".~ _, / ---;'/'. /::l 7-~ ,j1 /-,;l'9r
b. Condemned work resulting from faulty construction. N~ ~ t
c. Repairs or corrections not made when inspection called. LJ tJ I _ .:2 '7 - '1JY'
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.
01/11/96
12:45 FAX 813 782 1169
H & R INTERSTATE
~ooi
APPL'IChT:tON FOR PtR1'1IT
CITY OF ZEPHYlUULL5
BUILDING DEl"'ARTNENT
JOB LOeA!
w
6'//d - Ri ,:if' uJA-/':V r; ;~'e'
LEGAL DESCR4PTION: LOT(S) DLOCK sunDIVISION
PARCEL 1. D. fl C) 3 - :l(~ -,;)./- 0 ,i I o..~ ()O(){J-{) - (!!) 1:;;"0
.'~.,.. '..
5?(3'-7~c.l- d.a 7"
APPLICANT
ADDRESS
PHONE
'.
OHNER
/ I
LOT SIZE~x/C)() ^REA SQ.FT.
WORK PROPOSED:_Ne'.~ Co ,truct.ion _Addition _Alteration _Repair _Insto.ll
PROPOSED USE: ~sin~le Filmily
.-Sign
_Nov~
~Demolish
_Commcl'cial
...--:...-Indust.
Swim. Pool.
- "
._~t/Il
(fl~j1tJ~dv N!J ff4JM.~
~M/F
___JI of {,lni ts
____Restaurant & Health Department Approval
BUILDING SUE' ~x.5Q~ , E: ,quare Feet, /100'
Hei~ht
RESIDENTIAL: ATTACH (2) PLOT FUNS & (2) SETS OF DUILDING I'LANS & (1) SET ENERGY fORl'IS....
COHl'lERCIAL: ATTACH (3) sETS OF Du!LDING PLANS & (1) SET ENERGY fOR~lS.':'!:
.~COPY Ot CONTRACT REQUlRED.
~UILDING
~LECTRIGAL
$
PERMTTS R~QUESr~D
dJ 47tf7} : Valuation of Total Construction
j)V. AM1? Service plorida Power Corp. ZH.R.E.C.
/ c? S?J Valuation of Medwnir:~l Ins calln t ion
-v""-MECHANICAL
~mllnNG
$
----:-:CAS
ROOFING
srECI:\LTY
,/n 1."L-. 0 cher
""
- . .
TYPE OF CONSTRUCTION: ____8lock ____Frame ____Steel
FINISHED fLOOR ELEVATlONS :~T. .
h.****.~****~*H*****~.*~~**~~*~
C~NT~~~~:n~ECTT~(Jt=f-~ ell ~f H Ser v"c
State Cert. or Rc~ist. U .
City Lic~ose Hc;gh 1".1'01 I'. inn II to
.*.******~**D******~*6~*6~~g*~~
.',~ ~o~p~~~y ~rJ An E Ie c..-
. State Cere. or Heg;isC. I~
. ro ' City License Rcr;{:,tr,:\:.i.O~ I': 170
:~~~_~-; ~ ~ ;7............:::::::...(J~t:.~:""H~ dj 1f~
~~ - State Cert, or R'Gi5"~
Signa re- City License RezistrntiCln 11 - d..7g
......... .......:::::::..t;;h';.G:::' + A-/c:
State CeJ;t.. 01;' Res;is t.. if
. icense R(!Cis trat ion II /7
********.~**.*********o*.~ft**.~*
Signat.\Jre
Cornt'~my
State Cert. or Recist. 0
City License ReGistration lj
11'lJU: !{
*~****~*.*~******~~*****~~***~*~n**~***.*h
PCRNlT OFFICER.
APPLICATION APPROVeD DY
--.-
.'
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands tbat this perlit lay be subject to "deed restrictions" wbich JaY be lOre restrictive tban City .
regulations. 'he undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor JaY be
cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireJents Jay apply for the intended work, they are advised to contact the~City of Zepbyrhills BuIlding DepartJent, (813)
788-6611.
)
FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
.Contractor Sections. of this application for whid! 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 be is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrbills. I
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 - HOJeOV:Der's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJeI Affairs. If the 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 cOJJeJlcl!lent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforJation in tbis application is accurate and that all work will be done in cOJpliance with all
applicable laws regulating construction, loning, and land developllent.
Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has c-.mced prior to issuance of a perlit and that all work will be perfoCJed to leet standards of all laws
regulating construction, City codes, loning regulations, and land developllent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governJeJ1tBl agencies lilY apply to the intended wort, 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:
* Deparblent of KnviroDJen18l Regulation - Cypress Bayheads, Wetland Areas and EnviroOlen18lly Sensitive Lands,
Water/Vastewater TreatJent
* Southwest Florida Vater Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* JrlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health' Rehabilitative Services, KnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
* US BnvirODlental Protection Agency - Asbestos abateJent
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 "COIpensating volUle" will be subJitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
unless the work authoriled by sucb perlit is cOlJenced within slllOnths of issuance, or if work authoriled by the perlit is
suspended or abandoned for a period of sil IOnths after the tile the work is coaenced. One 90 day extension of tlR, lily be
allowed for the perlit with fee cbarge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
WARMING TO OIlIER: YOUR FAILURE 'l'O RECORD A IOTICE OF COMMBICCBIIBU MAY RESULT IN YOUR PAYIIG DICE FOR IMPROVEMmS TO YOUR
PROPERTY. IF YOU IUBMD TO OBTAII FIKAKCING, CONSULT IIITH YOUR LEIIDER OR AM AnORlIY BEFORB RECORDING YOUR NorICE OF
COMMBNCBMBU. JOBS UNDER $2,50 N VALUE DO lOT IEED '1'0 RECORD AND POST A "lOT ICE OF COMMBICIlMIU".
~~-
SI : COURACTOR
STATE OF FLORIDA
coum OF .pI/ Sco
The foregoing instrument was acknowledged
before me this l)Ee.- .:3/ , 19.!1Z by
)/EL,<'OJ.) 'ftY M AJJ
who is persona ly known to me or ldl9 has
"~ftrln~.cI
as ideatificati6B and wbo-didjdid not
take ~9'~
(Signa ure)
J! A7J.I LL,,~ A.J J B ..QoWN
(Name Tjped, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA
coum OF tJA.<; t!-<)
The foregoing instrument was acknowledged
before me this:'lJI:;e 3t , 19 'f/_.by
JJ~AJ'RYHMJ
who is personally known to me gr wbo bas
prodl1ced
3S ideBtifisatiOB and who ~/did not
take~ .. ~
~-?L/ -fI- ,J C'-~
(Signatur~ '
. If-TJ-/ u.:=.. EAj v:. ..I3te-r17 )1\. j
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
l'~ PII~
Q'\~ (,.. KATHL.EEN J BROWN
.. W* My COn1mifllllon CC441)()29
* . E;"pir.... Apr, 02. 199Q
..~ JiI'"
1", 0' f\~
""l'~ PII~
..'" fi <....
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.,. ..~
~ II, ,\0"
KATHLEEN J BROWN
My Commission CC44Q029
Explr.. Apr. 02. 1lKla
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unlE: 01/13/98 TIME: 11:55
PAGE: 1 OF 1 .,
1~;SlIE: (~tl:~F~I(;E: D ~.
f~ECE I PT NUl'lBH: 1;10:348115
~FFICE: DADE CITY
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f<ECEl VED IJY .... {i.~ .d~....._..._ ..
DESCRIPTION/PERMT DATA
~~~*** SOLID WASTE FEE
y
I
, I
PASCO COUNTY, FLORIDA
Permit No,
!7,3s -- JY 13
J -,;J -1K'
Builder Name/Owner Name >> ~R
Date Permitted
~~tL
County Parcel No. 3-d..b ~ JJ - 0..310- 08DcJ 0- (') Y J- D
Local;onk,// ;;t ~Y!2i:3: . Subd
Classification/Type of Use ~ ~i4'l~
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
Impact Fee Amount $
The above impact fee has be ablished pursuant to the sco County Transportation Impact Ordinance as adopted
by the Board of Count ommissioners. This amount is payable lOR to the issuance of a Certificate of Occupancy
or authority to u . . e the permitted structure. '---..
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
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) x (0.142) x (No. Days)
100
TOTAL FEE $
S-o , ;-1
TOT AL 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 concurr
the building permit owner on notice of this assessment and t
(-(3-q~
Date
a copy of this form, placing
sa
Received By
.
---------------------------------------------------------------------------------------------------------------------------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.J'tr//.s-
DATE
DATE /-/J-?r
BY
BY Ca..-.-
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce