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Home My WebLink About98-7363 BUILDING PE,RMIT 7363 L3 Permit CITY OF ZEPHYRHILLS (813) 788~6611 'fO.'8V Date / - -5--- 9/f BUILDING .3..5 c ch? ~?...!::. '., c.h> ELECTRICAL PLUMBING ~o~~own.'kfj ~ Job Address: ~__ ~ ~~~ Parcell.D. # ~r-Q.b-~'" VOCJO- e c)/O v- I ;;L...& .... c c:7-V MECHANICAL . Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: 4V Code: Radon Gas: Descriotion of Wor~ }}, t9-J~--fl. "/'-/--L..-Ir NO OCCUPANCY BEFORE C.O. FINAL :2 C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or .A/ // ^ . Contract Price -r.tt: City License Registration # J ~ a State Certified License# P~rmit Fe{)~::t . Slgna~~~_-r Comp ny._ _/ Address Telephone# ''7/ ~j {Gflt--,T 01tO 167 BUILDING ELECTRICAL Ftr. Tp. Servo Pre SLB Rough In Lintel Meter Can FRM. Const. Pole Insul. CL Pool WL Pre-Meter '1/s'/f'l ~a~ Final 'l!~ (q 1- &J Driveway R ~"f'/ :2/la ~-X - l/3 PLUMBING MECHANICAL SLB Tub Set Water Sewer Final '}/c.{fcr f l..E Breakers Ducts Insl. -!/7of:,1 ~ CompressoJ I Final -:" I' J I 1.d ~ , I J.lt f; i lot REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.BOt shall be made for each trip for each trade: ~........~ 7l a ~- ~ / - L--Qg a. Wrong Address JI ~ I b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. "C t:./" d. Work not ready for inspection when called. ( /' __ ? / 0 I) <. e. Permit not posted on job site. r 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. APPLICATION FOR PEIlIIIT t:J ~1 CITY OF ZEPHYRBILLS \f(. ~:5'" BUILDING DEPARTMENT } ~~ .. c~a. . u ;)tJq 1~9>- ~, OWNER'S NAME "'~I\IO l~ tJ.J I \60 r0 OWNER'S ADDRESS 3 CJ ~3o Cin/lXl Y R.cL JOB ADDRESS ,c::::o~ .e PHONE ~~ ib...t LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. f (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair V Install _Sign ---,"ove _Deaolish PROPOSED USE: _Single Faaily _KIF _, of Units _K/H _eo..ercial _Indust. _Swia. Pool e Vother _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: ?-I/.~' &(. ..L\.p.. BUILDING SIZE: \ "- X ~D .~Square Feet. 15 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. PERK1TS REOUESTED _BUILDING $ \Z,CXj() Valuation of Total Construction _ELECTIUGAL AMP Service Florida Power Corp. W.R.E.C. _HEGBAlfIGAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel fl-v Other PDlISHED FLOOR ELEVATIONS: FT. IS PROJEGT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BUn.DER COMPANY ~d CO~~ ~ ~ State Cert. or Hegist. . Signature c.. City License Registration' ~. ............*****************.******~***** ~ ~ A ?1~ mKPANY/Jcp / t?erS /JUc p A . r lJ(}){ ~~:~e L~~~~e O~e:~:~~:~ion . . .**...*..***.*.*****.***...*.....*..*:j) 1 COMPANY [1/ cc:. t!1~d{ "'1;'/ /):Q : . /1.[/ A State Cert. or Regist. , Signature' /t/....,-PC./ / ?~ City License Registration' ...............*.....***..**.......***.**. roHPANY fb:: Kcv J;' iL - State Cert. or Regist. City License Registration f .............*.*..*.........*...*..... 870l /'R-? PLUKQER. ~~/Id-. v/ lHEGHANlGAL Signature '1..5 OTRRR COMPANY State Cert. or Regist. t Signature City License Registration t ...............*....................*..... APPLICATION APPROVED BY PERK1T 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 laY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing reguirOlents lay apply for the intended work, they are advised to contact the City of Zephyrbills 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 wil1 be responsible. If you, as the OIfOer 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 perlittiog privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ,t ~' D. CONS TRUC'l' I ON LIEN L'.AW (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOMDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler 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 COllenCOlent. 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 developlent. I Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wort or installation bas cOllenced prior to issuance of a perlit and that all work will be perfoCled to Jeet 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 otber governlental agencies lay apply to tbe 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 li.ite4 to: * Departlent of Envirofilental Regulation - Cypress B8yheads, Wetland Areas and Envirofilentally Sensitive Lands, Nater/Wastewater Treallent * Southwest Florida Nater HanagOlent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways I Departtent of Health , Rehabilitative Services, Envirofilental Health Unit - Wells, Wastewater TreatJent, Septic Tants * US Environtental Protection Agency - Asbestos abatOlent I also certify that, if fill laterial is to be used in Flood'Zone "A" or "II, etc. ", it is understood that a drainage plan addressing a "colpensating volUleR will be sublitted whicb 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 tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perllt issued shall beCOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six IOnths after the tite the worl is cOllenced. One 90 day eltension of tite, IIJ be allowed for the perlit 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 IOnth period, or the project will be considered abandoned. NARMIHG TO OWHER: YOUR FAILURE TO RECORD II HOTICH OF COHHHHCEHEHT HAY RESULT IH YOUR PAYlHG rIIlCI FOR IHPROVElllIIS TO YOUR PROPERTY. IF YOU IHTHHD TO OBTIIIH FIHAHCIHG, COHSULT WIra YOUR LEHDER OR AH ATTORIEY BHFORB RECORDING YOUR MorICI OF COHHEHCEHHNT. JOBS UNDER $2,500 IH VALUE 00 HOT NEED TO RHCORD IIHD POST A "HOTICE OF COHHEHCEIIEJIt'". 00 :~'j s ~J aml~; ,. I STATE OF FLORIDA /~ COUNTY OF (~ The foregoing instrument was aCknowledged before me this Q);=('~ SI , 19 97 by (Name Typed, Printed or Stamped) NOTARY PUBLIC ..""~. Da.....a S Swetland ..~iJ"'y . -..;:... UUUURI . DW =*: :*: MY COMMISSION ICC53-4927 EX,., :. :. W February 22. 2000 ~?';;:.,.;,' 80NDED THRU TROY FAIN INSIIRAW;: " 'l'Tj"U' (Name Typed, Printe NOTARY PUBLIC '!o~'''''' ~~.-~,.. ........- ~~: ,~~ MY - S. Swetland ~: : ;; COMMIssIoN'fY''''''-EXh'.. .,,~. .: I-1fHva,y;;;E ,-" 'Iif..~ IlDHoEo THIIJ TrfOy FA"; ItISlIlA , , NCi:, ,N. NOTES/REMARQUES/ NOT AS: PROJECT PLANNER AGENDA DE PROJET/AGENDA DE PROYECTO ~ p~ ~ ~ 1 OWUA - ~~QkL WI' \500 SKETCH IEBAUCHE/ESQUEMA I ~g9 (loGJ d ~ 1 .... 1091 ~ ~ .' '~ ~ 1994 The Mead Corporation. Dayton. Ohio 45463 U.S.A. Grid Scale 8:1/ Echelle Du Quadrillage 8:11 Escala Cuadriculada 8:1 Refill No. 47206 PROJECT PLANNER AGENDA DE PROJET/AGENDA DE PROYECTO PROJECT DE PROJET/PROYECTO PROJECT # No. DE PROJET / NO DE PROYECTO DEVELOPED FOR DEVELOPPE POUR/DESARROLLADO PARA COMPLETION DATE - DATE D'ACHEVEMENT/FECHA LIMITE CONTACTS CONTACTS/CONTACTOS ....______..._. .~~ ~_....,.......~~,~......_""""_'..____,~".'".:.'.~-"""'.....&--"--....,.....""..---<-..:"""',....."'..-'''''''<,....,___:.,:.''''w":.._"''''.-:~,.,''''''-''''',~.~.._,,-,.:.,,..., IBI ~ I .1 i I i ! ACTION / TASK ACTION / TACHE ACCION / TAREA NAME DATE NOM/NOMBRE DATE/FECHA X I I I f i I I I ~ l__L @ 1994 The Mead Corporation, Dayton, Ohio 45463 U.S.A. Refill No. 47206 k ..'1 h.. /LPL PASCO COUNTY~ FLORIDA Builder Name/Owner Name Date Permitted P .3 ~s Il I - ,5--- --- 9 p/ Permit No. County Parcel No. ;L Y - d-b -:J../ - /) LJD-tJ. tJ iJ) 0 0 - Local;on <J'~~~'i '7 tI----<1A ~ _ Classification/Type of use~, .L..c1.A cL1~ ./ TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./Unit Prepared By Impact Fee Amount $ ____ .0....-.....0 ~--.-~--- The above impact fee has been establish is;;;nt to the Pasco COUlilyTransportation Impact Ordinance as adopted by the Board of County Commis' rs. This amount is payable PRIOR to the issuance of a Certificate of Occupancy ltted structure. RESOURCE RE VERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units I . Gross Sq. Ft. (GSF) Rate/ERU - 52.00/Year or $0. 1 42/Day ERU Assign No. Assessment - (No. Units) x ($0.142) x (No. Days) j- ~ _ () CJ 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 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. RESOURCE RECOVERY REC. NO. 3: It 7 ,I J '7 DATE DATE~_ 9 ~ BY BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC93113094/A