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Home My WebLink About98-7475 BUILDING PEeRMIT Permit ,7475 E:- D... c2. - Lt2. - 9~ ...-- CITY OF ZEPHYRHILLS (813) 788-6611 BUILDING p.,5 ~---_..,..,...,_.._'" ELEc:JRIC'y PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # FINAL ~ - C.O. Zoning: DescriPtion of Work 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, DATE Inspector 0...'- City License Registration # State Certified License# Iq7 Permit Fee Signature J/ Company Address Telephone# a C)L 8~~ i~~ Valuation or Contract Price oc!-( B U!J.,.DlM3 --- ELECTRICAL PLUMBING MECHANICAL Ftr, Pre SLB Lintel FRM. Insul. CL WL Tp. Serv, 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 ($~) shall be made for each trip for each trade: ~-;cro 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 PERKIT CITY OF ZEPIIYRHILLS BUILDING DEPARTMENT 1 tf751~ ~ LOT - OWNER'S NAKE----'=- rn 't": r t'A l c:;( OWNER'S ADDRESS ~ ~ <Ou ~ ~ A vY\ -e... LEGAL DESCRIPTION: LOT(S) (0 ~ I f.c, 8" Pe>i n -t-<... C t::lr ro. t1 rnoe. +- '^ Y st' PHONE 1'1 R-S(' .J...I' "t r Welt' ( JOB ADDRESS BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ----^ddition ~teration ~epair _Install _Sign ----1Iove _Deaolish PROPOSED USE: _Single Faaily ----111 F _' of Units ----1I/H _CoIaercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. . - PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ~ELEC'1"lUCAL ----1IECllAHICAL ,$ 100 AKP Service Florida Power Corp. W.R.E.C. Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature =CIAR~~~ 'COMPANY"I...~ ~refLZ; State Cert. or Regist. . ~S't:J(poe>61/ re x. J~ City License Registration' J€7 .......................................... PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration . .......................................... MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration . ...........~........................***... OTHER COMPANY State Cert. or Regist. f Signature City License Registration # .......................................... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peIlit aay be subject to Ideed restrictions I whieb aay be lOre restrictive than City regulations. fhe 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 JaY be reguired 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 JaY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiruents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart:lent, (813) 788-6611. FurtheIlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the .Contractor Sections I of this application for wbieb 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of IFlorida's Construction Lien Law - BOIeOImer's Protection GuideN prepared by the Florida Deparblent of Agriculture and ConsUJer Affairs. If the applicant is sOloone 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 couencuent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, laning, and land developlent. Application is bereby lade to obtain a peIlit to do work and instailation as indicated. I certify that no work or installation bas COIIenced prior to issuance of a perllt and that all work will be perf OIled to Ieet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in tile, jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies JaY apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to: t Deparblent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater freablent t Southwest Florida Water Managuent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Arl' Corps of Engineers - Seawalls, Docks, Havigable,Waterways t Depart:lent of Health & Rebabilitative Services, EnvirODleJltal Health Unit - Wells, Wastewater 'reablent, Septic ,ants t US EnvirODlental Protection Agency - Asbestos abatuent I also certify that, ,if fill Jaterial is to be used in Flood Zone lA' or "A,etc.', it is understood that a drainage plan addressing a NCOlpensating volUle' will be sublitted wbieb 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 the work 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 Buil~ing Offiqial frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOJe invalid unless the wort authoriled by sueb peIlit is cOllellcecl within sillODtbs of issuance, or if wort authorized by the peIlit is suspended or abandoned for a period of sillODtbs after the tile the wort Is co.enced. One 90 day eltension of tile, lily be allowed for the perlit with fee ebarge of $15.00. fhe eltension shall be requested in writing to the Building Official. An approved inspection lust be logg~d during eaeb sixlODth period, or the project will be considered abandoned. IIARHING fO OIIHER: YOUR FAILURB fO RECORD A HOIICE OF COMMDCEMBHI MAY RESUL' IH YOUR PAYIHG 'NICE FOR IMPROVEMBIIl'S TO YOUR PROPERlY. IF YOU llIfBHD fO OBTAIH FIlWfCIHG, COHSUL' WI'H YOUR LODER OR !If AnORm BEFORE RECORDUIG YOUR NOIlCE OF COHKEHCEHENT. JOBS UHDER $2,500 IH VALUI 00 HOI NEED TO RECORD lIfD POST A 'HOIICE OF COMMEHCEMBHlN. SIGHAfURB: OWHER OR AGBHf SIGJlAIURB: CONTRACTOR STATE OF FLORIDA COUHTY OF The foregoing instrument was acknowledged before me this , 19____ by SfAfE OF FLORIDA coum OF The foregoing instrument was aCknowledged before me this , 19_____ by who is personally known to me or wbo bas produced as identification and wbo did/did not take an oath. wbo is personally known to me or wbo bas produced as identification and wbo did/did not take an oc,.tb. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ,'i(>1 i'l I C', i !'( j.' ( f'" '1' ~':i !:' i!" !.:: F' ,.':", ;",1 r \! i ,T'i !' Iii i ~ l"';' - I " i 'Ii II" i i I "'! ,_11 I> r' I " l' . (I ! r . r ' j-; i I I' , i ,j,', I'(j ( C' i ',,'"!lH-i T .: {:_,:;~"/ ('1' " "! :'''(1 :" --.~---.......-.-.~:._- - _.-.- - - - - - - -- -.'-- ,',':-.' ,(" n '.; '11 !;--I i" ',', /" I ,I r> ; i " . I T I' iil iil ! 'i ,', () Ii, ,:, ;: I i t' ('ifn q.1 ''I (" j, ;,.J'( i I' / " '. /> [(.[(Y";I" i I ,I ! !j i' i'l' ! 1 f i i ,", (,1''11,'1' i "(, !I ~ 1:'"' 1 f (j Iii ,"jj i IF "r >'l! (I; : 1,-' :. "f", I',i I., i .r',;" r i i Iii 'i, i!f !,II; 1'1 T','i i',! Ii .-' i', ! I"" -i, :oJ "p' ),. '\!' .1' // I // (?,(tkt~J l' . \ \ ill;' I J"(rq 1""1 : ,("'! j ..i'! LI (', ~:', "f' r f','j" II;: , , 1 . "I ;--. . I ,...., ~ ; I ~ i' r> ,", r~,';'::'~- ~~..,:~~",~>,..~..~~~~~~~~..~.4':t~~~'. rJ :..,;o~:. ~\":~7'\:~.,~;!,.,,!,r~"..i.--' ~ ~,~-~~~,~,~;~~, "~':"~'~'~"""~_'I.;"~.~~~~~~"",~,:~, ..Yl~"\J!-;\",.,,);~ .."KtIF~ ~..-_.~,~, ~'#.. '~., ..,..~,~'~ PASCO COUNTY, FLORIDA Permit No, l./ /" Date Permitted ,;" ,.?' Builder Name/Owner Name ,',. ,t ( V"'\. County Parcel No. \'/ - ,:, I i ,,,,,"L__.f Location .::::::c> / '" -'.... Subd, Classification/Type of Use I , , ----,--. TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ ~ .,^" ,,'.>, ~",., *" ....-...... Zone No. ,....<-'-' Sq. Ft./Unit 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 0 RESTDENTIAL NO NRESID ENTIAL 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 $ I I 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. Acknmvledgement 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. ' ~,1 I : DATE DATE , 'I .",BY BY , , j (" White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC93113094/A