HomeMy WebLinkAbout98-7531
BUILDING PERMIT
7531 t
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
~ -2 '?- 7 g---
'!tJ .IJV
BUILDING
...3-5...... d7)
ELECTRICAL
.3..!> -,.- (.7;
PLUMBING
;}..5.... - ifi)
MECHANICAL
Sewer Conn if) 7. ol..J -,
Water Conn: ).3f...2....5" Le.~
Water Meter: ) ~&. cJ"i)
T.I.F.'s: .l-O. UU
Parcell.D. #
Zoning: c Energy Codej--;;j . Radon Gas:
Description of Work p~ /JI ~ ~t -?
~./ h~ ,/-I&-?? f-:.4v"~ 1~;'1lJ J11'tt
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.
I FINAL
C.O.
J J l g
DATh
-/6 -Tr
DATE
Inspector
If I
L/i'"
Pe,m;' Fee I J''-~
Signature V-/ ~
Company
Address
Telephone#
Valuation or
Contract Price
/ ~ . o-zrv. I"rV
./
City License Registration #
State Certified License#
.f3~ -L;,v
f/
BUILDING
I.-u. I JY?
ELECTRICAL
6~:J#'Y~
PLUMBING
~r6
MECHANICAL
Breakers
Ducts Insl. 1 h{q i l70D
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
~e~~ IA.t 11'JIlc. i ,~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($+5':'00) shall be made for each trip for each trade:
a. Wrong Address iJ0-~ II .-r- ~~/c2.ol>-9f-
b. Condemned work resulting from faulty construction. N~
c. Repairs or corrections not made when inspection called. IL) 'f - J 6- r J-
d. Work not ready for inspection when called. r
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.
{)eh:""
IS 77)"-r-- APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUlLDIHG DEPARTMENT
OWNER' S NAKE
~,4.IUj( (' ~~/JI~J.
,?'1rl3.e s7/C O..a/~HONE
---
OWRER · S ADDRESS
JOB ADDRESS
~ <
IY1 P3~ s IJ-e J
() 64 )!.., .5
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL LD.' ?-..y,t-'2. '" - 2../ .... (> 0-" " 0 0 1(/ C (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED: ~w Construction _Addition. _Alteration _Repair _Install
_Sign
--"ove
_DeIIOlish
PROPOSED USE: _Single Faaily
~
_, of Units _M/H
_~ercial
_Indust.
_Swia. Pool _Other
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK:
A-/l-/~
.
X 3'1. <;7 (:,
~u/-/
BUILDING SIZE: Ii
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.
_BUILDING
PERMITS REOUESTED
$ ~ , y-<.rV Valuation of Total Construction
I~ AKP Service Florida Power Corp.
W.R.E.C.
_ELECTRICAL
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
TYPE OF CORSTRUCTIOR: _B1oclt _Fraae /' Steel
SPECIALTY
~/
Other
FIHISBED FLOOR ELEVATIORS:
FT.
IS PROJECI IN FLOOD ZORE AREA?
YES NO
******************************************
Signature
'CONTRACIOR SECIION
aMPAHY LZ- ~ /n.~
.1 State Cert. or R st.'
I/l~ (,t~ (l.-!!fjl;~ City License Reg stration . . 'If
****** *********************************
;k-e
BUn.DER
F.1.RCTRICIAR .
SilnlAture d~ c/Jd (7Wl,
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
JV'tJ
Signature
aMPAHY &.~ .# ij 5
~tate Cert. ::: - gist. . ~ _
(.AJ~~ City License Registration' YJ-Y
******** ********************************
COMPANY I/-c ..e.-
State Cert. or Regist. t
City License Registration .
******************************************
'1.5
PLUMBER
KEGBANlCAL .
Signature C~ c/3.$ C?U/V
OTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned und.ratands tbat thia P.raIt "r he aub].ct to 'deed reatrictiona' .blcb "r be lOr. restricti.. than Cltr
regulations. rhe undersigned assOles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ....r bas bired a contractor or contractors to uodortal. eorl, !bey .ar he ragulred to be liOO8Oed io accooIaoce .ill
atat. and iocal regulatlona. If th. contractor ia not Ilceoted as required br I.., loth th. ..... and coolIactor oar 10
cited for a .ied.....or .Iolatlon uod.r atat. I... If th. ....r or inteoded contractor are uocertaIn aa to 8Iot II....iog
r.gulr....ta "1 applr lor the Int.nded eorl, ther are ad.ined to contact tb. Cltl of Z.pbrrbilla BlUldlng OeIortoeot, (BI3]
788-6611.
Furlheraor., If tb. ....r bas bired a contractor or CODtractora, 10 ia oi.iaed to 10.. th. contractor(a) algn porti... of 1Io
'Cootractor Sectiona' of thia application for .blcb 1II.r .iII be ",_.Ibl.. If JlIU, as 1Io mmer aign as lIIa COOlIactor,
you ar. indicating lIot rou, rathsr tban th. contractor, are r88pDnslbl. for the IOrl. If 1Io contractor ...... JlIU to alga
a. contractor lIot "1 be an Indication tbat 10 i. not properll licensed and I. not eotltled to per.itlinv privileges in 1Io
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND U'fILITY CONNECTION FEES
,,-'
I
D. CONSTRUCTION LIEN ~W (ClmPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien taw _ HoIeoIner'. Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsOler Affairs. If the applicant is SOllODe other than the
.owner", I certify that I have obtained a copy of the above described docOlent and prOllise in good faith to deliver it to the
.owner. prior to cOllence.ent.
E. CONTRACTOR I S fOWNER 's AFFIDA VI 'I'
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, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO worl or
installation has cOllenced prior to issuance of a perlit and that all work will be perfolled to Jeet standards o[all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveCDlental agencies laY apply to tbe intended worl, and tbat it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
t Deparllent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands,
. Vater/Vastewater rreallent
t Southwest Florida Nater Hanage.ent District - NeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Vaterways
t De artlent of Health i Rehabilitative Services EnvirODlental Health Unit _ NeIls, Vastewater rreatlent, Septic ranks
t US EnviroDlental Protection Agency - Asbestos abate.ent
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 volOle. will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
" I per.it i..ued BIoII b. cou.trued to 10 a lice... t. proceed .Ith tb. work and not as aolboritl to .I.late, .....1 liter, or
set aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official ftOl thereafter
requiring a correction of errors in pJans, construction, or violations of any code. Ivery per.it issued shall becole invalid
unless the work authorized by such perlit is cOllenced within Sil Iantha of issuance, or if work authoriled by the peClit is
suspended or abandoned for a period of six lanths after the tillS the work is co.enced. OIle 90 daYlltension of tile, laY be
allowed for the perlit with fee charge of $15.00. The extension sh~ll be requested in writing to the Building Official. An
approved inspection lUst be logged during each six lanth period, or the project will be considered abandoned.
VARNING TO OIINER: YOUR FAILURE TO RECORD A NOnCE OF COHHENCKHBNT HAY RESULT IN YOUR PAYllfG IIIICB FOR IHPROVIIIIIrS ro YOUR
PROPERTY. IF YOU INrEND TO OBrAIN FINANCIlfG, CONSULT VIrH YOUR LENDER OR AN AnORlIY BEFORE RECORDING YOUR lfDrICB OF
COHHENCKHENT. JOBS UNDER $2,500 IN VALUE DO Nor NEED TO RECORD AND POST A "NOTICE OF COHHElfCBHENr".
SIGM~~~
tA/c~ -~~
SIGNATURE: OlfJRACrOR
, I
SrArE OF FLORIDA
CooNrY OF
The foregOing instrument
before me this
was acknowledged
, 19_ by
STArE 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 bas
produced
as identification and who did/did not
take an oatb.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER
JOB LOCATION
~.
to)' ;;...s-
Arl~ -.::r -e~ J";''C- O~t=:' ")
PARCEL 1.0.' #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
i~
~
'1~~
1
70L
_l"'l...
1/\/
~
iT
'l..C
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT PROPERTY L NE
$'d
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
P E
R X
0 I
10' P S 10'
0 T 1 0'
S I
E N
D G
20'
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
rFNTRAL PFRMITTING
PASCO COUNTY, FLORIDA
DATE: 03/12/98 TIME: 10:14
PAGE t :L OF :1.
ISSUE OFFIce: 0
RECEIPT NUMBR: 00354929
OFFICE: DADE CITY
CONTRACTOR i: 009864
NAME: WAYNE BUTTERFIELD
ADDR: 38930 BUTTERFIELD LANE
C/ST: ZEPHYRHILLS FL33540
For~ :
CHECI{ :JI: !5469
74-26-21-0000-00100-25
CONTRACTOR: 009864
TOTAL AMOUNT:
ACCNT COMPNY ACCOUNT CENTER
114 B450 - 363000 - 2
41.74
AMOUNT DESCRIPTION/PERMT DATA DRICR
41.74 ****** SOLID WASTE FEE 60
RECEIVED BY ""'~~~__
~'~.
A . /
___ __[<-0~:___~~
~._.-.....
.. ,. .
PASCO COUNTY, FLORIDA
Permit No.
?S-..? I -J1
Date Permitted ;) - /). 7 - 1>'?'
Builder Name/Owner Name J11 ~ rv ok-
County Parcel No. d- Y - ~ I> -,9...1- (;) 0 c9 U - <...? ~/ 0 0 - ~
::t:;':at~::~~f? 0- ~~~~ Suhd
TRANSPORT A TION IMPACT FEE CALCULATION
EXEMPT D
Impact Fee Amount $
Zone No.
Rate $
Sq. Ft./Unit
Prepared By
The above impact fee has been established pursuant to the c,o 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
J
Gross Sq, Ft. (GSF)
RatelERU - 52.00/Year
or $0. I 42/Day
ERU Assign No.
Assessment - (No, Units) x ($0.142)
x (No. Days)
ff)
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
100
TOT AL FEE $
11-"
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.
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
BY
BY
DATE
DATE
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC931130941 A