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HomeMy WebLinkAbout98-7533 BUILDING PE"RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7533 J3 Date J - :J.. '1- ?~ '-I tJ . t71> 3...s.-' (.7?;J ELECTRICAL 3-.S '.. "r-z; PLUMBING ~ -" (]I) MECHANICAl.' .. (' - Se~er Conn ^I /' f. !l-S~ Water Conn: J3i JS- ~ Water Meter: ) O-V. t:rV T .I.F .'s: ..3;)"'(). /7) BUILDING Property Owner: Job Address: J Jr. Parcel I. D, # ...2 - - 6060 -. Zoning: . Ene'jlY Code: Radon Gas: Description of Wor~ ~~ )J{-:;J,/ ~7- -:/' ~-rf~/L Y-/b-9Y'H V~/O:YO iJl11 NO OCCUPANCY BEFORE C.O. I FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE '\. Inspector l City License Registration # State Certified License# ~v Pe,m;tFee J3~ Signature W ~_ / Company Address Telephone# Valuation or Contract Price /6, CJ7JcJ. tl'O , - a.1J $(,S (j~~lt+'.fj (~ I ~/'7 11'1Jbf~ ~fY PLUMBING MECHANICAL BUILDING ELECTRICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ,11:J{Qi &B Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($...c.801 shall be made for each trip for each trade: ~~ c.TD 7J. I -...r- /.J "7 /1 '~, J Wrong Address ~ ~ ~ Condemned work resulting from faulty construction. j c..- Repairs or corrections not made when inspection called. IJ-- Lf - / t - ~ a Work not ready for inspection when called. I Permit not posted on job site. Plans not at job site. Work not accessible. ;l ~ '1- 9 k' 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE ~ e c-!/,.t.,.. r..J ~ tT:S~.s1( e. (2),j4t<~ PHONE OWNER'S ADDRESS JOB ADDRESS L6 1.1 0 LEGAL DESCRIPTION: LOT(S) h1A~3--rt~ 04~ 3f:27 J~7/~d ~U- BLOCK SUBDIVISION PARCEL I. D.' 1... c! )("4..-~ - -z..J (} 0 () 0 0 0' 0 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: ~ Construction _Addition .--1Uteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: ~Single Faaily ~/F _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant Ii Health Departaent Approval mo/~1 k;< BUILDING SIZE: fr" (/ X 7----: 7 "'" Square Feet. ;;Y . Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ '2~ Valuation of Total Construction _ELECTRICAL /~ AMP Service . Florida Power Corp. W.R.E.C. _MEGIIAIflCAL $ Valuation of Kechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVAnONS: FT. IS PROJECl IN FLOOD ZONE AREA? YES NO ****************************************** 'CONTRAClOR SECTION Ill1WIlR COKPAIIY ~ ~'/7'0 ~ State Cert. or egist.' Signature W'-~7{) City License Registration' 1./ V **** ************************************ RI.RCTRIGIAIf _ COMPANY J!-c-e. /: f ;J ell /)/J State Cert. or Regist. . SianAture ~ T/~ '. ~ ~ City License Registration . j ~ ****************************************** PLUMBER COMPANY L?~ ~ ~ I' /fC5 / } ~ State Cert. or gist.' Signature f--<-/ ~fi-./tv' ..... City License Registration . If ,fY **** ************************************ MECHANICAL COMPANY tfL -e.. /' ,{' ;J /1' ,,/J State Cert. or Regist. . Signaturec. 11 ~ c 4f' (7U'V City License Registration' ~~- ****************************************** OTIfRR COMPANY State Cert. or Regist. f Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The under.lgned under.lands thai Ibl. per.11 say be .ubjecl 10 'deed r..lrlcll.... >bleb .., be lOr. r..trlcll.. lhas til, regulations. fhe undersigned assOIes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If lb. ...er has hired · conlr,clor or contr'clor. 10 ..dertale NOrl. ther.., be required 10 be II....ed in accordaoce 0111 .1.le and local regul.II.... If lhe contr.clor I. 001 llceo.ed as required by I... boll 1Io ..... and contractor say he cited for · .Iad.....or ,lol.lion under .tale 1'0. If the ...er or Inlended conlraclor are uncertain as 10 'hal 1100DsI0g regulr....ts .., .pply for the inlended NOrl. they .re .d'lsed 10 cootacl the Clly 01 Zophrrblll. Building Oeparts,gt. (113) 788-66Il. FUrtbersnr.. II lhe DOner h.. hired a conlraclor or conlr.clor.. he i. ad'i.ed 10 ha,. Ihe conlractor(.) .ign poctl... of 1Io 'Contraclor Secll.... of Ibi. 'pplic.tlon for which lIey 'ill be respon.lble. II fOU. as 1Io ..... sign as tb8 contractor. you are indic.llog thai YOU. r'lber lban the CODlractor. are r"PODSible for the 1Or1. If the contr.ctor 'iales ,.. to sign .. CODlr'clor thai ..y be an Indicallon thai he I. ..I properly licensed .od I. DOl enlllled to perlilliog prl,llogeo In lIo City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ,-.! . D. CONSTRUCTION LIEN L1\W (CllllPTER 713. FLOllIDlI STATUTES~ AS AMENDED) I cerllfy lb.1 I. 1Io .ppllcanl. ba,e beeo provided ollb . copy of 'Florld.'. COnstrucllon Lien Las _ ........... Frntoctl.. Guide" prepared by the Florida DepartJent of Agriculture and ConsOler Affairs. If the applicant is SOleOOe other than the ....er.. I cerlify thai I ha,e obl.ioed · copy of the above described dncnsenl .nd Prosl.e io good faith to deliver II to 1Io "owner" prior to COllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all wort will be done in COIpliance with all applicable laws regulating construction, loning, and land deveJoplent. , Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no wort or Install.lion has CDIOODCed prior to I....... of. persit and thai .11 NOrl .111 be perf..... to...1 .tsoIsrds of all lasI regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber govern.ental agencies asy apply to the intended wort, and that it is IY responsibility to identify what actions I lUst tate to be in co.pliance. Sucb agencies include but are not lilited to: * Departlent of EnviroRlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, . Water/Wastewater freatlent * Southwest Florida Water Hanagelent District - Wells, Cypress Hayheads, Wetland Areas, Altering Watercourses * Ar., Corps of Engineers - Seawalls, Docks, Havigable Waterways * De rtlent of Health & Rehabilitative Services BnvirODJental Health Unit - Wells, Wastewater rreatJent, Septic ranks * US BnviroRlental 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 "colpensating volOle" will be sublitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. " A per.11 I..ued sIoll be cou.lrued 10 be . license 10 Proceed 'Ith lie ..rl ..d 001 as aulborlly to .Iolats. cancel aller. or sel ..ide ..y provl.l... of Ibe lecbnlcol codes. ..r .b.11 i.,u,"" of a per.11 pr....1 1Io Building Offlclol fros lIoresfter requirIng a correclion of error. In pi.... conslrncll... or ,Iolall.., of ..y oede. Ivery IOIOit IIOUed shall bocioe lora1id unl... Ibe ...1 aulborl.ed by .ucb per.11 I. OOI8Oocol ,Ilblo .1, IDDlb. of i........ or If ...1 BUtIorieed b, 1Io pooslt Is 8D8pl!I1ded or abandoned for · perlnd of .i1 IDDlbo .fter the tlse the ..rl is _ced. !Me 90 day "lenslCSI of lIse. say Ie allnved for lbe per.11 .Ith fee charge of 115.00. The "Iensl.. shall bs r",,,1oI 10 srltlog to !be BnIidlng Official. 10 approved inspection lust be logged during each six IOnth period, or' the project will be considered abillldoned. -DIG 10 lNIIR: YOIJII FIlLIlRIIO RICOIIO A AllTICI OF ~ IIAY ilISO/., II YOIJII PAnG IliCl FOIII-.ats 10 IOlII PROPERrY. IF YOU IHrBHD TO OBrAIH FINAHCIHG, COHsun WIrH YOUR LEHDER OR AI AfTORIBY BBFORB RECORDIHG YOUR HorICK OF COHMEHCBHENT. JOBS UNDER $2,500 IH VALUE DO HOT HEED TO RECORD AHD POST A "HOrICE OF COHIIBHCBHBIIt'". L/ ~~ SIGHA~: ~ OR AGE ~ '. ~~ C?-/~ IGHAfUR: COHfRACTOR " I STAfB OF FLORIDA COUHrr OF The foregOing instrument before me this was acknowledged , 19_ by STATK OF FLORIDA CooHTY 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 has produced as identification and who did/did not take an Oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION 1-. c 7;; 0 M~ ;5 -Q.> J Ie.. eJA- 1< ,. PARCEL 1.0." # SHON ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. I IT I I /-u( ;)) ( 1-G~- --- 7~ 20 . FRONT PROPER'fY LINE 1?- (NOTE EXAMPLES 1 & 2) STREET . If' 1. SETBACKS FOR Rl, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' . 10' EXISTING 10' PROPOSED 20'SGL FAM 30' DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LJ:NB CONTRACTOR *: 009864 NAME: WAYNE BUTTERFIELD ADDf": 389&-.'" BUTTERFIELD LANE C/ST: ZEPHYRHILLS FL 33540 ~FNTRAL PfRMITTING PASCO COUNTY, FLORIDA DATE: 03/12/98 TIME: 10:1~ PAGE: 1 OF :L ISSUE OFFIce: D RECEIPT NUMBR: 00354937 OFFICE: DADE CITY r'OI=\: : CONTRACTOR: 009864 TOTAL. AMOUNT: ACCNT COMPNY ACCOUNT CENTER 114 8450 - 363000 - 2 MA..JESTIC OM(S 3827 LAUREL VALLfY BLVD CHECI{ :/I: 00546 41.74 AMOUNT DESCRIPTION/PERMT DATA DR/CR 41.74 ****** SOLID WASTE FEE 60 ~ECEIVED BY ~~~1~. ~----/L?!i~__ _ \7 _// '-- - -- . . PASCO COUNTY, FLORIDA Permit No, ?,-S '33 f5 Date Permitted :l - a. / - ? r Buildc, Name/Owne, Name !II i 1::1::" tf2/1~ County Parcel No. ~ 9-6 'd.-I - C9 t:J CJ 0 - 0- & / tJ 0 .. ~::::::ali~I~Y~ :1 use~ ~~ :J:t~ I1U :SD Subd. TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No, Prepared By The abov ' act 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 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) l-t )-1 Assessment - (GSF) x (ERU) x (0.142) x (No, Days) 100 TOT AL FEE $ 1- 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. DATE "7 5"Jjt} 3J.. DATE:J- BY J"') qrY ~ ~ .::S BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC931130941A