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