HomeMy WebLinkAbout98-7643
BUILDING PE,RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7643 13
Date
tf- J--? y-
YO . tJ7}
BUILDING
~--..~
ELECT81CAL
3-S:. #'i)
PLUMBING
~ tI'V
MECHANICAL
Sewer Conn ij" tTZJ - tr{)
Water Conn: ~. tIV
Water Meter: J ~ IJ. rt)
T,I.F.'s: 9~:2c o-v
Pmperty ow~~1f:E~~L
Job Address: t,~
P..eel La, . J 1'- U -;J/ - b I If> (} - 0 ,;l d> "L> -I L
,
Zoning: ~Zco~
(j};:"O(E;::! 7::p~;'
~ Radon Gas:
~;77
NO OCCUPANCY BEFORE C,O,
FINAL
Complete Plans, Specifications and Fee Must Accompany Application, C,Q,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
")....""'0
City License Registration # oL.. ~ .....
State Certified License#
Pe'm;' Fe~~:' JL:>/
Slgna,",e ~ r / -f-
Company _~ -
Address
Telephone#
Valuation or
Contract Price / f~ Irt>-tJ ' c:r-o
'~-p~~
x9, 4L~1
ELECTRICAL I 'f~
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4 ,,4Ikh:Jl/
BUILDING
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM,
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final ~/lIlq l 80r
Breakers
Ducts Insl.
Compressor
Final S/It /~( G~B
,
Driveway
f:~( "sl" Ia..i t&
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($1-&:ee) shall be made for each trip for each trade:
a. Wrong Address .:2..~-' t.rz? '/ 1 7f /i'. ~ _ ~ __ --+~ ~d-Y cf-
b, Condemned work resulting from faulty construction. /t/ ~ ~~, or)
c, Repairs or corrections not made when inspection called. GiJ . _ J .1,; P "5-??J
d, Work not ready for inspection when called. ~ ..,
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,
.Ma~ 13 88 02:28p
South Rtlantic ManuF. Hom
813-783-1709
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PASCO COUNTY"FLORIDA
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County I'.Ul'l'1 :'-10, /J.__~2L::::.;). / - ,',' 4~~__(~-:""':.:~. '-) - I.,L_________,
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TRANSPORT^TION IMPACT FEE CALCULATION
EX EMJ:'I' []
R~{<: S
Zone NIl,
Sq, f-1.;Uni, .-~--~~-----,.
Inlpacl h:c AIllOlJl1t $._..--------- ~._ '.
.--I'.r __...
_.-
Pl'cpareJ By
Th,' ,.hove illlp~c( fce has been "sl"bli"hcJ pu('Uanl IL' llle Pascu Coulliy TI anspoJ"{a1i'lll Illl~)"n Of(.Jill~lln' ii' auoj'1lcJ
by the BO;lrd of County CDl1iJl:i,siotlcrs, This amount is p~)'abk PRIOR III [he issuance "I' ~ CC!'1i1ic~lc nr Occupancy
<>r authMity to lllilize the pcrrnille<l Mruclurc.
RESOURCE kECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
. NONRESlDP't-;TIAL
No. t;"ils
/
Gross Sq, PI. (GSF)
l{(llclERU, 5~.O()/Yc;.ir
Ill' SO,,1-l2iDa)'
ERU As,i}:n No,
'\"':S\llICI,1 - (No, tJl,ilsj x ($0 '4;:)
, INn, l):IV')
,,,)., 11.1'1" , . ~s.. q,5
II"I!\, .~~::, .__~~
ASSC"SI1lClll -
\9.~) ~ (ERU) X (O,142) X (N" D;J)s)
100
TOTAL rEr:. 5
'["he ,.I)(lvc ;J"e"lllcrlll1a" b()~n c~aJblbl1ed purslwnl to thc Paseo COllnl)' Ordinan,"c ;-';0, S':I.U7 and Resolu1ion No, 8':l-1!i7.
:.1\ f.:olllrucndetJ. .
THE ASSESSMENT WILL BE CALCULATt::D AT THE liME Of ISSUANCE 01-' THE CERTlrlCATE Or
OCCUP ,\ r-;CY.
NO CERTIFICATE OF OC(;Ul'A;';C).' OJ{ H\'AL I'OWER RELEJ\SC WILL lIE ISSUED UNTlL TIlE AMOU,(oiTS LISTED
IIAVE BEEN rAlO AND RECEIPTED FOR BY i\ CENTRAL PERMIITING OFFICE OF PASCO COUNTY:, 4~~'.
/lekl1o:"kdgcmcnt helow Jocs fiN ill1ply ;Jccept~n<,;c of concurrence, b~ll sil1l~IY 1\:CClpt ~f a copy of this iQ~laCing
thc hlllldll1g rern1l1 owner on n(>lICc 01 {h,s asse,smcnt Jnd the: condlllons 01 paymcilt lor same,
OC\tc
1),,,,,,,ivcJ By
- ---- - - -------- -- - - -. .. --------.- ---- - -- - -- ------ -- - -- - .... --- - ----.. -- ---- - ----. -- - ---- ---- - - --- -- - - -- --- ---- -. __ ..___ _..6 ..__.... ~ ......._~ ~ ....... r..........~....
OffICE lSE ONLY
,
\
;
Tl{Al' Sl'VKl A no,,", REC, NO
I
RE~OURCE RECOVERY RE(:: NO.
DATE BY
DA TE 4~..:.!l.Z. BY
,gt,{)Jq~
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10' u,TiL;~f ~f\Sem"oJl
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APPLICATION FOR PERMIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTMENT
9&,3
D/3
)1
bRG\l\Jbo},J R..
_Co_ercial
_Restaurant & Health Department Approval
BUILDING SIZE: J( %" xs. to, 1 -4 q 0 Square Feet,
PROPOSED USE:
Single Family
_Addition Alteration _Repair Install
-
Move Demolish
_M/F _' of Units ~/H
Indust. _Swim. Pool Other
-
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET EIfERGY FORMS. **
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. **
**COPY OF CONTRACT REQUIRED.
PERMITS REQUESTED
$ ( 2> 00. Q(.L Valuation of Total Construction
\~() AMP Service Florida Power Corp.
~UILDING
~CAL
MECHANICAL
V;:UMBING
$
GAS
TYPE OF CONSTRUCTION: _Block _Frame _Steel
FINISHED FLOOR ELEVATIONS:
_W.R.E.C.
Valuation of Mechanical Installation
ROOFING
SPECIALTY
Other
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
COlfTRACTOR SECTION
COMPANY PA~co IJo.-m~ GrSt~ (L
State Cert. or Regist. I D 1+ J I 0 .1--S.
City License Registration I ~;LZ)
******************************************
COMPANY (,.eo"'ik.% sJ..epile r0J
State Cert. or ist.' <i..R...OOQ ~.s;-4"'Y"
Ci ty License Registration , I ~ '3
* **************************************
. /7. ~ ~
COMPANY ~5 co- ,.. e~ ~~ C
State Cert. or R"egist. I _ - ,/:;z!-- ,//,tCJ ~
.City License Registration .
*******************************
COMPANY eo ' ~d
State Cert. or R st.'
City License Registration ,
**********************************
BUILDER
Signature
e:LECTRICI
mlER
/
/
/
-~
COMPANY
State Cert. or Regist. I
City License Registration,
******************************************
lignature
~PPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that tIlis penit JaY be subject to 'deed restrictions' wbich Jay be lOre restrictive than City
regulatioos. !be undersigned asSUll!S responsibility for cmpliance witll any applicable deed restrictiCIIS.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tile OIfJIer bas hired a contractor or contractors to undertake work, tIley JaY be reguired to,be licensed in accordance witll
state and local regulations. If tile contractor is not licensed as required by law, botll the 0IIDe1' and contractor JaY be
cited for a lisc1e1ea11Or violation under state law. If tile owner or intended contractor are uncertain as to what licensing
reguirl!leDts lilY apply for tile intended work, they are advised to contact the City of Zepbyrhills BuilcUng Departlent, (813)
788-6611. '
FurtherlOre, if tile OIfJIer has hired a contractor or contractors, be is advised to have the contractor(s) sign portiCIIS of the
'Contractor SectiCIIS' of this applicatioo for which they will be responsible. If JOU, as the OIIDer sign as the contractor,
you are indicating that JOU, rather tIlan tile contractor, are responsible for tile work. If tile contractor lilbes you to sign
as contractor that JaY be an inc1ication that be is not properly licensed and is not entitled to pen1tUng privileges in the
City of Zephyrhills.
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 'Florida's construction Lien Law - JbIeoImer's Protection
Guide' prepared by the Florida Departlent of Agriculture and ConsUIIeI Affairs. If the applicant il 8OIeCIl8 other than tile
'owner', I certify tIlat I have obtained a copy of the above described docUIent and prOlise in good faith to deliver it to the
'OIIDer' prior to ~cuent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
,I certify that all the infofliltion in tIlis application is accurate and that all work lill be clone in COIPliance witll all
applicable laws regulating construction, IODing, and land develoPElt.
Application is hereby lilCle to obtain a perlit to do work and installation as indicated. I certify tIlat no IOrk or
installation bas cmIeIlcecl prior to iuuance of a penit and that a11lOrk lill be perfolled to _t ltaDc1ards of all 1_
regulating construction, City codes, Boning regulations, and land develOplellt regulations in the iurisc1ictioo. I also
certify that I understand that the regulations of other gOYeIDlleDtal agencies lilY apply to the intended II01'k, and that it is
If responsibility to identify what actions I lUSt tate to be in COIpliance. Such agencies include bat are not lilited to:
t Departlent of EnvirODleDtal Regulation - Cypress Baybeads, letIanc1Areas and EnvilODleDtally SensiUve Lands,
later/lfaatewater lreatlent
t Soutblfeat Florida later Jlanagel8Dt District - NeIls, Cypress Bayheac1s, letIanc1Areas, Altering latercourses
t AllY Corps of Engineers - Seawalls, Docks, lavigable laterways
t Departlent of Bealtll i Rehabilitative Senices, Envirouental Bealtll Unit - lells, lastewater Irea_t, Septic !ants
t US EnvilODlental Protection Agency - Asbestos abat_t
I also certify that, if fill IIterial is to be used in Flood Zone 'A- or 'A,etc.', it is understood that a drainage plan
addressing a 'COIp8II8ating volUll!' will be saitted which 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 witll the wort and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violatiCIIS of any code. Every perlit iSlued ahall becDIe invalid
unless tile IOrt autboriled by such penit i8 ~ced .itllln 11IIODths of issuance, or if IOrl Buthorbed by tile penit is
suspended or abandoned for a period of sil IODtIls after the tile the IOrl is ~ced. One 90 day .tension of tile, JaY be
allOlf8d for the penit with fee charge of $15.00. !be .tension 8ull be requested in writing to the Builting Official. An
approved inspection lUSt be logged during eaeb Iii IODth period, or the project .ill be c0D81dered abanc1oned.
WARRIIG 10 (lOR: YOOR PAILURB !O RECORD IIOIICB OP CCIIIIDCBIID! MlY RISUL! II YOUR PIYlIC; IIICB PUR IIIPROVIIIIIIS 10 YOUR
PROPIRIY. IF YOO IIIIID 10 0BI1111 PIIIDCIIC;, COISULI IIIB YOOR LUBER OR IJ IIIORIIY BBPORI RICORDIIG YOOR IIO!ICB OF
COIIIIIICBJIIIft'. JOBS UIDIR $2,500 III VnUB 00 lor IIID fO RECORD lID POSI A 'KOIICB OF aJIIBIICIIIIIII'.
SIGllAIURI: (MID OR AGBIII
SIGllIURI: COJIIRICIOR
SfA!B OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
SfAfB OF FLORIDA
coum OF
The foregoing instI'Wlel1t was acknowledged
before me this , 19 by
-
wbo is personally known to me or wbo bas
produced
as identification and who did/did not
take an oath.
wbo is personally known to _ or wbo bas
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Nue Typed, Printed or Stuped)
NOTARY PUBLIC