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Home My WebLink About98-7671 BUILDING PERMIT 7671 (j CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date '1- /..3-7~ Jjo. trD BUILDING ...2S r ~ ELECTRICAL 0~-: (7z:J PLUMBING ;;2~-, O'V MECHANICAL Sewer Conn I ~ i'r, (lV. Water Conn: 3<!:>o, cJ'D Water Meter: ll?"'tJ ' oiJ T.I.F.'s: ~i.Jr&,tJ"'b Property Owner: '0 Zoning: ~gy C~ ,Radon Gas: Description of Work )jf, " . -<f.,T A./f~ 7Jl(€A Fd ~-..t:,-?? ~ f-:/~ J1fJ1! 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 )/5 qi DATE C.O. ,s--6. YY DATE Inspector ~Y ~'m;t Fee d~ -6 < .TV id,. <2(Z. Signature ~ \.....- _ Company Address Telephone# Valuation or Contract Price ~~ -. ,,-.50, c:J"i) - City License Registration # State Certified License# lidt:~~ft1 BUILDING ~rl_ /70 ELECTRICAL ~~:td PLUMBING /1JAAI7 MECHANICAL Breakers Ducts Insl. CompressoJ Final '1llJ!9s /t'ei SLB Tub Set Water Sewer Final 'f /J~ 1<13 foj Tp. Servo Rough In Meter Can Con st. Pole Pool Pre-Meter Final 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 ($ HT.e01 shall be made for each trip for each trade: ~""'IJV -U~... .r.:'J T,,-Il ./1.L~ a. Wrong Address ~ ~ /- b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called.) 0 C-- d. Work not ready for inspection when called. IL J,- - ~ - / 0 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. 'V-'L-S })~ APPLICATION FOR PERKIT CITY OF ZEPIIYlUIILLS BUILDING DEPARTMENT OWNER · S NAME If \f- R. I^t~l's+A-+~ Mob,' (e OWNER'S ADDRESS 3S~7 Hwy 5'f&J -~~y(",'f(~ Lo+ ~ (p - &;037 Zephyr f(,,~€- Dr Ha/fi ej PHONE ~ I :3 - 7";;', - ;)9.7 " 33511 JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' 03 - d,(,,- dJ - 0310 - ODOoo - 00",0 (OBTADl PRlJII PBOPEl!.TY T::.2-~J WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install PROPOSED USE: _Sign ~gle --,"<>ve _Deaolish Faaily _M/F _, of Units -M)JI ~ther tflMu!:tc-fvre) H-Ot"ll-e, _ec-ercial _Indust. _Swia. Pool _Restaurant & Health Department A~roval DESCRIPTION OF WORK: L'\ 6' lkt{ It W mAY! u 4.-( -f u rd BUILDING SIZE: ;)J?' x If';)'. tf' la6g'square Feet. Height hOFJ1 ~ 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. ~UlLDING V ELECTRICAL Z:~ PERMITS REOUESTED $ ;(5) ~50 , 150 AHP Service /1f~O Valuation of Total Construction Florida Power Corp. r:::/ W.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OP OORSTIlUC'lION, _BIock _p....., _Steel tj/tt Other PDiISHED FLOOR ELEVATIONS:*Fr. IS PROJECI' IN FLOOD ZONE AREA? YES / NO ****************************************** Signature CONTRACI'OR SECTION ,:-d/~ ~p i~~ COMPANY Bc)t+er+;eJd fVlDbi~ H~tI1e C--b; -~t1,,// <'P'_ ~ State Cert. or Regist. . ~ ~ City License Registration' &.If ****************************************** Serv:ce. RUTT.DER =CIAR ~ COIlPANY C!.-f,vuIU ::J.;r)Il'1 :...c:.-. State Cert. or Regist. . ure - City License Registration . (7~ ****************************************** PLUMBER ~ COMPANY H.j- R. ~t1.fe,JIf-i<. M H L#) ".., State Cert. or Regist. . Signature /~ '<-- City License Registration t ':L..7 ~ - ****************************************** r' Signature ~ &.L. COIIPANY {<, ft~r's f,-OLWre. bitS .J- R/~ 6. ~ State Cert. or Regist. t City License Registration' /.'"( ***********~****************************** MECHANICAL OTRRR COMPANY State Cert. or Regist. . City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS >be updor.lgpo! uodoroland. Ihal Ihl. pec.11 .ar he .uhj..1 10 'deed c..lclcll.... ohich oar be ..c. C..lrlcll.. lhon ellg regulations. rhe 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 lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the ONDer and contractor .ay be cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to conLact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which 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 peClitting priVileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~ D. ~ONSTRUC'l'ION LIEN LftW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOw.Oer's Protection Guide~ prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If tbe applicant is SOl8ODe other than the "oNDer", 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 cOllenCelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' 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, zoning, and land developlent. 1\ Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certify that no wort or installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to leet standards of 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 otber goverRlental agencies .ay apply to tbe intended wort, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to: t Deparllent of EnviroRleRtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treallent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t De arLlent of Healtb & Rehabilitative Services EnviroRlental Health Unit - Wells, Wastewater Treatlent, Septic Tants t US EnvirORlental Protection Agency - Asbestos abatelent 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 volUle" will be sublitted 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 with tbe work 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 vioiations of any code. Bvery perlit i8sued &ball beCDle invalid unless the work authorized by such perlit is cOllenced within six lanths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of six lanths after the tile the work is cu.enced. ODe 90 day 81tension of tile, .y be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. AD approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNUm TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHBNT HAY RESULT IN YOUR PAYING flnCE FOR IHPROVEllDrS TO YOUR PROPIRlY. IF YOU IIITEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDIR OR AN ArrORRBJ BEFORE RECORDING YOUR MorICI OF COHHENCIHENT. JOBS UNDER $2~ VALUE 00 NOT NEID TO RICaRD AND POST A "NOTICE OF COHHKNCKHKJIT". / ~;f~ ~~ .1 NATURB: OWNIR -Oif~ ,.8'(GNATURE: COlfTRACrOR STATE OF FLORIDA COUIITY OF .p A s Co The foregoing i~~ wa. ~~O"ledged before me this ' , 19 by NG:Lso JJ ~J4AtJ who is personally kn wn to me &r whe haa 1'f'6du~t!(J a8 igon~i~ir~t~gA and who ~/did not tak~~~ /.~ ~?l'J-. .~ (Signature) .. kATlI LEE-Ai ~ / ~Re() w Ai (Hame Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA COUNTY OF PAS C~ The forego.ng i~~t w..a. s a~k9,pwledged before me this . S?, 19~ by ~~ ~Jn,S.o~ V A' who is personally known to e~r ~o has prgglleed as idenliG",llli8ft. and who .di4{did not take an oa ",,~ PIIII( ..<>'\.:0. {, ;u; I't OF f\.'> KATHLEEN J BROWN My Commission CC449029 Expires Apr. 02.1999 :\,,\\~ PIIII( ..<> ~~ {, ~W: ""t OF f\.()~ KATHLEEN J BROWN MyCommSsionCC44~ Expires Apr. 02, 1999 Z",~ht ~iclJ-e- ])r;"'~ / I IOO ~2 ( ';).3' 4"-7 < I, 'J..~ 1 r Acce ( I D ~ ~3- ~- a,l- 0310 - 00000- ()D '0 tt? ' J.j " I It f (Q '8 ~ ~ to :!fJ''611 '" (qOT 7 C US:+OMe..r - Dy kes Lo+ =" & (o037 Z-~rt- ~:jJ-e}) r, - - - _..- ~.- _. - - - - -..-.--- ----.------- r-r"I:-!'-j.:"\;,l" '-j','"!', NI'l'i I (ilH'! C/" i j, \ I t rell (~f'I! ! -f 1 !) 'J I'! ACi I r:r i ! i:', I' !'. ,l l '\ ~.!' .1' ; I :t;! i ! HI I : I' : I I!. : '.1' ': ("iTl ! I t, ;"f! li'.l ;'li"-{' I' . . r ~"-.. " ,. (;::;:. ,I \'"! ! - ~'! I,) r 'r :-,:, -11 T'( :,1 ~ .,'" " i,liil, 'T',' I, !'H":;. 'J ": 'H. i'! If /' (. C( (I I i ! '_1 : 1 I' ..r I"~ : Ii' ':1' t i) " \.f ,"1'-,. f'l;l j. i,d'H !i.l"l 1 : I'Ci / / J' I ,. . ( <. ( ----~..<' ,'"';i.jj..jjli i j ,". i / 1// / I t" /; {' (: ~//. t. Cj.._. . \ . ".", I ! i '! " ,'" i ;" j I : li {"f i f ': 1 I'. ','"" I {I, , 1 , ., I' I, I'" i , ".ll It' .'( \ I! ; It , .. .... ~.~",_, ~".l~, ""~'t:'~-;r~>,,,,w:...,;:' ~),,,,~,4~"'''},--, _~\;~_~~~;''';;';'~.'~:l~~(~,y.-}l:~.'.......;r+:T_~''''''' ......-...~.-.." ,'--_.'.~. PASCO COUNTY.. FLORIDA ~.. .r '(""J Permit No. Date Permitted i Builder Name/Owner Name County Parcel No..,' I ,/ I '..<' .......... ,.....,. , to, ~ Location ') , ? Subd. Classification/Type of Use / "'; f -~~ TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./Unit Prepared By . ..,-......... Impact Fee Amount $ ,./-' ,-' --. "'...,..... -....,..- The above impact fetidfaS 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 RESID ENTIAL NONRESIDENTIAL 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 TOT AL FEE $ C..' 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 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 PC9311 3094/ A