HomeMy WebLinkAbout98-7676
BUILDING PE,RMIT
7676 'fj
CITY OF ZEPHYRHILLS
(813);'-6611 ~ Date y- / Y- flr
~ ~ ---::BIN~HANI~ Sewe,Conn 1/71 J?b'
~ _ ~~~. - ~-~ffz- _... Water Conn: ~/:il.~~!!/'P~
"'operty Owne" n ,,~~~ Wate' Mete"" Iy.O
Job Add'... Je-~ ~;)I....~:",,~~ ~or ftlLJ T,Lf' .3.20'~
Parcel 1.0. # ~-i:""/i?-__'::'a..t2.t2- - ___rJ-~ /.:20 YJ1~--'~~ 0/).Jl~
Zoning: Code: ' Radon G s:
.~
Permit
Description of Work
11111
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
I i
DATE 0
-Ih-f
NO OCCUPANCY BEFORE C.O.
DATE
City License Registration #
State Certified License#
,tjl
Inspector
~tm;t Fe~ ~5" .~ ~
SognaMe ~~
Company
Address
Telephone#
Valuation or
Contract Price
~ CJ
,..5. ~ nO' -
,
~i!!iIi.t
c;;,<~.
ELECTRI ~ 71 7
(q~:t,v
PLUM G
Q~1':if! .
MECH- ;CAL /f,s-
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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 ($1 ~ee'I shall be made for each trip for each trade: c.I--
~ (J7) -J- ~~'
a. Wrong Address" ~ IJ-~ u.. tJ-.5,,' - ;/
b. Condemned work resulting from faulty construction. . 1~ .
c. Repairs or corrections not made when inspection called. 1J ~ /p. J' u ~
d. Work not ready for inspection when called. - J If - / b -7
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.
APPLICATION FOR PERKlT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER' S NAKE
./ .....-; 0
(", J~ i-eP. ,q / (/
PHONE
OWNER' S ADDRESS
JOB ADDRESS .i..G T /20
-22-0.:L ~~~J<;JJ-e ~,
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition --Alteration _Repair _Install
_Sign _Kove _Deaolish
PROPOSED USE: _Single Faaily _KIF _' of Units ~H
_~ercial _Indust. _Swia. Pool _Other
DESCRIPTION OF WORK:
Restaurant & Health Departaent Approval
"~tM-k ~) /JU
-
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
COKKERClAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AttP Service
Florida Power Corp.
W.R.E.C.
---1IECHARlCAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FlIilSBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER COMPANY p~~ ~ 4--..S
~ State Cert. 0 Regist. .
Signature 07-- City License Registration' 5--CdB-'
****************************************
::::IAN j tJ COHPANYh{?', Mf?f1(
.ill j/ jJ I - State Cert. or Regist. ~C/
1m e tJf I{..(~ p fL, ()t/elfA.- City License Registration f /f??
*****************************************
PLUMBER ~ COMPANY /?_.../~~ ~/...s
~7JA/1 State Cert. or gist.'
Signature 0~ ~ City License Registration' vY
******************************************
MECHANICAL "l // COMPANY fire /{ RfJ '[}{
~C/1P Lt~ State Cer!:. or Regis!:. (V cHm:~9"1.53-
Signature . c..... City License Registration' ~ ')
**************************************
OTHRR COMPANY
State Cert. or Regist. I
Signature City License Registration I
******************************************
APPLICATION APPROVED BY PERKlT OFFICER.
-~......... .~......:.-~.,-,~..
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
rbe under,lgped upder'l.ed. Ih.1 thl. peroll oar he suhjecl 10 'deed ,e'lrlcllop,' which oar he lOre r"trlell.. !hoP ell,
regulations. rhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
IE.;;
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be
clled for · .Ied.....,r 0101.11.. under sl'le I.w, If Ihe owner or jplended conlr'clor .re "corl.lo as to 1b.1 11....109
requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrbills Building Deparblent, (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
'Cootraclor Seclloo,' of this .ppllcaUuo for wllich ther will he reopoo.lble. II fOIl. as the owner sign .s u.s CtIIltraclor.
you are indicating that you, rather than the contractor, are responsible for the wori. If the contractor wishes you to sign
as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~
D. CONSTRUC'I'ION LIEN LnW (CHAPTER '/13, FLORIDA STA'l'UTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection
Guid~" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeone other than the
.owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
"owner." prior to couencelent.
E. CONTRACTOR. S/OWNER' S AFFIDAVI'l'
I certify that all the infor.ation in this application is accurate and that all wori will be done in co.pliance with all
applicable laws regulating construction, zoning, and land develop.ent.
I
Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that no wort or
installation has cOllenced prior to issuance of a per.it and that all wori will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDIental agencies aay apply to tbe intended wort, and that it is
.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.lted to:
* Departlent of Envirofilental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
. Water/Wastewater rreaLlent
* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
* De arblent of Health & Rehabilitative Services BnviroRlental Health Unit - Wells, Wastewater rreallent, Septic ranis
* US BnviroRlental Protection Agency - Asbestos abatelent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.., it is understood tbat a drainage plan
addressing a "co.pensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to per.it. issuance.
. A per.it 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 is~u~nce of a per.it prevent the Building Official lrOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beCOle invalid
unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six lanths after the tile the work is cOllenced. One 90 day 81tension of tile, laY he
allowed for the per.it with fee charge of '15.00. rhe extension shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each six IOnth period, or the project will be considered abandoned.
WARRING ro OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCEHBNT HAY RESULT IN YOUR PAYING niCK FOR IMPROVKJlBIIIS fa YOUR
PROPERrY. IF YOU INrEND ro OBTAIN FINANCING, CONSULr WIrH YOUR LEHDER OR AN ArTORNBY BBFORH RBCORDIHG YOUR NorICI OF
COHMBNCBHEHT. JOBS UNDER '2,500 1M VALUE DO Nor NEBD TO RECORD AND POST A "NOTICE OF COKHBNCKJlBH1'".
SIGNArURE: OWNBR OR AGENT
----Sl GNATURE: COHrRACrOR
. I
srArB OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
srArE OF FLORIDA
COUNrr OF
The foregoing instrument
before me this
was acknowledged
, 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
40
50
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rr~TRAL PFRMITTING
PASCO cnUMTY, FLORIDA
DATr: 0~/15/98 TIME: 12:32
PAGE ~ :t OF 1
TSSUr: OF'FICr-: n
RECEIPT MUMBRt 003590q9
or-Flee: DADF CITY
CONTRACTOR :II::
NAME: BUTTERFIELO
ADDPt lOT 120 MAJESTIC OAKS
c.' S T ~
r-OR:
CIIFTI< :II ~:'i22:3
F:ESllURCE FEE ON PEr~IHT 71.)7 6B CITY
OF zr:PHYRHILI f-:
I~CCNT
:I. 1l.
TOT i'lL AHfHJNT:
C:O!-tPNY ACCOUNT Cn.fTCF:
8450 - 363000 - 7
~~6 . 9'.~
AM 0 l JNT Dr S C I:~l F' T ION / pr' F' M T DA T A DF: Ie F~
36.97 ****** SOLID WASTE FEE 60
~
( ,.- -----
":'. ..1.". : ~
'..I~ I.I...D 1.< ..._,_ __ ~_._._____________._..._.__
Permit No. ~7 ~ /
~; Date Permitted --4'c':' / ~yI
::~:~: ::::o::e';; -;z: ;~7!:~~~_ ~~ 2) L~iJ
Location A 07:' / ~ D L?'/[..rTft' @~ Subd.
Classification/Type of Use
PASCO COUNTY, FLORIDA
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Sq. Ft,/Unit __________
Impact Fee A~
The above impact 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 D
RESIDENTIAL
I
NONRESIDENTIAL
No. Units
Gross Sq. Ft. (GSF)
Rate/ERU - 52.00/Year
or $0.142/Day
ERU Assign No.
Assessment - (No. Units) x ($0.142)
x (No. Days)
~.9d-
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
100
TOT AL FEE $
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 CALCULA TED 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
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/A