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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 - J-'-f \ ::,l, 1L )'\ f J..1 I f Ad - . I 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