HomeMy WebLinkAbout98-8054
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
8054
Date
10 /27-/q tt
I
do .uc)
BJILDING
.l 05. aO .,
ELECT/,ICAL PLUMBING MECHA CAL Sewer conn~' 1,(J J.L
_ . Water Conn: -+~1
P,"pertyOwne' ttl 'f~S E. ?;.JJ2, ~ Wate, Mete' I CVJ1-pu....
Job Address: o~35' __ l/n/~t2___ ~JD, ,0.. T,I.F.'s:
Parcell.D. # ~4 - d in -~I -Qc..") t:>O ,-00(.:00'- 32-
Zoning: Energy Code: Radon Gas: , () rYf?'Vt1t) \
Description of Work y)\,oh.CQ.Q. ~h10 ,AUt.A.A.p C 1:1111' ~
Fe&.(' '~41 A.'w\, ll~q,q~ .p~'AIIO~AQ~
Dsf\ K.V.~
7Pi J {'1~\ -
BUILDING
ICAL
~i
Company
Address
-tJrelephone# ~\ ~ - J R~ -O~L\ ~
UStl 'KVSoliLJ
{j)b()'"I(t/\ /w tJ
PLUMBING MECHA CAL
FINAL
C.O.
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.
Inspector
Valuation or
Contract Price
b9/0QJ. () 0
.
City License Registration # J6j1C,
State Certified License#
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a ,
charge of Fifteen and 00/100 Dollars ($ 25.00) shall be made for each trip for ea, c~ trade~ . _ .. n. '7 ~d
a, Wrong Address r ~ ~""""I
b. Condemned work resulting from faulty construction. /0 I') ~J;/
c. Repairs or corrections not made when inspection called. jer 7/...,U
d. Work not ready for inspection when called. .-.1 I I
e. Permit not posted on job site. r--- ~ 2.0
f. Plans not at job site. I
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
0855 Lo...u.xeL Y<^.U~ ~Ivd
LD+ "3 2.
S-\-re e+ t~O()t-
"
/i'\
l..D'
'==- I~ >
--
71.:,
<- "fI~
,
\ ~ '/. 34
<.
~'
2lJ, )
3~
H~rk
Mode L
~
I'~~ I
I
I
J I
'v I
\: - ~D' >
<<EJ1~
OCT. 27/1998
CITY of ZEPHYRHILLS
PERMITTING
TO WHOM IT MAY CONCERN:
SHANNON WADE HAS PERMISSION TO OBTAIN PERMITS FOR
U.S.A. RV SALES.
~
D THY BAKER WADEl OWNER
U.S.A. RV SALES
NOTARY: ~~
C/.D. GARBER
DATED: /O-~7-'1A
PERSON KNOWN
,\\\\I~IIlI'p'j"'I''4-.
/~'i-,!::.__....i!..~?""
f~!~-r-\
l~. .~\~ : J
". ". ..... ~ ,~$
~~"-';':'( '0';"'\\ ~ ~~,,#
"jlllllllll\\\\\\
J. D, GARBER
Notary Public. StAte of Florioa
My Comm, Exp, Feb, 3. 2000
Comm, No, CC 522567
I 'Ft,ITf:'AI. F'F'PMITTING
PASCO cnUNTY, FLORIDA
~ATF'l 10/27/98 TIME: 14:06
P,^IGE ~ :L OF "I
JSStJr OFTHT: [)
RECEIPT MUMBR: 00382:L0A
nFFIcr: DADF CITY
r~nNTI~:ACTl1F: t:
NAME: WILLIAM E EVANS
ADDRa 3835 LAURFL VAI.LFY RI.VD
C/ST: CITY Z/IU:U..,S
r" 01:;: :
CHFTI< :II' 1 ~:i:~B
elTY OF' Z/HILI.S
AceNT
114
TOTAL 1~l1rH.JNT:
80MPNY ACCOUNT CFNTFR
B450 - 363000 - 2
9 . ?~~
AMOUNT DFSCRIPTION/PFRMT DATA DR/CR
9.2~ ****** SOLID WASTE FEE 60
~>
PASCO COUNTY, FLORIDA
Date Permitted _
~05 cj
Id/27-/qg
,
Permit No.
UJ i f'ioWl" f. etlCU15
County Parcel No. ~l.(-d(p"~ I - 00,30 - 000.0 U - 3&.-
Local;o" :3 is' 35 L AiL tZ {; L vaLl i 1 ,g.. L v 'L Subd
Classification/Type of Use ~es;d-tll.:f;tc
Builder Name/Owner Name
...........~
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
Sq. Ft./Unit
Prepared By
Impact Fee Amount $
The above impact fee has been e lished pursuant to the Pasco County Transportation Impact Ordinance as adopted
by the Board of County Co lssioners, This amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority to utilize t~..'t>~rmitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
RESIDENTIAL
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)
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 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.
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.3 Yd /0 b
DATE
DA TEiD -
BY ~
~7 .. q <j)'BY_~~ ~,V}
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/
APPLICATION FOR PElWIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME W; \I~. E. Eva. \"- 5
JOB ADDRESS 3835 L~ VC\.~ ~I v d
LEGAL DESCRIPTION: LOT(S) :3 ~ BLOCK
PARCEL ID # ~ J..f ...,:) Ia ~ 1- l) ,.,3, () , htJ()/'l1'l :3 ~
PHONE
7R () - 25 i)o
SUBDIVISION M~j-<!''&.Lc OA-kS
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: []NEW CONSTRUCTION
[]ADDITION
[]ALTERATION
[]REPAIR
[] INSTALL
[] SIGN
[] MOVE
[] DEMOLI SH
PROPOSED USE: []SGL FAMILY DWELLING
[] COMMERCIAL
[]MULTI-FAMILY
[] INDUSTRIAL
[]# OF UNITS
[] SWIMMING POOL
[] MOBILE HOME
[]OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~\J
Sd~
BUILDING SIZE
SQUARE FOOTAGE
L./68
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
/
~ BUILDING
$
PERMITS REQUESTED
(0 'If 000. (JO
VALUATION OF TOTAL CONSTRUCTION
[] ELECTRICAL
cI PLUMBING
AMP SERVICE
[] FLORIDA POWER
[] W.R.E.C.
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[] GAS
[] ROOFING
[] SPECIALTY
[] OTHER
TYPE OF CONSTRUCTION: [] BLOCK
[] FRAME
[] STEEL
[] OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[] YES
[] NO
BUILDER ~* COMPANY Lls A- RV soJk-.. to
h , STATE CERT OR REGIST # R \J lOSS
SIGNATURE ~ CITY PROCESSING # I q k{..,~
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PL~ COMPANY US,q ~V s k\ ( ~...s.
I. G\P. ^ I '\_ _~ 11 STATE CERT OR REGIST # RV /l)S<-<: A
SIGNATURE v-u Q~ ~ CITY PROCESSING # 1"1 '-I J-,
**********~*******************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE'
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
. compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, 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 signs 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 may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to conunencement.
E. CONTRACTOR'S/OWNERIS AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has conunenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is conunenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is conunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
[]who is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
[]who has produced
(type of identification)
and who []did []:lid not take an oath
[] who has produced
(type
and who[] did [] did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped