HomeMy WebLinkAbout98-7962
BUILDING PE,RMIT
7962 .d
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BUILDING
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ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
AFTER HOURS PHONE NUMBER
Jj8-p~8-5262 ~ ~ d7:J
PLUMBING MECHANICAL
Permit
Date
9-/~ -1~
Sewer Conn
Property Owner:
Job Address:
Parcell.D. #d,
Water Conn:
OtJD- 6;LVO
Zoning:
DescriPtion of Work
Radon Gas:
ru..~ I e. ~c..s~ Jo ~(or; J(J, p O~( 1: t", Ar \ l1ft.v
Ai.!j>rc. /oNl;'~? r
NO OCCUPANCY BEFORE C.O. ~ .;1.: J-7
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
DATE
Inspector
.-1
Permit Fee
Signature -.
Company
Address
Telephone#
/3-s...... tHJ
. ~
~J
Valuation or
Contract Price
.3 .2.,...!:> '-01) . 0-0
,
City License Registration # S' ....!J. "7.,
State Certified License#
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ELECTRICAL PLUMBING
A~J~
,
BUILDING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
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 ($ +5:-e&) shall be made for each trip for each trade:
~-:i7fJ '7JI -f)- /J ~ () j9-/b-Yr
a. Wrong Address ~ ~ ~< 0
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called. j(L ). / tJ .- /~-.-. Y r
d. Work not ready for inspection when called. I
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.
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PrY3Cn CrlUNTY f FLORIO:"l
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R~CEIPT NUMBR! 008806?7
Of I"IeT i nAD[,' CITY
CflHi 1.1,/ : i.
NANE; H 8. R INTE:RSlnTF
(,;PIlIU ::l)')':1 ::: l.ll ", i
C/~)T; 7."+1:1:1.1...'3
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CITY nF .Z...:IJI 1.....; 11:/',>6';>'::: r,:L";C FEF
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ltll
Hl'Il'd
CDt-lI"NY MT('lIlNl
E:W7jO .... :M::l(~00
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CI'Nlrr:
J"''''
..(~.
j1,08
f'\NCIlINT . nr '~:(:I\n'TTnN/F'l"r:t'n 1)('; T (';
Lt'.0R MMM*** SOLID wnS'fE FEE
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PASCO COUNTYtt FLORIDA
Permit No. (ClCo d -6
Date Permitted _
Builder Name/Owner Name
~ 2'2 In'\-e~ s-\-~*~
County Parcel No.
\
Address/Location
3111 '3
~E:~l .
Subd. ZtO (l h L,( ..- K I dQ. e
Classificationffype of Use
How Determined
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Why?
Rate $
Zone No.
Sq. FtlUnit
Impact Fee Amount $
Prepared By
Checked By
The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the
Board of Pasco County Commissioners. This amount is payable PRIOR to the issuance ofa Certificate of Occupancy or
utilization of the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
RESIDENTIAL
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 $
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 docs 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
,I
-~;;~-~----(-(-~-~------------------------------------------------------------------------------------------------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO. rJ I A-
RESOURCE RECOVERY REC. NO. 3<15 6 6;;).7
DATE
DATE 10-(<-1 - C, ~
BY
BY rf AA.(,~
While
Applicant
Canary
Trans/Finance
Canary
RRJFinance
Pink
Office
Green
Bldg/lnsp
leacal:ce
PC93113094/C
APPLICATION FOR PERHIT
CITY OF ZEPHYRIlILLS
BUILDING DEPARTMENT
APPLICANT ~ ~~ 'J:.1l::r~R srnTt.
ADDRESS 3 s- z... (0 1 H uJ Y 5 ~.'. (JJ EST PJl~~~t~ ) l ~ L- - 7 z- -r b'
O\-iNER J-! i 12 In+t;;rs-tCt. t-~
Jon LOCATION..]'?/'? ~d 2.ep~JJ-arrqe ~T srzJ.05' x..K.Xl !\REA SQ. FT .//)50 ()
LEGAL DESCRIPTION, LOT(S) t!)~4 BLOGKOQallsunDIvIsION"Ze.PhLj r eJq .e..
PARCEL l.D.!1 C)'3- 2lc -2 \-O\:so.- {)[f'JY)-()zt./O
HORK PR01'OSED:~Nelv Construction _Addition _Alte'~'o.tion _Repnir _Install
_Sign/Temp.
PROPOSED USE: ~Sinr.le Pamily
_Sign
_t'lovc
_Demolish
. .':io-.J1/H
~M/F
___JF of Uni ts
_commercial
~Indust.
Slvim. Pool
- .
Other
nUILDING SIZE: ~~
_Restaurant & Health Department Approval
1 } 2LPO
Square Pee t,
J s/or'f
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OP BUILDING PLANS [, (l) SET ENERGY FOR!-IS. **
COmIERCIAL: ATTACH (3) SETS OP BUILDING PLANS & (1) SET ENERGY FOmlS. ,'d.-
*~COPY OF CONTRACT REQUIRED.
PF.RMTTS TIEOUESTEU
'1-nuILDING
1ELECTRICAL
'i-~IECHANI CAL
~PLilllInNG
s 321200
,
2M
Valuation of Total Construction
AMP Service
Florida Power Corp.
_h'.R.E.C.
$
Valuation of Mecho.nical InstDllallon
.'
GAS
ROOFING
S 1'ECI,\ L TY
~Other
TYPE OF CONSTRUCTION:
_nlock
_Frame
_Steel
FINISHED FLOOR ELEVATIONS: FT.
**********.*******************~**~*********
I)l1T1.T1ER Jje;LSOrJ
Signnture~
6 CONTRACTOR SE~
rC. Y ()')-A-N y. Company ~e:r:::. ~1~~mT€
~ State Cert. OJ.' RCf'.ist:. !i
.' City License J~cr'.isLl:;ll.inn iI 3">"
'1: -)( "I': * * -':t * -!e '" "J'r~.* * * * *,'c * * * -Ie ,'e ie -Ie ,'e -Ie -Ie -Ie ,'e ..,'( )': ..': .:: ..': )': "'I': ~': -:: )': .::
<C~
Signnture
rZ Y (I) A-N
lOX
"EOll 'NT Cf~n
S~gnature
Company SA-\-\- Q. ~ P l2-D P ~rJ E cl-fY / e.-
State Cert. or Regist. 0 0
-:--City License Registration :,: ~ tJ
******************~***********************
.yo
-~
Signature
Company
State Cert. or H.eGist. i.:
City License Rcgistl~ntion ~~
OTHER
***************************************~**
PER~lIT OFFICER.
APPLICATION APPROVED BY
~_~J_.ji.,!D I -r I O~._~~~ C [';-' j' L::J <1':1 I -r ;~l:::-F I C ('I'.: T "t-.
A . t! 0 -: UT,- 0 F I~ r:: G:J ~__!J .!::.2 T n I GJ::...LQl:! s
1h~ undersigned uJdcrs::lnlls th.,: \Li', p~rd~ may hI) subject to "deed rcstridit,ns" ~Ihich ~ay I'c "[,n re5\ric\ivc than City
regulations. The undersi~ncd ~~5u~es responslbllitY:fo~ co~pliance Hith any applicablc deed restrictions.
E. UNL I CE~.!SJ::D Cr.~ri:rnQ.cTORS AND CONTRACTOR RESPO!'IS I Tl I I I T I E;S
If the OKner has hired a cDnlr~ct~r or contractors to undertake Hork, .they nay be required tD t~ licensed in accordance "ith
slate and local resula\iDns. If the cDntractor is not licen5ed as required by I~\I, both \h~ D"n~r and cDntraclDr .ay be
cited for a tisde~2anDr viol~liDn under state la".. If the DHner or Intended contractor are uncertain as to "hat licensing
require:ents r.oy ;;pply ft,r I.:;,> intcnde;! IJOlk, they ~re advised tt, cc,ntact the Ci II' c,f 2ephyrhills Pui Iding DcporbL'r,l, (813)
78B-6611.
Further:ore, if I~e DMner h~s hirrd ~ cContractor or contractors, he is advised to have Ihe eonlr2elor(sl sign porlions of the
'Contrictar Sections' of lh~s ~~plication for Hhich they will be responsible. If YDU, as the DHncr siQn as Ihe CDntracl0r,
you are indicating Ihat Yl,',:, r~i\hLT Ih:J1l the contractor, are 'respc'nsible for the \ic,rL If Ih2 ([,nlri:cle,r IIi shes )'c,u to si~n
as cc,r,lraclc,r thet ~ay be i::\ iilllicalion that he is not prc,perly licensed ~r,d is nut enlilled Ie. pU'Jiltir,g pri,'ileses i-, H,e
City of Zephyrhil\:.
C. TRANSpmH8J:.:rDli-IJ~I=-f\CT FEES AND UT I L I TY COf\If\If::CT I (JtLE.f:r::~
D.
CONSTRUCT I QLl._L-.J.l=:~.l Lml.
(CHAPTER 713~ FLORID~ STnTUTES, AS AMENDED)
r cedify Ihat I, the appliccJ,t, hiJ','c been provided with a copy (If "Florida's Ce,nslruclie.n Lien L,)l - He....e:,)jner's Pre,leclion
Guide' prepared by the FIDriJa DrpaTI~ent of ngriculture and Consu~er nffairs. If tl,e applicant is SD:e6ne olher than the
'oHner", I certify thut 1 :,,-,'12 c,btc,iner! a. cc'py of the above described dCoCumt:nt ;,r,11 pre,~,i,(' in 0;:'oU f"i lh to del iver it tt, the
'oNner' prior to eD5~encr~cn~.
..t....: .
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the \nf~r~ation in this application is accurale and that ~ll Mork Hill be done in coap!ianc! "ith all
applicable laws regul~ling c0nstruction, zDning, and land developcent.
Application is hereby ~adD Ie' ~blain a per~it to'do Hork and install~tion ~s indicaled. I c~rlify Ihal ~~ work or
installation has co~~enced priDr to issuance of a per~it and that all Mork Hill be p~rror~ed to mert standards of all la~s
regulating cDnstruction, City codt:s, zoning regulatiDns, and land dt:Yelop~ent regulalions in Ihe jurisdiction. J also
certify that I undersl~nd 1~3t the regulatiDns of other governoental agencit:s aay apply. to Ihe Inlended H~r~, and t~at it is
roy respor,sibility Ie, idenlify \lhat actiDns I oust take to be in compliance. Such agt:f,cies include bl1\ ,'I r ile.1 lir.iled tt':
. J. ~
I Deparl~Dnt of EnvirDn~Dnlal Reoulation - Cypress Dayheadsr IJetland nreas and Environmenlally Sensi tiy~ L~nd5,
Hater/IJasteHater Treatment
+ ~,c.ulhHDst FI~~0.rr )~anaqe~,ent District - \Jells; Cypress L\ayht:ads, Hetland r.reas, r<llfiir,'J 'de\.rrc0u.sr:S
I Arty CorDS ~f EnqjneDr~ - SeaMalls, Docks, Navigable IJaterNays
I Dep"rlocr,t (,i l\('"II.hJ~_[:~tlih_ilit;;tivp. Services, Environrr,entallle,...l.!ll Unit - lie-lIs, \lasIDj,Jlu Tre:\,:c:,:t. Se~tic T2;,ks
I US En'lifColi:['ntid Pre,\['!:tiCorj r,nt:ncy - nsb~stos ilbate~ent
also certify thdt, if fill r.:J\C'rial is to be used in Flt,od Ze.ne 'no c,r ",",etc.', it is \JfIlh.r,\c,[.J \:,.'l "drainage plan
addressing a 'co~pen5ating yolulD' Hill b~ sub~itted Hhich is prepared by a professional engin~['r f01i,10i0J in l~[' Stale of
Florida pric,r Ic' per~il i,.5uo;-:co.
n perbit issued shall be construed to be a license to proceed Hilh the HDrt and nol as authority 10 yiDj~te, cancDI aller, or
set aside any provisions of the technical codes, nor shall issuance Df a permit prevent the Duilding 0ffi[i~1 fro~ thereafter
rrquiring a correction Df errDrs in plans; construction, Dr violations of any code. Every p~rmil iSS\!0j 1hall b[,CD%r invalid
unl(.ss the ~I[,rk allil,(,ri7d [,'1 s\Jch perr..it is cc,/uenced llithin six I\:onlhs (,i iSSIlJJiCt:j t.r if ,/C.J \. ,d,tk" 17c-O OJ' the per.\il is
suspended Dr abandonej ior " periDd of six ~onths after the ti~e the uork is CD~menc[d. On[' ~0 daf 0~t0~5io" of ti~e, ~ay be
all('Hed fc,r the p['r~iljliU, fc'e ch;;rgc of ~J5.00, The ~xtension shall be rcqlll'stl:il in \lrilin~ Ie, '.1"02 ",'i\Jir,g Oificial. nn
approved ilisprctiDn ~IIS\ be logged during each six month period, or lhe project Hill be (onsiJ~r['d db~I,J01i['J.
(..JARN I NG TO m.nIEF~: YOUR FA I LURE TO RECORD PI f\!OT I CE Di-=- COr1~1r:::[,1L:G1r::r"T r'1AY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO yoUn PRoPER1.Y. IF YOU
nlTEf\JD TO Ofnrdr'j FIf'JANCING, CONSULT WITH YOUR LENDEr~ OR (.'d\j ATTom~EY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 300S U~IDER $2,500 IN VALUE
DO NOT NEED TO F\ECmm (lND POST A II NOT I CE OF COI"H'lE[\ICGE:i.!T".
." ~
5 I G"ATURE~____.,__-=:::~- CC::: ,5 I GNATUrf_b-------"""~c------- -
(]LItIEfl [JI1 AGENTPeR.5"o.vftLt/' !4In.J1J cmnrH'iCTOR ft::/aSII1;.JItLL'I f::IJrwA...J
DATE_______~~_~~~~]C~---------------
DATE. 0_ Lt:J - 9 g
-------------~-- --------------.-------
NOTARY AS TO ......4/.,.-,;. /7 tA
OWNER Of( (',GENT _~~~t.1.<- 1L~N
HAm L.I2EJJ:.i'%.. J('illlU N
MY COMMISSION ExPlnEs___________________:_~
NOTARY AS TO ~ ~
CONT[(ACTOf(___ _ ____ ~Q..: _~":I'U/~
" /h7I t-E;~ p-: ~w IV
MY COMMISSION EXPIRES__________________
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KATHLEEN J BROWN
My commission CC<449029
Expires Apr. 02.1999
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KATHLEEN J BROWN
My Commillslon CC449029
Expire. Apr. 02, 1999
100.00"
28.00"
1998
Palm Harbor
45 00"
sidewalk
2> -- ~c\'V- rcc(
12.00"
10/
~
Sam Sager
Lot 24
Zephyr Ridge
03-26-21-0130-00000-0240