HomeMy WebLinkAbout98-7855
BUILDING PE^RMIT
110
--
~/?-----~
~
CITY OF ZEPHYRHILLS
(813) 788~6611 -
- !15'
~~
Permit
7855~
7-/1-/- rv/
.--
Date
~::~:~~:~e'~i!:-4~~~Fd:/O
Zoning: Energy COj: A,) ..--Radon Gas:
Description of Work C-'P) f ~L ~<;...;::t. I ~
7.11(13/1 ~ KPt ~y() -4.&7t~~ ~-/~-prlllt1l
NO OCCUPANCY BEFORE C.O. FINAL
C.O.
Sewer Conn .I, ,:l '7 J :.
Water Conn: .:3.5[)
~/' rl."'-
wate: Meter: 71 ~x :!
T.I.F. s: ~ 1/ FI_
\
~
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or tl
Contract Price IF' d2,j, .5:0 V ~
C;ty Ucense Re~;st,",;on'. "I~
~t~'
i) ...JiJ-
Permit Fee
Signature
Company
Address '-
Telephone# a/' 1t;L..~ cSl. a.... 7 ~
~~cd (~!~~
PLUMBING 62 7b MECH~{~ /7
BUILDING
(?T!if.,h4'~
EL:~TRICAL/70
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. 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 ($~) shall be made for each trip for each trade: . ~
a, Wrong Address .2-5-; e:r() WtA.d~ ~,~ ~
b. Condemned work resulting from faulty construction. /J y_ / , _ 0 '7-/~-w
c. Repairs or corrections not made when inspection called. j)- t( (I
d. Work not ready for inspection when called. I
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
mLIeANT JJ ~ e ~~?{d-eMobI/F J./nm~$ _
ADDRESS 3S~ l i1 f.J~ ~ """5iPJ ? y-.j.fl/s PHONE "7 ~ 2-22.7 (I -
OWNER ~tt~(L "TV\\ef'~~ Mooi\e~~._b\()'iU- J ^
f) \J .
Jon LOCATION l t)t II ~\ C~~ ~CLkf LOT SIZEl.dlX JDD MI.EA SQ. fT.
LEGAL DESCRIPTIO'" LDT(S )--=zJ.-nLD C...2LSURlJlVlS ION ? e{?hy r ej d ~
PARCEL 1. D.!i O~- ~l,).... ';;t t~ 6310 -[)Of}t'") - o~ lO .
WORK PRDPOSED,X-New Con,truction _Additi~n _Alteration _"Repnir _In>tall
APPLICATION FOR PERH"IT
CITY OF ZEPHYRHILLS
BUILDING DEPARnlENT
_Sign/Temp.
PROPOSED USE: -'12Sincle Family
_Sign
_!-love
~M/F
~iF of Units
_Commercial
~Indust.
_S\.dm., Pool
Other
_Restaurant & Health Department Approval. ~.
nUILDINC SIZE, ~ ,~Lbz ' Square Fcct,~ a
_Demolish
,.'1 1'1I11
Height
RESIDENTIAL:
CN!!-IERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF nUILDING PLANS [( (1) SET D1ERGY FOK'IS. **
ATTACH (3) SETS OF BUILDING pLANS & (1) SET ENERGY FOR!-IS. .::*
**COpy Of CONTRACT REQUIRED.
~BUILDING
~ ELECTRICAL
Al'lECHANICAL
-1S:.. I' L illlB I N G
CJi) Ef,RMTTS REOUESTED
~c!J1 $2 ,. Valuation of Total Construction
t5Jcf() AMP Service
Florida power Corp.
Valuation of Mechanical Installat~qn
$
,-
~h,.R.E.C.
ROOFING
SPECIALTY
/LA fLOther
~6tje ~!eftJ.
q~ ~/
:1f~TRTC~ ~.....***;;;;;~'~:~'~;~~~' y 0 rd Qh ~
..ie or"r I'~ ~" City License Rcr.isrr"or"ion II II 0 -
-:;'k "f:*~' * * -/e '* '* **** ******* **)~ *-:, -!,-:, ,', -I: "I: -:: '); ,'; -:.r ..':;::: ".: '1:;:
/J f t In+ers~ f-i
GAS
TYPE OF CONSTRUCTION: Block Frame
FINISHED FLOOR ELEVATTONS :!1L11:FT.-
_Steel
*********~************************~*******
ill 11 T.DE
~ONTRACTOR ~ ~' ~
,Company .1.+4-P r I ~ \
. State Cert. or Itccist. O~
City License Rc~i~trntinn n
Signature
Company ,
State Cert. or Regist. 0
City License Registration 0
******************************************
. , .
'" 'Comp'any ~rLL ~
State Cert. or Regist. ~
City License Registration ~
******************************************
-
,;;)7 l A
T
~,~t bLl5
l~ V
Company
State Cert. or Rcgist. il
City License Registration 0
QIllL'R.
Signature
*****************************************~
APPLICATION APPROVED BY
PERmT OFFICER.
CCND i ,-:( CJ>';(:~ OF. pc::r.r"j I T ('oFT:.~
,\' r
A. NOT I Cr: OF DEEr:> nr::STFlI CT I ON~;
The undersigned understands Il,at thi~ per~lt may b~ sublect to "deed restrictions' Hhlch may b~ a0r~ restrictiv~ than City
regulations. The undersigned ,'5su~es responslbllltfJor co~,pllancc uith any applicable deed restricti,,",.
B.
~t\H_ T CfNSF:D CQtIT!.3J.lf-TORS AND COt\ITRACTOR RESPQf.:!.fl I n I 1_ I T I f;S
If the ONner has hired a cDnlr~CtDr or contractors to undertake Hork, .they may be required ID be licensed in acc~rdance !lith
state and local regulations. If the cDntractor is not lieen5cd as required by lall, both the ol,ner and cDntractDr nay be
ciled for a nisdeJeanor violatiDn under state lau., If the ollner or intended contractor ~re uncertain as 10 Hhal ]ic~nsi"g
require:ents ~,ay apply fH the intended lIork, they are advised to ((,ntact the City [,f Zeph'(rhills Duilding D",.arber,l, (513)
788-6611.
Furthereore, if the OHner h35 hired a contractDr or contractors, he is advised to have the contract~r(s) sign portions of th~
'Contractor Sections' of this application for "hich they lIill be responsible. If you, as the ~lln~r sign as the contraclor,
YDU are indicitin~ that you, rather than the contractor, are responsible for the Hork. If the contracl~r Hish2s y~u \0 sign
as C[,nlr2CIl>f th,:1 ~ay be ,,;1 indicathn that he is not pre,perly licc.nserJ ~nrJ is nut er,tilled Ie, pcr~ittir,q privilege.s ir, tt,e
City (>f Zcphyrhills.
C. TRANSPClRTATIO>l I!'1PACT FEES Af\1D UTILIT't CONf\IECTIOi') FEl::S
D.
CONSTRUCT I or~I_~l~.L~Lm'
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
I certify that!, the appl!c;:nl, hJ'ir: !Jeen provi'ded with a copy (,f 'FlC>rida's C(,nstructie,n Lien LaH - !Jc,r.eown::r's Pr[,tertion
Guid~' prepared by the FI[.rid" Dc'p,\rl::.ent of 1\9riculture and Consuller (,ffairs. If the applicant is s[,:~6r,e othE'r I~\an the
'ollner', J cHtify that! ;;;:'1e [,btained ,I. copy of the above described document "rltl pre,~,I,e in q[,od failt, to dcli'{~r il. '.[, the
'o~ner' prior 10 co~~:ence~e~t.
:,..:'.::...., ;
E. CONTR~CT~~~lQ~!NrR'S AFFIDAVIT
I certify that a\1 Ih~ inf8rD~ti~n in this application is accurate and that all Hork "ill be d~n~ in compliance Hith all
a?plicable laHs r~gulating c~n5lructi0n, zonirig, and land developeent,
ApplicatiDn is hereby 5a~[ 10 ~btain a per~it to'do ~~rk and in5tall~tion as indicated. 1 certify that no work Dr
installation has co~:enc~d priDr to issuance Df a p~rmit and that all work Hill be perforDcd to Eeet standards of all laws
regulating construction, City codD5, zoning regulations, and land development regulalions in the jurisdiction. I alsD
certify that J understand that th~ rr:gulaticns of other governaental agencies may apply' to the inlend~d "~rk, and that it is
ey responsibility te, idei,tif)' liha! actions I t:lust tal:e to be in compliance. SUC:, ilqc"cir:s include bid ~le IiC,t linited to:
. ,-
I D~Dartsent (,f Envirr'n~,:i}i~:l Renl.l.1~tiDn - Cypress Dayheads, Hetland Meas and [n'lif('nl;,[r,\~lly Scnsi tj\'~ L:lnds.,
Hater/Haste>>ater Treatment
I S['lIthwEst F1Dri~a \latc!:..J:~~~Cj~!--'2'L!1istrict - lIells,' Cypress [layheads, Iletland r,r~as, j.lterir,'1 H~lorCDurs[s
I Any C(,rDS d Enq i rll::L~~,. - Sr,;,I" II s, Dods, Ha'li gabl e Ila terllays
I Departaen\ [,f 1!t';;IJJ"_L?t!,~~)JjL:tivp. Services. EnviroMental lIealth Unit - Ilc.lls, 1i"sl.cliJl.er Jre"L:':n~, Septic
I US Envia!l~['~'l"_L-PL"-~lLcJ.L~rJ, l\qr:Q.9'_ - r,sbr:stos abatement
Tanks
also certify thai, if fill ~atr:rjal is to be used in FI'cood Zc,ne "A" [.r 'A,etc.', it is IIn(\[.rs\[,[,d tl,.d a draina~e plan
addressing a 'coc?cnsating '101111e' uill be sllh~itted Hhieh is prepared by a profe5si~nJl en9ln~cr r0~is:~r0J in the Slate of
Florida pric.r to per~it icsu"r,cc:.
1\ pertil issued 51,;;11 be cO:lsl.rued to be a license to proceed I/ith th!! Hc,rl: "nil n[,t ilS alllli[,ril)' t[, \'ie,];l", cancel alter, or
set aside any pr[,visie,r,s of ihe technical cc.des, nor shall issu~nce (,f a pl!rmit prcvent the l1uilding tJ;-f;.::i:.1 irc.~ thereafter
requiring a cHrecti[,n [,f errors i11 plans; cc,nstruction, [of '1i[,lati[,ns of JII/' c[,de. [very pc'r;,; t looll,'j 01,;;11 beC[.t[. invalid
unless the H[,rk Gulk,rl~ed by such pernit is C('/Il!\enced H!thin six months [,f isslI,lnCE', cor if lIe,iI. 2ldl,e" J;cj C)' t~,e ru!il is
susp~nded or abande,nd fc,j" a peri[>!l c,f six ~onths after the tbe the \1urt: is U'Menced. D,-,e ~(; day [.~l::r,oi[q, of ti,e, ~ay be
all[,wed f[.r the perr.it llith fee charge of $15.00. The extensi[,n ~hall be re~\Ie5teil in I,ri\in~ Ie, the 2'.Iildin~ Official. lin
appro'led insf,ecti[.n rJust be 1['9geJ durin9 each six month period, [.r the pre.it'cI \1ill lii' c[,nsidcrc-a eba\,d(,,-,cd,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM~IENCEMENT MA't
RESULT IN 'tOUR pnYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'I'V. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT \...JITH 'tOUR LENDER on (')N ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOGS UNDER $2,500 IN VALUE
DO NOT NEED TO Rl::corw AN POST A "NOT I CE OF cm1r1l~f\ICEI'1n!T".
:' SIGNATUnE P - ___n
ENT k~;~-;;;~;/I,JaJjJ - ---CONTii~;:..y KiUlUAJ
DATE_________~jJ_~/-18-----~-~-----.------- DATE_______~Jl~-j1jC------------------
NOTARY AS TO ,/ ,'~ /1 ) ./2..
OWNER OR ~GENT__~~~~~-
KATT-ILCC^, if ...J3RiJ f/r.)AJ
MY COMMISSION EXrInES___________________~_~
"t.v.~ PUs(
.....n"..
;iI;
" 0' ,,,,0" .
KATHLEEN J BROWN.
My Commission.0C449029
EJlplr.. Apr. 02, 1lMl9
NOTARY AS TO ~',~-/ /J~ '~
CONTRACTOR ~~. R:r.-d>--
----xAmiiiEiJ-:: ~ 'CCJZ<..JJJ
"
MY COMMISSION EXPIRES__________________
"t.II' PU8
.....:.6...-..-
*.-*
"'", ~
.,~ ~
i OF ,\.04'
KATHLEEN J BROWN
My Commission 00....9029
Expires Apr. 02,1999
~~@
\r" -(I) !iP1
l'
B
"'
~
i!:::- lPIT
, -
{JeLO/le.e 13eoe;?(/D
n ~/ d 7 ~)/J6'eu~1 iJlL
Z'el'lIr'.l/../k1L5 FtA. ~3S'l(
,
/-..<J T 7 (
/.... C 0 l..-r
Aite, S77'Ju<-
/~/"').. I2t:Msec /0/0 -::;
ItJ~/~- .tI-lltX7nt SU1f3 .fig
/;..~ 71' [)IJ II. fa 5 r l?tJ'I.-
1- .:g ~' ::57'7:Jo/-J J &'0 :-
jQll'l- '$T1'Ic,Jt.. c',5 .sit)(!J 5~2 =::
;'llv r t.. tJl'/ /J4ItJl'f.-r~II-II,., I j/) ;
. /fJ1u/J 12./1 1(,.S /60;
/ ?NSlJ /UJ I':" cJ70t17 :...
It /() lC;')..,. U -/l..;'VI I ~ ~&'':
I' / "-,t: Iv :5Ot. /1-1'/ tc.fi":.
t--.
S~ ~271. ~
1" S/()~/f-(,J:- 3/D'=
~ 3~ -f€' .s~s.~2~
/(.. ;< sers S7r!!P5 atJO ~
8WZ~
~
"
\
db
I
0-0
j;
g' :5/oeWA(.Ic:.
~
GO'
IJWf ~,. L~
r/J'1
0\
/10" ff
it#'
Io~'
, .
\
'r '
/9
I
)'
&
"
~
r8,~@
\) ftJ IJI1
l'
~
"
~
.J 1'\ ,
./ tpJ )-
\
un
~ -
7)eGO/le.e. }3etle/??/.-u
,., t; / d 7 .,e; /Jtieit/A-t1 IJ/L
Z-e,tJp'f'4./#1L5 FtJI, ".$::3 5'11
/
/.-Dr ]/
A/a.. 577'lU<-
/"-1/1").. !2o.(s(?() /tJ/o -:::.
/IJ~/).....- .tI-Il()()'" S(fi(J /lg
/~~ 71' D/J II. ~ s r /?tJ'I.-
1- .:g~' ::5nJO/.J /&,0 :-
PI/Z.- ~77t"'(... C '..$ .S1t:CJ ~~2:::
j/IJIJ'IL t?~ /141tPtr~t1-11,.. / iIJ ~
, /fJ1ul"J 12..111(.. S /60:;
/'?)'fSO /UJ41=-- d7o<11::...
It I" jCl'2- fA -/l..M I;;' r;~~
I' I"~ Iv :5Ot Itl', t<li-:.
t.-
g27'1.~
'"
[10 s
l'
It
c-
/'--
s/~~~~ 3JD~
;; ~ ..;€. ..6t~ ~'1?1.. ~
PI sers srep5 .EfJ'V tP
8Wl~
!"
r
.QB'
B I SloeW/lCJC
LDC)
:+Of
/J14 ~,. k~
r-/~I -l
0\
/loJ ff
tt~.
Io~'
, .
\
f .
~
/3
I
B
J;
r
961119
D
~
PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 FAX 813-7111-711111
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
f?f -It! 7 7
DATE 7 - 11/- 'lr;J
WATER ACCT. NO.
~~~i:~ W y 7? J-4' 1U.6 //J,~ 7J1 11.6
MAILING 3D c:2& '7 - ~- -I4J
~-rIl~..s.} r.J.. ~.5.pl /
SERVICE ADDRESS 'C, Lt:!, q 6?/~ 0. hoT 7~/'H"Jf
SHUT OFF SERVICE 0 ~ER 7..1 bGe:
~
V-
o SEWER
TURN ON SERVICE
READ METER
o
o GARBAGE
~
INSTALL METER
CHECK METER
o
o OUT CITY
-I-- No. OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
-VII tJ. ~.dv,
_ AMOUNT LAST BILL
~
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office.
CENTRAL PERMITTING
PASCO COUNTY, FLORIDA
nATF: 07/22/98 TIME: 1~:38
P(,GE: :I. OF :I.
1~:)SUE Or-FICF: i D
RECEIPT HUMOR: 0037015l
OFFICE: DADE CITY
l"'ONTR(.:,CTOR :\I::
NAME: H & R INTERSTATE
(.:tDDR:
[/(:;T ~
r'OF: :
CIIECI< 11: :1. S::)f.l~)
RESIDENTIAL Z-HILLS
(,CCI'.IT
11 {!
TOTtll... (.:tI10UNT:
COMPNY ACCOUNT CENTER
8~50 - 363000 - 2
~?3.()0
AMOUNT DESCRIPTION/PERMT DATA
23 . 0 0 ~HHHH(' .j(. F; 0 L. I [) \.I(1~:;T F FEE
D F;.~../ C F'
, "
i"II:}
F'FCE:Il)FD F:Y
//
. T1~'fY-t;~ - - -- --- - - - - - - - - - - - - --
I '
I !
I
PASCO COUNTY.. FLORIDA
Permit No. 7rls-S ~
Date Permitted _ 7-/1- 7
Builder Name/Owner Name C5;j( -y rS? Q 1..-11 -!i;f:<. &..t- ~ H..:5
County Parcel No. -3 -;;J&" ::;'1- 0 3/0 -0 (JO-O - 0 rJ 10
Location 6/ 2-: u~~if;v~A ~- Suhd
Classification/Type ~ . --~ --
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq, Ft./Unit
Prepared By
The above' act fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted
-by oard of County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
r authority to utilize 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)
TOT AL FEE $ rd.3 I \S-
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
100
TOT AL 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
TRANSPORTATION REC. NO. 0
RESOURCE RECOVERY REC. NO. 3~: 97 ;J.-
BY
BY 1'4~
(
DATE
DATE
7/,:)./ II'~i ~
I I
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/