Loading...
HomeMy WebLinkAbout98-7894 BUILDING PERMIT .7894 ;3 BUILDING ~~ tiV ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 AFTER HOURS PHONE NUMBER J~~)~-5262 ;J.!>..... ch> PLUMBING MECHANICAL Permit Date ~-II-'1Y ij' (/. lID Job Address: ' Parcel I. D. # Zoning: r. EnJrgy C.,e~~: f71 r--#-Radon Gas: Description of Work %~ 111~. '~~ ~E:P~ 9-11"-74" J/;iT/) ~ ~~ )1 YJt NO OCCUPANCY BEFORE C.O. L/I - Sewer Conn 7 7 ~ 02.~, Water Conn: ~~j;; 1..31-~ Water Meter: ~ / h ~ (J7;) T.I.F.'s: I FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector )0 City License Registration # State Certified License# Permit Fee Signature Company Address Telephone# t'f~~ Valuation or - Contract Price :J -5. (/7.J'-cl . tJc.) , ~-r ELECTRICAL Lt;tCr'f~ PLUMBING c:l, p VS- IJ:;:$~~ jJiJ BUILDING en. t2 / t-7 MECHANICAL Breakers Ducts Insl. compresb-.r Final 'ii 14 f~~ Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final '/2"'( 1 g to~ SLB Tub Set Water Sewer Final 8c1 Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway F:.",,-\ &/~h~ t~b REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($~) shall be made for each trip for each trade: a. Wrong Address ~thJ y~ ~ ~ b. Condemned work resulting from faulty construction. J f?.- I OJ. -18' c. Repairs or corrections not made when inspection called. f' .q d. Work not ready for inspection when called. 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME J/1;f 3' ~9Ti ~ Ch.- K:..J PHONE OWNER'S ADDRESS JOB ADDRESS 1. ~-r 119 . CO<j f-J;rf LCf (7.p LEGAL DESCRIPTION: LOT(S) PARCEL LD.' 2. <i-2~ -'4..1 BLOCK SUBDIVISION ('/VO 0 - OO/OCl .- .//9 . (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---^lteration _Repair _Install _Sign ~ove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units ~/H _ec-ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: IJ; I? J<. #10 cd ~ BUILDING SIZE: /2. X y--z.., Y9~ Square Feet, 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. --1IECIIAlIICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel Other FIJIISIIED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BIJTI.DER CONTRACTOR SECTION aMPAIIY ~ L?;.LI~ f'. I ~ State Cut. or Regist. . 1../lJ~p-~. . City License Registration . "1'"A L **** ************************************ 9~ Signature PLUHBER RT.RCTRICIAN COMPANY ~r -r , ~ ~ State Cert. or Regist. . Siorulture, ~ ~...... City License Registration . *** ************************************* COHPAIIY C7'.~ ~ State Cert. or Be ist--:-t ~~~ City License Registration' *** ************************************** r'~ Signature LJ7- yy Signature COMPANY ..4 L e.. W ~ State Cert. or Regist. . ~ a City License Registration' ** *************************************** . MECHANICAL f"'~ OTlll1.R COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS , The undersigned understands that this perlit lay be subject Lo "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has bired a contractor or contractors to underta1e wor1, they lay 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 lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparllent, (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 "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wor1. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U'fILI'fY CONNECTION FEES l" D. CONSTRUC'l'ION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES" AS AMENDED) I certify that I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law _ HoIeoKoer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUl8r Affairs. If tbe applicant is SOleODe other than the "owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to cOllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable lals regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do lork and instailation as indicated. I certify that no wor1 or installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to lIet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify tbat I understand that the regulations of otber governaental agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust tale to be in cOlpliance. Such agencies include but are not liaited to: I Deparllent of Environaental Regulation - Cypress Bayheads, Wetland Areas and BnviroDleDtally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways I Deparllent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treallent, Septic Tanks I US Environaental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "cOIpeDsating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit, issuance. . A perlit issued shall be construed to be a license to proceed lith the 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 perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall becoIe invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sillOnths after the till the worl is couenced. One 90 day utension of tiae, .y be allowed for the perlit with fee charge of $15.00. The IItension shall be requested in writing to the Building Official. In approved inspection lust be logged during each six IOntb period, or the project lill be considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CotUIENCRHENJ HAY RESULT IN YOUR PAYING nuCl FOR IHPROVIIIBIl'S TO YOUR PROPERlY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORlEY BEFORE RECORDING YOUR NO'lICE OF COHMINCEHINT. JOBS UIDIR $2,500 IN VALUE DO NOr NEID TO RICaRD AND POST A "NOTlCR OF COtIHENCEHENJ". SIGNAtURE: OWNIR OR AGENT .' I SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUIIY OF The foregoing instrument was aCknowledged before me this , 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 bas produced as identification and wbo did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC CITY OF ZEPIIYRHILLS BUILDING DEPARTHENT OWNER JOB LOCA'l'ION PARCEL 1. D .' # SIION ALL EXISTING & PROPOSEU STRUCTURES GIVING DIHENSIONS . SBTBACKS. /" I , , ~.,y ~ J..1 {'\.i 31 ]1- I I-r- 6 . UTILITY BUILDINGS 1- MUST SHOW SIZE & plPERTY FOUNDATION INFOR- MATION. FRONT LINE (NOTE EXAMPLES 1 & 2) STREE'l' 1u 1. SETBACKS FOR Rl, R2 ZONING 2 . SE'l'BACKS FOR R3 ZONING 60' 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' ,-- 10' 10' EXISTING 10' 1. 0 PROPOSED 20'SGL FAM 30'DUPLEX FRONT PROPERTY LINE FRONT PROPERTY LINB ~__',_~, __.~",_'_"__ _.--:.'__ ,_ _ ____ ~ __'_ _ __-L __ _ __ - __ __ ___ -~- ___u_ ----- ...., -" ,.~, '.'" ; ; I .. ! i ."! I I' , I t'., 'jl ., , ,J I i ! ! i , ,P i.. I ., I ,"'l; " " i~; ) : 1 t j , , ., I Ii I .i' t,j! r,' i ,'"'! r ; i ',' i Ii II (' ,/ .-, ?', ::'l.~"r ~ ,., I i i I I , ! !' I I ,., 1.'(;) I H i l, 1.1; f': f>' ,i '. \; ! i ('~ i 1 j) (', ~. '! :.- ! j '; ,P i I ! ! ,\ I' i," I ~ l ! i (';1" 'i; if:, ; II i 'j PASCO COUNTY.. FLORIDA Permit No. -Z r ? 't J1 Date Permitted _ ~- / / - Y Y' Builder Name/Owner Name Jt1 r 1Y4.J-..-. County Parcel No. ,;L'I-~ /:; - ~ () iJ;; 0 - () 0 I" 0- II 9' ~::::;':at;on/TYpe of U,e t1-of!7r.Yj!2~ Subd, TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No, Impact Fee Amount $ Prepared By Sq. Ft./Unit The above impact fee has been established ant to the Pasco County ortation Impact Ordinance as adopted by the Board of County Commission . his amount is payable PRIOR to the iss ce of a Certificate of Occupancy structure. RESOURCE RECOV EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units I 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 $ dO. a3 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. 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. RESOURCE RECOVERY REC. NO. rJ } A-- DATE 37:;) 73 g DATE ry/~/ q Y' BY ~ Byd~ / White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC93113094/