HomeMy WebLinkAbout98-7731
. .
BUILDING PEeRMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7731 ~
Date ~.;--~- -9 Y
I/O. ov
BUILDING
d5': l7v
ELECTRICAL
.......
3-.S ~ iJl:;>
PLUMBING
(2!:,-:<TiJ
MECHANICAL
Sewer Conn ~ ~ j7 y: VV
Water Conn: d~Z; ,.t?1)
Water Meter: / <ftJ, ~
T,I.F.'s: (i ro . ~()
:::,~s:~39f;;t? .~
Parcell.D. 11-3 ~;;L6 .;U -tJ.3/ fJ . {) f) ~ ,!) 0 - D;;U 0
~::~~~tion of Work J11 ~odeu-~ ~ Radon Gas:
, 1JI~
)jJ?~C- ~ -:;Zb-?Il~~~9:t:'~ Y}111.
NO OCCUPANCY BEFORE C,Q.
-
FINAL
C.O.
s-. 'J, rl
DATE
~--:l -?r
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Po
City License Registration #
State Certified License#
I./f/
Permit Fee
Signature
Company
Address
Telephone#
~~
Valuation or LJ
Contract Price J /.,1 -;La 0
I3L ~)/
13~~/
9.jr'\ j~ J'?O
ELECTRICAL
'.1Jrt:VYl;1 ~~
PLUMBING
MECHANICAL
BUILDING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
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 ($ 'Hr.6O) shall be made for each trip for each trade:
a. Wrong Address .lS: (/l) '/ / --I- ~ ~
b. Condemned work resulting from faulty construction. f1/~ .
c. Repairs or corrections not made when inspection called. j ..5-- J-? -7 ~
d. Work not ready for inspection when called. 12-.
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.
',. (i\ I'D ( t
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1\0 ,/'"'~
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APPLICATION FOR PERKIT
CITY OF ZEPBYRHILLS
BUILDING DEPARTMENT
OWNER'S NAKE fI '<t- t? I flier s.f It fe fYl at,' Ie /{.{)t1I.fS PHONE Y (3 - 7 8" ~ - 'J-a 7'
OIillER'S ADOIlESS 3~~ 7 II~{- 1" tJ 292l.rrl,;!/s 3sS<f/
JOB ADDRESs4?6 t9 X.un! [ItS ,~e t /01 J..o + IT/( of lof 11=' C).J
LEGAL DESCRIPTION: LOT(S) &1 ..... ~4,d i..fJCBLOCK SUBDIVISION 2etJA Vl' ~.~ €-
I ( v
PARCEL I. D.' 03- d.. '" - d I - 0 3 to'~ 60 CO(J - 0021 0 (OBTAIN FROM PROPERTY TAX NOJICE)
,/'
WORK PROPOSED:_New Construction _Addition ----^lteration _Repair V Install
_Sign _Move _Deaolish
/
PROPOSED USE: ~ingle FuallY _M/F _' of Units
_eo..ercial _Indust. _Swia. Pool
~H
O$r
~.rf~c+ul'ed
H 0"'1 e....
_Restaurant & Health DepartBent Approval .
DESCRIPTION OF WORK: .set Uf new (\'\" ~'\ J-PI\(i ureJ h Otl1-€....-
BUILDING SIZE: ~8" X ({;8 " /101' Square Feet, Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~WING
~crnGAL
~~
PERKITS REOUESTED
$ 34, aoo
,
t!:) 0 AMP Service
$ / {t;O
Valuation of Total Construction
Florida Power Corp.
./
//'
W.R.E.C.
Valuation of Mechanical Installation
GAS ROOFING SPECIALTY
TYPE OF CONSTRUCTION: Block _FrSlle _Steel Mitt Other
,
FINISHED FLOOR ELEVATIONS:~FT. IS PROJECT IN FLOOD ZONE AREA?
YES
v'/
.................................*********
NO
Signature
COMPANY ~./- If
State Cert. or Regist. .
City License Registration' /70
........*......*.*...*..*****.*****
PLUMBER COMPANY ff -l- r< r,,-fersfA-fe.
~~ State Cert. or Regist. .
Signature ..{'/~......-~ City License Registration' ~7(e
~ *.*..*..*******.****.****.*.****.*********
/ COMPANY Aft h r ~ (1oiJII *1. Q
State Cert. or Regist! .
City License Registration .
**...******~*********.*****************.**
BUILDER
Signatur~ 11ft &4fel:12 (j
COMPANY Di;ito..-f!.je(J (t1Ji Ie
State Cert. or Regist. .
City License Registration .
***.******.***************.***************
110 ht e ~e r v,'c €-
M,I-(,
G~s + I!i/C
/7
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration .
.***.**.*********************************.
APPLICATION APPROVED BY PERMIT OFFICER.
CONDI'!'IONS OF PEnH!'!' AFFIDAVI'l'
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be IIOre restrictive than City
regulations. The undersigned assUlles responsibility for cOlpliance wiLh any applicable deed restrictions.
B. UNLICENSED CONTRAC'l'ORS AND CON'l'HAC'l'OH RESPONSIBILI'l'IES
If the owner has hired a contractor or contractors to undertake work, 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 tbe owner and contractor lay be
cited for a lisdeleanor violation under state law. If lhe owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contraclor 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 OlDer sign 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 lay 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'l'ION LIEN LftW (CnAPTEn "/13, FLOHIDA STA'rUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOleOlDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs~ If tbe applicant i8 sOleone 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 this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land deve~oflent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
,installation has cOllenced prior to issuance of a per.it and that all work will be perfoCled to leet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify tbat I understand tbat the regulations of other governaental agencies lay apply to the intended work, and that it is
IY responsibility to identify wbat actions I lust take to be in co.pliance. Such agencies include but are not li.lted to:
· Departlent ot Environaental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
· Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· Departlent of Health & Rehabilitative Services, EnviroDlental lIealth Unit - Wells, Wastewater Treatlent, Septic fanks
· US EnviroDlental Protection Agency - Asbestos abateaent
I also certify tbat, if fIll laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
addressing a "colpensating volDle" will be sublitted whicb 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 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 perlit prevent the Building Official lrOl thereafter
requiring a correction of errors in plans, construction, or violations of any code, Ivery perlit issued sball becOIe invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six IOnths after the ti.e the work is cOllenced. One 90 day eatension of tile, IaJ be
allowed for the perlit with fee charge of '15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEHBNT HAY RESULT IN YOUR PAYING IlIICI FOR IHPROVBllBIIS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNBY BEFORE RBCORDING YOUR MOlICl OF
COHHENCBHBNT. JOBS UNDER $2,500 IN VALUR 00 NOT NBRD TO RBCORD AND POST A "NOTICR OF COHHBNCKHKNT".
c::t:e < ~ /
4G8A~RAcrOR
, I'
STATR OF FLORIDA
COUNn OF
The foregoing instrument
before me this
was acknowledged
, 19 by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19 by
who is personally known to me or who has
produced
'is identification and who did/did not
ake an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
'ignature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
me Typed, Printed or Stamped)
\HY PUBLIC
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05/04,198
!t813 6548262
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BROOKS & ASSOC.
141 O!ll
MAP OF SURV J!.'Y
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A VENUE
DESCRIPTION:
Lot 21 and the East 1/2 of Lot 20 of ZEPHYR
RIDGE '5 recorded fn Pla~ Boo~ 26, Pages 78
thru 80 of the Public Records of Pasco County,
F1orlda~
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-",-~,____" .._.~~... ~ ~.._____. ......,- . ro....."... _..................._~_
PASCO COUNTY, FLORIDA
Builder Name/Owner Name )j ..r:.~~t.AT~
County Parcel No. --S - c2-6- :;lJ - 0....3/0 - 8 D b-O Q.- 0 CJ-/ D
Location <3!/ 6 Y 7 J1 ~ cZv-.e.- . Subd,
Classification/Type of Use '7 ~c/~L/
Permit No, -t?..3 / f]
Date Permitted ,ot;.........- .~~-? g--
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
Impact Fee Amount $
The above impact fe been established pursuant to the Pasco County Transportation Impact Ordinance as adopted
by the Board 0 ounty 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 0
RESIDENTIAL
NONRESIDENTIAL
No. Units
I
Gross Sq, Ft. (GSF)
Rate/ERU - 52,OO/Year
or $0, I 42/Day
ERU Assign No.
Assessment - (No, Units) x ($0,142)
x (No, Days)
~:5.Jl
Assessment -
(GSF) x (ERU) x (0.142) x (No, Days)
100
TOTAL FEE $
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
TRANSPORT A TION REC. NO~
RESOURCE RECOVERY REC. NO. 3(p 12'.57
DATE~
DATE
----
BY
~h/9LB~2 ,13
I ,.
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/A