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Home My WebLink About98-8159 BUILDING PE_RMIT- CITY OF ZEPHYRHILLS (813) 788-6611 Sewer Conn~. Water Conn: ((J.lClllA~, - l'6L1S) Property Owner: ~~l s ~lefl\..} tL5~l\:r . Water Meter: \ gO. OD Job Address: ('{\ A "S"eS-+1 c () (\.lC S ,.. ()() 1 AU- 1JW\tQ ~-t- ~ T.I.F.'s: 3;;tCi. U 0 LDt~~ ~ \ ~ ,-/0.00 35-uQ 35.00 PLUMBING BUILDING ELECTRICAL Parcell.D. # 29 ~ :ll.D - 21 - 00.3,,'") -OCDOO Zoning: Descriotion of Work Ener~ PC'J^ ~G" Permit 8159 I:J.-/'t/q? Date ;;{5.o () MECHANICAL NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price City License Registration # State Certified License# 2cf ~~~ Inspector . a5 Permit Fee ".gjgnature Company Address .....::f!lephone# 715 0 -7~"'/ ~J~~AcJ -----.- ---------- >- BUILDING ELECTRICAL PLUMBING 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 Driveway Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.001 shall be made for each trip for each trade: a. b. c. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. WctfJ-1t ~ ~ ~ \~\b\~b 11-c\ '-\ \q l5 The payment of inspection fees shall be made before any further permits will be issued to the person owning same. 1'~0IPAL PFRMTTTTNr PM1CO cnlJNTY ~ FI.()F~-r:Oil rATF! 1?/10/98 TTMr: 18~?? PACE ~ 1 nF " TSSllF' OfFICF': I) F;~ECEJ:PT ~'UI'1BF;:: 0038b8<?") OffIeF: PArr CITY rONTRACTOR .: 009864 NAI"iE: HAH!F BI...ITTEPFTFl P ADDR: 38930 8UTTFRFIFLD LANF' C/ST: ZEPHYPHTL.LS FL 3354A rnF'i r'II["CI~ :D '30L.IO HASTE FOF: THE CTTY OF 7....HTU.,.<~ F'F Rt'D'T 81. ~::i<? CONTRACTOR; 009864 TOTAL ANOIJt-.!T; ACCNT COMPNY ACCOUNT CENTER 11.4 8450 - 863000 - ? '3 c 0(,) AMOUNT DESCRIPTION/PERMT DATA DR/CR 8 < 0<:) **~(~I:~(.)(. ~~Ol,:r[) 1,.f(.)STF FFF 60 r~'F(,FJI.JFD FlY.. _ "'I'i;"~.iiill'J. '_"",~_"'.r,.~':r'~~-JI'!'..r~~..j,.,\:~";~~~..i:o.r.~"I"",,,,"W;(,\! \llIIi_'.aGlllllr>'H""/1\f""'\':.~ '$'""",,_._,,,;!, "'.;""i"W' PASCO COUNTYll FLORIDA >, .~ Date Permitted ~)\S<1 ILjll/q 8 Permit No. \ "':r L uu.. \ ~:) L lo d l - !,11 \~ L 0"- +?.p(..;. I ( t eI\ fee In \ C\.J G- UuJJ U 0 /" Builder NamelOwner Name County Parcel No. "',1 q Location L0l () ( ) ~) ,~ l"~ Subd.-l ~\ t -Sf' y.tl<. 0 OJ ~ Classification/Type of Use llCt TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ ~ Zone No. Sq. Ft./Unit ~ Prepared By / / /// Impact Fee Amount $ ~ / , The above impact fee has been ~blished pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of County Co~ssioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize t~ermitted structure. \.. \ \.- It \ , '/~' / ,,' /" RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units \ Gross Sq. Fc (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 ASSESS!\;iENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. NO CERntIcATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. 't~, I\cknJ:lwiedgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing die. ,f)u4ding permit owner on notice of this assessmeQf- and the conditions of payment for same. Date Received By ------.--------------------------------------------------------------------------------------------------------------------------------------------- OFFICE USE ONLY ..-/ DATE DATE~ l BY ,-- ~ 1l:\'1~ BY~ ~ ~~ - c.l.:.....>. TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. 3~'(t0 ~))S' , , White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC93113094/A .... iill I',' i;,"',j'j ! 'I", i I I( , In.! ! :>j I; "I i ;, i I' I ... ... ,po. 4>~L C1~ \~ cP)1 Irq l.i '-"; \' (11 , :"": (, :~. . 1 . r '11 "j': Ilq,' ,'r'::';:' /1 ......~~-t-'- "---- ."..,.;'<I;"-~~~ ,."1',,00,-:., (l\C~_tWGGl,s ,/ <6lS C1 ,I.,' Ii"! II' .1"" i'l !T, ! ) II fl!j ! I I i'l ! ' i'll'; !llill i'i ': I II I ' i_',/.", );) i" I i r i ! : '~ t ~ ! i' t ti. i; j~' I : I i I \.1 ": iH I;:! : f :,.11 . , ;jI 1 :,1 II ',1,'1 {,', (; I I 'I;, \ I: I . . !"j! I j"\ 1.1.. "',( jl .\ ! "~,I: n!.' I'! I, , ,'I, J .... I (d-j 1 I ~ ; (If I i,il! ,,111":11, Ii (". I I'; I \j'l H i I, ! \' l'"!!'" , , . I , . 1 i" i ~ , 'i , !I! :. :': ~ I" (', f '-""'1' II.' I'j l!il' Iii!! I!) ( '~,', \,'> \\,.11/(. r /;; ,.....,.,/\..~ l. -...,,) X ...~..< Ll r . .,l".. J j (/ I. 'I ) / ~--- -,. "1 ,! j"\: ';1"; '<! i "I Ii 'I. ii' Ii iii!:! I r I F' ~ ! i "'f ~' . 'f i I Iii <..' ',1 ! II If, -,) II j - ~ (1 ~ Ii: .:'-) ,.?,', \ ; j ! ; ,'" ~~,'~~:~Jr"'~:' ''''..:.~J'";.~7r7'",:;,'''''''l-__.~',~ ~ ,~~"-l''1,'r,;'~~~,~~'J~-'f~~~'~~r'7r0;~7~~:~r~~-'''l<'''''''':~:1~., ~--~.~~~:: _U;~~~i'Jj.~"l:q-~.;~~.. PASCO COUNTY, FLORIDA Permit No. Date Permitted I , t" : ~ Builder NamelOwner Name ,.",1 County Parcel No. Location _ __ \ -, \ l Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. Sq. FUUnit Prepared By Impact Fee Amount $ The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of County 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 D RESIDENTIAL NONRESIDENTIAL No. Units Gross Sq. Ft. (GSF) Ratc/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 HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. Acknov,iedgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the huilding 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. DATE DATE BY '.,' BY '-'~~"'"., ~k ';'#" "'''l>......... r" '" White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC931130941 A. OWNER err, OF ZBPIIYIUI.l....S DUl..lJlNG IJBPARTHBWr JOB LOC^,l'ION P1\HCEL I.D.'" .-------- SIIOW 1\.1." HXIS"r H'G & l'ltOI'OSIU) STnUL'TUIUtS G1 v ING D1HKNSIONS II SK'1"SACKS. ,1 I tfcL ~o -- ~ 1"1..---( 7/V UTILITY BUILDINGS MUS'!' SHOW SIZE & FOUNO^,I'ION INFOR- HA'l'ION. . ).0 FRONT PRO ERTY LINE (NOTE EXAMPLES 1 & 2) STREE'l' 90 1. SE'l'B1\CKS FOn It!, H2 ZUNING 60' 2. SETBACKS FOR R3 ZONING 60' 10' .p- -E_ R X 0 I 10' P S 10' 0 '1' 1 0' S I E N D G 20' FRONT PItOPBR1"! LINB 10' ; 10' EXISTING 10' PROPOSED 20'SGL FAM JO'DUPLEX 1 0' FRONT PROPERTY LJ:NE APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVXEK FEE OWNER'S NAME 1-. () "- {~ , ;: I-e./rll rJ ) PHONE JOB ADDRESS J..c. T /7,) 15 LEGAL DESCRIPTION: LOT(S) PARCEL ID # M - ~lo -d-. ( SUBDIVISION b1.A.~lj c.:;T; OAr--(~ 1.-0+ (+ '"\ l f (OBTAIN FROM PROPERTY TAX NOTICEl BLOCK ()o '60 .- () U c') c."8 WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION [JREPAIR [J INSTALL [] SIGN [J MOVE [] DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL [J# OF UNITS o SWIMMING POOL ~BILE HOME o OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ~r-(t.... MdJ", f BUILDING SIZE fAX.35 SQUARE FOOTAGE Cj20 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 E'OR ALL NEW CONSTRUCTION. PERMITS REQUESTED [J BUILDING $ VALUATION OF TOTAL CONSTRUCTION [J ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. [J PLUMBING [] MECHANICAL $ VALUATION OF MECIIANCIAL INSTALLATION [] GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: [J BLOCK [J F'RAME [] STEEL [] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES [J NO BUILDER SIGNATURE ~ CU?-' ll~ COMPANY STATE CERT OR EGIST CITY PROCESSING # lfY ****************************************************************** SIGNATURE ~~p~ COMPANY /l c -e STATE CERT OR REGIST # CITY PROCESSING # ELECTRICIAN ****************************************************************** SIGNATURE 6J~ f1~ COMPANY ~ m. If :S' STATE CERT OR R GIST # CITY PROCESSING # ?i Y PLUMBER * * * ** * * *** *.* * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** ** *;!:1~~*** ********** COMPANY MECHANICAL SIGNATURE /#~ 8~ STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONIJI'l'IONS OF PERMIT AF.'FIIJAVIT A. NOTICE OF' IJEEIJ RES'l'IUC'1'10NS 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 <;ompliance with any applicable deed restrictions. ~. UNLICENSED CONTRACTORS /\ND CONTRl\CTOR 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 tllat 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 UTIl.ITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED I 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/OWNER' S AF.'F.'IDAVIT 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 Engilleers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection l\gency-l\sbestos abatement I also certify that, if fill "~terial is to be used ill 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 perlnit 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 commenced 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 '1'0 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 1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT". w SIGNATURE: OWNER OR AGENT SIGNA'I' STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 19_ STATE OF FLORI COUNTY OF 1 ~. The foregoing instrument wa~anowledged Before t:J.thiS ~ "..~ ~f~ ' 19 by 'Ar.OE ~'/7. F/,F'''-]) _ ~ of person acknowledged) ~o is personally known to me, or (name of person acknowledged I Dwho is personally known to me, or o who has produced (type and whoD did Ddid not o who has of identification) take an oath. Name o if :,~lil~.: pri~ s?iweiiltiemped {*~Y''A.~;~ fSf COMMISSION /I CC534927 E'/"h ~.~.&. f February 22, 2000 "1'i..iif"io.' BONDED TliRU Tl'OV FAIN INS~RANC' Signature of person taking acknowledgement Name typed, printed or stamped