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Home My WebLink About99-8853 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 8853 Date ~]517'1 40,~ BUILDING at' 3~.'- ELECTRICAL ~~.~ PLUMBING ?~.~ MECHANICAL Sewer Conn_' 2 7'1, ~ '? r"C\, eJ!.. Water Conn: ~~ 100. ~9 Water Meter: ~ 1'-1 fo ' ~ Property Owner: T.I.F.'s: Zoning: Energy Code: Descriotion of Work fl\ch; ~ '-'0.....(' Radon Gas: ~u - U(/ , $391fA--/ tfftl o OCCUPANCY B FORE C.O. ~ FINAL 9..- 15_ 9 DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector :~::~?'m.~~=- ~ Company Address TelePhone,c~13)f<i?2.-'2. 21 (0 Valuation or Contract Price C"IO J ~OO. - - - City License Registration # State Certified License# &<4. +J.er f: e k:1 ~-g BUILDING Torola." ELECTRICAL IbG E:J ~ R l.....ws~C\k 2'"1' .~ PLUMBING -~ l~cJ\fr 5 MECHANICAL rr Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a charge of Fifteen and 00/100 Dollars ($ 25.00) shall be made for each trip for each trade: - /7 a. Wrong Address uJ~0 0-6$AtZ t~ .-l3f~ b. Condemned work resulting from faulty construction. --"-. _ .... .9';;2 6-97 c. Repairs or corrections not made when inspection called. 0 '.. J ". ..'___ d. Work not ready for inspection when called. r c... ,Q1; -'............ e. Permit not posted on job site. Q I I f. Plans not at job site. \) 70 ]" \ 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 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME 11 + tT t:'\ \<:=> ltS1 ~ +~ JOB ADDRESSJ--c'\- Z.3 ?~e;~q.~ PHONE 'es \~llcS'2-2(7c, LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # ()~-21o-7\() \ ?{J~rrrtf)-O'2.. 30 (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: '1:5NEW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL SUBDIVISION Os I GN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL ~BILE HOME o OTHER o RESTAURANT <'"' DESCRIPTION OF WORK ~~ ~ BUILDING SIZE 8(J 'f ~ <E; & HEALTH DEPARTMENT APPROVAL ~ev() (lbbl' Ie h~-Q. SQUARE FOOTAGE c9, ) DO 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 REQUESTED ~BUILDING $ ~SC() VALUATION OF TOTAL CONSTRUCTION ~ ELECTRICAL ~oo AMP SERVICE 0 FLORIDA POWER 'tr W.R.E.C. ~ PLUMBING -%l. MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL fA OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES ~NO BUILDER.. ..... c.-- SIGNATUR~ '.. ~c::~:=~-=-:-=-~ - ~ COMPANY STATE CERT OR REGIST jt CITY PROCESSING # y~ /'--., ***************************************~**~*********************** ::=~~-~~.... ~~~~~~R~ ~ CITY PROCESSING # \~'1 ****************************************************************** PLc__n___~~ ~~~~:'~~~ :t;EG:-:~~ SIGNATURE t. - - ~ CITY PROCESSING #2'1 * * * * * * * * * * *.* * * *:.~ * * * * * *'* * * * * * * * * * * * * * ** * ~* * :t;:"')*z** * * * * * * * * * * * * * MECHANI~____ ..-'-- ~ COMPANY < A co STATE CERT OR REGIST # SIGNATURE ~ ::-> -- CITY PROCESSING # /1 ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th& undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR 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 that 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 UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) 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 corrunencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 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 corrunenced 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 Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in 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 permit 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 corrunenced 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 corrunenced. 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 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER ~oo IN V~2CORD AND PO~" ~ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 19~ (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or Dwho has produced (type and whoD did Odid not of identification) take an oath. Dwho has produced (type of identification) and who Ddid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped .:S~~~~:;;';:;';;~;;ri~:,"~~~:'"""" . ... r~_-"-"'~""'-'~":~"~"'''''''''-''~)'Ir'''''''l''..T'''""I'l'''~I\'I''''''' 'I'" ,.... ..... ,. . ,\ ,r." ~ ~'.. .. ...:, :..,~ 'r,....~".. I' -j' ~" \ . L-/rt; ",e:J:n {J<std-e- .~ ( ~ 5~ ~ l sf:. 5,~t WI' F / ~\,'; ./ Z.ep ~ 4t!- '1,// )-:'. -(I __ .00rIC. OF CO......C.HB~~' 3"5 -rI state of J /0 ei clc",- ,County of ~ S( 0 'rUR lINI>ERSIGNEO hereby gives notice tha1: improvement will be made to certaiu real property, and in accordance with chapter 713, Florida statutes, the following information is provided in this Notice of COI1UnOllcClllclll:.l, 3C 1'. Description of Property: Parcel No. () 3-';;;0-d I.-() I~ _()(l({r-{fG ) Name of Fe,e Simple Titleholder! (If other th9n owner) Address City . state conhac~~r .am~-A'(l~ . .. 1 J\ddresD.1/5 ~ J_ City' . ) eh/ / (~ state P I 3~~() I Surety: Name ' (Lega e) 2. General Description of Improvement l:bme, 3. t: Stat<e ' 'F I Address~~~ Interest ill Property: 4. 5. Address city state AmotJllt of Bond: $ 6 , Lender: Name 'Address city Stahl 7. Persons within the state of Florida designated by' Owner upon whom notices or other documents may be se,;-ved as pr~vided by Section 713.13(1)(a)(7), Florida statutes: Name Address city . 'L~\ \ '. state 8, In addition t.o himself, Owner designates of to recelve a aopy of the. Lienor'~ Notice as provided ill section 7.13d3(1)(b), Florida Statutes.. , ',. ' . 9, I.':Xplrllt.loh dnt.e or Notice or Commencement.. I t.he expiration. date 10 1 year frQm the datq of recordi~g unless a'dlfterent dat~ 1s ~pecifiedl) ;'" ~ " I l' t . . I . : ,I j'i OSc... ::t:IQ:lm, ....t::l ,IJ:IW ;r::S1:I ........ h.1..O-I ....1..0-1 IUs~ ...::~ t n 1"1.' 1.'1 U1"O 'OD .00 n o .... "0 n ,moo -tiC '""....~ (JI -< CD P CD ~ ';1: -- ~ -- ~ -- 1..0-- I..O~ s- 1..0= U1~ r\);:;;;;;;;; s__ == ~ -- -- - ~ ;:;;;;;;;; ~ St::l::t:l Q:loon .........'1:1 W cT S .. .... lD W 1..0 tll SW '-....I Stll SI"I.' ::t:I ....10 -In t::l "C cTSO'> '<' , ss nss .... 10 -s ;It" Signature of Owned "- Sworn to and subscribed before me thi~()' 1~. ' ~M ~bl . r 0 \' , '\ Notary u c, . Yl6*l8I\lmr.ai~@TfJI! B. 2002 Comm. No~ bb 723061 : i .. ~ I'C930530.n c'nl,ITP(lCTDP 'II': NAME: INTERSTATF tll)/,W ~ 3T.7f;)7 NFHEI (111 C/ST ~ ?/IIILL ('; I 'Fi.ITF;'(ll F'F'P,1lTTJI.lC PASCO COUNTY? FLORIOA F'OP: r~TF~ 08/30/?O TIMF~ 13:qq F'tICr:: ~ "I. OF ., T~~;SI..JE OF'FleL ~ n F~E C E IF' T "'Ui'jE:I:;~ i O(""'! "I. i-37(.)n nFFICE: nADE CITY 03-~6-?1-0130-00000-0?3A ("'IIF'CI< 11' ??0:ll (ICeNT ll"! TOT (~f., (.i,10U/'.~T i COMPNY ACCOUNT CENTER 8q50 - 363000 - ? 17,61 AMOUNT DESCRIPTIDN/PERMT OATA DR.'CP 17.61 ****** ROLlO WASTE FFF 60 I'F("'FT"'ED F:Y PASCO COUNTY.. FLORIDA Date Permitted ??(jS$f3 t? - d-.s--79 Permit No. BUilderNamelOwnerN~?- 7 J4ttA.d~ County Parcel No. 0/5 - 2/0 - 2.1- e; /:30 -OOOtJi) - tJ~3D Address/Location _ ~ 7707 ~ Ik. . Subd. ClassificationfType of Use ~ ~.Jl1l- cy ~ ..1' How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Zone No. Rate $ ~/ Sq. FtlUnit ove 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 of a Certificate of Occupancy or utilization of 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) J5. ($0.142) x (No, Day's) Assessment - (GSF) x (ERU) x (0.142) x (No. Days) 100 TOTAL FEE $ /7, ~ I 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. Acknowiedgement 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 White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp TRANSPORTATION REC. NO. ;f / fl/J ~ RESOURCE RECOVERY REC. NO. <t) DATE 1 BY DATE 51 jD co 9 BY/' feecal:ce PC93113094/C