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Home My WebLink About00-9606 L-jO . ~ BUILDING BUILDING PERMIT 09606 CITY OF ZEPHYRHILLS Permit (813) 788-6611 DOl. 7/;2/00 /" oc) 3' ~ ,-- r or:> ~s. .- ELECTRICAL PLUMBING ,- CO 2}.- MECHANICAL 12-,i."~ SeWE!r Conn 7~ (!..G ~ Water Conn: .:> O. c er+. .? M- Water Meter: I 0 0 . . J <<-loOrI 0<<" T,I.F, s: T I)V. - Property Owner: -H d f. r./l.k..r<;~ Job Address: S 7 b ..., S fJeu; "or ~ \)- . , Parcell.D. # 0\- JC:,.. 'J 1.0150" Ooooc, "0,",70 Zoning: Description of Work ~ u.....<.r 1?~1'fl.:. sf ~ (22 DC, NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be perfor"':led in accordance with City Codes and Ordinances. FINAL S1- 9- DO ''8 DATE C.O. _ DATE Valuation or Contract Price )3 ~ . 00 -- f . Inspector ~ SP~rmit F~~~_~,<;~ - Ignature r::=:: .. ----- "" Company Address City License Registration # State Certified License# _ Telephone# 1'1 C\.._~,) l t> IJ .l (l '~+~r~ BUILDING 3' sCo /' .. II "..... .1 ~ .I IJ )v.-~~ ELECTRICAL S(" J'k~ klt\ I!y.,.,.(.t.... PLUMBING iOy:' {511 h r'S MECHANICAL fl Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. 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 j'OR PElWIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT c~o~ VDATE RECEIVED PLANS REVIEW FEE OWNER'S NAME W 4- ~~~ ;t'.~E JOB ADDRESS Lot t'-J f( bl E _ _ _ ~__ LEGAL DESCRIPTION: LOT(S)~ BLOCK PARCEL ID # '3-2lc-2./-6l ~-()fWV-~L" WORK PROPSED: ~NEW CONSTRUCTION PHONE{~/~)l] rpf- 35 J 0 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICEl D ADDITION DALTERATION D REPAIR D INSTALL DSIGN D MOVE D DEMOLISH PROPOSED USE:~GL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBI LE HOME D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER BUILDING SIZE SQUARE FOOTAGE HEIGHT RESTAURANT DESCRIPTION OF WORK 0)6 )( L\ <t 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. )Q BUILDING ~ELECTRICAL )!' PLUMBING '9c ME CHAN I CAL PERMITS REQUESTED ') on $ C>IL ?:JOD VALUATION OF TOTAL CONSTRUCTION 6(OD AMP SERVICE D FLORIDA POWER ~n W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL Qy' OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER SI&'l'URE l ,/5 -~ COMPANY STATE CERT OR REGIS CITY PROCESSING # SIGNATURE ****************************************************************** COMPANY C -+ fJ- }oRc!C(.n STATE CERT OR REGIST # CITY PROCESSING # 3"- ~ ELE~;reIId:f -~ \..-! ~ ---- ---.... - PLUMBER ***************~******************:::::::***;C:l~~****~**** 11 ~ "f -~ .~~:.~==~::> STATE CERT OR REGIST # ~ SIGNATURE I_____ - -~ CITY PROCESSING # It) &' HECJWlXCAL HH* H~ *H *H2** ** ***** ** ***~~~;:~ *?3i=PhrL2;:~* ***** ** c- ~ ( STATE CERT OR REGIST # SIGNATimt: --4 .~ CITY PROCESSING # I '1 ---...., ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** .......vJ.~J...)..J......L ..LvJ."~ .......l; J.. J..:.,(J.'J,:J...J..... .rl..L.,L' ...LL.J.1.Ii...L.L A. NOTICE OF DEED RESTRICTIONS T~e'undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes respon.ibility"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 commencement. 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 commenced 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 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 commenced. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". r== ~- == -=--~ SIGNATURE: OWNER OR AGENT --- STATE OF FLO~ ~ (:0 COUNTY OF ~ The foregoing instrument was Befo e this \ d f . - by ~(name of person acknowledged) ~ho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instr Before m his by t (name of person acknowledged) o is personally known to me, or o le~edA I.. ,;;XfJ.Q:Y acknowledgement Dwho has produced (type of identification) and who D did ~id not take an oath 7-1;;~ ~. f3 hc~ Signature of perso tak~ng acknowledgment D who has produced (type and whoD did ~ did not of identification) take an oath. Name . t 't'~~, ~- ....- ~tJ.y,~ KATHLEEN J BROWN ~~; MY COMMISSION # CC 825469 "'1'orl\.c,'" EXPIRES: l4/12!2003 '-8O().3-NOTARY Fla Notary Service & Bonding Co, KATl-f LE1:::.,,j ,-J. 'R{.<.l"> i^ ItJ Name ~d!.....-'ZJinted or stamped ~"tJ.v PII,,<t. KA THLEEN J BROWN ~ ~~ MY COMMISSION # CC 825469 ~o"t\)'" EXPIRES: ().j11212003 1.8O()..3-NOTARY Fi8.,~.:~ Service & Bonding Co. 2 efJk'f/ e- j)c5f II CO 'f{(){) i . I 1I.~- ! i 0/ I )s-)C?? l-D S~ I ~"..0D I ~ i (}J I I I c),1/; If-H: f-li-1 (0- ~~i ,1/ I r /)r'J;2- , b ~ ! I~ -' I I' l1~((.L ~er;;oJ ,~ t 3~ I~ ft~ , ~ _ _. .._ __ _. _, _w _. _ ~~! . :j ,;~ [BJ r&1, . / ~'~ ~~ 8] ~ ~I\ ~ "~D " ~~ D V~[jJ~ ~":) & ~tn -.. :~ ~ q~ 0,' t I 'J...y% L PI \f~_ f..)J A'( I ,"-or i 5 I CJ2 f,ufj-lk I l~ I':~ EJ- /~~ , . -= PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-7111-7111' CITY OF ZEPHYRHILLS ZEPHYRHIUS, FLORIDA O(),3 91~ WATER ACCT. NO. DATE 7/12/06 OWNER/ RENTER I-/- ,J. f< :r /I..Jei skk S.J.. RJ. MAIUNG ? S 2~ 7 7~rr h,'ll $, SERVICE ADDRESS 3 7 b 4'5" Lo+ o ~<:.. 5'1 W~Q. -t- "5'35 \..{ J ( New L? tJ'/) Or' 77 ii{A.'1r ~;d~t. -,..r WATER o SEWER SHUT OFF SERVICE TURN ON SERVICE " ~ o GARBAGE INSTALL METER READ METER o o o ,. IN CITY o OUT CITY -I-- No. OF UNrtS CHECK METER OTHER _ DEPOSIT AMOUNT ") / 'f (, w..J.v f\^.e4er _ AMOUNT LAST BILL _ DATE _ MISC. CHARGE WORK COMPlETED BY & DATE COMPlETED ORDER TAKEN BY I Retain white form in office at all limes. Send pink & yellow forms to Water Service Dept. ~ Service Dept to sign yellow form & return to office. _I r.e/"V'; ~ ~ '1' o{,;, 17' Lj'{ ~e-fo,4 0..., ':' N o '" ~ a: o II. tll .J o Z 1 :.J !II iJssuo ~ 7 /11/D~ iAA+~ G....,n. , t I ( 1 r ~ ! i i :i'l i I : r.i j' , I I j, ,( l I i f i -~ t 'i i ~ ,'l; , I ! 1 " I :! " 1'"" l~ I:.lt"> / , i "I "i' I ' ,', ~! ! 1 ii il // (~(, f / /"'"4 /c (~,/ C/' ,/ I .I ./ --~---~---- lq \ i! , J', ,I ~ "i i',1 ,L'): ! I if U il' 'I, , ' ) i I .~ ; ',' ..... ( ~ ... PASCO COUNTY, FLORIDA PermIt No, -.11:.) t ') 6 Date Permitted _ '7 I J 2 / (J<..) Builder Name/Owner Name _~t oJ ) ( ! n ,t i?f S ~ C....1 e - ) I, 0'1 O. OOL/au'" 07'7,0,_, D/. County Parcel No, O"?'" J 6 . Address/Location _ie 17 (; 4')' rJQ ~eu I .J. Classificationffype of Use (}ll'";b: \e {fo....., ~ Subd. 7..fj'lkyr '1 / k . .:.-5P How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Why? Rate $ Zone No. Sq. FtlUnit ....-"'.. . Prepared ~".,..-. .... Impact Fee Amount$ The above irp.p'a~t fee has been established pursuant to the Pasc~ ounty Transportation Impact Ordinance as adopted by the Board o)>rSsco County Commissioners. This amount is payable PRIOR'to the issuance of a Certificate of Occupancy or ut:l}pdlon of the permitted structure. ,~'ESOURCE RECOVERY ASSESSMENT EXEMPT D RESIDENTIAL No. Units -1 NONRESIDENTIAL Gross Sq, Ft. (GSF) Rate ERL: - 5200/Year or SO,142/Day ERU Assign No. AssessTllenl- (!\io Units) x ($0,142) x (No, Days) Assessment - (GSF)x (ERU) x (0 142) x (No, Days) 100 TOTAL FEE $ rOTAl FEE $ _ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSlJED VNTIL THE AMOUNTS LISTED HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY. Acknowledgement below does not imply acceptance of concurrence. hut 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 L'SE ONl Y TRANSPORTATION REC. NO, RESOURCE RECOVERY REC. NO, DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Ftnance Pink Office Green Bldg/lnsp feecalce PC93113094/D