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Home My WebLink About00-9665 BUILDING PERMIT ~~ ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 1~ Permit 09665 Date ~- /t).-ou JlO BUILDING .:2~ :::::~,~:~~~/RA7?; CZJ-::.-~;z .L 07 >? . Sewer Conn / .27~ :a ;;- D Water Meter: 19' i) /ij qD lP/2R./C;/If~ I?o - J /"ToL- l. 111 . _ 1:,..--::2 Water Conn: PLUMBING MECHANICAL T.I.F.'s: Parcell.D. # Zoning: Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL_ ~"'-Z4- (j)(]) C.O. _ ~ /'2 <litJo DATE NO OCCUPANCY BEFORE C.O. Inspector City License Registration # State Certified License# ~C/ Permit Fee Signature W <..y-- LJ~ Company Address Telephone#7"l u - '7,g'\.17 Valuation or Contract Price ~g:C ELECTRICAL 117 MECHANICAL Breakers Ducts Insl. Compressor Final 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 J I iI?~1 ~(r~I-O() wrttL IJ Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.001 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. ~ ~ . f >.r il j: . ~ , !j I, ( f-q ; I' {_., ,.. 1 ~ 11 'I , 1 i " I ,. '.i t, " 1_ ( \ J I ~ ! . i \,'lj ! ' J 1 it! 1 ....,..>;,ii..-' {i :: f I 1 ! ; i: i: ~ I "(./\-.".- ~ -; ; , . i ; l ' ~ . "j'i I . j . ,H ; ", (' ~ 1 ! ,', 1 \ Ii I: ,( :! j i i I i- ~ '; j j ~ f - jl ' :11 ~ ; 1:1: ' .. i'l) !'j i i ~ i"j I j I : q 1"11'" r ,I ' ; i ; 'I l; :', . " J ~ i , "', ~ I' ! . - ..........._.~,..._____....~-."...-- -;~..r~.-"--......._....,..-....__~~,-. -, ..~_~ -~-, --'-'~ -. ,~ .,-_.. ~;.-" .-Mt~., '.,?"I'~.,r~--"'""" _"':_~~'_ - - -. ,~ .. '..) PASCO COUNTY, FLORIDA Permit No. ., Date Permitted Builder Name/Owner Name County Parcel No. Address/Location Subd. ClassificationfType of Use How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Rate $ Zone No. Sq. FtlUnit Prepared By Impact Fee Amount $ Checked By The above 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 Gross Sq. Ft. (GSF) Ratc ERL: 5200/Ycar or $O.I.+2/Oa) ERU Assign No. Asscssmcnt .~ (No Units) x ($0.142) \ (No. Days) Assessment - (GSF) \ (ERU) x (0.142': x (No. Days) 100 TOTAL FEE $ TOTAL 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 PERMITTING OFFICE OF PASCO COUNTY. Acknowledgement below docs not imply acceptance of concurrence. hut simply rcceIpt 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 ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Flnance Pink Office Green Bldgllnsp feecalce PC93113094/D 1< , 3.2 't'J'-t /" >1 ~ , j'J. 32./ --tf' .- 1fo rUe,,;L;!;" ~....c ~ /09 14l ;' )'1 , {)R.lt/l!"fJ.'Aj' ~ {e>T ? 37?/? A/cv'!f:1;/J/1 C~f1/Jd f(OI< /2CJtUS ?;j !aD <' lor I / j9 / HOd.::l ~.~t' 10: S 000;=;:-,:) I-L APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVJ:EW FEE OWNER'S NAME &rd..,I,J 1-//)r>2tJ~1 JOB ADDRESS 377(? /I)e:>/:A. I{n-n, PHONE J,.~ r &::2. SUBDIVISION&-Ia"d' 1&/I~If.s LEG.lU, DESCRIPTION: LOT(S) BLOCK PARCEL, ID 1/ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL Os I GN o MOVE o DEMOLI SH PROPOSt!:D USE: [JSGL FAMILY D~lELLING o ~OMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK D RESTAURANT & HEl\IJTH DEPARTMENT APPROVAL --'11l) b ; ~ f-{{)tIf -L ,5e t L t P BUILDING SIZE SQUARE FOOTAGE 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 o BUILDING $ VALUATION OF' 'l'OTAL CONSTRUCTION o ELEC'l'lHCAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING D MECHANIC~.L $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVA'l'IONS I S PROJECT IN FLOOD ZONE AREAO YES o NO padillelS JO palU1Jd 'padAl ailleN padmels :ro palu1Jd 'padkl ameN luaill6paTMoU~~E 6UT~El uosJad JO aJnlEu6TS luailla6paTMOU~~E 6U1~El uosJad JO a:rnlEu61S t.(leo UE a~El 10U PH:{J P1pD Ot.jM PUE (U011E~TJ11uap1 JO ad^l) pa~npold SEq oqM 0 JO laill 01 UMOU~ ATTeuos:rad ST oql(J {pa6paTMOtDf~e uosJad JO aillEII; ^q 61 I JO Aep- 'sp.(l am aJoJag pa6paTMou~~E SEM luaum:rlsu1 6u106a:r0] aq,1 'qlEO ue a:lfEl (UoT1E~TJ~luap1 JO 10U P1pD P1P DOt.jM pue ad^l) pa~npoJd sEq oqM p :ro lallI 01 lIMOU~ ^TTElIOSJad s1 Ot.jM 0 (pa6paTMOm{~E uos:rad JO ailleU) };q -6T I JO Aep - sTl/l am aJoJag pa6paTMoll:lf~E seM lUamnJ1SuT 6U106aJo] aq,1 CONDITIUI~S OF PERMIT l\FFlDl\VIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsH 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 willi 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 SectiollSH 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 tIle 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 GuideH prepared by tIle Florida Department of Agriculture and Consumer Affair's. If the applicant is someone other that the "ownerH, I cerify that I have obtained a copy of the a~ove described document and promise in good faith to deliver it to the "ownerH 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 alld 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, Envirorunental 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 "AH or "A,etc.H, it is understood that a drainage plan addressing a "compensating volumeH 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 cOllstrued 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 con~enced within six months of issuance, or if work autllorized 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 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 HECORD AND POST A "NOTICE OF COMI./[ENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF STATE OF FLORIDA COUNTY OF n ~ 0 i ::I f'... fJ iii ::l ~ IU ~ 0 ~ ~ ~ 2 C!l Z c ~ ~ l' ::l ~ ~ l&- ii z () w 0 i ::l ~ .. \0 ~ 0 ~ ~ ~ a: ~ >- i !l 2 0 \:j ~ ~ t) c 2 ~ a: ~--I I I I I I I w ~ ^ W (J) ., \:) !;;( ~ Cl 0 0 iD ., z ! w en :.0: , ~ ;::: ...J a: (} cJ, ...JC l!:l 0; -0 :1:- a: 0 a:~ 0 ~ >9 t1 :1:11. U 0.- ::> w~ 0 0 N~ II: ll. LL~ l8 w O:J: z A- lii >~ ::> l- II> W (3 0\ u ~ e' z 0 ~ ~ 0 0 0 ~ II: If iDe . el!! 0 ....... 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