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Home My WebLink About00-9794 BUILDING PERMIT ~.!> ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 sS- PLUMBING Permit 09794 /1t/~~Lt& NO OCCUPANCY BEFORE C.O. Water Conn: /0 - J./-O 0 Sewer Conn h c27? .s~ /Po , Water Meter: I/O BUILDING 2S Date MECHANICAL T,I.F.'s: FINAL ~. tt' CJ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector .s' City License Registration # State Certified License# ~p Permit Fee C ~ign~0' Company Address Valuation or Contract Price ELECTRICAL /1 - J ;&.$ c:I I'L,.- MECHANICAL U 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 Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons II a IJ charge of Fifteen and 00/100 Dollars ($ 25.001 shall be made for each trip for eac~h ~ a. Wrong Address ~. t-6 b. Condemned work resulting from faulty construction. d ' C. d. Wor~ not ready for in~pec~ion when called. ~ /0 " I 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. '[)"ic-. <1 ;..- -4 ;/ / ---- T 1- '--- <" 1 1__, -, r2 A IC C) " ( ?6 / ;;J.,5-t-/J '-T-.1.f /8 / t- IUO /;J t- / X q {< 5'-"-F5"-' ,", k''''' jt__1f/fCJ /1?c tll (I /,II)/trc 5fio: cl IS- 01< I Vt:'v-' A)' VA' 1< / to /loR! Z 0 /<...-J n e.(A \-<'0 W\ fJ u ~ d <f5 X' 5 ~ s >1 j~ /00 / 7,s )'1 >1 cr {- ~j(kj~ ~Jdll :1]1 1:1002"-,-,-:-'::: 886758 -= E3 PERFORMANCE BUSINESS PRODUCTS. INC. 813-710-8008 FAX 813-719-7910 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA o~ _S-3~3 WATER ACCT. NO. DATE /0/4(00 ~~~ieR~ g c.vH-er .ele {rJ MAIUNG 7//7 ~II g / lie/. -r"ephy/h,'/IJ I tl 3:J("V/ SERVICE ADDRESS .::S 7.5 J/ 7 1V't U ~ o'^" Ave . L6+ -, r SHUT OFF SERVICE o ~ WATER p 0 SEWER TURN ON SERVICE % 0 GARBAGE INSTALl METER JiZ' IN CITY READ METER 0 0 0 OUT CITY CHECK METER --1- No. OF UNITS OTHER 0 _ DEPOSIT AMOUNT J Icr If T. /L1e/e~ - AMOUNT LAST BIU. 1""'. _ DATE _ MISC. CHARGE WORK COMPlETED BY & DATE COMPlETED ORDER TAKEN BY ID/V/oO ORDER GIVEN BY /UJ Retain white form in offICE! at all times. Send pink & yellow forms to Water Service Dept. \MIter Service Dept. to sign yellow form & return to office. 988758 -= EJ " PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-aOOl1 FAX 813-7111.78111 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FlORIDA 00-53 sy WATER ACCT. NO. DATE loj'1/ v1J , ~it~ -is u+1 ~ .(: e( d 5117 ~lI elvJ. Zyhy/J,v:{(S/ Pc., >37'1/ SERVICE ADDRESS S'7~'I7 N.el.l~D..-"\ Ave. o Lo" 7 ') ~ WATER MAILING SHUT OFF SERVICE TURN ON SERVICE lK INSTALL METER per READ METER 0 CHECK METER 0 OTHER 0 o SEWER o GARBAGE ~ IN CITY o OUT CITY --L No. OF UNITS _ DEPOSIT AMOUNT 5 / '{If _ AMOUNT LAST BILL WC1W fVleA-v _ DATE _ MISC. CHARGE WORK COMPl..ETED BY & DATE COMPlETED ORDER lAKEN BY Retain white form in office at all times. ' Send pink & yellow forms to Water Service Oept Water Service Dept. to sign yellow form & return to office. APPLrCATrON FOR PElUaT CITY OF ZEPBYRRILLS BUrLDrNG DEPARTMENT DAD RECErvBD PLANS REVrBlf :&'BIll OWNER'S NAME (;-'A/4,v) )fO{l,/~c;-'\1 If<..." _-' JOB ADDRESS L" r 7.> PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: ONEW CONSTRUCTION o SIGN (OBTAIN FROM PROPERTY TAX NOTICEl o ADDITION OALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMME~CIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL frMOBILE HOME o OTHER DESCRIPTION OF WORK CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL ht..f{ BUILDING SIZE Lo'f5~ SQUARE FOOTAGE / 5- G "z( 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 TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BurLDER SIGNATURE W ~~M ****************************************************************** COMPANY STATE CERT OR REGIST # ) CITY PROCESSING # ~~ EL1!:CTlUCIAN SIGNATURE PLUMBll:R SIGNATURE ~' ''-'y--fi~1 COMPANY STATE CERT OR REGIST CITY PROCESSING # MBCIIAlUCAL * * * * * * * ** * *.* * * * * * * *** * * * * * * * * * * ** ** * * *.* * ** ** * * * * ~* **J17! ** * * * * * COMPANY. A- C , _ SIGNATURE ~ v.-J (~/0.'- dh <.-) ***************************************************************** STATE CERT OR REGIST # CITY PROCESSING # '71~ OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT "L ,A~ NOTICE OF DEED RESTRICTIONS 5:.-/ The undersigned understands that this permit may be subject to ~deed restrictions" which . ./"j may be more restrictive than City regulat:ions. The undersigned assumes responsibility for 1Y 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 i) to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the omler 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 SectionsH 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 7l3, 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 the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the UownerH, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the UownerH 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, Waterlwastewater 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 ~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 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 ipvalid 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 COMMENCEMENTH. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this -----pay 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) C1ho is personally known to me, or o who has produced (type and whoD did 0 did not of identification) take an oath. o who 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 J ij ~ t i -:! j' ,: ~ I \ . , , 1.ii' r> i (~i! 'I!,!;:',' q , :,'1 'j.'i \ )"1'{ .i liUI "! f c~;o r' '. -- ~\ f'i \.J .' 1 \' I 1I'P , I' i'i ~'f '..,. "f! . ,j , I:! I ,! , , , , ; li" j ,; !. i "'I ,Ii I {'f: ,! ! : dt q19~ f3 ! ( 1 , !" ~ : ,,-j , J j ;',.' i 1i .; I a- -"". ~ PASCO COUNTY. FLORIDA Permit No. /7 i~ II' I i -' Date Permitted .' Builder Name/Owner Name County Parcel No. '1/, , Address/Location Subd. Classificationffype 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 No, Units ,/ NONRESIDENTIAL Gross Sq, Ft. (GSF) Ra(e ERe: :1 2 00/ Y car or $O,142/Oay ERU Assign No. A~~e~~Tllenl - (No Units) x ($0 142) \ (N(L Day~) As~essment - (GSF) x (ERU) x (0,142) x (No_ Days) 100 TOTAL FEE $ TOTAL FEE $ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. Acknowiedgement below docs not imply acceptance of concurrence. but simply receipt llf 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. ~. .,. ,- i..,i. ..' r___ DATE DATE BY BY 1 ~t I ." White Applicant Canary T ran s/Fi nance Canary RR/Finance Pink Office Green Bldg/lnsp feecalce PC93113094/D