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HomeMy WebLinkAbout01-0073 BUILDING PERMITN~ 0073 Sewer Conn S 75'1. ~ Water Conn: IS 7 5. ~ Property Owner: )" If) h", ~ ot €"",ofer Water Meter: I b 20.!!2 JobAdd,ess 1r~r r - ~"/ - 'fe.. '(~ ~O. n - ~'1 - s-c.. s;,~jA.AvVF" ...., 90". ~ Parcell.D, # 13_2__1.'_001_00000 - O_I_/~o 2~ JJO'fO " CO Zoning: q Energy Code: .' Radon Gas: , , 2 . C Description of Work (_ ') Wa. if!. ~ Ot..{ Sot' LA f"\., +~ FiNAL F.? ALL 7 tA,VIT~ t, -..:l~-O,~.> --::J E'1315/E' q:.J g /9#\ . 00 I/~. - ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 {'a. ~ PLUMBING Permit Date 1/*50 /0 '- , , .70 ~ s-. ~ BUILDING MEC~NICAL NO OCCUPANCY BEFORE C.O. FINAL Complete Plans. Specifications and Fee Must Accompany Application. C.O, All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector City License Registration # State Certified License# P~'m;t Fee ~ ' . t!' -Signature _ ~_~/~ comparyl" Address / Telephone# '7 B 8 -- '-~ u 7 Valuation or Contract Price ~ "0, 000. Q.C.I A ([ (o,,+r. BUILDING ).1 C+-I Ftr. (9) 2 .. II.(. ~ , S Il.... Tp. Servo Pre SLB (q) 2 ..IU -/) , .>~ Rough In v Lintel Meter Can ~RM. ~..JIo~1 ,fiiij) Const. Pole InsuJ. CL Pool WL~)3",7dl~1 Sj(" Pre-Meter ~ Final ~ Driveway' ~~ B~ 7.... (\..t ..b ( ~fl.-- ~ ~~ . ~)~ 3~lo,-b\ 3e..- ~ 3-L\--t5\ ~ ~~-lD-OI ~p l REINSPECTION FEES: When extra inspection tripsa~ecessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: Oou"ldS Efe(. ELECTRICAL q "f ~"': s tv: \ C l1."-' { PLUMBING , q Zo MECHANI AL SLB (<<) ~- l'-l -0 I S R Tub Set ~ Water Sewer[1J ~,/Z-()f 5" R Final ~',P~ ~U~~-I(,..oLe Breakers Ducts Insl. Compressor Final 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. =--~ c...... III.. 1111I ..... _II....) I 111111111111 II111 II111 11111111111111111111 111111111I11111111 j 2000111575 4 .... Rcpt: 439025 Rec: 6.00 DS: 0.00 IT: 0.00 09/05/00 Dpty Clerk lIlII ..... IRl ..... fir. J ~i90;I~~MAN2 PASCO COUNTY CLERk / 0 :lErm 1 of 1 *-: OR OK 443 PG 1933 ... ...... ... ....r 1111 DIU =: IIFtortda ?a S C' 0 . } TIle ........,.,......., Informs all 001_.'" ItlIt Impr....... wile. __10 certain ~1IRIDII1Y.lInd In....... with MClUon 713.1301 .. ...... --. .... __'18 Inb......... II ..... In .. NOTICE 0# COMMENC&iENT. _ . '- -. '\.IL .. 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MAIN OR UVlNG AREA I If 2..-5 a $ '3 'L. 1:.;C OTHER AREA UNDER ROOF tJ I f'i $ OTHER ,S/A VALUAnON $ 3W ~ aoD BUILDING: $ 2.,0 3'5~ ~D CREDIT: $ (\J IA ELECTRICAL: $ 17 ,- ~c ::) .' PLUMBING: '$ I bo. . .... -..:.;.'- MECHANICAL: $ fJj" J ',2..5 C RADON $ Illl '5" C CCNNliL'((~ -fb- \i.S 11,0 '1-'136 TIF'S:ls It ,- 1.4L tt fij~ / I q 0<"" ~ <:;.. II oJ, I q w/ c q L-A" S q :0/''1: c.J'((ti{L jA4yi.-l,utb 7)~7, )'0 I ~ ~33. "0 ... ~ ~ -# Z- ~lt\f'.W, d- t\tvttbrLT rtD. CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET (INSIDE) ORD. #395/RESOLUTIONS 312/372 WATER $1.75 GAL. SEWER $6.39/GAL RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $ 1,278.00 Travel Trailer Park $ 131.25 $ 479.25 COMERCIAL (Per fixtire) Sinks $ 87.50 $ 319.50 Water Closet $ 131.25 $ 479.25 Urinal $ 87.50 $ 319.50 Lavatory $ 43.75 $ 159.75 Tub/Shower $ 87.50 $ 319.50 Washing Machine-Commercial Size $ 350.00 $ 1,278.00 Washing Machine-Domestic Size $ 87.50 $ 319.50 Dishwasher-Limited Use $ 87.50 $ 319.50 Food Service-Dishwasher $ 700.00 $ 2,556,00 Sinks (3-Compartment) $ 175.00 $ 639.00 Car Wash (Per Stall) $ 1,000,00 $ 6,390,00 SINKS 50 $ - $ - $ - WATER CLOSETS 75 9 $ 1,181.25 $ 4,313.25 $ 5,494,50 URINALS 50 $ - $ - $ - LAVATORIES 25 9 $ 393.75 $ 1,437.75 $ 1,831.50 TUB/SHOWERS 50 $ - $ - $ - WASH, MACH. COMM. 200 $ - $ - $ - WASH, MACH DOM, 560 $ - $ - $ - DISHWASHER COMM. 400 $ - $ - $ - DISHWASHER LIMITED USE 60 $ - $ - $ - SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PER/STALL 1000 $ - $ - $ - SUB-TOTAL $ 1,575.00 $ 5,751.00 $ 7,326.00 9- 3/4" WATER METER $ 1,620.00 GRAND TOTAL $ 8,946.00 FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE .'W- EJ .. ~ ...""" cD ~ a; ~ ! ;:: ,J, a; cj ~ ~ ::J ~'!iIoo-' 0 o a: 0.. ~ 1ij ::J lD I1J o -' i a: I1J 0.. ~ ~J E;3 .. .. 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Q.cn ~ w::l 0 0 N3: a: Q. u.a: ~ o~ Q. z >w (jj ~ I-N <D (3 W (.) ~ z ~O ~ 0 0 0 a: f2 ~o a: w ol!:! c.. l!:!w d ~~ w a.::i: Z U w ::i:a t-: ~ U aU J (J ~ 0: 0: Uw w l!:! 0: l!:! ~~ ~ (/) w 'oc u.. (/) w l!:! w 0:0 OCw ~ u. z ::i: w ::i: ~'" oc w~ z a a g ::i: ~ 0: W Zz ~ I- Z 5! U w ~ s:w ~ ::l 0: W ::t: ::t: ::l (/) W ::t: 13 ~ ooc (/) I- ~ 0: U ~ PERFORMANCE BUSINESS PROOUCTS./NC. 813-71UOOB FAX 813-719-7919 EJ CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA o/.-3S-f WATER ACCT. NO. DATE /-.,d D-D I :: ~~/~~~~ Z/~~.@~) n 5'3~-;YD SERVICEADDRESS '~92J/D Jou-r/i (~~ . ~ WATER o SHUT OFF SERVICE TURN ON SERVICE K INSTAll METER ( READ METER 0 CHECK METER 0 OTHER 0 o SEWER o GARBAGE ~ IN CITY o OUT CITY ~ No. OF UNIlS _ DEPOSIT AMOUNT -7r' J<)*~ _ AMOUNT LAST Bill _ DATE _ MISC. CHARGE IMJRK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY Retain white form in office at all times. Send pink & yellow forms to Water Water Service [)ept. to sign yellow for APPLICATION I'OR PERMIT CITY or ZBPHYRHILLS BUILDING DBPARTMENT DATI: RBCBIVBD PLAHS RBVJ:BW I'BB OWNER'S NAME -JdA/l /..~ole/de../ ___ PHONE 7Afj....,<)fC;y v- ......- V t...-- v' ~ .:..--. ~ , JOB ADDRESS 39-240 - 4:2 - 44 - 4tIJ - 4A -..-S-u - s-z ~ 04 - ~~7n LEGAL DESCRIPTION: LOT(S) j- Z-4 BLOCK SUBDIVISION .Z';;-dA// A,':'- J6./.J-. PARCEL ID # 13~z'- L 1- 00 /(J -00000 -Go/r6nZ:~XJ4ttOBTATN FROM PROPERTY TAX NOTICEl WORK PROPSED: ~NEW CONSTRUCTION 0 ADDITION oALTERATION 0 REPAIR 0 INSTALL o SIGN PROPOSED USE: oSGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH oMULTI-FAMILY )'I(INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK /lIe o.t/ en .15 J /"u {' Ifi-. -1 IA.//'A./"PM.., S/~/C /Ic.~ ~IJ BUILDING SIZE -- "J .2 5,7"H,I/! SQUARE FOOTAGE I 11.:2 sn --SV x ,;?,2 0- RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, /"f'>l1kj 6ay< HEIGHT /(0 \ III BUILDING $ PERMITS REQUESTED < 'Z, 2.0 I GOo 0.-- VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME FINISHED FLOOR ELEVATIONS ?.s-:.sn .., STEEL o OTHER IS PROJECT IN FLOOD ZONE AREAo YES _NO BUILDER SIGNATU~"-'- - COMPANy-A!-.(l, E (1/1 r1/ra (';.1-; /15 STATE CERT OR REGIST # 7 CITY PROCESSING # d.. G 4 ****************************************************************** BLBCTRJ: CrAB SIGNATURE ~J,^- COMPANY/)O C..( (", Iv..f E/e e l. STATE CERT ORJREGIST # CITY PROCESSING # 94 ****************************************************************** PLUMBD. \:'\ SIGNATURE ~~^-.: J \k),A eo~)"Ir\..r\ COMPANY .[..JFAhJ,' s.. L. w; cl c '~'3 STATE CERT OR REGIST # CITY PROCESSING # I q 0.. 0 nltS r YBCHANICAL **********~******************************************************* SIGNATURE Air) /1 e \ COMPANY. STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** OTIIBR SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS OF P~RMIT AFFIDAVIT A. NOTrCE OF DEED RESTRICTIONS The undersigned understands that this pel~t 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 CONTRACTOH 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, 813-786-6611. 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 SOIneone other that the ~owner", I cerify that I have obtained a copy of the above described aocument 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-Asbestc)s 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 regis1:ered 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 t~e 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 N VALUE 0 NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". //) / ~ URE;/ CONTRACTOR STATE of FLORIDA .pll,r Cb COUNTY OF nQ The foregoing instrument was ack~owledged Before me this ~day of:J7lA1J~'f , $9.lrE-' by ~tl THnLOJ~1!... ~ (name of person acknowledged) ~ho is personally known to me, or ST TE OF F COUNTY OF P f+ !;Crr; The foregoing instrument was acknowledged Before me this ~ day of JAtJu.~~4' , ~-dw' by ::fOt-l tJ:::r; () v:::-rJDE. fL (name of person acknowledged) ~who is personally known to me, or person taking acknowledgement -H8dbelC S~ o who has produced (type of identification) d~d ~~ake an oath of person takinp acknowledgment ~~fG~ i.. -I-1t:tJ}E-f;~,J Name t~ ~~H~r stamped t. :MY Commission cC70S984 ~...~. Expires February 8. 2002 o who has produced (type of identification) 'd not take an oath. MAR Y -I. Name typ~d, printed $'h.' M8lYlOiencJerseft *W *My Commission CC70ICIM .........'1' Expires February 6. 2001 or stamped