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
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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,~.>
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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.
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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
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NOTICE OF :COMMENCEMENT
,~ ~ IlIUU&M1II
...... ... ...... ~ .fA
s.m III lad IUbIcrlbed ..... me thia (
18
.."0"''/0 Nancy Lorenz
~ ~ ~MY CommIssIon CC773256
'. '., ".... ExpIres October 23. 2002
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wbt-)'l iN.. \) l) ~'l(L1 At. (.}U rrs
SQ. FEET PRICE .
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
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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
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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
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BLBCTRJ: CrAB
SIGNATURE ~J,^-
COMPANY/)O C..( (", Iv..f E/e e l.
STATE CERT ORJREGIST #
CITY PROCESSING # 94
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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 #
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OTIIBR
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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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