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Home My WebLink About01-0105 BUILDING PERMITN~ 0105 CITY OF ZEPHYRHILLS (813) 788~6611 Permit 40.~ BUILDING "?~. qp ELECTRICAL 2J / of Date q.. ~ )~. PLUMBIN'G 2S'". ~ MECHANICAL Sewer Conn Property Owner: \tJ~ ^Q -Au s S (e ~ ('. Job Address: "Y7 5""1 La r€? n4 !tv ~. Parcell.D. II~Y-:l~ -( ( . 00 I (j... 0'700 - 0 (ri' Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Radon Gas: Dese';o';on of Wo<k ,,^ob:\~ ~..." Sod-~ 21,r/ol h're.tf ~p 7':';] Melc..,V ? . , NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. 2 All work shall be performed in accordance with City Codes and Ordinances. City License Registration # State Certified License# Permit Fee ,. Signature Company Address Telephone# Inspector ')~. '1-0 'f3.~<, /I. /L./8f ~ Valuation or Contract Price g"",~e,L'~'d BUILDING '-Ii 4- c.)~ El e <- ELECTRICAL t '6 ) ~ u Wrl: e (rJ PLUMBING '-18 .Ace A,'r Co.-t/. MECHANICAL "-If' Ftr. Pre SLB Lintel FRM. InsuJ. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary 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: 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. ~~ ?(A~d ~~ r"\e~+ 1h/O/ The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PElUaT CITY or ZEPHYRBILLS BUILDING DEPARTMENT ~ DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME t,J/J'(N{ l-tl/S~l--EI;J JOB ADDRESS !-O, /30" PHONE rJ t 2 -I 06 'f L Or €n~ ~. SUBDIVISION &f:t;j./tJ j-/()flI2o;J LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # 3l(--75"-2(- 0010- 01 >QD- 0138' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERAT I ON o REPAIR o INSTALL o SIGN ~VE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS ~ILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER CJ DESCRIPTION OF WORK 5t:~ BUILDING SIZE jJ, ,5 X &0 RESTAURANT & HEALTH DEPARTMENT APPROVAL v f fJ1 tJ;JI L~ l-ItJ #l ~ SQUARE FOOTAGE 15Qo 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 ~ILDING $ 57fXJ.4)0 VALUATION OF TOTAL CONSTRUCTION ~LECTRICAL I ~ () AMP SERVICE ~ORIDA POWER 0 ~UMBING ~CHANICAL $ '1(){J .(00 VALUATION OF MECHANCIAL INSTALLATI o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT BUILDER 7.1- /f>(. "f COMPANY WAI{Ni:: (ji/rretLFf OL-O STATE CERT OR REGIST #~ CITY PROCESSING # i Ole SIGNATURE ~ f). tU<&! ****************************************************************** SIGNATURE f)~ /J ~ flM COMPANY get- PLeG-rf!.U:... STATE CERT OR REGIST # CITY PROCESSING # J~7 , uK- ELECTRICIAN ****************************************************************** SIGN~_TURE ~ A< ~ COMPANY LJAilJt:. fl v rr611.!=--f ElJ) STATE CERT OR REGIST # CITY PROCESSING # 4 g-' ot PLUMBER SIGNATURE ****************************************************************** . COMPANY fJ C-{~ tJ...tfl.... CONl/ , ~( A-~ (1fM~ ~~~~E P~~~~S~;N~E~IST ?_\ oft MECHANICAL **************************************************************~** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A~ NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit 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 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 the~ will be responsible. If you, as the owner signs as the contractor, you are indicating thai 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 i: 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 tc 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". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 19~ (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or Owho has produced (type and whoO did Odid not of identification) take an oath. Owho has produced (type of identification) and who Odid Qiid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped /- I , ~ ~ I 20.00' CURVE C , LoT -t-G-R-E--N-A- -A-V-EN-lfE- EDGE OF 22' PAVEMENT c c c " N 89056'06"W 80.23' U 0. 10.00' UTILITY EASEMENT ----------------- 'If / (J' 0 0 0 "- 5t / ::= . LOT $")( '" QI Lf) LOT 8 r-0 0 0 0 0 I,/") r~t 105.70' I'-. / <'.J r- z IJ) UJ '" 2 UJ > <l: ::= 0. . N 1"0 N 0 1..1.. 0 0 UJ V (:J 0 Cl 0 UJ 0 c.I) " }YI 061 L1: /-lo,~ r:. " 0'J N 89056'06"W LOT 139 DELTA ANGLE 890 23' 5 I . RADIUS 25.00' ARC 39.0 I' TANGENT 24.7 4 . CHORD 35, 17' CHOR D BE S 4502 138- r flU.53 ! 61A./ PREPARED wI! YjJe GtfA.-vd r I/o~ I ZOA.} NOT VALID 111111111111111111111111111 11111 11111111I111111 1111I 11111111 2001015921 Rcpl: 472977 DS: 0.00 02/07/01 _____ 'i~~0~~~l"Art : :':~O fOUNT1Jr7C2Lf0RK OR BK 4532 PG Rec: 6.00 IT: 0.00 Dpty Clerk HOTICI 0' CO~N'C;!KlJNT Stat'l)t FL.()!2(/)/f County of PfJ-...)"ro -;OUR \Il-/n~RSICHCO her.by 9ive. notioe that j,'",p&"ovom.nt "'L11 be m.d, to C:lrtoJin r'oJ1 prQPHty, And 1n acco&"danoe' "'J.th. Chaptl&" 713, rlor.1da StatuteD, the r01101ol~n9 lnlor'm.t.1on 11 provid.d in thL. Notice of CO/MIonc:n.Il0Ilt.1 I. :?1f-2!; - Z.f -ODf 0 -Of:J OO-{.J/3r 'J,f · r.et a 'I ? . " Centr.) De,crlptlon ot Improv,.,nt M u5llE /.1;)./'.1 C S c: T UP. . ) . Olin'or lntorn,.tionl NI/IIO l-uJl'1'/V~ IJU5SLCI/v' !.d(.)rCl.37610 i...fJet5~1J JJv~City Zi"PIIY/2.I-hL(?, !ntHut in pr.uptrty. N.'ft, ot r.. Simple Titloholdt&,,1 (It other th.n owner) 5tH' FL. Addrel' . . . City, 5toto R ~. .........~,~. Contr.ctor: N,)m, {/l/AYNL RUrrEIZ.{:;6lrO /J?f)/7,llE ^ud r. ,,?,t'9 Jo ISurrF.(ftELtJ JA..(. City 2fffU'1'/lJ+rlL5 JJlhVlr S-62lla~ IIVc Statt FL. 3]!;'fo s . 5 U (c t y: N J In. Addro., City Stlt" Nllount ot Sondl $ 6, LlInder: N.m. 7 . Aduro.. City Per.onl \.I1thin the StAtt ot FloridA notiCt, or othtr dooum.nt. may bo 71),1)(1)(1)(7), rloddA StHut:.., !it.)tO dt'.i9n. ted by Owno r upon "'!".c:n ..rved a. provided ~y Section H"tno ^c1dre.. City St.H., 8. 11'1 additi.o,n to him..lt, O....nU" d'OIi9rlate" 01 to rocILvI a copy of t~t Li'l'Ior'. Not1ce 6. prov1ded 1n Seot1on 71J.1J())(bj, rloridc) StHIl~CI. 'J. r'p.rll!..';n dll\'. o( Ho".1ee ot CO/llmenoemonlr-.lt.he expJ,rotlc.n d,)tu I. I ycor Ir?m the ~~to ~t rucordin9 unle.. a ditterent dat. it 'p~C'i!led. I 5....orl'l to and ,. 2Li2L . d.y ot Ft:BlllJ,4lll( HOtoJry PI.blic: ELwJ1 4. 0t.G{J M.I.C 0/1\;/1 I 0 I ion r ll..p L r.. I ,.... Bruce A Asbal ~~-... My eomrntsslon CC748671 *YiiJ1* ~.; expires June 22. 2002 ... If " "I'':'' " ',i{'i l~H ; ,! l~\'\ j,,: I; ,. . ," l 1 C:, I .,... .. .-"";. , 'j n:. :~. : ~!"1 t: " i' J 1 . IC~ i::i I' l! ! D I:; . (~ (.!~, ~ .,.: 'il l'":i f .' ;' ~: (', ~ I j-: . ..; () {"" ,#:') .."<::fl, 1 'f il'CF - '-_.~ _----0--.. __ ._._._~, _.~ ___~ '~__"____ ___"___~'_____"_'_~__ Di , ' ( 'r'" (. ~ I (':',:; f" (; , f I ~ t . j "'; r. ;') \ , I, .1 ., ,C'II;! f C' F j\f r\ . \.. r },_ '1'.1\ ",:,J ().".. '~J,.v_. t II: ('!< i':,,r",_ /) -I :' ,':.1. .../" ::\('1\""'I._:J i" i"i, l'-C,. :,f 'it. ".y '1('}"; .,ri. () 'i'r ...i.J! t. ,. ".. J' i I "{ \.. ' j....':ii'}i I . , , i',", I, . I' (": f-'.l l" '. ,,' i"-i 'I' :. t f) f r~ ,;"1 ... i) i i' ":"' ;'';1 . ,:"J i'\ ! ,. f ,..1 '"',1' 1/,,;,;_;",1 i') ,1 ;,: . . \ . PASCO COUNTY, FLORIDA , - .~. Permit Nu. (j I U \ .' / :'1/.. I Date Permitted Builder Name/Owner Name ....;,.... i' J ! \ { .0;' >,' -.., County Parcel No. ,~: ,^ 'I { \.' :~ ~,J, ,':. ; "~ ''.-~ ; \ Address/Location ! t.; i ~_ \ Subd. Classificationffype of Use How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Rate $ Zone No. Sq. FtlUnit Prt';pa.red By Impact Fee Amou9l.$ Checked By The above im:p~ct fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the ".. Board,orPasco County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or utiJ,iiation of the permitted structure. " RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units Gross Sq. Ft. (GSF) RJte ERL: - 52.00/YeJr or $0 1~2/DJY ERU Assign No. Assessment ( N () . U nit s) x ($0 I 42 ) '( (No. DJYs) Assessment - (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 UNTIL THE AMOUNTS LISTED HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY. Acknowledgement below docs not imply acceptance of concurrence, but simply rCCClpt of a copy of this form. placing the huildlng 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/Finance Pink Office Green Bldg/lnsp feecaice PC93113094/D