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Home My WebLink About01-0297 BUILDING PERMIT~~ 02.97 t./ o. t;9 BUILDING 35.~ ELECTRICAL CITY OF ZEPHYRHILLS (813) S!8t3611-- .., O-OO'l-O >> _ CIS 75 . ~ PLUMBING MECHANICAL Permit Date 5/7/or Property Owner: LV: l t~,..., +- L 0;1' e..~^e ~ Job Address: -:5 i h 3'g (Jew(>r \ Avt. . Parcell.D. II 01- J~ -:J 1- 0130. OOr;XJO" O~ 30 1278. ~'. Sewer Conn .. Water Conn: L.c2rt-. Water Meter: I ~ o. og T.I.F.'s: I i.(go. ~ Zoning: Energy Code: Description of Wo", }'\. b: ~ I-\o~ ~.j- tJU/J-r/JJAL ~-_:l-f2L--# -31!eu If!. NO OCCUPANCY BEFORE C.O. Radon Gas: - '-l{J . Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. b Inspector g. p~'mit~ A\~/L, J..- Y. Slgnat re__ ~ Company Address Aelephone# (<ct!:>) 779 -~J51() Valuation or Contract Price go i COD. ~ , City License Registration # State Certified License# 1f:>,d o.~ Ett2.c.. ELECTRICAL (10 ~1'J.c..~ PIlA.~ b. 6a.~ <:lor 'TrA"sfo,'~ BUILDING J~ l , PLUMBING Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. INTERSTATE OMES, L.'L,.C;. 4851 S.R. 54 w. :ephyrhills, FL 33541 SlIOiNC CLASS DOOR ~ ~ " ___..l DINING ROOM 10' KITCHEN 16' r I$lAID WORIC lOP .. ~ <.0 N CATHEORAl THRU-QUl r------- ------ ------- LIVING ROOM 18'.8" 1111 1111 1111 :::: DEN "" 12' HII 1111 lOP flOlt4 ClHI'lC AOOUI (813) 782-2276 (888) 903-3833 FAX (813) 782-1169 @YM'lIT"f B MASTER BEDROOM No.1 16' BEDROOM No.2 13'.4. 6123CT/6028 2BEDROOM . 2BATHS - CATHEDRAL THRU-OUT (1,569 SQ.FTJ BEDROOM No. ,3 12', y t1v' ~ ?~ OPTION 3RD BEDROOM Looking for the home of your dreams? Look First for the ~ mark. UL Cluslfied ... conforming 10 lhe Fodersl M.n&..h.clurecl Homo Construction .rd satelY Stand an:ts. IBi.E BRINGING ~CA HoME. BRtI<<iING /wru'J fUN WebSite: www.hrmobilehomes.com E-mail: hrhomes@gte.net I IDO ~} -z ~},~ f2.. ~C\C)( 37 (p 3 ~ J\l 'C. t,0cD V-\. L\E. . 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""1' !. .. ..: .. .:.....:.....: \f- :. . ....1....... I 0 .;. .............i......L.....l......,......l...................L....L.....L.....l......l......L.. ......... 19 -__ ) T ..;......, .i......! / O() / .;......! ..! \( APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPAR.'1'HENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME JOB ADDRESs( l-.ot ~ <3~ J 37f.t.,38 LEGAL DESCRIPTION: LOT(S) ~~ PARCEL ID # 63 -').(p- :;2[-6/30 -600c0 -og3o W il \ ; ArY\ *' LD'tt.lLAi {"\ ~ I~ E '-1 N'E-\J0CL{ Au~. PHONE 941 -1.J:I..~ - Cf4 3fo SUBDIVISION Z:~f~~ ~A.S\ t BLOCK (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~EW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL Ij(MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL Y"r'\_ L't' L ho.,.,.."c:; r"c. +- L.. 0 DESCRIPTION OF WORK ,. DV ,. 'L- ~~ -'~ BUILDING SIZE f).~.~ xf.oD SQUARE FOOTAGE " le ~O HEIGHT Iz 9 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. BUILDING $ ~~ICIJO ISO PERMITS REQUESTED '1:J --n ~ VALUATION;OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE o FLORIDA POWER )t W.R.E.C. PLUMBING ~ MECHANICAL · \ 500 .aD $ I VALUATION OF MEC~CIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL ~.OTHER FINI SHED FLOOR ELEVATIONS "1 !lot F',zOtv\ '1'r'2.0~ IS PROJECT IN FLOOD ZONE ARFAD YES 'F:A NO BUIWBR ~ SIGNATUR ~J\ COMPANY 01=\+01'<.- Tr2..~n'S p~T STATE CERT OR REGIST # T 4-000() 4(., 7 CITY PROCESSING # ~ g~ I ****************************************************************** ELECTRICI~ f"\ . . _ SIGNATURE~ ~ COMPANY 3D R DCHI ~ II:: d--12 i' c... STATE CERT OR REGIST # f1Z..- oc:b?.fW CITY PROCESSING # I iO PLUMBER SIGNATURE~ ~ ****************************************************************** COMPANy-=:fcfDOn. ? I u...rY'-~ \ v'\q STATE CERT OR REGI ST _t,Rf 004 ~3 ~ 8. I CITY PROCESSING # * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * * * ~ * * * *t;* * * * * * * ~ * 7 C!...- MECHANICAL COMPANY D.h.~ 5 A6., ~ rvY\ k STATE CERT OR REGIST #. t:'.~Qo 4'ii'll./1, SIGNATURE ("'\.{A... CITY PROCESSING # } I ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. - NOTICE OF DEED RESTRICTIONS fhe u~dersigned 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 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 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 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-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". ~ER~ ~NTRA~~~ STATE OF FLO~IDA COUNTY OF --F A~ The foregoing instrument was acknowledged Before me this ~ day of lvt AY , =4::tl~ by f .,p --e. t:.Lv\ If\. t? t..\ r a.. 'K. (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA -:::p COUNTY OF A SC I~ The foregoing instrument was acknowledged Before me this ~dK Ofk l'1~y , til'2.o-r:JD by L P.&2-C'",--,^e... irQ. (name of person acknowledged) ~o is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Ddid []did not take an oath o who has produced (type and whoD did 0 did not f.( A:Tl..+ LeEN. .:r. :RR..D,... IN Name typ . ~...""y ~v~<t. KA THLEEN J BROWN ~ ~~ MY COMMISSION # CC 825469 "'1'0' fl.""" ry,PIRES: Q.I/12/2oo3 1.8C.JO..3-NOTAPv Service & Bonding Co. ''''.\t.''^;''''-''''-'''' I-LA"T7-i t....E::..Ja..J -.\. "BR-b\A/J Name type , . V.L --.- #~"'Y~II~<t. KATHLEEN J BROWN ~ ~ ~ MY cn"IMISSION # CC 825469 "'l'on~"~ "PlflES 04/12/2003 1-800-3-NOT-\c ,~-v s'ervice & Bonding Co. ..; .. ';' " '" '" ~ a: o tI. 11I ..J ,J Z :2 l1I tIl Pe./' 1"'\ l' ~ ..*- D~ e::j 7 37'31 N~~n! Av~ <Ji!,~o. ~ ~hla' ~ .D PERFORMANCE BUSINESS PROOUCTS. INC. 813-71\1-3008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, flORIDA o/-S?S WATER ACCT. NO. DATE 5/7/01 OWNER/ G~~ '1;""" s fo.r.f &; l\; c..... goer) RENTER MAILING 37" "3 g rJrlwo.. , Aut. -z~( k:\\s . t='L 335 <{ I , Aw SERVICE ADDRESS ~7"-a tJtLWo.. ( ~"3) ~ WATER SHUT OFF SERVICE o Lc. ir WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY Retain white form in office at all times. Send pink & yellow fonns to Water Service Depl. Water Service Dept. to sign yellow form & retum to offICe. ~- - ---- --------.- ---- --.--.-- --- ,-------.-'-- -- -~-- I , j' ; ~ ! I , i ) ~ 'i i< ;j 'I ,',I l,ii ;}; :i I. ; J ~-,',; : 1 :1) '1 I, t ~ I:: ,I 1'\ '! . ! 1'-' I ! I OJW.. ........,.... ~_....'p :- ~'./"."""' ,,;/ ';;,~ii'~~':'~~;;~w:=rlVj,,~;,;;~ - w-' .~-:-;-~ ,~- '1"\\1,4t:Ti"i,~ .. '41"J',~ ~/;j.,'" ~~'MJ'1;~\;t/r:'~l"S:.'t~".<-<;.-~"" - ~..~., ',..lIl,'PI'j~ 'U~}!>: "P. <:"'''!;{~}~i';.;~, :.i~" :<. ".. , "-' ,~. '. "p. 1 PASCO COUNTY.. FLORIDA Permit Nu. _ , --',7' f- '} '\-/ ... .'~ Date Permitted _ \- 'J. C'j Builder Name/Owner Name ( l j " i ,'(, )') I ..,. "\ ["', \~t.L,l j l/ _ 'f;: j,ic-w I o() ,;; County Parcel No. . {~ ... _ 'I ~ I .::-'{' .. {.,~ ,t-~ c) i": L-'...- '/..I Address/Location Subd. ) l ", ~~f \' I J I , ... I /~ ';:; ~ ; LLll.'J ( ~ w.{ .. J C -"1.'1./ ,(>-4'<''''' / r ,h'f Classificationffype of Use V' ~/-;'t, L, , r -- How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Rate $ Zone No. Sq. Ft/Unit 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) Rate ERl: 52.00/Year or SO.142/Day ERU Assign No. , A~~e\smenl- (No, Units) x ($0.142) x (No, Day~) As~essment - (GSF) x (ERU) x (0 142\ x (No. Day~) 100 TOTAL FEE $ TOT AL 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 does not imply acceptance of concurrence, but ~Imply receipt of a copy of this form. placing the buildlOg permit owner on notice of this assessment and the conditions of payment for same. Date Received By ----- --------------------------------------------------------------------------------------------------------------------------------------------- OFFICE L'SE ONLY ."-'-'-------BA TE DATE '"...--,........,,~---....,._- _.-~._.............", BY BY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. !,"';:''''l;. White Applicant Canary Trans/Finance Canary RR/Finance Pink Offtce Green Bldgllnsp feecalce PC93113094/D