HomeMy WebLinkAbout01-0364
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BUILDING PERMITN~
Date '/5/ 0 ,
0364
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
""'I - C/()
cot ~ . '-"
BUILDING
ELECTRICAL
PLUM~NG
MECH\NICAL
Sewer Conn
Property Owner: (V\e r ~ e R :.~ J
Job Address: 5 2 0 , I O~ J+,
Parcell.D. # \'.2(...2/, 00\0' 'Cj'-f()O - 0010
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
DescriPtion of Work
Energy Code:
(; I "- s S r(Jo......"
Radon Gas:
( fet/ +:(4 t lye.)e I~S .f-~ .....~
S" C.4"'~ e....
/ Q " '... t
NO OCCUPANCY BEFORE C.O.
FINAL
e.a.
DATE
Complete Plans, SpeCifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
92 5"0
Permit Fee~ . /Y //
~ Signature ~ ~
Company'
Address
I... Telephone# 7 r g- - 5"31 i
Valuation or U s-r-u
Contract Price 7
T~ r A , WoV\
BUILDING ;2 II
r: .fl-t
&1~(.
ELECTRICAL 10
PLUM ING
ME
Ftr.
Pre SLB ~- ;2{?-OI 5 R....
Lintel
FRM. ?-.;:Jo-o/.fJ!...-
InsuJ. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
7- ::Jo'--ol ~I?-. 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, 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.
"
"
.....1 A- t1- A L~I,..iU AI\.
. 6" 2dl l o*'~ 5-f-
.~S~
SQ. FEET PRICE
'.
." . IL1UN OR LivING A"" $
OTHER AREA UNDER $
VALUATION $
. I
..... DING: $ to "') 0
4
92. )0
CREDIT: $
tJp
2.-5.00'
~t
pi L~W3:: '$
IIECHANICAI..: t
R..-4\DON $
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TIF'S:I' N In
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sl;\ /01 j
~ lle(l
APPLICATION FOR PERMIT
CITY or ZEPHYRHILLS
BUIWING DEPARTMENT
DATE RECBIVED S'~-V I
PLANS uv:rBW I'Elll -
OWNER'S NAME 11 E!? T / E
JOB ADDRESS ....~dO 7 10 'It..
13!teD
$* ,. ? erI11rJ'J//15
BLOCK
PHONE
PASCO PERMIT SERVICE
813-788-5314
LEGAL DESCRIPTION: LOT(S)
SUBDIVISION
PARCEL ID # .J../-,;l,!.t: - ~/- 0010 - 19 if OfJ - 0010
WORK PROPSED: [JNEW CONSTRUCTION ~DITION
(OBTAIN FROM PROPERTY TAX NOTICE\
[JALTERATION
[J REPAIR
[J INSTALL
OSIGN
PROPOSED USE: ~L FAMILY DWELLING
[J COMMERCIAL
o MOVE
o DEMOLISH
[JMULTI-FAMILY
[J INDUSTRIAL
[J# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
[J OTHER
BUILDING SIZE
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
WORK I ~ LA-,55 RrvL. (Parha.llr ~)(ISffl'j
II X d. 3 I SQUARE FOOTAGE ;< 5,3
SCreei1. roon"\.- )
~
DESCRIPTION OF
HEIGHT
Sl"'C fJfcu. s
,
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
u;( BUILDING
lit ELECTRICAL
[J PLUMBING
[J MECHANICAL
$
tf~6D. {)O
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
[J FLORIDA POWER
[J W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIALTY
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
~HER ItLUI11I!JVI1{
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES
[J NO
!!!i!i!!i!!j;!'Fmi!!i!;!!;:!;!'!!'iii~imlil'!!I!!'iiim'!'1m!=!mmmmiil'i!Wi,gpmgm ~ -- - ~ - ~--- --- .-- ~ -- - -- -. - . '!lmii!'lii'iiW!I'i=ii;'iiiimim:imim'mg:mi!:igjliim!!!!m!'ii!E,!iimm'!!imll
j::::::::"il:bl:',*::!::'i:.:!.:!.:Il",,:.,!!.:.,,'::;::.!:i:::.,;:;"""":::::';"::!:!':""""'I !:o::::::1::...,::I::1:,::::::,:::::",I",:::::::::::,:",,,::::'::,::,:::::;:,=,,,,;o:i::::,,;:::o:-.,
mmH~:~m:::~::=;:,maHmfmm:~:m:~=~i~a:~~m:~mm!Hh~~;:gahm;~~im;m:~h:Um, :m:mmm::m::::w:m::::m::m;:~::mmm:::;:::;:~m::~mm:mmm:~:m:;:=m~:~
COMPANY III-I<- ALUMIlJum
~ f) STATE CERT OR REGIST #
CITY PROCESSING # ~/1
********************************************~~*~~**!lJ~*********
BUILDER
SIGNATURE
J:LBC'.rlUCIAN
SIGNATURE ~~ r ~-
COMPANY FE-~ ~ul'UC
STATE CERT OR REGIST # E(<..oCG 416-(0
CITY PROCESSING # 1CXc:. \
O~
******************************************************************
PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
***********~******************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHl!:R
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
''';UN .1) _'_ '.l~' ~t,_ (,J.l.\':::. '...).~ .~. .t,.~V~._I~ '1' l\.~~' 1;'.'. .1}1-\ V _t ....
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that t;h:l:3 permit may be subject to "deed restrictions" which
may be more restrictive than City rl!q1l1ations. ,]~he undersigned assumes responsibility for
compliance with any applicable deE~d .t:I!strictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor ".r contractor:!! to undertake work, they may be required
to be licensed in accordance with sta1::e and local regulations. If the contractor is not
licensed as required by law, both thl~ owner and C:I,ntractor may be cited for a misdemeanor
violation under state law. If the! 01-n1er or intended contractor are uncertain as to what
licensing requirements may apply 1:or the intended work, they are advised to contact the
City of Zephyrhills Building Depa1:tmlmt, 813-788-'15611.
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 regulatil1,: ""t-ruction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as LncH cated. 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 ipval~d 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 COMMEMCEMDIT. JOBS UHDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
STATE OF FLORIDA f1.
COUNTY OF CI. SCO
The foregoing instrument was acknowledged
Before me this ~5+taay of(J;la-y , ~ol
by :JO.se A- ~~
~name of person acknowledged)
0rwho is personally known to me, or
~ fI l~~~
YGNATURE: CONTRACTOR ..
STATE OF FLORIDA Pc
COUNTY OF CJ...5cO
The foregoing instrument was acknowledged
Before me this -eay of /IU~ ' d.<!XJ {
by :]O$E A- I- DAU
(name of person acknowledged)
~s personally known to me, or
-1-'\
of identification)
ke Cln oath.
o who has produced
(type of identification)
~. not ta e an oath
o who has produced
(type
E)C:{ici not
f person taking acknowledge "~nt
8ig
taking acknowledgment
,"'tN'" Suzanne Bahr
~~~~o;~ ~VII#C('~
Name typed, Pri~{.i!':f.!lJ ~ BO!~ ~~~~02
.I""/'i'.(i~\-"'\.'" ATLANTIC BC'NC~:.S .......0.. !~!C
Name typed,
\,.111.." i>~f.ahr
P"'~~o::;n:"[~~o~-lfC 790817
-::~'...A.~: E^plf." t~OV, 15, 2002
-::';~oi'~;'&/' HONDED THRU
"""""',' Ai LAN'flC BONDING CO" INC
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT .,. I
5:;'01 j()-p..<Jr- O~-o9-0/ CJ3t;'f
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
,
C / /tfi.r; J3 Ro ;,. eN IN LJ J N PC) w
II il unlawful for any Corpenter, Contractor, Builder, or olher peraonl, 10
cover or caUM to be covered, any pon of the work with flooring, lalh, earth
or olher materlol, until the proper Inlpector hal had ample lime to approve
'he inllallallon.
. AFTER CORRECTIONS ARE MADE CALL
788-6611 FOR RE-INSPECTION
INSPECTOO -r R~
OFFICE HOURS 8 - 5 MON.-FRI.
( {If / ! 7 f Cf L/
'----- ~ ~
J~{( c ( ( -1/ / L ..! (r -.J, j ~ (1 t~ I ~
Proposal/Contract
11 Vo ()
0?1 1(\
FROM: JAR ALUMINUM
40030 Lynbrook Drive
Zephyrhills, FL 33540
(813) 782-4594
IJU~1~-( ~ c'/( d
NAME "
~ :2 0 7 / 6 ,J t /l Q j
ADDRESS
Submitted to
"7 S 2- ~ ./ :; 'S I
PHONE
DATE
CITY
STATE
ZIP
We hereby propose to furnish all the materials and~rform all the necess~~or the completion of:
, r ft.', )~ I d # /'-p; " ,,\ Ii , .
/1. ,X . ':J 3 , /~--f' /L( ) " I (l.... /' )> "-
J'0- L ~ I..- L r . c"-f :2 k 'J ct--L~~ 1-A~-Y~o/1.-- , .
3 f r iJ2. '--. -.J c. {' 6 I ~ I... '\.J -l '- \ . ( (~\... _ <.:. , ~ 0.. ( (<.1 ( r-I "
/;-'v '-.."'tL--e f t;t C'L--e...L ^
\~c~ L--t/~ C:}~/~ w~~)
~J tf 3 ;/ S' 2 ~.l~,<-(L lJ
5- / (:2 X 6 <' J ( (. ~( '-j I ~, 1-
I c} L. ~..) / A c-~- j c1.--,',1.-P-,J A-C-^-J~
All material is guarant'~d to be as specified, and the above work to be performed in accordance with the drawings
and specifications submitted for above work ond completed in a substantial workmanlike manner for the sum of
Dollars ($ ).
/ // c:...- -=- ~
I } '") 0 ~ 6V
with payments to be made os follows:
Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will
become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our
control. Owner to corry fire. tornado and other necessary insurance upon above work. Workmen's Compensation and Public
Liability Insurance on above work to be taken out by
Respectfully submitted
Per
Note - This proposal may be withdrawn by us if not accepted within days
ACCEPTANCE OF PRapOSAUCONTRACT
The above price~, specifications and conditions are satisfactory and are hereby accepted. You ore authorized to do the work as
specified. Payment will be mode as outlined above.
Date.
~
,'4
Signature /' I ..
Signature' i' . ~g
2 ..7 -
. ~_, I f / k-----..
f/ ", "-'<-- .' < ...,
r /5'-uJ
Accepted
ALl" \VORK SJ-LALL COMPLY
WITH ALL PREVAILING CODES,
STAN. ARD BUILDING, PLUMBING,
MEC NICAL, N.E.C. Al\TD CITY
OF Z . ORDINANCES.
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At L 'VOR1< SllA LL OMPL Y
\Vn \1 ALL pREVAIL NG CODES,
STAt'T'ARD BUILD G, PLUMBING,
,!\',I'. L\\'nCAL, N.E d.3AND CITY
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ALUMINUM GLASS ROOM
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2x3 .045 48" '\
posts
\
....
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BACK ELEVATION
23"
7
~ 3" RISER PAN ROOF
I -I
'-- 42"-'
'-6" 80"
~
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~
Prime Entry Door
PROPOSED
42"x 52" windows
PROPOSED
48" x 52"
windows
InslJEte and add
vinyl siding
New slab with footer over
existing slab
11'
SIDE ELEVATION
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PASCO COUNTY~ FLORIDA
Permit No. ~ ( S'
Date Permitted .6/ < /0 I
Builder Name/Owner Name
13 '-i .J.! " (' (t' f J
'"'1>
County Parcel No. S \, "('
AddressILocation ~ i ') I i
'\
./. \.. VI)! iJ
i) ':\ b v "J ~ Iv) 70
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Subd.
t.) " {.
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7v,,'''i
Classificationffype of Use ;ll..; hi if
,
f'~;" ~;T" f'"
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.dt~blished pursuant to the Pasco County Transportation Impact Ordinance as adopted by the
Board of Pasco CountyCtir;missioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or
utilization of the pe}Ililtted structure.
.-
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
No. Units
Gross Sq. Ft. (GSF)
Rate ERL'. 5~.()0!Year
or $O.l--l~/Day
ERU ASSIgn No.
Asse~ql1ent - (No. Units) x ($0.142)
\ (No. Days)
Assessment -
(GSF) x (ERU) x (0,142) x (No. Days)
100
TOTAL FEE $
/'" f}
~,.
TOT AL FEE $
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTIL THE AMOUNTS LISTED
HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY.
Acknowicdgement below does not imply acceptance of concurrence. but simply receIpt l)f 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 ONLY
TRANSPORT A nON REC. NO,
RESOURCE RECOVERY REC. NO.
,.., t:,
DATE
DATE
BY
BY
,
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White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecalce
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