HomeMy WebLinkAbout01-0683
.
BUILDING PERMITN~
0683
CITY OF ZEPHYRHILLS
(813~
- -
~6 ~~
BUILDING ELECTRICAL PLUMBING MECHANICAL
p..pertyO~ ~Ap+
Job Address: a . .
pa'cell'DdY~.~-~-;_ ~~
Zoning: ( Energy Code' d a :
1lesc';Pt;on of Wo<k ~ . . __ ~_ . ~
Fl.'{>o..l4(' lI-'-ol H"'.......~\f'K-.t-
Permit
f!O
g,s
Date
JtJ-~9-D I
.
--
Sewer Conn /,,(l '19 -
Wate, Conn, ~ -
Wate' Mete, L eO ~
T,I.F.'s: ~ i/ (
~:;-ft.-::.' ;~.~
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
{}(l~
ELECTRICAL /R 7
Permit Fee
~ ~ /-l tU..P
Company
Address
cel~~ 71"2-- I () (; '-/
~A!;V ~II/~
PLUMBI MECHANICAL Ijj-
Valuation or /-:.7
Contract Price (p. 610 D
City License Registration #
State Certified License#
~~I/
BUILD
~;
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 Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the fOIlOWi~a
charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for e~ r
F)...L , ~~.
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.
L51~
D
,/
/ (_ D?-
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same,
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS ~T5 PERMIT "" I
'S](., ~ I '-<<Nltl. Ave /I/folo/ Db ~.l
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
,
f-h-i'~,J "lL....E/"c-k.;~,.J f;e.-, D/\ Lve5+ <;;J~ o-f
_h eY1-1 of .
II la unlawful for any Corpent.r, Contractor, Bulld.r, or oth.r persona, to
cov.r or cauae to be cov.red, any port of th. work wllh flooring, lalh, .arth
or olh.r material, untllth. proper Inapector haa had ampl. 11m. to approve
th. Inatallallon,
, AFTER CORRECTIONS ARE MADE CAlL
788-6611 FOR RE-INSPECTION
INSPEcrOll ~
OFFICE HOURS 8 - 5 MON,-FRI.
111111111111 1111I11111 11111 111111111111I11111111111111I11111
2001153861
Rcpl: 541362
DS: 0.00
11/05/01
Rec: 6.00
IT : 0 . 00
Dpty Clerk
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS
j 7 (, r I Lo. '" j; 5
DATE
9: 5) A. fL'1
PERMIT
Ob~J
ore the job
~
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or correcti
will be accepted.
,
ae (k 4l L-bJo c..~ ; ""1 (N v..-.€fO u. 5 5,..f-4 <- ks
/00') f?")
It il unlawful tor any Carpenter. Cantractor, Builder, or ather pe~nl, to
cover or cau.. to be covered. any part at the work with flooring. loth, earth
or other material. until the proper Inlpector hal had ample time to approve
the Inltollatlon.
. AFTER CORRECTIONS ARE N\ADE CAlL
788-6611 R RE-INSPECTION
I";tJl,,,Ill W;.\...I;
U, SeC:'~on
OfFICE HOURS 8 . 5 MON.-FRI.
INSPECTOR
, ,
t't:L5Un::l WJ.t.rl.,1.11 '-lla wlwCl\"Q u. ~"'U..Ug U'llif~.a.'1IIQ,-g,""
not ices or other documents m.!y bo served AS
71J,I)(I)(4)(7), Florid.! StAtutes:
. tlMTlC
^c1d~e611
City
5 t.:ll. ':
B. In additio,n to himself, Owner cfasignAtes
ot to raceive ~ copy of c~e
Lienor's Not.l.CO 6S prov.l.dod .l.n Soct.l.on 7IJ.IJ(l)(b), rlor.dc1 St.C\l:~I,
II. rap~rl'll.~r,Jn dt\1.11 oC Nc:..t.1.cooC COlllmcnccmcnt.',(t.he explrllll.CJn O..H.U i:s I )'0:0'
tr?m the d~to ut rucordin9 unless A difterent d4te is specifled, I
SiC)nature ot Ol,./ner~ V' rAJ/~ (J~
LO ~ Ci20.J i yd-
Sworn to and subscribed before me t.his :5 day ot
i!!t k!2J. '
NIJI/~M'h~/L
Not.)ry Publ ic:
~R fJ . (bj~
M,,/ COrn;nj" 5 ion Eapirell:
BnJC8 A Asbel
,"0,"- MY COmmission CC7..B671
~.; Explf6$ JUIle 22, 2002
""'1ft\;
"C')O\N<II'
APPLICATION I'OR PEmaT
CITY 01' ZKPHYRHILLS
BUILDING DJ:PAR'l'.tlDI:NT
DATE RECEIVED /0-.:1.9-1) I
PLANS REVIEW FEE
OWNER'S NAME ~W fJjlt? f VIS/., tlA- (' /20.) fJ Y
JOB ADDRESS "37&'3/ L,4.IVPI..> f)vF. 1-0 T tf(,
PHONE [>'1) - 7t?- / ~6 '-(
SUBDIVISION (;/Wt7 1~IUZd/f/ fYI/i. f,
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # "Jlf~2-.C;- 1-1-0010- 02.-[-00 -0000
CORTAIN FROM PROPERTY TAX NOTICE\
WORK PROPSED: oNEW CONSTRUCTION
o SIGN
PROPOSED USE: ~L FAMILY DWELLING
o COMMERCIAL
o ADDITION
oALTERATION
o REPAIR
o INSTALL
9M:oVE
o DEMOLI SH
oMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
~BILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK MOf]IU ;-hmF SFI vI
BUILDING SIZE 2-l" X \..fL( SQUARE FOOTAGE /Itfl.f
HEIGHT
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.
PERMITS REQUESTED
D BUILDING
G:YELECTRICAL
wPLUMBING
~ECHANICAL
$4;~1J, 00
1')0
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE ~ORIDA POWER D
W.R.E.C.
$
&oo.c:!o
VALUATION OF MECHANCIAL INSTALLATION
D GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
D STEEL
0"OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAo YES D NO
padme~s JO pa~urJd 'padl~ ameN
padme~s JO pa~urJd 'padl~ ameN
~ualliOpa1Mou~~e 6ul~e~ uosJad 10 aJn~eu6TS
~uama6paTMou~~e 6ul~e~ uosJad 10 aJn~eu61S
tpeo ue a)(e~ '40U prRJ PTPo otI1'\ pue
(UOr~e~11T~uapl 10 adl~)
pa~npoJd set{ 0t{1'\ 0
JO 'aw o~ UMOU)( l11eUOsJad sT OtI1]
(pa6pa11'\OU)(~e uosJad JO ameu)
};q
61 I 10 lep----- sTt{'4 am aJoJag
pa6pa1Mou~~e se1'\ '4uamnJ~SUr 6UT06aJoJ atI~
.tI'4eO ue a}{e'4 ~ou PTPo PTP OOtI1'\ pue
(uoT~e~TJT'4UapT JO adl~)
pa~npoJd set{ ot{MO
JO 'am 0'4 UMOU}{ l11eUosJad sT 0t{1'\0
(pa6pal1'\ou}{~e uosJad JO ameu)
};q
6! I JO lep ----- sTt{~ am aJoJag
pa6paT1'\OU}{~e se1'\ ~uawnJ~SUT 6uT06aJoJ at{~
_'T"" T T ..T""',...,.....
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.
8, 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 tha1
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 requir~ng a
correction of errors in plans, construction, or violations of any code. Every pe~t
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 b~ requeste~
in writing to the Building Official. An approved inspection must be logged durlng each SlX
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
STATE OF FLORIDA
STATE OF FLORIDl\
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PASCO COUNTY~ FLORIDA
:~
Permit Nu,
Date Permitted
Builder Name/Owner Name
;--'J
County Parcel No_--=,
AddresslLocation
Subd.
Classificationffype of Use
How Determined
TRANSPORTATION IMPACT FEE CALCULATIO~/- EXEMPT 0
'---",,--~,-_. ...
Wliy:----..
I
_/
----
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: - 5200/Ycar
or SO,1421Da)'
ERU Assign No.
Asscssrlli:nl- ()\;o. Units) x ($0,142)
x (No, Days)
Assessment -
(GSF) _x (ERLJ) x (0,142) x (No, Days)
100
TOTAL FEE $
TOTAL FEE $
" . NO CERTIFICA TE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY.
AcknOWledgement below does not imply acceptance of concurrence. hut 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
TRANSPORTATION REC. NO,
,
RESOURCE RECOVERY REC. NO.
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecalce
PC93113094/D