HomeMy WebLinkAbout02-0897
BUILDING PERMITN~
0897
dO ~ ,c
BuilDING
IIj. " JJ.c
:/5
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
3{- (!fJ
PLUMBING
Permit
p:C
;9.~'
MECHANICAL
Date / -/0 -0 a
Parcell.D. #
Zoning: Energy Code:
DescriPtion of Work M. H. :')' -t? T ~
Radon Gas:
Sewer Conn I. ;2 7?'- (}()
.
Water Conn: -q 51) l' tJIC
-
Water Meter: /?o',;>-O
T,I.F.'s: ~ Lfffl), gf)
Pry me:bi"'n - I f7) . <<7
-r"'r,. ta'n11. '7 s. ,;t'O
Property Owner: (JRAA!O HoR/ZfJt1I
Job Address: 3 ? 7'1 % AI~ J4,m. fl lie .
)-0/3
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
,. IJ ::2-
DATE
/ - :L5'- /J;:J-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
City License Registration #
State Certified License#
l/~
Permit Fee
Signature
Company
Address
Telephone#
13~ ..
~ ri~.
Valuation or
Contract Price
7 '?J -- s-"L.$'V
Bnt-ey h(JJd <;
fke -I'f{'
,Bertt,,#, {;~ / d<;# rrr
fJ ~e #t/s
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final /J -- :25-17 p.. NJO .618
,
SLB Breakers
Tub Set Ducts Insl.
Water Compressor
Sewer Final t./J -;) 5- 0';;" !J:roj/3 t3
Final VI-:lS-O.J HJo.~~
, ,
Driveway
ff' /-)5 ~p ;;l.~~o f/a;rie1f k~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five and 00/100 Dollars ($25,00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty COnstruction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPAR~ 5335 8~ STRBBT ZBPRYRHILLS, PL- 33540
PhoneI813-780-0020 PaxI813-780-0021
DATB RBClUVIID / -10 - ~ :z.
PLANS RBVIBW PBR
OWNER'S NAME
('-1'1 J4vV)
.-r-
JOB SITE ADDRESS 1.-.-:;, ( 3
&/1.(::.0---.
"? 77$/0' 'AI~,tom
PHONE CONTACT
/ll/~.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
c..~ ",,""" j /{ C' ^ ( -.. ':....
PARCEL ID #
~!Jc2.fgt)
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: oNEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
oSIGN
o MOVE
o DEMOLISH
PROPOSED USE: oSGL FAMILY DWELLING
o COMMERCIAL
oMULTI - FAM!LY
o INDUSTRIAL
0# OF UNITS
B-MOiiILE HOME
o OTHER
o SWIMMING POOL
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
Mtf
,
t-~rS<
SQUARE FOOTAGE
BUILDING SIZE
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.
PBRMITS RBQUBSTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDBR
SIGNATtlRll J-.>J_.__ p;::;ltJ if}
******************************************************************
COMPANY
STATE CERT OR . EGIST #
CITY PROCESSING #
BLBCTRI:CIAH
SIGNATURe 0o,.-~;;;;D.
COMPANY )1 ~ ~
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBBR
****************************************************~~*********
, COMPANY p~
~ STATE CERT OR REGIST #
t...LJ ~.-- . .' CITY PROCESSING #
SIGNATURE
SIGNATURE
******************************************************************
COMPANY /4- Q.., -
. J c...... .---:~ STATE CERT OR REGIST #
~ ~ CITY PROCESSING #
MBCHAHICAL
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
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1111111111111111111111111111111111111111111111111111111III1I
2002018542
"
Rcpl: 562918
DS: 0.00
02/04/02
Rec: 6.00
IT: 0.00
Dpty Clerk
JED PITTMAN PASCO COUNTY CLERK
02/04/02 0i: 3!rm 1 10f9913
OR BK 484~ PG
State I)t FLo/lfllfl.
NOTICB OV CO~Nq2KEHT
County of f A-.x 0
7UB lINOCRSICHCO hereby 9ive. notice that improvement \oIill be made to c:::rt.:l:.n
rev1 property, and in accordance with Chapter 713, Florida Statute!!. the
CollololinC) intor/:lation i. provided in thi. NoticG of Cornrnencr:lnCIlt.:
I.
5'1--75" -2 (- 0010- oUbo- 0030
"3
ress 1. 4V.:l:' II e)
2. Central Description of Improvement 4L. uIflIJVJ/K M~4Gt=-
).
O\~ncr Information: Nama CflA-tvO !-hll (ZoJJ /Y1.(-!, f.
!\duress'7~t.f~C./~N 5uf/C pt., City7-eflf~(Z(fILL5
Stdte FL . 335r.f1-1(,(,0
lnlerest in Property:
Nalne of ree Simple Ti t lcholder:
(If other th9n ololner)
Address
City
St.:lte
R
1\ .
Contractor: N:JmeJ5-t1-l- (CN~r/V..l~ r f b/J tJt C(:~T(lAL FL ,
^udres,t/oz.;: tntJRJUf Gf-t/J',E f!/). City 2..EfJ!lYfl.HtL(I State f:"L. "]]Sq-y
S. Surety: N:Jme
City
Stdtc!
Addres,
I\l\Icunt of Bond: S
6. Ll!nder: Name
City
St<ltc
Adl.lress
7 .
Persons IoIithin the State of Florida
notices or other documents may be
71), IJ( 1){a){7), Florida Statutes:
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served as provided u, Sec:ior.
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In ryio,n to himself, O....ner cfosignates
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?m the d~to ot rucording unless a difterent date is ~reci!led. J
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.t"'b,'" --.-.Il$ion CC748677
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~;' expiteS June 22,2002
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PASCO COUNTY, FLORIDA
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Permit Nu, i
Date Permitted I - Ie .. .).
,
Builder Name/Owner Name
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$ i f-T
County Parcel No.
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Address/Location
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Classificationffype of Use
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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
I
Gross Sq. Ft. (GSF)
Ratc ERe:
52.00/Year
or SO,I~2/Day
ERU Assign No.
A""c""fllcnt- (No. Units) x ($0 1~2)
\ (No, Day")
As"essmcnt -
(GSF)x (ERU) x (0,142: x (No, Days)
100
TOTAL FEE $
TOT AL FEE $
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED l!NTlL THE AMOUNTS LISTED
HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
AcknOWledgement below does not imply acceptance of concurrence. but simply recclpt 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
~---- ------~-------------------------------------------------------------------------------------------------
o ~'1 7
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
feecal'ce
PC93113094/D