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Home My WebLink About02-0920 BUILDING PERMIT t4! 0920 35'~ ELECTRICAL CITY OF ZEPHYRHILLS (813) 788~6611 35'<fV PLUMBING Permit !:II)' gJJ Bl:JIlDING Date /-~.5-()~ J.5' dD MECHANICAL ~ Sewer Conn 1,::2 7 f(' Water Conn: :fSa"- IfkJ Water Meter: / ,f-1J ' pV T,LF.'s: /. l/f't) . CO r ~ f '". I rf5"' &0 -<-flv--r'l'))a~ ~,. IJrJ'tP Property Owner: Zoning; DescriPtion of Work Energy Code; {Y}. t-l. 5d- ~ Radon Gas; NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector City license Registration # State Certified license# Permit Fee 1~5"'cP<' u>- ~gnat~ V-~fl~ Company Address yJr elephone # Valuation or Contract Price ....~r. t:> 9")./ .> -g v-tt eN (,.( Id t; IIC~ 1/ 'IS l?>t/t4rfidll ~ /Jcc #q'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 - y-tJ.2. SlB Tub Set Water Sewer Final L./ ~-r-I!l:;l. Breakers Ducts Insl. comprh Final i O-..?-r~ ::2... Driveway FP J.-5 '0;). '1:30 m;~ J&- \ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a ch".. .fTw~IY FI.. and 001100 Oolln" ($25.00) ahall he ~de ,.. each ";0 to. each '~-<- 5 )f" ....,nJr t/5~ a. Wrong Address 1) ... 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 BUXLDXHQ DBPARTMBRT 5335 8~ STRBBT ZBPRTRBILLS, PL- 33540 Phone.813-780-0020 Pax.813-780-0021. / ~ DATB RBCBIVlID _- ::2 :5-0 -<. PLANS RBVIBK PHR OWNER'S Nu.... /" ,. ~ ~ /J PHONE CONTACT nrU!i V",~,d' HO/l/""'-..... JOB SITE ADDRESS L~r 7'; /3 73l/O !J~f4:wn Av'e. LEGAL DESCRIPTION: LOT(S) SUBDIVISION C-~~ /fG~/~'.."'" BLOCK PARCEL ID # WORK PROPSED: ONEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) OSIGN o ADDITION o MOVE o ALTERATION o REPAIR o INSTALL o DEMOLISH PROPOSED USE: OSGL FAMILY DWli;LLING o COMMERCIAL OMULTI - FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL 19-M6BILE HOMB o OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL iu.U A".f-~ DESCRIPTION OF WORK ", ~ ~--j-- BUILDING SIZE .1. "lV'I 1>' SQUARE FOOTAGE 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 REQUIRRD FOR ALL NEW CONSTRUCTION. PERMITS, RBaUBSTBD o BUILDING o ELECTRICAL $ VALUATION OF TOTAL CONSTROCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION OGAS 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 ARRAO YES. 0 NO BUXLDBR ~********.*****************************************.************** COMPANY STATE CERT OR . EGIBT # CITY PROCESSING # Y .:(' SIGNATURE Uj~~ BLBCTRICIAN SIGNATURE w.-,...- n:J~ COMPANY ,n c:.. --- STATE CERT OR REGIST # Y ~ CITY PROCESSING # PLUllBBR ..*.......*......**...**.**....***********.**.**.**.************** COMPANY /3~ STATE CERT OR REGIST # Y ~ CITY PROCESSING # SIGNATURE . B:~ . L.A.-f- ~ , , MBCIlAHICAL ****.*************-*********************************************** /9c,"", SIGNATURE LJ.. c..v- rf.~-- COMPANY STATE CERT OR REGIST # CITY PROCESSING # ys *************************~******************************.******** OTBBR SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** A. NUTICE OF DEED RESTRICTIONS The ~ndersigned 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 REBfONBIBILITIEB If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with st~te 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 t~e 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 contraptor that may be an indication that he is not properly licensed and is not entitleq 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. J 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 perfoDmed 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, Cyp~ess Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health i 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 s~mitted 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 Offic!al from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peDWit issued shall become invalid unless the work author1zed by such pe~t 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 STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 1~ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this ~ay of by ackno~ledged , 19~ (name of person ackno~ledged) 'Owho is personally known to me, or (n~e of person acknowledged) [1ho is personally known to me, or o who h'as produced (type of identification) and who Odid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ::;.~sr ~ ~_. u,'Q,~ =i I .u z .., ~ *~ go~ :z: m Ul (/) 5!'")I:)is: m m )> Ul c :r ~ ~;j :Il 0 0 ~ :Il C m :00 j CI>'<: 0' O:Il ^ s: 1= z -I :0 m~ l?~3 ~^ ~ s: m 0 0 < r= Zz "-j mo m -I s: z =H 0 Z ~~ 5' 00 -I m m Ul -1m m 00'0 03:: m :Il -I m Ul m G) m::o ::0 cn3:;; s:-o :Il m ;g m )> ::0, )> ~Ffj :Il Jl ,,5"" 2 ~ C'i < 0 () ::Jon> -In:! m C'i 0 () '< - m ::0 :-i ~~l11, mO OlD m z ~ro:::: -< (/) _'3 (/) P ~ ~~ 3, , ~ 0 < 0 0 go c=r \ ~' ~~ 0 OlCD cl? 3~ t\: S" ~ 0 ,;- f1> ~.. 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(/) p .~~ (/) 0 ~ < 0 0 'cr \\ 0 CD l? ~ ~ ~ "';& 0 ~ ~ N=i ~. m< ~O ~ ~." :!:N o ! r-m 0 In." ~~ :Il 0 ~::t m r-< ~W Jl ~ 0:0 ^ ~::t z m ~;= OJ Z -< lD I I I r- ~ -< I I I 0 en f-. ~ 0 0 ~ 0 0 c ~ Ul ~ !: c . -i 0 m I iii ~ c ~ =i :::: m !: m 0 ~ fij f"....... p 0 ~ =i -< m t- Jl Jl I (") c: 0 -< I z III "" m ~ -! =i c: l' ~ I ~ ~ . z l:) !: ~ ~ m 0 " Q:I c: ~ F= z -! Lv ~ I' ~J'Q.S' r , ./ \-^J '" \..t '1~ \.v '" ~ ~ C:i C> ~ ......,. t ~ A ~"'.;? If I 4'0 " ~ I ~ \:: ~ ~, ~ '(I ~ ~ ~ -.. rv )~ - -- \) 1 ;Y~"'~19 t "': \), \ 1~ / >l7~{"rJ . or " J ,)j 8h 00/ O(J, / / 0/ p.5J#(' / t PI 8 / ,/ 5'/#1fI -'0/] ! q (7{,..f/ p9f> I v 2:1 w~ ~~';O~ &'1 hi tl / ~IJ.~J -:l J , ~/~I ~ 8T rf." ,;' , k , 7h'IL r [ "d v~OI:J~ " ~.~t16G : 6 936 I -8('1-~ >4. ',~"-W'.,!,:;'.' " ,0,,,\' ---.__.~---._---- PASCO COUNTY, FLORIDA Permit No. r Date Permitted _ r --- - Builder Name/Owner Name County Parcel No. ,/ - /. Address/Location '/ -' Subd. ./ ',-< - ,,<<f,; Classificationffype of Use 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 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) RJtc ERL: 52,OO/YcJr or $0 1~2/Day ERU Assign No. A~~C~"TllCnl - (No, Units) x ($01~21 " (No. Day~) As~essment - (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 VNTIL THE AMOUNTS LISTED HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI"G OFFICE OF PASCO COUNTY. Acknowiedgement below does not imply acceptance of concurrence. but simply rccelpt of a copy of this form. placing the building 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 nA/Finance Pink Office Green Bldgllnsp feecalce o1'71J PC93113094lD