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Home My WebLink About02-1187 1(()'fPJ BUilDING BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ (813) 780-0020 Date 1- ~4- O,:z 3.:::- @'O c: ~ ...J c;;2~' PLUMBING MECHANICAL 1187 ~'5 ,~ ELECTRICAL Energy Code: Radon Gas: ~..~~~ Water Conn: Sewer Conn Property Owner: Job Address: Parcel I. D. " Zoning: Descriotion of Work Water Meter: NO OCCUPANCY BEFORE C.O. FINAL ~- 3---,,0 ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City license Registration # State Certified license# y8" Permit Fee ~ Signature ~~~/ Company Address .".!Telephone# 11..) $""-.s-'~ Valuation or Contract Price ,&--tfV~;/~L:) 17& ,# t(7 ~-;t?hr/L~ 71 /~ ('75 r- rll PLUMBING MECHANICAL BUilDING ELECTRICAL Breakers Ducts Insl. compr./:r FinaI15-/-~::2. 8L3 #fO Tp. SeN. SlB Rough In Tub Set Meter Can Water Const. Pole Sewer Pool Final / S ../-0.2.. 13& Pre-Meter #..T"l> Finalt/S-I-O,z - g~~,R.lr Ftr. Pre SlB lintel FRM. Insul. Cl Wl Driveway fP 5-3 -O:)- I d r. (5 I<Mh~;tu fj;' 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. b. c. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. '04. . f&ct;J. - /J f-4~~ 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 ADD_ITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE ADDRESS JATE PERMIT + 3'1 ~ I <1 L~rd; \ Ave. .; dOLl t ~l THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job will be accepted. , A\\ fe.--',,,,,,e.\.e,l" b\e.e..k.'\.'\) f\-f'eJs. .~ be s'-"A'\flcI 4-;S"'t-. I' il unlawful for any Carpenter, Cantractor, Builder, or other personl, 10 caver or cause to be cavered, any part of the work with floarlng, lath, earth or olher material, until the proper Inlpeclor hal had ample time 10 approve the Inltallatlon. . AFTER CORRECTIONS ARE MADE CAlL 788-66 ~R RE-INSPECTION INSPECTOR If OFFICE HOURS 8 - 5 MON.-FRI. 3-Qa-1995 12:51PM FROM r:, . I 1<- 0' :>i C\ ~ )I) v,..., ,~ -- - ~ "i, ./p''''';A'~O ~ . ~ ~ or <1/ > o'l / " I ~ C) ~ ..... ~ N C).''..::J -- - ~ '^ L ~ctl JlY,J ~ '(). / (II / " ~ ~t' c , ~ "- ~' /1-+" f,J, / O(ll / ~ ,,- 1- p;?1I> (I / p:~~,/~ lJ W~~ h'~~"C _~wt1l .7J.'90tp q/ +- tl--l< / / gt ;' ~ QI I fE , I # .. f( " . I 00 / OIfHBR' S U_ - (_"..,. J t/<-r,---J JOB SITB ADDRBSS (t...C~-r "7 sj 3 7 S / 9 LEGAL DESCRIPTION. LOT(S) CITY or ZapSYRHILLS PBRKiT APPLICATION BUILD.IBQ DBPAR~ 533!1 8~ ST.B.'1' ZBPRYRBXLLS. FL l3UO Phon.1813-780-0020 Jr'axI813-780-0021' 'L/ ..., ~/ ,1 DAT. R.CII.IVRD, =+-~ ~ J.:: {!J t1IC. I'LAHS RDln .... . . ~cvndh-IJ\J<'" PHONR CONTACT SUBDIVISION G--A~ /-10 7ft 1"1. ",,^, PARCBL ID # BLOCK WORK PROPSEDI oNBW CONSTRUCTION (OBTAIN FROM PROPBRTY TAX NOTICB) DSIGN oADDITIOt{ OMOVIil o ALTBRAT ION o RBPAIR o INSTALL o DEMOLISH '. I PROPOSED USBr [JSGL FAMiLY DWBLLING o MULTI - FAMILY 0# OF UNITS o SWIMMIN<<J PboL ~LE HOMB " D OTHBR OCOMMBRCIAL o INDUSTRIJ\.L , o . RESTAURANT & HEALTH DBPARTMBNT APPROVAL MJl. ..All j- ~ SQUARE ~OOTXGB .~ESCRIPTION OF WORK BUILDING SIZB RESIDBNTIALr COMMIilRCIALI ~TTAC~ (~) J;lLOT PLANS & (.:a) .SIiTS OF BUILDING PLANS & (1) SET BNBRGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SRT ENERGY FORMS. PROPERTY SURVBY REQUIRBD FOR ALL NBW CONSTRUCTIQN. HBIGHT RBRIIITS RBaUJi~TBD o BUILDI~G o BLRCTRICAL [) PLUMBING . VALUATION OF TOTAL CONSTRUCTION AMP SIIRVICS o FLORIDA POWER o W.R.E.C. o MECHANH!AL $ VALUATION OF MRCHANCIAL INSTALLATION o GAS o ROOFlNG . [) SPECIALTY o OTHBR TYPE OF CONSTRUCTION I D. BLqCI{ o FRAME o STBBL o OTHBR FINISHBD FLQOR RLIIVATIONS IS PROJBCT IN FLOOD ZONE ARBAO YBS 0 NO BUXLD.R SIGNATURB, <...;..>~~ 8LBCTa.IC.IU ~**********.***********************.**********.*.*****..********** COMPANYB~ :,1.:-t:7 STATE CBRT'OR BGISTft CITY PROCESSING * tt5(~ . SIGNATURE uJ:~~;'/ COMPANY ,~e:::::- STATE CRRT'OR RBGIST CITY PROC.SSING # . . PLtJllBB. *********A.*.***************************************************.* # qs .~ COMPANY' ~~ '.. STATB CBRT' OR, .. GIST # . , CITYPROGESSING #'.-- ~ Y I r, r. SImfATUltll SIQNATURII *************~***.****A.*************.*****.***.*********.****.**. COMPANY ~t::-.~ STATB CBRT OR l'BGIST. # CITY PROCBSSING # IIBCIlAlfICAL' W'~U-o/L/ ~ ~5 OTB8R , **.*********************.*********...*********************.****** SIGNATURE COMPANY STATB CBRT OR RBGIST # CITY PROCESSING # ****************************************************.******..**.* LVnV~I~~NB OF PE~IT AFFIDAVIT A. NOTIC~ OF DEED RESTRICTIONS The Undecsigned undecotande t~ot thh penolt may he .ubjeat ,.to "deed. cooteiation.- whiah ...y he ,,",ce ce.tciathe then cttYcegulotion.. The undecsi9ned ee._e ceeponsibility Loc compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRAcToR RESPONSIBILITIES If the ownec ho. hiced e aontc.atoc oc contceatoco to undect.ke wock, they..y be cequiced to be licensed in accordance with state and local regulations. If the contraotor is not licensad as required by law, both the owner and contraotor may be cited for a mdsdemaanor violation under state law. If the owne~ or intended contractor are unoertain as to what licensing requirements may apply for the intended work~ they are advised to contact the City of Zephyr~ills BUilding Depart~ent, 813-788-6611. Furthermore,. if the owner has hired a contraotor or:contraotors, he is advised to have the aontceatoceol oign poction. oL tbe "eontc.ator .ectio..- of this .ppliaotion for whiab th.y will be ...ponsible. U you, as th.. ownec sign. as the contr.ator, you ..e india.ting thot you, rather than the contractor, are responsible for the work. If the oontractor wishes you to sign as contractor that may be an indioati~n that he is not properly licensed and is not entitled to permitting priyileges in the City of Zephyrhills. C. TRAH~PORTATION IMPACT FEES AND UTILITY CONNECTION FIIBS D. CONSTRUCTUION LIEN L1Uf (CHAPTB:R 713, FLORIDA S'rATUTE~, AS ,AtfJ!lHDED) I certify that I, the applioant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Pr~tection Guiden 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' SimmER'S AFFIDAVIT I certify t~atall the information in thia application is accurate and that all work will be ~one in compliance with allap'plicable laws regUlating oonstruction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indioated. I aertify thof no wock oc in.tallotion ho. oaomenced prior to i..u.noe of a permit and thot all work will be perfo~ed to meet standards of all laws regulating construction, City codes, ZO~ing regulations, and land development regulations in the jurisdiotion. I also certify that "I understand that the regulations of other goverpmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Suoh agencies include but are not limited tOI *Department of EnVironmental RegUlation-Cypress Bayheads, Wetlend Areas and Environmentally Sensitive Lends. Water/Wastewater Treatment . *S.outhwest Florida Water Management District-Wella, CypEess Bayheads, Wetland Areas, Altering Watercour~es *Army Corps of Bngineers-Seawa11s. DOCks, NaVigable Waterways *Department of Health , Rehabilitative Servioes, Environmental Health Unik~Wells, Wastewater Treatment, Septic Tanks *U.s. Environmental Protection AgencY-~bestos abatement I also certify that, if till material is to be l1sed in Flood Zone ~\An or "A, etc. n, it is understood that a drainage plan addressin~ a "compensating volumeN will be submitted which is prepared by a prQfessional engineer registered in the State of Florida pricr to perQdt issuance. A permit issued shall be construed to be a license to proceed with' the work I!md not as authority to violate, cancel, alter, or set aside any prOVisions of the technical oodes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, o~ violation. of any oode. avery.per.mit issued shall beQome invalid unless the work authorized by suoh permit is OOmmenc~d within six month. of i..uanoe, or if' work authorized by the permit is SUspended or abandoned for a period of six months after the time the work is oommenoed. One 90 day extension of time may be allowed for the pe~t with f~e oharge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspeQtion must be logged during each six month period, or t~e project will be considered abandoned. \ ' WARNING TO OWNER: YOUR FAILURil TO RECORD A NOTICE 01' COMMJ!lNC~NT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR'PROPBRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN ATTORHI!:Y BEFOJU: RECORDING YOUR NOTIC1!i OF COMMI:HCI!IMENT. JOBS UNDI!iR $2,500 IN VALUE DO NOT NEBD TO RECORD AND POST A "NOTICE 01' COMMENCEMENT"'. . SIGNATURE. OWNBR OR AGEN'!' SIGNATURZ. CONTRAcTOR _r1~~ STATB or FLORIDA COUNTY OF The foregoing instrument Was Before me this _ day ot by (name of person acknolfledged) 'q who is personally known to me, or acknowledged , 1!l.- STATE 01' FLORIDA COUNTY OF . The foregOing instr~nt was Betore me this ~ay of by acknOWledged , 19~ o who has produced (type of identification) and whoO did Ddid not take an oath. (name of person acknowledged) [J,ho is persone11y known to ae. or o who' has produoe~ . (type of identification) and who Ddid OUd not take im oath. Signature of person taking ecknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ~ a :lJ Z -l C/) (J) ~ ::00 ~ :I: m C/) c :I: m )> m::E :I: m > ~ :lJ C ~ F "-l m a 0 z -l Zz m Qo~ :lJ " 3: 0 0 C'5 Z -1m ::0 I~- 3: m 3: z ." 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Th~ r i t I ~J ~.~ ~.'\~'~ ,,; , ..r J J #!/ H' , ~ - , County Parcel No. ~i "1 t4', . -1:,,-,> ", .... ;: ~.........2 I - () 0 10.4 0;1, """(1;) . -r ,..., ".,.., AD i I~ Address/Location ;} I...t ~I J ....; 'v ~ , ;"l>> .:). ."'~_').;, ~ H (j e... H c, yv1 .Q \J Subd. C f' " '", \- H: i 1) . j 1-", ~ Classificationffype of Use /"".: : f l/fO; 't.. How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D 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 D RESIDENTIAL No. Units I NONRESIDENTIAL Gross Sq. Ft. (GSF) Rate ERU - 54.00/Year or $0. 148/Day ERU Assign No, Assessment - (No. Units) x ($0.148) x (No. Days) TOT AL FEE $ Assessment - (GSF) x (ERU) x (0.148) x (No, Days) 100 TOT AL FEE $ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL 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 simply receipt of 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 USE ONLY TRANSPORT A nON 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/E 'Y,"o._,ro.",....,'-" :i:.:.;'";;.:-'.k{i'r;::'~{ . . .i~r..';o..~~o.~.':T;\':~o.':o. :; ::;;.:tt~.":'.,:~.~..,~,: '~~~'iy,:'?,';'';-'~::-5,'1:.. ~~~;~-, ,~'~;U\~tr;:;'':;1':'~~'~-_~'':-}''":'::'-'' i.l .. . . .. '.. - PASCO COUNTY, FLORIDA ,'".it "7 Permit No. _--L/I~ Date Permitted, "'/'. 'j ^'. .'... 7 .. ...>' ,;.. ... ( ) ..J... Builder Name/Owner Name J.~';; rrE:~ t-" ~r:'.o.':: '>- _~ ,I If,/ II. )..o'r7~ County Parcel No. ':~ ;" . , I ~ ft. .~ ;: ~'~-'....:.2 i .-. {;) ,r,:, j (:1_ () J.. ~~,"~;Mt r) Address/Location ",. ~-, '1 " 1'" I ' ~ .o. ~o. IIon;lt . l",< '" \; , H,-,lf'::,.r~ '" Subd. -.i....:~: '. .....:.... N' t' '; lA,.. Classificationffype of Use IIi. (); { {'. He ..t, ,0;::,;. 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 hasDeen ~tablished pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of Pasco County Co.OHf1issioners. 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 No. Units I RateERU - 54,OONear or $0. 148/Day NONRESIDENTIAL Gross Sq. Ft. (GSF) ERU Assign No, Assessment - (No. Units) x ($0.148) x (No, Days) TOT AL FEE $ Assessment - (GSF) x (ERU) x (0,148) x (No, Days) 100 TOTAL FEE $ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTlAL PERMITTING OFFICE OF PASCO COUNTY. Acknowiedgemem below -does not imply acceptance of concurrence. but simply receipt of 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 USE ONLY TRANSPORT A nON REC. NO, RESOURCE RECOVERY REC. NO, DATE DATE BY BY , ~. .' / White Applicant Canary Trans/Finance ClIf1sry RR/Finance Pink Office Green Bldg/lnsp e 3094/E