HomeMy WebLinkAbout02-1296
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BUilDING
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
(813) 780-0020
1;/7. 50 ;$ E
PLUMBING MECHANICAL
1296
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Radon Gas:
!iJA17 '#
Water Conn:
Date. ~-~O -O~
Sewer Conn ~ ~ 7" -
~so
Water Meter: /11r}STI31!-
T.I.F.'s: S -S9.. /..;;i
&,fJ. bt/
ELECTRICAL
Zoning:
Energy Code:
~P") ~/~L
/bl.S~
()Ih JeI-t;!Jf
FINAL~ - ~ --() .
, DATE
C.O. '-t .- l S- ()'
DATE
Descriotion of Work
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or J J t? /Y ..i.h::-' , ..!:!..
Contract Price 2..a.... L 7S?
City license Registration # .:21R ~
State Certified license#
Permit Fee r
~-~ature--,> '()~
Company
LLt <to HTo
BUilDING
;-8
Ftr. r/ 7- '3-0;J.. 12 L Y T p. Serv. SlB 10/ 1- :2 (, -0;). tI J 0 Breakers
Pre SlB /7- ~/-OP. /?t../.( JI.r~Rough In ./lI-!) _.tJ2. ROt~ Tub Set I /l{~C;-02 RLt(.JIfJi>Ducts Insl.(...///- 5' -0.2- PLY~/ffo
lintel .; q -?,....oz. P-.L-4 Meter Can /-l~OWater . Compressor )
FRM. ~h -S..{'Jd-... RLVtt/lSo Const. Pole Sewer ,/g-/;:) -o.J- If:ro Final L./ tj-/5-t73 f!-G.y.
Insul. Cl /' Pool Final i./ L.( -/5 ... CI ~ f?L it d-IIYo.
Wl V Pre-Meter /' '-( -7 - 0 3fPi:rD _ rJ tiS 0
~~{,' /0 "'f-oz.../lIv Final ,/C'{-/5 -03 KVi ?r HJ 0
DrjVeWa~ , .
,t:'>..lA.-R./;J,vtJ! - / / - <2 _/. - 0 2- .R. -e*, .._ ./
f~Y 0- S ~./b FI-- 30 __ ~:.? f(t 'f ;:// --Y - 9 - C7 3 9.' S":< 'J;/~ ~
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 tra.de: Q_
a. Wrong Address ,/1 . ~. ~
b. Condemned work resulting from faulty construction. ' /.iJOW
c. Repairs or corrections not made when inspection called. J \ ... J ~
d. Work not ready for inspection when called. .~..J i ' ,1.'
e. Permit not posted on job site. /,).!'--"1 - .
f. Plans not at job site. \ :;.
g. Work not accessible. i
ELECTRICAL
Address.--
~()ne#) ~ri ~ 1 - {p.sY j
(9l/~~ Z~;lr:~
P MBING /~#~ MECHANICAL..:) ~
0, #. ZJ .
~ /J:If1zn'
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERMIT
CITY or ZEPBYRRILLS
BUILDING DEPARTMENT
DATE RECEIVED
. PLANS REVIEW I'EB
OWNER'S NAME Genera~ Hom~ ~~~elopment Gorp.
PHONE (352)567-6581
JOB ADDRESSj'JI...:2JsEucalyptus Drive Driftwood Phase IV-B
LEG"T DESCRIPTION.. LOT (S) N . 2.,:io3 '. of BLOCK 00000 SUBDIVISION
~ ~Uv'-~ _____ Driftwood PnaRP TV-R
PARCEL I D # 02 - 2 6 - 2 1- 0270 - 0 0000 -0100
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: KlNEW CONSTRUCTION
D SIGN
o ADDITION
DALTERATION
D DEMOLISH
o REPAIR
o INSTALL
o MOVE
PROPOSED USE: klSGL FAMILY DWELLING
D COMMERCIAL
oMULTI-FAMILY
D INDUSTRIAL
D# OF UNITS
o SWIMMING POOL
D MOBILE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Construct new sinqle family home (Southern Middle Uni t)
BUILDING SIZE
SQUARE FOOTAGE
1232
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.
PERMITS REQUESTED
OCI BUILDING
IKI ELECTRICAL
IX'I PLUMBING
/XI MECHANICAL
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D FLORIDA POWER
D
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
D ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: 129 BLOCK
D FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES C/I NO
SIGNATURE
General Home Development
COMPANY .
tz /J STATE CERT OR REGIST # CGC005695
~ 1< 8J~tlL/ CITY PROCESSING # 267
******************************************************************
Corp.
BUILDER
ELECTRICI
COMPANY Mart.; n Rl p~t.r; ~
STATE CERT OR REGIST # ER0013449
CITY PROCESSING # 97
***********************************************************
SIGNATURE
) ^h f't\
~./l~ltz,l~~j,--.
COMPANY Rusty's Plumbing
STATE CERT OR REGIST # C'FC'056789
CITY PROCESSING # 1546
-PLUMBER
SIGNATURE
*****************************************
COMPANY 1=:ont:nprn ~omfort Rnterpr; ReR
STATE CERT OR REGIST #RM0015022
~R-- CITY PROCESSING # 53
MBCRANlCAL
******************************************************
OTHER _Roo -r COMPANY Genera 1 Home Development Corp.
~ V CJ n f1 A IJ STATE CERT OR REGIST # CGC005695
SIGNATURE ~ A I\. 0 ~ CITY PROCESSING # 267 '
*****~***********************************************************
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\.-Ul\lU.U:.l.Ul~;:' V!1 !:'.!1..Kl''L'_'.': A.l.'...l.'.!__'--'AV_'.'.':
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may bl~ subJect 1:0 "deed restrictions" which
may be more restrictive than City regulations. 'I'he undl:lrsiqued assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractol::3 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 (5) 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 peDmitting 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 aocument 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 infoDmation 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 ~reas 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 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 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".
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SIGNATUR. OWNER OR AGENT
~ ^ 684d,,.,,of)
SIGNATUR: CONTRACTOR
STATE OF FLORIDA 'j)
COUNTY OF L 4..S Co D
The foregoing instrument was acknowledged
Before me this_ day of 4,.,.; \ ,~.)-
by
, (name of person acknowledged)
~o is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was~ck~OWledged
Before me this _day of to I I ,~~.:L
by
P (J.-S t: 0
(name of person acknowledged)
~o is personally known to me, or
o who has produced
(type of identification)
and whoD did l5lQid not take an oath.
~~Q-~
Signature of person taking acknowledgement
Ai\l'SOY\.
D who has produced
(type of identification)
and WhO~ ~id not tak.-an oath
~A-a~
Signature of person taking acknowledgment
--Bd..~ b LL \"'~ 4/ J '-50 Y\..
Name type d or stamped
~ IlMUIlIA A. 41 LIION
Stale of FlorIda
My Comm. Exp. Mar, 28, 2006
Comm, . 00 104011
Name type ,
_ c1........
..,e... lie. ........
CDIIIIL fDO 1CM011
GHD
Lot 10 Eucalyptus Dr.
~~ ;;L'3tJ-
SQ. FEET PRICE
MAIN OR LIVING: 1,195 $ 40.00
OTHER AREA UNDER ROOF: 63 $ 15.00
OTHER: $ -
VALUATION $ 48,745.00
FEE SHEET $ 265.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 437,50
CREDIT: $ -
BUILDING LESS CREDIT: $ 437.50
ELECTRICAL: $ 68.64
PLUMBING: $ 67.50
MECHANICAL: $ 35.00
RADON: $ 12.58
TOTAL $ 621.22
v
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $ -
TOTAL: $ 1,628.00
,;
WATER METER:I $
IRRIGATION METER $
- I
SUB-TOTAL $
2,249.22 I
- I
SIF'S:I $
97,5% $
2.5% $
T IF'S: $ 539,13
99% $ 533.74
1% $ 5,39
TOTAL: $
/
2,788.35 I
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111111111111 1111I11111 11111 11111111I1 1111111111'11111 1111 1111
2002062920
Perml t No.
NOTICE Or- COMMENCEMENT
Slole Of Florida
County or Pasco
. .
TilE UNOEnSIGNEO hot.ally Hives notice lhnl Itnpt.ovcmenl will be made h,l.o cot.lalll
renl p'.qporty, nntl In DCCl)n'nncc with. Chapter 713, rlut"ldn StDtules, Lhe rul.luwlllY
htrorlllillhm 15 provided In this Nollca or ~~~'~~J~~'J~~~t~8:88888:8ba8
1. Oescr"lpllon of Property: Parcel No. 02-26-21-0270-00000-0090
02-26-21-0270-00000-0100
Lots 8, 9, 10,&11 Driftwood. Phase IV-B, PB 40, PG 077, OR 3521, PG 1307
.n:egaldescrlpUon. or the properly and street adClress If available)
2. General Description. or Improvement ,Construct new' 4-Plex uni t
Rcpl: !583302
DS: 0.00
04/23/02
Rae: 6,00
IT: 0.00
Dpty Clerk
J. Owner Inrormollon: Name General Home Development 9orp.
Addr~ss l1P24 7t~ ~tr~~r
Interest In Property: n1Jn~r
City Dade ,Ci tv
Slate FL 33525
Nlnne of Fee Simple Titleholder: N/A
(I r other than owner)
~~92~~~~f1Art : fN:;o fOUNT:, C1ERI<
OR 81< 4926 PG 670
Address "f /'A
_City
Stale
Jl:)=onlra~lor: Name General Home Development Corp.
~ddress 13924 7th Street C,lty Dade Ci ty
Stale FL 33525
5. Surety: Name N/A
"
Address N/A
AmounL of Bond: $ N/A
6. Lender: Name N/A
Address N/A
~Ily
Slate
City
Slale
7. Persons wllhln lhe Stale or Florida designated by Owner upon whom noUces
or olher documents may be served as prQvlded by Secllbn 713.13( 1 )(a)(7), Florida
Statules:
Name N/A
, .~
Address N/A City Slale
. : ~
,
6. III addlllon to hlmsel f, Owner designates N/A
of ' N/A . lo receive 0 copy' or lhe Llenol.'s Nollce
as provided In Se'cUon 7lJ.13(1J(bL r-Iorlda Statutes.
9. Expiration dale of Notice of Commencement (the expiration dolo Is year rrOIn
lhe dale of rqcordlng unless a different dale Is specified.)
I
slgn::;::'or Owner: ~~X I<~ .
Sworn to ilntl subsc'.'bed before tne this 22nd day of Apri 1
1'2002 .
{~a~
Notary Public:
My Commission expires:
~_UJaaNl
SIliW of 1:I.vIA..
. ~c-~.u..~_ .
. Comm. , DO 104011
CENTRAl.. PERMITTING
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PASCO COUNTY, FLORIDA
Permit No,
1.-:2 ~,1 &
.,
.....
Date Permitted
t -.:"2 V - .!-J~
Builder N'!melOwner Name
,_.:,:-,=:::~.='.....-- .~
) I --".
. .., 1/ .
l...f. . I. ',~.-
County Parcel No. i <'. 2/, - ,;2/- ()~ 'TO - t;) /C:, {, c - c.;; / (- u
, .-
AddresslLocation __:3,~:',:1-g.,' :.:.';/ u.'~ l-r/)..!Zt1t.'. / -/. Subd;'........../ .A 11'2(:' 4..h>t..,:L
....,.-.. ,1' ,r / . (, ,/
Classificationffype of Use "~. .,{'/Ur}..A: < .....' '.. ......... :l4^? ) / ..kt;; "' 1< ,'" ; I k-l i 1.1
, '-.." ~~"
How Determined
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Why?
Sq. FtlUnit
-..--..........
~..--.
Zone No. ..---'.
..-
...,.........,.....'....
".,.r'~-'"
._/~i'fepared By
Rate $
Impa(:;t.F-ee 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 ERU - 54,OOIYear
or $0. 148/Day
ERU Assign No,
Assessment - (No. Units) x ($0,148)
x (No, Days\ J.' '. (
"-t.. ry'
TOTAL 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 CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowkdgement 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
TRANSPORTATION REC. NO,
RESOURCE RECOVERY REC. NO.
DATE
&/~17) DATE
,
j ~7 it?
/'
BY
BY
,.!hr." 'j.1r
'.. _I.....
While
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pmk
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/E '
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