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Home My WebLink About02-1323 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 1323 J./ 0 . e-D BUILDING ~5'~ ELECTRICAL (813) 780-0020 35'~ ~S'~ PLUMBING MECHANICAL Date rt- (- O~ Property Owner: Job Address: Parcell.D. # Zoning: --r:'_ Ene~gx C~~::. , DescriDtion of Work ..J..-f\ ~ IV,-VV Sewer Conn (f:n '6 . eo Water Conn: 350' /9'0 l 0-0 . tI-O Water Meter: 1) NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector ~m;t Fe"dtfi! fS,gnature_ _~ rrY\~~ Company Address yTelephone# ~ I ~ - 119 - 35/0 Valuation or Contract Price 5 to Cf){), 00 I City License Registration # State Certified License# (6~ -jJ\~ BUILDING T~ Bee. ,",;70 ELECTRICAL J~ 7'um~"b -# If, '1 PLUMBING ty..hys c,<tA6"- ~p #1'-' MECHANICAL Tp. SeN. SLB Rough In Tub Set Meter Can Water Const. Pole Sewer Pool Final J '7- I 7 - 0'<" Pre-M.,ter Fjn~J 7-/7-0 J.. f2Lyftfb _ 1A,1(<t.1l8-fs-O:;" I :So 5A.~r,L Iv(- FfJ (j-g--tJR II :):2 ;JlfJJ~ ~ REINSPECTlON 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: Ftr. Pre SlB Lintel Breakers Ducts Insl. Compressor Final /7-1 7 -0;1. /ISo /2 { (, I / ?'-'1.IfTD , FRM. Insul. CL WL Driveway 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. Vi21o_'~. ~ The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~i' ~',>~:~:;i;:{;;:;~.l'';~1~:',_O.~;;>;ii;;bJ:{;*--::;.:,,:',~:".~~~,i:~~J,. .. ',,,;,' "":r.~'~.~:r~<.: _','- :}-::;._'/..~~~";':'t;fi"~?'t~~:', -;~,'~ -:"~~:--~I~:J': ~~t~,;,..e~:t"4: ~ ,~, ~ ';,:;.' ~,( "":.+--'1~ ' ,~ . ..~, ~ .\:"1"'" '"'' 'It " PASCO COUNTY, FLORIDA Permit No. Builder Name/Owner Name _~=>_ vJ ~-!f#/"mittcd . , Address/Location l~' jI 1./ -............'). . .., / ! Sabri I -1/ i . A ./ ' /.~ County Parcel No. Classificationffype of Use How Determined 7 i; I ,r TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? / / - fyt> - ,~~_ ~, --'",,\ ' ~ ~~ ' ~ .; \ 4' l Rate $ Zone No. Sq. FtlUnit Prepared By i f I I Impact Fee Amount $ . i i ~ Checked By / ",' " , , -.' /",/ The above impact fee has been established pursuant to the Pasco County Transportation Itpatt Ordinance as adopted by the Board of Pasco County Commissioners. This amount is payable PRIOR to the issuance of a Cer:tificate of Occupancy or utilization of the permitted structure. /~ RESOURCE RECOVERY ASSESSMENT EXEMPT 0 ' RESIDENTIAL NONRESIDENTIAL No. Units Gross Sq. Ft. (GSF) Assessment - (No. Units) x ($C!}l1'8) I ') () ,;;. ( x (No. Dfilf?[iJ, g - ~ - 0 ;;L TOTAL FEE $ F-P Q' ~ r?--fJO Assessment - .1 n (GSF) x (ERU) x (0.148) x (No. Days) , 100 1:50 5fvyr;L lul- If: ;} CJ ,/ I ,TOVJ;. FEE $ J .. / :' ) Ie;' { (I I .. /i ;),/ {:'l ' 1 , I f /\ I Rate ERU - 54.00Near or $0. I 48/Day ERU Assign No. t. NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY. Acknowiedgement below does not imply acceptance of concurrence. but simply receipt of a copy of this form. placing the huilding permit owner on notice of this assessment and the conditions of payment for same. Date Received By OFFICE USE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. ,. " '--] r,~ I \,"' > ~ i ! < J / . VDATE , DATE i..~_/ , r ".__ I ~. ( BY BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC93113094/E ,,"'", i''''''' ';''''''''' f'''~ ,.,..... '- PERFORNANCE BUSINESS PRODUC'TS;c IIIIC:' 813-71l1-8OO8 FAlC 813-719-791lJ' CITY OF ZEPftYRJifIllS ZEPH'IRHIl.J1$. FlORIM o~ -<1) 1S-( WATER ACCT. NO. crATE ";7-S-tJJ ~ ~~;:~ 6 v e,. 11 Ai 1-1:)k;fhj MAIliNG -~ SERVICE ADDRESS re ~ /,1 o ~f?A'tF;{:~ rJ,r. ~ATER ,&., 1-1 y SHUT OFF SERVICE TURN ON SERVICE Q./' ~ g--SEWER INSTALL METER o GARBAGE READ METER o o o ~CITY CHECK METER o OUT CITY i No. OF UNrTS OTHER _ DEPOSIT AMOUNT J{I'W~~ _ AMOUNT LAST BILL _DATE _ MIse. CHARGE 'MDRI( COMPLETED BY &- DATE COMPlETED ORDER l1\KEN BY 7s~ 0....:2.- d ORDER GIVEN BY Retain while form in otlIce at aIf Ii Send pinlt & yeIbw fonns to INaIer Service Dept. INaIer Service O'epl to sign yellow form & return to offica .....l..........,......,.......,......,......,......,......,......,......,......,......,......,......,......,...... 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'. . .':.::.::::::::1::::::1::::::1:::::.; . . . . . .:......:......:......:......:... . . . . . . . . , ..................................... ....:.4') ......i \ f $'<. \'Uf J Summerlutt@ 28 SeruM OPT WNlOW * "I> iD N CJ O~i. f'] MASTER BEDROOM ~ @ BEDROOM No.3 B, No.1 wf" -tig'J-~T 10' I ~ 14' fREEZE Ett ~ ~- < ... ~ ~~IUTJ / ~ ~)Z L -'-DO I-i-- CA lHEORAL lHRu. OUT I e KITCHENlDIN LMNG ROOM I 18 BEDROOM I OP 16' l No.2 WOAl( T 10' 7203CT/4428 3BEDROOM. 2BATHS. CATHEDRAL THRU.QUT (1,173 SQ.FT.) /\ ,:'QP11: DEN :~ 10' :'n OPTION DEN OPTION CORNER WINDOWS Sumnwrlutt@ 28 SeruH OPT Wt()OW * Dp CD N CJ O~i ~~ MASTER BEDROOM Ff: ~@l BEDROOM No.3 B, No.1 wi" -tI~tori~' 10' I ~ 14' Rlfflf :p: z ~ ~ <( ~ ~,::,l1TI /'\ ~ I 1 =-VZ: L -..i..Itm fi---lI-. C,lTl-IEORAl IHRu.OUT I 8 KlTCHENlDI LMNG ROOM I 18 BEDROOM I OPT 16' fo1C) No.2 WORK 1 10' 7203CT/4428 3BEDROOM. 2BATHS. CATHEDRAL THRU{)UT (1,173 SQ.FT.) DEN 10' . " "OP~lt [jet ElO. OPTION DEN OPTION CORNER WINDOWS OWNER I S NAME ~0 E I '(n JOB SITE ADDRESS lot 4- 1<6 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, PL 33540 PhoneI813-780-0020 PaxI813-780-0021 r1_(_~n DATE RECEIVED - ( V~ PLANS REVIEW PEE ~13 PHONE CONTACT ...., 1 q - '3 S 10 PARCEL ID # w~ tYlE-'( ~;;ll \ -z. 4L'f>~~ \ l~ 3 - ~"-21 ~ 6\ 'bO - 600C6- Ot~o R1~ V~ \Jt. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION z. ~aq ~ WORK PROPSED: i(NEW CONSTRUCTION DSIGN o ADDITION o ALTERATION (OBTAIN FROM PROPERTY TAX NOTICE) b( INSTALL o REPAIR o MOVE o DEMOLISH PROPOSED USE:~GL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY 0# OF UNITS ~OBILE HOME o OTHER o INDUSTRIAL o SWIMMING POOL c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK -::I:1\s-tA.\\ J\\<U.0 \11010. l~~L BUILDING SIZE ';)<6 X 4 ~ SQUARE FOOTAGE I 34 t/ HEIGHT I z. I 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 ~ BUILDING ~. ELECTRICAL 'lStPLUMBING )it MECHANICAL - e:i3) $ ScP lOCO. ISD AMP SERVICE VALUATION OF TOTAL CONSTRUCTION ~W.R.E.C. o FLORIDA POWER $~, I DO 00 VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL )( OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES ~O BUILDER SIGNATURE~ ~ COMPANyG At-oR. IILA fY6 ~ . }to> '5 cct ~ STATE CERT OR REGIST # "':t.t-..\-OODOt{Io, CITY PROCESSING # ****************************************************************** BLBCTRIC~ SIGNATURE ~ ~k COMPANY Jo (LOOy\ STATE CERT OR REGIST CITY PROCESSING # t:- \ ~c.:t~_-i e.- # 8< Dooc.lC06 tiC> ****************************************************************** PLUMBER SIGNATURR~ ~ 'croROOY) t> 1<,<,,\,.,.10: @t COMPANY-- I _ STATE CERT OR REGIST # "R,:- ()64-'Z:~ . <t CITY PROCESSING # --1 ~ lJ ******************************************~****t***~********~*,.~ MECHANICAL . COMPANY A~~ S 61\'5 Y 1-\ \.!- ~ !1\.,fL. V STATR CRRT OR RRGIST # CI'\-l!.o '-I ~ <j Y'l; SIGNATU JV ~~ CITY PROCESSING # 17 ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A~ .NO~ICE OF DEED RESTRICTIONS The unaersigned 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 R~SPONSIBILITIES 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, 813-788-661l. 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 contractor that may be an indication that he is not properly licensed and is 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 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, 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". ~OWN.:1\~ ~NT~~<' STATE OF FLORIDA COUNTY OF -:PA~ (>~ The foregoing instrument was acknowledged Before me this ~ day of .Ji~v .AxJl:, __ by L- ~ e. a........ e. 1-1 r......\.L. (name of person ackno~ledged) ~who is personally known to me, or STATE OF FLORIDA COUNTY OF ?A.5C,.-, The foregoing instrument was acknowledged Before me this ~day of"Ji......\I ~oo.2-, 19 by Le--e-a-u........ H on, k ~ (name of person acknowledged) ~ho is personally known to me, or of identification) take an oath. o who has produced . Jtype of identification) ~id not take an oath and whoD did acknowledgment 1<. ATU I .~.,j ~T. ~R-.ov", N Name t ~.:;;~~~~~ V1 ~i1": T,: .~~':SIO]\!#CC825469 ....~,~" "'1-0~f\..'/;~ !, l.S: 04/12/2003 . , ~:,,' ::~c:;::::::.~ ~ /I A 1\4-/ PT~ I ..J;.. ~~~~j. Name typr' d~>"....w;. ....^'(~. nr';'~I'?f;~t,'tm.i'W.JF\.v. N J"! ~~ 't"ttJ.(7' , ,:", , ~ ~~, ,"'" f":",' I #('{'W~":;:-Jt)9 ~~. c~"f~\ \' '"I.' .: ,P'] ~p ,~",,:_~~,,:,r, ,';'irf.' [':~':~~~~l~ PASCO COUNTY, FLORIDA SCHOOL IMPACT FEE Ordinance No. 01-06 Effective: February 28, 2001 at 2:08 p.m. Permit No. /3:1.3- <?-~-O2- Date Permitted: Builder Name/Owner Name ~ 9"? \..if ~.~ /~ J - Parcel 10: ~~ - ~(p - ~/- O/cFo "'ooaao 0_ L) /f'o Address/Location: to,~/ I Z.~ ~,#-,-OA. Subdivision: ~tt 6?~ Classificationrrype 0 Use: "" gjiingle-Family Detached House ~obile Home D Other Residential D Collection Fee Total Fee X No , (056) (057) ;; IJ'7- (058) (123) $ 1/87 Exempt: How Determined: Yes Prepared BC~1Jg~~ Checked By: The above impact fee has been established pursuant to the Pasco County School Impact Fee Ordinance No. 01-06 as adopted by the Pasco County Board of County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or where a Certificate of Occupancy is not required PRIOR to the final inspection. NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNT LISTED HAS BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. Acknowledgment below does not imply acceptance or concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and the conditions of payment for same. fP- ~- oe:L Date (~ ~--~ Received By OFFICE USE ONLY RECEIPT NO. /~7oo9 DATE ~-t.-O~ BL~~~ White Canary Pink Gold Customer Finance School Board Inspection PC01005114/A