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Home My WebLink About02-1373 BUILDING PERMIT Permit N~ - ~q.q~ ELECTRICAL CITY OF ZEPHYRHILLS (813) 780-0020 " f7f4" . PLUMBING MECHANICAL 1373 1/71 BUILDING Date 7-,;2 CJ-iJ:?-- . Zoning: Descriotion of Work Water Conn: propert}",ow/,Yi Job Ad"irrefs. Parcel I. 0.' e::;.P Water Meter: T,I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL C.O. ,. 17-1- O:J.. DATE d.... Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee :t~)Ig"8ture Company Address ~ ' ~~!l~-:f)(.~6J) 5~~)-041.3 Valuation or Contract Price City License Registration # State Certified License# U). -=:TOHAI 'AI;gi. ~ UILDING ELECTRICAL 7'17 PLUMBING ,@>. - ti-/3-0"d- L'f /, Ftr?,,/ 8-1l.{-d '2.. 66 Tp. Servo SLB'/ g-f--[Jj fi.t(H:rOsreakers Pre SLB ,,/ ~' -11(-0 2- ~ough In ./1',.-/7--02- t('f, (/~ Tub Set pi' 9.-( 7,-DZtl,lf, H::fbucts Insl. v"""? --1'7-() 1 ,lIt.'! Pro Lintel '~~#:< )(L~ Meter Can ' Water //1-7' ~ 2. ,l!Lt IIJO Compressor FRM. ~ ~ -02 ~'f~kfOConst. POIeJ/'/?-6-O:l. ~~ sewe~/-1-";)' Ifl'f/7/fl Final :// 1-2l.-t!t 2..12~ Insul. CLI/1- 2.1 -()1. (-1...;-0 Pool Final =--.J-2f-crz 1<0" Wl Pre-Meter ;/ i /-l)-# ).,RL 'f / . Final /11-2 ( ~~ 2. PLy Driveway V /O-'J..q-~Ll<tJr A ~ ,r- c-~ ~'_~/V~ WI) (:,l.'JfJ 5'1:; v 'VL-F - . r. ':/:C. I ~ v ~ ;tI~ ~. 9-tj-1J1. TCLt(, ,/?~'O/ln--- C71~ c9.~ r P /1-/ 3 .,ro~ 8' -' ~"). S' f}LIJ5~/1 /<<- 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~Ch tra.. ,.~ a. Wrong Address ?o.l.,j' ~J))< r~ t.5>l b. Condemned work resulting from faulty construction. If '" 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. APPLICATION FOR PERMIT CITY OF ZBPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED ~ 2'<;?-D-:L' PLANS REVIEW FEE ~_. JOB ADDRESS WAv~E 5cprr t:,1R! /9 C)AKcR€5"T PHONE &"'/3 -7/5-&190 OWNER'S NAME tuRf LEGAL DESCRIPTION: LOT(S) ~ BLOCK PARCEL ID # tlt. - Zt, - 2/ -t)250 ~t):)~- bt>>~(,s _/ oOIRO WORK PROPSED: ~NEW CONSTRUCTION 0 ADDITION DALTERATION SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICEl o REPAIR o INSTALL DS~ PROPOSED USE: ~GL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL WORK 5iA/bU PIIM/~V -S'"~~ ///L~ ' A ..,......,.- SQUARE FOOTAGE KcSIZ;€~ ~ /q,,~ DESCRIPTION OF HEIGHT gr' 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. . I PERMITS REQUESTED o BUILDING $ '70. tJt>,tJ. , ~t)O i?P -- VALUATION OF TOTAL CONSTRUCTION AMP SERVICE ~FLORIDA POWER 0 W.R.E.C. o ELECTRICAL o PLUMBING o MECHANICAL o FRAME o STEEL o OTHER /')~ / INSTALLATION :551? 041 '3 /1 i ~EAO YES ~ $ ~@".oO VALUATION OF MECHANCIAL o GAS 0 ROOFING 0 SPECIALTY TYPE OF CONSTRUCTION: ~CK o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT BUILDER COMPANy]JAI/Il> W<#<fo)(~OU /B()/~ /a:- . STATE CERT OR REGIST # GC~Ogl'b CITY PROCESSING # /~/ I , SIGNATUR *************************************************** COMPANY ~ r!) ~ ~-cd;. /~. rJi, ~ STATE CERT OR REGIST # Ef Roo 13 i:.It./'7 CITY PROCESSING # .. OJ 0/] L/ 7 I ELECTRICI PLUMBER -l SIGNATURE SIGNATURE ,***********************************~*~~******** COMPANY t:I STATE CERT OR REGIST # iht. (j 0 W'I" t CITY PROCESSING # /;-~h **********************~~********** MECHANICAL OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. ~OTICE. OF DEED RESTRICTIONS The.under$igned understands that this permit may be subject to "deed restrictions" whicQ may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES 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, 813-788-6611. 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 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, Wet+and 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 R ENDER OR AN ATTORNEY BEFORE RECORDING YO ICE OF COMMENCEMENT. JOBS UNDER $ 00 IN UE DO NOT NEED 0 CORD AND POST A \ OTICE OF C NCEM Cd__~ STATE OF FLORh:rA STATE OF FLORIDA -J...--- COUNTY OF COUNTY OF I 9 .:5 (1...,J The fO. regoing ins~:,ument was acknowledged The fg,regoing ins,trument was _acJspoW'ledge. d Be~. this ~ day. 'Jf ~~~ ' 13~Zl~ Bef~e m~ this ~da~.~ )' ~~c~ by . I pJ ).// 'b (" ./::; I >'),___1 I by ~ 1)4///.0 [,) ---=- z> _~A - ~ c.,.,_ (_i.(name of person acknowledged) ~'~. ~name of person acknowledged) /~!'10 is personally known to me, or ~,. 1S personally known to me, or o who has produced (type of identification) a!n~ ~dl not &"kC~ oath: ~ I __~~, ~~~~ ~/J.&d signature of person taking acknowledgement IN' 3JN'1~I1SNf NIV'; AO~ll1~Hl O:KJNOH ~~.y.:~IJ'!r,. !'OOZ 'zz ^,onJq&;l :t~ NamJ3~&0!l1P~J{f~~~O~ ~~d Y~"aMS""am<f8 ~i~~,~\'" of identification) take an oath (;, j _ Bobble ....80'd . M~!XPIRea Name~ : mpe ,P.f.~' BONDED THRU TROY FAIN INSlVoNCE. INC. David Johnson 6819 Oak Crest Way SQ. FEET PRICE MAIN OR LIVING: 1,502 $ 40.00 OTHER AREA UNDER ROOF: 491 $ 15.00 OTHER: $ - VALUATION $ 67,445.00 FEE SHEET $ 306.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 499.00 CREDIT: $ - BUILDING LESS CREDIT: $ 499.00 ELECTRICAL: $ 87.92 PLUMBING: $ 70.00 MECHANICAL: $ 40.00 RADON: $ 19.93 TOTAL $ 716.85 SEWER: $ 1,278.00 WATER: $ 350.00 IRRIGATION: $ 175.00 TOTAL: $ 1,803.00 WATER METER: $ 180.00 IRRIGATION METER $ 180.00 SUB-TOTAL $ 2,879.851 SIF'S: $ 1,694.00 97.5% $ 1,651.65 2.5% $ 42.35 C/)-L<~ ~ ~.D .. TI F'S: $ 1,480.00 99% $ 1,465.20 1% $ 14.80 TOTAL: $ 6,053.851 FLA. '877 LAW. F. "'.13 SEMINOLE FORM 40: NOTICE OF COMl\ lENCEMENT ~:;::fo~lorida P liS CO } .Pft~PAR. m DU~aT8. ~~~~~I!I!~!I!IIIII" 1111111I11111111111I11I111111111I _ The undersigned hereby informs all concllrned thet improvemer tis will be mllde to certain real property. and in accordancI with section 713.13 of the Florida Statutes. the following inform. :ian is stilted in this NOTICE OF COMMENCEMENT. Description of property "C?.~. ~ .?~.-:'-. '? f.:: .Q.4r-.?9 -:-:~~~. 9PP.~.. .. . . . .. ....... .. , . ., . ...... . .4..... .... ..0....... _.... ...... ...........................0... ...... ................... .... .......... ... ............. .......... ... .... ..... ,.....-......... -.... ............ ............ ..... ....... ......... ......................................... .... ..... Genem' d;:;;on ~"';;0-;;-;;:;!4?~! ~~r~~E......... .................. Owner ..,......' ,y,."" ,.... ..' ............!.............D..... ..~....,....._. ....... ............. ......... .......... ..... Address... 9~)C(, ,PT:. K(~.~..1?:~,f~.. .l?ffP~ .~/'ryl.,.F ?:-.. .-?Z~~r..,.... R Owner's interest in sito of the improvllment ... . . . . .. . . . . . . . . . . . . . . . . Fee Simple Title holder (If other than own.rt Name "'".,~/k,. ..,.,................................... :::.n, .tiVi dltL :a~:h:,~;;~::13.;'\ id~<~~:..::::..::::.:.:.::.::..:::: Add,... dCJ? OY . . . Ft. dk L 0 . . 'K ~.... .. .... . . . . ... . .lAd.e . Cd:tt J Ek.. 3S)~>'d. .... ...................... ............... ....................... Rcpt.: 569066 DS: 0.00 02/27/02 Rec: 6,00 IT: 0,00 Dpty Clerk Surety (ifanyt .....". Address "......"."..,.,..."..................................... .......,................. Amount of bond S . . . . , . . . . . . . . . . Any person making a loan for the construcdon of the improvemel ta: N.med~//tdddddddd..d.d....d ....... ~~~~N7~O !:-'~~~~ Address ........""""""",.,................................... ,...,.....................................,..........,..... Person within the State of Florida designated by owner upon whc m notices or other documents may be served; Name .........,.,...""".'"..................................... Address ..,..........".".."............,......................... ,.....................,.....,.............,........,...... In addition to himself. owner designates the following person to re :eive a copy of the Wenor's Notice as provided in Seetiol 713.13 (1) (h). Florida Statutes. (Fill in at Owner.s option). Name ,1?/J.rl.p ..uJt. ;:[Q/:LA.JS ~.............. .. ..........................,.,..,.......,..,..........,.;... Address .,q2(J~"Ge.T...I<~~.0..?~t!I:/)rf!t-...'(!.. ....~/-ry; .F?..." ,..c~r THIS SPACE FOR RECORDER'S USE ONLY . ....4..,.. ...... ................, o Sworn to 81 d subscribed befor ..c:i!:::{;... .day of ." .. .. ~ ..i.nc; tI.. II .......~.::..... \T ,ou UH I ~ , . \'-'u! ;.n \, ,.n ~ ..... v'1 CITY OF ZEPHYRHILLS "NOTICE" OF ADDITION OR CORRECTION . BUILDING DEPARTMENT DO NOT REMOVE DATE PERMIT + ~/,~ JL {J7J THIS JOB HAS NOT BEEN COMPLETED. T ,e following additiqns or corrections shall be made before the job , will be accepted. V. S '} i..l. E!.e ,,' ~ kD..\ \ Lul,'-€ r to Ou" ~ S', d f' ~ ds'e ()1 ,..{b.<-" ,-/-e,r ADDRESS b'~ , '1 UcJ: (I'l' J lAJ, .u. J Vey .\-', ". \ n;J c ,'\ t-ve f .\- L.J(~ ~ \ (.1 "" (() u... \.-h L-v (, \ \ ~.... ,'-t~SS:.1 OfFICE HOURS 8 - 5 MON,-FRI. AFTER CORRECTIONS ARE N\ADE CAlL 788-661,1 V RE-INSPECTION ' / INSPECTOR 1k if- ~~ / :7 'I ;. unlawful for any Carpent.r, Cantraclor, Bulld.r, or oth.r per$On., 10 cav.r or cau.. 10 be cov.red, any port of th. work with flooring, lalh, .arlh or oth.r material, unllllh. proper In.pector ha. had ompl. 11m. 10 approve lh. In.tallallon. PASCO COUNTY, FLORIDA Builder Name/Owner Name W~_ J c..;;:tr County Parcel No, fL~ - ;;;2. ~ - 2l - 0:250 -00000 _ DO~() Address/Location -WSI"L Oo.R~ wO-. Classification/Type of Use 1:?e S ; Permit No. I 3 r-,3 Date Permitted ~ - ;;L q - 0 ~ Control # SubDiv: CbJ<~ TRANSPORTATION IMPACT FEE Rate: Exempt DYes ~o How Determined Rf j\~"L2-01~() 0 Impact Fee Amount $ I: l( lfO ~. \~one No. SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ (057) Mobile Home . z (058) Other Residential ft9 . ll-;J~ CJ 'Ot J.:123) Collection Fee \<e.c..ef\ . l 2.. ( Exempt U Yes I.2t No How Determined Sq Ft Unit: TAZ: I ( to 1 <-L_______ PARKS AND RECREATION FEE Land Account Land Credit Recreation Account creation Credit Recreation Total Zone TOTAL AMOUNT $ D No How Determined LIBRARY FEE L.:and Account ---'.' Land Credit Land Total Facility Account Facility Credit Facility Total Exempt D No ~ '~ESOURCE FEE TOTAL AMOUNT How Determined Total Amount ERU Prepared By M-~,,~~ Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Aclmowledgement below does not Imply acceptance of 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. DATE RECEIVED BY RECEIPT NO. DATE BY PASCO COUNTY, FLORIDA ") J ' Iv) Builder Name/Owner Name /)/ ~ " tU, ..L I ::;:' /1 "") ,fre-9--,- ,17 ) ,_ Permit No. '---'--' .~__,_ 7'- tAu , Date permlttedil:/~~~-!:); _~_ p1V I,,{J ~) / ~^..J "',.. ,...' f Ii ' (,/ f, L Control # ' ---------.--- County Pattel No, (~z.,_,,;;J(' '/f :-!.,_~Z6(:~_,(i/'bl-fl-,_C)(~ ~lbDiv: _____________ Address/Location ..')J/!_i,:I(!':':..~_~!"t~'!_.'-~'__L()t<J 1--? (]~/ / I~.., ! l' / ;:j.q ,~;~_~ ':;~,__ Classification/Type of Use _'_,,_____ EX8rnpt '-----'-'---,-------, .._-,-- {) Sq Ft Unit: _ ____ (J l(J -' ~ 1)/ -. -"- - 'p l) How Determined ~~ ,\\ , I )J --------- -"--, - .-/\~-~\\) Impact Fee Amount ~____-==-_ Zone No. _.___ ~ --:- _~ I Rate: TR,ANSPORTATION IMPACT FEE [] Yes 0 No s6TiOoL IMPACT FEE Account (056) Single-Family Detached House (05"1) Mobile Home (058) Other Residential 1123) Collection Fee Exernpt LJ Yes [J No How Determined Amount $ --_._--..__._----_.~--_.._-- -_._----_.__..~.._.------. ---..-------.--.---.- PARks AND'RECREATION FEE Land Account Land Credit Land Total ------~._---_._--- ---,--- Recreation Account --~-------- Recreation Credit Recreation Total 2011e Exernpt [j Yes [I No TOTAL AMOUNT ,~..___,___.._,,_,____ How Determined --- -'-~__._n_ - R.... ___ LIBRARY FEE Land Account Land Credit _._-------_._---~_._----------_._---- ------- Land Total -..--.--.-..---------- Facility Account _____,_,____ Facility Credit __ ._-_._---~---~_...._.- Facility Total Exempt IJ Yes [J No How Determined Total Amount ~ESOURCE FEE '\ ~, c:;;,..., IOTALAMOlJNT .._~" 1":~:.:.-C~w. ERU ---+.._----------- -...----.---------- --- ~"- -- Prepared By _______'__,____ Checked By ---------.-- NO CERTIFIOATE OF OOCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Aclmowledgement below does not Imply acceptance of 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. -OATE-----'------------,- , RECEIVED BY..----~--- RE(_-~EIP1' NO, '~"')' c-..?....-.::-;.;.?j." ~") / I'k.."\..~~. .t()(::j-,, <1" /,)(" (...",.,.....').. ,'; , , ,I' .f DA T Ii. I' .7f I BY "1.:",,., -"....",--------- - ---- ----- .----...L..-,_.._____ ( 9!(:~..'.' (~') 6,,_0 /,'