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HomeMy WebLinkAbout03-1742 (~UILDINJV BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N! (813) 780-0020 _ 1/" . - -::J K O ~.r:;Lm. ,-" .-."'-. ~/'._,'.- .... . ) C_..~ '--~ ::::::~' c::It~/f f/f)J:. VA<- . Parcell.D. , ~~- 4. ,~-:J.I- D DI [) -~:..:J10{)- A.T I~q 1742 hO- t{D- Date (~:~~CTR~ Sewer Conn Water Conn: Water Meter: Zoning: DescriPtion of Work Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. ,-113 NO OCCUPANCY BEFORE C.O. Inspector DATE !r(fi City license Registration # State Certified license# ~~/~ BUllDI 41 Permit Fee CSig~at-Ufe) Company Address Telephone# ~ )? / ~-.S.} t...A ~-/f.;;z;fP Valuation or ~ Contract Price Ck:?f'f/~' ElECTRICAL 19'1 9:~;t2 PlUMBIN (/tlL a/(.9-!!Lu7; MECHANICAL /Ib- Breakers Ducts Insl. Compressor Finalt, ./' SLB Tub Set Water Sewer Final t./ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final,/' Ftr. Pre SlB lintel FRM. Insul. Cl Wl Driveway P 3,'00 h /- ";:L ;2 -03 ~~,Iq- 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 ~h trip for each trade: /7 L-- J./~W . X--' a. Wrong Address f/}. c:1 t35fPA b. Condemned work resulting from faulty construction. U?~ 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 ZEPliYRHIIJLS PERMl'r APPIJ!CATION BUILDING DmPARTM~NT 5335 8th STREET ZEPHYRHILLS, FL 33~40 PhoneIB13-780-~020 FaxIB13-7BO-0021 llA'rB RmnnVl!lD -1...~,/q .-=f2,2~ PI,ANS RBlVIBlW Jl'BlB_'-_____ 'IL..____ UNtlEJR I 8 lTA~lEl t-,....~J 11 0 AI "L ~ .--____._.~.,.______._"__._.. ______..LI_____... ___..___,_ ~._. PHONRJ CON'l'lV!'I' w___ ____ ~..n_.______..~ h_..__~. ,TOB B ITEl AD[)REl8Suty::z../~_f____.___.___________.___ ____.__. LHlGAL DBJ8CRIP'I'I0l1: IJOT(S) BLOCK SUBIllVISJOll /' - i>.A~J If..,... ('l. ~..... ~'_"lJ:.2":.._.__.._.... .__'_~'___. '.. .,.__.~_~...___ PARr!Ell, I/l 11 (OBTAIN FROM PROPElR'ry '{,AX 1'10'1' WBI) ._---.._~-----_.__._----'--------_._-_..._-_.._._---~-~.._~---_._......_.~ _.__.._....__--._.._----~--- WORK PROWSEI) I LJNBll'l C'ONS'I'RUCTION [] ADDI'rrON o A L'I'Hi RA'I' ION [1 REJPAIR 1.:.1 !N8TAT,I, []strm [J MOVE o DEMOl,ISII PRO!?OSFJIl USE: I L.lsr:)], FAfvlIIJV DNELllllm [] COM~1EJR(! JAI. o INDUS'l'RIAT, []# UF mUTS [J SI'HtlJMING POOL HT4c)'BIlJEl ItotlJl1l [] OTHBlR [h1UW'I" FAMJI,Y CJ REi8'I'AlJRANT & HElAW.'H DEPARTt1ENT JI.PPROVAI..J )JElSCRIP'!'ION OF 110RK ._ M .A...____~___._____~_._____. ~---_. ._._------_._-........-.~....------~ ---......----~ BUIr.nIN(3 SIZE SQUARE FOOTAGE /I EI H3H'I' RES IDElHTIATJ I COf\1MBJRl!IAL, : A'I"rACH (2) PLo'r PIJAllS & (2) SElTS OF BUUIHNG PI,ANS & (1) SElT ENElRnV FORMS, A'I'tAC!H (.3) sEl'I'S OF ButLIJING PLANS & (1) SElT ENElIH~Y FORtiJ8. PROPH1RTY SURVEY REQUIRED FOR ALL NEW CONSTRUC'I'ION, iE~TS REQUESTED C1 8lJILIJINf1 L_.______,__._. VALUATION OF TOTAL CONSTRuc'rrmr L1 BJl,8JC'I'RlCAI, _ ___________.____~ AtiJ P ~ Hi R V I eEl [J FIDRIDA POWER [1 vl.R.E.C. [] PLtJtlJB ING U IIJEiUHlI.NH.!AI, $._.... --- VALUATION OF tiJECHJ\.NCIAL HIS'I'AI,IJATTON [] GAS [] ROOFING LJ SPEC!1AL'l'Y [] OTHER frvpm UF Cot18'I'RUC'rWN: [J BLOCK [] FRAlIJEl [] S'I'EElL [] OTHER FIlUSHHlIJ FT,OOR IlJIJEJVATIONS IS PRO,TEC'I' IN FLOOD ZONEl ARElA[] YEla o NO BtJIU)BlR 81GNATtIREl _.._~~~________.__.____ CotIJPANY_._Ll. _____.______.__ _. STJI.'I'E C!'JR1' OR RElGIS'1' # -------___m.m___. ____ CITY PROCElSSING L.m___._______________._ ,',_"_,..___.. "**"**'*"'**"**"'*'*******'******'******'*'*""**'*"*"'*'* BlUlC'rRIC!AN S] mTA'1'tJREl _____ ~--_.- W' - -.. . ....--.-..,. ..... .-. -._-_.,-~-~ -..-.._~-_. ".....-.---..---.' .-_..- -.. -.---.-------..--- CO!'1 P AN Y_ ,A~~__ __ ____~ .~___ ___.____. STATEl CERT OR RElnTS'!' # CI'I'Y PROCESSING # 0-_.-__- ___.._~.~__. __.'_____.._ _. + _. __.,._.,.._.__~______ SWNA'I'\JRIil..__._~.~~ ***'**'******"*******************"*"*********'**"**""""**' (~(jfY1PANY-'-"~-___.._____._..__.__,______m______ STATE CElRT OR REGIST # ________.___.._____._____. CITY PROCESSING # PI,UMBER .._--._-~..._~-.----~--_.-._._._._~------_.._- MBlCHANICAJ. ~-_.._-_._._._.- SmUA'l'IJREl ". ) ..jf. J II. /iJ) _..~-~ - ~-----_._--- ***'**'*'*'***'*********'********"'*""""'*'*"'**""*'*"'" COI'1J P ANY_......L1. '::':::=:::u.___.__.____ '___.u___ __ __..___,.___._ 8TA'rE CE1R'r OR REG I 8'1' # CITY PROCESSING # ~ -----...._------_..._._-----_..._-._,._._~-- *"'*****'*'******"***"'**'*****'***~"*****"******'*"*""*' OTUBlR --_._----~--------_._. CCJ!.1PANY STl\TE CElRT- OR RElC1I8T -r-------.-------------. CITY PROCESSING # --..-.---.--,----------------- --..__~_____..o...__~___._____'____._.______~ SWNl\'l'IJREJ **"*'*"***'*"**'*******"'*"*'*"*****'*'*"**'*****"*"*'" CONDITIONS OF PERNH' AFFIDAVIT ~: NOTICE OF DEED RESTRICTIONS The undersigned understands th~t Lhi~ permit may be subject to "deed restriotionsff wllich may be more restrictive than City regulations. The undersigned assumes responsibilit; for compliance with any applicable deed restriction~. B. UNLICENSED CON'I'RAC'I'ORS AND CON'rAAcTOR RESPONSIBII.I'I'IES If the Ovlner has hired a contractor or contractors to undertake work, they may be requin,d to bl:: licensed in accordance wit.h :>tate and local regulations. If the contracl:or is not licensed as required lJy lavJ, both the OHner and contractor may be cited for a 1ll1sdemeanor violation under state law. If the owner or- intended contractor are uncertain as to vlhat licensing requirement:> may apply for the intended work, they are advised to contact the City of Zephydlill s Building Department, 613-'786-6611. l!~urtherlllorc=, if the owner has hired a contractor or oontractors, he is advised to have the contractor(s) sign portions of the "Contractor Sectionsff of this application for which they will be responsible. If you, as the owner s.igos CIS the contractor, yo\.! are indiaatlng 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 llot entitled to permitting privil~ges in the City of Zephyrhills. C. 'I'RANSPOR'l'ATION IMPACT FEES AND U'l'UI'l'Y CONNECTION ImES D. CONS'l'RUC'I'lJION LIEN LM~ (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED) 1 certify that I, the applicant, have been provided with a copy of "Florida's Constrllction lien Law - Homeowner's Protection Guldeff prepared by the Florida Departmellt of Agrioulture 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" prlor to COlTunencement. E. CONTRAC'l'OR' S/OWNER' S AFFIDAVl'l' I certify that all the information in this application is accurate and that all vlOrk 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 lndicated. I certify that no Hork or installatlon has commenced prior to i:>suance of a permit and that all work will be performed to meet standards of all laws regulating construotion, City codes, zoning regulations, and land development regulations .in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies loay apply to the intended work, and that it is my responsibility to ldentity what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of EnvirolllT!ental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Bens.J.tive Lands, Water/Waste\Vater 'freatlllent *Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses "'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabi.litative Services, Environmental. Uealth 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 ~Au or "A,etc.ff, it is understood that a drainage plan addressing a "compensating volume"'wi.Ll be submitted \r/hich 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 authoril:y to vi.olate, cancel, alte!., or set aside any provisions of the teohniGal 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 beaome invalid unles:> the work authorized by such permit is COllulIenced \r/Jthin six months of issuance, or if work authorized by the permi.t i.s suspended or abandoqed tor a period of sil{ months after the time the work is conunenced. One 90 day extensi.oll of time may be allowed for the permit with fee charge of $15,00. The extellsion shall be tequested jn writing to the Building Official. An approved inspection must be logged duri.ng each l:lix month period, or the pr'oject Hill be considered abandoned. WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUUl' IN YOUR PAYING TWICE FOR IMPROVEMEN'l'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN l!~INAN(1INq, ~9N~UL'!' WITH YOllR LENDER OR AN A'l"fORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER $ ~, 500 IN VALUE: no NO'!' NEED TO RECORD AND POST A "NOrl'ICE OF COMMENCEMEN'I'". S T GHA'l'URE : OWN ER OR AGEN'I' SIGNA'I'URE: CONTRAC'fOR S'fA'fE OF FLORIDA COUNTY OF The foregoing instrument was Before me this ____ day of by. acknowledged , 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument w~s aaknowledged Before me this .------J,iay of----, 19 __~_ by (name of person acknowledged) . 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I ,). - -t .sHed ~ 10 / /kc" ()H~ ,1/ ifg I I h, 9~K~ ~ ~ ~ :>oc 3'r'l ~ / ~ i ~ ~ - 1 ~ J ~ ~9 ...... , I ~,f~ I"()")t r ,I I ~"7 1\ I W I , tt,() tJRllh~'4VY I "', ,/,' ," k~ p I ~IT / " I~ to G"d >l WOd~ ~~~0;0l S66l-~l-9 \\\ ~A_"~" I tf,:;l(~ PASCO COUNTY, FLORIDA ..-..........;.--.----..........-- Permit No. --.-llft!- ___ Date Permlttecl-...L::..IL::.122L_ Builder Nal11e/O~',!~Nall1e~.t...aul ill ~'W> Control # __.~___ County F'areel No, 36!-~-r::.:,~~L-:6f2La~t1~>??}O- tL.L!!l-- SubDiv: ______________ Adclress/I..ocatlon__.:!i 7j,,1.3___.n~ _~~______________________.__. Classlflcatlon/Type of use____~n._ZZ.I~ -~)(e.~--.-__.__.____.___.__.____.___ TRANSPORTATION IMPACT FEE Rate: _____________ Sq Ft Unit: __.____-'--_ E)cernpt [] Yes [25.r'No How Determined ____.___.___.______________________ Irnpact ~~;~no~JI1t -~.~....6_.1~cL_____ Zone No. _______ TAZ: ____.________ SCH6cJtTM~cfF~E --.----- --...-..-----. Account (056) Slngle..Family Detached I-louse AmoLlnt $ ____'______._..__________ (051) Mobile Home _________________________ . (058) Other Residential _._.____ . \.i)23J",Collectlon Fee (,,-='::'~~~).~__23~~.~-JJ No How Determined __________________ liARKS AND RECREATION FEE ---- Land Account Land Credit Land Total ----.-.------.---------------- ---..- --------------- ReClealioll Account Recreation Credit Recreation Total . ~.---------- ----..----.---... ----- lot I~~ TOTAL AMOUNT ...~_____..__.____.____.____ Exetnpt [] Yes [J No TiSRARYF"EE- ,- land Account I bw Determined ---..-----.-.---.-.---_~_u__________.__....__. ..----.----...--.- ....... -.------__ w ----..---.,,--.. -_._---------~ l.and Credit Land Total ---.----------.- Facility Ar;coLJl1t ___.__.___.____.___ Facility Credit ___________ Facility Total_________.______ -.---.......-- -....-.-.---.------.. Exempt [] Yes [] No How Determined Total Amount ---..-..-- ---.------ RESOURCEFEE-- .cN-:t;;r-----. ERU TOTAL AMOUNT ...., {) .. 7 ...---.-----.-.- . -.--------.- __B___M_____.________ ---....,..._'~.._.-...,''''''._--'-~...,...-_.._,...--..-__.-.._-,-.,,_...._----------.....- -~;.....;. Prepared By Checked By ----- -... --.---____4. .----.---------.-------.---- -----------.---------.--.---R._____.;.;J NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFOHMEU UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acl<nowledgernellt below does not Imply acceptance of concurrence, but simply receipt of El copy oflhlsfpttl1i Ihe blllldlng pennlt owner on nollce of this assessment and Ihe conditions of paynlent fof Slit11e.'" (Jel) DATE _n______ _ -- ~ - A typ)f.J e/ RECEIVED BY RECEIPT NO, f2.()1~ 7_ 'DATE d!'-I~J BY - -,-- -.----------~-,-Fff.'I'~-;.^, ~- r,:'FPt-1;fl'T rl'll~~ - T'I.......p::'" (V)..'.....A;'....~~ TTMF" AO...'j'C: I i .:j':'1 i"j ;-.,\ "1 \ ii,'" I {.'i, l.n",i'('I:;:(::'.:\i.II:;;:o' :' ...',.....,..".','..,..., ". ".' -', .... .... --. i: ::0 ~:::. J i Iii. i J I '(:-1)',:.1': 'I", 'i ".\ (:) i'-/j ::__ ~: ril!Ji.1i Y: .. .jj.1 I;'ice if", ;.I'.Jj'ii:j;' I: ." )i;'! UFI:I'I:.:: f'(,f+ CrT, l.:).~ )1": :: ! :i . L r: t.:,i (>l \,. F j[J:;(.t!_ F i'iF';: h'F:::;i.JI.Jh'C!:: FFF LIT, :/:[1'11 t.1-I1::C:\:: n I ";'.::,l:, ::".~.; ,.:.~ . '" .. ~:.~ :1. .., () () :I. () .... <:; :.? ::: ~ () () ,--. :1, .,',!. .:) r.:) .:: t') i,.j r i:;',':) c; T!J r:::: ") (:,:' I,) '::.; C:) ':'- ":-I(::C~i'.JT -( (T r ('d.. ":~d'(i 1'1 U \..,.1 T :: C:UiYi!,,'j'-.J, ,:\CCUI..!(.I'j fiE (Ifel;,: (:-.!.~::: " (,y'(,;':- L !. '(.:.:~.:_:.:.f<> ., ',t f!. 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