HomeMy WebLinkAbout03-1828
BUILDING PERMIT
OTY OF ZEPHYRHILLS Permit N!!
1828
(po
BUILDING
'-/0
ELECTRICAL
(813) 780-0020
--
'/0 3S
PLUMBING MECHANICAL
.-
Date 4. -/D -O~
P<aperty Own., ~Y;~2
Job Address: 3/fZ- .
Parcell.D. # 1!f-.2~ ;?I-oOIO-O::L(?/JD" ..t.nr (,
Sewer Conn ;, /17/ -
Water conn:~- ~~ -.
Water Meter: L8l2.
.
T.I.F.'s: It f -
.5 (H. .- ~.th?T
_lor. tUe,r::T.tyl
OL/ 17.5-
Zoning:
Descriotion of Work
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
o? - ~ s-- C' 3
DATE
~ ~ ,;:J S"~ 0
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
lITo
City License Registration #
State Certified License#
liP
Permit Fee
Signature
Company
Address
Telephone#
"0
Valuation or
Contract Price
~,ti7J1#,
BUI ING
{k~
ELECTRICAL /i7
~t!if:Ji
PLUM G
a;~
MECHANICAL45"
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final ./'" 02-:<5-?J.3
SLB
Tub Set
Water
Sewer
Final ~ .c -::25-- 0.3
Breakers
Ducts Insl.
Compressor
Final ~..2 - ;2 5- 0.5 .nJ'.rtfJeJ
.Rc.. V</I/..To
/( L. '11113"0
Driveway
fP J -d~--f) "3
~~ j.')(' U
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:
/I7D.?~' tfi5'~
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.
a.
b.
C.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Dt:lLore me t:nl.s _ day of
by~
,19_
by
-. '~~---'.'''''--':1--
Before me this -------,.lay of----_, 19
(name of person acknoWl,dged)
Dwho is personally known to me, or
o ~ho has produced
(type
and who[] did []did not
of identification)
take an oath.
(name of person aoknowledgedl
[1ho is personally knovm to me, or
o who has produced___ ____
(type of identifioation)
and Ylho Ddid DUd not take all oath
Signature of person taking acknowledgement
Signature of person taking acknoYlledgment
Hame typed, printed or stamped
---"-'--+---'- .------------..---..------
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:UNTRACTOR #: 009864
'Hi Iv) E 1: hJiYY N E IH.J T T [y.: I:: I [J. I)
~DDR: 38930 BUTTERFIELD LANE
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CHELl::: # :I. 96:.'.'.:
PEF:i'v\I'I' H :I.fl:?U
:ONTRACTOR: 0()9864
TOT!=-,l... td"-iOLwrr::
~CCNT COMPNY ACCOUNT [~ENTER
.:!.....:I .~....)
....1..:.. n .....'..:..
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:B...:l!.:.i() .... :.=:':I:~):.:.~.:()()() ....
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(:lfT\CH.JNT DESCF:IP"rION,/PEJ,:l/iT D(.:-IT(:, DR/U:;:
32.32 ****** SOLID WAS"'E FEE 60
""CI": I VEl) BY .......,. ~ ~.. ........ ...... ....,...,... ..... ... ...
f~l
PA'SC-O COUNTY, FLORIDA
-.----.----..--......'.-.--.-.----~...-.....-..-~.- ..---~'-."..--...._-_..-~.-~-....-.....oo...~.......,~_.
L '" ,.)
F)enn!t No. _..__ .-E~<~J{_.._____
Date Permitted ~~-:..I.1.--'L._Q.3_
Builder NsmelOwller Name _ (~~~.L. Control # .. _'___.___.___
r.:"""ly I'arcel No, ":1f.:2/i~~~L=,LQjt) =.P ~(:L SubDlv: W4a.-mK'J2~
::7 \'---n /2:0 7: " t7
AcjcfI8SS/I.ocatioll -:::::;L2.Z8.il_.-/_~~~.,_____.____________._.
ClasslflcallolliType of Use ---.~~2.&.-~ "__
TRANSPORTATION IMPACT FEE Rste: Sq Ft Unit: ____..__
Exempl [J Yes t;ti' No How Determined __.,_____________,__._..,.___,___
t~ t.'
Ilnpact Fee Amount j---L~go_~__.__.
-.------_,._ c:! .-;O...:Q2_,_____~
SCHOOL IMPACT FEE
Account (056) Single-Family Detached I'louse
(057) Mobile Home
(058) Other Residential
\..}{"23) Collection Fee
Exempt ~ Yes IJ No How Determined
PARKS ANDRECREA TION FEE ----,---
Land Accollt1t Land Credit
Zone No.
TAZ:
---.-----
------.-.-----.-.-
......_....--.,----.._~-
Amount $
------.._~---_._.._._----~-._-
--------.-..--- ...--..---.---...--..-
---------..---...-.---.--
----.---
---._---..__.~._--
"----~---
Land Total
----.----..-------.. ----.--- ----.-..-----
Recreation Account Recreation Credit Recreation Total
Zune
-------. -~--. --.---
- '--_.__._.__.._.~.__._-.
TOTAL AMOUNT ._~_...____._...._______
Exempt [I Yes [J No
How Determined
IiBRARY"F-EE-------------~
Land Account Land Credit
-----_.._..__.._--_._------~._+_...._---_._--_._.._._-
-~-'""""_._-...._._~._-_._----..~---........-
----.--.-----.-.-- ___.h_..____.
Land Total
Facility Account _______.__.~ Facility Credit
~--"--_..__.__.-
..--------... .... -. .....-..----
'___'__ Facility Total
Exempt [] Yes LJ No
.-.---.-.--...--------.
How Determined
Total Amount
.-..-- -------.--.~._------
-RE-SOU'--R"C-E FE-E-.----.---~-,.- -----..-----....".w..---ER-t-,J __._______
TOTAL AMO U NT ..__.j 2~2_~=___ '__ ________.___.___________
-_..,.,.._...._.."...,~...'"'_..._.._.._-,-"..__._..._._-_..._._--_.._.,-_._~._,.._..._-_._.,-~._._._----_.~.~--_..---
Prepared By .---...___...._____._____._._._.____ Checked By
-----.------..-------.-.-----.--,---
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
F'ERFORMED UNTIL THE TOTAL. AMOUNTS LISTED HAVE
BEEN PAlO AND
RECEIPTED FOR BY A CENTRAL. PERMITTING OFFICE OF PASCO COUNTY
Aoknowledgemellt below does IIot Imply ece.planoe of concurrence, bul simply 'ecelpl of a copy of Illls form, piecing
the building penlllt owner on notice of this assessment and the conditions of payment for same.
_.__.__._-_.~--_._~-------_..-
DATE r J..-I
RECEIPT NO. ~fi.~ DATE 3.ff~.
-REC~BY----~--
\. '
~
BY ... '()j\..A../
- -~------,_.-