HomeMy WebLinkAbout03-1829
BUILDING PERMIT
Permit N2
I/O
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 780-0020
1-/0 -- ~5
PLUMBING MECHANICAL
1829 .
100
BUILDING
Date
02-/0-D3
Water Meter:
Sewer Conn
Property Owner:
Job Address:
Parcel I. D. ,
Water Conn:
Zoning:
DescriPtion of Work
Yj1;1f~-::~<!ff;;y.
h;'~:;~J- ~:~
City License Registration #
State Certified License#
f~
FINAL -/f, C 3
DATE
C.O. d/- ,....L?3
DATE
Inspector JtJ
Pe'mit Fee "~
Signature 0J ' .
Company
Address
Telephone#
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
Contract Price
~~tiM7/!1~
BU DING
(LA
ELECTRICAVS 1
~;?t~"
PLU ING
dclil...
MECHANICAL fS-
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final .7 o'? -11, t7 ~
SLB
Tub Set
Water
Sewer
Final L-/ 0(1-/./-0.3
itJ -0
Breakers
Ducts Ins I.
Compressor
Final ~/.-7-/)'-o.3 ~JO
//To
Driveway'
f';:; 3.2y-~3
,
~/O !//UH~
~.
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 tradlt: J
a. Wrong Address Cj)~-5-~~' dj,
b. Condemned work resulting from faulty construction. I)'
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.
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O~INER' S llAl'1El / () LlO A.f?.cJ,..v PHONE (10N'l'AC!'r_________ __...__.__
,JOB 8 II'B 'DlJ~;;;~r~:: ..9i~:;;.;!~=;~~~--"';;,~--2 7C,O'f2!..,~tf-""(~~__
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING nE~ARTMmNT 5335 8th STREET ZEPHYRHILLS, FL 33e40
PhoneI813-780-~020 Fa~1813-7eO-0021
!JA'n Rlll<1JilIVSJO --..d!...:-lo_=~
PIJANS RBlVIBlW J'IllBl
-----.-.--- -~-..
LE1flAL DESUR 1 P'fIotl: LOT (S)
Sf JOCK
SUBIJIVI810N
~-_.._-~--_._----
PJ\R(!ElI, In It
-..--.------... ------..-.- -- '.- .---.-
_.._-~_.-._--.._~--._----...-
._---_._-_._'---_.._.._-~-------.._-,~...._._~..._.__--..-..,---~._-
(OBTAIN F'ROM PROPElR'I'Y 'I'1\K NO'l'Wm)
~WRK PROPSEllJ I [jNBlN C'ONS'I'RtlCTION
[] s rem
[] 1\rm I'r ION (J 1\LTERATIOH [] REPAIR LI INSTAl,!,
(] MOVE r.J DElf-10I,ISI!
Ch.1tJL1'I - FAMIl,Y [1# OF !IN 1'1'8 t::r"M08II,Rl llot-1E
[J INDUS1'RIAL fJ SNlfIlMING poor.) [] OTH!llR
PR<)l.lOSEJI1 USE: I [Jsr]!J FAtULY DWElLrJIH(~
[]cm'lfllIllRc.'IA[,
IJE8CRIP'l'ION OF HORK
o R~18TA[JRANT & HElAI,TII DElPARTt-1ElNT APPROVAL
)H\L__________.
~--_... -----.-...--------.-------.......-......--.-....- -.----.
BUU,HINll SIZE
-----.---...----.---
SQUARE FOOTAGE
RBl8IDIlINTIAr,t
(~O~1MBlRc.!IAr~ :
---. .---.-.....--
HEl WHT
...:~,--..........'~_._-----
A'I"1'1\CII (2) Pl,(YI' prJA1l8 & (2) SETS OF BtJIJ,[HNlJ Pl.ANS & (1.) SElT E1NI!JRr~y FORMS,
A'!"liACH (3) SHi'l'S OF 8UtLI11NG PLANS & (1.) SEl'l' ENElFWY FORr1S.
PROPERTY SURVElY REQUIRED FOR ALL NEW CONS'I'RUCTION.
pmRMITS REQUESTED
[] B\JII.IJIN(~
[1 ElLElC'I'R 1. (lAI.
[] PI,m-1BING
U HHi<.1HAH I CAr,
[] C~AS rJ ROOFING
$
VALUATION OF TOTAL CONSTROC'I'ION
-'~-----._---
Ar-1P SERVICE
o
FIlJRItJA PONER
[J
W _ R , EJ , (! .
,
$-----
- VALUATION OF f-1ECHANCIAr, HIS'I'AI.LA'I'TON
[J S PEe IAUl'Y
[I OTHER
'l'YPHl OP' CONSTRUCTION I [J BLOCK
[] FRAHEJ
[J STElEJr,
[) OTHER
FINISHEJ/J Fr,c)OR BlIJEVTiTIONS
----.---
IS PROlfElC'I' IN FLOOD ZONE! AREA [] yms
o [olD
aUIfJ081R C'of-1PANY _.___._______...__.___..._____.______.._
STATE CEJR'I' OR RElGIS'I' ## ____~__..__.____________.__.___
B lGNATtJ. 0 -~-x--~~___,_,.,.___ CITY PRO"E88ING Il--f{/---.-,-,-,-- ,__,.,,_____
******************************************************************
B11.BlCTRICIAlf CDl'1PANY _..L1~~:..______~________._.____,_._ _m.___
8] <lllA'lll." -,W~-4!2-- .--- ~;~~. P~~~~8~~N~.~ '"#l=== ~~ ~'~'-=~_-_,===
*******.**************************-*********************f***t*t***
PI,UMBl!IR
MBlClHANI CAr,
C~(JMP1\N Y ---.J!}~ _____.___.____.______________._
STATE: CE:RT OR REJGIST # ___.__.______.______.
SIGHA'1'I1Rg. --'--_k:!.,~~~..________ CITY PROCEl88ING ## _..__.._.._________.________~_____
* * * * * * * * * '" * .: * * * * * /( * '" * * * * * * * * * * * * * * * f. * * * * * .~ * * * * * * * * * * * * * * * * * /( * /( * * * f. (
COlVi PAN Y -----Lf_c:::.:'5:=______.______________________._.__
STATE CERT OR REGI8T #
8WN"!'1l'" __~~~___ CITY PROCB.8ING #_~~='=',=-~~~,.~=-'-,-
****/(******/(*****"''''********.**********~*******************'*'****
OTlImR
SWIIA'['UREl
------
Cor.1PANY
8'1'1\ '1'HJ ciiiRT OR RE~~---------u_----, -,-
CITY PROCESSING # -----.--__.._________
------...,...--....._--~._---'-
*******"'***************************************************~*****
--------_.-..,_._~_._---~--..-.....__.~_._-------
CONDITIONS OF PERMI'.::' l-\FFIDAVI'T
A. NOfICE OF DEED RESTRICfIONS
The undersigned understands th~t this permit may be subjeQt to "deed restrictions" which
may be more restrictive than City re<;/ula\:iol1s. 'J'h,~ 1Il1d,er:signed assumes responsibillty for
compliance with any applicable de~d restrictions.
B. UNLICENSED c'ON'l'RAC'I'ORS AND CON'l'RACTOR RES PONS lBII.I'l'IES
If the owner lias hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contracl:or is not
lioensed as required l.Jy law, both the m.mer and contractor lllay be ci ted for a misdemeanor
violation under state laH. If the owner or intended contractor are uncel^tain as to vlhat
li censing requi rements may apply for the intended walk, they are advlsed to contact the
city of Zephyrhills Bui.lding Department, 613-788--6611,
Furthel'mol.-e, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsU of this appli.cati.on for which they
.dl1 be .Lespon6ible. If you, as the owner signs qS the contractor, YQLl are i.ndicating that
you, l'ather than the contractor, are responsi.ble for the work. If the contractor \<lishes
you to siyn as OOlltractor that may be an indioation that he i.s not properly licensed and is
llot entitled to permitting privil~ges i.n the City of Zephyrhills.
c. 'I'RANSI?Ok'l'ATION IMPAC'r FEES AND UTILITY CONNECTION FEES
D. CONS'rRUCTUION LIEN LAW (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provi.ded with a copy of "Florida's Constr\lcti.on
lien Law - Homeowner's Protecti.on Guide" prepared by the Florida Department of Agri.culture
and Consumer Affairs. If the applicant is someone other that: the "owneru, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owneru prior to conunencement.
E. CON'rRAc'rOR' S/OWNER' S AFFIDAVI'r
I certify that all the information in this application i.s accurate and that all work will
be done in compliance with all applicable laws regulating constrllcti.on, zoning, and land
development.
Application i.6 hereby made to obtain a permi.t to do work and installation as indicated. I
certify that no work or i.nstallati.on has conunenced prior to i.ssuance of a pennit and that
all work will be performed to meet standards of all laws regulating constructi.on, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agenci.es Inay apply to
the intended work, and that i.t is my responsi.bility to identi.fy what aotions I IImst take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensttive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads,-Wetland Areas,
Altering Watercourses
*Anny Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Departrnent of Health & Rehabilitative Services, Environmental Healtll Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
1 also certify that, if fill material i.s to be used in Flood Zone ~A" or "A,etc.u, it is
understood that a drainage plan addressing a "compensating volume"'will be submitted Vlh1ch
is prepared by a professional engineer registered in the State of rlorida prlor 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 techni.cal codes,
nor shall issuance of a permit prevent the Building Offici.al from thereafter requiring a
correction of errors in plans, construction, or vio~~tions of any code. Every permit
ia~iUed shall beoome invalid unless the work authorized by such permit is oommenced within
six months of issuance, or if work authorized by the permit is suspended or abandor!ed far a
period of six months after the time the work is conunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
ill writing to the Buildlng Official. An approved i.nspect;;ion must be logged during each si x
month period, or the project wi.ll be considered abandoned.
WARNING '1'0 OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IE' YOU INTEND TO OB'rAIN FINANqlNq, .~'4N~UL'f'
WI'rH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMl"lENCEMENT. JOBS UNfJER
$2,50!) IN VALUE DO NO'l' NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'r".
SIGNA'l'URE: OWNER OR AGENT
SIGNA'I'URE: CONTRACTOR
acknowledged
, 19_
STA'l'E OF nORIDA
COUNTY OF
Th~ foregoing instrument w~s aaknowl~dged
Before me this ------siay of':--.--, l~......:.....
by
(name of person acknowledged)
C1ho is personally known to me, or
Dwho has produced
(type of identification)
and .lho fJdid DUd not t.ake all oath
sr!'ATE OF FLORI DA
COUNTY OE'
~'h'e foregoi.ng i.nstrument was
Before me this _ day of
by _ \
(name of person ackno~l.dged)
Dwho is peraonally known to me, or
J
Dwho has produced
(type
and who[] di.d [) did not
of i.dentification)
take an oath.
Signature of person taklng acknowledgement
Signature of person taking acknowledgment
Name typed, pri.lIted or stamped
Name typed, printed or' stamped
CDt,.!TF;:(lCTr:n:,: :l*:: ()O')tl6.-:.}
NAME: WAYNE BUTTERFIEL.D
r:~:ODR:: :.:.~.;n()::50 f-:UTTEF:FIELD Lr::1NE
c/r;r:: ZEi"j--!'YF::HIL.LU Fl... ::.~;:.:.~;~.:.:j40
CENTRAL PERMJ"'T!~G
F'(:j(3CCJ C:CJi..Ji.....I..r..y." FI...UG.:U)(':!
',-., ....... ..".- .:~. , ,; '-.!.-"
1"(lI.~L ,:
:;;:hUF CiFi' i: U::: :0
h:!;CE J i::'!" ('..'iJf<C:F:: '."',::,:i. /{ ::::<;:0,)
OFFiCE: ))(';))1:: [:JT\
FOI'::::
F'ERi"j I T f!: 1 U:.:,><.,,'
CHECk H :l. ?6:.:.~;
(lCCNT
:1.:1.4
CONTRACTOR: OO?864
TOT (.~d... f~j\iOI..JNT::
COMF'NY ACCDUNT CENTER
.:~. r) .:~. "'j
....I...:. ,.....1""...
B.-:t~.::.i() .-. :~.;t):.:.~.;()(>() .-.
::.?
AMOUNT DEUCRIP'fl0N/PERMT DATA DR/CR
32.32 ****** SOLID WAS'fE FEE 60
F:ECL 1\)[:1) BY
.........L~......
..... .........................................,....
~
__ 'l..
"
PASCO COUNTY, FLORIDA
--_---:.._- .....
----..---.----- .........-..
Permit No. / fl;;z 9
Date Permllt~a--'/D -p~
Builder NSllle/Owner Neme (~_~~-L~I L$. Control # __~,_
County Parcel No. ':J!!I-,;/.iL~.-.;?J-::-.Dl)j1L:V~-q~,5-SllbDiv: ~-auL ~~ _ '_)
~/} -=v / . .. '/7 zJ1".::f,.':I,>';2:;fbJ1-
Ad,11 eS5/1..OC811011 sS.2kjL<;L'Ltb..l(H~I';>Q_'..~__-',-,--,__,_,_______
Classlflcatlon/Type of Use -S-2"21~_S. . ~.__.____.___________.____.__
TRANSPORTATION IMPACT FEE Hate:__________m_.H... Sq Ft Unit: ___.____
Exernpt [I Yes [~No How Determined -~---__H____________.._.___.________..____..__
Impact Fee Amount _1_ ~ /f./?iL___ Zone No. _______.___.__ TAZ: ______._______
"?IL <--2 '-IV - 0''30
SCHOOIIMPAc1f m-----~~----'m
Account (056) Single-Family Detached I-louse
(057) Mobile Home
(058) Other Residential
Exelnpl ~~~S [~]s~~on F~ow Determined _~______.,.________.. _,_,_,
PARKSAND RECREATiON" FEE --------
Land Account Land Credit
,..~..._-"......_..._-~.......__._....-......_-"'--
Amount
$
--..-.-.-.. '~__4___.___~_"_.._.... .__.__.__~._..__
-.---.-.---.-----..-.-.------.---
------------.-.----.--..
--"''--'---..
Recreation Account Recreation Credit Recreation Total
-------------.----- ---...-.- ---~_._._--~._.P._--
Land Total
Zone
. -...-------.. -- -.--------- -_._-~._~--
Exelnpt [] Yes [] No
TOTAL AMOUNT ._~_.______.______..___..
T:iBRARrnE-..~.'-.-..-..,-----..---~-------------"-___.____._._____"___.._.._
Land Account L.and Credit L.and Total
110w Determined
---~_._----_._---_._--_._..__..~.__._--_.__.__.__..._---_.
~ -- ,.. ....-.-...-..-..-. -----.------.
~-- -----_.._~---
f=aclllty Account ._._________.____ Facility Credit __________ Facility Total .__.,___._
-.---------.. "-.--------.---.
Exernpt [j Yes [] No
How Determined Total Amount
----...-- -.----------
RESOUR-CEFEE-"'---'~---'-'----'---------,_.- ERU
TOTAL AMOUNT___!5 ~.:._3 :C__.
---
_._-_.._-----_.._....-._--_._~--
-_.~....._,............_,.'.,_.,......,-,_._....:_.......,_......._.._._..__._._------..-------.-..---..........
Prepared By .u_______________.____.__,______ Checked By
-..-----------------.----.--
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
f'ERFORMED UNTIL THE TOTAL. AMOUNTS LISTED HAVE
BEEN PAID AND
REGEIPTEU FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement 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.
::::'PTNO- (o~!fi~-DATE ~2/!j12- BY'dt:~=~=~_:~::==