HomeMy WebLinkAbout03-1866
BUILDING PERMIT
Permit N~
~(p~' ~
BUilDING
/l~.I5'
elECTRICAL
CITY OF ZEPHYRHILLS
(813) 780-0020
99 ..5 ()
PLUMBING
1866
Date c2 - ;(y~ t' 3
75' ;Lo
MECHANICAL
Job Address:
Parcel 1.0. # 0-
D
Sewer Conn t ~ '7 r- - P-O
Water Conn: :.3 .S' 0" e-o
cYf)
lo~
'Vrp
Water Meter:
r~~
T.I.F.'s:
~
FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or q Tl <e-D
Contract Price I,;) .;('5 '
City license Registration # .:5 R I
State Certified license#
Permit Fee i ~.~ 3
)(signature c" ~ '. ~ &?'
Company
Address
Aelephone# 8l3-7f ~ - tJ (0 '?J' ()'r "/1--;).- & ':~;S.7
JjpA4' ~/eC. '?/V':1fAt/j/~6 ~~~ /5//4.0 G~J*-
-# 3//0 &t:. #/Pcf'o . -(,4/1
BUilDING ELECTRICAL PLUMBING MECHANICAL
Ftr. Tp. Servo SlB v'" J- (7 - 03 fL 0/ J~akers
Pre SlB .13-)..0 -c 3 Rl ~ tfJt)ORough In 1/ ~ - {~C '3 2.. i '1 Tub Set / ..5--/- () 3 I!. L 7 Ducts Insl. 1./ 5--/- ~ 3 YJ' 0
lintel ..,/ '-/ - '1- 0'5 /([ t.t d ;j.JM~ter Can Water . Compressor
FRM. .I 5" -(-o 3 HT5 Const. Pole 0 -;:~-O..3I/.:TO Sewer L/""~' 5'-1l'Z) f-( '1 Final
Insul. Cl """""5'-.; . () ., /fJ. Pool Final
Wl Pre-Meter ~'-2i(-03 tf0(
Final
Driveway \,.h -23 -0 ~ (<'-It
7 ~ 8'1.~ j.- /hso e.. ..I-K( .
3: il.( Ct#.r tr-
rP6-2~-o 3
.5 hedk,~ y - 'I-I'I-ojR.L'tJ-;.(,72;
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 trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
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. IU10
The payment of inspection fees shall be made before any further permits will be issued to the perso~;ming
same.
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919
G~ 4Lf to
, ,
CITY OF ZEPHYRHILLS
ZEPHYRHIlLS, FLORIDA
WATER ACCT. NO.
DATE
c2 -2 t.(-- tJ 3
OWNER/ 5 Q . A
RENTER ~\V....~
r A s scc-. '"l-iA.<-.
MAIUNG
Se.z.
G-~.
SERVICE ADDRESS
ty9S (
~~'ofWLJ~1
~1- 3 Y-
SHUT OFF SERVICE
o
~
~
~ATER
o SEWER
TURN ON SERVICE
o GARBAGE
INSlJlli.. METER
READ METER
o
~~ CITY
CHECK METER
o
o OUT CITY
J
~ No. OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
_ AMOUNT LAST BILL
% " 4-air ~
_ DATE
_ MISC. CHARGE
'MJRK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
J~a - o3tC/-
, ORDER GIVEN BY .>"-\
I) A D-
~~ w- d--/~
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office.
1%1 $
14.80 1
TOTAL: $ 6,066.63 ~
, ~:::.:: ,:.'i::R.~~~*j~~\~+~~I'~~~0,~~Z;j:;;J'f~~~~~~~-
LEl(~AL [)ElS~RlPTlOlJl [,(rl'(S) _~~____ BLO~K __________ SIJBDJVlSTUN ~Q~ t_~%-~_~___._
PARCElL III j~ I S -;;)..Lp.~, - () ~O _ 00000 - 03'-/0 (OBTAIN F'ROr1 PR()P~~~~._~~~~. N()'~~'~)
------~~--------_.__._._-----,--_.._._---------------
0.on...f} J..-~,)-tf>d}
CITY OF ZHlPHYRU:r:IJI~S PERM!'l' APJ?r.~ICA'l'ION ~ .
BUII,llIHrJ IHllPAR'l'MIllN'r 5335 Bth 8TRElI!l'l' ZBlPHVRHII,l,8, FI.3JB40
PhoneIB13-'l80-0020 FemI813-780..0021 "",
IJA'ra RBdlnVBlD c2 -/'/- 0 ~
----~_.
PI,ANS RIllVIBW FlU!! _ ________
WORK PROPSHlD I t)i!lNEM COlJS'l'RlJCTlbN
[] ADllITIOll
[].1\LTERATION
[] REPAIR
IJ Il18TAT,T,
[JSlCH-T
[] WJV H:
I] lJEJ [.10 I, J S II
PROPOSElIJ lISEl: ~SGr., F'AMH,Y DV-/ELLJNG
[]rvJUL'I'I - FAtHLY
[J# OF' UIll'l'S
LI W)B Tl.Hl IIUfl81
LICOf1M!!:RCIAI,
[] INDUSTRIAL
[J8NH1HINr~ POOl,
I] O'I'IIER
[-J RESTAURAHT & HE1\I.'l'1I DEJPJ\RTMEN'l' APPROVAl,
lJIlJSC!R I PT lUN 0 P' V1< )HK ___~~!--'_,_~ @.-I___~ I ~__!QLQ ~.!c;..__.!':10'!Y'_~ _____._____________.________..__.___ __
Bun,DING SJZHl Slj{J1\RE FOOTJ\fm ~(g IIHlIt3llT
.----.------.- --- -----.---.-_.___w_
RHl8 IIJfllN'l'IAf ,:
Cr )M~lEIRC I JU, :
ATTACH (2) PUY!' P1.AI18 & (2) SErt's OF mIlI.DHm PIJAN8 &. (.I) SEIT EUffiRGI' FORt.18.
A'l"J'ACII (3) SElTS OF 8UlI,IHHG PLANS & (1) SElT ElNIllRl3Y FORl-1S.
PRuPER'l'V SURVEY REQUIRED FOR Af.,l, NEW CON8TRtJC'I'ION.
Lj)d- t/oe/
~1t
$..lQg,O"O'_Q..O.!?____ iJAI,UA'I'IOH OF TOTAL COtIS'l'RUC'rION ....,.....) ~ j;(/
PERMlr~~mQUESTED
~ BI1JLIHNG
ry( ElJ.,HlCTfU CA t,
aco
At.1P SE:HVJe'E
[)(' P'I.fJRITJA POWEH.
[j
W.R.EJ.C!.
...--.----.----.---.--..-
,-"I'" Pl,ur-1S rNc~
1~IH:CHAI1 lC1\ 1,
U W\8
';('Rl )OF IN!3
$--.~()OO:.o ~--__. V1\L,UATIOll OF l'IEJCH1\NCJAI, IllST1\l.l,AT lUll
I.] SPEJC!IAL,'l'Y
[] OTHER
'1'VklE OF' C01I8'l'RlIC'l'lON I [~BLOCK
[J FRANE!
[J STElE)I,
[) OTHER
FHHSIIED F'Il)Ol~ EI,a:VA'l'JONS
---~--~-~-._--
IS PRO<1ElCT IN FLoo[J ZOllEJ AREJA[] YElS
[J NO
BUll,IJBR
SlmlA'l'UR~ JJ..~ .\I1tLu-rj()J...u. .-
- ----v--::::=:T----.l--:.---=t-=-.-#---.------__
~****~************************************~***********************
COMPAtlL I w~n ~~__lJt~so~..L~+~ I ~~:..__
STATEl CElRT OR RIllGIS'1' # __'-~~_Q:f~L/ d:.~__._.._.___
CITY PROCESSIJ:;J- jL'3~.l.___________.._..______
ELlllC'l'RIC!1J\1T
S[<3NJ\.TtJR~ -~~-----___u
AA********~*********************************.*********************
~orvJPANY _l~e.~_~~__~_L~~+r_~~__~<:__:..___.
STATHl CERT OR RHltHST tI c.Cl3bOl3S3
CITY PRocmSSTW~# ...;g ;;.----------.-.--------
V ---_'-L_'O_____._____ ___ _____.______._._ .
PIJ.lJMBlllR ~ Cm-1PANY. ~1'~ l.UV> J9<-O::S~Q!::_ s ~(<i('~"c~ c._k#._..:____ __ ...
__u = - STATIll CERT OR RH:<HS'l' II Cc(2-'O~_LsoY _...____...._..
SJGH~'.!~~!.B-E-- __ ~~-~L_._ CITY PRCJCE:SSIlJG it --.!3E.O------ilf..-. ...________~.___..
c-=.___/. Yla.t ~ t ~t 1":20
***************************************************(************ I
MIllUHANWAI. , Cm1PJ\NY_~CL!:lY" ~ PYOt0~e -~~.LItf._SJ._..____.__..
1/ STATE cruRT OR REJ(~ 1ST 1I-~~.Q.tj3.3!:t.R._____u__u
S 1 mU\'l'URI.lJ ~~~'_.~~;,..{_~' C' I 'j' Y PRUCES 8 n"-j~---.LJ___.____._________ _________
*****{*********************************************************'*
O'l'HBlR
COf',IPANY
STATE: CERT OR REGIST#.--------------------------
CITY PROCESSING # -------------..----.- -----....____
-_.~-----_._-----_._~-_._--_._----
SWNA'1'IJRE
**************'**********'*'***************~***~****************'
-~.._-._~------~-_._--" ..-.---_.~._._._..._-,._. --..
\.UlIUJ'l'lCJIlS UF[:,E',mn'" Ar:'".'!:;)AV; ';.
7\. lIU'l'lCF, OB' lJIJ:F.:n HEB'l'I1IC'I'IONS
']'\le \.lnderslgned Ilndel:stands that: this permit may bf: slIbJ.eul. to "deed restrJctlons" vlldcll
Illay be IIlOl:e restl.lcLJve than CJty ['egtllatiolls. '1hf: UIl<ie'lslqlled assumes respollsl.b.11Jl:y Eot:
complianCE: HI t:.h ElllY appll.cal..Jle deed res\:.LlctiollS.
fj. lJJlJdCHiNSmll (;OU'j'HAC'I'OHS AHD CON'l'HAC'l'OR RESPUHSl 131 LI"'I,iJ;,':1
I f the Ollllet: has hl r.ed a conlJ:actor or contractor_I to 11ndertake l.wrle, they n1ay be reqll:ll:ed
; to be 11 c~nsed jll auuordallce vd.th state and local regulEIU ons. If l.he contractor Is lloL
) Juensed as reqlllLecl by laH, both the OI.meL' and COllt1:Hcl:or lIlay be olted for a lid sdemeanor
viulation IlIllitn state lall. If the OHner or .1.ntencle,d cOIJt:l:actor are t1ncertaln as to llha!:
Iluellsllllj reljld.teJllellts may apply for the intended \\IOJ:k, they are advised to (JDIlI:act tile
l:lty of Zephyr:h.il.ls Blllldl.ng Department, fl13-'/flB'6611.
F'lu'LheJ:lllore, if the OHIler has h.i.J:ed a contr:ac\:or Dr contractors, be Js advised to have the
(JOlltractor (sl siyn portions of the "Cont.ractor Sections" of thls app.UoatJon for IIhleb they
H.U I be U:lsponslble. If YOll, as the olcmersigns ?1S Llle (JOntracto1:, YOll are .tndJnating t.hat:
YOIl, rather' than l:he contraotor, ar.e responsible for Ule Horle. If tile OOlltJ:anl:or Hlshes
YOll t:o s.lgn as contr:aotor that may be an indicatJoll Lllat he is not p~oparly .licensed and Is
!lot entj tled to permitting privileges in the CJ ty of :',ephydlills.
c. 'I'RlINSPOH'j'A'1' [ON IHPAC'l'FEE:S 1111D U'J'ILITY CONIIEC'L'ION WEES
n, COHS'l'RtJC'{'IIION LIEH I~AW (Cl/AP'l'E:R 'll3, F.'IjORIDA S'l'A'I'lJ'I'ES, AS AHEHllI!:Dl
I cerli ty that I, the applicant, have been provided H.i th a copy of "/i'lod.da's ConstnlCtioCl
.1 Jen !,a\1 -- lIollleo\'mer's Protection GqJde" prepared by t:he fl'.lorida Department: of Agd.Clll tllre
and Consul\1er. lU'fa1rs. If the app.lJcant is SOlneone other that the "OI'lllel:", I cen:lfy that I
have uhta.i ned a copy of the above desorJbed documellt: and promise 1n good 'faith to deliver
it to t.he "ol-llJel1" prior to GOlllmencelllent:.
Ii:. CON'I'Hl\C'I'OH' .':l/OWNffiH' S l\FE'IDAVl'I'
I l1ertify Lhal: alJ tile infonnaUll11 in l:ILts app11ca\:101l Js accurate and thaI: a1.1 HOJ~k 1.1111
he dOlle 111 cOlllpl.lallce ld.lh all applj,oable la\-/S r89\11a1:111g constnwLion, zoning, awl lalld
development,
Application ls hereby made to obtaln a permit to do wol'l. and insta.U.at.l.on as lndJoated. 1
cetU f\, Lhat 110 Hark or installation has oonunenoed pr.1.ol: to l.ssllaIlcs of a pennil: and that
aJ 1 Hark H1LI be performed to meet standards of all 1a\;'5 regUlating !.lonstruotJol1, Cll:y
codes, zoning regulal:.I.ons, and .land development: reglt.latJons 1n the Jtlrlsdlction. I also
ce.tl:lfy tllat'1 undetsl:and that the reglllatJons of uther govenllnental agenClJes lIIay apply to
the .Intended vlork, and that .It is my .l'esponsibility to idellUfy \',hat: aut.iolls I 1111I8t ta];e 1:0
be 1n cOlllpJ l.anGe. SlIch agenc1-es :l.nclllde b\lt are Ilot Llmlted to: *nepart:ment: of
H;I\vJronmental Hegulat:iol\-Cypress Bayheads, Wetland 1\l:ea:3 and E:nvJrolllllent.ally SensJU.ve
j,ands, Water/Wasl:e~~al:er 'j'reatment
"Southwest: fl'l.orida ~Ya\:er Nanagemellt District-Wells, cYPli:ess Bayheads, Wetland Areas,
1\ J I: B r J IIg Wa tercolIJ: ses
*l-lrlllY Cor:pa of ElIglneera-BeaHalls, Docks, Navlgable ~laterl;'ays
-A)JepaJ.tmenL of Heal th & RehabLl.l tative Serv1ces, E:nvJrol1lllenl:al Health Unit-Wel.ls,
Wa B t BHa te r '1' 1:ea \:lI\enl:, Sel-> t1 c 'l'anks
+-1/. s. E:lIvi lOll1nsIIta.l. Protectioll 1\gency-Asbestos abatemenl:
1 .dSD cerLify I:hal:, if fLU. materlal.l.s to he used in Flood Zone "A" or. "A,6I:C.", it.ls
understood l:hat a draJ.nage plan addreSSing a "compensating volume" 1-/1.11 be submU:t:ed I/ld.ch
ls lnepar:ed hy a professional eng.l.neel. rey.i.stered in the State of I!'lorlda prl.ot to penn!.t
issllance.
1\ pell1l1 t j sSlled shall be construed to be a 11cense to Pl:oceed Hith the Hork and not as
allthori ty to v101aLe, cancel, alter, or set asJde any provi.sions of t.he telJllIIl.ca1. codes,
nor shall I SSII!lllce of a permJt prevent: the BIIJlcUng Off.!.aial from thereafter reqll.i.dng a
con:eu\;llJll of errors in plans, construdtJon, or viol.ations of any dode. IIlvery permi.t
.tss\led ahal] beoomf:l invalid unless the work authol:ized by suah permit 1.s ootlllllsnced \;I.itldn
ai)( lllouths of i.ssuElnce, or i.f \'iOl:k allthor.!.zed hy the perm.!.t .i.s slIspended or aballdolled for a
pedod of Sllt months after the I:Jme the \'lork is cOlllmenced. One 90 day extensioll of t.Jllle
lIlay be a.1lol'led for the permit \'lith feE:. chal:ge of $Hi. no, '['he extensloll shall be requested
III Hril:ing 1.0 the BuUd1ng offioial. .An approved inspec\:.ton must: be logged dud ng each fill(
month per.l.od, OJ. th.e project: \;,ill be considered abancJoned.
W1\RI1HlG 11'0 OWHffiHI YUUR Jj'AU,URffi TO RJiJCORD A NOTICE OF COMHIr.NCENF.:U'I' NAY HIr.SlJI,'1' IN YOUR
P1\YHh, TWH:ru ImE IMPROVEMENTS '1'0 YOUR PROPER'J'Y. Ill' YOU IlI'rEND 'ro OB'l'l\IN If'JHAHCHI13, COHSIJI.'I'
WITII YOUR I,I!:I/IJI!:R OR AN A'j"l'DRHfl;Y BEffORR~ RECORDING YOllH IIU'l'ICE: OF COt1l'11!:NCI!:MEH'j'. ,fOBS IlUIlEH
$2,50() 111 VALli!!: DO 1'10'1' NE:ED '1'0 RIf.COHU AND PUB'!' A "No'l'Iel!; OF COHMENCEME:N'j"'.
..__ca~_~_____.._..___
Ell GHA'l'UHE: I OWHER (lf~ AGEN'J'
B'l'Nl'El UIi' E'j.o~jA 0
COIIII'l'Y OJ!' "_____.~~~_____________....:____.___
The forego.tng .111s\:rurnellt Has acknoviledged
Befot'e lIle t:lds ."'_.'_'_ day of ...___.____.., l~__
by _ . ._.____ ___ _______ _.. _.___._____..______________________...
_ / (name of persall aclmowladgedl
I'StHho is pe.t:sona.\..ly krlOHn to IllS, or
N.lIne
m.....JAUUH.cMUAPHV--.-.._. _________._._.___...._
.;.\ ~'t:doMMIS6iO"CCf189mP J
':i EXPIRES: Apri127, 2003
.' Bonded Thru Notary Public UndelwritefS
~:J'
-...---- -- --- ..-- -.--.-.........-.- ..._.._~-----_...
SIGNA'I' !:: CON'I'RI\C'['OH '0---
fl'rA'I'E: OF Fl,l>R:rD1\
COli N'J'Y () l!~ __._____________.____.____________.____
'J'he foregoing 1.os\:rI1l116nl: Has acIOJo\"ledgsd
Bf.lfore me tIlls ____Jlay of------...--_.__, 1.9
by _______________._.__.____.___._..___..__.___
(name of person aoknowledged)
Ckllo .is personally known t:o me, or
[] \-lho bas prOdIIC.;ld..___._.__ _.________...
(type of ldsllUflc:aI.Jon)
and VlllO [Jdl d DUd not l:ake an oath
--', '~...-----------~M._._H._.__~.__._..____.___._. ___.___.___ _____"'___
stgnatllre of persoll taking ack110Hledgment I
--.-------.-------. .-...---.--.---....., .~_._._-----.--_._..__.. ..-- .~_._--,---,.- '---'-'---'---'
Name typed, prl,llted OJ: stamped
FROM : pnsco COU"ITY SURVEY
PHOI-IE "10.
847 8084
Feb. 17 2003 11:24nM P1
No.3190 p, 1/1
~eb.'l. 2003 '0:27AM _ CITY Of ZEPHYRHILLS
CITY OF
ZEPHYRHILLS
BUILDING
DEPARTMENT
~5 - .'''' $1f~
Z~Yrhill9. FL 33&4~
Fax
J-/q~/
To:
Judy or Dot
Fro"" Bobble Swetland
%Pasco Co Addr...ing
Fa: 727-815-7000
..ages:. Fax cover only
Phone:
~
Dntl 02117/2003
-.:
Address request
cc;
o Urgent
X POt'" ft..v;.w
CJ PI.... Co"",,,...t X ....... Reply
o "..... R.ec~'.
Dear Judy or Dot,
I would like to request an addrG&9 number for the following:
Pare" 1.0. t#1 6-26-21-0200-00000-0340
Proposed home will front "TIMBER WAY" J.../ '15 /
If any questions, please do not hesitate to give me a call, 613. 780~020.
As always, thanks; for your help!!
~~
l3?1' __
~'-.
-~
t()1
7
FEB-17-2~~3 10:43
p.e!
PASCO COUNTY, FLORIDA
Permit No. /8&(,;
Date Permitted ',;2 -~ '/- O?
Builder Name/Owner Name '!)/4t1/CPd- ('~ C.~~Control #
County Parcel No. ~S :2t;, -.2/- 02t7t) -COQ::b _ 057'0
SubDiv:
Address/Location -1-<15 ( (; ~ bvr-
~
ClassificationHype of Use
SFD
TRANSPORTATION IMPACT FEE
Rate:
Sq Ft Unit:
Exempt [] Yes W How Determined
Irnpact Fee Amount $ 1/ Y ~O ~1!::E-- Zone No.
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
..023) C~ecti~ee
Exempt [J Yes l_~ How Determined
$ / /-o-r./'~-
Amount --_.I..;.-.Y~--_._-__.
PARKS AND RECREATION FEE
Land Account Land Credit
Land Total
Recreation Account
Zone
Recreatio~
--------- TOTAL AMOUNT
----
----
--
Exempt ~--LJ No
~
LIBRARY FEE
Land Account
~------_._--
How Determined
Land Credit
Facility Account Facilit
-------
_______ Facility Total
How Determined
Total Amount
RESOURCE FEE
TOTAL AMOUNT
__.d_7 _J!{
ERU
Prepared By ___'___
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
Ad;nowledgernent below does not Imply acceptance of concurrence, but slrnply 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 I, I, / l .., RECEIVED BY
RECEIPT NO. ;d111tf_ DATE ~ BY ~%(!A'-