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HomeMy WebLinkAbout03-1926 BUILDING PERMIT , NO Permit - &0 BUilDING ft) ELECTRICAL CITY OF ZEPHYRHILLS (813) 780-0020 /I{) ~S-- PLUMBING MECHANICAL Pmperty Owne, V:IA~./ ~P-1~~l-, Job Add.... . J.OT h -~7 (,5!1' ~p~ 1& Parcell.D.1/ 3(- :l~-J.J"'OO'/')-I;;~6DO-/)/~D Zoning: Energy ~de: ~7'J7 ~ Gas: Description of Work ~ ~/L- ~ 1926 Date _ ,.3 - /1--0?:> Sewe, Conn -'t D -{ - - ~ Water Conn: O. sv (tt;; -:r/l-t./ Water Meter: ./ q D ; /{?j)~t.- T.I.F,'s: .I If fD -- p-....c r-. reo: XE(11 I <d I ~ ,6/~ 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 City license Registration # State Certified license# ~Jfl BUll 5' 1~ ;q;;~ ' ElECTRI A. I '1 FINAL ~/- C.O. -03 DATE _ 03 DATE (./:To ~tzf~~ PlUMBIN a /II- MECHANICAL ~ Ftr. Pre SlB lintel FRM. Insul. Cl Wl Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final / <;-7 -0 i \.../ /"1 '? -v:J SlB Tub Set Water Sewer Final _ .--/V- 7 Driveway F? 1--;)3~03 3 :/0 ,J~ Breakers Ducts Insl. Compressor Final r;./~ r7-0 :s e-r 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING IlEPARTMBlN'r 5335 8th S'rREIll'r ZEPHYRHII,I.S, P'L 33540 PhoneIB13-780-0,020 FaxI813-780..0021 4-..-/1'--0 ~ IlA'rBJ RIll(!l1!VED _..-!_._ ... _~.. _ __d PJ,l\NS RIllVIBlW Jl'J!l1l ()\'IllER' 8 11AI'18 ----f..n3..~~_J!__Lf~ ';"-<-:'~__n._.__ _ __.____.___ _______________ PHONE CClN'l'l\r ~'I' ,JOB S I'l'EJ ADlJRBl88 . --?:~T-J.J-____~7_~__!::i..__!3:!~_--r;~~____ . ___________._..___________ LElllAL DIll8URIPTIDNILOT(S) BIJOCK SUBDIVISION pARr!~I, ID I~ --------_._."._--"------~-~._---._-,-._-~-----_._~._---.~~.._..__._--~ (OBTAIN FROM PROPERTY 'l'AX NO'l'ICEl) H(JRK PRnPSEIJ r UN!lll'l C'ONS'I'Rt1C'I'ION , - _.~----- ._--- -------.-- _. ,'"-- --..... -..- --. .--..----. -. .... [J ADIH'I'WN o AUI'ERA'l'ION [OJ R!!IPAIR LJ J N8TALI, [lsrml C]MOVE o DEJI"1OI,ISI1 pROP013F:Jl USEl: LJSGI, FAtlILY DWEll,I,U1G r-h1UUI't. FArnr,y []# OF UlUTS [J S\'1lf.'IMING POOL 1:-J-rvl58 J[, El I tor11ll [J CDr1MElRC! r A I I [] INDUSTRI AI, [] OTHER IlIlJSCRIP'l'ION OF NORK C:J RS18TAURANT & HElAl,TH [)ElPARTr1IllNT APPROVAL ---~fl___._..______..._._..__.________.___. __________..._..._. ---.-------....--.--..--. .-.--.---- --.... -----. 8lJILfJING 91ZEl .~+---_._--- -. ------"-.-- SQUARE FOOTAGEl HElIGHT RES IDENTIAT, I (~m1MElR(!IAL, : A'I"I'ACH (2) 1'1,0'1' PI"AHS & (2) SElTS OF BUnnING PI,AN8 & (1) SHI'l' ENElRny FORMS, A'I"l;ACH (3) SETS OF BUILDING PLANS & (1) Sill'!' ENERny F'ORr18, PROPERTY SURVEY REQUIRED FOR ALL NEJ\'l CONSTRUCTION, ~ERMITS REQUESTED L1 BlIII.DING $ -~- ~~--~--'-'- ~-- VALUATION OF TOTAL CONS'fR!JC'l'IoN [J ElL,ElCTRlCAI, ------______ M1p ~EJRVICE o FIDRIDA POWER [J \'1,R,El,(1, [] P r.tJr1B I NC3 LJ J.1BlCHANWAL $.----.------ VAIJUATION OF MBlCHANCIAfr INS'I'AIJI,A'I'Tl1N [] GAS LJ ROOFING [J SPElntAUl'Y [] OTHER '\,YPEJ OF' COH8TRtJt!'l'ION : [J BLOCK o FRAHEl [J STEEl, [J OTHER FIN ISHElll P'I.oOR EJIJEVATIONS IS PRO,TECT IN FLOO[J zemEl AREA[J VEla o Nu BUIU)Blll B 1 fJNATI1REl _.~_~~~_______,,___.~____ COt1PANY _ _____________.__.._..___. .___________._ STATE CFJRT OR RElGIS'!' # ._.____._. ._______.__.__. ____.__ CITY PROCES S HTG #___ _ .__...__.___.______.. _ _.____...___ """"""""""""""""""""""""""""'t"""" mf.BlC'rRICIAN COl1PANY _.-..ff<::-~______ _____.____________ ._____._._ '_"___ S ] {lllATURE ........_<-J '==~ _._ ._._ ~';~~B P~~~~B~~N~s~~:~#:::.:.~ :.: ::.:~_____: """"""""""""""""""""'*"""""""""""" P f.UMB BIll (!OM PAN Y _.::P~___________.____._....______.___._.__._____..._ 8 IGH1\'l'lTR E --.41.9kc~~ ___________.._____ ~'~~~E P~~~~S~~N~El~I_:~.~_=-==-=~=~~:.::.::.=~==.~=:~ """""'*'*"""""'*"""*"""""'*'*""'"""'*""" MBlCHAIUCAJ, CCJlvrPANy_4':::~ ____n._ h__u_.________...__.._..___.... STATE ('EJRT OR RElGIS'r # _____.__._.___________~_._.___. STr1NA'l'tJREl W CITY PROCElSSIN13 # '*""**"**""**"'*'**'***"**"**'~"""*""*'"""""'" ----.------------.-----.. - '~-,--_._~ OTHBlR COMPANY --------.--------- S'rl\1'El CElRT- OR - REGIS'1' -r------.--..-------------- 8I(~1,11\'l'tJRE _______~_~___~.___.________ CI'rV PROCESSING # __________ __~____.____________ """""""""""""""""""""""""""'*"'~"'" -~.-._-._--_. ..- .--------.___~_..._.__h.. ___ ___. ._.__'_______._~. ..__. CONDI'l'IONS OF PERMI'!' AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The unde~signed unde~stands thijt this p~rmit may be subject to "deed restriotionsU whiell may be mOI:e restri eli ve than City regulations. The undersigned assumes responsibility for compli~nce with any applicable deed restrictions. B. UNI4ICENSED (~ONTRACTORS AND CON'l'RACTOR RESPONSIBII.I'I'IES If the owner has hi~ed a contractor or contractors to undertake Hark, they lllay be required to be licellsed in accordance with state and local regulations. If Lhe contractor is not Ii censed as requi red by law, both the ovmer and contractor may be cited for a misdemeanor violation under state la\!. If the owner- or intended contractor are uncertain as to vlhat licensing rr::quirementl:l lIlay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-766-6611. lfurtherlliol:e, if the Ovmer has hired a contractor or contractors, he 1.05 advised to have the contractor (s) sign portions of the "Contractor Sections" of this app1i.cation for whi eh they .1111 be responsible. If you, as the owner signs as the contractor, you are indicating that you, lather than the contractor, are responsible for the work. If the contr'actor' Idshes you to sign as uontractor that may be an indication that he 1s not pI:operly licensed and is nol enl:itled to permitting pdvi.leges in the City of Zephyr-hUls. c;. 'l'RANSPOR'l'ATION IMPACT IfEES AND UTILITY CONNECTION lfEES D. CONS'!'RlJC'rUION LIEN LM~ (CllAP'I'ER 713, FLORIDA STATUTES, AS AMENDED) r certify that I, the applicant, have been provided with a copy of "Flori.da'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 "o.mer", 1 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 coumencement. E. CON'rRAc'roR' S/OWNER' S AFFIDAVI'l' I certify that all the information in this application is accurate and tllat all work will be done in compliance with all applicable laws regulating constl'uction, zoning, and land development. Applioation is hereby made to obtain a permit to do work and installation as indicated. I cEq:tify that no vwrk or installati.on 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 agendes may apply to the intended work, and that it is my responsibility to identify what act.i.ons I mllst take to be in compliauce. Such agencies include but are not limited to: "'Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensj.tive Lands, Water/WasteHater rrreatlllent "'Southwest Florida Water Manag~nent District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses "Army Corps of Engineers-Seawa l.ls, Docks, Navigable Watenlays "'Department of Health Ii Rehabilitative Services, Envir'onmental Health Unit-Wells, Wal:llewater Treatment, Sept1.c 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.u, it is understood that a drainage plan addressing a "compensating volume" 'will be submitted i'lhic:h is prepared by a professional engineer registered in the State of florida prior to permit issuance. A permit: issued shall be constn~ed to be a license to proceed Hith the work and riot as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a pennit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any oode. Every permit issued shall become invalid unleas the work authorized by such permit is cOllunenced Hlthin six months of issuance, or if work authorized by the permlt is suspended or abandoqed for a period of slIt months after the time the work 1s conunenced. One 90 day extension of tillle may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Build.i.ng Official. An approved inspection must be logged during each' six month period, or the project v-l111 be considered abandoned. WARNING '1'0 OWNER: YOUR FAILURE 'I'D RECORD A NOTICE DE' COMMENCEMEN'J' MAY REBUI/I' IN YDUR PAYING TWICE li'OR IMPROVEMENTS 'l'O YOUR PROPERTY. IF YOU IN'I'END TO OB'I'AIN b'INANC:;INC1, ~qNIi\UI:I' WITH YOUR LENDER OR AN A'!"rORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'!'. .JOBS UNfJER $2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POS'l' A "NO'l'ICE OF COMMENCENEN'11fl. SIGHA'l'URE: OWNER OR AGENT SIGNA'!'URE: CONTRACTOR S'l'A'l'E OF FLORI DA COUN'rY OF 'l'he foregoing instrument Has ackno~,lledged Bt:lfore me this ___ day of _____, 19--"- by__ (name of person acknOWledged) Owho is peraonally known to me, or STA'l'E OF IfLORIDA COUNTY OF ___ The foregoing instrument w~s aoknowledged Before me this .__........rlay of.----, 19 by _'__ (name of person acknowledged) Qho is personally known to me, or o who haa produced (type and whoO did 0 did not of identification) take an oath. o who has produced_.__.____________ (type of identification) and v~ho Ddid DUd not tala: all Oi:lth Signature of person taking acknmdedgement Signature of person taking acknowl edgllll:nt Name typed, printed or stamped _.~--'----_._-----~-----.-._~-.._-_.._~._._.__.~-~..- Name typed, printed or stampt:ld FROM 8-23-1995 9:21PM ~ ~ \) ~ T ~ ~ "'- . ,>. ~ --.. t ~ ..... ~"\ '\,) ~ ~ " ~ w ~ t' )rJ// P.l I' .s /; ? . ~~ " I~ ;;I }' I'It -~- $/, ~ , l' I .I7~P ~ ? , "1~ ~ V'" .$" I ~ of ; , .oil!: ~,C/~/T/~.I9/ .... - :ab , v' / J~ -...- .~'- /I '>1I11 r- ,3 p ;".il.~'f) :>IfrOJ If i- I II P..;J,"' ".! jX~ ' II J ~. 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'YC:.::(j'..I'...i l'-:", r:'I.: ::ID(', ;:"(l(ii!: ., Oi CUI'..ITh~('ICTUh: ~:t:: !'..J{:,fyiE:: i,':.ih:(lND HUh: J :':-:-:ClN ADDP: 37654 NEUKOM PD c::.....'bT:: Z'''H ILLS !. ::::~:':;:_.H: F :::. I i::.:: )) I:.: ,.: 1:: F :r 1::--1" ". U i',iJ..:' r~ :: .:) (, :I. () ('jL UFF!'!:: :O,::,:C+: i. if Fur;::: CH\':.C!::: H :V.;:") (;.)(;:- C 1'(( CW/....H I 1.1..:) P[:i'ih: 1"f' :l. ?2.:':, f:iCCNT :I. :1. "'.} TOTt,!... tdyh:JL:I....Ir:: COr"W'j'-.!"l (:iCCCH.Jf,rr C;[NT[F;.~ I{..:'.}:.::.i() .... :~.:(~:I~;.:.:()()() .... '') .-:.. .:.~/).. 4H (ll'{iClUNT DEbl,:::F:IPTIC)(,I../['LF;:f>'iT D(.:lT(i Dh:..,"'C:F:: :.:.~/) ".4B .)(..)~.)(..)(.-)(..)(- ;:;01... I D 1.1.lt,::::;'['I':: FEE (,0 r;;ECE II..)[]) i"3 Y PASCO COUNTY, FLORIDA -----------_....~-- -~--.........._~-.._----------.~-._- Permit No. -----.i.2id..k__ Date Permitted . 3-1 ?:_~~J___ Builder Natne/Owner Natne ~ ,Q, /.h'-=~lli.L Control # _,_ '~','_ __,__,,, COullty Parcel No. ..._~I'f.-_ ;).~~:~.L___OQ1_Q: D~h? '~~~)SllbDlv: 6_~~~.~_~.&__.Y_~_'('_!{ ~):......S Address/l..ocation --..-3..-Zk'!::l~Y_=-_._Il~.!..&.....k;' -~--Il!,Le- _______.____________ Classification/Type of Use _-_I!IQf3, L~~9. \-Vl 'E:::... __________~_____________.__.____ TRANSPORTATION IMPACT FEE Rate: __h____._______ Sq Ft Unit: ___._________ Exempt [] Yes [Hfic; How Determined ______._____.___._.____._____________ Impact Fee Amount .J__ Zone No. TAZ: --.---------- ---"-----'------. SCHOOL IMPACT FEE Account (056) Slngle,-Famlly Detached House (057) Mobile Home (058) .. Other Residential JJ S3-( Collection Fee Exempt l~Yes [] No How Determined ------ Amount $ ---...~_._.___.4.._._....._"........,__.___._ --__H.__....__..___.__...__._______.. -----._-------~-----------_.. PA'RRS~ANf)RECREATR5N FEE Lalld Account Land Credit ------... ~...,-- --'--'--"---'-'--- Land Total ---------..--.---...-.-- Recreation Account Hecreetl6n Credit Recreation Total --~_..._._---_.-.- -------.- ------ Zone TOTAL AMOUNT ._~__.._.___..__..___...__.____ Exempt [] Y~/ [71 No IisRARYFEe------ . ~- Land Account How Determined ..----..----..----....- --------. -------... ..._-- ._"-'-'_._--"-~-- ---"-'--. Land Credit -.---.-.-----.- Land Total ....----.---.....--.-.-..--.--. Facility Account Facility Credit Facility Total -.-.~...--~--_._._--.L __~_____._ .__~..._....___.__ -- ./ Exetnpt [] Yes QN'o How Determined _____.__ Total Amount ___._._________ RES~~C tPf-:----ERu-' -- TOTAL AMOUNT < ~ 1.----- ..-----.-----_...._______._____... ---------.-.---------.-.. -_......._~._..,.,---~._'_._--_._----"._--_.,-_..__.~--------,--.------- Prepared By _.______.____________________ Checl<ed By _____._____________.________ NO CERTIFICATE OF OGGUPANCY WILL BE ISSUED OR FINAL INSPECTION f'ERFORMEU UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND REGEIPTI:rJ FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Ar.I<nowledgernent below does 110t Imply acceptance of concurrence, but simply receipt of a copy of this forlll, placing the building permit owner on notice of tills assessment and the conditions of payment for same. , DA TE----7;;79;:-T( --- II '\ )(') L--..> R RECEIPT NO. ,,_ W___ DATE '~l/!il1?BY ~..._._.__._-_._-