HomeMy WebLinkAbout03-1927
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1927
(pu
BUILDING
,-/0
ELECTRICAL
(813) 780-0020
J-/U
PLUMBING
;5.5
MECHANICAL
Date
.3 - /7-0.:3
P,op.rty Own.' ~~;jlf ~ 1;;.
Job Address: /... . -"'5 './..#~ 6
ParceII.D.' :J/f'-,2-S--~/- t)G>~1)-.&~88C> - /.~2n
~~ 71. ~a. ~ t~-
~.te. ( .. ~ / //
Sewer Conn q ~<t - / )
Water Conn: ;) 9, 57>((7~ ~
wa": Mot., ; ~~ -r /;u TC "-
r.I.F. s: J J/
,
EXCll1P, :5 Jr~
Zoning:
Descriotion of Work
FINAL 3-d7- 03
DATE
C.O. 3.-d - 03
DATE
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
I-j~
Inspector I(L
Perm;tF.. ~
~~nAtl~ _~ _~
Company
Address
City license Registration #
State Certified license#
Telephone#
MECHANICAL45-
SLB Breakers
Tub Set Ducts Insl.
Water Compressor
Sewer Final ~ ;)7-" 3 Ply
Final L/'/~--;) 7--t?3 RUt . (/ ,go
tI f..J:r ()
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final ,/3- ~ 7-d)3
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
!act
..
Driveway
Ff j~31-[)J '1:(/5 DIR~ U
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.
,TOB S TTE
11M1E:n._ (Y!'t ~J_...tf ~.~~~ ....J_.~_..._.____n____._..____.._._________ PHONEJ C(JN'l'Ar"~.____._.._....._.__._____
ADDRE8S ...t.':i-r.li..~_ -__/Jd~~_rs_l!..~...L!\J ~_n..______ .._____...._______ _ . .... _._ _
CITY OF ZEPUYRHII~LS PERMIT APPIJICA'rION
BUUDING DBlPARTMBlN'r 53315 8th S'rRElEl'r ZIllPHYRUU,I,S, P'L 331;40
Phone 1813 -780 -0,020 Fax 1813 -780.. OO~;A'rBJ RlllellIVllID _.3~J,1=o..2.
I?IJANS RIllVIIllW Jl'mll
'L'
CMNElR' 8
LEleJAL DEl8CRIPTlOlT: LOT(S)
BfJ(X!K
SUBlJIVIS]ON
PARCElIJ ID #
WORK PROP8E!J r LJ NEW l'ONSTRUC'f ION
--,.,--.......__.__._._~-----~.~.__...--~_._..._-_._-_._------------_._----_._--~_.~-----,--~- -----.-...- --_._-~~----.__._-_.._-
(UBTAIN FROM PROPERTY 'I'AX NO'I'H!El)
rJ ADDI'rWN
lJAL'I'ElRATION
[J RElPAtR
LJ INSTAIJI.
[JSHm
o MOVE
o DElMOI,ISII
PROP08Ell1 USE: I [Jsm, FAfvlIIJY DWElLI,IlK.J
[h1UUl'I.. FA1"lIl,Y
[1# OF mHTS
~IIEl lIot1E!
[J Cm1MElRC.! IA T,
o INDUSTRIAl,
[J SN H1MINeJ POOL
IJ OTIIElR
]JEl8CRIP'I'ION OF NORK
o RE18'I'AURAlTT & IIElAl.'1'1I DElPAR'l't,1ElNT APPROVAL
-...i11.':-_li__.__________.___.
--_.__._-~-_. - ._---._----._.~_...'-.- --_.-.----_..~-_. _._- -"... ~_._-,.. -.-"-. -.
B!lILTlIN<J ElIZE
-----.--------.. ---------
SQUAREl FOO'rAlJE
IlEl 1 eJH'I'
RE8IDBlNTI1\TJ I
(~O~1MERCIAl, :
ATTACH (2) PLOT PI"ANS & (2) SETS OF BUIlrlHN(J PI,ANe & (1) SEl'r ENElRrJY FORrv1S,
A'I"l;AC!H (3) sEi'I'S OF BUILDING PL}\NS & (1) SET ElNERf1Y FORt18.
PROPElRTY SURVEY RElQUIRElD FOR ALL NEW CONSTRUCTION,
FERMITS REQUESTED
C1 BIJILVINC3
$
-~ - ~------._~--_.-
VAl,UATION OF TO'I'A!, COHSTRUCTIOU
1.1 ElIJElC'I'RlCAT,
----..-____.____ Ar1P SERVICEl
o FIDRIDA PO\'lER
[J \'l,R.E.n,
[] PI.tJt1B INt)
LJ 1,1BI(JHl\NI!.'AIJ
,
$--- .-.--'---------- VA.IJUATION OF IIJElCHANCIAT, INSTAl,lJA'I'ION
[] ems
r.J ROOFING
[J SPECI1AUry
[I OTHER
TYPE] UF' C'0l~8'!'Rt1C!TION I [J BLOCK
[J FRM1El
[] STElEl,
[J OTHER
FINISHEIJ nO(JR ElIJElVATIONS
IS PRO,JElC'I' IN FlJOOlJ Zen-TEl ARElA [J YEla
[J No
BUnDRlR
81lJNATTlRE _.__~~~__
- ------~-. '.. .--..---_....._._._____ __.__u___ .._.... _. __._,_.__. _..__.
t*t**A**,********************,********...******...**.*****'***t***
Blt.R1CTRICIAH
S 1 GNA'1'UREl .....-~Lc!.~~__. __________
C0I1 P ANY _LLs. ~__._ _ ___ __ ___.____...__._______... ____..
STATE (!ERT OR REGIST #
CITY PR()CEJS8INl~ #
.-.--.-- -. -_. --.-.-., -----.-.------., ~ ...------ ..-.. - ....
8WHATlJREl .__..___~_~g~...._..----
*k"'*"'**,,*****,************,*******,****,,***,,******.********
~~~~~,,~~-;,~--- . ----------
# ----------,--."-_..~.-..._...__._--.-.
CITY PROCE8SINeJ #
._-_._..---~-- ._..~-----_..._.._. -._.~-.~...__.,_..~-._---
PJ,UMBIllR
h________.__.-. ____._ .______._._ _~___ .._~_.___~_.. __..__.__~_.._. ...__
**********,********************.*****************,******'*'**'**"
MBlCHAIU CAT. COlvJPANY _A~:,:=________... ...._.. _.____ ._.....__._.__....
STA'rEl (!HlRT OR RECH8T #
SH.mA1'!JREl __ ~ ~~trf!--t2 CITY PROCESSING #__..__-=~~_____~~~~~_~-=~.=~~~-.~~~__=_.~:
*k*****************,****,**.,**,****,*.,**************'**"******
OTllBlR
.__.~--~----------------------_._-
r~ClMPANY
STJ\'I'El CElRT~ OR- RElGrST -#------.- ....----.--- . ... _.. -.-
CITY PROCESSING # -----.-.- -.-.----.--.------.
~--_.__.._._-----~_.__._..---------_._-----------
SWITA'l'UREl
********.******************.*****************************.*~*****
-------.----.--.-- -..------~.~--.--..-_.-.____ - -0'0-_'__'--.- _. ~_.
CONDI'l'IONS OF PERMI'I' AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands thijt this perndt may be subject to "deed restriotions" ~hich .
may be more restrictive than City regulations. 'I'he undersigned assumes responsibility for
dompliance with any applicable deed restrictions.
B. UNI,ICENSED C;ON'I'RAC'l'ORS AND CON'l'RACTOR RESPONSIBILI'I'IES
If the owner has hired a contractor or contractors to undertake work, they may be required
to bto licensed in accordance with state and local regulat1ons. If Lhe contractor 110 not
lioensed as required by law, both the owner and contractor may be cited f.or a llliaderneallor
violation under state law. If the owner or intended contractor are uncertain as to vlhat
U censing requirements !nay apply for the intt:nded work, they are advi.st:d to oontact the
city of Zephyrhills Building Department, 813-788-6611.
Furthenl1or'e, if the ovlller has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of thi.s applioation for Hhich they
will be responsible. If you, as the owner signs as the contractor, yqy are i.ndicating that
you, rather than the oontractor, are responsi.ble for the work. If the contractor l"iishes
you to sign as contractor that may be an indication that he 113 not properly licensed and is
not entitled to permUting privileges in the City of Zephydli.lls.
c. 'l'RANSPOR'l'ATION IMPACT FEES AND U'l'ILI'I'Y CONNEC'rION H'EES
D. cONS'rRUc'rUloN I,IEN LA~~ (CHAP'l'ER 713, FLORIDA S'l'ATUTES, AS AMENDED)
T certi.fy that I, the applicant, have been provi.ded with a copy of "Florida's Construction
lien Law - Homeowner's Proteotion Guide" prepared by the Florida Department of Agri.oulture
and Consumer Affairs. If the applicant is someone other that: the "oHner", I oerify that I
have obtained a copy of the above descri.bed document and promise in good faith to deliver
it to the "owner" prior to COlTUl1encement.
El, CON'I'RAC'rOR' S/OWNER' S AIl"Il'IDAVI'r
I certify that all the information in this application is accurate and that all work will
be done i.n compliance with all applicable laws reglllating constnlCtion, zonillg, and land
development.
Applioation is hereby made to obtain a permit to do work and installation as indicated. I
certify that 110 Hork or installation haa conu-nenced prior to iSl:luance of a per'mit 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 th~ regulations of other governmental agenoi.es Inay apply to
the intended work, and that i.t is my responsibility to identify what aotions I lllllat take l:o
be in compliance. Such agencies include but are not limited tOI *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens}.tive
Lands, Water/Wastewater Treatment
*Southwest Il'lorida Water Management Diatrict-Wells, Cypress Bayheads, Wet.land Areas,
Altering Watercourses
"AJ.:lllY Corps of Engineel:s-Seawa lIs, Docks, Navigable Waterways
*Department of Health E. Rehabilitative Services, Environmental Health Un1t-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
1 also certify that, if fill material is to be used in Flood Zone ~A" or "A,etc.", it is
understood that a drainage plan addreSSing a "compensating volume" 'will be submitted "/hieh
is prepared by a professional engineer registered in the State of Florida prior to penult
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, aIte!., or set aside any provisions of the teclmical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors 10 plans, construction, or violations of any code. Every permi.t
i.eliu~d shall become invalid unless thta work authorized by such permit is oOl\unenced within
six months of issuance, or 1f work authorized by the permi.t 18 suspended or abandorled for a
period of Sill months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in \'Iriting to the Building Official. An approved lnspection must be logged during each sjx
1Il0ntb period, or the pr'oj ect will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE 'r0 RECORD A NO'rrCE OF COMMENCEMENT MAY RESUL'I' IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'l'END TO oB'rAIN b'INANqINq, ~qN~UI/1'
WITH YOUR LENDER OR AN A'l'TORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'I'. ,JOBS UNDER
$2,500 IN VALUE DO NO'I' NEED 'I'O RECORD AND POS'l' A "NO'l'ICE OF COMMENCh-:MEN'I"'.
SIGNA'I'URE: CONTRACTOR
SIGNA'l'URE: OWNER OR AGENT
STATE OF FLORIDA
COUN'l'Y OF
'l'he foregoing instrument was acknowledged
Before me this ___ day of ____, 19--"-
b Y ~_._____
(name of person aoknowledged)
Dwho is personally known to me, or
o who has produced
(type
and who[] did [) did not
STATE OF FLORIDA
COUNTY 011"' ___________
The forego.ing instrument was aoknowledged
Before me this __-----SJay of,-----, 19 __~_
by ..____
(name of person ackno\'lledged)
lJJho is personally known to me, or
of i.dentification)
take an oath.
o who has produced___
(type of identification)
and vlho Ddid [}.Ud not take an oath
Signature of person taking acknoHledgement
Signature of person taking acknowledgment
--+-~.._~-~._._._.__.._-----------------------------
Name typed, pd.nted or stamped
_._~--'-------'------_..----....--_._,-_.,~--_.,-._,..~..~.----.
Name typed, printed or stamped
2-07-2003 2:31PM
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DESCRIPTIDN/PERMT DATA
:C+:/CF:
PASCO COUNTY, FLORIDA
Permit No. -L1';J. '7
Date Perrnllted 3 -/7-0 '3
Builder Name/Owner Name (9" t' a .Jl lJ. 0 'r' {~~ Control #
County Parcel No. .3 4 ,.;t.)~.;\ I-J)OI o. oiX.f(oO -/5';0 SubDlv: f)Y"a fA,~ ~r'{o""S
'7. L L0e~k'~K1 17
Address/Location _3 (, 3 ~~..L2_::"~ __ v "€...
Classlficatlon/Type of Use J11v b~ l-e l:I--z> 01. e..
TRANSPORTATION IMPACT FEE Rate:
Exempt 0 Yes ~ .How Determined
(/0
Impact Fee Amount $ / '-18'0. Zone No.
Sq Ft Unit:
TAZ:
SC.iOOL IMPACT FEE
Account (066) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
JJ)31 Collection Fee
Exempt l~ Yes 0 No How Determined
Amount $
PARKS AND RECREATION FEE
Land Account Land C
Zone
Land Total
Recreation Account
Recreation Credit
Recreation Total
TOTAL AMOUNT $
DNa
How Determined
TIBAARYFEE
l:and Account
Land Total
Facility Credit
Facility Total ,
DNa
How Determined
Total Amount
---
RESOURCE FEE Q(
TOTAL AMOUNT ....J
ERU
------- r
Prepared By
Checl<ed 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
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.
DATE
u ) ~t; QATE
BY
RECEIPT NO,