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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 r .... . 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(',HUi..ll....IT:: C::Of'1F'N"( (iCCCH.Ji,IT C:Ei)T[:F~ B45() ...- 363()()() .... 2 h:ECE 11..)[J) E:Y :S{? to .<,.}~:~ :.:/? "..'tH ')(")(-')H(-:..(..:,(- ~::;UL 1:0 1..<Jt,ETF FEE (:o(} t, I'Hi! H'..I T 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,