The URL can be used to link to this page

Home My WebLink About06-6048 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 6048 Permit :6048 Issued: 8/29/2006 Permit Type: GENERAL BUILDING PERMIT Class of Work: 103-NEW CONST DUPLEX 2-UNIT Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 75,592.00 Total Fees: 824.59 Amount Paid: 824.59 Date Paid: 8/29/2006 Address: 5031 6 H ST ZEPHYRHILLS, FL. Township: Range: Lot(s): 6&7 Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-19000-0060 BUTTERFIEL M.H. 5031 6TH ST ZEPHYRHILLS, FL. 33542 813 788-5440 Phone: 40.32 RADON LU 8.59 WATER METER RES 3/4" 1 ; {\oJ lcJ 1 '-tl- . /7 ( n -0 4-~ COb p!J eo! ..~c!c'-'J ~ ~ V .r~\) F DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies, The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." --lD 'fZ - ~ (rl~~ DJeIZ- CONTRACTO S SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ", PASCO COUNTY, FLORIDA Builder Name/Owner Name f3u..U e! c/ M fI- County Parcel No. 11-2ic - zl-COID-I CfDC() -Debt> Address/Location 503) 0~ dire..:fL+- ClassificationlType of Us~ (ltfJid'l.J;a...O JJupk;r TRANSPORTATION IMPACT FEE, Rate: Exempt 0 Yes 0 No How Determined / Impact Fee Amount $ Z~ SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ (057) Mobile Home /. (058) Other R. .esldentlal. J.:123) Collection Fee . Exempt U Yes 0 No How Determined Permit No. &'0 cf 5 Date Permitted R-2-9- 2ao" Control # SubDiv: Sq Ft Unit: TAl: PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Total Zone TOTAL AMOUNT $ Exempt 0 Yes 0 No LIBRARY FEE Land Account How Determined Land Credit Land Total Facility Account Facility Total Exempt 0 Yes 0 No RESOURCE FEE TOTAL AMOUNT Total Amount ERU Prepa"'. By ffe;;lz. ~_ 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 Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this fonn, placing the building permit owner on notice of this assessment and thll condlllons of payment for same. DATE RECEIPT NO. RECEIVED BY DATE BY REGULAR COUN.~IL MEETING A Regular Council Meeting was held on August 14, 2006 at 6:00 p.m. in the Robert H. Johnson Council Chambers of the Municipal Building. President Bracknell called the meeting to order. Roll call was taken. Present were members Clyde Bracknell, Daniel Burgess, Kenneth Compton, Celia Graham, and Luis Lopez, Mayor Cliff McDuffie was absent. City Manager Steve Spina and City Attorney Joseph Poblick were also present. Staff present: Police Captain Randy Belasic, Acting Fire Chief Kerry Barnett, Utilities Superintendent Loute Sellars~ Public Works Director Rick Moore, Building Official Bill Burgess, Director of Administrative Services Sharry Boldt, Finance Director Cathy Familo, Director of Development Todd Vande Berg, Librarian Kathleen Burnside and City Clerk Linda Boan. Rev, David Fritz from the Church of the Living Word gave the Invocation. The Pledge of Allegiance followed. Daniel Burgess moved the minutes of the July 24, 2006 Regular Meeting, July 24,2006 Workshop, July 31, 2006 Workshop and August 7, 2006 Workshop be approved. Seconded tiy Celia Graham. Motion passed unanimously. PUBLIC HEARING 1. Conditional Use for Duplex on 6th Street A public hearing was held for the conditional use for a duplex on two vacant lots at 5031 6th Street. Mr, Vande Berg said the conditional use request was denied by the Planning Commission and approved by the Site Plan Review Committee. The following persons spoke from the floor: Chairperson of the Planning Commission Jodi Wilkeson, 5816 t'8th Street; Vice Chairperson of the Planning Commission William Back, 39105 Cardinal Avenue were concerned because the Planning Commission unanimously recommended denial of the conditional use request and the precedent and ramifications if Council were to choose to approve this. Toni Schmidt, 14433 Nottingham Trail, Hudson, said the property is too small to meet the parking requirements for an office/professional business on the site and she requested the Council approval of the conditional use. Luis Lopez moved the motion made at the last meeting to approve the conditional use request be rescinded. Second~d by Kenneth Compton. Motion passed unanimously. Luis Lopez moved the conditional use petition be approved with the corrections and including the two conditions, Seconded by Kenneth Compton, Motion passed unanimously. 2, Gore Dairy Developer's Agreement Mr. Vande Berg provided a revised developer's agreement for the commercial section of the Gore Dairy property and said staff and the City Attorney recommended approval. This is the first of two public hearings. Those speaking from the floor were: Traffic Consultant for the City, David Trommell, with Kimley Horn and Associates; attorney for the developer, Clarke Hobby, 109 N. Brush Street, Tampa. Kenneth COlll-pton moved the recommendation of staff be accepted for the Gore Dairy developer's agreement. Seconded by Celia Graham. Motion passed unanimously. V ANnE BERG 3. Report from Planning Commission - Acme Development Rezoning Mr. Vande Berg said a rezoning petition was submitted by Acme Development Corp. for approximately 27.52 vacant acres located on the west side of Fort King Road north of Eiland Blvd. Staffand Site Plan Review Committee recommended approval of the rezoning petition with the following conditions: ~ The developer/applicant acknowledges that any provisions of the City of Zephyrhills ordinances \llld rezoning conditions of approval not specifically waived shall be in full force and effect, including all impact fees, drainage and landscaping ordinances. U.s. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency ELEVATION. CERTIFICATE OMB No. 1660-0008 El(cires Februarv 28.2009 NBlionaf Flood '~'anC8 Program Important; Read the Instructions on pages 1-8. ~3R3 SECTION A - PR.OPERTY INFORMATION 1'll.dn&\li~~:90~nv [.I$S; A1. Buhding Owner's Name Bu.-t\er-A~ld PiIIicy. Nlaiit)e( .:'..:.'.:'. '.. . A2. BiJlldi58lree\ Mdress (including ^pI., Unit. Suite. and/or Bldg. No.) or P.O. Route and Box No. ~~ri:ip;iri)j;NArc li1mi&ilr ()~, b-t""'.c:::.tree+ '.. '. ..' ". .~.. . A3, Clly Ze "''I ("hI 1\5 State FL Properly Description (Lot and Brock Numbers, Tax Parcel Number. Legal Description, etc.) Lef1 ~ \L. \ q 0 C I 0 f' 2e In r n i \\ S Building Use (e.g., Residential, Non-ResidenllaJ. Addition, Accessory, etc.) f -ec,i de Y1 ti 0..1 La1ilucl8lL<lngitude; Lal N A Long. N 1.3" Horizontal Datum: 0 NAD 1927 Allach at least:2 photographs of the building If the Cer1ll1cate is being used to obtain flood inSUlance. Buldlng Diagram Numbar--L-.. For a bulldJng with a crawlspace or enclosure(s). provide: a) Square footage of aawt spac:e or enclosure(s) ~ sq It b) No. of permanent nood openIngs in the crawt :space or enclosure(s) walls within 1,0 foot above adjacMI grad8 ~ . c) Tolal net area of tIood openings in ASb ~ sq in ZIP Code 3351..\?- A4 AS, AG. A7. AB. o NAD 1983 A9. For I! building with an attached garage. provide: N t\- 8) Square footage ofattadled garage sq It b) No. of permanent flood openings In Ihe attac.hed.llsnoge waDs within 1.0 foot above adjacent grade N P- c) Total n9t area of flood openings in A9.b N P\ sq in SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B2. County NlIme p~ C B7. FIRM Panel EffedivelRevised Dale ra- 11- q I 810. Indicate Ihe source of tile a- Flood Elevation (BFE) data or base flood depth en~~red In Item B9. OFIS Profile ~FIRM DCommunilYDetennlned o OIher(DesCJIbe) 811. Indicate elevation datum used (or BFE In lIem B9: ~ NGVD 1929 ONAVO 1988 o Other (Describe) B 12. Is .hlll building located In a Coaslal Barrier Resources Syalem (CBRS) ar~ 01' Otherwise Protected Area (OPAl? DesIgnation Date N A 0 CBRS DO!;'A Of ,'cia 89. Bsse Flood E/levafion(s) (Zone AO, use base flood depth) e,4' DYes gJNo SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1, Building elevations are based on: 0 Construction Dra~ngs' .RI Building Under Conslruction- 0 Finished Constructloll .A new Elevation Certifiesle will be requil8d when construction of the building Is complefe. C2. Elevations - Zones A1-A30, AE. AJ-l, A (with 8FE), VE. V1-V30, V (With BFE). AR, ARIA. ARlAE. ARiA 1-A30. ARlAH, AA./AO. Complete Items C2.a-g bEllow according to the building diagram SPecilled in Item A7. BenChmarkUtjlized \ Oc.o.. \ VerlicalOa\um NGov 0 1C\?9 ConversionlC<lmments N A e) b) cJ d) eJ Top 01 lx>Uom "oor (including ballSment, crawl space, or enclOSlJre ffoor) Top of the next higher floor Bottom of the lowest horizontal slructural member (V Zones only) Attached garage (lop of Slab) Lowest elevation or machInery or equipment serv/mg the building (DesCribe type of equipment In Comments) Lowest adjacent (finIshed) grade (LAG) Highest adjaceol (finished) grade (HAG) Check the maasurement used. €I S .'2.0 B"reot 0 metelll (Puerto Rico only) N -A. 0 feet 0 metelll (Puerto Rico only) f\J A .=0 feet 0 mete"' (Pu~o Rico only) N A .--1] feet 0 meters (Puerto Rico only) N /)r .-0 feel 0 melers (Puerto Rico only) ~ '0 -~feet 0 meters (Puerto Rico only) e ~ .~et 0 melen; (Puerto Rico only) f) g) SECTION 0 - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION This aertiftcatioo Is to be signed and sealf1d by a land SU"'GYor, engineer. or architect authorized by law to c8l1ify elevation Information, I certify that the Information on Ihis Certificate "'!>>W5tmfl1 my best 9Iforts to Int9rpret the data available. r- _____ ' understand that any false slatement may ba punishable by fine or imprisonment under 1 B U. S. Code. Sect/on 1001. o Checl< here if commenls are PrClll/ded on back of fCTm. {J:~TF. r"iFi-{E FEMA Form 81-31, February 2006 I PL 'S 4l6~F:Fj I 9 - 9. q - 0(0 See reverse side for continuation. Replaces all previous editions IMPORTANT: In lbeae spaces. copy the corre.pondlng InformatIon from Section A. Building S~I Addtws (includf'!9 foP!., Unil. Suite, anci/or Bldg. No.) or P.O. Route and Box No. ?O ~ 1 -#"::>-r. City y hi \\ ~ Slme k ZIP Code SECTION 0 - SURVEYOR, ENGINEER. OR ARCHITECT CERTlFICAnON (CONTINUED) ;F.~I';"ilI_Gompanv Use; . . - ~.. . -. ,ilJiJllf:C;Y'li,/t1~ Copy both sides oflhls Elevation Certificate for (1) oommunlty omelet, (2) insunll'lC9 agent/company, and (3) building owner. Cammen.s C~Cl; shot 01'\ top of' -Footev Signature ~ ~ Dete q ~ d9.- () 0 Check h if attachments SECTION E . BUILDING I!LEVATION INFORMATION (SURVEY NOT ftEQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (Without8FE), complete Items E1-E5. If tile Certificate 18 intended to support Il LOMA or LOMR-F request, complete Sections A. a, and C. For Items E 1-E4, use naluliII grade, if available. Check Che msesuntl1'lenl used. In Puerto Rico only, enter meters. E1. Provide elevation infonnation for lhe following and check tile appmpr1a1e boxes to show whether tha elevallon Is above or befaw the highest adjacent grade (HAGl8l1clllle lowltSladjacam grade (LAG). 0 al Top of botlom lIoor (including b88ement, aawl space, orenclosure)is_. _ 0 l\3et 0 meters 0 above or B balowthe HAG, b) Top of botlom 1I00r (Ino1udino basement, aawr space, or enclosure) Is _. _ feet 0 meters 0 above or b&low the LAG. E2. For Buildklg Oiagrsms 6-8 with pennanant flood openIngs provided I,.. Secllqn..A Items 8 j!J..d1or 9 (ees ~e 8 of instructions,. the nelCl higher floor (lII8Vatlon C2.b in lhed/s{lmms) oftlte bill/ling is _' _0 feel U malers U above or U below the HAG, E3. Allached garage (lop of slab) ill _' _ 0 feet 0 ~ers 0 ahave or 0 below the HAG, E4. Top of plalfonn of machinery and/or equipment servicing the buildJng Is _. _ 0 feel 0 metalS 0 above or 0 below the HAG. E5. Zone AO only: If no flood depth number Is avaDable. Is the top of the botIom Iocr elevat.d In accordance with the community's lloodplaln management ordiflence? 0 Yes 0 No 0 Unknown. The local otIiclal must certll'y this lnforma\lon In Section G. -./ SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTA.TIVE) CERnFlCAnON The property owner or owner's authorized representative who completes Sections A. B. anp E for Zone A (without a FEMA-laaued or community-issued ElFE) or Zone "'0 must sign here. The 5tat91l16t1fs in Sections A. B, and E a... comoct to the best of my knowledge. Properly Owner's or OWner's Authorized Represenlative's Name ' Addres$ City ~ Stale ZIP Code Signature Date Telephone Comments SECTION G . COMMUNllY INFORMAnON (OPTIONAL) The local official who Is authorized by law or ordlnanoe 10 administer Ihe community's floodplain management ordinance can oomplele Sections A, B, C (or E), and G of tt1is Elevalion Certillcate. Complete the applicable ilem(s) and 5Ign bolow. Check the mea6urement used in It'Ilma G8. and G9. G1. 0 TI1e information In Seclion C was laken from other documenlaUon that has been signed and sealed by a licensed surveyor, engineer, or arcf1itect who is authorized by law to certify elevation information. (Indicate the soules and date of the elevation data in !he Comments 8rea below.) G2. 0 A community official cOmpleted Section E fOr a building located In Zone A (wilhoul a FEMA-issued or communIty-issued BFEI or Zone AO. G3. 0 The following Informetlon (Items G4.-G9.) III provide<:! wr community floodplain management purposes. G4. Permit Number G5. Dale Permit Issued Ga. Date Certillcate Of Complienc:eJOocupancy Issued o Check here If attachment~ G 7. "hl s permit has been issu<<NI for: 0 New Construction 0 SUbstantial Improvement G8. elevation of as-buiitlowest !Ioor ((neluding be.&ement} of tile buDding: 89. BFE or (in 20ne AO) deptll or flooding at the buDdIng site: o feet 0 mealn. (PR) . Datum o feet 0 meters (PR) Datum Local Official's Name Tille Telephone Community Name SIgnature Dllte Corrmenls o Check here ff aUachmenls FEMA Form 81-31, February 2006 Replaces alf previous editions U.s, DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency ELEVATION CERTfFICA TE OMS No. 1660-0006 El(oires Februarv 28. 2Q09 National Flood Insurance Program Important: Read the Instructions on pages 1-8. Olo383 SECTION A. - PROPERTY INFORMATION "F-ori!l.S\li~~~90~ny LIse: A1. Building OWner's Name Bu. -t\e rBe.lei POic)-- N\.Imt)er - . '. , A2. BiJlkli'5 Slree\ N1dress (including ApI.. Unl!. Suite, anellor Bldg. No,) or P.O. Route and Box No. ';Qerijp~~NArc. tWffloiir D3\ b*'S.\-ree+ 1':',_:, ", -' A3, City Ze "'''I r'h \ 1\ S State FL Property Description (Lol and BlOOk Numbers, Tax Parcel Number. Legal Descrlplion, etc.) L6t ~ 't-. \"\0 Ci Orz~ fh rni\\s; BuHding Use (e.g., Residential. Non-Residenlial, Addition, Accessory. etc.) f -ec,i de VI -h 0...' 1aIItuclelL<mgitude; Lat N A Long. "-1/'\ Horizonlal Datum: 0 NAD 1927 AUach at least 2 pnOfograpns of the building if the Certlllcale is being used to obtain flood insurllnce. Building Diagram NUmb8r~ For a bulldJng with a <:raw! space orencIOStlre(s), provide: a) Square footage of a-awl space or enclosure(s) ~ sq It b) No. of permanent flood openIngs in the cmwt space or enclosure(s) walls within 1.0 foot above adjacent grad8 ~ . c) Total net area of flood openings in AS b ~ sq in ZIP Code 3 ~Lj :;L A4 A5, AS. A7. A8. o NAO 1983 A9. For a building with an attached garage. prOllide: N 1* a) Square foolage of atlactted garage sq tt b) No. of permanent flood openings In the attached jJ81llge walla within 1.0 fool above adjaC&l1t grade N ~ c) Total net area offload openlnge in A9.b N f"t sQ in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Of" I'cla 82. County Name Pel: C 87. FIRM Panel EffeclivelRellised Date t3- 11- q I Indicale the sourOll of lhe Ba:se Hood Elevation (BFE) dala or base flood depth en~~n;,d In lIem B9. OFIS Profile ~F'RM o Community Oetennlned o OIher(t>eacrlbe) Indicate elevation datum used for BFE In Item B9: ~ NGVD 1929 ONA\IO 1988 OOlher(Desctibe) Is .ha building located In a Coastal BalTler Resources System CCBRSlarea or otherwise Protected Area (OPA)? Oeslgnalion Date N -A 0 CBRS DO!;'A 89. BaBe Flood E""vationCs) (Zone AO, use base nOOd depth) e,4 I 810. B11. 812. DYes g) No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY ReQUIRED) C1. Building ..Ievetlons Bre ba6lld on: 0 Conslruclion Dra~ngs. ~ BU~dlng Under Conslrucllol"l" 0 Fin~hed Construcllon "A new Elevation Certiticale will be requif\td when construction of the building Is complele. C2. Elevations - Zones A1-A30, AE, AH, A (with 8FE1. VE, V1-V30, V (With BFE1. AR. ARIA. ARlAE. ARJA1-A30. ARlAH, AAJAO. Complete Items C2.a-g below according 10 Ihe building diagram specified In Item A7, a enChmark lJjjUzed \ 0 ca.l Vertical Datum NGt V 0 I q L 9 Conversion/Comments N A a) b) c) d) e) Top of bottom "oor (including ba6emenl. crawl apace, or enclO9Ure ftoor) Top of Ihs next higher lloor Botlom of 'he lowest horizontal slructural member (V Zones only) Attached garage (lop of slab) towesl el8vatlon of machinery or equipment serv/cklg the building (DesCribe type of equipment In Commenl$) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) Check the mBasurement used. e S _'2.0 G";eot 0 meters (Puerto Rico only) N A, 0 feet 0 meters (Puerto Rico only) 1\1 A .=n feet 0 meters (Pu..-to Rloc only) N A .--D feet 0 meters (Puerto Rioo ollly) N ~ ,-0 feel 0 melers (Puerto Rico only) A '0 -~feet 0 melG/'S (Puerto RIco only) e ~ .~et 0 melers (Puerto Rico only) f) g) SECTION 0 - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealoo by e land surveyor, engineer. or an;hitect authorized by law to certify elavetion Inrormatlon. I certify that the Information Dn this C8ftiRcate T&",..!umts my best 9Ifotfs flJ Intfupr9t the data svailable. t understand that Bny false slstfJlnMI may b8 punlshabie by fine or imprisonment under 18 U.S. Cod... Section 1001. o Checl< here if commenls are provided on back of form. ~ I ;B~' c~~,.. . r;.. -- ~ oQ-~: fJ.' , 114 ..; i"" '_~ r::.. '.., ~-:;ICt~ATjH:L ANti or r':'ATE ~-iEkE: FEMA Form 81-31. February 2006 P L'S il. ?:>l2SS L C1_ a q - 0(0 See reverse side for continuatloo. Replaces all previous editions IMPORT ANT: In these spaces, copy the corre.pondlng Infonnatlon from Section A. Buifdlng S~f AddnJSs (il1Cludf'!9 (\pI., Unit. Suite, andlor Bldg. No.) or P.O. Roule and Box No. ~ O?J 1 lP-tr.:)T. City y hi \\ <::. Slate k ZIP Code SECTION 0 . SURVEYOR, ENGINEER, OR ARCHITECT CEATIFICAnON (CONTINUED) ;~prl~J"IQe~anll Usa: ;~lf/!;'ylilll~ : A{CN.Yri1bei: . Copy both side. of this Elsllatkm Certlfk:ate for (1) community ofllclel, (2jinS\lfWI cot agentlcompany, and (3) building owner. Comments C:J a.;; shot Ol" h>p or -Pootev-- Signature ~ K Dete q ~ d9.- 0 0 Check h if attllchmenls SECTION E . BUILDING ELEVA.TION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONe A (WITHOUT BFE) For Zonas AO and A (without BFE), complete Items E1-E5. If the Cerll\l(1ele Is ir\tended to support a LOMA or LOMR.F request, complete Sections A. B, and C. For Items E1-E4. use natural grade, ifavaltable. Check ltIe messurement used. 'n Puerto Rico only. enter meters. E1. Provide elevallon Information for the following and check tile appropl1Bte box" to show whether the elevation Is above or below the hlghest adjacen t grade (HAG) and Ihe lowast adjacEmt grade (LAG). a) Top of botlom lIoor (including basement, aaw/SpMClt. or endolJure)is__ _ 0 lbel 0 meters 0 above or B belowlhe HAG, b) Top of botlom floor (includlno basement, aawl spaoe, or encloaure) is _' _ 0 feet 0 metel'$ 0 above or bEtIow the LAG. E2. For Building Diagram; 6-8 with permanentll00d openings provided In SectiQn..A Items 8 iJl1lIor 9 (8ee e!$Ic 8 of Instructions), the next higher floor (elevatIon C2.b in /hedisgmms) of the bllildlng is _' _0 feel U meters U above or U below the HAG, E3. Allached garage (lop of slab) is _' _ 0 feel: 0 ~rs 0 above or 0 below the HAG, E4. Top of platform 01 machinery and/or l!Kjulpment servicing the bulJdJng Is _' _ 0 f.el 0 meters 0 sbove or 0 below Ihe HAG. E5. Zon. AO only; If no flood depth numberls avaUable. Is /he top of the bottom toor elevated In accoroan<:e with \he cammun!1y's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The Io<:el ol'Iiclal milst certll'y this fnformallon in Section G. ./ SECTION F. PROPERTY OWNER (OR OWNER'S REPRE8ENTATNE) CERTIFICATION The properly owner or owner's authorized representative wlto completes Sections A. B. aII,!:I E for Zone A (without a F EMA-lll8Ue<l or community-issued a FE) or Zone "'0 mllst sign here. The stattml811ts fn SBCtlons A. B, and E a... corPBcf to the best of my knt:1Wledge. Property Owner's or Owner's A"thorized Represenlative's Name ' Mdres$ City il S/ate ZIP Code Signalure Date Telephone Comments SECTION G . COMMUNITY INFORMATION (OPTIONAL) The local ofliolal who 18 authoriz:ed by law or ordinance to administer the communlly's floodplain management ordinance can complete Sections A, B. C (or E), and G of ttis Elevalion Cer1lftcatl!. Complete the appllcabJe itam(s) and sign bellow. Check the measurement used in ltema G8. and G9. G 1. 0 The informs/Ion in Seclion C was laken from other documentation 11\et has been elgned and sealed by a licensed surveyor, engineer, or arct\i\ect who is 8uthorized by lew to certify 618\1811on infonnation. (lndlcatalhe source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E fix a building located In Zone A (wilhoul a FEMA-issued or community-issued BFE) or Zone AO, G3. 0 The following [nformatlon (Itams G4.-G9.) Is provide<! for community fIOQdplaln management purposes. G4. Permll Number G5. Date Permit Issued G6. Date Certificate Of CompllanceJOocupancy Issued o Check hMe If attachme~ G7. ThIs permit has been i$"ued for: 0 New Conslructlon 0 SUbstanCial Improvement G6. Elevation of as-built 1D'lMlSt floor ((ncluding besement) of the buDding; G9. BFE or (in 20ne AO) depUI of flooding at the buildIng slle: o feet 0 meters (FOR) 'Datum o feet 0 melera (PR) Delum Local Official's Nama TiDe Communlly Name Telephone SIgnature Date COnYnenls o CtIeck here If attachments FEMA Form 81-31 , February 2006 Replaces all previous editions U.s, DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency ELEVATION CERTIFICATE OMB No. 1660-000B E)(cires Februarv 28.2009 Nalionar Flood Insurance Program Important Read the InstructIons on pages 1-B. Olo383 SECTION,. - PR.OPERTY INFORMATION J'J1ri~sUrli~,90~nv tlse: A1. Building Owner's Name Bu. +\e,.f\.eld POliCY, N\.idit)e( A2. BUlkli5 Slre..\ Mdress (including Apt, Unll. Suite, and/or Bldg. No,) or P.O. Route and Box No. ,:qoMp;itili:t.m~, N"Un&er O~\ b*'s.tree+ "-.'-,.- -' A3. ClIy Ze. ""I ("VI \ 1\ OS Sta\.. FL Properly OescripNon (lol and alock Number$, Tax Parcel Number. Legal Description, ate,) Lcl ~ \L. \<10 CI OrZe ih (hillS BuHding Use (e.g., Residential. Non-ReSidanll81, Addition, Accessory, etc.) r -esi den h 01...1 Lalltucl8lL<lng;tude: Lat N A Long. f\J I~ HorIzon'al Datum: 0 NAD 1927 Allaen at Jeasl2 photographs 01 the building if the Certfflcale is being used to obtain flood insurance, &lIdlng Diagram Nurnber-'-- Fora building with II crawl apace or enclosu..(s) , provide: a) Square footage of aawt space or enclosure(s} ~ sq It b) No. of permmenlllood openIngs in the c~ space or enclosure(s) walls within 1,0 toot above adjacent g,sd9 ~ . c) Tolal net area 01 flood openings in AS. b ~ sq in ZIP Code 3:bLj ~ A4 A5. A6. A7. AB. o NAD 1983 A9. For it buIlding with an attactled garage, provide: N ~ a) Square footage of attached garage 5q rt b) No. of permanenl flood openings In the altacl1ed ,garage waUa wlthill 1.0 foot above adjacent grade N Pi e) Total net area of flood openings in A9.b N F\ sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Of I'eta 89. Base Flood Elevation(s) (Zone AO, use base flOOd depth) e,Y' B10. Indicale the SOUl"Cll of the Base FlOOd Elevation (BFE) data or base flood depth en~~red In Item B9. OFIS Profile ~FIRM DCommunilYDetennlned OOlher(besCftbe) 811. Indicate elevation datum used for BFE In llem B9: ti7 NOVD 1929 ONAVO 1988 DOIhltr (Describe) 812. Is Iha bUlk!ing located In a Coastal BalTler Resources System (CBRS) area or Otherwise Protected Area IOPA)i Oeslgnalion Date N A 0 CBRS 0 O~A DYes gj No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY RJ;QUIRED) C1. Building elevations are based on: 0 Construction DrSlMrlgS. .RJ Building Under Construction. 0 Finished Construction .A new Eleva\ion Cenilicata will be requited when construction of the building is complela. C2. Elevations - Zones A 1-A30, AE, AH, A (with BFE). VE, V1-V30. V (with BFE). AR, ARIA. ARlAE. ARIA 1-A30, ARlAH, ARJAO. Complete Items C2.a'g bt'llow aCcoo-ding to Ihe building diagmm specified in Item A7. 8enchmarklJljlized local VerticalDatum NGlvO tG(?'1 Conversion/Comments N A a) b) c) dj e) Top 01 boUom "oar ('nclUding basement, crawl space, or enclosure floor) Top 01 thB nextlligher "oor Bollom of Ihe lowest horizontal slructural member (V Zones only) Attached garage (lop or slab) lowesl el8vatiorl or machinery or equipment servlcilg the building (Describe type of equipmenlln Comments I lowest adjacent (linlshed) grade (LAG) Highest adjacent (finished) grade (HAG) Check the mltSSUrement used. es .'2..0 ae~ N'" , Dreet NA. Ofeal N A .---.0 feet N ~ .-0 feel QS .~feet e '3 .~et o meters (Puerto Rico only) o meters (Puerto Rico only) o meters (Pu~o Rico only) o meters (Puerto Rico Orlly) o meters (Puerto Rico onlvl o meters (Puerto Rico only) o melelS (Puerto Rico only) f) 9) SECTION D - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION This 08rtlllcation Is to be signed and saaled by a land surveyor. engineer, or architect authorized by law to certify elevation Information. I certify thaI the Information on this e&rl/Dcate "'/>>W~tmts my besf elfotts to /ntBrpl'8t the dam availab/B. I understand that any fa/sa siatemMt may be punishable by fine or imprisonment under 18 U. S. COde. Seat/on 1001. o Chec* here if commerlls arlt prOli/ded on back of farm. ~>.CI~'~ .nf:. -:;.. ~ -Q- ""At (: ..r"..~ .f....:. .::.1::.:,,,,, f~;:cr~A T;J I-:b A ~1l.J fJt.\TF. f.f~:~E: P L'S if '2>. g::FjJ 9 - a q -' 0<0 _ FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corre.pondlng InformatIon from Section A. BuildIng S~I Add/'9SS (includr~ ~l., Unit. Suite, and/or Bldg. No.lor P.O. Roule and Box No. ~O?:ll ~ ;)T. City Y h, \ \ -s. Slate k ZIP Code , SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTlFICAnON (CONTINUED) ;F.pri.~"c.Gompan\l Usa; . - ;.' _~~liIkI~ Copy both side. of thl$ Elevation Certlflcste for (1) (XImmunlly omelet, (2) in$UflII'IC9 agent/company. and (3) bUilding ownef. Comments CaCl;:: shot 01"\ \-or of' -Pootey Signature ~ ~ Dete q , d9.- () 0 Check h if attachmenls SECTION E . BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONe A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If tile Certl~te Is ir\lencled to support s' LOMA or LOMR.F request, complete Seclionfi A. B, and C. For Il8ms E1-E4, use nalural grade, if available. Check Che measurement used. In Puerto Rico only, enter meters. E1. Provide elevation infonnation for the following and check the appropriate boxes to ilhow whether the elevation Is above or below the highest adja<:en t grade (HAG) and Ihe lowest adjacent grade (LAG). a) Top of botlom floor (including basement, mJWl apace, or enclosure) is _' _ 0 !'eet 0 m'stel'll 0 above or B below the HAG, b) Top of botlom 1I00r (indudlng ba8ernent. aawr space, or enclosure) Is_. _ 0 feet 0 meters 0 above or be.low the LAG. E2. For Buildlng Diagrams 6-8 with permanent flood openIngs provided In SecliQn..A Items 8 ~d1or 9 (see Q!!pc 8 of Instructions,. the next higher 1Ioor (eltntallon C2.bin thedlsOtams) of the bllildlng is _._0 feet U malers U above or U below lhe HAG, E3. AUached garage (lop of slab) is _. _ 0 feet 0 ~ers 0 above or 0 below the HAG, E4. Top of platform of machinery and/or !Kjuipment servicing lhe buildJng 18 _' _ 0 ffil 0 meters 0 sbove or 0 below (he HAG. E5. Zone AO only: If no flood depth numberls available. 18 !he lop of the bottom tocr elevated in accoroan<:e with the commun"'lallootlplaln management ordinance? 0 Yes 0 No 0 Unknown. The local official mUst certify Ihls/nformallol'lln Sectfon G. . ~/ SECTION F. PROPERTY OWNER (OR OWNER'S REPRESENTA.TIVE) CERTIFlCATlON The properly owner Dr owners authOOzed represdntative who completes Sections A. B. an,cI E for Zone A {without a FEMA-flQued or (;(Immunity-issued EIFE) or Zone "'0 musl sign here. The 5fslfml6l1rs in Sections A, B, and E.", COl7Bc:t to lhe best of my knowledge. Property Owner's or Owner's Authorized Represenlative's Name Address City ~ Stale ZIP Code Signa\u"e Date Telephone Cmnments SECTION G . COMMUNITY INFORMAnON (OPTIONAL) The local official who Is authoriz:etl by law or ordlnsl1Cle to admlnisler \he community'8 floodplain management ordinance can complete Sections A, B, C (or E), and G of lt1ls Ele~alion ~rtiflcate. Complete the applicable item(s) and sign balow. Check the measurement used in Items G8. and G9, G1. 0 The informetlon In Saction C was laken from other documentaUcn that has been signed and llealed by a licensed SlJrveyor, engineer, or arcf1ilect who is authorized by law to oortify elevation inlormation. (lndlcete lhe source and dale of the elevation data in thll Comments ares below.) G2. 0 A community official completed Section E fi:JI a buildIng located In Zone A (wilhout a FEMA-issued or community-issued BFEI 01' ZOne AO. G3. 0 The following Information (Items G4.-G9.) Is provide<:! for community IIOQdplaln management purposes, G4. Permil Number G5. Dale Permit Issue~ G6. Date Cer1iftcale Of CompllenceJOccupancy IssLled o Check here If attachmeR~~ G7. This permit ha& been issued for. 0 New Consfructlon 0 Stlbstanfiallmprovemenl GB. Elevation of as-builllowe&t floor {Including be.sement) of tile building: G9. BFE or (in Zone AO) dept/l or lloodil)g at the buDdIng sIte: o feet 0 mel8rs (PR) . Datum o feel 0 meters (PR) Datum Local Official's Nama Tille "Telephone Communlly Name Signature Date Corrmeni~ o Check here IT attachmenls FEMA Form 61-3\ i February 2006 Replaces alf previous editions U.S, DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Pl"Qgram ELEVATION CERTfFICA TE lIse: A1. Building Owner's Name Bu.-Hey.f\-e.ld B"lklj~ Str....' I'.ddress (including ~I., Unll. Suite, amI/or Bldg. No,) or P.O. Route and Box No. ~()~ \ b*' tree+- City Le h,/ r-h \ \ \ '5. Sta1,. FL Property Description (lor and Block Numbers, Tax Parcel Number, Legal Description, etc.) L,,'! ~ \L. \<10 Li otZe >h rnills Bunding Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) f -esi de n h 0\..1 Lalltudell<lng;tude: Lal N A Long. N 1-,\ Horizontal Datum: 0 NAD 1927 Allaen at Jes912 photographs of the building if the Certfflcate is being used to obtain flood insurance. Buidlng Diagram Number--L- For a bu1ldlng with a crawlspace or encJosure(s) , provide: al Square footage of a-awl space or enclosure(s) ~ sq It b) No. of permanent "oed openings in the crawt space or enclosure(s) walls within 1,0 foot above adjaCMI grad8 ~ . c) Total net area of flood openings in A8 b ~ sq in Important; Read the Instructions on pages 1-8. SECTION A. - PROPERTV INFORMATION A2. rijp~Y;NArc, fifuTJ&er A3, ZIP Code 3:6Ll ~ M. AS, AG. A7. A8. o NAD 1983 A9. For I! building with an attached garage. provide: N ~ $) Square footage of attached garage sq rt b) No. of permanent flood openings In !he attached ,garage waUs wlthill 1.0 foot above adjacent grade N Po c) Total net area of flood openings in A9.b N Pt sq in SECTION B - FLOOD INSURANCE RATE MAP (F)RM) INFORMATION 0(" " cI a 89. 8ase Flood E/oevation(s) (Zone AO. usa base flood depth I e,y' . 810. Indicate me SOIKce of the Base Flood Elevation (BFE) dale or base flood depth en~~red In /lem B9. DFIS Profile ~FIRM o Communi IV Detennlned OOlher(Oeacrlbe) 811. Indicate elevation datum used for BFE In Item 89: ~ NGVD 1929 ONAVO 1988 o Other (Desctibe) B 12. Is Ih8 building located In a Coastal BDlTler Resources System (CBRS) area or Otherwls1il Protected Area (OPA)? Deslgnation Date N A 0 CBRS 0 O~A DVes g] No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1, Building elevations are based on: 0 Conslruction OravWngs. Rl BUildIng Under Construction- 0 Finished Construction .A new Elevation Certificate will be requiAKl when construction of the building Is camplel.. C2. Elevations - Zones A1-A30, AE. AI-I, A (wItIl BFE). VE. V1-V30, V (with BFE), AR, ARIA. ARlAE. ARIA 1-A30, ARlAH, AAJAO. Complete Ilems C2.a-g bt'llow according to Ihe building diagmm specified in Item A7. Benchmark Utilized , 0 cO;. ( Vertical Datum Nt=; V 0 t G\ '29 ConversiOn/Comments N A Top ot tx.Itom "oor (InclUding ba5ement. craWl space, or enclosure floor) Top of ths n6)(j higher noor Bollom of the lowest horizontal structural mem ber (V Zones only) Attached garage (top or slab) lowest el8vaUon 0' machInery or equipment servfcklg the building (DesCribe lype of equipmenlln Comments) lowest adJacenl (finiShed) grade (LAG) Highest adjacenl (finished) grade (HAG) a) b) cJ d) e) Ch8ck the measurement used. e s .'2.0 B";eet N -A, 0 Fellt N A. 0 feet N 1\ .--.0 feel N ~ .-0 feet ~o .~feet e ~ ..8.....@1'eet o meters (Puerto Rico only) o meters (Puerto Rico only) o meters (Pu8fto Rico only) o meters (Puerto Rico only) o meters (Puerto Rico only) o meten; (Puerto Rico only) o malers (Puerto Rico only) f) g) SECTION 0 - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION This oertlftcalioo Is 10 be signed and sealed by II land 8urveyor, engineer. or architect authorized by law to certify elevation Informallon. I certify thet the Information on this CertiRc:at6 f9~"ntl1 my best 9Ifoti$1r3 Intflrpret the date avaifab/e. I undersland that any false slalffmenl may be punlshabJe by fine or imprisonment under 16 U.s. Code. Section 1001. o Check here if comments are prtl'./fded on back of farm. ~x-~c~~~; . ~F..._[..., ,.-E.L.. SIGNATUFd':. Ar'IG [.lATE f'if=f~E~ FEMA Form 81-31, February 2006 P L '3, 'fJ ?:FF:F5 C~ _ a q - 0<0 See reverse side for continuetlon. Replaces all previous editions IMPORTANT: In these spaces. copy the corresponding Infonnatlon from Section A Buitding S~I Acldt9S$ (includC'!9 foP!., Unit, Suite, and/or Bldg. No.) or P.O. Roule end Box No. ~O~ l -tr, ;)-1-. City Y hI \ \ 'S Slate "FL ZIP Code .;t1lNCNiJri1bSt. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICAnON (CONTINUED) Copy both side. of this Elsvallon Certificate for (1) oommunlty omelet, (2) Insul'8flClt agent/company. and (a) building owner. Commenl$ Cc? Gt;:; shot 0(\ \-or of' -Foote..r Signalul'll ~ ~ Dele q , d9 ~ 0 0 Check h if attachments SECTION E . BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-El>. If the Certlllc8te 18 intended to support s. LOMA or LOMR.F request, complete Sections A. B, and C. For Items E1-E4, use natural grade, tfavallable. Check the measuntment used. In Puerto Rico only, enter meters. E1. Prollide elevation Informatioll for the following and check the appropriate boxes 10 ilhow whether the elevallon 1$ aboll6 or below the highest adja<:ent grade (HAG)...,o Itle lowest adjacent grade (LAG}. a) Top of botlom floor (ineludlng basement, craw/space, or encfolJure) is _' _ 0 !'eet 0 melers 0 above or 8 below tl1e HAG, b) Top of boUom lIoor (including basement, as..,! space, or- enclOSUre);5 _' _ 0 feel 0 metef$ 0 above or bEtlow the LAG. E2. For Building Diagrams 6-8 wilh permanent flood openings provided In SecliQn.A Items 8 iml!or 9 (see ~e e of Instructions), Ihe nelft higher floor (el8vallon C2.b in thedlsomms) of the building is _. _0 feel U malers U above or U below the HAG, E3. Attached garage (top of slab) is _' _ 0 feel: 0 ~ers 0 above or 0 below Ihe HAG, E4. Top of platrorm of machinery and/or equipment servicing the bulJdJng Is _' _ 0 f~t 0 metelS 0 sbove or 0 below the HAG. E5. Zonlil AO only: II no flood depth number Is available, Is \he lop of tha bottom .oor elevated in accoroance with \he community's floodplain managel11(lnt ordinance? 0 Yes 0 No 0 Unknown. The locel officlal mUst eertHy thIs Informatlo!'l in Section G. . 'i/ SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTA.TIVE) CERTiFICATION The properly owner or owner's authorized represenlative wtIo completes Sections A. B, anp E for Zone A (without a FEMA-ill&ued or community-Issued BFE) or Zone 1\0 must sign here, The staffilmf3l1ls in Sections A, 8, and E a... co/78et to 'he best of my kllC1Wledge. Property Owner's or Owner's Authorized Representative's Name I\ddress City ~ Slale ZIP Code Signatln Date Telephone Ccmments SECTION G . COMMUNITY INFORMAnON (OPTIONAL) The local official who Is authorized by law or ordlnal'lQe to administer \he community'8 floodplain management ordinance can complete Sections A, B, C (or El. and G of tl1ls Elellalion Certlllcata. Complete the applicable Ilam(s) and sign OOlow. Check the measurement used in Items G8. and G9. Gl. 0 The information in Sec;lion C was laken from other documentalltrl that has been signed and sealed by a licensed surveyor, engineer. or arctlilect who is authorized by law to certify ele\l8t1on illformation. (Indicate 1I1e sotJrC8 and date of the elevation data in the Comment8 area below.) G2. 0 A community official completed Section E fOr a building located In Zone A (without a FEMA-issued or communIty-issued BFE) or Zone AO. G3. 0 The following information (Items G4.-G9.) Is provided for community floodplain management purposes. o Check here If attachmeplS G4. Permll Number G5. Dale Permit Issued G6. Date Certillcate Of Compliance/Occupancy Issued G7. This permit ha6 been issued for: 0 New Construction 0 SlJbstanCial Improvement G8. Elevstlon of as-builllowe&t floGr ((neluding bt!1sement) Qf tlle buDding: G9. BFE or (in 20ne AO) deptll 01 IloodilJg at the building site: o feet 0 mel8rs (PR) 'Datum o feel 0 meters (PR) Datum Local Official's Nama Tifl., Telephone Communlly Name Slgnalure DIM Commenls o Check here If attachmenls FEMA Form 81-31, February 2006 Replaces all previous edltJons Wood Const-5031 6th St -Duplex 1 (859 sq ft) SQ. FEET PRICE MAIN OR LIVING: 859 $ 88.00 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 75.592.00 FEE SHEET $ 384.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 451.68 ELECTRICAL: $ 86.40 PLUMBING: $ 57.60 MECHANICAL: $ 40.32 SUB.TOTAL $ 636.00 RADON: $ 8.59 TOTAL $ 644.59 SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - N/A - Credit for Existing-Demo N/A - Credit for Existing-Demo WATER METER:I $ IRRIGATION METER $ 180~00 I FIRE DEPARTMENT FEES PLANS TOTAL: $ - INSPECTION TOTAL: $ - PERMIT TOTAL $ - TOTAL: $ - PUBLIC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ - N/A - Credit for Existing-Demo N/A - Credit for Exisling-Demo N/A - Credit for Existing-Demo SUB.TOTAL $ 824.59 PARK IMPACT FEESI $ I N/A-Credit for Existing-Demo SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - N/A-Credit for Existing-Demo N1A-Credit for Existing-Demo N/A-Credit for Existing-Demo T IF'S :, $ 99% $ 1% $ I N/A-Credit for Existing-Demo N/A-Credit for Existing-Demo N/A-Credit for Existing-Demo TOTAL: $ 824.59 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 aXH St, Zephyrhills, FL 33542 813-780-0020 ll'AX: 813-780-0021 0117/b~ DATE RECEIVED ~ __ PHONE GONTACT FOR PERMITTING OWNER'S NAME g u...ft ~h:- U ~ C! hr i ~ G (? ,s'T LEGAL DESCRIPTION: LOT(S) "..,)~7 ~ L-1 .-<- PHONE 17....1-525"'0 JOB ADDRESS SO .:J I BLOCK /.p (J SUBDIVISION PARCEL 10 # II - :< fc -,2. / DO/O /7000 - 60blQTAIN FROlvl PROPERTYTAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL o SIGN 0 MOVE 0 DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING '~-FAMILY 0# OF UNITS o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL o MOBILE HOME o OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WO~ ()LA.J:Jle/, , I' 2. C, I '-I .t. ,,() I "j SQU.ARE FOOTAGE J71f7 . HEIGHT BUILDING SIZE RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED & (1) SET ENERGY FORMS. FORMS. ,.Joe ./ PV:JW O~p: ~\,\ l~ ~J\'(l)lO 0tJ~\~ W.R.E.C. .~ (~ f\)~<<~ DLfVli fiJ4"4" ,~}U.~ l ,~ o BUILDING $ 1:'/ 5;~ VA~UATION OF ;:9"AL CONSTRUCTION AMP SERVICE ~progress Energy 0 o ELECTRICAL o PLUMBING o MECHANICAL $ ....., VALUATION OF MECHANCIAL INSTALLATION6~ o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA~ o NO BUILDER COMPANY (rJoaJ CC.--.f>~~'r;;."-. ~ SIGNATURE 'W<7__~Q STATE CERT OR REGIST # E~ECTRICIAN ~ SIGNATURE lrJ ~ ~t;.. :---._ ****************************************************************** COMPANY ~~J~.-.J <:~/~~7J ~ ~ STATE CERT OR REGIST # ****************************************************************** (}.J PLUMBER COMPANY -~Sl~;::)..S \~ ~\t\~~" ""t~, .... STATE CERT OR REGIST # (~~\lt~~~t'l~ " SIGNATURE SIGNATURE *********************************~************* COMPANY ~~ ~L4Y- STATE CERT OR REGIS~ # -If /1- OCJ I oY h / MECHANICAL ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The unde~signed understands that this permit may be subject to "deed restrictions" which may be more restricti"e than city regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state 'law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a cOntractor or coritractors, he is advised to have the contractor(s~ sign po~tions of the "Cohtractor Sections" of this ~pplication for which they will be responsible. If yOu, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the city of Zephyrhills, C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA ::;'l'A'rUT~S, AS AMENDED) I certify that Ii the applicant, have been provided with a copy of "florida's Construction lien Law _ Homeowner's,pr6tection Guide" prepaied by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain apeFmit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuahce 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 agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I 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 which is prepared by a professional engineer registered in the State of Florida prior 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 technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for ~a period of six 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 writing to.the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOB'S UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 20-- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF ;he foregoing instrument was Before me this _____ day of by acknowledged , 20_ (name of person acknowledged) Dwho is personally known to me,or (name of person acknowledged) [1ho is personally known to me, or Dwho has produced (type and wrioD did D did not of identification) take an oath. D who has produced (type of identification: and who Ddid [J:iid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped Wood Const-5031 6th St -Duplex 1 (859 sq ft) SQ. FEET PRICE MAIN OR LIVING: 859 $ 88.00 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 75.592.00 FEE SHEET $ 384.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 451.68 ELECTRICAL: $ 86.40 PLUMBING: $ 57.60 MECHANICAL: $ 40.32 SUB.TOTAL $ 636.00 RADON: $ 8.59 TOTAL $ 644.59 SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ . N/A - Credit for Exisling-Demo N/A - Credit for Existing-Demo WATER METER:I $ IRRIGATION METER $ 180~00 I FIRE DEPARTMENT FEES PLANS TOTAL: $ - INSPECTION TOTAL: $ - PERMIT TOTAL $ - TOTAL: $ - PUBLIC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ - N/A - Credit for Existing-Demo N/A - Credit for Existing-Demo N/A - Credit for Existing-Demo SUB-TOTAL $ 824.59 PARK IMPACT FEESI$ I N/A-Credit for Existing-Demo SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ . N/A-Credit for Existing-Demo N/A-Credit for Existing-Demo N/A-Credit for Existing-Demo T IF'S :1 $ 99% $ 1% $ I N/A-Credit for Existing-Demo N/A-Credlt for existing-Demo N/A-Credit for Existing-Demo TOTAL: $ 824.59