HomeMy WebLinkAbout22-5230I ..... .....
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542 SITE-005230-2022
Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 11/16/2022
2311,�i=�
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
SUBDIVISION PARCELID# I 00Q Y001
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
E]
U&,20_NSTR
ADD/ALT SIGN DEMOLISH
INSTALL
REPAIR
PROPOSED USE
SFR
ZQMM OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME 0 STEEL L
DESCRIPTION OF WORK
BUILDING SIZE
SO FOOTAGE=
HEIGHT
VALUATION
OF TOTAL CONSTRUCTION
=ELECTRICAL
AMP SERVICE 0PReGRESS-ENERGY- = W.R.E.C.
1$
=PLUMBING
=MECHANICAL
VALUATION
OF MECHANICAL INSTALLATION
=GAS
ROOFING a
SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS LAQ 4t ;L
FLOOD ZONE AREA ]YES QN 01
BUILDER
COMPANY
SIGNATURE
REGISTERED
Y/N I FEE CURREN Y/N
Address,-
r4 License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED y LN _J FEE CURREN Y/N
Address License#
PLUMBER COMPEGISTEREAY
SIGNATURE RND LYIN FEE CURREN
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED YIN FEE CURREN Y/N
Address License
.... .. ... .
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN L_ILN J
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms, R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PloUSurvey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to 'deed" restrictions" which may be more restrictive
than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
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 Pasco County Building Inspection Division —Licensing Section at 727-847- 8009,
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this
application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or
expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that
such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a "certificate of occupancy" or final power release- If the project does not involve a certificate of occupancy or final
power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant,
have been provided with a copy of the 'Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of
Agriculture and Consumer Affairs. If the applicant is someone other than the 'owner", I certify 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.
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 a permit to do work and installation as
indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all
laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I
understand that the regulations of other government 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 Protection -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.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "W unless expressly permitted,
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida,
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit poor to
commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or
other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid unless the work
authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a
period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to
exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered
abandoned.
IV,-4iII i
FLORIDA JURAT (`.S.17.03) 0
OWNER ORAGENT��__ CONTRACTOR
_,�!����
Subscribed and sworn tr.&r tiffirm—p1d)b,_P��! me tpis Subscribed and sworn to (or affin[L) beferrt__jo Ih*,,
fts
by ,,-I YU 4, by
Who Ile known n to me or has/have produced Who is/era person kri6wn to me or has/have produced
I 'I
L Il n as identification. as identification,
w. V- - '—V- --I ' , I Ndl&Y Public L���' 'l.% r i.' Notary Public
Commission No. Commission No.
Na of�V 'ped, p me N t r peg tt r vav Name of as printetl or atpd
'4
Notar; lc - of 7,o,�-a R R'ImA N
1401ary Sri ,or.ca
3Mr-;S5!0r -6�43,16
Comm F,�'
M V CO_X M "Fes A, g, 25, 20 25 MY -Ofm, pirc-S At,, - 2 2025
M � E,
813-780-0020
Owner's Address LXg Q B 0
Fee Simple Titleholder Name
Fee Simple Titleholder Address
JOB ADDRESS F4,931
City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Phone Contact for Permitting 340 AZG
q =ES.11VC. Owner Phone Number
IOwner Phone Number
'rMFA C Owner Phone Number
SUBDIVISION E::::::=
IF, -Z 3-4 LOT #
le
PARCEL ID# '0 (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R gQV_Q&U M ADD/ALT = SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEELY
DESCRIPTION OF WORK I I to -rez we, : - ! i wi i
BUILDING SIZE SO FOOTAGE 0 HEIGHT 204P7
UILDING $ L 6,90 000 VALUATION OF TOTAL CONSTRUCTION
I 1 0
tE�JELECTRICAL $ 1ot AMP SERVICE = W.R,E.C,
PLUMBING
$
D�JMECHANICAL FVALUATION OF MECHANICAL INSTALLATIC#k
-i-6 �evo
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES
BUILDER COMPANY Ald.
U STE FEE CURREN N SIGNATURE REGISTERED N a �EI Is
Address Vol
License # [C=0=6
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YIN FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y_LN _J FEE CURREN L_y LN__j
Address I License# la4
MECHANICAL COMPANY P
SIGNATURE REGISTERED L_YLN �YN FEE CURREN
Address License #
COMPANY �k,,A(tf\ 4,(
OTHER e 1, —
SIGNATURE L EE CURREN Y/N
REGISTERED _y NJ
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, 'NE
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 clumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed,
44rf'r
Sanitary Facilities & I clumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance C
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction,
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive
than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
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 Pasco County Building Inspection Division —Licensing Section at 727-847- 8009-
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block' of this
application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is
not entitled to ponniffing privileges in Pasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or
expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that
such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a "certificate of occupancy' or final power release. If the project does not involve a certificate of occupancy or final
power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant,
have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of
Agriculture and Consumer Affairs. If the applicant is someone other than the 'owner", I certify 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.
CONTRACTOR'SIOWNER'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 a permit to do work and installation as
indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all
laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I
understand that the regulations of other government 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 Protection -Cypress Bayheads, Welland 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.
US Environmental Protection Agency -Asbestos abatement,
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "W unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or
other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, Gaincel, 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 codes. Every pennit issued shall become invalid unless the work
authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a
period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to
exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered
abandoned.
FLURMAJURAI Q-.5 X- —
OWNER OR AGE IA
Subscribed and sworn )(oraffirmed) before Tito this
Who is/are personally known to me or has/have produced
as identifiXcation.
_L ,
Commission No.
N
My Ccmmr-, --X�1, A-12
Subscribed and sworn to (or affirmed) before me
Who Ware perso9 I y sown tome or has/have produced
as identification.
NPublic
O/
Commission No.
Name of Notary typed, printed or stamped
T(�NYA 3_ERRVwN
Notar,
r COMMIS51,01, H'63436
M" Comm, _�Xplrcs A�_g 25, �925
I Namra
Irrce,\, MCluqiNatmra
City of Zelphyrhills
gAgr.aAl "I I'll,
71707 MIMI=
4904 KITTYIHAWK DR 18-26-22-0010-01100-0000, 18 26 22 0010 02100 0000
ZEPHYRHILLS FIL 33542 ___j
mom
I:AIan A eyl Owner Alan Heyl pplica
PO
PO Box 90410, Sioux Falls, SD 571059) PO Box 90410, Sioux Falls, 51) 57109
8 ()0) N 00)234:-4395 (800)234,-4395
n Engineer
ercules AVE, Clearwater, FL 33764
(727)822-4151 cchin@sepiinc.com
Description; Hyle Trucking Expansion - Phase I
Valuation: $0.00
Total Sq Feet: 11,360.00
MR&IMMIMM I
New Site Nan $1,000,00
Totak $1,000.00
Condition Name
RMSdROM Comments
FDEP Permits
Where applicable, required prior to issuance of
site/building permit.
SWFWMD Permits
NPDES & other applicable permits required prior
to issuance of site/building permit,
FAA Notice Criteria
FAA determination of "No Obstruction" Required
@ time of permitting
Fire Hydrants & FDC
Fire hydrant & FDC shall be within 100 ft. of each
other, 5-inch stortz connection on FDC
As -Built Drawings +
Prior to issuance of CO - submit final as -built
Engineer's Certification(s)
drawings & engineers/landscape architect
certification(s)
MUMMIMMMIM
www,cizephymills.fl.us 1813-780-0000
EM
City of Zephyrhills
This Development Order shall be effective for a period of 6 months from the date of approval. Site plan approval shall expire and
become null and void if a permit for the approved development has not been obtained from the Building Department within the
effective period and no extension has been applied for. After issuance of such permit, site plan approval shall only terminate upon
permit expiration or revocation. The City may grant an extension to the original effective period of the Development Order, but
application for such extension must be submitted before termination of the Initial 6 month period. If the applicant choose$ to proceed
with development after the expiration of the Development Order, a new site plan application must be submitted for review and
approval, subject to Code provisions and conditions at the time of the new application.
This Development Order alone does not authorize site development to commence, A valid City of Zephyrhills; Building Permit must be
erosion control, tree protection and all other provisions of the approved site plan fully applicable and enforced,
No development activities may commence in areas regulated by county, state or federal agencies unless all required permits, or proof
of exemption, have been obtained from the applicable jurisdictional entity and a copy provided to the City.
Upon issuance of this Development order, it shall be unlawful to modify, amend or otherwise deviate from the terms and conditions
without first obtaining written authorization from the City. Approval of such modifications shall be requested in writing and obtained
prior to initiating construction of any requested change. The applicable review process for the proposed modification shall be
determined based on the criteria of Section I L02,05, City of Zephyrhills Land Development Code.
All conditions of the development order listed above and/or provided on the approved plans shall be met prior to the issuance of a
Certificate of Occupancy (CO).
2022
Date
ate
0- ber27,2022 www.ci,Zephyrhills.fi.us 1813-780-0000 Page 2 of 2
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
E=
AMP SERVICE PROGRESS ENERGY = W.R,E.C.
=PLUMBING
1$
1
=MECHANICAL
1$
VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS
[:=
FLOOD ZONE AREA =YES NO
BUILDER
COMPANY
SIGNATURE
REGISTERED L_Y_LN FEE CURREN /N
Address E==- License# L_Fjj
ELECTRICIAN
COMPANY AAA Electrical Contractors Inc.
SIGNATURE
REGISTERED /N FEE CURREN YIN
Address 1604
Industrial AV rt RicheyLicense # E c 000 6 494
PLUMBER
COMPANY
SIGNATURE
REGISTERED L.�Y/NN FEE CURREN
Address License #
MECHANICAL
COMPANY
SIGNATURE
REGISTERED L_Y_LN _J FEE CURREN L_ILN _J
Address License #
OTHER
COMPANY
SIGNATURE
REGISTERED FEE CURREN
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster, Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans,
****PROPERTY SURVEY required for all NEW constmction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required, (NC upgrades over $7500)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Suwey/Footage)
Driveways -Not over Counter if on public roadways.,needs ROW
r
�i
TePt of, cLPV5rscas lit xa t " J a L-J
OFP R or WORK
801,0000 Alt E
x `k wst-stiet 444 %%x,exxx%4xvxv4 xve sit,xv kv 4 vittst0k
vA?t3sv.,',Nisti,V)fA; CO
t"t t£RtfttR n y •. «
ECBEA. t st. vAkr;Ar#c:)j%r f Mf,.rr N� (,,.At' Te ,.e,.+si`ION
MGM
R Fits SPt COIF# = OTT Iftt
FtNISHCO FLOORILCVA" S E= Fttk00ZONE, AarCA =YES NO
BUfiDER COMPANY
SIONATURS
Addre" d
ELECTRICIAN COMPANY
SIGNATURE KIsRF
Address iac(a}sass
PLUMBER COMPANY t qq ��
thSitRE� nsus N „,e.4 rrciers N,..
Adam"�. License #
MECNAMCALE=== COMPANY
8113NAYURE Af0s . :o Y t N rse c rw Y; N
Addeo"
�m.. t ca s 0
OTHER COMPANY
iT(6 aaec"
E===
Added" License 0
dff>�fdf�a0OdfddEddit2ffkdff0fRfffrkNdfftffffEfdfffffffflfffadfft
RESIDENTIAL Aftsch (2) Plot Phinv (2) sets of Building Plans, (f) set of Energy Forms, R O�W Permit for now consim0on,
( Mimmum, ten (10) worild" days after submittal date. Required onsite, Construction Plans, Stoamwater Prons 4 Sift Fence insbried,
Sandidy Facifildis d 9 durepster: Site Work Permit for subeistsions/larga projects
COMMERCIAL (2) complete sets of Bonding Plans plus a Life Safety Page, (1) set of Energy Forms R-O-W Perms for now constriction
Mounted tell (10) working days air :submittal date Required onsets, Construction Pama Storntaater Plans wi Sig Fems insisted..
Sanitary Facilities & 9 durrostor. Site Work Permit for ag now projetts,. All commercial requ,romerds must meet complia
SIGN PERMIT Attach (2) sees of Engineered Plana
—PROPERTY SURVEY required for all NEW construction
Ut alas
FAN oat "prigoation completely,
OMW d Contractor trip» b or application, notarized
ttovee $2M,, a Nottee of Comrnsncoment is tdqulrod. (AtC upgrades over $7600)
Agent (for ttta carnnegorl or Power of Attorney (for the owner) would be someone with notarzed looter from owner authorizing survie
OVER THE COUNTER PERMITTING (copy of contract required)
Remole, Nsttingtps sewors Service Upgrades A/C Fences (PloUSurvey;Footage)
OrIvowaywelot over Counter if on public roadways needs ROW
A* a t 4,4 k 4 1 1 v A * t
------ - ---
Ft" 6,11*w fda-4ft'a, KR, bwlw ftom %mi",
Aoa *4'V4 f'R'&VWM' Ad*vu
�vs
WOW Fftlft)SED T"), I Nll
FROI-%�W USE fav v
TYPF,','; Li,
... . . .....
ma"WIn"M OF V40RK
SO f1WfA1W,
kkCC***4t* ott44**44 144 4 4 44 K kkq 4xitt aut tt
Ac'oz�'Nc' 6�z�t�l.i Y
440
. .......... . .
NIUNAIUAL
LOWPANY
5W.MATURF
.. .. . ..
MWA,A w'k-m' 4
VOM11ANY
SWAAr,JRF
,Mike Newell Nuccio Heating & Air Conditionin Inc
Add.. _Linebau�h,Ave , Tamp, I CAC0111411365
QTqrP
—A
ftWtSIAL M.41 �ml, Ch V k""i *'q P%'t "I I L—Irf 4 '—m' q,fl Al P-11ey "w
U—mlo 0
t— A 4' wpNw- - oo (.s' Fk'cq (w I 'm* :+''B nw&N.
CCNOWUM. xfth O, bIft v"f �." p'. . -'U N.4"y P." e, I tW Pwu! 1" —now
W Vn f-"' 'A- I u -A —, �'WeaRK �'em b B'r1'� jo wq , "'� ""o w" w "ue— mw". Vm— - P"o m . sat P Iw 1, "1
::keg—g-j ."P.R ". '1' vp7w, Sr.' %Vwx'-4-1 i f", a .cqW' Al
9DW4 Prami- mlwh 12 Tkl% oe E 0)
PIN, A MMOA Of IVIRIf"d (AY; UPWldn *,M$Mot
Arp- =v tang co, v u I ;,o vf Rr ,, J A., mm V t^' F-.—w. .'R 'o g'h %4 g —fz* v a�"q"M 'A—
COUNIVA PVR%-r14G 'P"fq V
20—Y. '�- c+ear I '—a WWI
e,- 30, 2022
City of Zephyrhills -,13L, ".,,",ding Department
5335 8 1h Street
Zephyrhills., Fl 33542
To Whom It May Conce-11111
lit 'low a list of the aut",i-mrized signers for Nuccio Heating & Air Conditioning, Inc,
Joseph Nuccio
Joe W Nuccio
Christopher Nuccio
Bill Moroney
Mike Newell
Don Cook
Tommy Buchanan
"r YOW
W'E. Edinonson, Jr,
Vice Presi di e i it
County of- Hillsboropq-,h
R S atr,.- of: Florida
Sworn to and subscribed before me this 30th day of December 2022by W.E. Edmonson,
Jr L-& Nuccio Heafini,) & Air Conditionint, Ine its Vice President,
NOTARY PUBLIC:
My Commission Expires
UILMISOTO
fqt
6306 W, Unebaugh Ave, Tadrnpa, F1 33625 (813) 961-7895 1-800-8K33-7,8995 FA S =3�52-3- 0
Website: www.nucciovc,com
City of Zephyrhills
Water and Sewer Impact Fee Calculation
"'t -mc
Land Use Type:
Mixed Use Warehouse
Impact Fees
Within City Limits Outside City Limits
Water Facilities Capacity Fee $ 3,885.12 $ 4,856.40
Wastewater Facilities Capacity Fee $ 8,179.20 $ 10,224.00
TOTAL 12,064.32 $ 15,080A0
INSTR#2023001359OR BK10745 PG2085 Page 1 of 3
01/05/2023 09:20 AM Ropt: 2537649 Rec: 27.00 DS: 0,00 IT: 0,00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Tres state —',f ixm tq Clc* rx'Eh6 Circtr,'; Court cnC ,
NPJJCj,DLj�- PAME�NQE E�NT
S t-We of F;�v �U Plefln,,i Nr,, SITE-001VX�-2%122
coo;AY C4 Pz=-c
Slaives, 0"d int, s onwided its the� NOTICj OF (',01.1MF-NCE'4.AEN,-r,
0 pr,,pady i fYr. 7 bJ*4.*%z Attadnez Exhih,
ti err_ Fzli A,,-nrw,,), Zapnyit� 98, FYOrWa K 4'
itmM'Pflw 0 ift,04"erl'—witc Unfivutbop. of a 111,360 SF building.
UC
J-0. Coo x t4 10, S�,jwx Fans. 8, D, 57107
Inc,
pnor", i g�,�6 S,,;? ng F In n, 1
""i "(z Am.,..ur,� of bond:
phow
OR BK PG Page 2 of 3
WA
�P°r�rmr
I , ., n.. 4I?a State'ct Flvi„� t3 'a1�Yt z:�3 ;.� c4v4l ipv?t'�+.ACIM rum&,$ oG1�' t�ui �?isis ttt8 f * � tUed as FlCt tiat'! byr st% i.;n
IVA
Ci. ' ? cat l::swn to t'onlset4tiwme lt. ownei dt al ::f # tho f llot,-w�na pzirz tr: i,o moeiva a WDY 01 Me- L*n-.,-$ Notth a-*. PfL load it. a d:'oll,
Bit)( ,j. FIvida stolvtc,
VIA
?ti�afilR, t�tiirCr�r:
a;IC,ri +a''a te 0r N1 Coe ttf Ca num,i trt 'v m nm ('1x .!'m*,icun 0S"o is (Ir,a i; V at` 10M tl t4 Ct, 0,mRttg UM16tW: t difF�-f#-t atr) i+,
fi. 7 u i t Vi ofInksf� t�3�gt�kv�
FYIi=^zls'd�rei�: .'et [k�er::I��i'^�I'rt,f'Cft
STA.k l �--1.,4'AIDA
It .(r :;;+;riswujwrt wat Mtr,r.craattndgwd br4tr0 rr.�o Clio u t a! C1 '" �M uY
:r
:is id rrtifirp(iw'i, who did dC."d nw,s u0 aro oBVi:
` 1
t oiid . my ri y atlacot -a at tt'te Ll I ne t?i r6cvd I,i-n of th4t w cl off,' e' xrY YCvmew.,t
OR BK10745 PG2087 Page 3 of 3
► 0 9
am-IMMMUM,
TRACT 11 , SECTION 18, TOWNSHIP 26 SOUTH, RANGE 22 EAST, ZEPHYRHILLS COLONY
COMPANY LANDS, AS PER PLAT THEREOF AS RECORDED IN PLAT BOOK 1, PAGE 55,
PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
V, �Iiiii 111
►
State Of Florida, County Of Pasco
This is to certify that the foregoing is a
true and correct copy of the document
on file or of public record in this office.
Witness my hand and official seal this
—L— day of__,J�. 2_2LZa_
Nikki Alvarez- ovules, Esq., Clerk & Comptroller
Pasco Cpupty, Florida
By , Deputy Clerk
Contractor/Homeowner:
Date Received:
M
2MMM
Approved w/no cornments: El
0
H
M
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Approved w/the below comments: L%1.
W
r %Z6,%3 it txA-J
This comment sheet shall be kept with the permit and/or plans,
Denied w/the below comments:
Q&1196SA, )
- - --- --- -----
C—IVA
tz
O�
Bill 4Bg—e!ss— Ti i Offifficial Date Contractor and/or Homeowner
(Required when comments are present)
FLORIDA BUILDING CODE, ENERGY CONSERVATION
CHAPTERC4—CO MERCI L ENERGY EFFICIENCY
Form 402402 F ALTERATIONS, RENOVATIONS and BUILDING SYSTEMS
C lirrarat ot;e, 2
PnfY e'ct" Name: `ii.:i'i... TRUCKING CCLif c3i cle type:2
Address: 403 r FREE FALL, AVE, Aleecatiu t Renowation i a Building System . ,
City, Zip Code: 7EPl-iYRFflLLS, R 33541 � Building P€ nrot vloa :
Builder
� �4 �� � � ➢ [ j i"'anniiting Offica
BUILDING ENVELOPE INFORMATION (Where changed)
Fiaguiraaaaa*rst ....._,.� ��..�_ Efficiency ..�.�..,.. ,.'
Envelope Component Description
Location Unit Required Installed
Table C40Z 1,4 car d ` fac croar
Roof rp 8 R38
Table C402,1,3 Vioue
o Solar
Roof reflectanc ar`I`nriitanc � reflectance,
tcu° slope ray f l NIA Table C;4d; . 3 Ifa�rraaaT i lr= � N/A
( i }
mitt nce
Wall type, above n di Mw i Ai., , ti � 11
4r� ac dt, dratxaat Table C*tU2i or °� €1 ?^; ftai' or
grade N/ANIA MA
Table C 4i`i'.1.3 F ,ra hie
i'if7C}Y`type
NIA, ('Lf'A
is fa l ar t sa } N/A
Vedi.al fenestrations X 1,9'f NG, F 1XE` ,.
i-factor /A NIA
Skyt@hts WA
SHGC N/A N/A
BUILDING SYSTEMS INFORMATION [for HVAC, service tact water or pool heating, fie lacing systems and replacement fenestration (511'11))
Type as Requirement Efficiency
System (describe system)
Location Breit Required Installed
SPLIT 1,4 , Y i .,H' � SEER os E`ER
Air cone r'tioning system %tare S t. 40 3 (i 3, C 8i ta, 111 t ry 14+ SEER t S r, i'.
Hearing systfzm v= < dl Iras C403.2.3 ( ) !�� �\ l / N/A NiA
ac er
',Ventitatiari/rkhandong cyst m NiA Tables C 03, t? t(1`�) arr � WA
(cf
Location:
rt � � E,..._.�
Ducts � ,r, , x j t v _ r ,. Table4EJ t.
1
Fluid
designrpn€ ble C403, ,x? i
c_amaau temp: 0
�� i..
N
Hot water i „..,.:t.. , F�.?t. Tr'�t➢1c.. G 4fi�..? �°'/{,. $�� MV�' 't � (,",;"" �i' ��NIA NIA
l
Space types. (append _ (&" 4t�i �5� r
i ilmand C F , 1 rabic Cod ..�3, 2 (I or 2) � i 2 . r.
not) der�*fy 3 ;
Fenestrations: Enter Information In BUILDING ENVELOPEINFORMATION box above,
Other.,
COMPLIANCE IS BY ANSMASHRA01ESNA 90,1 ;
(Submit attern ate form c+ ,rappend documents as needed)
t haft lay certiia that the plans andspecifications
covered by they calculation are in compliance Review of pl a 's and specftrc »tti;,, o c overwd by this
r,vkh the Florida Buddin3 CockEnergy Conso at,ion.
F'fC'fyi ARF.-, ? f3Y. , .1;..,I calculation indicates co,misiance uncle the , landa Budding
ATE:j i;aca`a Energy Consara ltrr}ra efbi Construction is
I her .ny u t r that this building is in cornpli'ar a with the Florida F�udefin l I( �a aplr tar this building tvr`i tea inspected Per compliance
Soda Energy case ate a is iar r°ordance cv ih Section on 553,908,I S
C�Ko SE t l �l tv e BUILDING t�fl is OFFICIAL:
iC
�._ �_
A i Ct.4T£
amw
COOLING COIL PEAK
Peaked at Tirne; Mo/Hr: 1/ 16
Outside Air: 6rADBfWBIHR-1 91 / 781 123
Space
P"
Sens. + Lat.
Sen.. ;na
Btu/h
Btulh
Envelope Loads
Skylite Solar
0
0
Skylite Cond
0
0
Roof Cond
0
11 �791
Glass Solar
1,262
0
Glass/Door Cond
186
0
'Nall Cond
14;1108
2,858
Partifion/Door
0
Rcsc-
0
Actiacent Floor
000
0°00
Mfiltrabon
0
Sub Total
15,556
14,648
Internal Loads
Lights
People
Misc
Sub Total
Ceiling Load
Ventilation Load
A Air Trans Heat
De -humid, Ov Sizing
Ov/Undr Sizing
ExhaustHeat
Sup. Fan Heat
Ret, Fan Heat
Duct Heat ftup
Underfir Sup Fit Pkup
Supply Air Leakage
1,971 493
3X0 0
2,048 0
7,019 493
0 0
0 0
11,791 26
1,2622 3
186 0
16,966 37
0 0
0 0
0,00 0,00
0 it
30,205 66
2,464 5
3,000 7
2,048 4
7,512 16
2,712
-2,712
0
0
0
0
8,306
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25,287
12,429
46,022
100.00
Total Capacity
ton MBh
Main CIg
3.8 46.0
Aux Cig
0.0 0.0
opt vent
0.0 00
Total
3,8 46.0
Project Name:
Dataset Name:
heVi trucidng,trc
System Checksums
By Executive Engineering
CLG SPACE PEAK
Mo/Hr- Sum of
OADB: Peaks
Space Percent
Sensible Of Total
Btu/h (%)
0 0
0 0
0 0
1,832 7
125 0
15,529 61
0 0
0,001 0
0.00 0,00
0 0
17,486 69
1,971
1 „500
2,0,48
5,519
2,254
0
0
M
8
6
8
22
9
0
0
X
100.00
If, .
Envelope Loads
Skylite Solar
Skylite Cond
Roof Cond
Glass Solar
Glass/Door Cond
Wall Cond
Padition/Door
Floor
Adjacent Roor
Infiltratim
Sub Total
MRIMMIUM
LigMs
People
misc
Sub 7btal
Ceiling Load
Ventilabon Load
Ad j Air Trans Heat
OV/Undr Sizing
Exhaust Heat
GA Preheat Di'd,
RA Preheat Diff,
Additional Reheat
Underfir Sup H1, Pkup
Supply Air Leakage
Grand Total ==>
COOLING COIL SELECTIOK\"' (D IVIUR '/
Sens Cap. Coll Airflaw Erktr lffifffpi�- �ikl 1e16BrV4B1HR
MBh curs 'M,'F" , g0b
38,8 11304 84:155 .76-9 7 69 9993 57,6 155.4 '�-6Z()
41� 0,0 0'a 0,0 M. rcl-0 I 00* 00 0,0
HEATING COIL PEAK
Mo/Hr' Healing Design,
OADB: 40
Space Peak
Coil Peak
Percent
Space Sens
Tot Sens
Of Total
Btulh
Btulh
M
0
0
000
0
0
0.00
0
-5,094
22,39
0
0
0,00
-422
-422
1 86
-%781
-11,894
52-29
0
0
0.00
0
0
0:00
0,00
0,00
0,00
0
0
0.00
-10203
-17,410
7&54
0
0
0.00
0
0
0100 1
0
0
0.00
0
0
0.00
-1,362
0
0,00
0
-5,336
23,46
0
0
0
0
0
0.00
0
0.00
0
0.00
0
0,1130
0
0,00
0
0,00
0
0,00
-11,565 -22,746 100�00 I
MW
Gross Total
Glass
it,fj
Floor 939
Pao 0
Int Door I
ExFfr 0
Roof 939
0
0
Wall 950
15
2 1
Ext Door 0
0
0
Incremental Heat Pump
Cooling
Heatilrg
SADB
57.6
78,0
Ras Plenum
84.1
65A
Return
83,6
65A
Ret/OA
84,5
623
Fn MtrTD
0.0
0.0
Fri BIdTD
0.0
0.0
Fn Frict
0.0
0,0
Cooling
Heating
Diffuser
1,304
1,304
Terminal
1,304
1,3041
Main Fan
1,304
1,304
Sac Fan
0
0 i
Nom Vent
160
160
AHU Vent
160
160 1
Infil
0
01
MlnStop/Rh
0
0
Return
1,144
1,144
Exhaust
0
0
Rm Exh
160
160
Auxiliary
0
0
Leakage Dwn
0
0
Leakage Ups
0
0
ENGINEERING CKS
Cooling
Heating
A, OA
122
122
eftift,
1,39
1,39
cftrdtari
34001
When
244-71
Btuffir4ill
49.04
-2424
No, People
6
HEATING COIL SELECTION
Capacity Coil Airflow Ent
MBh Can, °F
Htg -22.8 1,304 623
Htg 0.0 0 0.0
0-0 0 0-0
,idff D'O 0 0.0
Vent 0-0 0 0,0
f --22,8
TRACE9, 700 v6.3.5 calculated at 09A7 PIV on I 1 /11012022
Alternative - 1 System, Checksurns Reepart Page I of I
Slgiiattir2`
- e a
fl r ten a or contractor or authorized representative
Notice is here n t at a larm system project has been completed at the address
specified above. i certify that all of the foregoing information is true and accurate.
1011113 section 553.793 FS