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HomeMy WebLinkAbout91-1787 STATE OF FLORIDA .. City of Zephyrhills PASCO COUNTY Permit N~ 17878 BUILDING DEPARTMENT ~-d ;7,~() 1-813-788-6611 T of Permit 7:l-SO ?d..~~() L./ Date 9- / b - ~ I \~ ;~ ~,_rD ,~~c~ J.d7cf< cID BUILDING EL-ECTRI~A~) PLUMBIN.G) ~CHA~ A/eiL,-: t;t~. " ,?-5CJ - OCJ - - -- // ~-' /~/' j'Jz,' I bS". OV properIYownerSName:!2l~>~ ~Lr~~1- (fl~ybi) Job Address: h / (j ~ _ _~ _ ---'- ~ _U- Legal Description: SUb.DiV'~/1 tJHL Lot Zoning CI: d - .;l {, -d-/ - i - 6 ~ DescriplionofWork ffi.b<Y 2~' .If. .~ '. . Blk. Energy Code Readout:""'p-;;' , j Mtt> /fi-rl(f Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 6 ~ /-..!>-.:s-: t:JO OCCUPATIONAL LICENSE #;l..:J... W ,~.A?, Fee: ?/J-su :; ~.:l,~,g-, SIGNATURE ~_ c? ~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. p Tp.Serv. 1J,f- Rough In I J ,,$l1 /. --f I Breakers Meter Can Ducts InSI.II.,tI,f/~ Canst. Pole Compressor Pool Final Pre-Meter I - ~ - Q" Final Driveway /1..-l.~-1 J ~ . Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.OO) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. \ ,t;. h(S " " '.. ":,' .., ~ \ '. o. '1, ~: .,. '. ..... '0' ",". (/) " .. '., - :.. r :: .' < rn "o' \ '., 10 '.. ~ ..1 :os J t1\ 7\ (j) C7 7V ~ rn ~ .,J -tj r- o g-\ G\J ~s: ...>:--<. Z, II ~A1 -ft\ (/1 - o m ~ ["I tl\ I r ~ ~ '" (j'I - ~ \f\ fJ o R t<- cf' K ~I -, ~ nl i Lo+2. -o.~~~ i --") " , " 14 l' I I L"!-~J o BarnenSupl'ifl'lIl'r Westgate Office 37031 County Route 54 L:' 1 ti., . ~ ,!f> p ORf . ~-,..."n..~. W.. -- '"' ... a: o lGENT RD. i' ,~ : ~<~,~I. . ~~"'!'i1!~~_LBIU( JAY RI}, 301 '@ @) 1.1 TOWNSEND 15 L4to Gilbor~ 6 cr i o ~ z Cl "i1(!(NIAl (t t "" ~lJl . . NM~ f'O. z: )S"""PW ;,13 PHELPS RD. 21 Cns.Rl! \'DUNJiDJl g '" '" ~ l"!!lENSI () Pretty / Pond ( J~o!j,!L_LJlQ, _ ~, I a C~ _ 811' ~^ ,,' FORM 900.B.91 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 - Residential Point System Method Department of Community Affairs Climate .Z~s CENTRA~ 6 OWNER: et C~ ZONE: 4[9--5060 ~~ PROJECT NAME AND ADDRESS: NEW CONSTRUCTION ADDITION MUlTIFAMilY ATTACHED ~ D IF MUlTIFAMilY, NUMBER OF CONDITIONED UNITS ClJIERED BY [IJJ FLOOR AREA THIS SUBMITTAL: PREDOMINANT EAVE OVERHANG CHECK IF THIS SUBMITTAL LENGTH REPRESENTS A WORST CASE PORCH lJIERHANG rn n:J ' CONDITION: D lENGTH . Ld FT., ~ DIJ.~ Fl GLASS AREA AND TYPE CLEAR TINT.FllM.SOlAR SCREEN SINGLE- OJ]] SQ, SINGLE- OJ]]' SQ, P~NE FT. PANE " FT. DOUBLE- SQ DOUBLE. OJ]] SQ. PANE FT. PANE FT. SINGLE-FAMilY DETACHED NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = R = CIlIililiJ so. m .8J ITIIIJSO' m ITIIIJ so. m m FT. FT. FT. ADJACENT MASONRY R= AO.W:ENTFRAME ADJACENT STEEL R= R.. I ITIIIJ so m.D so. rnrnso. m so. m FT. FT. ' FT. FT. I I CEILING AREA AND INSULAnON R ... SGl ASSEMBLY ~ ITIIIJ~' DUCTS IN UNCONDITIONED SPACE R = ~.!a I~:TIONED SPACE R. m.D COOLING SYSTEM 1;Zl CENTRAL o ROOM o PACKAGE TERMINAl AIR CONDITIONER o NONE SEEPJCER. rn.S] HEAnNG SYSTEM o ELECmlC smlP o NATURAl GAS o ROOM UNIT OR PACKAGE TERMINAl.. 0 tEAT PUMP NONE ~~I [2l~ SLAB PERIMETER c.J2IiliJFT. R.OOR TYPE AND ,"SULAnON R = RAISED WD 0 CON 0 ~ . ITIIIJSO. UU FT. HEAT PUMP o OTHER FUELS KYAC CREDITS o CEILING FANS o CROSS VENTILATION ' o WHOlE HOUSE FAN I o ATTIC RADIANT BARRIER o MUlTlZONE flI ElECmlC o NATURAl GAs o OTHER FuElS o NONE ' EF...EDQ INFIlTRATION [QJill[QE] ~ DlliJ.rn PRACTICE USED X 100 = D #1 ~#2 D #3 TOTAL AS-BUILTPOINTS TOT At BASE POINTS CALCULATED E.P.!. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby certify that the plans and speclflcallons covered by the ClIIcuI8tion ara in c:omplIance wtth the Florida Energy Code. V)", \, PREPARED BY: "'~ \J~ DATE: 9 -5 -g I I her~rttIY thaI th\Sro.~kfi!'ll1s In IlOlnI!.fianca wtth the Florida Energy Code. OWNE~~:, ~-tJt~ ~0-~ : DATE:...:l-S -9 I DATE: ' SN:' 1594 DOUGHTY - LOT 2, SILVER OAKS FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 Compliance Program - Residential Point System Method Version 1.0 January, 1991 Department Of Community Affairs Printout generated by EPI91 and submitted in lieu of Form 900-A-91 THIS COMPLIANCE FORM IS VALID IF SUBMITTED AFTER JANUARY 1, 1991 -------------------------------------------------------------------------------- )ROJECT NAME: SINGLE FAMILY RESIDENCE PERMITTING OFFICE: ------------------------------ ~ND ADDRESS: LOT 2, SILVER OAKS ZEPHYRHILLS, FLORIDA -------------------------------- CLIMATE ZONE: 4 5 6 ------------------------------ WILDER: )WNER: MR. DOUGHTY GENERAL HOME DEVELOPMENT CORP. PERMIT NO.: ------------------------------ JURISDICTION NO.:: ------------------------------ ~---------------------------------------------------------------~--------------- ;TRUCTURE TYPE: Single-Family 'REDOMINANT EVE OVERHANG Length: 'ORCH OVERHANG Length: IINDOWS DouDle Clear All Vertical Glass All Skylight Glass IALLS Ext NormWtBlock Int Adj Wood Frame IOORS Ext Insulated Adj Wood EILINGS FLAT Under Attic PITCHED Under Attic PITCHED Under Attic LOORS Slab-on-Grade UCTS Unconditioned Space OOLING Central A/C EATING Heat Pump OT WATER Electric :OMPONENT: NFILTRATION Conditioned Floor AS BUILT POINTS 28,607.24 DIMENSION: VALUE: RATING: VALUE: OFFICIAL CHECKLIST 1.83 7.33 Total Area Total Area Total Area 286.90 286.90 .00 Area: Area: 1152.90 R-Val: 186.40 R-Val: 7.20 11.00 Area: Area: 21.60 21.60 Area: Area: Area: 848.00 R-Val: 1042.50 R-Val: 168_00 R-Val: 40.00 40.00 23.00 Perimeter: 208.70 R-Val: .00 Length ALL R-Val: 4.20 SEER: 8.95 COP: 2.84 EF: .90 Bedrooms: 3.00 Area: 1748_00 Pract: 2.00 / BASE POINTS 100 * ::: EPI 34,813.43 82.17 GLASS TO FLOOR AREA RATIO ::: .1641 n Accordance with Sec. 553.907 F.S., Hereby certify that the plans and :pecifications covered by this calcu- ation are in compliance with the lorida Energy Code. IWNER~: lATE: ~-~ Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance in accordance with Section 553.908 F.S. ~ BUILOINYFFICIAL' 4 - , " · '-4A..~ DATE: ,--~-r( ** PRESCRIPTIVE MEASURES (Must be met or exeeded by all residences) ** :============================================~=================~:=============== ~OMPONENTS SECTION REQUIREMENTS :================~============================================================== JINDOWS :XTERIOR & ~DJ ACENT DOORS 904.1 904.1 :XTERIOR JOINTS 904.1 < CRACKS JATER HEATERS 904.2 Maximum of 0.34 CFM per linear foot of operable sash crack. Maximum of 0.5 CFM per sq. ft. of door area. Includes sliding glass doors, solid core, wood panel, insulated, or glass doors only. To be caulked, gasketed, weather stripped or other- wise sealed. Must bear label indicating compliance w/ASHRAE stand- ard 90 or comply with efficiency and standby loss re- quirements_ Switch or clearly marked circuit breaker (electric), or cut-off (gas) must be provided. An external or built in heat trap must be provided_ ~---------------------------------------------------------------~--------------- ;WIMMING POOLS < SPAS 904.3 Spas and heated pools must have covers (except solar heated). Non-commercial pools must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78 ~---------------------------------------------------------------~--------------- lOT WATER )IPES 904.4 Insulation is required only for recirculating systems In such cases, piping heat loss shall be limited to 17.5 BTU/H/Linear Ft. of pipe. ~---------------------------------------------------------------~--------------- ;HOWER HEADS 904.5 Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG. v_______________________________________________________________v_______________ lVAC DUCT :ONSTRUCTION 903.2 904.6 Constructed in accordance with industry standards & local mechanical codes. Ducts in unconditioned space must be insulated to minimum R-4.2 & Joints must be sealed. ~------------------------------------------------------------------------------- IVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. ~------------------------------------------------------------------------------- NSULATION 904.9 Ceilings minimum R-19. Common Walls - Frame R-11 or CBS R-3. Frame Common Ceilings & Floors R-11. ** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** ~_______________________________________________________________v_______________ ~_______________________________________________________________A_______________ :OMPONENTS REQUIREMENTS ~---------------------------------------------------------------~--------------- ~---------------------------------------------------------------~--------------- )RACTICE #2 Comply with Practice #1 and the following. :xterior walls & Floors Top plate penetrations sealed. Infiltration barrier installed. Sole plate/floor joint caulked or sealed. :xterior Walls & :eilings Penetrations, joints and cracks on interior surface caulked, sealed, and gasketed. )uctWor k Ductwork in unconditioned space must be sealed. : i replaces Equipped with outside combustion air, doors, and flue dampers. :xhaust Fans Equipped with dampers. Combustion devices see 903.2 ( f ) . :ombustion Appliances Provided with outside combustion air. ~****************************************************************************** SUMMER CALCULATIONS ~****************************************************************************** === BASE ===: === AS-BUILT === -------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ~LASS---------------- )RIEN AREA x BSPM = I I POINTS : TYPE SC ORIEN AREA x SPM x SOF = POINTS -------------------------------------------------------------------------------- N 54.10 47.8 2586.0 DBL CLR N 23.7 47.8 .87 980.6 DBL CLR N 23.7 47.8 .87 980.6 DBL CLR N 6.7 47.8 .69 221.0 E 36.10 102.0 3682.2 DBL CLR E 8.7 102.0 .84 747.4 DBL CLR E 8.7 102.0 .84 747_4 DBL CLR E 5.3 102.0 .94 510.9 DBL CLR E 13.4 102.0 _94 1284.8 S 134.00 90.9 12180.6 DBL CLR S 53.4 90.9 .39 1893.1 DBL CLR S 23.7 90_9 .39 840.2 DBL CLR S 23.7 90.9 .76 1634.9 DBL CLR S 16.6 90.9 .76 1145.1 DBL CLR S 16.6 90.9 .76 1145.1 W 62.70 102.0 6395.4 DBL CLR W 5.3 102.0 _79 425.9 DBL CLR W 8_7 102.0 .95 846.7 DBL CLR W 8.7 102.0 .94 829.7 DBL CLR W 40.0 102.0 .88 3594.9 .------------------------------------------------------------------------------ 15 x CONDo FLOOR / TOTAL GLASS = ADJ. x AREA AREA FACTOR GLASS = POINTS ADJ GLASS POINTS GLASS POINTS .------------------------------------------------------------------------------- 15 1,748.00 286.90 .914 24,844.18 22,705.28 : 17,828.18 .---------------------------------------------------------------.--------------- .------------------------------------------------------------------------------- ION GLASS------------ : AREA x BSPM = POINTS: TYPE R-VALUE AREA x SPM = POINTS -----~-----~--------------~-----~--------------------------------------------- ALLS---------------- xt 1152.9 1.0 dj 186.4 .7 1152.9 130.5 Ext NormWtBlock In Adj Wood Frame 7.2 11.0 1152.9 186.4 .78 .70 899.3 130.5 OORS---------------- xt 21.6 4.8 dj 21.6 1.6 103.7 34.6 Ext Insulated Adj Wood 21.6 4.80 21.6 2.40 40.0 848.0 .40 40.0 1042.5 .40 23.0 168.0 .85 103.7 51.8 EILINGS------------- A 1748.0 .6 1048.8 Under Attic Under Attic Under Attic 339.2 417.0 142.8 LOORS--------------- lb 208.7 -31.8 -6636.7 Slab-an-Grade .0 208.7 -31.90 -6657.5 NFILTRATION--------- 1748.0 10.9 19053.2 Practice #2 1748.0 10.90 19053.2 ============================================================================== OTAL SUMMER POINTS : 37,592.24 : 32,308.11 ~--------------------------------------------------------------'--------------- ~----------------------------------------------------------------------------- ::nAL x JM PTS SYSTEM = MULT COOLING : TOTAL POINTS : COMPON x CAP x DUCT x SYSTEM x CREDIT = COOLING RATIO MULT MULT MULT POINTS -~--~----------------------------------~-----------------------,--------------- 37,592.24 .42 15,788.74 : 32,308.11 1.00 1.140 .378 1.000 13,934.49 -----------------~-~-----~--~-----~-----~--------~------------_._------------~- ------------------------------------------------------------------------------ :****************************************************************************** WINTER CALCULATIONS :****************************************************************************** === BASE ===: === AS-BUILT === ~------------------------------------------------------------------------------- .------------------------------------------------------------------------------ iLASS---------------- lRIEN AREA x BWPM = I I POINTS : TYPE SC ORIEN AREA x WPM x WOF = POINTS -------------------------------------------------------------------------------- N 54.10 5.6 303.0 DBL CLR N 23.7 5.6 1 .11 147.8 DBL CLR N 23.7 5.6 1 .11 147.8 DBL CLR N 6.7 5.6 1.28 48.0 E 36.10 -5.6 -202.2 DBL CLR E 8.7 -5.6 .64 -31.3 DBL CLR E 8.7 -5_6 .64 -31.3 DBL CLR E 5.3 -5.6 .87 -25.8 DBL CLR E 13.4 -5.6 .86 -64.5 S 134.00 -14.0 -1876.0 DBL CLR S 53.4 -14.0 .13 -97.2 DBL CLR S 23.7 -14.0 .13 -43.1 DBL CLR S 23.7 -14.0 .86 -285.3 DBL CLR S 16.6 -14.0 .86 -199.9 DBL CLR S 16.6 -14.0 .86 -199.9 W 62.70 -5.6 -351.1 DBL CLR W 5.3 -5.6 .52 -15.4 DBL CLR W 8.7 -5.6 .89 -43.4 DBL CLR W 8.7 -5.6 .85 -41.4 DBL CLR W 40.0 -5.6 .73 -163.8 ------------------------------------------------------------------------------ 15 x CONDo FLOOR / TOTAL GLASS = ADJ. x AREA AREA FACTOR GLASS = POINTS ADJ GLASS POINTS GLASS POINTS 15 286.90 ------------------------------------------------------------------------------ -898.69 1,748.00 .914 -2,126.32 -1,943.26 : ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- ON GLASS------------ : AREA x BWPM = POINTS: TYPE R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------ ALLS---------------- xt 1152.9 1.1 dj 186.4 1.8 1268.2 335.5 OORS---------------- xt 21.6 5.1 dj 21.6 4.0 110.2 86.4 EILINGS------------- A 1748.0 .6 1048.8 LOORS--------------- lb 208.7 -1.9 -396_5 NFILTRATION--------- 1748.0 4.1 7166.8 ============================================================================== OTAL WINTER POINTS I I 7,676.08 : Ext NormWtBlock In 7.2 1152.9 2.26 2605.6 Adj Wood Frame 11.0 186.4 1.80 335.5 Ext Insulated 21.6 5.10 110.2 Adj Wood 21.6 5.90 127.4 Under Attic 40.0 848.0 .40 339.2 Under Attic 40.0 1042.5 .40 417.0 Under Attic 23.0 168.0 .85 142.8 Slab-an-Grade _0 208.7 2.50 521.8 Practice #2 1748.0 4.10 7166.8 ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ 10,867.53 OTAL x IN PTS SYSTEM = HEATING : TOTAL MULT POINTS: COMPON x CAP x DUCT x SYSTEM x CREDIT = HEATING RATIO MULT MULT MULT POINTS 7,676.08 1.10 ------------------------------------------------------------------------------ 4,323.76 8,443.69 : 10,867.53 1.00 1.140 .349 1.000 ============================================================================== c****************************************************************************** WATER HEATING c****************************************************************************** === BASE === === AS-BUILT === N_______________________________________________________________~_______________ ------------------------------------------------------------------------------- ~UM OF ~EDRMS x MULT == TOTAL TANK VOLUME EF TANK RATIO x MULT x CREDIT MULT == TOTAL 3 ~---------------------------------------------------------------~--------------- 10,349,00 3527.0 10,581.00 40 .90 1.000 3449.7 1.00 ~---------------------------------------------------------------y--------------- ~----------------------------------~--~-------------------------~--------------- :****************************************************************************** SUMMARY :****************************************************************************** ===== BASE ====== ===== AS-BUILT ==== ------------------------------------------------------------------------------- ._------------------------------------------------_.~~-------------------------- :OOLING 'OINTS + HEATING POINTS HOT WATER + POINTS = TOTAL POINTS : COOLING : POINTS + HEATING POINTS TOTAL POINTS HOT WATER + POINTS - 15788.7 .------------------------------------------------------------------------------ 10349.0 28,607.24 8443.7 10581.0 34,813.43 13934.5 4323.8 .---------------------------------------------------------------.--------------- .------------------------------------------------------------------------------ ***************** * EPI == 82_17 * ***************** __ __ ___'._...._-.-__~:.r.._...__"'::_:___~:~ :-::-:-~~ -."'" APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER General Home Development CorP. 817 ILS qg RWac;c; ~mlth} Dade City, FL Robert Doughty 33525pHONE (904)567-6581 APPLICANT ADDRESS 2 BLOCK 11~.45xI98.2xI81.41xI90.25 LOT SIZE X AREA SQ. FT. SUBDIVISION Silver Oaks " JOB LOCATION Lot 2, Silver Oaks LEGAL DESCRIPTION: LOT(S) PARCEL 1. D . i~ .:J - ;L" - .J.-I - J J.. - 0 - ~ WORK PROPOSED:.!-New Construction ____Addition ____Alteration ____Repair ____Install ____sign/Temp. PROPOSED USE: ~Single Family ____Sign _Hove _Demolish ____M/F ____~~ of Units , .____M I H ____commercial ____Indust. -LSwim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. pERM1TS REOUESTED -LBUILDING 2-ELECTRICAL ~MECHANICAL X . ____PLUMBING $ Valuation of Total Construction AMP Service X Florida power Corp. _W.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY ..; . TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BlJ11JlER ~0IIe. Dey~"t Corp, Company Key;" 1. Roberts - _ ~ >>. State Cert. or Regist, 11 CG<:OO~q", Signa ture Ci ty License Regis tra t ion ii ;2 ;;L ****************************************** ELECTRICIAN MCAr-ti\-\ (:JQ.<...t"(""C Company 11 "r.h.... E/e,f-r,-c. State Cert. or Regist.4i ER.(JO IIHD Sio-nature ~ 7cL~: L City License Registration ii /5: ~ ******~*********************************** Signature Company --Z;;4.YO/7JC::- T t1:~6 p? b / <::~~ State Cert. or Regist. 4,! L rcck/ ~ 7&;]> City License Registration 0 9/ ****************************************** MECHANICAL ;:t;. Signature ~ -' Company ~ U T H &.--/2- '"'\.. ~ ~ State cert~r R;g~~ 41 ~ City License Registration # ****************************************** <::::.-.c.\ VL. ~ D~ "\ /2... "Vt CV) I SD Z- ?. /~ Signature Company State Cert. or Regist. 0 City License Registration 0 OTHER APPLICATION APPROVED BY *H * * * * * * * * * * ~ -I: * * * * * * * * * '.~ ** of, *~, 1, * * *,1' * * * * *, "'hU'~ f J7A~, . .. PERMIT OFFICER. -il.... II" ~CIf....~ CONDITIONS OF P~RMIT AFFIDAVIT A. NOTIC~ OF D~ED RESTRICTIONS The ,undersigned understands that this perlit lay bl subject to "deed restrictions" which may be 50re restr,ictive than City regulations. The undersigned assules responsibility";for.,colpliance with any applicable deed restrictions. . ~,.' . , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with stlte Ind locll regulltions. If the contractor is not licensed as required by law, both the owner and contractor ~ay be cited for a eisde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-66il. Furtherlore, if the owner has hired a contractor Dr contractors, he it advi5~~ to have the contractorls) sign portions of the 'Contractor Sections. of this application for which they will be respClnsible:.' IT you, -as-the c.wner .sign a5 t~e (C.ntractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractc.r wishes you to sign as contractor that lay 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. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) 1 certify that I, the applicant, have been provided Mith a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Con suter Affairs. If the applicant is sOle{.ne other than the 'owner" , I certify that I have obtained a, copy of the above described docutent and promise in good faith to deliver it to the "owner" prior to cOllencelent. I E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 certify that all the information in this application is accurate and that all work will be done in cOlpliance with all applicable law5 regulating construction, zoning, and land develop.ent. . Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work Dr installation has comtenced prior to issuance of a perlit and that all work will be performed to leet standards of all laMS regulating construction, City cod~s, zoning regulatiGns, and land development r~gulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies fiay apply'to the intended work, and that it is ,y responsibility to identify what actions 1 lust take to be in COMpliance. Such agencies include bl,t il e Dot li_ited to: . ~. #' I Department of Environmental ReQulation - Cypress Bayheads, Wetland ~reas and Environmentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland ~reas, Altering Watercourses I ~rlv Ct1rps ,of EnQineers - Seawalls, Docks, Navigable Ilaterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - IIells, Wastewater Treat~en~. Septic Tanks I US Environaental Protection AQency - Asbestos abatement 1 also cedify that, if fill material is to be used in Hood Zone "A" or "A,etc.', it is understr1t1d thil a drainage plan addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer reqist2red in the State of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issll~d ;hall becole invalid unless the work authorized by such permit is co.menced Mithin six months of issuance, Dr if work authol lzed by the perlit is suspended or abandoned fr.l' a period e.f six months after the ti.'le the llork is ctlKlmenced. One 9(\ day e~\;;iisioll of tilt', aay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection aust be logged during each six tonth period, or the project will be considered dbdlldooed- 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE_~_~~------- SIGNATURE_ ~C-O-NT-R-- -A.-CT--O~R--- ~ OWNER OR AGENT .z~ DATE___________,~-~,{SU---------------- ~g~~~~C~~R~~____~~~~ DA TE______________9Jnqj-----------.------- ~~~~~V O~S A~~NT __fj~g.--~~- MY COMMISSION EXPI-lWrARY PUBLIC. STATE OF Fl.ORIDA. Hilts ~QJ'rtl'J1JSSJOrll. .i:UU~M"R-: ~;-t994. BONDED THRU NOTARY PUBLIC UNDERWR.lTERS. MY COMMISSION EXP8~~~~~~~~ MY COMMISSION EXPIRES- F'1:O"RI1n. .ONDCD THftU NOTAlty flU."'" MAR. 26. 1994. C UNDIlIIWFtITl!It.. " 1'1 Ii II ~~-k~;~'1 ~,E_~-:~,- 1// v' fir L ...-t · ". 1.0 b:;' .,J~, t" err it.;: Ii.. 2.rL~{1 571 (-I T,,"/:.._ (, r \ C, (tOIJ&};: i) II , -'1 NrJ f)-Ti 0r\: t, '-I, J 55' ____ , ------____ ..J3_ulL~ J~G ~ --~Z 7. SO _______________________ PL\')MiS/~h-: 7"2-,50 C .; t:.C.--r,z lUlL : 71/ 50 . I 13 \} I L-IJ I N:',- ynfcHfJA1'UlL. ~ tlO.DO S'0l5 "K> 1tlL-: 7tQ, j 0 rLt1/l-\ ~(zj17 ~ - S!:.. 00 T:>Tf) L: tobY, 50 --.Pr.tt.....' r { pN. ~ ~. c r I o...J_ ft:-f S ----.-....------.-.------ _.~_.-.,---_.,--,.__.~----~,--_._.._.,..._-_.- _______________.__ S r; ~{:(t_______ \ '2. 7 ~ . 0 <> \ . --.---...-..-.-..----- ------------..--. W~f({< ft.J j''''\ E. TEll. :350. 00 1(;,5". DO ..._------~-._- ~f}\)ON &AS (Z.J2~c, 51 rt) 22.S9 I I -l ~tl "1 Il= t I I , I . I t Tlf~ ~)ft I fatAL jJ . 'Zt4W,3Q -.. ~. .... ,"'--~,."...~._...--.."""',..,;.,. --,- ......~~---...._._. .-.., -'-... -----------------.-------..-..--..---.- -------------------._-~._-_._-----_..~~-_._-"_.__._._.-.....----.--..---......---..-.--.---.....--.-.- It' I i , I I ~ ! I I i I - --.-- , -. - _..._"----. .. .-_.. ..-+ .-.......- - -~ - - - -- -- .- -~..,----- ---- ----- ---------- , .. - - --- I -- .. -- -- I -. i ---.--- .----.--..----. -- - .. -- - .. - -- t ---- -- --~ -- -- - - ---.-.. , -- ~~... ................_~ , ---- -- -- - --..-..- -- II' -_..---...,.~ .-.. -"-~.~ ~- -- '" ~ OWNER DEPARTMENT JOB LOCATION ~ ;:L PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. r-cf /~~: c:o ~ S/t'/ , /~ . 'l: ~ j- 71' ~r~v~tVl c-/1,~ /cJ--r30~ 7/ PERt-AfT NUMBER /\ppi".:. .,":;CI :j~/ ~ (~rr:' C,':: '" ': i ., " " , ': j ,., ) / / ! I I Th:" /-:. I "j' Vl1.'" 1 ~ ::'~/ ,'"'' .::2.__." " .._/~/.eY-'_.__... ..~ { r>.::,',....:. " ;./J ._L......,jl".. .... -K:...J. 'P'l..C',_ ( ....",....;,..... / -..: (-' e/'. \.Jli,,\I~'" .."-,....,",...,...1. ~M~ ~. 'CH\! :..1... ;'');:-i'-P.'''' . l"1.liI.a...>...;;:)..... _ ~~;~A~~_ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~ FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2 ) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60 '- 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE NOTICE OF RESOURCE RECOVERY ASSESSMENT FORM () DATE APPLICANT I OWNER ;( _ thLr! 1-./ ~...t>A 7 ---i! COUNTY PARCEL # -3 - &-6- ~/ - /;;J- - 0 .~ .~ LOCATION 6/ lJ 2" ~"'/0L. (I d~ ~O USE/CODE DESCRIPTION ~ ~~-?-/ :~/h r;y /- / 7?-7 e /3 -9/ PERMIT II RESIDENTIAL NON-RESIDENTIAL Ii UNITS GROSS SQ. FT. (GSF) / RATE/ERU=$SO.OO X 0.96*/YEAR OR $0.1315/DAY ERU ASSIGN # ASSESSMENT = (# UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS) 100 TOTAL FEE $ i) _~" .'j., , --:_- TOTAL FEE = $ PREPARED BY - - * DISCOUNTED FOR PREPAYMENT --------------------------------------------------------------------.----------------- The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197 as commended. THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE C/O. NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE ASSESSMENT HAS BEEN PAID. APPLICANT HEREBY ACKNOWLEDGES RECEIPT OF THIS NOTICE AND THE REQUIREMENT OF ASSESSMENT FEE PAYMENT PRIOR TO C/O OR FINp~ RELEASE. DATE RECEIVED BY ---------------------------------------------------------------------.----------------- FOR OFFICE USE ONLY RECEIPT II .I J '7 ~""I ,;..1 ...:._ / .'-" f DATE I- -- l.'~..~.: ,---- '-j ~?. , BY l " ~'","""'", ~/ ~...! r.} r.'......,.." ""')i:':; !;11F~:: ~ ;:::,~Cj Ij E, F;;:.r " ". .I. ". '" ('I 1".'r .'[1 I~"; )'-("')1,:;' ~-4 T ~ 1 C' .0.,,, !-rn ':jl':.";~:) '/;"l\i , \/F f,' Crt>,!'::'::: E.: 17,:qp :. ::::I\!"'['; "Pic:'r'JF,::: ....r".',',':'."::.I,.:'1,..1 F'E:CE .~-c:~rF:'i'\; c, E: .!T :~.' (~1 :\, i r: L: E{ ,,,{, ,. h. I',; !::" {4 '::: c:: Cj ',.: [iF (/',;'::."-?(I '~:{" :~;C\,(;() T r~j T' PI L., /,~ M C~ ~_~ h~ ~.. ~ C[~';TEr:; /~'" j r- i.... f. :::C:UNTi, 'KL, Clr'~: I I)A :~::}-Ji~!::J< "ft :::l41.:,:!,~ : ~:: _.- C ~ ..I::. ,q !~, :: .:1. ::' (~~: MtllJ r\i' r 4(,,, il:;;.' .-~~:_,~~2Z~-:~'~_ --''t~..ii~~:::~ __.._ _. ____ 1'.,.. : <:,,' ,~~ ! ! L. i. '._.' _~ '_'I... ;'1 "'IC"L': Li(':') -;'E~ ;~':J?:g Ci;: J ;..' 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