HomeMy WebLinkAbout91-1896
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
perJf~
189613
BUILDING DEPARTMENT
~ G s -.J3J 1-813-788-6611
Type of Permit -3'-6 - 0-0 '3 o. o-v
g ~ PLU~GCHAN~
Property Owners Name: 11 ~ ~~-;f ~, Ji.", ,
Job Address: h '1 'lei ~d - -
Date
/0 -3/- 7'/
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI: :2 - 'a:,- .;;L I
Description of Work Ll-~
,- ~ J~ >It.L1 /7 (/~ ALA Ie.
~'
JoL. I.. Z/-qZ,
6rl.-
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Fee ~ /7 0-0 XlI
SIGNAT E_r...------
COMPANY
ADDRESS
TELEPHONE #
Estimated Cost: 7 ~ n--a. o-u
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE #3C23
Ftr.
Pre SLB
..!:intel~~ '1-91
[~FRM.. .-
Insul.CL
WL "L;;J~'
.> rZ-'f-q/ t8
Driveway
Tp.Serv.
Rough In 0)(
Meter Can
Const. Pole
Pool
Pre-Meter 1- 3 - c:r ~
Final
-) tL- S-P/ /
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($ 10.(0)
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.
o~t-~~
,/tJ/
SLB
Tub Set
Water
Sewer
Final
~'1.~1="3feakers
Ducts Insl. J z-1-e; I
Compressor
Final
~.,
APPLICATION FOR PERNIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT Ulc- t\tJS~, '6J ,,,PuJ ~.~1-I'Jl.c.--rO fL
ADDRESS r ;fb-J-}:tr. A-iG:, P</oJ1C-1'V1 rf
OHNER ~ < &c. ..
JOB LO~A T10~ t, q ,,-/rl ~,/; (<;6JhJ.'
PHONE
~. (gr3) 9gt:,'-/'7ftJ
LOT SIZE_X
AREA SQ.FT.
~
LEGAL DESCRIPTION: LOT(S)
PARCEL 1. D .1~ 2.... U'" 2/
HORK PROPOSED:____New construction ~Addition
BLOCK
SUBDIVISION
K-Alter8.tion
____Repair
____Install
____Sign/Temp.
_Sign
_Hove
____Demolish
PROPOSED USE: ____Single Family
Acommercial
~M/F
____~~ of lIni ts
, .____M I H
_Indust.
_Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
~tf X 5""0 ,
/7(J ()
Square Feet,
8'
Height
RESIDENTIAL:
COMHERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORHS.H:
**COPY OF CONTRACT REQUIRED.
URMITS REOUESTED
____BUILDING
$
vriluation of Total Construction
_ELECTRICAL
AMP Service
Florida power Corp.
_H.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
.
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block
_Frame _Steel
_Other
FINISHED FLOOR ELEVATIONS: FT.
*********~********************************
~ONTRACTOR ~ECTI0N
, Company ERI(!Ibf!!fib~1e1b~
State Cert. or Regi t. iF 'Z'TiJfn
. Ci ty License Regi~ tra t ion a .k3
******************************************
-=
:i::::::U '^~
-
Company
__~ - State Cert. or Hegis t. I~
\".. ~ City License Registr::ltion 1/
- * .........................,.*'*****""
&"1
=:
Signature
Company
State Cert. or Regist. 0
City License Registration a
******************************************
nJJMBER
Signature
Company 1..-/
Stqt~ Cert. or Regist. 0_
City License Registration 0
****************************************
.
Company
State Cert. or Regist. 0
City License Registration iF
QTHER
Signature
BY 4!;;~5E';;'*~;:~'**-"""'*"'*" ,
PERHIT OFFICER.
!
APPLICATION APPROVED
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The,undersigned understands that this per.it .ay be subject to "deed restricti~ns" which $ay be oor~ restr.ictive than City
reguLations. The undersigned asSUICS responsibilitf:for,.colpliancc )lith ,any applicable deed restrictions.
"
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the own~r has hired a contractor or contractors to undertake Hork, they lay be required to be licensed in accordance with
state and local regulations. If th~' contractor is not licensed as required by law, both the OHner and contractor nay be
cited for a Disde.eanor violation under state laH., If the OHner or intended contractor are unc~rtain as to what licensing
require.ents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furthermore, if the OHner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for Hhich they Hill be responsible. If you, as the e.Hner sign 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 ~nd is not entitled to per~itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoeeowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is soeeone other than the
"owner", I certify that I have obtained l c6py of the above described document and proffiise in good faith to deliver it to the
.0Hner" prior to cOllencelent.
~ 1 .. .; ~
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inf~rmation in this applicati~n is accurate and that all Hork Hill be done in coapliance with all
applicable laHS regulating construction, zoning, and land development.
Application is hereby made t~ ~btain a per.it to"do work and install~ti~n as indicated. I certify that no Hork Dr
installation has commenced prior to issuance of a perlit and that all work will be performed to roeet standards of all laMS
regulating construction, City codes, zoning regulations, an~ land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies ~ay apply. to the intended work, and that it is
my responsibility tel identify Hhat actions I lust take to be in compliance. Such agencies include bill ~Je Ji(Illiaited to:
....
f Departse~t of Envir~n~enial ReQulilion - Cypress Bayheads, H~tland ~reas and Environmentally Sensi live Ldndsr
Water/WasteHater Treatment
f Southwest Florida Water. HanaQelent District - Hells; Cypress Bayheads, Wetland Areas, Altering Haterc~urses
f Are, Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Hells, IJastewater Treat~en~. Septic Tanks
f US EnvironDental Protection Aq~ncy - Asbestos abatement
I also certify that, H fill aatl:rial is to be used in HCtOd Zone "A" H "A,etc,', it is underslc,e.d tll~t a drainage plan
addressing a .colpensating volule" Hill be subtitted Hhich is prepared by a professional engineer registered in the State of
Florida prior to permit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority 10 yiol~te, cancel alter, or
~et aside any provisiDns of the technical c~dc~, "~r shall issuance of a per~it prevent the Building Dfficial fro~ thereafter
requiring a ce,rrl?cti(,n e,f errors in plans; c(,nstructie,n, H violations of any code, Every per~it iSSUI!j :hall bece.ae invalid
unless the we,rk authorized by such penit is celallenced Hithin six ftlonths e.f issuance, e,r if He"t a\!t1,[q l~ed by the perlit is
suspended or abandoned for a period of six lonths after the tiJe the Hork is co~menced. One 90 day e:lensiDII Df tile, aay be
alloHed for the per~it with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An
approved inspection oust bl? IDgged during each six month periDd, Dr the project Hill be considered abal~onfd.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. 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 RECO ND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE_~--- SIGNATU _~ .t4,~_____
OWNER OR AGENT CONTR~
DATE _______.i(L~~c'::LL__~____________ DATE________j_'2/!:tf/yL--------------
NOTARY AS TO U ,iJ In RlA "f}/J/,\
OWNER OR AGEN~~~-~~~-~-~-
; lORI B. DeMEllO
MY COMMISSION EXPIRES f. ~'i; __..s1ate.cl.flQIida
My Camm. Exp. Sept."2'S."1~92
~
NOTARY AS TO (~.-1-2
CONTRACTOR___~i:L'
"
LORI B. DeMEllO
_ _ _ Stat&-of .f~da-
My Camm, Exp, Sept. 26, 1992
MY COMMISSION
- f
I 3-~ ~~
Q(J sF .
1-?~ s (:
~"~~.OO
f
~5!a s-. €.<J
SO~ o~
:3 6;, e~
/7# S/:
1/, 5>9-
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FORM 500A-89
Non.Resldentlal Buildings
Residential Buildings over 3 stories
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
SECTION 5 . BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH
ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS
All CLIMATE ZONES
ZONE:
BUilDING CLASSIFICATION S:
BUilDING PERMIT NO.: .Y'
PERMITTING OFFICE:
JURISDICTION NO.:
BUILDING INFORMATION f..,./n+eA
WALLS ne.-r ROOF/CEILING FLOORS DOORS '-- GLASS
TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA TYPE .\ U AREA
Concrete (CBS) -/I J~q4 Under allic ~'i iAtXJ Slab-on-grade 0 /1'<00 Wood Single. wall lo.~ 30G
Wood Irame Single Assembly Raised Wood Metal ~ 1'1 6:1, Double, wall
Metal frame Other: Raised concrete Insulated Single, roof
Insulation R-value Insulation R-vatue Insulation R-value Other Double, roof
SYSTEMS INFORMATION .
AIR CONDITIONER HEATING SYSTEM HOT WATER
TYPE EFFICIENCY TONS TYPE EFFICIENCY BTUtH TYPE
Unitary & Heat Pump er,3 Ne.w I Uhlt~" Central Heat Pump 7, 5 HSPF Electric ~
<65,000 Btu/h _ SEER ~.JL:2..-r < 65.000 Btu/h - Resistance
~ 65,000 Blu /h _ EER z.""S~ ~65,000 Blu/h _COP - Dedicaled Heat Pump 0
Water cooled _EER - Water cooled _COP - Gas
Evaporatively cooled _EER Evaporatively cooled _COP - Natural 0
- 0
PTAC _EER Eleclric resistance _COP - LPG
- 0
Chillers _COP Gas / Oil (circle one) Oil
- < 225,000/300,000 Btu/h _ AFUE 0
Other: - HRU
- - > 225,000/300,000 Blu/h Et Other:
LIGHTING ~ r;&f 4- /800 Lighting Budget (from Table 5-13): '2..0
Total lighting Wallage ~ : Total Conditioned Floor Area - Walls/sq. It: """" /,44-
PRESCRIPTIVE MEASURES (Must be met or exceeded by all buildings.)
COMPONENTS SECTION REQUIREMENTS CHECK
Windows 502.4 Maximum of 0.5 cfm per linear fool of operable sash crack. V"
Doors , 502.4 Maximum 0111.0 elm per linear foot of operable sash crack. V
Joints /Cracks 502.4 To be caulked, gasketed. weatherslripped. or otherwise sealed. !/'"
Reheat 503.3 Supply air reslricted to set cold/hot deck temperature to meet load of worst case zone. i/'
Ventilation 503.4 Supplied with readily accessibte switch lor shut-olf and/or volume reduction when ventilation V
is nol required.
HVAC Efliciency 503.4 Minimum etficiencies - Healing: Tables 5.5, 5-6; Cooling: Tables 5.7, 5-8, 5.9. V
Transport Energy 503.5 Minimum 01 8.0 V
Balancing 503.6 Provide means tor balancing HVAC air system & waler distribution system. V
HVAC Controls 503.7 Separate readity accessible manual or aulomatic thermoslat for each syslem. V
HVAC Duct 503.9 Conslrucled in accordance with industry standards & local mechanical codes. Duels must be insulated v'
Construction to minimum R = A tl15 (hr OF ft 2 I Btu).
Piping Insulation 503.10 In accordance with Table 5-10. v'
Waler Heaters 504.2 Must bear ASHRAE label indicating compliance with ASHRAE Standard 90 or comply with efficiency and standby
loss requirements. Switch or clearly marked circuit breaker (eiectric) or cut-off (gas) must be provided. Heat traps V
required. Must meet minimum water heating equipment efficiencies In Table 5.11 after 1/1/90.
Swimming Pools 504.2 Spas & heated pools must have covers. Non-commercial pools musl have pump limer. vi'
& Spas Gas spa & pool heaters must have minimum thermal efficiency of 75% (78% after 1/1/90).
Hot Water 504.4 Insutation is required for recirculaling systems. Piping heat loss is limited to 17.5 Btu /h I linear foot 01
Pipes pipe; see Table 5.12. V
Water fixtures 504.5 Water flow restricted to maximum of 3 gpm at 80 psig: loilets maximum 3.5 gallon lIush. Public lavatory V
fixture maximum 1I0w 01 .5 gpm or .5 gallon if has sell.closing valve.
liqhtinq 505.1 liqhtinq power budqets are listed in Table 5.13; Ballast efficacy-tactors are listed in Table 5.14. V
Uo wall Allowable 0.. I ~ Uo wall Actual , t'J ., rl 11 complying under the provisions 01 S. 502.1. enter tho combined Uo values lor the entire envelope
Uo roof/ceiling Allowable . 1'" Uo roof/ ceiling Actual ", '7/5 in this seclion.
Uo 1I00r Allowable Uo 1I00r Actual Uo envelope Allowable Uo envelope Actual
OTTV wall Allowable -~O,.'f OTTV wall Aclual /2. ~
OTTV roof/ ceiling Allowable g.&> om roof /ceiling Actual 3, /~
All plans and specilications shall be signed and si:aled by a Florida registered engineer or archilect
wilh the excepfions provided lor in Section 481.229, F.s. and See lion 471.003, F.S. I hereby certify
that the ptans and sp . cations cov red :?thi catculation are in compliance with Ihe Florida
Energy Code. .
SIGNATURE: .. P'.. ~
DATE: 8 -20- '1'
Review ?I the plans and speCifications covered by this calculalion indicates compliance with
the FlOrida Energy Code. Before construction is completed, this building will be inspected for
compliance in accordance wilh Section 5 3.908 F.S..
BUILDING OFFICIAL:
DATE:
'"
~fb.-
'I
~ _._-,---.:.,...__.~"--
ZEPHYRHILLS FIRE DEPARTMENT
Zephyrhills, Florida 33540
--w-'
38410 6th Avenue
(813) 782-8184
FINAL BUILDING INSPECTION
Fire Chief
William T. Fenton
Assistant Chief
Robert Hartwig
OCCUPANCY: /1a 11>' 5 ~:YJ Iro() Io/'/
ADDRESS: {~; (I LfP t~A // 8/~'t:/
DATE: /- J 1- tl,l
BUSINESS PHONE:
OWNER/MANAGER:
This building has been inspected by the Zephyrhills
Fire Department under the codes and regulations of the
NFPA ~inimum Standards and other local fire safety codes.
../"~PPROVED
NOT APPROVED
COM~lENTS: ,I) /11/ hit ['//'11' d"", r #1//5 / tf{j{...~ //( H t'J: l ~W,,/,,")
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C/" " /,r;:,
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(("'7(" ..-iC'hot l.JV'
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INSPECTOR:.f,e ./ I(.~.o'"kx
DATE: 1- 1/ C/.!.. TIME: /.::::1':'1:;
v
SIGNED:
TITLE:
06/1 i /86 als
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