HomeMy WebLinkAbout92-2022
STATrOF FLO'RIDA
City of Zephyrhills
PASCO COUNTY {J/J
Permit N.t! 2022
BUILDING DEPARTMENT . '
1"(.) 1-813-788-6611 -- - Date /- ~ - C;~-Z
~O.7/ /.fS........ . ,J../:> C,,; ,
/"E0~ (~L (~ C~,.~~L T4j'?f' ~)
~- "", -50 ~
Property Owners Name: UAJ-"h if ?!/J7<nS.c jJ/4K:~U-.;:c :;; 9'. w~-?;t;"
Job Address. ~(,~q~:~ /tl.U.;.t}'r'~
Legal Descri~tion: SUb.Di~." _ _. _ _' :)' J..ot /..:liP D l B~~S- {I
I '6. dO
IJ,-/3' ~ ~
Type of Permit
Zoning CI:
Description of Work
i....,,/,,~~~ (')!~~
... + ~
/d/JYc ~~ ?.LJ
~ -,jj,--9 ~
Energy Code Readout: i,R. / ~~fZ
Complete Plans, Specificalions and Fee Must Accompany Application ~
.d ~
Estimated Cost 'If ,.}.1'1) , ~~6,
I r
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
i - k
Fee: ~ 7~'-
SIGNATUREV"',JSc~~./7 Q
,
/1 ,1 /c;,' '
/. /' //i ,/
" / d./"'~~J)"--,,
COMPANY
ADDRESS
TELEPHONE /I
C'G- {JD(7-~~7~
OCCUPATIONAL LICENSE /I ,;2 2-
c? ,D
Driveway
LUMBIN '/
'." ~bJ
SLB J,"'~}.. c.u
Tub Set"t-'7- 6.;./
Water
Sewer /.. Z 4, 9 z- 6':'/1
Final
---'---
Tp.Serv. '2 ') 92. '6 g
Rough In"" -' () D
Meter Can J- t, - ~~ M--
Const. Pole
Pool
Pre-Meter 3-, 3-q";:) B~
Final
Breakers
Ducts Insl2 ...7-C)Z 6~
Compressor
Final
Reinspections: 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.
G.H.D.
PATIO HOME
DRIFTWOOD
1296 Sq.Ft. Living x $ 35.00
499 Sq.Ft. Other x $ 11.00
VALUATION: $ 50,849.00
Building: $ 443.50
Plumbing: 45.00
Elec. 60.50
Mech. 25.00
SUBTOTAL: $ 574.00
BUILDING PLANS REVEIW CREDIT: - 18.00
TOTAL: $ 556.00
CONNECTION FEES:
Sewer $ 1,278.00
Water 350.00
Meter N/A
TOTAL $ 1,628.00
RADON GAS $17.95
Sq.Ft. 1795
TRANSPORTATION FEES: $
124.77
x 99X
x 01X
$ N/A
N/A
GRAND TOTAL
I. 2,326.72
FORM 900-B-91
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
Climate Zones
CENTRAL 4 5 6
PROJECT NAIIE
AND ADDRESS:
~ \X\re(
CUIIATE
ZONE:
JURISDICTION
NO.:
4
50 60
~
NEW CONSTRUCTION g IF MULTIFAMILY. NUMBER OF CONDITIONED ~ sa GLASS AREA AND TYPE
UNITS CCNERED BY [I]] FLOOR AREA FT. CLEAR TINT.FILM,SOLAR SCREEN
ADDITION 0 THIS SUBMITTAL PREDOMINANT [[l] ~ SINGLE, [[[]] sa
EAVE OVERHANG FT SINGLE-I 19.1ob I sa
MUlTIFAMILY ATTACHED 0 CHECK IF THIS SUBMITTAL LENGTH .. PANE Fl PANE Fl
REPRESENTS A WORST CASE PORCH CNERHANG U]2J [3] DOUBLE- [[[]] sa DOUBLE- [[[]] sa.
SINGLE-FAMILY DETACHEo1ZI CONDITION 0 LENGTH . Fl PANE Fl PANE Fl
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R =
ITIiE.B so. rn.QJ DITDso. rn DITDso. rn DITDso. rn
n FT. n FT.
ADJACENT MASONRY A = ADJACENT FRAME A = ADJACENT STEEL R = ADJACENT LOG A =
DITDso rn.D I I I I~ ~ l~' [ill] DITDso rn DITDso, rn
n n FT.
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R= SGL ASSEMBLY R= SLAB PERIMETER R = RAISED WD 0 CON 0 I R =
~sa, lill DITDsa. rn DIJiliJ Fl rn ITIID~~: rn
FT. Fl
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS
IN ~ CENmAL o ELECTRIC STRIP l:Sl HEAT o CEILING FANS ~ ELECTRIC SOLAR: D.rn
UNCONDITIONED S.F. =
SPACE R = o ROOM o NATURAL GAS PUMP o CROSS VENTILATION o NATURAL GAS HEAT RECOVERY (CHEO() D
rn.@ o PACKAGE TERMINAL o ROOM UNIT OR o OTHER o WHOLE HOUSE FAN o OTHER FUELS
FUELS DEDICATED D rn
IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL o NONE o ATTIC RADIANT o NONE HEAT PUMP:
SPACE R = o NONE HEAT PUMP BARRIER E.F. = .
rn.D SEERlEER = rn.~ COP'€' B [QlQ1 o MULTIZONE EF = .rUQ] NUMBER OF [J2]
AFUE = . 0 0 BEDROOMS =
INFIL TRA TlON ~ ~ DLciiJ. OJ
PRACTICE USED X 100 =
o #1 ~ #2 0 #3 TOTAL AS-BUILT POINTS TOT AL BASE POINTS CALCULATED E.P.I.
CALCULA TED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
I hereby certify that the plans and specffications CQvered by the calculation are in compliance with the
Florida Energy Cod~ '-(
PREPARED BY: ' U ~ DATE: I ~.....q I
Review of plans and specifications covered by this calculation indicates compliance with
the Florida Energy Code. Belor truction is mpleted. this building will~ in~ed
for compliance in accorda ion 5 . F.S.
I hereby ceMt this
OWNER A~
'!ding is In compliance with the Florida Energy Code.
, ~ DATE:
IO~ -'11
DATE:
SN: . 1594.
DRIFTWOOD SINGLE UNIT
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: DRIFTWOOD SINGLE UNIT
~ND ADDRESS:
3UILDER:
PERMITTING OFFICE:
CLIMATE ZONE:
4
.5
6
GENERAL HOME DEVELOPMENT CORP.
)WNER:
PERMIT NO.:
GENERAL HOME DEVELOPMENT CORP.
JURISDICTION NO.:
-------------------------------------------------------------------------------
3TRUCTURE TYPE:
Single-Family
)REDOMINANT EVE OVERHANG Length:
)ORCH OVERHANG Length:
JINDOWS
Single Clear
All Vertical Glass
All Skylight Glass
JALLS
Ext NormWtBlock Int
Adj Wood Frame
)OORS
t?xt Insulated
Adj Wood
:EILINGS
FLAT Under Attic
PITCHED Under Attic
PITCHED Under Attic
-LOORS
Slab'-on-Gr ade
lUCTS
Unconditioned Space
:OOLING
Central AIC
IEATING
Heat Pump
lOT WATER
Electric
Solar Hot Water Heat
:OMPONENT:
NFILTRATION
Conditioned Floor
AS BUILT POINTS
17,417.07
DIMENSION:
VALUE: RATING: VALUE: OFFICIAL CHECKLIST
1.66
10.33
Total Area
Total Area
Total Area
202.70
202.70
.00
Area:
Area:
907.70 R-Val:
81.00 R-Val:
4.20
11.00
Area:
Area:
21.60
19.00
Area:
Area:
Area:
403.00 R-Val:
912.00 R-Val:
84.00 R-Val:
30.00
30.00
19.00
Perimeter:
154.00 R-Val:
.00
Length ALL
R-Val:
4.20
SEER:
9.20
HSPF:
7.00
EF:
S.F. :
.90
.90
Bedrooms:
2.00
Area:
1296.00 Pract:
2.00
I
BASE POINTS
100
*
::::
EPI
25,560.05
68.14
GLASS TO FLOOR AREA RATIO
.1564
---~---------------------------------------------------------------------------
---------------------------------------------------------------"----------------
In Accordance with Sec. 553.907 F.S.,
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
~lorida Energy Code.
-- ~I ......
~ ' . ,-~ ' .
)WNERAAGENI,.:' ";: ~(~/~__
)ATE:'~ \0.
-~'"~~"~,---~
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. ~)
BUILDING DFFICIAL'~~~~
DATE: "r- r3--:5ZL.
.' ** PRESCRIPTIVE MEASURES (Must be met or exeeded by all residences) **
:OMPONENTS
SECTION
===============================================================:================
REQUIREMENTS
NINDOWS
904.1
-------------------------------------------------------------------------------
--------------------------------------------------------------------------------
Maximum of 0.34 CFM per linear foot of operable sash
crack.
=.XTERIOR &
~DJACENT DOORS
904.1
---------------------------------------------------------------.----------------
Maximum of 0_5 CFM per sq. ft. of door area. Includes
sliding glass doors, solid core, wood panel,
insulated, or glass doors only.
--------~------------------------------------------------------.----------------
~XTERIOR JOINTS 904.1
~ CRACKS
To be caulked, gasketed, weather stripped or other-
wise sealed.
~ATER HEATERS
904.2
-------------------------------------------------------------------------------
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 b~~ provided.
3WIMMING POOLS
~ SPAS
904.3
-----.-----------------------------------------------___________w________________
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
,OT 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.
~VAC 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.
1VAC 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 **
=~=============================================================:================
::::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.
::'ireplaces
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.
(* * *"* * * *.* * * *;y * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** * * * * * * * * * * * * * * * * * * * * * * * * *
SUMMER CALCULATIONS
c******************************************************************************
=== BASE === === AS-BUILT ===
-------------------------------------------------------------------.----------------
-_._------------------------------------------------------------~------------------
iLASS----------------
)RIEN AREA x BSPM =
I
I
POINTS :
TYPE
SC
ORIEN
AREA
x SPM
x SOF
= POINTS
N 44.20 47.8 2112.8 SGL CLR N 10.1 51.0 .81 418.2
SGL CLR N 10.1 51.0 .81 418.2
SGL CLR N 12.0 51.0 .87 529.7
SGL CLR N 12.0 51.0 .87 529_7
E 21.10 102.0 2152.2 SGL CLR E 19.1 109.2 .31 639.1
SGL CLR E 2.0 109.2 _26 56.8
S 51.60 90.9 4690.4 SGL CLR S 19.1 100.2 .70 1346.1
SGL CLR S 19.1 100.2 .70 1346.1
SGL CLR S 13.4 100.2 .70 944.4
W 85.80 102.0 8751.6 SGL CLR W 66.7 109.2 .96 7010.5
SGL CLR W 19.1 109.2 .94 1971.0
----------------------------------------------------------------~---------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
.15
1,296.00
202.70
.959
17,707.00
16,981.95 :
15,209.67
-----------------------------------------------------------------------------.--
--------------------------------------------------------------------------------
~ON GLASS------------ :
AREA x BSPM = POINTS: TYPE
R-VALUE
AREA x SPM = POINTS
JALLS----------------
~xt 907.7 1.0 907.7
~dj 81.0 .7 56.7
Ext No,mWtBlock In 4.2
Adj Wood Flame 11.0
907.7
81.0
1.16
.70
1052.9
56.7
lOORS----------------
:.xt 21.6 4.8 103.7
~dj 19.0 1.6 30.4
Ext Insulated
Adj Wood
21_6 4.80 103.7
19.0 2.40 45.6
30.0 403.0 .60 241.8
30.0 912.0 .60 547.2
19.0 84.0 1.10 92.4
.0 154.0 -31.90 -4912.6
1296.0 10.90 14126.4
;EILINGS-------------
.JA 1296.0 .6 777.6
Unde, Attic
Unde, Attic
Unde, Attic
~LOORS---------------
>lb 154.0 -31.8 -4897.2
Slab-an-Glade
:NFILTRATION---------
1296.0 10.9 14126.4
P,actice #2
===============================================================~:===============
.OTAL SUMMER POINTS :
28,087.23 :
26,563.78
================================================================~===============
.OT AL x
;UM PTS
SYSTEM
MUL. T
COOL.ING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
v______________________________________________________________________________
28,087.23
.42
11,796.63 : 26,563.78 1.00 1.140
.370
1.000 11,204.60
================================================================:===============
: * * *'* * * *-* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *)\: * * * * * * * * * * * * ** *
WINTER CALCULATIONS
~)\:i****************************************************************************
=== BASE === === AS-BUILT ===
-.------------------------------------------------------------------------------
-------------------------------------------------------------------------------
iLASS----------------
)RIEN AREA x BWPM =
I
I
POINTS :
N
5.6
247.5
44.20
E
21.10
-5.6
-118.2
C~
~.'
51.60
-14.0
-722.4
W
85.80
-5.6
-480.5
TYPE
ORIEN
x WOF
= POINTS
AREA
x WPM
SC
SGL. CLR N 10.1 9.6 1.11 108.0
SGL CLR N 10.1 9.6 1 .11 108.0
SGL CLR N 12.0 9.6 1.08 124.7
SGL CLR N 12.0 9.6 1.08 124.7
SGL CLR E 19.1 -2.2 -4.39 184.5
SGL CLR E 2.0 -2.2 -5.04 22.2
SGL CLR S 19.1 -10.9 .74 --154.8
SGL CLR S 19.1 -10.9 .74 -154.8
SGL CLR S 13.4 ~-10.9 .74 -'108.6
SGL CLR W 66.7 .-2.2 .78 -114.8
SGL. CLR W 19.1 -2.2 .69 -28.9
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
.15
1,296.00
202.70
--------------,--------------------------------------------------~---------------
----------------------------------------------------------------~---------------
ADJ GLASS
POINTS
GLASS
POINTS
.959
"1,029.56 :
110.18
-'1,073.52
~ON GLASS------------ :
AREA x BWPM = POINTS: TYPE
JALLS----------------
:.xt 907.7 1.1
~dj 81.0 1.8
998.5
145.8
)OORS----------------
:.xt 21.6 5.1
~dj 19.0 4.0
110.2
76.0
:EILINGS-------------
JA 1296.0 .6
777.6
~LOORS---------------
;lb 154.0 -1.9
-292.6
:NFILTRATION---------
1296.0 4.1
5313.6
:==================================~===========================~:===============
P,act.ice #2
'OTAL WINTER POINTS
I
I
6,099.47 :
R-VALUE
AREA x WPM = POINTS
Ext No,mWtBlock In
Adj Wood F,ame
4.2
11.0
907.7
81.0
3.26
1.80
2959.1
145.8
Ext Insulated
Adj Wood
21.6 5.10 110.2
19.0 5.90 112.1
30.0 403.0 .60 241.8
30.0 912.0 .60 547.2
19.0 84.0 1.00 84.0
.0 154.0 2.50 385.0
1296.0 4 _10 5313_6
Unde, Attic
Unde, Attic
Unde, Attic
Slab-on-G,ade
===============================================================~;===============
10,008.94
SYSTEM = HEATING : TOTAL
MULT POINTS: COMPON
'OTAL x
JIN PTS
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
6,099.47 1.10
~------------------------------------------------------------------------------
5,522.54
6,709.41 : 10,008.94 1.00 1.140
.484
1..000
================================================================================
'******************************************************************************
WATER HEATING
(******************************************************************************
=== BASE === === AS-BUILT ===
-------------------------------------------------------------------------------
--------------------------------------------------------------------------------
~UM OF
3EDRMS
2
x
MULT
=
TOTAL
: TANK VOLUME
I
I
EF
= TOTAL
TANK
RATIO
x MULT x CREDIT
MULT
3527"0
7,054"00 :
40
"90
1"000 3449"7
" 10
689"93
.----.--------------------------------------------------------------------------
.--.--..--------------------------------------------------------------------------
(******************************************************************************
SUMMARY
'******************************************************************************
=== BASE === === AS-BUILT ===
-------------------------------------------------------------------------------
----------------------------------------------------~--------------------------
:OOLING
)OINTS +
11796"6
HEATING
POINTS
6709.4
HOT WATER
+ POINTS -
TOTAL : COOLING
POINTS : POINTS
+
HEATING
POINTS
TOTAL
POINTS
7054.0 25,560.05 :
11204"6
i"OT WATER
+ POINTS ....
5522.5
689.9 17,417.07
-------------------------------------.---------------------------~---------------
--------------------.------------------------------------------------------------
*****************
* EPI = 68"14 *
*****************
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APPLICATION FOR PERtlIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
General Home Development COrD.
JOB LOCATION Lot 126, Driftwood Phase
LEGAL DESCRIPTION: LOT(S) 126 & Part
817 U.S. 98 Bvpass SOllth.n::lrlp City. FL
General Home Development Corp.
. .~
66r7 ~1ZE x
PHONE
(904)567-65Rl
ADDRESS
'.
OWNER
II
125 BLOCK
AREA SQ. FT.
SUBDIVISION
Driftwood Ph::l~p III
PARCEL I.D.# 02-26-21-0210-00000-1260
WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
____Nove
____Demolish
PROPOSED USE: ~Singte Family
uup ex
____commercial
_M/F
_~~ of Units
, .____M / H
_Indust.
____Swim.. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
1795
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORr-1S. H
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
2-BUILDING
-LELECTRICAL
$
Valuation of Total Construction
AMP Service
Florida power Corp.
_W.R.E.C.
-X-MECHANICAL
..L-PLUMBING
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block
____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
~ONTRACTOR ~ECTION
mJILDER Kevi n T. Roberts Company Genera 1 Home Development Corp
)/~. /7- /.~ State Cert. or Regist. i; CGCQ056QS
Signature ~ ~ ~ City License Registration ~i .:l2-
******************************************
Signature
~L1JMRERPdbo/-r [J/k<JkfiJA~P . companyD;OY~Jl/e r j?/u.MD/A/;
~~ ~ State Cert. or Regist. i.~ (l-f t!'d l.-/(....7q~
SignaturEC..- ~.-n~ ~~~ '. City License Registration ji tJ /
, ************** ***************************
MEeHANI CAI. COffiPany.;:tJi" So uT...) ~....~ ~-( 0'< (;
Signature ~ ~~ ~~~~\~~:~~en~e~~~~~;;i~n !! ~)701:>62-~
../ ~-
******************************************
Robe.-r /-). MAr';',,,, Jr'. Company M"rt-." t-Je..(...
~ 0 . . State Cert. or Regist. ji ERoOlllla
~ 7J..- ~, J.... City License Registration j~ \ <)',p'
*****q************************************
ET.ECTRTCTAN
Signature
Company
State Cert. or Regist. ff
City License Registration 0
OTHER
APPLICATION APPROVED BY
PERMIT OFFICER.
;-.;;,;;..--;::.::.:.:..-.....,,~,."1!'__.....
.-.,..,...... -...-..""....._"~'L'T~.,;;;;;;;;;,.:;;.~ii.i.1. ....-r~_~.... 1.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOtICE OF DEED RESTRICTIONS
.
The ,undersigned understands that this perlit lay be subject to "deed restrictions' which may be more restr.ictive than City
regulations. The undersigned assules responsibi1ity::!or. co.pliance with any applicable deed res~r!ctions.
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
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor ftay be
cited for a .isdeleanor violation under state law. If the owner or 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)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the
'Contractor Sections' of this application for which they will be responsible. If you, as the owner 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 lay be an indication that he is not properly licensed and is not entitled to perlitting 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 - HOleowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
'owner', I certify that I have obtained a.ccipy of the above described dt,culent and prt,~,ise in good faith to deliver it to the
'owner' prior to cO.lencelent. /
..: -.:.
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 coapliance with all
applicable laws regulating construction, zoning, and land developlent. .
Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work Dr
installation has cOI.enced prior to issuance of a perlit 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 governlental agencies fiay apply'to the intended "or~, and that it is
IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~l e Iiot lilited to:
...
I Departle~t of Envir~n.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L~nds,
Water/Wastewater Treatlent
I Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
I Any Ctlrps ,of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health ~ Rehabilitativ~ Services. Environmental Health Unit - Wells, Wastewater Treat~e~~. Septic Tan~s
I US Environlental Protection AQency - Asbestos abatement
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood th~l a drainage plan
addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer fegist~(ed in the State of
Florida prior to perlit issuance.
A perlit 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 bee ole invalid
unless the work authorized by such perlit is coalenced within six months of issuance, Dr if Hork authDI lied by the perlit is
suspended or abandoned for a period of six lonths after the ti,e the work is commenced. One 90 day e:lensioll of tile, lay be
allowed for the permit with fee charge of ~15.00. The extension shall be requested in Hriting to the Building Official. An
approved inspection must be logged during each six tonth period, Dr the project will be considered dbdl,doned.
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 $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A Ii I\lOT I CE OF COM~1ENCEMENT II .
SIGNATURE__~~-~~--------
OWNER OR AGENT
SIGNATURE___~-~------
CONTRACTOR
(
NOTARY AS TO /" -: ~
OWNER OR AGENT_~~~-~j1~---------- ~-~-
DATE______________l(l=l~:-~---------
~g~~~~c~~R~~___~~n~~
DATE ________ _____J.0--:.LQ:-c.1.L---.----.-------
MY COMMISSION EXPIRES___~~w__~~-~~~~~~~I~~~
MY COMMISSION EXPIRES
"
--~---------------
b
.., r.'--
-~. ~~;,.~':-;: _~.~:".,.>::,f"',,~ -, .
NoTICE
OF
RESOURCE RECOVERY ASSESSMENT FORM
PERMIT j~/
"
'0>' ...L....
,'\
I'" ..'/
-...;
DATE
., ~ /'l
l --.,-'.. -q.. ~11
APPLICANT /OWNER\ / i .k
/; "
__"of;' i
l'
/-Jc'
'v ~ ,
,l'
< ,t'f l;/!/~2. ~<: '~.
./-
,it ,/
COUNTY PARCEL II
',-:><") / ( ~-"f.- ~', ~.) 1/ (') - /
:7 I . .-
c.
.. /~) t, ,":.'
LOCATION / 'I ( /' ',~~',l' , .' / ;' .
USE/CODE DESCRIPTION \,,""../'\.(1, h J ,',
.J'
,
RESIDENTIAL
NON-RESIDENTIAL
Ii UNITS
I
GROSS SQ. FT. (GSF)
RATE/ERU=$SO.OO X 0.96*/YEAR OR $0.131S/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
$
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 FINft~ RELEASE.
DATE
RECEIVED BY
--------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
RECEIPT II
,
, ---
DATE
_.~_.... -
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~/ /'
. .'
BY
"'-
-' '-",
/' j
,.~....
al."9ae:'a $ I
l~J.OJ. ON~~g
'dIN
'dIN $
%10 x
%66 x
1..1.."~21
$ :S33~ NOI~~~~OdSN'd~~
~61..1 .=l-~"bS
~6"1..1$ S'd8 NOO'd~
00"829'1 $ -''d~O~
'dIN ...la~aw
OO'O~E ...la~eM
00'81..2'1 $ ...laMas
:S33~ NOI~:J3NNO:J
00"9~~ $ :-''d~O~
00"81 - :~I03~:J MI3^3~ SN'dld 8NIOllna
OO"~l..S $ :-''d~O~anS
00.~2 . Lj:Jaw
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OO.tt $ x ...laLj=l-O .~~.bS 66-1-]
OO"~E $ x 5U1^1-' .=l-~.bS 9621
OOOM.l~I~O
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