HomeMy WebLinkAbout92-2366
BUILDING PERMIT
~,1.s() "'I
r;;,t-O ,. crv
c;;9 0LECT0
:::::,~:~e:\-f1~f-jj~
Parcell.D. # II -;;J. bO-.;l/ - 0 d/ tJ - 6?;! Oz,
Zoning: Energy Code: 9/
Description of work' K ~ /L.rJ..-/~;..,
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
236GB
Date
S-~:;).-9~
p~
M~
Sewer Conn
WatE!r Conn:
Water Meter:
T.I.F.'s:
- (jo7{)
Radon Gas: ....?.. j' 6
FINAL
2...-
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee
Sigrtature
Company
Address
Telephone#
1l>)..~7J
~-"7i~'} .0. -1--t{/~
Valuation or
Contract Price
? tJ'7)-O . P"V
,
City License Registration #
State Certified License#
~:
c ~UILDI~
Ftr. 5- - 2G ... 92-
Pre SLB
Lintel vh '"'-1 -9~ t3t/jJ
FRM. t/.. 7,13,l(d But
Insul. CL
WL
c::~
Tp. Servo SLB
Rough In 12C"J:3 -qd, fJogJ Tub Set
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
Final
~
~ ~ANICAL
~reakers ~
-
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
c.L\)!':'>\:'L> b.,;"" 1>\
S-4 Z ./
4-- S ~
J
j
YF\L A'Tt t'" \
~J ODD
1/.
23'-/ 5'1 FJ L. YIlJt; X "z ~
'2 j ",\l(E). JI
I ~ ,''1 f " 1..'11\ II 1 :)
81j\L~\~& g2,~ ~
E 4 (ri<lo'-L.,
,., 00
,,-01
Pi dM 11
NIt'.
r-J/f1
me cri
--r-:;.. 'l l
10. ,h .,-
t.-.. t
101--, S {)
~ t\ t1 o,J G I' <,).
3'1" 5, It+:
'3.1~ '
-----
Ie tAl-
I Ole I if Iv
FORM 1000-C-91
SMALL ADDITIONS
AND RENOVATIONS
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 10 - Residential Prescriptive Compliance Method
Department of Community Affairs
Climate Z nes
CENTRA 5 6
COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM100OC-91FOR ADDITIONS OF 600 SOUARE FEET OR LESS. AND RENOVATIONS
TO SINGLE AND MULTIFAMILY RESIDENCES ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OF FORM 1000A-9l or 9OOA-91
BUILDER:
OWNER: eL.1 P t:ot2-L
Gt e j-U'2.__ tL
PERMITTING
OFFICE:
PERMIT
NO.:
CLIMATE 4
lONE:
JURISDICTIIJN
NO.:
0'50 60
~
PROJECT NAME
AND ADDRESS:
0 CONDITIONED b I ~ \ 4\ \ I so NEW GLASS ,~REA AND TYPE
RENOVATION
IF MULTIFAMILY, NUMBER OF FLOOR AREA FT CLEAR TINT.FILM.SOLAR SCREEN
ADDITION 1%1- UNITS COVERED BY PREDOMINANT rn.~ FT SINGLE- DIIJ SO SINGLE- ffiIJ SO
EAVE OVERHANG
0 THIS SUBMITTAL. [II] LENGTH PANE FT PANE FT
MULTIFAMILY ATTACHED
PORCH OVERHANG [ ill, ~ DOUBLE- DIIJSO DOUBLE- DIIJ SO
SINGLE-FAMILY DETACHED 0 LENGTH 0 FT PANE FT PANE FT
WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FlOOR TYPE AND INSULATION
FOR ADDITIONS ONLY: WOOD FRAME MASONRY UNOER ATTIC: [MQ]. [Q] WOOD MASONRY
PERCENTAGE EXT,"~" ~. [D EXTE~O~ CITl.m Rc RAISE~ ~ ITlD RAISED _ rn 0
OF GLASS moD R - .
TO FlOOR ADJAC:~ . 0 ADJA~E~T m.D SINGLE ASSEMBLY COMMRO~ IT1D COMMRO~ ffiO
R ~
m% COMMRO~ rn 0 0 COMMON: []J~ri COMMON: m.D SLAB-O~- _ rn 0
R ~ . i R= GRADE R - .
DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM
IN 0 CENTRAL o NONE 0 ELECTRIC STRIP ~HEAT PUMP B ELE~TRIC o SOLAR
UNCONDITIONED 0 0 . NATURAL GAS o HEAT RECOVERY
SPACE: R = ROOM NATURAL GAS RooM/PTHP
m.D 0 PTAC 0 OTHER FUELS o NONE o OTHER FUELS o OED. HEAT PUMP
IN CONDITIONED 0 NO NEW SYSTEM o NO NEW SYSTEM o NO NEW .[[l SF/EF = D.rn
SPACE: R = [ill .[g COPIHSPFIAFUE J3.@I] SYSTEM EF -
moD SEERI EER = NUMBER OF BEDROOMS = [ill
PREPAREO BY
OATE
ReView of plans and specifIcatiOnS vered by this calculation indicates compliance with
the Florida Energy Code Befor 0 tructlon I mpleted. this building will be Inspected
for compliance In accordanc I ection 08. FS
1'2
Q<a.-
, hereby certify that the plans and specifications covered by the calculation are in compliance With the
Florida Energy Code
OATE
'<-</'7-/ !;z
.
OATE
TABLE 10AI MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
WINDOWS 904.1 Minimum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). 'j..
EXTERIOR & 904.1 Maximum of 0.5 CFM per sq. ft. of door area: solid core. wood panel. insulated or glass doors only. X
ADJACENT DOORS
EXTERIOR 904.1 To be caulked. gasketed. weatherstripped or otherwise sealed. ~
JOINTS & CRACKS
SOLE & TOP 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. 'Y
PLATES
INFILTRATION 903.2 Infiltration barrier must be installed in exterior walls & raised wood floors. 0-
BARRIER
INTERIOR 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed. "'-
JOINTS/CRACKS
FIREPLACES 903.2 Fireplaces must have flue dampers. glass doors and outside combustion air intakes. }.HI
EXHAUST FANS 903.2 Exhaust fans vented to unconditioned space shall have dampers. except for combustion N-fI
devices with integral exhaust ductwork.
WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker (eleclric) "f\
or cutoff (gas) must be provided. External or built-in heat trap required.
SWIMMING 904.3 Spas & healed pools must have covers (except solar heated). Non-commercial pools must have a }I/J
POOLS & SPAS pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78010,.
HOT WATER 904.4 Insulation is required only for recirculating systems. including heat recovery units. In such cases. A/It
PIPES piping heat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe
SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. 1./1/
HVAC DUCT 904.6 All ducts, fittings. mechanical equipment and plenum chambers shall be mechanically attached.
CONSTRUCTION. sealed. insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned '1
INSULATION & space and air handlers located in attics must be insulated to a minimum R-4.2 (R-13 after 1/1/92).
INSTALLATION
HV AC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. "-
RENOVATIONS 1003.0 Meets the requirements of sec. 1003.0. See step 3 of page 2 of this form. /'
ONLY GLASS
- 1 -
CLIMATE ZONES 4 56
TABLE 10B. Prescriptive Requirements lor Small Additions (600 Sq.Ft. and Less) and lor Renovations to Existing Buildings.
COMPONENT MINIMUM INSULATION
INSULATION INSTALLED
Concrete R-5 f( )
fA Wood frame. 2' x 4' R-11 il. 1/
~
~ Wood frame. 2' x 6' R-19
J Common. Wood frame' R.ll
Common. Masonry' R.3
fA Under attic R.30 {{3D
CI
z Single assembly R-19
:::::;
W Common. Wood frame' R-ll
u
fA Slab-on-grade No Minimum 0
ell: Raised wood R-1l
0
9 Raised concrete R-5
~ Common. Wood frame" R-1l
U In unconditioned space 1991 1992 R (p
::> R-4.2 R-6
c In conditioned soace No Minimum
'Common components are those which separate two conditioned living units in a multifamily building
TABLE 10C. Prescriptive Requirements lor Glass Areas in ADDITIONS ONLY (Renovations see 3 below)
EQUIPMENT MINIMUM INSTALLED
EFFICIENCY EFFICIENCY
1991 1992
...J = JOoPu
0 Central AlC SEER = 9.0 10.0 SEER
0
() Room unit or PTAC EER = 8.5 8.5 EER
=
C) Electric Resistance ANY
z
i= 7. 0
<( Heat Pump HSPF = 6.4 . 6.8 HSPF =
w -
:c Room unit or PTHP COP = 2.6 2.7 HSPFI =
w HSPF = 6.1 -
() 6.1 COP
<(
D.. Gas, natural or propane AFUE = .70 .78 AFUE =
C/) -
Fuel Oil AFUE = .76 .78 AFUE =
a: =~
w Electric Resistance EF = .88 EF
~
3: Gas, natural or propane EF = .54 EF =
I- -
0
:c Fuel Oil EF = .54 EF =
Maximum percentage glass to floor area allowed is selected by type, overhang length, and shading coefficient. See below.
Maximum. '"
%= ~u
Installed /
%= lie
Single
OH - SC
l' - 1.0
0' - .86
GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT (TINTING) REQUIRED FOR GLASS PERCENTAGE ALLOWED
UP TO 20% UP TO 30% UP TO 40% UP TO 50%
Double Single Double Single Double Single Double
DH - SC OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC
0'-.90 2'-1.0 1'-.90 3'-1.0 2'-.90 4'-1.0 3'-.90
1'-.86 0'-.70 2".86 1'-.70 ~:::~~ 2'..70
0' - .65 l' - .65 0' - .50 l' _ .45 l' - .50
0' . .45 0' . .35 0' - .40
Shading coefficients (SC) may be obtained from the manufacturer of the glass. Typical shading coefficients are: single-paned clear
SC = 1.0, double-paned clear SC = .90, and single-paned lint SC = .86.
Form 1000C may be used to comply the following types of construction
SMALL ADDITIONS TO EXISTING RESI DENCES. Additions which have 600 square feet or less of conditioned area may comply with the Energy Code using this form. The prescriptive
requirements in Tables 10A, 10B and 10C apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must
be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from
conditioned spaces must meet the prescribed minimum insulation levels.
RENOVATIONS. Residential buildings undergoing renovations costing more than 30% of the assessed value of the building must comply with the Energy Code using this form. The
prescriptive requirements in Tables 10A and 10B apply only to the components and equipment being renovated or replaced.
GENERAL DIRECTIONS:
1. On the left side of Table 10B in the column titled "INSULATION INSTAllED", indicate the R-value of the insulation being added to each component. On the right side of Table 1 OB indicate the
efficiency levels of the equipment being installed in the column titled "EFFICIENCY INSTAllED". All R-values and efficiencies installed must meet or exceed the minimum values prescribed
in the preceding column for that component. Components and equipment neither being added nor renovated may be left blank.
2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows, sliding glass doors and glass panels in
doors which are more than V3 of the area of the door. Double the area of all non. vertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or
enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area of the
addition. Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 1 OC. For example, 29% glass would qualify for the "Up to
30%" column. Prescriptives are given by the type of glass (Single or Double pane) and the overhang (OH) paired with a shading coefficient (SC). Any pair within the selected "Up To "
category is acceptable. For a given glass type and overhang, the maximum shading coefficient allowed is specified. Indicate the category into which the percentage falls in the box at the top
titled "Maximum % = " In the next column titled "Installed", indicate the calculated percentage of glass in the addition. Actual glass windows and doors previously in the exterior walls
of the house and being reinstalled in the addition, do not have to comply with the overhang and shading coefficient requirements on Table 10C. All new glass in the addition must meet the
requirements for one of the options in the glass percentage category you indicated. The overhang (OH) distance is measured perpendicularly from the face of the glass to a point directly
under the outermost edge of the overhang.
3. RENOVATIONS ONLY. Only glass areas which are being replaced as part of the renovations need to meet the following requirements. Any glass type and shading coefficient may be used
for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this
criteria must be either single-pane tinted, double-pane clear, or double-pane tinted.
4. Complete the information requested on the top half of page 1.
5. Read "Minimum Requirements for Small Additions and Renovations", Table 10A on page 1, and check to indicate your intention to comply with all applicable items.
6. Read, sign and date the "Owner/Agent" certification statement on page 1.
2
I I I I : i
i I II
lit' i
~.)-- ---1.-1-- --
i i ., i
I I I
-i--t---L--- -- .
I i I
+-f.--H . ~t-+- ,
1~L .(.J --'
I ! I '
! i 1 :
+---+--t- -
I I I i
Iii :
I: '!
.-___L_'--__
I I
/--
I
, !
i-' i j
i ' '-:
i , 1 :
-,--+__+___1-
I ' , I
1- -1+--1
t
'j--- ,
J '
I
! i
+.--t-
I i
, .
-J_.J
I
i
,
-,--.
i .
I
I
~
! I!' I
t i i
i ! I '
I. i i I
i---+- -j---+-,: -1.-1
t' I ,
I
I
.- I
i
, i
!
+-+
I
i
J '----.-
I i
- r
u.._
_1....__- _!
.. -...- ...
I
i '! I I
If]I--r-T'
'+---+1' I - ! 1- I
I i I I I
I[ I i
I I
-+--+-_.~ -- --..
,
I ,
i i I . 1
J--r--i1-t-
I j :
,
'--T
Ii 11 ;11
ALLEY
1\
P4GE I o.r\ 3"
'\'
(POl
-J;
./
,-
Hot'" l:. W...9.!:.K
pil""/tJE = 7<1l.,? - '1'3&5' 7{n - 5"581
,1_ :: i I~ f- +-t+~:f)fA{)~~;~~(L~:f~-~~~l~)~1f-~'--"+
... ~ . _-+- I , I I . Ii. _--,,-5 J yf....1Z__. J-=-'._-'+----.,- I I
: (>RoPO.s~D j L -1--JL eR.C~e:"-;r-t Qi5<.RlP710t-J ;--.L~--LL
! : Q.m AhO'TiorJ~ i i : : L~-r"1 f__'L_.E.1.t:&0:Jl). I i I I
i- -- . . -~ IB~ L- _l_~..;f~~~':.~~E:fl ~ .?~{~t' 13u;~ j _~r:A(" ~S'~_ U'~~~
,: i ii' Iii I ! Iii
/
/V i/
.,
!
.--- i-
.,.
I
i
1
:
1..1._
i i
1 .'-
i
-i __._ ;__
I '-
i ~/ /'
, !
!it ..
. --
i i I ! ' " : I ! i ! !
! I J....+_~_-;- .---t---~--+--r__+i--.: I
I .': I
j-J~~uFjjlOREItRVA'QON... J--f----_+_
J.... ,I. I It< n J1"~ ~ 1..... n I^ i 'Z"\. I
() '_Ll-lJltU.LV~uDJ.\!U . ;JI,.~f,J ____
! 1.,. I'., . "....- '!l,/r'........1 .
. S'i{lUV1J' :~t.
. -,.., -I . 'I' iLu. ,
_. _ 'n....
1-
1./ . _!~l
- . -/1....
L.....-_ I . : -. · !
, -- --......~, I , !
-+; ~
\V
-f
.. ..
!
I
n'__ __ __
- .
:
L
!
...1
.......
'I .....
(?; I....
, I
.. --I j-
J....
i
----. -.. ----- ..
!
-,
i I i
I I
~--~-L--_~---L____
J
.
iZO
,
I I. : I I
-1--+- --'1-- T .----
. i
I
,
---.- _...-
i
,
,
! ' I : i
1---.-- f------------+------. -
\ I : i
Iii i
tu,,,- I",~~-~I ,- --~--rl
I I
i i I
---1'- f--r-I-+
,I
. , . '-L
' . ; : :
-~---+-----J-- _
,I
A ~{-<
'1\ Q~i)Qt
~~ 10 y'~1;" ,^
'-+~++ Hi , ,22 , i ,I {, i : !+++-I
, I ' , . ' 'I : "] I ' -..... "! I !---r-T
!- ---tl(CUgS~SI_~] 106 4~ lto/L~II-t---~-- ~-'-I'- -nr;--'-r
I 'I I' I i I ' . i ' ! ' Iii J,. ~. ' , '1'1=t-
I matJUP'ACX"O ~n !--r-i\Jss~s '-r=dm~I.:;{~ "f I j i i :.\--t'
:<=)(i$~tW~/t~W~f-~~I~c.~i Cr;;Jj.;;;~, ]-I +1++-+
,-n] lA.Jl+11_gEAm--5.Y--l7e",-s:.t+'A/'J..-ffDtZ~T-i/'8l _~'_~I n~I'..+I-' II'.-H.' I
I,! {I tJ. i:: L.1,..~ I I I I Iii ,i I! : f< . ' . '-+t
...,-bHr!rz"htoxibkciJLL:l i / i- I-LJ-,H b
ii' , , ' ,. " L r-;. " - I 't~ J I K I
__ _ _ _l_ nl~...tl.~, _me L...~C.':;'ool P.s-: --~tsj .G--r-EL-'T1. ' '70-1 pdO<AGR. .~ii.-
] : I ~ ! h fl..'r-::-P y_L~lCC'<J,-L1 d ~/,I;" 'f/ ~ ' i! IAJt= I
I I I ' I ' I 'I I,:' I ' 'i' ! ] I I
!. : I , ' Ii! ': I 1 !-tt..l~+--- I I
I Ii. ' . ! 1! ! I i i I I i I I J-U-
" I . I ! Iii I i I I . ! I] 'i i i 1 i I !
i ' I-i-l---n I i I - ---r-n-"l-r, -IT-t-- 1=)--r-- i --1'- ! i-
: !L~l~"t;~~r~~se ,----~---- j : 1-; 1- {oo : -j-r
, i ' J' I
1 I! i i I I ill I 1
i i ", I,. i i. n~j:-_ _ .1, uJ__irim:..', +. I '. II.-.~ " \ l-:lt-'
I; 'I! 'm' ,II: :'::'1
, .~.i, --~ .I"I~--_.- I -
1 ! . L' : I( I I: I I I II Ii" l--t :
I i I oI.J -+ I. I +. I I 1 I _+-
I : I! ;--1 T-I,;---- !-I ::-I-r-i 1-1--r-1 -'1":-1 iT I -
!! : ^'::. i I I ! ' I I : I J I! i Iii ! I
+---- ----I I; -...;--i ; ; +--1 -r---r--r. --:-1-1---'--1"- .-i-+---i--l--f--
I ,I, " .!!, I I '
I 'l' I.. I. '. . I, I 'I I"'" I
i ; .I. i , I I Ii, ' ii,
, i I ! 1 ' ?- -'-i-r-r-rli--i-r r--r-- +--r'--;-;--I-
J ' I 1 .~ I : i I : ill
:.+ I---~--t-r--t-j--+- ,-_:-- --I-t---,- ,- e._ I ,-- -- , -1--t- t-t--j.--t-i--~-
~~tTi I+; : r-rf ~R4'-i~f~iOB;-f~~' I : rl=t#1~!f+
...LH;I-.~ I'~' H+~ I ! ' · jl-1+c1ft~=r'-
: i! I I \V ~_ ~_ - _ 1-
, _Ll.. /I I ./' i II HCf.,JIP ! I 1 I I: 111-'-:", ~., . , : I,
--r-Tr~-; : t-F~:e-:f:7 !JJ:_t;; --R~ALlP -TrJ::j}~:f1-nr--+-;- 1'--1~:-1
,- -+~r:~ i/~"; ~ : . i .c;./4~-L-tzl'r!++1 r--j-+-r-+-t--r--ii-<-+-n~ !
! , i I -d- 1 . +-;- I :., ill I 1 I: Iii I I I: J i:: I
--r ~q psr--! U,'f*(~/r~-~;~I~-~~~€b) :.T-!--_r---r-~1!-!-
] 11")1, JE~L~~~f4Ji?IA.s.4=l 1(7Bletj&{jsE~J5DJ-~.--J-J-'.~::-I! __1_H-
t'\ )C:-~ : ~prnj.,.-1E"" -r:'~t:""~r" !~^'/t:=1 I ' ; ! I I ~!\ .. I I
-i- -LJ-t-j --t-1-----+- --t- 1--- i -~ - \ -..1).-1- c. E"QlF'''fLl B:~LK: ---j-
I I I I I ,i. I t.. I: J. (O~. t-R!. E.IC..., --. ~
i I I 'i I ' i I I I ~ i ! I II '.:it' b~A AR I
H-ti-- ,+. I I 1-;-+-+ .1 i il ~==-'{Ji;rt+--f--;sr RE"6.4eJ,
i Iii i, : i i i i I Iii I '-r";~t+L-.,-O .(},gofS.., Ufii<~&~~
.7
;.-/
#//
/
.#
f:~
;
j
! I
i-"i
; i 1: I
H--i"T--'
; I I ! ! 1
i i-Ll' '
;-1' ii,
. I
I I Iii
:-ttl--j
I !
: I
I
I
I I~ I r---...;
! /(.( ..""'"
, .j. , .--
ip - Pi{pp~<<.rr
,I '
: -i---r:' rv~_
1_1. I i
! !
I ! i ...J
.--it-h- I i
i I I I i
I ii' ,
I I :
, ,
I
, '_I
""""'1
---J ~i
I
I
I
I I
, I I
:+H--.;--
; , I : !
L' I
-~1:.1 -~
'I J. ~
, 1\,
. dice I I i
;.-1 1 .1 ~ I
. I I !
1
! I , l-
I i
i I ,
I !
i
-.-.
_J
: I
:
1--- -
P.4G~ L.OF:3
~.",..,
P4GE 3of'3
",'"
.'"
,t"
,.....:1
- . . //3 I ~ I _
/ c::- \,-( \ _ _ Cf -=-
,-H+i. i (: '1 I !-{"i' I -~! 'f~'~r~f'2'i'F :~.t-Jri:<I~~t
.. i ~ 1~:tt~~ (It",,~~~ -] !6~b+~(l1 \ .. ~~O;,t-~JI [I c6'"f"-\.Y",- IE
! $' , i i .1 1/,/t::;u(Jt? .r::o, I I ; I I "'-. j\" ' i ~ I; i : it.
-+--, +-LfbH*~I, '~ I;-r----I r-r-,.. "I' 1 ~,--Qllo~ ~ uH'--,+., -r-~~+'- 1.---' -r- t., _ -t-t+ ..
i : ! isW -r'.".' d.. I '" I /I:b' i! .: ; : r [n. I I ! i i
, I , ! . 1 ; 17\>/:,. I i ~) , Iii Ii! .
--H~ ~-G:~,,;r!I~:AL. i 1 1--.--- t y ~! ' -ld;l-r- Fr "r- r-T-rT-'-
11 : i Iii 1 ~~!I nT'-L", 1---+1;_J",.(;'_1'~--i~~lm ~..:--,._(:.- -~-L ... --III'-:,..---rL f- tl.--
-- (~.tc; /l.v,. IIH" \ " , '"t- ~ ~ ,--i-'-
~~_ I \--J \/: I f\ T ~j ! _ i !
._1 I e._Lt=T811)J -t- -,'-A. '\:'___, .__ l... EI 1 i ' I \. I ~ ,! ; I-J -.--
IT)( i~). t::,^"" - ~. I 1 \ I ~ ' i ' i \ 1 t I , ! I I !
_+_~~c I --I ~/~..1) ! :.,-T-l.: i._-t4! i ~~"-:~ I-L'1.'-~i.+' !._~..----4r. I!
I'J ~.! / I: '. : , 'I !.: . ...~ l,. !7T : \ ! __ . I
i ~ ~ "- """.;.;:'- ( i : . I I 'T i I - fl.! ~ ! I I r ! .
-I iq~!~ \ ! /~~^ ,!lrr-1-r-~;-I~~-rf-'1 J-~ u.u-t- f --t'.-- T~e-
...J1,,), ':I~ . I I ;,~ I~F:rdf1- ~ I .W--~;u ~._u/ -J. Ii \.- --L-L-r--~.. ~---+--~-~
I! :" I . ,I : f,... '\:. I " ../'..,.~:t'. \!! 1 ! Iii
· : : ill I Y I~__ I I ! : ~j, ~.~" ._1. ~ C":~L-.j \i _ i : ..lr l ._~_
I . . I / : \\. ""Z~j- , ~ D I I -f -~~,. : r ' i -------n'\... I ill I I I I
~ !': I t:1, \ \ ~ ' '\; i '~:"'; I i I : ~ri t' i I I
I I 1"'\ , ~ " \ "- " - i- -r- - . 1\ -- "',n;:~~-'\.I- -1' .+- ~ , 71'" . - r t4 -- -i-i-----r-
I' I I ~I I -:-i.' ~> 1 Q'XI ~,\., '~--):1.-2,~ i i
I i I ~ 1 ..h b } , } l~~ I i Il) ~ --t: m! I 'I i ! 'J\ ;..:.. ~:- 1 ! I
: I ~~_~L""'-:--S!,--+-+-, f'I.-~t7I-tx!-""'~- ,---1-_-- lJ -- -~ "\-f- ~~---r----I-----r_~
Ii: I " ~ ' , ... 1 ~' [~ i ,I) ~ !Tit' iX\~' I : i ~ ~ I,m$. Iii
~ '. 1 I ~: ~i-_6~..._~ ~~.j~:~L J~~-~~L-~-~-:-~-L-~--~ ~: ::~V'd_l .l--
i :. ,P- I (;' r:. ~ co i -:J ~ I I ~ ~ ~ 10 LaL-U- rv ~. \{ ii'
! ' I I ~: ,~~, l \.. I ---r-... '-I 17'"J,"" t!\: I i I ~ ++J---iT,
: ~-7'-+-f' j -t . ~ ~~ ;--I^'t1'-'~r.\~t-l' ~'t r--r--t'--~'~%i--' ~-+-t. .1-'1-
i I i 1'1,' ~V1-....,. f11 f\! I~; I .~~ ~ i t I I : ----r-V\ :__ ~-Ir'~-r-
-- i--.~~.-- --""\) c.. r- r OK It, t-"":'-T-- no .~. -''!--o~ _.il-\"- ~ '-T;-- 1 , .'......r- 1 ----,--t-- ,---t-
1 , ~ I ' I \l\ I' I ~ 0:" i -..1.1 ,::f ~ pi: ~! , I I I ~~~ rc:._LU- I
_.1.---:- --t~ I--...L..L -t> J -- ~l : ~ ~ ~ : if;' 0. k~ ~J.a. ~ L:-J ~n. f.\JW LL! I
-1-1 ii' i I 0 [ 1~ ....: t)..k~~ : w '~?! fT) I... : : -L,~ ?'--t ~ I i I
: I 1 I I~ c;) ?" i ~ :- \l ~ I i I I ~ t:j:),I\' , !\, i I ~ Ci'": t I L !
I . ~\ -FI,'-;~ ~;^;i~"'~-Filsi-~t1-r r f~0~i I i
_ ~ I fr.. t '~I ~ """ i'J\: I I I t i ~ ~, I: ,. rJ tp I
-,~ -,- ~ -t'-: :~l .t b\~; !~'-I'-' ~i-~-m"~ ...--~-' .-t-~---r' .i:: [',-'3 ,- --'1
~ ~ ~ -9' ~~ 1 I t." I.~ (;, .
I [I I ~__ _rtt R1':- ~~~-- ~r;-.' ~--,.c-r--nL . . .-+ ~ --1~~; -1; --;.....1.- . _no; - -\-~..- -L-J--J--
~, 7'?1 1\1 ..:.!.\ I I I I 'I I I I'A' I, " Ii, , i
I I .......... f~ I loA. v, I I I I I
. 4lAPtP,L-'I.--l.,J-.~ -- .J 1:\ ;~. ~.' (i\ i--i~L. .J ~- ~: -J 1..L' L; ,-.:
eJia-JE: Ii: l _~i ~~. '~i' ~ \~ I · : ' , I
L ;1 i I t' ~ !t\ j,.) I 1-:; 'I 5-~ i tr--r-I. : 1.' I I. [' I,
~p .('"'1 ~ .-A; "r-\," t.,;! i;:I:1 ~ i Ii' : I
. ~,ic;rtl: ~1 ~"' /r I. -t ~i ~~ ! -l~ if i i I I U j' I -~ r! :T :=h -r--ri :-L~-'
-'1-" ~>rt t)Y\\L.. t::k:' .~~ 10 ~-- r'Jj---1' ~-~TT';! i- -j ~ ;-'r-r- --I-~..1.-t--r-t- r-- r r--j-j--rr'T-! '
'~--rl- ~ -;: C'T" I" i I i 'i ~-~ ~~"--: L)...~I!'--j-... I! 'I i ,. ; I f i 1-
:.. ,,' i'l. i I f.' l..i i i"b ! I . i "__ i I ; I I~' __
, , I . :!.' '...! I_hi i; i i I I 1 LI' I I Ii i ·
--ITTT!1 'TI!II'~ ~~I--'-i-l 1 111)11-111- I Lt
L L-l-~L-+f---'-r-l-u!---.j.-t* l. '~J~Lt-~--; -. L---i- :+-~l.-~- -~--+-L- ~ .l-.-~.: +-- . r-: -!_.-~
i--..:t.. I I
I ( - ! I ----r-,..--i
/"'
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
C L / Fro r(~ j) . G &-(R.. KE.
5Lj). 7 5tt- s,r.
PHONE(~tj78&-'930S (!;l 78d- -ssf?7
ADDRESS
OWNER
SAvYlc.. As
ABovE
JOB LOCATION 5Aw E.. A::> ABovE
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S) I
~
,
~
BLOCK 9 d- SUBDIVISION (\ r'r
() r 2(; PI-(Y,'2. J..( I U.s
PARCEL I.D.#
\
II - ;l ~ - ~ I .- 00 10- 0 q ), oc) - 00 '76
WORK PROPOSED:____New Construction ~ddition ~Alteration ____Repair ____Install
____Sign/Temp.
PROPOSED USE: ~Single Family
_Sign
_Move
_Demolish
_M/F
_# of Units
__M/H
____Commercial
_Indust.
_Swim. Pool
Other
_Restaurant & Health Department Approval
~
.
BUILDING SIZE:
x
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 FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
i
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist, #
City License Registration #
******************************************
BUILDER
Signature
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
F.LECTRTCTAN
Company
State Cert. or Regist. #
City License Registration #
*********************~********************
PLUMBER
Signature
.f,
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
~*~:*:*~****~~:*::*r********************
APPLICATION APPROVED BY ~~_ PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peraitaay be subject to .deed restrictions. which lay be lore restrictive than City
regulations. The undersigned assules responsibility for coapliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or 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 aay be
cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to Khat licensing
requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departaent, (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 laN - Hoaeowner's Protection
Guide. prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is soaeone other than the
.0Nner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the
.owner" prior to cOlaencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby 'lade to obtain a perait to do work and installation as indicated. I certify that no work or
installation has coaaenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies aay apply to the intended work, and that it is
ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
f Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treataent
f Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environaental Protection AQency - Asbestos abatelent
I also certify that, if fill .aterial is tu be used in Flood Lone "r." or .A,etc,', it is understood that a drainage plan
addressing a "cotpensating voluae. will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A perlit issued shall be construed to be a license to proceed with the wor~ and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code.. Every perlit issued shall becole invalid
unless the work authorized by such perait is cOlaenced within six aonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tiae the work is cOI.enced. One 90 day extension of tile, lay 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 aonth period, or the project Nill be considered abandoned.
WARNING TO OWNER: YOUR ~AILURE 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: CONTRACTOR
STATE OF FLORIDA
COUNTY OF Pasco
Th~'foregoing instrument
before me this Mav 20
was acknowledged
, 19-92- by
STATE OF FLORIDA
COUNTY OF
. The foregoing instrument
befcl\-e me th i s
was acknowledged
19_ by
Clifford D. Gehrke
who is personally
produced Florida
as identification
take an oath.
who has
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
'1.2...
(Signature)
Dawn E. Woodward
(Name Typed, Pr i nted or StamomPtLORIDA.
'~OTARY PUBLIC, "S1'AT!!: ' 1995
NOT ARY PUBL Ie 'MY COMMISSlON EXPIRES: Jan. i~RlTERs.
BONDED THRU NOTARY PUBLIC UNDE
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC