HomeMy WebLinkAbout92-2507
BUILDING PERMIT
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GUILDINi)
CITY OF ZEPHYRHILLS
(813) 788-6611
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Date
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Sewer Conn t.2 7i-,
Water Conn: . 2-"')0 p.9-
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Water Meter: ----6;l ~
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FINAL -.LI-
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C.O. -'-
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee 'I ~'f;' $
Signature ~ ~j & ^<.t.J v&..O
Company ()
Address
Telephone#
Valuation or (jz;.>
Contract Price '-~ ~ 000'
City License Registration # 07 bl.
State Certified License# C! 0- t!ooSd?9S
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MECHANICA~
Tp. Servo SLB o~
Rough In 10- \S-ql. ekTub Set
Meter Can Water
Const. Pole Sewer a:...;;(l - q~ ~
Pool Final
Pre-Meter
Final
Breakers r J
Ducts Insl. ) 6- )S...Cf2tJ~
Compressor
Final
FRM.
Insul. CL
WL \ 0 - \6>- q 1.. mu...
Driveway 11- J Z. -qcl (J ilL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) 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.
'}JCL /1-/?-9.L
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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_',' \/cr,~ 0,';:< '/T!!,:':j~) (DUPI,_r:~< NOPTH ~3ID[)
FLORIDA ENERGY EfFICIENCY CODE
FOR BUILDING CONSTRUCTION
ectlon 9 Compliance Program Resident~al Point System Method
Vey.si.()ll 1.0 ]al-ll.J2r/~ 1992
Department of Community Affairs
P1'intout generated by EPI92
THIS COMPLIANCE FORM I VAL
and subnlitted I lieu ()f F'orrn 900 (~, 91
~[):F SUBMITTED AF"-rER ,JAj~UARY 1, 1992
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GlopASS TO F OOR AREA RATIO
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Hereby certify that the plans and
~pecifi(:a ions covered by 1:~lis calcu-
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compliance with tho
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Review of the plans and specifications
covered by this calculation indicates
compliance ",ith the r:-lcri t~"1(;:)h9Y
Code, Before construct on is complet d
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To be caulked, gasketed, weather stripped o~ other-
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heated).. ~~on commS1- idl pool" mU:3t 11Sll./8 (} pdrnp tirne'r
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In such cases, piping heat
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must be insulated to minimum R-4.2 & joints must be
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'l~ INFIL'fRA1'ION REDLJC1-ION PRACTICE OMF)L..IANCE (:HECKL ST t*
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Comply with P actice ~
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installed, Sole plata/floor Joint caulked or sealed,
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A::?PLi..CATION FO~ PERflIT
CITY OF ZEPHYRHILLS
BUILDING DEP'~T~FrT
APPLICANT General Home Dev~lopment Corpnr~tin~
OWNER
817 U.S..JlB...Bypa~~ South Dan.,. r.ity, 1='1 ':l':l"'" PHONE (904)567-6581
General Home Development Corp~ration
ADDRESS
JOB LOCATION Lot 7 & 8 Tract ,"0" Brentwnnn
Tract "0"
LEGAL DESCRIPTION: LOT(S) 7 & 8 ~~
LOT SIZE see:-rlot P1&EA SQ.FT.
SUBDlvIsIoN-5ilver Oaks PB 29 PGS 86-89
PARCEL I. D . l~
WORK PROPOSED:--*-New Construction _Addition _Alteration _Repair _Install
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: -LSingle Family _M/F .2.-1~ of Units __M/lI
_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
_Mf:'CHANICAL
AMP Service
,Florida Power Corp.
_h1.R.E.C.
$
______Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
. CONTRACrn.R SECTION
BUILDER KP~ ~ts Company General Home Deve 1 opment
. State Cert. or Regist. ltCG005695
Signature _ ~~~ City License Regi~tration it , ...2~
******************************************
Corporation
ELECTRICIAN
f{JH 11 ~ }-
EKo 0 If 1/ (J
l~ / .!>~g
Company Martin Electric
State Cert. or Regist. 'l~
Si~nature Robert H. Martin Jr. City License Registration
******************************************
PLUMBER James Martin Company Bayonet Plumbing
~ ~ ~ State Cert. or Regist. II <'-T'C' 0 <-/;1.-"7 f P
Signatu ~ ~~ City License Registration it , 9/
******************************************
MECHANICAL Thomas Lachance
Signature d~ l~"-'____
Company Southern Cdmfort Enterprises, Inc.
State Cert. or Regist. #
01. ~J" ~i~.:~~se Regis t:rpt~ion ~~ ,.:-.-~~....,'~...:.L~:2____~
**********~~******************************
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
*******************~**********************
APPLICATION APPROVED BY
PERI'1IT OFFICER.
COND I T I UNS Ul- I-'I..:.I(I:'! .-"'-1- 1 L!H V 1 I
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit I~Y be subject to 'deed restricti~~s. hhich lay be lore restrictive than C,itJ
regulations. The undersigned assules responsibility for cOlpliance with any applicd~l~ 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 lie~n~ed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are 'Incertain as to Hhat licensing
reQuirelents lay apply for the intended Mork, they are advised to conta~t the City of Zephyrhills Building Departlent, IBI3)
788-6611.
Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorls) sign portions of the
'Contractor Sections' of this application for IIhich they lIill 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
'ollner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
'owner' prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infonation in this application is accurate and that all wc.rkwill .be done in co.pliance with all
applicable laws regulating construction, zoning, ind land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be .perforled tc. leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies lay apply to the intended Mork, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited tc.:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treat.ent
t Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercc.urses
t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,ete.', it is understood that a drainage plan
addressing a 'cotpensating volule' Mill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes,nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, Dr violations of any cc.de. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cottenced within six lonths of issuance, Dr if work authorized by the perlit is
suspended Dr abandoned fc.r a period of six lonths after the tile the work is cOllenced.. 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 lust be logged during each six lonth periOd, or the project will be considered abandoned.
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'.
.>z~.r1~ ~ ~ /?~
SIGNA RE: OWNER OR AGENT.' SIG ATURE: CONTRACTOR
STATE,OF FLORID~' .~'~ ~~.,
COUNTY OF L ~
The foregoing instrument
. befc.re me this ~ \0
was acknowledged
, 19 'i ')..... by
STATE OF FLORIDA . ~
COUNTY Of,' ,~
. The foregc.i ng i nstl-ument
befc.,-e me this ~ ~ Ie
1'-1-
was ac~nowledged
, 19~ by
l<e.vtY\ R.ob..el""t-~
..,h,.. ,;,.. ~...~"'\' 1" l"nr".,~"""'J.. ,.....:::) r.,- ",;~r. h?~
"'t.... ....... ~~.L.~--........~..:.--r . I'._~. ........
,.oL-.r!
Tn .1)8' r:,r who hac:;
-"
pn,duced
as identification and who did~
take an oath.
~~~ \.Z.R 'O-^-,~
(Sig tU'I-e) ,
..)I\.-v,.,....t- k_ Ii \1L.'--Kw<.l( C.-C>-vV\h11 /:l...4A.{go~J.')..
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Nofary ~u~rrc; SfaflJ or F.lorf(J.
My CommISSion Expires Sept, 2, 1992
produced
as identification and who did~
~':'::;\~ ~~
(Si ture)
Jc..,.....l Ie G1.1Q..,-K-W~ tfr~ t:b-A-,f(,O{p~1
(Name Typed, Printed or Stamped)
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RECEIP' NUM8R: 00156~19
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NOTICE
OF
RESOURCE RECOVERY ASSESSMENT FORM
PERMIT II <! ::5Z) 78
DATE
APPLICANT/OWNER
) 1/-"
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COUNTY PARCEL II
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LOCATION
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USE/CODE DESCRIPTION
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RESIDENTIAL
NON-RESIDENTIAL
Ii UNITS
I
/
GROSS SQ. FT. (GSF)
RATE/ERU=$SO.OO X 0.96*/YEAR OR $0.131S/DAY ERU ASSIGN II
ASSESSMENT = (II UNITS)X($0.1315)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 FIN~~ RELEASE.
DATE
RECEIVED BY
--------------------------------------------------------------------.------------------
FOR OFFICE USE ONLY
RECEIPT II
DATE
BY