HomeMy WebLinkAbout92-2524
. RiPUILDING PERMIT. .
:. I J5. IfO f. CITY OF ZEPHYRHILlS Pe,mit N? 25248..
_ ' (813) 788-6611 --
J ,3 !tJS. o-u / IY r ., <._ , _ ' - n-n Date 7 -:J tf 7 d-
. / 0 O' ~ (:,~. DV I 7~ ,v....
~~c:-~:~~CHAN0
PmpertyOwne, l.:l~ ~llL~-~ !h#K.
Job Address: 7.3 t) 1 ~~_ ~~ n ~ -
Parcell.D. # 3Y--~- - eLl -,3 -- ~ - - C
Zoningo C -;!. . Ene'gv cO:!'J~~'l'1 R,don G"o 6:;,-. (J3
Description of Work '-77''?j A;- .t:1-- -
Sewer Conn ~ I ;;l.3t.0'7:>
,
WatE~r Conn: ~ 1.2, '-S()
I ; ..2 y ..s~ 0"\:)
Water Meter: ~$1 / ./ 6.S-- OV
TH::s: d ~ ~6r. 7(5-
Permit Fee
FINAL -L~J v< :.y- -
DATE
C.O. /;;l -,30 ,- ::L
DATE
''\ --'
Inspector(---" - - I
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.
Valuation or
Contract Price c2 ~ Z t17J(). o--v
City License Registration # :J...y ~
State Certified License# t'_ G (' A-tJ /66-5-
Telephone#
)/p~6:lfcJ/
PLUMBING _ 7
SLB ,~
Tub Set ~ t1:J '
WaW :1 t] t1
q, ~q _ q ;t 6olr~~:,er V ) I
Breakers
Ducts Insl.
Compressor
Final
Ftr, Tp, Serv.
Pre SLB Rough In
Lintel Meter Can
FRM. f~/3--9LI5~ Const. Pole
Insul. L _ _ Pool
WL //... J b...q~ 8uJ Pre-Meter
I ?,;J.11~
. Q
r) - l-~. L--; 1 IJ-L'-
.It.
)
\
y~~ ~vq-qJ8fiP
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 ($1 5.00) 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.
?R,;2 - j,.sv~.
-he payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
., r-lq,~Z- I~l~ r~~~p ~I
1- Ie.{. 9 2... ~e&L ~..'6..
~-I'f.e;L r/fJtlLT (C9Nj::}C~/r $.'1>,
Cj"-1f",.9'2- l/i1vL-'T uJ}L.L. 5ruL 1S,,~,
1-/1. C(l- VNJ~"l 4tLtNc.- ~rg'tL 6.0.
Q,<J42 ~ e,B.;~
q:Lz-q1. ~'f'O- 6fJ/~
1.- l ~ .,..fl.. 61li-~ L 6 H~ iJJt14..- ~.
r-l'1>.c,,- -6-keL fN fN-~ ~l1(Vl.- ft.rv ~i>.
/p-I-CfL- hrJd ~tr... gLD~ ~
"'~9Z, ~~~~~ f;BJ~
lCD-.l)-'l1- ~~~~ 6~
'O-2~-qd. ~~ ~ ~\J~ 6ot--
/D- 21.0,'- &C.c:ND ~oJ~ PLur$, 138,
/e '-2.'S _.&12_ t>>-t"/jL. TANJ ~& IS~~ t~.
]/... 12-'11.- W~~, Oolr
JJ-J~''P. O~~~~. 6~
II-l342- ~'fJ ~~bttS a~.
FORM 800A.91
Non-Residential Buildings
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
SECTION 8 · SIMPLIFIED ANNUAL ENERGY METHOD
ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS
ALL CLIMATE ZONES
PROJECT NAME:
ADDRESS: 7-
CITY ZIP CO
BUILDER:
OWN ER:
BUILDING INFORMATION
WALLS ROOF/CEILING FLOORS DOORS GLASS
TYPE u AREA TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA
Concrele (CBS) .11 '2.Z~ Under allic .04 4414- Slab-on-grade / Wood 6IlA!6 Single, wall 1;1 57!)
Wooo Irame Smgle Assembly Raised Wood ./ Metal Double, wall . Be; 5~
Melal Irame Other Raised concrete /' Insulated Single, rool
InSulation R-value Insulallon A-value Insulation A-value V Other Double, rool
SYSTEMS INFORMATION
AIR CONDITIONER HEATING SYSTEM HOT WATER
TYPE EFFICIENCY TONS TYPE EFFICIENCY BTU/H TYPE
Unitary & Heat Pump /7 Y2- Central & Heat Pump Electric
103 SEEA tif
<65,000 Blu/h --- < 65,000 Btu 1 h _ HSPF Aesistance
- 0
,,65.000 Bluth --_._--- EER -- IPLV - ~ 65,000 Btu I h COP Oed Heat Puma
- -
Water Cooled -- - EER .--- IPLV ---- Gas
Waler cooled - COP - Natural 0
Evaporatlvely Coaleo EER
---- -- EvapOrallVely cooled _COP LPG 0
PTAC .. EER ~~_. ElectriC reSistance -L COP ~ Oil 0
Cnlllers ---.- cOP ~ IPLV ---- Gas/Oil (circle one) HAU 0
Other -_.~--_.- ___n__ -- ----- < 225,000/300,000 Btu/h _ AFUE Other --
-
LIGHTING KW: /I.ot 20 225,000/300,000 Btu/h _E, -
PRESCRIPTIVE MEASURES (Must be met or exceeded by all buildings.)
COMPONENTS SECTION REQUIREMENTS CHECK
Windows 502A Maximum of ,37 cfm per linear foot of operable sash crack, V
Doors 502A Maximum of 1,25 cfm per square foot of door area. ,j
Joints/Cracks 502.4 To be caulked, gaskeled, weatherstripped or otherwise sealed, "
Reheat 503,3 Supply air restricted to set cold/hot deck temperature to meet load of worst case zone, Resistance reheat prohibited ~
Ventilation 503A Supplied with readily accessible switch tor shut-off and/or volume reduction when ventilation is not required, I,
HVAC EffiCiency 503A Minimum efficiencies-Heating: Tables 5-4, 5-5 & 5-5, Cooling: Tables 5-7A, 5-7B, 5-8 & 5-'3, ,
Transport Energy 503.5 Minimum of 8,0, "
Balanclna 503,6 Provide means for balancinQ HVAC air system & water distribution system, u
HVAC Controls 503,7 Separate readily accessible manual or automatic thermostat for each system, ,J
HV AC Ducts 503.8 Air ducts. fittings, mechanical equipment and plenum chambers shall be mechanically attached. sealed.
503,9 insulated and installed in accordance with the criteria of sections 503,8. 503,9 and 503,10, J
503,10
Piping Insulation 503.11 In accordance with Table 5-10, . }
Water Heaters 504.2 Automatic electric storage water heaters s 120 gallons and gas & oil-fired storage water heaters
s 75,000 Btu/h shall meet performance minimums in Table 5-11. Larger sized water heaters shall .J
meet minimums in Table 11-1 of Standard RS-9 after 1/1/92,
SWimming Pools 504.2 Spas & heated pools must have covers, Nan-commercial pools must have pump timer. Al.A.
& Spas Gas spa & pool heaters must have minimum thermal efficiency of 78%,
Hot Water Pipe 504.4 Piping heat loss is limited to 17,5 Btu/h linear foot of pipe for recirculating systems (see Table 5-12), ! J
Insulation
-
Water Fixtures 504,5 Water flow restricted 10 maximum of 3 gpm at 80 psig; toitets maximum 3.5 gallon flush, .J.
Public lavatory fixture maximum flow of ,5 gpm or .5 gallon if has self-closing valve,
Lighting 50S,' Minimum Ballast Efficacy Factors are listed in Table 5-14, 1/
SECTION . CO.P~ SECTION 4 COMPLIANCE I hereby certify that !!!.e ~n~~sl>ecificatlons cove,,;d by lhe ~""Iculation are In compliance
Budget (Table 8-1) Computer program used: with the Florida e J\., A A ' ,
Building MBTU / SF I. Section 5 Budget: PREPARED By~1l -or .-\ (111 I ~,- DA 'TEL. -l \ .9 "L
Conditioned sq It. 4 Section 4 Total: I hereby certifyt~'~r:.b~ ~~sll~mPliance withte :ld3 Energy C';;; --~
OWNER/AGENT: ,,~ f. I" ,c.. _ DATE' L :LI _. L
Compliance with Section 8 was demonstrated by a Prescriptive Measures Review at plans and 't~ifi~ cove~'dbY this calculation indicates com~;,~~ce with Ihe
methOdology or by Dual Calculation Flonda Energy Code, e\ore ctlo~leled' this bUilding ~1)e ,nspecled tor
B 807.2 Supermarkets B 809.2 BaSIC Features compliance in accordance wi e on 5..S _
807 3 Restaurants 809,3 Dual Calculation BUILDING OFFICIAL, ^ .A - . -
-'7 "')f r _ 'iI' ?- -~~
807 4 Kitchens Budget DATE:
,
z
0
-
...
0
:J
a:O
"'0
(I):J: U)
Z... a:
ow c
02 ~
~
,,> c
z" >-
-a: ...
Ow z
::!z ::I
:JW 2
a:I 2
..J 0
a:e( u
O:J IL
LL.Z 0
Z
We( ...
0 z
1&1
.,.. 00 2
m O!!;! ...
< a:
0 LL. c
0 >- A.
IX) O~ 1&1
:E Q
ex: Z~
0 W- 1&1
u.. -(I) :z:
0 ...
-
LL.,
LL., >0-
W .
>CO a
III
" C
...
a: ~
Wz .
z
Zo :I
W_
... a
c
e(0
OW
-(I)
a:
0
..J
U.
::I
...
III
2
.
.
::I
::I
...
III
2
.
a: a:
1&1'"
...2
z .
.
...
.
c
~
-
U)
..J
..J
C
~
c:(
o
z
2
::I
U)
Z
o
U(I)
...
>-z
01&1
a:2
1&111I
Z..J
1&111I
IL
o
o
lie
"(I)
..J
a:..J
oc
O~
..J
lLa:
Q~
1&1 a:
(1)1&1
-...
Cz
a:_
a: :::z W LlJ U') tIJ "'3
0
a:
C
..J
0
CI)
CI)
(I)
C
..J
0
C
+
.
.
I--
Z
0
...
U
::I
Q
Z
0
U
CI)
(I)
C
..J
0
11.1
N
~
Ir<:
(\)
.
:I r-
(I) \J\
> ~
2 0
~ ~
u ..s
...r
l'O
I~
I
2 0---
~ ~
>
.
2 ()
~ ..s
u -..3
\ +
I
:E
IL
(I)
:E
.
A.
:z:
CD
~
("l;
('t)
,
2 -
~ \I)
> \
:E 0
~ -S
u ~
I 1-
.
A.
:z:
CD
-
a:
c
1&1
Q
en
...
::I
0
LL
.:
0
...
... c
C 1&1
1&1 :z:
:z:
<:I
Z
...
:z:
"
.
~
:r:
c
~ >
eI) ... c >
.. G: ..I W C > U
0 0
t- e z . I C
..I ~ :E t- > ~ IlL ., ., III +
e 0 >- W 0 . ::I ::I %
t- G: 0 ::I % % ...
t- t- el) e " Q u IlL C C 0
0 c >- m 2 z
I- W eI) :;)
m :r: eI) 2 >- t-
:;) eI) ..I :;) " c
eI) ..I 0 ..I eI) G: W
Q, :r:
:;) c 0 e "w
G: , t- O Z >- ZZ >-
W t- O ..... 0 " ;:w G: G: "
t- G: t- t- el) G: W 00 G:
Z C m c e W :r:~ t- et-~w
t- :;) W W z ~e c >Oez
~ eI) eI) :r: eI) w ..IG: ~ :r:2G:w
..., ~ 0 a:
.
.
.
.
o
o
I:
U
"
Z
-
...
o
o
o
...
.
co
.
.a
III
l-
I
t-
W
"
Q
:;)
CD
"
Z
t-
e
W
:r:
..I
e
t-
O
t-
>-
"
G:
W
Z
W
tr
Zo-
" -
C;;~
W
Q
1:1 1:1
1:1 1:1
. .
+
+
.
.
o
o
z:
u
FORM 800A.91
Non.Resldenlial Buildings
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
SECTION 8 · SIMPLIFIED ANNUAL ENERGY METHOD
ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS
ALL CLIMATE ZONES
BUILDING INFORMATION
WALLS ROOF/CEILING FLOORS DOORS GLASS
TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA
Concrele (CBS) ./1 '2. 'Z 5't Under allic 1.04- 44-1A- Slab-on-grade ./ Wood ~L.A!6 Single, wall I~ I 570
Wood Irame Single Assembly Raised Wood ./ Metal Double, wall .el: "5"~
Melal Irame Other Raised concrete V Insulated Single, rool
Insulallon A.value Insulation A-value Insulation R-value V Other Double, rool
SYSTEMS INFORMATION
AIR CONDITIONER HEATING SYSTEM HOT WATER
TYPE EFFICIENCY TONS TYPE EFFICIENCY BTU/H TYPE
Unitary & Heal Pump ~ Central & Heat Pump Electric
<65,000 BlUth m_2L SEEA < 65,000 Btu 1 h _ HSPF Resistance ~
- 0
,,65,000 Bluth - EEA - IPLV - 2: 65,000 Blu 1 h _COP Oed, Heal Pump
-
Waler Cooled - EER - IPLV - _COP Gas
Water cooled - Natural 0
Evaporalively Cooled --- EER - Evaporatively cooled _COP 0
qS. 5"3~ LPG
PTAC --- EER _. Electric resistance ----1- COP 0
Oil
Chillers ---- COP - IPLV - Gas/Oil (circle one) HAU 0
Olner ---- --.- -- - < 225,0001300,000 Blu/h _ AFUE Other
-
LIGHTING KW: II. at 2: 225,000/300,000 Btulh _Et -
COMPONENTS SECTION
Windows 502,4
Doors 502,4
Joints/Cracks 502,4
Reheat 503,3
Ventilation 503.4
HVAC Efficiency 503.4
Transport Energy 503,5
Balancino 503,6
HV AC Controls 503.7
HV AC Ducts 503,B
503.9
503,10
Piping Insulation 503,11
Water Heaters 504.2
Swimming Pools 504.2
& Spas
Hot Water Pipe 504,4
Insulation
Water Fixtures 504,5
Lighting 505,'
SECTION 8 COMP~LANC
Budget (Table 8-1):
Building MBTU/SF: t.
Conditioned sQ, It.:
PRESCRIPTIVE MEASURES (Must be met or exceeded by all buildings.)
REQUIREMENTS
CHECK
\J
\J
l
\
, \
\.
I.
I.
II
J
J
.J
l).~'
! J
i
V
Maximum of ,37 cfm per linear foot of operable sash crack.
Maximum of 1 ,25 cfm per square foot of door area.
To be caulked, gasketed, weatherstripped or otherwise sealed,
Supply air restricted to set cold/hot deck temperature to meet load of worst case zone. Resistance reheat prohibited
Supplied with readily accessible switch for shut-off and/or volume reduction when ventilation is not required,
Minimum efficiencies-Heating: Tables 5-4, 5-5 & 5-6. Cooling: Tables 5-7A, 5-7B, 5-8 & 5.9,
Minimum of 8.0,
Provide means for balancino HV AC air svstem & water distribution svstem.
Separate readily accessible manual or automatic thermostat for each system,
Air ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed,
insulated and installed in accordance with the criteria of sections 503.8. 503,9 and 503.10,
In accordance with Table 5-10.
Automatic electric storage water heaters 5120 gallons and gas & oil-fired storage water heaters
575.000 Btuth shall meet performance minimums in Table 5-11. Larger sized water heaters shall
meet minimums in Table 11-1 of Standard RS-9 after 1/1/92.
Spas & heated pools must have covers, Non-commercial pools must have pump timer,
Gas spa & pool heaters must have minimum thermal efficiency of 78%,
Piping heat loss is limited to 17,5 Btu/h linear foot of pipe for recirculating systems (see Table 5-12),
Water flow restricted to maximum of 3 gpm at 80 psig; toilets maximum 3.5 gallon flush.
Public lavatory fixture maximum flow of ,5 gpm or ,5 gallon if has self-closing valve.
Minimum Ballast Efficacy Factors are listed in Table 5-14.
SECTION 4 COMPLIANCE
Computer program used:
Section 5 Budget:
Section 4 Total:
I hereby certify that t~ "2"~ti'flcations covered. by. lne calculation are ,n compliance
with the Florida Ener . ' / :'" ,
PREPARED BY: [i1 J M '11,0._x.. L~OATE l-'L\-9'--
I hereby certify that I~IS _uil ~Ts~on\~nce witt. the Florida Energy Code 9
OWNER/AGENT: \ \ 1 A.A Cr \ . II , I ~ -(.:~E: ~ 1- \. t...-
Review of plans and s~~ ion't ~~~er by his calculation indicates compliance with the
Flonda Ener,gy Code. Belo~~ '~'s ",p1eted,this bUildin9~1JiII ':nspected for
compliance In accordance ~ on F,S. -
BUILDING OFFICIAL: '~rJ J A rl I..
DATE: "'7 ' ""\.r"VS _ 0 '71
Compliance with Section 8 was demonstrated by a Prescriptive
methodology or by Dual Calculation:
~ 807.2 Supermarkets
807.3 Restaurants
8074 Kitchens
Measures
o 809,2 Basic Features
o 809,3 Dual Calculation
Budget
,...
en
.t
o
o
CO
~
a:
o
u.
z
0
-
~
0
;:)
a:O
~O
en:J: (I)
z~ II:
OW ~
0:1 ~
~
,,> c
z" >-
-a: ...
Ow z
:::!z ::I
;:)W :I
a:J :I
..J 0
a:e( CJ
0;:) II.
LL.Z 0
Z
We( ...
0 z
110I
00 :I
U!!! ...
II:
LL. C
>- A.
U~ 110I
Z:I Q
W- 110I
-en :z:
U ...
-
LL.,
LL., ~
W .
>CD a
III
" Ie
III
a: ...
Wz .
z
Zo 2
W_
~ a
c
e(0
OW
_en
a:
0
..J
U.
::I
...
III
:I
\(\
0"'-
f""
N
~
l'C)
~
.
:I r-
tn \t\
> ~
:I 0
II. ~
CJ ~
+
.
.
::;)
::;)
...
III
:I
~
~
,
::E -
~ \I)
> 1
::E 0
II. ~
CJ \.9
, +
N+
It
.
11:11:
110I'"
...:1
z .
.
..
.
c
..
-
(I)
~
~
c
~
<(
II: ::::z W L1J ill tI) "'3
0
II:
C
~
0
(I)
(I)
(I)
c
~
C
C
-
z
0
-
...
CJ
::;)
0
z
0
CJ.
(I)
(I)
c
~
C
W
-
II:
C
110I
Q
(I)
...
::;)
0
11.
C
z
:I
::I
(I)
Z
o
U(I)
...
>z
CIIoI
C:I
110I110I
z~
110I110I
~
0
...
... c
C 110I
110I :z:
:z:
0
z
...
:z:
0
II.
o
o
C
4(1)
~
C...
oc
O~
...
II.c
02
IIoIC
(1)110I
-...
Cz
c_
.
~
:c
c
~ >
U) .. c >
.. m: ..I lU c:I > U
0 0
I- ~ z 41) I C
..I ~ :2 I- > :; A. III III \II +
~ 0 >- lU 0 . :l :l z:
?- m: Q 0 :l z: :z: ..
l- I- U) ~ " U A. C C 0
0 4( >- CD Z
I- 11.I en :;) :2
a:l :J: en :2 >- I-
;:) U) ..I :;) 0 ~
U) ..I 0 ..I U) m: 11.I
0.. :c
:;) ~ 0 ~ Ow
m: I I- 0 Z >- ZZ >-
11.I I- 0 ...... 0 0 i=W m: m: 0
?- m: l- I- U) m: 11.I 00 m:
Z 4( a:l 4( ~ 11.I :J:~ I- ~I-~W
I- :;) 11.I 11.I Z ~~ ~ >OCZ
~ U) U) :c U) 11.I ..1m: ~ :J::2m:W
0
" ...
.
Z co
- e
...
0 .Q
0 III
I-
0 f
I-
11.I
0
Q
. ;:)
a:l
>-
0
m:
11.I
Z
11.I
('I) 0
- n <:;t
0-
.
.
0
0
Ii:.
U 0
Z
I-
~
11.I
:J:
>-
0
~ ~ m:
~ ~ 11.I
. . Z
11.I
tr
Zo-
O .
- -
+ + U)~
11.I
Q
. ..I
. . ~ t-
o I-
0 0
.t:. l- II
u
.
BUIL~\f\J& 113~. (';I 0
PLuM~'N & 1.05. () "
~Lfdf'(r\C I ~~. J.5
. n,,\ t1 \-i')Nk .;,L I 7 S ~ c> 0
....Ll .____.__... _,~.~
,S\Jt)t~,~1\L- I ) ~ \ 6. d5
C~l.l",t - 1 z5.. D 0
-rAC 4* l ~ b'1 'I d 5
~
V11Lu~-ho,J
(.J:>~f.(1it:f' \ _. ti;:.~ s
~~.\i'I LIL
vh'M~shc
\ vz. t\. \u. A"'f\ t} "~
\ u _.~(. (L
\lvr;tf:
3/4 'v). I Ii TEfL
III M~htl..
....., 1
1',', 'n T 5'10"1117
,",,'
-7:< (
I . ,.'
-, ":,1. L
Ii>
ZL/Cj DC
J
X J/.5~ 5L ~(;.
)( IS' P~IVL Tfliu
do-
E:I'\J 1/2.,/
2 3 I C'.... \J 0'" PA"i~.\.t ~JT
... J ;.J 0..,..)- .s, H ". 0';)- &'''
'-0 NC..€J"T E-
'-I') V,"J' f' "'. -1
') i' \ 4 r '
.., ...... J ·
ZJ4~ ~ F~
-; -? '-2,/ "l f "l
'-I .... ..,' \0 . "" '-.'
(P!L. 0
I~.. . r" c,
2Lj:3 . c'
-----~.",."..".."-'"
k-r:IL-
t<~ uOrJ (, I'~
I. ';") OJ .~ '}. t
\OJ -' ~:> J1' t.
12..51, f;: c'
1- ,<'" ') '2..
w.:>. ~.J
'nrl,-.JS f'{;t2 t f1 +1.~__~.Pllq::..JL~ .3 ~ ~I ? 12
C :?~ ?;r7~_'._:~l/~-/71%
tIt.. () t"lr'\ ~~k' '~~i:- a..q; I( ~~" ff
(';:';7/9
-, .,
..; l' C;s ') ,/ 0
J t (),. .......I..C'
.......-.
('O~ L.J M ~'-
,(.
F
I
; ,
l
/-;::;17/J/ \x(.I-. ---\ ../
(~'9'1/2) ('3;9:; "9C!~)HY!L)XN
/ "'... '. ( ( r- ---' I
J-/,___ I)";; . ~ (0 I '7<.../0 L..~LS
2.0. < ;;". ;'/V " ):;~.~,:. t1
)( L)' 1:\/ .', ',.:(',tJ/. -= /0 z.. I c:- .;- ,., ::. ,~f.. 2-S-
---- '", ...' .'__." ~yY ',~ -' . c..
51. 2:":: ~--' 0 8 1 L = . (:)014
Sa q ~) " "/ \/ 2 "'J c::- - /:::;;> /(~ / 00 ::;;, 0
I I ( C)&';:' '- /\ . L....:.::> -- I ->, i) (()~ /.
7 .007/-/ -:~ eli-i%7,70 X , ?3 =- 3, Z 89, '7J
8 ..-") {J ~ 7't v / /....- /) 5 /-
. ,,~t3 I...... 1\ 7, L-~_ l-) r::
"3 f; ;; I 7, I}-
, '5,.)rJ 6fiN K
n1ErZCH AN T ':::f' u f\"f.
TA'RT,F. A - WORT(~HF,F,T
tJ LL O. .... '.,'
ORD. ft395 RESOLUTION 151 & 329 WATER $1.75 / GAr~LON SEWER $6. 39/GALLON
RF.~TnF.NTT AT, (F,Ach T.nt nr TJnit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131" 25 1.79.25
~
C':OMMF.RC':T AT. (PF.R FTXTTJRF.~
Sinks 87..50 319.50
,Water Closet 131.25 479.25
Urinal , 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines 350.00 1,278.00
.
FOOD SERVICE , .
Dishwasher . 700.00 2,556.00
Sinks 175.00 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
r:TTV nil' 7.F.'PRVRnTT.To~ r:nNNF.r:TTnN FF.F.~
7301 ~ gl,;v.O
FIXTURE G.P.D. ~t WATER SEWER TOTAL PER FIXTURE
~)NK \ ~7i5D 3'1~5O '-107. DO
I W ft1U. (.L.c;6~ T 3 3'l175 I,L!.)/,75"" I o~ 11.:)0
3 , ,
LIN It Tort 'I , 3 J , 2.~ 474. 2:f t,JO.50
,
6>/2,50 Z, 231o~50 2., ~i./'I. i) 0
~CJ
ff- ,11{1t1(,.It7iDIV
. ';''',\.~ATER METER
~M(::.S'n"
GRAND TOTAL
Z4!J.
r..o
I h5.
312.51,00
I
APPLICATIOllil FOR PERl/tIT
CI'IY OF ZEPHYRllILLS
BUlLDIlIilG DEPARI'KmiT
& ~ /K
=::::~ . ;:5fll'/1~'$L,--
JOB ADDRESS 73 U ( C~"-' II tj{u of
LEGAI. DESCRIPTIOI!iI: I.OT(S) s~. {.
..6'1- 7~-d-1 - 3-
man
0lf~ ~ /S"cJ 7-.
PARCEL I. D.'
~StmDIVISION
"J- S~e. II C"
WORK PROPOsm:-0ev Construction _Addition _Alteration _Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE:
Single Faaily
V~rcial
_KIF
_, of Ufnits '
_K/H
_Indust.
_Stria. Pool
Other
_Rest:aurant &- Health ~t Approval
BUILDIHG SIZE: ~J'!~ ~I ~ ((
Square Feet,
, LfJ-o to
Height
RESIDEIfTIAL :
cotttIERCIAL :
ATTACH (2) PLOI' PlANS &- (2) SEIS OF BUIIDING PLAJlS &- (1) SEt' EHERGY FORKS. **
ATTACH. (3) SEIS OF BUILDISG PLAIIS &- (1) SEt' mmRGY FORKS. **
**COPT OF COllilTKACT REQmlUlD.
PElmITS REQUESTED
_BUILDIHG
$
it>3 600
j
Valuation of Total Construction
_ELECTRICAL
AIIP Service
___Florida Power Corp.
W.R.E.C.
_MECHANICAL
s
Valuation of Mechanical Installation
_PLUKBIIfG
GAS
/ Block
lIDOFING
SPECIALTY
TYPE OF COHSTRUCTION:
_FraIIe ___Steel
Other
FINISHED FLOOR ELEVATIONS:/5/,,,)O FT.
IS PROJECT IN FLOOD ZONE AREA? L
YES NO
******************************************
BUILDER L
Signature~
COlMTRACI'OR SECTION
ELECTRICIAN CO!tPAn CII/Ce,;' Z:t..G'<."!,.ru. G'...
'if, - j! j1 7 /) J St:ate Cert. or Regist. I &:OC:::lDc 3 'S"I
Sj..JAture II/eJ/<U.f I. /y- Ci.ty License Registration t .:?I <;
. ****************************************
:::~~) JltJQ ~:~oi:~~~:':n t/"~ b,'rt
********** ******************************
KECHAJfICAL~/ _ ~ 7 CO!tPA5Y~ {' ~ I /1r.L
, C } ,. ..J P St:ate Cert. or Reg1St. I
Signature . ". (, l/ . k1JC ~--- City License Registration I CJl'
***************w**************************
, a -
CO!tPMiY l)~u I, r ~ s. ~ i r!
State Cert. or Regist. 41 n fl (l/~OI' 0 L-
City License Registration I cO 7' '2.
******************************************
OTHER
CO!tPANY_
St:at€ Cert. or Regist. ,
City License Registration ,
*********************~*~******************
Signature
APPLICAnON APPROVED RY
?1 (J/1o.A-< ~ ~ M!QAJM J
PERKlT OFFICER.
CONDITIONS OF PER~IT AFFIDAVIT
A. NOTI2E OF vEED RESTRICTTDNS
The undersigned understands that this per.it ,.r:} \Ie sdbiect to "deed rer.trirtions. Ilhich lay be lore restrictive than City
regulations. The undersigned assuaes re~~oqsibiiity for cOlpliancr ~ith any'applicable deed restrictions.
B. UNLICENSED CONTRACTGFS AND CONTRACTOR RESPONSIBILITIE~
If the owner has hired d LontrLctor or ~ontractors io undertake work, they lay be required to be licensed in accordance Ilith
state and local regulations. If the contractor is not licensed as required by law, beth th~ ollner and contiactor lay be
ci ted for a aisdeaeanor violation ulld,r ,~;~lte law. If t~e owner or i.l,!.'nded contractor are uncertain as to IIhat licensing
requirelents lay apply for the intended Hork, thp.y ate adviseu to contal~ the City of Zephyrhills Building Departlent, IBI3)
78B-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to hav'e the tontractor(s) sign portions of the
'Contractor Sections. of this application for which they will bp r~sponsible. If you, as the ollner sign as the contractor,
you are indicating that you, rather than the contractor, are res~onsible for the ~ork.lf the ~ontractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is nut entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES.
D. CONSTRUCTION LIEN L~:H (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 appli'cant is sOleone other than the
"owner., 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 info~l~tiDn in thIS application is accurate and ,hat all work will be done in cOlpliance with all
applicable lalls regulating construction, zoning, and 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 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 governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpll~ljre. Such agencies include but are not liaited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environm~ntally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departl2nt of Health L 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 lone "A" or "A,etc.', it is' understood that a drainage plan
addressing a .colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a per.it 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 perlit is cOllenced within six lonths of issuance, Dr if work authorized by the permit is
suspended or abandoned for a period of six lonths after the tile the work is cOitenced. 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 si~ ~onth period, or the project III be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOiICE OF LO"KENCE"ENT KAY RESULT YOUR PAYING TIJICE FOR IMPROYEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN TORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECOR~ AND POST A OTI~E Qr rOM"ENrf~ NT".
r;l 1 ---t-- /) 'I
&p'//~~ (./~~r/?~~ -.1
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA,
COUNTY OF Pasco
The foregoing instrument was ackno~ledged
betore me this June 22 , 19~ ty
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument was acknowledged
JeTo.e me this June 22, 1~ by
Oleta Ashmore
whc. is €rsc.nall y know' to mE: c,r who has who is
prodUCEd produced
as ioentiTication and who did/did not as identification,
t2k 21th. " ~take an
- y 1 ..,' HM . .
(Sig a ur )~~T~QM.l'1l1SsiGN E)(r-;.'m::S: April 14, 1995. <SlgnatLrl
De 1 i a L. F~ 'QIIRU' NOTARY PUBLIC lINDERWlUT~
(Name Typed~ Printed or Stamped)
NOTARY PUBLIC
Thomas J. Davis
-sonally known to me or who has
and who did/did not
(Name Typed, Printed Dr St~mped)
NOTARY PUBL1C
. ,ZE.iBH~.i'JR...:J;lIL.... .LS FIRE. DEP. . T
-".. ',' - ..... "<""/:""'<"-"~";--.-' .'.' .' -.' .' '..'.' .' .'.'.'
Zephyrhills Florida 33540
FIRE CODE INSPECTION
Business Name S't.t-.J 8.1}..,(./1\ Classification fS '-< S u-~s: $
Address '130/ hnL{ g& b Owner/Manager
Business Phone 19.5 - "A S-::L Emergency Contact Phone
Occupancy Load
Ie'"... ~~-S -rl..tAC'-/..~
TYPE OF INSPECTION CONDUCTED
o QUARTERLY ~INAL
ORE-INSPECTION 0 OTHER
o APPROVED ~NOT APPROVED
o COMMERCIAL CHECK
o ANNUAL
OBI-ANNUAL
.'
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s} which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire, Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
'~-", /bc-:..J u/lts, IV&/- e~" ~ 4fl'kl-/,4- L.
I) E~G"'J"'''''<'/ L y/l/.; iL/AS d/C I ('Ie: <,,v- Uk'-/- i~ /?.~C_ k<H~
:2.) Z. ~ ~ ,+ <;', 'a IV:' - t5A-sI- ~/LA-I- "oreS lit;;/- be'/!t- tf/V /2//
#-e4S ~&J/!.~~~~e'f/
I) 'D...c.-+ ':i:>d~e..\-cr(s JVo.....~ ~c. E ~:1> 1f5 (j/~ c( ~5 @
z) -h,ttt<:. ACAR"'^-. <;fS}Z.""-- IS'b E-S" ':I!L<; ~ ~" ~1E. v...-.-.....<&.L 6{-''''tJ C"",cC k~-
J- .--~~ g~ I~ 'i;l<.
...C;-T ~ u,c..v..:\( .""./ kc .4C(t/~r~s
4) -r; Iti::.- t1 ~ ~ 1"[ A ",-+- ""'" '-'- rr (!, €-
Inspect. Date 12- ZJ - ?"Z.- Inspecl.1ime IS-DC/ ~.ID#
Re-lnspect.DateUM{ (!1+-lL- Insp~rr?~~.(- - _.~
OwnerlManager Signature / it./' / -- TItle
- "
S-s-/
--
This building has been checked by the Zephyrhills Rre Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
ZEPHYRHILLS FIRE DEP,ARTMENT
Zephyrhills, Florida 33540
38410 6th Avenue
(813) 782-8184
Fl!\:AL BUILDING INSPECTION
Fire Chief
William T. Fenton
Assistant Chief
Robert Hartwig
OCCUPANCY: 5'0/.{/ 13/1;\/ K DATE: /;24f?.hz-
ADDRESS: '/10/ 6/1;/ g //./'/J
BUSINESS PHONE: 7?r1-1j / h? OWNER/MANAGER: /J/t?P1; Jl7h///#~e....
This building has heen inspe(:ted by the Zephyrhills
Fire Department under the codes and regulations of the
NFPA ~inimum Standards and other local fire safety codes.
L APPROVED CC)/l/J'h ?;;/V11 !
NOT APPROVED
COMMENTS~ / / .5/7141" iJ" -r;" / M'-; <f p" ~j ~ e?ee- we; J;; i &<"/"
.
/1/1 ~/Jt'/2.#7&/.'/ ,L)~~/R Ic/
't@ F;;~ /'yo!;,H:.T },//$/ & "?HN&>/ M ~~ hNjhL
~
INSPECTOR: / ~~-
DATE: !2/~ Z- TIME: /7~
SIGNED: ~ Q ~ ~
TITLE: It J/.P
06/17186 als
PASCO COUNTY, FLORIDA
Permit #
02 S d16
1/1.. -;2/- 7 ::LJ
County Parcel #
~~ 6?~,
b-
Date
Name/Owner
C-
Location
Classification 1 Type of Use
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft. 1 Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of
County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
Gross Sq. Ft (GSF)
/h /20~
o
Rate 1 ERU = 50.00 x 0.96* 1 Year
or $0.13151 Day
ERU Assign #
Assessment = (# Units) x ($0.1315)
x (# Days)
Assessment =
!QSElx (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
TOTAL FEE $
7' 1. 7 7
*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.
TIIE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF TIIE CERTIFICATE OF OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
OFFICE USE ONLY
-------------------------------------------------------------------------------------------------------------------------------.....--------------------------------
lRANSPORTATION REC. #
RESOURCE RECOVERY REC. # I' $7 ~t!'J .3
DATE
DATE
/ .z. --22-- q 1_
:~-A1 ~
White
Applicant
Canary
Trans 1 Finance
Canary
RR 1 Finance
Pink
Office
Green
Bldg IInsp