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Home My WebLink About92-2606 BUILDING P'ERMIT CITY OF ZEPHYRHILLS (813) 788-6611 hO .-..S.u J()- ITb ~o- tTD ~EC~ 0LUMB~CHANI~'W" Cono ~ <J-7,f-, nv _ ::-~~ater Conn: 3.5"Z>. tJ() ::~:;:,~,:~'3X~ ~-'J~:~, 1).- ~ ~~:'~,M"" I..S~ '!" P"c,II.D.' /0- ;;2.6-::1-1- tJ :l 0 - 0"000 ~b Zon;ng' En"gy C":Jl"~ 0 L., ~2 Ga" /?, 9 /"1 De,c,;o';on of Wo" "/t.aJ ~ ~- ''(f &1-4 '" Lt--:i1 Permit 2606/J r- ;26 -7' :L N<! Date NO OCCUPANCY BEFORE C.O. FINAL ~--)., '- <i 3 DATE -1'3 Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE InspectOlr Permit Fee -'6~ Signaturet<) l - J(::' PYYI~~- Company Address Telephone# Valuation or Contract Price ,S:5- I/z:rO. o-U - City License Registration # 11 State Certified License# Ftr. ca-dtl-q~ ~ Pre SLB Ii - / - L . Lintel FRM. IO~q,q2- 6i1J 't.~() I Insul. CL WL$)- \5A~d lfl1J ELECTRICAL Tp. Serv. SLB ,,' Rough Inib-- J5-q2 ~o&.- Tub Set \0 .11'.. q"L Meter Can Water Const. Pole Sewer Pool Final Pre-Meter /L -4 ---12-$~ Final Breakers <tDucts Insl.lO...q -'l1-B~ Compressor I=inal Driveway 7J Cl I () ~/ - <7 d- ?~\ $ 10..7 - "\ "1- 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. / APPLICATI05 FOR PERKlT CI'IY OF ZEP'IJfKIIILLS BlDIIJ)I.RG DEPAR.~ OWNER'S MAKE / .L-" PHONE OWNER'S ADDRESS j/ 1..", JOB ADDKFSS -. / {;/ ~l, /i i I \ / I I ,--OJ ,.- 'L~ BI.OCK "'" .1 .~ I II'/! ~- I ~ - . \_ LEGAL DESCRIPTION: LOI'(S) / SUBDIVISIOR ( PARCEL I. D. f ... if' \. /, '. WORK PROPOSED:_lNIew Construction .-Jddi..tion _A1teration ~Repair _Install _Sign. _Hove _Deaolish PROPOSED USE: .-single Faaily _KIF _' of llfnits _K/H _~rcial _Indust. _Swill. Pool Other _Kest:aurant &: Health Depart:llent Approval BUILDDlG SIZE: x . ~ . I il Square Feet, Height RESIDENTIAL : cottttERCIAL : A1TACII (2) PLOY PLUlS &: (2) SEIS OF BUILDlliG PI..!\lNIS &: (1) SET ENERGY FORMS."""" ATI'ACH (3) SETS OF BUILDIIlG PLUlS &: (1) SET ENERGY FORKS. ** ........COpy OF CONTRACT RlJ'Qm:RIID. PERI!IITS REQUESTED ....-'-- ,/ Valuation of Tot:a1 Constnlction _BUILDING $ _ELECTRICAL MIP Service Florida Power Corp. '.A i_ - W.R.E.C. _HECllAlfICAL $ Valuation of Kechanical Installation _PLUKBING GAS :ROOytliG SPECIALTY . TYPE OF CONSTRUCI'I05: _Block _Fraae _Steel other FlliISHED FLOOR ELEVATIOBS: FT. IS P.RO.JIl:CT IN FLOOD ZONE AREA? YES NO ............*....*****................................*-1:................................................................*.................... C05I'KACIOR SECTION COl!fPMUY State Cert. or Regist. 41 City License Registration I ............................***............................................................................................................................* BmTJ>ER S i.gnature Silmature COl!fPMiY State Cert. or Regist. I City License Registration I ............................***................*-1:........*-1:........................................................................................ ELECTRICI.AN COl!fPARY St:ate Cert:. or Regist:. I City License Registration , ............................*........................................................*............................................................................ PLUttBER Signature COl!fPAiiilY State Cert:. or Regist:. I City License Registration I ....*....................................*-1:.................................................................................................................... KECBARICAL Signature COl!fPMiY State Cert:. or Regist:. I City License Registration t ........................................................................................................................................................................ . O"I"IIF.R Signature APPLICATIOIi APPROVED BY~~~ PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTR(CTIONS The undersigned understands that this per~it.ay~ubject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assules re5ponsi~,~~ty for co.pliance with any applicable deed restrictions. , B. UNLICENSED CONTRACTO~S AND CONTRACTOR RESPONSIBILITIES If the owner has hired a c~ntrar.tor or cootractors to underta~. Kcrk, they lay be required to be licensed in accordance with state and local regulations. If the'clJntractor is ,not Jicensh ilr; reGuired I.ly laH) beth the owner and contractor .ay be cited for a lisdeMeanor violation under state la". If the owner or intended contractor are ur.certain as to what licensing requireMents May apply for the intended w~rk; they are advised to contact th2 City of Ze~h7rhills Building DepartMentl (813) 788-6611. FurtherMore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s} sign portions of the "Contractor Sections" k)f 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 May be an indicationLat hE is no~ properly lilem;ed and is not entitled to perlitting privileges in- the City of Zephyrhills. C. TRANSPORTATION IMPACr FEES AND UTILITY CONNECTION FEE~ D. CONSTRUCTION LIEN LAli (CHAPTER 713, FLORIDA, StATUTES, AS AMENDED) I certify that I, the applicant, have beE:) provided with a copy of "Florida's Construction Lien Law - HOMeowner's Protection Guide" prepared by the Florida DepartMent of Agriculture and ConSUMer Affairs. If ,th~applicant is SOMeone other than the "owner", I certify that I have obtained d copy of the above described doculent and protise in good faith to deliver it to the "owner" prior to COMtenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work ~ill be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby Made to obtain a perMit to do work and installation 'as indicated. I certify that no work or installation has cOMMenced prior to issuance of a perMit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoniog regulations, and land developMent 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 .y responsibility to identify what actions I MUSt take to be 1ft cOlpliance. Such agencies include but are not li.ited to: f Departlent of Environlental ReQulation - Cypress Bayheads, W~tland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat~ent I Southwest Florida Water "anaQelent Disirict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services, Environlenta( health Unit - Wells, Wastewater Treatlent, Septic Tanks I US EnvironMental Protection AQency - A~bestos abatelent I also certify that, if fill laterial is to be used in Flood ljnE A" or "A,etc.", it is understood that a drainage plan addressing a "cotpensating volute" will te subMitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceeo with the work and not 'as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issu~nce of a perlit prevent the Building Official frot 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 pertit is cOltenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of si~ lonths after the tile the work is coa.enced. One 90 day extension of tile, lay be allowed for the perMit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged durin~ eac~ six lonth periodl 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 COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF'COMMENCEMENT". .} ,~, / /1 I!., . I . . f-, G. \.J./. : r../ ( ~r1 ~"v~ , SIGNATURE: OWNER- 9R~) / ) /"' .LLL' L, SIGNATURE: /~NA/ - CON~;A T~; " l< 1/" '/" - STATE OF FLORIDA COUNTY OF ~A 'S LO The foregoi.f.9h.~~strument before me~ ~u~ was acknowledged , 1 tIlt ~ by STATE OF FLORIDA COUNTY OF VI+- S' c.. 0 The foregoing instrument was acknowledged befc'l-e me th i s p..U(;chT" ,.L(.,! 19 ~;;2.... by t,.). ~. to 'C-LJ tv\. ~ "-J W who is personally known to me or who has produced 1;::Y.lZ..\ I.) ClZ t::;: Ll c.. ~"-~~_. . as entification and who did/diL ~',ot ta e a h. ~ who is personally known to me or who has produced uP \\JE:e.IS l-\ c...E-f-..JSE: a~~' entification and who did/did not t ke n oath. f\ n () ~ ~"JJb,\J0-- \J. \' \ O...0....J____ - (SignatLr.-e) NOTARY PUBLI~,...STATEOF FLORIDA My e6R'11R1nlon e"pTAC Ort ? 1 qq? (Name Typed, Pr il~d tDOO I&tmmpadBecht Agencv NOT ARY PUBLI C L- e,r Stamlied> 'C I'L .".J , 5\1\11::. U. v ,d r0DL.IC, 0 t 2.1992 "MY commission expires B~j,t Afl,ency Bonded thru Patterson- CITY OF ZEPHYID1ILLS. FLORIDA PLUMBING APPLICATION Certificate Number :ff- :..C;' 7 . Job Address Plumbing Contracto~ ('Jtf(.cs ~4I..lt2. f,Zttirlb.t{.10 Owner I s Name (' /II<.. (s fjAII/( Date Application is hereby made to make the following Plumbing installation in accordance with City of Zephyrhills Plumbing Ordinance. . MINIMUM PERMIT FEE . . . . . . . . . . . . . . . . . . . . . . . . . . . $10 .00 DESCRIPTION OF WORK NO. i: @ FEE For each plumbing fixture, floor drain or trap (including water and drainage piping) . . 2.50 For each house I 5.00 sewer. . . . . . . . . . . . . . . . . . . . . . . . . . For each house sewer having to be replaced or repaired. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 For each wate;r heater and/or vent. . . . .:. . . . . . . . 2.50 For installation, alteration or repair of water piping and/or water treating equipment....... 5.00 For repair or alteration of drainage or vent piping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 For vacumm breakers or backflow protective devices installed subsequent to the install- ation of the piping or equipment served One to Five. . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . 2.50 Over Five, each. . . . . . . . . . . . . . . . . . . . . . . . · . . . . . , 1.50 TOTAL FEE Reinspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten $10.00 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 owing same. /1;) .-I;-?i 2 di /} SIGNATURE OF::APPLICAN1~~/[/11'2 -r;i1yfJ '7 ,-VA-'l CITY OF ZEPHYRHILLS Permit Application HEATING, VENTILATING, c...,J;.;t 1 AIC, REFRIGt~,~ION SYSTEMS ~:::::~:::e C~<:2~! /Ji? ' Owner's Name (~ . ~ '~, - ( 'hA~~l' <<- Date Job Address Check one: Air Conditioning Ventilation-Ductwork Heating Refrigeration Repairs--Alterations Boiler Other CONTRACT PRICE OF INSTALLATION $ MINH-ruM PERMIT FEE . . . . . . . . . . . . . $10.00 FEE Fee for Heating, Ventilating, Duc t , AirConditioning and Refrigeration Systems shall be Ten ($10.00) Dollars for the first one thousand dollars ($1,000) of total valuation of installation PLUS two ($2.00) per each additional one thousand ($1,000) di1>llars or fraction thereof $10.00 Repairs, a1berations and additions to an exist::ing system over $500.00 sh~ll'be $2.00 per each $1 ,000 or fraction thereof in valuation plus five ($5.00) dollars. 5.00 . ; Temporary Operation Inspection Fee: For inspecting a Heating, Ventilation Refrigeration or Air Conditioning System. 5.00 In all buildings except one and two family dwellings using self-'" .... contained AIC units less than two tons, the fee charged shall 'be based on the valuation of total tonnage of all units combined. Minimum fee shall be $10.00 10.00 Boilers bas ed on BTU Input: 33,000 BTU(l BHP) to 165,000 (5 BHP) . . .. . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . 5.00 165,001 BTU (5 BHP) to 330,000 (10 BHP) . . .'. . . '. . . . . . . . . . . . . . . . . '. .. . . . . . . 10.00 330,001 BTU (10 BHP) to 1,165,000 (52 BHP) ................... .......... 15,00 1,165,001 BTU (52 BHP) to 3,300,000 BTU (98 BHP) . . . . . . . . . . . . . . . . . . . . . . . 25.00 Over 3,300,000 B TU. . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . ; . . . . . . . . 35.00 Re-Inspection Fee, each trip 10.00 '. TOTAL FEE Re-Inspections: When extra inspection trips.are necessary due to anyone of the following reasons, a charge of ten ($10.00) 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. payment of reinspection person owing sume. fees shall be made before any furth%}'erm1ts) will/l~e issued to SIGNATURE OF APPLICANT, ((iiC;-, (./.tlt*(~/ /. The the CXTY 01' ZE?RYRRX;',.:'.:. l ':n,...:t'IDA ELECTRT.t~A'L AP'i'L I.Ci,TION Certificate Number '. Job Location .'- " 0"",er8 Name Date " ^ppl~c.tion i. hereby made to make th~ fo11~winB in.tallation in accordance with the City of Zephyrhills Electrical Codes. HINIMUH PERMIT FEE - $20.00 Description of Work Number , @, Fee . . Minimum Permit-Standard 2 Bedroom, 2 Bath House $25.00 Mobile Home Services 15.00 Fixtures or Outlets including switches' 110V .25 Fixtures or Outlets including switches 220V l.00 AIC Central Unit 5.00 Electric Signs 15.00 ') through 100 nmp service 5.00 Over 100 amp to and including 200 amp service 10.00 Over 200 amp to and including 400 amp service 20.00 Over l,OO amp to 800 amp service 30.00 Over 800 amp service 80.00 : TOTAL OF ALL ABOVE . Reinspections: Hhen extra inspection trips arc necessary due to anyone of the follow- ing reasons, a charge of ten dollars ($10.00) shall be made for each trip: (a) ~rong address. (b) Condemned work resulting from faulty construction. (c) Repairs or correc- tions not made when inspection called for. (d) Work not ready for inspection when call! The payment of reinspection fees shall be made before any further permits will be issu1 to' the person owing same. ~ ELEC SIGNATURE ~ 1P. c/l. l1eumann e"ndteuctl"n~ Onc. P.O. BOX 596 - ZEPHYRHILLS, FLORIDA 34283-0596. (813) 782-9080 L{O' J 1 1 , , , " ~ I f i . J J I $, ..3'J' JJ(...~ }-/\Jv.s"" ~ u f\\ "v " l'lJ\J~.~. :; __ "'] ~J I ~. .... ~ s: , ~t. ./0 --:......... ~) SI' ,37'-J J <1 W i-dFLJ li U d 0.(, \/1- P 9 h [ t / "1;-. I U - Z '" - L 1- 0 l) v " () - :) ,; 2. .2;~ .._() 7 €V:.) ~ ~ ~ tv \. 1tJ. c/l. neUmanH eOH4tzuctlon, 9nc. P.O. BOX 596 - ZEPHVRHILLS, FLORIDA 34283-0596 - (813) 782-9080 LfO' I , I 1 ... I " / ~ i r > \.1 .J "J ' j C; .... )! ~ .~ i ..J (-..A..J J-/~v.5 l- I r I c t. jJ'oJ' , :; ,;- '''I ...} 11 .,.t ,- ; u f\\ .... ..a f\.; '1 " '\ '" \, , I -' ~' , " 1\ >" , tv.' ~ "'[, ~ ~ SI' 3 TLJ / 9 w ~d7 ~W (,) u d D'l~ I.I~ P 9 j l [ ~ J 7i-- I i) - Z ,,- L 1- 0 () v CJ '" - ,).i 2_ .:;;:J - () 'j b 0 . .. CXTY OP ZEPHYRHXLLS. PLORXOA ELECTRXCAL APPL'ICAT'ION Ce~tificate Numbe~ '. Job Location ~- " Owne~s Date App11cation ie he~eby made to make the followins inetal1ation in .Accordance with the City of Zephyrhills Electrical Codes. MINIMUM PERMIT FEE - $20.00 Description of Work Number . @ Fee . Minimum Permit-Standard 2 Bedroom. 2 Bath House $25.00 Mobile Home Services 15.00 Fixtu~es or Outlets including switches' 110V .25 Fixtures or Outlets including switches 220V 1.00 AIC Central Unit 5.00 Electric Signs 15.00 0 through 100 llmp service 5.00 Over 100 amp to and . including 200 amp service 10.00 Over 200 amp to and including 400 amp service 20.00 Over 400 amp to 800 amp service 30.00 Over 800 amp service 80,00 , TOTAL OF ALL ABOVE \) , CITY OF ZEPHYRHILLS Permit Application HEATING, VENTILATING, , Alc, REFRIGERATION SYSTEMS C-<.') j ~ -/ ~ <..J.. Certificate Number '-:f!-s:-"_S -:jj /....:,---.1 Job Address Contractor CCfyI-1\::t" /! J,' Owner's Name (_~~~ ~d-dlf!c~ !/.- Date Check one: Air Conditioning Ventilation-Ductwork Heating Refrigeration Repairs--Alterations Boiler Other CONTRACT PRICE OF INSTALLATION $ MINUruM PERMIT FEE . . . . . . . . . . . . . $10.00 FEE Fee for Heating, Ventilating, Duct, AirConditioning and Refrigeration Systems shall be Ten ($10.00) Dollars for the fir s t one thousand dollars ($1,000) of total valuation of installation PLUS two ($2.00) per each additional one thousand ($1,000) diD llars or fraction thereof $10 .00 Repairs, alberations and additions to an existing system over $500.00 shall-be $2.00 per each $1 ,000 or fraction thereof in valuation plus five ($5.00) dollars. 5.00 , Temporary Operation Inspection Fee: For inspecting a Heating, Ventilation Refrigeration or Air Conditioning System. 5.00 In all buildings except one and two family dwellings using self-'_, ... contained Alc units less than two tons, the fee charged shall be based on the valuation of total tonnage of all units comb ined . Minimum fee shall be $10.00 10 .00 Boilers based on BTU Input: 33,000 BTU (l BHP) to 165,000 (5 B HP) . . .. . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . 5.00 165,001 BTU (5 BHP) to 330,000 (10 BHP) . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . 10.00 330,001 BTU (10 BHP) to 1,165,000 (52 BHP)............................. 15,00 1,165,001 BTU (52 BHP) to 3,300,000 BTU (98 BHP) . . . . . . . . . . . . . . . . . . . . . . . 25.00 Over 3,300,000 BTU. . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . 35.00 Re-Inspection Fee, each trip 10.00 '. . TOTAL FEE Re-Inspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) 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. payment of reinspection fees shall be made before any furehe person owing same. The the SIGNATURE OF APPLICANT ermit~ Wi}t.,pe issued to . _ () {fj/,;,II '',A'r, , /;:'~1_(;I; C.1:'tificaC. Numb,.1:' Plumbina Contractor ().rner'. Nallle Date CITY Of ZEPHYlUlXLLS, FLORXDA PLUHnXNG:AP~LIC~TION Job Addr... Application is hereby made to make the following Plumbing installation in accordance with City of Zephyrhills Plumbing,Ord1nance. ' MINIMUM PERMIT FEE . . . . . . . . . ... . . . . ... . . . . . . . . . . $10.00 DESCRIPTlOO OF ~'l)RK , NO. @ FEE ,. For nobile hane-'i?l~ing;~;- ..,-......;.':: , 15.00 .... . . For each plumbing fixture, floor drain or '.',.. ,'. trap (including water and drainage piping) .. . 2.50 For each house sewer. . . . . . . . . . ~ . . . . . . . . . . . . . . . '. 5.00 For each house sewer having to be replaced or' repaired. . . . . . . . . . . . . . . . . . . ~ . . - . . . . . .0. . . . . . . , .5.00 heater. and/or . . 2.50 For each \olatJ!ll:' ven t . . . .' ..:.. . . . . . . I. " For installation, alteration or repair of water piping and/or water treating equipment....... 5.00 repair alteration of drainage .. For or or vent piping. . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . . . . . . ..' ... 5.00 . , I .' For vacumm breakers or backflow protective devices installed subsequent. to the install- ation of the piping Or equipment served . One. to Five. . ~ ._ . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. 2.50 '. . Over Five, each. . . . . . . . . . '. . . . . . . . . . . . . . ; . . . . · " . 1.50 , TOTAL FEE Reinspections: When extra inspection trips are. necessary ~ue to anyone of the follow!, reasons, a charge of ten $10.00 doll~rs shall be.made for each trip. (a) Wrong address. , (b) Condemned work resulting from faulty conatruction. (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 madebefore.any'further permits will be issue to the person owing same., SXGNATURE OF::APPLXCA:NTr: t?1o~ I 35x ~YSb 611 F+. l-I"IN& j \ X 35"7' .()c] Fi .'...o,/I,E.fJ..- I J cf 3 S~ r+. TO tfll- VJ, A ,N ~0 r.-:' f\~N W (::..6 (..,. c...\J~() I.~ t~ Rt:,Sl))ErJC.c:. 2r' .s1,~(.,L~;- (:;-JllltV,S ~L-E.(Tt!lC.I1L : ~l,..v l^~,,'BII'\ Cl _: . m.~~~r\f\j\\IUH-: ,_ Pf-:fZfV1IT ~T~Tf)L : A..\]. A ~~A -r. \. 0 t.\ .. ~.. . .5.SI..QQ,q '-Ho 7.50 (d).5o . 50.00 4D.DO (pi '6. 00 ----...-'.... - \. ..... ~........ . :.; l ~. J,l.~., 4 \. / _'j~"i)f: . \ . , . _._._... __. .__-=- ~~A:W\dl1. COrJN'-C."-/ON fEES Sf-YJt: K ~. W~\S~ : ]/tfrt~ ~.:rr ((.. : Pr~t>"'J GPr2 1713 J fT; : /7, <1 ...... --""- ..........- .-. 7f<t1N5 ()(t.Tf}T(ON 1M Df\C T FE [ ~ N A -~_:$_.. 2-/-f2-~, 13 l " ..' FORM 900-8-91 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 - Residential Poiht System Method Department of Community Affairs Climate ~es CENTRAI(1)5 6 PROJECT NAME AND ADDRESS: NEW CONSTRUCTION ADDITION 0 MULTIFAMILY ATTACHED 0 SINGLE-FAMILY DETACHED 0 IF MULTIFAMILY, NUMBER OF UNITS CCNERED BY [[[] THIS SUBMITTAl: CHECK IF THIS SUBMITTAL REPRESENTS A WOR~CA5---- CONDITION: lM" CONDITIONED ~o a SO. FLOOR AREA ~ FT. PREDOMINANT CD 0 EAVE OVERHANG LENGTH . FT. PORCH CNERHANG CD 0 LENGTH . FT. NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR lOG R = [[[[[] SO m.D ~~.' [ill] [[[[[] SO. m illIDso. m FT. FT. FT. ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R = [[[[[] SO. m.D [[[[[]SO. m illID SO. m illID SQ. m FT. FT. FT. FT. CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R= SGl ASSEMBLY R= SLAB PERIMETER R = RAISED WD 0 CON 0 R= ~sa. ~ illIDsa. m []@FT roo illIDsa. m FT Fl FT DUCTS COOLING SYSTEM HEATING SYSTEM kVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS IN ~ENTRAL o ELECTRIC STRIP [Q1;E'AT o CEILING FANS ~CTRIC SOlAR: D.m UNCONDITIONED S.F. = D~r~ o ROOM o NATURAL GAS PUMP o CROSS VENTILATION o NATURAL GAS HEAT RECOVERY (CHECK) 0 o PACKAGE TERMINAL o ROOM UNIT OR o OTHER o WHOLE HOUSE FAN o OTHER FUELS FUELS DEDICATED 0 IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL o NONE o ATTIC RADIANT o NONE HEAT PUMP: .m SPACE R = o NONE HEAT PUMP BARRIER E.F. = m.o SEER/EER = rn.lQI COP / HSPF / ~.~ o MULTIZONE EF = . m NUMBER OF m AFUE = I BEDROOMS = -c- INFIL TRA TION PRACTICE ~D o #1 []/#2 0 #3 ~ TOT AL AS-BUILT POINTS _ CALCULATED ~ x 100 = .[Q] TOTAL BASE POINTS CALCULATED E.P,I. ERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby certify that the plans and specilications covered by the calculation a,e in compliance with the Florida Energy Code. PREPARED BY: 1..0 , 0. 1\ ~I~'---' DATE: s - Z /-f ' Review of plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Belore conslructio is completed, this bUilding will be inspected for compliance in accordan Secti 3.908, F.S. I hereby certify that thiS building i1\in compliance with the Florida Energy Coda. OWNER AGENT: LJ Q l Ui 1,,-__.1.---- DATE: ~ -- 7../- ( t.-- DATE: _._ _',_ .-__...._ _ -.- - -......-- - -;- - ----.l,.,......o......;.-....___,-----..;:...';,.--1---.-, - _.....0....- - .--.-;-'- -- ,-...- - -';-1 \. DATE: 10/05/92 PAGE: 1 OF :[ I :;:;:;:;UE OFF I CE: D RECEIPT NUMBR: 00152397 OFFICE: DADE CITY C E N T R ALP E R M I T TIN G PASCO COUNTY. FLORIDA CONTF\ACTOR #: NAME: W.NUEMAN ADDR: 10-26-21-0120-00000-76 C/ST: 37419 WEDGEWOOD DR Z/HILLS FCIR: RE:::;OUCE FEE ACCNT 114 TOTAL AMOUNT: COMPNY ACCOUNT CENTER B450 - 363000 - 2 CHECK # 20ti(l 11.44 AMOUNT 11 . 44 RECEIVED BY ~~____~~!-~ _______ DESCRIPTION/PERMT DATA DR/CR ****** 60 ___ _ ..:,~."j~I)""',,~~ i'""" ,J '~,.,'!;~'<f' )J'i~;~~~~,;,.."... .-/iMl....'" ,. :;J,J~~, ~~~<\~";'JJ'!. . . ~,~.. . ,."*' ;).1ti"._.~~-""'C"'i'(..:;I~'" PASCO COUNTY, FLORIDA Permit # Date Name/Owner COlUlly Parcel # Location Classification / Type of Use lRANSPORTATION IMPACT FEE CALCULATION Rate $ Zone # Sq. Ft. / 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 (GSp) Rate / ERU = 50.00 x 0.96* / Year or$0.1315/Day ERU Assign # Assessment = (# Units) x ($0.1315) x (# Days) Assessment = !QSfl x (ERU) x (0.1315) x (# Days) 100 TOTAL FEE $ TOTAL FEE $ *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 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 ------------------------------------------------------------------------------------------------------------------------------.-------------------------------...--- lRANSPORTATIONREC. # RESOURCE RECOVERY REC. # DATE DATE BY BY White Applicant Canary Trans / Finance Canary RR / Finance Pink Office Green Bldg / Insp /""' tt- I // , .A '. / ). / / V ',) I. f <t / / F I ,1--/.- / __ ' ./ jJ 1 ...,. )~/ 7- . ( I /! ///:" -:I' t ,/j, (~ I , I. , ''1' / e/!. . /; / f ~ji /.,' /-, . 1./ L /;..A:. ./. I" ' / . '" /'.:" ' I. .. // / / 1/,.,- / " /- ..... / 1 I~ r ! . L I ",/ ._ 1,,- :/" \,- p:r:' -; \ / I. .'. .., I . ,."., -'..- ~ ., t'. ~,r ''<- " ,- / \ _ k ,l. / / .-' APPLICATIOllll FOR PHRHIT CI'IYOFZEPlIYRHILLS mrrUn.RG DEPARDlIF..INlT Ju-'.1/ d-(Pob B . c- --- OWNER'S MAKE PIIONF. OWNER'S ADDRESS ('z) "if-" ,,) 'tJ nL- BLOCK SUBDIVISION JOB ADDRESS 27 If /CJ LEGAL DESCRIPTION: wr(S) PARCEL LD.# WORK PROPOSED:____~ew Construction ~ddition ____Alteration ~Repair ____Install ____Sign ____l!fove ____DeJlOlish PROPOSED USE: Single Faaily ____KIF ____' of Units ____M/H ____CoaBercial ____Indust. ____Swi.. Pool Other ____Restaurant &: Dea tth Depar~t Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOT PLAK. &: (2) SETS OF BUll.DING PI,ANS & (1) Sf:!' ENERGY FORMS. ** ATTACH (3) SETS OF E :nLDDilG PLAlNIS &: (1) SET ENERGY FORMS. -t.-'!, -4-*COPY OF col!ITRACT R SQUJIRIID. PERKITS REOlW_'iTED ____BUILDING $ Valuation of Total Construction _ELECTRICAL AKP Se ~'Vice Florida Power Corp. W.R.E.C. _KECHARICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFDiG SPECIALTY TYPE OF CONSTRUCTION: ____Block ~ase ____Steel Other FIRISBED FLOOR ELEVATIONS: FL IS PROJECT IN FLOOD ZONE AREA? YES NO ********~~*************-4-***-4-************** roMI'RACTOR SECTION COIfPMIlY State Cert. or Regist. ~ City License Registration #I: ********~***********..***********-t.-********-t.- BUILDER Signature Silm.3ture cmlPANY State Cert. or Regist. , City License Registration f ***"...**ii.fl:-A:**-A:..-A:*-4--A:.".**.*-4-******-t.-**-t.--t.-**** ELECTRICIAN COIfPMiY State CerL or RegisL #t City License Registration f *-4-**-4-""*~fl:*******"."*-4-**fl:fl:**""******-t.-***** PLOKBER Signature Signa t:ure lAJ!itP~~ C~~.!r ~I {l \ State Cer . or Re st." (!)C? N7 ?-.- , City License Reg straHon ~ 7/ "-A:*-4-*~-4-**"*"***"-4-******~**"************ KECHAJUCAL CO!fPANY State Cert. or Regist. #t City License Registration ~ ..******..~-t.-**"."..,,*.*******"**"****fl:***-t.-** , OTHER . Signat:ure APPLICATION APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIGNS The undersigned understands that this per;it 1I,;y-be ~ul.Jjec:t tD "c;I!~d l'estr:cLons" 'Ihich may be ~Dre restrictive than Ci ty regulations. The undersigned assules responsibility for co&~li~nL~ Nith any applicab1e deed restrictions. B. UNLICENSED CONTRACTORS AND..CONTRACTOR RESPONSIBILITIES If the owner has hired a contrachr or contrilctors ~o undertake w~rk, th;y;;~y-'be"~q-~i-;:;dtc:--b;}icensed in accordance with state and local regulations. If the!contr~ctGr is.~ot licensed as required by law, both the owner and contractor eay be cited for a lisdeleanor violation under stat~ :~~. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended worr., thlY are advised to contact the City of 7ephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contraLtor~, ~~ .s advised to have the contractor!s) sign portions of the 'Contractor Sections" of this application for which they ",:11 be I~S~OllSibIE. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor I are respansible 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 ~ntitled to perllitting privileges in-the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTIL!TY CON~~CTION FEE~ D. CONSTRUCTION LIEN LA~ (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 Department of Agriculture and Consuler Affairs. if the applicant is soeeone other than the 'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the 'owner' prior to cOllencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereb~ lade to obtain a perlit to do work and installation ~s indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perfor~ed to seet 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 governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not lieited to: f Departlent of Environlental ReQulation - Cypress Bayheadsl Wetland Areas and Environr.enta!ly Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses t Ar.y Corps of EnQineers - Seawalls, Docks, Navigable WaterK~Y5 f Departlent of Health ~ Rehabilitative Services, Environlent ' Health Unit - Wells, Wasle~ater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood 70ne 'A' or "A,ele,", it, is understood that a drainage plan addressing a 'colpensating volume' will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit 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 permit prevent the Building Official from thereafter requiring a correction of errors in plansl construction, or violations of any code. Every periit issued shall berote invalid unless the work authorized by such perlit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six lonths after the tile the work is com~enced.' One 90 day extension of ti~e, lay be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be con5ide~ed abandoned. WARNING TO OWNER: 'YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR I~PROVEMEHTS TO YOUR PROPERTY. IF YOU INTENO TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR1JEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COI1MEIJCEMENT". ~_--....:..-".....-..n_.~"" SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregc<ing befcoj-e me this STATE OF FLORIDA COUNTY OF The foregoing instrument befcoj-e me th is ~n5trument was acknowledged 1'7'_ by who is personally knowri to me Dr who has produced as identification and who did/did not take an oath. who is personally known to me or who has pl-oduced . as identification and who did/did not take an oath. . (S i gna hll"e) (Signature) . (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC