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Home My WebLink About92-2623 BUILDING PERMIT _ ~:5'": 01J 1? R. r=, CITY OF ZEPHYRHILLS (813) 788-6611 d cTZJ. 0-0 ~ ~.~U 6..5: OV d-S"': ~ ~ING ~CTRICA~0uMBIN~ECHA0 :~~:::,~,:~..~>1:s11 J.:1/7iJrl:;f C-J 7l..JA Parcell.D. # .3 $I - :;;.s- - ;L/ -.3 -4t.. Permit N<! 2623 B 9-3 -7;z. Date Sewer Conn ~.y? 3- tJZJ Water Conn: /.; ;J t2.S'. 07J Water Meter: /6~""'" cJv T.I.F.'s: J-:--V 651. /JP , Zoning: Energy Code: Radon Gas: Description of Work ~ (2,;Z;-1./~.. /~f c.k.'.- ~~ NO OCCUPANCY BEFORE C.O. FI NALllz... c;-~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.O. DATE .:l- DATE Permit Fee Signature Company Address Telephone# Inspector Valuation or Contract Price 3/ trnJ, 0-0 .... City License Registration # / ~ State Certified License# c./5 c.. t!) / t) 9' t1..3 Ftr. Pre SLB Lintel FRM. (f-J.4 -Or;:.} ~ Insul. CL WL 4-2i'?L~~. SLB Tub Set Water Sewer Breakers -J Ducts Ins!. '1'2.2..- ql fjd,- Compressor Final Tp. Serv. -;,- Rough In9-,Zl ,6(2. .$t)f'L. Meter Can Const. Pole Pool Pre-Meter I 0. 2~ -(l. Final M/IJB.na, Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. b. c. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. 1J {( (:J- -:J ~-f7;;L The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT -If 6.s~ -p K. ~ 'r-' ~-:2.0-7~ APPLICANT ~(\W'N \.)\~u:J '\\J~c\\~o..l \\('~ ~cA.N~fSL'lr ADDRESS j C"\ <6$ g) \V\J~'\ ~~\. ~f' tS tc~r1 2'C..phr'. {:ie-PHONE qO~ -5(01-'1 qq'l OWNER ~()~\'0 \}\l:.4) ~t\v\.h.J..\ ~c...l \\r\s ~a.nNE.(sLI f JOB LOCATION %~\~\.. 'A'('-\:;S Qcur\ 2ce:pkr.Flu)T SIZE_X AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~F WORK PROPOSED: ~New Construction s'ss o..:~kQ.;~r l ~ddition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family ~mmercial _M/F _4F of Units ._M/H _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: 3f1 X 5 (j , \~50 Square Feet, ~ 0 {.{- 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 V BUILDING VELECTRICAL V'MECHANICAL ~LUMBING $ 3Q19,.,D.Oo Valuation of Total Construction AMP Service ~ Florida Power Corp. _W.R.E.C. 3 I ro. () () Valuation of Mechanical Installation Y\J () GAS r\J c) ROOFING f\) U SPECIALTY TYPE OF CONSTRUCTION: ~OCk _Frame _Steel $ Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION S r.'\' ,.\... Company o...\0dt::j ~IV\.~..J\.. State Cert. or Regis iF oq ~3 ,"-- City License Registration IF ~~ ****************************************** Signatu :~:::::::~~ s::.::1 Company \'i\hA\,\l t:. ~ 'e.<!.:\. f '\ Q... State Cert. or Regist. IF E..?acl\l\O . City License Registration;F \5~ ***** *********************************** ~. Company ~a..~o ~~" OluM.~~ State Cert. or egist. IF Cot: ~4''fo City License Registration # q I ****************************************** Signature MECHANICAL ~O'tJW~.s.. SE(U~c..f CELt.nV Company ~6~N~ \ l1~ .'. (~ State Cert. or Regiscl. 4.' Signature /"::J ' / /J 1c'/j ~ (~.J City License Registration ****************************************** Company l\)() v0 cc. State Cert. or Regist. # City License Registration IF OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait 'aay be subject to "deed restrictions' which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance 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 lay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors,',he is advised to have lhe contractorls} sign portions of the 'Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is someone other than the 'owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the 'owner' prior to COllencelent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or installation has comaenced prior to issuance of a perait and that all work will be perforled to 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 governlental agencies aay apply to the intended work, and that it is IY responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not lilited to: f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environmental Protection AQency - Asbestos abateaent I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan addressing a "colpensating volule" will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A permit 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 perlit 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 coalenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six aonths after the tile the work is coalenced. One 90 day extension of tile, lay be allowed for the perait with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An approved inspection aust bi logged during each six aonth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"HENCE"ENT HAY 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 CO" NCE"ENT. JOBS UNDER $2,500 L DO NOT NEED TO RECORD ND POST A 'NOTICE OF COMMENCE . S STATE OF FLORIDA COUNTY OF ~ f\S ~O The foregoing i~ument before me this ~b ~. . ~ STATE OF FLORIDA COUNTY OF ~I\Se 0 The foregc1ing instnrlment was acknc,wledged befc.re me this 8/.1 ~ , 19~ by , J e...R 00-- "t" W. PAR I~ G I? who is personally known to me or whn h~~ ~l oduC:l:d as identification and who ~did not take an oath~ '1") .A~--o _ Yf\~l21.u <} .A, " - (Signatw-e) \l\ \), ~ tV {)'\. 'R L{ .5 fI (Name Typed, Printed or Stamped) NOT ARY PUBL I C Notary Public. State of Florida My Commission Expires Feb. 9. 1993 was acknowledged , 19iL by :J ~~D fl"\ ~. W. who is personally preaLlE:~d as identification and who ~/did not take an oath. LJ_..l..A ~ _ (SignatUl-e) \) \ \') l A 1V.....J:l)., 1=\ U 6 J-l (Name Typed~ Printed or Stamped) NOTARY PUBLIC Notary Public, State of Florldli My Commission Expires Feb. 9. 1993 PARt<Gtr known to me or \*~ h~5 " / /- ::- """t:. ~ '-;;" Schedule A "!i1 UNIT NO. "ITml::E: Tt'HJ West 100.00 fel:Jt of L.ot 3, TOWNVIEW MEDICAL A1~TS CFNTEr~. accordinq to the plat the'rE'lof l:H~ rec:cJrc:led i,n Plat l300k ::~9, paqe 60, Publ Ie r~e(~oY'df3 of Pasco County, Florida. SI.JIJ.JI:~CT TO and TUGI:::TIWI< WITH a Pedestr:ian Ei'H3emclnt (n:idewall<) he i nq clnner i h(~d au 1'0 I In,..,!'; : Commence at t he"! ~;juut heast corner of I"ul: :3. TUI,.JNV J [l.J 1'11:J) 1 enl nlnS CLNTEI<, accont :i, nn tot he p:l. at thereof as recorded in Plat Book 29, page 68, Public Records of Pi:WC(1 Count)', 1:'1 en' :i, da, t hc:ncE'l a 1 onq'i; be I::ast 1 :i. nE: of Lot 2. N ()(,)U(,) A ">()" I'" r:' (')(') 'f':'.., ..,,{, ,(" I", "." N nou ". 1::- · "~(')" W "'1'" ()C) 'f: > -..t f:or .. . , ,'I ,:>, "., ")"" 1:,',1:', ," . Ie-:.ne.c.':, ..(;)7 ...1..1 ,:J .,.: ,~... ce,. d I )n1 nl; u I; Hcq1 nn 1 nq; t hClnce N .OOu04 '::10 "E \., 05 .~:i0 feet. thence ~~.H<,/\~:)':!O"I:J." 11.6,00 f'nclt, thence S..OOo04':30"W., !,'i,.OO 1"r;let. t C" noLl ,.. r' ""1(') ",-' 1 f 1 ()() I" I t t C" ()(')uO' 4 · :?I() "W Co '1 00 I:lunel:: ,::>.07 .:'1..:1 .: . ,,::,... .0"., '-ee':, ": 'Ience .;1... ..:: ,., ,J,:. I', t" N ,.,0,..,,, ,r( "W ]"'7 C) 0' f" t '1"1' 'S O()lJ(')4""'0"W "r::ul:, I~ K:nCFl .13:; ,:1..:1 .J,) ., ..,::,.. "eEl';.. lence . .'" 0 . 4.00,rue:I:. thenc:c~ ~:;.B'Ju!::;5'~10"r:::... l:';;?,OQ fE~(7lt, thence , ( ') I,) , A'" ' "W ''''''1 '''' (') r'" I I 1 ,- nge.".. ,.., · '''1(') "1-- '''' C)() f" t 1 ~:J.)( ()" .JU .., .:,:,.:'1, 'l;'!e";. ';'Iunce.:'l.,,;)' ..J':).:,. ;:.0' .:).. "ec';:o I: i'lL: PI).i. nl; (") I" Heq i. nn i nq . ~:iUIJJI.I.;1 II) i1fn:1 IUGL'IIIFI< WI '11,1 an Inqrcss''''Eqn::sn. PiH'kinq and ~:;urL'1cu l.Jill:C!l" Dy'a:i,naue Easement (fy.ont parkinq lot) being ck:scy'.i hed iW l'u II OvJG: Commence at the Sout hfJast corneY' of Lot ::;1, TUWNV:U~:I.J r1iDJl:AL ()In~::; CEN'fEH, accordinq to the plat th(~reof an Y'CCOrdEl(.1 :i,Tl 1)lat Book :::'9. paqe 60, Publ:i,c;: I'<E-lcoy'ds (If Pi':H~C;O County. Flurida, thence along the Eas~ line of Lot 3, N () 0 1,J ) A · ';:1 () " I':: I" () (') f" ','0' ,(" 1" t" ,,~ . ". ,,', N (':> () (J 1:' 0::' · ':1 (') " W ~) ") e 0 'f'" ..1- .. . <. "I' ,,' " ". .. I .. Lt. .. ,I E.. r H.. r:. " ::> 7 ,.l~) ". .'. ...>.:".) e e . . I h N ( ,0(,),1 "1' ..I.... nl:" c'O f", I tt N f.'JC}lJ"..,- "~IO"W ...) (0 '; ence . H.l . ~I' .;, U:: .., Ch).. ...1 '''8t':l';.'. 'lenCe ,,' ;) 7 .;),1.:, .. "'_.) feet for a poinG 8f Beqinning; thence N.890S5'30"W'd 164.00 '1:(~(~1' 1"tl(~rl(~(~ N (.)(')J()A....I(')"I- f4 (.)() 'f'a("I" 'l..t'lorIC'(' ~ C30 ~c'~O"I- :.. ':... t' .. :, ~, ::. .. .. . <II'" .:: . .. .::. t., ()..... ';:.. :.... .., ' \,... .t :.. ...) It ('l ..J.,:).~ :'.. .. . <y.... re' ()' 'I" ",., 'I' 'I" t ',' "", N ()() u() 4 ' '''10 "I"" " 0'''' 'I::. '1" 't" 'I" I' " N ,.t- t 1" , f:' 7.::. .,"1 Ll:.", lCT1Lt.. . ".:: ::,... ',:;,' :t.:~ LE:.. .U . IE. or. 1 ln€:, 0 L"u1; :~. thence alonq nale! l:i,ne S.I3?u!:';O'40"E.., ~:~4..00 feet, thence f" C,)()u()4>> '''1(') "II q 0 Ie' 'f':', ""I" ,[" t' ," , '" (" c300 C' 0:. · ''JC) "\'''' ,1'7" tc- C.) 'f:' '" 1'" ':. . " .:, ~.., .::... 7.,) (,.(:.., . leT1CC ..:>.. c; 7 ,.J."I ", :,.. '1' 0,,1 f.e . . thence S.00004'30"W.. 64..00 feet to the Point of Beginning. SUBJECT TO and TOGETHER WIT~I a Drainage and Stormwater Retention [asement be:i. nq dency' :i,lx:ld Elf3 fo 11 OIlJS: Commence at: the Sout heast corner of Lot 3. "OWNVIEW MEDICAL ARTS CENTER. according to the plat thfly'cmf as n7~corded in Plat Book ~~9. page 6B. Public Records of Pasco County, Florida, thence along the South line of Lot 3. N.B9058'40''W.~ 37..00 feet for a Point of 8eginning; thence continue N.89JS8"40"W., 163.00 feet. thence N ()()o()4'~0"1- O~ L~ ~ "'I" +t' c n90~5'30"1- "'If oel 'f t '" '" _ ." (_.:J. (j", ~~:)..) ;. C:>.,J 1 ~~:! .. I. ~:.:~~ce ':' 0 c~) _.~' '" i5,:. ,~, . ~ C) ;, ::- e~, Lhc.nLc. ~.OO 04 JO W.. J7.00 1~et, lhenLE.. ~.89 ~J 30 L... IL7.00 .1:~~1- 'tl'~ -~ ~ 0()o(')4'~I()"W ~(J ~() f:~~'I- 'I" 1-~~ I~ .. .,t' f: Ll.. . , II- nLL .,).,. " '" .., ,c.). ..1 E.C.. () ,lIe 0.1, Tl. 0 Beginning; AND The North 5.00 feet of the South 10.00 feet of the r::ast :T/.OO ('eelt of' Lot :;:J of said 'TTlWNVIEW MEDICAL ARTS Cl::NTEr~ . lOG[TII[I~ ('J1TII and Inqy'csr;""EqreBs, PaY'kinq and ~:iuy'faGe Water Drainage Easement (Side Parking Lot) being described as follows: Commence at the Southeast corner of Lot 3. TOWNVIEW MEDICAL ARTS CENTER. according to the plat thereof as recorded in Plat Book 29. page 68, Public Records of Pasco County. Florida. thence along the East line of lot 3. N~00004'30''Eo. 5.00 feet for a Poi, nl; of Be~:l:l nn i ng; I; hence N .B'll.. ~:'iB' 40 lOW t.. 32000 feet. t henct~ N.OOo04'80"f.. 144.00 feet, thence S.B9058'40''E.. 18.00 feet, thence N.OO~04'30"E... 8..50 feet to the North line of Lot 3, t t c' 0.:)0'''.<''1 '4(.) "I"'. ....n ()(J f", ... I t c' .))0. 4'" 0 lOW (' 1:'. '; lance .;). C>;O .)(' ". ,::,'" "::,0. . . . Of)',. , .,; 'lonce ~).. (( () d .. J.. .:10 feet, thence S.8?058.40..~.. 10.00 feet. thence S..OOo04'30"W.. -.1.44.001"0(:1;, thence N.B':/'S!J'40"W.. 3:'::~.OO feet to the Point of I]f::lqlnnin(l; bel.nq a portion of L.otn ::~ and :3 of naicl TOWNVIEW /"IElJ 1 eN, nlrrs CFNlFJ<. I, ": .~ :;:::. ''1 :~~~ N;:D~ .~ ~ oI!::' ;::, t\ lID W n ~'" ~~f. ~ .... " - ~ f::S ,-' .......... (X) :-i 01 N '-l CD ~ !I=-' n.R. 3010 PAGE 05 71 rile No: 591-301 ~~\fu.d..~ ~ ~lfl'J Gw.LLou.L '3 'lq 5 d \1\..t.A ~ C:t.. y ~",o)j.(1YL: '3'TJOOO B~: '300.00 <?~: 105. 00 ~ : b~.50 ~". 3S.CQ ~.:total. l.\ b ~ . So ~ 55.00 9ckt ~4 \3.'50 ~ :lo X 1/~SO~.is*-" BunJ..-~ ~(;~ ~: 4)4'13.0C l.j~ : 1):), do '5.00 3" r~~ : \ \o~.~O 90tat ':5) <llD~.oC ~od.cm ~M. llJ fl '1~~o.d-~~ \)~50 ~ {t. ::: LCAS '(:ld)Q"5lt = tt 5)~.lolt ~Loto.t: U'II)'140.50 .IA.I:li.&-A. - W()RKSHEET CITY OF ZEPHYRHILLS CONNECTION FEES RESOLUTION #312 WATER $1.75/GALLON SEWER S6.39/GALLON RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $1,278.00 Travel Trailer Park 131.25 479.25 COM.~ERCIAL (PER FIXTURE) . 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-Commercial Size 350.00 1.278.00 Washing Machines-Domestic Size 87.50 319.50 FOOD SERVICE - Dishwasher 700.00 I 2.556.00 Sinks (3 Compartment) 175.00 639.00 Car Wash (Per Stall) 1,000.00 6,390.00 FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE Sinks 50 5 4~'1.5Q , 5C\'7. ~a d. () "3 5.00 , Water Closets 75 4- 5 d.S.QC l}g Lt"f.oo ~" 4u ~ .~(\ Urinals 50 0./ Lavatories 25 4- , 'l'5.~ ~ S q.O 0 ~\4.C>Cl Tubs/Showers 50 \ ~t'). SO 3 \ q, 50 40'1.00 Wasl:ling Machine 200 Washing Machine 50 Dishwasher 400 Sinks-3 Comprt 100 Car Wash-p/st. 1,000 \ \ d.d. '5.00 4,4r'}'3.00 5..bC\<A.nc , oJ - Sf " I~ WATER METER GRAND TOTAL \ \o5.c>o \\ 5) <=t '0'3.00 FORM 500-8.91 Non.Resldentlal Buildings Residential Buildings over 3 stories PROJECT NAME: ..e.. ~_ J~ A i.U '" ~ f/ ADDRESS: ? 7) 3-' /J13 /)47; ff CITY: ZIP CODE: 0; I - //'\.rJ 2.3S"""7.l1 BUILDER: JA":::: 'LA I A U ~ ;- OWNER: iU '" a._.r~/Ju. ~ ' (7 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 5 · BUILDING DESIGN BY COMPONENT PERFORMANCE: APPROACH ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS ALL CLIMATE ZONES T ZONE: 71 ; , BUILDING CLASSIFICATIONlS': (g-'7' t:7........ 1::7 BUILDING PERMIT NO.: :2..(,;2.., /3 PERMITTING OFFICE: q",----.L. A 'tJ/l \4!-/J 3~5V:f) JURISDICTION NO.: ~ / / G t/:? C,..7 TYPE WALLS U AREA ~i~~'l:.( , BUILDING INFORMATION ROOF/CEILING FLOORS TYPE U AREA TYPE U Under attic ,.)-.; I f; jV Slab-on-grade I') Single Assembly Raised Wood Other: Raised concrete Insulation R-value Insulation R-value AREA 1'{.~' J, DOORS TYPE U ARF.A Wood Metal 1ft', .0). ,. to Insulated Other TYPE GLASS U ,"l. AREA 'lKtJ Concrete (CBS) Wood frame Metal frame Insulation R-value Single, wall Double, wall Single, roof Double, roof SYSTEMS INFORMATION AIR CONDITIONER HEATING SYSTEM HnT WATER TYPE EFFICIENCY TONS TYPE EFFICIENCY BTU/H TYPE Unitary & Heat Pump ~ Central & Heat Pump Eiectric ~ <65.000 Btu/h LSEER < 65,000 Btu/h HSPF Resistance ,,65,000 Btu/h EER IPLV ~ 65,000 Btulh ~COP 'i~~''''Y Dedicated Heat Pump 0 - - - Water cooled _COP Gas - Water Cooled - EER - IPLV - Evaporatively cooled _COP Natural 0 - Evaporatively Cooled - EER - Electric Resistance _COP LPG 0 - PTAC - EER - Gas/Oil (circle one) Oil 0 Chillers COP JPLV - < 225,000/300,000 Btu/h _ AFUE - HRU 0 - - Other: :> 225,000/300.000 Btu/h Et Other: LIGHTING / b } L_Lighting Budget (from Table 5-13): <f- / Total Lighting Wattage d-'b 3c : Total Conditioned Floor Area - Watts 1 sq. ft: I, 'J- V PRESCRIPTIVE MEASURES (Must be met or exceeded by all buildings.) COMPONENTS SECTION REQUIREMENTS CHECK Windows 502.4 Maximum of .37 cfm per linear foot of operable sash crack. X Doors 502.4 Maximum of 1.25 cfm per square foot of door area. 7 Joints/Cracks 502.4 To be caulked, gasketed, 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. y Ventilation 503.4 Supplied with readily accessible switch for shut-off and/or volume reduction when ventilation is 110t required. 7' HV AC Efficiency 503.4 Minimum efficiencies-Heating: Tables 5-4, 5-5 & 5-6. Cooling: Tables 5-7A. 5-7B. 5-8 & 5-9. 1'. Transport Energy 503.5 Minimum of 8.0. Balancina 503.6 Provide means for balancinq HV AC air svstem & water distribution system. ?: HV AC Controls 503.7 Seoarate readily accessible manual or automatic thermostat for each svstem. I HV AC Ducts 503.8 Air ducts. fittings. mechanical equipment and plenum chambers shall be mechanically attached. sealed, 1- 503.9 insulated and installed in accordance with the criteria of sections 503.8, 503.9 and 503.10. 503.10 Piping Insulation 503.11 In accordance with Table 5-10. r Water Heaters 504.2 Automatic electric storage water heaters s120 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 meet minimums in Table 11-1 of Standard RS-9 after 1/1/92. Swimming Pools 504.2 Spas & heated pools must have covers. Non-commercial pools must have pump timer. Ai Ii & 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). ., Insulation Water Fixtures 504.5 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. Lighting 505.1 Lighting power budgets are listed in Table 5-13. Minimum Ballast Efficacy Factors are listed in Table 5-14. r Uo wall Allowable .'" So> Uo wall Actual . I v If complying under the provisions of S. 502.1, enter the combined Uo values for the entire envelope Uo roof 1 ceiling Allowable ,10 Uo roof 1 ceiling Actual ; t' 'lI) in this section. Uo floor Allowable Uo floor Actual Uo envelope Allowable Uo envelope Actual OTTV wall Allowable -v, ,-') OTTV wall Actual '7' 'J.- OTTV roof 1 ceiling Allowable OTTV roof 1 ceilina Actual Compliance with Section 5 was demonstrated by a Prescriptive Measures methodology: D 508.0 (a) Detached commercial buildings D 508.0 (b) Skyboxes or sports stadium buildings less than 100 square feet that are used only seasonally. I hereby certify that t plans an~pecnications covered ~Ithe calculation are in compliance with the Florida Ene fode. ' / , t:,' .. .. PREPARED BY: ' ;...,' v ;~ ;r.-' DATE: 7' t.- ~ 2- I hereby certify that this building iE> in compliance with the Florida Energy Code. OWNER/AGENT: DATE: Review of plans and specnications covered by this calculation indil<l'tes compliance with the Florida Energy Code. Before co ruction is m, Pleted':~:br ::spected for compliance in accordance wi i n 5 8, F.S. BUILDING OFFICIAL: DATE: FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM SOO-A-91 SECTION 5 . BUILDING DESIGN BY COMPONENT PERFORMANCE ApPROACH Non.R.aldentl.1 Bulldlnga ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS R..Id.ntlll Building. oYer 3 .tort.. ALL CLIMATE ZONES PROJEct NAME: J~ - JlJ'-' J:V" Ad. - ADDRESS: . ~ 7Rs::L VA 0 'lJ II....,:... --n: CITY. ZIP CODE: r:. JJ. /lOA'\. ~# _?_"?<VI BUILDER: y_.Ct,;r-PJ LO A A ~-"'- 11- OWNER: J:) ^ P9..J I. . I If' :I- ZONE: ~ BUILDING CLASSIFICAtIONlSl: BUILDING PERMIT NO.: .2. b..2. =? A PERMlnlNG OFFICE::; ~; ~ L & ~/~-<{'T/ cJ JURISDICTION NO.: (/ ~ / / L n ~ TYPE E ~ AREA Concrete (CBSl . . 6 It; 'f" Wood frame Metal frame Insulation R-value ~ BUILDING INFORMATION ROO~ ILlNG FLOC RS TYPE U AREA TYPE U AREA Under attic c"7, ix l.,V' Slab-onilrade Single Assembly Raised Wood Other: Raised concrete Insulation R-value Insulation R-value TYPE D ~REA Wood , . Metal!._ 'l....{. InSulated I ' Other I G_ TYPE U AREA Single. wall ,.ff. 'J&,,';1 Double. wall Single. roof Double. roof SYSTEMS INFORMATION . AIR CONDITIONER HEATING SYSTEM HOT W.TER TYPE EFFICIENCY TONS TYPE EFFICIENCY BTU/H TYPE Unitary & Heal Pump A- Central & Heat Pump Electric <65.000 Btulh L.SEER <65.000 Btu/h -r HSPF ~' Resistance 0 ~5.000 Btulh EER IPlV ?: 65.000 Btu Ih _COP . , f--. Dedicated Heat Pump 0 - - - Water cooled _COP Gas eER - Wale' Cooled -' - IPlV - Evaporatlvely cooled _COP Natural 0 - Evaporatively Cooled .- EER - Electric resistance _COP LPG 0 - PTAC - EER - Gas 1011 (circle one) 011 0 Chillers - COP -- tPlV - < 225.000/300,000 Btu/h _ AFUE - HRV 0 Other; ?: 225.0001300.000 Btu/h Et Other: LIGHTING )r I ~'1 ,~L1ghtlng Budget (from Table 5-13): .1.. . Total lighting Wattage :; ,; : Total Conditioned Floor Area .c - Walts/sQ_ It: I. ~u PRESCRIPTIVE MEASURES (Must be met or exc;:eeded by all buildings.) COMPONENTS SECTION REQUIREMENTS CHECK Windows 502.4 Maximum of .37 elm per linear foot of operable sash crack. "'J( Doors 502.4 Maximum of 1 .25 elm per square foot of door area. " Joints/Cracks 502.4 To be caulked. gasketed. weatherstripped or otherwise sealed. "' Reheat 503.3 Supply air restricted to set coldlhot deck temperature to meet load of worst case zone. Resistance reheat prohibited. X Ventilation 503.4 Supplied with readily accessible switch for shut-off andlor volume reduction when ventilation is not required. ;,' HVAC Efficiency 503.4 Minimum efficiencies-Heating: Tables 5-4. 5-5 & 5-6. Cooling: Tables 5-7A. 5-7B. 5-8 & 5-9. 1- Transport Energy 503.5 Minimum of 8.0. ~ Balancina 503.6 Provide means for balancina HVAC air system & water distribution svstem. ~ HV AC Controls 503.7 Separate readilv accessible manual or automatic thermostat for each svstem. ~. HVAC 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. 7--- . 503.10 Piping Insulation 503.11 In accordance with Tabie 5-10. Water Heaters 504.2 Automatic electric storage water heaters s120 gallons and gas & all-fired storage water heaters s 75.000 Btull1 sl1all meet performance minimums in Table 5-11. larger sized water heaters shall "- meet minimums In Table 11-1 of. Standard RS-9 alter 111192. Swimming Pools 5042 Spas & heated pools must have covers. Non-commercial pools must have pump timer. ,.,! & Spas Gas spa & pool heaters must have minimum thermal efficiency of 78%. (:t'll Hot Water Pipe 504.4 Piping heat loss l!f Iiml1ed to 17.5 Btull1linear foot of pipe for recirculating systems (see Table 5-12). "); Insulation I Water Fixtures 504.5 Water flow restricted to maximum of 3 gpm at 80 pslg; toilets maximum 3.5 gallon flush. ,;: Public lavatory fixture maximum flow of .5 gpm or .5 gallon if has self-closing valve. I Lighting 505.1 lighting power budgets are listed in Table 5-13. Minimum Ballast Efficacy Factors are listed In Table 5-14. )\. Vo wall Allowable _ 'J.,.'JI: Vo wall Actual J i k..~ If complying under the provisions 01 S. 502.1. enter the combined Vo values for the entire envelope Vo rooft ceiling Allowable " ,,,, Vo roof 1 celllng Actual "c~ '> In this section. 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E e IL -i lri tv) tv) C) c: ~ Q) J: tii II II II 11;2 N to Q) :0 {! E e IL a: o 9 II. II I o ::) :&! Z l1j CJ ~..:. en - UJ o CJ Z ~ 3: M M CD ~ xxxxi:: -I- ... u:: - ~ t- ~! me( ..,. M ~ C'i tv) ... 8& U::~ ..... o o ;;:: ....-NM"<tc( Q)<D<D<Dtii 0.0.0.0.- '0 ~~~~{2. ::::> II ;,:,t WALL R.VAWES BUILDING COMPONENT DESCRIPTION WALL WALL WALL WALL WALL TYPE 1 TYPE 2 TYPE 3 TYPE 4 TYPE 5 Exterior air film .J. 5 Stucco ,:J. c . Block /,11 Stud Firring strip Insulation {;"O Wall board ,1/) Solid Other Other Other Interior air film j ,g J te- R TOTAL . I U = 1/R j /1, AREA /q '( 1. Weight (Ib/sq. It.) IF FRAME: Size _ x _ Inches O.G. _ ROOF/CEILING R.VALUES BUILDING COMpONENT DESCRIPTION ROOF ROOF ROOF ROOF ROOF TYPE 1 TYPE 2 TYPE 3 TYPE 4 TYPE 5 Room air 11Im . ~ I Wall board it() Truss . Insulation "-30 tOe Other .4'itr Wi>.)~ ' , ~~ .~ i db Other 'F e (-r Other C..{ l'~A- G (pS . 1(13 Other Outside air film i ). ) R TOTAL 3;J.3}..... U = 1/R t()~ AREA (sq. ft.) IY3l- U + TC IF FRAME: Size __ x _ Inches o.C. _ I ZEPHYRillLLS ~IRE. DEPARTMENT1'~t.~...~:;..:~..\.'.~' Zephyrhllls, Florida 33540 . . ;'.:'2,:.:\ ,J ~, 38410 6th Avenue (813) 782-8184 FINAL BUILDING INSPECfION Fire Chief ilJiam T. Fenton OCCUPANCY: J)~ p ~j ADDRESS: 37'1j-;" h1dt:.6/.4r./5 c/. . DATE:-1L/-U!QJ. U~...t-A- Assistant Chief ~obert Hartwig BUSINESS PHONE: OWNER/MANAGER: This huildinJ.?; has heen inspected by the Zephyrhills Fire Department under the codes and regulations of the NFPA Minimum Standards and other local fire safety codes. ~APPROVED efl,.,oIIAJI'().,a/ NOT APPROVED CO~t\tENTS: I) T4., E'/Ij /lflt oI~f4 ~ t...LH;.f' P1 ~ C ,~^ Qt 1-~t;4- ~'I4--!- ;J _>>0 J-tMnlr C -8''h'" ;,ol!'..nJ.t:I L i!:--P L'y h,L pr-r ,tL n /a h S f,,.. f~ f}UL-f- Dp. 1~t..1 /"//--0 I ~~ INSPEcrOR~/ ;(~ DATE: (/ /K/tfJ- TIME:,I y ~)C? SIGNED: TITLE: 06/ I 7/86 als C E N T R ALP E R ~ I PASCO COUNTY, FLORIDA C:lJNTf-a~CTOF\ :J:t: NAME: TOWNVIEW MEDICAL ARTS PARTNERS ADDR: 37852 MEDICAL ARTS CT UNIl C../ :::.l~ : Z / ~.'i I L_L::;:; !:;OR: r'~ESI)URI=:E 1::'EE f4 C: C~ ~\t 'r TOT P,L (:)1'10UNT: COMPNY ACCOUNT CENTER B450 - 363000 - L 114 CHECI< # t 101 1 () a 22 AiYIOUi'~T 1 () d ::;~2 ~I /J,' BY 'C;7!JfI-~---'L'-d~!f:J -------- HEeE I l/ETI ~ ,- '<<j -. I)f4 'r E: ~ 1. ~~ / () ;:::: .,/ l~~,' ::: PACE ~ 1 UF::- 1 I ::;::::;UE ,JFF- I CE_:= D RECEIPT NUMBR: 00158382 OFFICE: DADE CITY DE:;:;C:r~II::'TION/F'EF\I"1T L:ATA DR/eR .~.~.~.~.~..* 6t~) PASCO COUNTY, FLORIDA Permit # c2 ~ :2.:3 B Date/:2 -9--9/0 Name/~J~~u) ~/d (~~ (9~A1A4ljo) County Parcel # 3 J/ - :J. ~ - t2. / - :3 Location ;3 ~ 2 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 Tmnsportation 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) If 1 S"o , Rate / ERU = 50.00 x 0.96* / Year or$0.1315/Day ERU Assign # Assessment = (# Units) x ($0.1315) x (# Days) TOTAL FEE $ / () I ~;<. Assessment = !Q.Sflx (ERU) x (0.1315) x (# Days) 100 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 pennit owner on notice of this assessment and the conditions of payment for same. /,2 - ~ 9,1 Date J) ~1 /(c lA..t::.lLI VI './ /~, a<~ Received By J OFFICE USE ONLY -------------------------------------------------------------------...------------------------------------------------------..---...------------------------------ lRANSPORTATION REC. # RESOURCE RECOVERY REC. # J:s'f!r3 g .J.. , DATE DATE / ;.1 . q-. ci d-. BY BY White Applicant Canary Trans / Finance Canary RR / Finance Pink Office