HomeMy WebLinkAbout92-2668
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BUILDING PERMIT
~ CITY OF ZEPHYRHILLS P"ml' N'! 266815
_ _ (813) 788-6611 Date 9-:<f-~r:l
~ ~ 7-.57J ~_9.;l3 ~?.sv V?~
~I~'~~ GMBIN~CHAN~ Sewe' Co",
'l~~~ Water Conn:
":\t,
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Pmp"tV Owne' .~~1:: i!~~rlL
Job Address: 6 ;J ~ /L...
Parcel 1.0. # 3-;26 . ;LI- /2 ... c> - /1 /'
Zoning . .. Ene'2e :Ji ~'- ~G"Q~ .
oescnPtlonofWork~~ "7 .'\.:f--~ - ~1
Water Meter:
I. ;L 7?; tro
.
d-.5o . tJlJ
/ 6..5 -: t/tl
T.I.F.'s:
.-
Tp. Serv. 'i11. 'A,
Rough In L~4 ~q:J. .~ Tub Set I - ~ m
Lintel 10 - IS -9d.. Meter Can ft. _ Water
FRM. ~ Const. Pole Ib-2f~qz.. '~dB.Sewer 2-/D-c(3 biL-
Insul. CL 'I /.0 12- _ Pool Final
"... 12:"~
WL .' Pre-Meter ~ - ~ -C}.3 ~
1Jj) Final
Driveway /-7-41 W- ~~B'" 'G-tD..q~ cJ,..
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
;1
Valuation or
Contract Price
~ -.5.-: tJUt1. t!J-V
".
City License Registration # .....5 6" 0
State Certified License#
Breakers ~
Ducts InslJjiilJ.//AI-1
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a.
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.
')).0.
9-9.8--<91-
frP-- y '{ /((??
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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527,5c) ,
.47.50
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J,-/ ,00
10 3~. ~5
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FORM 900-B-91
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
OWNER: ~"^ c.~
~
BUILDER:
PERMITTING
OFFICE:
PERMIT
NO.:
Climate .~es
CENTRAvr 5 6
PROJECT NAME
AND ADDRESS:
NEW CONSTRUCTION EP IF MULTIFAMILY, NUMBER OF CONDITIONED ~ sa GLASS AREA AND TYPE
UNITS COVERED BY [II] FLOOR AREA FT. CLEAR TINT,FILM,SOLAR SCREEN
ADDITION D THIS SUBMIITAL: PREDOMINANT DIJ.~ FT.
EAVE OVERHANG SINGLE. ITIJJ sa SINGLE. ITIJJ sa
MULTIFAMILY ATTACHED D CHECK IF THIS SUBMITTAL LENGTH PANE FT PANE FT
SINGLE-FAMILY DETACHED ~ REPRESENTS A WORST CASE PORCH OVERHANG ~ B DOUBLE. ~ SO DOUBLE'ITIJJ sa
CONDITION: [if' LENGTH .. FT. PANE FT PANE FT.
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R =
~SO. rn.~ ITJIIJ SO. m ITJIIJ SO, m ITJIIJSO. m
' FT FT FT. FT
ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R =
ITJIIJ SO m.o ~SO [ill] ITJIIJ SO. m ITJIIJ SO. 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 I R=
rnmsa. [ill] ITJIIJsa. m ~FT QQ ITIIIJsaT m
FT. FT. FT
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS
IN ~ CENTRAL o ELECTRIC STRIP ~EAT o CEILING FANS .8R:LECTRIC SOLAR: o.m
UNCONDITIONED SJ, =
SPACE R = o ROOM o NATURAL GAS PUMP o CROSS VENTILATION o NATURAL GAS HEAT RECOVERY (CHECK) D
rn.~ o PACKAGE TERMINAL o ROOM UNIT OR o OTHER o WHOLE HOUSE FAN o OTHER FUELS
FUELS DEDICATED
IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL o NONE o ATTIC RADIANT o NONE HEAT P~MP: 0 .m
SPACE R = o NONE HEAT PUMP BARRIER EJ.-
m.D SEER/EER = rn ~ COP I HSPF I [2]. rn o MULTIZONE EF = . [25] NUMBER OF rn
AFUE = BEDROOMS =
INFIL TRA TION CEJZJZJrn] ~ [N0.~
PRACTICE USED X 100 _.
D #1 ~#2 D #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E,P,I,
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS,
I hereby certify that the plans and specifications covered by the calculation are in compliance with the
Florida Energy 0
DATE75-~7-C{d-
Review of plans and specifications covered by this calculation indicates compliance with
the Florida Energy Code. Before construction is completed, this building will be inspected
for compliance in accor~ti~8' F.S, :D.
BUilDING OFFICIAL: ~ . -.;> A..... _
DATE 9' ..... ::2 5 - cr z.,....--
OWNER AGE
ida Energy Code. ~\ll\B"
DATE: V\~'t,..
$\ l.. \) ia2. DC>.Y..fj;I
I
Q1?~i.~.lI jiL
6,JJ~-4.L~&JufJ/L' ,o-r 7 '"7-;:-- ()
~q~ Co~~o~
,;2('6R' 8
6 II 6 t) 0
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~w~~.t~
9-.:2 .4~~....
3i':'-C/~.
APPLIQUOlNl F'!:)" PHRKIT
C'.iTY OF ZEPIIYRHILLS
B\TilDllIIG DEPAR:DIEIHlT
OWNER'S
NAME /feNT a
ADDRESS ~
PHO &Ba-43CO
t.A~ I=l 33w3
i(e/2 O~6 .&.~ qr #lun/l/~n::A)
SllfBDIVISIOTlll SiLJ/e-zc o,4f!.5
BI..OCK
07
OWRER'S
JOB ADDRESS
/1
LEGAL DESCRIPTION: WI'(S)
//-r
PARCEL 1. D . f:
k'ORK PROPOSED: y;:: Const.ruct:ivn
_Addit.ioli _Alt.erat.ion
_Repair
_Inst.all
_Sign
_Iifove
__ _ _DeJIOH sh
PROPOSED USE:
~ing1e
Faaily
_H/F
_' of Unit.s
_M/H
_~rcial
_Indust:.
_SWI... Pool
Other
_Rest:aurant: &: Bea1t:h Deparblent: Approva1
BUILDING SIZE:
x
Square Feet:.
Height.
RESIDENTIAL :
COHttERCIAL :
A'l'TACH (2) PLOT :PI...i\NS &: (2) SEIS OF BWtl...DHiG PLMilS &: (1) SET ENERGY FORKS,*'*"
A1TAC.1I (3) SETS OF BUIIJ)DiG PLMilS &: (1) SET ENERGY FORMS. *'"
**copy OF CONTRACT REQm:RED.
~iJ:R"I'i'3 F\.ElJUESTED
_ELECTRICAL
$ .:$46f!C;C;
~ AMP Service
Va1.uat:iOll of Tot:a1 Const:ruct.ion
_BUILDUlG
__~ilorida Power Corp.
W.R.E.C.
_MEGIIAlUGAL
$
._Va1uat:im.' of Mechanical "Inst:allation
_PLUMBING
z:
___ROOF:.:~j'G
SPECIALTY
TYPE OF CONSTRUCTION:
_Fr:me _St:eel
Other
IS PltJJltCT IN FLOOD ZONE AREA?
y--
FllfISHED FLOOR ELEVATIOlNlS: /Z.O FI'.
YES NO
******************************************
BUILDER
CO!ITRACIOR SECTION
mHPANY-reAl\J,S1.1~ (;bNsr
St:at:e Cert:. or Regist:. '41 Cl!!f(:~
City License Regist:rat::ion t J & 0
************'!:*'i1'****-A *****************
Si
ELECTRICIAN
ml'lPMY U::::.
l.rJ-k~~~~.'W. ~t;ate <:ert... or R<<:gist:.,.,
~ ~ C1t:y L1cense Reg1st:rat:1on I
************~*****~~***~~****************
S ilm3 t:ure ')<
PLDlBER /1 / WlIPMilY 7<.~ ~/6L~/
'<;' 5t:at:e Cert:'. or Regist:~ ~ C,c;.('YJzt::>~
Signat:ure _ . ~ 'l" _.~ . City License Regist:.rat:ion I / y?
KECHANIC.U
l' St:at:e Cert:. or Regist:.' ..
Signature -:"~.~ \>J 'tl\~ (}.j~ City License Registration # I
~ ***** *~****~***~**************"'**~*****
.
101
OTHER
ccm>>&W
St:at:e Cert:. or Regist:. j
City License Regist.ration ,
*********************,,,"'It*****'''******'''******
.
Signature
APPLICATION APPROVED BY
/%~(f~
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
, A. ,NOTICE OF DE~~:ESTRICTIONS .
The undersigned understands that this perlitlay be subject tD "deed restrictions' which lay be lore restrictive than City
regulations. The und~rsigned assules responsibility for cospliance with any applicable deed restrictions. .
B. UNLICENSED CONTRACTORS ANP CONTRBCTOR RESPONSIBILITIES
If the ollner has hired a c(jntrac1;or or con tn, to undertak~ IIC/ric, they may be required to be licensed in accordance with
state and local regulations. If the.r.onftactor IS not licensed as required by la", both thg ONner and contractor lay be
cited for a lisdeleanor violation under state Ii.. If the ollner tr 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 Department, (B131
7BB-bb! 1.
Furtherlore, if the owner has hired a contractor or co~tractor~, he is advised to have the contractortsl sign portions of the
"Contractor Sections' of this applil)tion for which t~~: lIill be r~sponsible. 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 IIi shes 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 FEE~
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 - HOleollner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. if the applicant is sOleone other than the
"ollner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
'ollner" prior to cOllencelent.
E. CONTRACTOR'S/DWNER'S HFFIDAVIT
I certify that all the inforlation in this application is accur ". and that all work will be done in co.?iiance with all
applicable laws regulating construction, zoni~~, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no 1I0rk or
installation has cOllenced prior to issuance of a perlit and that all 1I0rK will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land devel~~.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern!t~t~l ayencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust jake to be in cOlpliance. Such agencies, include but are not li.ited to:
f Departlent of Environlental ReQulation - Cypl ~ss Bavheads, "~t]and Areas and Environlentally Sensitive Lands,
~ater/Wast~~a~'er Treat&ent
f Southllest Florida Water ManaQelent District - ~ells, Cypres~ Jayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, DOCKS, Navi~cble ~at~rllays
f Pepartlent of Health ~ Rehabilitative Servi(2~, En~irolllental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbesto3 abatelcnt
I also certify that, if fill laterial is to be ~:eJ in Flood Zu;~ A' Dr "A,etc.", itis underst00d that a drainage plan
addressing a 'colpensating volule' will be sub.itted whic~ 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, ~or shall iss!l~nce of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or v~!lations of any code. Every pertit issued shall beeote invalid
unless the work authorized by such perlit is cOllenced within ~ix Bonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six lonths after the tile the lIork is comienced. One 90 day extension of tile, lay be
allowed fer the perlit with fee charge of $15.00. The extension shall requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or th project will b considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICF O~ COMMENCEMENT MA RESULT IN YOUR, YING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING; CONSULT WITH YOUR LEND OR AN ATTORNEY B ORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT N~ED TO RECOR~ A P ST A . 0 ICE C MENCEHEN'.
x gn;f- COHAfJl-OM
SIGNATURE: OWNER OR AGENT
""PASCo
STATE OF FLORIDA
COUNTY OF ?.q,sc6
The foregoing lnst~ment was a.-8mowledged
before me this ~ ~O , 19_~ bv
COMPmtV ,
known 0 me Dr who has
-
The foregoing instrument was acknowledged
h,?fr,'-"" me> +-h;,,9/U ,1'7~ by
AJ's
who is who has
produced
as identification and who did/did not
~e an oath. ,.A
.~rI~4-- 4:J..9L~ J
(Si~tLn-e)
/U;{' IJ 'DR a e- it;. i3' /l-
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
, natLll-e) ~ . /<
<..::) tA) . I?? &? Iv..J
(Name Typed, Printed or Stdmped)
NOTARY PUBLIC
OlkIIISIaI ~
JILL W. LEMONS .
NOlalY Public. Slale of Florida
My comm, expire& Oct 3, '994
No. CC052771
(&'''''''
$ ~ BRENDA GBGER
i*~ :; MY COMMISSION' CC 196331 EXPIRES
."'-~ May 2. 1996
,iit~", 80NIIED 1HIlU TROY FAIN INSURANCE, INC.
TOMASINO & ASSOCIATES, INC.
CtmnIUing AbgifYn7. J14,,~ Surwvw-
O 'Ogll H. 56th st. 1lJ",.PIo .It 336'" "
FA. (8'3) 988-9102
~ rl3 N. DrrxId SI. BrooIt::nlilH, .It 3-160'
I.- FA. (90-l) "96--I'3'I
Party Chief:
Drawn By:
Checked By:
LEGEND:
4/-/
~-/3'
rA/Y
Revision
For. T/f;4A/S /J.?4 R ~
800/VOAA-y' SO~.1-2
e S/T. PL.,.cfA/
Description:
Date: 9-/o-9R ~
W.O. No.,;53h4f. 5'2 I
-i
I
Date
Lot 117, SILVER OAKS PHASE ONE according
to the plat thereof as recorded in Plat
Book 26, Pages 46-49, Public Records of
Pasco County, Florida.
By
P - PLA T RECORD
D - DEED
FM - FIElD MEASURDlENT
<]& - EXISTING flEVA TlON
.. ,. PROPOSED SURF ACE FLOW
[iI:m - PROPOSED E1.EV.
LEGE/!/O
flOOD INSURANCE INFORMA TlON:
DA TE: EFFECTIVE: ft1Q~ J~ 1.984
COMMUNITY No. 12oZ:JO
PANEL Ot./55 SUFF7X ~
ZONE C B....SE flOOD ELEV.-L:I/1-
~
~
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rNo. :: F(-xwo
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C4rv. = CABLd r;~
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C.".!; < CC>VC~'C71! PUXX ST1n.Cr<NCe
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ELEVA TlONS SHOWN REFER:
TO NGVD DA TUM 0
TO ASSUMED D.... TUM II
LOT //8
110
~~~~ FiJ
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Surveyors Note:
In addition to easements and buDding restrictions shown by this survey and the plat record, there may be addItional
restrictions applicable to this properly that may be found In the public records of this County. Underground foundations and
underground utilities not located.
CfRTlFlCA TE:
I hereby certify that the survey represented hereon meets the requirements of Chapter 21 HH - 6, Florida Admlnl.tratlve Code,
far professional land surveyors.
PArE Or :Y"//i/:b""r' 9-8-9? r#~"15' A #C/GH'c$ Professional Land Surveyor Number.3'>L.!5 State of Florida-
NOTE: NOT VAUD UNLE.C:S SEALED WITH AN EAiBOS_C;rn ,C;/JRvt:'YnR'~ ~nJ
I, KENT COMPTON, the owner of Lot 117, Silver Oaks, Phase One,
having contracted Transmark Construction to contruct my home upon
said lot, hereby give written notice to the city of Zephyrhills,
that I accept fiber-mesh to be used in the concrete slab of my
home.
({t4t-/J'1I-k-
ENT COM ON '
Sworn to and subscribed this
~ day of October, 1992, Kent
Compton, who is personally known
by me.
Olllcial Seal ~
JILL W. LEMONS
Nolary Public, Slale of Florida
Mycomm, expires Oct 3,1994
No, CC052771 "
~"0
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PASCO COUNTY, FLORIDA
Pennit #
Date
...-.-
Name/Owner
COlmly Parcel #
.-.#~.
Location
Classification / Type of Use
TRANSPORTATION 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
,
I
I
I
"
Gross Sq. Ft (GSF)
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 $
I 1
...
-..",
/
j
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 fonn, placing the building pennit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
OFFICE USE ONLY
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
TRANSPORTATIONREC. #
RESOURCE RECOVERY REC. # \ \ , ( .
C'
DATE
DATE:.:." : "',j , ..:
BY
BY ...
.
\ ' I
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp