The URL can be used to link to this page

Home My WebLink About92-2687 BUILDING PERMIT Job Address: Parcell.D, # CITY OF ZEPHYRHILLS (813) 788-6611 ~.ero C PLUMBI~) Permit N<! 2687/3 3S-7J7) b~ en) C rBUILDI~ CLECTRI~ 60-0-0 ~ECHANIC~) Sewer Conn ~..s--::st .,tIt) Water Conn: 7 OZJ" d?/ Date / o--P~ y~ Water Meter: 3Jv. cTtJ T.IF,'s: 3) J 70. tr7:.> l-~ Zoning: EnergY~Ode: Description of Work ~""A) A ../~-t;~ NO OCCUPANCY BEFORE C.O. FINAL - 20 ~. qg DATE C.O. /- d{/ - 73 Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. Inspector Pe'm;t Fee ~-S:-5'<J S;gnatu,e r(J/;~ Company _ Address Valuation or Contract Price 3?- n-z> - c:ri) ,/ City License Registration # .:20 State Certified License# 7? A () 0/1) 07 h /s-'li Telephone# FRM. Insul. CL WL /l-J...1I L 8.6. (, -,t'~fr~ ~L . ~? ELECTRICAL PLUMBING ~ ~~~:~rl~' !~~./s-~~: Set 1/23 ..0/2 ~g. Meter Can / () -R-9d~ Water Const. Pole /0 - 2H;1.. ~ Sewer 1- /$/- 93 ~S_ Pool ~ Final Pre-Meter ,//- fl1?J Final Breakers ~ Ducts Insl. 1/-27r9L Compressor 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 ($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. Q .:L. Repairs or corrections not made when inspection called. J ~ /J . / 0 - CJ - Y Work not ready for inspection when called. /i..( U\.. . Permit not posted on job site. Plans not at job site. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ;1: ., , )J~pL~ 1-... '(j.:, 'r~:0'i ~~'t '~\':>\\\Tf:-) 1-\. { L.- 10.0 ('~~1-.L.._... YAL.IJA.TI 'ON, '31J;oo [) ". '. r~' ..... , .----.-...11-.... '---'... h_ -. _ ____h_ ..:?~~_lO'-.h,L5~1~_a_6\_~ \ NC:; __ h'__.__"_'.' -1I.It..~... 13~_ ~&!-_.R~\_.. . ___...___ CDr-)~~(1:\ Q.cl_f);:::f:::> Sf__vJ_~_~l,{55"to> ~,o , WJ:).:Lt.t( 700 ~ D':> __________ \:?~J.~ ~~t.....f:r ~ pL\J~.~.~~.(,_ .WCrf3J~"" l- .; ;rYK('t\rV~!I{!lL SI)R1Z>Tl'1k ;.~~VD ~-Cf').~ '" M. cTE.r2- . - --_.- ..- T?_rl!~ _~_r( r:).\J.~~_~~.s iJ7Z Vti.f-L 3'87.5"0 ' .~o< .:>c b 1. c)o I __._h__......_.__.. _....n_n.....u__ ,.... toO. D v 5Q5.50 - 30.0C 5to5'.50 .-__._...1._. 330.. e D 3: 5cgro, VO , , ._____.n..' u' ...._...__u._...._._ :IIlJ 172.. _~~_J~~rrrnON L~~l E~~___.___.._._~-:-..._ fJ 2) liD. DO __.________________...... } _..h...... h'.'," ., . ___ _~L...____..~1'lt_.~._~13h3 0 .__._____.. _____h__hi ~~.._h___.3J .70 " . ----.--.-- . / o~7/) L~_ '1 t3 33" ~~ FORM 1000-B-91 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 10 - Residential Perscrlptlve Compliance Method Department of Community Aff~lrs Climate Zones CENTRAt@s 6 . OWNER: BUILDER: PERMITTING ' OFFICE: PERMIT NO.: CliMATE ZONE: JURISDICTION NO.: 41t1S060 ~ NEW CONSTRUCTION !i;I IF MULTIFAMilY, NUMBER OF CONDITIONED ~ SO GLASS AREA AND TYPE UNITS CINERED BY 0=0 FLOOR AREA FT CLEAR TlNUILM.SOLAR SCREEN ADDITION 0 THIS SUBMITTAL PREDOMINANT lliJ.~ Fl. SINGLE. c.DII SO SINGLE. [5[fl]] SO EA~RHANG MUl T1FAMll Y AT TACHED 0 CHECK IF THIS SUBMITTAL LEN H PANE FT PANE , Fl (3 stories or less) REPRESENTS A WORST CASE PORCH INERHANG rn [g DOUBLE. c.DII SO DOUBLE. I I I I I SO SINGLE.FAMllY DETACHED 0 CONDITION 0 lENGTH . Fl PANE Fl PANE Fl COMPLIANCE 0 PACKNiE CHOSEN WALL TYPE AND INSULATION CEILING tyPE AND INSULATION PERCENTAGE . OF GLASS r-r::l TO flOOR lJJQJ % UNDER Amc: R= rn.lf1 m.D FLOOR TYPE AND INSULATION WOOD MASONRY RAISE~: ~ OJ. D RAISE~: ~ [DO COMMO~: OJ D COMMO~ ITl n R- . R-~ SLAB. ON- ro D GRADE: R = L0. COMMON: R= DUCTS IN UNCONOITIONED SPACE: R = [ill. ~l IN CONDITIONED SPACE R = m.D COOLING SYSTEM rn CENTRAL 0 NONE o ROOM o PACKNiED TERMINAL AIR CONDITIONER rn.~ HEATING SYSTEM ---- o ELECTRIC STRIP [] HEAt PUMP o NATURAL GAS 0 OTHER 'uelS o ROOM UNIT OR 0 NONE PACKNiED TERMINAL HEAT PUMP COP/HSPF/AFUE = [:J.~ . . HOT WATER SYSTEM 00... ELECTRIC 0 NONE 0 SOLAR o NATURAL GAS 0 HEAT RECOVERY o OTHER FUELS 0 DEDICATED HEAT PUMP SFIEF = ~.m rn EF = SEER/EER = NUMBER OF BEDROOMS = 4 I hereby certify that. thea;. end s lflca. lI0.M """"'" JJG -...."..." _,.~". Ilh the Florida Energy Code. .LF_7. PREPARED BY ,~_.____ 11~~ n_':...__ DATE: /t:>--<:;,,' 'j I hereby certify that litis buildIng Is In compliance willt lite "Iorlda Energy Code. OWNER AGENT: DATE: Review 01 plans end speclllcallons covered by litIs calculallon Indicates compliance with lite "Iorlda Energy Code. Belore construdlon Is completed. litIs building win be Inspected 101 compllllnce In eccord~~.908' F.S. .. ~ fL,llDING OFFICIAL: j /) ~. ______ DATE: /0 -7-9'2- FORM 1000-A-91 FLORIDA ENERGY EFFICIENCY CODE FOR BUilDING CONSTRUCTION Section 10 - Residential Perscrlptlve Compliance Method Department of Community Affairs Climate Zones CENTRA@ 5 6 COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM1OOOA.91 FOR SINGLE AND MUlTIFAMILY RESIDENCES OF 3 STORIES OR tfSS IN HEIGHl AND ADDITIONS TO EXISTING RESIDENTIAL BUILDINGS. TO COMPLY, A BUILDING MUST MEET OR EXCEED ALL OF THE ENERGY EFFICIENCY PRESCRIPTlVES IN ANY ONE OF THE PRESCRIPTIVE COMPONENT PACKAGES AND COMPLY WITH THE PRESCRIPTIVE MEASURES LISTED IN TABLE lOA OF TfjIS FORM. COMPLIANCE BY THIS METHOD WILL BF. IN MOST CASES, EQUIVALENT TO AN EPI OF 100 POINTS MUss. AN ALTERNATIVE METHOD IS PROVIDED FORADDITIONS OF 600 SQUARE FEET OR LESS BY USE OF FORM l00OC.91 IF A BUILDING DOES NOT COMPLY WITH TIllS METHOD, IT MAY STILL COMPLY UNDER SECTION 9 OF THE CODE. NEW r.ONSTRUCTlON 0 ADDITION 0 MULTifAMILY ATTACHED 0 (3 slolle<; or less) SINGLE. fAMILY DETACHED 0 IF MULTifAMILY, NUMBER Of UNITS ClNERED BY [IT] THIS SUBMITTAL CHECK If THIS SUBMITTAL REPRESfNTS A WORST r.ASE CONDITION 0 CLIMATE 4 f'i'I 50 60 lONE: La ~~:SDICTlON ~ BUILDER: OWNER: PERCENTAGE OF GLASS GTN TO FLOOR I.j.J...':J % CONDITIONED r::C;'r;r=r=j sa fLOOR AREA ~ rr PREDOMINANT rn ~ EAVE OVERHANG ,. 0 FT LENGTH . PORCH lNERHANG .n-:J 1AI0 LENGTH ~.~ FT COMPLIANCE (Jj PACKAGE CHOSEN UNDER ATTI;: = m. [QJ COMMON R = DJ.D GLASS AREA AND TYPE CLEAR flNUILM,SOLAR SCREEN SI~A~Lt [[[J] ~~ SI~^~:'lliDJ ~~ DOUBLE. [[]]]sa DOUBLE [[[J] sa PANE FT PANE f' FLOOR TYPE AND INSULATION WOOD MASONRY RAISED _ [[] 0 RAISED _ []J 0 R - . R . COM~O~[[lD cOM~o~DJD ~~~~~N~:l~ .lJ-- . CEILING TYPE AND INSULATION DUCTS COOLING SYSTEM HEATING SYSTEM HOT_~"!.ER SYST~~_____.~ -'IN ---------.--....------- -OCELECTRIC UNCONDITIONED ~ CENTRAL 0 NONE o ELECTRIC STRIP rn HEAT PUMP 0 NONE [J SOLAR SPACE R = ROOM o NATURAL GAS 0 OTflER FUELS o NATURAL GAS [J HEAT RECOVERY [lil. ~ 0 PACKAGED TERMINAL o ROOM UNIT OR o NONE o OTHER FUElS [J DEDICATED HEAT PUMP AIR CONDITIONER PACKAGED TERMINAL . ffI1J SFIEF = ~.rn IN CONDITIONED rn.~ HEAT PUMP _ SPACE. R = COPIHSPFIAFUE = [JJc2LJ EF = OJ.~ SEERIEER = [JiJ NUMBER OF BEDROOMS = t hOfeby cartUy tha~t plans" specifications covered by the CAlculatIon are In compllitnce with Ihe Flondil Energy Cod J. II PREPARED BV' ""..... -it DATE 10 ~ (. 12- I h","hy c""11v that fhl. building' . In compliance wilh the Florida Energy Coda OWNEn AGENT' DATE Review 0' plans and specifications covernd bV this calculalion indical(?~ compll:mce wilh Ihe Florida Energy Code Before construction is completed. Ihls building will b~ rnc:ppClpd 'orcomPliancaln.ccordance"",..lion..5.i.55~3.. ..FF..SS...... - - n BUILDINGOFFICtAL: . ..&~. ..c::>-.~ DATE ./,o - 7- fy TABLE 10A I MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPQNENTS SECTION REQUIREMENTS CHECK WINDOWS 904,1 Minimum 01 0.34 CFM per linear loot 01 operable sash crack (includes sliding glass do~ p;....... EXTERIOR & 904,1 Maximum 01 0,5 CFM per sq. It, 01 door area: solid core, wood panel, insulated or glass doors only. X' ADJACENt" DOORS EXTERIOR 904,1 . To be caulked, gasketed, weatherstripped or otherwise sealed, "- JOINTS & CRACKS -- ._~ SOLE & TOP 903.2 Sole plates and penetration,s!hrough top plates 01 exterior walls must be sealed, PLATES INFILTRATION 903,2 Infiltration barrier must be Installed in exterior walls & raised wood 1I00rs. -'i\' BARRf.ER - --~-'--- INTERIOR 903.2 All openings in interior surfaces 01 ceilings and exterior walls must be sealed. 'f, JOINTS/CRACKS FIREPLACES 903,2 Fireplaces must have lIue dampers, glass doors and outside combustion air intakes. . '~:;i/j!. EXHAUST FANS 903.2 Exhaust lans vented to unconditioned space shall have dampers. except lor combustion devices with integral exhaust ductwork. .-- ~}..~. WATER HEATERS 904.2 Comply with efficiency requirements in Table 9.7A, Switch or clearly marked circuit breaker (electric) ." or cutoff (gas) must be provided. External or built.in heat trap required, -----.----- SWIMMING 904.3 Spas & heated pools must have covers (except solar heated). Non.commercial pools must have a J}-A POOLS & SPAS pump timer. Gas spa & pool heaters must have minimum thermal efficiency 01 78%. HOT WATER .-- 904.4 Insulation is required only lor recirculating systems, Including heat recovery units. In such casp-s. f. PIPES piping heat loss shall be limited to a maximum 01 17,5 BTUH per linear loot 01 pipe. ---- :=~::. ?HOW!=R HEADS 904.5 Water 1I0w must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC DUCT 904.6 All ducts. linings. mechanical equipment and plenum chambers shall be mechanic:111y attached. CONSTRUCTION, sealed, insulated and installed in accordance with the criteria 01 Section 904.6. Ducts in unconditioned 'f. INSULA liON & space and air handlers located in allics must be insulated to a minimum R.4,2 (R'6 alter 1/1/92). INST ALLA TION 17 --_._----,-- Separate readily accessible manual or automatic thermostat for each system. ~------- HV^C CONTROLS 904.7 . 1 . TABLE 10B CLIMATE ZONES 4 5 6 . MINIMUM REQUIREMENTS COMPONENTS PACKAGES FOR NEW CONSTRUCTION TO Bf INSTALLED A B C 0 E F Maximum Percent 15% 15% 10 U) of Glass to Floor Area 20% 20% 25% 25% % U) ~ Type SC ST ST ST or OT 5/ Cl Overhang 2' 2' 2' 2' 2' 2' fEEl Masonry EXTERIOR AND ADJACENT MASONRY WALLS R.5, EXl: R = 5' U) COMMON MASONRY WALLS R-3, ADJ R = 5 -I COM: R -I ~ Wood EXTERIOR. ADJACENT, AND COMMON WOOD FRAME EXT: R= Frame WAllS R.l1.' . ADJ R= COM: A CEILINGS CEILINGS UNDER ATTIC R-30. FRAME COMMON CEILINGS R.11, UNDER ATTIC: R = :31:> (NO SINGLE ASSEMBLY CEILINGS ALLOWED) COMMON: R .. , U) Slab-On. Grade R'O R- D a:: 8 Raised Wood R-11 (ONLY STEM WALL CONSTRUCTION ALLOWED) R- uf Raised Concrele A.5 R- DUCTS INSUL INSUL COND, INSUL INSUL INSUL R=~_ CONO. 0 SPACE .---- COOLING 1991 10,1 9.0 9,0 9,5 9.0 9.9 SEER= ___. .L 0 (SEER) 1992 11.1 10,0 10,0 10,5 10,0 10,9 --- .. ... ELECTRIC1991 STRIP 6.4 6.4 6,9 6.4 7.2 HSPF= __-1.<...-0.. ~ (HSPF) 1992 STRIP 6,8 6,8 7.3 6.8 7,6 :r: GAS/OIL(AFUE) 1991 MINIMUM OF .70 1992 MINIMUM OF ,73 (Direct fired) or ,78 (Central) AFUE= .. ----- ELECTRIC EF ,go EF,90 EF ,90 EF .90 NOT ALLOWED EF ,90 ,11 II: RESISTANCE' (SEE BELOW) EF= ~~ --- ---.--.-- ._~-_._-- <cW GAS & OIL. MINIMUM EF OF .54 ~~ EF= l->- ---- ~~--- 000 OHP: 0 EF= ---- :r: OTHER Any of the following are allowed: dedicated heat pump, -~--~--~- heat recovery unit or solar with a solar fraction of at least .40, HRU: LJ SOLAR: n SF= 'Minimum elliciencies for gas and electric hot water systems apply to to 40 gallon water heaters, fleler to Table 9.7 A for minimum Code efficiencies lor oil water heaters and gat, and electric systems with other sized tanks, GENERAL DIRECTIONS 1. New construction including additions which incorporates any of the lollowing leaiures cannot comply using this method: raised wood lloors without continuous slem walls, stel'l stud walls, single assembly roof/ceifing construction, or skylights or other non.vertical rool glass, 2, Choose one of the component packages "A" through "F'lrom Table lOB by which you intend to comply with the Code, Circle Ihe column ollhe package you have chosen. 3, On Table lOB you will find a column labeled "To Be Installed", In this column fill in all the applicable spaces with the information requested, All "To Be Installed" values must be eqlJ~1 to or more efficjent Ihan the required levels, 4. Complete Ihe Information requested on the top half of page 1 based on the "To Be Installed" column information. 5. Re~d "Minimum Requirements for All Packages', Table 10A on page I, and check each box to Indicate your Intent to comply with all applicable items. 6. Read, sign and date Ihe "Prepared By" cemlk:ation statement at the bonom 01 page 1. The owner or owner's agent must also sign and date the lorm, DESCRIPTION OF BUILDfNG COMPONENTS LISTED " Percent of Glass to Floor Mea: The percentage of total glass area to the conditioned f100r area shall not exceed the prescribed percentage, This percentag~ is calculated by dividing Ihe lotal of illl glass areas by the total conditioned floor area. Glass Type: In order 01 increasing energy efficiency, the glass types ~re: single'c1ear (SC), single-tint (ST), double'c1ear (DC) and doublelinl (OT). Overhang: The overhang is the distance the rool or soffit projects clut horizontally Irom the lace 01 the glass, All glass areas shall be under an overhang of at least lhe prescribed length with the lollowing exceptions: 1) glass on the gabled ends of a house and 2) the glass in the lower stories 01 a multi.story house, Wall, Ceiling and Floor Insulation Vllues: The R-values indicated represent the minimum acceplable insulation level added to the structural components 01 the wall, ceiling or IIoor. Tile R-v~lue of the structural building materials shall not be included in this calculation, "Common" components are those separating conditioned tenancies in a mullif~mily building "Adj~cenr components separate conditioned space from unconditioned but enclosed space. "Exterior' components separate conditioned space Irom unconditioned and unenclosed space, Floor: Slabon.grade floors without edge insulation are acceptable lor all packages, Raised wood IIoors shall have continuous stem walls with insulation placed either on the slem wall or under the floor. Ducts: "CONO' indicates thatlhe ducts must be inslalled within the conditioned space; Ihat is, the ductwork shall be located on the condilioned side ollhe insulation so that any leakage will be into the conditionlld space. Ducls In conditioned space are acceptable lor any prescriptive package, If "'NSUL" is specified, Ihe ducts may be in unconditioned space but must be insulated to a minimum installed insulation level of R.4,2 (R.6 alle,1I1/92). Space Cooling System: Cooling systems shall have a Seasonal Energy Efficiency Ratio (SEER) for central units or Energy Efficiency Ratio (EER) lor room units or PT AC's eqlJ~llo or greater than th!! prescribed value, Electric Space Heltlng Option: Heat pump systems shall be rated with a Heating Seasonal Performance Factor (HSPF) equal to or greater than the prescribed HSPF. He~t pump systems may contain electric strip backups meeting the criferia or section 903,8(b)3. "STRIP" means electric resistance heat is allowed lor that package. Gas or 011 Fuels Spice Heating Option: Gas or oil space heating syslems must be raled with an Annual Fuel Utilization Efficiency (AFUE) of at least the levels specilied tor 1991 and 19~2 ElectrIc Resistance Hot Water Option: For "EF ,90" designation, the electric water healing system shall be rated with a minimum Energy Factor (EF) of at least .90. For pac~~ges designated "Not Allowed", an electric resistance hot water system may be installed only in conjunction with one 01 the "Other Hot Water System Options'. See below. Gas or 011 Fue'~ Hot Water Option: Gas 0' oil water heatirg systems must be rated with an Energy Factor (EF) 01 at least .54 lor all packages. Other Hot Wlter System Opllons: Any dedicated heat pump, heat recovery unil, or solar hot water system which meets the requirements of .oction 903.3(d) of th~ Energy Codo 'nay h~ installed. Solar systems must be designed to provide at least 40% 01 the total hot water (solar fraction ot (40), Electric resistance systems having an EF 01 .B8 or gre~ter, or natur~1 l:m systems with EF .54 or greater may be used in conjunction with these systems, " APPLICI\TI05 FOR jJ:RK[T CI'IY OF ZEPi "fl~:LT ~ BlIUJllliG DEPARI1!DJ1iJ1' ;SOANNl /(111 tlj),'rF OWNER'S ADDRESS to, ({OX bC~ )..Gl!Sbur~ .JOB ADDRESS eOr)/~ 11 S-T~ 6" r ...LlNe/ /1_ AVE, LEGAL DESCRIPTION: 1DI'(S) WIt cr wf /01 R!.OCK /0 SUBDIVISI05 PARCEL LD.' /9- 02 b - d- / PIlOn 9';'- - 7.si - ~ r;r:-." S'/7?r- OWNER'S RAKE GA. 11(1(J~E'S ,c; '~r ./f'.///r; i7/V WORK PROPOSED: ~5ew Construction _ ...JWdj.tion _Alteration _Repair _Install _Sign _!!love _DeaoHsh PROPOSED USE: Single Fallily IK/F ~, of Units _K/H _~rcial _Indust. _Swi..-. Pool Other _Restaurant &- Hea I. t:h nepan:.ent Approval , I BUILDING SIZE: ~6 X J./c:> . jol/d Square Feet. 8" Height RESIDENTIAL: cottKERCIAL : AnACII (2) PLOI' l'I.ANi &- (2) SEI'S OF BUILDIRG PLANS &- (1) SEt' ENERGY FORKS. ** AlTACII (3) SEI'S OF E,!JILDDlG PLO'S &- (1) SEI' ENERGY FORKS.*'" **COPT OF COINTRACT R SQlJTIRED. PERl!lITS REQUESTED ~BUILDING /ELECTRICAL ~ttECllABICAL ~PL1JKBIHG $ Valuation o:f Tot:a1 Construction MIP Service .Florida Power Corp. W.R.E.C. $ ,Valuation ..,f Kecbanical Installation GAS TYPE OF CONSTRUCTION: ~IOCk {].11, , '/ FTIlISHED FLOOR ELEVATIORS: G'#-g F1. ROOFING SPECIALTY _Fraae _~(r-eel Other IS PROJECT Il!i FLOOD ZONE AREA? / YES NO ........*"'.....**"'- :l:*...**..il-Ir......,::'I:.*............"'*.."'.*** C'.)Wl'RACI'OR SEC1"ION Signature / W!lPMJY /j. rO ,eO/lo r /J~ 7'..// A/~ State 'Cert:. or Regist:. , 00(007 I5cA ~ City License Registration , 0 ..............~*.***..............k*...........................*~'" =CIAH ~ L W!IP.DY h~.! s. -c. ('/A.-S ~? -~/-. ., cA I St:a.te Cert:. or Regist. , F/<-. 0 C' / /.s-) 7 ~ _re v. ~ '_ City License Registration f /59 ~ . .....***.*.~"'....**..**.**~*.**.......*....*.*......** ' ~ I r W!lPARY Jf/)..ro/( ~o/t/6r: ~ r..-// h~ S~te ~rt. or R-:gist. .' p' O'oJ"7ouQ _ _ ~~ C1.t:y L1cense Reg1strat1OD. , ;)3' ***"'*.**~"'*~.*.......**~***~********."'**** -=::::- \ (f ~;; C'.~ ;t/ /-- V BmTJ)ER PLDmER . Signature Signature ?i c.nJIIPADY State Cert. or Regist. , City License Registration I ..........~*.***'"',. ~*..***"'.."'*~*** KECllANICAL do- Signature amtPANY State Cert. or Regist:. 1;_____ _,_u__ City I.icense Registration if ****'" :A-**,', ***.~,.~"~-A';a, :Ht*******..*..*~.*"'*...."'.'" . OTRF.R APPLICAnOIi APPROVED BY L~-~~L>~"- PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peraitl3Y be Slildect tOLi:!:d l'estrid:e,ns" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOII-::i:nL~ ;l~th allY app! icable deed restrictions. B. UNL I CENSED CONTRACTC\l:::S AND.. CONTRACTf)R RE~SPDNS I Bl..1:.1. T I E~ If the ONner has hired a contractor or contr;lr.i~rs ~o undertake work, they ~ay be required to be licensed in accordance with state and local regulations. If th~'contrDC~Gr is.~ot licensed as r~quif2d by laNI both the owner and contractor lay be cited for a lisdeaeanor violation under stJle :d~. If the o~ner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, .~lY are advised to contact the City of ?ephyrhills Building Departeent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contrador' ,'_ .s advised to have the contractorls) sign portions of the "Contractor Sections" of this application for wllich they 11:11 :J~ ,~s~oiisibIE. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor I are re~f"n;ible for the work. If the contractor wishes you to sign as contractor that eay be an indication that h~ is not properly license~ and is not enti~led to pereitting privileges in'the City of Zephyr hills. , 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 - HOleoNner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the ,applicant is sOleone other than the "oNner" , 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 cOlaencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforeation in this application is accurate and that all work will be done in co.pliance lIith all applicable laws regulating construction, zoning, and land developeent. Application is hereby aade to obtain a perait to do work and installation .as indicated. I certify that no work or installation has coelenced prior to issuance of a pereit and that all work will be perfor.ed to teet 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 govern.ental agencies lay apply to the intended work, and that it is .Y responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to: f Depart.ent of Environeental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treati~nt f Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arey Corps of EnQineers - Seawalls, Docks, Nav;qable WaterK:Ys f Departeent of Health ~ Rehabilitative Services, Environlent Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environeental Protection AQency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood 7~Tle "A" or "A,etc.", it is understood that a drainage plan addressing a "coepensating volute" will be sub.itted which is ~,~pared by a professional engineer registered in the State of Florida prior to perait issuance. A pereit 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 perait 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 pertit is cO.lenced wi~hi". six lonths of issuance" or if work authorized by the pertit is suspended or abandoned for a period of six aonths after the tiae the work is cOloenced. i One 90 day extension of tile, lay be allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project lIill be consider,ed abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT KAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO VOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE, OWNER OR .GENT ~~~ was acknowledged , 19_ by STATE OF FLORIDA ~ COUNTY OF Q:3 '(' () The foregoing ins~ment before me this () -~ STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19 ---9A- by who is personally known to me 0,- whc. has produced as identification and who did/did not take an oath. Dr whc. has (Signatul-e) (Name Typed, Print~rl or Stamped) NOTARY PUBLIG. '.~.".."..,...'.'."" '~"'.w~~~ " ,;, ,'I 1<1 ~.11t1l;,. c,,, I,r IJ It,~ ~ CO ~ ~ ~ ~' -Ili: , ~ ~ 9\ ~ ~ , .-- ~" ~ .. ~ cs. -5th . NORTH 50 ' 100.00 ' 50' ~ '" , f Cb' ~~ ~ II:) " ~S- ... ...... ,<::) ~ ~ " ~ , '0 50' SOUTH 50' 100,00 I "'~ :.) '" o , '~ ~. ~ ~~ c::: .... ~" {~ '-~ ~~ ~~ .... ~.~ ~I\i ~~ ~S- , (S V) 1l ~ ..... .I~ f\) (:) , . o ~ a , ~ .~.. ~ .... ~ , ~ ~ ~ ~' 06 ~:. ~ a ~ " ~ .... ...... ...... '"0, :t> en. \)< 0: \S' '~.. ~ t .. - ~ ():: ~o CI Z, =< . <- ( ( - "T}";' r 0:: ::U~ - - o~ )>c r l' .... r ) c. . , j6 ',' l, .30.00' .- /..s--- '". , "d>-. i:t ~ --- (b ~ '0 ~ ~ ~ I\)~ ~ ~: ~ ~ <:::) ..... <:> ". ~" '- J 5th STREET (60' Right-o f - Way) NORT ~ ~ ~~ c.. .... .... .... ~~ ~ ~,... b' {~ .... ~ . '-~ /OO,Of)' 50 NOR TH so' ~ ~ c.. ..... ~ ~..... ~ 0 ~~ " ....0 .... <:::)" () ,... .... () ~ ..... .... ~ " () llllJ) .... ~~ ~ .... ~ ~ -.. , .::. " C\ 2;' ... ... <t~ I Q ~ ... ... III '. -40.~ ~.~ '~ Q' Q ... .. '\ ~ /00,00 ' .... () ..... ~ <:) <:). .s- oL d) _. ~ "?> ... ~ ~d) ~ ,... .,. 0 ~ .... ~~ .... .... !'t't~ I ... ... ~ Q 1lQ~ Clt_ a. '\~ il:). ~ <\ ... , \ , "'- -"<' <:> '\L ~ ~ ~ ,... () .... 0\ '\,i ~ ~ ,... 0 ~ - o. .... I.: ~ --' -----'fA~~ ~ "ITIACTII 8088Y f. HILTON 1uII"1n, c..tratt" 813/7'2-1349 1508 HI"~ 54 &sf Ztphyrhllls, "Ida 33599 PHONE 759-2669 JOB LOC" nON DATE OF PLANS JOB PHONE ,: by submit specifications and estimates for: This building ..w.i.ll..J:>.e.-.CODstructed according- to plans and , ':',ecifications and wi,llinclude the following: ' 1. Can?~~gg villY1-floorinq ($15 per Yd. allowance.) .-~-L--.uRgnges. anq refdge.rators (name brands.) 3. Central heat and air. 4. Insulated ceiling and exterior walls. .--_.._5. u_Ceramicbaths_~____ 6. Formica cabinets..... Contract price includes permits and impact fees. - --~T'--____~..__ 'rl1pl1st hereby to furnish material and labor - complete in accordance with above Specifications. for the sum of: t -three thousand four hundred and no/lOO....... dollarS($43.400_00 ), made as follows: accordinq to bank schedule_ I~ g.,.,anteed to be as SptK;if.ed. AU work to be completed In a workmanlike dlnl to standard pr.Cbc:es. Any alteration or deviation from above speclflca- Hi ext... costs wi.. be executed only upon wfltten orders. and will become an '<l.,-"",..r and abow the estllnate. All ee.eements conloneent upon strokes, accldenls .. . nod our controt Owne, to carry 'Ire, tornado and other necesslI'Y msuranc.. e fully c_ec1 by Workmen's Compensation Insurance. Authorized Sienature Note: proposal may be WIthdrawn by us If not accepted within 30 days. ntt IIf proposal-:- The above prices, specificatIons s are satisfactory and are hereby accepted. You are authOrized iI$ specified, Payment will be made as outlined above, Siena'ur. ance: Sienatur. Nfl ~C/ ~ ~ <j) - ija , - ./'0" ~ - /o~ : ~ '" - <i"\ ~ .;:19' \. W a - ~ c,; II !}tlE '-... ~ ~ " 5 , t \ - f{ NOTICE OF COMMl!;l'1CEMENT ~T. ,;;r n '-:'9:r;:~, ;' ',,0" "'" ":,i Building Permit No. Tax Follo No. .. .~ : ') 7d . .... -~. ,It. ..'. ..... ;!,' :-.~I~.-::(~l\!G IS A i I:' "::,:' ,',:,',' ,,~;' <,,'::'<,:'~;,,~~j/~,~ ~ ,,','q ,c--:",: "'j\ : ,,', (, :': _ ~2 [,1,'( OF .... ~-\:-- -. ~, 1 L.q "J "j . U ;:'1 (;1;.1 '., (l",:'~.{ c.;: {'I'~J" liT "", r cr-, _ I 8/ IDo'n,,~~1" ," "'.,(;~ l,(- ":1 -ll'"eSml!d 1m .~v~~. D, C. STATE OF Flnrirlti COUNTY OF Pasco THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with Chapter 713. Florida Statutes. the follOwing information Is provided In this Notice of Commencement. 1. Description of Property: lIellllld"'NOripllonorlheproPftty. Lots 9 and 10, Block 10, MOORES FIRST ADDITION TO ZEPHYRHILLS .ndall""taddr-.llaval1&blel FLORIDA, as the same are numbered and shown on the map or plat :hereof recorded in Plat Book 1, Page 57, Public Records of ?asco County, Florida. 2. General Description of Improvements: Construction of two duplexes for rental purposes. 3. Owner Information: a. Name and address: Johnny Ray White and Melanie White 276 Walnut Street, Leesburg, GA 31763 b. Interest in property: Owner c. Name and address of fee simple titleholder (if other than owner): 4. Contractor: Bobby E. Hilton 6415 16th Street Zephyrhills, FL 33540 Q~ iOt:"'6E:' ! 1E:'-ron"",'J I \ ~ WU-iL -! .,. ...J~L'U.i..i.. l ,~_,q,,!/1.,fOI'....? n\ 0 p~ - w:: -: ,I (name and addreaa~ b. Amount of bond S N/A RE"ORnIM"'! HIOEv T~l'" , l. J \L. l"'1ui .!..I'-.t) ....'_'1W RECORDS MODERNIZATION FEE COPIES-RECORDED CERTIFICATIONS J SEARCHES 5.0e i.OO 1. 00 1. 00 5. Surety: a~ i-ieime Cilia address: 6. Lender Information: a. Name and adQ~~~s: f'I .:~ (; 1>.) ':,1 '. b. Deslgnated.Contact: TOTAL: 8.00 SunBank of Pasco County P.O. Box 609 GAYBAR Zephyrhills'FL 33539 Randa IT E. Poston 01-A f'HEf'll · '.II \"If\. .s.00 B.OO AMT PAID: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.. Florida Statutes: 'nADleAndaddreael, SunBank of Pasco County P.O. Box 609, Zephyrhills, FL 33539 In addition to himself. Owner designates of to receive a copy of the Lienor's Notice as provided In Section 713.13(1 )(b). Florida Statutes. \0 W 9. Expiration date of Notice of Commencement (the expiration date is One (1) Year from> the date of recording unless a dUTerent date is spec1fied). Other expiration date: 0"\ ~ CO 8. Randall E. Poston Si ture.of er .,qTAT F" .~v~"--' ;:....C?~N1Y~~i':'~.:\.. ~ o.R.3067PhGE0620"r-R \.':':1 ~ ' r~1 CO ';S~rn to anu subscribed before me. tht' m.r ~ \ ~ '. ~r~.er, signed ,au. thority. this ;;( 3 ~ lay of ~(j ~\\ ~~ ;::;] ..', . :..,,(lL~ " . 19 C(.J. RECORD V~~H::.IED · ~,r..J ~ i'.) . 'I,'. ,',. ' 11 JED PIT,T,,'/.1'1 .~o ,..I \ (",. ~~C)/;J ULivv."-^-- ,"nYi)~';A~ ~~r ~:, i ." '.. - R ~t}J~c; .-,i =! ~ 2; :"'( r- NOTARY PUBLIC My Commission Expires: Notary Public. Dougherty County, Georgia My Commission Expires Jan. 11. 1993 ~J Rev. 12/90 Form /I 1P-490 ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Leiter of Map Amendment or Revision (LaMA or LOMR), Instructions for completing this form can be found on the following pages. O.M.8. No 3067-0 Expires May31, l' SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER ,J()hnny White STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg, Number) OR P,O, ROUTE AND BOX NUMBER COMPANY NAIC NUMBER - OTHER DESCRIPTION (Lot and Block Numbers, etc,) ---.N=lt2-.L-O.ts--.9 & 1 Q,__alk_l_O__~_O_ORE~S_lS_T_8D DtL'J:'_9___~~H.rJ:!L ~__.__________. CITY STATE ZIP CODE 7.~phyrhill~ Florida 33540 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2, PANEL NUMBER 3, SUFFIX 4, DATE OF FIRM INDEX 5, FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 0005 C Dec. 17 199 "AE" 84.00 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): [':x,NGVD '29 0 Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I I I I :. feet NGVD (or other FIRM datum-see Section B, Item 7J. SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level --1- . 2(a). FIRM Zones A 1-A30, AE, AH, and A (with BFE), The top of the reference levenloor from the selected diagram is at an elevation . of I I I 1 84.1!3J feet NGVD (or other FIRM datum-see Section B, Item 7), (b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of' Ii' I :.U feet NGVD (or other FIRM datum-see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is i feet above 0 or below 0 (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I ,._! feet above or below 0 (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ~_ Yes No [J Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:!xJ NGVD '29 [J Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section e, Item 7J, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: LJ Yes ~ No (See Instructions on Page 4) 5. The reference level elevation is based on: ~ actual construction 0 construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: UJ...8-3.J6.J feet NGVD (or other FIRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: i I I I I I ,U feet NGVD (or other FIRM datum-see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones A1-A30, AE, AH, A (with BFE),V1-V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE). a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment. area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below, The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections Band C on this certificate represents my best efforts to interpret the data available, I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code. Section 1001. Maurice W. Beall CERTIFIER'S NAME Professional Land Surveyor TITLE F'lrl PT.~ lt4?Rl LICENSE NUMBER (or Affix Seal) Simmons & Rprlll, Tnr COMPANY NAME P.O. Box 1297 ADDRESS Dade City F'lor;r'l('l -3.3.526-..".12-9 7 STATE CITY ZIP SIGNATURE mVJ~ Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. Ortohpr ::>0, 1 qq? DATE (-9-0-4-~.6-J-=-0-0-4-8 PHONE COMMENTS: ON SLAB WITH BASEMENT ON PilES. PIERS, OR COLUMNS A ZONES V ZONES A ZONES V ZONES BASE FLOOD ~ The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 -. E= ;.,~ 1 !:~ r:; i_h f' ~;~ F;~ ;vf I T' PASC,O COl_lNTY'~ I~:LCIRIDA r.if;ME: ~ c: C\ r~ 'r F;~ (:.) ::: Nf' C1 i;~~ *i; ~ ~JI'i I 'T E~ j\ 'n r~. ~=--. .. ;-'~J...ll..l! '\ u BOBBY HILTON/~OHNNY Hlrj\( ;:'i4 E: f:::" ,/ ~:~; -f ~. Z 1--1 I L. L F'L F.I)F\: F:~E~~:::.()tJF<C~E: ?)CCN r 114 26:~:7 r' \, ,-,- r:; ~~ ~- E: :i ~::; 1 ,/ ~:~ ~2l '::~' ..~:.: F'P~,-=i[. ~ .1 c;r:~ .L I ::.:::,UE '=iFF I i=E; r: F{[:TE 1 FT' I'~U!"lDF\ OFFICE= DADE CITY HAVE. CHECK # 14512 14--26-21 B 10 LT W/29 8( W ! 21(1 DUPLEX TOTAL P\i"IOUNT ~ COMPNY ACCOUNT CENTER B450 - 363000 - ~ 6';:!.74 AMCl!JNT 6').74 IVED BY --J~6L________ ::) (; 1 ;~. ~;:: (::3 /! DESCRIPTION/PERMT DATA DR/CR ****** An ,~'~'~~'"~'i ,...>:~,"'~.II"}~J:.', ,-:l~Cj'l;;.tP.~:'~l1-'~~'i\,"'.-..:;;'" "JJ.'~-?''''jt'~':'!~:':''''~'-t:,~'' ~,,",';f. t> .,l:,,::.,,_~,~jJ.(1i., ~.'..i;.t;;: ~,',: .;: _ '" ~ '.-' ,. PASCO COUNTY, FLORIDA Pennit # Date Name/Owner County Parcel # Location ClassifIcation / Type of Use lRANSPORTATION IMPACT FEE CALCULATION Rate $ Zone # Sq. Ft./Unit Preparedby 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 structme. RESOURCE RECOVERY ASSESSMENT RESIDENTIAL NONRESIDENTIAL # Units 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 = ~. (ERlJ)x.(O~ l-31~)~.(#-D~ fOO 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. 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 PERMI'ITING 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 ---------------------------------------------------------------------------------------------------------------------------------------------------------------- lRANSPORTATIQN REC. # RESOURCE RECOVERY REC. # I > , I , DATE DATE l'da.C,~ BY BY ,iL\ White Applicant Canary Trans / Finance Canary RR / Finance Pink Office Green Bldg / Insp