HomeMy WebLinkAbout92-2736
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
c!:>3;S ,--So . ~ _ >-....
. 6;;Z. 6U bO ~ ,;-U ...3y. v c.J
~m~ELECTR~C PLUMB~~ANI~
Pmpe"y owne"~ ~
Job Address: 6 I./. _ . ~ () A
Parcell.D. # ..s.!)6 -.;:l/ - 6/02..0 - 0 ere> 0 <:> - O&-../ ()
;;23.'7 ()
Permit
N<l
2736~
Date /6
-3tJ '-9~
Water Meter:
T,I.F.'s:
/OJ... 7 tf":'cJV
,
3~.~
/ b ,~: (J"D
Sewer Conn
Water Conn:
,,-
Valuation or
Contract Price
h ~ b7T7J. 0-0
/
FINAL
C.O.
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Permit F
Signature
Company
Address
Telephone#
City license Registration # .3 / 9
State Certified license#
~"': ,ft4:t~
elECTRICAL '\ --
~j~~~6 ~~~
.- c Q,s /0
PLUMBING MECHANICAL,,?
Ftr. ~ Tp. Servo SlB /1- 2b- q z-1fiJi-- Breakers
Pre SLB ,'~ough In 1-;;;'9-'13 fJoIrTub Set /-wLfS ~ Ducts Insl. f-Zlf).q) &.G-
lintel '2..-- Meter Can Water Compressor
FRM. J -2.9 - CJ-o. If /JP. Const. Pole Sawa, II ~ ~ -1 U:?J.-;inal
Insul. Cl Pool Final n.. 2.t::J -- 2--jJ. iJ.-
Wl , Pre-Meter 4-d,d.. -11 3 1O&b-
/"/9 /J JJ Final
Driveway ~-Z<<r- ~ K.O-, ~ jI.-:JIJ,,1-M--
~~~ /1- fD-('l. B:IJ- 1I.M2. 1111-64L/JiU
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
7v!t1 / /0/,30 r7''J-
}1 ~{ ,;./ - CJ ;1- 9.....5
I
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
FORM '900-A-91
. ;,"': ;::~.:':' f,:~r' ~~ . -...,. ........ ~'''..nu -. ~r-"-''''II:''''''' l' ,",vue J
, ,.<i.,. .~....:,~ ~..' FOA BUILDING CONSTRUCTION ' >:"
.', "I'~;'J't1f Section 9 ~ Residential PoInt System Method
I ;'.I~; 'il'/l'l :~'-' " Department of Community Affairs . '
Climate .Z~es
CENTRAI(f 5 6
PROJECT NAME
AND ADDRESS:
~'~?~5't~;r$:'I'
IF MUlTIFAMILY. NUMBER OF CONDITIONED nT1I:""\ Lg-;] ~ sa,
UNITS CtWERED BYDJ] FLOOR AREA ~ Ft
THIS SUBMITTAL: PREDOMINANT DIJ rn
EAVE OVERHANG' l
CHECK IF rnls SUBMITTAL ' LENGTH . Ft
REPRESENTS A WORi!.PASE PORCH MAHANG
CON01TION: 't::.t-- LENGTH Ft
~
~~~TI 4 [tr 5 0 eO
=DlCTtoff ~
GLASS AREA AND TYPE
CLEAR TINT,FILM,SOlAR SCREEN
SINGlE- ~SO SINGLE- SO
~NE ~ Ft ~NE Ft
DOUBlE- [IT[] SO DOUBlE- [IT[] SO,
PANE Ft PANE Ft
OWNER~ ~ a ~ Q..
NEW CONSTRUCTION B
ADDITION 0
MUtT/FAMILY ATTACHEO 0
SINGLHAMfLY DETACHED 0-
UNDER ATTIC
~~~
R =
R =
[]]
R =
[]]
EXTERIOR MASONRY
~~~'
ADJACENT MASONRY
DJI[]SQ,
Ft
m.ra
n=
m.D
SO
FT.
DUCTS COOLING SYSTEM HEATING IlITEM I HVAt CREDnl HOT WATER lymM iiiij WATER CREDITS
IN lZfc 'u t, "I . ,t o ElECmlC STRIP. f1I~; ~EAt ' rn CU.ING FANS . , Ej ELECTRIC SOlAF\; -o.m
UNCONDITIONED ENTRAl (1",-:, ' . I' SF,~
SPACE R '" o I'''~'' "".,t o ~ATURAl GAS r,t'~ t'[j ~ o CROSS VENTIlATION o NATURAL GAS
ROOM .,. , .. " HEAT :RECOVERY lCHrCllI 0
[IQ. [a l~ "
o PACKAGE TERMINAL -~, o ROOM UNIT OR .,~ OTHER o WHOlE HOUSE FAN o OTHER FUELS
' FUElS DEDICATED 0 m
IN CONDITIONED AIR CONDITIONER , PACKAGE TE~, 0 DAme RADIANT . o NONE HEAT PUMP:
o NONE ' ,,~T PUMP;., r":-> NONE
SPACE R '" , .' COPIHSPFI [3J [Q[] '1"f' . IWlRIER .. EJ, = .
m.o SEERiEER' ~ [rnl.~ o MI1..T1Z0NE ! EF"'.~ NUMBER OF ~
AFUE .. . · .. BEDROOMS '"
INFILTRATION ~~~;,,":~, DSill.C0
PRACTICE USED X 100 =
o #1 0#20 #3 TOTAL AB-BUn..r POINTS'~ TOTAl BASE POINTS CALCULATED E.P.I.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOTEXCEED',OO POINTS.
..In _~ICI wIIh lhI ':
. ....,..;.,
bATt:l~-C\~ -9. l
.". .,
Code, . " \1"10.. ~'"
OAT!: 'V -~ (4.
I herpby Ctlrtlly 'hili
OWNEn AGENT:
9A I PRESCRIPTIVE MEASURES (must be met or .xceeded by ell resIdences.) " \
COMPONENTS SECTION " REQUIREMENTS CHECK
WINDOWS 904,1 MaxImum of 0.34 CFM oer Rnear fotft of oDefable sash crack (Includes slidIng glass doors). t,.../'
EXTERIOR & '904.t, Maximum of 0.5 CFM ~ eq. ft. of ~~ ar~.: solid cor., wood panel, Insulated or glass doors only. Y"""
ADJACENT DOORS .
EXTERIOR JOINTS 904.';,., To be caulked, gasketed, ffeathe or othentllll lIealed. , ,
8. CRACKS - . , '. , V
.,
WATER HEATERS 904.21 Comply with efficiency requlremenls In Tabl. 9-7A. -Switch or clearly marked cIrculi breaker (electric) V
or cutoff (aas) musl be mOvIded. Extemll or bulll.IO heat trap required.
SWIMMING POOLS 904.3 I Spas & heated pools must have covers (except solar heated). Non.commerclal pools must have a
& SPAS DUmo timer. Gas spa & 0001 heaters must have mInImum thermal efficiency of 78%.
SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 Daltonl ber minute at 80 PSIG. ........
HVAC DUCT 904.8 , An ducts, "ttlngs, mechanical equipment and plenum chambers shall be mechanIcally attached,
CONSTRUCTION, I "I., lealed, Insulated and Installed In accordance with the criteria of Section 904.8. Duels In unconditioned a./
INSULATION ,....-..... ,pace and air handl.,.located In altlcl must be Inlulated to a mlnlmu~J';.",g (R-e alter 1/tI92).
8. INSTALLATION
HV AC CONTROLS 904.1 Separate readily accessible manual or automatIc thermoslallor each syslem~ V-
INSULA liON 904.9 Celllngs.Mln. R-19. Common Walls-Frame R-1' or CBS R-3. Common Cellings & Floors R.' t. '-"'"
'1lr1t,
l' . '" "
.\
-.- ...-",_.~--y---... ~,... ~~~"';' "'tr5.~~.!!J~~: 'ftrf'l.*~li-i~' "'l'!'f'1!~-,"' "iliff
SUMMER CALCULATIONS ' ", . , . '
t-=
z
w
a:
o
~~
NE
I:
SE
S
_S_W
_W
_NW
H'
-~
(/)
en
S
CJ
f---
1--.
COMPONENT
DESCRIPTION
...J J;XlI:RIOR
;;1 ADJACENT
~
rn m!,A'Ofl
g ADJACENT
c
CJ
z
:J
W
(.)
a:
o
o
..J
IL
INFll TRA nON
GLASS
AREA
?J~
3.
\':>
u",Ul
1\\..\
UNDER AnlC
OR SINGLE
ASSEMBLY
BASE CEllIN
I BASE
Ii SUMMER :ii
PI MULl
47,8
71,7
102,0
104,1
90,9
104,1
102,0
71,7
90,9
'~i\, ~
~\
,
I
BASE
SUMMER
POINTS
"11~
.."..,-- ,.....
CLIMATE ZONES 4 5 8
I SUMMER I AS-BUILT
Ii OVERHANG = GLASS
FACTOR (9B) SUM. PTS.
, Il\bl'.
, LI C"\ 1.1 r)
, 'Sl:."l~
I IS~cl..~
ffi
a:
o
N
NE
E
SE
S
SW
W
NW
H'
I:-
I . SINGLE-PANE DOUBLE-PANE
~~~S · ~MMER POINT MULl. OR SUMMER POINT MULl.
. CLEAR TINT' CLEAR TINT'
~,~. 51,0 51,5 47.8 43,5
.~ 77.2 16,8 71.7 63,4
3'" , 109,2 107,1 102,0 87,3
112,9 110,3 104,1 89,4
\ S" 100,2 98,3 90,9 78,8
112,9 110,3 104,1 89,4
L\l,.. 109,2 107.1 102,0 87,3
77.2 78,8 71,7 63,4
387.7 303.3 324,8 238,1
'JI.I m"l. ~
~t
I
a 4~ '3cy~",,:\
,
~ .. ... ",'lit ,
,
AS-BUilT
GLASS
SUBTOTAL
- .111.~Sl
- ,
, SUMMER ~, AS-BUILT
. POINT MULT. Ii SUMMER
(9C THRU 9G) " POINTS
, I '-"Cl~
. .., \;).~
I CONDo I TOTAL .'! I BASE I BASE '~I ,ADJUSTED
. 1 5 It FLOOR + GLASS, = ADJUST. Ie GLASS !.it Ik GLASS .
_. I AREA I AREA I FACTOR I SUBTOT AL Hi I BASE SP
,15 I 1'.0 ~ l"\o I ~ ~ D 'l III I ~ 0 01 \,~ 1:;13 , C' ':l
'f' ii' :. BASE ,
AREA; . BASE SUMMER = SUMMER ~
~I., POINT MULl. POINT. ' I
\U~~ 10 lUC'\K:'
''''I,.,' .7 ,:;;a.~
I \to ,,"0
3'1'1 U
l':t~'
4t...q ':l.
5i':5(g,~
. ~
" 't ,.\..
.. . '.,:';:.'
;' (: :
<, COMPONENT
DESCRIPTION
e~\ ~ ~
..~~ Lf.lb
AREA
\'tC'\~
\"1 ~
,
~l
)...\
,
~\.~
,
4,8
1.6
..
~ I~~~~~
,
I !f~
,
10.9
E PERIMETER LENGTH AROUND CONDITIONED FlOOR.
I '3 .1'
BASE
· HOT WATER
MULTIPLIER
3527
I \lD~b
,
I d. '?> \.2J'i
~'~3~ I ~ S~~~
U E T TAl F AREA OF CONDITIONED SPACE.
,
I~~\l~~
TOT Al COMPONENT BASE SUMMER POINTS
,
TOTAL BASE BASE '~
,', SUMMER '. = ' COOLING'
, POINTS' I
~C 'US- '~(o(q"" '
COOLING
SYSTEM
HOT
WATER
SYSTEM
1991
1992
BASE COOLING
SYSTEM . It
MULTIPLIER
.42
.37
NUMBER;
OF
lASE
= HOT WATER
,
~("Q(."" ' 1
'H = Horizontal Glass (Skylights) ;
tFor glass wllh known Shading CoefficIent, see section 903.2(8), "TInt Multipliers may be used for glass with solar screens. 11Im, or Unt,
";i~;'; "-":2(,~r ..
VVIN I t:.H \,;AL\,;ULA IIUN5
.--- -:~--':;T---"'--------:-'~------
CLlMA TE ZONES 4 5 8
'""' 'GLASS !BASE WnnERI, BASE ~ ffi ." SINGLE. PANE DOUBLE-PANE I WINTER I AS-BUILT
C5 . POINT e WINTER 1, GLASS --1tINTER PI INT MULT. OR WINTER POINT MULT. · OVERHANG = GLASS
i'C AREA MUlTIPLIER I iC
0 POINT II 0 AREA , CLEAR TINT' CLEAR TINT' FACTOR 19BI WIN. PTS.
N 3)'" 5,6 ;;;l \ -;., N 3Y 9,6 9,8 5,8 8,1 , "2.1"S"
NE ~,5 NE 7,4 7.3 3,5 4,2
E ~~1 - 5,8 -~Q),\ E 3~ - 2,2 - 2,0 - 5,8 - 3,8 , -)or I
SE -13,4 SE -10,3 - 9,7 -13,4 -10.4
S \, 14,0 -a.\fS) S \S' -10,9 -10,2 -14,0 -11,0 , - II.. ,
SW -13.4 SW -10,3 - 9,7 -13,4 10.4
W L.I t.." 5,8 -~c::;')t" W ~/..... - 2,2 - 2,0 - 5,8 3,6 , ~ IC"I I
NW 3.5 NW 7,4 7.3 3,11 4,2
H' -14,0 HI -32.1 -28,0 27.0 -21.5
en IF ~4 -.S' .f. - ll' 1 (') IS: ~\.I - -a \. '"l..- -~.Co}' -SSh
en
:5
Cl
..'
--l ,
I CONDo I, TOTAL , I BASE I,., BASE '-., I ADJUSTED AS-BUILT
.15 · FLOOR + GLASS . ADJUST .' aLASS . ': aLASS GLASS
I AREA I AREA I FACTOR I AU.TnTal I BASE WP ,~ SUBTOTAL
.15 I \ltl~~ I ~il. ~ I ,. 1'-' I -Ii 3 1- I ~1C\1~ ~ " _S3 L..
,
tl I , '\'" BASE . . I I-
COMPONENT :- COMPONENT WINTER AS-BUILT
AREA ~., I. BASE WINTER . {r~: WINTER \ AREA · POINT P4ULT. !:' WINTER
DESCRIPTION .. POINT MULT. 'POINTS' DESCRIPTION f9C THRD 9G' . pnlNTS
EXTERIOR \U ~ I( 1.1 'S"t~ IC:.~, t' ~ ,'\~ a ,t..Jt r, ~~~~
-' ADJAr.ENT \ "'l l.., 18 3 \,.., I~~' \.J h \ '1 ....., ( t "it ~\~
....
c(
~
[]J~gJERKJA
g AD ACENT
c
5,1
4.0
I~~
~,
:1..1
.
II ~~ ~~
~ II &"'\
~,
~,
~~fu
,
I g~'
:
,
Cl
Z
::;
W
u
UNDER A TIle
OR SINGLE
SSEMBL Y .6
BASE CEILING AREA EaUALS FLOOR AREA DIRECTLY UNDER CEILING, AS-8UILT CEILING AREA EaUALS ACTUAL CEILING SQUARE FOOTAGE,
II:
o
o
~
HEA TINO
SYSTEM
BASE HEATING
SYSTEM .
MULTIPLIER '
1.1
....
~
~
BASE
COOLINO ...
POINTS
F P
...
q~tato
(Oc)3~
lH = Horizontal Glass (Skylights) . ,
IFor glass with known Shading Coelllclent, see secllon 903,2(a),'O TInt Multipliers may be used lor glass wllhsolar screens, 111m, or lint.
ep:.; J,),.;;r J"r' .....~'~:L ',\., I' I '{'
, 0:':':t'(U P.l'-V~-YC ";j,4:'~ ---'~_,
\/1 1';::" \.j"__ .,., ",::: '- ,
,"'\. . (..., 'v' ',' . I ,I,r. 1 r 'oo..
YAL0 A:T~\ 'tlf':.1 (001000
I
~. ....,........." .
m~2~~,l.k~':/~?,:,~'?i,j..\~"..,L, v Ir.l C.:r '_'''''. __u,
__......U.X, ~'I??,,::,l:, t+" G~?(.)(,,'_....,., _.______ ,.
LL' "j .. c -/ 71 / ') I ,.- ..
__,_,_, .Y... .:.(;2,'1"" ~Sq, \ ' .. _~/ '1j111-.1:.... f- ",LTJ!::.~;'. ,
_,__________~_.\)~~.~~ ~~l... t?-
.. pLUt'::,~.~~~:C:r
, ...~u:CTf3.l~""J::_
': :rYifo\r}0-'Q)~
Sl.)2jQr~k
, ~~0()_
!~-Cr~t~
.5:33.50
00. DO
to J. 00
~~.DO
(o~~.SD
- 7'0., 00>
lD I q::'S 0
_-'-....____ CO~~~(I.:\ Q~_tt;-S::>
" ~,
1127~,(-'I..,
35D, 60
I t,~, ,:,0
II 7'1 3, i) D
S I:: \/'L~_ \Z.,.,
, w, (J,::n:_t(
, p' ....1.. .___."
.u.....__..,\.___
I
.... ..--..--....---..--
. ., tY) ~J:'E-.r1-
L?_fl!L-
~~J( f1_\).?~_CCt1.s .PZ 3. LJ 0
2~~o ~.F+.
..
.~~_s. ~~rryn ON
---.-------.---. ,-.---..-,.. .---r:r/-;-
.....___~,__._...:.___._n___1i~
.
tfv1 ~Ll EJ;"t....s______"..
. , '
.'.", .....,..,.....,_. ........., .. / o~77J L.._ ~~4-3~, gO
APl"LIQ\TIOINl FOR PERMIT
CITY OF ZE:FIIYRIITLLS
llUrrll..DING DEPAR'Il1mNT
OWNER'S NAHE?~~~ Y
OWNER'S ADDRESS 5"'l ,~ G ~ L '--
JOB ADDRESS~ L{ lO ~\ ~vi=:- ~
LEC..AI. DESCRIPTIONI': LOY(S) a. \ IU...QCK SlJIBDI\lIISIm~S\'-\J~~
PARCEL LD.' \:) '"3:,.- a \.9. -, ~ \ - D \ ~ ~ - CJ~~~~ .... a &,l 0)
. .
owEN :>
~'-..vj)
Q) '?\ '\<- S
PlIO~E ~ ~ ~_. () t{ 5" q
C ~ N \ LL S
tJ \~ \ V 'C..,
~ ~ l<._~
WORK PROPOSED: ~ 1Jf.e'IN OlmstrucL on
_Addit.ion _Alteration ,_Repair
_Install
_Sign
_l!fove
_DeJJlOlish
PROPOSED USE:
~ingle FaDily
_H/F
_' of Unit.s
_H/H
_Commercial
_Indust..
_Swilll. Pool
Other
_Restaurant &: ! '{'31th Depart:llle'nt. Approval
BUILDING SIZE: S C') X 5 b , \ l.o ~ eJ \-." \ U
Square Fee t,
q\
Height
RESIDENTIAL:
COHHERCIAL :
ATTACH (2) PLOT Pf ,;\lNIS &: (2) SETS OF BUILDIINlG PLAOOS &: (1) SET ENERGY FORMS. H
ATTACH (3) SETS C:' BUUJlDilG PIAlNlS &: (1) SET ElNIERGY FORMS.-:!:-:!:
'iC:!:COPY OF COlNlTRAC' REQll.JJTIUlD.
-'-BUILDING
V ELECTRICAL
V
~~
PElmITS REQUESTED
$ Sf; ~a(S)
\S~
.$ ~S~~. ~~
Valuation of Total Cons~ruct.ion
AMP Service ~ Florida Power Corp,
W.R.E.C.
Va1.uation of Mechanical Installation
GAS
V:lOC'
ROOF:rnC
SPECL\LTY
TYPE OF CONSTRUCTION:
_FraDl!e
_Steel
Other
FINISHED FLOOR ELEVATIONS:
..1'']'' .
IS PROJECT IN FLOOD ZONE AREA?
~
YES NO
:!:-:!:'iC:!::!:~ ~:!::!::!::!::!::!:'iC**:!:*'iC-:!::!::!:'iC*'iC'iC:!::!:'iC'iC'iC:!::!::!:'iC-:!::!::!::!::!:'iC
BUILDER \ ~
Signature'R'-> <2.;, ,
*-:1' -,!;-!]:;
OONITRAC'fOR SEG'l'IOlNl
WHPMUY ~~J ~-~ ~ \"-'\ E.. t\ () l\A E. <;.
St:ate Cert. or Regist. #iCJ ~_ Q...O \ ~ '-) \3 ~
Cit:y License Registration #: ?/9
~:!:.~*'iC'iC:!::!::!::!:'iC~*:!::!:'iC:!:'iC~-:!:'iC:!:~'iC:!:~'iC~'iC:!:.~'iC*
ELECTRICIAN f E:E OOlHPANY F ~ ~ t
~ ?J. 1./ ..//7 ~ State Cert. or Regist.. if::
Si~ature V l/{$..-/' ~ Cit.-y License Registl'"3tion
:!::!: .:!:~ ~~:!:'iC~:!:'iC:!::!::!::!::!:'iC:!::!::!:*:!::!:'iC'iC:!::!::!:'iC****'iC'iC.:!:*'iC
PLlJIHBER ~ V\ cmlPAlNlY~~ ~,--\...;-e.~,~e.~" \) L~~
O 7/\ St:ate Cert. or RegisL '!It
Signature ~/ '-----" Cit:y License Registration I \ ~ );"'
~'iC:!:'iC~~~*'iC:!:*:!:'iC:!::!:'iC:!::!:'iC:!::!::!::!:'iC'iC'iC'iC'iC'iC:!::!::!:'iC'iC'iC*:!:-:!::!:.*
HEmANI~
Signatur _
, cmlPATNry {>~ ~Q) \.A...) ~
\\ _____lJ A State Cert. or Regist. #=
~ ~ City License Regist.ration Kt
'iC*'iC:!::!:~:!::!::!:*'iC~:!::!::!::!:'iC'iC**:!:'iC'iC'iC:!:-:!:'iC'iC:!::!:'iC.:!:'iC*:!::!:'iC~.
C} ~.:>\)\ uS y
/
./ () 7 ------.-
0T1IER.
ClOOIPMJJY
State Gert. or Regist. #I
City License Registration #=
Signature
*~~~*~ ~~~~~~~***~~~*~~~~~~~*~*~~~~**~~~~~
APPI.IGATION APPROVPD BY 'J1 ,(~";J 4 eM;,-,,.-
PERKIT OFFICER.
CONDITIONS OF PC ~MIT AFFIDAVIT
A. NOT I CE OF DEED F~E~_T~":~T CT I O~J~3
The undersigned understands that this r~rmit may be subject to "deed restrictiDns" which way be reere restrictive than City
regulations, The undersigned assules r~5ponsibility for compliance ~ith any applicable deed restrictions.
B. UNL I CENSED COtHRf-~C'l [lRS AND CONTRP,CTOR R~2f.:.Qj\I~~L!~ll::..LT I E~,-
If the owner has hired a contractor Dr c~ntractors to undertake work, they may be required to be licensed in accordance with
state and local regulations. if the c(ntractor is not licens~d as required by law, both the owner and contractor may be
cited for a eisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirements aay apply for the intende,: ~Drk, they are advised to contact the City of Zephyrhills Building Department, (813)
7BB-bb 11.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 th,.n the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that ;ay be an indicativ;, that h~ is not properly licensed and is not entitled to permitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMP(CT FEES AND UTILITY CONNECTION FEES
-- ...-.
D. CONSTRUCT I ON L I EN L ;?M (CHAPTER 713, FLOF: I D(') STiCH UTES , {is AI'1ENDED:>
I certify that I, the applicant, have l'een provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection
Guide" prepared by the Florida Departl~nt of Agriculture and Consumer Affairs. If th~ applicant is someone other than the
"owner", I certify that I have obtaine!' a copy of the above described document and promise in good faith to deliver it to the
'owner" prior to cOIDence.ent.
E. CONTRACTOR'S/OWNER'~ AFFIDAVII
I certify that all the information in ~his application is accurate and that all work will be done In complianc~ with all
applicable laws regulating constructio" zoning, and land development.
Application is hereby made to obtain a permit to do work and installation as indicated, I CErtify that no work Dr
installation has coamenced prior to is'!uance of a permit and that all work will be performed to .eet standards of all laws
regulating construction, City codes, z"ning regulations, and land development regulatipns in the jurisdiction. I also
certify that I understand that the reg.'lations of other governmental agencies may apply to the intended work, and that it is
IY responsibility to identify what actlons I must take to be in cOlpliance. Such agencies include but are not limited to:
I Department of Environ.ental ReQulati'~l - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatment
I Southwest Florida Water ManaQement D.,strict - Wells, Cypress Bayheads, Hetland Area~, Altering Watercourses
I ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways
t Department of Health ~ Rehabilitativ" Services, Environmental Health Unit - Wells, Wast~Hater Treatment, Septic Tanks
I US Environ.ental Protection AQencv - Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "AH or HA,etc,', it is understood that a drainage plan
addressing a "compensating volume" Mill be submitted which is prepared by a professional engineer registered in the State of
Florida prior to permit issuance.
A permit issued shall be construed to :'e a license to proceed with the Hork and not as authority to violate, cancel alter, Dr
set aside any provisions of the techni,:aI codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in pl~ns, cDnstruction, Dr violations of any code, Every per~it issu~d shall beco~e invalid
unless the work authorized by such per ,it is com~enced within six months of issuance~ or if work authorized by the permit is
suspended or abandoned for a period of six months after the ti~e the work is COffi~enced. One 90 day extension of time, iay 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 must be logged dUi'lng each six month period, Of the project ~ill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECJRD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERT YOU INTEND TO OBTAIN FIN~NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COM" CEMENT. aBS UNDER $2,500 IN Vi,.UE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
(~~.
SIGNATURE: OWNER [) AGENT .
STATE OF FLORIDA
COUNTY OF
The foregoing
before me this
Pasco
STATE OF FLORIDA
COUNTY OF
Pasco
ac kno\.'J I edged
19~ by
instrument W25 acknowledged
10-28 ~ 192L by
The foregoing instrument
before me this 19- 28-
~~J~S
Pency Owens
R. C. Burnette
who is personally known to me or who has
pl'oduced_ Drivers License
as ,id::nt i fi,=: i(,.n and 1'1:&0 (,1 /d id not
take cln Dilti/lo/. . ,)
_~a..e~..} .,~~---fA.,.AL/
(Signatu/e)
Gracie Owens
(Name TYF'~d" Pi'inted 0', Stcmped)
NOT ARY,_f'UBU C
who is personally known to me or who has
prDduced Drivers License
as iden ification and 0 did/did nDt
IcClth.
,/f.- ~L (j
,
_ -r-L-~
(Sig"nature)
Gracie Owens
(Name Typed, Printed or Stamped)
NOTAR'LPUJ~1,J.~
~r y~'~.
BONDED THRU NOTAi\.-^, J.:(!~~L';:C 'iJl~::,E;:-~\ii;:U:.f~:i.1.s.
.,-~_c: .~~
MAP SHOWING SURVEY OF
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on thl. plat tllat ..,.. r.... I.
the 'ablle I.eard. .f HI' cae.tr
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41 TIt I. ..rvll Val .... .ltllMt IMMllt
or .. .betraet or tltl.. "'r.r"..
there eM" be ..dIU....l _...all,
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Nl .ot .ff.et thl. ..re.t.
I.t .:l:f
05-
CJ\~()-\)()~~t) ~ \)
AS SHOWN ON F.lA, FLOOD HAZARD BOUNDARY MAP
I HEREBY CERTIFY THAT THE LANDS SHOWN HEREON LIE WITHIN ZONE
COMMUNITY NO. OATED
I HlIlUY elllTth' niAT THE A80Yi L.AHDlS WIN SUIWlYlO UNDIII
MY flUPONSlaE SUPUlVISION AND OlIlECTION. THAT THEM AM NO
~a Pel" AI aHOWN NfO THAT THllUIlVIvlHOWN
HIIlEON ..na THE MINI_ TICtlNICAL IT ANDAIIOe MT 'OIlTH .Y
THE fLOIlIOA llOAllD Of LAND IUfliIEYOM, ~T TO MeTION
472.1117. fLOIlIOA STATUTU, . i.
SIGNED ---tJ.D" z.~ 18 eCl
SCALE l~ i ~O ,
NOT VALID UNLESS EMBOSSED W!TH .4. SURVEYOR'S SEAL
--
~G8C _._01'" ...
", .. . ~-,..., I ~ - ,...... . " . ~
1320' Lunar orive; Suite 108
'"Temptlf FIorlc!e :H"
,"3).....1." _r '"
, ~K)~ ~ l?~~~~~
c.Bil1s e. ~_S""X::k'. P.L.S. CERT. NO. ~
1
LEGEND
. CONCRETE MONUMENT
a.a FENCE
o IRO'" PIPE SET
. IRON PIPE FOU~O
x CROSS CUT
JOB No.
"
I
'I,
""""-.~---
CHK. By
F,B.
P,G.
.~
\\\
PASCO COUNTY, FLORIDA
Name/Owner '~. I{j-Ul.AvJ.-t(;-;
County Parcel # -.5 - ~ {, --d.-/ - 0/ c2. a - 0 cJ 0 0 c.J
Location ~ '//0 ...L'l!u~ ~ c?a.IL- J./L
Classification/Type~Use ~~~Al rJ
Permit# :2"7 s?' g
Date / 0- .3 0 ~ ~:J.--.
_4 0;),./ cJ
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Sq. Ft./ Unit
Zone #
-----
---
Prepared by
~
Impact Fee Amount $
The above impact fee n established pursuant to the Pasco Co
County Commissioners. This amount is payable PRIOR to the issuance of a C
structure.
sportation Impact Ordinance as adopted by the Board of
of Occupancy or authority to utilize the permitted
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
J
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)
3'3. qJ>
Assessment =
IDSflx (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
TOTAL FEE $
*Discount.ed 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 Wll..L 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. #
White
Applicant
/1d"1R 9~
Canary
Trans / Finance
DATE
DATE
4!er) 1C/3
BY
BY
'13
'--'""""
Canary
RR / Finance
Pink
Office
Green
Bldg /Insp